I opened up a cat searching for a foreign body…
And then there wasn’t one 🤯.
Here are all the ways I could use this against myself:
🙄 I operated on a cat for no reason (= bad vet)
🙄 I’m wasting the owners money
🙄 The owners won’t trust me again
🙄 I should have waited and re-assessed the imaging (and many more should have/could have thoughts!!)
🙄 I can’t trust my clinical instinct
Here’s how I make sure I don’t do this to myself:
🐾 I set expectations with the owners BEFORE I operate: I’m not 100% sure it’s a foreign body but if it IS, it could cause a lot of damage.
🐾I let them know that NO foreign body is GOOD news (my experience with foreign linear bodies in young cats has been quite devastating)
🐾I give a clear estimate of costs and make sure they know upfront 💰
🐾I take them through my thought process, and at the same time I revise my reasons for operating to make sure I like them
🐾 I set clear expectations for myself: If I don’t find anything, it’s ok, I’m here to rule it out.
In the past, my brain for sure would have gone for the first lot of thoughts.
I would have felt like an idiot, and regretted operating, mentally calculating how much money the owners could have saved.
I would have felt really bad for the cat, for taking it through such an invasive procedure for seemingly no reason.
But now, I flip it and remind myself of the consequences if the cat HAD a foreign body and we didn’t operate (death and disaster, in my experience).
When we make these decisions, we HAVE to remember that we never know the consequences fully. It’s IMPOSSIBLE to control all the outcomes of our actions in veterinary medicine.
But what you CAN control is:
➡️ the expectations you set for yourself and the owner.
➡️ How you treat yourself afterwards, no matter what
➡️ Deciding to like your reason behind your decision
P.S: We DID find an enlarged (nay, GIANT!) mesenteric lymph node which was what I felt on abdominal palpation, so we took biopsies and cross fingers it’s not badness 🤞
P.P.S: This morning he is, of course, eating like a little pig and not throwing anything back up. Did we let the demon out for Halloween 🎃 👻 😂?!?!