Monday 17 December 2018

A Swift Exit

     There is a short season every year where we get birds handed in that people have found on the ground. For most fledglings it’s normal to leave the nest a couple of days before they can actually fly, but not swallows, swifts or house martins. They will sometimes accidentally find themselves on the ground and not be able to get airborne again, particularly the swifts. These amazing feathered arrowheads nest in the eaves of houses mostly, so to start flying they use a bit of gravity from two stories up. That option isn’t available when you find yourself on somebody’s driveway. 

     I particularly enjoy getting a chance to see them up close rather than overhead at nearly 70mph. Not only that, I can fix most of them by dropping them out of an upstairs window- now that’s my kind of medicine!
     One day I was checking over a swift that a client had brought down, stretching out its wings to look for breaks or scuffs, checking the flight feathers were intact, when suddenly I saw a massive spider like insect dart across the skin under the feathers.

     Now I’m not notably jumpy, but it was everything I could do not to slam dunk the bird on the floor and run away screaming. This was the stuff of horror films. A large, very fast biting beastie millimeters from my fingers.
     I returned the swift to a quiet kennel, trying all the time not to scratch, and went to look up what this could be. 


     I discovered that swifts have a type of flat fly that is similar to a louse, but bigger and faster. It doesn’t touch humans, so I had nothing to fear, although when it is running at you it’s pretty scary. Crataerina pallida does not have many friends. Birds are usually infected in their parents nest, and will then carry the parasites for life; they are too quick to be caught and killed. They can literally suck a young swift to death, which may be the reason our bird had ended up on the ground in the first place. I steeled myself – it had to be done.
Crataerina pallida - very fast, very horrible. Tiny wings. 
     I got a pair of curved artery forceps and a latex glove. Wearing the glove on my left hand and brandishing my weapon in my right, I picked up the wee bird and started the hunt. I caught sight of the beastie but it shimmied away at lightening speed and hid under the wing. But I was determined – the bugs had to go. I managed to swoop in just as it was away to climb round onto the swift’s back, and caught it by one leg. It was enough to dislodge it and dispatch the parasite. I went back in for more. I took three in total off this tiny sleek bird, and felt quite triumphant. It was window time.

     One of the nurses stood in the car park with a washing basket, ready to receive in case it still wasn’t able to fly. They were not very convinced by my assertion that all we had to do now was chuck it out the window. Nevertheless, they trusted me enough to let my try it. Or maybe they just trusted their own catching skills.

     With a shout of one, two….three! I launched the wee guy out of the second story window. For a sickening moment he tumbled towards the tarmac, then righted himself, swooped low to the ground, built up some speed and lifted himself, disappearing over the roof of the neighbour’s house like a pocket rocket. The nurse gave an audible “ooh!”. 
Satisfied with a happy resolution, we wandered off towards the kettle, another case cured.
House Martin just before curing by window.
    

Friday 23 November 2018

"Helping"

It's very important to me that the nurses don't get all the crappy jobs whilst the vets swan off to do something less grotty, so I've always tried to muck in with the floor cleaning, pee mopping and assorted stinky jobs. 
Unfortunately I'm just not that good at it.... 


...here's a message I was sent by one of the nurses



Tuesday 13 November 2018

Thursday 8 November 2018

Awkward mistakes

     I stuck my head around the consult room door and saw one of my memorable clients, a short neat gentleman in his 80’s in a greying shirt and maroon tie, navy bib and brace overalls with the hems turned up, a navy workman’s jacket, and a great big pair of shining black tackety boots. He wore a tweed cap, perched slightly askew, not far above his glasses. He could have been Fred Dibnah’s brother, one of the many elderly engineers and coal miners we served in our little Northumbrian practice. When he was thinking about something, he was would compulsively take his cap off and put it back on again, over and over. He kept a pack of quite big but very well behaved dogs in tow despite his advanced years. He was still working, gardening for “old ladies”

I could see he had his new German Shepherd pup with him whom I had given it’s first vaccine two weeks ago. It was time for the second injection. 

“Adolf!” I shouted joyfully. No response. I tried again, a bit more tentatively. “Adolf?”.
Who, me? said Mr Elliot. “That’s not iss name, pet”.
“But you told me a fortnight ago – a German name for a German Shepherd”

“Aye hinny, that’s reet. Hans. His name is Hans”

Tuesday 23 October 2018

I think we'd better get an x-ray

Do you think it could be broken, doctor?

Erm......

...yeah I'd say so.


Wednesday 17 October 2018

FMD, a recurrent nightmare.

       We arrived at the end of the farm road and were greeted by the farmer. His face was working in quiet fury under his own black cloud and he was carrying a gun. 

“You should have been here a week ago, what the bloody hell’s the point of coming now? It’s too bloody late now!”


       I wasn’t sure what he meant, but I was keen not to agitate him any further. I was there as the peacekeeper, still a student but experienced at working with British farmers, unlike the Australian small animal vet who was supposedly in charge of today’s blood testing. Foot and Mouth Disease had been spreading like a forest fire down this Cumbrian valley. We were ahead of it here, checking that the sheep and cattle on this farm were “clean”- they hadn’t met the disease yet. Every farm in the county was getting tested. Vets were pulled in from all over the world, every available UK vet student was there, and a huge number of non-clinical staff of various types, from military to admin to cleaners and quartermasters. It was a massive operation. The British vet students from a farming background were widely used both for their clinical skills and to smooth the way, chatting to farmers and translating for the international vets in a host of languages. Even the vets with good English struggled to understand the broad accents of the farmers. 

       As we packed our crates of equipment into his Toyota Land Cruiser, Farmer Jim expanded on his frustrations. The farm just up the road had fallen victim to the disease a few days ago, but was far enough away to fall outside the 1 km contiguous cull zone. Jim was berating the Ministry of Agriculture for having not jumped ahead of the disease and created a firebreak. He reckoned it was almost certainly going to cost him his stock, and all the farms downwind from him too. 

       Once we were in the farmyard, proper introductions were made, as well as a pot of tea. Jim’s wife Moira was a wide, friendly lady with muscular arms, big square glasses and an open smile, despite the strain she was clearly under. A tray of mugs appeared, one of which was half filled with sugar, and a small milk jug. We had a brew and started to learn a little about the farm. The cattle we had passed on the way in were curious looking beasts, not quite one thing or another. I asked Jim if they were a local breed. He told me that they had been specially bred over the last 180 years by his ancestors on the farm to specifically suit the ground they had there. They were large bodied powerful beef cattle, but with quite short stocky legs that helped them negotiate the uneven turf and wade through the stony river that carved up the fields here. Jim softened considerably once he realised I was genuinely interested in his stock, and it wasn’t just some government trick.
“Nine generations, father and son” he said. “These cattle are our lives, our way of life for hundreds of years. And now what? Some bugger has pissed it up the wall for us?”

       The stock we needed to test were scattered all over the farm, so we were loaded into the back of a dubious looking Diahatsu Fourtrack, which was then locked from the outside with a padlock. Taking a seat on the bare metal wheel arch, I realized that there was a dog guard between us in the load space and the two seats at the front. We were trapped.

       Moira took the wheel and we set off down a steep and very bumpy farm track, every jolt causing great discomfort. I tried not to yip when a particularly big pothole threw me up in the air for a second, only to crash back down on the exposed metal, bruising my tailbone. It was away to get worse. The cattle were on the other side of the river; there was no bridge, and no visible ford. Moira kept up a stream of commentary and chatter as she plunged the tiny 4x4 into the flow and drove downstream. Half way across the water began to pour into the back of the car where I was locked in and sweating. I could feel the current pushing on the wing. After what seemed like an age, we reached the edge and started to mount the impossibly steep bank, tipping the back of the vehicle further into the water and making us lift our feet up in the air to avoid the rising tide. With an almighty heave we were clear and pulled up beside a huge bull. He lazily raised his head to the window, and Mary reached out and scratched him, first on the forelock, then under the chin. Our duty with the cows was to look for salivation or lameness, but none was evident, both Billy Bull and all his girlfriends seemed to be in good health. After slowly wandering around the riverside checking each beast we headed up the fell to check on the sheep.

       The sheep were part of a larger regional plan; we were to blood test as many as we could, the numbers all carefully and proportionately worked out by the epidemiologists. The sheepdogs went to work, and we rested in the cool breeze whilst they gathered the flock to us. Our uniform was two boiler suits with hoods up, waterproof coat, waterproof trousers, two pairs of gloves with cuffs tucked into the sleeves, wellington boots (tucked in), and protective eye goggles. We were to leave as little skin exposed as possible. It was August and we got very hot, very quickly.
       Sheep all rounded up, we kicked into action. This was my area, take a blood sample from each ewe as quickly as possible causing as little distress as we could, quickly check the mouth then release them. I had been working with the same team for a while, so we had it down to a fine art and the farmers appreciated our skill. It wasn’t long into our inspection before we started noticing blisters in the mouth. I called the vet over. We turned the ewes on their back, and at the top of the hoof in the cleft between the two toes, there it was again, small pale blisters with a reddened ring around them. The thermometer confirmed it – the affected ewes were running a temperature. The mood changed instantly. We called for back up.

       We silently headed back to the farmhouse to wait. Moira cracked out the sloe gin for everyone and Jim hit the whisky. There was tea and home baking, sobbing and ham sandwiches. We only waited an hour and a half for the reinforcements to arrive, but it was a very long time.
       It was confirmed that evening when a second team came out to join us and agreed: with two qualified vet opinions, the flock had Foot and Mouth Disease. The only option was an immediate cull. The farmers were angry and hurt, we were trying to stay calm and professional but were heavy of heart.
       We left them to come to terms with the news and headed home to base. There were lorries full of citric acid waiting at the gate to powerwash us from head to toe including vehicles, and the police were posted at the end of the drive to stop anyone else coming in or out. I drove back to Carlisle, arriving too late for any food, and got drunk.

By 6am I was back at the farm.

       I spent more of the day talking to the farmers than I did handling the animals. A few times I snuck off alone and cried. I tried to keep them busy inside whilst the shooting was going on, hundreds of sheep killed in the silage clamp pit with a captive bolt gun, the pop pop popping of the guns ricocheting around the concrete walls for 20 minutes non-stop. The cattle had succumbed to the virus overnight. The big gentle bull was unable to walk back to the yard and thick trails of drool hung from his mouth where the skin of his tongue had started to slough. Most of them were shot where they stood by a marksman – one second there, then gone, they didn’t know a thing about it. The sucklers around the farm with calves were penned inside the shed in groups of four, and stunned with a captive bolt gun before being dispatched, then dragged out to the yard by a chain around the leg attached to a tractor.

       After hours of brutal killing, silence fell. Then, after a moment, the engines roared to life as bodies were loaded into wagons to be removed for incineration. Cart after cart trundled away down the track, stopping for disinfection at three separate points.

       I stayed for tea with the family to make sure they were safe, and then it was time to leave. I shook Jim’s hand, and he fell against my shoulder sobbing, face scarlet, hot tears dripping into my neck. Moira hugged me, and wouldn’t let go. When she eventually released me, I walked back to my car to the sound of her shouting her phone number across the yard at me. I tried not to let them see me falling apart with every step.

       I went through the three disinfection points and police cordon, and drove back to Carlisle. I got very drunk, but couldn’t drink away the pain.

       I still get a Christmas card every year

Tuesday 16 October 2018

Kitty bank

This is possibly the most expensive 20p I have ever handled


Monday 15 October 2018

Client Conversations #12

I ever so gently lifted the injured cat out of the basket and placed him on the table.
“Hello Mateusz, how are you today? I heard you are not feeling good, poor puss cat, tell me all about it, hmm?”

“He only speak Polish.”