purchase aciphex on line in india sertraline withdrawal nausea prednisona canadian online detrol fast mexico how long does antabuse take to work hoodia shoppers drug mart mercaptopurine side effects liver a good web page to buy vagifem with no script buy zebeta low cheap price canada buy antabuse without prescription how long does clomid take to work pct cheapest fluoxetine paypal how much is moduretic tablets vermox paypal buy evista with no rx order tinidazole on line usa order zestoretic from india without prescription buy decadron without prescription cytotec to buy from europe suprax gonorrhea where can i buy yasmin online without a prescription tegretol delivery uk amantadina clorhidrato efectos secundarios voveran sr where to purchase best place to buy sinequan in australia singulair sales 2009 merck claravis buy uk where blopress prescription for clomid cost taking half of 100 mg viagra where can i order digoxin zyloprim 300 mg precio mexico stromectol dose for head lice buy zertalin pills in the canada buy rosuvastatin online no prescription usa zyprexa prix en pharmacie en france order ciprofloxacin no prescription lopid reviews cipla ltd kurkumbh buy tamsulozin with paypal elocon buy mexico phenergan pill shop discount code celexa buy online ireland examples of increasing returns to scale cheap genuine movalis online rumalaya western australia billig alti doxycycline online kaufen buy apo clopidogrel online no prescription usa ampicillin on line no script claritin d dosage bystolic weight gain side effects floxin online forum fluoxetine best online non prescription pharmacy buyers of pyridium canada where to buy cheap generic combivent buy celebrex with paypal buy nolvadex online no prescription canada order protonix canada order mircette from india without prescription trazodone 5mg tablets buy alphagan 0.3 how to purchase alesse orlistat weight loss success stories abilify india sale is it illegal to buy valtrex online apo clopidogrel birth control online us lariam with no rx western drug artane mexican pharmacy no prescription gyne lotrimin candian pharmacy 24h.com lasix buy online canada is clomid bad for women over 40 purchase acticin mg sildenafil side effects viagra thyroxin buy no prescription citalopram brand positioning my dutasterid coupons canadian pharmacy online cafergot order claritin d 24 hour what doses does atarax come in interactions order micronase online without rx brand wellbutrin buy compare cialis viagra levitra benfotiamine shortage levothyroxine synthroid mechanism of action arava medication online buyers of priligy canada buy amitriptyline elavil pill rx health diflucan products hospital pharmacy association canada cephalexin prices usa too much ventolin side effects buy midamor tablets australia citrato clomifeno 50 mg viagra from canada without prescription kamagra tablets uk next day delivery prednisone cheap india pharmacy quibron t buy online no priscription where to buy colchicina online uk buy cephalexin quick i want to pay some betnovate xeloda tablets us online is there a generic for singulair 2012 can you buy aviane 28 over the counter in germany lady era buy online ireland buy strattera online pharmacy serophene no prescription fedex ups v gel without a prescription from australia pulmicort nebuliser solution clincin birth control online uk mirapex online where can i buy endep cialis super active over the couter crestor medicine side effects how to take estrace amoxicilina to buy in the usa without a prescription cialis free offer buy priligy mg buy maxalt pills tadacip 20 global drug supply capoten prescription only buy gabapentine usa isotretinoin online forum viagra delivered overnight viagra sublingual express canada generic pills for riperdal buy elocon online cheap safe glucotrol no prescription buy cheap calan crestor rosuvastatin calcium cheap proscar singapore order hoodia no rx canadian pharmacy drug market order beconase aq tadalis sx overnight delivery order trandate online no prescription with a mastercard alesse birth control online mexico actoplus met sublingual dosage amaryl drugstore com pricing order viagra online soft tab buy paxil with no rx order viagra online no prescription order prevacid online in usa floxin without script order penicillin online isoptin noprescrition needed canada online pharmacy atorlip 20 tablets from buy rumalaya gel rx quetiapinum india no prescription diclofenac sodium dosage migraine paroxetine no prescription reviews how to use tulasi amitriptyline shortage of xenical tablets 40mg buy januvia boots oestrogel australia pharmacy how to order generic viagra how to buy esperal in london images of phenergan pills childrens allegra best price buy promethazine uk purchase levitra in australia where can i buy lasix over the counter trazodone from mylan tablets lasix canadian online where do i aristocort in australia is iv flagyl compatible with iv potassium can you get provera what does bupropion hydrochloride do to you prescription viagra women how to take diclofenac 50 mg best place to buy amoxycillin in india what can i do to make clomid work better elocom krem bez recepty isoniazid with out a prescription shelf life of bupropion xl buy estradiol valerate online what types of levothyroxin are there does aspirin affect birth control pills diovan with paypal payment keppra pills online in the uk purchase voveran sr in australia vitamin k and coumadin toxicity order diclofenac from uk without prescription safe risperdal no prescription what is protonix drugs nombre generico de haldol happens if you overdose effexor xr pioglitazone tablets used can you only get viagra plus on prescription safe place order rogaine 2 clomid indications and usage purchase prednisone on line in canada cat allergy symptoms rash insulin dependent diabetes type 2 is generic zetia effective ordering lariam brand aristocort buy keftab dosage instructions nootropil free shipping buy trimox online from australia what does original cytotec look like pharmacy one jordan delivery what is viagra like watermelon sumycin where to buy in canada diamox without insurance toradol order online no prescription generic name for tricor purchase midamor mg sildenafil uk over the counter where to buy dapoxetine priligy levitra plus 50mg tablets buy generic elimite online no prescription cheap lopressor 50mg buy advair diskus online with no prescription tadalafila 10mg buying methotrexate injection geriforte without subscription clopidogrelum legal in england to buy pamelor in uk generic levothyroxin for sale on line safe oracea no prescription cheap pharmacy buy generic antivert is it safe to order priligy generic zydis cost sildenafila usa pharmacy cheap online pharmacy australia buy generic oxybutyninum online no prescription terramycin tablets on line to buy liquid promethazine prices prazosin nombre generico ampicillin from canadian pharmacy how to get help paying for plavix capoten noprescrition needed usa online pharmacy beconase aq uk no prescription where can i buy fucidin h buy ventolin bulk where can i buy metoclopramide online without a prescription comprar elavil original bupropionum drug schedule singulair pills pictures cheap alternative to seroquel comprar zoloft original en madrid metoclopramide from australia mail order ivenox online hyzaar plus 100 25 paxil use in pregnancy canadian exelon tablet ordering low dose remeron journal of the history of medicine and allied sciences impact factor pamelor for men in usa discount canadian pharmacy amantadine side effects doxycycline pregnant dogs generic maxaman no prescription ordering actos pioglitazone canadian pharmacy without a script mg ampicillin pills buying nexium from canada discount zebeta otc online generic voltaren buy prometrium mg online for topical spironolactone side effects generic imitrex injection cost cymbalta tablets pain yasmin australia bayer online vasodilan purchase genuine amantadine drugs online prevacid 5.00 coupons indian female cialis i pill zoloft website prescription what does inr mean for coumadin singulair coupons for asthma gyne lotrimin online legally generic cialis uk suppliers buy brand klipal codeine safe to buy generic depakote from usa rosuvastatin online in usa viagra 150mg discount liposafe otc cost of allegra without insurance long term side effects of proscar order generic hydrochlorothiazide safe order medication online buy avandamet bulk retino a cream 0,05 pills online in the usa online cost buy cheap antibiotics fosamax from europe cheap buy without albendazole online olmesartan medoxomil 10mg tablets buy alli online cheap pharmacy kamagra oral jelly costco doxycycline hyclate how long does it take to work ondansetrona prices buy ginseng pills online order celebrex from mexico without prescription buy celapram without rx can you buy eltroxin dipyridamole in the uk now nitroglycerin suppliers overseas sominex where to get buy endep in india online how much gabapentin get you high where to buy levitra super active online mexico sertraline hcl normal dosage terbinafine cream boots buy lopressor without a subscription cheap zyprexa manic treat keppra mexico pharmacy generic cleocin canada pariet tabletten 20 mg can i make riperdal capoten dosage recommended retin a gel 0,1 usa cvs prices buy duetact online from mexico levothyroid generic india hydrodiuril without a prescription from mexico generics pharmacy drugstore philippines overnight flagyl with mastercard buy luvox mexican pharmacies where lopressor tizanidinum in usa tofranil on line in the india how to order finax online buy canada no prescription for tinidazole pill rx health estrofem products plendil on line in the india side effects of champix 2010 drugs like depakote order pariet safe to buy generic lopressor from uk purchase cialis super active on line in usa rumalaya india prednisone dose pack 40 mg tenormin online cheap tricor england purchase kelnor on line in india aurochem laboratories india pvt ltd requip dose maximum adalat doctors online order amoxiline without rx generic plavix picture buy proventil pills online omnicef canada overnight delivery what is dilantin used for best place buy zenegra buy benemid tablets online buyers of arava canada mentat tablets himalaya inderal usa sale cordarone with no rx get janumet las vegas generic name for tinidazole where to buy abortion pill robaxin to buy in england atarax forum cheap online pharmacy phenamax no prescription what does arjuna mean in sanskrit canadian pharmacy benadryl renagel prices cvs retino a cream where can i buy shelf life of viagra pills alavert allergy orally disintegrating tablets benzac maximum dosage sildenafil side effects vision buy alli 120 mg capsules diprosone mg mexico comprar midamor online is it safe to buy adderall online canada buy kamagra without prescription anastrozole gyno indian alternative medicine viagra dilantin online without rx ordering dutasterid motrin in croatia buy actonel in usa can i order metoclopramide online can i make levitra plus doxycycline dose to cure chlamydia minocin sa 100mg capsules medrol buy uk terramycin in singapore donepezil aricept generic haldol pricing purchase adalat 3 pharmacy over counter lamisil cream canada best place to buy lotrisone online eulexin in the uk now metformin prices walmart vermox by mail order list of tesco stores selling cephalexin zestril tablets 20mg a good web page to buy zetia with no script donde puedo comprar una membresia de xbox live de 1 mes aricept prices usa aciclovir non perscription countries deltasone perth australia wellbutrin discount medications ralista canada paypal where to endep skelaxin without prescription medication tamsulozin canada pharmacy precose overnight no rx no prescription combivent sale ciprofloksacin generic 2013 drugs buy us online cheap ampicillin trial erection packs 3 pills online in the india drugs similar to erythromycin viagra super active from how to take deltasone mg comprar provera pela internet lipotrexate with american express doxycycline red spots can u get viagra free on nhs what types of dipyridamole are there prevacid solutab delayed release orally disintegrating tablets purchase nordette in australia amantadine reviews for men shallaki cost yasmin medication on line what is the medicine bystolic for where do i xenical in australia zyban price diovan hct generic name flagyl er mg uk how to buy levitra in london buy lincocin online pharmacy frozen acai berries australia aaa discount pet prescriptions risperdal consta injection cost depakine chrono delivered to your home billig oxybutyninum online kaufen medicine abana himalaya heart tonic brand cialis without insurance allopurinol overnight delivery terbutaline sulfate during pregnancy cost of prednisone for cats speman buy online uk didronel without script buy cheap generic cialis europe arava medication doxazosin order in the us celadrin canada brand name thyrox online genuine malegra fxt 100mg zofran for daily use canada fucidin with paypal payment where to buy suprax online canada generic plendil usa pharmacy ordering disulfiramum canada buy flomax online pharmacy propranolol for migraines prevention a good web page to buy keflex with no script nexium prescription cost target what is lithium made of buy cheap serophene using pay pal pill rx health order prevacid products prescription drug plavix abilify shortage aciphex com best price levothroid pills buy how to take nolvadex and clomid where can i buy diazepam where can i get depakote from dose valtrex herpes simplex prograf ships from india use bisoprololi fumaras coupon online order allegra pills where can i get some zoloft where to buy luvox mg dipyridamole doctors online order keflex rx proscar cheaper than propecia vpxl drugs for sale comprar predalone original en madrid comprar elavil original en madrid neurontin side effects long term use torsemide over the counter zetia 10 mg comprar pastillas para abortar cytotec safe place order lipitor research grade fml forte can you buy nolvadex australia propecia generic canada accutane buy online over counter antivert low price celexa uk withdrawal from trazodone symptoms panic cefadroxil mg tablet xenical sold over counter all types skelaxin pills antivert 25 mg cost cheap lanoxin free delivery is there a generic tegretol xr tamsulozin medication on line where to buy kamagra without a prescription albendazole combination tegretol 20 mg levitra plus over the counter australia tindamax over counter generic glucophage xenical online rx cheapest what is proscar drug paxil reviews and dosage atarax 25 mg cost can order wellbutrin online feldene shop net trandate order in the us sertralina 50 mg bula pdf online pharmacy buy femcare sumycin 100 review alli diet pillls online glycomet dose albenda for men in usa thyroxin medication on line buy allegra with discount list of pills that get you high buy cheap lamisil online coumadin prescription assistance programs amitriptyline hydrochloride tablets 10mg buy levaquin online from uk zovirax salep mata withdrawal from seroquel medication all types lamictal pills cheap online pharmacy canada ordering tizanidinum what types of amaryl are there what is the generic name for micardis what is percocet without tylenol called order clomid online usa acyclovir over the counter uk buy crestor mg missed plavix dose himcocid order on web order ovral l online no prescription with a amex alternative medications for augmentin malegra fxt uk online atrovent best price pharmacy online canada no prescription indocin from europe holland and barrett alli side effects gall bladder orlistato sold over counter i want to pay some evista lamictal birth control online australia colchicine discount coupon safe buy evecare online before and after pictures of accutane users buy styplon online reviews health canada zaditor cong dung cua thuoc ciprobay caprysin drug canadian pharmacy how much does generic cipro cost what is effexor xr 75 buy maxalt with visa pill rx health zyprexa products canada buy quetiapinum without prescription benadryl mail order hytrin reviews brand viagra suppositories buy order aceon on line uk where do i levothyroid in canada prazosin canadian pharmacy lamisil where to purchase orlistar online in us meclizine ordering no prescription cheap oxytrol sale uk ramipril side effects minocycline for dogs heartworm order desyrel 120 mg paxil lawsuit 2012 zofran drugstore buy finpecia overseas cost of aspirin per gram zyprexa on line in the india para sirve propranolol buy floxin online with no prescription trazodone with prescription order valaciclovir pills cheap finast buy online permethrin online genuine acticin cheap cialis once a day doksazosin lek delivered to your home buy arjuna discount alesse low dose pill tadalis generic mexico cytotec for abortion forum tetracycline worldwide clomid to buy in the usa without a prescription do you need rx metoclopramide where can i buy cialis professional mg us pharmacies online that sell apo furosemida nolvadex fast india retin a 0,025 prices at costco buy clomid online in the united states without a prescription depo provera india what kind of medication is lisinopril cid desi tashan brand name himcocid online online pharmacy provera overseas pharmacy no prescription frumil cutting paxil pills prevacid mg canadian rx levitra super active sale pharmacy tablets purchase desyrel on line in india buy over the counter ovral l online diurex original formula water pills reviews buy canada no prescription for prednisolone craigslist usa orlando pill rx health order raciper products meclizine 12.5 mg tablet par zoloft prices walgreens phenergan with codeine children dose adalat mg tablet can you buy cialis jelly over the counter keftab without a prescription metoclopramide online generic from cephalexin indian pharmacy saw palmetto is estradiol valerate legal in uk lustral buy online novo digoxin buy online ireland can you buy revatio cheap counter nootropil lowest price zydis birth control online india trazodone from mylan meclizine us companies only advair diskus over the counter breathing obstructive kamagra oral jelly from europe oder mg tablets of acnetane eulexin 3days delivery can order cefadroxil canada antibiotics online reviews requip modutab side effects retin a 0,025 canadian medications without prescription purchase delta cortef on line in canada buy retino a cream 0 05 online reviews what is viagra sublingual tablets medication from mexico ralista where can i buy viagra in the usa order retin a 0,025 online without rx zenegra mexico pharmacy sildalis 40 mg dose roxithromycin online sales tetracycline hcl 500mg cap mexican erythromycin where to purchase sertralina buy medrol dosepak online from usa side effects of accutane 10 years later us online pharmacy no prescription lamictal generic flucazole uk paypal generic pills for clonidine hydromorphone conversion table 600 mg best price zyvox online levoxyl side effects too much protonix canada drug store opening gabapentin capsules zofran without a prescription from india cheap olanzapine buy online ceftin pills online in the india zyloprim generic wikipedia drugs aceon trusted online drug stores in canada how to take flucazole mg grifulvin v buy from england brand lanoxin for sale buy proscar without rx medrol dosepak not generic original cefadroxil online minocycline buy online ireland trental canada no prescription cost of mail avodart amantadine from canada alavert on line in the india where to buy nizoral online mexico calcium carbonate side effects long term use nicotinell online sales can you buy erythromycin online generic prevacid nolvadex during cycle gyno cost of generic omnicef cialis generika paypal zofran over counter medicine without purchase altace buy allopurinol 100mg componentes del aciclovir trimix gel forum vasotec pills online in the uk nizoral us companies only side effects of antibiotics for uti retino a cream 0,05 generic reviews generic lady era usa fucidin generic name buy adalat online without prescription zofran drug schedule buy over the counter lipitor online new womens sex pill ordering frumil on line si sirven las pastillas redustat tadapox precio mexico generic drug name nexium non prescription duphalac erythromycin brand name in canada terbinafine tablets not working vpxl without a prescription non prescription shallaki pharmacy levitra order canada prednisolone weight gain diet post cycle therapy altace does generic phenergan pill look like buy online brand amoxil generic vermox side effects rash protonix pills online in the australia neurontin lawsuit 2012 cheapest vpxl to buy how to buy baridium neurontin results forum femara on line for sale no script tetracycline 20 mg ml buy aziyhromycin without prerscription india revatio generic for female cialis without prescription miami order erexin v without rx cialis soft buy without rosuvastatin online usa no prescription order flomax no rx canadian pharmacy side effects of prevacid in kids where can i buy zanaflex pills? cialis ships from india amoxicilina usa cvs prices retino a cream 0 025 side effects long term use para que se usa el serophene ralista buy online ireland amitriptyline where to buy in canada buy malegra fxt 100 abilify through now go fluconazole over the counter ontario where to buy amlodipin without a prescription can i order vagifem online tofranil from china serevent for sale philippines canada meds online no prescription amoxil antibiotics used fincar roche precio argentina artane online store nitroglycerin online pay paypal urispas mg buy canadian pharmacy cordarone generic form of asacol safe augmentin buy generic uk paypal bupron free coupon for cialis super active where do i lamisil in uk us online pharmacy no prescription olanzapine us online pharmacy no prescription cardura side effects of antibiotics in toddlers generic levothyroid canada can give my dog prednisone itching low cost canadian discount actos low cost overnight albendazole buy lisinopril with a mastercard dapoxetine en mexico how to order carbozyne online urispas prices cvs over the counter zebeta where do i alli in canada lasix tablets dosage zyvox drugs for sale order painkillers online ordering tulasi roaccutane canada overnight delivery compazine pharmacy mail order discount coupon acai berry detox acivir pills spain viagra soft echeck no script tinidazole mg glucophage to buy in the usa without a prescription us online pharmacy no prescription proventil purchase liv 52 online no prescription oxybutyninum buy mexico can you order nootropil how to get rid of gynecomastia hgh how long does cytotec take to work for miscarriage kamagra oral jelly uk no prescription non persciption provera buy toradol with buy generic accutane fast delivery macrodantin nitrofurantoin 50mg suhagra online legally american pharmacy nolvadex why is there a shortage of aldactone retin a 0,025 without prescrip purchase flagyl er lowest price side effects of hyaluronic acid injections in knee metocarbamol from australia is it illegal to order generic paroxetine order speman from australia without prescription purchase strattera on line in india rumalaya 20mg tab order bupropionum on line uk where to buy eltroxin imuran pills sweat order paxil online no presctiption zyban shop net how to take nolvadex post cycle iantd trimix course viagra online rezeptfrei kaufen clonidine hydrochloride tablets side effects misoprost generic australia side effects of bentyl iv what is silagra 50 can you take glucofage daily ordering amlodipin usa beconase aq tablets purchase on line ciprofloxacin pregnancy forum buy duetact new zealand online where to buy cheap generic oratane generic viagra 50mg online what is the generic name for valtrex indian altace 10mg fasigyn order online no prescription purchase voltaren emulgel viagra toronto office photo canadian pharmacy cialis soft tabs proventil order canada fake cialis how to tell no prescription amlodipinbesilat pharmacies buy abana prescription ordering coumadin aspirin 75mg tesco revia uk online can cleocin get you high lipitor without a prescription from us ou acheter livres pas cher toradol cost injection what does flonase sneezing risperdal pills use keflex dosage for treatment of uti buy keppra 80 mg online buy diclofenac sodium tablets online buy prozac online no prescription us pharmacy aspirin over the couter best prices on real generic viagra fosamax online usa no prescription where can i get augmentin depakote reviews purchase nizoral in usa pharmacy pills rx net tamoxifen without food lipotrexate online store sominex from uk is blopress available over the counter get actoplus toronto buy brand isordil phenamax prescription coupon cialis jelly reviews and dosage can you buy altace drugs ramipril what is zentel tablets glucotrol xl drug in uk pharmacy american zestril buy hydrodiuril xr without prescription zyprexa generic prices how to use zyrtec drops generic seroquel cost cuanto sale orlistat zetia drug class action suit viagra over counter substitute lisinopril refill pack compazine medication order synthroid medication during pregnancy bactroban nasal 2 ointment price online pharmacy uk retin a 0,05 buy zestril online uk no prescription buy pariet online india norvasc side effects joint pain cheap prescription drugs online with no prescription azurette birth control online uk buy furosemide usa online zoloft purchase bystolic on line in the canada where to buy mometasona drugs online viagra soft pharmacy online elocom tablets uses amantadine 50 mg capsules symmetrel arthrotec 75 uk there generic form depo provera online pharmacy no prescription needed epivir hbv buy liposafe discount where to get albenda pct effexor xr 150 half life famvir available over counter effexor xr birth control online mexico online pharmacy propecia prices buy hydrodiuril with no script keppra online pharmacy buy altace mg online antara drug in mexico pharmacy xenical comprar how long does it take for zyrtec to work where can i buy lansoprazole in uk flomax compression ltd drumheller premarin woldwide shipping where do i amoxiline in mexico original amantadine online dostinex uk muscle canadian pharmacy online avodart tulasi order by phone what is diclofenac sodium 75 mg used for artane dublin tricor order on web cephalexin capsules ip 250 mg buy over the counter hoodia online minipress online coupon code buy colchicine no prescription fast delivery wellbutrin sr drugs for sale canada buy diclofenac without prescription rx mobic meloxicam how long does it take for wellbutrin to cause weight loss anafranil birth control online australia tadapox limited india can you get tretinoin 0,025 what is nizoral 2 shampoo used for how to buy phenergan in london no script serpina mg cheap canadian betnovate no prescription furosemide on line in the uk order furosemide pills no prescription ginette 35 sale antabuse canada how much is the generic plan b evista sales 2008 desyrel pharmacy order buy glucotrol online with no prescription is there a drug comparative to apcalis sx claritin supplier in uk valtrex for herpes simplex 1 how to take imitrex mg amitriptyline from canadian pharmacy ordering maxaman mexico aleve without a prescription from canada trazodone buy on line buy shuddha guggulu online no prescription usa clozaril over counter is brand name synthroid better than generic antivert for men sale in uk levothyroxin daily use reviews generic uk paypal phenamax what does astelin nasal spray antihistamine buy over the counter zyban online motilium over the couter flagyl er with no rx endep prices usa no rx danazol online buy lamictal tablets usa tofranil sale purchase isotretin on line in the uk where purchase atacand no script sumycin mg how to take meclizine 25 mg acivir pills without a script will nitroglycerin pills explode buy prednisone online canada 5 common side effects of coumadin therapy mexico pharmacies online that sell seasonique bupropionum where can i buy can you buy sumycin in ireland almased turbo diet forum amlodipinbesilat without subscription exelon mg uk baclofen generic equivalent buy diflucan without prescriptions order levitra super active no rx canadian pharmacy where to buy alli cheapest pills order buy deltasone cheap vermox fast usa buy differin online safely acheter pas cher ginseng keflex now co uk duprost uk buy american diclofenac gel can you get frumil wigraine results forum no script requip mg purchase actoplus met in mexico oregon state fairgrounds map flagyl 500 mg tab buy deltasone online from india ampicillin drugs interact with avoid generic pills for mentat ds syrup safe buy luvox online is keppra a generic drug comprar sustiva portugal nexium 20mg tablets cheap doksazosin lek no prescription where do i bentyl in canada aciclovir discounts codes pill rx health zedd products order albenza on line uk how much is lesofat in the philippines can order lantus online i pill renova website chloramphenicol how to buy coversyl nouveaux dosages sildenafila from australia aloprim no prescription fedex ups what is precose pills used for no rx canada pharmacy discount zyvox buy neurontin online safely floxin 100mg cheep buy kamagra gold usa suhagra on line in the india zocor price canada best rated canadian online pharmacy duphalac dosage too high where can i purchase benadryl amoxil prescription drug treat actos mg canada where do i moduretic in canada celapram online pharmacies with out prescription can take 20mg cialis daily proscar or generic best place to order norvasc in us buy amoxycillin tablets india buy grifulvin online with out prescription purchase wellbutrin in uk vytorin online shipping cialis no prescription fedex ups buy caffeine ergotamine bulk buy tretinoin 0 025 new zealand online free viagra sample pack free imodium reviews and dosage micronase in italia chloromycetin order in the us tretinoin 0,025 from canada generic meclizine usa fucidin prices retino a cream 0,05 cheap uk pharmacy buy motrin online india no prescription buy brand pariet order colospa without rx abilify dosages bipolar disorder what strength of cialis should i take augmentin 875 shelf life biaxin pill canadian best price pulmicort actos tablets purchase on line lasix amazon indocin no prescription needed glucofage pills buy online astelin generic release date wellbutrin sr online from uk protonix coupons wyeth can you buy nolvadex hyaluronic acid injections breasts price propranolol 20mg tab generic viagra jelly uk paypal prednisolone acetate ophthalmic suspension cost is there a shortage of requip aprovel pill shortage zedd fast canada hydrodiuril non perscription countries retino a cream us companies only generic percocet safe order geriforte without rx generic aprovel no prescription buy stieva a pills in the canada generic cialis sublingual usa non prescription obelit pharmacy crestor buy usa tinidazole online pharmacy eurax online cheap where to get diclofenac compare prices lithium where can i buy alii fincar with paypal payment haldol tablets dosage reminyl for men sale in uk can you buy levitra plus in ireland viagra malaysian pharmaceutical society online pharmacy cefadroxil 1mg finasteride every other day is there a drug comparative to sinequan generic effexor xr paypal buy flagyl online no prescription usa order celexa buy vasotec inhaler canada metronidazole tablets for dogs tadacip price india med cab misoprost xl pharmacy drugs similar to meclizine best dyazide prices purchase allopurinol on line in canada where to buy trial erection packs 3 online uk flucazole prices usa cheap colchicine overnight buy eurax online from australia vytorin online in usa prescription order acticin online canadian aygestin buy prilosec online india no prescription flats to buy liverpool city centre keppra pill shop discount code prilosec usage ulcer how to order pulmicort online acyclovir dose in chicken pox how to use arimidex during cycle buy cheap aceon best place to buy anteovin in mexico nimotop sold over counter cheapest place to buy predalone cytotec misoprostol precio en mexico do you need rx relafen generic pills for trial erection packs 3 monthly cost of fosamax propecia ordering online pharmacy genuine kamagra oral jelly 100mg nombre generico de calan toprol xl versus generic metoprolol glucotrol limited india cefixime sublingual dosage puerto rico rincon beach donde comprar pastillas cytotec en venezuela can you get dipyridamole glyset medicine children generic viagra release date synthroid hair loss help order caprysin uk pharmacy alli reviews yahoo answers indian pharmacy aceon buy estro online australia no prescription buy generic medicines online india prescription celebrex drug buy januvia lowest price unisom sleep tablets side effects cialis soft no prescription the chepest ampicilina where do i buspar in australia fasigyne online usa no prescription average cost of depo provera oder mg tablets of lady era vardenafilum online no prescription discount retin a 0,05 mg lipitor medication where to buy lithium over the counter generic drug aceon generic prednisone online order buy cheap kamagra jelly online uk 100mg where to buy zydis with visa cheap medications canada buy prilosec otc australia diltiazem by mail order suhagra online usa no prescription terabifine without prescription urispas online legally indian norvasc what is atarax syrup generic for crestor medicine where to get ashwagandha leaves in bangalore protonix for sale overseas pharmacy no prescription kamagra levlen on line celebrex drug class how to take yagara mg all types vasodilan pills buy finpecia mg trental generic usa prazosin uk brand name what is thyroxine for best place buy pilex pct cheap genuine keppra online antivert tablets 150 mg buy remeron pills in the us hydrochlorothiazide order online no prescription where to buy aloprim online india minocycline mg india discount kamagra oral jelly from canada glycomet wanted online review buy aciphex greece purchase benadryl in us accuran purchase decadron for sale buy lasix online no prescription usa amitriptyline over the counter australia online pharmacy canada cleocin mg usa brand zydis buy valaciclovir fast uk side effects of reducing fluoxetine dose neurontin tablets for sale trazodone from mexico triamterene noprescrition needed usa online pharmacy buy nootropil for daily use female cialis medicine discount arimidex trental 400 mg uses best online pharmacy generic purinethol cheap rumalaya forte india skelaxin dosage 1600 mg buy cheap alli weight loss aid alphagan mg tablet buy wellbutrin overseas xenical 100mg cheap buy isoniazid singapore online drug for actonel cozaar dosage too high order buspar no rx canadian pharmacy generic unisom switzerland brand cialis order where to buy wellbutrin sr buy lamisilate online in the united states without a prescription can buy anastrozolo online avodart online usa no prescription buy phenergan discount buy grifulvin v inhaler canada metronidazole canada pharmacy can gabapentin get you high propranolol fast usa isotretin birth control online mexico pyridium in india cheapest naprosyn tablets uk order retin a gel 0,1 online no prescription with a mastercard online pharmacies reviews forum buy cabgolin online buy venlor glycomet tablets side effects where to get grifulvin v pct can i make reminyl cpt code for dilantin level erythromycin international pharmacy where can i get erexor pills best place to buy endep in australia where to get rumalaya pct missed cymbalta dose what does diltiazem do order cialis super active on line india donde puedo comprar cialis en el df how long does it take for clonidine to work for blood pressure allopurinol from mexico esperal cheap uk pharmacy half life of levothyroxine sodium zithromax shortage 2012 para que se usa el medicamento citalopram mevacor reviews for men cafergot on line no script ivenox on line in the usa alavert online without rx wellbutrin uk sale biaxin 100mg cheap nitrofurantoin on line in the canada can we trust prazosin online taking metformin with birth control pills online pharmacy uk oratane viagra no prescription online canada trazodone reviews for depression buying hydrodiuril triamterene buy without related www.canadadrugs.com cheap pharmaceuticals online fluoxetine uk brand name torsemide delivery uk keflex online with out prescription ciplox tablets use differin next day delivery benicar online coupon code albendazole tablet wiki flagyl er express canada cheap cymbalta 60mg depakine chrono us companies only australian pharmacies chain quetiapinum next day delivery vermox uk online dulcolax prices fluoxetine coupon code motrin dose for children mg kg anteovin mail order simvastatina purchase prednisone online ordering no prescription med cab coumadin minocin vs. generic roaccutan noprescrition needed canada online pharmacy who makes generic paxil buy ovral l online without prescription renagel where to get erexin v costco what are the most common side effects of methotrexate snovitra super power mg mexico femara pcos infertility finax pas cher italie lowest price calcium carbonate buy legal drugs in canada liv tablets pomegranate juice blood pressure lotrisone to buy from europe prednisone for dogs back pain order atorlip 10 on line mexico cytotec canada overnight delivery hyzaar over the counter dutasterid online from india coversyl for sale australia where to buy capoten online without rx clavamox for humans trental online usa no prescription where to buy bupropionum with echeck doxycycline dogs kennel cough dosage retin a billig kaufen lopressor side effects lungs side effects of taking dostinex purchase seroflo online alphagan pharmacy prices list fast roxithromycin deleviery buy over the counter micronase online where could i buy salbutamol without prescription buy levothyroxin pills in the uk clomifene tablets side effects dipyridamole online canada how long to use erythromycin ointment rosuvastatin online overnight shipping the online drugstore alli canadian pharmacy bupropion hcl search twitter history does target pharmacy accept express scripts online pharmacy forum metoclopramide to buy in the uk without a prescription quetiapinum birth control online mexico buy azurette online in the united states without a prescription where to get bactroban silagra buy no prescription what does nexium cost in canada hong kong online drugstore how much does singulair cost at cvs 100 mg retin a gel 0 1 eulexin drugs for sale olanzapine no prescription xeloda order online frantisek cipro wiki pravachol pill shop discount code med cab indocin vitamins for increasing sperm count reviews on lexapro 10mg online sale of bonnispaz levitra super active tablets 150 mg ephedraxin canadian online overnight pharmacy 20 mg cialis reviews actos supplier in uk ibuprofen asthma side effects oder mg tablets of relafen serophene canada carbozyne generic canada purchase generic maxaman erection medication on line health canada doxazosin all natural viagra substitute tegretol buy online canada can you buy ovral l rx pills pharmacy net index zebeta tablets side effects order viagra online cheap pfizer costco pharmacy zertalin price what does levitra professional rizact tablets for sale esperal next day prinivil 100mg tablet augmentin 875mg tablets side effects learn quran pak online buy imuran no prescription desyrel over the couter what infections does bactrim treat ciprofloksacin with prescription dulcolax refills buy female viagra online no prescription canada buy canada no prescription for cardizem order accutane 2 mg lamisilate lowest price non prescription lotrisone walgreens discount prescriptions ultra low dose toradol compazine over the counter usa purchasing glycomet online accuran noprescrition needed canada online pharmacy buy clozaril 10 eltroxin birth control online canada chloromycetin uk online best price trental can zanaflex get you high 2010 buy dutas online no prescription usa aricept online pharmacies with out prescription zovirax costo mexico tadacip india buy tramadol overnight saturday delivery all types januvia pills levoxyl generic canada buy online zofran generic sinequan noprescrition needed canada online pharmacy stromectol online cheap tinidazolum online australia ordering viagra super active online drug shop generic buy uk kamagra oral jelly best non prescription birth control nexium best online non prescription pharmacy ortho cyclen shop net fluticanose order online pharmacie de garde abidjan starlix generico online trazodone online from india buy trial erection packs 2 tablets india generic cialis professional paypal online no prescription uk for amlodipin viagra plus online in uk buy moduretic capsules what is finax for can you buy aspirin zofran with prescription elavil express canada original evista online too much thyroxine best price for viagra uk renvela versus renagel atarax 10mg 5ml syrup minocycline maximum dosage order triamterene on line india erexin v on line in the uk pill rx health order olanzapine products topamax generic 2013 drugs cheapest taxi firm liverpool canadian cilest retin a gel buy online australia buy online salbumol generic buy valtrex 100mg online order zyprexa from uk without prescription zaditor max dose online cleocin with no prescription side effects of viramune buy altace cheap drugs buy aciclovir uk 200mg online clincin online canada bactroban uk companies only generic revia usa pharmacy atarax next day delivery low cost snovitra super power kerastase drugstore com authentic discount serpina otc do keflex pills smell are alli and cody simpson related kytril for sale online geriforte in the uk buying aygestin from canada no prescription gonorrhea treatment nhs how much does viagra cost on prescription fast floxin deleviery prednisolona next day zithromax 1000 mg uses fucidin aleve dosage in canada www fineviagra com br how to buy alfa flucon buy premarin in uk uk buy ortho cyclen without prescription hydrochlorothiazide combination drugs how to take birth control pills yasmin is prilosec better than nexium alli weight loss pills cvs alli pills costco hoodia limited india synthroid 100 mcg tablet viagra pour homme normal voveran ships from india buy online tizanidinum generic priligy us companies only hydroxyzine dihydrochloride wiki purchase brand advair diskus cheap what is proventil made of grifulvin v 40 mg pharmacy safe buy levitra super active online order metrogel from usa without prescription order cipralex without rx to buy periactin in uk buy antabuse with a mastercard clomid for cheap estrace india no prescription cymbalta fibromyalgia does work buy minomycin 15mg online what is the drug classification for buspar where to buy fluticanose with mastercard generic tizanidina in usa buy tomtom go live 1000 europe himcocid online in us protonix 10 mg lasilix from canada without rx kamagra buy usa synthroid prescription drug assistance acheter citalopram en ligne uk buy nizagara without prescription how to order prilosec tamoxifen 5mg tablets i want to pay some raciper obelit online canadian order aciphex prescription the chepest paxil celapram drug in germany pharmacy kmart generic drug list 2010 the side effects of the prescription drug orlistat xenical buy alphagan us drugs order actonel over the counter drugs buy astelin in australia buy cabaser online no prescription usa what is the dosage for zofran is it safe to order stromectol ordering citalopram uk low price serpina uk can you buy tamoxifen over the counter in germany order generic levitra online buy olanzapine tablets india nizoral shortage october med cab topamax where to buy elocom in canada safely voltaren resinat online kaufen india pharmacies online that sell shallaki where to buy baclofen online without rx prescription celecoxib buy celebrex anteovin canada overnight delivery cymbalta italiano over counter hydrochlorothiazide micardis generic mexico ordering zyprexa mexico hydrochlorothiazide dosage atarax where can i buy where to lanoxin order duprost on line india cialis buy mexico gabapentine over counter levitra professional online order can you buy prednisolone in ireland carafate medication on line kelnor online uk baridium mg canada aciclovir tablets price mobic without prescriptions buy otomax online india what is wigraine boots zaditor london pharmacy suhagra best price vpxl pct buy isordil by mail order coumadin paypal there lexapro generic available what are the side effects of taking valtrex elocom fast canada purchase medrol on line in australia buy aprovel australia buy tamsulozin online australia no prescription yasmin australia pbs safe bystolic no prescription over the counter drugs similar to endep cialis lilly 20mg price eulexin buy geriforte with paypal how to make nitroglycerin from household items online pharmacy buy cheap kamagra albenda next day delivery uk pharmacies online that sell baclofen prinivil australia pharmacy how to get etodolac on line discount ceftin otc finasteride medication hair loss naprosyn online australia how to use astelin generic shuddha guggulu paypal non prescription seroquel pharmacy tulasi without a prescription beat way to order triamterene purchase dutas in india oratane order canada alli brands india canadian furosemide salvent order can you order live butterflies buy advair online from india fluticanose usa pharmacy digoxin without a prescription from india zocor online canada fast delivery dilantin brands india compazine on line in the uk fincar for daily use canada where to buy adalat online india pamelor price how much will erythromycin cost cialis 5 mg. generico en mexico atorlip 10 precio mexico is generic lincocin available in usa safe procardia no precription amoxiline doctors online original duphalac online purchase doxycycline cheap propecia prix au canada online pharmacy buy slimex zofran 4mg 6 tablet albuterol inhaler side effects in children lov cost augmentin best place to buy plendil malegra fxt for sale usa flucazole cheap mexico pharmacy lopressor side effects palpitations cheap pharmacy sydney cbd mycelex g uk online v gel with american express my finast coupons voltaren suppositories pediatric dose discount canadian pharmacy diltiazem what is proscar tablets carbozyne online pharmacy uk purchase ginette 35 on line in australia online pharmacy uk permethrinum atorlip 20 next day delivery how to get metformin in australia methotrexate refills buy estro without rx orlistat 120 mg does it work levitra sale online accutane dosage instructions no prescription clonidine sale buy tinidazole in australia zithromax alcohol consumption comprar remedio antabuse aleve 220 mg tablets florida indinavir pharmacy degree online usa tadalis sx fast canada bupropionum to buy buy movalis hong kong emsam now co uk retin a 0,025 fast india aleve drugstore.com low price flagyl uk flomax online usa no prescription is atarax available on line in canada buy carbozyne paypal mixing luvox and alcohol yasmin lawsuit settlements october 2012 elocon on line in the uk metocarbamol delivery retin a micro tretinoin gel coupon ginseng to buy in australia low cost atorlip 20 buy claritin without rx buy beconase aq online from canada buy zenegra online with no prescription where do i phenamax in canada safe to buy generic emsam from canada canada pharmacy no prescription viagra legal buy metrogel online canada where to inject toradol phone in order for zyban can i order neurontin no prescription in the usa mobilis piroxicam capsules purchase amitriptyline mg side effects of propecia for women buy endep from india synthroid online coupon code what does wellbutrin do for adhd buy prevacid online from usa buy sepibest online without prescription can you take brand amoxil daily indocin delivery london dutas generic dutasteride manufactured by dr reddys ventolin tablets dosage sildenafilo citrato tabletes what is amitriptyline hcl 25mg tab demadex without prescription medication buy roxithromycin overseas is there an over the counter doxycycline cost of lipitor vs generic levaquin for sale australia how to get prazosin on line strattera no prescription overnight delivery zovirax oral online indocin price increase what is the correct dosage of viagra jelly buy keflex have no prescription is generic liposafe effective motrin tablets uses disulfiramo online from canada viagra online apotheke online pharmacy no prescription needed requip super cialis generic grifulvin v canada floxin online ordering atorlip 10 mg

Funny Vet

Buy the Books

From the Back Row by Dr. Dean Scott from FunnyVet.com
fpvetmedspread
Home
Dec 08
2014

Client Education: Fecal Sample

Posted by Dean Scott in Untagged 

Dean Scott

Often a veterinarian will ask you to bring in a fecal sample (also known as poop, poopy, poopoo, doodoo, excrement, midden, brownie, colon cobra, dung, dookie, scat, lincoln logs, mud bunnies, or Hell's candy) from your dog.  They will have many reasons for this, the primary one being to see if you'll actually do it.  This can create a high level of anxiety for most clients.  To help you not fall in it, smear it around, or otherwise mess up a pretty simple task, we have put together a guide to ease your burden.

1.  There are various methods on how to obtain feces at home.  Here are some ideas:

    a.  if you have a child, have them do it.  Give them no instructions to add humor to the project, especially if they're home-schooled.  This is called character-building.

    b.  use a container (preferably a hard plastic one with a child-proof cap; why a child would want to get into this is a mystery, but they do a lot of stupid things don't they?) to scoop feces or part of feces into it.  A downside is that some fecal molecules may adhere to the outside rim, thus warranting cleaning of the outside of the container.  You will then have many days of anxiety wondering if some might have gone unnoticed and be hiding somewhere in your house.

    c.  use another implement to scoop a piece of feces into the container.  Challenge yourself to drop it perfectly into the opening without hitting the edges, thus preventing extra cleaning of the container.  Need it be said that this now becomes an implement that you will no longer want to use?  So, choose wisely.

    d.  alternatively, you can use an intermediary piece of plastic or small bag to put the feces in before the container.  If you do this, make sure you squish it around a lot, because most veterinary staff members like a surprise when trying to get the sample they need out.  You can make it even more of a surprise if you use something opaque, so they really don't know what they're getting into until they have to peel it apart.

    e.  do not use your hands, even if gloved, because that is just icky.

    f.  like bread, you want to pick the freshest feces of the day, preferably while still warm.  If the feces is white, it is too old.  And you need to clean your yard more often.

    g.  do not try to catch feces while still in mid-air.  I don't know why this needs to be said, but I just know some of you out there will try to do this unless you're told not to.  It's not like when you have to catch a urine sample, ok?  If dirt or grass gets on the feces, it doesn't make it grosser.

    h.  as in "g" above, do not play in the feces.  Shouldn't need to be said.  But you never know.

Finally, once you have the fecal sample, follow these steps:

3.  Seal container in continuous layer of clear plastic wrap.  You want to use clear wrap so you can verify that the feces has not escaped.

4.  Place in sandwich-sized sealable plastic bag and roll bag around container.  Since this is also clear, verify that feces has still not escaped.  No?  Good.

5.  Wrap in several layers of absorbent paper towels.  While it is unlikely that fecal gas or oozy fluid will dissolve or otherwise cause, by expansion, hard plastic to explode, you can never be too careful.

6.  Place in sealable, hard plastic container.  Like the implement you may have used to get feces, this should be considered non-reusable.  However, for fun, you can insist to the veterinary staff that you want it back, just so they can talk about you later.  It's a great way to be remembered by them in the future.

7.  Finally put everything into a gallon-sized sealable plastic bag.  Alternatively you can place this in a festive bag or maybe put a bow on it to hide the otherwise disgusting nature of the contents.

8.  It is now safe to drive your pet's fecal sample to the veterinary clinic.  Drive slowly, avoid pot-holes, sudden stops, or unnecessary jostling.  Make sure you obey all traffic laws.  The transportation of feces outside of a body cavity is illegal in some states.

9.  If you have any questions regarding the above steps, please feel free to call your nearest veterinary practice.  They love answering these kinds of questions.

Nov 10
2014

Thanks. Thanks A Lot.

Posted by Dean Scott in Untagged 

Dean Scott

Since it's November and I'm Americo-centric, I thought I'd write a few thoughts down about giving and receiving thanks. When I was heading down that really long road (you know the one that disappears over the horizon) toward becoming a veterinarian and even having once achieved that dubious goal, never once did I think what kind of thanks I might get from the people I might help. After twenty-one years (or thirty-four years if you count the entirety of time I've spent in this profession in some capacity), however, I can't help but notice a trend. In order of appearance, according to the level of thanks I get in a typical year, it goes something like this:

Thanks for euthanizing pets
Thanks by my wife for doing something (really, anything, that's how appreciative she is)
Thanks for something related to FunnyVet
Thanks from co-workers
Thanks from random encounters with people (foodservers, cashiers, etc.)
Thanks for passing something to someone (salt, newspaper, remote control, etc.) and, coming up a very distant seventh place:
Thanks from owners for making their pets better in some manner

Now, I'm not so egotistical as to not acknowledge that you can look at that list and think to yourself, "Well, he must be lousy at his job." Especially if you look at the bookend 1st and 7th placed "thanks". However, I don't think that those bookends are very much different for anyone else in this profession. In the almost ten years of running FunnyVet, I have been thanked a hundred times more than I ever have in the twenty-one years of being a veterinarian. Now, I'm ignoring the first place "thanks" when I say that. If you're ever going to get thanked as a veterinarian, it seems like it's when you help a patient to die. Really the only medical profession where that happens. It just doesn’t happen in dentistry, podiatry, ophthalmology, etc. When you euthanize a pet you will get cards and sometimes cookies or cake and I often want to tell clients that they are rewarding the wrong behavior. I guess I should accept thanks where I can. And I suppose there are ways to just do euthanasia wrong; ways that wouldn’t get “thanks”. I've even had clients refer their friends to me (even if it is a bit of a drive for them) to euthanize their pets because I do it so well. A bit disconcerting to be known that way. And while it’s certainly not quite why I got involved in this profession it puts pets’ nervousness during their clinic visit into perspective. We really need to get thanked more for all of those pyometra surgeries that pull through, or those blocked cats that the owners sat on for a week that we make better, or the complicated Cushing's/diabetes cases we manage, or the parvo cases, or, or, or.....I mean, the list does go on. Even on those rare occasions we do get thanked (at least, as I've said, for me it's rare to the point of being memorable when it happens) there is often a qualifier of how much it cost or how long it took to get better or how put out they are that they have to treat this long-term condition. Especially the cost.

On a strange note, I've been thanked, sometimes profusely, by our "rabies only" clients. I give the shot, do a little flourish with my signature, and these clients go on about what a great doctor I am and I'm the only one that sees their pet. "Yes, yes," I think, "I give good rabies."

I will admit, also, to not being good at accepting thanks. Maybe that's because I haven't had enough practice. However, I've run into situations where I've had clients on their first visit loudly extol my many virtues (regardless of what their visit was for) and how unlike and better I am than any other veterinarian they have ever seen. These guys make me leery because in almost every instance there is a future consequence. Almost as if karma must maintain the balance. I've had these same clients turn on a dime, like some poorly trained dog, and go on the attack about how lousy I am. And I've found that often they lead with so much praise in order to curry some favor later. And when that doesn't happen for them, well, I guess I'm not the great vet they thought I was. Or the manipulatable vet they thought I was. So, when clients upon first meeting me tell me that I’m the best vet ever? Well, I just think, “I see disappointment in your future.” Now it could be you're out there thinking, "Well, a lot of people don't get "thanked" for doing their job, you ungrateful bastard." And, yes, that's true; I am an ungrateful bastard. However, what I'm commenting on is the severe dearth or drought of thanks. As if thanks were a commodity and there's a terrible depression in our area, people jealously guarding their hoarded stash like survivalists in an atomized thankless wasteland. Am I the only one that sees this or this happens to? Because when you don't get thanked, even in difficult situations, time after time, over the years, it does make you think that what you're doing isn't appreciated or valued. Especially when the complaint department seems ever-full and back-logged. People seem to have a keen radar for perceived slights or feelings of entitlement. I've been thinking of a title for my future memoirs (not to be confused with Renoirs of which I have none). The title I've come up with is "Waiting For My Thank You". Here's the thing though. While I notice the phenomenon, it really doesn't matter to me much any more (he doth protest too much since this blog stands in direct repudiation of that thought). However it is true. It's difficult to have expectations of others. So you end up lowering your expectations, knowing they (probably, statistically) won't thank you for your best efforts. That's ok. I will continue to do the best job I can and take solace that my thanks comes in the non-verbal, self-fulfilling type of healthier pets. And, really, at this point in my "career", such as it is, clients can keep their thanks. I don't really need it. I'm fine with never being thanked again. They can, however, also keep their complaints of which there seems to be a constant wealth and abundance.

Personally I like to thank most everyone. I thank the cashier, the foodserver, my mechanic because he's awesome, my staff because they’re awesomest (and no, I don't care if the spell-check says this isn't a word), even my clients, especially the ones who listen and follow my advice (another rarity - again, may just be me). Perhaps I devalue "thanks" by using it too much.  I hope not. The other reason I did this blog this month is I went to vote. Was the first one in line before they opened the doors at 7 AM. One of the people setting up came out to have a conversation and I kind of off-handedly thanked him for being there so early so that I could vote. He looked at me strangely for a beat, then said, "Well, we get paid!" Which then took me aback for a moment and I replied, "I can still thank you. After all it isn't everyone who wants to be up this early to perform this kind of work." And it made me think, maybe other people don't have practice in getting thanked and maybe we all should make more of an effort to appreciate those around us. So, thank you for reading this entire blog to the end. FunnyVet would not be around without your continued support and I thank you for all of the thanks that you have expressed my way.

Sep 06
2014

Crazy Vet Rant Nothing To See Here Please Move Along

Posted by Dean Scott in Untagged 

Dean Scott

I didn't really have a concrete idea for this month's blog.  Don't get me wrong - I have plenty of ideas.  Some are vague one-line thoughts that need expanding on, others require more work than I have time for right now, and some I'll just have to be in a certain mood to get into them.  Humor is a fickle thing.  So, this month, please indulge me (as if this whole website weren't an ongoing, perpetual indulgement) as I'm just going to do a little stream of consciousness thing on thoughts I've had recently.

People are weird.  And I realize I'm a people too, therefore I must be weird in my own way (no need to post in the comments section, thank you).  However, I routinely seem out of sync with my fellow primates.  They seem like a different species, Homo clientensus, perhaps, or Homo ignoramus.  I had an owner recently who makes a very decent living and seems in the many ways society expects, to be educated and "normal".  He uses Palmolive for flea control and a "concoction" (his words) for cleaning ears that includes, in part, pink eye medication, athlete's foot powder, and salt water.  He also stated that the dog is an outdoor dog except in the winter (because, you know, here in Florida winter can be pretty brutal).  I told him that Palmolive just makes cleaner fleas.  He retorted with how it was a vet who told him to do it.  When I told him to not use that concoction in the ears, he replied rather arrogantly, "Well, it works."  Granted at the visit the ears looked fine, but he had already said that they are a recurrent problem and he has to treat monthly, which makes it seem, that, oh, I don't know, his concoction "doesn't work".  His next line of defense against a reasonable conversation was that it cost him $500 - $600 the one time he took the dog to a vet for an ear infection, which has to be an exaggeration, because he either had other things done as well as dealing with the ear problem or he's just pulling numbers out of a bodily orifice.

Three things I took away from this conversation.  One is that people aren't necessarily coming to us to get good and proper information.  It's not like I'm the neighbor giving unsolicited advice.  You brought your pet to me.  I'm going to do my job well and tell you what's best for them.  I'm sure human physicians get ignored by their patients as well.  Two, this encounter was a great example to show that ignorance crosses all educational and socioeconomic levels.  The last thing is that many of us got into this profession because we are most certainly attuned more to animals than people.  Yet we can't get to the animals except through people and only if they really allow us to.  And the more we deal with people, the more we like the animals.  It's quite a conundrum.

Let's talk about misdiagnosis.  This word gets thrown at us (or maybe just me, I don't know) and I don't think people know what it means.  If I tell you your dog has feline leukemia, yeah, that's a misdiagnosis.  If I tell you your dog has lymphoma and we treat for lymphoma and it really has ebola, that's a misdiagnosis (as well as a potentially bigger problem).  However, if I tell you that your dog might have neoplasia and actual testing reveals, instead, an immune-mediated disease then........not a misdiagnosis.  And besides, along with mentioning neoplasia, I also said it may be other things, such as an immune-mediated disease.  It doesn't help if a client has selective hearing.  If you run with your dog in the summer, in Florida, during the day, while it has an upper respiratory infection and its temperature reaches 106.7, yes, that's heat stroke.  Just because 3 or 4 days later it continues to cough because of the upper respiratory infection (which we're treating), doesn't mean your dog was misdiagnosed.  If your dog is fine on a visit from 9 months ago, but now has a heart-related condition, that is not a misdiagnosis.  That is because the problem wasn't there before, now it is.  If I had the ability to see the future, I'd charge more.  Lastly, if tests haven't come back yet and your pet's condition worsens while getting supportive treatment, that is not a misdiagnosis.  That is a "wedon'tyethavea"-diagnosis.  There's a difference.  If we didn't have to do testing to get a diagnosis, if I had the ability to just look at a pet, or do that "laying on of hands" thing, and tell exactly what something is every time, well, I'd charge more for that too.


  • «
  •  Start 
  •  Prev 
  •  1 
  •  2 
  •  3 
  •  4 
  •  5 
  •  6 
  •  7 
  •  8 
  •  9 
  •  10 
  •  Next 
  •  End 
  • »
zip_iggy
"Please Support our website. We need to eat."
- Zip and Iggy
thewinkinglab-sm
Eileen the Winking Lab says:
"Good to see you! Thanks for coming!"
SocialTwist Tell-a-Friend

Join Our Newsletter