Shar Pei Puppy entropian

Re: Shar Pei Puppy entropian

Martin Atkinson — Fri, 24 Dec 2010 15:59:20 GMT

I'll admit that the support staff can be a bit indefferent but don't forget (like our poor nurses) they're used to the majority of their patients/clients being idiotic so they tend to deal with every enquiry the same. You just have to sound assertive. Regarding the postcode lottery that is up to the doctor, when we moved I told him I wanted to continue to use him and he was delighted to keep us on his books. I'll agree the service you get if you're private is a million miles from the NHS but that is the specialists and private hospitals, there's is no need for the GP to go the extra mile but mine did.

Re: Shar Pei Puppy entropian

Bob Russell — Fri, 24 Dec 2010 14:37:55 GMT

We can get same day CT and MRI available twice a week, not bad!

The NHS is generally very good at dealing with emergency/serious problems. Private medical insurance can show the realities between 5star and 1 star service.

I don't think our doctors are cr*p but the service we have had recently most certainly is. I phoned to ask who to address a complaint to and they gave me the name of the practice manager end of call1

Maybe they should go on one of the VDS client complaint management courses. Proper handling at the phone call stage could have prevented a written complaint. 10 days later not even had an acknowledgement of my letter!

Re: Shar Pei Puppy entropian

Bob Russell — Fri, 24 Dec 2010 14:29:15 GMT

The GP's local to work have a great reputation and are held in high esteem. My doctors seem good but the support staff cause most of the problems. I have told them we would like to change to another GP practice.

To my amazement we cannot change as no other practice covers our postcode!!! Talk about a captive audience - it shows just how cr*p they can get away with being without losing patients (other than in a pine box).

We are clearly a very ethical profession even with our few 'bad eggs'.

Re: Shar Pei Puppy entropian

Martin Atkinson — Fri, 24 Dec 2010 14:19:51 GMT

I went to my doctor last Thursday with a persistant headace and dizziness. He arranged for me to see a neurologist and I'd had a CT scan by Friday afternoon. Fortunately (for me!) scan was clear, diagnosis: migraine for now but MRI in January if it persists. This is typical of the care both myself and my family have received from him over many years, previously when I'd had symptoms that could have been consistent with a pancreatic tumour (again false alarm) he'd arranged an ultrasound scan the same afternoon and met me at the hospital while I was waiting. Maybe it helps that I have private medical insurance but even we rarely manage service like that. Just like there are good and crap vets there are good and crap doctors - don't tar them all with the same brush.

Re: Shar Pei Puppy entropian

Clive Ansell — Fri, 24 Dec 2010 13:36:29 GMT

It's probably just a virus or something.

Re: Shar Pei Puppy entropian

Andrew Mellor — Fri, 24 Dec 2010 10:07:12 GMT

They are so against using ab's these days that I think they are almost losing site of the fact that some things are still bacterial, not everything is viral !

Re: Shar Pei Puppy entropian

Mark Holmes — Fri, 24 Dec 2010 10:01:59 GMT

Last year my Gran had a swollen and acutely painful wrist which the Dr kept checking on and despite it being red and shiny and the redness following the lymphatics up her arm and despite her having an inflamatory picture on the bloods it took an A+E nurse to diagnose septic arthritis. I don't understand why a GP cannot do a joint tap would seem very simple to me!

I told him I wouldn't treat a dog the way he treated my Gran (didn't go down too well) He discounted a septic joint on the basis on a normal white cell count!

Re: Shar Pei Puppy entropian

Mark Hedberg — Thu, 23 Dec 2010 22:35:09 GMT

My wife's GP told her she could get 12 years supply of folate from just eating a steak, and she should stop taking her nursing vitamins because her folate level is "too high".

Words really failed me today.

Re: Shar Pei Puppy entropian

Rob Loxley — Thu, 23 Dec 2010 19:38:22 GMT

[quote user="Andrew Mellor"]New client to the practice is a shar pei breeder and they brought 2, 4 week old pups for me to look at their entropians, they asked me to do what their old vet used to do[/quote]

I wonder what has made them up sticks from their previous vet, and concur with the thought are they really clients you need??

Re: Shar Pei Puppy entropian

Clive Ansell — Thu, 23 Dec 2010 18:19:14 GMT

[quote user="Bob Russell"]

No please don't do it. Become a GP temporarily over Christmas and earn £125 per hour! I reckon we can get away with as much as they can.

''It's probably a virus, take paracetamol, drink plenty and come back to see another doctor in a week/month/year (delete as appropriate) if you are no better and we will send you somewhere else.

[/quote]

You're not kidding. My 9 year old niece presented to her GP earlier in the year doubled over and crying with acute abdominal pain (She normal has a high pain threshold, falling off her horse and her bike etc) , she was told it could be period pain (she's 9?) and there was a flu bug doing the rounds and to go home, stay off school and take Calpol. 48 hous later she collapsed and ended up having emergency surgery for a ruptuerd appendicitis and peritonitis. Fortunately she has made a full and speedy recovery.

Re: Shar Pei Puppy entropian

Mark Holmes — Thu, 23 Dec 2010 15:36:31 GMT

[quote user="Mark Hedberg"]I think we would be sued if we tried to get away with some of the things the nhs does.…[/quote]

What you mean like allowing patients to starve to death?

Re: Shar Pei Puppy entropian

Mark Hedberg — Thu, 23 Dec 2010 14:45:01 GMT

I think we would be sued if we tried to get away with some of the things the nhs does.…

Re: Shar Pei Puppy entropian

Bob Russell — Thu, 23 Dec 2010 13:21:00 GMT

[quote user="Mark Holmes"]

[quote user="Bob Russell"]

No please don't do it. Become a GP temporarily over Christmas and earn £125 per hour! I reckon we can get away with as much as they can.

''It's probably a virus, take paracetamol, drink plenty and come back to see another doctor in a week/month/year (delete as appropriate) if you are no better and we will send you somewhere else.

[/quote]

I have a working theory about A+E......... they leave you sitting there until they can assume that as you are not dead you are ok and can go home.

[/quote]

I am 'anti GP' at the moment because I was told to take my wife to A+E with post-op complications because the surgery was closing for lunch at 1pm!

They use the pompous Americanism 'triage nurse' for their practice nurse who was more interested in her lunch than a bleeding patient! Had she allowed the GP to be bothered I am sure we would have been sent straight to the correct ward (and indeed correct hospital!) but instead we spent 21/2 hours in A+E with wife in hospital gown shivering because they had no blankets! When the doctor eventually gave her a quick check we were sent (on foot) to the place we should have been sent in the first place!

Would your practice refuse to see a bleeding patient because you were off to lunch?

Quite like the idea of the £120+ per hour!!

Re: Shar Pei Puppy entropian

Mark Holmes — Thu, 23 Dec 2010 13:01:11 GMT

[quote user="Bob Russell"]

No please don't do it. Become a GP temporarily over Christmas and earn £125 per hour! I reckon we can get away with as much as they can.

''It's probably a virus, take paracetamol, drink plenty and come back to see another doctor in a week/month/year (delete as appropriate) if you are no better and we will send you somewhere else.

[/quote]

I have a working theory about A+E......... they leave you sitting there until they can assume that as you are not dead you are ok and can go home.

Re: Shar Pei Puppy entropian

Eamon McAllister — Thu, 23 Dec 2010 12:42:57 GMT

Advise them to go back to their "old" vet and try not to get involved. Despite your best efforts they will eventually go somewhere else. Might as well be sooner rather than later.

Re: Shar Pei Puppy entropian

Martin Atkinson — Thu, 23 Dec 2010 10:38:47 GMT

I would: a) be so rude to her she would go somewhere else, b) refer them to an ophthamologist and see what they have to say and charge.

Re: Shar Pei Puppy entropian

Bob Russell — Thu, 23 Dec 2010 10:09:23 GMT

[quote user="Rob Davis"]

[quote user="bob lehner"]But I bet they'll be selling the pups for a hefty sum.[/quote]

Why is it that there is a direct relationship between the degree of deformity in the breed, and the cost of pups? Shar-pei and bulldog pups are sold for aroung £1500-2000 I believe. Perhaps I should start breeding them on the side.....

[/quote]

No please don't do it. Become a GP temporarily over Christmas and earn £125 per hour! I reckon we can get away with as much as they can.

''It's probably a virus, take paracetamol, drink plenty and come back to see another doctor in a week/month/year (delete as appropriate) if you are no better and we will send you somewhere else.

Re: Shar Pei Puppy entropian

Rob Davis — Thu, 23 Dec 2010 10:05:02 GMT

[quote user="bob lehner"]But I bet they'll be selling the pups for a hefty sum.[/quote]

Re: Shar Pei Puppy entropian

Edward Jones — Thu, 23 Dec 2010 09:45:54 GMT

I upset a Pug breeder when I refused to dock the front dew claws. She's not been back since and nothing of value was lost!

Re: Shar Pei Puppy entropian

Evelyn Barbour-Hill — Wed, 22 Dec 2010 19:51:43 GMT

I'd just tell 'em, as I have in other circumstances, "No, I won't do that, that's not the way I consider it should be done". They may well b***** off elsewhere. So?

Re: Shar Pei Puppy entropian

Bob Russell — Wed, 22 Dec 2010 12:34:07 GMT

We often place skin staples in conscious dogs and cats with small wounds but would not be brave enough to use them close to eyes!

Re: Shar Pei Puppy entropian

bob lehner — Wed, 22 Dec 2010 11:44:45 GMT

[quote user="Andrew Mellor"]told the clients in no uncertain terms that I am sure they would not like me to do it to them[/quote]

Yes - I was going to suggest that you say that you would like to practice the procedure on one of them first.

.[quote user="Andrew Mellor"]think maybe the client is trying to cut corners[/quote]

But I bet they'll be selling the pups for a hefty sum.

[quote user="Mark Holmes"]I have placed skin staples concious with success, works fine and well tollerated[/quote]

Agree - fine for small lacerations etc - but probably not for something as precise as an entropion on a wriggly pup.

Re: Shar Pei Puppy entropian

Mark Holmes — Wed, 22 Dec 2010 10:58:53 GMT

I have placed skin staples concious with success, works fine and well tollerated however don't feel pressured to do anything you don't feel comfortable with.

Re: Shar Pei Puppy entropian

Andrew Mellor — Wed, 22 Dec 2010 10:54:35 GMT

I am so please that I am not alone, think maybe the client is trying to cut corners - well I hope they are, I can not see how placing local near an eye would not sting so much that I would traumatise the pup for life and never get the other side done. I have refused to do the procedure and told the clients in no uncertain terms that I am sure they would not like me to do it to them so why should I put a new litter of pups through that.

I love dogs, but Shar pei's I really dislike, have had nothing but trouble with them so much aggression and off the scale fear responses.

Re: Shar Pei Puppy entropian

Vikki Halliday LLB — Wed, 22 Dec 2010 10:46:10 GMT

Do what you are comfortable with Andrew, and "no messing"!

Do not let these people push you into anything you are not comfortable doing. I would always at least sedate, unless you are confident putting a small skin staple in conscious, in which case you can use EMLA cream beforehand.

And Rob is right, you will more than likely be better off without these types, after all they bred these deformed freaks in the first place, and it's not up to you to fix them on the cheap.