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a grade 2/6 systolic murmur, and a unilateral thyroid nodule. The owner was counseled on the likelihood of hyperthyroidism, which is treatable, and could be the primary reason for her weight loss and heart murmur. Since the condition was treatable, the owner agreed to laboratory work to confirm the presumptive diagnosis. Sunshine was taken to the inpatient area of the clinic where the veterinarian and assistant performed a jugular venipuncture while holding the cat in sternal recumbency. Immediately upon completing the sampling, Sunshine collapsed, and did not respond to resuscitation.

      It is important to consider that if Sunshine had been handled in a more feline‐friendly manner, a better outcome might have been achieved.

TAKE‐AWAYS

       The current undermedicalization of companion cats presents a significant opportunity for veterinary practice teams.

       Recognizing and understanding normal cat behavior is a critical skill in companion animal practice. Cats thrive when they can exhibit normal cat behaviors including hunting and hiding.

       Because of cats' unique relationships with their environment, feline‐friendly care is the foundation of pet‐specific care for companion cats.

       Transitioning our mindset from “diagnose and treat” to “predict and prevent” will enhance cats' well‐being, health, and longevity, as well as client compliance and satisfaction.

       Caring for cats in feline‐friendly ways enhances the human–cat bond, and it is the right thing to do.

MISCELLANEOUS

      1.5.7 Cautions

      1 “Look all ways before crossing …” In the context of cats – observation in advance of any intervention.

      2 Think twice before laughing at viral videos showing cats and cucumbers.

      Abbreviations

      AVMAAmerican Veterinary Medical AssociationDSHDomestic short hair

      1 1 AVMA (2007). US Pet Owner and Demographics Sourcebook. Schaumberg, IL: AVMA.

      2 2 AVMA (2017–2108). Pet Owner and Demographics Sourcebook. Schaumberg, IL: AVMA.

      3 3 Hoyumpa Vogt, A., Rodan, I., Brown, M. et al. (2010). AAFP/AAHA feline life stage guidelines. Journal of Feline Medicine and Surgery 12: 43–54.

      4 4 Ohio State University Indoor Pet Initiative for Cat Owners. https://indoorpet.osu.edu/cats

      5 5 Stella, J., Lord, L., and Buffington, C. (2011). Sickness behaviors in response to unusual external events in healthy cats and cats with feline interstitial cystitis. Journal of the American Veterinary Medical Association 238: 67–73.

      1 American Association of Feline Practitioners. Cat Friendly Practices. https://catvets.com/cfp/cfp

      2 Cat Healthy. http://www.cathealthy.ca

      3 International Cat Care. Cat Friendly Clinic. https://catfriendlyclinic.org

      4 Rodan, I. and Heath, S. (2016). Feline Behavioral Medicine: Prevention and Treatment. St Louis, MO: Saunders.

       Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS

       Global Consultant, Author, and Lecturer, MA, USA

BASICS

      1.6.1 Summary

      Life has changed for veterinary practices, the hospital team, clients, and even pets. Periodically, the world experiences events considered “shocks” that change the fundamental way we do things. These events can include such diverse things as war, terrorist attacks, financial crises, climate change, and pandemics. Even though the event may only occupy a finite span of time, the after‐effects can last significantly longer. As economic shocks appear to be occurring with some regularity, it is important to adapt to the realities that follow.

      1.6.2 Terms Defined

      Economic Shock: An event that has a major impact on economic indicators, such as unemployment, inflation, consumer confidence, or consumption.

      Formulary: An approved list of medications that may be stocked in a practice or are allowed to be prescribed.

      New Normal: The changed state recognized following the occurrence of a major or catastrophic event that alters our routines.

      Pet‐Specific Care: An approach that tailors veterinary care to individual pets based on their predicted risk of disease and likely response to intervention.

MAIN CONCEPTS

      1.6.3 Client Experience

      The occurrence of COVID‐19 may have been the latest notable economic shock, but there are bound to be others. In the immediate post‐COVID era, even with vaccination, clients may continue to be wary of their interactions with staff, so it is a great opportunity to innovate. This includes rethinking how we engage with clients (even hand shaking), and how we articulate the value of our services. Clients have experienced new ways of dealing with their own physicians and the healthcare system and are bound to question why dealing with veterinary teams should be any different. It is important to consider the long‐term applications of appropriate principles, because there are bound to be future pandemic concerns as well as other economic shocks that will affect the profession. It is important to adapt to such shocks and learn from them.

      Clients are quite aware when their world has changed, and it is likely that they have experienced stay‐at‐home isolation, so their attitudes toward social contact will likely be affected for some time. Expect that they will continue to be looking for assurances that they, their pets, and their families will be safe in their interactions with the veterinary team. Many of them will have been working from home, teleconferencing with work colleagues, family, and friends, doing much of their shopping

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