Animal kind--too many tests?
Comments
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When I had my Aubrey in for his urinary blockage (at Animal Kind) I was so offended by the doctor's attitude ... first of all she assumed I was a total ignoramus about medical matters (drawing me a diagram of the urinary system, duh), secondly she made callous comments like "well in the worst-case scenario we have to cut their penis off". Or something like that. I was so stressed out from thinking my baby could die that I didn't even have the sense to complain.
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I only found this forum yesterday but I keep coming back and am especially drawn to this thread. To say the least.. I am an animal nut. Alafairnadia's recent comment made me think. Of course we choose a vet based on the quality of care they give our pets during their lifetimes but the "end game" does tell a lot about a vets office. Nine years ago my yellow lab who was near 13 took a turn for the worse. Dr Dentler had taken cae of him for all those years but when I called that Fri afternoon with an emergency I was told she wasn't there and was told go to Animal Kind. Who know if that situation has changed but she had NO coverage on a fri afternoon at 1pm. All of my dog's med records were in her office.. I had no choice under these dire circumstances and we took Danny to Animal KInd. This dog weighed 100 pounds. He was in the back of my van.. I ran in and explained the situation to the receptionist. Dr Gibson overheard what I was saying. He grabbed a tech and ran to the car with me. He and the tech carried Danny to an exam room. He felt there was no time to wait for a stretcher. That was the afternoon I met Dr. Gibson (for the first time) and Danny passed away that sunny Friday in June... And I mean he died right there in front of both of us. Dr. Gibson had just sent a tech to get the injection when the dog passeddied as we stood there touching him (both of us).. I won't go on and on here because years later I can't tell this story without tears But.. I was told to stay in the room for as long as I needed to after my dog passed.. . Dr. Gibson kept coming in (after each animal he was seeing) to check on me. I was there at least 45 minutes tying up an exam room on a busy Friday. I was dealt with so gently I never forgot the experience. The next day Dr. Gibson called to see how I was.. Three weeks later I got a note saying a donation had been made to Cornell in my pet's name. Seven months later I brought my new puppy to Animal Kind.
Two months ago my dear friends lost their 7 year old Westie suddenly. It was early in the morning and they rushed to Animal Kind (because they are open by 7am.. before actually) since their vet was not open yet.. I got a call and was there in 5 minutes. We were all distraught. Once again there was no one rushing us and we were told to stay in the room as long as we needed to. The bill was brought downstairs so that we didn't need to be in the reception area with other dogs and the general aggitation of the openning of office hours.. Bottom line... My friend are expecting their new puppy will be ready to come home from the breeder next month. Their new Vet.. Animal Kind..
For sure the prime directive in finding a doc to take care of your pet is that the care they receive during their lifetime is top notch but in my case I made a decision to use Animal Kind based on how My Danny and I were dealt with in the final moments of his life. This is a decision I don't regret> My two Maltese are 7 and 8 years old and they have been patients at Animal Kind since puppyhood and have received excellent care. Do I pay top dollar... yeah!! -
It sounds like you've had really good experiences with Gibson and I agree that the "end game" does tell alot about a vet. Unfortunately, first impressions matter and I couldn't wait to get my dog away from him. The whole experience was very sterile (it's the closest word I can think of to describe it). Gibson paid zero attention to Cheech from the second we walked in and flipped out when he peed. The receptionist was unpleasant as well when telling me about the extra charges. No one showed the tiniest bit of compassion towards my terrified dog.
I guess I can't quite understand how different people can have such different experiences with the same vet. And please don't take that to mean that I don't believe the good stories about Gibson. I just think it would be interesting to see why the experiences are so different. Although, vets are like any other doctors. I know some people love my old doctor while I didn't.
And I totally understand tearing up when writing about Danny. I still do that when I think of Rasputen's last day and that was 4 1/2 years ago. I'm not sure losing a companion ever gets easier. -
Subject: Why were your claims denied?
windowdressing wrote: To comment on Pet Insurance:
I'm a VPI policyholder and I haven't had my claims denied, nor have I experienced unpleasant customer service. They are typically pretty transparent in letting you know if something is or isn't reimburseable. In fact, one representative encouraged me to submit a claims for for a deworming, since my wellcare portion of the plan covered that. Why did they say your claims were denied? A pre-existing condition? An unclear diagnosis?
I purchased Pet Insurance through VPI when I first brought home my pup. Unfortunately, after thousands of dollars in expenses for a variety of procedures--not a dollar has been reimbursed.
VPI always finds a reason not to pay...and when you call them they seem to take pleasure in poor customer service. Overall, an unpleasant experience. -
laura wrote: When I had my Aubrey in for his urinary blockage (at Animal Kind) I was so offended by the doctor's attitude ... first of all she assumed I was a total ignoramus about medical matters (drawing me a diagram of the urinary system, duh), secondly she made callous comments like "well in the worst-case scenario we have to cut their penis off". Or something like that. I was so stressed out from thinking my baby could die that I didn't even have the sense to complain.
What's so callous about that? It's the truth. Perhaps blunt, but would it have helped you if she said something else? Not trying to be mean, just that our lil critter had that same procedure done and yes I know it was stressful as hell, but how else can they explain the options? Called a 'PU' surgery I believe. Basically a removal of the penis, creating more of a catgina for a wider urethra since male cats are more prone to having problems passing stones or whatnot. It was a last ditch effort after minor surgery failed to correct the problem. I wish I could remember the name of our vet. She was great. Every experience is different, eh?
Was the overall care provided good? Yes. Was the price insane ? Yes. Would I go back for regular vet visits? Hell no. I think they are great for serious care issues but I wouldn't ever think to use them as a primary vet. -
Anonymous wrote: [quote=laura]she made callous comments like "well in the worst-case scenario we have to cut their penis off". Or something like that.
What's so callous about that? It's the truth. Perhaps blunt, but would it have helped you if she said something else?
I should have explained that she said it in a very jokey way (and I think she used the phrase "chop off" actually). Her whole attitude was inappropriate. -
Hope is one of the worst vets I have ever been to. The offices are lovely, the vets are lovely people, but for some reason, they can ever seem anything right. I highly recommend Dr. Silverman at Prospect Park Animal Clinic. My two cats went to him for years and now my dog does. In fact, she loves Dr. S. so much, she can hardly wait to get inside the door.
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i have had wonderful experiences at hope, under stressful circumstances. the vets and vet techs have been fantastic, supportive, and good at listening to me freak out. they have also, in my opinion, offered excellent care during 2 sudden health crises (one per cat -- great spring/summer). in my case, i they got everything right. (not to discount your experience -- just another view if others look at this thread for vet advice.)
i do think most of their receptionists are aliens of some kind. i'll give you that. -
sweet tea wrote: i have had wonderful experiences at hope, under stressful circumstances. the vets and vet techs have been fantastic, supportive, and good at listening to me freak out. they have also, in my opinion, offered excellent care during 2 sudden health crises (one per cat -- great spring/summer). in my case, i they got everything right. (not to discount your experience -- just another view if others look at this thread for vet advice.)
I am thinking of going to Hope although it is SO not convenient. I just want to get my cat a check up. But I heard two of the vets recently left? I don't want to wait for hours when I arrive since I would be paying for childcare. I am confused where to bring my cat and so have not brought him anywhere. Help! Is it hard to park at Hope for those that drive? -
Just go to Prospect Park Animal Clinic. They're great with cats.
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Rose wrote: Just go to Prospect Park Animal Clinic. They're great with cats.
Thanks. I think I needed that! I was paralyzed with indecision for some reason.
Also I just had two friends tell me they love Dr. Halloway there so decision is made. -
Dr. Holloway is great. Dr. Quim is great with cats too. He saved my kittens' lives when their mother had a breech birth. He did an emergency C-section (or whatever you call it in a cat) and revived the kittens and now they are huge, healthy cats.
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Subject: Too many tests?
I am the founder of Animal Kind Veterinary Hospital. As a pet owner and a veterinarian I am empathetic to both sides.
Sometimes an owner brings us their pet with a problem that can be diagnosed for the cost of an office visit and a physical examination, like with an anal sac abscess. Other times after a series extensive and costly tests still a diagnosis is elusive, like with chronic pancreatitis. It’s our job as veterinarians to offer the best medical care for every pet regardless of cost, discuss the possible outcomes, and for you to make the financial decisions. The cost of veterinary services is something that is not only frustrating to you as pet owners, but also to us as veterinarians. We want to help your pet, and to do so we are obligated to offer diagnostic testing in many situations. We know you love your pets as we do ours and feel bad when economic factors play a role making medical decisions. And, they usually do. I am sad for the fact that the cost of employing a staff of about 60 together with the costs of equipment and supplies creates an economic reality that we as veterinarians must live with also. It’s heart breaking all around.
One common complaint I hear is that owners never see the same vet when they return, or a different vet took over their pets care during a hospital stay. Unfortunately this is another reality of running a hospital 7 days a week, 24 hours a day. We have 10 veterinarians on staff. It humanly impossible for someone to work without rest. I do encourage clients to make an appointment to revisit a vet they like. In an emergency situation however, that vet may not be working when you need to come here.
Please discuss your thoughts and concerns with the veterinarian treating your pet. We are not your enemy, we truly want to help you and your pets. We cannot read your mind. Some owners become angry when I’ve suggested euthanasia. I once refused an owner wanting to euthanize their pet because it had fleas. I’ve had other cases where owners have refused euthanasia when there pet is suffering a painful death with a terminal illness. And, I’ve had other cases where an animal that has appeared to be dying has made a miraculous recovery. Hindsight is always twenty-twenty and we don’t have a crystal ball that tells us what the medical tests will show or how an animal will respond to treatment. Please have some empathy for us veterinarians, we are just animal lovers also. -
kudos Dr. Gibson for posting and stating your side.
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I've been to Animal Kind once or twice and had no complaints. I'm now at PPAC because it's more convenient and smaller - there was no wait time, the price was right and they have only a few vets.
However, in an emergency situation, I'd go back to AK.
Your response is much more professional or caring than anything I've heard from 5th Ave Cat Clinic or Dr. Bregman.
Thanks for the resposne, Dr. Gibson. -
Subject: nice response
it's actually nice and refreshing to have a business owner and professional, here the owner of animal kind, jump in and explain their viewpoint like that in a compassionate, non-defensive way. thank you, dr. gibson. it doesn't take away from what that person experienced (in fact there was one very much pro and one very much con experience related) but it does humanize the situation.
p.s. I have been to animal kind - & I realize the constraints that he mentions with the # of staff but it is very expensive. I think dr. salas there is great tho'. I've been to Hope Vet and I agree they are so nice and friendly and I still go there sometimes but I brought my cat there who eventually died and I also felt that they just didn't get it "right." For everyday things tho' I would still feel comfortable with them. But if something major came up, I would recommend a second opinion. -
I posted aboout 10 days ago (before I registered) as guest and told y'all how wonderful I thought Animal Kind (and specifically Doc Gibson) was 9 years ago when my Danny passed and the wonderful care they have given my 2 guys since then. . It suprises me not at all that Dr. Gibson would take the time to respond to this thread. I will not go on and on about how I respect him as a doctor and as a person . Dr. Gibson has found his way to us because he truly cares about animals AND if we nurture this relationship..... IF one day you ask a question about your pet's health on this forum and Dr. Gibson is "lurking" around.. I can assure you he will take the time to answer your question because that is just who he is.... a vet with outstanding skills and a person who truly cares about people's pets just like he cares about his own!!
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We came home from vaction last summer to find one of our cats near death (He was only 1 year old). We rushed him to animal kind. (It was 10:00 at night). THey didn't think he would make it through the night, but they would do everything they could (he had a urinary obstruction and kidney failure). Dr. Salas was the vet that night. Our cat made it through after spending 3 nights in the ICU. Yes it cost a fortune, but Dr. Salas was amazing, and we requested her for every visit until he was better. She called me at all times of the night and day to let me know how he was doing. I wouldn't hesitate to go back there again.
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kirby wrote: We came home from vaction last summer to find one of our cats near death (He was only 1 year old). We rushed him to animal kind. (It was 10:00 at night). THey didn't think he would make it through the night, but they would do everything they could (he had a urinary obstruction and kidney failure). Dr. Salas was the vet that night. Our cat made it through after spending 3 nights in the ICU. Yes it cost a fortune, but Dr. Salas was amazing, and we requested her for every visit until he was better. She called me at all times of the night and day to let me know how he was doing. I wouldn't hesitate to go back there again.
Dr. Salas no longer works there. I agree, she is a great vet. -
Subject: where did dr. salas go... do we know?
does anyone know where dr. salas went? that is a great loss!
thanks kirby for sharing your dr. salas story. -
Subject: Re: where did dr. salas go... do we know?
cat2 wrote: does anyone know where dr. salas went? that is a great loss!
I would have followed her to another practice except that she is in Spain--guess I can't go that far for shots
thanks kirby for sharing your dr. salas story. -
Subject: dr. salas...
hi kensingtonmom,
Spain... permanently?
I would have followed her too! I can't believe it. There are not that many vets or doctors that I would feel that confident about but her manner combined with her expertise were so perfect. At Hope, they are so friendly and lovely but I sometimes wasn't sure about the advice and the practice that was happening with my one cat who was very sick(and died). Now, I never had to 'test' dr. salas in a situation like that but I had brought sick or injured pigeons to her - when animal kind would look after birds (sadly no longer) - and she was amazing. that's a true test. unlike dr. keschner in kensington whose manner leaves MUCH to be desired.
hopefully she's happy and helping many animals and birds in spain!
thanks. -
Well since this thread seems to go on and on I want to get a plug in for a top notch vet at Animal Kind.. Dr. Karen Matiak. She has been with the practice a long time and though I use other vets for my guys she is always my top choice. Her training and skills as a doctor are only matched by her empathetic, loving and reasonable personality.
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yes, thank you doctor gibson for coming onto the board. it took a lot of guts and restraint to be so explanatory and polite.
since i'm related to "big" veterinarians--dr. gibson knows this, we spoke about it at harriet-kitty's pre teeth cleaning exam--i often wonder if i'm being treated more thoroughly, or better, because i happen to be related to so-called famous vets. on one hand, i don't much care because if we get better service, fantastic. on the other hand, i'd hate to recommend a vet because i got this kind of service and then other people wouldn't. i've always gotten the feeling from animal kind that they treat all animals, who are related to various famous and non-famous people, alike.
i think my relationships and understanding of veterinarians, however, does come from what i've seen growing up. the unfortunate fact is that veterinary medicine costs money, the same way that human medicine costs. gibson's right, it's heart breaking. i get welled up even thinking about big decisions where my pets are concerned. and i love my kitty so much i'd offer her my kidney is she needed one. that said, medicine is expensive.
there's no "one size fits all" for where you find your vet, you just need one you trust who gives you good, reliable, professional and competent care. flexi can't stand bregman--and has valid reasons. i know people who love bregman... go figure. i'm thrilled with gibson, other people may not be. again, personal choice.
ultimately we need to go with both our brains and our gut when choosing a vet. but the one thing i think people really forget is that it's a business. -
I have to give Dr. Gibson credit for coming here and explaining his side of things in such a calm and rational manner. But I will never forgive him for the way he treated Cheech. Especially since I had only had him a year and he was severely abused by a man before I got him. In the first few years going to the vet was very traumatic for him and the way Dr. Gibson behaved certainly didn't help. For me to still feel this way 10 years later should show how upset I was about the incident.
In contrast, the first visit with Dr. Maddon at PPAC was wonderful. Dr. Maddon immediately set about making Cheech feel more comfortable and was instrumental in helping Cheech get over his fear of the vet. He didn't blink an eye when Cheech peed on the exam room floor (because he was terrified) and cleaned it up himself. He didn't get angry and yell for a vet tech to clean it immediately. He treated Cheech like he was his own dog.
From what I've heard from other Animal Kind vets, I tend to wonder if the fact that I was using a Friends of Animals certificate and I was young and clearly broke had something to do with the treatment we got. Most of the people who have had good experiences at Animal Kind have been (shall we say) a little more well off than I am. (This is just from personal comments made to me not anyone's posts here on this board.) I'm sure it's possible that it's just my imagination but I did feel like Cheech and I were treated like Animal Kind just couldn't give a damn about us.
Obviously vet care costs money, just like any other medical specialty. With Drs. Maddon and Parker I don't mind the expense because I know that my animals will be well cared for both physically and mentally. And that's very important to me. -
Subject: yeah...
casepeole, your telling of the story of what happened was bad and hopefully if dr. gibson remembers, or, if he ever has that happen again, he will think a bit more about what the animal and his or her guardian are going through. Of course, we are so sensitive to what the animals are going through - we are their care givers - and yours had an exceptionally traumatic background. A vet, in particular, must experience all sorts of (shall we say) indelicacies and really has to just get used to it.
the money thing is definitely possible (about differing treatment, although, of course, we would hope not). I know that animal kind is big and has lots of staff but an office is visit is over $80 whereas most fall around $50 average. so ...?? when I first got to park slope, i only heard really bad things about animal kind and was afraid to go there. then i was told to be sure you knew or had a reference about a particular vet. now, i don't know really what is true anymore. I had only gone to dr. salas more recently and really liked her.
i'm glad you found a vet (i've actually found dr. maddon and dr. parker - at times - sort of standoffish so i don't know. ??) that you feel comfortable with! -
brooklynpotter wrote: i think my relationships and understanding of veterinarians, however, does come from what i've seen growing up. the unfortunate fact is that veterinary medicine costs money, the same way that human medicine costs.
True but some people have unlimited resources for their pets and some do not and others who love their pets equally do not. But there has to be a way for a doctor to treat an animal and acknowledge that they may need to do so with one hand tied behind their back if the pet's owner can't drop thousands of dollars. We do this with people all the time. I am not saying it is right--but health insurance companies dictate how doctors treat their HUMAN patients and somehow many people are beng treated and cured without every single test (which would be optimal for the doctor). This obviously isn't the best option, but it is a way to contain medical costs.
I felt at Animal Kind, I was given an estimate with two pages of tests and it was ME who went through and questioned many of the tests and asked for them to be taken off. I wanted to rule out the obvious first before proceeding with more expensive tests and it was OBVIOUS the cat had either diabetes or kidney failure which seemed easier to diagnose with blood work. But many people are too distraught to be thinking as really coldly as I was during this crisis. So I know it is a business but with the rising cost of all medical costs with all the new technology--how can vets (and medical doctors) treat their patients but also factor in cost? That is the reality now.
I do appreciate that animal kind does give you an estimate of the costs when they know you are going to feint when you see them.
And while I didn't like the initial vet we saw, Dr. Salas was great AND she understood the balance between quality care and cost containment. She also understood when the end had come. but since she left, I went to Dr. Halloway and thought she was very nice and thorough and the price was very reasonable. -
There was one particular vet at Animal Kind who turned me off to the place completely. A few years ago, the family cat had dropped a lot of weight, could barely walk, and was more or less dying. (You know how you can just tell your pet is not doing well? Her meds weren't really working, and she was so sad.) It took a lot for us to finally take her to the vet so we could let her go in peace and not suffer anymore.
The vet we met with tried to encourage a battery of tests, and say that we could change the medication. When we asked how it would change her outcome, the vet shrugged and said, "She may live another 6 months." The idea of making our cat a little bit better, only to deteriorate again in 6 months (tops) just seemed selfish, and after much crying and thought, my family opted to put her to sleep.
We stayed with her well before and well after, making sure she was comfortable throughout the whole process... no thanks to the vet. She seemed to go out of her way to make us feel guilty about this decision. (Dirty looks, tone of voice...) I thought I was just sensitive, but it turns out I wasn't the only one who noticed. There was no sort of support whatsoever.
Hope, on the other hand, was incredibly supportive and caring when we had to put another cat down. (He was adopted, and was diagnosed with FIP within a year.) Not only did they provide quality care for the little one, but when the time came to say goodbye, the vets, the support staff, even the receptionist! were sensitive to the situation and supportive.
Animal Kind is convenient, and I have heard good stories about some of the vets... But if you get the one who strikes you as less than compassionate, run. -
Subject: ...
what is FIP?
I guess I'm not sure where I fall on 'euthansia.' Humans don't get euthanized because they are in pain. Why do we have one level of criteria of so-called 'suffering' for another species no less and another for ourselves? -
because animals get to die humanely and we don't.
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