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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.

 

It Happened Overnight, I Swear! (And Other White Lies My Clients Tell)

September 16, 2010 / (17) comments


I'm a pro. I can smell the obfuscation a mile away. After all, I’ve amassed a surfeit of skills in the practice of pet owner observation. Which is why spotting the standard white lie has gotten easier and easier with each passing year.

Now, I’m not talking about the mean-spirited or ill-intentioned, blatant kind of falsehood. Rather, this is more a gentle kind of lie directed at the veterinarian. Only confusion, denial, simple ignorance, or poor powers of observation may be said to condemn these attempts at subterfuge.

All the better to pick them out of a lineup. Which is easily done in these cases, since the vast majority of these lily-white fibs tend to refer to one of a bunch of basic pet-related issues.

Here are five of them, all sourced from my recent experiences:

1. The insta-lump

"You mean, you just noticed it today, right? Because that mass that looks like it’s been growing for six months is unlikely to have morphed overnight into that hard lump. Cells just don’t divide that fast."

Yes, this one is most popular. And while it might be true that a lesion appeared "suddenly," such observations are taken with a grain of salt. Human observations of pet lump-dom are too often untimely.

2. The overnight wound

This corollary of #1 usually applies to cat bite abscesses or other deeply festering puncture wounds. While these may become evident from one minute to the next (yes, it happens), the wound’s usually been there for quite some time (12 or more hours, at least).

Sure, these owners are not even white-lying, mostly. But when they decry your findings on the basis of their pet’s perfect normalcy, up to the minute they noticed the pool of pus, I cry foul.

3. "I only feed this much" (hold two fingers an inch apart for visual reference)


"You lie!" I want to say, just like that Senator did to Prez Obama not too long ago. But I’m far more diplomatic. Instead, I start probing at the corners of that gesture — as in, "Are all those 'meat' treats and 'cookies' included in that teensy little inch?"

4. He doesn’t bite


This one reminds me of the original Pink Panther and Peter Seller’s pitch-perfect deadpan: "No, my dog does not bite."

Yeah ... right.

5. He never did that before

Now that’s the biggest white lie of all. Because while I can believe that he never did exactly that before, I've gotta assume common sense might’ve informed the owner of the impending possibility. For example: That riding with half his body out of the car window thing he does every day? That might at some point lead to an unexpected but very predictable traumatic experience.

Not that I would ever confront an owner with their denial of the obvious. But I think about it all the time. I mean, why lie? What purpose does it serve?

Which got me to thinking ... maybe the white lie is all about convincing yourself of a condition’s insignificance? As with the lump, this kind of makes sense. After all, no one wants to imagine the worst, so I can see why one might subconsciously downplay its severity.

Then there’s the distinct possibility that guilt is playing an outsized role. And that’s a completely understandable reason too. I’ve been there, trust me.

But here’s where I wish I had a perfectly diplomatic way to reach every one of my clients with this message: In the long run, your guilt, minimization and denial serve your pet not-at-all. In fact, these obfuscations are often at odds with what needs to happen before your pet can get the care he needs: action.



Dr. Patty Khuly

 



Pic of the day: "Honest, We Didn't Do It!" by las - initially

 

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COMMENTS (17)
1
White lies...
by on 09/16/2010 01:59am

Thanks for that hilarious post! I had to nod and smile a lot while reading it.

As an Animal Therapist I experience a lot of that too.
Especially 3. and 4.

Reg. the feeding I usually ask (quite diplomatic in my opinion) how wide the bowl is...
Funny how many really small dogs need a huge bowl "because he makes such a mess when eating".

And to the biting part - what shall I say? I do a questionnaire before I examine the dog and one of the questions is, if the dog has a part of his/her body where (s)he does not like being touched. Often I hear things like "he absolutely hates it, if one tries to touch his toes, we accidentally cut into the quick once while cutting his nails". Now, if I have to have a look at the feet, the owners tell me 'no, he doesn't bite!'. Maybe not them, I do not take that risk.

And the best - 'if you grab him really tight, he will be ok'!

Dagmar
www.animalconnection.com.au

2
by on 09/16/2010 07:32am

I have to admit I'm somewhat of the opposite. I'm the type who is likely to bring my dog in for any tiny little thing I notice. LOL I'm happy that I noticed the little lump under her ear pretty quickly. It was tiny. I gave it a few days to make sure it wasn't a bug bite and then brought her right in. Luckily, the vet guessed it was a sebaceous cyst and told us to just keep an eye on it. A few months later it's disappeared so I'm guessing she was right.

I can understand people wanting to downplay the possibility that their dog could be really ill, because it's scary to say "wow there's a lump" when you realize lump could mean cancer. As scary as that is, though, I'd rather find out sooner instead of later and hope that it would mean it could be cured or removed and the cancer stopped.

3
White lies
by on 09/16/2010 07:41am

A lie, is a lie, But like Kids, They do not want thier Pets Doctor, to think they have been not-so-good care givers to their Pets.

4
They love to Lie!
by on 09/16/2010 08:27am

I love this! I love when you try to get people to vaccinate their dogs for kennel cough and they tell you that it's not necessary b/c the dog never goes anywhere. Two weeks later dog is in with kennel cough, and when you ask the owners where they take their dogs they are still saying nowhere....well nowhere but PetsMart and the park. Or when you try to get them on heartworm prevention and they tell you that the dog never goes outside. To this I always say "Really? He never goes outside? He potties in your house?" We have a shih tzu in right now for heartworm treatment that only went outside to potty, so even if that's all they are outside that's all it takes.

5
Or maybe...
by on 09/16/2010 08:44am

Having worked the front desk at a vet, it seemed sometimes like people (subconsciously?) thought if they minimize the affliction, the cost of treatment would be less. Like when quoted the cost of a spay or neuter and the response would be "For a stray?!!!"

6
the toy
by on 09/16/2010 09:30am

Loved the article! I also MUST know where you got the Jiminy Cricket and Pinocchio?? I collect Jiminy Cricket memorabilia. My 3 year old male Keeshond is named Jiminy! We had a female before him named Kricket. It just seemed logical to name him Jiminy!

Please email me if you can tell me where I can get one of those toys! norigood@aol.com

Thanks!

7
by on 09/16/2010 10:34am

I am going to go against the grain here. As a human patient with a chronic condition that is little understood by the medical profession I get told or implied to by physicians (except my specialist) that I am lying all the time, when in fact I am not. They simply cannot think outside the narrow box that was their limited drug-oriented medical education! I developed a huge lump behind my ear just about over night after having a thyroid biopsy. The idiot that did the biopsy hit something in my neck on the angle to the thyroid that had me almost screaming but he was yelling not to move and the tears were rolling down my face. (I had asked for a local anesthetic for the biopsy and he had refused saying it simply was not done.) I had to refrain my self from decking the fellow when the pain was beyond description it was so severe. He told me it should not hurt. Needless to say I never returned. (The biopsy was negative by the way) 24 hours later, not even, I had a huge behind my ear on that side. And I do mean HUGE. It was sticking out the side of my neck. It took a few days to get an appointment with my GP and when I did he was calling me a liar, telling me that it obviously had been growing for some time. It was an enlarged lymph node. I of course shot back that that I suspected it had something to do with the biopsy yada yada and that I look in the mirror to do my hair every day and certainly I would have noticed something! He immediately told me that that was impossible. He is usually a nice guy but I wanted to deck him too at that point (for a different reason!)he was the one who also recommended the specialist for the biopsy and he was also calling me a liar. He sent me home with antibiotics just in case it was an infection, which I did not take because I knew better. This was not an infection and I am so sensitive that most antibiotics make me ill for a year or more when I absolutely have to take one. When I talked to my specialist later, she immediately mentioned that the swollen lymph gland was most likely a reaction to the biopsy.

Doctors are human like anyone else, but they do get brainwashed by their medical training. Most, (not all by any means) simply cannot think outside the box. Many patients do white lie, but many doctors don't listen either. Most doctors are taught that if you listen to the patient long enough he will tell what is wrong. Most diagnoses are made by history history history. But I have yet to find a physician who actually practices that. Most try to make diagnoses in less than 60 seconds. Most cat owners do NOT pet every single inch of their pets every single day. It may not have grown overnight, (My lump did!) but they may have discovered it overnight.

I recently had an argument with my vet over my pets food. He wanted her on a name brand vet recommended corn based junk-food type brand and I refused. He was not happy, refused, and we definitely had words with him telling me that he was a vet and he knew best and me telling him I was a nutritionist, cats were obligate carnivores and I was not going to feed my cat that junk! I am still looking for another vet but around here most have closed their practices.

8
by on 09/16/2010 10:36am

After months of receiving this newsletter I've come to one conclusion, you have a major superiority complex. Almost every article is criticizing the people who keep you in business and it's become horribly annoying. Try writing about something with a little more substance like, I don't know... pets, instead of always talking about the things your clients do. Unsubscribing today.

9
Guilty as Charged
by on 09/16/2010 01:45pm

Thank you for this "velvet hammer" reminder that us dog parents really aren't fooling you. I would have to admit guilt on the part of "guilt" and also "self delusion". I will remember this blog now and be totally straight forward from now on. My sometimes denial was motivated by love and so was your post.

Patricia Moore
Soft-Hearted Products
http://www.soft-hearted.com

10
by on 09/16/2010 01:58pm

After months of receiving this newsletter I've come to the conclusion that you post very valuable information here for pet owners, which only prompts more valuable information from the individual posters. You have a major intuitive conscience that has helped many others. What I especially admire about you, Dr. Khuly, is that posters can freely state their own opinions that may disagree with yours, yet you never exhibit any unprofessional behavior towards them. There are plenty of pet blog owners that have the "superiority complex" in that if you disagree with their blog, you'll get slammed, called names, and then banned from every posting again (PC comes to mind...). Thank you, Dr. Khuly, for caring about others and please keep up the great work.

11
by on 09/16/2010 02:06pm

About the bumpies...bear in mind that our buddies are covered in fur, and as much as we love them, we don't necessarily touch every centimeter of their bodies every day. So a lump may have some time to develop before we find it.

And I remember when my cat many years ago had fatty liver disease - I took him in because his behavior was off, only to find that he had lost a lot of weight. No, I had not noticed. I felt awful, but it slipped by me. We had 2 cats, and apparently the other one was eating what the sick one left behind. (We pulled him through with a lot of work and effort, and he lived many more years.)

On the other hand, I think you have to add to your list the folks who wait until their pet is desperately sick to take them to the vet. I see them on my online forums all the time. They post, hoping we can suggest "cures" for their dog that is vomiting and pooping blood because they "don't want to go to the e-vet" or even the regular vet if it will "clear up in a day or two".

I want to scream at those people - get off the computer and go to the vet! Your dog's life may depend on it!

12
Powers of Observation
by on 09/16/2010 04:24pm

RealityCheck -

Totally agree with you.

13
by on 09/16/2010 04:37pm

Reality Check - I too agree with you.
anaigc? buh bye.

14
it happened overnite
by on 09/16/2010 05:12pm

As a dog/cat/animal groomer I have seen the ignorant, also. I have saved numerous animals lives by finding what the owner could not see (sometimes covered in hair) and even the vets. This is where a hand held hair dryer comes in handy. All vets should have one, the heat does not need to work, just the blower. I have had to cut away hair so the vet could find the object of my concern. When the owners go to the vet I have no idea what they say-so it is easily seen that they could tell little lies (that may be born of truth), like "wow-where did that come from?".

But, we all do not want to be embarrassed by not paying the proper attention to our animals. I have had cats with abcesses that I did not notice until, wow-where did that come from?. It was huge and I finally noticed. Then I took care of it. But we do not always "see" our animals except in abstract-they are here and so they are ok.

Aren't people strange? What would you do without them? Especially the good ones who realy are on the ball?

P.S. Since you live in Florida are you close to Dade County? I wanted to leave a comment a long time ago (have had trouble getting signed on) re: BSL. APBT's are UNREGISTERED Pit Bulls. American Staffordshire Terrier is the REGISTERED WITH THE AKC Pit Bull. BSL is a joke and needs to be suspended. I sent an email to Dade County regarding this issue. Of course no response. I sign numerous petitions regarding animal welfare.

And I love your "Fully Vetted" blog. You write so the information is informative as well as amusing. Thank you. New Kid on the Blog-Net. Sharon and Phaedra (pit bull with pretty pet me tummy)4

15
ok, I'll come clean~~
by on 09/16/2010 07:52pm

#1: I've discovered a new lump the same day of one having one removed. I've missed lumps in odd places, like the base of a tail.

#2 I've missed an abscess growing in a thick beard, but horrors, I never claim it just sprouted (for 1 and 2)!

I've rushed a couple in for a "limp" that disappeared the next day.

#3 I can only vouch for the amount of food I feed and what my other "tells" me he feeds.

#4 this is the best one: I can vouch for all past behavior, but one never knows "who or when" a first bite may take place! (another good reason for me to remain with and in control of my own dog)

#5 well I don't know any pet owner that hasn't observed some new, quirky, or alarming behavior that means "something" but not always known for months, perhaps years, or never?! Including that first or maybe only "bite"

16
by on 09/19/2010 01:26am

I would not call this a "white" lie - more like gray. It deprives you of helpful diagnostic information.

I always request a muzzle for anything potentially stressful with my stranger-anxious dog. So far I can say she's never bitten anyone and I intend to keep it that way. I don't understand why people can be so obtuse about this. The Nile ain't just a river in Egypt.

17
Guilt +
by on 09/21/2010 02:25pm

When people lie in situations like this, it's generally because they feel guilty that you'll judge them. If they say they noticed it 2 weeks ago, but didn't do anything till now, that gives you an opening to make them feel like they've done something wrong (which they probably know is true). If they say "it just appeared", they know you won't/can't call them on it. The same thing goes for possible behavioral issues (if the dog may bite, they could worry you won't examine him, or think you'll blame them for his "bad" behavior)

Also, many symptoms just strike us suddenly. You don't always notice while your friend is gradually losing weight; after 10 pounds you may just notice it one day, or someone who hasn't seen her in a while points it out to you. Many people don't watch water intake and outgo--one day you just realize the cat's been at the water bowl an awfully long time. I had a senior cat whose natural body type was pretty lean, and didn't realize until he'd lost a relatively big chunk of his body weight that it was even happening (diabetes).

And sometimes, it's not a lie. Many people simply have poor communication skills, and don't realize there's a difference--especially to a doctor--between "it just appeared" and "it could have been there for weeks but I just noticed it." Especially when you factor in the guilt thing.

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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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