Sunday, January 26, 2020

Gratitude on call.



It is one of the most common things that I read in the rants on the veterinary/veterinary technician Facebook groups.  Veterinarians and veterinary technicians that are disgusted, angry and even bitter about people asking work questions when they are off duty. 

We all know how this goes.  You attend a dinner party, family gathering, school event or even a funeral.  Someone discovers that you are a veterinarian or work in the veterinary field.  The next statement is, “I have a question for you.”  Not, “May I ask you ask you a question?” or “Do you mind if I ask you a question?”, although sometimes the polite ones start this way.  More often than not, they just assume that you are longing to hear their drawn-out, crazy animal story and answer all of their related (and unrelated) questions.  The questions may not even be about their own pet.  It is their brother’s dog, their neighbor’s cat, the school rabbit, or some treatment that the groomer or breeder recommended to them or their friend. 

It happens all the time and we should expect it. How often I find myself avoiding the “What do you do for a living?” question?   We know that we cannot stop it from happening, but maybe we can develop better coping strategies to help keep us sane when it does.  
 
Is there a better way that we can handle these situations and think differently to keep us from getting stressed?

Here are a few that I suggest.

Look for the humor in their story or the situation. When people are talking about their dog’s diarrhea at a dinner party, leaving the other guests gagging on their food -- that is some funny stuff.   I love to listen to people try to explain something that the neighbor’s, brothers, friend’s dog ate or surgery that they had. It is funny when they mispronounce a medication or disease that they read about on the internet.  If you listen for humor and enjoy their stories, then you will feel less stress in the conversation whether you choose to give advice or not.
  
Set boundaries.  There is no reason that you have to answer any question when you are not at work.  We are such people pleasers and we may feel awkward or selfish if we choose not to answer a medical question in our off-work hours.   The truth is that you can set a boundary at any time just for self-care.  No need to be rude, but you can say something like, “I am sorry, I prefer not to comment on a pet that I have not examined.”  “I am here to (fill in the blank) but I would be happy to examine your pet tomorrow if you want to call the office and schedule an appointment.”  Stand up for yourself and set a boundary to protect your off time.

Practice empathy and think generously.  If you employ empathy, you will begin to understand why people do what they do.  They care about their pets and may have some legitimate concerns. They are just reacting to the good news that fate has given them an opportunity by dropping a veterinarian in their lap.   If you understand their motivation, and maintain a generous mindset, it will be easier to listen and give your best advice.  If you tell them to take their pet for an exam, you can do it from a place of generosity and empathy. Do it because you want to be the person that treats others well.  Do it because you want to be the person that happily helps others.

Dr. Julie Cappel

“That's what I consider true generosity: You give your all and yet you always feel as if it costs you nothing.” —Simone de Beauvoir



Sunday, January 19, 2020

The Joy of Life-Long Learning



I am currently in sunny Orlando, Florida attending the VMX (Veterinary Meeting and Expo) organized by the North American Veterinary Community.    It is said to be the largest veterinary conference in the world with over 17,000 veterinarians, veterinary technicians, managers, and veterinary team members.  We gather at the Orange County Convention Center for 5 days of veterinary learning, personal growth, leadership training, and fellowship. The number of people here is staggering.   When I arrived for the first time several years ago, I was overcome with the sheer number of people that share my profession. 

The rooms are often crowded -- my first morning session had me sitting on the floor, because I arrived a tad late after stopping to get a Starbucks. The convention center is over two million square feet, so wearing great walking shoes is a must. The bathrooms lines between classes look like a rock concert and the rooms are over air conditioned so you always need a sweater. The giveaways, in the exhibit hall, are so abundant that many people drag around wheeled carts in order to carry their loot.  Today, as I was waiting in line for a free t-shirt, a young boy in line with his dad, gave me a dance lesson - teaching me to “floss” and do the “robot”. (so cute and so fun) 

The people here are amazing, because this profession is amazing.  Veterinarians and the people that work in veterinary medicine are the cream of the crop.  They spend years in school and then spend the rest of their lives continuing to learn to care for those that cannot care for themselves. 

Why is this life-long learning so important for all of us?

It increases our self-confidence. The more we commit to learning the better we feel about our capabilities.   We are often able to do more, charge more, and feel more accomplished.  

It is important to us functionally.  If we want to continue to work in an ever changing profession and be proficient, we need to continue to learn.  Whether it is formal classroom learning or simply talking to another person that shares our profession, we need to learn about advances in order to remain relevant.

It keeps our passion alive.  In order to continue to work in a highly demanding field and do it well you have to have passion.  Learning something new, helps to rekindle our interest and refuels our passion.

If you have the opportunity, be sure to attend a major veterinary conference like the VMX.  You will learn more than you ever imagined, and you may even get the opportunity to learn some new dance steps.

Dr. Julie Cappel

“It’s what you learn after you know it all that counts.”– Harry S Truman

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Sunday, January 12, 2020

Emergency Vet!



Veterinary hospital days are often filled with surprise when patients become ill or emergencies arrive; you never know what might happen.  So, it was this week at our veterinary hospital.

I had a rather full morning with surgery and an afternoon schedule filled with bird patients.  Early in the afternoon, I was in the exam room with a wonderful woman and her pet Amazon parrot.  We talked and laughed as I examined her bird.  I took some tests to determine why her parrot was ill.  The woman was super sweet and animated as we talked about her “baby”.  At some point, near the end of the appointment, I left the room to make up some medications for her parrot.  I asked one of my technicians to go over the medications with her so I could move on to the next client.  When the technician went into the room, the woman was in distress saying that she needed to get out of the room because she was becoming overheated.  The technician apparently helped her out to the reception area, then all hell broke loose.  I was in the next room and did not know this was occurring.  The next thing I know, my technician with a panicked look on her face came to me and said, “Dr. Cappel, we need you in the reception area for an emergency!”  I dropped what I was doing and hustled to the waiting room expecting to see a dog or cat in distress.  What I actually saw was my manager sitting next to a woman that was struggling severely to breath.  She could not really talk as she was sucking for air, but she croaked out, I need oxygen.  I asked the manager if 911 had been called and she said, “Yes, they are on their way.”  I asked if someone was getting oxygen, and my technician ran to get the machine.  The client clutched my hands and looked at me with terror in her eyes and blue lips and whispered, “Dr. Cappel, don’t let me die.”

Oh, good Lord!  This is not something that I am qualified to handle.  If her bird had collapsed, I would know exactly what to do, but this?   I didn’t even realize that it was the same lady that I was just talking to in the exam room.  My mind was all over the place.  She kept sucking for air and trying to vomit all the while clutching at my manager and myself and begging us to help her.  My manager rifled through her purse, trying to see if there was a medical alert card, or medications that might help us determine what was wrong.  When the oxygen machine arrived in the reception area, I tried to apply the dog mask as best I could to her face.  People’s faces are shaped differently than dog faces, so it really didn’t fit, but it was better than nothing.  She continued to struggle and panic.  The only thing that I could think to do was to try to get her to calm down and focus on getting oxygen into her non-working lungs.   As I held the mask to her face, I decided that the only thing I could do was to get her to focus on me and calm down.  If I remained calm, maybe she would too.  So, with terror in my mind, I put on my calmest doctor-face and started to tell her that I was not going to let her die.  I was here with her and she needed to focus on getting the oxygen into her lungs.  I kept telling her that she was doing great, the EMS was almost here, and that I was there with her.  She was not going to die.  It seemed like forever, but she began to calm a bit and her lips became slightly less blue.  Her terrified eyes bored into mine as I calmly reassured her.  In my brain, I was begging God to keep her from dying in my arms. She was calmer and breathing a little better when EMS arrived. They quickly loaded her onto their gurney, placed an appropriate oxygen mask on her face, and wheeled her to their vehicle. 

After she was safely with the EMS team, I was able to take in the details of the situation and thank God that I didn’t have to witness a human death.  Our veterinary team, our manager, and the other clients present in the reception room were all outstanding.  They voluntarily became involved in keeping this woman safe and getting the emergency response team in route.  They jumped into action to help a fellow human being through a crisis.  They acted to the best of their ability, with kindness, to do what they could to help her.  The teamwork and concern were remarkable. 

Veterinary teams are trained to respond to an animal emergency -- not human.  After she left, the team attended to her Amazon, setting him up to board for the evening and giving him his medication. What a great lesson in staying in the moment, keeping calm, and taking action – even if you have no idea what you are doing.  Compassion is compassion, and we all stand together to care for every soul. 


Julie Cappel


"Keep calm because pain makes you stronger, fear makes you braver and heartbreak makes you wiser." - Ritu Ghatourey
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