Mystery solved

Re: Mystery solved

Niall Taylor — Thu, 08 Mar 2012 20:17:34 GMT

[quote user="Dagmar Steele"]No, of course I would never do anything like that...[/quote]

Why not? After all homeopaths have been doing it for 200 years and getting away with it !

Niall

Re: Mystery solved

John Rimmer — Thu, 08 Mar 2012 20:06:44 GMT

I gave Stomorgyl instead of Ronazan once for KC and never heard back from them. Experienced police dog handler. Presume recovered just as quick.

Re: Mystery solved

Lorna McHardy — Thu, 08 Mar 2012 17:34:26 GMT

[quote user="Dagmar Steele"]

true true true. I have been thinking of having a little experiment when the next vomiting wave comes around. I could group them into two groups, one group gets proper meds and the other gets saline solution...

No, of course I would never do anything like that but I bet there wouldn't be a huge difference ...

[/quote]

You could try it on something where the potential consequences are a little less life-threatening :0)

Re: Mystery solved

Dagmar Steele — Thu, 08 Mar 2012 17:24:47 GMT

[quote user="Lorna McHardy"]

I think we delude ourselves if we believe that the majority of our clients follow instructions as given. I'd estimate that at least a third of our patients would get better with or without our intervention - maybe it'd take a bit longer, but they'd get better. I think that estimate is conservative.

So when things get better, it's not necessarily because we've done such a fantastic job of prescribing just the right thing and the owners have followed our instructions to the letter. Chances are, they've not, but the patient got better anyway.

Cynical? Maybe, but I tend to think of it as realism.

[/quote]

No, of course I would never do anything like that but I bet there wouldn't be a huge difference ...

Re: Mystery solved

Lorna McHardy — Thu, 08 Mar 2012 17:19:26 GMT

[quote user="CatherineBoden"]

My point was that she was told to use it twice a day and she only admitted that she wasn't following the instructions in the consultation after 2 weeks and a phone conversation...How often is this happening with other medications?

[/quote]

Cynical? Maybe, but I tend to think of it as realism.

Re: Mystery solved

John Rimmer — Thu, 08 Mar 2012 15:06:55 GMT

Who is prescribing 100ml bottles of Canaural and NOT intending the owner to use as they wish?!

Re: Mystery solved

CatherineThomas — Thu, 08 Mar 2012 15:02:00 GMT

My point was that she was told to use it twice a day and she only admitted that she wasn't following the instructions in the consultation after 2 weeks and a phone conversation. The owner doesn't know that once daily dosing might be adequate.

How often is this happening with other medications? Particularly the ones that have been given repeated bottles of ear or eye drops without consultations.

Re: Mystery solved

John Rimmer — Thu, 08 Mar 2012 14:54:55 GMT

I'm with Michael. EasOtic - only the treatment course so owners can't use as they wish.

WHY ON EARTH IS CANAURAL AVAILABLE IN 100ml BOTTLES?!?!?!?!?!?!?

Never been able to work that one out.

Re: Mystery solved

Evelyn Barbour-Hill — Thu, 08 Mar 2012 14:43:34 GMT

[quote user="CatherineBoden"]I saw a dog the other day who had conjunctivitis, had been given fucithalmic, after 2 weeks she called up to say the eyes still weren't better so she wanted some more drops but didn't want to bring the dog in. When I spoke to her I managed to convince her that we needed to look at his eyes to find out why he wasn't responding to the treatment. When she comes in she admits that she's actually only been giving the drops once a day as she only has someone there to help her in the evening (to be fair the dog was really difficult to apply eye drops).[/quote]

Once-daily dosing is supposed to be adequate with Fucithalmic.

Re: Mystery solved

CatherineThomas — Thu, 08 Mar 2012 14:31:38 GMT

[quote user="emma o'connor"]

I certainly don't encourage irregular dosing of ears with topical medications, but unfortunately we have some long standing clients in the practice who have been allowed to get away with it for a while, and don't take kindly to me refusing to dispense some ear drops to have at home "just in case he needs them" !! We also have a number of those who don't complete a course and so have some in the cupboard to use when completely inappropriate, and also those who happened to be given some by a friend who's dog had some drops for its ears a few months back, "so we've just been trying these first before coming to see you now it's getting worse"..........

[/quote]

We see plenty like this. Unfortunately previous vets in the practice used to give out ear drops freely. I get particularly frustrated with the ones who have been given repeated bottles of aurizon. Then the owners get really annoyed when I tell them they have to come in to be seen. "well so and so used to give me a bottle every time I phoned up and he never made me bring the dog in"

I saw a dog the other day who had conjunctivitis, had been given fucithalmic, after 2 weeks she called up to say the eyes still weren't better so she wanted some more drops but didn't want to bring the dog in. When I spoke to her I managed to convince her that we needed to look at his eyes to find out why he wasn't responding to the treatment. When she comes in she admits that she's actually only been giving the drops once a day as she only has someone there to help her in the evening (to be fair the dog was really difficult to apply eye drops).

Re: Mystery solved

emma o'connor — Thu, 08 Mar 2012 13:50:51 GMT

Re: Mystery solved

Michael Woodhouse — Thu, 08 Mar 2012 11:27:22 GMT

It's one reason I've swapped to Easotic - 5 days of treatment then it's all gone. I suspect a lot of dog owners have a bit of Canaural in the cupboard.

Re: Mystery solved

Lorna McHardy — Thu, 08 Mar 2012 10:39:28 GMT

[quote user="Laurence Webb"]

Is this sort of thing our own (vets collectively, not me personaly!) fault?

[/quote]

No idea, but I'll remember to ask the question next time I see a dog with a nasty otitis and no apparent cause