Go Pink?October 27, 2015Originally published in the October 2015 issue of Veterinary Practice News. Enjoyed this article? Then subscribe today! Chico quivered pitifully under the stainless steel exam table, peeking furtively in my general direction every few seconds––probably to be sure I hadn’t suddenly altered course. He was clearly calculating his escape options. As if my patient’s disapproval wasn’t enough, his person appeared equally dissatisfied with where this particular veterinary visit was headed. “Good thing Chico’s colorblind, Doc, otherwise he’d be out the door by now for sure.” Nice. Original, too. It was one of many statements I’ve come to expect from a certain contingent of my clientele. But that’s OK. I’ve learned to accept these ill-mannered remarks as the cost of doing business. Too bad I didn’t elect enormous breast implants instead, I’ve often mused. Those demand a degree of verbal prudence my pink hair is unlikely to ever recruit. Let me explain. A few years back I submitted a column on the pedestrian topic of shoes. Another time it was tattoos. Even more recently I tackled certain management gurus’ politically objectionable fashion …
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Why Veterinarians Expect More From Diagnostic EquipmentOctober 21, 2015Originally published in the October 2015 issue of Veterinary Practice News. Enjoyed this article? Then subscribe today! Veterinarians today expect sophisticated diagnostic technology that gets results quickly, those who sell the technology say. Jane Robertson, DVM, Dipl. ACVIM, director of medical affairs at Idexx Laboratories Inc. of Westbrook, Maine, said most practitioners are accustomed to collecting a pet’s blood sample for in-office and reference laboratory testing and quickly getting results. “The modern veterinarian wants the best for her clients and pets, and as a result, relies heavily on sophisticated diagnostic testing and technology capable of quickly and accurately identifying health conditions,” Dr. Robertson said. In-clinic testing, in particular, continues to gain popularity because it enables veterinarians to provide real-time care, experts like Robertson say. Robertson pointed out two products that build on this standard practice: Idexx’s Total T4 Test, which enables in-clinic thyroid testing by adding the test to existing panels, and its Symmetric dimethylarginine (SDMA) test, a kidney test that permits earlier diagnosis of kidney disease in dogs and cats than existing methods. “The classic clinical signs of hyperthyroidism in cats include …
Does Your Service Match Your Medicine?October 19, 2015Originally published in the October 2015 issue of Veterinary Practice News. Enjoyed this article? Then subscribe today! Because pet owners choose where to seek veterinary care, your clinic operates in both health care and service industries. Pay attention to details the next time you go shopping and see which experiences you could copy in your veterinary hospital. Here are easy-to-implement ideas from the service industry. 1) Step Out From Behind the Counter When I bought mascara at Nordstrom department store, the associate walked around the counter and delivered my shopping bag with a smile that communicated, “We appreciate your business.” At most veterinary hospitals, receptionists sit behind tall counters and computers block eye contact with clients. For a service-centered approach, the receptionist should stand to greet clients when they approach the desk. Body language communicates that you’re eager to help. When clients pay for prescriptions or other items, walk around the counter to deliver the medication and receipt. Close with an appreciation statement: “Thanks for visiting us …
How to Put Fear Free Practices to Use During ProceduresOctober 14, 2015Originally published in the October 2015 issue of Veterinary Practice News. Enjoyed this article? Then subscribe today! Previously, we discussed ways to reduce the stress level of patients during the car ride and their visit to the veterinary hospital. This month, we review Marty Becker’s Fear Free techniques to reduce stress around hospitalization, anesthesia and surgery. Restraint is becoming more and more archaic. It is designed to protect us without much regard for the physical or emotional well-being of the patient. If you are not successful in your “stress-less” or gentle control techniques, then consider sedation. The board-certified anesthesiologists and behaviorists who are part of the Fear Free movement have two interesting sayings: “Think of sedation early and often.” “If you can’t abate, you must sedate.” Asking five technicians to sit on a fearful patient during a nail trim, blood draw or X-ray should be considered taboo. Would you do it …
Why You Need to Walk a Mile in a Pet Owner’s WalletOctober 13, 2015Originally published in the October 2015 issue of Veterinary Practice News. Enjoyed this article? Then subscribe today! I recently had to have a plumber and an electrician out to our Almost Heaven Ranch to work on our well — on, of course, a Sunday night. I live in a very rural area where both of the service professionals were friends, but let me tell you, I expected the bills to be high, and I wasn’t wrong. We knew we’d be able to pay the bill, or at least put it on a credit card, but I admit I swallowed hard when they handed me the invoices at the end of a long night. The experience made me think about what clients must experience at the veterinary hospital. Like electricians and plumbers, we, too, are service providers whose services don’t carry a visible price tag for easy consideration of value. Also like them, veterinary bills very seldom add up to less than expected! However, problems with the plumbing or wiring don’t carry the emotional impact of those with the beloved pet on your exam …
No Obamacare for Pets EitherOctober 9, 2015You’ve probably heard it before: Veterinarians accused of only being in it for the money. But as we all know, medical care for pets is costly, and most veterinarians are barely breaking even. (Which sucks when you have vet school bills to pay.) It’s hard for people to understand the true cost of healthcare period, since we’re mostly unaware of the cost of our own healthcare, thanks to insurance companies and Medicaid/Medicare. It’s led to a popular joke around here: “Too bad there's no Obamacare for pets.” It’s no different over in the United Kingdom, as Veterinary Care Assistant Tracey Morgan writes in her opinion piece "There Is No NHS for Animals" over on the Huffington Post's UK website. Morgan says nothing we’ve haven’t already said before, but she does make a point of breaking down the real cost of human healthcare: “As humans in the UK we are incredibly lucky to have the [National Health Service], so let's look at how much human care actually costs. Well for a ten minute consult with a GP we cost the NHS between £45-70 (without taking anything away from GP's who …
Are You a Financial Slacker?October 8, 2015We are financial slackers. Such is the sad conclusion of a poll conducted by HSH.com, a mortgage information resource. It reveals that many of us are slackers when it comes to managing money and financial planning. Although Americans claim to strive for financial security, many of us did nothing to improve our credit profiles in 2014. Furthermore, a lot of us admit that we have no plans to do any better in 2015. Questions asked by HSH to about 2,000 participants included: Did you save money for retirement in 2014? Did you refinance a mortgage? Did you prepay part of a mortgage? Did you pay off credit card debt? Did you take any steps to improve our credit score? Results are concerning — to say the least. Here is what respondents said they did in 2014: 15% refinanced their mortgage. 27% saved money for retirement. 3% prepaid their mortgage. 24% paid off credit card debt. 24% improved their credit score. How about in 2015? Are people more willing to improve their financial health? 9% want to refinance their mortgage. 33% want to save money for retirement. 12% want to …
How Integrative Medicine Can Change Your Veterinary PracticeOctober 5, 2015If you have been in veterinary medicine for more than a minute, you have noticed that there is a growing trend amongst pet owners. They acknowledge pets more like family members, anthropomorphizing them along the way. Words like “parents” and “children” are common descriptors in the relationships between people and their pets. We have all heard the reports of how many billions of dollars consumers are spending on their pets annually, too. Combine this with the increasingly demanding personality of consumers and it becomes obvious that veterinary hospitals have to increase their service. This includes the patient care, the quality of medicine and the customer service. Considering patient care and the quality of medicine, veterinarians need to be thinking about what medical services they bring to the table. I have been in this industry for 18 years. For the last five I have been the practice manager of an integrative practice. This practice was started in 2009 — remember what the economy was like in 2009? Despite starting up in a tumultuous economy, it has grown exponentially, thanks largely to the conscientious pet owners that are no longer willing to accept mediocrity …
Is it a Dog-Eat-Dog World in the Veterinary Field?September 30, 2015Somebody once asserted that competition is for dogs and horses — a list that, in my experience, seems incomplete without one more category of competitor: vet students. As veterinary students we were cutthroat little nerds, were we not? We vied for seats in our class, for top marks, for scholarships, for summer jobs, for externships and internships, for top billing at graduation, sometimes for residencies, and, ultimately, for the best professional opportunities. Twenty years later, I’m grateful to have put that soul-sucking slog behind me. As if waking up every four hours to temp spoiled racehorses wasn’t bad enough, some of us found ourselves morally reduced to hoping our classmates were working at similar levels of sleep deprivation so we’d all look like zombies at rounds. While a case could and should be made for the utility of competition in such scholastic scenarios (OK, so maybe not that one), it’s only true to a degree. While an effective if crude means of motivation — spawning innovation and spurring laggards into action — competition has …
Have You Tried Open Book Management in Your Vet Practice?September 30, 2015If you own or manage a veterinary hospital, you’ve asked these questions: How much money are we making? Where did it all go? How can we manage it better? These questions seem simple but the answers can be very revealing about business protocols and operations. One of the biggest expenses a veterinary hospital faces is that of human resources. A high-quality, productive team does not come easy and turnover is expensive. A well-trained, well informed team that is afforded a healthy work environment will produce for the practice. So it seems obvious that nurturing and training the team on basic business operations is a worthwhile investment for two reasons. First, it strengthens the bond between the team and the practice leading to increased loyalty and performance. Second, the business will prosper under the guidance of a dedicated and informed team. One training technique that I have found very beneficial is that of open book management. By allowing the team to be a part of the questions above gives the team the opportunity to help …