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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.

 

Vet school favorites and old-fashioned medical advice

May 29, 2008 / (18) comments


Pithy aphorisms abound in all professions and practices. Whether you milk goats for a living or paint in oils, there’s something somebody somewhere says that’s intended to make your job more intelligible…or perhaps simply entreats you to do things their way.

Same is true for veterinary medicine. In vet school we’re exposed to a continuous stream of these alternately folksy and blackish-humored maxims. And they stick with you—whether you want them to or not.

Not all are specific to veterinary medicine, of course, but here’s a sampling of the things we were taught either in school or by those old-timers showing us the ropes early in our practice lives:

For all us perfectionists out there here’s one that really keeps things in perspective: The enemy of “good” is “better.”

To assuage the ego of those who, contrary to our expectations for stellar surgeons, make big incisions: They heal from side to side not end to end. (Though that’s not exactly true.)

Then there’s the surgeon’s mantra: A chance to cut is a chance to cure.

And here’s its corollary: The way to heal is with cold blue steel.

If you think about it, all the fun sayings I can remember are mostly applicable to the surgical component of the veterinary job. And that doesn’t seem quite fair, does it?  That’s why I decided to seek some counsel on this.

The result? No good answer from the internal medicine crowd. A surgeon’s perspective on their close-lipped stance? “Internists need six paragraphs to say anything…and maybe a cardiology consult before they’ll commit to it.”

But this answer wasn’t good enough for me so we did a little research and dragged up three more great medical sayings:

This one’s my boss’s favorite, especially when he’s trying to placate an unruly owner impatient for results on a course of treatment: All it needs is some tincture of time.

Here’s my favorite, if only because the surgeons need a little comedown every once in a while: The pen is mightier than the sword: the case for prescription rather than surgery.

And then there’s the tried and true, even better in Latin than anything we could ever devise in our unwieldy English: Primum non nocere. (Above all do no harm.)

If you can come up with others, I’d love to add them to my list.

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COMMENTS (18)
1
by on 09/16/2008 11:28am

thank

2
by on 06/02/2008 04:03pm

A good surgeon knows when not to cut!
If you are not happy with my colleague,you likey be unhappy with me eventually. (to a client complaining unreasonably about their last vet)

3
by on 05/31/2008 06:07am

IF you've got livestock, you've got deadstock!

white feat don't treat

when I am about to shoot an x-ray I alwasy say : Measure twice shoot once

bladder surgery: Leave no stone unturned (ha ha ha more of a joke my coworkers are sick of me saying)

4
by on 05/30/2008 07:43pm

"It's a long way from the heart"

5
by on 05/30/2008 06:53pm

robin w, shouldn't phosphorus be added to over "7"----? wonder if lactate ever measures in "triple digits"?

Actually, most of the medically -oriented sayings are identical in the human field. My favorite that I have heard recited (by a vet) twice, is "above all do no harm"---isn't that applicable to everyone, every single day, regardless of field employed?

6
by on 05/30/2008 06:03pm

"Don't kill old rolling dogs" (idiopathic vestibular disease).

"With enough lube you can put anything anywhere" (I think that's from a large animal repro lecture).

"Transfer to Jesus."

And, of course, "real doctors treat more than one species!"

7
by on 05/30/2008 02:38pm

Alli
"No cat should ever die without the benefit of prednisone."

8
by on 05/30/2008 02:16pm

Patty P, the techs use one similar, "when in doubt, throw it out."

9
by on 05/30/2008 10:28am

Nothing dies without steroid first (or some variation there of).

10
by on 05/30/2008 09:54am

Megan: you MUST film this. I will not accept NO for an answer. You can put it on Youtube and I'll link to it.

11
by on 05/30/2008 09:51am

I've heard almost all of these--I guess I'm going prematurely senile.

And one more: "Bleeding is not significant unless it's audible."

12
by on 05/30/2008 07:58am

How about"When in doubt, cut it out"

13
by on 05/30/2008 02:24am

Never let the sun set on a pyo.

In regards to lactate levels,"over 7 go to heaven."


I'd give anything to be able to see the mange dance. :)

14
by on 05/30/2008 01:34am

What about "all bleeding stops eventually"?

I have heard that uttered in surgery on more than one occasion. Usually by me trying to calm a very stressed surgeon!

15
by on 05/30/2008 01:03am

We have a few...

"The dumbest kidney is smarter than the smartest clinician."

"Surgeons- often wrong, never in doubt."

And the mantra of our awesome large animal therio professor: "The three things that you always must remember: gentle, with care, and lots of lube."

Our derm professor has the most fantastic sarcoptic mange dance to remember the common sites of alopecia associated with infestation, but you really have to see it to appreciate it. *sigh*

16
by on 05/29/2008 11:56pm

Ever hear this one regarding Ivermectin & herding dogs? My vet says in vet school they always said, "White feet, don't treat." It was because Collies, Border Collies, Shelties and Aussies often have white feet.

17
by on 05/29/2008 11:10pm

oh yeah - that's a good one elizabeth. i'm a zebra-looker for-er. and cancer too - cuz when you go to vet school - all you see are the big baddies!

18
by on 05/29/2008 11:03pm

If you hear hoof beats, look for horses, not zebras.

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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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