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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To insist that they refund us the difference?

11 replies

BuilderMammy · 26/08/2014 21:26

Our previously brain damaged cat started having seizures at the weekend. We brought her to the emergency vet nearby; they took her in and did tests, and on Monday rang and told me that they needed to refer her elsewhere for an MRI. They rang another practice who do MRIs and were told that they would take her and that 'they would do it for' €1000. We agreed and it was set up. DH dropped her off last night.

DH went to pick her up this evening and was charged €1500, with no explanation of the higher price and only a Visa receipt, obviously not itemised. He didn't question it as he'd just been told that the cat had a growth in her brain and he was upset.

I rang them after I heard this to ask why the price had changed, and the receptionist told me she'd ask the head of the practice and ring me back between 7 and 7:30, but that €1500 is the usual price for an MRI. It's now 9:20 and we haven't heard anything back.

I feel terrible for being annoyed about this when the poor cat is so sick, but really, there are so many things we could have spent that extra €500 on and it's not as if they did €500 worth of extra tests, it was just the MRI.

WIBU to ring back in the morning and insist that they refund us the extra €500?

OP posts:
HeySoulSister · 26/08/2014 21:28

How much did her 'care' cost before and after the MRI?

realitygone · 26/08/2014 21:29

Yanbu

I would go there and find out why. Especially since a price was already agreed

StillStayingClassySanDiego · 26/08/2014 21:30

You must question it, that's a huge amount of money!

Sorry about your poorly cat Sad

BuilderMammy · 26/08/2014 21:31

There was no mention of care before and after at any stage. We assumed it was included in the €1000.

OP posts:
Shakirasma · 26/08/2014 21:35

Can you get in touch with the first emergency vet who spoke to this other practice and find out exactly who quoted them, and confirm they told you the correct amount?

Then you know who to del with at the MRI practice.

BuilderMammy · 26/08/2014 21:44

Shakirasma, that's a good idea, I'll give it a try in the morning.

OP posts:
hoobypickypicky · 26/08/2014 21:56

I think you need first to establish why the bill has increased so much.

The problem you have is "he said, she said". You've no proof that the vet quoted £1K as opposed to estimated it. They could argue that they said it will be "about" or "around" £1.5K (although I accept that the difference is huge).

It's all too late now but I'd have questioned the need for the MRI in the first place because it's unlikely to make a difference to the limited range of treatments available IME. I'm not a vet, I rescue cats. I've had a cat who fitted due to previous brain damage, in her case caused by abuse.

An MRI is, if I understand it correctly, to rule out other causes of seizures rather than to diagnose epilepsy. Epilepsy can be ideopathic (no known cause) or caused by, for example, head trauma following an accident or abuse.

The standard practice in my experience is to first wait to establish if the fit is a one off or whether they continue and/or increase in intensity and frequency. The need then would be to stabilise before the cat continued to fit to the point of going into status (not coming fully out of one fit before going into another). This is extremely dangerous, life threatening and can lead to further brain damage.

Then the decision usually (ime, sorry to keep emphasising this!) would be to medicate with a drug - phenobarbital is commonly used, either alone or with bromide, also known as Kbr) although there are a couple of others. One, gabapentin, is in use more in the US than over here, it depends on how clued up on epilepsy your vet is as well as the cat's needs which will determine the medication.

So, I'd want to know why there was such a big difference in price and what the vet planned to achieve with the MRI. I'd think you might be on a hiding to nothing but if they can't give you solid reasons for suggesting an MRI (accepting that whatever is done, epilepsy, if that's what it is, can't be cured, only controlled) I'd argue that the price increase plus no good reason for the investigation are good grounds for at least a goodwill gesture of a reduction. Your problem is that your vet didn't do the MRI, another did, and your vet will be passing their bill onto you. It would be interesting to find out whether your own vet has added a mark up to the actual cost of the other vet's scan just for the being the middle-man. If they have then yes, I'd be asking for that to be knocked off.

As an aside, if your cat needs daily medication it will be less expensive getting a prescription from your vet and buying it online than it will be buying it directly from the surgery. Dietary changes can help as well as reducing stress and triggering stimuli. Keep a diary of fits, "partials" (where the cat seems "out of it, not really with it" and maybe staring into the distance or repeating an action unnaturally) to try to eliminate the offset of a fit.

I hope you don't need that advice and that the fits of the weekend are never repeated.

Finally, it's of no help to you but I plead with owners to insure their pets. These sort of bills are horrendous but provided that there's no previous history the average policy as low as £8 to £12 per month will cover them.

hoobypickypicky · 26/08/2014 21:58

Also, if you're not happy with your vet do some ringing around for future reference. Some are far more au fait with seizures and epilepsy than others and (yet again ime!) those who are more clued up on the conditions and on modern treatment are worth every penny and make a huge difference.

BuilderMammy · 26/08/2014 22:03

It's not epilepsy, it's either a tumour or a granuloma and is unlikely to be treatable.

The emergency vet isn't hiking the price up, it was the MRI vet who charged DH the €1500.

We were told by the emergency vet that the MRI was necessary for a diagnosis.

It would have made no difference if she was insured. She has had every medical intervention that she would have had if she was insured. My problem here isn't so much the money as the 50% increase on the agreed price.

OP posts:
BuilderMammy · 26/08/2014 22:04

Also, the emergency vet told us that epilepsy usually shows up before a cat is 3.5 or so and Mittens is 10, so that was crossed off the list of possibilities early on.

OP posts:
hoobypickypicky · 26/08/2014 22:23

I'm not doubting your efforts or that you're putting in everything an insurance policy would, BuilderMammy. Sorry if it sounded that way. :) Flowers I was trying (badly, obviously!) to remind anyone else reading this who has an uninsured pet of the difficulties faced when something like this happens.

I'm so sorry to hear of the likely causes and prognosis. :( I really hope that the vet is mistaken and a cure can be identified.

Sorry too that I misunderstood who had told you that the price was to be £1K. I'd very much be of a mind to challenge the MRI surgery as it was their own staff who gave that figure. I'd be asking for an itemised bill. In fact, I've never in all my time been given just a Visa receipt for vet fees without an itemised bill.

In normal circumstances I get a written estimate of costs with details of treatment, surgery time etc before it takes place. I don't ask for it, I'm always offered it.

I don't understand why, if there's likely to be no treatment, it's necessary to carry out an expensive MRI to diagnose the cause of the fits. I was recently offered an MRI for a pet under similar circumstances. I asked whether it would be kind to go ahead with it when it would only confirm a terminal condition, bearing in mind that there was really no possibility of any other diagnosis. My vet agreed with me that there really wasn't a benefit and that the distress would be greater than any help the MRI could provide.

In your case of course I don't know if there would be other drugs available to control the fits and provide a longer quality of life outside of those prescribed for epilepsy. That's something I'd definitely be asking about.

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