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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.

 

An Open Question to FullyVetted Readers and Pet Lovers Everywhere: How Much is Too Much Vetspeak?

August 18, 2010 / (36) comments


"Vetspeak" — as in, that canting language veterinarians will often unwittingly adopt while in the process of explaining what is ailing your pet. Whenever it is raised, this is a topic that always begs the questions: "Do I not offer enough?" and "How much is too much?"

I know what you’re going to say: "But it’s not just veterinarians!" Yes, I too know from past experience. While sitting with elderly family members in hospital rooms, I have experienced physicians who sometimes employ the kind of words that sail ineffectually over patients' heads. Attorneys and accountants baffle (bulls---?) us with their jargon as well. It's commonplace, but that still in no way exonerates anyone who should be striving for simplicity of expression in the interest of clear communication.

As a veterinarian, I’m often in a position to consider this subject. That’s because in my capacity as a clinical practitioner I sometimes find myself sweating to make myself understood. That’s when clarity really counts.

People rely on me for clarity of exposition for the sake of rational decision making. Their pets’ health depends on whether my words are clinical enough to convey the exact message (and not sound condescending), but not so science-y that they’re not captured for processing.

As a veterinary writer, however, I find I get less leeway. Though I can always tool and retool what I write so that I get multiple shots at achieving the kind of clear communication I seek (and here I must apologize for not always getting there), I definitely source more complaints.

The way I’ve seen it in the past, whatever people glean from what I write is generally a bonus. My posts shouldn’t be any pet owners’ primary source for healthcare information. Yet that doesn't stop a lot of readers from berating my use of the English language or claiming that I irresponsibly spread misinformation.

Case in point: some have suggested I go out of my way to "vetspeak" in unintelligible SAT words.

And then there was the Miami Herald reader who came after me with all guns a-blazing because I used the verb "predate" (a well-accepted alternative for "prey upon" in biological circles) in a column on cat-on-wildlife violence. This great big vocabulary meanie referenced one dictionary to prove her point that "predate" means "to come before," and that my lapse (and that of my idiot editor) is a perfect example of why newspaper quality is on the decline.

Ouch!

Which is why I put her in her place with an e-mail that was more a seizure of snark than anything else, after which I felt badly. If I’m not being understood even by those who read the paper with a red pen, what hope do I have against an army of high school-level readers? Because let’s face it, that may not be you, but it’s one heck of a lot of people in the U.S.

All of which got me to thinking: I try hard not to condescend to my clients or to my readers. Without sounding all high and mighty, I do try my best to keep the level (and yes, sometimes the vocabulary) of discourse high, whether it’s here or in the exam room. Anything less is disrespectful, I reason.

Which is also why I’ll often go out of my way to recommend websites and other supplementary reading. That way, people can learn at their own pace and take away what they need. For me, that’s the easiest long-term solution to the issue of "vetspeak" in my clinical life.

But is that fair? Knowing that so many people do go to USA Today, The Miami Herald and PetMD for info — sometimes at the suggestion of veterinarians like me — does it not behoove me to write in a more clinically relevant and less "vetspeaky" way? What do you say? Should I tone it down?

And now back to the original question: How much "vetspeak" is too much, and where does a veterinarian draw the line?


Dr. Patty Khuly


Pic of the day: "Cat yawn" by jsome1

 

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COMMENTS (36)
1
by on 08/18/2010 02:02am

I like the geeky talk, but that's just me. There are times where I will ask my Vet to re-explain something in different words, but those are few and far between. I like knowing the science behind things and what it's properly called. I may just be one of the few. You do a great job.

I do feel your pain when it comes to how much is too much. I often get a little to 'scientific' with my dog clients, but have gotten better about breaking things down and not belittling the client.

I saw keep doin' what you're doin'. I feel like I get a little smarter each time I have to look something up in the Merck Vet Handbook.

2
Vetspeak
by on 08/18/2010 02:06am

Ideally, information should be presented in a understandable manner. There is never too much of such information.

Problem is when the information is not understood by the recipient. One of the goals of my own blog is to translate veterinary information to English. So I found out first hand how hard that is.

That taken into an account, I love the way our vet has it set up. We communicate online (email sort of idea). The advantage of that is, that when he presents me with information I don't understand, I can go and look it up and find out what he's talking about.

This is not possible in a conversation.

I think this way works great. He also posts summary from each appointment, so I have a chance to figure everything out and discuss when I have a full understanding of the facts.

To me, this scenario is ideal.

3
by on 08/18/2010 04:21am

I appreciate my vet speaking to me in correct terms and not assuming everything needs dumbing down. If I don't understand something I can always ask. And if I need to know more go and research it. I want to make informed decisions about my animals health therefore I need all the information my vet can share.

4
by on 08/18/2010 04:31am

Face it... Teaching proper reading and writing went out of style somewhere in the seventies... when vocabulary tests became composed of words 'no more than' five letters long, and the study of sentence diagraming was said to stifle creativity.

Since basic education has been supplanted by Advanced Cheerleading (I can't believe one can actually receive a scholarship in that!), is it any wonder you're not understood?

My cousin is a university professor of English Literature. She weeps and rends her clothing every time she's forced to read an essay or term paper. SHE says that 'skills' levels are WAY below high school expectancy.

I got into the habit of offering 'two versions' of ONE explanation - eg: Perhaps when explaining the Similia Principle,
I might say, "The general concept behind homeopathy is that diseases can be cured, or positively affected, by something which induces the same symptoms as the disease itself". Then I might add, "We believe that 'like cures like'". If I still see a giant question mark between their eyes, I will elucidate further. But, I have found, that that is generally not necessary. Most people seem to appreciate the dual explanation, too. It seems to increase comprehension, and decrease embarrassment.

Face it... As my cousin would say, "Most of these kids should never be allowed to touch pencils and paper".



5
Too much/how much
by on 08/18/2010 07:09am

Understanding issues of health require going beyond what is currently known and specific terminology from health provider is necessary. For ourselves and our companion animals, we must apply ourselves and learn. Serious issues require it. Health providers offer brochures, articles to complement the understanding.
Coddling does not benefit anyone. Outlook determines outcome. If you expect more, you get more. Speak to the layman with specific language. It conveys importance and a need to heed what is said.
Recently adopted a rescue that was HW+. Read a lot on the issue from pharma brochures to rescue group info. Found the most beneficial write up was synopsis on recent clinical findings. Not an impossible read and exact, emotionless prose helped put in perspective.
As for your snark-mail, sometimes the recipient is just begging for it.
Sit. Stay. Speak!

6
How much is too much....?
by on 08/18/2010 07:17am

"Talking down" to your audience is far different than writing intelligently, using correct grammar and punctuation.

Never, ever apologize or feel uncomfortable about this. Do not doubt your style or communication skills. You're doing just fine!

7
by on 08/18/2010 07:58am

"Clarity of exposition"? W.T.F?!

8
Communication
by on 08/18/2010 08:19am

Keep on, doing a great job. If they do not understand you, what the heck. They just pay the bills.

9
Depends...
by on 08/18/2010 08:19am

How one should communicate depends on the participants but there are two issues that seem to complicate things, and they feed each other, and are both fed by pride and ego. One is the doctor or other professional attempting to imply they are so smart that they can speak above the audience member(s). The other is the audience, knowing this, nodding in confirmation of understanding even though they have not a clue about what was just said.

The reality is that true expertise is demonstrated when you can break it down for anyone to understand. Intelligence and confidence are also implied when one can say "what the h*ll did you just say? Because you are not making sense!"

I have had the over educated buffoon work for me, Mr. 3 degrees and not enough true smarts to fix a sandwich and yet spoke in such a way that you never knew what he was talking about. I told him one time that if he couldn't explain stuff to where this old sailor could understand it that it's a reflection on his lack of intelligence, not mine. If I can teach a welder how to troubleshoot a RADAR (did it in the Navy) then anything should be able to be explained.

So, my point is that one should be able to explain a situation or whatever to where someone can understand it. To all professionals reading, regardless of your field: God love you for going to school and working your butts off. Your profession is a reflection of your dedication and motivation. But, with all due respect, I have never considered it a reflection of your superior intelligence or smarts. My advice is to ensure that your clients don't feel as though you are attempting to prove otherwise.

10
by on 08/18/2010 08:34am

Thus far, I've found the posts on this site to be fairly reader-friendly for the average, non-vet user. And when things do get a bit technical, as several other readers have noted, it's simple enough to do a little bit of research to pull things together. You say, "I do my best to keep the level of discourse high," and to this I offer a resounding, "Good for you." Dumbing down our language is beneficial to no one - least of all the individuals who may need it most. If more bloggers out there had a similar capacity for language and a higher esteem for their readers, the Internet would be a better place.

11
Vetspeak
by on 08/18/2010 09:21am

One of the things I like best about my vet is the fact that she doesn't talk down to me. She uses the correct medical terminology, and if I don't understand something, I'll tell her that I'm not familiar with that particular term and ask her to explain it. How hard is that?

Having the correct terminology then allows me to more accurately research it myself later.

Please don't dumb it down -- there's too much of that out there already!

12
vetspeak
by on 08/18/2010 09:42am

I find your articles very enlightening - I do have a heavy 'dog / cat' background, but even when you are talking about goats or chickens I can understand the message. If something doesn't click with me I just bypass it - I think you have a refreshing, easy and open writing style! And your opinions are YOUR Opinions which can't be wrong for you!
Joan

13
"Vetspeak"
by on 08/18/2010 09:43am

I love you the way you are !!! Don't you DARE change a thing about this column !!!! I love it !!!!

-- " is a perfect example of why newspaper quality is on the decline" You're right about the newspapers!!!!

Don't you change a thing, Dr. Khuly, we love you the way you are, that's why God made everybody different !!

14
by on 08/18/2010 09:49am

It's a balancing act that requires you to know your client. Some people know NOTHING about medicine and animal/pet care and you have to talk to them like a 5 year old. Others are well versed because of their own experience in previous pets, training, or what have you. You can't quite talk to them like a colleague and expect them to be in the know of it all, but you can talk to them using proper terms. I'm sure a good sign of their intelligence and ability to comprehend vetspeak can be gleaned from listening in on their intake interview.

Pet parents rely on our vets speaking to them in a way they understand. This may mean grabbing a small dry erase board to sketch it and describe the problem to the customer. Using photos from books, posters, and that creepy jar of a heart with spaghetti like heartworms all in it are good at making it clear what the situation is (btw, I think every clinic should have a good model of heartworm heart and show it to pet parents often, it's a shame that something so easily prevented is such a common threat).

As far as the predate issue, many words have many different meanings. Unless there was a reason that predate in that sentence could make sense as 'to come before' it should have been a no brainer, especially if the column was about cats and their impact on bird populations.

15
"Vetspeak"
by on 08/18/2010 09:50am

Your columns are great "as is"...URLs enhance that day's subject. "If it ain't broke, don't fix it!" :)

16
You asked for it!
by on 08/18/2010 10:07am

I appreciate your attempt to keep the level of discourse high - and believe that you do that quite well most of the time.
However, any public forum using written language is bound to have flaws -- and people love to find them! So, forgive me, but "I felt badly" in your piece above is commonly used, but gramatically incorrect. It should be "I felt bad."

My opinion: don't "dumb it down." Just do your best to be clear and to explain anything you know to be jargon. Office visits are more of a challenge, as people really hear and remember only a small part of what is said, especially when they are anxious about a beloved pet's illness. I think it's important to have take-away printed materials available, and to encourage note taking. Web sites are great, but print is helpful when you would like to help guide their research to some extent. Thanks for "putting yourself out there!"

17
The Greatest Teacher
by on 08/18/2010 10:11am

Jesus Christ is known as the greatest teacher who ever lived. People were drawn to him and his way of teaching. How did he teach? He used simple words and illustrations that the people of that time could understand, yet he spoke with authority. He was a perfect man that could have talked way above what any human could grasp or understand, yet he treated the people with dignity and respect for the level they were at.

There is much that can be learned from that example. If you're going to use "vetspeak" then supplement it with illustrations that are easy for us "laypersons" to understand!

18
Vet Speak
by on 08/18/2010 10:37am

Hey, Dr. Patty - I understand your dilemma. But, frankly speaking, if you "dumb it down" too much, I won't be interested in reading. I don't subscribe to some of the general pet publications because the writing is too simplified and the information too general for me. I always look for blogs, magazines and articles that challenge me to learn new stuff, pick up new concepts, grab new vocabulary -- so I need better than 8th grade level writing. Ultimately, it may depend upon what audience you want to reach. Perhaps you need more than one offering? At any rate, I have enjoyed your blog so far!

19
Information is power.
by on 08/18/2010 10:57am

Bring it on. With the caveat that once a client's eyes begin to glass over or roll back inside their head, please ask if clarification is needed. While it is the consumer's responsibility to speak up if an explanation is necessary, vetspeak for the pure point of proving one's education is uncalled for. A diploma on the wall will suffice for that thank you.

If I'm starting to sound jaded, it is only because Jerry's first vet was prone to dropping twenty dollar words while insisting his persistent forelimb claudication was due to canine senescence rather than the osteosarcoma malignancy we later discovered growing in his scapula.

20
by on 08/18/2010 11:03am

I prefer that a vet uses appropriate medical terminology and is as thorough as she/he can be. Cancer doesn't tell me much. I want to know what TYPE of cancer. When a vet recommends medication, I want to know what type of medication it is not just the name - is it a steroid, a diuretic, etc. If there's new research being done on the condition I want to know about it. I'll even read professional medical papers. However, I do think that vets should taylor their vetspeak to the client. I have a master's degree and I'm a librarian who always researches whatever condition my pets have. For my 83-year old mom who never graduated from high school, on the other hand, very high-level, specific vetspeak would be too much. Telling her something is a stereoid wouldn't be as helpful as simply letting her know that this injection or pill will make her pet urinate more than normal but that it's needed in order for some inflammation to go down.

21
by on 08/18/2010 11:16am

Dr. Khuly,

I very much enjoy reading your blog and agree with those who said that you shouldn't change anything about the way that you write. My earlier comment was meant to be a joke (hope it was taken as such).

Anyway, today's topic made me recall something Richard Feynman once said in one of his lectures, "I learned very early the difference between knowing the name of something and knowing something."

22
raise the bar
by on 08/18/2010 11:37am

No child left behind is making everyone dumb.

If you dumb it down they'll think you're condescending. If they don't understand something they really ought to ask or write it down so they can go look it up on their own. Oh sorry, that might interfere with game/TV time.

My yellow dog just had surgery to remove a thyroid tumor, and the lymph node on the same side. :-(
The surgeon took his time explaining what would happen during surgery, for post-op care, and going forward. We stopped him several times to rephrase or define terms. Now that the dog is home and recuperated I can research doggie cancer on my own knowing I have compassionate, knowledgeable vets to consult if I'm truly stymied and if she begins to decline.

Also, "seizure of snark" FTW! :-)

23
You're such a help
by on 08/18/2010 12:11pm

Dr. Patty,

Please just keep doing what you're doing! Your advice and opinions are truly helpful, and I've saved several of your articles / blogs. We all know it's impossible to please everyone, but I'll bet the majority of your readers are big fans! (If we lived in your area, I'd be thrilled for you to be our vet! I have a Westie with the mysterious and frustrating 'atopic dermatitis', and have been so appreciative of your information, new product advice, etc.) There will always be complaints and differences of opinion, and it can be a challenge to put them into proper perspective. But please be encouraged; you're making a very positive difference for many, many people and pets. Thank you for all you do!

24
It's a question of time
by on 08/18/2010 01:58pm

I had a vet who talked down to me until he got to know me well, and I didn't like it. It felt both condescending and vague - I would leave hungry for more concrete information. I understand that his approach is appropriate for many of his clients, so I learned to ask a lot of questions and get more specifics. I think of this blog as a sort of intermediate level source, addressed to people who have some basic knowledge about pet care already.

I've recently found that when the vet is not rushed - say, a specialist who schedules longer and more detailed consultations, or the emergency vet during a slow period - I do get more and better information. There's time for the give and take where they can throw out terms I don't know, write them down, explain them and draw pictures or use visual aids as necessary. If I know the exact name of a diagnosis, and I later get confused I can look it up, plus I can tell other vets & caregivers more clearly about my pets' conditions. And I just want to know as much as I can.

25
Vetspeak
by on 08/18/2010 02:03pm

Dr Khuly, when it comes to "vetspeak," I say "fire away!" Tell me in your terms what's wrong with my pet, but then kindly "translate" it into layman's terms that I can understand and do so in a way that doesn't seem like you're "talking down" to me. I am eager to know what is wrong with my pet, but I want to know in a way that I can explain to others who don't speak "vet." Thank you for your concern in this area.

26
Vetspeak
by on 08/18/2010 02:24pm

Personally, as a veterinary technician, I find my greatest pleasure in educating clients, and part of that education is using proper terms, AND then explaining them.

I use 'vaccinations' not 'shots'
I use 'under the effects of anesthesia' not 'out of it'
etc etc

I have worked with both doctors and lay staff that 'dumb down' their vetspeak and well, I just feel like you never really know your clients and what they know, and I always end a conversation with 'Do you have any questions I can answer before you go'...

27
Grammar and Vocabulary
by on 08/18/2010 03:42pm

I work in the aviation field as a flight attendant, I fully understand what you mean when you speak of "technical" jargon. Rather than tell people that we are hitting a patch of convection turbulence caused by mountain heat waves, I have to speak plainly and tell them the plane will continue to bounce till we're passed the mountains. Etc...

I have always found your work to be concise and to the point. I find a great charm in your descriptions and methodology. I would beg you not to listen to those word-monsters who challenge every last word in Scrabble. They obviously have very little to do in their everyday lives and so seek out even the most minor issue to quibble over. Some people just have a cross-to-bear, whether it is justified (questionable) or not.

Thank you for the great job you do in helping us to be aware of issues that our pet companions may come across. I would hope that people do not consider this as gospel in lieu of taking their animals for regular check-ups ~ but if they do, I pray for the best for their pet friends.

Keep up the good work and don't let a few "angry and lonely" people stand in the way of what is good and useful. Thank you again for your posts.

28
VetSpeak
by on 08/18/2010 04:06pm

Hi, Dr. Khuly.

What a relevant question you've asked!

In the exam room, I think we have to tailor our message to our audience. I prefer to use correct terminology when the pet owner is comfortable with it and I love being able to fully explain the what, why, how, etc. But at the same time, if my client can't understand that or just doesn't want to hear it for whatever reason, I'm doing them a disservice to speak in those terms. So, if my pet parent understands "shots" but not "vaccinations", I use "shots". If the owner understands "x-ray" but not "radiograph", I use "x-ray" (even though my former radiology professor would have some choice words...LOL).

When I'm speaking with a client in my office, I find the easiest way to find out if they understand is to ask. "Does that sense?" "What else would you like to know?" And I always try to let them know that I'm available (or my staff is, if I'm not) in the event that questions come up later.

That being said, when writing online we don't have that option, unfortunately. I think it's admirable (and wise) that you're asking your audience what they prefer. In reading over the comments above, it seems most are comfortable with your writing. I agree with them. I like the way you write and urge you to keep doing what you're doing.

Keep up the good work!!!

29
Emotion interferes
by on 08/18/2010 05:35pm

It is one thing to use the language you want to use when writing for the public. That sort of education is far from them in reality.

Speaking to a client in your practice about a real pet with a real problem is a different matter. The greater the emotion the dimmer the comprehension. Comprehension is compromised by emotions. When there is fear, frustration, or great worry anything you can do to help communication is necessary. Double up on the ways of giving instruction. Tell and write them down. Explain and use pictures. Use touch and demonstrations. Have the owner practice the procedure in the office with you supervising. The more fear the owner exhibits, the more sensory ways of understanding you need to employ to get good understanding and the ability for them to follow through.

30
Vetspeak
by on 08/18/2010 08:10pm

I would be happy as a pig in doo-doo if my vet would please tell me how much my pet weighs in pounds, like everyone else weighs stuff. Yeah, yeah, I know they use metric, but most of us don't. The rest I can forgive or go along with. I don't go to the store and ask for 1/2 Kilo of hamburger...

31
BunnyWoman, your vet....
by on 08/18/2010 09:16pm

..is from another planet. I actually go back and watch when my pet is put on the scale and yes, the damn thing reads in "screw the rest of the world we are amuricans" pounds. Beats me why your vet uses that "other" measuring system.

32
Spiral around
by on 08/19/2010 12:38am

I've always started explaining things at my level and then spiral around to a simpler one as soon as I detect incomprehension. It's not hard to spot if one is paying attention to one's audience.

My attitude (according to reports from lots of students and others) conveys the idea that I don't find the listener stupid, just that some more comprehensible analogies are called for. There are limits though, someone who will never understand can be a terrible time-suck if not recognized as a lost cause.

As for my veterinarians and MDs, I want it complete, and if I have a question I'll ask it or look it up later.

You're doing fine. I wouldn't change the level at all. (I would change this new "You have been logged out for inactivity" nonsense this site is now exhibiting. It's not a bank nor the CIA, it's just plain annoying.)

33
vet-speak
by on 08/19/2010 06:13pm

Dr. Khuly, I think you do a really nice job of conveying information, often in an amusing way. I happen to have a profession which has its own share of technical jargon, so I know how difficult it is to find that balance of professionalism and clarity of speech. I am an educational therapist who often needs to explain learning difficulties and their associated terminology to people from a wide variety of backgrounds. I find it helpful for many people when I use an "educator-speak" term, like Dyslexia, Auditory Memory, or Visual-Motor Integration, to then give a brief definition in language that anyone can understand. For instance, I might say, "These are possible signs of Dyslexia, which is a language disorder that can affect reading, spelling, writing, and pronouncing words." Few people get the deer-in-headlights look when I do this, and are appreciative of my efforts to make a difficult subject easier to understand. I have never had anyone not be receptive of this method. That's my opinion, for what it's worth.

34
by on 08/21/2010 02:06am

If you're communicating one on one, then I think you need to speak in terms the client can understand...which might be a lot, and might be a little. It's always good to ask for feedback if it's important, as in "Is this clear; do you have questions?" As for writing for the web, with Google it's easy enough to look up stuff we don't understand so go for it! And last but not least, one kilogram equals 2.2 pounds, just do the math. ;)

35
by on 08/23/2010 03:38pm

Raise the bar; don't lower it!

36
by on 09/07/2010 05:15pm

I was once flamed by a 'vet tech' for using the term "species appropriate" when talking about food. She thought I was getting too fancy/technical.

I personally come here for a vet's opinion on things. While I don't expect you to write this in all "vet speak" I would expect you to use verbage that would be on par with what your training and expertise. I wouldn't want you to 'dumb down' your posts because that is not what this blog is all about.

and if someone who doesn't understand something lashes out in anger, that is their failing, not yours.

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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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