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September 2, 2007
Why your dying dog deserves a second opinion
Long story short: Because just like with people, the first one may be dead wrong.
Read the following piece by Lisa and Jared Genser that appears on the last page of today's Washington Post Opinion section for an eye-opening account of why it pays to trust — and verify — when it comes to what your vet tells you.
- Medical Error Is For the Dogs, Too
It was an absolutely devastating moment when we learned from our veterinarian that our sweet brown and white greyhound Finnegan had two months to live.
A few weeks earlier, he had collapsed and lost feeling in his back legs. Ultimately we found out that Finnegan had a blood clot between two of his vertebrae pressing against his spine. With surgery, we were told, he would recover. As a precaution, once the clot was removed, it was sent to the University of Pennsylvania School of Veterinary Medicine for a biopsy. There was a greater than 90 percent chance that it was nothing, our vet said.
But when we went to pick up our dog, our vet told us he had been surprised that the biopsy — whose results had been verified by two pathologists at Penn — revealed that Finnegan had osteosarcoma, a painful and aggressive form of bone cancer. We would need to put him down within days if we wanted to spare him the pain.
The next few moments will be seared in our minds forever. As Finnegan was brought into the room, his face lit up as he saw us. Despite his slow hobble, his pace quickened as he came to both of us kneeling on the floor to greet him. We began to cry as we held Finnegan close and petted him, bathing his head in our tears. After a few terrible days, we decided to spare him the pain and scheduled an appointment to put him down.
The day before he was to be put down, we were just not feeling comfortable with what our vet was telling us, because Finnegan seemed to be recovering. So we decided to get a second opinion.
We reached out to Dr. Guillermo Couto, a leading expert on greyhound medicine at Ohio State University. After graciously reviewing Finnegan's file and meeting us, all of Couto's experts agreed that our dog's biopsy had been misread and he did not have osteosarcoma. Months later, instead of having cancer, Finnegan has made a full recovery. What is most shocking is that we almost euthanized him — and we would have never known the difference.
According to the American Pet Products Manufacturers Association, more than 63 percent of U.S. households have pets; this includes some 73 million dogs and 90 million cats. Americans spend a fortune on their pets, almost $40 billion in 2006 alone, of which more than $9 billion was for veterinary care. And yet, do people know what they are buying?
We know that medical error is a serious problem for humans. In a 2005 survey by the Henry J. Kaiser Family Foundation, 34 percent of patients with health problems in the United States reported experiencing various preventable errors. Almost 200,000 people a year die from likely in-hospital medical errors, according to a HealthGrades study. Thus, one can only imagine how serious a problem this is in veterinary medicine. But unlike people, who usually speak up for themselves if treatment is not working, our pets rely on us to take care of them. We almost let Finnegan down. People should remember that veterinarians and their laboratories can make mistakes. When in doubt, and especially if the diagnosis just doesn't feel right, get a second opinion.
September 2, 2007 at 04:01 PM | Permalink
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Comments
Val, don't be an idiot just because you want to be disagreeable.
Humans have been cognitively aware of death, and told to fear it. We are told that it is a bad thing. Not all humans (or *ALL* in all caps as you put it, but as a species)...some have learned to be aware of death as part of the natural process. I went through a grieving process a month ago with someone close, but all in all, I wasn't afraid of their death, I was afraid of not having them around. Death is natural...it is just not something we want to deal with and that puts those who are ready to deal with it at a disadvantage.
As for animals, I'm not the one making assumptions about creatures that have no concept of the afterlife, or actually any large concept at all other than day to day activities. They don't need them...to think otherwise is to unfairly anthromorphize them. They don't need to think like we do...and in many ways, we don't need to either. Think about it this way, if there is a God, then death can be a great thing. If there isn't, then it ends and thus no pain involved with the ending (there may be with the process leading up to it). Either way, it works out...except for the fear of the unknown...again, animals have no knowledge of this unknown to be afraid of.
BTW...It is my business to understand emotion and behavior in humans and animals...animals tell us a lot about our own, and what we do right and wrong. I own several pets and I care for them a lot.
Posted by: clifyt | Apr 6, 2009 9:17:30 AM
So, *all* humans are programed to fear death, and *no* animals could possibly fear death?
Your opinions, stated as facts, are unbelievablly presumptuous. If living and thinking this way makes u feel better, then that's your business. But, you're assuming a lot.
Posted by: val | Apr 6, 2009 7:19:14 AM
I recently took our younger cat (she was 14ish, the other is around 19 we think[1]) to the vet. She'd gone in two days from being lifelong very narrow to potbellied. I spoke to the vet and told him that I suspected she was beyond economic repair. He gave her the once over and told me that there were half a dozen or so thing that could cause the symptoms and that he could do a battery of expensive tests if I wanted to know which it was - but that since he couldn't cure any of them it wasn't worth the distress to the cat or my wallet.
Very fair, I thought - after all, she wasn't well and heck, she's only a cat.
Speaking to the receptionist afterwards she said that one of the hardest parts of being a vet is the people who won't do the decent thing and let go.
[1] We've had her 16 years and there was circumstantial evidence to suggest she was around 3 when she moved in with us. She's a fat old bag who only goes out under hydraulic pressure these days.
Posted by: Skipweasel | Sep 4, 2007 4:04:58 PM
At the same time, animals don't fear death, they fear pain.
The only reason for a second opinion is to make yourself feel better that you didn't put something away before their time.
About two months back, a good friend had to put her cat down. The doctor told her that with surgery, it might live a year, maybe two more...but it might only be a couple of months. She decided to get a second opinion, a specialist, an animal oncologist. All in all, it cost her $4k to find out the first vet was right.
Even if the first vet was wrong, and with meds and daily injections and otherwise, her cat could have lived a bit past what its prime. I can tell you this -- the animal doesn't want to be poked and prodded on a regular basis. It doesn't want to live with a disease that should have killed it, but now kept artificially alive. It knows that its time is up and it wants to go.
In a sense, it would be nice if we humans were the same way -- I know I have a living will that specifies that no one is to pull the plug under any circumstances, and I have the monetary portions of my will set up that none of my family members get a damn thing so that there would be no reason for them to try to go against my living will. I know it is hypocritical -- but humans are programmed to fear death. It would be nice if we were as smart as animals sometimes...
Posted by: clifyt | Sep 3, 2007 12:24:13 AM
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