Friday, 30 September 2016

Monkey business




It's inevitable when you work closely with animals that certain cases or characters will interest you more than others, and some will steal your heart. It was a post-monsoon day like any other in India when the rescue vehicle pulled up at the hospital and unloaded a few dogs with maggot infested bite wounds, a calf who had been lying down in a gutter for four days and a baby langur monkey. He was in a sorry state having been hit by a vehicle on what the locals call Snake Mountain, named after the twisting road that winds it’s way over the hill between Pushkar and Ajmer. There were no visible wounds but he was paralysed from the waist down, confused and very depressed. He was still quite young, and could easily be cradled in my left arm whilst I worked. 



We gave him steroids to reduce the inflammation, and some pain relief. As there were no obvious fractures to treat it was a case of hoping and praying that the paralysis was a temporary disability caused by swelling and bruising around the spinal cord rather than trauma to the nerves themselves. 

He was an instant hit, everybody wanted to come and see him. I drip fed him water from a syringe to keep his fluid balance stable and left him overnight to rest as much as possible. It’s very tempting to continually visit the cute patients and see how they are doing, but this wee guy needed rest more that than anything else. 

The next day he was still off balance and face down, badly concussed but if he was held upright and supported he would eat a very little banana if it was squashed and put in his mouth. I took him outside and gave him a gentle bath, cleaner his soiled hindquarters, drying him in the sun and lightly grooming him to keep the tactile contact that baby monkeys thrive on. By the next day he would lick food when you smeared it on his lips. Another day later and he opened his mouth ready for it. Little by little he was trying to move, becoming aware of his surroundings. On day five he put his hand out to try and grab at the fruit I was feeding him whilst he was bathed.

As he began to bite and chew we were able to feed him apples and papaya as well as bananas. I made a special feeder for him to encourage his co-ordination and reduce his dependence on humans. It was a dangling bottle with holes cut in it – he had to put his hands in the holes and pick out what he wanted to eat. As he got stronger and more independent we pulled back from handling him so that he did not regard us as his family. His recovery was going well. 


My own less so – I was struck down by a virus that knocked me off my feet and had me hallucinating and fevered for two days. I was brought to by a phone call from the compounders – Monkey wasn't eating. I was worried, he had been doing so well when I left, but perhaps he did not like being cared for by the male nurses? I peeled myself off the sweat dampened sheets, got washed and dressed, and called for a driver – I was in no fit state to make my own way 7 miles into the desert. On the way I stopped at the fruit stall to buy fresh apple, banana, bitter melons and the local biscuit – Parle G (like Nice biscuits) I arrived at the compound in a cloud of red dust, and using a stick for support made my way to his kennel. The men were sad, shaking their heads and telling me that they had tried but he would not eat for them and monkey love only me. I tried to ask what they had tried to feed him and he had responded. After some painstaking translation by Siteram, it turned out that the hospital had run out of apple and banana and the monkey had only been offered papaya for two days. He considered this unacceptable, and had gone in the huff! I sat down beside him on the concrete floor, and opened the Parle G biscuits. A small black hand came up through the bars, trying to grab hold of the sweet biscuit. He ate two, and then made a start on the fruit. 

After a two week stay at the compound the monkey was fit, healthy, and ready to be released, much to the dismay of the volunteers who had fallen in love with him! I made myself busy elsewhere so I didn’t see him leave. The rescue vehicle took him back to the exact spot where he was found and released him back into the jungle. His family came bounding down out of the trees to greet him, and carried him home.

Thursday, 29 September 2016

Client Conversations #8

A client phoned the surgery. They had left their dog with us for the day to be examined and treated as required. We ran some blood tests which all looked good, and performed an eye exam which revealed that the dog wasn’t making enough tears in her right eye and as a result the eye was tacky and sticky, the eyelid painfully rubbing on the eyeball with every blink. We prescribed lubricating drops to help keep the surface of the eye slippy and recommended they be applied every 2 hours, which was explained by the nurse at discharge.

“ You didn’t write on the bottle which eye I’ve to put the drops in, it just says the right eye. How do I know which is the right eye?”
Sorry, I’m not sure what you mean? It’s her right eye.
“But which is the right eye?”
“Well, you know how you’ve got a right and a left eye? So does your dog. It’s the one on her right side.”
“Is that the right one?”
“Right. The right one is on the right, right?”
“Ooooohhhhhh you mean like left and right? Not like right and wrong”

Wednesday, 31 August 2016

Up late

Vacantly sitting in bed, checking my phone again and again. Looking for a new update, something happening, someone saying hello, an email maybe.
I know what I am really waiting for. A message from him. 
It will never be from him again. 

Veterinary Medicine loses another extraordinary colleague.

You were the brightest and best and I am shattered into a thousand shards of sharp black grief. 

Monday, 15 August 2016

Client Conversations #7

A guy came in with his cat and an anxious expression on his face. He said  
"She’s not good with people who aren’t me."
"Not good aggressive or not good timid?" 
"Well, when we went to the Cats Protection to get a new cat, this guy was coming out of her kennel at feeding time. He was wearing a face visor, body suit and gauntlets. We looked at each other and said – if we don’t take her, who will?"
"But she’s okay with you at home?"
"Well when we arrived at the house, I got a plate of chicken ready whilst she was still in the basket. I opened the door, she came out, looked at me and started eating. It was love at first chicken."

Thursday, 2 June 2016

A serious post

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I was discharging an inpatient when I heard it, and stopped mid sentence, spinning on my heel to see where it had come from.  “Vets have the highest suicide rate of any profession”.  A cocky teenaged boy showing off in front of his Mum, a client I knew fairly well due to their dogs persistent allergy problems.  I caught his eye and turned back to finish what I had to say before smiling and sending my patient on her way. Turning back to him I said “It’s not so funny when it’s your friends.”



Walking back to the consulting room they all came flooding back, a flashing show reel of those I have known and lost. The girl I grew up with who went to a different vet school, qualified, worked for a couple of years in mixed practice then took a calculated overdose one night. Her funeral was the saddest thing I have ever seen, her parents hadn’t been in a room together for over 10 years and ignored each other throughout.  The racecourse vet who was reputed to have a sixth sense with horses, kind and gentle, who had stopped drinking for a few years then one day headed off on a binge and was found dead in his house with head trauma. The one who hung himself over the back of the door, so that when they tried to get into the house they couldn’t get past his body and had to break the door down with an axe.  The vet who was a one man ambulatory practice, who took all the epilepsy tablets washed down with a bottle of coke in the back of his car. The guy who just couldn’t do it any more and overdosed on propofol in the flat above his vet surgery.



It’s a far cry from the cuddly James Herriot image that the public has, backed up by the portrayal in all those TV shows. The reality is that we are simultaneously dealing with multiple cases, often very complex, in a difficult financial climate where we are expected to fix everything within the tight time allowance. Time off is a nuisance for everyone else.  I am lucky to work in a good area, in a practice where I have colleagues who I can talk to, about cases or other stuff, and get some support. I have worked in places where that is not the case.



Be kind to your vet, you don’t know what they might be going through until it’s too late.

Friday, 27 May 2016

Exam mascots

     It was the middle of exam time,  and there was a nervous tension all over the University. You could feel it just walking up University Avenue, students brisk and urgent on their way to the library or one of the many exam halls.  I was similarly agitated, but it was a bright clear day in late early summer and my head was a mixture of pharmacology and the call of the open countryside just half an hour away. I looked to my left before stepping off the pavement to cross the street, and it was then I saw it, lying in the gutter. A squirrel. It was perfectly intact, not a spot of blood or any sign of trauma, but it was dead as a doornail and rigid with rigor mortis in a Shakespearean pose. Without pausing to think, I scooped it up and carried on to the exam hall. We filed in immediately, dropping our bags and coats against the wall, clutching our lucky pens, a packet of polos and whatever superstitious trinkets we had brought. I placed the dead squirrel on the desk for retrieval afterwards.



     The exam was rigorous and demanding, and within a couple of minutes I was fully absorbed in a panicky world of my own.  I hadn’t prepared well, and I was struggling to triumph over the negative marking system: one point for a correct answer and one point deducted for a wrong one or a pass, meaning you need to get at least 75% right. I knew about half. A further quarter I could whittle down to two possible answers. The rest were a complete guess.



     When the invigilators announced our time was up, I couldn’t get out of there quickly enough and down to the union for a sorrowful pint before going home to prep for more exams the next day.  I grabbed my bag and rocketed out the door.



     It was several hours before I realised what I had done. I had taken a dead squirrel into a vet exam, and left it there, on a desk.

Nobody ever mentioned it.  

Tuesday, 26 January 2016

Client Conversations #6

Whit dae ah caw you?
Sorry, what do you mean?
Weel, dae ah caw you Vet? Or are ye doactor or whit but yer no a doactor but like a doactor?
Most people just call me Heather
“Right.” (she thought for a minute) Can ah caw you hen?
*smiles* Aye, if you like.
She turned to leave. “Thanks hen”