Disclaimer: the pig picture above belongs to a friend and is not part of my case.
Looking back at this post from last year it’s kind of odd to see how little has changed in terms of my workplace, workload and colleagues. The reason I was reading it was because this week, on top of my TB case, the aftermath of Thursday’s report case, big welfare in transport investigation and a couple of routine inspections done or due, the marauding pigs have made a return. It’s been posted on Facebook and the local news, so I guess I can say that these pigs are now causing a significant hazard on the A76. Last year, it appeared the situation was back under control but (as with many other welfare situations) it has spiraled again.
It’s not that surprising. During my three years in Norway, it became obvious that most farmers are doing a great job and that almost all the problems we have to deal with stem from a few people, a few of whom are genuinely bad or ignorant, but most of whom are struggling with life, one way or another. Lots of people have a dream where they run a successful business, keeping animals. The reality is that doing so involves a huge amount of hard graft and a steely mind that can cope when catastrophe hits. Farming is a tough business. To quote James Herriot, ‘I was beginning to learn about the farmers and what I found I liked. They had a toughness and a philosophical attitude which was new to me. Misfortunes which would make the city dweller want to bang his head against a wall were shrugged off with “Aye, well, these things happen.”‘
Anyway, Tuesday was a bit sad as one of the poor pigs was hit by a lorry. The end of the week was filled with meetings and multi-agency planning to find a solution that will last. Otherwise, we’re going to be dealing with ongoing problems for years to come.
A lot of what we do involves fighting against the system. These welfare issues are typical – we have to make sure we give people the chance to rectify problems themselves, when the reality is they are only in that place because they aren’t coping. There’s little we can offer in terms of support and neither advice nor penalties really help. After almost two years though, I have a reasonable grasp on many of the tasks I’m handling and what I can actually do. I have a network of contacts, both local and national, who can be relied on to get things done, which makes all the difference.
In other good news, after waiting since May for a non-appearing plumber, I contacted a different plumber from my street, who came the same evening and started work the next day. I now have a functioning shower and toilet upstairs and the rusty and unusable shower over the bath downstairs has now been replaced. So now, after more than a year without a shower, I have two. Still plastering and decorating to go, but it feels like the end is now in sight for my room-in-roof insulation project.
On Thursday, we had the first frost of the year. Less spectacular than the Arctic frosts that could go on for weeks, building huge ice-crystals, frost here still adds a new layer of beauty to the small things. I do love proper winter weather.
I’m tired after a busy couple of weeks at work, but there’s not much I need to do this weekend. I have a shoebox from the church that I need to fill with Christmas gifts for (I think) refugees somewhere, so I shall take a wander to the shops this morning to get that filled. I may stop for a coffee and a slice of gingerbread cake at the garden centre. Other than that, it looks a bit stormy outside, so I intend to spend some time in front of the TV. It’s almost time to start my Harry Potter Christmas marathon, so that might be on the agenda. In the meantime, I will leave you with some photographs I took last weekend, over towards Wigtown. It’s a beautiful part of the country. Thanks for reading and hope you have a great week.
This week has felt very long. Monday was spent catching up on work from last week. Tuesday, I was out on a welfare visit. I haven’t done so many of those lately as our regional vet team are so overstretched that my line-manager is withholding all but the most urgent work. I enjoyed it. It was a well-run dairy farm (the picture at the top of the page is unrelated) which I always find reassuring. We get a few awful welfare visits, but most of the time I find dedicated farmers who concentrate on welfare as part of their routine work. The reality is that animals that are treated well are more productive, which I’m sure has a bearing, but generally they care about the animals they look after.
Wednesday there was a monthly team meeting, and the first in a series of mandatory meetings for the vet team. As I said above, our regional team is struggling. This is straightforwardly as a result of understaffing. We should have a team of ten vets and right now, we have the equivalent of five fully functional vets. Wages for a Senior Veterinary Inspector are not high in comparison with other vet jobs and South West Scotland is the busiest region. Sometimes people come into our team, train for a while, feel the weight and then leave. They go to other jobs, or to different areas, where there is less work. Anyway, at the meeting, a colleague led by saying she wasn’t even able now to work through her emails as they come in. This rang a bell with me. I look through mine and pin the ones I have to deal with at the top of the page. There used to be around five there at any time. Now they’re off the page.
They don’t really have any solutions and I don’t blame my line manager. He is doing all he can to protect us, but only dealing with the most urgent work means that the work we are doing is often heavy or very much time-constrained. If there are horses arriving in the airport, we can’t say, “I’ll handle that tomorrow.” We have to handle the TB cases because if we don’t, there will be more.
The only reason I had the nice welfare visit was because my line manager was away. Those standing in for him seem unable to bear the weight he does, so while he’s away, the welfare visits get distributed and we get pushed to take on other work. We did an Emotional Intelligence training day a while back, where they set us tasks and pushed us to complete them faster. Some of them involved throwing things to each other. The people running it seemed quite impressed that none of the team criticized anyone who slowed us down, by fumbling a catch or throwing badly. I commented, in a wry voice, that we were so used to missing our targets that nobody was going to be uptight about not getting the fastest time in a throwing game. Everyone laughed, but the reality is that working constantly under pressure means that we do understand what is important and we do have quite a forgiving core team.
On Thursday, I thought that I might finally finish and send off my witness statement from the Farm of Doom case, which I last visited back in April. I haven’t been responsible for all the delays on that one. My Local Authority colleague took an age to come back to me with the photographs for numbering, so I couldn’t finish my statement without them. I thought I was more or less done, then sent my work to one of the ex-police Enforcement Officers, who told me I had to be explicit in stating that I took each photo and what it shows. As there are a lot of photos, I was only about halfway through this task and Thursday lunch time was approaching when my line manager rang.
I answered, feeling quite sanguine as I generally do when I finally get the time to complete overdue paperwork. He said, “Sarah, can you start to prepare for a report case please?” The bottom fell out of my day. Thursday afternoon and Friday, when I had planned to get through All the Things, including the almost finished paperwork from Tuesday’s welfare, updating my TB case and writing a long-postponed talk I’m supposed to be giving on deer were immediately thrown out of the window. A report case would take up the whole of the next two days. “What kind of report case?” I asked. “AI,” he replied. Avian Influenza. Mentally, I cast aside my planned quiet days and started to prepare for the onslaught.
When I go on holiday, and especially when flying, there’s a bit of a tense period before setting off. Making sure I have everything I’ll need creates a bit of tension. Obviously, I can buy new underwear, but if I forget my passport or my phone, with its electronic ticket information, and maybe the phone charger, then life would become more complicated. I usually relax once I’m through airport security. Beyond that gate, anything that goes wrong will be dealt with.
It’s a bit similar for me with a report case. Before I set off, I need to make sure I have everything in my car that I might require for my disease investigation. All the right paperwork, all the right kit. Throw on top of there the knowledge that I might not make it home that night, so I have to make sure Triar’s needs are covered too, and you get the picture. Having been “officially informed” that I am the attending vet, I have half an hour before I’m meant to be on my way. The reality is that we usually get this pre-warning and the official time is so vague that I have trouble filling in the form the next day. There’s no chance of getting out of the door in half an hour.
Anyway, that prep time, as with the airport planning, is always the worst bit for me. Once I’m in the car and on my way, my mind settles and I am committed. There’s no point in worrying about my other cases or whether I’ve forgotten anything. The next few hours, I have one task only, which is to assess whether there is notifiable disease on the farm or not. This time, I was driving out west. I hadn’t had lunch, so I stopped in a roadside shop for a filled roll. While I was stopped, I saw a message from Donna, saying she would take Triar out (and possibly in overnight). Another weight off my mind.
I’m writing all this as if I’m an old hand, but in reality, this was only my third real report case. It was the second bird flu report case in our region this week. The other farm would still be under restrictions because, after testing, the final all-clear for bird flu takes about a week to come through, but initial results suggested that one was negative. My farm, the one I was heading for, was a laying unit, producing eggs. There were, in total, 180,000 birds on three sites. 80 birds had died overnight in one of the sheds. My job was to go in, take a detailed history, examine both live and dead birds, and then decide whether we need to test for bird flu.
If you’re wondering about now, “well why don’t they just go and test them and see?” the answer is because notifiable diseases are only notifiable because they present a risk. The risk might be economic, for example it might mean animals can’t be sold to other countries because of trade agreements. Scotland is fighting to keep its Bluetongue status as “Free of Disease” because that means more international markets are open to them. Most though, have an animal welfare or human risk aspect. If foot and mouth spreads out of control, as it did in 2001, there is a massive animal welfare issue, as well as a huge economic cost to farming and to the UK. Bird flu presents a risk to human health, as well as a significant welfare impact on the infected birds. Both spread like norovirus through a scout camp, so as soon as there is suspicion of disease, the farm is locked down. The first thing I do, on arrival at the farm, is to serve official papers, confirming the verbal restrictions they were told when they called us.
And when I say locked down, I mean just that. Bird flu spreads easily, so it’s not only birds and animals that can’t move off. People aren’t allowed on or off. Vehicles too. Any movement, from that moment, until the restrictions are lifted, has to be made under a licence. If I can’t rule out disease and we go for testing, this farm is going to be locked down for a week. If I decide this isn’t bird flu, they can open up again this evening. This is an egg producing farm, with 180,000 birds, each laying an egg daily. Eggs can carry bird flu. A week’s worth of eggs… well you get the picture.
I need to be calm when I arrive on the farm. If this day is stressful for me, then think about what the farmer is going through. His or her animals and a chunk of his or her livelihood are on the line. They need me to guide them through this so I want them to have confidence. I bless my years in general practice out of hours and in the emergency clinic. I’ve been dealing with other people’s disasters since I was 23. (As an aside, I love the company of old vets for exactly that reason. Many new vets never do out of hours. It’s not good for the profession.)
My Animal Health Officer (AHO) who will take the samples today, if we sample, is F. She’s even newer than me. My first bird-flu case was hers too, but that time we had an experienced AHO with us. This time, it’s just us. She’s holding up well and was out of her car before me. Deep breath. Grab all the paperwork. I open the car door, climb out, and greet the farmer as if I’ve done this a thousand times before and it’s all routine. Explain who I am: what we’re going to do. There will be a lot of paperwork. Hundreds of questions. Better they know what we’re in for, because they are about to be grilled on all their daily routines, their biosecurity arrangements, who has been on and off the farm in the last 21 days, what has gone to plan, what has happened that was different.
We go into the house. The first thing I do is plug in my phone. I used it to guide me here and later, I have to document everything with photographs. The first time I did this, a few months back, I plugged in my phone, but forgot the switch on the socket. Nobody’s perfect! This time I throw the switch. Then we get down to it, at the kitchen table. I ask them questions. They answer, in detail and at high speed. I’m writing it all down. There is no chance all the information will go into my head and stay there. Several times, I have to ask them to repeat, because they are three facts ahead and I’m still noting down fact 1.
I have to guide the conversation, but it’s difficult. It’s already three in the afternoon and I am mindful of the remaining daylight. We don’t want to be sampling in darkness. I need to drill into the core history. What did they notice first? When? How might disease have been introduced? Where are the weak points in their defences? Are there other possible causes? I’m also vaguely aware that tomorrow, I will be filling in a form which is going to ask me for details which may not be relevant here. I try to balance the depth, get enough information, disregard the unimportant.
Finally, I feel I have enough information. I stand up and go to my phone. Calling my veterinary advisor is the next step. I have to refer the history I’ve gathered to check it’s enough. Because the interview had hopped about a bit, it was difficult to find the information. I have three of four A4 pages, densely written. She asks a few more questions and I have her on speaker, so the farmer answers. It’s time to go and look at the birds.
There are eleven sheds in total, but the dead birds were mostly from shed X. A second shed (Y) has had reduced egg production for a couple of weeks. These two sheds are linked. With plenty of time, I might visit several sheds. If bird flu is confirmed, we will need GPS coordinates for all eleven. I suggest visiting one of the healthy sheds first, then egg-drop Y, then dead birds X. Time is so short though, that after a couple of minutes of discussion, we cut it down to sheds Y, then X which are at Site C. Taking the possibly infected shed last is good practice. I don’t want to infect any sheds that are still clean, though if it is bird flu, every single bird will be dead within the week.
I have a ton of gear to take to the shed and we’re driving down. Two layers of disposable overalls, two layers of gloves. Foot coverings for going into the shed. Breathing hood and filters. Post mortem kit. Sharp safe. Phone, inside a plastic bag. I forget my thermometer. Nobody’s perfect!
I take a photo of the door of Site C and a GPS reading, which I screenshot. If the case goes live, this reading will define the 3km Protection Zone and the 10km Surveillance Zone.
Their biosecurity is reassuring. They ask me to change footwear as I go in, but I decline. All these layers of kit are there to protect me from infection and if I take my wellies off and put their footwear on, I’m compromising that. I disinfect my clean wellies and put on the boot protectors, hoping for the best. Worst case scenario, they don’t have bird flu and I take it in. Oh well.
To get to shed Y, we pass the end of shed X. They have shared air space. There’s a pile of dead birds outside shed X and I cast a glance at them as we walk by, but nothing leaps out. I look in at shed Y through the wire mesh. There are no dead birds visible in the shed. It’s a high rise layer unit with birds on perches right up to the roof. Seeing me in all my get-up all the birds on the floor skedaddle for the high-rise perches or away to the other end of the pen. They look healthy enough.
I don’t go in. It’s time to walk through shed X.
I go in on my own. The birds get alarmed if two people go in together, the farm manager tells me. I think this weird creature with the noisy hood on her head will alarm them anyway, but I don’t say anything. The birds in this shed are as flighty as those in shed Y. It doesn’t matter a fig that I forgot my thermometer. There is not a chance we will be catching any of these birds. I can only see them as they run and climb, and then at a distance, but the view is reassuring. None are lame. No lethargic clumps of sick looking birds. Their tails are up, their feathers smooth. Eyes bright. They stare at me in distant disapproval, but none of them are sneezing.
My mind is fizzing as I walk. Surely, with bird flu, there would be sick birds? Probably dead birds too. These are some of the healthiest birds I’ve ever seen. They can certainly run!
I walk the length of the shed. It’s a well-managed unit. Nice dry litter. Plenty of space. The birds can usually go outside, but today they too are locked down. I walk back, through the pens, taking a few pictures with my plastic-wrapped phone. It’s time to post-mortem some birds. I haven’t seen anything in the shed to suggest there is bird flu, but I still can’t definitively rule it out. We’ve had 80 dead birds overnight and I need to be sure.
I take a look again at the pile of dead birds. With bird flu, I might see swollen heads, deep blue wattles, maybe haemorrhages in the legs or diarrhoea round the cloaca. I don’t see any of those things. I select two birds and photo them. It’s not very bright here, so I ask the farm manager if he has a light. He fetches his head torch. I don’t want to move the birds from where they are. It will have to do.
Kneeling on the floor, I start the post-mortem. It’s a month and a half since I did my last bird PM and that was in a brightly lit lab, on a comfortable bench. Now I’m kneeling on the concrete floor, my head encased in a hood that limits my view, in semi-darkness. This PM is make or break time. I check the head, then open up the throat to look at the trachea. There’s no mucus there, no haemorrage. It’s perfectly normal and when I reach the crop at the base of the neck, it is filled with food. Whatever happened to this bird, it was eating until the moment it died. I open up the body cavity, looking for inflammation, haemorrhage or necrosis, but the only thing that looks abnormal is the liver. Normally, the liver is reddish brown throughout, but this one has brown patches. Some of patches have clear cut edges. They’re not abscesses. I worked in a chicken slaughterhouse for three years, but I’ve never seen a liver like this.
The next bird is the same. I open it up. A second mottled liver. Maybe a little fluid build up where the air-sacs would be. Maybe metabolic, I think. Very strange, but just as in the sheds, there is nothing screaming bird-flu at me. I take a few photos of my findings. It’s good to have evidence. Packing up, I edge back to my feet. It’s not so easy these days, but I make it and we leave the shed again.
Once outside, clutching my now-contaminated kit, I decide to go back up to the main holding before phoning VENDU. The Veterinary Exotic Notifiable Disease Unit give us directions what samples to take, but it’s my decision whether we need to take any at all. If I decide not to, they will challenge me to try to assess my decision, but the final choice is mine. I’ve stripped off most of my kit. If they challenge me for information I don’t have, I’ll have to go again. I decide to call my veterinary advisor before VENDU. I don’t think this is bird flu. It had not really crossed my mind, as I drove here, that I wouldn’t be testing, but with all the information I’ve gathered, I’m conflicted. For me, testing is the safe option, but it’s hammering in my head. I DON’T THINK THIS IS BIRD FLU!
I call my advisor and tell her. She asks about the livers and I describe them. She will discuss with her advisor, she says, while I call VENDU. I drop two liver photos into the chat and leave them to it. I briefly chat with the farmer. He drops it into the conversation that he has no insurance that would cover a week of lockdown. I can’t let that influence my decision either. I have to be sure.
The VENDU vet is busy, but when she calls back, it’s someone I know. This makes it easier to have that discussion, but even then, as I tell her I don’t think it’s bird flu, she wants me to be certain. I am as certain as I can be. The only thing that’s holding me back is that it’s a huge decision. If I say no testing, this farm will open up overnight. Halted eggs on lorries will be on the move again. If there are hundreds more deaths overnight, and it then goes positive, the whole thing will restart tomorrow and I will have messed up massively.
I’m almost sure. I REALLY DON’T THINK THIS IS BIRD FLU! If I lock down the farm, their own vet can’t come on and take samples for a week, even if early tests are negative. Whatever caused the egg drop and the deaths, they’ll have to live with it undiagnosed.
I can’t let that affect my decision either. I tell the VENDU vet that I am almost decided, but I want to call my advisor again. My advisor and her advisor have seen the photos. “Good pictures,” is written in the chat. I call her back and tell her I want to negate. I explain my reasoning again. “We’ve chatted,” she says, “and if you want to negate, we will back your decision fully. Even if it kicks off again, we are happy to defend your decision.”
I take a deep breath. “I don’t think this is bird flu,” I say, “I don’t want to sample.”
The farmers’ relief was palpable. They made a couple of phone calls and thanked me profusely and all the while, I hope I’ve made the right decision. I drive home and pick up Triar and in all honesty, I was high as a kite. Adrenaline has been my drug of choice for a long time and, perhaps bizarrely, I love this stuff. Still, the worry was there that it could all kick off. I didn’t get a whole lot of sleep. My phone rang when I was out walking Triar in the morning. “11 birds have died in sheds X and Y overnight,” they said. 11 out of the thousands of birds. A lot less than yesterday’s 80. I didn’t quite punch the air, but it was a good start to my Friday morning.
I’m writing this on Saturday morning. Despite negating the case, I still had to process all the paperwork and, with a few distractions, it took me all day yesterday. My advisor told me to drop the not-quite completed form into the case folder, “just in case it kicks off over the weekend,” she said. I don’t think it will, and anyway my workphone is switched on. I’m pretty sure if anything kicks off, it’s me the farmer will call first.
Monday will all be paperwork. This case created a new pile to add to that I already had. Even then, if something else comes in, I might have to drop the paperwork and run again.
And after all that, I found out that I left my phone charger on the farm and will have to go and collect it. Nobody’s perfect!
I had a wonderful weekend in Central Scotland. The forecast rain warning had moved south by Saturday morning, so rather than huddling indoors, Valerie and I went shopping. I have been looking at my hedges for some time, knowing I have to trim them, but in recent weeks (since bird nesting was definitely past) they have been so wet that the idea of tackling them with a plugged-in electrical hedge trimmer seemed risky. Having finally got myself a garden waste bin, I wanted to fill it, before the service stops for winter, so with that in mind, I bought a battery powered trimmer. I had been hoping for a long-handled version (tall hedges, shortish human being) but didn’t find any, so I opted for a normal one and thought I’d figure out the height issue later.
Valerie was looking for a garden box to store cushions, so we were in a number of garden centres. The end result was that, as well as the hedge trimmer, I came home with multiple packs of bulbs and a trowel as well. A dog bowl for Triar was next on my non-existent shopping list. A lovely friend from church has offered to take Triar and my current method (sprinkling food across the floor) probably isn’t very civilized. So now he has a new bowl.
Next on the list of things I didn’t really need was a scented candle advent calendar. Given that I have booked a holiday in the Arctic Wastes of Sørreisa for the first week of December. I may end up with a scented candle glut on my return, but it was only £5.99, which seemed a small price to pay. Finally, we went to a café, where I had a latte and Val had a spectacular hot chocolate, I found a Christmas present for a friend, so I bought that too. For someone who didn’t intend to buy anything, it was a great morning!
The café (and gift shop) were on a farm set against the backdrop of the Ochil Hills. The picture at the top of the page was the view from the car park. This is the view from the covered terrace where we sat.
The food sounded great too, but we’d had a massive breakfast, so we didn’t indulge. There are far too many cafés I’d really like to try in Scotland, and not enough time! Perhaps I should have pursued a life as a restaurant critic, but at 16, James Herriot’s lifestyle called me more. The fact that those days were already past, even as I set out to train, wasn’t something I had the life experience to understand.
Since I’ve come back, I have started to tidy up the garden. Different people have inspired me to try, the most obvious being Sue, whose garden I visited a few weeks back, and whose love of gardening shines through so clearly. Another, unexpectedly, is Scott with whom I do a lot of welfare work. As well as fun discussions about food, he has told me now a couple of times that he loves cutting the lawn as he enjoys the smell of freshly cut grass so much. I had always viewed it as rather boring labour, but now my lawn is (mostly) cut, I’ve realised that the answer is probably to do it often, because then it really will only take a few minutes. It’s hard labour this year because I procrastinated over doing it. Next year, I hope to make different choices. That said, I’m about to plant a load of crocuses and daffodils there, so there will be hard decisions to make about those patches!
My job is going well and that’s something I didn’t think I would ever be able to say. My line manager has acknowledged our team is in crisis, due to understaffing and has started to withhold work that he feels would be too much. I’ve no idea whether he will successfully campaign for enough staff. In the end, I think it’s pay that is the real stumbling block, alongside our district having the most animals and most of the (non-existent in Scotland) TB breakdowns. People tend to join to our team, then head off to somewhere there’s less work as soon as the opportunity arises. I’m so glad someone is fighting for us. Sickness over the summer was like watching dominoes fall.
The big case I’m handling is fascinating. I’m looking at animals that should not have been transported for reasons of health and welfare and I am liaising with useful people all over that I didn’t know existed. I have dug through ancient files and scrolled through reports and investigations and became so engrossed in it this week that when my manager tossed me a TB case on Thursday afternoon, it simply caused my mind to go blank. For a moment, TB case management was shoved so far back inside my head that I struggled to retrieve it. But retrieving it was essential, because my job is to keep the farmer informed about what he or she has to do, and manage the system so that the awful disruption of being locked down is bearable. By Friday morning, I was ready to go. Changing direction when something new crops up is part of my job and something I have to manage.
Autumn has really set in now. Unsurprising as we are at the end of September. I don’t know where the year has gone. This week has seen a return to blue skies and I have been enjoying Blackbird Lane with its changing colours and ever-shifting hedgerows. Yesterday morning was particularly wonderful. The sun, low in the sky, lit up the dew drops bedecking thousands of spider webs. Normally invisible, they stood out against the leafy backdrop. There are berries everywhere too and the sun shone on those too, so bright and cheerful. Hope you enjoy the pictures I took, even though they don’t do it justice. You’ll have to imagine the gentle warmth of the sun, the chill air on my cheeks and the earthy scent of autumn, that hung in the air with the birdsong.
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’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.
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.
It feels a long time ago now, but last weekend with Valerie and Charles was wonderful. Having slept well after hot chocolate laced with brandy in the hot tub with Valerie, we all headed out on a drive through Kippen to Fintry. It’s a beautiful area of Scotland and one with some special memories for me. Thirty five years ago, as a vet student, I saw practice in Kippen. It was there that I was first sent in to do a consultation on my own on a lovely grey rabbit. There was also a parrot in the waiting room that used to meow at the dogs, then tell them to shut up, if they started to bark.
We stopped off at the Courtyard Cafe on Knockraich Farm for lunch. It was beautifully decorated for Christmas and the lights at the top of the page were above us as we dined. I had a ploughman’s lunch, followed by a mince pie with Bailey’s flavoured ice cream. It was delicious.
Having stopped off at Lidl, Valerie and I had another hot tub session m this time with gluhwein. The thought has just crossed my mind that I told mum yesterday that I barely drink alcohol, and now I’m making it sound as if we had a truly boozy weekend, but it was a lovely moment and the gluhwein was very reminiscent of Norwegian gløg. All it needed was some chopped nuts and raisins.
We went to the Christadelphian church service in Stirling on Sunday morning, where I was made to feel very welcome, as I have been on the other occasions I’ve attended. We stayed for a shared lunch and afterwards I rolled up my sleeves and did some of the washing up. I can feel a real sense of community there, which has been lost in many places, following Covid.
We headed off for a last coffee at the River House in Stirling. Valerie had promised me Christmas decorations and it didn’t disappoint. I love the contrast between the classic beauty of the Courtyard Cafe and the exuberant British, Nordic style decorations here below.
Back to work on Monday and a feeling of nervousness as I went out to blood sample some sheep that had moved from parts of England that are now under restrictions for Bluetongue. It’s too cold now for the mosquitoes that carry it to become infective, but the two sheep both came up a few months back, when the weather was warmer and before the restrictions were in place. Tracing a disease that isn’t spread by direct contact, and which may not show up for some months is a complicated business.
So far, it hasn’t been found up here, but we are staying vigilant. It had been a long time since I had taken blood samples from sheep, but the two visits went okay and I sent all the paperwork in by the next day. I haven’t heard back yet from the debriefing team, even though I spotted an error in one of the forms, so it will doubtless come winging back to me at some point. There are now confirmed cases of avian influenza down in Norfolk, so there could be busy times coming up.
Tuesday was an easier day; I visited a couple of vet practices. Most mixed vet practices in Scotland do some work for the government, checking for notifiable diseases like anthrax, brucellosis and TB. As part of my job, I go out and visit them, partly to check they have suitable equipment, but also for outreach. They are routinely out on many more farms than I am, and if they see anything that we could help with, I hope that they would feel that reaching out was possible. Vets used to work for the ministry for years, but now there’s a constant churning of staff and that continuity has been lost. Changing that will require the political will to improve and invest, so I’m not holding my breath, but in the meantime, I try to present a friendly face.
I also stopped off at ReadingLasses in Wigtown for a lunch of coffee and cake, with a good book to read. The cake was delicious, and this time I bought the book too.
And now, it’s the last weekend before Christmas and I’m going to spend some of it painting. The work on my house is progressing and, having painted the new shower room, the joiner came yesterday to fit the waterproof boards behind the shower. I made a start on one of the bedrooms last night. It still astonishes me how much of the paint sinks into the new plaster. It’s much harder work than normal painting, but also important to do a good job. Hopefully, in the not-too-distant future, I’ll be ready for visitors.
Anyway, I wish you all a peaceful and happy Christmas. Thanks for reading.
A Vet’s Life 