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draggonlaadyBack story first:
End of last month, "Moody" brought her dog, "Tubby", in to see Dr.M. He diagnosed the dog as hypothyroid, and started her on supplements.
On the 12th of this month, Moody and Tubby are back, this time because Tubby's peeing in the house, and leaking urine when she sleeps. I see her, do a urinalysis, and start her on antibiotics for a urinary tract infection. I also notified Moody that the urine was quite a bit less concentrated than normal, and we should run some bloodwork to check her kidneys. Offered to do that at the time, and she pointed out that she was supposed to have Tubby's thyroid levels rechecked at the end of the month anyway, and could we run it all together. Absolutely--we'll need to see Tubby back in 2 weeks anyway to recheck the urine, we can do it all then.
Moody is so happy with my service and that there's a woman doctor at the clinic, that she tells her daughter to leave her vet in Spokane and start bringing her dog here. Daughter comes in several days later, raves about how happy Moody is. Yay, right? Well... no.
Moody calls the end of last week and makes an appointment for Monday to have Tubby's urine rechecked--and that's all that got written on the book. "Recheck urine." The technician who made the appointment did not pull the chart at the time, nor make guesses about what the dog was coming for, she wrote down what the owner said on the phone. Please note that at this point, the ONLY thing Moody asked for was a recheck urine.
Monday, Moody's hubby shows up with the dog. He lets her pee in the parking lot immediately before bringing her in. Then when the technician points out that this will make it difficult to recheck her urine, he says "We were supposed to do that too?" We tell him that yes, that's what the appointment was for. Looking in the chart, we see that she needs bloodwork too, and we can certainly do that (at this point, we assume that bloodwork is what Moody told hubby the dog had to come in for). I asked hubby how Tubby was doing at home, he said much better, no more leaking, no accidents in the house, all's well. We take the dog back and draw blood, and try to get urine but she's empty. Hubby gives her all of 20 minutes to build up more urine before he has to leave town, so needless to say we don't get any. We tell him he can bring some in later, doesn't have to bring Tubby back just for that, and send him on his way.
That afternoon, Moody calls, IRATE that we didn't look at the huge sore/rash that Tubby has from leaking urine all over the place and pissed as hell that she'll have to bring the dog back in for something NOBODY TOLD US WE NEEDED TO CHECK. Also, she wants to know why nobody told her that we needed to recheck the dog's urine--if she'd known that, she would have told hubby not to let her pee. Obviously whoever made the appointment was totally irresponsible in not telling her that she needed to not let the dog urinate. How unorganized is this clinic, anyway?
So Moody makes an appointment for today at 8:30 (our earliest appointment). She shows up promptly at 7:55 and demands immediate service despite the fact that the clinic isn't open yet. The technician she waylaid lets her in and takes the urine in the back, tells her that someone will be with her as soon as someone shows up. I get there at 8, look at the urine, and go into the room to talk to her. She's totally silent for about 30 seconds, while I tell her that we got the blood work back, and need to adjust the dose on the thyroid. When I get to "Your husband told me monday that Tubby's doing much better at home..." she richochets off the ceiling. Almost literally--jumps out of her chair and yells at me that "No she's not doing better she's leaking all over the place and leaving puddles in the house and has a huge sore from laying in her urine and why didn't you look at that when she was here last time and it's totally unreasonable that I have to bring my dog in to you 4 times in the last month!" (impressively, all in one breath). When I try to explain that the reason I didn't look at the sore is that HER FUCKING HUSBAND TOLD ME THE DOG WAS DOING GREAT, she accuses me of not wanting to treat the dog, storms out of the exam room (dragging the very confused dog behind her) demands copies of her records, refuses to pay for the urinalysis we just did, stands in the lobby yelling at the tech who made the appointment, the receptionist, and myself that since we obviously don't want to treat her dog and her business apparently doesn't matter and she's been coming here for years and now she's going to have to go somewhere else and she can't believe how stupid and unreasonable we are. When I try to calm her down and ask to look at the dog so that I can treat her, she grabs the computer-record print out the tech was making for her and storms out, leaving the rest of the early morning clients huddled in fear in a corner of the lobby.
20 minutes later (about the time she got home), she calls the clinic and chews at the receptionist again about how unreasonable we all are and how her business obviously doesn't matter and dammit she still needs to get the dog checked because THAT DOCTOR REFUSED to look at her this morning, and didn't even tell her what the bloodwork was or anything. Receptionist manages to get her calm enough to admit that she doesn't really want to look for a different veterinary clinic (she has been coming here for about 4 years now). Receptionist tells her that there are 3 doctors here, and she can have an appointment with someone else if that would work better for her.
So receptionist makes an appointment with Dr.S. I go over the case with him, tell him what my plan was (lower thyroid supplement, kidneys look ok, urinalysis is much improved, probably should start her on an estrogen supplement for urinary incontinence and whatever seems appropriate for the apparently huge open sore that I've never seen).
30 minutes after that, Moody shows back up at the clinic and is hustled into an exam room with Dr.S. Apparently she was civil but not terribly friendly during his discussion with her, took her meds and left.
So just what exactly the fuck was that all about? Total miscommunication between Mr. and Mrs. and that's obviously all MY fault. Current theories: Undiagnosed bipolar disorder. Bipolar but off her meds. Menopausal. Somebody slipped something in her breakfast cereal that clashes with her meds. Brain tumor. Rabies.
Any other suggestions as to what would cause a normally fairly calm woman to have an acute attack of screaming psycho?
End of last month, "Moody" brought her dog, "Tubby", in to see Dr.M. He diagnosed the dog as hypothyroid, and started her on supplements.
On the 12th of this month, Moody and Tubby are back, this time because Tubby's peeing in the house, and leaking urine when she sleeps. I see her, do a urinalysis, and start her on antibiotics for a urinary tract infection. I also notified Moody that the urine was quite a bit less concentrated than normal, and we should run some bloodwork to check her kidneys. Offered to do that at the time, and she pointed out that she was supposed to have Tubby's thyroid levels rechecked at the end of the month anyway, and could we run it all together. Absolutely--we'll need to see Tubby back in 2 weeks anyway to recheck the urine, we can do it all then.
Moody is so happy with my service and that there's a woman doctor at the clinic, that she tells her daughter to leave her vet in Spokane and start bringing her dog here. Daughter comes in several days later, raves about how happy Moody is. Yay, right? Well... no.
Moody calls the end of last week and makes an appointment for Monday to have Tubby's urine rechecked--and that's all that got written on the book. "Recheck urine." The technician who made the appointment did not pull the chart at the time, nor make guesses about what the dog was coming for, she wrote down what the owner said on the phone. Please note that at this point, the ONLY thing Moody asked for was a recheck urine.
Monday, Moody's hubby shows up with the dog. He lets her pee in the parking lot immediately before bringing her in. Then when the technician points out that this will make it difficult to recheck her urine, he says "We were supposed to do that too?" We tell him that yes, that's what the appointment was for. Looking in the chart, we see that she needs bloodwork too, and we can certainly do that (at this point, we assume that bloodwork is what Moody told hubby the dog had to come in for). I asked hubby how Tubby was doing at home, he said much better, no more leaking, no accidents in the house, all's well. We take the dog back and draw blood, and try to get urine but she's empty. Hubby gives her all of 20 minutes to build up more urine before he has to leave town, so needless to say we don't get any. We tell him he can bring some in later, doesn't have to bring Tubby back just for that, and send him on his way.
That afternoon, Moody calls, IRATE that we didn't look at the huge sore/rash that Tubby has from leaking urine all over the place and pissed as hell that she'll have to bring the dog back in for something NOBODY TOLD US WE NEEDED TO CHECK. Also, she wants to know why nobody told her that we needed to recheck the dog's urine--if she'd known that, she would have told hubby not to let her pee. Obviously whoever made the appointment was totally irresponsible in not telling her that she needed to not let the dog urinate. How unorganized is this clinic, anyway?
So Moody makes an appointment for today at 8:30 (our earliest appointment). She shows up promptly at 7:55 and demands immediate service despite the fact that the clinic isn't open yet. The technician she waylaid lets her in and takes the urine in the back, tells her that someone will be with her as soon as someone shows up. I get there at 8, look at the urine, and go into the room to talk to her. She's totally silent for about 30 seconds, while I tell her that we got the blood work back, and need to adjust the dose on the thyroid. When I get to "Your husband told me monday that Tubby's doing much better at home..." she richochets off the ceiling. Almost literally--jumps out of her chair and yells at me that "No she's not doing better she's leaking all over the place and leaving puddles in the house and has a huge sore from laying in her urine and why didn't you look at that when she was here last time and it's totally unreasonable that I have to bring my dog in to you 4 times in the last month!" (impressively, all in one breath). When I try to explain that the reason I didn't look at the sore is that HER FUCKING HUSBAND TOLD ME THE DOG WAS DOING GREAT, she accuses me of not wanting to treat the dog, storms out of the exam room (dragging the very confused dog behind her) demands copies of her records, refuses to pay for the urinalysis we just did, stands in the lobby yelling at the tech who made the appointment, the receptionist, and myself that since we obviously don't want to treat her dog and her business apparently doesn't matter and she's been coming here for years and now she's going to have to go somewhere else and she can't believe how stupid and unreasonable we are. When I try to calm her down and ask to look at the dog so that I can treat her, she grabs the computer-record print out the tech was making for her and storms out, leaving the rest of the early morning clients huddled in fear in a corner of the lobby.
20 minutes later (about the time she got home), she calls the clinic and chews at the receptionist again about how unreasonable we all are and how her business obviously doesn't matter and dammit she still needs to get the dog checked because THAT DOCTOR REFUSED to look at her this morning, and didn't even tell her what the bloodwork was or anything. Receptionist manages to get her calm enough to admit that she doesn't really want to look for a different veterinary clinic (she has been coming here for about 4 years now). Receptionist tells her that there are 3 doctors here, and she can have an appointment with someone else if that would work better for her.
So receptionist makes an appointment with Dr.S. I go over the case with him, tell him what my plan was (lower thyroid supplement, kidneys look ok, urinalysis is much improved, probably should start her on an estrogen supplement for urinary incontinence and whatever seems appropriate for the apparently huge open sore that I've never seen).
30 minutes after that, Moody shows back up at the clinic and is hustled into an exam room with Dr.S. Apparently she was civil but not terribly friendly during his discussion with her, took her meds and left.
So just what exactly the fuck was that all about? Total miscommunication between Mr. and Mrs. and that's obviously all MY fault. Current theories: Undiagnosed bipolar disorder. Bipolar but off her meds. Menopausal. Somebody slipped something in her breakfast cereal that clashes with her meds. Brain tumor. Rabies.
Any other suggestions as to what would cause a normally fairly calm woman to have an acute attack of screaming psycho?
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no subject
Date: 2006-07-27 12:29 pm (UTC)Dr. Prouty says hi.
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Date: 2006-07-27 01:29 pm (UTC)no subject
Date: 2006-07-27 03:14 pm (UTC)Also, at what point are you allowed to..."subtly recommend"...a new clinic?
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Date: 2006-07-27 03:32 pm (UTC)I'm impressed (but not surprised) that you handled that as calmly as you did.
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Date: 2006-07-27 03:37 pm (UTC)If things get bad, Plato's Socratic Dialogues (the hardcover version) is pretty hefty, and makes a fine defensive weapon.
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Date: 2006-07-27 04:15 pm (UTC)no subject
Date: 2006-07-27 05:29 pm (UTC)But, perhaps out dear veterinarian has a copy of "Muriel Volestrangler's Encyclopaedia of the Diseases of Sheep" that she can use without going to the added expense of buy some Plato.
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Date: 2006-07-28 03:17 am (UTC)Where'd you run into dr. prouty? tell her hi back!
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Date: 2006-07-28 03:18 am (UTC)no subject
Date: 2006-07-28 03:19 am (UTC)no subject
Date: 2006-07-28 03:19 am (UTC)no subject
Date: 2006-07-28 03:23 am (UTC)i do try not to resort to violence though--i want to keep my job and avoid that whole court/jail thing.
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Date: 2006-07-28 03:54 am (UTC)no subject
Date: 2006-07-28 11:53 pm (UTC)