After all the frenetic activities, work has been a bit slower this week, though no less interesting. I’ve spent time reading up on, and around the new case I’ve been given, which will be very different from anything I’ve done before as I am working in a group of ex-police enforcement and intelligence workers. I’m the one with the veterinary knowledge to their investigative powers. Unfortunately, I can’t really write about it though as people might recognize themselves, or others. I’m sure there’s a novel in there though, if only I ever find the time to write it.
Last weekend, I had a fabulous time visiting Sue at her home and then visiting the gardens at Dumfries House together. Dumfries house is, counterintuitively, in Ayrshire and not Dumfries and Galloway. Sue volunteered there, in the garden, a while back and pointed out a few huge bushes she had planted. Gardening has obviously been a lifelong passion. She wants to help me get my garden in shape. I have let it run wild this summer and finally started cutting the lawn this week. Unfortunately I didn’t get it all done in one go and the rain came after two exhausting sessions, so now I have one half yellow-brown lawn, one half hay field. I will get there…
As you can see Sue’s garden is gorgeous!
I went to the GP earlier this week. I’ve been having headaches, pain when I moved my eyes and sensitivity to light, which has been going on for a few weeks now. It’s been particularly inconvenient as I have been affected when working in front of a screen as well as when driving, especially when it’s bright. The GP couldn’t help, so he directed me to my optician, who has been very helpful in the past when I had some flashing lights in my left eye. I saw her on Friday afternoon and it seems that I have dry eyes, which apparently can cause all those problems. I now have eye drops and a glasses shaped beanbag to heat up in the microwave and use on my eyes for ten minutes twice a day. This should help the oil in the glands along my eyelids to soften and get things going again. I’m mostly just glad it’s not FND related. Hopefully things are starting to get better already, though I’m about to go to Guildford for a week, so will be in a microwave-free zone.
The Guildford trip is for a chicken health and welfare course, so I’m hoping to come back with loads of new knowledge. I feel very honoured to have been selected to attend, so will be making the most of it. Triar will be getting spoiled at Mum and Dad’s. I will miss him, but at least he will be well looked after.
Firstly, a disclaimer. The sheep in the photo at the top of the page are random Norwegian sheep and are in no way related to any invest
Last week’s blog was a week late because I received a phone call as I was writing it. Two weeks ago, I was on call for the weekend and hoping to rest. Most on-call weekends are a matter of keeping your phone near you, maybe dealing with a request by a private vet for a case number so they can go out to test a cow that’s dropped dead to check it wasn’t anthrax or a similar request for itchy sheep that might have scab.
This time, to my surprise, I found my line-manager on the phone. “How would you feel about another report case?” he asked. Well how I felt was broadly irrelevant. I was the ready-to-go vet, so unless I was seriously unwell, it was my task to be handled, whatever it was. “Another AI?” I ventured.
”Um… no.” He paused. “We’ve been sent photos of lesions from some sheep’s tongues. They’re trying to decide whether to treat it as a bluetongue enquiry, or foot and mouth. This isn’t your official call, just a prewarning so you can start to prepare.”
Once the official call comes in, you are expected to be on the road within 30 minutes. In theory, everything should be in your car and you should be able to get in and go. In reality, there are things you might need for sampling that have to stay in the fridge in the lab at work. The buffer solution used for foot and mouth sampling is one of these, so I was glad for the heads up.
I admit, I did feel slightly breathless. Those living in the UK who are old enough to remember 2001 will recall the horrors unleashed on the country as whole farms and regions were forced to cull their livestock and burn them in the fields on horrific pyres of death. The recent, sporadic outbreaks in Europe mean we are on high alert. That the photographs sent in had the high heidyins in a nine am meeting discussing whether they dared risking treating it as “only” blue tongue felt quite significant.
I dressed and went into the office and started to gather paperwork. In theory, I should have paperwork for every eventually in my car, but having the appropriate papers to hand for setting up restrictions is useful. To my mild consternation, I found the main printer wasn’t working. Thanking my lucky stars that I wasn’t a newbie and knew how to work the secondary printer in the lab, I printed out what I thought I’d need.
I also threw a load of blood sampling equipment into my car. Better to have too many tubes than to create the necessity for someone else to come out and onto a farm with possible foot and mouth because you weren’t well enough prepared.
It was quite a long drive out to the farm. As I neared the farm, I slowed down to cast an eye over animals in the nearby fields. None were drooling or looking sick. A good start.
It had been confirmed that I was to treat it, for now, as bluetongue, but that foot and mouth was still there as a possibility. To explain the difference in requirements, because bluetongue is spread by midges, tramping on and off the farm with dirty boots and tyres isn’t so much of a worry. Not that I do that, but if I did, it’s not a disaster.
The restrictions served on the farmer are different too. Bluetongue restrictions only stop animals coming and going. Foot and mouth suspicions, like avian influenza suspicions, mean that every person and vehicle going on and off the farm has to have an individual license and any and all incursions are strictly limited to absolute necessities.
I arrived at the farm , put on paper suit and gloves and served the restrictions. It’s always the first thing to be done and having signed the form, I read out all the clauses that explained in full what was required. Next was history taking.
This is not like taking a history for a normal vet case, where you mostly want to know what has happened to the animal. For a notifiable disease investigation, by the time you are finished, you should have details of every movement on and off the farm within the last twenty one days. You have to assess whether there are any high risk factors. Are there rights of way and picnic sites where people might have fed the animals? Has anyone from the farm recently been on holiday to a different country? Are there stagnant ponds in the vicinity that might encourage midges? The factors, like everything else, vary with the disease suspected.
Having taken a careful history of the animals and the risk factors, I donned more layers of PPE and prepared to look at the animals. I knew, both by being told and by observation, that there were fields nearby that held another farmer’s cattle. I decided to walk up to look at them first. If it was something highly infectious, they might be showing signs too. Again the picture was reassuring. They were young stock from a dairy farm and could not have looked more healthy. They were eating as we approached, then lifted their heads to look at us. Not a nose lesion among them. Nolameness, no drooling. Bright eyes and shiny coats.
I was already, mentally, beginning to think foot and mouth was less likely. Obviously there were still the sheep to look at, but clinical signs in sheep can be subtle, cattle less so. These animals had been in relatively close contact, so by the time the mature mouth lesions were spotted in the sheep (with the caveat that it might have been caught early) I would expect to have seen some spread.
There were two groups of sheep – adults and lambs. The lesions in the photographs, nasty red eroded areas on the tongues, had both been from lambs. We therefore looked at the adult sheep first, partly to prevent any possible cross-infection, but also because a complete absence of problems there would go further towards ruling out foot and mouth. No reason why young sheep would be more severely affected than the old in a disease where neither group would have immunity.
What struck me again was that I was looking at a broadly healthy group of animals. There were 43 ewes and as I scanned their mouths, feet and udders (where possible) I saw nothing. Only bright, uncrusted eyes and alert ears. There were two that the farmer had noted had been getting thin for a while. We selected them out and I examined them more closely. Not a lesion in sight. Normal breathing, normal temperature. One was a bit dirty on her backside, but nothing to suggest foot and mouth or bluetongue.
We moved onto the lambs. This time, I decided we should examine all of them. There were thirty two in the group and the farmer caught each one and held them while their mouths and feet were inspected. In the end, there were four with tongue lesions, four with lesions around their lips and one with a sore area above its foot. None of the lambs with lesions was running a fever. I was strongly beginning to think that what we were dealing with was a severe case of orf – a pox virus that affects sheep and can infect humans who come in contact. It would be unusual to have tongue lesions, but not impossible.
Having taken history and examined the animals, it was time to decide where we were going to go with this. At one extreme, if I thought foot and mouth was still in the picture as a possibility, we would have to issue new restrictions as well as taking samples. I might well have to stay on the farm until it was ruled in or out. I’m still a bit sketchy on the details, though I had arranged for Triar to be looked after, just in case.
If I thought everything was ruled out, I would leave the farm with no tests done and hope I’d got it right. To do that, I’d need to be very certain. My gut feeling was that this was orf, based on the fact that it was only affecting the lambs. Orf is common and spreads in flocks to the new crop of animals born each year. Older animals can carry it, but usually have enough immunity that there are no clinical signs.
So on the grounds that only the lambs were affected and the adult ewes and neighbouring cattle were perfectly healthy, along with the fact that all the lesions were quite mature and I would have expected to see more early stage lesions (we have lectures about aging foot and mouth lesions) I felt confident enough to rule out foot and mouth (phew!). But could I rule out bluetongue too? I decided I couldn’t . After all, midges might well have selectively bitten the lambs with their thinner wool pelt. And orf might exist alongside bluetongue. The lip lesions could be orf and the tongue lesions something else.
And so, armed with my evidence, I called VENDU (the veterinary exotic notifiable disease unit) to tell them what samples I wanted to take. I have never been asked so many times and in so many different ways if I was sure, 100% certain, absolutely confident that I could rule out vesicular diseases like foot and mouth. At the start of the conversation I was using words like probably, but by the end, I was telling the, firmly that no, it was not foot and mouth.
So we tested the nine lambs for bluetongue: the four with mouth lesions, the four with lip lesions and the one with the foot. To cut a long story short, the test was negative, but most of Sunday was still spent on paperwork. I strongly suspect all the lesions were caused by orf: an unusual and interesting case all round and a good learning experience for me.
Lots of text so far and not many pictures, so I shall rectify that. Last weekend, I went to Drumlanrig Castle and met Sue (who used to locum with APHA) for a walk and for lunch. The gardens were beautiful.
I was in the middle of writing this last Saturday when my work phone rang and that was that! No time for blogging last weekend. I shall finish this now, then leave the next installment for another day. Sometimes, life is crazy!
Last weekend, I had my first real report case. Unlike the disappearing seal, this one involved live animals, or rather birds. I had intended to go down to Yorkshire last weekend. My sister, Helen, and some of her family were there and my intention was to take Triar down to introduce them. I had a couple of tasks I had to complete first. Some birds that had been imported (as eggs) from the US had been in isolation for three weeks. I had to inspect their health and make sure all the paperwork was in order before releasing them.
In addition to that, one of my TB cases was on its final test and while I was looking at chickens, that test went clear. After they’ve been locked down and unable to move cattle on and off the farm for months, I try to prioritize getting their restrictions lifted as soon as I can.
I had just completed these two time-specific tasks (it was around midday) and was about to go complete all the surrounding paperwork (I had to look up the import isolation release as it was my first) when my phone rang. It was my line manager. “How would you feel about going on a report case?” he asked.
Well I couldn’t really say no. I’ve put in an application for special pay, competence based, and one of the weak points in my application was that I had never done a report case. If my Veterinary Advisor had to defend my application, one of the easiest ways would be if she could point out I now had done one, competently. And apart from that, I wanted to get the first one out of the way. It’s an important part of the job.
My mind was working quickly. I’d seen last night that there was a bluetongue report case in, to be done this morning and, though it seemed unlikely nobody had gone there yet, it seemed even more unlikely there was a second suspicion of notifiable disease report in our region. The reason I hadn’t been to one was because there hadn’t been any locally in the last year and a half.
”Is it the bluetongue one?” I asked. I had been hoping my first one would be. After all, blue tongue is spread by midges. Infection control is still considered, but compared to diseases that spread directly, animal to animal, or worse, to humans as well, there’s a whole lot less PPE to worry about.
”Um… no,” came the reply. “It’s an avian influenza one in pheasants.”
He told me where it was – an hour in the wrong direction for driving to Yorkshire. Mentally cancelling my planned weekend, “Yes, okay,” I said.
I could hear the relief in his voice, and no wonder. We’d had few report cases recently and alongside our two, there was a third in the north already. Depleted as we are by summer holidays and staff signed off from fieldwork, finding willing staff locally must have been a relief.
I spent the next couple of minutes ripping through my Teams contacts to see if someone could talk to me. I knew where all the gear was, but I needed paperwork and some of it had to be printed out before going. Each different notifiable disease has a different form to restrict movement. They quote the relevant sections of the law, under which the restrictions are put in place, so you need the right one. And then there were sampling forms, which are different depending on whether the birds are classified as wild. I had to take hard copies as those need to go with any samples I decided were necessary.
Frankly, my mind was whirling. I needed someone to give me instructions. Fortunately, one of the Veterinary Advisors called me back and (as is my habit) I started the first of the many lists I was going to need over the next few hours, to keep everything straight. Having printed out all the forms I would need, and having thrown the “grab and go” boxes with all the report case gear in them, I set off.
Traffic was awful. Going round the Dumfries by-pass on a Friday afternoon is a nightmare at the best of times. They’d found me an animal health officer, who was being deployed from Ayr. He wanted to know what kit to bring for sampling and I had to pull into a couple of lay bys to talk to him. The whole exercise was obviously going to take a while and going back to collect something we’d forgotten between us would be a real pain.
There was a small incident when I had been stuck behind a dawdling camper van for some time. There was a short section with two lanes on my side of the road. I pulled out to pass (I bought a car that can accelerate fast for a reason) and some idiot motorcyclist waiting in a queue going the other way dawdled over a double white line and right into my lane so I couldn’t. It’s just as well I wasn’t driving a car marked with APHA on it. It’s a long time since I have given someone the finger while driving, but really, some people are beyond the pale in their selfishness and I was undoubtedly fueled by adrenaline at this point, as well as diesel.
By the time I arrived on the farm, I was my usual professional self. This is my job. It’s the animal owner who’s having a bad day and my task to present a calm exterior and offer guidance. At any time, I could call for advice, but to be too obviously ignorant is to invite worry. My first task was to complete the movement restriction form. There was a section with two boxes on it where I couldn’t decide whether I should write my name, or strike through them. Phoning to ask would be the most obvious indicator to the poor gamekeeper whose birds were dying that I hadn’t done this before. I struck through them, carried on and handed over the form, reading out the instructions on the back to make sure he knew what was and wasn’t allowed.
There was a slightly disconcerting moment, when the gamekeeper looked at me and asked, “Is this your first?” I was surprised he could tell, but am old enough to know honesty is the best policy at these moments. “Yes,” I said. “It is, actually.”
”Oh,” he said. “I knew from her questions on the phone that the person I spoke to on the phone knew nothing about pheasants. I thought they probably wouldn’t find a pheasant expert. She didn’t even seem to know that partridges and pheasants are different.”
My shoulders sank a couple of inches. I hadn’t been rumbled after all and I did, at least know enough about game birds not to make an idiot of myself.
Having served the papers that locked down everyone and everything on the farm, it was time to start the investigation. Most of the birds were healthy, but I needed to have eyes on them and I also needed to map where they all were. It’s not so hard when you have chickens and they are all in a shed in the farmyard. You can print out a satellite image or map of the premises, put an X on the spot and provide a GPS reading. That reading is essential because if disease is confirmed, that X becomes the centre of the 3km restriction zone and the 10km surveillance zone. This time, I had 15 different GPS readings, spread over different farms: at least I think they were. I was taken to them in a kind of buggy on back roads and tracks. There was no way I could mark where they all were on a printout of the steading.
I lost contact with the team and with time. We drove between pens and I took readings with my OS maps app. I screenshot each reading, took a photo of the pen and any nearby animals and scrawled notes on a piece of paper. How many birds? What species? Were they in or out? The last question was crucial. When they are young, the pheasants are in closed pens with mesh over the top. At that point they are kept. Eventually, the gates of the pens are open and the birds can roam fully. At that point they are wild. In between is a grey zone.
Coming back to the steading, I saw the animal health officers had arrived, one experienced, the other in training. I still hadn’t seen a single sick bird. After yet another conversation with the Veterinary Advisor, I put on a second layer of PPE over the single layer I’d been wearing up until that point and we headed up to see the sick birds. I had with me the Sundstrøm hood that we are given for AI cases. Even though I would be outdoors, I still had to wear the full kit. It was rather bizarre, outside the pen, on a patch of grass on a forest track, donning a hood that would isolate me from everything. It felt very incongruous.
I had occasionally worried about how I would cope with the hood, which blows air into your face, but it was actually fine. I walked into the pen alone and surveyed the sorry picture. Sick birds, feathers puffed out, tails down and looking sorry for themselves, carcasses of others that hadn’t made it. Yet there were no specific signs. Birds with bird flu often have neurological signs and pheasants have been described as having cloudy looking eyes, but there was nothing. I should perhaps, have done some post-mortems, but hadn’t brought kit and there wasn’t really much time remaining. We are on a strict twelve hour limit when it comes to driving for work and Triar was waiting at home.
We went back, again, to the steading and I checked in with my report. Could I rule out avian influenza? I couldn’t. No specific signs to rule it in, but none that would rule it out either. Were they wild or kept. Grey zone. It was time to call VENDU. The Veterinary Exotic Notifiable Disease Unit are the body that dictates what tests should be taken, once the on-site vet decides disease can’t be ruled out. The answer was to sample 20 birds, swabs from the throat and cloaca, plus bloods and two heads.
It was time for the AHOs to don their gear and as they started to do their work, it was time for me to leave. It was a 45 minute drive home and I had to get there by 20:30 if I wasn’t to get a slapped wrist for going over my twelve hours. Luckily there was no traffic now and I made it by the skin of my teeth. I hadn’t eaten all day, so having passed the office (so technically onto my commute) I stopped at the chip shop. The time on the receipt is 20:32, thank goodness, so I could prove I hadn’t gone over!
After that, there was all the follow up to do. Saturday was spent filling in EXD40, a colossal document where I had to transfer all the GPS and other data I’d collected, as well as explaining in triplicate, why I felt that testing was justified. There were calls flying at me as well. Because the birds were tested they would be locked down for at least a week until the final test results were through.
A positive result would be quick, but would raise all the complicated questions about what and how to cull. Again, not like birds in a closed shed. These were ranging about and half wild in pens that spread over acres of forestry. In the event, just as I was about to be sent out on Saturday afternoon to do a valuation (healthy birds are paid for as compensation – a good incentive for early reporting) the initial results came back: not confirmed. Still, it would be another week until they were certain. Along with my form filling, there was someone from the licensing team doing more form filling. Everyone who might enter, every vehicle that drove onto and off the locked-down premises had to have permission.
And so, that was my first report case. For a week, even after the initial results were back, I had daily contact with the gamekeeper as the mystery disease spread slowly, though still all in that one pen. I supported as best I could and then, with relief, handed over to his private vet. Finally they could go on and sample for other things, now it was confirmed there was no bird flu. And as I said at the top of the page, no sooner was this case handed over, I had a different one to tackle, but this is more than long enough already.
I missed posting last week as I wasn’t feeling great. Happily I’m feeling better, but I was asked to go out yesterday afternoon to a report case (suspicion of notifiable disease). I couldn’t rule out disease, so we have sent off samples to be tested. Today, I will likely have to work again – there’s a lot of history to be taken about movements of animals/birds, people, vehicles, feed sources and so on, to be ready for if it comes back positive. So I’m going to post a few lovely pictures, mostly from Blackbird Lane. I hope you enjoy them.
Where are the sticky willies, you ask (or perhaps what)? They’re those little round seeds that have been sticking themselves into Triar’s coat for weeks now. They’re rife this year.
Hoping my samples come back negative! Have a good week all.
I’m a day late in writing this, mostly because I am experiencing what could probably be best described as lassitude: described in the online Oxford Dictionary as “a state of physical or mental weariness; lack of energy.”
Don’t get me wrong, I am still able to function, on the surface. Yesterday and Friday, I met friends and today, I will go to church and walk the dog, but my body feels tired. There is a feeling in my feet and lower legs, as well as in my fingers that is probably best described as if they are fizzing, like I should imagine a glass of cola would feel, if it was able to. If I try to move fast, my body reacts by jerking. That feels similar to the effect you get if you touch an electric fence: the movement comes and there is no control over it. It’s not painful, nor is it alarming these days. It’s just a bit of a bore and rather tiring.
I wondered, for a while, if the fizzing was an anxiety attack. The occupational health doctor told me it wasn’t, one day when I was speaking to her and I said I felt it now. I was speaking and breathing normally, she said; it’s not that.
Looking for patterns, I think this attack is the result of being woken at two in the morning, working a twelve hour day, then having a very hot, hour long walk on the beach, without having any real opportunity to rest afterwards.
Should I have cancelled the friends and going to church? I took Friday off (flexi time) to rest and I would probably feel better now if I had spent a long weekend resting in bed or in front of the TV, but I am reluctant to cancel the things in my life that lift me up, to preserve myself for work.
What didn’t help was that I also spent Friday morning composing a long letter to the neurologist I saw about a month ago. His promised letter reached me on Tuesday and I read through it to the end, including the final paragraph that left me metaphorically gasping.
To go back to the appointment itself, we spent a lot of time discussing history, which inevitably took a while. I was in Norway 15 years, so everything medical that happened there is missing from my files. That part of his letter was reasonable. He didn’t get it all right, but the discrepancies probably aren’t significant enough to be worth arguing about it. As an aside here I will add, that FND is seen by many doctors as akin to hysteria, so I am wary about being seen as fussing too much. If I say that being diagnosed with FND messes with your mind, I hope you can understand what I’m getting at.
He then did something of a physical exam. I’ve had a lot of neurological exams over the years, so I know that he missed a lot out. If I took a positive view, he was concentrating his examination on what our discussion had highlighted as likely areas for assessment. A more negative take would be that he was looking for what he hoped to see, having already decided it was probably FND and needing a positive sign upon which to hang a that diagnosis.
I suspect the latter is nearer to the truth, because as soon as he saw something (head shaking during various exercises where I had to close my eyes to assess balance) he announced the diagnosis and quickly drew the appointment to a close. There was only the briefest discussion on why I was there. I mentioned being sent by occupational health, the problems with having only six sick days before formal proceedings, and how I had been much better in Norway where that didn’t occur, but not really anything about what is actually happening at present, for example as I described above.
His last paragraph then, described what he had heard during that last brief discussion. To my shock, what he wrote was “the biggest problem she has found is that employers in the UK only give six weeks of leave and she had the pattern in Norway where she would work for three weeks, her jerks would start to aggravate and then she had a week off and the jerks settled.”
Having written my response on Friday, I decided to send it on Monday, partly because Friday afternoon is not the best time to send anyone a letter at work and partly to allow myself more reflection time, which has actually been useful.
The real situation is that, in Norway, those physical and mental stressors that trigger the exhaustion (which can eventually require complete rest and absence from work, if I push on too hard) just didn’t happen that often. The job was much more reasonable and we were not chronically understaffed. I took a week off work to rest perhaps four times in three years.
Here in the UK, those events are perhaps coming four times a year and because I haven’t dared to take proper time off to recover, I am probably more susceptible as well. In the last six months, I have probably felt relatively normal for fifty percent of the time. The rest, I experience this weariness. I can still function, but it’s not pleasant and I tend to forget things and make stupid errors, that sometimes I find later and feel glad that nothing serious happened because I couldn’t concentrate properly.
So although I am shocked by what the doctor said, working through what is happening and why has been a useful exercise. I suspect, with all the frustrations in my current job, it is not going to be compatible with my health to continue in the same role, long term. I would add that I know it isn’t me. Many others are circling the drain or (as the health and safety officer corrected me) approaching burnout.
What I am going to do about it remains undecided. I quite like my job and I’m good at it, but my body and mind are not fit enough to tackle it and the risk of staying is that my health could worsen. I am considering reducing my work hours to four days a week, perhaps as a trial. Other alternatives obviously include trying to find something else, either within the civil service or elsewhere. I briefly toyed with the idea of returning to Norway, but I returned to the UK for various reasons and those remain unchanged.
Anyway, enough of that heavy stuff and self analysis. We had another fun training session on Wednesday with Josephine. She sadly only has two months left in her temporary role and they’ve only just started to advertise for a permanent replacement, so it looks like I may be left again without a veterinary mentor/guide while the civil service procrastinates. However, for now, she is a breath of fresh air and great at building up the team.
The exercise involved toy animals again. She set up various scenes, where there were disease outbreaks and we had to look for information and describe how we would go about diagnosis and putting the information onto the inevitable forms.
At the top of the page is a scene where there is an outbreak of avian influenza. That was slightly complicated because of these guys:
I assume that group had to discuss what to do about local wildlife, but my group had to investigate and record a possible bluetongue sampling at this lovely farm:
I got extra brownie points for querying the assorted carrots and other vegetables in the yellow box. This farmer may be feeding kitchen scraps, which is illegal in the UK!
There has also been some amusement at work this week, because of some seagulls which have been nesting somewhere on or near the building where I work. Perhaps others have not been so amused as a couple of people have been dive bombed or poohed on, but a theory of mine was confirmed when we had a number of extra staff visiting on Wednesday for a meeting. These are sexist seagulls and while I have passed out of the door, watched over by a relatively benign beady eye, all the actual attacks have been on men. Clearly there are some advantages to being female!
I’m not going to finish without giving high praise to The Boathouse restaurant at Glencaple. Regular readers may recall a lovely Christmas meal Donna and I had there back in December. I suggested a revisit, having seen an advertisement on Facebook for afternoon tea. It would be an understatement to say that it did not disappoint! As with the Christmas dinner, I took home enough food to last me until the next day and it really did taste as good as it looks!
Anyway, I shall go now. Thanks for reading and have a good week!
I made a happy discovery yesterday evening, when I was travelling to Yorkshire. I like to break my journey at Tebay, but when it’s hot and I have Triar in the car, I tend to push on. Last night though, I was tired enough to stop. On entering the car park, instead of going straight ahead, I turned left up the hill, hoping to find some shade behind the trees. What I didn’t expect to find was a lovely shady dog walk, set among the trees. So as well as crunchy cheese and mango flavoured fizzy water, I got in 1,000 steps and a very pleasant woodland wander.
It’s been an unexpected type of week really. The only visits I had planned were to a farm where I was to TB test eight cattle. They had tested before as inconclusive, following a move up to Scotland from a higher risk area, so they were being retested. That was booked in for Tuesday/Friday (inject and read) so when my line manager sent out a message asking for volunteers to do night duty on Monday, Tuesday and Wednesday nights, I quickly offered.
Usually, being on call is not too onerous. Sometimes there are phone calls in the evening, but it’s fairly rare, so I was quite unprepared when the phone rang at 2am on Wednesday morning. Quickly gathering pen and paper, I spoke to a vet about an owner whose dog had been in contact with a bat. The dog was now unwell and she wanted some advice. As both bat and dog were in central Scotland, the chances of rabies infection were small, but having been phoned, I had to make sure. Most of the form filling was left for the morning, but I was still up for a couple of hours recording the situation, so the vets taking over in the morning knew I was dealing with it.
So Wednesday morning was mostly taken up with the aftermath. The afternoon was quiet, but I was glad when home time came. However, I had only just sat down when the phone rang again. This time it was my veterinary advisor. Did I want to go on a report case the following morning. I’ve been waiting to do a report case, which is an investigation into a potential notifiable disease outbreak, so I said yes first, then braced myself for whatever she was going to say next. Whatever had run through my head, I wasn’t expecting what came next.
I was being asked to go to a beach where there had apparently been a number of dead birds found, as well as a seal (or maybe a porpoise). I was to test the seal for avian influenza and to do so would involve taking brain and lung samples, while fully dressed in all my protective gear, including my space-age hood, which circulates air through filters and blows it on my face.
I did double check about the hood. After all, I have tested dead birds in Norway for avian influenza and nobody even reminded me to wear a mask. But the answer was yes, I had to wear the hood. To be fair, brain sampling required a hammer, so spray was quite possible, but what struck me as particularly amusing was that this wasn’t a beach in the middle of nowhere. It was near a relatively popular west-coast holiday resort. I understand there were background discussions going on about whether we should let the police know. I was half imagining television cameras turning up, creating mass panic over people donning virtual space suits to approach dead animals that, half an hour earlier, someone’s dog might well have been sniffing.
Having spent two hours on Wednesday evening, learning about techniques for sampling marine wildlife and refreshing myself on donning and doffing PPE safely, and another hour on Thursday morning, ensuring I had everything in the car I might need, I drove an hour and a half and met my colleague , an experienced animal health officer, at the beach.
Partly because it was already warm, and partly to avoid causing alarm, I had decided that we should plot the position of the animals first, then get our final permission and instructions to test from VENDU (the Veterinary Exotic Notifiable Disease Unit). My plan was to photograph the animal or bird (necessary so that an expert can make sure what species it is) and get OS coordinates for each. All those details have to be recorded, so it made sense to do that before getting all the kit on.
In the event, what actually happened was that we walked onto the beach, made our way to the mark on the satellite image where the seal carcase had been recorded, and found… only tyre tracks. There were a number of dog walkers on the beach, so my colleague began to ask whether any of them had seen anything. None of them had. We walked on down the beach. No dead seal. No bird carcasses either.
I called my veterinary advisor. Was it possible the local authority, or someone, had already been and removed the seal? In the background, she started to make enquires to all the possible agencies and groups that might possibly have done so. In the meantime, my colleague and I walked on, scouring the beach with our eyes. After all, the worst possible scenario I could imagine was that we failed to find it after all the prep and travel, only for it to be reported again the next day.
The tyre tracks were explained – the local council had been out, but hadn’t found anything apparently. Nor did we. Despite walking for half an hour along the beach, the only things we found were a number of dead jelly fish and one, single, very rotten bird carcase, where there was nothing much left except bones and a wing. Eventually, we had to admit defeat and turn back. All that remained was to call VENDU and call off the hunt.
I did that, back at my car. I was just driving off when VENDU called back and asked whether we could go back and sample the bird. I said no. Sampling is from the cloaca and the back of the throat. Neither of those would have been identifiable. Not only that, but it was a good half-hour walk back to where we had seen it and there was no guarantee we’d find it again as, by that time, I’d abandoned all thoughts of OS coordinates.
We’ve been told that in hot weather, we have been allocated a £2 cold drinks allowance, so when I stopped for lunch, I ordered an iced caramel mocha. £2 doesn’t come close to covering it, but it was delicious, as was the goats’ cheese salad I ordered along with it.
I had a pleasant drive back down the Galloway Trail. Really, it ended up being one of those rare days where I look back and want to laugh and feel highly pleased that someone actually paid for me to do that. There are truly awful moments in this line of work, but there are some great ones too. And next time I am asked to go on a report case, there will be things I learned this time that will be put to good use.
I rounded off the week reading the TB test. Sadly, there were some animals that tested positive. Another farm, now under restrictions, with thousands of animals that all need to be tested. If I were in charge, I would be looking at banning moving cattle from high risk zones and into Scotland. I know there’s a lot of negativity about red tape, but the eventual cost of allowing those movements is unreasonably high. Then again, after 15 years in Norway, I’d be on board for massive limitation on moving animals around.
I am finally inspired to work on my story based on the Norwegian song/poem Tir n’a Noir again. I have decided it shall be a short story – different from what I usually write. I have also signed up for a scriptwriting course and am waiting for that to begin. I think it will benefit me trying out different formats. A novel takes so much time and concentration and I am in short supply of both those things. My day job takes too much energy.
That said, I’ve had a good week at work. On Monday I was out with Lauren, one of our animal health officers, training her to blood sample sheep. With only minor instruction from me, she quickly got the hang of it and took blood from twenty sheep in no time. I enjoy teaching people how to do things I’ve spent half a lifetime learning.
On Tuesday, I was learning myself. I was up at Prestwick Airport again, checking two beautiful horses that had flown in from the US. It was a broodmare and her foal and they were blue blood in the racing world. Absolutely stunning. Another colleague recommended I took the Castle Douglas road on the way back and I did. The normal Ayr road is rather boring, so I was delighted to find myself driving through some gorgeous Galloway scenery. There are mostly rolling hills here, rather than mountains, but I passed through spiky fir forests and by lochans and burns.
As you can see, the sky became quite spectacular and shortly afterwards, it began to pour. I was reminded of a summer long ago, when we holidayed in New Galloway and went walking every morning, but made sure we were back in the cottage in the afternoon as the rain started each day at about 3pm.
On Wednesday, I recorded the training on the Disease Report Form that I had given in front of an audience the week before. To do this, I was told to set up a Teams meeting with my mentor, Josephine. “Mark it, ‘Do not attend’” she told me, so I gave it that title and then began. I muffed it a couple of times and I wasn’t sure how to delete, so I decided to quit that meeting and set up another. This time, I thought I would give her a giggle and gave it a rather tongue in cheek name.
That time, the recording went well and I laid down a perfectly respectable piece of training. What I hadn’t realized was that when anyone accesses the presentation, what they would come to was a video with the title of the meeting it was recorded on in broad letters at the bottom of the page. And so, you guessed it, I have created a piece of training on a serious topic, with the title that will be there in perpetuity – Do Not Attend Again – The Director’s Cut.
I don’t have any real plans for this weekend so far. Last weekend I went for a walk with Belle, who is one of the women who will be teaching me about scriptwriting. Her dog George is very laid back, and he and Triar seeem to get on fine. Triar did shame me slightly by disappearing into a massive field, filled with long grass and rabbits, and failing entirely to return when I called him. Belle and George were fortunately very laid back about the whole thing and Belle even suggested that, as Triar enjoyed it so much, we could come back another day, but bring a picnic instead of aiming to go to a pub for a drink. Sounds good to me!
At the start of this week, I was quite tense. I’ve explained before that I am trying to work towards a bonus payment, which requires a lot of hoop-jumping and I am attempting some of the hoops right at the last minute, given that the deadline for submitting my activities is Monday coming. On Tuesday last week, I was meant to be presenting training on Foot and Mouth Disease and an update on Bluetongue. On the morning of the presentation, I received a message to say it the meeting was cancelled. I confess, I was rather relieved, though hopefully it won’t undermine my case.
On Wednesday, I gave my Disease Risk Form training to some of the vets. It was given at our regional meeting and I fondly looked round the room at the three or four vets in attendance and thought there was nobody there that would worry me to present to.
When the time of the meeting arrived, Josephine, my veterinary mentor told me we were linking in by Teams, and slightly to my horror, I realized that there were vets at all levels, linking in from the whole of Scotland. Still, I didn’t have any time to worry, and apart from wishing I’d thought to bring a glass of water for my dry mouth, the whole thing went off pretty well.
I must say though, that Josephine herself had given some training on Bluetongue (the situation is unfolding fast – we’re trying to keep it out of Scotland) which she made much more fun than anything I have produced. As you can see below, the cow on the Lipton’s tea van is leaving England and crossing the yellow border into Scotland and we were learning about the special measures the farmer would have to undertake. Suffice to say, there won’t be a lot of English animals at Scottish shows this year and vice versa.
Not sure whose the Coke bottle is, but clearly it should really have been Irn Bru for the sake of consistency.
Wednesday night was the summer meal at my writing group in Lockerbie. The hotel we use does food and they are responsible for the sticky toffee pudding at the top of the page. As regular readers will know, I’m a bit of a foodie and the beef stroganoff, for my taste, had too much Dijon mustard, to the point where that was the principal flavour, but it was pleasant enough.
On Thursday morning I woke up feeling a bit more relaxed, with all my training done for now. I’ve mentioned before that I am reading the Bible and I have an app that gives me three readings each day, two from the Old Testament and one from the New. My first Old Testament reading was Samuel and I was bemused to read that, having stolen The Ark of the Covenant, the Philistines were blighted with “‘emerods in their secret parts”.
Of course, I had to look this up. There are sometimes words I don’t fully understand and sometimes I don’t check, but these emerods were coming up, over and over, and moreover, when the Philistines sensibly decided that the safest thing was to swiftly hand the Ark back to Israel, the priests and diviners told them they had to give it back with an offering that consisted of five golden mice and that they had to make images of their “emerods” from gold and hand over five of those as well.
So when I checked, it turns out that the word “emerods” is actually an old word for hemorrhoids. I must say, the Bible does throw up some truly bizarre things now and then! As it was my friend Valerie who encouraged me into the Bible reading, I tried to send her a message, “Golden hemorrhoids? I’ve heard it all now!” But having sent it, I realized a minute or two later that I had sent it instead to another friend. Fortunately, I managed to delete it before she saw it, but I had a laugh and shared that with Valerie too. Let’s face it, that would be quite a message to wake up to, without context or explanation!
I shall leave you with a few, wonderfully overgrown pictures from Blackbird Lane. Thank you, as ever, for reading. Hope you have a good week.
I managed the May Walkfit Challenge: 15,000 steps, three times in May.
Screenshot
I opened the app on 1st of June, wondering what I would find. April had been 10,000 four times. If it jumped to 20k in a day, I didn’t think I would manage it. Instead, for some reason it’s set the bizarre target of 6,000 steps ten times over. Given my daily steps target is 7,500, which I have been meeting regularly, that doesn’t really seem like anything to aim at. I’m enjoying the app and it is undoubtedly encouraging me to move more than I did, but there are a few things that undoubtedly could do with some improvement.
I didn’t have any callouts last weekend. It’s less stressful than it used to be in practice, though it’s so many years since I’ve done on-call that it’s very different in many ways. Back then, mobile phones weren’t reliable enough for the RCVS to allow them to be used for on-call vets, so you had to stay within hearing distance of your landline. No popping out to the shops if you’d forgotten to get something. Well you could, but you had to phone your boss’s mother (or whoever was covering when you were out working) and ask if it was okay.
Still, I went to church on Sunday and it wasn’t very relaxed. There’s a time limit of 30 minutes after a report case (notifiable disease) comes in. After that, you’re meant to be on the road. As church is a 15 minute drive from home, that 15 minutes would be long enough to add stress to that time constraint.
I had a fascinating day on Tuesday. One of the tasks senior veterinary inspectors cover is import checks of live animals coming into the UK. Obviously how many of those come your way depends on the region where you work. Prestwick Airport is within the area covered by Ayr Field Services and there is a terminal there for horses to come into the country. Until last year, it was very quiet, but because of some problems at Stansted, there are now quite a few horses coming in, so they are increasing the number of vets trained to do it.
So I headed up to Prestwick on Tuesday morning. I probably should have arranged a hotel for the night before or the night after the training, but because of Triar and the APHA restriction on having dogs in cars, I couldn’t do that. I have done a small amount of import and export work in Norway, so the general protocols don’t seem all that complicated and anyway, I was really interested, which always helps when learning something new.
Watching the horse boxes being unloaded from the plane was a new experience. The boxes are actually moved on rollers and pushed by hand, off the plane, onto a platform that lowers them to the ground, then onto a trailer that brings them into the horse terminal. The boxes are then pushed again onto more rollers on a platform, where they are secured. The horses are then given a few minutes to settle, before the doors are opened and they are walked down a ramp and into a stable where they can be checked.
There were two lots of horses, four horses on total and they were coming in from the US. Two of them were owned by a woman who was moving to the UK. One of her horses was 26 years old and she had used him as her FEI horse (eventing, I think). The other was younger – her new competition horse. The other two were from a stud in the US and were coming into the UK as race horses. They were all stunning, even the old boy, and I have made a note of the names of the racehorses, just in case they ever do anything remarkable. I know the odds are that they won’t, but man they were beautiful!
The only other interesting thing I’ve done this week is the homework before I begin a screenwriting course with a small, local, media company, run by a friend. I’ve been sent the first chapter of Great Expectations, along with a shooting script by David Nicholas and a link to the film on YouTube. It’s a 1946 film, so presumably the script is out of copyright. It was interesting to see the changes from the chapter Dickens wrote, to the pared down script, and then to see what the director made of it. Also, films have changed a lot since then, but the opening scene was very dramatic in black and white. I’m now really looking forward to learning more.
I’ve only a few photos of Blackbird Lane to share with you this week, so I will drop those here. Thanks for reading.
It’s been a pleasant enough week back at work. I’m piling up cases slightly faster than I’m able to do the paperwork, but unless something urgent comes in, I should hopefully catch up with the ones I have next week.
Tuesday was spent training a new locum vet how to conduct a welfare visit. Wednesday saw me conducting a meeting with members of the local council. I work with two of them – Scott and David – on a regular basis and we get on well, but as with everything these days, it all has to be fully justified and written down. Thursday I tested a sheep for bluetongue.
And as all that was going on, all the cattle in my current TB breakdown were undergoing their first wave of testing. Until there are two clear tests, the cattle can’t be moved off the farm to another farm, so the farmer is essentially in lockdown. In the meantime, I have to dig into where the disease might have originated and where it might have spread to. All those animals will need to be tested too.
For now, I am actually on call. There are two “ready to go” vets in Scotland at nights and weekends: one North one South. I’m covering the South, so if any suspicion of notifiable disease crops up, or a welfare case that’s so urgent it can’t wait, then I’m the vet that will deal with it. I don’t know whether to hope something comes up or not. I still have to get my first report case (notifiable disease) under my belt, but obviously I don’t want any animal to have anything bad to crop up. We’re still on high alert for foot and mouth because of the European outbreaks.
After a long spell of warm weather, the pattern has now become more mixed, but Triar and I have been regularly walking down Blackbird Lane together. Well be walking there a lot today because I can’t go far from home in case any call comes in, but I want to get in 15,000 steps today.
I’m still keeping up with my WalkFit challenges and one of those is to do 15,000 steps three times in May. I’ve done two days already and this is the last day in May, so I’m going to go for it. My daily step requirement has stopped rising and is stable at 7,500 steps a day, which suits me for now. I often do more, but on bad days, I can still usually achieve that without too much effort.
There are sometimes cows in the fields lining the lane. I’m working on getting Triar to walk past them quietly. He’s always been something of a barker, but does respond well to bribery.
We did have something of an incident yesterday, not with the cows, but with water. He does love a paddle and there is a fairly disgusting, stagnant looking pool at the far end of the lane. Until yesterday , he had always ignored it, but yesterday he decided to jump in. Despite bathing him for about an hour when we got home, he still retains a definite odour of muddy puddle.
I’m going to finish with a few more photos of Yorkshire from last weekend. The picture at the top of the page was taken from my parents’ conservatory. The rest were taken while out with Triar. I do love a dramatic sky over stone walls and sunny fields. Have a lovely week all and thanks for reading.
A Vet’s Life 