I've had a few 2nd opinion appointments lately - some for skin issues, some for (ugh) internal medicine issues.
Sometimes I want to scream "Really?! You really expect ME, who has been a doctor for only 16 months, to provide a second opinion?! Are you high?!"
Appointments like that scare the beejesus out of me. I feel like such an imposter.
Showing posts with label stress. Show all posts
Showing posts with label stress. Show all posts
Sunday, October 20, 2013
Thursday, October 17, 2013
The Longest Day
Last Wednesday was pretty rough. This was not a typical day for me. Here were my appointments:
- Puppy with vaginal discharge after her spay last week (no, I didn't perform it) whose owner was freaking out. Looked like puppy vaginitis.
- Newly adopted rescue dog, just preventive care. Fairly straightforward.
- Eye recheck for a dog with red irritated eyes, improved but not resolved.
- Rechecks for kittens who had upper respiratory infections, now resolved.
- Dog with recurring urinary tract infections, unable to get urine since she went just before her appointment.
- Dog with horrible skin issues (a breed who is notorious for severe allergies) whose owner repeatedly declines workup, changes the dog's diet frequently without consulting us, and sometimes forgets flea preventative then wonders why the dog's skin is always messed up. Repeat my speech on dog allergies for the 3rd? 4th? 100th? time with that client.
- Dog who needs vaccines but the owners have no idea what he needs or when he last had vaccines. They sat there with their arms folded across their chest as though I was supposed to use my magic psychic powers to figure that out.
- Ancient dog with 7-8 major problems and an owner with no money who wants to chat about everything that *could* be done for the dog but that they won't do for the dog. This appointment set me behind schedule by about 15-20 minutes.
- Dog ear infection recheck. I'm only allocated 20 minutes because it's a recheck appointment but hey doc, the dog is limping now too, could you check that out in less time than you usually have for a new problem?
- Itchy cat recheck. Owner just changed to limited ingredient diet and has been keeping all cats on monthly flea preventative. Say a silent thanks for this client because they are awesome.
- Recheck of cat being pet sitted by owner's EXTREMELY high-strung and rude daughter. Ugh.
- Wellness exam for a grumpy cat whose owner is pretty awesome.
- 30 minutes before closing emergency hit by car stray kitten who is 95% dead. Have to help it the rest of the way.
I came home, had a beer, and cried.
- Puppy with vaginal discharge after her spay last week (no, I didn't perform it) whose owner was freaking out. Looked like puppy vaginitis.
- Newly adopted rescue dog, just preventive care. Fairly straightforward.
- Eye recheck for a dog with red irritated eyes, improved but not resolved.
- Rechecks for kittens who had upper respiratory infections, now resolved.
- Dog with recurring urinary tract infections, unable to get urine since she went just before her appointment.
- Dog with horrible skin issues (a breed who is notorious for severe allergies) whose owner repeatedly declines workup, changes the dog's diet frequently without consulting us, and sometimes forgets flea preventative then wonders why the dog's skin is always messed up. Repeat my speech on dog allergies for the 3rd? 4th? 100th? time with that client.
- Dog who needs vaccines but the owners have no idea what he needs or when he last had vaccines. They sat there with their arms folded across their chest as though I was supposed to use my magic psychic powers to figure that out.
- Ancient dog with 7-8 major problems and an owner with no money who wants to chat about everything that *could* be done for the dog but that they won't do for the dog. This appointment set me behind schedule by about 15-20 minutes.
- Dog ear infection recheck. I'm only allocated 20 minutes because it's a recheck appointment but hey doc, the dog is limping now too, could you check that out in less time than you usually have for a new problem?
- Itchy cat recheck. Owner just changed to limited ingredient diet and has been keeping all cats on monthly flea preventative. Say a silent thanks for this client because they are awesome.
- Recheck of cat being pet sitted by owner's EXTREMELY high-strung and rude daughter. Ugh.
- Wellness exam for a grumpy cat whose owner is pretty awesome.
- 30 minutes before closing emergency hit by car stray kitten who is 95% dead. Have to help it the rest of the way.
I came home, had a beer, and cried.
Monday, October 14, 2013
Ultramarathon
Scratch that previous post. My colleague is sick so I'm working this afternoon to cover them. That's day 7 in a row and by Thursday it will be 10 days in a row.
I like my job but this is getting ridiculous.
I like my job but this is getting ridiculous.
Wednesday, October 2, 2013
Down time
As a veterinarian your entire day is spent interacting with people - coworkers, clients, and colleagues at other hospitals. As an introverted veterinarian, this is completely exhausting - especially when one or more of the people you deal with is, shall we say, high-maintenance.
It's REALLY important to recharge, otherwise you will completely burn out.
For the past month or so I've been teetering on that red line, so to speak. Between traveling, working extra days at the vaccine clinic, and taking care of household tasks, I'm pretty near fried. As a result my old friend anxiety is starting to show up again as that non-specific clenching in my gut.
I've been trying to force myself to do less - clean less frequently, not spend so much time reading veterinary-related material (the number of emails and journals I get is overwhelming sometimes), and do things like just watch mindless TV or just sit outside on the patio.
Let me tell you, this is HARD to do. My mind keeps coming up with endless things that I *should* be doing instead of relaxing. There is literally no end to the things you could learn in medicine, or the things you could clean or organize in a home. I'm the kid who earned ALL the merit badges possible in Girl Scouts because I wanted to finish, dammit, so intentionally saying no to doing extra feels like slacking.
Here are some things that I did/am doing to help:
- Quit the vaccine clinic (I have one more day and then I'm done). The extra money isn't worth the stress.
- Asking D to do more things around the house that I normally take care of (get groceries, vacuum, etc.)
- I am thinking about hiring a housekeeper. D is worried about someone having access to the house when we are away, so I could have them come clean while I am home.
- Also thinking about hiring pest control services to spray the perimeter of the home periodically so that I don't have to battle the near-monthly ant invasions
- Bought a season pass to my favorite ski resort
Hopefully I can get back on track. I'm terrified of getting as burned out as I did at the corporate practice.
It's REALLY important to recharge, otherwise you will completely burn out.
For the past month or so I've been teetering on that red line, so to speak. Between traveling, working extra days at the vaccine clinic, and taking care of household tasks, I'm pretty near fried. As a result my old friend anxiety is starting to show up again as that non-specific clenching in my gut.
I've been trying to force myself to do less - clean less frequently, not spend so much time reading veterinary-related material (the number of emails and journals I get is overwhelming sometimes), and do things like just watch mindless TV or just sit outside on the patio.
Let me tell you, this is HARD to do. My mind keeps coming up with endless things that I *should* be doing instead of relaxing. There is literally no end to the things you could learn in medicine, or the things you could clean or organize in a home. I'm the kid who earned ALL the merit badges possible in Girl Scouts because I wanted to finish, dammit, so intentionally saying no to doing extra feels like slacking.
Here are some things that I did/am doing to help:
- Quit the vaccine clinic (I have one more day and then I'm done). The extra money isn't worth the stress.
- Asking D to do more things around the house that I normally take care of (get groceries, vacuum, etc.)
- I am thinking about hiring a housekeeper. D is worried about someone having access to the house when we are away, so I could have them come clean while I am home.
- Also thinking about hiring pest control services to spray the perimeter of the home periodically so that I don't have to battle the near-monthly ant invasions
- Bought a season pass to my favorite ski resort
Hopefully I can get back on track. I'm terrified of getting as burned out as I did at the corporate practice.
Wednesday, September 18, 2013
Same situation, VERY different response
Once in a while you have a complication with a patient under anesthesia. I have now twice seen instances where a cat, while under anesthesia for a dental, developed a cardiac arrhythmia. (For those who care, they started getting individual VPCs and then developed into runs of them.)
As you may imagine, abnormal heart rhythms are a pretty big concern for us because they sometimes lead to death.
In both cases we aborted the dental and woke the patient up from anesthesia. Fortunately in both cases it was during the scaling (cleaning) part of the procedure and not during any extractions (surgery).
Case #1 at the corporate practice - I talk with the owner. Owner's response includes questions such as the following:
"So we used up the dental on my plan and I can't have it done until next year now?"
"Why couldn't you just finish?"
"How much would it cost to see a cardiologist?" (Ok, this one is a fair question but it illustrates the mindset of the owner - greater concern for money than for their cat - or at least that's the way it appeared!)
I had to bite my tongue from saying to this owner "So you wanted your cat's teeth cleaned even though he could be DEAD with clean teeth?!?!?!"
Case #2 at my current practice - my colleague talks with the owner (it wasn't my case this time.)
Owner's response:
"Thank goodness he's okay!"
"What should we do next to find out why this happened?"
Which owner would you rather work with?
As you may imagine, abnormal heart rhythms are a pretty big concern for us because they sometimes lead to death.
In both cases we aborted the dental and woke the patient up from anesthesia. Fortunately in both cases it was during the scaling (cleaning) part of the procedure and not during any extractions (surgery).
Case #1 at the corporate practice - I talk with the owner. Owner's response includes questions such as the following:
"So we used up the dental on my plan and I can't have it done until next year now?"
"Why couldn't you just finish?"
"How much would it cost to see a cardiologist?" (Ok, this one is a fair question but it illustrates the mindset of the owner - greater concern for money than for their cat - or at least that's the way it appeared!)
I had to bite my tongue from saying to this owner "So you wanted your cat's teeth cleaned even though he could be DEAD with clean teeth?!?!?!"
Case #2 at my current practice - my colleague talks with the owner (it wasn't my case this time.)
Owner's response:
"Thank goodness he's okay!"
"What should we do next to find out why this happened?"
Which owner would you rather work with?
Thursday, August 15, 2013
Grump
Yesterday I went into work an hour early with the intention of catching up on phone calls. I had a lot of lab results and surgical estimates to discuss with clients.
OF COURSE then the phone rings - new client, dog got into a fight and sustained bite wounds, could we see them? Receptionist asks Dr. Bosses (one in surgery and one in appointments) and they say that we can probably have one of us work them in - perhaps me.
My heart sank. I told the receptionist that I could see the dog if no one else could but that I would really prefer to catch up on everything that I was behind on. You see, I don't have access to our computer system from home and so all my callbacks and records writing has to happen at work. I didn't want to stay late to do it or call people at 8:30 pm, so stupid me thought it would be a good idea to come in early.
Guess who saw the emergency. Guess who became 30 full minutes behind as a result and ended up apologizing to people the rest of the day for being behind.
To make things even morefun challenging, we had:
- A fully booked appointment schedule
- 2 dentals and 3 surgeries (dentals take up 2 techs and surgeries take 1, thus tying up about 50% of our techs all day)
- 2 other urgent care appointments earlier in the morning
- 2 ultrasounds (those took up the remaining 50% of the techs)
- 1 tech out with a sick kid
Net result: I had NO help with my first few appointments after that emergency.
I ended up being fairly grouchy and having to mentally check myself from biting people's heads off. I failed one time unfortunately and then felt horrible because that is how I felt and acted ALL THE TIME at the corporate practice.
There are certainly some efficiency things I can work on, such as completing more of the records in the exam room and maybe calling people back at night if necessary. However, I also think we had far too many procedures booked for the number of techs we had. When Dr. Boss is cleaning exam rooms and restraining animals we are definitely short on support staff.*
One of the challenges that I face with completing the records in the exam room is that the main tech I work with is slooooow on the computer and regularly makes errors, so I've lost trust in her being able to do any of my records or charges. How do you help coach someone to get better when you don't have the time to do so? Other techs are really good about entering charges and entering history and treatment plan into my records so I only have to complete the physical exam and assessment portions. With this other tech the history becomes a verbatim transcript of what the client said in run-on-sentence form (so it's unreadable) and it's a rare time when either a charge or a prescription direction or both are incorrect.
*Note: I am absolutely NOT saying that doctors are above doing tech work. It's just that when a doctor does tech work you are spending more money to get the same job done - AND you are taking away from time that could be spent making diagnoses and coming up with treatment plans.
OF COURSE then the phone rings - new client, dog got into a fight and sustained bite wounds, could we see them? Receptionist asks Dr. Bosses (one in surgery and one in appointments) and they say that we can probably have one of us work them in - perhaps me.
My heart sank. I told the receptionist that I could see the dog if no one else could but that I would really prefer to catch up on everything that I was behind on. You see, I don't have access to our computer system from home and so all my callbacks and records writing has to happen at work. I didn't want to stay late to do it or call people at 8:30 pm, so stupid me thought it would be a good idea to come in early.
Guess who saw the emergency. Guess who became 30 full minutes behind as a result and ended up apologizing to people the rest of the day for being behind.
To make things even more
- A fully booked appointment schedule
- 2 dentals and 3 surgeries (dentals take up 2 techs and surgeries take 1, thus tying up about 50% of our techs all day)
- 2 other urgent care appointments earlier in the morning
- 2 ultrasounds (those took up the remaining 50% of the techs)
- 1 tech out with a sick kid
Net result: I had NO help with my first few appointments after that emergency.
I ended up being fairly grouchy and having to mentally check myself from biting people's heads off. I failed one time unfortunately and then felt horrible because that is how I felt and acted ALL THE TIME at the corporate practice.
There are certainly some efficiency things I can work on, such as completing more of the records in the exam room and maybe calling people back at night if necessary. However, I also think we had far too many procedures booked for the number of techs we had. When Dr. Boss is cleaning exam rooms and restraining animals we are definitely short on support staff.*
One of the challenges that I face with completing the records in the exam room is that the main tech I work with is slooooow on the computer and regularly makes errors, so I've lost trust in her being able to do any of my records or charges. How do you help coach someone to get better when you don't have the time to do so? Other techs are really good about entering charges and entering history and treatment plan into my records so I only have to complete the physical exam and assessment portions. With this other tech the history becomes a verbatim transcript of what the client said in run-on-sentence form (so it's unreadable) and it's a rare time when either a charge or a prescription direction or both are incorrect.
*Note: I am absolutely NOT saying that doctors are above doing tech work. It's just that when a doctor does tech work you are spending more money to get the same job done - AND you are taking away from time that could be spent making diagnoses and coming up with treatment plans.
Sunday, August 4, 2013
Exotics
My clinic has been heavily publicizing the fact that I also see small exotic mammals (rabbits, rats, guinea pigs, chinchillas, and the like). As a result, I have been getting a lot more appointments booked for those animals. It's interesting and I like working with most of them* but it is also stressful. Unlike with cat and dog appointments I don't have a mentor readily available to help when I get stuck on a case. If it is anything other than hair loss, wounds, or respiratory infections then it is probably a brand-new problem to me and I have to look things up. Finally, I don't yet have a ll of the drugs and equipment I would like - admittedly a more minor issue.
I'm just doing the best that I can, asking old classmates for help when needed, and trying to not obsess over whether my way of treating something is "the right way" of doing it. The fact of the matter is, as long as I have sound reasoning behind my treatment plan then I should be helping the patient at least a little. It may not be THE optimal plan from the get-go, but I always schedule rechecks that help me make course corrections if needed. It's just taxing, that's all.
This week we are headed to Phoenix for D's grandmother's 95th birthday. I've never met her so that should be nice. I also finally was able to do pistols (1-legged squats) today!
*I'm not such a fan of undersocialized exotics who like to bite me (usually mice and hamsters)
I'm just doing the best that I can, asking old classmates for help when needed, and trying to not obsess over whether my way of treating something is "the right way" of doing it. The fact of the matter is, as long as I have sound reasoning behind my treatment plan then I should be helping the patient at least a little. It may not be THE optimal plan from the get-go, but I always schedule rechecks that help me make course corrections if needed. It's just taxing, that's all.
This week we are headed to Phoenix for D's grandmother's 95th birthday. I've never met her so that should be nice. I also finally was able to do pistols (1-legged squats) today!
*I'm not such a fan of undersocialized exotics who like to bite me (usually mice and hamsters)
Friday, July 26, 2013
Oh my.
Yesterday was a ridiculously crazy day. I had:
- A full appointment schedule
- 2 kitten spays
-3 4 unanticipated emergencies (1 decompensating cancer patient, 1 vomiting and limping, 1 blowout vomiting and diarrhea with a VERY challenging owner, and one anesthetic emergency during one of the spays)
I ate my lunch at 6:30 pm. Oh, and I got my period too - fortunately I had the supplies on hand to deal with that.
The combination of all of these factors made me extraordinarily grumpy (however my mood improved quite a lot once I actually got to EAT). Looking at the bright side of things, though:
- I finished both spays in about 25 minutes each - so I'm getting more efficient, and both kittens did well post-operatively
- I generally DO have a full appointment schedule, which is pretty awesome considering the economy and that fact that I'm still a new grad
- I successfully channeled all of that stress into cleaning the house and kicking butt on a very challenging workout today
- With the exception of 1 appointment (the one with the challenging owner), I felt as though everything got handled very well and the clients were happy
Today was a nice chance to sleep in and relax. Tomorrow will likely be busy again!
- A full appointment schedule
- 2 kitten spays
-
I ate my lunch at 6:30 pm. Oh, and I got my period too - fortunately I had the supplies on hand to deal with that.
The combination of all of these factors made me extraordinarily grumpy (however my mood improved quite a lot once I actually got to EAT). Looking at the bright side of things, though:
- I finished both spays in about 25 minutes each - so I'm getting more efficient, and both kittens did well post-operatively
- I generally DO have a full appointment schedule, which is pretty awesome considering the economy and that fact that I'm still a new grad
- I successfully channeled all of that stress into cleaning the house and kicking butt on a very challenging workout today
- With the exception of 1 appointment (the one with the challenging owner), I felt as though everything got handled very well and the clients were happy
Today was a nice chance to sleep in and relax. Tomorrow will likely be busy again!
Thursday, March 7, 2013
Out with a bang
My last day at the corporate practice was a lot more memorable than I had hoped it would be. One tech brought a cake and another brought a card thanking me for how much I taught her, which was awesome. I got bit by a cat while holding it during anesthetic induction, which was not so awesome. The same cat had a serious arrhythmia under anesthesia so we had to wake it up without doing the dental and then proceeded to completely flip out on recovery, fly around the treatment room, and break a toenail in the process.
I had to take a moment to go to the bathroom and cry for about 30 seconds after all that. Then it was back to work.
We had no receptionist (they called out sick ... again) and were short 1 tech as well. Oh, and one of the new doctors who will be backfilling me was visiting and got to see all this madness! I'm sure they are freaking out a little about joining this sh!t show.
Anyway ... then we had another cat dental and the cat was so amped up that the maximum dose of intramuscular anesthetic barely affected it, so we had to abort that one as well. Needless to say I had some super fun client phone calls to make.
I had no lunch and ended up staying an extra hour because we were so busy.
Did I mention how glad I am to be leaving?
I had to take a moment to go to the bathroom and cry for about 30 seconds after all that. Then it was back to work.
We had no receptionist (they called out sick ... again) and were short 1 tech as well. Oh, and one of the new doctors who will be backfilling me was visiting and got to see all this madness! I'm sure they are freaking out a little about joining this sh!t show.
Anyway ... then we had another cat dental and the cat was so amped up that the maximum dose of intramuscular anesthetic barely affected it, so we had to abort that one as well. Needless to say I had some super fun client phone calls to make.
I had no lunch and ended up staying an extra hour because we were so busy.
Did I mention how glad I am to be leaving?
Saturday, March 2, 2013
The last of the Saturday madness
Today I saw 28 patients, of which maybe 7 or 8 were easy vaccine appointments - the rest were surgeries, emergencies, and sick pets.
That, my friends, is a ridiculous number. I had no time for lunch and no time to even pee all day. The techs had no time for lunch and probably no time to pee either.
The sad part is that regional management will say 2 things:
1. Great job making lots of money!
2. Stop clocking so much overtime
To which I (and probably the techs too) would respond: Make the schedule match the staff you have available, you j@ck@sses.
The former practice manager is now back as a customer service consultant. Problem is, they still act as though the practice manager. They said yesterday they were "so proud" of me because I was "living up to my potential" and if I "showed just a bit of that" in my new job I would "do great." See, they are convinced that I'm scared to take on cases and holding myself back due to a lack of confidence - even after I flat-out told them when I resigned:
"No actually I have plenty of confidence. The problem is that veterinarians who have been out of school 10-20 YEARS say the volume we're expected to do here is insane."
I feel bad for my classmate who will be backfilling me.
That, my friends, is a ridiculous number. I had no time for lunch and no time to even pee all day. The techs had no time for lunch and probably no time to pee either.
The sad part is that regional management will say 2 things:
1. Great job making lots of money!
2. Stop clocking so much overtime
To which I (and probably the techs too) would respond: Make the schedule match the staff you have available, you j@ck@sses.
The former practice manager is now back as a customer service consultant. Problem is, they still act as though the practice manager. They said yesterday they were "so proud" of me because I was "living up to my potential" and if I "showed just a bit of that" in my new job I would "do great." See, they are convinced that I'm scared to take on cases and holding myself back due to a lack of confidence - even after I flat-out told them when I resigned:
"No actually I have plenty of confidence. The problem is that veterinarians who have been out of school 10-20 YEARS say the volume we're expected to do here is insane."
I feel bad for my classmate who will be backfilling me.
Tuesday, January 22, 2013
Part-time request
I emailed the interim practice manager asking if I could switch to part-time starting in March. I copied the region directors (medical and sales). The sales director emails back a one-liner "This needs to be discussed with me and the medical director. Please schedule a call to discuss." So I did.
My request got shot down, which isn't surprising. What WAS surprising is that the sales director immediately attacked me for having a "bad attitude."
Okay, I'll bite. If I do indeed have a bad attitude, maybe there's a REASON for that? Maybe there's a REASON why you can't keep a doctor in that hospital for more than a year?
Also, if I have such a bad attitude then how am I still making the hospital money AND maintaining the highest client satisfaction scores in the region despite having no other doctors, no practice manager, and only 1 part-time receptionist?
I've already drafted my resignation letter. Now I just need another (better) job to come along so that I can send it. I have another interview today - fingers crossed!
My request got shot down, which isn't surprising. What WAS surprising is that the sales director immediately attacked me for having a "bad attitude."
Okay, I'll bite. If I do indeed have a bad attitude, maybe there's a REASON for that? Maybe there's a REASON why you can't keep a doctor in that hospital for more than a year?
Also, if I have such a bad attitude then how am I still making the hospital money AND maintaining the highest client satisfaction scores in the region despite having no other doctors, no practice manager, and only 1 part-time receptionist?
I've already drafted my resignation letter. Now I just need another (better) job to come along so that I can send it. I have another interview today - fingers crossed!
Tuesday, January 8, 2013
Help yourself
I'm going to my GP this afternoon. When I made the appointment several weeks ago I wanted a routine physical to make sure my heart was healthy, blood values were okay, and so on. I was worried that the amount of stress I was under, coupled with my Dad's family history of widespread cardiovascular disease, would make me a heart attack or stroke waiting to happen.
This past week I've realized that not only do I need that assessment, but that I've probably slid into clinical depression. I've had it in the past twice before (about 10 and 20 years ago, respectively) and recognize the signs in myself:
- The clearest sign is having to force myself to eat. I ordinarily have too much of an appetite!
- Other signs include frequent crying, feeling like everything is a herculean effort, and a weird hollow feeling in the pit of my stomach. Check, check, and check.
I feel guilty because for crap's sake, I'm getting MARRIED on Saturday! I should be on top of the world! While I'm looking forward to it and happy (as much as I can be, anyway) about it, in the rest of my life I feel like I'm drowning. I am working very hard at finding a new job, which is the biggest issue, but can't do much about my sister bailing on the wedding and my grandpa being in hospice.
So I'll be asking my GP for a referral to a therapist and some SSRIs because try as I have for the past few months to keep myself afloat, I need a little extra help right now.
This past week I've realized that not only do I need that assessment, but that I've probably slid into clinical depression. I've had it in the past twice before (about 10 and 20 years ago, respectively) and recognize the signs in myself:
- The clearest sign is having to force myself to eat. I ordinarily have too much of an appetite!
- Other signs include frequent crying, feeling like everything is a herculean effort, and a weird hollow feeling in the pit of my stomach. Check, check, and check.
I feel guilty because for crap's sake, I'm getting MARRIED on Saturday! I should be on top of the world! While I'm looking forward to it and happy (as much as I can be, anyway) about it, in the rest of my life I feel like I'm drowning. I am working very hard at finding a new job, which is the biggest issue, but can't do much about my sister bailing on the wedding and my grandpa being in hospice.
So I'll be asking my GP for a referral to a therapist and some SSRIs because try as I have for the past few months to keep myself afloat, I need a little extra help right now.
Friday, January 4, 2013
Flamed
I received my first piece of hate mail today.
It was a patient I saw 3 weeks ago - new client, new patient. Presenting complaint - intermittent gagging every few months. Talked extensively with the client about history, did my physical exam (which was unremarkable), then talked some more with the client about possible causes. Discussed x-rays to help with diagnosis. Recommended that if it happens again, since it wasn't reproducible in the exam room, that they try to get video of it as that can be helpful.
According to this letter I was extremely rude and unprofessional, the tech knew more than me, all I did was run my hands over the dog, and I also apparently cut off the client and said "I think we're done here." (I've never used that phrase in my entire life.) The letter was also apparently sent to the president of the company.
WTF?
Oh, and that particular office visit was FREE, by the way (pretty much all new clients/new pets are free for their first visit), so I'm not sure what this person stands to gain by complaining. I'm also not sure why it was written 3 weeks after the fact. Did they really spend this whole time stewing over imaginary things?
Ugh. I just have to remember that this is one out of hundreds of clients and thousands of patients I've dealt with.
It was a patient I saw 3 weeks ago - new client, new patient. Presenting complaint - intermittent gagging every few months. Talked extensively with the client about history, did my physical exam (which was unremarkable), then talked some more with the client about possible causes. Discussed x-rays to help with diagnosis. Recommended that if it happens again, since it wasn't reproducible in the exam room, that they try to get video of it as that can be helpful.
According to this letter I was extremely rude and unprofessional, the tech knew more than me, all I did was run my hands over the dog, and I also apparently cut off the client and said "I think we're done here." (I've never used that phrase in my entire life.) The letter was also apparently sent to the president of the company.
WTF?
Oh, and that particular office visit was FREE, by the way (pretty much all new clients/new pets are free for their first visit), so I'm not sure what this person stands to gain by complaining. I'm also not sure why it was written 3 weeks after the fact. Did they really spend this whole time stewing over imaginary things?
Ugh. I just have to remember that this is one out of hundreds of clients and thousands of patients I've dealt with.
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