SHOOT!

Let's talk shots.

I like lemon drops. And my brother once got smashed on something called a Louisiana leg-spreader.

But that's not really what I want to discuss. Sorry. Instead, let's talk about the shots we vets give your pets. The vaccines.

Some people will have you believe that vaccines are not important for health. Some will tell you that vaccines are actually dangerous. Some will tell you that they are absolutely essential at every annual or semi-annual vet visit. So what is the truth?

The truth is fluid. We are constantly re-evaluating the risks and benefits of all vaccines. This is actually true on the human side of medicine as well as on my side. So there may be changes in the recommendations of which vaccines to give, when in life and how often to give them. Even the best methods to administer them. Vets "in the trenches" are left to shuffle through the evidence and the recommendations and develop protocols for our patients that we are comfortable with.

And herein lies one of the basic issues. I'm not exactly sure just how it works with people, but at the pediatrician level at least there appears to be one set code of rules for vaccines. These are set by a group and are followed by all pediatricians. Schools require that these codes are followed. There is consistency. Vets get recommendations from groups such as the American Animal Hospital Association or the Association of Feline Practitioners, but we don't have a group that we allow to set the rules that we all follow. Veterinarians are pretty independent by nature, and we don't like to be dictated to.

So this leaves us in something of a quandary. Where do we get our information? Who do we trust? Do we trust the companies that make the vaccines to have the best, unbiased information? We need to know the agenda of whomever we are trusting for the data that we use to set our vaccine schedules. We hope that our associations will look at all the evidence available and help develop recommendations that are based on good science. Are they?

This is why the protocols we all follow may change from time to time. We are all, as a group and as individual veterinarians within our own practices, continually re-examining the evidence we have at hand. We are sometimes slow to change, but that is because we need to be convinced that the change is safe and effective. So this month I want to talk shots. I will not claim to have all the answers. I may well ruffle some feathers. I hope to make you think just a little about some of the blanket statements you hear.

Then maybe we can go out for a lemon drop or two.