Canis ISSN: 2398-2942

Standard reasons for failure in a treatment

Reasons

Incorrect diagnosis, eg
  • Acute clinical presentation demanding immediate therapy- before sufficient laboratory or other work-up was possible.
  • Atypical form of a common disease- not recognized by the clinician.
  • Typical case of an uncommon/rare disease- not included within the clinician's differential diagnostic list.

Client failings, eg

  • Inaccurate "witness", ie provided unreliable history details to the clinician.
  • Non-compliancewith clinician's instructions, due to:
    • Did not fully understandwhat to do.
    • Unwilling to reveal uncertaintyabout what to do.
    • Ignored veterinary instructions- preferred, or persuaded by others, to use alternative or additional medication or other measures which compromised the clinician's case strategy.
    • Had difficulty administering medication, eg by mouth to an uncooperative cat.
    • Mis-read medication instructions, eg "2 tablets to be given twice daily" interpreted as 2 tablets total per day but divided and given as 1 every ~12 hours. Hence animal underdosed.
      If suspected, calculate how much should remain from the quantity of medication originally dispensed and how long ago. Cross-check by casually asking the client how much medication remains. A significant discrepancy suggests underdosing.
      Instruction "2 tablets to be given every 12 hours" may be less confusing.


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