Author: admin (Ševo Dragan)

Home / admin
Do gastrointestinal cases scare you?
Post

Do gastrointestinal cases scare you?

Gastrointestinal problems are one of the most common health issues clients present and seek advice from the vet.  How often do you get a vomiting cat or a dog in the examination room?  Or a patient with diarrhoea?  I am sure — daily. Probably more than once! Sometimes I think “vomiting, not AGAIN!”   Such...

Open gloving technique
Post

Open gloving technique

This technique is used for minor procedures when only the hands need to be covered (for example sterile patient preparation, bone marrow biopsy, urinary catheterization). Assistant passes us an internal packaging of sterile gloves without touching the inner layer. We put an internal packaging of gloves on a clean surface and open it without touching...

Valuable lessons from the Airline industry
Post

Valuable lessons from the Airline industry

As a veterinary student, I had to earn my living with student work. In time I became pickier and chose a job if it was: fun (almost hobby), if it was well paid or if it would give me good experiences for my future career in veterinary medicine. When I saw an ad for a...

WHAT IF IT IS NOT “JUST” A COUGH?
Post

WHAT IF IT IS NOT “JUST” A COUGH?

WHAT IF IT IS NOT “JUST” A COUGH?   It was Friday early in the afternoon and I was already dreaming of my free weekend, when one of the technicians came to get me: “Afrodita came to you for a check-up.” I got a bit angry, as I told Afrodita’s owners at the last telephone...

NOT EVERYONE IS A SURGEON …
Post

NOT EVERYONE IS A SURGEON …

They say, it is hard to be good at everything. Well … there are people, who give us the feeling, they are outstanding in everything they do. But most of us are simply such, that we are good at some things and at others … a little less. It is like that with me and...

WHY BELIEVE IN OKEAN AND ATTEND THEIR COURSES?
Post

WHY BELIEVE IN OKEAN AND ATTEND THEIR COURSES?

Nowadays we all (some more, others less) are struggling with how to spend our money wisely. How much are we willing to pay, to get what we want or need, or to learn something useful. We want to receive something in return for the money invested and we are mostly interested in “best value for...

WHAT IS YOUR EMERGENCY?
Post

WHAT IS YOUR EMERGENCY?

I am sitting in the office, because I don’t have patients at the moment. Suddenly, I hear a technician, calling from the ground floor: »Emergencyyyyyyyy!!!« I quickly stand up, take a deep breath and run down the stairs, directly to the examination room. I open the door, ready to face the animal, that needs my...

The beginning of veterinary path: from theory to practice
Post

The beginning of veterinary path: from theory to practice

When a young graduate of veterinary medicine starts to work in a small animal practice he’s usually very confident and full of theoretical knowledge. But what he lacks is experiences or as older colleagues would call it: »intuition« or »gut feeling«. And with first patients start first frustrations and pressures that young vet needs to go through. Let’s imagine a few situations.     • A dog comes to a veterinary clinic because of vomiting and diarrhea. Did he just eat some rubbish on his walk and would be o.k. tomorrow (with or without treatment) or is this a sign of a more serious disease process? How many diagnostic tests should be done? Bloodwork, urine analysis, maybe diagnostic imaging? In which order? (Let’s keep in mind we are spending owner’s money and we are not supposed to do any unnecessary tests). On the clinical examination, does this dog really have a painful abdomen or is this just a case of a nervous dog that reacts to every interaction with a veterinarian?     • Early spring – season of a kennel cough. Patient after patient comes with the same anamnesis: »Dog started coughing all of a sudden and at the end, there is some retching. It could be something stuck in his throat.« First patients get proper clinical examination but after a 10th patient from the neighborhood with the same clinical signs in the same day, let’s admit it. It gets boring. And at the end of the shift, half an hour before leaving with full head, empty stomach and full urinary bladder arrives an old dog that coughs a bit differently. For a young vet, it might be misleading that this is another case of a kennel cough and treats him rutinely but this dog might die due to undiagnosed cardiac disease and pulmonary edema.    • Owners bring in an outdoor cat that is losing weight but they can’t tell any history. They don’t know if she’s eating (because she’s sharing food with other cats) or if she has any other signs of disease, they don’t even know how old is she. And on top of it, they tell in advance that they won’t be able to give her any medications at home. What now when it can’t be done »by the book«? The cat is extremely aggressive, it is impossible to do a clinical examination. Is it safe to sedate her to take blood? What if it has chronic kidney disease and the owners might sue the veterinarian for medical error? Why take all the risk if it could just be the case of sarcopenia of an old cat?    This kind of frustrations fade away with years and professional life...

“SECOND OPINION”
Post

“SECOND OPINION”

A client comes into my examination room: »We have already seen some other veterinarian and they have ruined our dog! We spent so much money and came nowhere, actually the condition got even worse. Now we came to you, we want you to cure our dog.« … Ugh … Probably we all have experienced something...

Veterinary history
Post

Veterinary history

Veterinary medicine has crossed a long, revolutionary road since its beginnings, from few thousands of years BC to modern veterinary clinician who has a wide variety of skills and tools available and who always strives to improve and upgrade his knowledge. Although its main focus is on prevention, diagnosis and treatment of disease in non-human...