About us
Additional DBA - Uptown Veterinarian the. Award winning.
Business highlights
Services we offer
We offer medical, surgical, dental and diagnostic services for cats and dogs. Feel free to call. If we feel we cannot provide that service, we will gladly refer you to someone that we feel can.
Services we don't offer
We make referrals for those cases we believe need care beyond that which we can adequately provide, as we are not a 24 hour facility.
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Number of Stars | Image of Distribution | Number of Ratings |
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88% | ||
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The tech took Noelle's vitals, and we waited about 10 minutes for the vet. Examining her, he noted her bowel felt somewhat turgid and mentioned megacolon as one possibility. He arranged for X-rays, and another vet came in to consult. She concurred that the bowel felt hard, and that there was probably some obstruction. The X-ray was negative for foreign objects and showed no clear evidence of tumor. The vet recommended an enema to help Noelle pass any impacted stool, and explained that they'd need to keep her long enough for it to act. He said that the enema would contain lactulose, which draws water into the colon from the surrounding blood vessels and tissue.
I asked that, if the enema were to draw out systemic fluids, Noelle should first be hydrated, since she had neither eaten nor drunk anything for at least 36 hours. He assured me that subcutaneous hydration is a standard prep for a lactulose enema. I mentioned it to the tech, as well. I waited with Noelle for about 25 minutes, considering the vet's additional suggestion that, should the enema fail, they sedate her and attempt the manual removal of the refractory obstruction. When the tech returned, I again mentioned my concern that Noelle was very dehydrated, and she confirmed that they would give her subcutaneous fluids before the enema. The team now ready for her, I left for work.
Within a couple of hours, I had a call from the vet stating that the enema was ineffective, and I approved the contingency plan for sedation, etc. Around 3pm, I had another call from them, reporting that the attempt to manually relieve the obstruction was also unsuccessful. At this point, they had to consider that Noelle might have intussusception, a condition in which the end of the small intestine is swallowed, in effect, by the colon. To diagnose it would require, at the least, an ultrasound, and to treat it, surgery. Therefore, they recommended I take Noelle to an emergency referral service, and at my request they made the referral to Blue Pearl in Eden Prairie, where I'd once taken another cat who received excellent care there.
At about 4:30, I returned to Uptown Vet to collect Noelle. Staff there said she'd been very cooperative. I remarked that that was a bad sign, since she'd always been intolerant of handling other than rubbing her head. I paid the bill and took her to the car, and we set off for Blue Pearl.
Waiting in heavy traffic at an intersection, it became clear just how listless she was, and I called the Uptown Vet to ask whether they'd given her any hydration. "Oh, no," came the reply, "the tech forgot to administer it; but don't worry, it was taken off the bill." Alarmed, I told her it wasn't the money I was concerned about: it was the fact my cat hadn't had any water now in about 42 hours, despite the fact that I'd stated that concern the moment I'd brought her in, had mentioned it later to both the vet and the tech--who'd assured me they would see to it--and they'd given her both a hydrophilic enema AND subjected her to a gas sedative.
The reception person acknowledged that wasn't so good, and asked if I wanted to bring Noelle back for the fluids, but I judged that the additional handling, and the time lost in getting to emergency team at Blue Pearl might be more harmful. Extremely upset, I told her that I couldn't speak any more about it, but we would have this conversation when I'd had time to calm down about it. Several days later--Saturday, I think--I had a call from Julie Smith, the owner, who admitted the negligence of her staff in failing to administer fluids. I made sure she understood that there had been multiple opportunities to do that, and that it should really have been done when we came in and I reported that my cat had consumed no water in approximately 36 hours. She said the team had realized the tech had forgotten the fluids as they were finishing the procedures, and they had nevertheless not made it right.
I work in an outpatient hospital clinic, as I told Julie, and I hoped this would occasion a review of their protocols to determine how they could be adjusted to prevent this type of human error. She told me there would be a staff meeting in a couple of weeks, and it would be foremost on the agenda. She added that, if it ever happened again, "heads will roll." I told her that it wasn't what I sought, as much as a procedural checklist to make sure that steps as basic as hydration were't missed because they depended solely on human memory. She elaborated a little further on the circumstances as she'd understood them, but I'm not sure whether a simple procedural checklist has been developed.
I also got a call later from the vet who'd handled Noelle there. I got the distinct feeling he was looking for some kind of absolution, but I was not interested in making anyone feel better; I wanted to know that this sentinel event would prompt improvement in process. In my opinion, all their assurances stopped short of that.
I'll be finding another veterinarian for my three cats.
"I, Julie Smith, owner of Uptown Veterinarian spoke with [member name removed] the day after the aforementioned incident. I apologized and agreed there was no excuse for forgetting these fluids. It was also necessary to discuss the chain of events with the doctor and technicians involved. I needed to know from them what had happened and what they felt could be done to avoid such a mistake in the future. I, along with the staff, have always tried to do the best job we could for our patients. Nolelle's chart indicated that she was to receive 200 cc of LRS SQ(under the skin). The technicians had failed to do so amid other treatments and diagnostics. This error was not discovered until the doctor and technician were going over the charges, and the technician acknowledged that she had not given the fluids. At this point Noelle was already slated to be transferred to Blue Pearl for further diagnostics and treatment, as an intussusception was strongly suspected. The doctor elected to not proceed with the fluids under the skin. That action might have led to a greater chance of hypothermia and over hydration later on down the road, as Blue Pearl always places an IV catheter for fluids upon admission. Noelle would receive fluids preoperatively, during surgery, and postoperatively. The case had been an unusual and interesting one. Intussusception is very uncommon, especially in a cat. If the proper diagnoses had not been suspected, and this cat had been sent home, it could have died. Blue Pearl was able to confirm the diagnosis and perform a successful surgical intervention. In my 15 years working at this location I have not had problems with our past protocol, but I want to ensure we have no problems going forward. During our staff meeting we decided that treatment plans should additionally be listed in their entirety on the tech's board. All of us at Uptown Veterinarian are in this business because we love animals. We strive to do the best job we can, and if we can do better we will make every effort to do so. Julie K. Smith DVM"
"I work at Uptown Vet in Mpls and checked to see if I could find any record of this client in our computer, particularly since she lives in St. Louis, MO. I found no record of anyone with this name, so I wonder if they are rating us or some other clinic with the same or similar name in MO."
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