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AMA

I'm a vet, AMA!

373 replies

KarlDilkington · 22/07/2018 09:42

I am a co-director of quite a large practice with 7 small animal branches and a central hospital, plus farm, equine and exotic clients. I mainly do small animals but also do some farm and equine. Happy to answer any questions, but please don't expect me to diagnose anything or advise on treatment plans over the net Smile

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KarlDilkington · 23/07/2018 22:52

I hear people on here saying a the time that the dominance theory isnt true. What do you think?

The dominance theory being that dogs are aggressive because they are trying to be leader of the pack? No I don't believe that. The only aggressive dogs I've seen have either been trained to be so for their jobs or by idiots, or have been very scared and abused.

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KarlDilkington · 23/07/2018 22:54

My 9 year old Westie had cruciate ligament surgery on Monday and has made a rapid recovery. He is refusing to go in a crate, is it okay for him to walk around in the house and garden?

I see another vet has answered but my two pennies worth... No! He needs to still be kept as still as possible. It's a very delicate recovery from a TTT op. If he won't crate then keep him on a rug but make sure he doesn't get up and down all the time to follow you around

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moredogsthansense · 23/07/2018 22:55

@ElizabethinherGermanGarden , yes, they'll be safe and effective if you buy from a reputable site, which should be registered with the Veterinary Medicines Directorate. If it's a prescription only medicine, they shouldn't sell it to you unless you supply a prescription from your vet. If they sell a POM without a prescription, it'll be dodgy. But loads of people buy medicines online; sadly for vets, we can't match the prices.

KarlDilkington · 23/07/2018 22:55

Anyway my question is..I once had a vet tell me that the most aggressive animals waking up from anaesthesia were Black and Tan dogs. Is this true do you find?

Never heard or seen this!

Also do you get trained to administer anaesthetic and look after the airway or are you more the surgical side? At when in your career is this decided?

Yes you get trained in it and administer the anaesthetic, but you always have a theatre nurse who takes care of the airways and monitors the patients during and after their surgery

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Cheeseislife · 23/07/2018 22:57

Rabbit related, do you prescribe one or two doses metacam daily for rabbits and how long a course of panacur for active EC?

KarlDilkington · 23/07/2018 22:57

Do you ever feel emotional when putting an animal to sleep?

Yes definitely. I put a dog to sleep today who I've been treating since he was a puppy. He's now 15. Me and his Mum and Dad cried and hugged and I carried him to the cold storage, bagged him etc myself as I wanted him to be dealt with respect. Not that the VNA's wouldnt have, but it felt like the right thing to do.

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KarlDilkington · 23/07/2018 22:58

Which breed of dog do you think is generally the most suitable to a family with young children and teenagers. I know upbringing etc will make a big difference but I think some breeds are marketed as being better designed for families.

I'm a labrador girl through and through. So long as you are careful not to over exercise early on and not to over feed later on, they are just the ultimate family dog. In my opinion!!

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KarlDilkington · 23/07/2018 22:59

@PositivelyPERF I see you've had an answer from another vet so hopefully you got the info you wanted :)

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ElizabethinherGermanGarden · 23/07/2018 22:59

Thanks @moredogsthansense - I'm worried about my poor old moggie, who is likely to need anti-inflammatories for the foreseeable future and is turning into the Most Expensive Cat In The World.

KarlDilkington · 23/07/2018 23:00

When my cats have been neutered why does my vet tell me to try not to let them jump when they no damn well the cat will do as it likes?

Haha, I know your pain. We have to just give you the standard advice. If you can't keep them still then crate them for the night after the op.

Is there anyway to stop cats bringing presents. Apparently nothing hears the bell around her neck hmm

Not really, except locking them out overnight and in during the day or the other way round, rather than letting them come and go.

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PositivelyPERF · 23/07/2018 23:02

Yes, thank you KarlDilkington.

KarlDilkington · 23/07/2018 23:02

How do you feel about raw feeding and titre tests?

Answered raw feeding... But titre tests - yeah I think they're a good idea if utilised correctly. A lot of clients mention it then balk at the cost and just stick to the vaccinations as reccommended though really. But I'm happy to do it.

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KarlDilkington · 23/07/2018 23:05

@Thankewe

Bless you. It's a funny job because really a lot of vets are people persons - if we were we'd probably be doctors. But you have to deal a lot with people in this profession as well as animals. We get a quite a lot of shy graduate vets who struggle immensely with dealing with clients, and who over test to get diagnoses as they dont trust their judgement, and who are too slow for a busy practice. But you'd be amazed what sticking it out for a year will teach you and improve your clinical abilities. What is it exactly on the clinical side you feel you are lacking? Feel free to PM.

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KarlDilkington · 23/07/2018 23:05

I mean AREN'T people persons!

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RKSM · 23/07/2018 23:06

Thank you for taking the time to answer all the questions. If you manage to get round to this post is it possible for you to tell me if it's ok for cats to be on special dietary food which is meant to reduce urinary crystals for a long time? I have two cats and one had to have a perineal urethrostomy last year and has been fed special food ever since. Is this safe in the long term and will it cause any harm to my other cat who has had no urinary problems?

(Sorry if this is the type of question you can't answer)

KarlDilkington · 23/07/2018 23:06

Did you study the treatment of exotic pets in university? Have you d we had to treat an animal whose biological makeup/anatomy you weren't familiar with?

Only the basics. We have to do CPD (continuing professional development) every year and it was through these courses that I did extra studying in exotics. I also learnt a lot as a new grad by working in a practice which had an exotic specialist vet.

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KarlDilkington · 23/07/2018 23:07

@vivariumvivariumsvivaria

It's a no to the cockroach thanks!!

And yes she would need to study all animals realistically. Even our two exotic vets at my practice also do their share of small animals and farm work.

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NikkiL123 · 23/07/2018 23:10

Whats the craziest request you have had from a pet owner?
I have bunnies and defo a bit of a crazy bunny lady they are my furbabies and i do wonder if the vets think i am absolutely nuts or actually understand how much they mean to me just as a dog means to their owners 🤔

KarlDilkington · 23/07/2018 23:13

When an animal has a procedure under GA, does a separate vet monitor the anaesthesia and airway, as in human medicine?

A vet nurse does. Obviously we yell for help if there's any issues.

I am trying to get my cats to tolerate toothbrushing, but it's very difficult. I have been trying to gradually push them to allow me to touch their teeth etc, but progress is slow / non existent so far.Their main diet is wet food but I have been putting crunchies coated in (cat) toothpaste in their bowls after meals. Is this likely to be effective, at all? Or am I kidding myself?

I think that's a good idea. Cats are notoriously difficult... in every way... but especially when it comes to their teeth. Realistically you need them on a good 'flossing' dry food and to get them regular check ups with the vets so you can catch any problems early. I wish there was a magic trick with cats teeth..

Dental decay kitty is only 4 years old but the vet thinks his tooth decay is a form accelerated by calcinivirus (at least, I think that's what they said). Is there any hope for any of his teeth long term? If I could brush them regularly, how much difference would it make? Will dental decay lead to other health problems (like heart disease, as in humans)?

Bad teeth can cause other problems, such as infections spreading to jaws, hearts, kidneys etc and lesions and most commonly anorexia as it's too painful to eat. Like I said regular check ups and cleanings are your best line of defence.

Also, why is one cat affected by calcinivirus in this way but not the other? They must both have it they came from a sheltered and cohabited from kitten hood. I assumed it was down to genetic /immune system factors.

Yes most likely, like humans.

I know another doctor who retrained after training as a vet (!) she didn't like the early morning farm trips / high frequency of on calls. Do you see many / any doctors retrained as vets?

Never met a doctor who became a vet. Like you say, they probably couldn't hack it Wink

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Heartshapedfairylights · 23/07/2018 23:14

This is such a great read. Thank you.

My 11 year old son has only ever wanted to be a vet so I have told him that he needs to work extremely hard at school.

It was interesting that you said earlier they are crying out for vets. I was of the impression that it’s a highly competitive career choice, with only the top students getting accepted onto courses. Has something changed? Where are all our vets going if there’s a serious lack of them?

KarlDilkington · 23/07/2018 23:17

We just don't understand what causes a one off seizure?

Seizures not caused by poisoning are commonly caused by brain disorders, stroke, an infection, vascular disease, reactions to medication and then things like hypoglycemia and kidney/liver disfunctions. There is a lot of conditions that cause seizures.

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JamForBrains · 23/07/2018 23:18

I have an amazing vet. I have a very nervous 2yo staffie cross. She can't wait in the waiting room even if anyone else is there yet my vet has her calm and relaxed with him inside of 5 minutes. I am just having a nightmare on walks. She is scared of everyone. In a nutshell, locum vet with no patience, a student and a nurse (too crowded for poor pup) muzzled her, pinned her in a corner and jabbed her. The whole consultation took less than 5 minutes. Any advice on how to get her trust people again? She is OK with most familiar people but strangers she barks and struggles to get away.

KarlDilkington · 23/07/2018 23:18

How do you examine a large breed dog that hates to be touched? I have one and the last time she had to get her kennel cough jab it took 3 of us 20 mins to get it up her nose and I felt like I had gone 10 rounds with Mike Tyson so I am actually dreading the day she needs to be seen for something else.

You need to muzzle her beforehand, and speak to your vet about prescribing her a calmer/anti anxiety med before her next visit. Try to touch her at home - run your hands over her, lift her paws and ears and lips etc. Does she let you touch her like this?

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KarlDilkington · 23/07/2018 23:19

What is the best natural treatment for fleas and ticks? I don't think Frontline works that well.

Natural treatments don't work. They always end up riddled. I'd reccommend Bravecto or stronghold.

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AnotherWickedWitch · 23/07/2018 23:19

*Even if anyone else is not there