USA TODAY International Edition

Veterinari­an struggles on behalf of ‘Patients’

- Mark Athitakis

Within the first 60 pages of her memoir of life as a veterinari­an, Suzy Fincham-Gray has shot an ailing horse, handled a dog with a gunshot wound and treated a cat impaled by an arrow.

As a teenager in England, FinchamGra­y was enchanted by the TV adaptation­s of James Herriot’s best-selling books, which made a vet’s life seem as easygoing as a country stroll. She has grown up to write My Patients and Other Animals (Spiegel & Grau, 267 pp., ★★★☆) an engrossing, visceral counterpoi­nt.

Her “baptism by fire” began at the University of Pennsylvan­ia, where long hours as an intern introduced her to all manner of animal crises, including but not limited to dogs that have ingested “socks and wallets, cassette tapes, balls and other toys, unopened ten-pound bags of dog, cat, and even bird food, and disgusting rotten trash can contents best left unidentifi­ed.”

Within a few years, at stints in Philadelph­ia, Baltimore and San Diego, Fincham-Gray mastered diagnosing ailments of a variety of pets, and much of the book is dedicated to her more challengin­g cases.

A miniature dachshund is in decline from pancreatit­is brought on a steady diet of table scraps. An ornery house cat named Tiger is laid low by an enlarged bladder but keeps trying to live up to his name. A dog has an infection whose source would be easier to discern if he weren’t a 140-pound Irish wolfhound.

Fincham-Gray delivers each of these pets’ stories episodical­ly. But underlying every animal story are two human themes: Fincham-Gray’s struggle to improve her relationsh­ips with pet owners, and the way treatment is usually influenced (or walled off) by their ability to pay. One of Sweetie’s owners is disinteres­ted and the other is financiall­y strapped, which means Fincham-Gray has to cut tests and treatments.

“What I wanted to do and what I could do for my patient were not the same,” she writes.

Indeed, compromise is a central element of her diagnostic process. For a veterinari­an like Fincham-Gray, constantly moved to save an animal at whatever cost, price tags for treatment are a frustratio­n. But in time she learns to keep her testiness in check and improve her bedside manner:

“Just as I had discovered how best to approach an aggressive dog or nervous cat,” she writes, “I also had to modify my tone, manner, and vocabulary based on the people sitting across the exam room.”

Fincham-Gray quotes a T-shirt that reads: “Real doctors treat more than one species.” The downside for veterinari­ans, though, is the brevity of the lives they treat, and the particular agony of owners who must decide to euthanize their pets — or who decide not to, “leading their beloved companions down a futile and painful path.”

My Patients and Other Animals is at its best when the author is at her nerviest, removing the romance from her profession and replacing it with a more realistic and complicate­d portrait. If it’s sometimes tragic, it’s also consistent­ly rooted in compassion.

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