Greetings:
My 11 year old male tabby, "Clucky", who's been diabetic for about a
year and a half, starting having breathing difficulty about three weeks
ago. His respirations were increased, and he was having coughing fits
several times a day. Our wonderful country vet, who makes house calls,
thought that perhaps he had either a fur ball, or was developing asthma.
She gave him the once over, said to keep an eye on him, and went on her
way.
Over the next few weeks, the coughing waxed and waned, and his
respirations remained increased. Last week, it was apparent that he was
in ever increasing respiratory distress; his respirations were anywhere
from 50-70, and he was really using his abdomen to push out the lungs.
Because our house call vet was out of town, I took him to a local
veterinary hospital on an emergency basis. The Doctor did some X-Rays,
determined that he had fluid on the lungs, and treated him as though he
was in heart failure. He gave him 80mg of Lasix the first day and put
him on an Ace inhibitor to make the action of the heart more efficient.
I tried to tell him that I had a strong suspicion that he had pneumonia,
but he said that it is very rare in cats, that his WBC was only slightly
elevated, and that his temperature was normal. He seemed to think he
had heart disease.
He called me to pick him up the next day, and when I got him home, it
was clear that something was terribly wrong. He was very lethargic,
barely recognized me, and slept constantly. I gave him his nightly dose
of insulin and did the same the next morning, which was a terrible
mistake, as he hadn't been eating. The Vet never said otherwise,
(though he should have). I, on the other hand should have known better
too!
By noon the following day, it was clear that he was going into
hypoglycemic shock, and I called the Vet that had just treated him. It
was the weekend, and I got the Vet on call instead (his partner), who
told me to get some syrup into him to get his sugar up. I got several
tablespoons full down his throat, which he swallowed, but it was too
late. He started to act drunk, his muscles stiffened, and he stared
blankly off into space. He could no longer swallow the syrup that I
attempted to give him. At one point, his chest just fibrilated
extremely fast, and I thought for sure he was going to die. Quite a
horrifying sight.
I called the Vet again, who did not return my call, so I made a call to
a *different* veterinary hospital, and the doctor had me bring him right
in. He got an IV of glucose and potassium into him right away, as he
was extremely dehydrated from the Lasix. His sugar came up alright, the
vet got him hydrated, and kept him for a few nights. He told me that he
immediately suspected pneumonia, and treated him with a course of
antibiotics. He says he is quite certain that he has no heart disease,
and that pneumonia was the culprit all along. His WBC was twice the
value that it should have been, clearly indicating an infection.
I have him back home today, and while he's a bit weak from all of the
excitement, he is back to his old ornery self again! His breathing is
back to normal, and I no longer have to give him Lasix and the Ace
inhibitor, bur rather a course of antibiotics.
We really came close to losing him this weekend. The doctor joked that
he's sure that Clucky could see the brilliant white light at the end of
the tunnel. If I hadn't seen this vet quite by accident, I fear that we
would still be erroneously treating him for heart disease, and he very
well might have been dead by now.
NOW TO MY QUESTION:
Would it be out of line for me to ask the doctor who's ill advice and
treatment nearly cost my pet his life, to make an according adjustment
or refund a portion of my bill? I am so very grateful that Clucky is
still with me, and money really wasn't an object. However, the bill was
$330.00, for a course of treatment that was totally unwarranted and
unnecessary. I also paid for numerous prescription drugs that I now have
no use for. The bill to the second vet in question was $330.00 as well,
and I am only too happy to pay it!!! After all, he saved my cat, and
alleviated the fear that Cluck had heart disease.
Thanks for reading, and thanks for any opinions you may offer.
Best Regards,
Cary F.
dinkmeister - 27 Jan 2004 11:36 GMT
Hi, Im glad Clucky is alright! Its bad enough they almost let
your kitty die due to their inexperiance, the least they could do
is give you a full refund, including the price of the drugs, and
an apology. (don't settle for anything less than a full refund)
If they won't give your money back, talk with your bank or credit
card company and tell them you would like to dispute the charges.
:Greetings:
:
[quoted text clipped - 77 lines]
:
:Cary F.
NickKnight - 27 Jan 2004 15:30 GMT
>Would it be out of line for me to ask the doctor who's ill advice and
>treatment nearly cost my pet his life, to make an according adjustment
>or refund a portion of my bill?
You can try. I wouldn't hold my breath waiting for him to do it
though.
You have my sympathy about your ordeal. Glad it worked out
good in the end.
--------------------------------------------
"It took us 15 years to McGyver this thing."
-------------------------Carter on Stargate
To send me e-mail exorcise NO Spam from
my e-mail address.
Ivor Jones - 27 Jan 2004 17:31 GMT
> >Would it be out of line for me to ask the doctor who's ill advice and
> >treatment nearly cost my pet his life, to make an according adjustment
[quoted text clipped - 4 lines]
> You have my sympathy about your ordeal. Glad it worked out
> good in the end.
If it was me I'd be seeing a lawyer. Glad things are ok though.
Ivor
NickKnight - 27 Jan 2004 22:01 GMT
>If it was me I'd be seeing a lawyer. Glad things are ok though.
A couple of points to ponder though:
1. The amount of money to retain a lawyer may far exceeed the amount
of the bill. Maybe you pay the bill and chalk it up to eperience.
2. Even if it was worth it to hire a lawyer, getting a satidfactory
result may be very difficult. It sounds like it would requir one
vet to testify against another vet and there is a 99.9999% chance that
won't happen.
3. You may want to consider whether vets in your
area would refuse you service if they heard about
this lawsuit.
It might be worth while to sit down with a lawyer and
find out where you stand.
It should be noted i'm not a lawyer nor do I play one
on TV.
--------------------------------------------
"It took us 15 years to McGyver this thing."
-------------------------Carter on Stargate
To send me e-mail exorcise NO Spam from
my e-mail address.
m. L. Briggs - 28 Jan 2004 18:21 GMT
>>If it was me I'd be seeing a lawyer. Glad things are ok though.
>A couple of points to ponder though:
[quoted text clipped - 19 lines]
>To send me e-mail exorcise NO Spam from
>my e-mail address.
This is sound advice. In my family we always chalked losses to
"experience" -- after all, we learn by our mistakes. Many heartfelt
purrs for your furry one.
Diana - 27 Jan 2004 22:29 GMT
Bilar Crais at bilar@crais.commie wrote on1/27/04 12:14 AM:
[Narrative of sad, scary incident snipped.]
> NOW TO MY QUESTION:
>
[quoted text clipped - 13 lines]
>
> Cary F.
I will venture to disagree with a couple of posts on this thread indicating
that you shouldn't owe anything. First of all, I am sorry for your and
Clucky's ordeal, and so glad that the eventual outcome was all right. But,
IMHO, the emergency room doc made the most probable diagnosis based on the
information available at the time. Certainly this vet should be informed of
the error (and there are probably those who would NOT charge you after
finding it out -- good luck, and hope this is the case). However, emergency
treatment tends to involve going out on a limb and having to do something
immediately, based upon a relatively small sample of data. Not to shift
blame, but I think if you have a totally different feeling about what is
going on with the pet that YOU know, and the treating vet does NOT know, it
behooves you to insist on further diagnostics. I don't mean to criticize,
honestly; you, too, did the best you could do at the time, given the
emergency nature of the situation. Just offering another perspective.

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~*Connie*~ - 27 Jan 2004 23:09 GMT
> I will venture to disagree with a couple of posts on this thread indicating
> that you shouldn't owe anything. First of all, I am sorry for your and
[quoted text clipped - 12 lines]
> --
> Diana
I agree with Diana to a point. However, pneumonia is very VERY prevalent
in cats. I can't believe he said it wasn't. Talk to anyone who deals with
cats in a shelter environment, we are all very careful not to let URI's turn
into pneumonia.
I would talk to him, and ask for a refund for the medications you can't use
because of his diagnosis. It can't hurt to ask for him to help with the
bill, but don't expect that he will. Be nice, and be understanding that he
didn't have a full history on your cat, Medicine is as much an art as it
is a science.. no one can be correct all the time, and we have to accept
that.
Bilar Crais - 28 Jan 2004 06:56 GMT
> I agree with Diana to a point. However, pneumonia is very VERY prevalent
> in cats.
Especially in a cat whose immune system was already compromised by
diabetes!
> I can't believe he said it wasn't.
He really did. I couldn't believe it myself.
First of all, I want to thank you all for your thoughtful and kind
replies. After careful consideration, I think I am simply going to
email the vet in question with an update, and let him know in an
unaccusatory tone what transpired over the weekend. If he is so
inclined, perhaps he'll offer a rebate. I'm sure he did what he thought
best under the circumstances. Otherwise, I will, as someone suggested,
chalk it up to experience. I did find an excellent vet in the process.
:-)
Chick is still weak, and still "off" his food, though he did seem
interested in the wet food I placed in front of him tonight. He licked
it, but I don't think he actually ingested any. Of course, no insulin
until he's eating again, as per the doc. At least his high sugar is
prompting him to drink plenty, which will lessen his chances of
dehydration. He's really affectionate again, so he must be feeling much
better. I heard him purring for the first time in a week tonight!
Best Wishes All,
Cary F.
JP Hobbs - 06 Feb 2004 12:17 GMT
So glad to know Clucky is ok I;ve had some low sugars, sure
hope I never get one as low as Clucky's Jean P.
> > I agree with Diana to a point. However, pneumonia is very VERY prevalent
> > in cats.
[quoted text clipped - 26 lines]
>
> Cary F.
ISAC - 28 Jan 2004 22:44 GMT
> Would it be out of line for me to ask the doctor who's ill advice and
> treatment nearly cost my pet his life, to make an according adjustment
> or refund a portion of my bill?
I can understand your not wanting to pay. However, you are paying a
bill for the vet to do his best and not for results. No vet guarantees
his work. Don't expect a refund. Don't expect compensation beyond the
"cost" of replacing a pet if it dies.
Lots of mistakes happen in vetinary medicine, just as mistakes happen
in every field. You expect someone to do his best and accept the
results. If someone does less than the standards of care, maybe
there's a chance for a reduction in fees.
-rr

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rangitotogirl - 29 Jan 2004 04:14 GMT
> My 11 year old male tabby, "Clucky", who's been diabetic for about a >
> NOW TO MY QUESTION:
[quoted text clipped - 8 lines]
> and I am only too happy to pay it!!! After all, he saved my cat, and
> alleviated the fear that Cluck had heart disease.
Hi Cary
You'll possibly find you can return the drugs. I took my cat into the vet a
few days before I had to get her put down and he gave me a whole pile of
drugs to try out just to see whether it would make a difference. He said I
could return any unused ones and I would get a refund on them so chances are
you'll be able to do the same thing.
Robyn