Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

Stethoscopic Diversions in Pet Medicine and an Appeal for Silence

February 18, 2010 / (4) comments


Here’s a daily vet pet peeve worth chuckling about: What’s up with all those clients who take the opportunity to speak to their vet just as they’ve inserted the stethoscope’s plastic prongs into their ears?


Do they not realize they’re engaging in futile behavior (assuming the vet isn’t actually engaged by anything they might be saying)? Moreover, if these offenders believe their vet is actually internalizing their communication, doesn’t it stand to reason that their pet is getting less attention paid to a very crucial aspect of his physical examination?

It drives me batty! But it also makes me laugh. It’s a perfect example of how what we do is often viewed  more as magic than as science. I mean, what do you think we’re doing when we grab our stethoscopes? Meditating?

When I listen to your pet’s chest with a stethoscope, I’m trying to discern a dozen or more different things: rate, rhythm, clarity of sound, quality of sound, presence of a murmur, kind of murmur, synchronicity with the pulse, quality of the pulse as it correlates with the heartbeat, lung sounds, upper respiratory sounds, etcetera … I could go on for a while in this vein.

I’m really not falling asleep on the job while hugging your pet in my characteristic stethoscopic embrace, I’m actually trying to pay attention to something … really.

It’s funny, however, that even I once found myself starting a conversation with my son’s pediatrician just as he inserted his earpieces. I cut myself off just in time but had to giggle at myself for committing the same sin that both amuses and annoys me so when my own clients do it.

So maybe it’s not so much the belief in medical magic or a layperson’s lack of scientific know-how. Perhaps it’s just that we’re 21st century people for whom silence is deafening. Hmmmm…

 

Dr. Patty Khuly

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COMMENTS (4)
1
human stehoscopic behavior
by on 02/18/2010 09:21am

Perhaps some people choose that particular time to speak because they view you as being diverted from direct contact with them for a second and therefore more likely to listen to their speaking. There is some comfort for them in having one sided conversations.
Especially with someone they admire and respect.
It is human nature Doc. We are are all guilty of it.

2
by on 02/18/2010 11:33am

I catch myself doing this all the time, and here's why: Most of my visits are for some kind of illness or problem. When the vet arrives in the exam room, we briefly go over the problem. Then the vet starts the exam, often asking me further questions. When she starts to listen to the heart/lungs, we've just been talking about what's wrong, and now she's being quiet--which seems to invite more detailed discussion. Then I realize what I'm doing, and wait. ~ ~ ~ If they'd just *say*, "okay, going to listen to heart and lungs now; give me a minute," then I wouldn't be trying to talk over them...

3
by on 02/18/2010 11:53am

If talking during stethoscope time happens so chronically and is human nature as Wayne suggests (sounds right to me), then why don't vets do something to address the problem?

If people don't get a clue from the stethoscope, why don't you give them a clue by simply saying something like, "It's now time for a moment of silence so I can hear if your pet has a heart." :)

If it doesn't dawn on a client to be quiet when s/he sees the stethoscope, don't get irritated; ask for what you want (quiet). If they continue to talk, THEN get irritated.

4
by on 02/18/2010 01:13pm

This is the sort of thing you would never think about unless you regularly use a stethoscope. Every professional has these pet peeves that wouldn't occur to anyone outside their profession. It is neither a mark of stupidity or inconsideration when they talk after you put the stethoscope in your ears. I say, cut your clients some slack, answer their question and then tell them you need a moment to listen to their pet's heart beat.

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About fully vetted

Jennifer Coates, DVM

Photo of Dr Coates

Image credit: Jim Piraino

...graduated with honors from the Virginia-Maryland Regional College of Veterinary Medicine in 1999. In the years since, she has practiced veterinary medicine in Virginia, Wyoming, and Colorado. She is the author of several books about veterinary medicine and animal care, including the Dictionary of Veterinary Terms: Vet-Speak Deciphered for the Non-Veterinarian. Dr. Coates also writes short stories that focus on the strength and importance of the human-animal bond, and freelance articles relating to a variety of animal care and veterinary topics. Dr. Coates lives in Fort Collins, Colorado with her husband, daughter, and various species of pets.

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