Friday, October 30, 2015

GREED IN ALL ASPECTS OF LIFE IS BAD WITH NO EXCEPTIONS





Here is an example of what I see too often: A pussycat that comes for diarrhea and a fecal test is done at that hospital by inserting a fecal loop to collect the sample. The problems with the procedure are multiple: Not a big enough sample is produced. It’s so uncomfortable and potentially dangerous for the patient, in this case the cat developed a small rectal tear. Then treating the patient for bacterial overgrowth based on the above test. First, bacteria are normal in the gut, second, if a true bacterial overgrowth is a consideration, then get an appropriate size sample—have the owner bring it from the litter box—and send to a microbiology laboratory.

Reason for the above approach: GREED. Generate income, generate it fast and treat. I asked for the records of the cat and found out that the cat had a heart rate over 180 and respiratory rate of 45, that’s heavy panting. The poor cat, the victim in this case, was in major stress and unneeded stress for such a minor ailment.

Unfortunately, often, the patient is taken to the “back” so the owner doesn’t see the stress produced.
In my office the owner brought a sample from the litter box, it was sent to the laboratory and came completely normal. We hope that the tear the cat suffered will resolve.
This in an example of unnecessary testing, rough testing, not common sense testing with GREED a strong underlying current.

Good medicine is not done by algorithms but with common sense and patient well-being as first and utmost, with GREED banned as a factor.

Disclaimer: all events in these descriptions are not fictional and sadly happened and any resemblance to real events is fully intentional.

Dr. Ehud Sela
The Gentle Vet
Gentle Vet Animal Hospital
Margate, Florida.
954-972-5900

© Dr. Ehud Sela. No work herein may be reproduced in any way without expressed permission from the author.

Saturday, October 17, 2015

Dr. Ehud Sela: THE JOY OF HELPING A PET FEEL BETTER


Helping a pet feel better is the greatest joy in veterinary medicine for a true pet lover.

Seeing the silent and deep felt look of gratitude in my patients' eyes is the greatest joy I can achieve and the reason I became a veterinarian.

Like the Doberman Baby Girl that couldn't  walk well due to neurological disease, and now is able to walk and be self sufficient; a delight to her and her owners. Yesterday she came for a follow-up exam and rested her head on my lap in gratitude, and my heart, it melted with joy.

Like the cat Dusty that due to severe inflammatory bowel disease couldn't keep any food down, was losing weight and withdrawing. Now the vomiting has stopped and weight is gained and Dusty is purring again.

These are the true reasons, and only reasons to become a veterinarian, and one should always remember that and cherish that and strive for that.

Dr. Ehud Sela

Gentle Vet Animal Hospital

Margate, Florida.

954-972-5900.

© Dr. Ehud Sela. No work herein may be reproduced in any way without expressed permission from the author.

Tuesday, October 6, 2015

Dr. EHUD SELA: CASE REVIEW: TRANSITORY DIABETES IN AN OBESE CAT WITH SEVERE URINARY TRACT INFECTION



A male obese cat--weighing 21 Lbs--become suddenly ill with anorexia, low grade fever, and changes in his behavior, becoming less social and hiding a lot. In the past the cat had slightly elevated liver enzymes and on ultrasound examination his liver had the appearance of early Lipidosis--Fatty Liver. The cat was asymptomatic at the time and prescription liver supplements returned his liver enzymes to normal.

Tests revealed that the cat had a severe urinary tract infection, but also due to the stress of his Illness developed early Diabetes. The cause of the Diabetes was due most likely to his obesity and early liver Lipidosis diagnosed during the screening ultrasound.

The good news are that Mr. Pussycat has returned to normal, feeling great, eating well, with antibiotic injections and supportive fluid care. I treated the cat as an outpatient with exams every 24 hours. An outpatient approach is my preferred approach whenever feasible as I find it to be much less stressful to the pet.
In addition the cat's Diabetes was transitory and all parameters have returned to normal.

This case illustrates the inherent risks of obesity in our patients as causing secondary complications in case of Illness.

Mr. Pussycat was informed by me that he won’t have to start on Insulin, and that he'll have to become more active and eat less.

Mr. Pussycat gave me a "High-Five-Paw" with a nice purring promising that he will follow my advice.

Dr. Ehud Sela

Gentle Vet Animal Hospital

www.thegentlevet.com

Margate, Florida.

Phone: 954-972-5900

© Dr. Ehud Sela. No work herein may be reproduced in any way without expressed permission from the author.

Sunday, October 4, 2015

GENTLE VET ANIMAL HOSPITAL: CONCIERGE WELLNESS MEDICINE


A highly personalized health assessment and health management program with prompt and increased access to Dr. Ehud Sela. The program will emphasize preventive medicine and early diagnostic tests as a way to maximize quality of life and length of life. The pet owners have peace of mind knowing that they receive comprehensive, state-of-the-art medical care tailored to their pet’s individual needs.
Dr. Ehud Sela offers various levels of concierge service to tailor your pets healthcare needs.
Plans can be either at home or in office or a combination of home and office.

Concierge Plan Adult Pets:

Adult yearly vaccination
One comprehensive fecal test
One comprehensive Urine Test
One Heart Worm Test
One blood work test: chemistry/cbc/diff
 Free Exam with vaccination
 Dedicated appointment line with first priority
 Ten percent discount on all veterinary services

Price: in office $ 570.00*. Plan duration: 12 months.
Price: in home $ 650.00*. Plan Duration: 12 months
       
      *Value of tests alone is $520.00

Concierge Plan Puppy/Kitten

Puppy/kitten vaccine series
Two comprehensive fecal tests
Two comprehensive Urine Tests
One Heart Worm Test
Two Dewormings
One blood work test: chemistry/cbc/diff.
Free Exam with vaccination
Convenient personalized appointment scheduling
Ten percent discount on all veterinary services 

Price: in office: $ 790.00*. Plan duration 12 months
Price: at home: $ 950.00*. Plan duration 12 months

*Value of tests alone is $ 690.00

Additional concierge plans available at home or office to tailor your personal preferences.
These plans include additional diagnostic tests, free exam/consultations at office, at home, via email, via text and video conferencing such as Skype.

For Further details call: 954-972-5900
Email: info@gentlevetanimalhospital.com