I checked out Animal ER because I had so enjoyed Vicki Croke's handling of The Elephant Company. However, that book followed the life of James Howard Williams and read like a story. Animal ER is more a series of anecdotes illustrating the various aspects of an emergency vet hospital. While I enjoy animals and like medical details, this book was less engrossing than The Elephant Company (both nonfiction and short stories are usually on my less-liked lists). However, I was fascinated by the similarities and dissimilarities of animal versus human medical procedures. Did you know that very few animals can be resuscitated unlike humans (code blue!)? (A fun tidbit was learning that animals "are particularly drawn to items that smell like their beloved owners," which is why veterinarians are often pulling out underpants and nylons from a dog's innards.) Very few pets carry medical insurance,unlike humans, which makes decisions about medical procedures more complicated. Nor do animals have a voice to explain where they are hurting, when their pain began, or if they want to keep trying or give up. In fact, the chapter that hit me the hardest was "Tough Decisions: When to End the Suffering and When To Keep Trying." I couldn't help comparing these decisions about putting a pet down with end-of-life decisions for a human life. How do you weigh cost versus gain, level of suffering, quality of life, persevering or giving up? How much time remaining to be with loved ones is worth the trade off?
Pet ICU is front-line emotion, where owners frantically rush the very most traumatized animals. "It's not unheard of for an admitting resident to see every patient die within a shift." One doctor said that in explaining a pet's chances, she felt her job was to understand the owners' relationship with their pet and get a sense of how they feel. "The hardest thing is, I think, not saying anything until you get a clue as to where they're leaning. I never want to prematurely push anyone in any direction. But when I hear their leanings, I can encourage them toward that." I think I expected this book to be more like James Herriot's, All Creatures Great and Small, the humorous, sweet story of a country vet. This book is more technical, more informational, more high powered, and perhaps better likened to TV's ER.