Someone brings in a cat. Outdoor cat. Not eating. May be drinking. Owner knows nothing else since the cat lives outside. Had some vaccines a few years back and an OTC dewormer last summer. Cat has nothing to add to the conversation. Now figure out what's wrong but don't spend a lot money because after all he's a "stray" that they have been feeding for 8 years. Oh, and medications X, Y, and Z that you might want to use are not approved for cats. Um, when was the last time the ER doctor had to deal with that scenario? Now who's job is harder. Again, I'm sure there are many talented doctors out there but there is no way anyone can say a vet is not a "real" doctor.
And finally some questions I really wish some of my patients could answer
Where does it hurt?
When does it hurt?
What were you doing when it happened?
Did you eat a rock?
Did you eat a dead animal?
Did you eat a stuffed toy, piece of string, anything from the garbage, etc, etc?
Did you eat/drink anything toxic/poison?
Can you really not pee or does your owner just think you can't because if you can I will see you after my lunch break and not during
Is that bodily fluid in your cage urine or vomit?
What kind of food do you normally eat because your owner can only remember that it comes from the pet store?
And finally...do you think you could be pregnant?