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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.

 

DIY pet medicine: How much is too much?

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November 17, 2010 / (8) comments


Over the weekend, a Fully Vetted reader wrote to ask me how I felt about a website that promotes DIY (do it yourself) veterinary medicine. Titled, "VetWork," this site is one among many that are offering how-to info on vet procedures.

Her question: "Is this OK?"

My answer: "It depends."

 

Here’s her letter:

Hello Dr. Khuly,

I just ran across an interesting website. It's a blog telling people how they can do some vet stuff on their own. There is a disclaimer at the top that it's not to replace veterinary advice, but some of the things it provides instructions for seem like they may be beyond what the average pet owner ought to be doing. Some things seem okay, like vaccines that many people administer to their own pets (this blog also covers livestock), but other things ... well, I haven't read every post, but I do see there are instructions for how to check for mange (including how to do a skin scraping) and how to draw blood from a vein. Also instructions for IM injections.

While I've heard of people administering their own vaccines, and sub-q fluids (I have helped my mom do this on two occasions, both times we were shown by a vet or tech). But skin scraping? Venipuncture for blood draws? Is that something you would have clients do on a DIY basis?

Skin scrapings? Venipuncture? Urinary catheterization? IM injections? At-home mange treatments? Not so much ... except that sometimes these are OK.

It all depends on a couple of things: Is the procedure being accomplished with the sufficient skill and attention to detail that ensures the animal is not being subjected to significant harm in the process?

If that’s truly the case, I take little issue with DIY vet work. After all, we train clients to administer all kinds of injections, record their observations, and to deduce all kinds of diagnostic conclusions that affect the lives of their pets on a regular basis. One has only to consider the case of the common diabetic cat to see how far clients can (and must) routinely go in order to further their pets' health by applying guerrilla DIY tactics at every turn.

Moreover, so many of my clients are human healthcare workers that it would be madness to assume I had the only key to the kingdom for every single issue. Why not show that ICU RN how to administer enemas to her chronically constipated cat?

But where do we draw the line? Clearly we don’t want Jo(e) Sixpack making on-the-fly antibiotic choices or undertaking kitchen table surgeries, right?

Yet it happens. Really.

How? Because it’s perfectly legal for an individual pet owner to practice medicine on his/her pet. After all, pets are property, which renders them completely distinct from human beings in this regard.

You could never practice medicine on your six-year-old human child or your aging spouse. But you may absolutely do so when it comes to your own dog’s vomiting problem or tail dock, for example. Because as long as you don’t cross that ethereal "cruelty" line ... you’re OK. (Yes, your pet might as well be a toaster with a "do not abuse" sign taped to it.)

But why not? Seeing as veterinary medicine is so expensive (and getting more so every day), does it not stand to reason that we need to protect the rights of pet owners whose access to care might be denied on the basis of their economic wherewithal?

No, we can’t exactly tell a pet owner they can’t draw their own blood and submit it to a lab on their very own. We can’t tell them that their use of a microscope to diagnose parasitism is wrongheaded. But we can sanction pet owners who take matters into their own hands and subject their pets to surgery without anesthesia (I've seen botched wart-removals, among other DIY nasties). And what about multiple weekly turpentine dips to kill mange?

Because when two vet-administered injections would have killed the critters in two weeks, the "recommended" DIY turpentine dipping is a backwater-bats*** crazy solution to the problem.

Hence, a very simple illustration of how DIY can go so very wrong, even when all the best intentions are in place … as is obviously the case in most every veterinary assisted DIY occasion. Yet it would seem that good intentions are not always the recipe to success, as illustrated in this, a favorite quotation of mine:

"It is difficult to say who do you the most harm: enemies with the worst intentions or friends with the best."  — Edward G. Bulwer-Lytton

 

 

Dr. Patty Khuly

 

 

Pic of the day: Untitled dog with adhesive bandage by castlelogical

 

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COMMENTS (8)
1
Do-it-yourself-Vetting ?
by kay morris on 11/17/2010 03:56am

Good-Morning Doctor Khuly, yes there somethings we can do ourselfs. But do not worry, we need our Pet Doctors. I was raise on a ranch, you name it we had it. even as a Kid, I helped our Vet. so I learned a lot from him,, in the summer I work with him. He was a cool guy, I wanted to learn, so he was ready to teach me. But I need my Pet Doctors, we and our Pet Kids are Blessed to have, wonderful Doctors like you.

2
Thank you, Dr. Khuly
by Lauren MichiganPetLover on 11/17/2010 05:18am

Thanks for covering this. :) I have to admit, when I emailed you the link, I didn't know that was "one among many" such sites. Though, I can't say I am surprised, especially the economy being what it is.

So, am I correct that the "ethereal cruelty line" is crossed simply when the DIY procedure causes undue suffering? Or is there other criteria as well?

I'm surprised that you mention kitchen table surgeries being legal as long as you're not crossing the cruelty line, such as surgery without anesthesia...I mean, without the proper license, you can't even obtain drugs used for anesthesia, can you?

Also, with a DIY vetting discussion, I am finding it hard to resist temptation to bring up the dreaded topic of folks trying DIY euthanasia. I know that you have covered the topic on Dolittler as something not recommended, since it's certainly not a procedure that you want to get wrong, and Jo(e) Sixpack isn't going to have access to the drugs vets use to accomplish the task. But, with the following quote from your post in mind:

"Is the procedure being accomplished with the sufficient skill and attention to detail that ensures the animal is not being subjected to significant harm in the process?"

Are there instances where a DIY euthanasia would not cross the cruelty line and be thus legal? In this case, I would assume that "significant harm" would be causing unnecessary pain/discomfort, since death is the, for lack of a better word, goal, of euthanasia, whereas with other procedures death could be considered the ultimate in significant harm.

3
I Don't Want To Know
by TheOldBroad on 11/17/2010 07:11am

I don't even want to know what some people are doing to their critters.

I've been trained to do simple things at home (sub-q fluids, check BG, sub-q injections), but I should hope that I'd never attempt anything more complicated.

IMHO it seems like it completely depends on the client and their skill level (not to mention having an extra set of hands to hold the critter). Surely a human health care professional would be able to administer something like an IM injection.

As for things like skin scrapings or bloodwork, would a lab accept a sample from an individual as opposed to a clinic?

4
DIY euthanasia
by Dr. Patty Khuly on 11/17/2010 08:34am

I received lots of mail on this topic when I uniformly condemned the practice in a post a couple of years past. However I did relent as, there are some cases where shooting an animal or using a home-made CO2 chamber are best-- but only because veterinary care is too far away and because suffering/stress would be prolonged if vet care were strictly required. So too does it go for some DIY vet work.

As to what constitutes significant harm relative to what a veterinary provider would offer, it's historically been up to the courts. Which means it comes down to what we as a culture consider animal cruelty. And that's been a shifting landscape for sure. An example:

Ten or twenty years ago a hunting dog could be held down for stitches for a laceration. Today, those who undertake such a procedure with no anesthetics (some of which I have heard can be obtained through feed stores) risk cruelty charges. But Crazy Glue and a bandage? Legal. And sometimes appropriate.

5
by itserich on 11/17/2010 09:28am

I used to try to make my own Heartgard.

My understanding is Heartgard is ivermectin. 25 cents worth of ivermectin may become $35 worth of Heartgard.

I am treating a dog for mange. 14 ounces of highly diluted ivermectin is $52 and that is still a liquid form.

There is now a generic for Heartgard and it is still expensive.

From what I have read ivermectin loses potency without proper storage so maybe that is why it is so expensive. A consumer could perhaps not buy a bottle and expect it to last a year.

6
DIY Pet Care
by animalartist on 11/17/2010 10:39am

I've done quite a bit a home with all my rescue and foster, plus aging cats, and I write about it in order to encourage people to consider caring for their pet at home--under the supervision of a veterinarian or medical professional! I've been fortunate to have a house call veterinarian who believes in common sense and doesn't see any reason I can't do the basic stuff so she can go off to her next call, and has taught me quite a bit. There's a big difference between reading an article on the internet and trying it at home, and taking that article to your veterinarian to get their opinion and guidance before you risk endangering your pet.

7
Right Training
by JimHousw on 11/19/2010 01:46pm

I think that in most cases people should not be taking matters into their own hands. There is a difference between a trained veterinarian, such as my dad, drawing my cat's blood or doing a skin scrape and some random pet-owner with 0 experience in any medicine doing that. It may be their legal right, but it isn't usually morally right.

8
right training
by itserich on 11/19/2010 01:55pm

JimHousw's comment reminds me of the pet first aid class taught by the local shelter.

The promotion stated it was sponsored by the Red Cross and the shelter, which is the "largest" animal welfare group in the state.

I arrived, and the class was "taught" by a shelter volunteer who had taken the class herself. No professional experience.

The Red Cross angle was a book was passed out with Red Cross in the title.

We have a well known vet school within a half hour, I imagine they could find all the free and low priced professional assistance if they cared to try.

The public and volunteers should not tolerate obedience classes and pet first aid classes which turn into fundraisers run by poorly trained volunteers. So called non profits get away with a lot.

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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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