In no fewer than three previous blog posts (see http://dvm360.com/palmerblog/), I've made the claim that I'm not a low cost spay-neuter (LCSN) activist. Instead I simply argued for the inclusion of those
options when veterinarians feel it is appropriate. However, I may have to reconsider whether or not I'm really a "closet"
activist in this area.
I've criticized veterinarians and consultants who feel it's their business to dictate what others in this industry do (or,
in this case, not do). In doing so, I've been careful not to commit the same mistake I've called them out for—I have never
said that LCSN should be a part of every practitioner's model, just that it's OK if they/we want it to be. In 20 years of
veterinary employment I've never considered changing course and devoting my work life to the spay/neuter cause, though our
practice does strongly encourage the procedure and works with every available local resource to help make it happen. I agree
and have gone along very comfortably with our involvement. Until now.
Two things have caused me to wonder if there is some activist in me after all. A few months ago, two of our work-experience
students from the local high school asked me to be a mentor for their joint senior project. They wanted to do something to
raise awareness of pet overpopulation, spay-neuter options and so on, and they were looking for ideas. With the support of
my veterinary practice owner, I suggested that we could take a single day, schedule all three of our doctors to be in the
clinic, and provide free (that's right, free) cat spay and neuter procedures. With two doctors doing surgery concurrently,
I felt we could easily do 20 cat spays and 50 cat neuters. There were a lot of factors to consider—how the girls would create
fund-raisers to offset the cost of the procedures, but only at a level that would cover our out-of-pocket expenses; how would
we ensure that only the needy were the beneficiaries of our programs; and, finally, how would we reach those pet owners who
were in need.
We ended up only being able to devote one doctor to surgery, and we cut our goals for cats spayed or neutered in half (10
spays, 25 neuters). We decided that we would be happy with any level of reimbursement, not to exceed our out-of-pocket expenses,
and that even with no payment it would be a great thing to do for the community. We decided quickly that a cat has no "economic
status" and, while we hoped to target those clients in financial need, we would be happy to alter anyone's cat. We used Facebook
exclusively to reach clients and even hung a sign in our waiting area.
We filled all of our open slots for surgery that day and the process of getting them done went very smoothly. Our local and
regional newspapers both picked up the story and featured the program and our practice on their front pages—better advertising
than we could ever pay for. The absolute gratitude from each and every client was truly moving—some just had no money while
others had experienced economy-related job changes. At the end of the day, we also collected a waiting list over the phone
of 16 more females and 10 more males that desperately needed to be altered if we could come up with a little money to get
there. We will.
In addition, I still follow (through Facebook) the achievements of some folks I got to meet in Cabo San Lucas, Mexico, as
they fight pet overpopulation on a daily basis. This is not some program they're participating in; it's their lives. Most
people thinking about a trip to Mexico might be longing for the beach and beautiful weather—and I wouldn't mind those things—but
what's on my mind is a return trip to spend some more time around people who work for something more than money and status.
The last four months of my life have been spent reassessing the career choices I've made. Not the choice to work in the veterinary
industry, but what my own philosophies are and whether or not they still mesh well with the practice I work for. Mostly, they
do, but I have to admit that after a zillion years as a practice manager, the part of my job that is really rewarding has
nothing to do with that title. I've been immersed in the dental portion of our practice for years, splitting time as a practicing
CVT in that area during my "spare time," and I think I'm attracted to that so much because I can provide a direct and tangible
benefit to a patient.
A few weeks ago I caught myself dreaming about using a month of my vacation to go back to Cabo—just to help with the spay-neuter
clinic. I can't say it won't happen some day.
Kyle Palmer, CVT, is a practice manager at Silver Creek Animal Clinic, a mixed practice in Silverton, Ore.