Jonathan Madara, UPenn
It seemed to be a straightforward ER case: an indoor/outdoor cat with tags had bitten the patient on the right carpus approximately 5 hours prior to presentation. The owner of said cat had slammed the door in the face of the presenting client when the cat was returned, with no mention of rabies vaccination status. I watched the intern, resident, and attending clinician assess the patient with keen interest, eagerly awaiting the confirmation of my treatment plan: Clavamox for the penetrating bite wound and a rabies booster. However, the resident’s concerns did not match my own. We should see if the patient is up-to-date on tetanus vaccination. No interest in rabies. Surprised, I waited for the attending to correct the omission. It was not to be. Rabies is not really a concern in our area. I was shocked and confused. I quietly mumbled if a rabies booster could be considered anyway. We’ll have to call the city health department. I was concerned, disappointed, upset, but mostly…exhausted. My wrist was throbbing from the bite. I wanted some Clavamox for my cat bite. And at 11:30pm on a Saturday night, I just wanted to go home.