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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.

 

Animal Advocacy: Challenging the Veterinary Status Quo Outside Your Comfort Zone

July 22, 2011 / (16) comments


I’m all in favor of challenging the status quo; more so when it’s to do with something I’ve been schooled in. Nonetheless, I have plenty of veterinary colleagues who believe that unless you’ve been raised, steeped, educated and practiced in a certain field, you don’t deserve to speak your mind on the subject — much less when it comes to controversial issues.

 

In other words, if you’re a small animal veterinarian you don’t deserve to mouth off about antimicrobial resistance issues or animal welfare in agricultural settings, for example. Your voice isn’t wanted. In fact, it’s typically resented.

It’s an attitude that, conveniently, only serves to allow foxes to keep on guarding hen houses with impunity. That’s what I say. Because it’s clear to me that whether we’re talking about Wall Street, tabloid journalism or veterinary medicine, we all need outside influences to help keep us honest, ethical, and to help ensure we’re working to acceptable standards — whether we like what they have to say or not. And in the context of vet med, who better to opine than a fellow colleague, outside your immediate milieu though she may be?

Which is why I wrote a letter to the editor of the Journal of the American Veterinary Medical Association (JAVMA, July 15th) calling out a speaker who’s popular within veterinary medicine’s agricultural communities. In this case, I was stunned that in a keynote speech to our leading group of swine veterinarians, he’d compared slavery to swine husbandry (yes, he did!).

Obviously, I’d have to have my say on the subject lest this speaker’s cancer persist in my profession and metastasize elsewhere within it:

 

[How] could any speaker presenting at the highest levels of our profession be so impenetrably tone-deaf to American culture that he would offer racist imagery in a public forum? How could we, as a profession, accept this kind of shock-talk pontification? And where was the American Association of Swine Veterinarians' public call for an apology? After all, American sportscasters have been fired for far less insensitive offenses.

If this kind of rhetoric is what passes for scholarly discourse at the highest levels of our specialty organizations, what does that say about the current trajectory of veterinary medicine? If anything, I believe it raises serious concerns about our collective values. At the very least, it questions the ethical underpinnings of our profession.

 

Makes sense that someone would have to say something about an offense so egregious — whether she’s a swine veterinarian or not. Yet when I’ve spoken out on non-small animal issues like this before (as when I’ve written columns on antimicrobial resistance, the shortage of rural veterinarians, and dehorning in cattle, for example), I’ve been called out for speaking out of turn.

As if what happens in one segment of veterinary medicine, or in another profession altogether, can only be addressed by those within. After all, if that were the case, slavery would still be a legal practice and child pornography an acceptable trade.

Nonetheless, I do have to wonder whether statements made outside certain circles can penetrate walls well enough to make a difference. That’s where I was coming from in Monday’s post when asking whether Dr. Nicholas Dodman’s letter to the editor on equine welfare (coincidentally, in the same JAVMA mine appeared) would fall on the AAEP’s deaf ears.

Though some criticized me in the comments below the post for taking the tack that none but an AAEP member need opine, I was merely (selfishly) musing on whether my letter would have any impact at all.

Hmmmm … I wondered, I’ve heard nothing from the swine folks yet. Could it be that they’ll ignore my words altogether? That nothing I could say, even in the most well-read, well-regarded publication in our profession could bring them to change their practices (or at least their choice of speakers)?

It’s worth thinking about. Because whether we’re talking race-day drugging and the AAEP, or offensively politicized and obnoxiously polarizing speeches in the swine practitioners’ organization, outside influences should be ignored only at their peril.

 

 

Dr. Patty Khuly

 

 

Pic of the day: Prague - Diving Pig by BR0WSER

pig diving, pig on diving board, taking the leap, pig jumping scared pig

 

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COMMENTS (16)
1
by on 07/22/2011 02:01am

if you are talking about the speech describing how moral views and emotional reactions trump scientific and economic facts when discussing issues that people are passionate about (e.g. animal husbandry), you are seriously oversensitive and i hope they respond to your complaint by laughing in your face for sixteen straight hours. while smoking cigars. you'd totally deserve it.

while provocative, the parallel drawn between modern animal welfarism and the 19th-century abolitionist movement was accurate, clear, and really helped to illustrate the social importance of the issue.

animals =/= humans, but comparisons to the human condition when discussing animals and animal issues should not be out of bounds if it makes a relevant point. even if it makes you uncomfortable.

now, if this was a DIFFERENT speech, and actually racist or insensitive in tone, you might be right in complaining, and i might owe you an apology. though i'd have to read/hear it first to understand the context.

by on 07/22/2011 05:28pm

Hi. Welcome to Fully Vetted. Enjoy the debate. And yes, you do owe all of us an apology.

by on 07/23/2011 02:17am

thank you for the welcome, though i've been here for awhile (admittedly, mostly lurking and rarely posting).

so wes wasn't the speaker? i assumed that was what you were going on about, since he made those statements in florida. but if it was a different speech or speaker, i haven't heard or read a transcript of what was actually said, so i'm not sure why anyone should feel entitled to any sort of apology.

regarding 'outsider voices,' i can actually sympathize with both sides. on one hand, not being a part of the sausage-making process offers a completely different vantage point from which to make observations. so from that standpoint, the less educated observation can actually be the more valuable one. there can also be a fair amount of insider ego, jargon, secret handshakes, and destructively rote behavior to wade through, which is obnoxious to deal with, to say the least.

however, from the position of esoteric expertise (not as a pork producer or veterinarian), i can also attest to the fact that two thirds of the suggestions from 'outsiders,' while usually well-meaning, have already been thought of and proven not to work. it really gets tiresome explaining 'yes, that's interesting... but we have already tried it, and it doesn't work because of x, y, or z reason.'

and those are the decent ideas. most of the other suggestions are either completely unfeasible or riddled with so many (seemingly) obvious unintended consequences as to make you honestly wonder if the person knows to put their socks on before their shoes each morning.

by on 07/23/2011 06:20am

>>i can also attest to the fact that two thirds of the suggestions from 'outsiders,' while usually well-meaning, have already been thought of and proven not to work. it really gets tiresome explaining 'yes, that's interesting... but we have already tried it, and it doesn't work because of x, y, or z reason.'

and those are the decent ideas. most of the other suggestions are either completely unfeasible or riddled with so many (seemingly) obvious unintended consequences as to make you honestly wonder if the person knows to put their socks on before their shoes each morning.>>

Exactly right.

I also agree with Dr. Khuly's comment that the AAEP probably won't care what Nicholas Dodman says, because he has no special knowledge, and provided no new insights. Having attended AAEP and other meetings in recent years where veterinarians - many who work in racing - lined up behind microphones and commented until the commenting period ended, I know the AAEP doesn't listen to its new (translation: in practice less than 30 years, and predominantly female) membership. Dodman is media-savvy and astute enough to hop on the bandwagon of public sentiment, though, so this ought to be interesting. Also, he's an older white male. Like it or not, that carries considerable weight in the equine veterinary community.

by on 07/23/2011 12:08pm

"I know the AAEP doesn't listen to its new (translation: in practice less than 30 years, and predominantly female) membership."

this leads me to a question, equine dvm:

do they not listen these members BECAUSE they are new and predominately female? are they actually a bunch of ageist/sexist jerks?

or do they not listen to these members because they are actively hostile to the industry and its practices, offering up 'helpful suggestions' that would threaten both its profitability and future?

or is it a bit of both?

*******

my own anecdotal evidence hints that a case can be made for both.

(stereotype alert)
when i was growing up, the small animal vets were typically men with two or three attractive female assistants, a drinking problem, and a god complex. they oftentimes didn't listen to your concerns, made it clear your input was not needed, and offered 'treatment options' like euthanasia with a smile. this is not to say there weren't wonderful vets if you searched, but there was definitely a different culture and attitude 20-30 years ago. in contrast, my last several vets have been female, good listeners, intelligent and flexible in treatment options. Aside from their almost cult-like obsession with spay/neuter (and the cost!), i'd say it's a pretty big improvement.

so, if the same sort of guys who were running their own practices 20 years ago are running the aaep show, i can see the potential for serious problems with attitude and flexibility.

but it may cut both ways. for instance, i've noticed that dr. khuly seems incapable of writing about things like horse racing or large-scale agriculture without engaging in an extended bout of hand-wringing... if not contemptuous finger-waggling. if i worked in either field, i'd surely take what she has to say with a grain of salt -- somebody who thinks i'm a backwards jerkface probably doesn't have my best interests at heart, after all. maybe there is some of this going on, as well?

by on 07/22/2011 09:42pm

Re: ". . ; i hope they respond to your complaint by laughing in your face for sixteen straight hours. while smoking cigars."

Wow. This image is part of what's still wrong with veterinary medicine. It will be a really good day when your ilk -- the arrogant cigar smoking old guard who secretly are so insecure that they can't bear to be challenged -- recede into retirement.

This would be merely funny and passe if it weren't a reflection of the damage you can do. And frankly, this turn of phrase sounds sexist to me.

by on 07/22/2011 09:45pm

I take issue with your image, not necessarily your point of view. But even slaves were not treated as ruthlessly as pigs are.

by on 07/23/2011 02:23am

"It will be a really good day when your ilk -- the arrogant cigar smoking old guard who secretly are so insecure that they can't bear to be challenged -- recede into retirement. "

sorry to disappoint you stefanio, but i'm neither veterinarian nor old guard... and there is little more i enjoy than being challenged.

:)

2
Daily Comment
by on 07/22/2011 06:24am

Daily comment so the conversation can be followed throughout the day.

3
by on 07/22/2011 08:56am

Hmmm - well, on the topic of professionals other than those directly working in a given subject area commenting on that subject - I agree with you that it is ridiculous and actually quite unprofessional for those individuals to dismiss "outside" opinions. With regards to the swine husbandry/human slavery comparison - withouth knowing the specifics of the speech I have to say that I don't think it's a far-fetched comparison at all which is telling of both the horrors of slavery and our treatment of animals used for food in the modern world. When slavery existed in the United States, slaves were "bred" to produce better stock for their masters. They were sold and separated from their families. They were used to work farms and plantations and service whatever other needs their masters had. They were sold at auctions. They were often housed in poor conditions. If you take the word "slaves" from the sentences above and replace it with "animals", it applies to the conditions many animals face today. One of the most heartbreaking things I ever saw was this video of this horse roundup where they were taking Mustangs I think from this area to sell them. The horses were in a panic as they shuffled them into enclosures and eventually trucks. A foal was separated from its mom who was taken away in a truck while he went elsewhere to whatever fate awaited him. In the wild horses form family groups that stay together for years if not life. Factory farms keep chickens and swines and other animals in horrible conditions. What we did to human slaves was horrible because we were doing it to our own species but what we do today to other species is just as horrible if not more so in my opinion - particularly when you think of how these animals benefit us. Look at the horses that have died in wars, the dogs who provide all sorts of services for humans every day, the animals that have been used in medical research and of course all the animals who die every day to provide us with food. The LEAST we should do is provide these animals with a half-way decent existence while in our care. Again - I don't know the specifics of what was said about swine husbandry but I do think our modern societies continue to keep slaves - they just aren't humans these days.

4
swine raising practices
by on 07/22/2011 10:43am

While I didn't hear the speech (so it's difficult to side with you since we're receiving your opinions out of context), I am quite familiar with swine-raising practices although I too am a small animal vet. The idea of slavery is deplorable and perhaps the speaker was attempting to find an analogy that would evoke a vivid picture and strong feelings in the minds of his listeners. Today's modern indoor swine facilities, particularly farrowing houses and stacked crates in grower houses, may remind one of the tight quarters I've seen in drawings of slave ships. However, the farrowing crates are clean, air conditioned, and the animals are fed and watered. All these situations are far from a natural setting and involve intelligent, sensitive beings being that have no idea what is happening to them. I am NOT in any way condoning slavery and all the horrible, evil, and far-reaching affects it's had. If you've ever walked through a swine facility, however, you might be able to "see" how the speaker came to his conclusion (although if he'd been more specific with his comments, it might not have riled you so).

5
by on 07/22/2011 12:13pm


Patty,
I think your columns are fabulous. You give me hope for our profession. I am an small animal emergency vet, and have to say that I completely agree with you. I too, have spoken out on different issues outside of my area of expertise, only to be chastised or ignored. Sadly, I have come to believe that our profession includes some of the most unprofessionally acting professionals in any field. There is this mentality among some that we have always done it this way so why change? This attitude permeates the field from small animal practitioners that do not refer when they are out of there depth or even offer the client this option. In animal welfare, you have the humaniacs that don't believe in euthanasia under any circumstance, and become hoarders doing more harm than good. I could go on and on. But, I just wanted to let you know that you have my full support in this. If doctors like you, Nicholas Dodman, and myself do not keep speaking up (even if it falls on deaf ears), then we are as guilty as those that continue their barbaric practices. And our colleagues that put their heads down and ignore what is not changing in our field! Kudos my friend!

Tracy Reis, DVM

6
What rigorous debate?
by on 07/22/2011 02:53pm

As somebody who spends a great deal of time and effort as an outsider-critic, I sympathize with your frustration.

My criticism of the science surrounding free-roaming cats is often dismissed out of hand because I lack the proper credentials—as if having the “correct” letters after my name would make any difference.

More worrisome is the frequency with which my letters to those publishing high-profile studies go unanswered (though traffic to my Website indicates that the recipient not only received it, but also had a good look at my work). Where’s the rigorous discourse?

One is told that science is self-correcting, that the peer-review process—and, perhaps just as important, the inquisitive nature of the scientists themselves—will steer us in the direction of the truth. In my experience, though, the ones telling us this are more interested in protecting themselves and their positions (not to mention grant funding) than they are in gaining (and sharing) a better understanding of the key issues. Unfortunately, many of these same people are shaping the next generation of scientists.

One wonders why such people are involved in science at all.

Peter J. Wolf
http://www.voxfelina.com

7
Sending kudos!
by on 07/22/2011 04:48pm

Just discovered your amazing blog! Are you attending the VetTrack at this years Blogpaws in August? Hope to see you there! http://blogpawsvettrack.com

8
More opportunies
by on 07/22/2011 09:39pm

re: "only serves to allow foxes to keep on guarding hen houses with impunity"

Yeah. So when will you be taking on the veterinary boards?

And since you have said previously on this space that you believe the law should recognize our pet's value, why not throw your support to Gracie's Law in Florida, to establish value for our pets in the eyes of the law?

http://www.meetmeattherainbowbridge.com/

http://www.thepetitionsite.com/1/Gracies-Law-Pets-are-not-Property/

I heard that Dr. Newman, the vet sponsoring it, has requested your support. Since you have stated at least twice that you support our pets having recognized value, I'm sure you would love to support this law. Right? You could be a big help.

9
More opportunies
by on 07/22/2011 09:39pm

re: "only serves to allow foxes to keep on guarding hen houses with impunity"

Yeah. So when will you be taking on the veterinary boards?

And since you have said previously on this space that you believe the law should recognize our pet's value, why not throw your support to Gracie's Law in Florida, to establish value for our pets in the eyes of the law?

http://www.meetmeattherainbowbridge.com/

http://www.thepetitionsite.com/1/Gracies-Law-Pets-are-not-Property/

I heard that Dr. Newman, the vet sponsoring it, has requested your support. Since you have stated at least twice that you support our pets having recognized value, I'm sure you would love to support this law. Right? You could be a big help.

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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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