Tuberculosis

The rain is hurling itself against the window as I write this, having returned home after half a week in Stranraer. The wind there was relentless and felt like it was filled with icicles. Not quite the balmy, maritime climate I might have hoped for. Despite the chilly wind and the sleet that fell, the fields were still green and many animals are still outside. So different from the months of snow and ice in the far north. I finally found the time to take a few photos when I was out and about, which I’ll share in between the streams of reminiscence!

It was strange being back. A lot has changed in the last thirty years, although one thing that hasn’t changed much is the little lodge house I lived in back then. It now has oil central heating, where once the only warmth came from a coal fire, and the wheelie bins are out front, rather than tucked away at the back door, but other than that, it still looks much as it did when I lived there. I swore, after those eighteen months that I would never again accept a house without central heating.

The practice I worked in is long gone. The younger of my bosses sold it to the neighbouring practice (now Academy Vets) years ago. I went into Academy Vets as I had to chat to them about a case. I thought I didn’t know any of the staff, but I discovered that one of the senior vets had seen practice with me when he was a student, which illustrates how long ago it all was. My older boss is still around, apparently. Hopefully I can visit him, next time I’m over.

Simpson’s the bakers is still there on the main shopping street. I remember Anne, the kindest receptionist ever, asking if I wanted anything from Simpson’s at lunch time on an almost daily basis. I bought a sandwich: coronation chicken on white bread and they must still be using the same recipe as they used, all those years ago. It was as delicious as I remembered, though it now comes in plastic, where once it was in a white paper bag. The cakes haven’t changed either: very traditionally Scottish, all intensely sweet, no fresh cream and some very garish icing.

I was quite surprised (and rather saddened) by how unfamiliar a lot of it seemed, though I did keep tripping over memories over the course of a few days. I thought the Morrisons supermarket was new, but when I went in, it dawned on me that it was the precious supermarket that was built when I was there. It was Safeway when it arrived in town and was a wonderful addition. Before that, there was only a dim and narrow W.M. Low’s that I would walk around, looking for something for dinner, finding no inspiration. Morrison’s was closer to the centre than I remember and I don’t recall using a roundabout to get into it, but maybe I’ve just forgotten. A colleague who grew up in Stranraer reminded me that the old cattle market was knocked down to build it, and I do recall that as well, but only in the vaguest of ways.

Mostly I drove around, thinking how unfamiliar it all seemed, though when I drove away from Academy Vets (where we used to take dogs for x-rays as my practice didn’t have one) I knew exactly how to get to Lewis Street, where McTaggart and Williamson used to be, and for a few moments, I felt as if time had shifted.

Though my time in Stranraer wasn’t particularly happy, it is where I met Charlie. He took a job in my practice, having spent time as a student doing extramural studies around the corner in Academy Street. We were married twenty three years and have three wonderful children together, so it was a significant time in my life.


Anyway, enough reminiscing and back to the present. This week I have been learning about tuberculosis. It’s important that I do as I will be taking over several TB outbreak cases in just over a month’s time, when my Stranraer colleague goes on maternity leave. Although I’m learning a lot at high speed, I am now reaching the stage when I can see just how much I don’t know.

There’s an online course I need to take, as well as having time for the cases to be handed over. I am finding out where to look up case handling and I’ve an offer of help with the tracing and epidemiology, but I am still going to need a lot of guidance. Each case is different, depending on whether there were signs of TB found when an animal went to slaughter, or whether it was picked up during a skin test, and beyond that how exactly the case progresses, once a positive skin test occurs. There are a multitude of pathways, depending on those factors. I did the skin testing thirty years back, but there were no positive skin tests back then, so the rest is new to me.

Now in addition to skin tests, they can take blood tests and are beginning to understand some of the genetics. Tracing where it came from (and where it might have spread to) is now becoming more clear. You can sometimes tell where a strain might have come from, because it is genetically similar to a separate case. When I was testing, thirty years ago, there was no TB in the area. The aim is to return to that situation, but I think that will take a very long time, if it’s possible at all. Only time will tell.

Yesterday, R and I visited a farm where the investigation is just beginning. One of their cows had a small reaction to the injection during a routine skin test. When tested again, sixty days later, she reacted more. Now she will sadly be taken to slaughter, where they will check her for visible signs of TB and also do a PCR check, where they look for TB DNA. After that, whatever the result, the whole herd will have to be checked again. Until they get the all-clear, with no reactors, they cannot sell any of their animals, or move them off the farm, other than for slaughter. It’s a huge blow to any farmer to find out some of his cows will have to be culled and that there is disease in the herd that can spread to humans. I hope, for their sake, that the tests all come back clear.

I had left my car in a car park in the middle of nowhere while R took me to the farm, and on my return, I was quite surprised to see a van parked beside it. R headed off and to my surprise, the driver of the van came over to chat to me. He was wizened as if he had spent a lot of years battling the weather, but he seemed cheery as he told me he was a mole exterminator! He is seventy five, he said, and still tending to over seventy farms, though in his heyday, he cleared a hundred and twenty. I confess that it had never crossed my mind that the job of mole exterminator existed, but he seemed very upbeat about it and was obviously very efficient. It did cross my mind that perhaps I should consider a new career, but he said he thinks he has someone lined up to take over his patch when he finally gets too old.

Anyway, I’ll leave you with some food pictures. I ate every night in the North West Castle Hotel and would highly recommend it!

Sea bass with creamed potatoes, prawn and chive butter and seasonal vegetables
Breast of chicken with mash, haggis and peppercorn sauce

… and the piece de resistance…

Strawberry cheesecake

Delicious! See you next week.

1 thought on “Tuberculosis

  1. It’s strange going back to somewhere you lived, after a long gap – everything somehow looks smaller. It’s familiar, but not exactly how you remembered it. Have a good week.

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