This morning, I realized I had the number of my vet's tech asst. in my caller ID, so I called, and she was there! She'd found the note I'd frantically stuck under the door last night and was about to call my vet.
Our vet called within the hour. She's had a terrible cold or flu but has had to work a lot because the other vet is away. She apologized for thinking we had a fax machine, and chalked it up to a fever and a hectic day. She told me the recommended doses she'd calculated for Sporanox, which were, as I'd thought, drastically less than those the vet in the ER had given us (0.5 ml vs. 4.5 ml, for example). Then she realized that she'd made a serious math mistake, twice, yesterday. YIKES!
She said she was appalled. She also realized that the cherry-flavored liquid ($56 and unopened!) was not feasible at the higher doses. She will investigate generic oral Lamisil (terbinafine) instead. It was her first choice; it just will take longer to get here.
We talked for a half hour about issues - the cats with calicivirus shouldn't be bathed or dipped, for example, and the older cats will need liver tests, and so on. Although tomorrow is her day off, she's going to see if a compounding pharmacy will overnight the oral medication. She's also going to get me more cleaning info from a private vet site she likes.
She'd never heard of Health Guard, but thought it sounded worth trying, so I'll buy it tomorrow. She's also researching DMG. We'll both be researching holistic treatments to try on top of the others.
In the meantime, she sent me to CVS for miconazole. She thought it'd be an athlete's foot cream, but it's in the feminine products aisle.
She said Program, Revolution, and Advantage won't work. She never had success using Program on ringworm.
Our regimen will probably be: oral terbinafine for 15 days on, and 15 off, etc. Weekly miconazole shampoos followed by lime-sulfur dips (no clipping unless groomer insists). A topical treatment for lesions (this miconazole 2% cream, I guess?), and endless cleaning. Plus any holistic supplements we find and like. Does this sound like a reasonable plan? Any quibbles?
I'm still not feeling great about the long list of miscommunications and serious errors that happened yesterday. Both the vet and her staff screwed up several times in handling our situation. But she apologized. (Writing to you last night, and reading your sympathetic responses, made me feel considerably less angry and able to focus on the problems at hand.)
I'm to blame, too. I wanted to be a polite, patient client (for a change; I was calling every day with ??s when Bunnelina had lymphoma). This time, too, I should have put my cats first, not my reputation. I should have called yet again when it got close to closing time, instead of assuming I'd hear from them after hours. Next time, every time, I will be more of a pain!
I'm curious to know what you think about this experience. Generally, my vet is extremely sharp, thoughtful, and well-informed. She cared for four of our cats quite well for more than a decade. Would you forgive the errors of yesterday (the dosage error would have made the medication useless, not fatal...) and move on? I'm inclined to, especially since no other practice in Boston would be any more useful to their clients after hours. But I'm curious to know what you think.
The lesion on Possum's nose is no worse so, although we are losing half a week when we could be tackling ringworm, I'm not the furious wreck I was last night. Thanks are due to the support and advice I've received here!
PS: She called me on her cell phone today and I wrote down the number!