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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.

 

The fecal rod is your friend'¦really (or, How vets can make even the grossest things tolerable)

February 08, 2007 / (5) comments


Have you ever wondered who invented the fecal rod? This common implement, though benign in its intentions, is employed by vets the world around in the act of pseudo-sadistic stool collection.

In case you have no idea what I’m talking about (we should all be so lucky), the fecal rod is that double-ended instrument of torture designed to efficiently and comfortably (not!) extract manageable quantities of stool for fecal analysis. It looks like a long plastic stick, often brightly colored (as if that might help make it more inviting) with an ellipsoid loop on each end.

Poor puppies!…not to mention kittens. Although they come in sizes designed to fit most every backside, the fecal rod was never intended to be a comfortable means of diagnosing stool-observed ailments. For that reason I always save it for the end. I mean…the end of the examination. This way I can make a dramatic exit with a flourish of my wand and make like a fairy princess disappearing behind closed curtains.

You think I’m kidding? This is but one of the many techniques I employ to help make the unbearable bearable. I can only do so much for my patient. But the human? The human brain is a tricky, twisted thing that requires a constant massage of its sensory inputs to survive the daily onslaught of potentially unsavory perceptions. I can work wonders here (while my patient can only be distracted by treats or quickly scratched on the ears to alleviate the sudden alien discomfort).

Other tricks up my sleeve? First and foremost: Distract! Sensitive clients should be distracted with conversation…any conversation…while the pet’s backside is turned away, of course. It’s never couth to give the client a bird’s eye view of the process. For the truly averse, it forever sticks in the folds of gray matter where it can’t easily be dislodged. When their life flashes through their vision at the very end, Fluffy’s fecal rod moment will still be there among the birthday parties and weddings. I couldn’t live with myself if I knew this would be the result of a simple stool check.

Next trick, especially if children are present: “The Harry Potter.” Because you’ll never be able to distract children sufficiently to obfuscate you movements and because they’ll always be right there to see exactly where that rod is going (“Mommy, what is that thing?), the trick is to make it funny. Then afterwards you can explain the importance of looking at fecal matter under the microscope (offering a sneak peek if you don’t think they’ll murder your equipment).

The “Harry Potter” involves waving the fecal rod like a wand and promising to magically see the insides of the pet with its formidable powers. This usually works, despite the obligatory “eeeeewwws,” “blechs” and other colorfully onomatopoeic expressions.

Other tactics include the “Military Operation” (when I yell, “Incoming!” everybody ducks on cue and the sample is obtained) and the “Airplane” (for very small children).

Grownups are more difficult. I mean, “The Fairy Princess” is not going to fly with just any adult. The toughest, by far, are the men. Turn, distract and evade all you like but most men seem to really stress over the whole stool thing; they’ve probably been needlessly traumatized by insensitive fecal rod handlers in years past.

Some are just ruined, it would seem. But I prefer to see them as a challenge. If you can work fast, pretend nothing happened and get them to laugh as they walk out the door (in spite of the cruel moment they’ve spent the entire examination steeling themselves against) I believe you’ve won.

Short of that, hand them a fecal collection container so they don’t have to suffer the next time. I urge all clients to collect their own pets’ fresh stool before a visit but few comply (and I have no idea why—perhaps you can enlighten me).

You might find these situations silly and superfluous to good medicine, but some of us look forward to the very human challenges in our veterinary profession. After all, being a vet is more than just about being an animal doctor. Anyone who thinks otherwise just hasn’t experienced the flick of my magic wand.

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COMMENTS (5)
1
by on 02/09/2007 02:39am

For some reason this distracting kids part of this story reminded me of being young and watching the vet and several assistants trying to put gel protectors over my cat's claws.

This cat is the sweetest thing in the world, she generally purrs through an entire exam, with a tiny stop for when she gets a needle, and sits of the laps of workmen who come to fix the dryer, etc. But, she hates hates hates having her paws touched.

So, there's a crowd of people around her, there's fur floating everywhere, they've got her wrapped up like a mummy with one paw out, but she's still managing to bounce around, and then the anal glands go.

And I start BAWLING. And suddenly everyone's trying to show me that the cat's okay, and engage me in the process, and it's making me cry harder and harder. I think that's when the vet politely asked my mom to get me out of there.

Don't know why this post brought back that long-buried memory!

2
by on 02/08/2007 08:21pm

I left a vet because she would hold the fecal rod the *entire* time she examined my dog, whether or not it was actually used. It was probably a comfort to her, but I kept looking at the pointy bit and wondering if she hurt my dog.

My dog at that time was very good at instapoo if you took her temperature. I never brought a sample in- I knew she'd provide one as soon as they pulled out the thermometer. And yes, I did kindly warn the vet techs.

3
by on 02/08/2007 07:06pm

Ha-ha...The Poo Fairy.

My vet has never used a fecal rod on any of my animals. I just collect samples on my own and put them in a plastic bag.

What is funny ( if there is anything really funny about poop) is the owners that have no idea how little poop is actually used for a fecal, so they bring in an entire load. These are usually the people that are red from embarassment even though they've been informed in a low, professional, polite fashion that an entire load is not necessary for what is being done.

It has been in my experience that these same owners are also under the impression that testing for heartworms is done through a fecal and that there is is magical blood test done to test for rabies.

It is never fun busting these pet owners bubbles, especially with the rabies thing. There is just no nice way to tell a person that animals that are suspected of having rabies are decapitated. I saw alot of things while working for an animal hospital, but decapitating was something I could never watch and I always refused to handle the special box with the head in it. It just totally creeped me out for some reason.

4
by on 02/08/2007 06:43pm

Thank you, thank you for the second to last paragraph! For years I have wondered if vets thought I was nuts for bringing in 'The Baggie' (one each and neatly labeled). Sometimes I tried to make a joke of it by adding a little ribbon. Glad to know at least one vet supports bringing in your own sample!

5
by on 02/08/2007 06:38pm

The other day I got on the phone to my vet. "I think my dog has worms. Do I need to bring her in, or can I just bring you a stool sample?"

"Oh! Just bring us her poo, please!"

I thought she sounded a little too pleased by the whole thing, but I hadn't really thought about the fact that the alternative is sticking a widget up my dog's bottom.

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About fully vetted

Patty Khuly, VMD, MBA

Photo of Dr Khuly

Dr. Khuly is a former petMD blogger and small animal veterinarian in Miami, Florida, where she practices medicine at Sunset Animal Clinic and serves on the board of the South Florida Veterinary Medical Association. She is a graduate of Wellesley College, the University of Pennsylvania School of Veterinary Medicine, and The Wharton School of Business.

As a significant sideline, she writes...a lot. She authors pet health columns for USA Today, The Miami Herald and Vetstreet. She also writes a popular monthly column for Veterinary Practice News and serves as regular contributor to Veterinary Economics, The Bark, and the Veterinary News Network.

Dr. Khuly lives in South Miami with her brood of hens, goats, dogs, cats...and humans.

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