Veterinary Medicine - June 2008 - (Page 342) Mind Over Miller musings from Dr. Robert M. Miller Our profession’s behavior problem over a century ago that physicians started to establish the discipline of psychology. And it was just over a half century ago that the discipline became part of all physicians’ training. Veterinary medicine has lagged behind human medicine. It was only 15 years ago that we established a boarded specialty in animal behavior, and even now, not all veterinary schools have mandatory courses in behavior. This is a problem. Behavior is as vital to veterinary practice as anatomy and physiology are. I think every U.S. veterinary school should require students to take a basic animal behavior course, and behavior should be on every state board exam. Why is behavior so important? • We cannot fully understand our patients without knowing their innate • The most common questions asked by companion-animal clients pertain to behavior. We must be prepared to answer these questions. And by answer, I mean offering techniques to properly shape and modify behavior. Of course, the wonderful behavior-modifying drugs that have become available since I graduated have a vital place in practice. But if these drugs are used, they must be used in conjunction with behavior modification. • Clients judge us by our skill in handling our patients (our bedside manner). If we are inept, it creates a bad image of E very species adapts to its habitat in three ways: anatomically, physiologically, and behaviorally. Historically, the science of medicine has been devoted to the first two. It was only a little Robert M. Miller, DVM, is an author and a cartoonist, speaker, and Veterinary Medicine Practitioner Advisory Board member from Thousand Oaks, Calif. His thoughts in “Mind Over Miller” are drawn from 32 years as a mixed-animal practitioner. Visit his Web site at www.robertmmiller.com. The most common questions asked by companion-animal clients pertain to behavior. genetically programmed behavior. • The financial base for our profession is no longer the working horse nor food animals. It is now companion animals, in which an understanding of our patients’ innate behavior is even more important. our profession. • Behavior problems are a principal reason for companion-animal abandonment and subsequent euthanasia. Happily, most major veterinary conferences now offer continuing educa- tion on behavior. These are usually small-animal sessions. Equine behavior is largely ignored, despite the fact that the horse is now primarily a companion animal. Moreover, misbehavior in horses may seriously injure or kill both the animal and people. Basic animal behavior training is beneficial to all practitioners, even food-animal practitioners. Such training would help us understand our patients and prescribe appropriate preventive or therapeutic measures. Knowledge of animal behavior would also help us better understand our clients. Biologically speaking, Homo sapiens is just another animal species. No professional is more aware of this than the doctor of veterinary medicine. Our multispecies education gives us a unique perspective. In practice, I often had medically educated owners ask in surprise, “Dogs get heart disease?” or “Horses get cancer?” or “Cats get asthma?” My answer was, always, to feign surprise and respond, “You mean people do, too?” 342 June 2008 VETERINARY MEDICINE The views expressed in “Mind Over Miller” do not necessarily reflect those of the editorial and practitioner advisory boards or the editorial staff. http://www.robertmmiller.com
Table of Contents Feed for the Digital Edition of Veterinary Medicine - June 2008 Veterinary Medicine - June 2008 Contents Leading Off Clinical Exposures Idea Exchange A Challenging Case: Conjunctival Lymphoma in a Cat Updates on Canine Hypoadrenocorticism Product Preview CE Form Advertiser Index Marketplace/Classifieds Mind Over Miller Clinical Edge - June 2008 Table of Contents Managing Diabetes Mellitus in Cats: What Makes it Work? Porcine Insulin Zinc Suspension in the Management of Feline Diabetes Mellitus Monitoring Diabetes Mellitus in Diabetic Cats Feline Diabetes Mellitus: Important Client Communication Points Veterinary Medicine - June 2008 Veterinary Medicine - June 2008 - Veterinary Medicine - June 2008 (Page Cover1) Veterinary Medicine - June 2008 - Veterinary Medicine - June 2008 (Page Cover2) Veterinary Medicine - June 2008 - Veterinary Medicine - June 2008 (Page 287) Veterinary Medicine - June 2008 - Contents (Page 288) Veterinary Medicine - June 2008 - Contents (Page 289) Veterinary Medicine - June 2008 - Contents (Page 290) Veterinary Medicine - June 2008 - Contents (Page 291) Veterinary Medicine - June 2008 - Contents (Page 292) Veterinary Medicine - June 2008 - Contents (Page 293) Veterinary Medicine - June 2008 - Contents (Page 294) Veterinary Medicine - June 2008 - Leading Off (Page 295) Veterinary Medicine - June 2008 - Clinical Exposures (Page 296) Veterinary Medicine - June 2008 - Clinical Exposures (Page 297) Veterinary Medicine - June 2008 - Clinical Exposures (Page 298) Veterinary Medicine - June 2008 - Clinical Exposures (Page 299) Veterinary Medicine - June 2008 - Clinical Exposures (Page 300) Veterinary Medicine - June 2008 - Clinical Exposures (Page 301) Veterinary Medicine - June 2008 - Clinical Exposures (Page 302) Veterinary Medicine - June 2008 - Clinical Exposures (Page 303) Veterinary Medicine - June 2008 - Clinical Exposures (Page 304) Veterinary Medicine - June 2008 - Clinical Exposures (Page 305) Veterinary Medicine - June 2008 - Idea Exchange (Page 306) Veterinary Medicine - June 2008 - Idea Exchange (Page 307) Veterinary Medicine - June 2008 - Idea Exchange (Page 308) Veterinary Medicine - June 2008 - Idea Exchange (Page 309) Veterinary Medicine - June 2008 - A Challenging Case: Conjunctival Lymphoma in a Cat (Page 310) Veterinary Medicine - June 2008 - A Challenging Case: Conjunctival Lymphoma in a Cat (Page 311) Veterinary Medicine - June 2008 - A Challenging Case: Conjunctival Lymphoma in a Cat (Page 312) Veterinary Medicine - June 2008 - A Challenging Case: Conjunctival Lymphoma in a Cat (Page 313) Veterinary Medicine - June 2008 - A Challenging Case: Conjunctival Lymphoma in a Cat (Page 314) Veterinary Medicine - June 2008 - A Challenging Case: Conjunctival Lymphoma in a Cat (Page 315) Veterinary Medicine - June 2008 - A Challenging Case: Conjunctival Lymphoma in a Cat (Page 316) Veterinary Medicine - June 2008 - A Challenging Case: Conjunctival Lymphoma in a Cat (Page 317) Veterinary Medicine - June 2008 - A Challenging Case: Conjunctival Lymphoma in a Cat (Page 318) Veterinary Medicine - June 2008 - A Challenging Case: Conjunctival Lymphoma in a Cat (Page 319) Veterinary Medicine - June 2008 - Updates on Canine Hypoadrenocorticism (Page 320) Veterinary Medicine - June 2008 - Updates on Canine Hypoadrenocorticism (Page 321) Veterinary Medicine - June 2008 - Updates on Canine Hypoadrenocorticism (Page 322) Veterinary Medicine - June 2008 - Updates on Canine Hypoadrenocorticism (Page 323) Veterinary Medicine - June 2008 - Updates on Canine Hypoadrenocorticism (Page 324) Veterinary Medicine - June 2008 - Updates on Canine Hypoadrenocorticism (Page 325) Veterinary Medicine - June 2008 - Updates on Canine Hypoadrenocorticism (Page 326) Veterinary Medicine - June 2008 - Updates on Canine Hypoadrenocorticism (Page 327) Veterinary Medicine - June 2008 - Updates on Canine Hypoadrenocorticism (Page 328) Veterinary Medicine - June 2008 - Updates on Canine Hypoadrenocorticism (Page 329) Veterinary Medicine - June 2008 - Updates on Canine Hypoadrenocorticism (Page 330) Veterinary Medicine - June 2008 - Updates on Canine Hypoadrenocorticism (Page 331) Veterinary Medicine - June 2008 - Updates on Canine Hypoadrenocorticism (Page 332) Veterinary Medicine - June 2008 - Updates on Canine Hypoadrenocorticism (Page 333) Veterinary Medicine - June 2008 - Updates on Canine Hypoadrenocorticism (Page 334) Veterinary Medicine - June 2008 - Updates on Canine Hypoadrenocorticism (Page 335) Veterinary Medicine - June 2008 - Product Preview (Page 336) Veterinary Medicine - June 2008 - Advertiser Index (Page 337) Veterinary Medicine - June 2008 - Marketplace/Classifieds (Page 338) Veterinary Medicine - June 2008 - Marketplace/Classifieds (Page 339) Veterinary Medicine - June 2008 - Marketplace/Classifieds (Page 340) Veterinary Medicine - June 2008 - Marketplace/Classifieds (Page 341) Veterinary Medicine - June 2008 - Mind Over Miller (Page 342) Veterinary Medicine - June 2008 - Mind Over Miller (Page Cover3) Veterinary Medicine - June 2008 - Mind Over Miller (Page Cover4) Veterinary Medicine - June 2008 - Clinical Edge - June 2008 (Page c1) Veterinary Medicine - June 2008 - Table of Contents (Page c2) Veterinary Medicine - June 2008 - Managing Diabetes Mellitus in Cats: What Makes it Work? (Page c3) Veterinary Medicine - June 2008 - Managing Diabetes Mellitus in Cats: What Makes it Work? (Page c4) Veterinary Medicine - June 2008 - Managing Diabetes Mellitus in Cats: What Makes it Work? (Page c5) Veterinary Medicine - June 2008 - Managing Diabetes Mellitus in Cats: What Makes it Work? (Page c6) Veterinary Medicine - June 2008 - Managing Diabetes Mellitus in Cats: What Makes it Work? (Page c7) Veterinary Medicine - June 2008 - Porcine Insulin Zinc Suspension in the Management of Feline Diabetes Mellitus (Page c8) Veterinary Medicine - June 2008 - Porcine Insulin Zinc Suspension in the Management of Feline Diabetes Mellitus (Page c9) Veterinary Medicine - June 2008 - Porcine Insulin Zinc Suspension in the Management of Feline Diabetes Mellitus (Page c10) Veterinary Medicine - June 2008 - Porcine Insulin Zinc Suspension in the Management of Feline Diabetes Mellitus (Page c11) Veterinary Medicine - June 2008 - Monitoring Diabetes Mellitus in Diabetic Cats (Page c12) Veterinary Medicine - June 2008 - Monitoring Diabetes Mellitus in Diabetic Cats (Page c13) Veterinary Medicine - June 2008 - Monitoring Diabetes Mellitus in Diabetic Cats (Page c14) Veterinary Medicine - June 2008 - Monitoring Diabetes Mellitus in Diabetic Cats (Page c15) Veterinary Medicine - June 2008 - Monitoring Diabetes Mellitus in Diabetic Cats (Page c16) Veterinary Medicine - June 2008 - Monitoring Diabetes Mellitus in Diabetic Cats (Page c17) Veterinary Medicine - June 2008 - Monitoring Diabetes Mellitus in Diabetic Cats (Page c18) Veterinary Medicine - June 2008 - Feline Diabetes Mellitus: Important Client Communication Points (Page c19) Veterinary Medicine - June 2008 - Feline Diabetes Mellitus: Important Client Communication Points (Page c20) Veterinary Medicine - June 2008 - Feline Diabetes Mellitus: Important Client Communication Points (Page c21) Veterinary Medicine - June 2008 - Feline Diabetes Mellitus: Important Client Communication Points (Page c22) Veterinary Medicine - June 2008 - Feline Diabetes Mellitus: Important Client Communication Points (Page c23) Veterinary Medicine - June 2008 - Feline Diabetes Mellitus: Important Client Communication Points (Page c24)
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