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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.

 

Neonatal pediatrics vs. veterinary medicine'¦no contest

November 21, 2007 / (4) comments


I have a delightful acquaintance whose career in human pediatrics is nearing its finally-out-of-residency phase. Her exuberant style ensures that I never fail to find her in-hospital anecdotes engaging, irreverent and funny.

Everything from questioning how it is possible for healthcare workers to consume so many cookies and brownies while babies are succumbing in the NICU, to describing the wild antics of her pet ferret is fair game, lending the impression that this is a pediatrician more likely to send her patients into fits of giggles than wails of despair.

Last week she imparted a bit of off-the-cuff wisdom (in her trademark loony-tunes tone) that left me scratching my head for the rest of the week. “I don’t know how you guys do it,” she offered. “Being a veterinarian is soooo depressing.”

Wow. This is the woman who just finished telling me about the six year-old kid in a car crash who might never make it off a respirator. I dunno, but I think we’re lucky not to have to deal in the pediatricians’ stock and trade of horrific, family-rending tragedy.

Maybe I’m wrong, but there’s nothing like losing a child. Sure, some of you might feel that statement amounts to an insensitivity towards my human-childless pet owning families and their pets’ significance—but there you have it. There’s something about our own species (not to mention my personal experience as a mother), perhaps, that alters my perspective, veterinary profession notwithstanding.

Yes, our work can be tragic. But compared to working in a NICU where babies die every day? Omigod, no! The compassion fatigue would effectively ensure an early burnout—or craft coping mechanisms so invisible I’d likely die without knowing I was immune to a whole class of human suffering by virtue of my work.

Interestingly, this pediatrician also offered a few more choice tidbits to help me tease out where she might be coming from. “It’s the money!” she blurted out. There’s no way I could fix some and kill the others just because of the money!”

Despite her blunt delivery, it sure made some sense to me. Sometimes when you’ve been doing things for so long you tend to lose sight of the obvious. Clearly my coping mechanisms are there somewhere—and not too far from the surface, either.

Of course I see the heartache that accompanies the inability to pay, the stress it incites, and the way we deal with its aftermath. Yesterday’s post on the Orlando vet whose unwillingness to euthanize an animal was a perfect example of someone putting her foot down and saying, “No way. Not today.”

Because sometimes it is too depressing. Taking that unwanted American Bulldog pup home over the weekend because he can’t be expected to be happy in a cage? Collecting stray kittens like Halloween candy come kitten season? Sucking up the fee when the puppy with the GI obstruction needs surgery? We do these things to cope with the financial failures of pet care. And we all hate that we feel compelled to do them.

But watching babies fight for their lives in incubators all day? No amount of stress-related brownie and cookie overeating can take the edge off that. I’ll stick to the devils I know, thank you very much.

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COMMENTS (4)
1
by on 11/26/2007 12:32pm

"Maybe I’m wrong, but there’s nothing like losing a child. Sure, some of you might feel that statement amounts to an insensitivity towards my human-childless pet owning families and their pets’ significance—but there you have it. There’s something about our own species (not to mention my personal experience as a mother), perhaps, that alters my perspective, veterinary profession notwithstanding."

I agree 100% that there is nothing like losing a child but since I don't have 2 legged kids for me losing a dog is the worse grief that I can experience. They are my babies and its my only reference point.

Bless a dear friend who has had to listen to me rant about why we even feel compelled to rate our degrees of grief that says she loves her "once in a lifetime cat" as much as if she gave birth to him. She has 2 human children also. All her babies are very, very lucky.

2
by on 11/21/2007 01:21pm

NICU, ahhh one of the most stressful but sometimes rewarding spots in the hospitals, imo. One thing that I think protected my sanity when I was there is that most of those little ones would not have even had a gilmmer of hope 20 years ago and yet now we can get some of them through it. Each one is a gift and the smallest of milestones take on a whole new meaning.

For me human medicine is easier on my heart. With people after I have discussed their options and my suggestions and if they don't want to take my advice, fine with me! With the critters I feel like they are beholden to their owners and that is where I become really frustrated, especially when it comes down to money. Not that people with money and contacts don't have an advantage in human medicine but the disparity isn't as glaring as a dog that will be put down because its owners can't afford cruciate surgery etc.

3
by on 11/21/2007 12:49pm

Shellie: It's interesting that my volunteer interests stray towards the human side (caring for pets of the homeless and of those homebound by AIDS) while yours tend towards the animals in shelters. Putting your medical skills to excellent use in a shelter environment is one of the most valuable contributions I can think of for someone who needs that mental break but still wants to be as useful as possible. Kudos!

4
by on 11/21/2007 09:25am

Compassion fatigue is a very real issue for anyone in the "caring" professions, be they human or animal. In my (human) ER, I have dealt with illness, injury, death, and dying every day for 25+ years, and in the ICU for a few years prior to that. So you do see coping mechanisms develop, whether it is self-destructive behavior such as overeating, alcohol, smoking, or the inevitable macabre humor found in health-care workers; or you find a hobby or pastime that allows you to "shift gears", so to speak. My outlet happens to be giving of my time and energy at the local shelter. I know, this is insane---from one high-burnout area to another; but for me, after dealing with human frailty all week, dealing with animals is a soul-cleansing breath of fresh air. Of course there is much sadness there also, but there is also the satisfaction of placing an otherwise doomed animal into a loving home. Even if I am using my medical knowledge by assisting with spays and neuters, the change of scenery (and clientele) is what recharges my battery for another week at the job that pays the bills.

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About fully vetted

Patty Khuly, VMD, MBA

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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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