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How would you describe Jamie’s reaction to the news that Peabody likely had heart disease (specifically mitral valve disease) and would benefit from referral to a board-certified veterinary cardiologist prior to undergoing general anesthesia for dentistry?

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How would you describe Shiloh's reaction to the news that Lindy needed to start on a heartworm preventative?

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PROMPT: How  would you describe Jaylen's reaction to the news that P.D. had a heart murmur?

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PROMPT: How  would you describe Jaylen's reaction to the news that P.D. had a heart murmur?

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RM3:client was surprised, concerned by delivery of news

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RM3:client was surprised, concerned by delivery of news

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Confusion, bewilderment, fear, inquisitive

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Rm3: could have let client know in a more gentle manner to eliminate fear

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Rm3: could have let client know in a more gentle manner to eliminate fear

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Worried, didn't understand why HWP was needed; "I don't like pesticides," concern for safety

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Jamie was very willing to seek a cardiologist's opinion.

She seemed worried but interested in doing what's best for Peabody

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The client responded well overall. They seemed calm and collected to the way in which we delivered the information. They did not seem overwhelmed.

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Surprised

Worried about the outcome

Fighting some other demons

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Client asked about specifics of heartworm prevention (oral, injectable)

Hesitancy for giving medications ('that is a chemical!')

Client asked about other animals and heartworm disease (cats)

Client asked about self and heartworm disease risk

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Fairly chill, especially when expecting a different reaction

Asking questions about HW prevention being necessary in AZ

Medication side effect questions

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They were concerned and scared. Hearing anything about the heart can be very alarming and they had prior experience with a family member who had heart disease. They were also shocked that such a young puppy would have a murmur. They were also upset with the breeder and wanted to know if they should go after the breeder.

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The consensus from our room is that our clients were very receptive and willing to start Lindy Hop on HWP. We were all pleasantly surprised because sometimes clients can give pushback on recommendations when they don't see a need for them. We found it helped to educate and even show Shiloh a picture of heartworms to further their understanding on why prevention is so important.

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Curious+apprehensive+hesitate - because they wanted more time and information about heartworm and heartworm preventative before making a decision.

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Jaylen was shocked and concerned about us finding a heart murmur in P.D. They were worried about PD's health and had concerns about what they would say to their twins. Jaylen was curious about getting a second opinion because the findings were difficult for the client to believe.

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Our client appreciated that we cared about Peabody’s safety enough to refer him to a cardiologist.

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- curious

anxious

calmer than expected

worried about the future

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Jamie's reaction to the news of needing referral to a cardiologist for potential underlying heart disease was surprise, confusion, and worry if Peabody was in pain right now. Ultimately, Jamie agreed with the recommendation to a cardiologist and wanted to do what was best for Peabody and still wanted to move forward with the dental eventually but understood the importance of seeing a cardiologist.

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All of us were surprised by how well the client took the news. They did have a few questions but were overall willing to do recommended treatments with little pushback.

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Surprised because they came in expecting a normal puppy wellness visit

Became worried when hearing the word “heart,” which sounds serious

Not panicked, but clearly anxious and unsure

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Client was relieved to hear the HW test was "negative" with no further questions about the test

Client expressed some concerns about preventative being added chemicals

Client asked clarifying questioning regarding importance of preventative in AZ

Some clients wanted to take some time to think about it but seemed receptive

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Our client's were concerned about the ingredients of the preventative and putting the pet on multiple preventatives (like F&T also). Also concerned about the cost of being on year round HW preventative and how they could potentially get this disease.

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Jamie was a bit emotional but overall calm and open-minded.

Benefits: get a definitive diagnose for Peabody's heart condition since the clinical signs could be caused by different pathophysiologies. Different meds will be used for different underlying causes of pea body's heart condition

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Shania: the client was very concerned, and they were sensitive to the information due to the passing of their recent pet. Overall the client seemed to be concerned with the future of PD’s quality of like. Ensuring that the client felt comforted and aware that she would be in constant communication and that she would be there every step of the way.

Alexa: the clients were concerned and they needed a lot of reassurance. She was able to calm the client down and ensure them that she will guide them through this process and continue monitoring PD. Reminding the client that overall PD looks great, and that we should just continue checking on him.

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The client overall had a good response, they were very accepting of us referring out to a cardiologist and were thankful that we were able to catch the cardiomegaly on radiographs. Some of our clients had follow up questions as to why a cardiologist was needed and why the diagnostics could not be done by us.

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SIM Experiences with recommending Lindy start heart worm prevention (Group 11) 

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SIM Experiences with recommending Lindy start heart worm prevention (Group 11) 

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Linked preventions to being pesticides, and that they do not want to put chemicals like "round-up" on their pet. After long, in-depth conversation, client agreed to use prevention

Client wanted to do their own research even though they were provided with research. Seemed more cautious and wanted to make their own decisions outside of the appointment and was given more resources to help their decision making.

Client was more understanding and had deep conversation in regards to heart worm prevention. Client was still apprehensive but not closed off to the idea of using heart worm prevention and actively listened to the clinician.

Client wanted to have deeper discussion on heart worms and what they were (are they really worms?), how they get there, and how does heart worm prevention work to stop heart worm disease? After a lot of deeper discussion we discussed how it feels weird to use chemicals that kill parasites on our pet and it be healthy but in the end they were very grateful for all of the details and explanations.