The APDT Chronicle of the Dog Summer 2020 | Page 25

VETERINARIAN’S PERSPECTIVE As I first sat down to write this, we had been ordered to shelter in place for the past three days, watching in horror as to what was playing out in other countries. It was like those nightmares one has, where something is chasing us, but we can’t run, let alone walk, away from it. Veterinarians are considered essential workers in many states based on orders from governmental agencies, which allow us to work in order to help protect the food supply, treat emergency cases, and end animal suffering. We have even been called to work alongside our human healthcare colleagues in states such as California and New York. We take all of this very seriously when we take our oath to “promote animal health and welfare, relieve animal suffering, protect the health of the public and environment…” This does not come without stress and anxiety, especially when there is a highly contagious zoonotic disease in our population. How are veterinarians and their staff supposed to adequately care for their patients if, by interacting with owners and other staff members, they contract or transmit COVID-19? Given that most veterinary exam rooms are too small to allow for appropriate physical distancing, how do we ameliorate the animals’ stress when the pet is removed from the owner in order to care for it in the hospital? How do we help dogs understand that people wearing a mask are not scary aliens? Veterinarians are also constrained by individual state laws that prohibit establishing a valid veterinary-patient-client relationship via telemedicine, something by which other animal professionals do not have to abide. In California, the current law is even more strict, in that veterinarians cannot treat via telemedicine a current patient for a disorder that we didn’t previously diagnose in-person. Veterinarians, along with human healthcare professionals, are also being asked to prioritize or delay non-emergency procedures in order to bolster the personal protective equipment supply chain for the front-line defenders in the human healthcare field. However, at what point is the line drawn? Are vaccinations for puppies, as well as children, considered important if we are to decrease the mortality from other infectious diseases? Are rabies vaccinations important to protect public health, especially in a rabies-endemic area? Are spays considered an urgent procedure if done to prevent pyometra? Is an ear infection considered urgent or lifethreatening? As most veterinarians are type A people, we so deeply wish we had the answers to write out a linear narrative. We can choose to focus on the end phase of grief, which is hope. Hope for the creation of new ways of connecting, for the development of a vaccine, for medications to treat symptoms. Hope in continuing to rethink animal sheltering, when we hear that many shelters have been able to greatly decrease, or even eliminate, the numbers of animals they house. Hope in continuing the trend of decreasing relinquishments to shelters. Hope in promoting the importance of behavior and training, as owners more closely interact with their pets, and potentially helping them identify problem behaviors that they would have previously ignored. Hope that we continue to strive for kindness and caring over divisiveness and bitterness. We are all part of this thing called life...veterinarians and dog trainers and grocery store clerks and politicians. Let us continue to embrace the human condition and support one another during this COVID-19 crisis though kindness, hope, and resilience. Dr. Melissa Bain is a veterinarian and Professor of Clinical Animal Behavior and is board-certified by both the American College of Veterinary Behaviorists and the American College of Animal Welfare. She received a master’s degree in Advanced Clinical Research from the UC Davis School of Medicine in 2007. She is a past president of both the American College of Veterinary Behaviorists and the American Veterinary Society of Animal Behavior. In 2016 she was selected as the Bustad Companion Animal Veterinarian of the Year, awarded by the American Veterinary Medical Association, and in 2019 she was selected to receive the Companion Animal Welfare Award from the World Small Animal Veterinary Association. Additionally, she is the director of Professional Student Clinical Education for the UC Davis Veterinary Medical Teaching Hospital. Her responsibilities include student and resident education, clinical case management, and research. The APDT Chronicle of the Dog | Summer 2020 23