Category Archives: Vet

Always Vet in Norway – A Blog

Ye Crowlin Ferlie

This week’s picture is of Daisy, a West Highland White terrier who came in yesterday morning to be inseminated. I have seen cows inseminated before, but never a bitch, so I was interested to watch Magnificent Magne as he took a swab to check if Daisy was ready, and looked at the sperm under the microscope to see whether the sample was healthy. Apparently both were good enough. Daisy’s mum used to come in for Magne to inseminate her as well, so her owner told me, so obviously it’s a successful technique. Hopefully in 63 days or so, there will be some more puppies as beautiful as she is.

The microscope in the practice does get very well used. Far more so than any practice I worked at in Scotland. I was very interested when Jan-Arne called me over to look through the lens a little later to show me a blood-sucking louse. For some bizarre reason, when he showed Irene, she said ‘Awwwwwww’. Obviously her idea of cute differs slightly from mine.  I wonder whether this extends to her taste in men.

On Thursday, Jan-Arne came in in his pyjamas again. He actually admitted this time that they were his pyjamas. Obviously an eleven a.m. start is too early for him. I went into the changing room a few minutes after he had left and found his trousers decorating the floor and his boots haphazardly strewn . This amused me, so I took Irene to see, then asked him if he thought we were his servants. I threatened to take a photo, and he rushed to tidy them away. ‘Otherwise my mother will say I’m just the same at home, and Steinar (his partner) will as well,’ he groaned.

Still, he made up for it easily by bringing in the biggest Suksess Cake I’ve ever seen. For those of you not in Norway, this is a delicious cake with an almondy base and a sweet creamy yellow topping. It’s definitely my favourite Norsk cake. When I asked Jan-Arne what the success was that we were celebrating, he replied that the success was getting the calories out of his house. A few of them are undoubtedly now in mine. Still it was worth it. And just in case that wasn’t enough, at the meeting yesterday, everyone was handed an advent calendar. It seems that Scary Boss Lady really is into Christmas.  It all looks veldig gøy. I wonder how many dogs will enjoy the tree.

IMG_4379_1

Tornado Tawse

It was Jacqueline’s turn to earn herself a new nickname this week. Irene and I were standing discussing something (something very important you understand, we would never stand around gossiping) when something whizzed past us so quickly that it was almost invisible. My eyes tried to follow, but the thing moved so rapidly that I wasn’t able to focus. Fortunately Irene’s younger eyes were more efficient.

‘It was Jacqueline,’ she said with a smile. ‘She’s just so fast all the time.’

I couldn’t help but grin. ‘That’s true,’ I said. ‘The only way you can tell if she’s been there, is because everything  is suddenly tidy.’

‘Yes,’ Irene agreed. ‘Everything sparkles after she’s whisked through.’ And so Tornado Tawse was born.

But by now there was a sad look on Irene’s face. ‘When do I get a nickname?’ she asked. ‘Nearly everyone else has one.’

‘What about Scary Boss Lady Junior?’ I said, but she shook her head.

‘It has to be something like Magne’s, you know, starting with the same letter.’

‘You mean something like Impetuous Irene?’ I said. She looked at me suspiciously.

‘What does Impetuous mean?’

I thought about that for a moment. I didn’t know the Norwegian. ‘Well, jumping into things without thinking about them. Kind of crazy and wild.’

At this point there was a disturbance of the air, and we realised that Jacqueline was hurtling past. ‘Hey Jacqueline,’ I called out. ‘What’s impetuous in Norwegian?’ (Jacqueline is Norwegian, born of British parents, so she is bilingual).

Jacqueline stopped, but after a moment’s thought, she admitted that she didn’t know either.

‘Why?’ she asked.

‘We’re trying to think of a nickname for Irene. Something starting with ‘i’,’ I said.

An evil grin spread over Jacqueline’s face. ‘Irritating?’ she offered. ‘Irrational?’

Irene’s eyes widened as she glared at Tornado Tawse. ‘How about Irresistible?’ she said. ‘Incredible? Inspiring?’ I was glad to see she was smiling again.

‘Actually,’ I said. ‘I think that Impestuous Irene, is my favourite.’

‘What does that mean?’ she asked.

‘Absolutely nothing,’ I replied. Personally I like it. It may be a made up word, but it definitely suits her.

Thursday was a whirlwind day. It started quietly, and I had time to clean both the dental room, and the lab before the first operation, which was a cat spay of Marita’s. It turned out to be rather a difficult one, as the chest was quite deep and the ovarian pedicles were tight and so I scrubbed up to hold everything out of the way so that she could tie them off safely. It all went very well.

After we had finished, I saw a beautiful English Setter going into Magne’s room, and something made me follow. There then followed an interesting history taking session between Magne and the owner, which I managed to follow almost in its entirety, despite the fact that both were speaking quite quickly. I also, to my pleasure, came up with the correct diagnosis. The pleasure was only related to my diagnostic prowess, however. From the owner and animal point of view, it wasn’t great news because the lovely dog was suffering from pyometra. For those who don’t know, pyometra is an infection within the uterus. In some cases this is obvious because pus is discharged, but in some cases the cervix is closed and there is an internal build-up, and that is particularly risky as there is a chance of rupture. Magne and I took the bitch through to the ultrasound machine, and Wivek came and confirmed the diagnosis and measured the size of the uterus, which was quite distended.

I was unsure whether Magne would have time to go ahead with the operation immediately. Dagny wasn’t there, and she normally assists, but as the dog was already sedated, it was better to go ahead. I considered offering to operate alone (with Jacqueline to monitor the anaesthetic) but as it is normal here for two vets to work together on such operations, I didn’t want to risk anything going wrong. I’ve done many such operations alone in Scotland, but they were quite a long time ago now.

Anyway, after only a short consultation with the owner, and with Gerd, Mellifluous Magne announced that he would go ahead with the operation. He asked me to get the patient prepared while he saw his last patient of the morning, so with Jacqueline’s help I put in a catheter, set up a drip and intubated her. Jaqueline had set up the anaesthetic machine, and very smoothly everything was set in place.

The operation went amazingly well. I repeated my actions of the cat spay, holding everything out of the way for Magne to tie off the ovarian pedicles, and the enormous uterus was removed safely. All that remained was for me to stitch up, and Magne seemed delighted with that too.

After lunch, I helped Marita with another cat spay. It’s an odd thing. Normally a bitch pyo would be a complicated operation, and a cat spay straightforward, but not on this day. Cat spay number two was very unusual. Again I scrubbed in as Marita was having difficulty locating the uterus, and between us, we eventually managed to find what seemed to be the left ovary, which looked cystic. Odder still though, there was no uterus attached. We called Dagny through, just to make sure, and for a moment, my heart was in my mouth. If she immediately pulled out a normal uterus, I was going to look rather stupid, however she only found the same thing as we had, so after a brief discussion, she told us to go ahead and remove the one ovary that we had found. It was very unusual. There had been no sign of a scar on the midline when we went in, and after the operation, we carefully felt the cat’s flank, but there didn’t seem to be a scar there either. Anyway, after I had sutured the second cat-spay, it was time to go home, and I collapsed into my car tired but happy after a very busy day.

It only remains to say that the Julebord (Christmas party) is tomorrow. Irene, Jacqueline and I are all getting together for a beauty session. Irene always looks stunning, so I’m relying on her to do me proud. Hopefully there will be some photos to share.

Julebord

Saturday night was the Julebord (Christmas Party). It was held at GamleVærket in Sandnes, and happily Charlie and I were able to book a room to stay overnight, which made for a very relaxing evening.

Per Egil serves Karl with a second glass of sparkling wine. From left to right - Wivek, Jacqueline, Magne, Jenny and Karl.
Per Egil serves Karl with a second glass of sparkling wine. From left to right – Wivek, Jacqueline, Magne, Jenny and Karl.

For me this was a very special event as it was my first Norwegian Julebord and though there were some similarities to those I have been to in Scotland there were also some major differences. I have a suspicion that  J.R.R. Tolkien must have been to a Norwegian Julebord just before writing the dwarf party scene in the Hobbit. Very early on, it became apparent that throughout proceedings, people would randomly burst into song for no obvious reason, prompting everyone else to join in. Each of these rousing choruses culminated in a toast, which certainly got the event going.

Unlike the often uninspiring turkey dinner that is generally served in the UK, there was a huge buffet of traditional Norwegian Christmas delicacies, including ribbe, pinnekjøtt and lutefisk. I have  mentioned ribbe before because we usually have it on Christmas day and it is a roasted pork joint with delicious crackling. Pinnejøtt is a kind of dried, salted lamb. But for me, the lutefisk the most interesting offering. For the uninitiated, lutefisk is white fish which has been slowly dissolved in caustic sodium hydroxide until it becomes gelatinous. Yum! Actually, this was my first experience of lutefisk, and when combined with chunks of bacon, mushy peas, and a delicious cream and mustard flavoured sauce, it was quite delicious. I would definitely have it again.

Jan-Arne goes in for a romantic nibble on Steinar's ear.
Jan-Arne goes in for a romantic nibble on Steinar’s ear.

Dagny’s husband Sondre had brought his guitar, and he was mostly in charge of the entertainment. Per Egil (Irene’s husband) was first up. He shared a very baaaaad sheep joke with us. Charlie also had to talk. Happily, he is almost always prepared for public speaking and was quickly ready with a joke.

Sondre really enjoyed Per Egil's humour.
Sondre really enjoyed Per Egil’s humour.

Jan-Arne got up at this point to take Steinar to work as he was due to work the night-shift. For some reason, their departure was marked with a song, to the tune of God Save the Queen, which roughly translated as “The old people are going home now”. I’m not sure her majesty would approve.

After a rousing rendition of We Wish You a Merry Christmas, some musicians very kindly came in and gave us their Jærsk version of King of the Road. Quite appropriately, this was all about a farmer and his enormous tractor. I couldn’t follow all of it, but if it was completely accurate, I am sure there must have been a mention of slurry in there somewhere.

For some reason, at this point all the women whose dresses had been bought by their husbands had to stand up and give a fashion parade. Irene, Dagny, Marita and me all had to give our version of the catwalk strut. Irene was definitely the most assured.

Irene, effortlessly glamorous.
Irene, effortlessly beautiful.

Then it was the turn of the husbands who bought the dresses to talk about the occasion. When asked the theme he had considered when buying Irene’s outfit, Per Egil stated he had been going for the ‘F****** Sexy Look. I was a bit worried about Charlie at this point, because I had a suspicion that he very likely had no memory of buying my dress. It was a couple of years ago, and just after Christmas in the sales. Still, he managed to hide his amnesia well by saying he just felt it was important that I did not outdo him for glamour. He then stated that unfortunately, as it was me he had to contend with, he had failed in his objective. In Glasgow, I fear this might have raised a chorus of gagging noises, but happily for me, Norwegians are far more romantically inclined and instead everyone said ‘Awwww……’

 

Charlie McGurk, King of Glamour
Charlie McGurk, King of Glamour

Christmas is a time for the giving of gifts, and so now it was time for us all to play the klinikk version of pass the parcel. Instead of music, the package started with Magne, who had to pass it to “a lady beside him,” who then had to pass it to “the person who was sitting furthest away.” The first few directions were innocuous, but gradually the theme descended towards more personal things. The final few were decidedly risqué. I really want to know how Kari Anna knew that Dagny’s husband was “owner of the biggest dick,” though not perhaps so much as Dagny wondered…

Suspicious Boss Lady.
Suspicious Boss Lady.

Of course, no Christmas party would be complete without some dancing, and so at this point everyone had to dance around the mulberry bush, or as they would have it here, the enebærbusk. I suppose that given the fact that one of Norway’s most popular Christmas songs states that the celebrations can’t begin until the floor has been washed, that a dance involving ironing the clothes and cleaning the windows would also be still all the rage.

Per Egil showing off his moves.
Per Egil showing off his moves.

Happily Jan-Arne returned in time for dessert. I particularly enjoyed the multer (cloud berries) with cream. Jan-Arne managed to pull one of the tiny Christmas crackers that was attached to the kransekake, and to my surprise, there was actually a hat and a joke inside. Jan-Arne seemed to enjoy the rice porridge with raspberry sauce best. Fortunately he didn’t get called out to any calvings with his crown on.

Jan-Arne on call.
Jan-Arne on call.

The evening was drawing to a close now, and people started to depart, but a few stout-hearted and dedicated partygoers continued down into the main bar area downstairs where a band were playing.  Charlie, still swirling around in his kilt experienced some most enjoyable Norwegian sexism in action. Apparently not only was he accosted many times to be asked what he was wearing underneath, but he also had his bum felt a couple of times. I think it rounded off the evening well.

Anyway, for those who have reached this point, thank you for reading, I hope you enjoyed it. And for anyone who is interested, I will attach a few more photos below. Maybe some of them will be a little more flattering…

Per Egil and Charlie.
Per Egil and Charlie.
Me and Charlie
Me and Charlie
Kari Anna
Kari Anna
Jenny and Karl
Jenny and Karl
Jan-Arne
Jan-Arne
Steinar
Steinar
Wivek
Wivek
Jacqueline
Jacqueline
Kari Anna, Jacqueline and Per Egil singing.
Kari Anna, Jacqueline and Per Egil singing.
Marita and Renso
Marita and Renso
Gerd and Magne
Gerd and Magne
Jan-Arne goes crackers.
Jan-Arne goes crackers.
Dagny handing out a final gift of chocolate before leaving.
Dagny handing out a final gift of chocolate before leaving.
Who knows what's under there?
Who knows what’s under there?

Co-Operation

Tuesday morning began well with Dagny and Magne operating to remove the most enormous piece of detached cartilage I have ever seen from a dogs shoulder joint. It went so smoothly that I had a good feeling about the remainder of the day. Reality reasserted itself when I went through and carefully laid the dog in the kennel… and stood up, bashing my head off the door of the left upper kennel. Instinctively recoiling, I ricocheted and thumped the other side of my head on the door of the other kennel. It was that kind of day.

Next came a mammary tumour, which I had seen on the computer. I confess I had expected a dog (I saw the operation, and didn’t check the species because mammary tumours in dogs are incredibly common, and in cats incredibly rare). Again the same pattern, the operation itself went very well. I was doing this one on Magne’s behalf because he was running slightly behind schedule. As I inserted the last stitch, stripped my gloves off and walked out of theatre to wash my hands, Mobility Magne rushed into the room, brandishing a cat cage at arms length.

‘Can you do something with this,’ he gasped, before disappearing. I confess, I was somewhat surprised, but as the most disgusting stink assailed me, I realised that the cat in question had deposited something utterly rank in the cage. Luckily I have a strong stomach, so without further ado, I cleaned up the mess. Being a vet really is a very glamorous job. I am reminded at such moments, of James Herriot, comparing his vocation with that of a small animal surgeon and humorously self-deprecating as usual. He mentions that after his operations, “the final scene would have been of Herriot the great surgeon swilling the floor with mop and bucket”. Well even though I now work in small-animal practice, it’s not so very different. ReMorseful Magne (see what I did there) did proffer a partial explanation later when he told me that the awful smell was literally making him gag.

In the afternoon, I had a cat spay booked in, but somewhat to my surprise, two turned up. The owners, after being told by Magne that I sutured very beautifully, had asked that I be allowed to spay their cat, but they seemed confused when they arrived and saw only me. They had been expecting Magne to supervise. Fortunately at this moment, the man himself turned up and smoothed everything over. The highlight of my afternoon however, was when Irene was attempting to shave up the second spay for me. Because most cats here are spayed midline, she needed to be reminded of the landmarks I use when deciding where to incise. She had the cat laid out on a chair and seemed to be paying close attention as she felt around for the bony protuberances of the hip and thighbone. Finally, she found what she thought felt right.

‘Am I in the right place?’ she asked. Rounding the corner of the table to take a look, I was somewhat surprised to see her eyes were close to shut as she concentrated fiercely on what she was feeling, and that one of her fingers was on the shoulder and the other somewhere on the neck.

‘Um… well it would be if the cat was the right way round.’ I commented with a giggle. Fully expecting her to join in with my hilarity at this very funny joke, I was amazed when she opened her eyes wide and looked mortified. She really hadn’t noticed.

‘This stays strictly between us.’ Red-faced, she tried to silence me, but unfortunately nothing so amusing ever stays private here and she did continue giggling at herself for at least half-an-hour, so I guess she must have seen the funny side. I fear she may try to get her revenge by commenting to mention the very loud fart I let out when I was bending over to clean the floor in room B last week, but of course everyone will know that couldn’t possibly be true. I could never be so crudie.

Thursday morning began with a Caesarean. Dagny and Magne again, working as a team. Magne did the first part of the operation while Dagny revived the puppies, and then Dagny took over to stitch up. There were four healthy puppies, which is always a lovely event. Dagny had only had two hours sleep, but was still working as efficiently as ever. I have a feeling that her amazing cheekbones can get her through almost anything because she looked as good as ever too. Fortunately after the operation, she was able to go home and get a couple of hours sleep before the lunchtime meeting.

This weeks picture shows Wivek operating. It doesn’t get much more glamorous than this.

Fest!

There’s only a week left until Christmas, but there is still lots going on in Tu. Tuesday started with a bitch spay. The patient was a lovely little dog, and naturally her owner was worried. Happily, with Dagny and Magne’s nimble fingers, the operation was very swift and her owner was hugely relieved to see her friend back safely. Even with surgery that seems routine to us,  for every owner it’s a unique and frightening experience.

For some reason, every time I walked into the laboratory, Marita was there using the hairdryer. We have quite a lot of technical equipment in Tu, but there are also some much more down-to-earth items that we use, and the hairdryer is one of them. It’s used on microscope slides to dry the material before staining and to me this is usually a very prosaic action, but as Marita stood there with her left foot at a rakish angle, right hand merrily oscillating, she looked very glamorous. Maybe in a previous life she was a stylist to a famous film star.

Although the day was busy, somehow in the afternoon, Magne and I managed to sit down for a cup of coffee. I think it must be a first for us to have time to do that. As well as coffee, Magne took a chocolate from his advent calendar and immediately afterwards he began to cough. I wondered whether he was so over-excited that he was choking, but when I asked he assured me it was only kennel cough and he acquired it because he hadn’t been vaccinated with sufficient aquavit.

Thursday was the day of our Christmas lunch in the klinikk, but before that, I had to help Magne clean out a dog’s ears. Pio, who weighed in at about seventy kilos was probably the biggest dog I have ever seen. Happily, he was also very good-natured. He and I had a lovely cuddle.

Pio
Pio

As for the fest (party) of the title, everyone in the clinic was invited, including the large animal vets whose office is in the same building. In the UK, an office Christmas party might consist of crisps and mince pies, or on a good day, sausage rolls and turkey sandwiches. Here they serve risgrøt, or rice porridge,  which is liberally sprinkled with sugar and cinnamon, and garnished with butter. I still always find it slightly disconcerting to be presented with a plate of rice-pudding for lunch, but it’s definitely not objectionable. Somewhere in the risgrøt, there is usually an almond or two, and whoever finds one wins a prize. In this case, the winnings were three large bars of chocolate, and they were won by Gerd, Jaqueline and Jan-Arne.

Of course, no Christmas party would be complete without the Christmas Banter. This year it was provided by Scary Boss Lady and her Whipping Boy. It began with Dagny laughing at Jan-Arne for the fact that he had been caught for a second time leaving his trousers on the  floor of the changing room. Then she asked,

‘Is it true as well that you came to work in your pyjamas?’ Jan-Arne flushed slightly, but valiantly defended himself.

‘Well at least I don’t scuff my feet along the ground when I come in in the morning.’

Dagny frowned and shook her head. ‘I don’t scuff my feet.’

‘You do. Everyone can hear when you arrive.’

Dagny opened her eyes wide. ‘It isn’t true,’ she said and looked challengingly around the room. ‘A show of hands please, who can tell when I come in?’

I fear that the vote would have been unanimous, if only I had been keeping up properly with the conversation, but as usual, I was five steps behind.

I suspect that Dagny is one of those people who believe that attack is the best form of defence, and so she returned to a subject that had been going on since before the meal had started.

‘Well at least I didn’t open the chocolates that were meant to be eaten with this lunch. I think you should give your bar of chocolate back so we can all share it. Without another word, Jan-Arne carefully lifted up his prize and slid it into his pocket.

But all in all, it just goes to show, that however much effort you make, and however far you travel at Christmas, there will still always be someone who has to argue over who it was that ate all the chocolates.

Holiday

Even after many years, I still greet Christmas and the New Year with a heightened sense of joy that I don’t have to work on either day. All round the world, many wonderful people in the emergency services give up those days to help others, and I send my good wishes to all my friends and colleagues who have been, and will be working over the holiday period this year. I expect when I return tomorrow, there may be a few Christmas related cases. It only takes a moment or two for a dog to eat something that he or she shouldn’t, and chocolate and raisins can be toxic for dogs, as well as the simple problem of too much turkey.

Last Tuesday, the day began as I walked through the prep-room on the way to change into my uniform.  Linus, (whose picture you can see at the top of the page) had been very ill and vomiting for a few days, and he was in a lot of pain and seemed utterly exhausted. His abdomen was so painful that Dagny had to sedate him to examine him properly, and when she did, she could feel something. Whatever it was, it wasn’t visible on the x-ray (some items show up clearly, but not all do) so the only way to help Linus was an exploratory operation. His owners were naturally very fearful. Linus is eleven years old and as the lump wasn’t visible on the x-rays, it could be anything from a peach-stone to a tumour.

As Dagny readied herself for surgery, I prepared Linus for the operation. The monitors attached, I was concerned to find that the oxygen levels in Linus’ blood were very low: not very surprising as I could see that his gums were pale, nothing like the fresh pink colour they are in a healthy dog. I turned the intravenous drip as fast as it would go, and kept the anaesthetic levels to a minimum as Dagny began to cut.

It didn’t take long for her to locate the lump, and it was immediately obvious that it was a foreign body and not a tumour. The gut was inflamed where whatever-it-was had already passed through. I opened up the set of special clamps and the  multiple packs of gauze I had ready and Dangy placed them around the gut to keep everything clean.

Pausing for a moment, she looked up and smiled. ‘What do you think?’ she asked. ‘I’m betting on a kongle!’ Kongle is Norwegian for pine cone. Her attention firmly back on her work , she cut carefully into the segment of intestine and drew out what proved indeed to be a section of pine cone. Poor Linus. No wonder it had been so painful.

From that point in the operation, it was obvious that things were improving. As Linus’ guts began to function again and the fluids from the drip got to work, his oxygen levels climbed from sixty-two right up into the high nineties, which is where they should be when everything is functioning well.

‘Would you mind just quickly going and telling his owners that it wasn’t a tumour?’ Dagny asked, as with the hole in the gut closed, she began to stitch the abdominal muscles. ‘They were so worried.’  As everything was stable, I was delighted to run through and tell them. What better Christmas present could there possibly be for me and them?

There are one or two things I find difficult about being an assistant. It’s not so easy for me to telephone owners and ask for an update, as I might do with one of my own patients. But I hope that the signs that I saw during that operation boded well for Linus and that he and his owners have had a wonderful Christmas together.

Merry Christmas everybody.

 

Benedict who?

New Year is almost here. I feel I have come a long way in 2014. Strange to think that less than a year ago, I drew up outside Tu Dyreklinikk and decided it was too daunting to walk in and ask if I could look around. I’m glad I changed my mind. That decision allowed me to meet some wonderful new friends, and has given me the opportunity to return to a life I hadn’t realised I was missing so much.

As I said in my last post, I was pleased that I was not working over Christmas. Jan-Arne was however, and somehow he managed to get himself on the front page of our local newspaper, JaerBladet after a Japanese Akita called Frøya accidentally got hold of a whole fruit and nut bar. Happily for Frøya’s owners, Jan-Arne was able to treat her, and by the next day, she was fine.

The picture at the top of the page is another of Jan-Arne’s patients. Lukas is a young Staffordshire Bull terrier with itchy skin. Feel better soon Lukas.

This week, I have only worked one day because New Year falls on a Thursday. I spent most of yesterday in theatre with Magne and Wivek. As usual I was on anaesthetic duty and it was an interesting day for me as Wivek was trying out a new form of pain relief called Recuvyra. Recuvyra is an opioid pain-killer, which is applied to the skin of a dog under its coat. It lasts for four days, so for operations which require analgesia for a few days, it is a good alternative to remaining in hospital, or coming back in for several days for injections. As always with new treatments, it will be interesting to hear from the clients how they got on. Yesterday’s patient, a sweet little Tibetan Spaniel with a displaced hip, seemed very stable throughout her anaesthetic and contented during the recovery period so I hope that when she went home, everything continued to go well. I remember when I started out in veterinary practice, there was much less consideration given to pain-relief, and very few pain-killers readily available. It’s one area where I feel the veterinary profession has made enormous leaps in progress and it is important for our patients that we keep up.

There were a few things that made me laugh. Obviously my Norwegian is still patchy, as when I asked Wivek how big the bladder dog was, (a lovely Schnauzer which was suffering from stones in her urine) she told me it was about the size of a grape. She was referring to the stones of course. No idea how I would go about anaesthetising a dog that weighed less than a box of matches.

For some reason, I was having difficulty with intravenous catheters, probably because Wivek was watching, and she always makes it look so simple. It’s much easier to find the vein with good lighting, so before I made my second attempt of the day (on the Schnauzer), I walked over and switched on the big overhead light. Except somehow, I got the wrong switch. I confess I was surprised when the light failed to come on, but not quite as surprised as Magne, who suddenly found himself plunged into darkness as he waited for us in the operating room. His face was a picture as he emerged.

The high point of the day though, was the moment when Wivek and I were discussing the Christmas period.

‘I went to see a film yesterday,’ she said, and gazed into the air for a moment. ‘I can’t remember the name of it though.’ She shrugged and then looked down to continue her suturing.

‘Not very memorable then,’ I suggested.

She frowned. ‘Good film, not a good name,’ she said. ‘It was about Alan Turing.’

‘Oh,’ I said. ‘The one with Benedict Cumberbatch?’

I have never seen such a blank look on anyone’s face. ‘Benedict who?’ she said. ‘I don’t know his name. The one who played Sherlock Holmes.’

I confess I was astonished. I thought that everyone in the universe knew who Benedict Cumberbatch was. Even if we had woken up the patient and asked her in dog language who it was that played Sherlock Holmes, she would probably have barked his name. So there you have it. If you want to consult Wivipedia, it’s probably better to stick to animals and Norwegian cookery. Whatever you do, don’t consult her about Tom Cruise. For her that would be Mission Impossible.

Anyway, to all of you who have supported me this year, thank you very much. I can hear fireworks outside already. By midnight, the sky will be bursting with light and colour. Happy Hogmanay, and I hope you have a wonderful time in 2015.

 

 

Salmagundi

I can recall, as a teenager, being rather sceptical when an adult friend claimed that they could not remember what o-levels they had taken. During my schooldays, those exams represented something so huge that I couldn’t begin to imagine a time when they would be unimportant enough that forgetting was even possible. It was the same with adults and age. How could anyone forget how old they were? Well now I am that person. It was my birthday on Monday, and on Tuesday morning, after wishing me well, Dagny asked that fatal question.

‘So how old are you now?’

I glanced up from the dog’s leg over which I was hovering, trying to find the vein. ‘Forty five,’ I said without hesitation.

She stared at me for a moment with her head on one side. ‘That can’t be right,’ she said with a frown. ‘I was born in 1970 and I’ll be forty-five this year.’

I confess I was quite disembarrassed. I really don’t care that much (though I note I have frozen time when I was younger, rather than making myself more mature).  I was amused though that she had asked me, when she must have known the answer on some level already. Fortunately, I managed at this point to puncture the dog’s vein and slid the catheter into place. After years of working for Vets Now, with their ECC nurses, who would raise the vein for me in my (usually conscious) patient, and then stem the bleeding until the bung was in place, I fear that with a sedated animal and a tourniquet I very often find some blood escapes onto the table, or more often, onto the animal’s leg. This was the second dog I had catheterised for Dagny that day, and the second time I had fumbled it.

‘I think I’m going to call you Messy Lady from now on,’ she said.

Eleven o’clock arrived, and with it Jan-Arne. From him I received not only good wishes, but a birthday hug as well, but there was no time for chat as it was time to go back into theatre. Emerging a while later with a recovering patient to monitor, I was rather surprised to see Jan-Arne wandering around the practice with a fluffy white dog on a cushion. He walked out of the prep-room with it, and then reappeared and went and sat down in the computer chair, leaning back with the tiny animal rested on his stomach.

‘Vondt i magen,’ (pain in the stomach) he murmured, or at least I thought that was what he said.

‘Do you mean you have a pain, or is it your next patient you’re talking about?’ I asked idly and he looked up at me with a frown.

‘What are you talking about?’ he said.

‘Is it you that has a pain in the stomach, or your next patient?’ I asked again, indicating the computer-screen that he was examining.

He shook his head. ‘No, I just said my next patient was called Tommy,’ he said. Sometimes I wonder whether other people functioning in a second language experience quite so many mind-bending moments, but I suspect it’s just me.  Getting up, he walked back across the prep-room and out into the corridor that leads to the kennel-room and I assumed he was going to take the little dog there, but instead, he poked his head into the dental room, spoke for a moment and then reappeared, still clutching the small bundle of white fluff like Paris Hilton on anabolic steroids.

‘Now what should I do with this little chap,’ he said looking down.

‘You could always put it in a kennel,’ I said. His face brightened visibly.

‘So I could.’ he said

Thursday was a crazy day. First thing in the morning, when Marita checked the two cats that had been left for operations, she discovered that instead of being one male and one female, both were girls. Spaying a cat isn’t a big operation, but it takes a lot more time than castration. Happily, she managed both quite quickly, but even as I was preparing the second cat for its op, Wivek asked me if I could possibly take some stitches out of a dog, as three of her patients had arrived at once. I had to decline as I was in the midst of sedating and prepping Marita’s cat. Once that operation was safely underway, I found that the stitch-dog was still in the waiting room, so I took it in. Of course, some days nothing goes smoothly, so typically having taken most of the sutures out, I couldn’t manage the last one and had to fetch Wivek anyway as I was worried the owner might not be happy with this stranger prodding away at her dog with a pair of scissors. I finally managed to get back to Marita, who by now was finishing up her second spay, though her next patient had arrived half-an-hour early. It was one of those days. At eleven, Jan-Arne arrived again.

‘Good day, little British girl,’ was his greeting this time. I was just happily contemplating the word girl, when he enveloped me in another wonderful bear-hug.

‘Good day to you, big Norwegian man.’ I couldn’t help but smile as he disentangled himself and went to get changed. I was standing with Wivek and she looked after him with a smile and said something in Norwegian. I had been running around at this point, trying to catch up with the cleaning and I was wearing latex gloves and clutching a bucket of water and a cloth. I didn’t quite catch what she said and I asked her to repeat it. I still didn’t catch what she had said, partly because it didn’t seem to make any sense. She had definitely said something about Jan-Arne being smelly. Somehow in my demented brain there appeared a picture of me running along and swilling him down with the detergent and cleaning cloth. That couldn’t possibly be what she had said. I hadn’t noticed any bad smell.

‘Say it in English,’ I urged her.

‘If you want to know where Jan-Arne is, follow the smell,’ she said patiently and then corrected herself, ‘scent, might be better. If you want to know where Jan-Arne is, follow the scent.’ She had been commenting on his aftershave. I must confess I felt very relieved.

Despite the few spare catch-up moments, most of my day was spent tending to animals. Just before one, I noticed a lovely little dog, which Jan-Arne was preparing to x-ray. A few moments later, we were looking at an image of something that appeared to be in the dog’s stomach.

‘What on earth is that?’ Jan-Arne asked.

I however, knew only too well.  ‘It’s a dummy teat,’ I said.

‘What?’ He was looking up at me in some confusion.

‘You know, one of those things that babies suck. It’s quite a common foreign body.’ Poor little dog. There was nothing for it but to open him up. We put him on a drip first as he seemed a bit depressed and had been vomiting for a day or two. In the meantime, there was Jack, a gorgeously friendly Rottweiler with a cut on his foot. As I was working with Jan-Arne anyway, I began to help him with Jack, and was delighted to find that the owners were British. As I sutured the foot, Jan-Arne went to start preparing the little foreign-body dog for his operation. He came back, and we swapped over again, so that he could sort out a prescription and as I was in a hurry, I asked if he could please take a photo for my blog. Sadly, the photos don’t do him justice because he was a very handsome dog. Still, he has a lovely brightly coloured bandage which I hope my fellow-blogger icelandpenny can appreciate.

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My day ended with the successful removal of the rubber teat from the dog’s intestine. It’s a very fiddly job making sure that the gut is stitched back together securely enough to ensure there is no leakage, without narrowing the tube so much that nothing will get through. Finally I could massage fluids past the incision without anything bubbling out, and so after an inspection of the rest of the intestine, I gladly sewed up the muscle and skin. It’s always a bit nerve wracking after any such operation, as there is always a slight risk of complication. I can only hope that, like Linus, he goes on to make a full recovery.

 

 

 

 

 

Luna and Lusi

Dagny and Magne both seemed on good form on Tuesday morning. Our first patient was a still-youngish cat with an eye that was massively enlarged by a tumour. From an anaesthetic point of view, eye evisceration can be slightly complicated. As the eye is removed, the nerve at the back of the eye can cause changes in the heart-rate and breathing, so I was keen to ensure everything was stable and the monitors were all functioning well. The eye was so enlarged, that I wondered how easy it would be to complete the operation, but happily it all went very smoothly and the wound came together well.

Much later in the day, and another lump removal, this time from a dog’s leg. As happens sometime, Magne asked me whether I would like to suture the wound after he had removed the tumour. I know he doesn’t much like the stitching part of operations, and I rather enjoy it. There’s something very satisfying about bringing everything together and ensuring the end result is as aesthetically pleasing as possible. So as Jaqueline was available to monitor the anaesthetic, I told him he could go and get a cup of coffee and I would close up for him. As I was finishing, Magne came back into the room.

‘She’s very good,’ he said to Jaqueline, ‘No-one can stitch as elegantly as her.’ I was caught between delight and humour. As pleased as I was with the compliment, I had to laugh at the word elegant because I don’t think even my nearest and dearest would ever use that term. In fact, my mum once told me that I walk like a gorilla. Still, gorilla-steps or not, I did walk out of theatre feeling pretty good.

The weather in Jaeren recently has been wild: storm following storm. My drive to work takes me along the coast and there is little shelter, so on Thursday, as another gale flung hailstones horizontally at the window, I decided I would head to work early. In the event, the road was clear, and the wind, though gusty, didn’t affect my speed much and so I drew up in the car-park some twenty minutes before I was due to start. As I dashed through the rain, I was happily contemplating a cup of coffee with Magne before work began, but as I pushed the door open and stepped inside, I was greeted by an unpleasant odour. Working in a vet practice, you get to sample a number of different smells, most of them quite unsavoury. This one I identified as diarrhoea, though as I paced along the corridor, I was alarmed to see what appeared to be a trail of blood. Even more worryingly, on closer inspection, the bright red trail was in fact the faeces that I could smell.

Entering the prep-room, I found Lusi, a black Labrador retriever, panting on the floor. Her head was on her owner’s knee. Her eyes were frantic, her body stiff. I had seen Gerd as I came in, and rushed back along the corridor, to see whether she knew where Magne was. It only took a moment to ascertain that I was the only vet in the building. A few steps back and I was crouched on the floor with the little grouping. Wivek had made a tentative diagnosis yesterday of a prolapsed disc in the spine. Lusi was meant to go to Bergen this morning for an MRI, but had become very distressed, and the bloody diarrhoea was hers. I assessed her immediately for shock, but she seemed mostly to be distressed. She already had a catheter in her vein, and my first act was to grab some Vetergesic because she was so obviously in pain.

A drip next, and as she still seemed very unhappy, I decided to give some diazepam to try to relax her. I wasn’t one-hundred percent sure that yesterday’s venous catheter (now attached to the drip) was fully functional and anyway, I wanted to take a baseline blood sample, so I felt it would be better to place a second catheter.  As she was still lying on the ground, and I didn’t want to move (and thus hurt her) unnecessarily, I ended up lying full length on the prep-room floor as I angled my head to try to get the best possible view. Not necessarily the best idea in a cream-coloured sweater. Fortunately the floor was, thanks to Gerd, now spotless again.

Diazepam (better known to the UK public as Valium) works partly as a sedative, but with spinal pain that is causing muscle spasm, it can really make a difference. As I injected, I could see her visibly begin to relax, and though she was obviously a bit disoriented, the panicky panting stopped, and her rigid muscles became pliant.  According to Gerd, Wivek was going to be in at nine, and any decisions regarding the next step would have to involve her. I waited with her for a few minutes, but as she now seemed much more stable, I was able to go and get changed.

What with the weather, and with all the distress, Lusi didn’t make it to Bergen yesterday, but spent the day at Tu with her owner. The plan was, that if she continued to be stable overnight, she would travel up today. I’ll try to provide an update when I know more.

Working with Lusi reminded me of one of the reasons I love being a vet. There are few things more satisfying than knowing that you have helped an animal that is in pain. It often seemed to me, when working in the emergency clinic, that giving intravenous pain-killers to dogs in distress gave such immediate relief that they were genuinely grateful afterwards. Often in general practice, our patients become frightened of us because they associate the vets with injections and pain, and to see the opposite effect in action, was always a happy event.

I still don’t think Lusi liked being at the vets all day, but I very much hope that she goes on to make a full recovery.

Last, but not least, today’s photograph is Luna, a Tibetan Spaniel that came in this week to see Marita. Isn’t she lovely! Have a good week.

Belated Bacon Powder

As some of you might have noticed, I didn’t blog last week. Sadly, last Friday I was on my way to Scotland for the funeral of my much-loved father-in-law. Among the sadness however there were some bright moments. On Sunday morning with the official ceremonies behind us, we paid a visit to the Barras Market which was fascinating. I loved it, but felt utterly out of place: a real tourist in a land I couldn’t fit into, and I couldn’t help but wonder what it would feel like to be a part of that culture. Still Monday brought us back to Norway and to normality, and although for a moment I felt a little homesick, the return to work steadied me, as it always does.

Now and then at work, someone will bring in home-baking, and last week I decided to take in some scones (recipe here). I took in strawberry jam, and squirty cream to eat with them, and they went down very well. Jan-Arne, of course, who is as fascinated with food as I am, said that he had heard about scones, and that he had expected them to be much drier. I suspect that whoever told him about them probably had eaten one when it was a bit stale, because of course, they don’t last long.

‘So how do you make them?’ was his next question.

I explained that you used flour and baking powder, and then rubbed in some butter and brought it all together with milk, but I could see his face cloud over, and his next question really confused me.

‘But what makes it rise?’ he said. Before I go on, I should explain that in Norway, the self-raising flour that I took completely for granted when I was in the UK just doesn’t exist here. For almost all baked goods thicker than biscuits*, you use baking power, so it seemed almost impossible that he hadn’t understood.

‘Well, the baking powder makes it rise,’ I said, and his face suddenly cleared.

‘Oh!’ A long drawn out sound. ‘That explains, it. I thought you said bacon powder,’ and he went off into his trademark giggle.

At this point Wivek arrived and asked what we were laughing about, and so we explained. ‘We’d probably all get a rise if she had used bacon powder.’ was her rather dry comment.

I don’t remember so many outstanding cases from the past two weeks. I know that last Thursday, Perle, the dog in the picture at the top of the page was booked in for a possible operation to relieve a build up of fluid following cruciate surgery, but that when she came, the situation was beginning to resolve and so the op was cancelled. That meant that my normal morning anaesthetic duties were out of the window, and as there were a few rooms that needed cleaning, I decided to get on with them. After sorting out the kennel room, the lab, and the x-ray room, I was walking towards consulting room A with my bucket, when Jacqueline, who had been clipping the claws of a dog for Marita came out of the dental room and yawned widely. It really was that kind of morning.

Of course, nothing is reliable in vet practice, and despite having hours of time in the morning to clean, I shouldn’t have been surprised when mid-afternoon, at the time when if I was working in an office I might be winding down for the last half-hour of the day, an emergency operation arrived and as everyone else was busy, I rolled up my sleeves (well metaphorically. In reality, I donned a surgical gown and gloves) and got on with it.

Thursday this week was quite quiet as well. Lucky for me, as I am trying to get up to speed on everything before I start officially consulting next week. Years ago, I was so used to my job that almost everything could be done on automatic pilot. I would say the same things over and over when I admitted an animal for an operation, and I knew exactly which drugs I would choose for a typical skin infection or diarrhoea case. Although I have re-learned a lot of things since starting work, I also (because I have done it all before) am aware of how many things I don’t remember. In the UK, it is common to have all the tablets and medicines in the practice, so if you are a bit stumped about dosages or applications, you can just pop through to the pharmacy and read the box. Here, almost all the drugs are provided via a prescription, so you have to know where to look everything up, and even when you do, it’s all in Norwegian, so it doesn’t only take a second to read, as it would have done before. No doubt once I start, it will all begin to come together, but just looking at it from the outside, it is a tiny bit daunting. I don’t really have any real uncertainty that it is the right thing to do though. It’s time I was properly back in harness.

As part of the learning process, I did get to spend some time in consulting rooms with my colleagues, and late on Thursday I found myself practising writing up the computer in Jan-Arne’s room. He had just micro-chipped a cat, and idly he started to run the scanner over his own neck.

‘Wouldn’t it be weird and alarming, if I were actually to find something,’ he said idly. Picking up one of the unused chips, still in its covering, he held it up to my back and scanned it so that the machine beeped. Of course, having seen him picking up the packet, I knew he was just messing around, but even as I watched him, I saw a mischievous look come over his face.

‘Where’s Marita?’ he said. ‘I want to see how she reacts.’ Of course, Jan-Arne in this mood is irresistible, and barely able to supress a giggle, I followed him. We couldn’t immediately find her, but sticking our heads into the prep-room, we saw Jaqueline sitting at the computer.

‘Why don’t you try it on her,’ I whispered to him, but he shook his head.

‘She’ll never fall for it,’ he said. I couldn’t imagine that anyone would really, but still always ready for some fun, I continued to follow him until he tracked Marita down, sitting in the office beside reception, looking at the computer. Sidling up behind her, he waved the microchip reader at her and ostentatiously started to scan himself.

‘Wouldn’t it be weird if I found something,’ he said, his face completely deadpan. Then without asking, he started to run the scanner over Marita’s  neck and back, and I watched as he slid the chip up into place and ran the machine over it. Marita’s face was a picture as she heard the beep, and for a moment it was obvious she really thought he had found something, but as she turned, she caught site of the package in his hand.

‘Uh!’ she rolled her eyes at him and laughed ruefully and I must confess that what impressed me most about this whole scenario, was Jan-Arnes unerring instinct for playing pranks to maximum effect. He really is a fun guy to be around.

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*I have been told by a friend from Texas, that what I call a scone is called a biscuit where she lives, and that the thing I call a biscuit, she calls a cookie, so if the whole of the recipe discussion is incomprehensible in your part of the world, I can only apologise.