What hours do people work?

Re: What hours do people work?

Michael Woodhouse — Tue, 20 Jan 2015 13:12:12 GMT

[quote user="Will McMullan"]Around 25% of entire bitches will develop pyometra at some point in their life. I can't find the reference at the moment but did literature search on this recently and that was the figure quoted by the most reliable source I could find.[/quote]

This one

http://www.ncbi.nlm.nih.gov/pubmed/11817057

Re: What hours do people work?

Will McMullan — Tue, 20 Jan 2015 09:55:19 GMT

[quote user="Hannah Wynne Richards"]

Approx what % of bitches end up with pyos?

Wynne

[/quote]

Around 25% of entire bitches will develop pyometra at some point in their life. I can't find the reference at the moment but did literature search on this recently and that was the figure quoted by the most reliable source I could find.

Re: What hours do people work?

Wren — Tue, 20 Jan 2015 08:48:39 GMT

[quote user="Stigen"]

an anamnesis.

[/quote]

A new one for me. Thanks!

Re: What hours do people work?

Stigen — Mon, 19 Jan 2015 14:56:44 GMT

There are some prostate problems,more than I saw in England...but still not that much. Perineal hernia...not really more than in UK. I guess they die from other reason before they get old enough for that to be a problem.

Cat`s we reccommend to sterilise and castrate always!

Re: What hours do people work?

Stigen — Mon, 19 Jan 2015 14:49:41 GMT

[quote user="Hannah Wynne Richards"]

Approx what % of bitches end up with pyos?

Wynne

[/quote]
I would say a pretty big percentage. As far as they don`t die from other reasons I would say 40-50% of dogs over 8 years will need treatment for pyo. A similar,slightly lower number will get mammary tumours. We are allowed to these procedures with a "medical" reason...So if there are owners that wish to have theirs dogs castrated/sterilized I`m not gonna be difficult about it. It`s a silly old law made by pencil pushers who never operated a dog in their life.

To Gareths` question; I think you`d have some difficulties getting a job not speaking norwegian.Altough most people speak english, they prefer speaking norwegian when having to explain an anamnesis. I know of an irish guy who started in a surgery without speaking norwegian, but as he is living with a norwegian girl,and working in a surgery I think he learned it within 6-8 months.

Re: What hours do people work?

Joyce Whitehead — Mon, 19 Jan 2015 14:39:05 GMT

Is the ban on neutering just in dogs in Norway, or cats as well? As it would be a lot more of a problem to control seasons and spraying in entire cats. But if only dogs, why are they not to be neutered when cats can be? Odd rule to my mind. Do you see a lot of prostate/perineal hernia issues in old male dogs too?

Re: What hours do people work?

Sarah McGurk — Mon, 19 Jan 2015 11:21:33 GMT

[quote user="Hannah Wynne Richards"]

Approx what % of bitches end up with pyos?

Wynne

[/quote]

I don't know the answer to that. There do seem to be a few, but that's purely a subjective opinion. Certainly they are quite pro-active in my practice, and will for example spay if bitches have repeat false pregnancies and so on, but it must mean more risky operations in older bitches. As I said, I don't really see the point in it.

Re: What hours do people work?

Hannah Wynne Richards — Mon, 19 Jan 2015 09:49:37 GMT

Approx what % of bitches end up with pyos?

Wynne

Re: What hours do people work?

Hannah Wynne Richards — Mon, 19 Jan 2015 09:48:15 GMT

Here, one section of society has a "rights culture" and another has an "overburdened with responsibility culture"

Wynne

Re: What hours do people work?

Sarah McGurk — Mon, 19 Jan 2015 09:11:53 GMT

[quote user="Martin Atkinson"]

[quote user="Sarah McGurk"]It's illegal to neuter dogs here without clinical reason.[/quote]And you can't scruff cats. Sounds like there's not much call for vets in Norway so I wont be rushing over!

[/quote]

You can't scruff cats? Where did you find that out? How interesting. No wonder they think I'm a wonderful cat-wrangler!

Population control doesn't seem to be a problem Wynne. They are allowed to use chemical control methods, rather than spaying (though not all use them) and personally I just don't really get the point. In terms of responsibility, I do think they tend to have a strong identification with the idea that rights go hand in hand with responsibilities. 'Right to own a dog' goes with 'responsibility for its welfare.'

Re: What hours do people work?

Braden Collins — Sun, 18 Jan 2015 22:26:19 GMT

We have infusion pumps for all cases, so fluid overload is a very small risk. I'll try to dig up the paper for a reference.

Re: What hours do people work?

David Mills — Sun, 18 Jan 2015 17:33:31 GMT

The problem is your justification for using IV fluids is a completely surrogate outcome - peripheral hypotension. There is no evidence that going hypotensive (I can't fine the paper you mention so don't know by what degree) peripherally affects outcome in anaesthetised 'normal' (i.e. young, fit) patients. The use of medetomidine will give you peripheral hypotension, but actually remains one of the few anaesthetics that maintains central blood pressure (which is what matters) - unless the paper measured central pressures then it's difficult to draw conclusions about it.

There are risks with IVFT also, especially in short surgeries where they are often forgotten during prep, passing instruments, paperwork etc. How many are you willing to risk over-infusing for the sake of satisfying a surrogate outcome?

Re: What hours do people work?

Hannah Wynne Richards — Sun, 18 Jan 2015 16:32:06 GMT

Was it just the very very very sick cats that were given fluid therapy?

Wynne

Re: What hours do people work?

Utlendigur — Sun, 18 Jan 2015 15:53:26 GMT

[quote user="Christopher Saul"]

[quote user="Braden Collins"] One opposition clinic has stated that IV fluids shouldn't be used during routine surgery as they tend to bleed more [/quote]

Really? It would be tempting to ask them for peer-reviewed literature to back their hypothesis on this

[/quote]

Are they maybe thinking of the Brodbelt study that found that fluid therapy was associated with an increased risk of anaesthetic deaths in cats - and extrapolating wildly....

Re: What hours do people work?

Christopher Saul — Sun, 18 Jan 2015 12:50:46 GMT

[quote user="Braden Collins"] One opposition clinic has stated that IV fluids shouldn't be used during routine surgery as they tend to bleed more [/quote]

Really? It would be tempting to ask them for peer-reviewed literature to back their hypothesis on this

[quote user="Braden Collins"]also state they have no problem with blood pressure using their "tried and tested" drugs (even though they don't have the equipment to measure BP). [/quote]

Speechless.

Re: What hours do people work?

Lucy Fleming — Sat, 17 Jan 2015 08:58:51 GMT

[quote user="Hannah Wynne Richards"]

Obviously their owners are more responsible than ours.

Wynne

[/quote]

Yes that's what I've always thought!

Re: What hours do people work?

Hannah Wynne Richards — Sat, 17 Jan 2015 08:55:23 GMT

Obviously their owners are more responsible than ours.

Wynne

Re: What hours do people work?

Lucy Fleming — Sat, 17 Jan 2015 08:48:23 GMT

[quote user="Hannah Wynne Richards"]

Why Can't they see the population controladvantages?

Wynne

[/quote]

I've always been given to understand that side of things is managed by means of responsible ownership!

Re: What hours do people work?

Martin Atkinson — Fri, 16 Jan 2015 16:14:02 GMT

[quote user="Sarah McGurk"]It's illegal to neuter dogs here without clinical reason.[/quote]And you can't scruff cats. Sounds like there's not much call for vets in Norway so I wont be rushing over!

Re: What hours do people work?

Hannah Wynne Richards — Fri, 16 Jan 2015 15:31:11 GMT

Why Can't they see the population controladvantages?

Wynne

Re: What hours do people work?

Sarah McGurk — Fri, 16 Jan 2015 15:01:28 GMT

[quote user="Gareth C."]

[quote user="Stigen"]

My life got much easier once I moved from the Uk back to Norway :). The works hours quoted here are similar to what I was working in England...and left little time for other activities. Now I work 9-16.00 monday to friday. No on-calls.No weekend work. No overtime(the expetional times it happens it is heavily compensated financially). And I am making about twice as much as I was making in my first job in the Uk.

I don`t think I could ever go back to 08.30-19.00 after this.

[/quote]

Do you need to speak Norwegian?

[/quote]

I have a theory there might be enough oil-rich ex-pats in Stavanger to support an English speaking clinic. Don't assume you could get on by opening a vaccination and neutering clinic though. It's illegal to neuter dogs here without clinical reason.

Re: What hours do people work?

Martin Atkinson — Fri, 16 Jan 2015 14:01:46 GMT

[quote user="Braden Collins"]

It seems strange to me that for professional services people are happy to have work done then wait until they get to reception before they nervously wait to find out just how much they have spent. No one would by a product without knowing prices, so why are services different?

[/quote]Because the very fact it is a service not a commodity and the end price is variable.

Re: What hours do people work?

Braden Collins — Fri, 16 Jan 2015 13:04:55 GMT

[quote user="Martin Atkinson"]

[quote user="Braden Collins"] Any time I want a service provided I look online, and one of the things I want to know is how much it costs. [/quote]It depends on the service. Maybe things are different in Australia but here I wouldn't expect to find a doctor's, solicitor's, dentist's fees or even an osteopath's fees on a website. If I wanted to buy something that's different.

However I do make a point of emphasising the quality of our service over the opposition who don't even intubate, let alone monitor of put on fluids. But I'm sorry to say that I tend to agree that fluids are an unnecessary expense for routine neutering just not with their reasoning.

[/quote]

I agree you don't normally expect to see the prices online, but I don't think that's a reason for not putting them up. I think the fact that the opposition is so much cheaper than you gives you a great chance to put your prices online and point out exactly what is included with your service. Our opposition don't even include analgesia in the price they give people over the phone, so for us it was a great way to ensure people are educated about why our headline price is more than anyone elses locally.

We have people phoning every day to find out prices. They're not a big secret after all so why not make it really easy for people to find.

I also found that we have a lot of visits to our website outside of our opening hours, so by providing clients with answers to all their questions at a time they are looking for them puts us ahead of the opposition. After all, if they want an answer and we don't provide it for them, they will keep on looking and potentially find it at mr Cheap and Cheerful down the road.

We were also tentative about putting animals onto IV fluids until we started measuring blood pressure routinely, and a paper was published in the Australian Veterinary Journal demonstrating just how common marked hypotension was during routine surgery (aroud 46% of cases). Turns out hypotension is pretty common. It at least gives us the ability to correct hypotension quickly, and we have certainly seen an improvement in the recovery from anaesthetics with most dogs wakling out the door as though they haven't had a GA. We also figured that by the time we've put an IV catheter in, it's not that much more to hook up some fluids so we don't charge much extra for the fluids, but the perceived value to the client is quite large.

Re: What hours do people work?

Martin Atkinson — Fri, 16 Jan 2015 08:46:39 GMT

[quote user="Gareth C."]Do you need to speak Norwegian? [/quote]Given most Norwegians speak better English than most of my clients half of whom these days seem to be Asian or Eastern European and the other half poorly educated British I reckon you'd be OK.

Re: What hours do people work?

Gareth C. — Thu, 15 Jan 2015 20:22:19 GMT

[quote user="Stigen"]

[/quote]

Do you need to speak Norwegian?