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Veterinary Medical Center Reviews (2)

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At this time, I have not been contacted by Veterinary Medical Center regarding complaint ID
Regards,
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Dear [redacted]:I received your letter, written 4-04-18, concerning [redacted]s dog Ace.March 13, 2018 Ms. [redacted] (along with a companion) brought Ace into our clinic for an evaluation of a lame right fore paw. The limping began earlier that day and the owners were not certain what had...

happened or what created the limp. Ace is a healthy 21-month-old, black, Newfoundland mix breed dog in good condition. After examination of Ace's injured foot, the only irregularity was a painful, thickening on his 3rd phalange (toe). I recommended taking a radiograph (x-ray) of the foot to rule out a fracture along with having a sample of blood taken to rule out tick borne diseases especially Lyme disease. We also discussed that if there were no fractures, placing a support bandage on the foot for a few days usually aids in providing comfort to the affected area. Ms, [redacted] agreed to all the recommendations. Myself along with two technicians took Ace back for the x-rays along with a blood sample. The results of the x-rays, 2 views, were negative for any broken bones but significant soft tissue swelling of the toe. Before taking Ace back into the room where Ms. [redacted] and her companion waited, I applied a soft padded wrap to aid in support of the toe/foot as we discussed earlier. We placed Ace on the floor and he carried his foot as he walked back into the exam room. Just prior to entering the exam room, Ace bumped the foot he was carrying against a corner and he did yelp. Ms. [redacted] was concerned about him yelping and I explained the cause just prior to returning to the exam room.I reviewed the x-rays with Ms. [redacted] and discussed the thickened soft tissue of the toe. We discussed the possibility of Ace injuring the toe from twisting or bending, possibly getting the toe caught in a rug or other injury. Ms. [redacted] acknowledged the possible causes, although she did not see nor did her companion see the cause of the lameness. We also informed Ms. [redacted] that we will be calling the next day to discuss results the tick born disease test.We continued our conversation and it was determined Ace needed updated on his vaccinations, it was recommended Ace receive a Lyme, "distemper" and 3 years rabies vaccine. A booster for the Lyme vaccine in 3 weeks. Ms. [redacted] wanted to have the vaccines administered and we completed the injections.March 14 at 11:00 am,! returned a call from Ms, [redacted] to discuss the results of Ace's test of tick borne disease. The test showed he had been exposed to a tick(s) carrying Lyme disease along with Anaplasmosis. I recommended treating the Lyme disease and the Anaplasmosis with an antibiotic, Doxycycline, at appropriate doses and duration of time. I also prescribed an antiinflammatory, Rimadyl, to help relieve pain. The treatment was agreed, and medications were dispensed later that day. We also discussed the need for a urine sample to further evaluate the effect the Lyme disease may have had or is having on Ace's kidneys.During this same conversation, Ms. [redacted] mentioned she "...heard a slight thump sound, as if Ace had jumped from the table." I did not see or hear this happen and I asked the technicians who were assisting me, and both said he did not jump from the table. I questioned both technicians why they thought the dog yelped? Both responded that Ace had bumped his foot on a corner of the hall way just prior to re-entering the exam room. I relayed this information to Ms. [redacted].March 15 at 12:31 Ms. [redacted] called very upset. She had removed the bandage that morning and found dried blood and a toe nail. She feels the nail fell off because we allowed the dog to jump off the x-ray table. Ms. [redacted] at 12:42 called back stating another veterinarian told her that the Doxycycline was for pain and the use of Rimadyl for Ace was not known. Our receptionist explained to Ms. [redacted] why each of the commonly used medications were prescribed and what each is meant to achieve.March 19 at 4:29 Ms. [redacted] called and had asked to speak with me, but at the time, I was unavailable and was told I would return her phone call when available. At 6:05 I attempted to return Ms. [redacted]s call, but received the message, "mailbox was full,"March 20,1 spoke with Ms. [redacted] concerning Ace's foot. She felt we caused or made the dogs nail fall off because we allowed him to jump off the table. We did not allow Ace to jump off the table and the yelp happened just prior to Ace re-entering the exam room after bumping his foot on a hall way corner.I told Ms. [redacted] that the nail was most likely injured and that was the cause of the soft tissue swelling seen on the x-ray. I was not able to isolate the broken nail as I examined each toe and nail during my examination. Broken toe nails are a common cause for acute lameness in pets. Most of the time you can see evidence of a broken nail by observing blood or a nail that is torn.I did not observe this on Ace, just a swollen painful toe. If I would have detected a broken nail on examination, I would have recommended wrapping the foot to prevent further injury (just as we did). Wrapping the foot helps prevent the dog from snagging the broken nail on a piece of rug and provides support and protection from further injury.After discussing how we might solve this problem, Ms[redacted] just wanted her money returned. I told her that I was sorry for not finding the broken nail but felt that the treatment was appropriate for the condition that was presented regardless of detecting a broken toe nail. We were not going to refund her money. Ms. [redacted] was still very upset and began loudly telling meshe was "...going to get her f ing money back!" She became louder and more vulgar and !ended the conversation.In summary, I was not able to isolate a broken nail on our examination of Ace, A soft padded bandage for support and protection was applied to the swollen toe/foot. A support bandage would also be the treatment for a broken nail. I understand Ms. [redacted] felt we created the broken nail, we did not. Ace did not jump down from the table creating the broken nail and the yelp Ms. [redacted] heard was when Ace bumped his bandaged foot on a corner just prior to re-entering the exam room.We treated Ace appropriately for all Ms. [redacted]s concerns. Respectfully,Bruce M[redacted], DVM

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Address: 3956 Highway 17, Murrells Inlet, South Carolina, United States, 29576-5015

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