Uno, 1 yr FS Golden
Uno presents for her annual exam and vaccines. She received her full puppy vaccines and was spayed by 4 months old. What things should be included on her estimate?
- Examination & Consultation
- Rabies
- DAPP/L
- Bordetella
- Annual labs
- Heartworm/Flea/Tick prevention
Dos presents to SSVC for evaluation of a fractured premolar. Dr. Relief determines that the tooth needs extracted. What diagnostics should be done today?
- Pre-op labs if dental is scheduled within a month
Tres was found as an abandoned stray with multiple wounds on the side of the road. The Good Samaritan that found him wants to keep him, as long as his wounds are treatable. Along with obtaining his vitals, what other step should you take right away?
Scan for a microchip
Quatro presents to you for evaluation of multiple SQ and dermal masses throughout his body. Most have been present for several years, but some are now bothering him (scratching and rubbing his body on the floor/furniture). He is also due for his annual vaccines. What would you include on his initial estimate?
- Examination & Consultation
- Rabies
- DAPP/L
- Bordetella
- Senior labs
- Fine Needle Aspirate 5+ sites
- Medication estimate 1-2
Uno's owner wonders what instances would require Uno to have a Bordetella vaccine. What do you tell her?
- Boarding
- Grooming
- Dog parks
- Doggy day care
The owner is requesting an estimate for the dental. What questions should you ask the relief doctor to help provide an accurate estimate?
- What grade dental disease?
- How many extractions (minor, moderate, and major) are expected?
- How long do they anticipate the extractions taking?
No microchip is found, and the relief doctor thinks that Tres is very treatable. However he may need to be sedated for wound care, and he would like in-house labs run and radiographs taken as well. Put together an estimate for Tres.
$1000-1500, depending on how extensive the wounds are
For Quatro's vaccines, Dr. Relief asks where you normally give them so he can give them in the same places. What do you tell him?
- Rabies right rear or shoulder
- DAPP/L left rear or shoulder
- Bordetella PO
Uno has never been on parasite prevention before. Why is it so important to prevent fleas, ticks, and heartworms?
- Fleas carry tapeworm & cause skin allergies
- Ticks carry ehrlichia, lyme, anaplasma
- Heartworm is spread by mosquitoes, and can be deadly and expensive to treat
The relief doctor tells you that Dos has grade 2 dental disease, and he is anticipating 1-3 moderate extractions and maybe some minor extractions. Overall, he is estimating roughly 1 hour of extraction time. Using the Hospital Use account, create an estimate for Dos.
$1300-2200 based on anesthesia and extractions required
The Good Samaritan is a little hesitant at spending $1000 on a cat she didn't expect to find. She asks if anything could be optional for today. What do you do?
Ask the relief doctor!
Anything that is not strictly necessary can be zeroed out on the low end of the estimate (in this case, likely labs and radiographs) or can be substituted (maybe send out labs instead of in-house).
Quatro's owner would also like to get more heartworm prevention. What does he need before you can fill it?
Lab 4Dx or a heartworm test waiver
Uno's owner reports that she has always appeared to be perfectly healthy in her 1 year of life. Why are we recommending annual labs in a 1 year old dog with no problems?
- Provides a baseline as to her "normal" so we can compare when she is sick
- May catch congenital illness
- Can catch disease early
- Young doesn't always equal healthy!
Dos' owner decides to schedule the dental with Dr. Westmoreland next week, and you draw labs today.
What things should you tell the owner so she is prepared for her dental next week?
- 50% deposit due at drop-off
- Drop off is at 8am, even if the reminder text says differently
- Someone will call with lab results before the dental
- Her pre-op instructions are coming as a form in her email, that she needs to read and sign
- Dos should only be on soft food for 2 weeks after his dental.
Dr. Relief says sending out a Feline Young wellness would be a good way to save some money while still getting a lot of good information. He is not familiar with what is included in this panel. How do you find out?
1. Go to Admin -> Products
2. Search "Young" (only put 1 search word)
3. Click on "Labs: Feline Young Wellness"
4. Copy the Idexx code on the right hand side
5. Go the Vet Connect Plus -> Directory of Services -> Paste the code
6. Click on the test, and look under Components
After examination, Dr. Relief is worried about 2 of the masses potentially being cancerous, and wants to you to make an updated estimate for the owner with FNA and send-out cytology for both masses. What do you change about your estimate?
- Fine Needle Aspirate 2-4 sites
- Cytology 2 sites
- Lab 4Dx
- Everything else stays the same
Her owner has heard that giving too many vaccines at once can cause severe reactions. What are the most common reactions to vaccines, and when should she seek emergency care?
Common: Soreness, tiredness, mild fever, small lump at vaccine site
ER care: Severe vomiting, diarrhea, facial swelling, or labored breathing within a 12 hours of vaccines being given
What situations would you put off giving the owner an estimate, and instead tell her that Dr. Westmoreland needs to evaluate the pet first?
What things may help Dr. Westmoreland make an estimate without re-examining the pet?
- Relief doctor can't give a good estimate on how many extractions/how long they would take
- O requests another surgery at the same time (i.e. mass removal)
- Photos of teeth/masses with size (tape measure or hand in the picture), good description of what they feel like/how deeply attached they are
The Good Samaritan agrees to the updated estimate. What does she need to do before she leaves Tres with you for a few hours?
- Treatment Form
- Deposit for half of estimate
The owner agrees to the updated estimate, and would also like an estimate for surgery to take off the 2 concerning masses, but also as many of the others a possible (10 in total are noted). Create an estimate for surgery.
$1300-5000
Confirm estimates seem reasonable to Dr. Relief before presenting to the owner!