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Here is an example of what I see too often: A pussycat that comes for diarrhea and a fecal test is done at that hospital by inserting a fecal loop to collect the sample. The problems with the procedure are multiple: Not a big enough sample is produced. It’s so uncomfortable and potentially dangerous for the patient, in this case the cat developed a small rectal tear. Then treating the patient for bacterial overgrowth based on the above test. First, bacteria are normal in the gut, second, if a true bacterial overgrowth is a consideration, then get an appropriate size sample—have the owner bring it from the litter box—and send to a microbiology laboratory.

Reason for the above approach: GREED. Generate income, generate it fast and treat. I asked for the records of the cat and found out that the cat had a heart rate over 180 and respiratory rate of 45, that’s heavy panting. The poor cat, the victim in this case, was in major stress and unneeded stress for such a minor ailment.

Unfortunately, often, the patient is taken to the “back” so the owner doesn’t see the stress produced.

In my office the owner brought a sample from the litter box, it was sent to the laboratory and came completely normal. We hope that the tear the cat suffered will resolve.

This in an example of unnecessary testing, rough testing, not common sense testing with GREED a strong underlying current.

Good medicine is not done by algorithms but with common sense and patient well-being as first and utmost, with GREED banned as a factor.

Disclaimer: all events in these descriptions are not fictional and sadly happened and any resemblance to real events is fully intentional.

Dr. Ehud Sela

The Gentle Vet

Gentle Vet Animal Hospital

Margate, Florida.

954-972-5900

© Dr. Ehud Sela. No work herein may be reproduced in any way without expressed permission from the author.

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