Tag Archives: pets

Unwanted and Underwhelming Events

Blog, Scotland, The Vet Who Came In from the Cold, Vet, , , , , , , , ,

One of my bitch spays bled on Monday. I had operated on her in the morning and was consulting when she was checked with ultrasound and taken back into theatre. Obviously these things are terrifying for the owner, but they are awful for the vet too. Which part of what I did went wrong? Will they find work so bad that they won’t feel safe with me working here? Will the poor animal die? It’s all my fault…

The realization that she was bleeding internally was also so late in the day, that I had to go home without knowing the outcome. Thankfully, the lovely vet who did the second surgery let me know just before 9pm that the bitch had been transferred to the overnight vets, so she had obviously survived the operation and was fit to be transferred, but I still didn’t sleep well.

I guess this is a particular peril of returning to something I haven’t done for a long time, but I have received incredible support from all the PDSA staff, as well as a vet friend. It was a very large dog and a breed which, so my vet friend tells me, are very prone to bleeding. To understand more, when vets do a spay operation, it’s necessary to tie off the fairly large blood vessels that supply the ovaries at one end of the uterus as well as the ones that supply the cervix and the uterus itself, at the other end.

Tying off the ovaries can be difficult because they are tied to the body wall by ligaments that attach high up near the spine and kidneys. These ligaments mean that you cannot easily get the ovary up to where you’ve made the incision, near the navel. They can be stretched a bit, but that carries its own risks. Anyway you can probably imagine, it’s easy to tie a knot round something when it’s clear of all obstacles. It’s much harder when bits of fat and other abdominal contents are all trying to get in on the act. You can’t afford for any of them to be caught in your knot. Your knot also has to be far enough away from where you eventually sever the artery, and tied tightly enough, that it can’t slide off.

But from what I understand, the main bleeding was from the other end of the uterus, down at the cervix. My ligature was still in place. I had stitched it in. She just bled past it or round it somehow. She was also bleeding a lot from other places, such as the layer under the skin. Some times, that’s just how it is.

Fortunately (to my huge relief) she lived. I am very grateful to the vet and nurse team that recognized there was a problem and fixed it, but it has shaken my confidence. I did two spays yesterday. The first went perfectly, I tied everything off without problems and the abdomen was dry with not a trace of blood. The second, which I had expected to be easier, was actually more difficult and the operation took a lot longer. I have modified my ligature technique and have learned to tie a self-tightening Miller’s knot. Even with that, I still stitched up that second spay with trepidation, but she went home fine, at the end of the day.

With time, it will all fade, but I can still remember, with horrible clarity, back in 1992 when a bitch I was spaying because she had pyometra (infection in the womb) bled out on the table. That one was my fault. I didn’t have enough experience back then and should have made sure someone was assisting me. I did learn a lot that day and my record from then till now has been good, partly because I’ve been careful and partly down to luck. This time round, it was a combination of things, but mostly just unfortunate. I will learn and move on, but this is one of the things that makes being a vet hard.

I haven’t done much this week, outside of work. Looking back through my photos, I see I took one of Triar last weekend. It’s not one of my usual shots of his shaggy, smiling face. It’s a shot of the back of his head and neck after he decided to explore a bush in my garden. I didn’t know there was Galium aparine under there, but I do now!

I guess if you’re reading this in a distant part of the world, you won’t have experienced the eclipse on Thursday. Not that it was worth noting in Paisley! It matched my memories of the one in (I think) 1999, which was another partial eclipse where I was. I’m sure seeing the real thing, where the sun is completely obscured, would be amazing, but on both occasions I’ve experienced, all that happened was that the light went a weird, dull grey colour for a while and that was that. Polar night is much more interesting, though I can see, as with the aurora, why our ancestors might have marveled or been afraid.

I’m thinking of visiting Crookston Castle today, after breakfast out, probably at Harry’s Fuel Bar. Hopefully next week at work will go smoothly, though as I said before, the staff could not have been more supportive and I am incredibly grateful for that. I will leave you with a few more photos from Paisley, taken as I wandered at different times of day. The picture at the top of the page is a lion from the 2016 exhibition, “Pride of Paisley”. I see it every time we walk to the grass in the morning.

Thank you for reading. I hope you have a good week.

Scottish Lanes and Yorkshire Skies

Blog, Scotland, The Vet Who Came In from the Cold, Vet, Yorkshire Dales, , , , , , , , ,

It’s been a pleasant enough week back at work. I’m piling up cases slightly faster than I’m able to do the paperwork, but unless something urgent comes in, I should hopefully catch up with the ones I have next week.

Tuesday was spent training a new locum vet how to conduct a welfare visit. Wednesday saw me conducting a meeting with members of the local council. I work with two of them – Scott and David – on a regular basis and we get on well, but as with everything these days, it all has to be fully justified and written down. Thursday I tested a sheep for bluetongue.

And as all that was going on, all the cattle in my current TB breakdown were undergoing their first wave of testing. Until there are two clear tests, the cattle can’t be moved off the farm to another farm, so the farmer is essentially in lockdown. In the meantime, I have to dig into where the disease might have originated and where it might have spread to. All those animals will need to be tested too.

For now, I am actually on call. There are two “ready to go” vets in Scotland at nights and weekends: one North one South. I’m covering the South, so if any suspicion of notifiable disease crops up, or a welfare case that’s so urgent it can’t wait, then I’m the vet that will deal with it. I don’t know whether to hope something comes up or not. I still have to get my first report case (notifiable disease) under my belt, but obviously I don’t want any animal to have anything bad to crop up. We’re still on high alert for foot and mouth because of the European outbreaks.

After a long spell of warm weather, the pattern has now become more mixed, but Triar and I have been regularly walking down Blackbird Lane together. Well be walking there a lot today because I can’t go far from home in case any call comes in, but I want to get in 15,000 steps today.

I’m still keeping up with my WalkFit challenges and one of those is to do 15,000 steps three times in May. I’ve done two days already and this is the last day in May, so I’m going to go for it. My daily step requirement has stopped rising and is stable at 7,500 steps a day, which suits me for now. I often do more, but on bad days, I can still usually achieve that without too much effort.

There are sometimes cows in the fields lining the lane. I’m working on getting Triar to walk past them quietly. He’s always been something of a barker, but does respond well to bribery.

We did have something of an incident yesterday, not with the cows, but with water. He does love a paddle and there is a fairly disgusting, stagnant looking pool at the far end of the lane. Until yesterday , he had always ignored it, but yesterday he decided to jump in. Despite bathing him for about an hour when we got home, he still retains a definite odour of muddy puddle.

I’m going to finish with a few more photos of Yorkshire from last weekend. The picture at the top of the page was taken from my parents’ conservatory. The rest were taken while out with Triar. I do love a dramatic sky over stone walls and sunny fields. Have a lovely week all and thanks for reading.

Comfort

Blog, Scotland, The Vet Who Came In from the Cold, Vet, , , ,

To all those who disapprove of dogs on the bed, please avert your eyes! Triar was not only on mine this morning, but IN it, as you can see. It’s not as cold now as it was in midwinter, but he’s still much better than a hot water bottle in the depths of the night.

I am finally moving on from the horrors of the Farm of Doom. It has taken me all week to do the paperwork, but I sent the last lot in late yesterday afternoon and felt lighter for it. I will likely get it back for amendments (my new Veterinary Advisor is lovely, but the opposite of slapdash) but the hardest work is over. I have sorted out all the photos into different folders for different dates.

I think it will go to court, so I will have to prepare a statement, but I can face those images now, even if some still pain me to the point of tears. There’s always a great big Why? in my head as I contemplate these things. How did it come to that point? But I guess that’s also something I hope never to know, because I hope I would never reach the point where I could neglect a living animal without reaching out for help or ensuring someone else steps in, but surely everyone normal thinks the same?

On Wednesday, I was tired. Good sleep is still intermittent, but I went to a church meeting in the evening with the possibility of writing group afterwards. At the end of the church meeting, I decided I would drive home while it was still light. I was rewarded with a beautiful sunset as I drove back down the hill near Torthorwald and I stopped to take photos.

There was, I noticed (bottom right in the top photo) an old road sign, telling the distances to Dumfries and “Lockerby” so I took a picture of that too. It happens quite often when I stop to admire something beautiful, that I notice something else to enjoy, that I would otherwise have missed.

I was unexpectedly rewarded, last thing on Friday, with an early, negative test result (work related) which means that a large body of work I thought I was going to have to tackle next week is no longer necessary. There is still routine work booked in (another welfare follow up, but I know it won’t be harrowing) and evidence shuffling from the Farm of Doom. However, I will now (hopefully) have time to tackle a task I will enjoy much more – building towards a training module for an aspect of TB case handling.

Not sure if I’m odd, but I love writing Standard Operating Procedures or instructions that are clear to follow. It seems intuitive to me to explain things, step by step, in easy to understand language.

I had the experience in Norway of taking many courses and doing a lot of training. There are few things more frustrating than having to go back and listen to three minutes of semi-comprehensible speil attached to a PowerPoint slide, over and over to catch the last few phrases that were quickly slurred and not written on the screen. It means that training that should take twenty minutes, takes an hour. Working in a language that is not your mother tongue has many unconsidered complications.

As we have many new starting vets who have (as I did) done slaughterhouse work until their language skills improved enough to do something a bit more challenging, I think understanding that will be very useful.

Anyway, I suppose I should get up and do some painting. The new bedrooms are not going to paint themselves and work has stopped until I do them. Hopefully this weekend should see that particular job completed. I’ll leave you with a couple of shots from Blackbird Lane. Have a lovely week all.