Melanie Reid
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Without a hint of irony, I can say that this is going to be a good Christmas for Harvey the labrador. Harvey made history last week when he became the first canine in the UK to be successfully operated on for an irregular heart beat – the same operation that Tony Blair underwent in 2004.
Veterinary surgeons from the Royal (Dick) veterinary school in Edinburgh inserted catheters into his heart and removed the excess muscle that was causing his heart to beat three times faster than it should.
The operation cost his owners £3,000, which one assumes does not include the cost of the get well cards, the extra-soft dog bed and the postoperative treats to restore Harvey’s appetite.
We are, you see, supposed to celebrate Harvey’s good news. It is progress. Heart surgery to save the life of a dog is now universally regarded as A Good Thing, and we should all feel a warm glow inside because, thanks to Harvey’s bravery and the vet’s skills, lots of other lucky dogs with arrhythmic hearts will be cured in the future.
Heart surgery, therefore, can be added to the list of procedures now available for animals. In Britain now, if you are both cranky and wealthy enough, it is entirely possible for your dog or your cat to receive chemotherapy, cataract surgery, dialysis, organ transplants, a new hip or poststroke medication.
Anything owners can get, their pets can get too. Vets now see a need for a national animal blood bank; and a company called PetScreen is marketing a commercial kit to screen dogs for lymphoma cancer.
In the States, needless to say, the medicalisation of pet care is even more – and I hesitate to use the word – advanced. There, vets perform CPR on dead animals; fit braces on their teeth, carry out cosmetic operations to improve their looks and, in one case earlier this year, actually did a £30,000 stem cell transplant on a cancerous golden retriever called Comet. And yes, it was successful. The gentle Comet is now eating his biscuits and waiting to die of something else.
What fascinates me is the morality of this phenomenon. Of course, some vets are privately uncomfortable with the way things are changing, but if anyone in the profession is seriously questioning the ethics of extending invasive human medicine to animals, then I haven’t heard their voices. The attitude appears to be that of the pornographers: they’re meeting a demand. In an age of affluence, how people spend their money is their own affair.
This is an entirely logical reaction to the biggest business opportunity the profession has seen. Right now, vets, the drug industry and pet insurance companies are hitting pay dirt. The incentives are massive. Are there canine statins yet? Anti-depressants? If not, I predict it will be only a matter of time, and then everyone with a dog or a cat aged 6 or over will be urged to use them.
But a very profound responsibility is abrogated here. Nobody seems to question if all these treatments are genuinely in the best interests of the animal – which, unless I’m much mistaken, is rather fundamental to veterinary ethics. Are vets confusing what they can do with what they should do? Am I thinking of my old dog when I insist on a hip replacement for him; or am I just being selfish and postponing the day when I must say goodbye? We are a long way, and getting farther all the time, from the correct balance between the right of a dumb animal not to suffer unnecessarily and the right of an owner to indulge in emotional immaturity.
What modern vets conveniently ignore is the fact that no one can ever explain to Fido what awaits him: that the pain and confusion of an operation, and the discomfort that follows, are all for his own good. He has no way of knowing that he’s going to feel better afterwards (if indeed he does); he just suffers, always in the moment.
I’d like to know how many academic studies have measured the stress experienced by a domestic animal when it is subjected to invasive procedures and lengthy recuperation. Very few, I would guess, for these are not the sort of things drug companies would fund.
But we desperately need such an evidence base. Surely, if we can study whether deer are stressed by being chased, as was done at the height of the hunting controversy, then we can measure whether a tumorous cat is more disturbed by a dozen visits to the surgery for chemotherapy than it would be by a peaceful, pain-free death.
Neither have I seen the militant animal rights lot complain about the extra suffering inflicted by ordinary owners who choose non-essential veterinary treatment. Rather the opposite, in fact. Animal cruelty campaigners, as much as the public, are wrapped in the prevailing confusion, believing that the supremacy of animal rights means their right to live for as long as possible.
Ironically, when it comes to this modern trend for medicalising animal treatment, the animals interests are not always at the top of the list. Instead we have sick animals as a commodity; an inversion of justice, whereby pet owners are made to feel guilty if they do not pay for invasive procedures; and some vets who feel party to institutionalised animal cruelty. It’s a dog’s life, right enough.
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Melanie Reid states that animals subjected to invasive treatments experience pain, confusion and discomfort without a temporal perspective which would allow them to look forward to a time when these unpleasant experiences will result in an improved quality of life.
She suggests that subjecting patients devoid of such an appreciation, to surgery, is unethical.
I wonder what her opinion of medical treatment of neonatal humans, and humans with brain injury might be, as both these groups of patients may be unable to appreciate a future beyond their treatment rooms?
The fact that a patient cannot understand that his discomfort will end behooves those treating both animals and humans to employ all appropriate methods of analgesia and anxiolysis during treatment so that recoveries are faster and less traumatic.
Arguing that the presumed absence of temporal understanding in animals should be a reason to deny them treatment is a fallacy, as we clearly apply different criteria to humans.
James Hunt, taunton, UK
If we are going to morph dogs and cats out of all natural recognition and cause all manner of defects, deformities, and diseases as a result, it's only fair that we should provide some service to treat them. Take a look at the British bulldog: it can't breathe properly or give birth without a cesarean.
I agree entirely that many invasive surgeries are probably unnecessary, but she is writing for a British newspaper and the vast majority of British vets do not do these procedures because of the ethics. She talks about hip replacements, but most British vets don't do these because they are unnecessary. Most of the time, vets I've seen recommend non-invasive physio and exercises. Invasive treatment is only performed when it will make a fundamental difference to the animal's quality of life.
Karmen Watson, London, UK
I also think it is an excellent article and think that the ethics of what Vets are doing need to be seriously looked at by the Royal College of Veterinary Surgeons. Cat Vet, Elizabeth Hodgkins in her new book called "Your Cat" in Waterstones says that it is dangerous to feed dry food to cats. My cat got the bladder problem she blames on feeding dry food but instead of telling me to take my cat off dry food which would have saved his life my cat was catheterised and operated on and ended up euthanased and so the Vet made money from this when the cat would still be alive if he had told me to take him off dry pet food which veterinary research I now have shows causes the illness my cat got , Vets should not be allowed to sell pet food and the pet food companies should be stopped from hugely funding veterinary schools and pet food companies are allowed to teach nutrition to Vet students and they thus are never taught it is dangerous to feed dry food to pets.
Fiona MacMillan, Aberdeen, Scotland
Excellent article!
Its not just the immaturity of owners who want to keep their pets by any means, no matter if they suffer in the process, its an abrogation of the first duty of a responsible owner, to make the decisions for that pet which he/she cannot make for itself.
Yes, by all means do everything to alleviate pains and niggles which come in old age - but huge, invasive procedures cannot be the answer.
A good vet will always counsel against such things, and will help an owner to come to terms with the last decision which one has to make.
To any owners who can contemplate the spending of such huge sums on their pet I'd say that that pet will die before them anyway, and that there are always going to be other pets which need a home and a kind heart.
After all - we do not forget the cats and dogs which shared our lives for their brief time, and surely tehre is enough room in our hearts for anotehr - and another - and another ...
Vivian G.Evans, Cardiff, Wales, GB
Well I must say an animal being cut up in a laboratory is a far cry from a pampered pet! So perhaps Animal Rights campaigners may have certain priorities,
Maureen Roth, Hampton, UK
What's this "ordinary owners who choose non-essential veterinary treatment" exactly mean? No veterinary treatment whatever is essential if just killing the animal is an option in the owner's mind. I don't see the logical distinction between setting a dog's broken leg and repairing its heart or treating its cancer, except that one is a bit more expensive than the other. And since the animal is not intelligent enough to understand the issues and decide, the owner has to do that. Let the owner enjoy the society of his "gentle Comet eating his biscuits and waiting to die of something else". Don't tell people how to spend their money!
Thomas Goodey, Cuxton-upon-Medway, UK