Posts Tagged ‘infectious disease’

If you follow me on Twitter (@GregKatz2), Facebook, or on these posts you know I have a black lab named Tashi that was diagnosed with MRSA (Methicillin-resistant Staphylococcus aureus) about seven years ago. Half her life has been spent visiting doctors, taking a host of medications, and having numerous tests where she’s been poked and prodded to get cultures. Throughout this process she has endured pain and discomfort, never giving up her loving nature.


After fighting her most recent infection for the better part of a year, I’ve had the chance to be grateful for her doctor (Dr. B). He’s dedicated to her well-being. He took her case and as a result changed the infection control policies at the Veterinary Hospital. Most of all, I’ve watched him spend time with Tashi, never giving up on her and always trying to make her as comfortable as possible. What could he teach medical students who will eventually be treating us in doctor’s offices and hospitals?

Meet the patient where they are. I’m fortunate because I feel as if I’ve become partners with my medical providers. I always ask questions and I’m aware of the latest research on my own conditions. There is no power play in the exam room. Our vet is very sensitive to the power dynamic and when he examines Tashi he sits on the floor so he can see her eye-to-eye. He will often bow his head so that she knows that he doesn’t have to be dominant, in theory. He’s also the keeper of the treats, always a way to endear himself to her.

Follow-up is very important to the health and healing process. I feel like I’ve attracted patient positive doctors. They’ve been concerned and their follow-up has been extraordinary. One of my doctors had ordered some lab work and I didn’t do it within a timely manner. I received a phone call from him saying he hadn’t seen the results come across his desk and wanted to make sure I had gone for the lab tests. I felt like he was definitely looking out for me. Dr. B goes above and beyond the call of duty. After Tashi has an office visit, the phone rings about 8pm a couple of days later (after the vet office closes), the doctor checking to see if she’s making progress. Wouldn’t you like a follow-up call from your doctor to see if you’re making progress?

Dr. B always dialogues about side-effects and outcome strategies. He’s clear about what I’m willing and unwilling to do for treatment. Some of the medications Tashi has been on have had such horrible side-effects that they have been removed from the repertoire of possible treatment strategies. Minimizing suffering while seeking treatments that work is paramount to us working as a team. Dr. B doesn’t make it a “my way or the highway” session.

What can you take away from my experience with a vet that treats Tashi as if she were a person? Never allow your doctor to talk down to you. Be clear that you may not have gone to medical school, but it’s your body, your health, and your journey. Let the doctor know what’s important to you regarding the relationship. I always share with the doctor my professional background in healthcare so he knows from the start I’m going to be very involved (sometimes too involved when I begin to self-diagnosis. Read my post on anchor bias).

Select a doctor that makes you feel like you’re a priority. Unfortunately I spent five months taking Tashi to the vet a minimum of three times a week for treatment so I had a lot of time to ask questions and discuss her progress. Stay in contact with your doctor so he has up-to-date knowledge of how you’re doing. Many healthcare systems have email for their staff; use it! Don’t be afraid to ask questions in between appointments.

Lastly, find a doctor who has a strong commitment to compassion. Dr. B has always treated Tashi as if she were his own. He has done amazing amounts of research on her condition and is always looking for the latest and greatest treatments for her condition. I wish he saw humans because I’d be his first patient!

Looking to explore how to select a physician that is willing to partner with you?  Looking for education, support, and inspiration when facing a health challenge?  Visit http://www.survivingstrong.com

Want to explore how art improves healing?  Visit http://www.timetolivecreatively.com

Follow me on Twitter: @GregKatz2


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You’re going to think I’m a bit strange because the story I’m going to share is about my dog.  Believe it or not, my dog Tashi has had more medical problems than most of us will have in our own human lives.

It all started about five or six years ago when she acquired Methicillin-resistant Staphylococcus aureus (MRSA).  I don’t know how she acquired this infection, but it has been recurring relentlessly over the years.  Unfortunately MRSA isn’t curable, it becomes a chronic, potentially life-threatening condition.

The incident this past week started last Wednesday when Tashi awoke limping.  Her back foot (location of the MRSA wound) was swollen.  She ate breakfast and took her place in the family room and didn’t move for seven hours.  We decided to take her to the emergency vet that evening because she wasn’t engaging in normal activities and she couldn’t get up off the floor on her own.

The vet we saw, a young vet, was quite personable and very good with Tashi.  He did a thorough exam and was respectful of her pain limits.  The thing that caught my attention was his personal shock at how swollen her foot and leg had become.  He was perplexed hoping that maybe she had an issue with a bone or joint.  Because of the MRSA he had to be very careful about any biopsy or culture because he didn’t want to spread the MRSA if in fact it was present.

The radiograph didn’t show any abnormalities, a huge relief.  He did perform a culture of the wound on her foot, non-invasive.  He also prescribed a very strong antibiotic and pain medication.  We took her home with the hope that  she would begin the healing process.

Unfortunately as Thursday progressed, her leg became more swollen and this was worrisome.  The next step was to take her to her regular vet.  One more appointment and when he saw her foot he was also a bit perplexed and concerned.  She wasn’t putting pressure on her foot and the leg was swollen up to her hip.  He prescribed a second antibiotic and now we wait for the culture results.

The sad part is that animals can’t tell us other than behavior about their physical problems.  I feel fortunate to have medical professionals that are engaged in her well-being and take measures to create increased odds at healing the infection.  I didn’t know that the field of veterinary medicine doesn’t have a specialization in infectious disease.  The specialty seems to be on the horizon, but until that happens either a general practitioner, or in Tashi’s case her dermatologist/allergy doctor have to serve as our medical resource.

How does this translate into the experience of humans?  We don’t always have an answer for symptoms that arise from an illness.  It’s important to feel comfortable going to a specialist if you don’t feel that your illness/symptoms are getting better.  In addition, I felt it important for her regular physician to see her because he knows her history and her body.  He understands her response to past medications and infections.  He knows her temperament and tuned into her response when he exams her.  These are important because her history may have clues to heal the current medical dilemma.

Things are still uncertain and the fact that she’s over twelve years old doesn’t soothe my anxiety.  I can see the desire in her eyes to get better (my personal projection) but I’m hoping we make it through this health crisis.  I hope you maintain that fire in your soul to get better or well.

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