Tag Archives: Magne

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.

Waltzing along

This week’s blog is going to be brief. Not only are we off to Scotland tomorrow for a wedding (Charlie has spent the last three hours on the computer writing his best-man speech) but also due to the impendingness of next week’s surgery, my brain has become as flaky as a West Highland White terrier with atopy.

Dagny’s neighbour Matilde has been in doing work experience this week. She has amazed me with the way she mucks in and helps with clearing up and holding things. I confess that when I was 14 or 15, I would probably have been too scared to touch anything without being specifically asked. She has also been with Dagny and me in the operating theatre watching some quite gory stuff. Again she impressed me by looking on with interest as Magne wielded his bone drill, rather than horror or faintness.

Of course, even my initial interaction with her showed signs of my erratic brain. I asked her on Tuesday morning what her name was, and completely forgot to tell her mine. Fortunately Dagny was there to remind me. I was trying to remember though, how introductions tended to occur back in Scotland. Here in Norway, it is a very set thing that when you meet someone new, you shake their hand and introduce yourself. Whilst this is probably very practical for most people, my available memory is now smaller than that of a fifteen year old laptop so within three seconds I have forgotten. Still, I suspect in Scotland that there might have been occasions when I could get through a whole week of work-experience student visits without them ever knowing what I was called. If they were lucky, the receptionist probably told them. Despite the readiness of the words “Sorry,” and “Thank you” on my lips, I fear that the reality is that I am just terribly rude sometimes.

Still I have been pleased to go into work this week. The (probably unwarranted) adrenaline flow over next week’s tonsillectomy has made me jumpy and there’s something reassuring about arriving in the morning and going through the consulting rooms to check the drawers whilst automatically assessing how many surgical kits are awaiting assembly and whether there is enough distilled water. Routine is my friend. As are Irene, who noticed I was quiet and gave me a hug, Wivek who is driving me to hospital next week, Marita who helped me with a dental this afternoon, Dagny, who told me to take the rest of Tuesday off after I have been for pre-op blood test and check-up, Jaqueline, who volunteered to speak to the owner of the dental so I could go home and Jan-Arne who made me laugh when I walked into the changing room and found a cuddly man there dressed only in a pair of stars-and-stripes boxer shorts. How lucky I am.

So I’m not sure whether there will be a blog next week. I will be in hospital overnight from Wednesday, hopefully home Thursday. Who knows, maybe something will happen on my ward that is so ridiculous that I can’t wait to share it with you. Au revoir mes amis. See you all soon.

 

This week’s photo is of Mika, who had been managing to lick his stitches. Hopefully his new, larger buster collar will discourage him. He is just as cute as he looks!

Touched (in the Head)

It seems like an age since I have written here. In my last post I was about to head off to Scotland. That weekend already feels like a distant memory. It was a wonderful wedding. I won’t share all the details, but just as a random sample of how great it was, here are some photos of the venue and the  wedding cake.

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The day after I returned was a whirlwind of hospital appointments and seeing Charlie off to the airport and then suddenly it was Wednesday and time for my operation. Wivek very kindly drove me to the hospital, and to my surprise (and relief) rather than dropping me in the car park, she accompanied me up to the ward, helped me find where I had to go and then waited with me until the nurse arrived. I was bundled into a bed and given some pain relief. I don’t know what it was, but somehow I managed to fall asleep and they had to wake me up to take me into theatre.

I came round a while later to be presented with some ice-cubes to suck. These were oddly soothing, but there was a horrible taste in my mouth and I remember a strange moment of overwhelming gratitude when the nurse came over to me proffering a lurid pink and yellow ice lolly.

At some point I was reunited with my mobile phone and it struck me that it might be a good idea to let my nearest and dearest know that I had survived. Having sent a boringly factual message to Charlie, I then concluded that I should also let Wivek know. I’m not sure what kind of madness seized my brain at this point. Rather than repeating the factual tone, my fingers sketched in the abstract statement ‘Ice-cubes are my friends.’ At least I think it was something like that. Having typed this gibberish, my clouded brain then decided it would be a good plan to include Dagny and Jan-Arne. To their credit, Dagny and Wivek just wrote back saying they were glad.

Jan-Arne however was obviously confused. Unlike the other two, I suspect that he didn’t have my number programmed into his phone, and faced with some random babble about ice-cubery, he rapidly texted back ‘Que?’ Followed by another message saying ‘Who is this?’ When I let him know it was me, he decided to call me. Goodness knows what I sounded like with a swollen throat and a brain filled with opiates, but it was lovely to hear his friendly voice.

At some point, the surgeon also very kindly visited to let me know that although they wouldn’t have the definitive pathology back for a week or so, there had been no sign of anything severely wrong with my tonsils. As the reason I skipped the waiting-list was that there was some concern over my history of melanoma, this was an enormous relief.

Anyway, my two weeks off raced past in a blur of writing (trying to get Ready. Vet, Go edited in time for a summer onslaught of literary agents) and Come Dine With Me on the TV. In defence of my (appalling) taste in TV programmes, I must say that I only watch such drivel when my brain and body are drained.

And so yesterday, I returned to work. I had been there less than an hour when I began to feel shaky and exhausted. Somehow, everyone but me was swamped with work and this was doubly frustrating as a vomiting cat had been booked in for me and left by the client, and despite having time to spare, without another pair of hands, I was unable to examine it. In between flurries of washing, topping up and resetting the haematology machine, I spent quite a while sitting in the lunch room feeling utterly drained, mentally and physically. I struggled most of the day, both with my veterinary work (thanks are due to Wivek and Marita, who very patiently helped me with each and every case) and with my Norwegian. At one point, I saw a very stressed owner whose dog had been hit by a car. Whilst my emergency-clinic primed brain was still ticking over well enough to asses the dog,  I struggled so much with explaining the concept of keeping an eye on the dog’s breathing that I was worried that I wasn’t managing to reassure the owner well enough that she could cope with monitoring the dog for the rest of the day.

I was also still horribly aware of the poor cat which was awaiting a full assessment. I had checked him out and put him in a comfortable kennel with some water so I knew his condition wasn’t critical, but as soon as Jacqueline had arrived, Magne had rushed her in to help him in theatre and I was beginning to wonder whether I was ever going to get a chance to examine and blood test him. I think the emotional roller coaster of the past few weeks was taking its toll, because there were moments when without logical reason, I found my eyes were suddenly threatening to overflow. It’s a long time since I have felt so oddly helpless.

Still there were a few lighter moments which kept me from being overwhelmed. Marita had two cats booked in for clipping and grooming under sedation. She appeared in the prep room clutching the wrong end of one of those evil plastic aprons that come in a roll and from the quizzical way she was examining one of the side tapes, I could tell that she had no idea which part of the thing she was gripping. It became apparent to me at this moment, that despite the fact that most of the logical and language sections of my brain were running on empty, spatial awareness was still fizzing away in a miasma of over-efficiency. I took it from her, tore away the throwaway sections and handed it back to her the correct way up.

‘What kind of IQ do you need to sort out one of those things?’ she asked, rolling her eyes.

‘Not very high,’ I responded. ‘After all I managed it.’

I think this probably demonstrates just how disconnected my brain was. Fortunately, instead of thumping me as I deserved, she just laughed and fixed me with a fake glare.

‘So are you saying my IQ is really low then?’ she demanded. In response, I just grinned rather weakly.

After the road-traffic-accident dog, I managed to snaffle Jacqueline to help me with the vomiting cat. Having tried unsuccessfully earlier to take his temperature on my own, I finally managed it with her there to help. Logic however, had deserted. Somehow I had forgotten  it might be better to blood test him first before winding him up by inserting an object up his bottom, however fortunately for me, despite turning into a wildcat with the thermometer, he reverted to sweet pussy cat while I wielded the syringe to take blood from his jugular.

Time was going on, and we were broaching the Thursday communal lunch hour. There was no meeting as Dagny was absent, but people kept urging me to come and get my lunch. Thinking that this was mainly out of concern for my health, I stubbornly sat and waited for the cat’s blood test results, and when they came through, I burrowed my head in a laboratory book to check the significance. I think I had been once or twice into the lunch room. I had started to prepare my lunch and was frankly oblivious to what was going on around me. Suddenly someone started to sing ‘Happy birthday’ and I finally looked up from my book.

‘Whose birthday is it?’ I asked.

‘We’re singing it for you,’ they replied.

I confess that, at this point, I was a million miles away, utterly disconnected from the clinic and wishing I could go home.

‘It’s not my birthday.’ I said in grumpy confusion. There was a rather long silence, filled with suppressed giggles and when I finally managed to reconnect my brain, I realised they were all  glancing between me and some stunning flowers rather obviously placed right in the middle of the table.

‘They’re for you,’ they said. The message on the card welcomed me back and said they had missed me and it was signed by Irene, Wivek, Jan-Arne, Jacqueline and Marita. Suddenly my eyes were filled with tears again, but happy ones this time. This was a gift from my friends, not an official token from the clinic and that meant a lot.

Finally, as I was leaving, Jan-Arne came up and gave me a huge hug.

‘I really missed you,’ he said. ‘It just isn’t the same when you’re not here.’

Magne appeared in the passage behind him and said something, at which point Jan-Arne went over and offered to give him a hug as well, but he was humorously rebuffed. For a moment, I considered giving Magne a hug as well as I suspected that might have been more to his taste, but somehow at the last minute, we both lost our nerve. Instead he patted me rather awkwardly on the shoulder and told me how glad he was to see me back. Despite the fact that yesterday was my worst day at work for a very long time, I am  very grateful to all my colleagues for their obstinate insistence (despite all the evidence) that I am lovely.

Spray that Again

Holiday season has begun. This week Scary Boss Lady was off for her summer break. Just in case we were thinking of having a wild party with the Dechra rep who had made an appointment to come and tell us about their range of skin products, she left her daughters Ena and Sara in charge. Tornado Tawse was also presiding over the nursing duties and therefore the whole clinic was a hive of efficiency. Four pallets of pet food arrived at lunchtime on Thursday and within about ten seconds, the entire delivery had been redistributed onto the shelves. Before I knew it on Thursday, all the rooms had been cleaned. Luckily Gerd and Irene had booked me in some cases to see, otherwise I might actually have been at something of a loss for what to do.

One of the cases was desperately sad. A cat had been attacked by a dog and its injuries were serious enough that it had to be put to sleep. There was a little girl there. It is so difficult watching a child having to say goodbye to a loved pet. At the other end of the spectrum, Magne and I performed surgery on a lovely Cavalier King Charles spaniel for pyometra (infection in the uterus). Without our intervention, she would very likely have died. It was a pleasuritself to operate with Magne. This is the second time we have worked together on an uncomplicated pyometra and everything just clicked into place both times. It’s a delicate operation that requires nimble fingers and great care and the process itself was intensely satisfying, but the end result, when the dog comes round safely and greets its owner is the best feeling there is.

Due to the efficiency drive I mentioned above, I did have time to pop in and out of the dental room where Wivek and then Jan-Arne were working. Wivek was enormously helpful with the injured cat and so I was keen to do all I could to help her in return. Obviously she is much better than me at the actual work, but I was able to fetch things that she wanted. Jan-Arne was on good form as usual, telling me how simple Norwegian was. After all, he explained, there were very few words and some of them sounded exactly the same as each other. Prayers, beans and farmers are all pronounced in the same way, he said. At this point, he was about to set to with the ultrasonic descaler. His foot, he thought was not quite on the floor-pedal that operates it and so he reached out with his toe to pull it towards him. It was only when the instrument sent a jet of water right into my mouth that he realised that actually his foot had been on it the whole time. At least that was his excuse anyway. Personally I think it’s odd that that jet was pointed so accurately at my face. If I now come down with some awful cat-tooth disease, I know who is to blame.

The Dechra rep I mentioned at the beginning turned up late. He was meant to arrive at two thirty with lunch and so by two thirty five, everyone in the clinic was sitting in the staff room with bright expectant faces. For some reason, he had called into the clinic in the morning with boxes of sweets for everyone and as the clock ticked onwards, it seemed more and more likely that we were actually going to lunch on forty eight chocolate hearts and seven slightly-worse-for-wear grapes that someone had found lurking at the back of the fridge. However, at three pm, he finally arrived clutching a bag of seven enormous sandwiches to be split between the eight of us who were present. Looking around the table for someone to deal with this delicate situation, Gerd, officially recognising my superior surgical skills asked me if I could dissect each baguette into two. Sadly nobody had thought to tell the rep that Jacqueline was vegetarian and so she was left removing pieces of chicken to leave her with a lettuce and dressing salad. Hungry as ever, Jan-Arne demanded that she hand over the meat. Oddly though, when we later offered him the massed bits of cucumber, mayonnaise and chicken that had fallen from Ena’s sandwich and the slice of lemon that I had removed from mine, he seemed strangely to have lost his appetite.

The afternoon ended with Jaqueline delightedly swapping her Toffifee pack for a box of Sara’s chocolate hearts. Rarely have I seen such a pleased look on her face. Magne had to make do with the enormous pile of leaflets and pamphlets that the Dechra rep had left. For some reason, when I suggested he could take them home for a bit of light holiday reading, he seemed less enthusiastic. Anyone watching might easily have been fooled into thinking that really we clinic staff were actually more interested in the food than in the important information about what drugs the man was trying to sell. As if we were both hungry AND shallow people. Obviously though, as all of you kind people that read my blog know only too well, that could never be the case. Thanks for reading.

Today’s photo is Billy, who was in to see Wivek for some blood tests.