It’s been a good week. I stayed in Dumfries last weekend and, on Monday morning, I visited a farm that was only half an hour away. Ben accompanied me on the visit. It’s a farm that has just moved over to pullet rearing, so taking on chicks that will ultimately become laying hens. They come to the farm shortly after hatching and will be there until they’re around 15 weeks old. Then they will move on to a new farm. Newly hatched chicks are gorgeous and these were too. They were in a Landmeco rearing system. They are currently running around the area which will eventually be a raised platform for them to jump on and off. For now, what will eventually be ramps to run up and down, are raised up as fences, so they are in a small, raised enclosure, with heat lamps and food and drinkers. By the time they are 15 weeks, they will have the whole barn. They really do grow fast!
On Wednesday , following up on another case from two weeks ago, I managed to get hold of the vet that works in an abattoir in Yorkshire, where a client with layers sent his flock after the end of their laying period. There had been higher mortality than he was used to (though he was still within normal levels) and I wanted to see if we could pinpoint what was happening. Unfortunately there was no stand-out cause highlighted, though in another way that’s good, because most of his birds were healthy. Having spoken to Naomi, I have recommended to him that he might need to give them extra calcium and vitamin D support later in their lay. Creating eggs, especially at high levels, uses a lot of calcium. Anyway, I will speak to him next week about what we found (or didn’t) and take it from there. I will do another visit when he gets new hens in, which probably won’t be until September. There’s a rhythm to poultry practice, and cycles for the clients which will be the heartbeat of much of my work.
I was due a visit near York yesterday and Ben suggested I could travel South on Thursday, so I arranged a visit to the APHA lab at Penrith to meet the vets who will be doing some of the pathology for my clients. We do a lot of post mortems in the practice (and on the farms too) but sometimes it’s important to get an outside opinion, especially in difficult or rapidly evolving cases. You perhaps have already picked up on the fact that a lot of my job is finding out why chickens or hens are dying. Very often, there are no signs of illness, or they go downhill so fast that, by the time you can see something is up, it’s already too late.
My patch is to be in Cumbria, so it makes sense for my clients to take samples to Penrith. There’s also a pathologist working there who spent a long time in poultry practice. I think he also gave a talk at the Poultry Health and Welfare course I attended last year. I will need to double check my notes. Anyway, it was good to meet them, have a coffee and see around the lab. Having a wider network of specialists I can talk to, whose knowledge is complementary to mine is something I am aiming for. The more I learn, the better I can serve my clients and help their birds to have a better life.
Friday’s visit was to more pullet chicks. The visit went well. Unlike Monday’s farm, where the farmers are just starting out with pullets, this was a farm with an experienced manager, though the sheds were older, which can bring its own problems. The guidance there was more about technicalities such as reducing the humidity in one of the sheds, which is at the wetter end of the farm. Like us, birds feel the heat more when the air is damp and humid. More ventilation is usually the answer, but it has to be balanced because the birds shouldn’t be in a draft. Building good barns is a very skilled operation.
As regular readers will know, I’m still based mostly in Dunfermline at the moment, though the aim has always been for me to return to Dumfries and work from home. There are a few barriers to that, the main one remaining being that my laptop still can’t access the practice database. Nonetheless, things are moving on, and for Friday’s visit, I drove the practice van instead of my car. I got to the farm okay, having basically ignored the screen in the van’s central console, that was asking me if I wanted to know more and set up an account. Rather than trying to do it as I left the farm (hardly good to be found at the end of the road, trying to work out how to use the equipment) I decided to stop for some lunch along the way and try after I’d eaten.
I stopped at a cafe called G&T Ice Creams, but when I asked about ordering food, I was told the lunchtime service was over and I now had a choice of coffee and cakes, or ice cream. With Fat Friday in mind, I decided on a lunch of Brownie Sundae and did not regret my choice at all.
It was only when I got back into the van, that I accepted it was time to bite the bullet and explore the van’s interface. I started out with the tutorials, which didn’t seem that helpful, so I moved on to setting up a profile. It asked me to connect my phone, so I toggled the Bluetooth on my Samsung work phone (another piece of equipment I’m still trying to work out) and paired them. To my delight, the screen then paired with my phone and the Google navigation map was suddenly there, on the screen in the van.
I had managed to switch from Classic FM to Smooth Radio in the morning and for a few minutes, I drove blissfully through the heart of the Dales guided by an easy to follow map, with Berlin’s Take My Breath Away soothing my ears. It was lovely until I glanced at the dashboard to check my speed and saw the figure 80. For a second, I felt consternation. It was only a small road. How could I be going so fast without realising? My brain then connected the dots and worked out that my speed wasn’t the problem. The switch to my phone had somehow changed the dashboard from mph to kmph. I drove on for a few minutes, thinking I could manage. 80 was, I knew, 50mph as that was the national speed limit in Norway, but as I entered a village and it quickly moved to 40, then 20, I realised I was going to have to try to work out how to change it back.
Of course, many computer complications can be sorted out by asking Google how to fix them. Back on my trusty Apple phone (I know how to work that one) I quickly found out how to toggle from km to m, but by the time I’d done that, somehow Smooth Radio was gone and I was being offered a podcast called “Democracy Now”. This wasn’t quite the soothing background sound I was looking for. It was around this time that Eleanor (Inchcolm’s receptionist) called me and asked me if I could do a farm visit in Jedburgh on Monday. After mentally adjusting my calendar again (no point in going north, only to drive south again) I agreed and the call ended.
Eleanor then sent a message with the details, and it was at that point that the van, or maybe the Samsung, started talking to me. Its offer to read me the message didn’t go that great. After I’d agreed to hear it, it told me the message consisted only of a photo. But while it was listening, I thought I would seize the moment, so I asked it to play Smooth Radio. It agreed that it could carry out my request, but asked if I wanted Smooth Radio via Spotify or YouTube or various other channels I’d never heard of.
While I was still contemplating the idea of listening to Smooth Radio through Spotify, the conversation ended and by the time I spoke to the van (or more likely the Samsung) again, it had stopped listening. I carried on through various picturesque towns, such as Pateley Bridge and Grassington. Their narrow streets required all my concentration anyway. It was only when I passed by Airton and got out onto the open roads of the moors above Settle that I decided that, rather than trying to get Smooth Radio via Spotify, I could go directly to Spotify itself and play something I really wanted to hear.
There were some risks in that. On several occasions, while trying to adjust things, I had lost the reassuring map, but realistically at this point, I probably knew the way home anyway. And so, as I drove across the wonderful moor, with its Highland cattle and vistas over Wharfdale and Ribblesdale (I think – sounds Herriotesque and therefore good anyway) I did so, with map intact, listening to Lewis Capaldi’s, “Stay Love,” a wonderful return to form from him, that perfectly suited the scenery.
Anyway, it’s time to go now, but I will leave you with some photos from yesterday’s journey. Thanks for reading and I hope you have a good week.
I was bursting with excitement when I wrote my last post. So much so that this week’s might seem flat in comparison. It’s also lacking in food photos, though we did have KFC last night, which was delicious, but not very photogenic.
I was planning to go to Dumfries today. It feels rather odd to have deserted my little witchy house for so long. I’ve bought flowers in pots and a couple of shrubs for my recalcitrant ground elder flowerbed and the lawn must be getting overgrown, but I’ve chosen to stay at Valerie’s in Airth, partly because it’s more restful and partly because it’s a long drive, fuel is expensive and I’m whacking miles on my car like never before with a thirty minute daily commute. There’s a reason I bought a house four minutes from my previous office.
Last weekend, Mum and I finally got her old house into shape for selling. The garden still needed a tidy and some cleaners were going in, but all the boxes were cleared and it all looked neat and in good order. As we stood in the kitchen at the end, I apologised to her and said I hoped I hadn’t made her feel too hen-pecked. She told me that conversations among her generation frequently included comparative discussions on how much their offspring heckle them. Apparently I was relatively moderate! Who knew?
I did find the energy on Sunday morning to take Triar out from the centre of Settle and up through the steep lanes and picturesque cottages to the edge of the fells. The photo at the top of the page is from that walk. It was a beautiful morning.
Work has been all about paperwork this week, with no new flights of fancy. I have courses to do so I can be an “Official Veterinarian” – ironically some of it is the kind of work I was doing at APHA where I began doing that work before I had any qualifications. Yesterday morning, realising my Avian Influenza (AI) course had expired quite some time ago, I pinged off an email to the OV team, then received a phone call to say I couldn’t retake the course because I would have to sit the Essential Skills course.
I was confused by this news. I completed Essential Skills in November 24, a year into my two and a half year APHA career. Before that, I had what were called, “grandfather rights”, which meant that, in essence, APHA accepted I had enough experience to do the work without having completed the course. The qualification has to be repeated every four years and therefore runs out in November 28. I have already signed up for three export courses, in my new job, that I can’t use without it because I don’t have an OV stamp. I had the APHA equivalent, but handed it back on leaving.
I queried it. Of course I did, because it’s insane! I’ve actually been doing AI work at intense APHA, report case levels. I was told that a Vet Lead would have to be consulted. I asked if it would be one of the Scotland Vet Leads, thinking I could simply call one of them and ask them to confirm, but apparently it’s a special, OV Vet Lead, so I couldn’t. Maybe it’s some crazy idea, so a private practice can’t benefit from employing an ex APHA vet to do their OV work, but really? It’s not saving the public purse anything. I very much doubt APHA are about to be reimbursed for the unused two and a half years and for me, it will mean wading through around 8 hours worth of turgid information to sit an exam, which is often unrelated to said turgid information. At least it’s in English and not Norwegian, which is about the only good thing I can say about it.
I also spend some time editing the Broiler Vet Policy. Every one of our farms has to have a Vet Policy each year (to do with legislation – I must read that part again – good to know why I’m doing things). Having completed it, it transpires there is more than one broiler policy. That was the version for farmers in the Red Tractor scheme. There’s another for those without, and that’s before we get onto the pullets and layers and whatever other kinds of flocks we cover. It’s a useful exercise for me, and for the practice. I found at least one reference to 2013 RSPCA welfare standard revisions. The last revision was last year and I don’t know how many there have been in between, but it looks as if my editing and page-numbering skills, honed through writing Hope Meadows (and other unpublished work) will be almost as useful as my client and veterinary skills!
Monday is a bank holiday (hooray!) so next week is a four day week. I have to be in Dumfries on Thursday because someone is coming to fit carpets. I also have to pick up a painting I took for reframing, tidy the garden, move the remaining boxes upstairs and generally pick up the strands of my Dumfries life again, even if only temporarily. Life is rushing in unexpected directions at the moment.
I’m loving it here in Airth and Dunfermline. I currently can’t return properly to Dumfries for work as I still don’t have access to the practice database on my laptop. Nor am I completely sure which clients will be “mine” or how I will structure my visits. All clients need at least one visit per year, to coincide with the issuing of the Vet Policy, so once I have a list, I can start to work through that. Those visits will be done alongside any diagnostic visits, requested by farmers when there is a problem.
I did get some nice work news this week. The aggressive birds I visited last week have stopped pecking each other so much. Thanks go to Naomi for that one, with her excellent information on the destressing of high performance laying hens. I thought I knew quite a lot about bird welfare, but nowhere near what she knows. I love learning though, so by the time I take on a few more cases, I will have soaked up that information and will hand it out as if I’ve known it for years. Really, that is the core of successful veterinary work, at least in the farming sector.
Anyway, I will leave you with a picture of wild garlic, growing near my parents’ house. It appears to have outcompeted the bluebells and it’s almost as lovely, though the aroma is quite different! Thanks for reading and I hope you have a lovely week.
The remainder of my weekend in Armagh was very pleasing. Lara and I went to the Titanic Museum in Belfast. It would have been more enjoyable if six coach parties hadn’t been trying to look at the exhibits at the same time as us, but it was still interesting. They had all the witness statements from survivors on a huge wall. I only read a couple, but would be interested to read more. I expect I can find them somewhere online, if ever I have the time and inclination simultaneously!
In the evening, Lara introduced me to her pizza oven. Rather like the rambling, Victorian house, the garden and something I want to call the Mews (a lane round to some ramshackle garages – though those belonging to Lara and Mark have been rebooted, as it were) feel like a pleasant wander through a slightly overgrown past. The neighbours garden is filled with forget-me-nots. The yard where the pizza oven resides is overlooked by vines growing up the ancient wall and an apple tree (I think) festooned with multicoloured Christmas lights.
The blue door in the photo, as you might expect, leads to a room with a drum kit and a jukebox. Up a vertical ladder, in the roof space, is a miniature cinema. What a delightful house to grow up in!
The pizzas were predictably wonderful. Lara and I had bought toppings on our way back from Belfast. I’d suggested blue cheese with walnuts and honey, so with a creamy chunk of Cambazola and a handful of nuts, this one tasted wonderful.
More contentious, though equally delicious was the chocolate pizza Lara put together for dessert. She tells me she had to perfect the technique, which involves partially cooking the base first, then adding Nutella and chocolate, cooking some more, then adding the marshmallows for a final toasting. The result was a wonderful, melting concoction, not too sweet: utterly delicious.
I returned to Airth on Sunday night with a promise that I would return. Lara is arranging a McGonagall night as a kind of Scots Poetry balance to Burns night. I agreed to do a reading, though I will probably want to go with one of the more traditional Silvery Tay poems.
Sunday night was also punctuated by an unexpected call from my new boss, Eduardo. I told him about blogging yesterday afternoon and his response was, “Make me famous!” He’s kind of the opposite if a shrinking violet, so that wasn’t too much of a surprise. He cautioned me about client confidentiality and I assured him that I understood and respect that concept completely. Anyway, back to Sunday night.
He texted me just as I was leaving the airport, asking for a chat about Cumbria. I wanted to drive back with a clear mind, so I drove all the way to the edge of Airth, then pulled into the road to Airth Castle and called him. With hindsight, I think he was hoping I would volunteer to do it myself on Monday, but I missed that nuance and we discussed possibly going together on a different day. Anyway, a few seconds after ringing off, I got a text asking me to go solo. Slightly daunting I thought, but never having been one to shy away from a challenge, I agreed to meet him in the morning at the practice to collect kit and discuss approach, then I would do the call in the afternoon.
So much for all the promised training and expected introductions. First flights are always an adventure. I looked at the chickens, then carried out some post-mortems. It involved a lot of glove changes as I was taking photographs throughout. The liver and kidneys looked very odd, but I didn’t know what that indicated. I have a lot of useful and relevant experience, but once I was finished, I had to send the pictures to my other new boss. He asked me, “Do you understand what you are seeing?” Honesty is always the best policy, so I simply said, “No.”
Apparently my distinctive photos were enough for distance diagnosis. The birds had adenovirus. Back at the office, a treatment regime was assembled and sent out, while I washed my hands on the farm and discussed the fact that I would find out about cleaning regimes (and adenovirus) and would get back to them with the information the next day.
I learned a few things that day, other than about adenovirus. The most obvious one was that medicines are sent out from the clinic at around three thirty in the afternoon, so if I want farmers to get their treatment the same day, I either need to correctly predict what I need and take it with me, or I need to complete my visit before the three thirty deadline.
I must confess that, on the way back up the road, I sighed rather as I passed Gretna and realised that, instead of the thirty minute drive home, there were still two hours of motorway driving ahead of me. I sent Valerie my ETA and drove on.
Speaking to a friend on Tuesday evening, we discussed the fact that, in so many jobs, thorough training is offered along with mentoring and introductions. What actually happens is that something crops up and you are asked to go out because it’s busy and afterwards, there is no reversion to the plan. Once you’re out there, that’s it. This prediction proved correct as when I went in on Wednesday, I was asked to go out to two more cases. I can’t say I have any regrets. At 23 years old, the first time I stepped solo into veterinary work, I didn’t know if I would cope. At 57, it’s difficult to hold me back. I love fieldwork and I learn by doing. I’ll not forget what adenovirus looks like, which is just as well as I saw it again on Wednesday. There’s still a long way to go, but I love the journey. A steep learning curve (and the expansion of the mind that accompanies it) fills me with joy.
On Thursday evening, after a twelve hour day on Wednesday, I was exhausted, but Valerie persuaded me out for a fish and chip supper beside the cherry blossom trees in Dollar. What a magical evening, sitting on a picnic rug, shaded by trees, listening to the calming flow of the water.
Back in the office on Friday, I also told Naomi and Eleanor that I write a blog. They agreed it was fine with them. They’ve made me feel wonderfully welcome, so I’m glad it’s okay. There are a couple more people to ask, but hopefully I can do that next week. Naomi, as well as being a whizz on the topic of stressed hens does Fat Friday in the office. The photo at the top of the page was yesterday’s loaded fries. They were indeed, extremely loaded, as you see! I showed Val the picture and she says I have to order some and bring them back to eat one evening. That will definitely not be any hardship (assuming they do food in the evenings).
Anyway, after all that food, I’m looking forward to a weekend in Settle. Who knows what that will hold. In the meantime, thanks for reading and I hope you have a good 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!
A Vet’s Life 