The Problem In Veterinary Medicine Exists In ONE Place, While The Answer Resides Everywhere.

The problem is the divide.

The divide can exist in education and intellect, a matter of resources, privileges and perspective. Or, it can exist in accessibility and willingness to assist.

Vet medicine is drifting to many of these divisions as the infrastructure for our services becomes more coldly organized, corporatized, and managed. Somewhere not too long ago we veterinarians needed help to become increasingly solvent in our business, (or lack there of), decisions. We were a profession of talented 'make-do' surgeons and 'Jack-of-all trades' practitioners and never the pencil pusher accountants everyone told us we should/needed to be. We lacked the business-infused intellect to help us grow out of our fledgling single owner practices into the shiny-gleaming white marbled fish tanked towers of our vision of what "successful" looked like. We were valuable, but, we just weren't bragging rights "profitable." Things changed. We surrendered the management of our practices to the suits to make easier money with less hard feelings and started to sacrifice those who we knew couldn't afford us to pay off our loans and increase our standards of care. The divide began.

Veterinary medicine is a profession built on trust. We are too poorly regulated and overseen to be anything else. The trust is never going to be present in any sort of guiding magnitude if it is built consistently and singularly on financial gain. They are inherently polar opposites. As the desire/need/cost increases and the inability to meet them rises, the trust decreases. It is the nature of humanities basis being neglected intentionally for profit.

There are endless days I spend stuck in the dilemma of "unmet need" meets "unwilling ability." It is what the experts would call 'ethical dilemmas' and trying to carry the weight of the increasingly indifferent world on your shoulders. I get asked, advised, and notified on a daily basis about the dangers of this predicament and my unwillingness to not walk away from them. Desperation breeds innovation and/or despair. I am stuck here trying to solve this great divide and looking into the desperate AND treatable eyes of the forgotten/unprofitable as I do so.

Me and Dimples.
Rescued by me from the local shelter, heartworm positive and a pit bull.
Needs love, care, and someone to vouch for her deserving a second chance.
She is one of the many faces we dispose of too easily.
She is one of the many reasons we lose our souls when we make excuses to forget these lives matter.

Every single day I am asked to provide some veterinary need or service to a client who has been turned away elsewhere. It is the second opinion for affordable options that someone else can provide but won't, usually because of inability to meet a standard of care that makes the cost inaccessible (or so they say?). Every day I am asked to help. Everyday I am faced with unwillingness and unmet need. Too often at life threatening crisis status state. The degree of unmet need is overwhelming. The depth of emotional ties that people have to their pets is also undeniable.

People LOVE their pets. Why are we ALL not starting here? Why are we starting at "ability to pay" as the measure of acceptable pet parent worth?

Henry. The face of cerebellar hypoplasia.
His devoted mom is fighting to bring awareness and compassion to these kittens.

When did the veterinary medicine goal become anything else other than providing assistance to save lives? Can't we all agree on this being the seat of the veterinarians soul?

I often feel stuck, tortured, and tormented by need versus ability and this great divide. I know I am not alone. There are others out there who love and care for pets, animals, and feel burdened and compelled to help them. We are being pulled emotionally, physically and ethically as the rest push them away.

Jasmine, our second PB heartworm positive rescue.
Both looking for a home and a sponsor.

The divide is also polarizing the ends of the spectrum. Caught in the middle are those of us, (overwhelmingly women, does anyone ask why this is?), who feel alone, abandoned and asking themselves where to go? We have to chose a side. Too often this act of inner reflection feels as if it will cost us our livelihood, or, our community. Too often we instead chose to give up on ourselves as we cannot chose.

Innovation is the child of conflict and this divide is ripe, ready, and in desperate need for disruption.

What if we fractured the system so significantly it forced the current managed systems to meet the pleas of the divide instead of growing it? What if the part of the equation that limits public social assistance is the key to the answer of the problem? What if we leveraged the worst part of the animal care equation to be the tipping point for revolutionary change?

Luna

What if obsession to solve a problem allows innovation that pushes boundaries, redefines public access, and empowers the person as a being and not a "thing"? They are all related. They are all the keys to the problem and the keys to the solution.

Luna, shelter rescue, learning to trust again even after humans have failed her.

Radical change is coming. The forces, the polarity, and the divide will collide and the demand, the integrity and the ultimate survival will become mandatory as it becomes transparent. The meek will inherit the destiny that compassion and trust inhabit. It is where this profession came from, and it is the place we will go back to. Less death lives there.

Related blogs;

Find What Breaks Your Heart and Change It.

Gratitude; The Grace That Hardship Brings. 

Mobbing and Lobbying, The Backlash to the Video Rant.

Ethical Fatigue and the Crossroad of Vet Med and the Public Conscious Awakening

Affordable Options Are Everyone's Right.

More information on me, my YouTube channel, my company Pawbly.com, and my vet clinic Jarrettsville Veterinary Center, and my clinics Facebook page, are all available to you and your pets needs anytime. Almost all of this is FREE! We are an Army of activists set on saving lives, our own included. Join us. You are all welcome and all pets are loved here.

Every 14 year old girl wants to be a Vet

I know that I get to live a lot of peoples dream. I have moms come up to me every day and announce with a big prideful smile that their "little girl is 14 years old and wants to be a vet someday."  I was one of those 14 year olds about a million years ago. (Although I know for sure that my parents never marched me into the Vet’s office and proudly presented me as any kind of future anything). My dad never wanted me to be a Vet, or an artist, (my back-up plan), I grew up doing all of the things that I my parents wanted me to do, what  I was supposed to do, and doing them with a huge amount of pressure on my shoulders that there was no back-up plan allowed. There was their yellow brick road that they had chosen for me, or, there was an abyss if I chose for myself. My parents were frugal people and vet school and the veterinary profession did not meet their standards for 'success'. From their point of view it was an effort to solidify for me what they thought was “successful”. Boy did I show them. I did what they wanted me to do for as long as I could stand it (a decade), and then I went back to school to become a veterinarian.

But let's get back to those 14 year olds...

I always sigh, tilt my head, purse my lips and nod my head when I am asked to provide the mentor ship and words of encouragement that I know those parents expect from me.  How do I break it to them that it just isn’t as easy as cute and cuddly puppies all day? (We all wish it was, but this is real-life. There aren’t birds singing, dogs dancing, and cats doing a polka). It is real life drama that can break your heart, burn you out, and bust you both emotionally and financially. That’s real-life when you are a veterinarian.

Every 14 year old looks at life with rose colored glasses. It is the best part of being 14, and no one should ever deny you that. Real-life shouldn’t impact you at 14. The world should be your oyster and every door should be waiting for like a sweepstakes prize for you to open. It’s probably a good idea to shield your 14 year old kids from the likes of me if they say they want to be a veterinarian. I am going to be completely honest, and let’s face it you don’t probably don’t want me to be.

Here’s what I have learned about living your dream. It always comes at a price. So let’s go over the financial price of vet school. First you have to have a four year undergraduate degree. Average cost between $12, 000 to $40,000 a year. Times four. Then you have to get into vet school. Not necessarily expensive but it can be difficult and time is money. Then there is the four years of vet school. Average cost $20,000 to $100,000 a year. Times four.  I would say that my average vet school classmate spent over $140,000 to get into and out of vet school. I know of others who are $300,000 in debt. That is a whole lot of money. It is a substantial investment of both money and time. An investment of that magnitude takes a few moments to ponder. There are many important questions to answer when you stand at the precipice of a decision like this.

Before we discuss just how serious you have to be about this career let’s talk about what life after vet school looks like. Lets start with the emotional side. OK, you get in, (lucky you, you beat the odds, (less than 1 in 5 get in). You spend four long grueling, challenging, and very stressful years having given up almost everything for those four years to get out, (the stats for this are FAR better, usually about 90% of the Vet students who start their freshman year graduate), then you need a job. In general Veterinary jobs have been pretty plentiful. That is up until this recession hit. There are now many Veterinarians looking for work. None of us ever thought this would happen. But it has. You may not be able to find a job once you graduate from vet school. If you do get a job you will likely make around $50,000 to $60,000 dollars a year. It will take you over 10 years (or up to 20) to pay off your debt, but in that time you are also trying to resume a life you had on hold for about 8 years. You want a car that isn’t embarrassing to be seen in, or one that runs. You also want to buy a house, and maybe start to plan a family. You are in debt for a long time. But what if you aspire to owning your own clinic? Well, that’s a tough nut to crack. Most vets don’t think about this until they have been out for 10 plus years. So the debt mountain grows.

Back to being a 14 year old. I want every single person to live their passion every single day of their life. We should all be so lucky. Now here is my full admission. I LOVE being a vet. I love the puppies, the kittens, the middle aged dogs and cats and the old guys too. I love to sit in their cage, stroke their ears, calm them if they are afraid, and try to unlock the puzzle of what is ailing them. In most cases, I love my clients too. At 6 years out of school I have a handful of clients that I am honored, privileged, and adore serving. 

Of the 88 classmates I graduated vet school with 78 are women. Women are dominating this field. Women over represent this career for many reasons; First, and foremost, we are genetically wired to be nurturers. It is the undeniable maternal instinct to help others, especially the less fortunate, or those who cannot help themselves. The sadder the scenario the more we are drawn to the plot. (Chick flick, anyone?) We also are now able to seek any career we want. There are no restrictions for women anymore. Women also in most cases do not feel the same compelling need to be the primary bread winner. If you are going to spend so much time and money in school then with everything else being equal men go into the human medical field because you will make substantially more money. It has taken me a few years to understand this concept, but both veterinary and human medicine means that you have to deal with people. Don’t go into vet school like I did because you “like animals better than people”. In almost all cases you have to deal with people (owners) if you want to treat pets. I had to learn how to talk to, handle, and deal with owners, when all I really wanted to do is heal animals. One of my closest and most respected vet school classmates wrote on his vet school freshmen essay that the reason he wanted to be a veterinarian was to help people. He had it right, and he is one of the best veterinarians I ever knew. What he knew then took me years to figure out. To help pets I had to figure out how to get their owners to want me to help them. I had to figure out how to build trust that I not only knew what I was doing, but could be trusted with the care of their pet. My mission is to strengthen the bond between an owner and their pet.

There is an inherent assumption that must be clarified. You don’t always meet the owners who want their pet to be treated. Not all people view their pet as their responsibility or concern. I understand that not everyone looks at their pet as a blessing. Some people see them as a soul-less, meaningless, burden. How do you get past the heartbreak of a helpless pet being ignored, denied care, or simply being overlooked? That is my greatest challenge. That is what causes burn-out. Along with the financial burden of people routinely trying to guilt you into treating the animal they have been feeding, housing, (i.e “owning”) but now needs a financially responsible party to step forward.

To all of those moms and 14 year olds out there I say, “live your dream!”, but please understand that it takes a tough strong determination and a solid foundation for you to live this dream. Embrace the happy endings, the wonderful clients and patients who always make you smile and who appreciate you, but know that you will be challenged and there are some very difficult decisions to make. In the end it’s not how much money you make its how strongly you believe in your own ability to make a difference and live your dream. Your conscience is not for sale unless you pin a price tag on it. And I wish you all the luck in the world. (There were a few pharmacology exams where I think that luck was the only thing that got me through.)

I thought I would include some of the "lighter" moments in vet school. Here are a few shots of us goofing around on our radiology block. It was the last week of school, the faculty is happy if we show up, so we push the limits of professionalism, as you can see.

Here are some pictures of graduation. It was a great day, and one of the high points of my life. I was so happy to have completed what so many people told me I couldn't achieve.