when the veterinarian crosses the line

Recently I've heard a number of first-hand stories about horse folks having huge and upsetting issues with veterinarians who were on the farm to examine, diagnose, and/or treat a horse. In all scenarios, the veterinarian crossed the line in one way or another. In one case, a horse ended up with injuries to head and legs and the veterinarian who caused the injuries left the farm without even checking to see if the injuries he caused were serious.

This brought up a lot of conversation. What do you do if a veterinarian exhibits incompetence or even malpractice?

Many people felt there was nothing to do but look for a new vet. Others felt that to name the vet was wrong. Others felt everyone deserved to know the name of the vet so they could steer clear.

A couple of things came to my mind immediately.

First, I always hold my horse when the vet comes for anything. Emergency, wellness visit, etc. I do not even have cross-ties in my barn, so there is no tying a horse up and letting the vet approach. I have the horse in question's halter on so that when the vet gets out of the truck I can quickly snap the lead line on and bring the horse out for the exam.

There have been a few times (all when Salina was very old) when she was actually down when the vet arrived. In those instances she was allowed to have her donkeys with her, as it kept her calm, and I approached her with the vet and let her know with my voice what was happening.

One of the best reasons to hold your horse for any health care professional is so that you can walk the horse away if you need to do so. It is so much easier to walk the horse away than to step in and take over if someone starts manhandling your horse. 

It's sad to think we might need to do this, but if something goes wrong, I much prefer to be the one with the lead rope in my hand.

A frightened horse who is tied in cross-ties or straight-tied is much more likely to be hurt than one on the end of a lead rope. 

Secondly, if you experience abusive treatment, incompetent treatment, or what you feel might be or is malpractice, don't just let it go. Report it to your state veterinary board, the one that licenses vets to practice in your state.

In North Carolina, we have the NCVMB. I've copied and pasted the page on making formal complaints below. Making a complaint means the Board will investigate. The thing is, if you don't report, there is no way they will ever know what happened, and there is no pattern of complaint created so that bad vets are dealt with.

Everyone can have a bad day, things can go sideways, and horses are big animals. But we all know there are humane ways to get things done. We all know anger, frustration, and condescension have no place during a difficult moment with a horse. An equine vet who is competent will know when to take a break, walk away, or request more help. An incompetent vet will actually make the horse more afraid and more difficult, so that the next visit will be even harder. 

Don't be afraid to step in if you feel the professional is out of line in any way. Better yet, BEFORE the line is crossed. You are the voice for your horse. It's your job to step in. And remember: you know your horse better than any professional does. He or she should be asking you questions and LISTENING to your insights and answers. 

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Complaints

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The General Statues of North Carolina established the North Carolina Veterinary Medical Board for the purpose of regulating the practice of veterinary medicine and surgery.  The General Statues, along with the Administrative Code, establish protocols for the review of complaints and set grounds for possible disciplinary action. Complaints are filed against licensees of the Board rather than veterinary practice facilities. The complaint protocol applies to licensed veterinarians, registered veterinary technicians, applicants for examination and faculty certificate holders of this Board. Complaints cannot be accepted anonymously, by fax, e-mail or telephone.  Printer friendly version of Summary of the Complaint Process     Types of Complaints  The Board investigates complaints concerning the practice of veterinary medicine and the standard of care provided by licensees of the Board and includes, but not limited to:     - Incompetence     - Malpractice     - Fraud     - Gross negligence     - Misrepresentation Fee Issues  The Veterinary Practice Act does not address the issue of fees. Therefore, the Board has no authority concerning fees or the jurisdiction to settle monetary disputes. Monetary disputes would be handled through civil court. Contract Disputes  The Veterinary Practice Act does not address contract disputes; therefore, these types of disputes are generally not within the jurisdiction of the Board. Filing a Complaint  A letter of complaint should be typed and mailed to:     NC Veterinary Medical Board     1611 Jones Franklin Rd., Suite 106     Raleigh, NC 27606 Complaints cannot be accepted anonymously, by fax or telephone. A formal complaint is serious, the process takes time and may require all parties travel to a meeting of the Board and provide testimony under oath. The letter of complaint needs to include the following information: (1.) The name(s) of the accused individual(s) whom the complaint is to be file against.  (2.) Name(s) of any veterinarian(s) or veterinary practice(s) that may have more information or medical records concerning the pet.  (3.) Detailed account of the complaint/situation including pet’s name, age and breed.  (4.) Copies of any documentation(s) or information pertaining to the complaint. NOTE: Remember to provide a mailing address and telephone number(s) should the Board need to contact you.  Procedure for Investigation/Review of Complaints 1.) A copy of the letter of complaint is forwarded by certified mail to the accused individual for a response. They are given twenty (20) days from the time they receive the letter of complaint to respond in writing. 2.) A copy of the accused’s written response is then forwarded to the complainant. They also are given twenty (20) days from receipt of letter to reply. Should the complainant not reply to the accused individual’s response, the Committee on Investigation (the “Committee”) could dismiss the complaint. 3.) When the complainant’s response is received, a copy is forwarded to the accused party and a date is set for the complaint to be reviewed by the Committee.   4.) After the complaint is reviewed, the Committee relays its findings at the next meeting of the full Board.  The attorney for the Board prepares all letters that summarize the findings of the Committee and mailed to all parties. NOTE: A complaint may need to be continued until the next meeting of the Committee: all parties are informed of this continuation by the Board in writing. Possible Actions by the Board      - Issue a Letter of Dismissal      - Issue a Letter of Caution     - Issue a Letter of Reprimand     - Suspension of licensee to practice veterinary medicine in North Carolina Dismissed Complaints  The Committee on Investigations can dismiss a complaint when it:     1.) Determines that no probable cause exists     2.) Lacks the jurisdiction to proceed     3.) Lacks a response from the person who initiated the complaint Letter of Caution  A Letter of Caution may be issued when no probable cause is found but it is determined by the Committee on Investigations that the conduct of the accused individual is not in accordance with accepted professional practice. Letter of Reprimand  When probable cause is found, but it is determined that a disciplinary administrative hearing is not warranted, the Committee on Investigations can issue a Letter of Reprimand. The Letter of Reprimand is prepared by the Board’s attorney and mailed to all parties. Acceptance of Reprimand: If the Letter of Reprimand is accepted by the accused individual, a record of the Letter of Reprimand shall be maintained at the Board office. Refusal of Reprimand: The accused individual has fifteen (15) days to refuse the Letter of Reprimand from the date received. A written refusal and request for a hearing should be addressed to the Committee on Investigations and filed with the Executive Director of the Board. This is pursuant to Chapter 150B of the North Carolina General Statutes, Title 21, Chapter 66 of the North Carolina Administrative Code. Legal counsel for the Board shall prepare and file such Notice of Hearing. Administrative Hearing  When disciplinary action is refused by the licensee and probable cause was found, the attorney for the Board will file a Notice of Hearing. All parties involved in the complaint are informed and must travel to a meeting of the Board to provide testimony under oath. Hearing procedures are similar to a court of law. Method of Notice: The Board shall give notice to all parties of a Notice of Hearing in person or by certified mail. In the event that the notice is accomplished by certified mail, the delivery date on the return receipt shall be the date served. Notification Deadline: The Board shall give the party or parties in a contested case a Notice of Hearing no less than fifteen (15) days before the hearing. Suspension of License/Registration  If the Board determines that public health, safety or welfare requires such action, the Board may issue an order suspending a license or registration. The Board’s attorney will prepare the order requiring the licensee or registrant to immediately cease the practice veterinary medicine in North Carolina. Ownership of Veterinary Practices  Only a North Carolina licensed veterinarian can own and operate a veterinary practice facility and deliver services to the public. Welfare groups, humane societies or other entities cannot operate, and are not able to own veterinary practice facilities in North Carolina. Any advertising or promotions suggesting that someone or entity owns a veterinary practice other than a North Carolina licensed veterinarian, would be considered in violation of the Veterinary Practice Act. Welfare groups, humane societies, or other entities are not authorized by law to engage in the delivery of veterinary medical services to the public.

summertime blues: beating the pesky biting insects

It's June and suddenly we're dealing with flies on November Hill, which has made me remember how grateful I am for two of my favorite companies. 

SOX FOR HORSES and their wonderful summer whinny leggings are a favorite horsewear item here. Keil Bay literally lifts his hooves and assists me as I pull them onto his legs. They are wonderful for keeping flies from biting but they can also be very useful in helping keep flies off leg wounds and hastening healing. 

Check them out here: http://www.whinnywarmers.com/

ARBICO ORGANICS sells fly predators and food grade diatomaceous earth in 50 lb. bags. I've used fly predators for many years now and knew they made a big difference in the fly population. This year I messed up my order and didn't get the first batch until close to the end of May. I realized we were seeing a lot more flies than usual. They helped me get my order sorted out and sent a double batch to get me going with catch-up fly control. 

You can check this company out here: http://www.arbico-organics.com/

I've done all my other things too. Hanging clear plastic bags filled with water in the barn entrances, using the sticky fly strips to take care of the adult flies while the predators work on the larvae, and mixing up a custom batch of fly spray using essential oils, apple cider vinegar, and water.

It's not my favorite time of year but it's a time when I am grateful for two of my favorite companies. 

Thanks to Socks For Horses and Arbico Organics!

Stay tuned for a fun giveaway that will showcase a new favorite company who offered to let me test one of their products. It arrived this week and I'm thrilled with the quality and really excited to share it with you. More soon, so keep an eye out!

Hope all are doing well as we near the summer solstice.

celebrating with Big Bay

I've been focusing on the anniversary of Salina's death this month, and missing her, and getting stuck a little bit in my obsessing over Keil Bay (who is 25 now) and fretting over him on a near-daily basis.

Keil is sound and healthy but he has white hairs around his eyes, silver hairs in his mane, tail, and forelock, and he has an off day now and then. Under saddle we warm up more slowly and for a longer time. And I'm discovering I can make fretting a full-time occupation if that's what I choose to do.

Yesterday it was Keil Bay's turn to get his hooves trimmed. My husband and I are doing it now, minimally, since the areas of stone and hard ground and our arena serve as huge trimming tools and I am seeing how healthy the hooves are when they trim naturally. No soreness after the trims, no flat soles. I certainly won't hesitate to call our trimmer if I feel we need her, but for now, this is working really well.

We do clean up the rough edges, though, and this week it seems like the summer hoof growing season kicked in because all the big boys and even the donkeys to a lesser degree, were self-trimming like crazy and the hoof walls were looking a bit too ragged for my taste. 

Husband and I went to the grass paddock and started working on Keil Bay. We were immediately surrounded by the pony and the donkeys, to the degree that trimming was nearly impossible, so we moved with Keil to the front field. 

He fussed about the hoof stand so we moved it to the side and did the trimming with his feet propped on husband's leg. By the third hoof he was licking and chewing. I don't know if it was the attention, the trimming itself, or just pure contentment, but it was lovely. The sun was low in the sky, the heat was fading, and although we were sweating a bit, it was a shared moment of love and affection and cooperation.

When he was done with his trims I pulled his Summer Whinnys up (these are wonderful white leggings that keep the flies off - he loves wearing them this time of year) and spritzed him with the fly spray concoction I mix up (no chemicals, smells good, seems to feel good to him when I spray it on) and removed his halter. 

My husband opened the gate back to the grass paddock and barn and I watched as Keil Bay turned, power trotted through, then broke into a gorgeous canter which he did right through the barn aisle to the barnyard on the other side.

Husband asked, "Was that good or bad?"

And I said "Great."

These moments when Keil shows me that he is 25 years young are priceless. I seize onto them and feel like baking a cake and lighting candles and saying happy day! Happy day with the Big Handsome Bay!

My challenge with him is to celebrate the good days and not focus on the number of years old he is. To listen to him if he needs special care but to also listen to him when he says "I'm 25 and I'm sound and I'm still powerful and brilliant and perfectly capable of behaving like a 5-year old!"

I hear you, Bay, I do.

May column: Anniversary of the Passing of a Goddess

http://talk2theanimals.net/anniversary-of-the-passing-of-a-goddess/

I hope you'll stop by and read, and comment too. 

I miss her still.

May days

I'm finding it hard to believe May is here already. We've had horses in the backyard grazing down the grass (they mow for me in 3 shifts and all are perfectly willing to work overtime!!), we'll soon be moving the grass paddock fencing to encompass the entire side and front yards of our house (that grass is now almost chest deep to Keil Bay, imagine their delight when we open it up to them!), all the trees are fully leafed out now which means our privacy is back (in other words, we can't see the road, much less the neighbors across the lane), and I am riding with Keil's Quiet Ride mask due to yellowish-orange biting creatures as well as those nasty little midges.

Because of those midges the herd has chosen to stay in the barn with their fans on more days than not the past couple of weeks, and I am using fly spray and various other ointments as well as the full-blown Kellon cocktail of chondroitin, spirulina, and ground flax to keep insect bite reactions to a minimum.

The ride time around here has shifted officially as of this morning. Still very nice temp-wise in the early mornings, and, before the insects come out, it's the perfect time to ride. This morning Keil Bay and I went in the arena and I left the back gate open. He heads straight for the back gate when he's had enough of the arena sun, and that is fine with me. There is nothing better than marching around the back field on Keil Bay.

Writing-wise, I am 15k words into my second novel this year. My goal is to write four first drafts by the end of September so that I can then turn to editing in the fall/early winter. So far I have completed Clairette, a short story; claire-voyant, the third novel in the Claire Quartet; and now I am four chapters in with claire-de-lune, the final Claire Quartet title. The key is writing 5-7 pages a day, no matter what. The REAL key is not letting that time get shoved right off the end of the table with all the other things I have going on. It's not that the time isn't there - it's that I have to actively prioritize my daily writing. (and my daily riding)

In other news, my son is coming home for two weeks! So I'm looking forward to spending time with him enjoying his all-too-brief visit. He is going back to school to do a research job with one of his physics professors and is also taking two classes in summer school. 

I hope everyone is having spring weather by now - without the crazy severe weather of the past few weeks. We had a few dicey days and I'm glad we made it through with no problems. 

Happy May!