Balance

I have been complimented by coworkers on how I manage my work-life balance. It's extremely important in my field to understand and enforce work-life balance. Burnout and compassion fatique is a real problem in veterinary medicine. You need to know how to set boundaries, manage your time, and say no. 


Here's a few things that I do on a regular basis:

1) Set boundaries. Between certain hours during the week, I do everything work related, but once 6pm hits, I no longer check emails and I'm typically on my way home to work.  I may work through lunch, do fit-in appointments, check emails, take televet consults, and answer phone calls, but I have no problem staying busy during work. 

2) Manage your time.  I wake up early enough so that I'm not rushing to get dressed or eat breakfast in the morning. I even try to get work a few minutes early in order to preview my appointments and see how my day is going to go. I will review each patient's history to make sure I am prepared. I make sure my assistant gets a thorough current history; and while I am talking to the owner, I am writting my SOAP. I have a SOAP template that I fill in in order to expedite my notes, as well as keeping things consistent.  Most of the time, I will call or email the owner back later that day or the next day with the results of any tests performed, unless the patient is critical and we need to wait on the results for next steps. 

3) Set emotional boundaries. We do receive some trying cases that can take an emotional toll on us. The challenge is to remain compassionate, empathetic, and supportive of our patients and clients without becoming overly involved and taking on their pain. This is what can contribute to compassion fatigue.  

4) Say no. Say it. Be selfish - you need to put your own needs first. If you are overworked, but then asked to take on more, stand up for yourself and say no. If you're asked to come in on your day off, but you really need a day of self-care, then say no. I'm not saying to always say no when asked to do something, but if you're risking your mental, emotional, or physical health, then say no. Be assertive but courteous and polite.

5) Let go of perfectionism. Nobody is perfect, so why stress to be? All that is expected of you is your best. You can't do it all, so let go of the thought of trying to. Strive to do your best, not perfection. 

6) Self-care. Take care of yourself, don't go to work when your sick, make sure to get plently of rest, eat healthy, and drink plently of water. Unplug, exericise, mediate, do your favorite hobbies, and take vacations. There's only one you, spoil yourself. 

Common signs of compassion fatigue are: feelings of burden, isolation, guilt, insomnia, trouble concentrating and a sense of hopelessness. Some more severe symptoms can include depression and substance abuse. Please contact someone if you're having any of these signs, and take care of yourself. 

Setting Boundaries

The Difference Between Pleasing And Serving In Veterinary Medicine

Birthday Month

February was full of lots of snow and birthday celebrations! We weathered several inches of snow and ice fall. The dogs loved running around in it, and we built a snowman. It was very short lived when the yard got very muddy, plus my car doesn't appreciate running in the snow.

I went down to VA beach in order to escape to the beach, even though it's still cold. I had a fun birthday photoshoot to celebrate turning 35. 

Never let anyone tell you how to live your life according to theirs. You should eliminate any thought that there is an expectation that you do anything by any age. There are no rules to life, there is no such timeline. You don’t get special points for achieving certain things by a deadline. It’s all made up. Wherever you are is exactly where you need to be. Make it brilliant, spectacular, wild, extraordinary. Fill it with excitement and adventure, be passionate and fearless, search for freedom and opportunity. You only get one life, so make it count. Live your life and forget your age.





Healthier New Year?

So the new year has begun and unfortantely we are still dealing with COVID, as I know we were all hoping it would be magically done by the end of last year. I know we were all hoping for a fresh start and to wipe the slate clean, but I have a feeling we will be dealing with the virus for the rest of this year as well. It is absoultely killing me that I can't travel anywhere. Yes, I have done a bunch of short local trips, but it's not the same feeling you get when you travel to experience a new culture/way of life. 

My thoughts on the vaccine:

In my county I was eligible as one of the first indivuidals that were able to get vaccinated. I had several coworkers get it their first vaccine with no issues. Others had severe reactions, including COVID symptoms and rashes. I decided NOT to get the COVID vaccine.  

-I have been exposed at least three times, that I know of, to COVID-19, and :knock on wood: I haven't had any symptoms, and my tests were negative. I'm always wearing my mask, washing my hands, and taking vitamins, so maybe that has helped in some way. 

-The vaccine was rushed to get produced and only has limited trials. 

-There are higher risk individuals that need it more than I do. 

-With a healthy immune system, your body should naturally fight off any bacteria and virus. Give your body a chance to do what it's suppose to do naturally. 

-Just be sure to do your research before introducing anything new to your body, whether it's backed by medical doctors or not. You are the only advocate for yourself. 

Work Update:

My clinic was closed down for a deep clean and quartatine period for the staff due to an outbreak. I did get tested, twice, to be safe and I was negative but still was exposed within the clinic. At least it's a forced destress/decompress/time off. So televet it was for the following two weeks. Televet can be a wonderful, but also frsutrating thing. 

Here are things that CAN be diagnosed over telemedicine:

    -Acute diarrhea (started in last 72 hours, still eating, no vomiting, good energy level)

    -Acute dry cough (started within the last 72 hours, still eating, good energy level, patient less than 7 year old, no history heart disease, normal breathing rate)

    -Behavioral Concerns

    -Chronic vomiting (morning only, bile)

    -Feline Acute Upper Respiratory Infection (started in last 72 hours, still eating, no vomiting, good energy level)

    -History of Ear/Eye Infections

    -Rechecks for refills of pain medications

    -Post-surgical rechecks/incision check

    -Skin Issues. Rashes, hotspots, licking

    -Preventative care (teeth care, weight control, diet questions, supplements questions)

    -Quality of life discussions as directed by their primary DVM


Here is what CANNOT be diagnosed/treated over televet:

    -Bleeding

    -New eye or ear infections

    -Vaccines

    -New masses to be tested

    -New clients or pets exams

    -Respiratory/breathing issues

    -Weight loss

Other Updates:

In more exciting news, we found out my sister is pregnant in November, and we found out that she's having a girl! I've already started spoiling my newest little niece! 

2020

Well, what is there left to say about this year that hasn’t already been said.  Fires, deaths, a global pandemic brings a “new normal”, school closings, lost jobs, cancelations, protests, Netflix binging,  an election, and bombings.  So much drama whether it was in the outside world or on TV. Many have said that this year could have been a never-ending movie. 

There were so many cancelations -weddings, vacations, travel plans, and my acupuncture certification. The thing I was probably most upset about was my acupuncture course being postponed until next year. 

There were still celebrations too however -new house, house projects, weddings, my Chinese herbal certification, and soon-to-be new family members.

 I was terrible about keeping up with this blog because let’s face it, I was incredibly busy and stressed at work, and I wasn’t able to decompress with travel or adventures like I normally do. 

2020 in Review

Partially the reason I’m writing again today is that I always like to reflect back on my year. I challenge you to reflect back and consider: 

What are you thankful for this year?

How did you fail and what did you learn?

 How did you succeed and what did you learn? 

What are you most disappointed by that you can change into the next year?

What was the best decision you made? What are you the most proud of?

What challenges did you overcome?

What did you enjoy the most?


Here is a quick look-back on my year: 

January - Officially moved into my new house!

February - My birthday month, and family came up to celebrate

March - The pandemic hit and most people were forced to stay home, but it was business as usual for us. 

April - Obtained my Certification of veterinary Chinese herbal medicine, and Edgar got sick with COVID

May- Started on some small house projects to keep busy and work started to become INSANELY busy. 

June - Went down to the family Lakehouse 

July- Went down to the family Lakehouse again

August - Visited Edgar’s family in Nashville, and sent his brother off to VaTech! Go Hokies! 

September- Winery hoping in Charlottesville. Fell in love with Glass House! 

October- More local winery hoping and started on remodeling the basement

November - The family came up to visit for Thanksgiving - this was the first time in 9 years that we haven’t been out of the country for Thanksgiving. Also found out I’m going to be an aunt in June! 

December - Road-tripped to Nashville again to celebrate Edgar’s cousins wedding. Also was able to celebrate the holidays at my house with my family, and able to decompress and destress from work. Broke ground to start work on my patio. 


As we go into the new year I encourage your to ask yourself a few questions:

What will you do to step out of your comfort zone?

What do you want to accomplish? 

What is your purpose for the next year?

What skills do you want to learn? What skills do you want to strengthen?

How will you take care of yourself?


So, cheers to the new year and here’s to hoping that 2021 allows us all something to look forward to and getting back to “normal”! Happy New Year! 


Be Kind: What Veterinary Clients Need To Know

Long before COVID-19 arrived, veterinary professionals were quiet hard workers, not complaining about their less than ideal work conditions. Challenging conditions were the norm. Now that the pandemic has hit, those challenging conditions have been placed on steroids. Most of us don't talk about our work stresses outside of the work enivornment, because quite honestly, most people won't understand or don't want to hear about the patients we lost. Our clients get our compassion, symphany, knowledge, and communication skills. Our vulnerabilty is never shown. Our clients don't understand burnout, being overworked and undervalued. Our clients don't understand that they are commonly the source.

What you need to know:

1) Veterinary clinics across the US are seeing a surge in volume of cases. This could be attritubed to new adoptions over this quartaineed period, or clients analyzing their pet's every movement due to being home more.  Because of this volume, client-wait times and phone call hold times are tremousously increased, therefore clients are getting more impatient and taking it out on the veterinary staff. And unfortunately, we have no control over the volume that we are seeing, and trust me the managers are constantly trying to figure out how to better handle this. At my clinic, the phones DO NOT STOP RINGING.......I wish I was exaggerating. It is a constant ring of one client after another, asking about prescriptions, charges, appointments, opinions, estimates, and advice. The yelling and rudeness to the receptionists won't make us do our job any faster. We beg you to be more patient, we will get to your call when we can. 

2) Appointments are filling up fast because everyone "needs" to be seen.  If your pet is sick, and you are unable to be seen right away, that doesn't mean come in right away. We are constantely seeing emergencies that aren't actually emergent which takes time away from the true emergencies. Your pet's diarrhea that has been going on for TWO WEEKS is not an emergency now. This is another reason we are getting behind and your wait time is going to be longer. The fact that I haven't called you back right away when your pet comes in for an "emergency" is a GOOD sign....it means your pet is stable and I'm attending to other more critical patients that need my immediate and undivided attention. List of actual veterinary emergencies

3) Your pet's vaccines can wait. Just because you got a reminder in the mail saying the exact date that they due, doesn't mean it has to be done on that exact date. That reminder is from a computer system that is scheduled to send out cards one year from when the last vaccines or tests were performed. It's ok if your pet is even a month overdue on most vaccines. The rabies vaccines is something that your county or state may need you to stay up-to-date on however. So if you know that your pet is going to be due soon, schedule your appointment sooner rather than later, because chances are we still aren't going to be able to fit you in for 1-2 weeks. Puppy and kitten vaccines are also a different story - check with your vet for their recommended schedule and try to schedule all the appointments ahead of time so that you have the slots. Worse case if you schedule the appointments early, is having to reschedule, which can be easily done, but you also may be on hold for a few extra minutes.

4) Social distancing isn't feasible in our field. Yes, we are all wearing masks, all day, running in and out of the building, in the heat; we expect that you will wear one as well when we talk to you in person. A techician/assistant needs to be holding the pet that is being examined at a close distance, not 6 feet away.  We have kept clients outside in the car and outside of the office in order to limit the amount of people in the building.  My clinic already has over 60 people working at one time, including maybe 10 doctors working at one time. That means we have at least 10 pets being seen at a time by different doctors. If each of those doctors allows their client to come in with their pet, that's even closer to reaching 100 people in the same building at one time. I understand that you want to be with your pet during the exam, but we simply cannot allow more people into the building safely.

5) Veterinarians and staff constantly ask ourselves why our clients can't treat us like they treat their own doctors. Would you treat your doctor the same way you treat your vet? In most cases if you did, they can turn you away and tell you to go elsewhere. We have that privelage too, but chances are we are still allowing you to behavior the way you do. This was a post I saw the other day:

                                Can we please normalize Veterinary Medicine and treat it like human medicine?

-Call in ADVANCE to make wellness appointments. We are extremely busy, especially now, so it may take a week or two to fit you in.

-If it's an emergency, by all means, call your primary care veterinarian first, but if we can't fit you in, GO TO AN EMERGENCY HOSPITAL. Don't yell and scream and demand to be seen because you've been "a long time client". You wouldn't call your pediatrician in the middle of the day and demand them to treat your son/daughter's broken leg would you

-If going to an emergency hospital, be prepared to wait. Animal ER works just like Human ER. Most critical cases are seen first. Doesn't mean you won't get care, it just means you may have to wait a couple of hours.

-Yes, ER may cost more, but they're eqipped with more staff and equipment to accommodate emergency situations.

-It takes time to do things. Lots of time. Running bloodwork, taking xrays, filling meds, etc. IT TAKES TIME. Be patient. Veterinary Nurses in ER will usually have multiple cases at once, and most times there is only ONE Veterinarian.

-We are ALL VERY OVERWHELMED and STRESSED. We love our jobs and our patients but we only have so many hours in the day.

PLEASE BE KIND. Be courteous, be understanding and please, please, please just be better prepared. Veterinary Medicine is not here to cater to you.


5) Burnout and comparisson fatigue is a real problem and something that they actually prepare you for in vet school. Recently, everytime I check my email, my veterinary information networks, or social media, there have been more and more articles about veterinary professionals becoming burn-out and exhausted. What many people don't know is that mental illness and suicide is extremely high in this profession. We aren't perfect and we've never claimed to be, yet our clients expect us to be.

Facing The Wellness Crisis In Our Profession

Burnout And Compassion Fatigue

Worst Experiences With Clients


This poem has been circulating for years and will come up again in these times of stress, so if you fall under any of these statments, then please take a step back and realize the butterfly effect it can have on someone:

Every Time

Every time you say vets are money grubbing or ‘too expensive’ or just in it for the money,

Every time you decline all diagnostics, yet demand to know “what’s wrong with my pet”,

Every time at a social function or other completely inappropriate place you find out that someone is a vet you ask them for free advice about your animal,

Every time you feel justified posting a s&^**y practice or vet review when everything was done according to the standard of care but your pet died anyway,

Every time YOUR lack of preventative care resulted in your pet’s early death, yet you blame the veterinarian,

Every time she gets in early and stays late and works an 80-hour week because your pet that had been ill for days suddenly becomes an emergency at 5pm on a Friday, and you demand to be seen, claiming these heartless vets won’t treat your baby,

Every time someone complains about the cost of veterinary care, comparing human medicine and insurance subsidies to pet ownership,

Every time someone doesn’t pay their bill and thinks they are entitled not to because pet ownership is their “right”,

Every time someone walks in to a clinic and threatens to “sue your ass if you make one mistake with my baby”,

Every time a graduate vet looks at the hundreds of thousands of dollars in crippling debt and listens to clients driving Mercedes and BMWs complain about the cost of a spay using good anesthetic care and adequate pain management,

Every time – You are part of the problem.

Think before you act or speak.

Certification of Veterinary Chinese Herbal Medicine

There are some new letters after my name.: CVCHM!

I took advantage of this quarantine period to work on my certification. It's an online program though IVAS and typically it takes about 9 months (self-paced) but I was able to do it in about 4 months. This now basically means that I can diagnosis your pet based on a Chinese diagnosis and prescribe herbal medications. Chinese diagnosis' are based on the pet as a whole, not the specific western diagnosis. There are certain herbs that work for certain disease processes, such as endocrine issues and heart issues, but the specific herb will be picked based on the overall picture of your pet. The part that may be frustrating for owners is the that the herb picked is based on the current presentation of your pet. Once your pet has been on a specific herb for a period of time, and you come back in for a recheck, we may switch the herb at that time if your pet is showing different signs.


Holistic medicine typically always comes down to diet. Most of our pets get dry kibble because it's easy and convienent. However, dry kibble is the human equivalent of eating dry cereal everyday for the rest of your life.  You can imagine the health issues that can form from this (obesity, liver disease, diabetes, heart disease, etc). Guess what, the same happens with our pets. You need to research on your pet's food to understand all the ingredients in their diet. Holistic vets push for homemade and raw food diets. You will have a hard time finding a western practicing vet that agrees with homemade and raw food diets. Don't get me wrong, you still need to research the ingredients and make sure that your pet is getting a balanced diet, so don't just start feeding them everything that you are eating. Be sure to talk to your vet about your choice.


I plan on doing an acupuncture course for certification this fall, as long as this virus doesn't cancel that!

World Veterinary Day

Amidst the uncertainty of when everything is going to go back to "normal," it's nice to be honored for all the work that we do. There has been so many memes and reports about what it means to be essential among the veterinary community.  We work incredibly hard, but we know how to have fun and make light of hard situations.  We love your pets as much as you do, and sometimes it even feels like we love them more.

We have a physically, mentally, and emotionally draining career.  We don't get to take a break when we go home. We are constantly thinking about our cases from work -- will that cat actually improve on that medication I prescribed, or should I have pushed for those further tests?  We have friends and family asking us questions about their pets. People that you haven't heard from since high school randomly messaging you your thoughts about your pet. I have never randomly messaging my human doctor friends about my symptoms to get their thoughts, why are vets any different? I've never seen your pet, why do you think I will know that's going on with them?

However, we love our job, that's why we do it. We are blessed with having one of the rare careers that can truly agree to the quote "if you find a job you love, you'll never work a day in your life." Its incredibly rewarding to see a very sick dog get better with the treatment plan you came up with, educating new pet owners on how to best care for their new family member, and seeing healthy happy pets come in for their annual. Even though all the ups and downs, I wouldn't have it any other way, and I wouldn't have any other career.

Here's a little comic relief.....yet the type of interactions we deal with on a regular basis....and especially now during COVID-19 when owners are home and watching their pets a little too much....


































Balance

I have been complimented by coworkers on how I manage my work-life balance. It's extremely important in my field to understand and enfor...