獣医さんってどうしてアレルギー検査したがらないの?
2019/01/25 in DOG DIAMOND
どうして獣医さんはアレルギー検査をしたがらないんだろうか?
娘が0歳の頃顔に湿疹が出て『高い確率でアトピー疑い』と診断されました
見た目もそうですが、痒がるのは辛いですよね
この診断でももちろん診療方針は提示していただけますが
僕は定量的に確定診断できる技術があるならそうして頂きたいと申し出ましたが
血液検査で“数値”として判断できる技術はあるけどお勧めはしてないと言われました
理由は『採血が可愛そうだから』
まぁ0歳児ですから、ほぼ泣きますし可哀そうと言えば可哀そうですけどね
費用、血液検査のエビデンス(信憑性)やお医者さんの経験則も含めての案内ですから
もちろんその考えも尊重しましますが、僕は検査をしてもらいました
結果として分かったことは
『アトピー性皮膚炎確定』
この事実です
そうする事によって、投薬のバランスや診療頻度などの方針が大幅に変わった訳ではないと思います
デキるお医者さんだったし、そもそもその方の経験則も信頼していましたから
しかし、お勧めしない本当の理由はなんだったんだろうかと改めて思います
お客様のご家族のフレンチブルドッグがいつも痒がっているらしく相談を受けました。
これ以降の話は優先順位がつけられません、思った事を羅列します。
まずは現状このフードを食べているようです
病院でこのフードを処方している時点で
皮膚の治療に関しては、病院(獣医さん)としてあまり深く興味を持っていません
(※批判ではないです、そこは仕方ないと思います)
ただ間違いなく言えるのは、このフードメーカーの利益主導気質が変わらなければ
この手のフードを置いている動物病院には患者さんは行かなくなります
そういう世の中になります
このフレンチくんの現状は
『原因不明だけど痒がっている、この犬種にはよくある事.
アポキルで痒みが治まって、このフード食べておけばOK』
こんな感じです(あくまで伝聞)
アポキルを使えば痒みは和らぎますが
この診療方針をうちの娘(人間)に提示されて納得がいくだろうか?
『原因の究明はしなくてもこの子の特性ですから。薬を飲んでいれば痒みは和らぎます
検査をする必要はないし、食事に拘る必要もないです』
僕はきっと病院を変えるでしょう
動物病院の先生ってどうしてアレルギー検査をお勧めしないのでしょうか?
☆信憑性(精度)
☆お客様に嫌われるのが嫌だ
☆エビデンス(経験則の不足)
いったい本当のところはなんなんでしょう
人間のそれに比べて技術がそんなに劣るものなのでしょうか?
獣医さんが動物に寄り添わないで、いったい誰が寄り添うんだろうか
武蔵野市に住んでいるとのことで
hiff cafe tamagawa さんとマミーさんを紹介させていただきました
お母さんのトイプは小平からマミーさんに通っています
ここは多くの方の共感してもらえると思うのですが
治る可能性
その子の感じや、飼い主様とお話しした感じで
この子病院変えたら、シャンプーの方法変えたらいけるんじゃね?
って思う事ありますよね
動けば犬が楽になるのに、動いてもらえないともどかしい
というかストレスですよね
僕はそこはもう割り切っています
可能性を判断して、一線を越えない働きかけをして
飼い主さんが治せないなら終了です
それが飼い方なので
大人の考え方を無理に変えようとなんて思わないです
教育方針に口出しして良い事なんてないですよね
だから昔みたいに
『おまえんとこはうるせえから行かねぇ』とかは言われないかもしれないですね(笑)
ただ自分の直感(可能性)は信じています
コメント
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