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The New Coffee Room

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  3. Today's encounter with health care

Today's encounter with health care

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  • HoraceH Offline
    HoraceH Offline
    Horace
    wrote on last edited by
    #1

    This time with veterinarians, but the same themes apply. My dog's face is swollen. I've given it a few days expecting it to go down, but this morning it was markedly worse so we took him to the emergency vet. Even his eye was swelling shut. They took him in for an exam, and we went home to wait. They called back to let us know that according to the ultrasound there is no abscess, which was surprising if it was an infection. So they don't know, maybe he needs a biopsy. I guess to check for golf ball size cancers that occur in a week. The vet who called me said there would be two options, one out patient and one hospitalization. The office assistant would call to provide estimates. 15 minutes later the assistant calls and gives me the price tags of the two choices. $250 or $4000. Which would I like? Gosh, it's times like these that an expert would come in handy to give advice about relative risk. Too bad I'm talking to the assistant now and not the vet. But lol I am imagining that the vet would be capable of giving that level of advice. I almost forgot, that advice would be completely arbitrary anyway. I went with the outpatient. They'll give him some antibiotic pills, for what is painfully obviously an infection, and not a golf ball sized tumor that grew in a week. And they recommended that I take him to my normal vet if he gets worse. Thanks for the expert advice!

    Education is extremely important.

    1 Reply Last reply
    • F Offline
      F Offline
      Friday
      wrote on last edited by
      #2

      Hope the antibiotics help the dog.

      I have a friend who is a vet who eventually moved to Mississippi, partly because he had trouble competing with the other vets. He told me that the goal of most vets is to get you to spend at least $250 dollars (this was 8 years ago). He was only able to recommend one vet to me when he left. One honest vet in the 10 city area that I live in.

      1 Reply Last reply
      • HoraceH Offline
        HoraceH Offline
        Horace
        wrote on last edited by
        #3

        Yep that sounds about right. I particularly like the part where their instruction was to follow up immediately with my primary care vet. "We're not sure what's wrong, here's some antibiotic pills, see another vet ASAP for a fresh bill and a fresh opinion, that'll be $270."

        Education is extremely important.

        1 Reply Last reply
        • L Offline
          L Offline
          Loki
          wrote on last edited by
          #4

          Emergency vet hospitals are a giant vacuum hose on your wallet. And they get the money upfront often. Would be interesting to know if pet insurance would have covered the hospitalization.

          A dog is still cheaper than therapy generally and may be more effective.

          1 Reply Last reply
          • HoraceH Offline
            HoraceH Offline
            Horace
            wrote on last edited by
            #5

            The purpose of therapy is to allow people to imagine and actively fantasize that they are in a world that cares about their problems. Dogs are good for reminding is that our problems are of no concern to certain happy and rambunctious friends.

            Education is extremely important.

            1 Reply Last reply
            • George KG Offline
              George KG Offline
              George K
              wrote on last edited by
              #6

              Boris and Maggie are insured. It costs me about $30 a month with a $500 deductible. Covers everything other than routine visits/vaccinations, etc. I have a "care plan" for that stuff.

              That "care plan" is about another $50 a month. It covered Boris's neutering as well.

              "Now look here, you Baltic gas passer... " - Mik, 6/14/08

              The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

              1 Reply Last reply
              • HoraceH Offline
                HoraceH Offline
                Horace
                wrote on last edited by
                #7

                an hour after he returned from the emergency vet, his wound is finally opening back up, oozing blood and pus. There was an original wound there from a month ago which had healed. Apparently just before it healed, an infection set in, and the wound healed over it, for an infection time bomb two weeks later.

                Education is extremely important.

                AxtremusA George KG 2 Replies Last reply
                • AxtremusA Away
                  AxtremusA Away
                  Axtremus
                  wrote on last edited by
                  #8

                  Short of not keeping any furry, mammalian pet at all, what’s the alternative?

                  How much would it cost you to put the old dog/cat down and get a new one?

                  Maybe the vet figured out that “$250” is just below replacement cost such that most people would just pay $250 to the vet rather than pay somewhat north of $250 to replace the pet?

                  1 Reply Last reply
                  • HoraceH Horace

                    an hour after he returned from the emergency vet, his wound is finally opening back up, oozing blood and pus. There was an original wound there from a month ago which had healed. Apparently just before it healed, an infection set in, and the wound healed over it, for an infection time bomb two weeks later.

                    AxtremusA Away
                    AxtremusA Away
                    Axtremus
                    wrote on last edited by
                    #9

                    @Horace said in Today's encounter with health care:

                    an hour after he returned from the emergency vet, his wound is finally opening back up, oozing blood and pus. There was an original wound there from a month ago which had healed. Apparently just before it healed, an infection set in, and the wound healed over it, for an infection time bomb two weeks later.

                    Now that the cause of the problem seem apparent, hope he gets the right treatment and recovers soon.

                    1 Reply Last reply
                    • HoraceH Horace

                      an hour after he returned from the emergency vet, his wound is finally opening back up, oozing blood and pus. There was an original wound there from a month ago which had healed. Apparently just before it healed, an infection set in, and the wound healed over it, for an infection time bomb two weeks later.

                      George KG Offline
                      George KG Offline
                      George K
                      wrote on last edited by
                      #10

                      @Horace said in Today's encounter with health care:

                      an hour after he returned from the emergency vet, his wound is finally opening back up, oozing blood and pus. There was an original wound there from a month ago which had healed. Apparently just before it healed, an infection set in, and the wound healed over it, for an infection time bomb two weeks later.

                      What was the source of the original infection?

                      Oh, and laudable pus!

                      "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                      The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                      1 Reply Last reply
                      • HoraceH Offline
                        HoraceH Offline
                        Horace
                        wrote on last edited by
                        #11

                        he got into an argument over food with his step brother, and got bit.

                        Education is extremely important.

                        George KG 1 Reply Last reply
                        • HoraceH Horace

                          he got into an argument over food with his step brother, and got bit.

                          George KG Offline
                          George KG Offline
                          George K
                          wrote on last edited by
                          #12

                          @Horace said in Today's encounter with health care:

                          he got into an argument over food with his step brother, and got bit.

                          Interesting. Dog bites are generally pretty clean (unlike The Bee cat bites). Glad that there's a resolution. Gonna be messy for a while, but he'll feel a hell of a lot better by the end of the week.

                          "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                          The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                          1 Reply Last reply
                          • HoraceH Offline
                            HoraceH Offline
                            Horace
                            wrote on last edited by
                            #13

                            Thanks George, I hope so. He has a fever now but hopefully the antibiotics will work.

                            Education is extremely important.

                            George KG 1 Reply Last reply
                            • HoraceH Horace

                              Thanks George, I hope so. He has a fever now but hopefully the antibiotics will work.

                              George KG Offline
                              George KG Offline
                              George K
                              wrote on last edited by
                              #14

                              @Horace said in Today's encounter with health care:

                              hopefully the antibiotics will work.

                              Most important thing is to be able to drain it. Pus is the accumulation of white blood cells fighting a bacterial infection. If they can get out (by draining it), there's more that can come in and fight the infection. If the abscess is contained, the response is self-limiting. The antibiotics will pick up the slack.

                              "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                              The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                              1 Reply Last reply
                              • MikM Offline
                                MikM Offline
                                Mik
                                wrote on last edited by Mik
                                #15

                                I expect he will feel better, I sure hope so. Not sure why they would need a biopsy when there was an obvious wound involved.

                                But Loki is right about emergency vet clinics being a giant hole into which one pours money. They will usually offer you the most expensive option.

                                In their defense, they have and have to maintain a lot of space, 24-7 personnel and equipment your average vet does not have - MRIs, ultrasounds, etc. Maybe even CAT scans, I don't know.

                                “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

                                George KG 1 Reply Last reply
                                • HoraceH Offline
                                  HoraceH Offline
                                  Horace
                                  wrote on last edited by
                                  #16

                                  He can't lick the wound so he's licking his forearm and then rubbing it against the wound. I guess I'll let him.

                                  Education is extremely important.

                                  1 Reply Last reply
                                  • MikM Mik

                                    I expect he will feel better, I sure hope so. Not sure why they would need a biopsy when there was an obvious wound involved.

                                    But Loki is right about emergency vet clinics being a giant hole into which one pours money. They will usually offer you the most expensive option.

                                    In their defense, they have and have to maintain a lot of space, 24-7 personnel and equipment your average vet does not have - MRIs, ultrasounds, etc. Maybe even CAT scans, I don't know.

                                    George KG Offline
                                    George KG Offline
                                    George K
                                    wrote on last edited by
                                    #17

                                    @Mik said in Today's encounter with health care:

                                    emergency vet clinics being a giant hole

                                    Indeed. When Boris had his adventure with his neutering, the bills were north of $2K (ICU care, IVs, antibiotics, O2). Insurance covered it, less my deductible. I'd NEVER go without again.

                                    "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                                    The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                                    LarryL 1 Reply Last reply
                                    • RainmanR Offline
                                      RainmanR Offline
                                      Rainman
                                      wrote on last edited by
                                      #18

                                      Hope all goes well, Horace. Sounds positive.

                                      Not sure if you mentioned, what kind of dog is he? The reason I ask, is that George mentioned squeezing the puss out, but if your dog is big, with big teeth, even as his owner I'd be a bit afraid. I mean, if you did something like that to me, I'd bite you too!

                                      1 Reply Last reply
                                      • HoraceH Offline
                                        HoraceH Offline
                                        Horace
                                        wrote on last edited by
                                        #19

                                        he's a lab mix. I don't know that I'll try to squeeze the pus out myself but he's picking at the wound and will do it himself tonight.

                                        Education is extremely important.

                                        1 Reply Last reply
                                        • taiwan_girlT Offline
                                          taiwan_girlT Offline
                                          taiwan_girl
                                          wrote on last edited by taiwan_girl
                                          #20

                                          🐶 Hope he gets better soon!!

                                          BTW @horace How did your hand surgery go?

                                          HoraceH 1 Reply Last reply
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