There are so many situations where I have heard from my clients that they are going to try it on their own.
Aggression: I will observe a dog in desperate need of a trainer, especially after it bites a child or growls at family members. Typically, before we get to that situation, I have already recommended a trainer and they want to give it one more try.
Weight loss: I will hear the excuse “It was the holidays, and we all gain weight.” I remind them that the pet has been gaining weight for a year, and how about trying a diet food?
Arthritis pain: The pet may sleep all day, or it limps, or it might even have trouble getting up or into position to defecate because of pain.
I have heard hundreds of times that my clients don’t want to start something that the pet will be on for life. That’s the way it works. Hopefully, there will be pain relief and improved quality of life for the rest of the pet’s life.
Let me introduce you to Kendall. She is an 8-year-old Cavalier King Charles spaniel, and one of the sweetest dogs that I have ever met. Cavaliers (for short) have a predisposition for heart disease. Clinically they are normal for many years, but during auscultation with a stethoscope, a heart murmur heard in this breed when they are younger typically means that they will have a shortened life expectancy. Most owners who do research on Cavaliers always pay attention and get nervous when the veterinarian listens to their pet’s heart. I usually will give a thumbs up or a nod if I don’t hear a murmur, and the owner’s sense of relief is immediate.
I have been monitoring Kendall’s heart murmur since she was 5 years old. When Kendall was 7-plus years, I sent her to the cardiologist who confirmed that the dog does indeed have the typical heart disease that affects Cavaliers. I recommended baseline medications and made a schedule for follow-up testing. On the bottom of the referral letter from the cardiologist, it stated that the owner was going to go home and discuss the diagnosis and treatment plan with their spouse. The prescriptions were called into her pharmacy and follow-up bloodwork could be done at my hospital, but blood pressure readings, EKGs, and echocardiograms would need to be done at the cardiologist.
I had my technician put in a reminder for one month to schedule follow-up bloodwork. The owner for the next 6 months either canceled or rescheduled all of Kendall’s appointments. One day they came in with Kendall. They had just gone to the dog park and Kendall was coughing. The owner was convinced that the dog had picked up kennel cough. I told them that Kendall couldn’t be clinical for kennel cough one hour after exposure.
Kendall’s heart murmur had rapidly progressed. Her gum color was pale, her cough was deep, and she had to make a deep abdominal effort to breathe. I brought her to the treatment room and put her in an oxygen cage. I went back into the room and told the owner that they couldn’t wait any longer to start Kendall on heart medication, and it was a miracle that she was still alive. The owner needed a minute to call their spouse, so I left the room and started Kendall on life-saving heart medication.
I came back into the room and the owner asked me if the heart medication would be forever. I said, “Yes, the heart medication for Kendall, who is in congestive heart failure, will be for the rest of her life.” Sigh…