Liz Buchanan BVSc MRCVS
Keymaster
Thank you for this excellent and interesting question, which illustrates a point that even good vets often overlook; that owners do privately question what we say without voicing it in consultations. The questionning, for a client, is like having a stone in the shoe; it affects how comfortably you walk with your vet going forward. I have experiened the same with Drs. It's a great that you've reached out; communication issues are the main reason for clients to seek other vets.
If there is a vet at your practise who does have more sensitive than usual hearing, this is a bonus rather than a sign that your usual vet is inadequate, although I would also encourage vets to be aware that deteriorating hearing can be an issue. You could ask your first vet to check their ability to hear murmurs on a known heart-patient just in case; in my experience, vets as a "type" are very sensitive to criticism and would probably do so. However, I would expect this to relate more to the quiet, barely-perceptible gr 1 murmurs and wonder whether the second vet, faced with perceived criticism of their colleague unexpectedly, simply hadnt thought it through very hard on the day because I agree that at grade three, this is less likely. I would however suggest an alterntive explanation; that murmurs are simply not audible all of the time. Patient stress, for example, can affect blood pressure and high blood pressure can easily alter the presence of a murmur. Even a glimpse of a dog in the waiting room might make a patient more anxious. This is one way that cats can 'get' heart murmurs due to stress; the murmur was always there, but the stress exacerbated it.
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