A Good Learning Experience

This has felt like the longest week yet. I was duty vet on Monday, Tuesday and Wednesday. At any given time, there are three vets covering direct enquiries in Scotland and these can vary hugely from issues that are directly relevant to other tasks we do (TB, welfare, notifiable or reportable disease, animal by-products) to enquiries that have effectively been sent to the wrong agency or department. For example at one point, I had a question about sheep scab (a reportable mite infestation) alongside another about some brown banded cockroaches that had been seen in a consignment of books brought in from India.

The first of those – the sheep scab – is absolutely our territory. That one I knew I would have to deal with from start to finish. The cockroaches? Really I am clueless. So the first part of my task was to working out which of the tasks was mine to complete and which should be forwarded on. As a complete novice, even making that decision isn’t straightforward. The two other vets on duty with me were busy with their own tasks. There’s a more senior vet on call, but that’s mostly for consultation on serious cases at nights or weekends.

I had thought, before I started, that it was only three days. How bad could it be? But by Monday lunchtime, I was overwhelmed. I was told to follow various checklists, but without prior understanding, they didn’t have enough detail. The instruction, “obtain owner or keeper’s e-mail so restrictions can be served and lifted with fewer delays” sounds straightforward enough, but there are multiple different systems where that e-mail might be recorded. Moreover, those are so complex that looking things up could take an hour and even then, I might still not have found it.

Finally, in desperation, I called my veterinary advisor, Pilar. I probably should have done it earlier, but I knew she was busy and she had already spent hours with me, trying to prepare me. Fortunately she was empathetic and understood how out of depth I was feeling. I had actually reached the stage where I was contemplating switching off computer and phone and walking away, but she talked me through everything in simple steps, told me I could gather most information by calling the vet who diagnosed the scab and the farmer whose sheep were infected and gave me a list of what to ask each. The cockroaches, she directed me to another APHA specialist, who would be able to advise.

It took me a very long time to work through that sheep scab case. Next time, it will be much quicker, but the good news is, that by the time I phoned cockroach guy back afterwards to find out more about his query, he’d already had the Forestry Commission in, who had dealt with the problem. As someone else pointed out, almost none of the enquiries are urgent, but it still feels overwhelming. It will get better over time, but those three days left me feeling wrung out.

Having survived the three days (and nights – no calls, but not relaxing knowing the possibility is there) of duty vet, I was hoping for a good end to the week, but it wasn’t to be. On Friday, I had booked in a welfare investigation with David, the local authority inspector. As regular readers will know, mostly those investigations reveal good welfare, but occasionally the reports are accurate, and this was one of them.

There are two main sets of rules we follow. There’s both the law of the land (Animal Health and Wefare Act, Scotland, 2006) and a more stringent set of welfare guidelines that farmers sign up to in order to receive government subsidies. Up until now, I have mostly visited farms where the farmers were broadly compliant with the guidelines, which represent a higher standard than the law. There have been a couple who met the law but not the guidelines, but until now, I haven’t seen any proper breaches of both.

There are various protocols in place for dealing with breaches, depending on severity. Minor breaches can be corrected with simple guidance. There’s a sliding scale from there, including serving notices for improvement within a specific timeframe, calling for direct action while on the farm (such as calling the private vet or requiring that animals are culled) right up to prosecution, for the most serious cases. The latter is usually (though not always) a last resort after improvements haven’t been made.

Anyway, yesterday I had my first Scottish breach. I’ve dealt with some in Norway before, so the welfare signs and how to record them are similar. However the protocols differ and it’s easy to put your foot in it. One thing I have learned is that, when I come across welfare problems, it’s intense. There’s a lot of pressure to make sure you get stuff right. If you say the wrong thing, the farmer can get prematurely angry or defensive, which makes everything more difficult. On every case I’ve reflected on afterwards, I have looked back and realised there were ways I should have done better and some things I learned. This is my initial list after yesterday. I know more will crop up as the case is processed and followed up.

Firstly, don’t forget to take supplies. There’s a minimum kit I should have had with me and didn’t. In Norway, we used disposable overalls and boot covers on every farm and I would go round the stockroom and pick up measuring implements, microchip readers and other equipment each time. It had become routine. Here there are certain items I am meant to have with me at all times, but I went out with someone from the local authority and (incorrectly) assumed that the LA inspector would have everything I needed. I don’t think it caused any catastrophic problems, but that was only by good fortune. I can easily rectify that for next time.

In addition, I will never again go out without food and drink. Generally such inspections take a few hours at most and we can go and buy lunch, but this time, there was a lot to get through and I was uncomfortably thirsty before we managed to take a break. In Norway there were often no cafes or shops within a two hour drive. Thomas never ever went anywhere without a can of cola and something to eat and I had started to do similar. Again, an easy lesson.

Second, don’t do welfare on a Friday. Graham mentioned this and it’s great advice. Sometimes it’s unavoidable, but in fact, it can cause no end of problems. Vets go onto out-of-hours rates and limited staffing at weekends, so if a call-out is fairly urgently required, it’s more complicated. Worse, abattoirs close for the weekends. They did in Norway too, but we had an emergency slaughter service 24/7. Labs close. If you want to send them anything, and it’s late, you can’t leave it till the next day. Even from the point of view of our own follow-up, it would have been better to go through the case the next day and not have two days in between.

Third (and unexpected). Don’t use the word evidence. It’s a funny thing to reflect on, but I never accidentally used that word in Norway. I didn’t even know the Norwegian word when I started working in Finnsnes! I rapidly learned how important language was when I started out in practice years ago though and now I need to learn what works in this role. The way you phrase things makes a massive difference to how the person on the other side of the exchange reacts.

To me, it felt like a technicality. Evidence is stuff I see and write down. It can be positive or negative, but it was obvious when I used it a couple of times that it instantly conjured the threat of a court case. Next time, I will find alternatives. If I ask to take photos, it’s not for evidence, it’s to get or record a full and accurate snapshot of what I’m seeing. Doing that is easily described as being in everyone’s interest. There are so many police shows now that the rights they read out (that include the word evidence) are probably at the forefront of people’s minds. I’ve always thought it would be easier to do this job in English and there’s no doubt it is, but there are new pitfalls and I need to adjust.

Anyway, as well as the things I got wrong, there were others that I did get right. The habit of using descriptive, observational, factual language, not opinion became second nature in Norway. A cow is not “thin”. Thin is an opinion. Instead I might write that “I can see her ribs and the bony prominences of her pelvis and spine and I rate her body condition score at 2” (with an explanation of what the condition score means). Those are facts. Realistically, “thin” is shorthand for “I observed those things” but it can open up the problem that different people might assess “thin” in different ways.

On my suggestion, David drew a map. I learned that from police in Norway after working on a case with them. It makes it easier to keep track if you have all the farm buildings mapped out and the sheds numbered. You can then describe more accurately where you found various animals and what your photos show.

This is a Scottish/British one; I should record important words verbatim. I learned that on a statement writing course. It’s not easy to do that as conversations go faster than I can write, but writing down someone’s actual words removes any confusion created by a summary of what you thought they said.

And finally, I’m going to end with something David told me. It can feel overwhelming during a welfare case, especially if there are many issues that need to be addressed. Again, harking back to Norway, even if I managed to improve things, I could still get bogged down in what I didn’t achieve, because it could have been done better. But as David pointed out, in the end of the day, if the actions I took relieved the suffering of a single animal, that was still an important achievement.

Have a good week all.

4 thoughts on “A Good Learning Experience

  1. At least your first duty weekend is behind you now so that must be a relief. David sounds like a man with a good outlook on things. I love the photos, particularly the rhododendron. Have a good week.

  2. Very powerful, Sarah, with thought-provoking comments on how to proceed in a welfare call-out. I particularly admire your rule to describe a situation (ribs visible etc), not offer an opinion about it (“thin”). Would that we all, all the time, followed that guideline.Or at least distinguished between the two. Also… it’s unnerving how adjusting to returning home seem harder than adjusting to living elsewhere. I wonder if it’s because we expect adjusting to a foreign country to be difficult, and are mentally psyched for it, whereas we think coming home will be easy? Meanwhile, “back home” has also evolved, and it can catch us flat-footed. (I muse, from experience…)

    1. I was out today and someone pointed out a sheep with a hernia. Could I remember the word hernia? Nope!

      In many ways, it’s been easier coming back here, but I’m really having to get used to paper communication again. I keep losing all the letters from the doctor, the council, the power companies and banks. I’m so used to searching my e-mail inbox, which is way easier!

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