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Vets, Signs, and Videotape

Rarely am I bothered by client misbehavior, but when a client answers their cell phone while we are in the midst of discussion, I admit to feeling a bit peeved. So why in the world would I invite my clients to whip out their cell phones during the course of an office visit? Because I want to see video of my patients’ symptoms! Unless you are like me- still using a cell phone that my daughter considers prehistoric- your cell phone allows you to have instant access to shooting video. And if I can watch videotape of your pet’s confusing symptom or odd behavior, I’m more likely to figure out the underlying issue, more so than with just your verbal description (no offense intended). And when I have a better sense of the underlying issue, I can more expediently, and often less expensively, guide you towards rational diagnostics and/or therapy.

Unless the odd behavior or new symptom is occurring round the clock, the likelihood of it happening in my exam room is slim to none. You’d be surprised what symptoms fully resolve when animals are under the influence of adrenaline. So, if your dog or cat is doing something bizarre that you think will be difficult to accurately describe to your vet, I encourage you to grab your cell phone and shoot a video (feel free to include some Jacques Cousteau narration if you like). By all means, nix the video if you sense you are observing something that is life threatening, and get to the nearest veterinary hospital ASAP.

Here’s a classic example of how videotaping a medical problem can be wonderfully helpful. A common symptom in dogs is referred to as “reverse sneezing.” It occurs when a dog feels a tickling sensation in the back of their throat. It is somewhat equivalent to a person clearing their throat. However, when dogs reverse sneeze, the symptoms appear ridiculously overly dramatic. They assume a stiff posture with head and neck rigidly extended forward. This is accompanied by forceful, noisy inhalation and exhalation that can last for several seconds, even minutes. Check out the example of reverse sneezing in the video below.

For the uninitiated, reverse sneezing is a scary thing to watch- clients commonly report that they think their dog is having an “asthma attack.” Show your vet a video of reverse sneezing and he or she will be able to recommend what to do about it as well as provide plenty of reassurance that, no matter how dramatic the symptoms appear, they are not causing any oxygen deprivation. As much as video is helpful in this situation, I must admit I will miss watching my clients trying to imitate reverse sneezing (oops- I just revealed one of this veterinarian’s dirty little secrets)!

Here are some examples of other behaviors/symptoms that should prompt you to grab your cell phone and shoot some video (if you can think of others, please let me know):

1. Weakness
2. Trembling
3. Incoordination
4. Falling down/collapse
5. Episodes of pain
6. Symptoms associated with passing urine or stool
7. Making odd noises (in this situation audio taping is a must along with video)
8. Coughing (again, adding audio is great)
9. Labored breathing
10. Limping/lameness
11. Odd behavior

Have you ever shared video with your vet? If so, did it prove to be beneficial in making decisions about how to proceed?

Nancy Kay D.V.M.
Diplomate, American College of Veterinary Internal Medicine
Author of Speaking for Spot: Be the Advocate Your Dog Needs to Live a Happy, Healthy, Longer Life
Author of Your Dog’s Best Health: A Dozen Reasonable Things to Expect From Your Vet
Website: http://www.speakingforspot.com
Spot’s Blog: http://www.speakingforspot.com/blog
Email: dr.kay@speakingforspot.com
Facebook:http://www.facebook.com/speakingforspot

Written by

Dr. Nancy Kay wanted to become a veterinarian for just about as long as she can remember. Her veterinary degree is from Cornell College of Veterinary Medicine, and she completed her residency training in small animal internal medicine at the University of California-Davis Veterinary School. Dr. Kay is a board certified specialist in the American College of Veterinary Internal Medicine and published in several professional journals and textbooks. She lectures professionally to regional and national audiences, and one of her favorite lecture topics is communication between veterinarians and their clients. Since the release of her book, Speaking for Spot: Be the Advocate Your Dog Needs to Live a Happy, Healthy, Longer Life, Dr. Kay has lectured extensively and written numerous magazine articles on the topic of medical advocacy and veterinarian/client communication. She was a featured guest on the popular National Public Radio show, Fresh Air with Terry Gross. Dr. Kay's newest book is called, Your Dog's Best Health: A Dozen Reasonable Things to Expect From Your Vet. Her award winning blog, "Spot Speaks" is posted weekly (www.speakingforspot.com/blog). Dr. Kay was selected by the American Animal Hospital Association to receive the 2009 Hill’s Animal Welfare and Humane Ethics Award. This award is given annually to a veterinarian or nonveterinarian who has advanced animal welfare through extraordinary service or by furthering humane principles, education, and understanding. Dr. Kay was selected as the 2011 Leo K. Bustad Companion Animal Veterinarian of the Year, an award presented every year by the American Veterinary Medical Association to a veterinarian whose work exemplifies and promotes the human animal bond. Dr. Kay has received several awards from the Dog Writer’s Association of America. Dr. Kay's personal life revolves around her husband (also a veterinarian), her three children (none of whom aspire to be veterinarians) and their menagerie of four-legged family members. When she's not writing, she spends her spare moments in the garden or riding atop her favorite horse. Dr. Kay and her husband reside in Hendersonville, North Carolina.
Comments
  • Heather rife DVM June 3, 2014 at 11:41 AM

    Absolutely invaluable to see video! I use it all the time in my office…..

  • dab14
    Deb Bain June 4, 2014 at 5:40 AM

    Nancy, I really enjoy your down to earth, and informative articles! Keep up the great work!! PS- I remember you from Vet School!
    Deb Bain, LVT (former anesthesia tech)

  • Robin June 4, 2014 at 5:35 PM

    Another time might be to record a Vet’s instructions regarding medication, at home treatment or followup visits.
    Sometimes even for experienced owners complicated instructions can get confusing. Or if the problem/diagnosis is especially scary, an owner’s brain can be reeling from the shock and recorded instructions would be helpful.

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