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Frequently Asked Questions
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Perhaps, sharing with you often asked questions I can share valuable knowledge with you
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Do I really need an appointment?
You mentioned emergencies, what is an emergency?
I've been told that it costs more if you don't have an appointment.
What do I do if I have an emergency and you're not open?
Doesn't it cost a lot to use an emergency service?
I can't afford a veterinarian, do you ever treat animals for free?
Do you do telephone consultations and if so how much do you charge?
Why do I get such different advice from different veterinarians?
At my last visit my vet put a muzzle on my dog. Do you use muzzles?
My vet accused my dog of being a biter. He's never bitten before, he's only snapped.
When my pet is ill and I'm bringing him in for an exam, should I do anything special?
My best friend is sick and the last time this happened the veterinarian gave me pills to give him. He won't take the pills and he's not eating, how am I going to get the medicine into him
How do I know when it's right to put my best friend to sleep?
My dog was abused and now is extremely shy and fightened of people. Is there anything I can do to improve the situation?
How do I treat diarrhea at home?
How do I know if my best friend is sick enough to come to see you for an exam?
I want to put my dog to sleep, what do I tell the children?
Do I really need an appointment?
Certainly not. Emergencies are handled any time. Let me urge you to call ahead, perhaps using your cell phone while in route if need be, to help us be prepared. In life threatening situations, such advanced knowledge may well allow us to be prepared in advance of the patients arrival and to save a life. Nothing is more frustrating to us than to have overcharged emotional people bursting in the door yelling and screaming and demonstrated how emotional they can be. Appointments, however are always encouraged, up to the point of being insistant. This is very much a time dependent discipline. Each patient deserves to have our undivided attention. You certainly can come in without an appointment, but, if it isn't an emergency, you might find yourself waiting until our appointments have been completed, because appointments do get priority.
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You mentioned emergencies, what is an emergency?
An emergency is a life threatening situation. Hemorrhage, severe trauma (hit by car, gunshot wound, etc.) respiratory obstruction, acute profound respiratory distress are some good examples. Urgencies are situations which shouldn't wait, should be seen ASAP, but in all cases time exhists to call and find out if we can handle the case. If no doctor is in the hospital at the moment you call, a lot of valuable time might be lost. (Very true of emergencies, too). Some of urgencies would also be hemmorrhage (less severe), respiratory problems (less severe, not immediately life threatening), pain, broken bones, most trauma cases, etc. It does well to point out that your uncontrolled emotional state is not an emergency. In fact, uncontrolled emotionality is extremely counterproductive to the well being of the patient. Further, it usually doesn't leave us with a very good impression. Please leave theatrics at home for the audience who most appreciates it.
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I've been told that it costs more if you don't have an appointment.
Yes, it does. We are very insistant to have the necessary time to spend with each patient and we're, of course, senstitive to the time constraints of our patient's owners. When we're allowed to schedule each patient the time it needs, everybody is happy. Because it is our nature to try and please everybody, patients who walk in without calling can put a tremendous stress on time a scheduling. We do want to see the patient, and we want to do so in a timely manner. About the only way we have of encouraging folks to call first so that we can set aside a block of time for the patient is to charge those who don't call more money.
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What do I do if I have an emergency and you're not open?
Call the Emergency Veterinary Services in Lisle (820 E. Ogden Ave.) 961-2900. They are excellent and will do the right thing for you. When your emergency or urgency has been dealt with, they'll send you back to us for any follow-up work. This is important, as other emergency services attempt to, in some way or fashion, pressure you to leave your friend with them for follow-up work.
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Doesn't it cost a lot to use an emergency service?
It does cost more, sometimes a lot more to use an emergency service. I'm not going to insult your intelligence explaining why that would be true. Anybody could easily figure out why it costs more to staff and operate an emergency facility than a facility that's open 8 to 6, or the classic working hours. What I find most incredible is the money people must be making today. Eighty percent or more of the cases seen at emergency rooms are not emergencies. They're not even urgencies. Yet, people take their friends there for minor issues or problems that they've put off and spend two to three times as much money than they would have spent had they just brought their friend to County Line Animal Hospital.
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I can't afford a veterinarian, do you ever treat animals for free?
Usually not. Maintaining a veterinary hospital is a very expensive proposition. Our fee structure, although outwardly seemingly very high, barely covers our expenses. At least the majority of months were able to cover expenses. Every year, during the winter, we typically operate in the red. Free clinics are difficult to find for the very reason that any clinic, no matter how bare-boned it is structured, is still expensive and funding just isnt reliably available. Your best bet is making contact with DuPage Animal Control, Will County Animal Control, The Naperville Humane Society, ADOPT of Naperville or the ASPCA. As a bit of a side comment on the human side of the medical care business. Basically the law requires hospitals to care for people, whether they can pay or not, but our government does not pick up the tab, thereby imposing a severe hidden tax on the medical establishment. Since the hospitals have to make money to stay in business, their fees are raised to compensate or to pay this hidden tax. In reality, we all pay for these hospital losses through extremely high medical bills and crippling medical insurance premiums. Never believe for an instance that there is a free lunch
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Do you do telephone consultations and if so how much do you charge?
Let me take the last question first. Unless there is a special circumstance, telephone consultation is usually done at no charge. On the first question I'd first like to say in bold print, making a diagnosis over the telephone is treading on very dangerous ground. This can't be emphasized enough. It is so terribly easy for us to go wrong, even when we've got the patient in front of us and available imaging and laboratory results, that having any real confidence in an impression received from an untrained medical observer's reports has to be questioned. Amazingly, we're more often right than wrong with our telephone diagnosises. (I suppose you could interpret that sentence to mean we're about 50% accurate, eh?) Honestly, though, talking to the doctor is a great and reassuring thing, and something you can almost never do with your physician, unless he's you're personal friend, but in the long run it is often just silly and a waste of your time and his time and may have fatal consequences. Just figure out an easy time for you and call and set up an office call.
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Why do I get such different advice from different veterinarians?
I can't emphasize enough that doctors are not cookie cutter copies of one another. Even veterinarians who attended all of the same courses in veterinary school will have taken away from those classes different information and memories. There is no standard level of learning or innate intelligence. There is a standard of practice, which varies greatly around the country, but within regions of the country, such as here in the Chicago area, where the standard of practice is very high, there are remarkable variations, motivations and skill levels between doctors.
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At my last visit my vet put a muzzle on my dog. Do you use muzzles?
Absolutely! And I hope you were pleased that he did. Consider what would happen if your dog (or cat) bit and injured the doctor or one his staff. There is the possibility that the doctor would sue you to recover damages. Not too many weeks ago one of my staff went to the emergency room with such an injury. The bill was over $700.00. That sort of unexpected expense is difficult to absorb. Imagine, if you will, what the damage award might be if your dog permanantly ruined his hand and he could no longer work or vision was lost from an eye. Any intelligent thinking owner asks to have a muzzle applied. Any intelligent thinking veterinarian doesn't take unnecessary risks with any animal that might be a risk. Did you know that it is common that pet owners sue (and win) law suits when their own dog bites them while visiting the veterinarian? The world is racing past me.
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My vet accused my dog of being a biter. He's never bitten before, he's only snapped.
There isn't really a difference in biting, snapping or nipping. They're really all the same except for the amount of injury caused. The terms snapping and nipping are used by owners who are in denial. They don't want to admit that their dog is a biter, because biting is bad, they're good people and good people would not harbor a bad dog, therefor, he doesn't bite. He nips. Let me refer you to a couple of web sites which deal with this issue to get you started. Pet Behavior Resources (Bill Campbell) and Dogs Dumb Friends League Biting dogs generally end up being destroyed sooner or later. Sometimes after someone has been disfigured and an ugly lawsuit has been launched. If your dog shows aggressive behavior from time to time, be smart, get help. The sooner you attempt to correct the behavior the easier it is. The doctors at County Line Animal Hospital are eager to help as well. Let us know what we can do.
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When my pet is ill and I'm bringing him in for an exam, should I do anything special?
Situations vary, so you should always check with the office, but there are some general rules. Always have the person who knows the most about your friend bring the pet. Since they can't talk, you'll have to tell us his history (see Uncle doc ). Try to avoid offering any food. Some illnesses require blood tests to diagnose and a recent meal interferes with the test results. If possible, try to prevent them fromn urinating before coming in, especially if there is a concern for urinary health. For economic reasons it is is often smart to bring sick animals in the morning. Most of the staff at veterinary hospitals go home at night, so diagnositic efforts tend to slow down or be postponed as supper time approaches. For the same reason, avoid whenever possible, postponing a sick clinic call until the weekend. Employees at veterinary hospitals like the weekends off just like you do. Efficiency goes way down on the weekends.
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My best friend is sick and the last time this happened the veterinarian gave me pills to give him. He won't take the pills and he's not eating, how am I going to get the medicine into him
Great question and a common frustration. You have many options. First, there are no many compounding pharmacies which will prepare your friends medication in a flavored base liquid. Ask us about prescribing this form of medication. Liquid medications do have there disadvantages and most doctors would prefer tablet of capsule forms. With liquids, an owner, as with a pill needs to know the "technique" to give them to an animal to be successful. Often much of the liquid medication ends up on the outside of the pet and all over the owner, so obviously treatment fails. Ill animals, like us, often feel "crappy" and don't want to be harrassed. They will object strenuously to being restrained and any efforts to medicate them. Some medications can be made up in transdermal patches. Be aware, however, that such preperations are a hit or miss situation in animals. Almost no testing has been done on the amount of absorbed pharmaceutical that gets into the blood stream. Experience seems to indicate that, although attractive, this option is a last resort. Many veterinarians, such as County Line Animal Hospital, have the capability of hospitalizing patients for treatment. Sometimes, in special cases, we will have the owner bring the patient in each day for an injection. The best situation is when an owner recognizes that sooner or later their friend will get sick and need to be treated. In anticipation of this reality, the owner asks us to teach them how to medicate their friend. In most animals it quite easy, once you know how.
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How do I know when it's right to put my best friend to sleep?
There is usually no perfect time or moment when all people would choose this option. There are a multitude of factors which contribute to making this decision. It is unusual, in my experience, to have an owner want me to destroy an animal for frivolous reason, such as it just isn't convenient anymore. Nearly always this is a heart wrenching decision. There are basically two guidelines I can give you. 1. When the animal no longer enjoys his life. This is the clearest and easier of the two. When that poor creature wakes up in the morning and you look into his eyes and you can tell that there was no great joy to be experienced and no reason whatever to wake up this day. It is time! The truth is generally, the first day you as that wonderful creature's owner start asking yourself the question, "is it time"; it's time. 2. When the owner no longer enjoys the pet's life. Admittedly, this rule is subject to abuse by owners who acquired the pet inadvisedly or who are narcissistic and just find the animal inconvenient. But, with that said, not all animals make good pets or people sometime simply can't afford to keep them alive. We see behavioral problems like aggressiveness that can't be safely corrected. Most behavioral problems are easily corrected when you know how, but we do have our neurotic and psychotic animals who aren't trainable. Some of these animals are a true threat to the owner's well being. With advances in modern medicine and surgery, we can keep animals alive much longer than in the past. Many of these animals suffer senile dementia. There are no nursing homes for pets and just like aging people, these pets can become constant care patients. Most people simply don't have the resources to care for such animals. And sometimes the owner cannot simply afford the money it takes to keep the pet alive. There are no new cheap drugs. Veterinarians buy their drugs in small quantites, relatively speaking, so we can't get the volume discounts that may be realized in the human market. Consequently we, and you the pet owner, enjoy the luxury of paying the highest price possible for a pharmceutical. Health insurance for pets is poor at best. A chronically ill pet can be a significant financial drain. The best guideline for the decision using the second rule, is to simply become introspective and judge your own feelings. If you've come to the point that you deeply resent the pet and perhaps are saying to yourself, "I'm never owning another pet". you waited too long to make the decision.
It is important for all pet owners to take deeply into their heart, that it is our duty to prevent suffering of the dumb animals. Their suffering may take many forms, some of which are not chronic pain. When their time has come, be a "grown up" and do the right thing.
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My dog was abused and now is extremely shy and fightened of people. Is there anything I can do to improve the situation?
There are some things you can do that over time will help. Be aware, however, that the most common cause of shyness isn't abuse but rather the animals failure to have been properly socialized . Certainly, situations, people, children, animals, etc. that a pet didn't experience as a pup will prove frightening to the pet as an adult. Generally, a fearful dog, will always remain somewhat timid, no matter how successful your efforts are. But, with that said, know that with persistant kindly efforts progress can usually be made. The thrust of the effort made is generally referred to as behavior modification and involves the gradual introduction of the frightening thing in an enviroment that is pleasant and happy. Very often is is wise to consult with a professional dog behaviorist for actual techniques which should be employed for a given behavior. It can be a mistake to assume that one techique works for all situations.
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How do I treat diarrhea at home?
Always with medical questions, it is important to lead with a disclaimer. Diarrhea has many causes. Some are quite deadly. Always be really alert for signs and symptoms that suggest something more serious that simple diarrhea is at hand. Simple diarrhea will present with no other signs. No vomiting, no lethargy, good appetite, etc. BAR (bright, alert and responsive), as we call it. Simple diarrheas are often self-limiting and last no longer than 3-4 days. First, no food. Clear liquids only. Water or Pedialyte (for electrolytes) are good. Experts now commonly reccommend no food for three days to rest the intestine. Water or broth can be used to maintain hydration unless the patient is vomiting. In which case, offering water and inducing more vomiting will accelerate dehydration. When food is resumed it is suggested that cooked rice mixed (perhaps liquified in the blender) with maybe a little chicken or fat free hamburger be offered. Better yet, chicken or beef broth mixed with the rice. (We have a special prescription prepared diet as well, if you don't feel like cooking). This "bland diet" should be continued until solid BM's are seen. At that point, the regular diet should be introduced gradually. Medications such as Kao Pectate (1 to 2ml/Kg every 6 to 8 hours [1 to 2 teaspoons per 10 pounds of body weight]) for the dog and 1/4 teaspoon per day for the cat or Pepto Bismal (for dogs 1 teaspoon for a 20 pound dog) every 6 to 8 hours - for cats 1/4 teaspoon every day). Drugs like Immodium can be used but are not often a good first choice, in that simple diarrheas are usually the ingestion of a noxious substance or bacterial overgrowth as the consequence of having gourged on food. Diarrhea is the body's defense mechanism to get rid of the offensive stuff. Consequently, initially the diarrhea is a good thing for the body to rid itself of the bad stuff.
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How do I know if my best friend is sick enough to come to see you for an exam?
A tough question for an absolute answer. I suppose the safest response would be it is far better to make many unnecessary visits that to make one too few. I would believe that for most people, in their heart, or their gut feeling, would be the voice to listen to. Perhaps, it might be good when such a question arrises to take advantage of the doctors at County Line. We still talk to our owners and can advise you. I can't remember the last time I was able to call my doctor and have a chat, but we still think personal communication is important. If you've a concern, give us a call. (630 983-5551)
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I want to put my dog to sleep, what do I tell the children?
The truth! There's the potential here for a long sermon but, I'll resist the temptation. Every veterinarian in the world all too frequently encounters the pet owner who wants to lie to their children and tell them the animal got sick and died at "the vets". It is important for every parent wishing to raise children to adulthood who will have integrity and honesty to appreciate that the children learn from what you do, not from what you say. If you avoid reality when times are uncomfortable. If you make up stories to hide the truth. If you exhibit no integrity. That's what they will grow to be, also. Children are much more resilient than you think. They'll be sad and pass through the stages of grief, but they'll be fine. And, best of all, if we stick to the truth, they learn positive things from the experience.
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