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TOPIC: AVMA Model Veterinary Practice Act

RE:AVMA Model Veterinary Practice Act 01 Mar 2011 00:20 #271

  • mwmyersdvm
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david a hall wrote:
Wouldn't it be good if treatment was improving at the same pace as the diagnostic technology.

What would be even better is if the diagnoses were improving at the same pace as the diagnositc technology. I see plenty of 'questionable lesions' being given some attention that is likely not warranted.

There are also plenty of rather 'creative' treatments as a result of this technology. "Preventive surgery" for an insertional lesion in a suspensory ligament in a horse that is not lame is one case I can cite. The opposite suspensory was not checked to see if the lesion was there as well. Too bad, because perhaps they could have profitted from two surgeries rather than just one from a pair of minor developmental anomalies. "Preventive joint injections" are really going a bit too far in most cases.

M. W. Myers, D.V.M.
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RE:AVMA Model Veterinary Practice Act 01 Mar 2011 00:26 #272

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Rick Talbert wrote:
Maybe you know something of Dr Meyer's intentions that I do not know, or maybe we take away a different meaning from reading his posts. I take long breaks from this site sometimes so maybe I just don't know whats up, but I think he seems to be doing what I think more vets should do. He is on here looking for ideas and cooperation from farriers and everyone seems to be hard on him. I don't get it.

Thank you for the vote of confidence, Rick, but these guys 'bark' is a lot worse than their bite. You just have to get used to their communication patterns. They just speak their minds and generally do not mean to be derogatory or bellicose, "they just type that way" :)

I fully intend to keep doing what I am doing as I know I am at least helping one horse at a time and one day I will be able to help a lot more. I am only 58 years old and my family has the genetics for great longevity so these guys will have to put up with me for another 30 to 40 years unless Baron finds me too obnoxious :)

M. W. Myers, D.V.M.
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RE:AVMA Model Veterinary Practice Act 01 Mar 2011 00:41 #273

  • mwmyersdvm
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Travis Reed wrote:
.........

....www.MREQUINE.com.... they pull a 18 wheeler of sorts....clinic does have to supply the power to pull it and they plug into that power source...you also have to knock the horse down and load it on a table ...then roll table to lift gate and the load it in the trailer part that is outfitted with MR,...you also have to have a vet in the set up to keep hhorse alive.. I have seen bills from vet run in the 2k to 5k on blocks..veng..sona..radiogaphs and makeing horse lunge...when a mri finally told what the issue wasand could be treated and it was 800 to 1200...I can understand when u say the cients u work for just don't have that kind of money ..so yes I would say a mri is not for everyone...but when dealing with a horse that makes the client money or a project horse to sale money is not a issue over finding out what is deff wrong so it can be treated and get back to work......I noticed u work on a lot of founder and stuff but I just don't see much founder at all..I quess one reason is most of my work is in show and lesson barns where the horses are on a strict diet..... so I do see the point of cost when dealing with just a pasture pet that the main goal is just keep the horse comfy...

For this system to work there needs to be a facility with surgical capabilities and a lift to get the horse up onto the table and a recovery stall for him to wake up in. There also has to be a dedicated 220 electrical line installed outside where they can plug in. Our referral equine facility has MRI capability at present, but they are pretty pricey. I am not sure this group would want to travel to Northern Virginia from Meridian, Idaho for less than what can be done here.

I work on horses other than pasture pets. These horses have usually been seen by a number of veterinarians and specialty practices. The 2009 Junior Canadian Dressage National Champion was one of my team's wins.

I guess my perpective differs from many practices because I see most of my referrals when the clients are at the end of their rope after having been through the usual channels. I can't repair them all, but my odds are pretty good as the majority of them are better. Those that can't be helped; the owners are usually satisfied they have done all they can and I don't have them do a lot of manuevers that really won't help the situation. I would probably be a lot richer if I did, but I have a nasty little critter sitting on my shoulder I call 'conscience'. He is most annoying at times, but I really do feel better having him around.

M. W. Myers, D.V.M.
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RE:AVMA Model Veterinary Practice Act 01 Mar 2011 07:35 #274

  • david a hall
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mwmyersdvm wrote:
What would be even better is if the diagnoses were improving at the same pace as the diagnositc technology. I see plenty of 'questionable lesions' being given some attention that is likely not warranted.

There are also plenty of rather 'creative' treatments as a result of this technology. "Preventive surgery" for an insertional lesion in a suspensory ligament in a horse that is not lame is one case I can cite. The opposite suspensory was not checked to see if the lesion was there as well. Too bad, because perhaps they could have profitted from two surgeries rather than just one from a pair of minor developmental anomalies. "Preventive joint injections" are really going a bit too far in most cases.

M. W. Myers, D.V.M.

You can play with words, literacy is not my strong point, i see it is yours. I'm sure we just said the same thing.
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RE:AVMA Model Veterinary Practice Act 03 Mar 2011 11:45 #275

  • tbloomer
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david a hall wrote:
You can play with words, literacy is not my strong point, i see it is yours. I'm sure we just said the same thing.
David, if literacy were marksmanship you would carry a sniper rifle amidst those with shot guns and machine guns. :D
Tom Bloomer
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Here's the deal. I'm trying to keep it simple.
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RE:AVMA Model Veterinary Practice Act 03 Mar 2011 17:24 #276

  • david a hall
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tbloomer wrote:
David, if literacy were marksmanship you would carry a sniper rifle amidst those with shot guns and machine guns. :D

I'm sure thats good, but maybe not :D shall i get my coat? And lets be honest he does see every post as a game of literary chess with all around.
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RE:AVMA Model Veterinary Practice Act 03 Mar 2011 18:18 #277

  • tbloomer
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david a hall wrote:
I'm sure thats good, but maybe not :D shall i get my coat? And lets be honest he does see every post as a game of literary chess with all around.
The "I feel your pain" thing is so '90s. ;)
Tom Bloomer
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Here's the deal. I'm trying to keep it simple.
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RE:AVMA Model Veterinary Practice Act 03 Mar 2011 18:29 #278

  • david a hall
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meaning what?
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RE:AVMA Model Veterinary Practice Act 03 Mar 2011 20:39 #279

  • tbloomer
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david a hall wrote:
meaning what?
It was a tongue in cheek reference to Bill Clinton's "I'm really one of you little people" speech.
Tom Bloomer
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Here's the deal. I'm trying to keep it simple.
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RE:AVMA Model Veterinary Practice Act 03 Mar 2011 20:45 #280

  • david a hall
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Ah i have it now, this intercontinental language barrier is very difficult. And he was the man who told Monica to sack his cook, its easy to see how things get lost in translation :D
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RE:AVMA Model Veterinary Practice Act 04 Mar 2011 03:55 #281

  • tbloomer
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david a hall wrote:
Ah i have it now, this intercontinental language barrier is very difficult. And he was the man who told Monica to sack his cook, its easy to see how things get lost in translation :D
Sack his cook . . . yea that's what she did . . . fired his chef too.
Tom Bloomer
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Here's the deal. I'm trying to keep it simple.
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RE:AVMA Model Veterinary Practice Act 14 Mar 2011 12:44 #282

  • George Geist
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Thanks as always to Fran,
Here's another one guys
http://hoofcare.blogspot.com/2011/03/arkansas-veterinary-practice-act.html
Have a look you might find it interesting.
George
For another fun place to play........
www.horseshoersforum.invisionzone.com
Come over and say hello.
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