Table 1: How to deal with drug shortages
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In the last Diagnote, we discussed caring about patients in the context of drug shortages. In the final part of this series,
we provide some suggestions to minimize the consequences of drug shortages in Table 1. Another aspect of caring about patient
is illustrated by looking at Sadie's story.
Sadie's story begins
Carl A. Osborne, DVM, PhD, Dipl. ACVIM and Eugene E. Nwaokorie, DVM, MS
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Sadie, a 110-lb spayed female blood hound, entered the Osborne home after being rescued from a pound when she was about 5
years old. She was a magnificent-looking dog. However, she had severe leg-hold trap scars a few centimeters proximal to her
left hock joint. She also was missing a huge section of auricular cartilage shaped like an adult grey wolf's mouth. In light
of the evidence of severe trauma and pain in her past, I promised Sadie that, to the best of my ability, she would not be
subjected to such severe pain again.
Sadie loved everybody. She was indifferent to the presence of the wild and domesticated animals commonly found in urban-suburban
cities. She was afraid of loud noises such as firecrackers, thunder, backfires from automobiles and gunshots. If she was at
home when a loud clap of thunder occurred, she would immediately head for the closet of our second-story bedroom, apparently
because she felt safe there.
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