Tag Archives: Jan-Arne

Wivipedia

Nicknames are strange things. Sometimes when you meet people, something just clicks. Scary Boss Lady and Magnificent Magne have had their names almost from the time I started working at Tu. At some point, even though I have never mentioned it in this blog, Jan-Arne has become The Whipping Boy in my head. Obviously this has all to do with the fact that I took my whip into work for Irene to use when he wasn’t calling his prescriptions through to the pharmacists and nothing at all kinky. After all, that would be a little bit crudie, and we have already established that I am rarely that. However, Wivek has very kindly outed herself this week with a new name. Marita came into the dental room to ask Wivek a technical question, and I was already there asking Wivek a technical question. Following a short and hilarious discussion about how everyone was always asking Wivek technical questions, she announced that from now on, she would be known as Wivipedia. If Scary Boss Lady is the tag we are using at the Christmas Party, then Wivek has surely earned herself a new tag as well.

I also finally caved in to the pressure bit the bullet this week and told Dagny that I would begin to work on Fridays after the New Year. As a veterinary surgeon rather than as an assistant. Oddly enough, after being so keen, she suddenly seems to be panicking about whether I will manage or not. I don’t really have any qualms on that front. After all, I’ve done it before  for years and years and at some point it did stop scaring me, and that confidence seems to have returned. The language barrier might cause a few problems, but so far when I’ve been left to it, it’s not as difficult as it seems when I’m thinking about it.

As it’s been a bit quiet this week, I have spent some time in other people’s consulting rooms (thanks Wivek and Jan-Arne for putting up with me) mangling their computer systems and generally muddling things up. It is interesting (though I can’t say it surprises me) that Wivek plays the computer system as if it is a Stradivarius violin, whilst I’m still plucking away on an ancient school instrument with a chipped veneer. The system is not at all instinctual. There are random buttons for all sorts of things scattered all over the screen, so to perform any particular function, you have to know where the correct button is. Even if you manage that, there is normally a pop-up box which asks if you want some modification. They are all in Norwegian, which would be fine if they said “Save” or “Are you sure?” Unfortunately they say things like “Are you treating this in reception with a new appointment and ten prescriptions?” or “Will you add some fishcakes to the filing system?” ( I suspect I may have got that slightly wrong, but that’s about how much sense they make for me) and so even when I triumphantly click on the correct function button, I end up confused again. Still, there are a few weeks to go before I have to go it alone, and even Jan-Arne tells me that Irene had to keep correcting things for him in the first few weeks, so maybe she can do the same for me.

This weeks picture features Marita as she is cleaning Luke’s teeth. Luke is a gorgeous little Pomeranian… with lovely clean teeth. Smile for the camera Luke!

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Ye Crowlin Ferlie

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

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

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

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

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Julebord

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

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

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

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

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

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

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

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

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

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

Irene, effortlessly glamorous.
Irene, effortlessly beautiful.

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

 

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

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

Suspicious Boss Lady.
Suspicious Boss Lady.

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

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

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

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

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

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

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

Fest!

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

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

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

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

Pio
Pio

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

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

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

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

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

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

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

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

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

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

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

Benedict who?

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

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

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

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

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

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

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

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

‘Not very memorable then,’ I suggested.

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

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

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

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

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

 

 

Salmagundi

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

‘So how old are you now?’

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

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

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

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

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

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

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

‘What are you talking about?’ he said.

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

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

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

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

‘So I could.’ he said

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

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

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

‘Say it in English,’ I urged her.

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

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

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

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

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

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

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

 

 

 

 

 

Belated Bacon Powder

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

In Which I have to Speak Norwegian.

So it’s been an exciting week for me on two fronts. Firstly on Monday, I was lucky enough to spend a day out with Åsulf from the large animal practice, and second, I am now officially employed by Tu Dyreklinikk as a Veterinary Surgeon and not as an assistant. Of course, the terminology might be confusing to those who work in veterinary practice in the UK, because there my official title was always “Veterinary Assistant” because that is the normal term for vets who are not partners. Anyway, I feel very proud of my new role.

Mostly the transition has gone smoothly. I have handled consultations before at times when things have been especially busy, or clients have arrived unexpectedly, so it wasn’t wholly new. But like most people I find any kind of change comes with a degree of uncertainty. My mind was distracted doing my assistant work in the morning (I start consulting at twelve) as I contemplated the cases I was to see later. Indeed I had a particularly embarrassing moment when I started to shave a dog’s leg for a cruciate operation. Unfortunately, with my head wrapping itself around the potential complications of a male dog who had blood in his urine, I started to shave the dog’s hip instead of the knee. It suddenly came to me, about two clipper strokes in, when the damage to the coat was so great that there was no way to hide it. I contemplated just shaving a massive area off to try to cover the error, but it would have been obvious, and so I had to crawl red-faced to Dagny and tell her. Happily she just laughed, although she did toy with me evilly when she came through by suggesting that I had shaved up the wrong leg. I was very restrained though. Even after she carefully aimed a spurting artery at me in a later operation, I refrained from trying to drop sharp scissors into her toes.

One of the conditions of my change of employment is that I am strictly to speak Norwegian at work from now on. Although I had started out well, I had fallen into the easy habit of speaking English most of the time with my colleagues, although to clients I have always tried to stick with Norwegian unless they have indicated that they want me to do otherwise. Naturally though, Dagny’s is very concerned that the practice’s clients are satisfied with my performance, and therefore she did spend some time with a very serious look on her face urging me to always speak Norwegian to the clients.

On Tuesday then, my appointment list was full. Happily my first client was Kari-Anna, the nurse who is on maternity leave, and her dog was in for a blood test, so that was pretty much stress-free, as was my next case which was a cat with a cut on its neck whose owner had left it for examination, so there was no owner, no history to take, and until the owner returned, no discussion at all. It fell therefore, that my first genuine official client was the owner of a dog that had been in a fight and had a wound over its eye.

Gerd brought the owner and patient through, and as I led the them into the consulting room, the owner said to me

“It’s okay if you would rather speak English.’

With Dagny’s dire warnings about language still ringing in my head, I replied in Norwegian that it was quite alright, and if it was easier for her, that would be fine. She started to laugh,

*I’m actually from Scotland,’ she announced, and after that we got on like a house on fire. I really hope that she will ask to see me if she comes back in.

Thursday was a little less busy than Tuesday. Today’s photo is of Trøffen, who came in to have a cyst removed from his head. Wivek was operating, and she called me through to the consulting room before she started to check with me whether I felt that she would be able to bring the skin together on his head if we removed the rather large lump. Trøffen is only eleven and a half though, and the cyst had already been emptied and had refilled, so there was a risk in leaving it as it might have become bigger. She decided to go ahead, and as you can see, she has done a beautiful neat job. Trøffen is a really lovely cat. Indeed I’m finding great pleasure in working with so many cats. Both Jan-Arne and Magne prefer dogs, and so I like to help out wherever possible. Magne was really impressed with me yesterday, when having easily taken a blood sample from a patient that has not always been wholly compliant, I also managed to give it a worming tablet. I guess I’ve always been fortunate, as most cats seem to like me as much as I like them.

The day out with Åsulf though was a revelation. It was utterly delightful from start to finish, even though the first visit was to a pig farm, and because of the way pigs smell and squeal, they have never been my favourite patients. I was very impressed though with Åsulf’s injection technique. He made it look easy, when experience has taught me that really it isn’t. As we went around, checking calves, examining cows (and yes, I did have my hand up a few cow’s bottoms) I felt completely at home. It just seemed so natural, and I really felt I could just slide right back into that way of life. It’s very different from small animal practice. And for the first time, I found I had very little difficulty with the language. For the first time, I felt that at some point in the future, it might not be impossible for me to work with production animals again. Anyway, for the moment I will continue with improving my Norwegian, and maybe I will ask Jan-Arne if I can go out with him again one Monday, as he now works there one day a week. Who knows. I might even be able to teach him something.

 

 

Happy Birthday

Tomorrow is Jan-Arne’s birthday and at nine o’clock this morning, I received a message from Wivek to say that she and Marita were planning a special lunch for him at the clinic. I immediately wondered how I could contribute, and after some careful questioning, I managed to ascertain that whilst the savoury food was all planned, they were lacking a coherent cake strategy. Armed with only butter, eggs, flour sugar and cocoa powder, I began to throw something together. Luckily I also found some decorations hiding in my cupboard and so with only moments to spare, I made it in on time to join in. The other food was delicious. Marita had baked the most fantastic focaccia and aioli, and Wivek had provided a wonderful chicken salad. Somehow or other, I failed to take a decent photo of either, which is not like me at all. Like many food worshippers, usually I can’t resist taking photos of beautiful meals. Still Jan-Arne certainly looks happy.

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Last weekend, Tu Klinikk held its first CPD weekend on the subject of anaesthesia. CPD is vetspeak for Continuing Professional Development and in the UK, all vets are required under their agreement with the Royal College of Veterinary Surgeons to do an average of thirty five hours each year. The requirement in Norway is not quite so stringent I understand. More a recommendation rather than a requirement, as it was in the UK until only a few years ago.

Anyway, the subject of the weekend was anaesthesia. I confess I was delighted by this as I have spent a good part of the year working as anaesthetist for Dagny and Magne. It is unusual outside of the universities for vet practices to have a dedicated anaesthetist who is a fully qualified vet. Generally the vet who is carrying out the surgery also technically oversees the anaesthetic as well, and the patient is monitored by a nurse (or more rarely, an assistant). I find it very rewarding to have a ‘specialisation’. The lectures were in Norwegian (the lecturer came from Oslo). In the morning this was fine. I found I could follow quite easily, though my one-cylinder brain stopped translating as soon as I tried to write anything down so I had to make do with listening very carefully and plucking at Wivek’s sleeve at the end of each section for the bits that I knew I should have noted down, but didn’t manage.

I also managed to answer some questions that the lecturer posed about anaesthetic circuits, though slightly to my chagrin, I had to answer in English. I still don’t actually know how to say “one-way valve” in Norwegian, though as Wivek already laughed at me for my translation of “gas-flow rate” on my poster in theatre, I should have remembered that I really didn’t have to translate that one, other than adding an extra “s” onto the word gas. Just to make it more Norwegian you understand.

On my return to the practice on Tuesday morning, I discovered that Dagny and Magne had invested in some lovely new kit in the form of a drip driver, an infusion pump and a new oxygenation unit, so we will be able to make some positive changes to our anaesthetic regime. Whilst I fumbled through the set-up on my first run-through, it was obvious that Tornado Tawse already had everything running as smoothly as a weir in high summer. I only wish I could make everything look so effortless.

Infusion pump and syringe driver.
Infusion pump and syringe driver.

Wivek, true to form, was the first to use the new anaesthetic kit, putting her first heart-murmur dog on a propofol infusion. Like Jacqueline, she too seemed perfectly calm and utterly self-contained. I must say I was relieved when she confessed to me later that she thought that her own heart was hammering away far more rapidly than the happily anaesthetised patient.

Feeling that I had to make some contribution to this wonderful new era, I managed to create two pages of flow rates for ordinary surgical patients and shock patients, but the final task I set myself on Thursday afternoon was the rather complicated calculation required to work out the flow rate for post-operative patients where we won’t be using the drip driver. To give a brief oversight, you first have to work out how much fluid the patient will need in an hour. From that, you have to calculate how many millilitres will have to pass through in a minute. Then you have to work out how many drops that will be… and finally you have to split the minute into that number of drops so you can give a “time between drops” specification. Given that there are also two types of giving sets: one that gives 20 drops per millilitre, and one that gives 60, it is perhaps unsurprising that my brain came unstuck somewhere in this process and exploded messily all over the computer screen. Fortunately Jacqueline was there to clean up the vetty mess before anyone noticed. Just as well she’s as patient as she is efficient.

Happy birthday Jan-Arne.

Cake worship.
All hail the chocolate cake..

 

 

Jan-Arne and the Well Preserved Eye

Intravenous catheters can be frustrating things. When I was working in the emergency clinic, almost every patient we admitted had to be put on a drip, so back then I got quite good at inserting them. Nowadays it seems a bit more hit and miss. There’s a definite pattern though. If I’m on my own, generally I can get them in without too much problem. Under the benevolent gaze of Magnificent Magne or Jan-Arne, it’s usually not too difficult. But both Dagny and Wivek make the thing look so simple that I seem to go to pieces whenever they are watching. Dagny doesn’t even have to be watching. She only has to be in the room for the difficulties to take effect.

Early on Tuesday morning, Dagny had all her kit laid out for an operation and (tactfully) wasn’t watching me in my attempts, but stood chatting to one of the other staff. The dog was a dachshund, and its legs were so short, that even after I had shaved quite an extensive area of its foreleg, its body hair was so long that it obscured almost everything. With shoulders that were becoming decidedly tense already, I selected the smallest possible catheter and took aim. Slipping the stylet through the skin, I was encouraged by seeing a tiny droplet of blood moving up into the breach. Quickly, I slid the needle a nanometer further in… and the bleeding stopped. I had gone right through. Trying to keep my breathing steady, I withdrew a little, but it wasn’t to be.

I decided at that point upon a tactical withdrawal. Often it is better to start again with a fresh catheter, which can’t be blocked and hasn’t been blunted by its first traverse through the skin. Selecting a slightly bigger catheter (sometimes this works better as they are less flexible) I set the tourniquet back in place to raise the vein and once again tried heroically to keep the hair out of the way with the final two fingers of my left hand whilst still stabilising the vein between my finger and thumb. This time, the catheter went into the vein, but when I tried to slide the sheath down off the stylet, it just bent. Through all of this, Dagny had been carefully not watching, but I could tell she wanted to get on. I confess I was relieved as she finally elbowed me out of the way and did it herself. A few moments later, with the catheter triumphantly in place, she looked around for the laryngoscope so that she could put the tube into the trachea for the gaseous anaesthetic but it wasn’t there. Ever efficient with her cleaning, Irene had already tidied it away.

A little later, and another dog, this time a little pug dog (or mops, as they are called here). This one was having its corneas treated with the cryoscope. Marita came into the room and began to ask Dagny about the freezing effect, and how strong it was. Ever the scientist, Dagny thought it would be a good idea to try it on herself. She held it against the back of her hand for a moment.

‘It’s not sore,’ she announced airily, and moved the tip to a different place with a smile.

‘Ouch!’ A moment later, she was staring at a white mark on her skin- ‘Okay,’ she admitted ruefully, ‘Maybe it does hurt.’

Jan-Arne managed to injure himself this week as well.  On Wednesday, he had taken a biopsy and opened up the small container filled with formaldehyde that would preserve the sample while it was sent to the laboratory. With an aim that he presumably couldn’t recreate, even if he tried, he managed to drop the sample into the pot in such a way that some of the formalin splashed up into his eye. After much salt water washing, he was packed off to the doctor’s to get it checked over. Fortunately there was no permanent damage.

He has though, been evilly trying to tempt me with birthday cake all this week. He brought in the leftovers on Tuesday. Heroically I managed to resist. I’m not really sure how many birthday cakes one person needs, but he seems to have been very well supplied. Then again, he’s so generous to everyone that he deserves good things in return.

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The remnants of the cake were still there on Thursday, but I confess I found it much easier to abstain. Also, someone had brought in a pack of freshly baked boller. Boller are widely available in Norway. They are a kind of sweet bread roll or bun, often with raisins or chocolate chips inside. These ones had bits of Smash: chocolate with caramel and salt. After taking one and eating it, Irene announced that she had discovered a new taste sensation. Jan-Arne and I, both foodies, were looking at her very intently.

‘I had a piece of the boller with a bit of cucumber,’ she said, with wonder in her voice. ‘It was lovely.’

There was wonder in my head. Specifically I was wondering whether such a combination could possibly be delicious or whether Irene had finally lost the plot. I hadn’t come this far with my resistance to eating extraneous sweet things lightly however, and somehow I managed to curb my enthusiasm towards this idea.

‘You could design a new boller,’ Gerd offered. ‘An Agurk Boller.’ (Agurk being Norwegian for cucumber).

‘A Cucumboll?’ suggested Marita.

‘What’s English for boller?’ Irene asked.

‘Bun,’ came the reply.

And so the CucumBun was born. At least it will be, when someone takes the time to make it.

 

Todays picture is Chika who was in for her first vaccination.