How To Build Trust Between Your Clients and Vet Techs

Welcome to another episode of The Veterinary Roundtable! In this episode, the ladies discuss a few updates to the podcast, Dr. King's trip to WVC, an unfortunate follow up to a case, and more!

Do you have a question for The Veterinary Roundtable? Ask us on any social media platform or email harrison@kingmediamarketing.com!

Episodes of The Veterinary Roundtable are on all podcast services along with video form on YouTube!

Social Links: https://linktr.ee/allstarvetclinic

TIMESTAMPS
Intro 00:00
We're In A New Studio 00:30
Updates Regarding The Veterinary Roundtable 02:50
Dr. King's Trip To WVC 06:02
Vet Med Shout Outs 12:42
Case Collections 20:04
Listener Question (@futuredoctorcat) 37:36
Outro 48:45

Transcript

0:00

(upbeat music)- Okay, don't press the button.- Hello everyone and welcome to a hot new, fresh episode of the Vendory Round Table, the podcast where we answer your Vendory Related Questions while having some fun along the way. If you enjoyed today's episode, be sure to leave us a review on your podcast provider of choice and if you have any feedback to offer to improve the Vendory Round Table, let us know.- Mm-hmm, mm-hmm, hammer. We'll see if the sound, the surround sounds show up on there.- That's right, that's right. You might notice that we're in a new area.- Oh, you're just gonna skip the hammer.- I'm in, well, that's part of, I mean, isn't that part of, oh, yeah.- Mm-hmm.- Okay.- Why does it say we're gonna have our own reviews and they're looking at us going, they're not gonna be listening to us say, hammer our own reviews because they're gonna see, yes.- That's right, okay, so,- They've run in.- 100 in.- Look at us. - The last screen behind us.- There you go.- We got a TV.(laughing)- All right, new chairs.- We brought the tail button that I can't reach.- Yeah, for those people that are listening and aren't watching, Courtney, describe the new set.- We are in a beautiful new studio. It has black walls, we have fancy lights. We have a gigantic TV behind us. We have a fancy new table. We have a game of TikTok, tow, man out of wood. Our fail button is with us as well, still.- Yeah, we have the same fancy mic.- That should be.- Oh, we have a new furniture. We can definitely now have a couch to share and King and Duckwall have swivel chairs.- Swivel chairs.- So we can have all the fun in here.- Okay. - And very exciting, more fun.- Yeah, this is actually fantastic.- It's very comfortable.- It's very comfortable.- It is.- If you see me, sleep over here in the room.- I know. - I might be bringing a blanket next episode.- After a lunch hour.- Yeah, exactly.- Usually we're hungry.- We're hungry.- Okay, so we need to hammer home the reviews.- Mm-hmm.- We got more.- We did.- Yeah, we got more.- Was it too?- Because last time you had mentioned, you were like-- - It was too, right?'Cause we had 43 last time.- I thought we had 43 last time.- I thought we were, what did you think we were at?- I thought 41 or something.- Well, this is-- - I got 42. I thought 42.- This is Apple Podcast Reviews within the last week, which means we had 43,'cause there's two here.- Mm.- Right?- Mm.- But it's been two weeks since last one.- Maybe those were just the ones with comments. I don't know how those work. Maybe you can just give it a thumbs up.- Harrison Fact check.- Thumbs up.- We came and see Harrison.- No, and then that's a good point.- Mm, that's a good thing.- And then we stood in the new studio.- And then the new studio.- And the new studio.- He's hidden behind three monitors. You can see the top of his head. We don't even know if there's any more. He just leaves us.- He might have left.- Dad left.- Mom's back.- Kids will play.- Oh my god.- He trusts us to leave us on our own.- So we're in a new studio. We got some new plans coming up. We're allowed to like kind of tell you the news. Build a team.- Yes, build it.- Okay, so we're gonna try to have a new goal. We're gonna have weekly content, weekly podcast, guest episodes, once a month. We're already recording this new studio. So check.- Check.- Even though three of us out of four here did nothing to get this new studio ready. We very much appreciate all the efforts.- Yeah.- Yeah, that's great. So leave a review about what you think about the new surroundings.- Yes.- If you watch, yes.- No, I'm gonna miss the pink chairs. I don't know about you, but maybe we bring it back for an episode.- It's the pink chair episode.- You were not the pink chair episode.- They were not pink.- They were definitely red.- Red.- Oh, that is red on the screen, right?- Oh, that is totally red.- It was a shader red.- It was not, I don't even know what in chartreuse color.- Salmon is light pink.- Chartreuse is like the shoot, like the green on your...- Yeah, definitely wasn't green.- It was, they were pink.- They're salmon pink.- I would, yeah.- That's a nice color.- I was gonna salmon.- Same red as coral or salmon.- I like salmon though.- Can somebody go grab one real quick?- No, I can't.- Yeah, they were ugly. Let's just say that.- Oh, you liked them, I'm sorry.- Well, she liked them.- I think it was a shader, pink care podcast episode. Pink care, fair.- We might have to do that. We might have to bring it back.- We're gonna start over.- Listen, we're still brainstorming on Devon and what we're gonna make our deal.- Yes, I was gonna say new studio, same mamas to the viewers and to listeners. We need a punishment for them.- That's right, yeah.- An experienced coordinate, let's not go.- Oh, sorry, sorry, sorry.- Yeah, it's an experienced.- Yeah, it's an awe.- It's a bit torture.- It'll be a story.- Yep, for sure.- Well, there were people who did listen to us. Thank you so much. Thank you for listening and thank you for commenting and leaving reviews. So, first one is, love, love, love this podcast. I'm a vet tech student in Mississippi. What up at Anna J 42?- Hello.- How's Mississippi?- I feel like I'm on a nighttime radio show.- Hello, welcome.- Hey, what's up?- How's everybody?- It's a soldier music.- I'm a ton of people.- It's nighttime music, right?- Yeah.- All right, our second one, take it away, King.- Love the podcast. I love how you guys can be informative by teaching people but also keeping it fun. At Brian 450928.- Nine-er, no, he doesn't have a nine-er.- I should have just said that.- Nine or nine-er.- Yep. So, thank you, Brian, for listening as well. Yeah, love it. Love to hear the people.- Yeah, thank you.- Okay. Well, we kinda did our intro, but we still have more information. King over there has to fill us in on, well, first we should probably say who we are. Okay.- If you're new to us, welcome.- Welcome. - Welcome.- Thank you for finding us.- Thank you for finding us.- So glad you're here.- I am Dr. Abbey King.- I'm Courtney Allen, Devon Fortune.- I'm Ashland.com.- And we are the-- We are the four-migos. There you go.- No, we run this shit.- Oh.- Wait a minute. He's clogging us from behind the computer.- Oh.- Sorry.- Oh my god.- Okay, everybody, I gotta tell everybody about my experience at WVC.- Yeah.- What is WVC?- Oh, WVC. Western veterinary conference. It's one of the two or three larger confectors.- Probably the biggest one, isn't it?- Yeah, I'd say it's probably as big at least as the Florida one.- Yeah.- Yeah.- Yeah.- It was a great experience. I have not been to Western before. It's in Las Vegas. If you have a chance to go, go. It's more like a experience from the standpoint of they do all these things for people. Like you get to participate in activities. We went, we had a flow ride concert. It was a blast. It was just a really good time. And I met a lot of people that follow us on the veterinary roundtable and on the clinic page and all that. So that was fun. Got to film some videos with everybody. Got to learn some new information. There's a cool products, new products that are coming out.- So where can they get this information? Did you make videos that they can watch?- Oh, you mean, well, yeah, we don't make some videos.- So promo!- We did make some videos. There'll be more coming out. You can watch them on Dr. Emily King says, no, just Dr. Emily King.- At Dr. Emily King.- Okay, sorry. At Dr. Emily King.- Yeah.- And while you're there, just go on over to all-star veterinary clinic. And then while you're there, just go on.- Just keep popping around.- Just keep popping around.- Just keep popping around.- To veterinary roundtable.- Even one entertainment definitely go to all-star veterinary clinic because it's pretty hilarious.- Mm-hmm.- Mm-hmm.- So that was my week.- It looked like you had a blast.- It was fun.- Yeah.- You know what? And you know who I met there? Duck wall.- Me.- Me.- Because she was there. She had to come in on Wednesday. And then I was leaving on Thursday in our path.- Yep.- And then we saw the Thursday in our paths were just by chance crossing. And so I popped out of a slot machine and I said hello.- Hello. You want me?- We do one of my favorite activities, which is dancing.- Mm-hmm.- Because music is magic.- Mm-hmm.- We saw the Eiffel Tower.- We saw the Vegas Eiffel Tower.- We found a guy who wanted to just dance with us.- That's right.- And so-- Sound like a Seagus.- I love dancing.- Yeah.- He danced with us the entire time.- Yeah. It's great. He danced with Harrison. My friend Shirley.- Yeah.- For the temples.- Gosh. Now, what about you guys? What did you? What was your week like?- Um.- Tell us how you're doing.- Last week?- Or this week?- Or the Rickets.- I don't remember.- Last week or this week?- Either one.- Last week was not general. How are you doing?- I'm okay. Yeah, I'm okay.- Okay. Why are we just okay and not great?- Um, do you want me to be honest?- I just feel weird.- Yes.- Be honest.- Okay, you feel weird.- I could have explained it before. I don't know. Like my mom left for Vegas today. And I always feel weird when she goes to the town. Because then it's just me and I'm on my own.- Mm-hmm.- I'm a shower to try to make myself feel better. Didn't work.- When I'm alone.- I thought your hair looked really good today.- Oh, but it doesn't or--- No, no, no.- It's just like--- It's extremely nice.- It's extremely shiny.- I'm not, I'm like, I'm always tired, but I'm just kind of,- Yeah.- Okay.- Yeah.- So you're just a, yeah.- Mm-hmm.- Okay, so we got to carry the team here.- Okay, okay.- I'm really honest. Why are you just okay?- Yeah.- Just not good mental health sometimes, you know?- So you're just having a rough go of it.- Yeah.- But it'll get better.- What do you do when you have those days where you have a not so good mental health day? What do you do?- I color a lot.- Mm-hmm.- I really like to color.- Okay.- It's really fun for me. My husband got me new coloring books and stuff for Christmas. So I use them. And I hang out with my dog and Jacob.- Okay.- He has about it.- How long would you say it takes you to recover when you're having a bad mental health day?- A few days.- Okay.- Okay.- So you just coloring in your closet?- On the bathroom floor next to toilet.- Okay, there we go. I'm just trying to pull them.- No, on my couch or in my bed.- Oh, with your blanket and your dog.- Or like Jacob, his PlayStation is upstairs because I won't let him keep it downstairs. And so in our guest bedroom, he has his PlayStation setup and then we have our guest bed. And so I'll sit on the bed with Miles and Jacob plays the game. So like we're hanging out but not hanging out, you know?- Okay.- And that's really fun for us.- Okay, that's good.- Yeah.- We're coloring pictures of anything in particular.- I have pictures.(laughs)- Will you color?- It's like coloring.- We can start hanging them in here.- Oh my goodness, great.- Make it even better.- No.- And then there's so many, then you're like,"Corney, are you okay?"- I know, right?- Exactly.- That's like, "Corney brought in four pictures."She's having a really bad week."- It just random stuff.- Just random pictures.- It's like coloring books, right? Like you're not coloring.- Lian's not pictures.- No, I'm not artistic.- I can color types of colors you like?- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I can color types of colors.- I have one.- I have one.- I have one.- I have one.- I have one.- I thought about this really hard this morning.- I have one.- I thought about this really hard this morning.- I have one.- I thought about this really hard this morning.- I have one.- I thought about this really hard this morning.- I have one.- I thought about this really hard this morning.- I have one.- I have one.- I thought about this really hard this morning.- I have one.- I thought about this really hard this morning.- I have one.- I thought about this really hard this morning.- I have one.- I thought about this really hard this morning.- I have one. Like you just you go slow they're okay, yeah if you go too fast and rush them and get in their face And are gonna like it. I wouldn't like it yeah, yeah, so I think that's cool We've had some amazing like cases where we've done like yesterday. We had a dog come in who's Just a known like skittish dog, but through the years we've been seeing him I think it's been like three or four years now. We figured out he's better with the owner for everything exam everything he's less restraint and he's so food motivated So the appointment itself, yeah, we needed like an hour slot like it takes forever But by doing that we've gained his trust like he licks me wags or tis tail like he He is comfortable with us. We can do everything. We don't to use like injectable sedation This is the first year he came in on trasodone And that was just because the owner was very aware like she just wanted to just Bring it down a notch because he's getting vaccines and blood work and it was more just because the owner wanted to do that Forehead now because he needed it and so yeah, that was just like the one great example that just happened where we just work with him And we work at the owner and you can go a long way. I was gonna say lila home or yeah She's been our patient for four or five years now four years. Yeah, and she used to nobody could touch her You would have to like you would have to like poke I mean poke as fast you could like injectably sedator and That's all we could do like you can even pet her and now she doesn't come in on anything well trasodone maybe But like you can do whatever you want she's awesome. It's just cool to see like it's really it's really rewarding and it's really awesome seeing a dog That's not your dog gain that much trust with you. Oh sure. Yeah, it's very very cool I think when we did her first annual without sedation I cried. Yeah, cuz it was just cool like I was like oh my god She trusts us. You know, so we are like yeah, so that's cool. That's amazing. That's cool That's all I good one. That's a good one. Thank you. Yeah, okay. What about you? I'm not going next I need some more ideas I think on this question Okay, I go from I was supposed to talk about wvc which I did But then I also have another one because talking about fear free Bond cat is a product that's coming out by zawettis. Yeah, that is going to be approved by the FDA that's for It's pre-gabball and for cats. Oh What is their business? Yeah, and it's oral. It's called I don't know. I'm calling it boncat I don't know how you say it's a bo in Harrison Q 80 B.O.N. Q. A.T. Bonquat What's the product? It's like it's pre-gabballin. Yeah, I never use pre-gabballin Which we should know, but we should yes, and and so it's It's flavored for cats and you're and so I think it's gonna be huge That's cool for cats pre-gabballin. Yeah, is it just like what is that be similar to that? Never got just okay, okay, treat no, I think it's a liquid actually okay, but small quantities I can't remember off the top my head, but I want to say it's like 0.1 mils I mean something small. Yeah, but I mean description only yeah, what's better about that than gabapen? I just think it's flavored and it's ready for use and it's a different derivative than gabapen I see okay, they've had really good luck But it's used primarily for it's like a you know, you could send it home with the owner To use like you know for the next several visits or whatever you know think about gabapen If you do liquid you have to do a whole mill. Yeah, that's a lot of the concentration we have to give a lot for is it gonna be a controlled substance? Yeah, I can't remember. It's a schedule. I can't remember so it's primarily used for anxiety Yeah, whereas gabapen we use for well, no, it's used for paying two a dogs like for neuro stuff Yes, and this drug like when you read about it they talked about it being used for anxiety and stress Clinic visits and travel and clinic visits Okay, so design specifically for those purposes, but which I mean you can let your point use it for other things too But so what is is killing it? Yeah, they are shout out to the wet Sponsor is so when I'm so pleased Yeah, the way is paying girls. Yeah, I am for sure. No, they're doing so good stuff. They just kill with the products are amazing Speaking of which fine I'll go next It's not impressive by any means like my idea whatever the product is impressive salencia I feel like we never really touched on it on the podcast. I think you made a informative video about it, but we talked about LeBrella a lot and it's basically just the same thing for kiddies So it's for osteoarthritis And it's the injection once a month and we've heard amazing things about it. We have a lot of cats on it now Yeah, I think cats, you know, they get the short end of the stick. Mm-hmm. Just because they I mean, you know Yeah I'm just saying I'm very happy I'm the one podcast you weren't on when you were in Florida. Yeah No, she kind of touched on how cats do get the short end of the stick They're just as important. Yep. They are. It's so hard to do orthopedic and pain evaluation on cats in the clinic It's so hard. It's like almost impossible. Yeah, and so then it's like, okay, well, I can't give you some like anti-anxiety meds because then maybe I can't find the pain as much But then they're not gonna let you just kind of I don't know churn their legs around and everything is undo But it's not it's just not as easy. That's why I was glad when they came out with that research study where they were like 90% of cats over 10. I was like, yep, how old are you? Bingo you got like right? Yeah, yeah, or it's like do until you catch on like this, right? I think those things are really clever But so what I was able to do as far as like video descriptions of Because you know people don't really think they're thinking their cat's still going up the stairs But if it's not running striding up the stairs then it's painful if it's doing the we're tugging a wall Like things that you don't even think about that people may not even you know be As an issue, yeah, I'm too. Because they're still getting from one place to another. Yeah, so yeah, I agree. That's very cool product Good one. What about you, Ducy? I was just gonna give a shout out to like our ability to provide chemotherapy And so I guess along the lines of I don't know I was kind of thinking of the products. I forget the name of what we have the Equal shield. Yeah, yeah So I think in general though, I really appreciate the fact that If you're comfortable and you're able to in general practice you can provide some chemotherapy protocols But I just think in that department in general it's yeah, it's been available, but It's amazing on how you can provide that for a pet and then expand their life and um Yeah, so I think it does good for the industry. Yeah, it's just oncology radiation oncology I mean even if you want to not do the full protocol, but want to do parts of it you're able to and so yeah And also shout out to Teddy because Okay, never mind, never mind, never mind, never mind, no, no, okay, case collection Who wants to go first? Me? It wants to go first. Let Devon go. I do his chemo He's still our patient. Okay, let's see. Let's see. He's become a rock star I was just it's just short and sweet. Okay We got plenty of it. Yes, I think that's great because everybody loves them. So let's talk. Yeah I was just gonna share that tomorrow. This is last chemo treatment of his 20-week treatment Who is this who is that? Oh, yeah, Teddy we made a video on him He's the goldener-traver everyone loves him. I was so worried about Courtney in that video Is she the only one? Did you guys know this? No in the video I saw the conference in the video of Teddy They're like oh Courtney's the only one who does chemotherapy like we need to be worried about her What is she wearing? And I was like oh my god, so few of them are worried about Courtney We were here tonight responding. We were like oh no, Courtney's not the only one who does chemo there But when she does it she is wearing the protective PPE equipment yesterday peeve equipment and then we use that which you You know to protect ourselves to that, but I thought I was so cute that they thought that you were just like sacrificing yourself But you are to somebody but still it's like yeah, she's protected like Throw her to the wolves. Okay, go ahead. So we're throwing him a massive party. Yeah, we're all contributing celebration Accessories Um, so stay tuned for the party. That's tomorrow party. Oh, you guys gotta you gotta require that. Oh, yeah I'm going after this actually. I'm going to get balloons a toy. I got part in some other things Don't tell Teddy It's a surprise party. It was parents though. No, I'm gonna bring mom in tomorrow morning to let her see the whole set up So I'm gonna do it before she gets there. Oh, that's hilarious And she cried because he's had a little bit of GI upset. Oh, she can't do tree No, okay, Courtney. I'll make a sign. Yeah, um, but his mom I told her that because the video we posted of Teddy I worked on it with Harrison I kind of it was my idea. I wanted to do it with him and I told his mom I was like watch tick-tock as we made a video about him and she watched it and said she cried And every time she watches she cried now remind me he's a lymphoma patient, right? Yes, and so you only did the 20 week protocol Yes, that yeah top top, okay, and so then we wait for him to come out of remission Well, let's have been down since we started it But the problem is he was stage 5 out of 5. Oh, yeah, so he had sternal lymph nodes that were enlarged and then we were concerned about GI track and everything so We're not in remission now because all those base off of external lymph nodes. Yeah, so they're not gonna do any more imaging after I don't so are you gonna does she think she'll rescue him when he comes out of remission? I'm not sure We haven't gotten that far. Well, you know, they have the new drug dekra has that new drug the oral tablets for lymphoma And people were talking about using that for rescue Oh using it for us because I think that was an option to do it You know part of the protocol right from the beginning. Yeah, and I consult it and on call just said and I don't remember what the reason is I have to look I can't and it's a weird name. Yeah, the products a weird name Yeah, but I'm in deadly didn't do it for a link either. Yeah, but for rescue. That's good idea Yeah, because they said this might be an ideal thing for rescuing dogs. Yeah, so do you want to explain what rescuing is? Um, so every so chemo that when you're doing chemotherapy on a cancer patient you're not curing them So we're putting the disease into remission into a quiet state and at some point everybody comes out of remission And so it depends on the patient when that is and so when they come out of remission then you can rescue them We call it rescuing them with give another treatment modality now Sometimes you might use the same you might restart your chop protocol again and just rerun it again Or you might use a different agent You know, so that the body hasn't seen one of these agents So you might do something different and then think the reason we were talking about the dekra product is it's a tablet It's super easy to use so then As a secondary line of treatment further down the road as the owners already gone through all this rigorous work You know in the chop protocol. It's kind of a nice secondary not so much work But yet could benefit. Yeah, you know kind of thing cool. So Does that sound like a right? Yeah, that's description of rescuing. Okay, just retreat them essentially Yeah, we're gonna call it retreat amazing. Oh, it is I was asking him out last night and I was like we literally like I want to say like 90% of our careers from calligraphy if it was like Yeah, I mean you definitely use a lot of stuff drugs Everything everything made up Yeah, he's a really cool case. That's really cool you guys have been able to experience that and follow that through It's really awesome. Yeah, stay tuned for the party I'll go next I am just giving everybody an update on because remember when I did the tragic cake case break Great case whenever last week. It was a tragedy because I just did a crappy job of the case break in here So it was like that was horrible. Oh, yeah, oh, okay. Yeah, it was painful. I think it was not bad. Oh, you're so nice So my update is that I think didn't I get to the point where I told you guys I put them on doxy because we couldn't do anything else And then cat the cat and then the cat was gonna come back when it wasn't well again Yes, because I was like there's no way I fixed it and don't believe until you see the numbers. Yep, okay And so the cat she she texted me the other day. She's like I'm gonna get the cvc drawn and so Just to remind everybody this is a hyperthyroid cat that's 19 that came in for um Acute anemia non regenerative anemia and I was either gonna blame them with them as all or an infectious agent or her cancer Everything it's age and so I just threw doxy at it because it was easy and it'll leave it leave it infectious disease Um most common ones anyway bloodborne pathogens and cats and so I was like that's the easy thing to do And we'll just keep up the methamisole and if he doesn't get any better then we'll stop them at them is all and so She came back and the cvc's normal. What Wait, what's the cat is the castel doing okay? Yeah, well He's saved it No, I know, but you still do did it good. Yeah, when in doubt give it doxy Right no cat dies without doxy or friend No animal dies without bread no animal dies without bread no cat dies without doxy Yep, it's there good guess so yeah, I was like no way yet because she was like she is so much better Oh good, it's awesome. I can't believe it until I see it and then yeah, and then he saw it and I believe it So wait, sorry, you did doxy and stop methamisole you did doxy and continue it. Yeah, because I continued the methamisole because her thyroid was like something stupid Like to the owner ended up decreasing her increasing at home on her own. Yes, uh, yeah, she did So she was at 3.7 when I checked her thyroid so that clearly wasn't the problem. Yeah, that's right Yeah, I know so weird back. Yeah, I know so crazy so weird anyway, that's my update on my case Okay, so nice job Educated guess miracle me you you me. I'll go okay um So yesterday there was a 15 or six I could be off older dog She's just a mix um she came in for an appointment with a doctor because the owners had noticed she was having some issues with her mouth Um, so she just seemed kind of like painful bothered by it or not um, and so doctor cloud who does primarily a lot of our dentals um, that's pretty much all she does Um, she was like, you know what we have time. Let's just do her dental today until next week in which case she's doing TPL Sorry, I just had to throw that in She was like, okay, we can do it today Um, so like I said that was the owner's primary um concern was the mouth is bottom of the dog um, and then doctor schmok ended up going in there after the room assistant told her the history of blah blah blah um, and then the owner's just non-shallotly kind of mentioned oh by the way she's also been urinating blood and Schmok's like This will happen often if you're listening Yeah, you're taking histories or going in rooms Yes, and it's great the first time someone takes the history gives it owner a chance to think yeah And then they make you win and yeah So we're like okay, so we're like let's get a urine. Let's do some blood work prior to anesthesia before we do her dental um, just to make sure everything's good she's an older dog We just want to make sure she's probably has a uti whatever They take her ultrasound they pop a probe on her and instantly they see shadowing under the bladder Um, and so they decided not to do a sisto um, they did a free catch and ended up showing um transitional cell carcinoma So she had a big math and her bladder um, so ultimately we still we put her under anesthesia for the dental, but all we did was cleaning So we didn't do any extractions because it at this point's a quality life kind of thing because this cancer can Go pretty fast. It can it gets kind of aggressive um, so it just they're we cleaned her teeth and we sent her home And just keep in her comfy right now. Yeah, um, but it's just the tumor inner bladder I could remember I'm not sure, but moral the story Every piece of information is important. Yes. Yeah It really does full history and don't change doses Yeah episode for this week But yeah, so I mean it's sad, but it's also You know, at least they have an answer which is 16 or 16. Yeah, yeah, it's not just a mystery But it's hard to make decisions when you don't have all the information. Yes All right, duck wall what you got all right, I'm gonna end us out with Zeus Zeus is a dog that I think we've talked about. Is he the broadwiler? Oh Poor Zeus so this was part of my mental health Understandably it's cuz but it's cuz she's so good at job when she cares and we care about these owners and They yeah, so the situation was this case was very interesting a long time ago I'm pretty sure I brought him up on a podcast regarding his eyes, so recap um, he's a 11-year-old 10-year-old broadwiler and He had presented to a colleague of mine for eye issues long story short He had ended up having blastomycosis which is a fungus and Rocky Mountain spotted fever Which is a tick disease that affected his eyes The miracle was that he kept his eyesight which is legitimately like five percent yeah of keeping it yep So that was amazing and he had been seeing an ophthalmologist for continued care Um, and then I saw him to kind of recap everything and then we just decided Rather than refer to an internal medicine medicine specialist. We were going to Keep him comfortable and keep an eye on everything like his X-ray systemic function things like that um and manage those two diseases with the drugs that were needed And then kind of take it as it comes so he'd been doing really well. I mean He'd this had happened what last spring last April or so a May and then just about two weeks ago um, he had presented because he had a grand mal seizure and so It was actually witnessed by the owners and Courtney um because they had called Courtney and so It was a pretty decent one. They brought him over as soon as they could and when I saw him he was very post-ictal just not There like very kind of out of it loopy Aware like he knew where it because he tried to get off the gurney and everything but just not physically getting up um, so We initially you just like It could be many things. I mean he's in a geriatric rot wiler so on my list you have okay is blastomycosis Still now becoming an issue because his eyes the weak prior had started to come red again So that type of disease can not only go to the lungs, but it can also go to the brain That prognosis is very poor if that happens Then it could also be reoccurrent re kredess what's the word kredesson re i don't know springing up of ringing up the disease as well um, so we ran in house lab work and unfortunately there were a lot of changes So he was non-regenerative anemic so his body was not producing as much red blood cells as it needed to That told me wasn't bleeding out anywhere, but that still is not not good not good He had low platelets Which could be clotting so artifact also could be attributing to his tick disease Not good He had elevated liver values, but he was on prednisone and me okay um He had an elevated ggt which has to do with bile acids and the way the gallbladder excretes it What not it was mildly elevated could still pertain to the steroids, but like uh could be something with the liver function area and then he also had um A characteristic of increased potassium and decreased sodium So that's a characteristic we worry about with something called addicins with low cortisol But we did that test and he was negative so okay, we can rely on addicins Um, what else do we have? Oh, yeah, we forget that how did i forget that we got you You hammered home he had Significant hyperglycemia so he was very diabetic um The thing is with diabetes the way you take the way you diagnose and animals is if they're increased drinking Increasing or nating and high glucose essentially that's what you got to go off of yeah um So that was in of itself like a whole new thing so essentially we God all the information we could we submitted tiktiters to reevaluate Rocky Mountain spotted fever we like to not to submit the um your intestine for blasto because at that point financially We were really far in and also we were Kind of discussing we're just gonna start treatment for it um And to be honest with you if that's what went to his brain it wasn't gonna be good anyway right So we started treatment um he was on doxy for a tick disease he was on fluconisol for um blasto he was on we started anti seizure meds For his grandma seizure we started he was already on prednisone for his eyes. We started insulin I'm missing anything Okay, that's it So then that night he went home ended up having another small seizure unfortunately um And then the next day Her there was a family thing going on so the owners weren't gonna be around um So the owner ended up taking him to our med vet which is a surrounding emergency and also specialty facility and they kept him for the day and kind of monitored and His glucose was being maintained So they sent him home Came back to us the next day friday again similar thing where we His his glucose was actually pretty well controlled it was in like the hundreds or 200s or something And then um his ketones were normal, but he was still very out of it He was like attended Not himself he wasn't eating eating eat like the first night they got him home or something like that And then he just stopped eating again It's very hard to get him to eat anything Which you can't give insulin if you don't eat so that was not him That wasn't in characteristic he literally would eat everything he's never missed a meal. Yeah So It was a friday we i mean honestly we did everything that we could we added in then um support meds anti nausea appetite stimulants All these like good foods like we just tried everything Unfortunately through the weekend he just got worse. He clinically he just declined as far as behavior Still not eating couldn't give him insulin Everything and he ended up going to heaven um he got you mainly euthanized at the ER facility Because he just wasn't doing well the owners knew in their hearts. It just was not it wasn't a good outcome He was a large dog so it's not like one owner could just oh yeah Can't pick him up to he's like a 30 pounds. Yeah, yeah I think the hardest thing in the takeaway point especially for listeners is that We didn't know exactly what the end all be all was for this dog He had so many things going against him and then he was a large breed with an older age So I couldn't honestly look at the owners and say this is what took him which was also difficult because we were Working through so many things and really trying the best that we could to keep him To turn a corner, right? Um, I just think everything went downhill after that huge seizure that I In my gut something says there was something already there. It just yeah took over. Yeah Yeah, not a great way to end the cases But those are that's why it's such an interesting case because it involves so many different Disease components. Yeah, yeah, and I racked we racked our brains together king and I did other doctors And I'm like it's one of those were like you're missing anything but you're literally doing everything you can and so Anyway, yeah Unfortunately those some of those you don't end up fixing right yeah, and in this case I truly felt it was in his best interest For human euthanasia. Yeah, he was not his quality of life was very poor. Yeah, he was very very weak after a seizure He never really walked right after yeah, well, I mean carrying a hundred thirty pounds is a lot He's like dude, so then being unstable and he taxic and yeah, he just Who's this time? Yep, but he's at peace now. Yep. He's not in pain. That's right Okay, so as well those are very good cases. Yeah, very cool. Okay. Listen to her question Shall we? Yep, let's do it. How do you approach clients who seem to not appreciate talking to the text? I see I see people complain all the time that that didn't talk to even talk to me How do you encourage them to trust your texts at future doctor cat great question Oh, those questions. Yeah, I have an answer, but I want to see what you guys say. Oh, okay I don't know if you can answer first or you know, I don't care. I can go okay I well, I don't think this pertains to every clinic, but I think what helps our clinic Um that we all work at with clients trusting technicians because from my point of view as a tech um, I think it's very the consistency is very very helpful Because like my clients trust me. I mean, yeah, they trust I think they trust almost us like both of us equally sometimes It depends on the client, but they're like okay corny cares about my dog She sees them all the time duck walk cares about my dog Like so I think it's gaining trust by um Maintaining consistency with your clients. Sure. I think that's very helpful. Absolutely. I think that's all I got I also It To that point I I know like for Callbacks or some questions that I know that Courtney can handle and devon too I give them a lot of things to help me out with because I trust them and they are also educated And we work as a team and so by to Courtney's point having that consistency, but also Time that they put in just as much as I do if not more that is where It all works as a unit of saying we're all connected and They are at my Becking call sometimes to help me and so I think that also helps build trust too um is just Keep putting your face putting the time in for more people That's all people want is to be recognized be heard and be cared for yeah, so Yeah, I mean you got me pretty much I was No, I agree with all of that. I think that that's one of the main reasons why we set the clinic up the way we did so I it looks like she's going to be a future doctor, right? So you know Setting yourself up for success that way. I think is really helpful not every clinic to Courtney's point is set up that way and Because maybe either the size, you know, they don't have as many staff members or as many veterinarians and so then you can The same effect should occur because they should be hearing from the same people. So I think um You know having cases with technicians that those technical same technicians say you're not in our situation where we have these groups these many teams Basically and say you're in a situation where you might have two doctors and there's six people working six six staff working with those two doctors Keeping the same people working even though they're not assigned to a doctor to the case is one way that you can maintain that you know The overall theme being being consistent, right? So um I think that um It is uh I just think it's so important for clients to hear from the doctor when so like part of the problem can come from not having conversations with the clients and us over Giving conversations So like we hand too many conversations to you and they never hear from us So that can also create a problem so knowing what to hand off and then when not to hand it off You know or knowing when I need to intervene because I'm handing this off so for example a client calls and you know Courtney comes and asks a question and we say okay Yeah, tell them this that uh Courtney goes and tells them this and then Courtney comes back So my rule of thumb is as soon as Courtney comes back a second time I should get on the phone because clearly I'm one making Courtney a tennis match And then and two the clients not getting they're gonna just keep asking questions They're not gonna get to their root question until you know three or four questions down the road Which case I'm wasting Courtney's time. I'm wasting my time. I'm wasting the clients time So just get on the phone so knowing and then I think when you do that then That also, you know is that whole you know circle of trust thing, you know um I think what do you guys think are other ways to I think technicians Being confident. I was just gonna say be confident when you're relaying information to clients be confident You know what you're doing knowing what you're in what you're talking about yeah And I also think it's it's okay to say I don't know Because the clients also know when it's un when you're not authentic in your answers And you're having to make something up right it's better to just say that is a great question I don't know but I'm gonna find the answer for you and it's okay for you to come back and deliver the answer yeah You know um But I think having reliable information especially in today's age when you can go look something up And it can be googled or it can they can ask a different source and get an answer And our answer is not accurate Then that's a thing that'll just drive trust down. Yeah, so yeah Yeah, what do you think are other things from the only thing I really have to add is like I can give recommendations to a client that like I got from doctor doc wall But she didn't necessarily necessarily talk to them and I'll just be like I spoke with doctor doc wall Here's what she recommends and that still gives her the credit, but they didn't take her time Yes, I was gonna say mentioning the doctor's name is that's why I was just I was actually gonna say that too is knowing and understanding Remind remembering like ultimately we're still help like we're still there for you We're still just giving information or giving recommendations. It's just Not me for our mouth like yeah passing it along. Yeah We're there an extension is what Like look at it that way instead of just like I don't know Not an extension. Yeah, we're a third of Yeah You know, I do think that there are situations like I was mentioning before because she says like she used a specific language Like the vet didn't even talk to me like that can't happen Right like so the vet has to talk to the client At some point in now it maybe it's a recheck maybe okay, maybe I don't talk to the client I'm trying to think like never You know like I'm trying to get situation where The only time I mean like it's been for a three check blood work on of you yeah Recheck blood work, but you talked to them to to do the recheck You know like to set up the recheck blood work you talked to them and said and I also think the doctors Because you're gonna be a doctor someday should be saying I'm going to have Courtney follow up with you She's going to be calling to set up a cvc it chem lights to for us to recheck in two weeks Then when we get those results one of us will be calling you. Yeah, so like I set that up or tee it up For the technicians such that when they hear from the technician I use we a lot when we will be getting back to you then they don't expect that it's always been yeah So I think just setting that expectation ahead of time is also really helpful. Yeah. Yeah I also think taking your time in your conversations with the clients because there are countless times where I have a client Come in and their frustration from an ER visit or a different facility or something it just stems from Maybe the vet talked to them, but they felt like they didn't even talk because they didn't listen They didn't take the time to answer questions They would make it meaningful and so That would stress me out too go into the doctor taking my kid to the doctor and it's like Wait a minute. Wait, wait, wait, I have like a lot more things I want to walk through with you And then the follow-up is you only hear from the support staff, right? That absolutely is going to lose credibility on On you but also your your teammates because you're not you're setting them up for failure by not even presenting Yeah, your team in a good way. Yeah, so I think you have to take the time to make it So then they have that trust but then they also know you care and their best interest can still come from somebody on your team and Yeah, so I just there's so many times where people just don't take the time because it's the time thing It's like 20-minute appointments in and out and that that's not how it should go right that's no No So yeah, that was a great question I had something else I was going to say and I forget The other question she asks is how do you encourage them which she's talking about clients? How do you encourage clients to trust the technicians? I mean, I definitely know that there have been times that I have colleagues or friends that say they've had to have conversations with clients and remind them that This is my this is my team Like what is coming from them is also coming from me So sometimes you have to just plainly have a conversation with them I think especially if there's unfortunately any misconduct or miss bad tones or disrespect which can happen Then I think that's when you step in and you take care of your people and you say something I think it's really important also to ask the client questions in regards to that You know, so like because I think sometimes With conversations we try to solve the problem What we think is the problem but we're really miss hitting you know, so like we you know for them it might be that I don't know, you know like it might be something that that's bugging them that we're not even addressing And so we assume that it's this instead of saying hey tell me why You're not comfortable talking to Courtney. Mm-hmm. Well because you you might have a whole idea in your head What comes out of that client's mouth is not even related to what you're thinking? Yeah, yeah And so asking them questions like tell me why you're not comfortable talking to Courtney, you know, so addressing it like you said But they're specifically asking them questions Tell me why you're not comfortable talking to Courtney I can't look at her eyelashes I just had a line of them sorry And then you know, they say whatever they say and then you can address that specific point, you know Or you know, I don't know, I mean, I just think it's always make it about the client like she said make them feel cared and They're being listened to and also there are in reality there are some clients that we know would just The call goes straight to me and that's just how it is. Yep. Yeah, because you've had those you tried to have that battle or you just realized like That's a battle that's just gonna lose for everyone You don't fight it exactly and it's not fair to do that to them either if you know that because you know what you're gonna get From the start. Yeah, just take that off their plate and just just do it just do it. Yeah I give you one thing you give me two things One to King's point two like kind of make sure like obviously I'm not gonna have them run in and say You're your cats and kidney failure. I'm so sorry like come on. Yeah, I'd be reasonable about the task at hand and building that up too Like repliance. I should be calling you know things like that. So yeah, it's also it's about raise by situation. Yeah. Yeah, for sure Great, that's good great job make it better for everyone right exactly Okay, that was a good one. I like that question Thank you very much. How do I know? Yeah, I don't know what time we actually have a two hour leaping back there behind the computer. Okay, I can't even see the toughest hand anymore. No, this is sad Okay, you've taken away. Okay. Thank you so much for tuning into another episode of the I was gonna say turning and I don't know why because our Tessier's here our tables turn Thank you so much for tuning into another episode of the veterinary round table remember sending those questions and leave us a review If you enjoyed this episode or a previous one we'll see you next week for another episode of the veterinary round table We'll see you next week(upbeat music)[MUSIC]