Are we giving enough?July 19, 2013Back on the "other” side of the exam table, I sit with my tabby boy, Mickey (Mickey and Minnie Mouse, siblings, were babies in this picture…the one sitting up is Mickey).
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Should You And Your Clinic Have A QR Code?June 25, 2013 I don’t know how and where it first started, but it seems like QR codes are everywhere these days. Not sure what a QR code is? It is the name of those strange little black squares on a white square background, called "Quick Response Codes” (hence QR codes), that you may have noticed on the back of products you buy, magazines you read and packages you receive. They may have appeared recently in our lives, but it turns out that they are nothing new. A subsidiary of Toyota actually created them in 1994 to track cars during the manufacturing process. They have two major benefits: They can contain much more information than a regular bar code, and don’t require a bulky reader; a fancy cell phone often is enough. Indeed, if your smartphone or web cam has the necessary software, scanning the QR code will take you to the company’s web site, where you can learn more about the product in question. That’s how most of us know these fancy bar codes: a way to access a web site. Yet they can be used in a number of more creative ways. After all, they are …
Selling The Value Of DiagnosticsJune 10, 2013 With persuasive conversations, technology tools and effective reminders, veterinarians can get more patients the preventive diagnostics they need. Since 2007, Ellie has taken nonsteroidal anti-inflammatory drugs to manage her arthritis following two knee surgeries. The 11-year-old black Labrador retriever gets a drug-monitoring test every six months. When Peter Brown, DVM, of Chuckanut Valley Veterinary Clinic in Burlington, Wash., reviewed Ellie’s latest test results, he used Idexx’s VetConnect Plus to see trends over time. Ellie’s liver values had been steadily increasing and were now at the top of the normal range. Dr. Brown sat next to the client, showing her graphs of Ellie’s changing liver values on his iPad. He discussed adding a liver supplement and plans to recheck blood work next month. From his iPad, Dr. Brown shared lab results to the client’s Petly online pet health page through Idexx’s Pet Health Network Pro. "While she was still at our clinic, an alert on her phone indicated she had new lab results shared,” says Dr. Brown. "Now she can share results with the rest of the family at home.” A 2012 State of the Profession study found that diagnostics make up 18 percent of practice …
How To Introduce A New Product In Your ClinicJune 10, 2013 When an elderly couple visited Animal Hospital of Smithson Valley in Spring Branch, Texas, they complained about fleas covering their German shepherd. Dr. Roy Madigan confirmed the infestation and said, "Let’s put him on a dose of the new Frontline Tritak while we’re talking.” Five minutes later, fleas on the dog’s rear legs were seizing and falling off. By the end of the exam, they all saw a pile of dead fleas on the floor. "We decided to use Frontline Tritak for its quick flea-killing time,” says Dr. Madigan. "We also need strong tick control in our area.” Although the flea/tick category saw 15 new entrants between 2011 and 2012, manufacturers know veterinarians’ recommendations drive consumer demand. Last winter was the fourth warmest winter on record and prolonged the need for flea-and-tick products. "At the end of the day, we are all racing toward the same goal—to get more pets protected,” says Shawn Hooker, director of parasiticides long-term strategy at Merial Ltd. in Duluth, Ga. Before expanding pharmacy shelves, veterinarians need to evaluate whether a new drug meets the medical needs of their patients or fills a void, …
Our Part In Pet Loss & GriefMay 31, 2013 In my last blog, I shared more information about the Veterinary Social Work Summit, and two of the four pillars of that master’s program at the University of Tennessee: animal-assisted therapy and the link between human and animal abuse. Next we’ll look at the third pillar, pet loss and grief. By the very nature of what we do, we are in the position to help pet owners through loss and grief. They come to us when their pets are ill or injured, whether the pet has a chance to recover, or not; or they come to us when it’s just a matter of time left for the pet, whether a day or a month. Most of us, or dare I say all of us, do this work with grief and loss without any formal training either from our schooling or our employers. We learn it "on the job,” because death is a part of our job. We may never slow down long enough to really reflect on how unprepared we are to be helping these pet owners. At the Veterinary Social Work Summit, there were presentations about …
Lasers Promote Faster, Stronger Wound ClosureMay 21, 2013 Wounds and dermatology issues represent perhaps the widest variety of ailments in veterinary practice, both in origin and complication. From an acute burn to a chronic lick granuloma, from an ischemic ulcer to a dehiscent surgical site, no two wounds will be alike. Compound this variation with different histologies and enzyme over/under-expressions; then throw bacterial or fungal infections on top of all that; now plan for a dog gnawing at it constantly or a horse sleeping in a dirty stable. Snake Bite This is a snake bite case handled by someone who was skeptical about therapeutic lasers. The dog was bitten in the hind limb and after three days, the entire belly was necrotic. Veterinarians did a full surgical debridement on Day 5 and one day later, the necrotic tissue returned to the entire area. At this point on Day 6 they applied the laser, but in the interest of science and skepticism, they left a control section, lasering two-thirds of the belly and leaving one-third untouched, above right. Two days and two treatments later, the effects on each section are clear. At …
Blowing The WhistleApril 30, 2013 On my Yahoo! home page recently, there was a story about a dentist who was raided by the health department. They found disgusting, dirty, unsterilized instruments and unclean conditions. They suspect this dentist has exposed thousands of patients to blood-borne illnesses such as Hepatitis B and HIV. I read the story to find out who tipped off the health department; apparently it was a patient that had no other risk factors and had tested positive for one or both of these illnesses. I must say, I expected to find out that someone working in that dental practice tipped off the authorities, and I must also say, I’m a bit disappointed to find out that wasn’t the case! There were obviously people besides this dentist that worked in that practice. Were THEY trained professionals, who would know the difference between "good medicine” and what this dentist was practicing? Did they know, and just choose not to tell for fear of being a "whistle blower”? By the way, "whistle blowers” have legal protection against retaliation; if you report an unsafe environment to OSHA, for example, your employer can not retaliate in any way, including terminating your employment. Although in …
Community Activities Fuel Practice Growth For David Beltran, DVMApril 4, 2013Engineer-turned-veterinarian says biggest factor in his success is volunteerism. To understand the influence David Beltran, DVM, has had on a generation of California kids, just look at Monica Trujillo. When Trujillo was in the fifth grade, her mother signed her up to volunteer at Beltran's practice, Veterinary Healthcare Service in Monterey Park, Calif. One day a week, after school, she'd show up faithfully. At first, she just cleaned tables and mopped floors. Soon, Trujillo was making labels and counting pills; eventually, she was trained in more complex tasks, such as taking patient histories and assisting during exams. The day she turned 16, Beltran hired her as a tech, a job she held through high school and college. And later this year, with more than 10 years of practical experience under her belt, Trujillo will apply to veterinary school—a dream she directly attributes to her long-ago opportunity at the clinic. Dr. Beltran is committed to serving his community, both as a veterinarian and as a volunteer. “I love veterinary medicine, and I know exactly what I'm getting into, thanks to Dr. Beltran,” she says. “I am so lucky I was able to start here as a volunteer.” Trujillo is …
How To Avoid Sticker Shock At Your Veterinary HospitalApril 1, 2013 Have you ever slapped a client? You probably have and didn't realize it. While shadowing an appointment during a consultation, I observed a receptionist at the front desk. She said, “That will be $302 today,” and slapped the client with sticker shock. “Wow! That's as much as my car payment,” the client exclaimed. Asked about price, 34 percent of clients say veterinary care is higher than they expected, according to the Bayer Veterinary Care Usage Study.1 Every team member influences perception of value. Here are ways you can turn the smack of price into satisfied clients: Schedule first, pay last at checkout. If a patient needs follow-up care, make the appointment before presenting today's invoice. Sticker shock may cause the client to hesitate to come back, assuming she'll pay the same $302 next time. Because the veterinarian wants to see a dog with a skin infection again in two weeks, the receptionist should say, “Dr. Olson needs to see your dog in two weeks to ensure the skin infection has healed. That would be Feb. 22. Does this same time work for you?” Direct the client to a specific …
Pet Insurance Myths DispelledMarch 29, 2013 There's a lot of information out there about pet insurance, but there's a lot of misinformation, too. Pet health insurance is on the rise, growing tenfold over the last 10 years, according to the Better Business Bureau, from one pet insurance company in 1997 to 12 companies in the United States today. And with roughly 1 percent of U.S. dogs and cats insured, compared with one-fifth of pets in the United Kingdom, the industry can expect that growth to continue, according to BBB. Despite the optimistic outlook, one of the most common myths that plagues the pet insurance industry is that it will turn pet care into HMO-type healthcare to which humans are subject. Kerri Marshall, DVM, chief veterinary officer for Trupanion in Seattle, Wash., said she doubts the changing world of pet insurance will leave pet owners navigating HMO-like mazes and rules. “Understandably, veterinarians don't want to see pet insurance providers controlling the way they price,” Dr. Marshall said. “This concern comes from these veterinarians' interactions with pet insurance providers who reimburse based on benefit schedules. They see that these providers are reimbursing only a portion of the price they charge, saying that the …
