PART 1
Hi Ratowner,
Quick preface to my response--please forgive any spelling or grammatical errors as well as a possible lacking in language eloquence. I am incredibly short on time, but I saw a part of your issue whilst scrolling my inbox and could not resist replying as best I could.
I know the frustration you are feeling as I have been in your position myself, not too long ago. I also live in an area where there are few vet choices that specialize in rats and those that claim they do have provided disappointing results to say the least.
I did find a vet who did not specialise in rats who has actually been the most helpful of the lot, so I just wanted to give a quick note to not dismiss them completely as potential resources.
Please pardon the bullet point format from hereon:
--First, your current vet clinic sounds just terrible and you have my utmost sympathies. (Unrelated, but many years ago I was once stuck with an exotics vet who quite coldly informed me that my reptile had passed, but more like "yeah, it's dead. Talk to the front about cremation options." before turning and leaving me in the consult room with tears streaming down my face. So I feel terrible to hear about your struggles and am writing here to hope in even some small way I can possibly assist you, if not with advice, then perhaps come comfort that you aren't alone, it's not your fault, and that you are doing your best. : )
REGARDING YOUR CURRENT VET CLINIC
--The other vets at the clinic should be able to either (a) review your vets notes/history log and authorize a refill or; (b) have a consult with you themselves to then provide you with the refill.
--Even if the other vets at the clinic do not specialize in rats, they should still be able to do either of the above. There is no legal constraint on that. If they are refusing to do either, I would want to know specifically why they cannot review the details to offer a refill due to the urgent nature of your issue. Prescribing a new medication or offering alternate advice I can see possibly being an issue if they are not specifically trained, but even a vet who is not specializing in rats can review the notes and be able to make an informed decision.
--I have had that issue myself. Pets health do not go on vacation when a vet does--someone at the clinic should be able to assist. If they are not, it's just poor judgement on their call.
--I would stress how rats health turns bad rather quickly--much more so than some other animals, so waiting around is not an option. I know other individuals have posted that here as well. It might sound like you are being condescending or a pushy client to say this, but unfortunately, some times you may be forced to be "that client". You know, the one that you likely wouldn't want to receive a call from b/c sadly, it's those ppl who get the assistance b/c the staff just want them off their back. I hate to say that, but after a long time of customer service in various institutions and businesses, it's true. It's not about being rude or demanding, I just mean, being assertive and informed and pressing for details or assistance when we normally wouldn't b/c we want to be polite.
--It is true that if your vet is not returning your calls (after all you have been through in this situation) you should definitely try an alternative communication method. If you are not receiving results by leaving messages that are never returned, you should call back. Call every hour as another member on here suggested. It may sound like you are being rude or inappropriate, but you would not be the first person ever to have to take these steps. If none of these issues occurred and you were to start off like that, I would agree that that behaviour is unreasonable, but at this point, it is your rats (potential) life vs being more active in your contact with them.
--If you were at the clinic and your vet was on lunch break, I would wait there until she returned. I would wait there until someone assisted me.
--Please excuse me if my perception is incorrect, but you seem like you are a nice, polite, possibly more reserved person, younger, who does not like upsetting others, creating scenes, etc. I am sorry if that is offensive, it was just my perception in the limited passages on here. I say that as I was and at times, still am, quite like that. I hate to be the demanding, loud, annoying, etc. person, and I try my best to be polite and respectful. Sadly, sometimes "the squeaky wheel gets the grease" is true. It became easier over time for me to be more assertive. After encountering the same issues you have with your vet, I had to be more vocal and more informed and not rely on others, trusting they will do as they say.
--When you do visit the vet, take with you all of the information you have gathered yourself. I have found that I need to rely on myself to ensure the health of my rats b/c we are all just humans after all, and sometimes we forget things, or don't think of some things. So if you have done your own research, you can suggest treatment options with the vet and also get their input on it.
--My point above saved my rats life not too long ago. Due to the limited specialists in my area, I am currently seeing a clinic with vets that do not specialise in rats. One of my rats is currently in the throes of a respiratory illness, and is sadly nearing her end. But she has gained several months now just from my own research and doing what you are doing--asking around. Asking knowledgeable people is a great step and I am glad to hear that you reached out. : )
--My little honey was on deaths doorstep and the steam shower, oxygen and steroid shot that helped her in the past were no longer producing any results. I had been gathering my own details from various webpages/forums/etc., (weeding out the incorrect info) and suggested a bronchodilator. My vet had not thought of that idea as her clinic only had one fitted for larger animals. After me mentioning if she had one, it made her think if there was a way for her to further treat my rat, and unbelievably, she found a way and months later, I still have my honey.
--That is why I suggest you do your own research and bring that with you. Also, it demonstrates your knowledge and allows you to have a deeper understanding of what is causing the illness in your rat which in turn allows you to assist him/her better at home.
--From what you have described, it does not sound like your vet would be the type to do this, but who knows. Some vets/clinics are very compassionate and care deeply about the animals they see. I hit a rough patch (personal health complications) where I was low on cash but needed vet assistance for my rats. Some vet clinics insisted they would not offer a repeat of medication without another consult. When I had the money either for the consult or the medication, they were unsympathetic, despite the outcome being my rat dying had I chosen the vet visit. Another clinic was much better and after switching to them, they have helped me immensely. Within reason of course, my repeats do not require a consult, they check out my other rats under the visit of one booking, consults are charged as repeat visits which cost less, etc. I had a few emergency visits and my vet did not even charge me for the emergency service or the visit, just the take home medication. They truly cared whether my rat lived or died, and it's evident. I sincerely hope a clinic like this opens up near you : ) But in the meantime, they may be sympathetic if you are strapped for cash, like I was.
I was not using my health issues/job loss to evoke sympathy and discounts, but I explained how repeat consults for refills etc, was not feasible and they worked with me to ensure my pet received care. I don't know if your vet would be more responsive or provide you with alternate costs if they knew that returning repeatedly etc was not a good option for you. And I can understand if you do not feel comfortable discussing your situation with them, but I just wanted to add this point, as it has been my saving grace during my period of financial difficulty.
--I would hope that your clinic would still see your rat in an emergency rather than turn you away if you showed up for assistance. My new clinic would rather a few ppl wait a bit than let an animal pass.
--One of the great things about Ontario, Canada (my former residence) is that there are reviews online about everything. I thought that was a common thing everywhere, but apparently not! : )
You might want to google your clinic/vets to see what other ppl have written about them as well as see if any of the other clinics around your area have better ratings. A two hour drive may stress out your little guy, but that is no comparison to him receiving delayed/incorrect treatment. I cannot stress enough how critical timing is when it comes to rat health turning south. Even one day can make a life or death change.
--On your trips to the vet, you can include a blanket that has your or your rats scent on it so he has something comforting to hide in if trips stress him out. You could try to bring some treats, although I have always found my rats too scared to want to eat, but some rats happily take the treats whilst out. Not sure if you already do that, but just thought I'd mention it since you indicated the stress of your rat on outings.