calliecritturs
Posted : 11/18/2010 7:52:40 PM
*raising eyebrow* I told you this is the type of thing they tend to try to find 'extra' things to charge for.
If the vet truly did a real "urinalysis" it should have gone out to the lab and you would KNOW if there were things like crystals, stones, etc. Excess calcium in the diet (or a bad balance between calcium and phosphorous) contributes to things like struvite or oxalate crystals -- but if you have the beginning of those it SHOULD show.
Pharmacy fee? That's a new one -- what are they doing - charging you for putting up the meds?? (strange). Simplicef is essentially a highpowered version of cephalexyn -- not the typical drug I'd expect them to use for a UTI. Amoxyl ... or even Clavamox - it's a anaerobic bacteria usually (no oxygen required) so it's one of the 'cillin' drugs typically.
did the vet really say begining "bladder" infection rather than UTI? They ARE different -- a bladder is in ... well, the *bladder*. A UTI is an infection of the urinary tract (the tube that goes to the outside from the kidneys, then bladder). Bacteria will cling to the walls of the urinary tract -- but an actual bladder infection is something more serious.
You never EVER can tell a dog has a UTI just by virtue of how they act. Most of them don't act "sick" at all -- and particularly not one that is drinking a ton of water to dilute the burning.
If your vet is talking about spay incontinence -- that doesn't usually start with PUDDLES of clear liquid -- no ... that comes on gradually and is more leaking NOT "puddles".
Rather than the xrays, etc. -- about 5 days after she finished the meds I'd ***ask*** for a "culture and sensitivity" - it should be about $90. They have to do a sterile draw (either a cathether or an aspirate directly from the bladder) to culture the urine and find out IF any bacteria remains. THEN they take whatever bacteria grows in the petri dish and they divide it up and "kill" it with various antibiotics. Then YOU get a report -- literally they'll list like 4-6 antibiotics and which will kill it and which won't do so well. But this way you identify the specific bacteria AND The best drug to treat it.
Typically you can use the cephalexyn/Simplicef type drugs for skin infections NOT UTI's -- you *can* use them but typically you have to use them longer to get them TO kill a UTI.
Sorry -- I have SO "been there done that" with UTIs it's not funny -- both me and at least four of my dogs (past & present) have had UTIs -- Billy presently is ON Baytril for a persistent UTI -- they **have** used cephalexyn on Billy for UTIs but ONLY because he's had IMHA and it's a way of using a lesser drug that hopefully won't tick off his immune system. But it also did NOT kick his this time so we had to rachet it up to Baytril. But a urinalysis typically will go out to a lab and be back "tomorrow" -- but it's pretty comprehensive and will tell you everything from whether there is ANY infection present, but also any crystals, casts, etc. and the specific gravity of the urine.
I'd ask them **specifically** how they got a real urinalysis back SO fast -- or did they use a strip test. Yes, a urinalysis SHOULD be about $35 ... but you should have gotten a printed report back. If you go to some vastly huge fancy practice they *might* have enough of a lab inhouse but honestly that's pretty rare (and that would be exactly why I don't go to a practice like that - I want to see THE vet I want to see every time, but that's me).