Should Vets and Clients Be Facebook Friends?

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It just happened again. The little head-shaped silhouette in the top left corner of my Facebook page lit up, and a wonderful pet owner I recently helped reached out to be my online friend.

I have seen Mrs. Morgan a half dozen times in the last six months, and she is delightful. She has two English Springer Spaniels and a rabbit named Professor Snacks. (That name alone earns her huge points with me.) She seems like one of the sweetest people anyone could meet, and I’d love to be connected to her and her pets.

But just before I click the button to accept her as a Facebook connection, a surge of worry shoots through me. I think of how she might respond to some of the things I post on Facebook to friends and family. Will she be offended by reports of my parenting blunders, profanities in any of the articles I share or flippant comments about hard days at work? What will she think when she realizes that being a veterinarian is only a part (albeit a significant part) of who I am as a person? 

What if there are things about her I don’t want to know? What if she tries to change my religion, sell me cosmetics or criticize me for activities that take me away from the clinic? What if she expects me to be on call for pet questions, comments and emergency care 24/7?

Will she understand if I decline to be her Facebook friend, or will she be insulted? Will it be worse if I accept her invitation now and then remove her later if it feels like personal boundaries are being blurred? Will her pets suffer somehow if I don’t make myself available this way?

I love interacting with people who bring me their pets. I honk my horn and wave when I see them on the street, sit with them at PTA meetings and visit their table if I see them in restaurants. Still, letting them into my semiprivate life via Facebook (and being allowed into theirs) is a bit intimidating.

Facebook and Medicine

Social media is changing the way we communicate. Veterinarians who want to provide the best patient care possible are well aware that pet owners spend a lot of time online. They also know that helping pet owners find quality information to address pet problems should be a priority. Opportunities to help pets and support pet owners are plentiful in social media. But so are pitfalls.

Earlier this month, the American College of Physicians (ACP) released its position statement on how human doctors and patients should interact online. Many of the statements ring true for those of us practicing veterinary medicine as well.

Essentially, the ACP said that patients are extending invitations to doctors to connect online with increasing frequency, but very few doctors are accepting. The ACP encouraged this trend — not accepting — for a few reasons, including:

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