30/11/2024
Throwback to a scorching day at a summer sheepdog trial! But what does a work day look like at Pet Pain Relief?
Before the first patient arrives, I spend about 60 minutes reviewing the patient's medical history and evaluating owner-completed questionnaires. This thorough preparation ensures that each consultation is informed by a comprehensive understanding of the pet's condition and the owner's observations.
Today, I'm seeing a 12-year-old Golden Retriever who has been treated for elbow osteoarthritis for several years. Recently, he has also developed lumbosacral disease, impacting the nerves to his hindlegs and causing back pain, necessitating adjustments to his medication. I begin our consultation by carefully observing his behaviour and movement, allowing him to acclimatise to the new environment. This observation period is crucial, as animals often mask their pain in clinical settings.
During the consultation, I conduct a thorough physical examination, paying close attention to gait, muscle tone, and joint mobility. I also discuss his daily routine and any changes in behaviour with his owner. While his exercise activities have been modified to accommodate his condition, I've been able to recommend a variety of alternative activities to maintain his quality of life. Comprehensive owner-completed questionnaires help me address all aspects of his well-being, ensuring a holistic approach to his care.
Following the initial consultations, I move on to more advanced procedures. Today, I'm scheduled to perform an ultrasound-guided femoral nerve injection on a 5-year-old Labrador experiencing neuropathic pain. Using our state-of-the-art MSK ultrasound, I carefully guide a needle into the affected area to administer the medication, providing targeted relief.
Next, I am speaking with the worried owners of a 2-year-old Cocker Spaniel who has been exhibiting behavioural changes, such as high arousal and defensive behaviours, indicative of persistent pain. Despite undergoing CT and MRI at another centre, no imaging diagnosis has yet been made. These cases can be challenging to manage, and require patience and commitment from pet owners, but we have seen many successful treatments.
In the afternoon, I see several follow-up patients. One is a 4-year-old cat with feline hyperesthesia syndrome, which presents as excessive grooming of her back and suddenly jumping up and running away as if she has had a sharp shock. Since commencing treatment she has shown significant improvements. I review her progress and ensure the medication continues to support her well-being.
Between appointments, I dedicate time to staying current with the latest developments in veterinary pain management. I review recent journal articles and prepare for an upcoming speaking engagement. This commitment to ongoing education ensures that Pet Pain Relief remains at the forefront of veterinary pain management.
As the day draws to a close, I reflect on the diverse cases I've encountered and the difference comprehensive pain management can make in animals' lives. From osteoarthritis to neuropathic pain, each case presents unique challenges that require a tailored approach.
My work extends beyond merely treating symptoms. It's about enhancing quality of life, strengthening the human-animal bond, and advancing the field of veterinary medicine. As Pet Pain Relief continues to grow and evolve, I remain committed to treating animal suffering and, where I don't have all the answers, to working with other professionals and animal owners to provide the best care possible.
