Thursday, July 21, 2016

HEARTWORM DISEASE TREATMENT OPTIONS UPDATE.




My Philosophy in medicine is of a measured and conservative approach, and to try and look for less invasive, safer, and less costly treatment options.
In this regard I have been using the so called "European protocol" for treatment of Heartworm disease. It is so called because a research paper first published in Milan, Italy described the protocol. The protocol has been used in the States also by various veterinarians that are familiar with it. It involves the use of Doxycycline and Ivermectin based Heartworm preventive. It's a slow kill of worms approach, and that is why I like it, as I find it safer--as compared to fast worm kill--and less costly. Of course each patient is an individual and a veterinarian needs to asses him and discuss with the pet owner the options.
My bottom line is always: if it safer and appropriate for the patient it should be the first choice.
Dr. Ehud Sela
Gentle Vet Animal Hospital
954-972-5900
© Dr. Ehud Sela. No work herein may be reproduced in any way without expressed permission from the author.

Tuesday, July 19, 2016

THE ART OF MEDICINE




Medicine is an art, good medicine that is, both in Veterinary medicine and human medicine.

In Veterinary medicine this art is more difficult as the patients can't tell the doctor what is bothering them.

Therefore, a complete physical exam, and a detailed history is imperative in order to achieve a diagnosis.

Of course, an experienced eye with many years in practice is an essential element.

Unfortunately medicine has become in some instances not an art, but a blanket approach in which based upon algorithms--and not critical thinking--a myriad of tests are done, and these tests can be costly.

I believe in diagnostic tests; they are essential, but I also believe in a logical approach and fine tuning the tests to the case in front of me.

I regard in many cases the art of medicine to be like a detective work in which a methodical and logical approach is applied.

Yet, always remembering that the first rule of medicine is do no harm.

And, always remembering that in front of me is a pet that feels and is a member of the family.

The Art of Medicine is not just a cliche but something to strive for and always practice.

And like any form of art, there are good artists, not so good artist, and exceptional artists. 

In medicine the exceptional doctor has that additional spark of compassion and wisdom that sets him apart.

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, July 12, 2016

GOOGLE DELIBERATELY FOSTERS, FESTERS AND HARVESTS WITH GLEE BAD REVIEWS.



First Part, 7/12/16
To the public at large and those among you that are small business owners and professionals: Google deliberately fosters, festers and harvests with glee bad reviews. It's a money making machine for them, as within not a long period of time afterwards they will address you with online ads' offers. In my opinion any merchant or professional that finds that through Google reviews he has been maliciously hurt, do not listen to their advice as to the response, as it only serves them, but respond truthfully and strongly to defaming words. Unfortunately, through their friends in congress Google is immune from defamatory law suits when publishing them--a thing that the print media does not have, and rightfully so. Let us hope that we the people will be able to change this unsavory and cozy relationship of money and power.
Let us all try from now on not to “Google it” But let us “Bing It.”

Second Part, 7/15/16

Let us expand more about Google shady practices: This actual conversation took place and it is here brought not verbatim, but the essence of the conversation and its content and meaning and implication are  accurate. Of course this is a brief synopsis of the conversation.

Phone call to Google Merchant Services:

Myself: I would like to report a fake malicious review by a person that is homeless goes online by the name of  Gutter Punk--on multiple online platforms--and has been found on the property when the office is closed at midnight, eating, drinking and loitering, causing a sensation of fear and discomfort to exit the vehicle and attend to a sick patient late at night that I had to get some medications for a house call.  The police has been informed and I'm presenting to you all the information on this person and its lifestyle and activity including arrests and loitering and voiding body fluids in public. This person boasts online of its lifestyle and trespassing and living on the streets. Also, this person is not a client of the business and never set foot inside the office.  Yelp has been informed of the above, given exactly the same information and immediately this person was removed from Yelp. Finally Google, you have promoted this individual to a local guide and reward him with gifts and seek reviews from him. What is wrong with you, don't you even bother doing a minimum of screening?

Google's response: Let me review the information and the review. A minute later: It does not violate our policies.

Myself: how can that be, as your policies themselves state that a review has to deal with nature of the business reviewed?

Google response after a slight giggle they couldn't resist making: It was on your property so it's related.

Dismayed I asked: You are kidding are you not? This person was trespassing at midnight sitting in the dark parking lot. How can you even utter such a response?

Google; No we are not kidding.

Myself: Let us take it to the extreme and let me ask: let us assume that a business owner has an argument with a person, like waiting in line somewhere or let say a minor fender-bender happened and while waiting for the police the other person finds out where you work. Let assume you wear a shirt with the business logo. Then this person goes online and writes a fraudulent malicious review about the business, I'm sure you will remove such a review, correct?

Google: No!

Myself: This is unbelievable, you must be kidding, this has nothing to do with a business reviewed and the nature of its business.

Google; No, we are not kidding.

I think it's clear from this conversation how Google Fosters, Festers and Harvests with Glee bad reviews. It makes them money as they can try and have the merchant purchase ads.

At this point I tried a little experiment with Google and asked about a positive review.

Myself: what if an employee of a business also uses the business services and has a great experience and want to share it with the public.

Google: Absolutely not, an employee can't do it.

Myself; what if it's the reverse happens and the employee writes a negative review.

Google: Yes, that is allowed.

I didn't even bother at this point to try and find what convoluted and bizarre explanation Google might come up with. So I ended the phone call.

To all professional, merchants and the public at large; Avoid the trap set by Google. Use Bing, that doesn't get itself involved in reviews, and the obvious conflict of interests involved with it. 

Dr. Ehud Sela

The Gentle Vet.