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TED visits

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Howard Berkowitz - 23 Sep 2004 05:14 GMT
I've been using a house call vet for routine things, although I'm
beginning to have second thoughts over the lack of lab facilities, etc.
In any case, it seems fine for immunizations, etc.

Since Rhonda had a full exam, worming, etc., while being spayed, only
Ding and Mr. Clark needed exams and boosters. The appointment was set
for 3:30PM.  OK. I've learned at this point that chasing patients around
the house is not the best of ideas, so I decided to put them in
carriers.

Ding has been alternately clingy and skittish since what has variously
been called the Mysterious Disappearance, the Walkabout, or Temporary
Duty to the Mothership. I got him, struggling, into the smaller carrier;
I wanted to get him under control first. Since he'd be in there a while,
I thought I should snip him some shrimpie Fancy Feast. Bad move. As I
slipped in the dish, he squirmed out. Major wrestling on the kitchen
floor, he ran away, but I was able to spot him and get him back in the
carrier. Placed on the kitchen floor, it began rocking and banging.

Next, Mr. Clark. Big carrier for big cat. He was surveying the world in
a file box on top of bookcases, but I was able to get him down onto the
4-drawer file cabinets.  He's laid back, so we scratched and cuddled a
while, and then I picked him up and put him in the carrier. No real
struggle, although he wasn't amused.

Anyway, it was now about 2:45 or 3. I decided to put the carrier doors
facing one another, thinking seeing Mr. Clark might get Ding to stop
looking like a convict shaking the bars just before rioting. That seemed
to work.

Rhonda, I am convinced, knew nothing was going to happen to her, so she
promptly climbed on, between, next to, etc., the carriers. I am not sure
if she was comforting, inspecting, or gloating, but Ding did seem to
calm down.

Finished clearing the counter for the exam, and the vet showed up. She
always puts a scale on the counter and does most of the exam on it.
After taking one look at Ding's carrier rocking again, she decided it
might be easier to weigh the cats in the carriers, then subtract the
carrier weight later.

"Do you want to do big and calm, or medium and crazed, first?" She
decided Mr. Clark should go first...but just as she got the scale set
up, Rhonda jumped up, found a nice towel in the middle of the scale, and
decided she wanted to be weighed -- or at least be the center of
attention.  So, I'm juggling 20-odd pounds of cat and carrier as Flo,
TED, tries to charm Rhonda off the scale. As long as she was there, we
checked the weight and it was 6.3 pounds, up .2 in four days back home.

Rhonda head bumped and kissed her, but showed no intent of moving. Pick
her up and move her to the side, and she jumped back on. Pick her up and
put her on the floor, and she's back on the scale in a moment. Finally,
with the loaded carrier about to drop on her head, she jumped off -- and
was caught in midair before she shot headfirst into the open veterinary
bag.

OK. Mr. Clark and carrier finally on scale. We look at the combined
weight and hope the carrier is heavier than we think. Open carrier door.
Mr. Clark isn't sure about coming out. Rhonda jumps back up, head bumps
everyone, and then sits next to the scale. The two hoomins slide out Mr.
Clark, who sits calmly on the scale and gets examined. He's calm enough
that we can look at the scale and get his 16.5 pound weight, which then
shot up suddenly -- Rhonda got back on the scale. Mr. Clark gets his
injections, making a slight complaint on the second one. We did find
that his bad breath is due to gingivitis way in the back, and he's due
for a trip for the dental clinic. Ear mites cleared, a yeast infection
found in one ear, fleas treated, and then we invite him to get off, as
we pick up Ding's carrier.

Mr. Clark just took a few steps and stretched out in a lion pose next to
the scale, with Rhonda alongside. It was clear they wished to supervise.  
Ding came up, and he didn't want to come out of the carrier, looking
thoroughly intimidated. We tipped him out, and I _think_ Rhonda helped
by jumping into the middle and sort of head bumping. Mr. Clark just
watched very, very closely.  

Family practice time, with Ding in the center, two supervisory cats
against the wall, and two hoomins working on him. Nothing too major,
other than fleas from his walkabout. 9.5 pounds. Gave him boosters,
deferred worming until the fleas were gone. He did decide to jump off,
in the right direction. Rhonda immediately jumped back to the center of
the scale and went into loud "Love me, adore me, get me my own TV series
-- I'm at least as talented as Paris Hilton."  After several attempts,
we finally get her off long enough to retrieve the scale. Again caught
her im midair before she shot into the doctor's bag.

Rhonda's now off the counter. Mr. Clark gets up, licks everyone, and
strides confidently onto the chart folder, unsupported and sticking out
from the counter. *crash* on top of the veterinary bag, which luckily
was closed just after Rhonda's last dive. He climbs off; Rhonda gets
back on and grabs the handles. Mr. Clark shakes himself a little,
checking everything after the crash. He lies down and observed.

Two hoomins now try to remove a 6-pound cat from the bag handles, as she
preens for attention, head-butts, and is generally talkative. Flo picks
up the bag and Rhonda jumps on it.  Eventually, I pick up Rhonda so TED
can make an escape, $255 later.

Hoomin gets cup of coffee and collapses. Ding jumps around on the long
multiple computer table and knocks a monitor on its side -- it appears
to be working.
Karen Chuplis - 23 Sep 2004 05:59 GMT
> I've been using a house call vet for routine things, although I'm
> beginning to have second thoughts over the lack of lab facilities, etc.
[quoted text clipped - 97 lines]
> multiple computer table and knocks a monitor on its side -- it appears
> to be working.

OMG. I love "Love me, adore me, get me my own TV series" !!! Wow. That's
pretty nice to have house calls. Yes, you will want to get blood workups but
not that often. Sure sounds much less traumatic. I know my vet USED to do
them, but I do not know if she still does.
Howard Berkowitz - 23 Sep 2004 06:16 GMT
> OMG. I love "Love me, adore me, get me my own TV series" !!! Wow. That's
> pretty nice to have house calls. Yes, you will want to get blood workups
> but
> not that often. Sure sounds much less traumatic. I know my vet USED to do
> them, but I do not know if she still does.

Well, it's not TV yet, but Rhonda is stretched out on the fax machine.
Both she and Mr. Clark have tried to fax images of their undersides,
although luckily not to a number with a corresponding fax machine.
O J - 23 Sep 2004 14:16 GMT
>Well, it's not TV yet, but Rhonda is stretched out on the fax machine.
>Both she and Mr. Clark have tried to fax images of their undersides,
>although luckily not to a number with a corresponding fax machine.

Too bad it has closed down, but there used to be a web site called
"catscan.com" with images of (what else) the scans of cats sitting or
lying on someone's scanner.

Regards and Purrs,
O J
Howard Berkowitz - 23 Sep 2004 17:22 GMT
> >Well, it's not TV yet, but Rhonda is stretched out on the fax machine.
> >Both she and Mr. Clark have tried to fax images of their undersides,
[quoted text clipped - 3 lines]
> "catscan.com" with images of (what else) the scans of cats sitting or
> lying on someone's scanner.

I'm vaguely reminded of a phenomenon in some Canadian hospitals, which
are reimbursed at a flat rate for CT and MRI services, based on a
predicted number of patients. Once they've had their maximum number of
reimbursable non-emergency procedures, that's it for the month.

Except...they can do fee-for-service veterinary procedures. So, on a
time-available basis, they will do animal imaging, even at times when
people have to wait.
Tanada - 23 Sep 2004 18:16 GMT
> I'm vaguely reminded of a phenomenon in some Canadian hospitals, which
> are reimbursed at a flat rate for CT and MRI services, based on a
[quoted text clipped - 4 lines]
> time-available basis, they will do animal imaging, even at times when
> people have to wait.

When My MIL has to have MRIs done, her Neurosurgeon sends her down the
road to Washington State University's Veterinarian school.  It is over
100 miles to the nearest hoomin MRI from their home town, and their
Doctor is in Pullman Washington, so the doctors use the TED school's
facilities rather than try to get an appointment at the already
overworked hospitals in Spokane.  My FIL jokes that MIL sees the horse
doctor for testing.

Pam S.
CatNipped - 23 Sep 2004 14:08 GMT
> I've been using a house call vet for routine things, although I'm
> beginning to have second thoughts over the lack of lab facilities, etc.
> In any case, it seems fine for immunizations, etc.

ROFLOL - life with cats is always an adventure, but what would we do without
them??!

Hugs,

CatNipped
Christine Burel - 23 Sep 2004 16:20 GMT
Sounds like the hoomin could've used something stronger than coffee
afterwards!  Amazing tale, especially how eager Rhonda was to hang around
the vet!  Very funny story, Howard!
Christine
> I've been using a house call vet for routine things, although I'm
> beginning to have second thoughts over the lack of lab facilities, etc.
[quoted text clipped - 97 lines]
> multiple computer table and knocks a monitor on its side -- it appears
> to be working.
Howard Berkowitz - 23 Sep 2004 19:43 GMT
> Sounds like the hoomin could've used something stronger than coffee
> afterwards!  Amazing tale, especially how eager Rhonda was to hang around
> the vet!  Very funny story, Howard!
> Christine

Rhonda was off at another TED the previous week being spayed, and
apparently charmed everyone there -- I got a note. Her personal vet had
wanted to defer spaying until she got larger, but the rescue society
rule that 2 years is enough. Rhonda is apparently destined to be a
miniaturized Maine Coon lookalike -- she is quite close to classic breed
drawings, but only is a bit over 6 pounds.

I also found it interesting that Mr. Clark specifically chose to stick
around, after he had literally been stuck. There's no explanation other
than he wanted to keep an eye on Ding.  He did kiss the vet and was
generally pleasant, but his attention was focused on his protege.

While I was originally thinking of volunteering for pet therapy with Mr.
Clark, since he so actively cuddles/hugs/kisses, I'm now thinking Rhonda
may be qualified in a different way -- she isn't quite as cuddly with
strangers, but certainly interacts with them given the slightest chance.
Who knows -- that might change with practice. When I'm lying on the bed
reading or watching TV, she routinely flops into my arms in the
cradled-baby position.

I'm going to have to discuss Ding's socialization with the other two. He
can be very affectionate at times, but also hides a lot, has been having
some crazy spurts, and I haven't gotten close enough to apply the flea
drops.
Yoj - 23 Sep 2004 18:41 GMT
LOL!  This should have had a BW!

--
Joy

"You can never do a kindness too soon because you never know how soon it
will be too late." - Ralph Waldo Emerson

> I've been using a house call vet for routine things, although I'm
> beginning to have second thoughts over the lack of lab facilities, etc.
[quoted text clipped - 97 lines]
> multiple computer table and knocks a monitor on its side -- it appears
> to be working.
Margaret Fine - 23 Sep 2004 19:39 GMT
> I've been using a house call vet for routine things, although I'm
> beginning to have second thoughts over the lack of lab facilities, etc.
[quoted text clipped - 97 lines]
> multiple computer table and knocks a monitor on its side -- it appears
> to be working.

Howard, I love Mr. Clark and Ding as names.  You need to get 3 more
kitties of various colors so you can have your own Rainbow 6!

Or change Rhonda's name to Jack.  ;-)

Signature

Margaret Fine
mefine@mindspring.com

Howard Berkowitz - 23 Sep 2004 23:00 GMT
> Howard, I love Mr. Clark and Ding as names.  You need to get 3 more
> kitties of various colors so you can have your own Rainbow 6!
>
> Or change Rhonda's name to Jack.  ;-)

Well, I suppose she could have been Mary Jo Foley, but she's named after
a real-world character: COL Rhonda Cornum. She was the flight surgeon
that volunteered for a combat search and rescue mission in 1991, on
which women were forbidden to fly, was shot down, had a very rough time
in Iraqi prison yet demonstrated strong leadership, and has been
fast-tracked in the Army -- she recently graduated as President of the
class at the National War College, and is now commanding the main US
medical facility in Germany. That command normally leads to stars.

While I wouldn't be surprised to see her as the Army Surgeon General one
of these days, she _is_ a confirmed adrenaline [1] junkie: paratrooper,
helicopter and glider pilot, steeplechase rider, etc. Like her namesake,
she's tiny but powerful.

[1] Epinephrine or catecholamine junkie is more correct, but just
   doesn't have the same ring...
Karen Chuplis - 24 Sep 2004 01:04 GMT
>> Howard, I love Mr. Clark and Ding as names.  You need to get 3 more
>> kitties of various colors so you can have your own Rainbow 6!
[quoted text clipped - 17 lines]
> [1] Epinephrine or catecholamine junkie is more correct, but just
> doesn't have the same ring...

I remember her!
CATherine - 23 Sep 2004 23:06 GMT
>I've been using a house call vet for routine things, although I'm
>beginning to have second thoughts over the lack of lab facilities, etc.
[quoted text clipped - 8 lines]
>multiple computer table and knocks a monitor on its side -- it appears
>to be working.

I would say TED earned every penny of that fee! I wonder if she is now
considering an office practice with techs to help? ;-D

--
CATherine
Christina Websell - 24 Sep 2004 02:10 GMT
>>I've been using a house call vet for routine things, although I'm
>>beginning to have secon         dthoughtsoverthelackoflabfacilities,etc.
[quoted text clipped - 14 lines]
> --
> CATherine

Actually, for a home visit to not do much more than flea and worm, I thought
it was very expensive.

Tweed
Howard Berkowitz - 24 Sep 2004 02:42 GMT
> >>I've been using a house call vet for routine things, although I'm
> >>beginning to have secon        
[quoted text clipped - 22 lines]
>
> Tweed

Also full immunizations, ear mites and a ear infection with Mr. Clark,
and several months' supply of flea drops. Still not cheap.
Steve Touchstone - 24 Sep 2004 21:05 GMT
>Also full immunizations, ear mites and a ear infection with Mr. Clark,
>and several months' supply of flea drops. Still not cheap.

LB and Sammy are on the same schedule, so their annuals are due
together. It's normal for their booster visit  TED bill to top $100,
without adding a couple months worth of flea drops. While not exactly
cheap, I think your bill is reasonable just to avoid the stress of
hauling them off to a clinic. Guess a lot depends where you're at and
how much TED would charge for the same things at the clinic. A couple
things to keep in mind when thinking about the bill is the time and
expense for TED to get to your home. That's something I run into when
making estimates on landscaping/yard work. If I have to travel 30
minutes to get to a one hour job, that time will be reflected in what
I charge.
Signature

Steve Touchstone,
faithful servant of Sammy, Little Bit and Rocky

stouchst@JUNKsirinet.net [remove Junk for email]
Home Page: http://www.sirinet.net/~stouchst/index.html
Cat Pix: http://www.sirinet.net/~stouchst/animals.html

Howard Berkowitz - 24 Sep 2004 21:53 GMT
> >Also full immunizations, ear mites and a ear infection with Mr. Clark,
> >and several months' supply of flea drops. Still not cheap.
[quoted text clipped - 10 lines]
> minutes to get to a one hour job, that time will be reflected in what
> I charge.

While Rhonda didn't need anything (at least according to the humans)
this time, the time and effort of preparing three cats for transport is
going to be significant. When it's something serious, with the house
call vet, I get an immediate referral to the regional referral centers
-- one of which I prefer to the other. Unfortunately, the one I like
doesn't have a dentist, and Mr. Clark needs one.

As to yard work -- you aren't by any lucky chance in the DC/Virginia
area, are you?
Steve Touchstone - 24 Sep 2004 23:12 GMT
<snip>
>As to yard work -- you aren't by any lucky chance in the DC/Virginia
>area, are you?
noipe, sorry. I imagine I'd end up charging a bit extra if I was
driving from SW Oklahoma to DC  LOL
Signature

Steve Touchstone,
faithful servant of Sammy, Little Bit and Rocky

stouchst@JUNKsirinet.net [remove Junk for email]
Home Page: http://www.sirinet.net/~stouchst/index.html
Cat Pix: http://www.sirinet.net/~stouchst/animals.html

LOL - 25 Sep 2004 07:54 GMT
> <snip>
> >As to yard work -- you aren't by any lucky chance in the DC/Virginia
> >area, are you?

> noipe, sorry. I imagine I'd end up charging a bit extra if I was
> driving from SW Oklahoma to DC  LOL

Hmmm.  How about Georgia?  ;-)
------
Krista
Steve Touchstone - 26 Sep 2004 00:12 GMT
>> <snip>
>> >As to yard work -- you aren't by any lucky chance in the DC/Virginia
[quoted text clipped - 4 lines]
>
>Hmmm.  How about Georgia?  ;-)

nah, still a little bit outside my range. Now if I were in south
eastern Oklahoma...
Signature

Steve Touchstone,
faithful servant of Sammy, Little Bit and Rocky

stouchst@JUNKsirinet.net [remove Junk for email]
Home Page: http://www.sirinet.net/~stouchst/index.html
Cat Pix: http://www.sirinet.net/~stouchst/animals.html

Takayuki - 24 Sep 2004 20:17 GMT
>Actually, for a home visit to not do much more than flea and worm, I thought
>it was very expensive.

Maybe that can be the meaning of "TED" for hoomins.
The Expensive Doctor.

When I go to a clinic for a vaccination, it costs $20.  When Betty
goes, it costs $130. :)
Howard Berkowitz - 24 Sep 2004 21:50 GMT
> >Actually, for a home visit to not do much more than flea and worm, I
> >thought
[quoted text clipped - 5 lines]
> When I go to a clinic for a vaccination, it costs $20.  When Betty
> goes, it costs $130. :)

It's hard to predict.  The cost of many drugs, sold to veterinarians, is
much cheaper than the exactly identical drug to a human pharmacy.
Liability insurance costs not included.

I have noticed that when blood tests are sent out to a reference lab
that uses the same instruments on all species, the prices are, not
surprisingly, about the same. What does puzzle me is that a test done
on-premises in a veterinary hospital often is more expensive -- even
though I can see it uses exactly the same instrument as would be used in
a human clinic or small hospital.
Marina - 25 Sep 2004 04:52 GMT
> I have noticed that when blood tests are sent out to a reference lab
> that uses the same instruments on all species, the prices are, not
> surprisingly, about the same. What does puzzle me is that a test done
> on-premises in a veterinary hospital often is more expensive -- even
> though I can see it uses exactly the same instrument as would be used in
> a human clinic or small hospital.

The strange thing last time I went to TED's with mine was that the vet
asked me if I wanted them to send the blood samples out to a lab, as
that would be cheaper, but would take a couple of days. If I wanted them
to check the samples there on their premises, it would cost a little
more, but I would get the results immediately. The only thing they
couldn't test was thyroid levels, so that had to be sent away. I opted
for making the tests at the vet's that time, because I wanted to know
how Frank was doing immediately.

Signature

Marina, Frank and Nikki
marina (dot) kurten (at) pp (dot) inet (dot) fi
Pics at http://uk.pg.photos.yahoo.com/ph/frankiennikki/
and http://community.webshots.com/user/frankiennikki

Jo Firey - 25 Sep 2004 04:52 GMT
>> I have noticed that when blood tests are sent out to a reference lab that
>> uses the same instruments on all species, the prices are, not
[quoted text clipped - 11 lines]
> tests at the vet's that time, because I wanted to know how Frank was doing
> immediately.

I'm guessing that the vet has to pay more for testing supplies than the bulk
rate paid by a lab.

Jo
Howard Berkowitz - 25 Sep 2004 13:01 GMT
> > I have noticed that when blood tests are sent out to a reference lab
> > that uses the same instruments on all species, the prices are, not
[quoted text clipped - 12 lines]
> for making the tests at the vet's that time, because I wanted to know
> how Frank was doing immediately.

Outside labs generally are cheaper for a test than the cost at a small
lab for humans or for animals. If it takes a technician an hour to run a
particular test, there may only be one such test to do in a small
facility, but a batch of hundreds at the outside lab.  The larger labs
also can afford more highly automated equipment.

Some tests are sent to specialized labs even by advanced hospitals -- I
noticed this recently on the lab requisition form when I was having some
work done at NIH Clinical Center. That is sometimes just an issue of
economics, and sometimes there truly are only a few people that can do a
particular test.

At least one of the regional veterinary hospitals in the DC area sends
its tissue pathology to Boston. Specialized tissue pathology, even for
humans, may need to be sent to experts.
lewe - 23 Sep 2004 23:26 GMT
Howard Berkowitz <hcb@gettcomm.com> skrev i
diskussionsgruppsmeddelandet:hcb-EC3F58.00140123092004@news-central.giganews
.com...

what a gang! funny, silly things! =)
skritches to the 3 of them

--
lewe
-------------------------------------------------------------------------
lewemi at yahoo dot se  |  cat pics: photos.yahoo.com/lewemi
LOL - 24 Sep 2004 08:03 GMT
> I've been using a house call vet for routine things, although I'm
> beginning to have second thoughts over the lack of lab facilities, etc.
> In any case, it seems fine for immunizations, etc.
(snip)

LOL!  Your crew are quite the characters.  I am glad to read that they
are all doing so well.

------
Krista
Marina - 24 Sep 2004 14:35 GMT
> I've been using a house call vet for routine things, although I'm
> beginning to have second thoughts over the lack of lab facilities, etc.
> In any case, it seems fine for immunizations, etc.

<snip>

Well, your vet visit sounds much more fun than my recent one was! I can
only dream of a vet who'd do housecalls...

Signature

Marina, Frank and Nikki
marina (dot) kurten (at) pp (dot) inet (dot) fi
Pics at http://uk.pg.photos.yahoo.com/ph/frankiennikki/
and http://community.webshots.com/user/frankiennikki

Adrian - 24 Sep 2004 15:53 GMT
> I've been using a house call vet for routine things, although I'm
> beginning to have secon
> dthoughtsoverthelackoflabfacilities,etc. In any case, it seems fine
> for immunizations, etc.
<SNIP>

They certainly keep you busy, and us entertained.
Signature

Adrian (Owned by Snoopy & Bagheera)
A house is not a home, without a cat.

 
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