Tag Archives: Surgery

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.

Triar and the Bull

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

This morning, I’m listening to the sobbing of gulls outside the window, but I’m not at the seaside. I’m in the heart of Paisley, which is a few miles west of Glasgow, though there’s no longer really any gap between the two. My friend Lara has kindly lent me a bedroom in her flat there while I’m working in Glasgow.

City life is certainly very different. To get to work in the morning, I take the train into Glasgow Central, then walk twenty minutes or so to Shamrock Street. The work is also very different from what I’ve been doing. It’s odd because I had occasionally (and rather regretfully) thought I would probably never do surgery again as I was unlikely to return to practice, but here I am, doing surgery all day from nine in the morning until five in the evening. It’s very intense. On Thursday, I did four cat castrations, three dog castrations, two cat spays (one midline) and a bitch spay. I’d have done the same yesterday, but two of the cats didn’t turn up, so my day was marginally easier.

There are benefits however. I only worked three days this week: Monday, Thursday and Friday. So Tuesday and Wednesday were all my own. I started both days with a walk with Triar to It’s Noe Coffee, where I bought a latte and drank it on a bench. The second day, the bench was near Paisley Abbey, which is when I took the photo at the top of the page. There are lots of fascinating old buildings scattered around the town centre. It’s obviously been a very rich place in the not too distant past. This enormous building is the town hall, though (criminally) I managed to miss the top of the clock tower out of the picture.

There are oases of green, even in the centre of the town. This little patch of parkland, with its carefully laid out flowerbeds and palm trees is where I take Triar in the early morning before I go out to work.

Triar seems to be universally loved wherever we go, which gives me huge pleasure. Lots of people stop to say hello to him. He has also adjusted incredibly fast to city life, though sometimes he’s so distracted by all the smells and stains that he almost forgets to pee and poo. The little patch of parkland in the photo is covered in pigeons in the early morning (Merlin tells me they’re Rock Doves) and Triar loves to send them flapping into the air with a lunge and bark combo. I think the locals have been trying to protect Queen Victoria from them (or maybe were just getting into the spirit of the World Cup) because she is wearing a traffic cone, though not one of the traditional orange and white design.

There’s another little passageway called Meeting House Lane that intrigues me. It’s quite steep, hemmed in by buildings on one side and a wall and trees on the other, and cobbled all the way down. It’s nice and shady, which is good right now as it’s been very hot.

Anyway, I’m going to be staying here, on and off, for the best part of a month and a half and it feels like the beginning of an adventure. There’s so much mor to explore. I want to go into the cathedral and look round. It’s Noe has some amazing looking feta pastries (as well as spinach, potato, leek and tomato and onion filled versions) so one day, I’ll have to try those.

White Cart Water (a major tributary of the Clyde) runs through the centre of town and there are some bridges and banks to explore, though this photo, on the surface, makes it look more upmarket than it really is nowadays. On closer inspection, the buildings on the left are boarded up and one of the beautiful old houses has trees growing from its windows and graffiti downstairs.


Yesterday evening, after a long day and 13,000 steps, I decided to go and enjoy a beer in one of the local hostelries. The Bull got a good write up for being dog friendly, so we stopped in there on our evening walk. Triar enjoyed greeting the locals and was given a bowl of water and two treats. He repaid the poor barman by spilling his water all over the floor. I think he quite enjoyed the whole experience though.

Anyway, back on Tuesday, mindful of home, I went to IKEA and bought a chest of drawers. Much as Paisley is drawing me in, today I’m going back to Dumfries to restart the clearing of my bedroom and hopefully put the new drawers together, so I suppose I’d better get organized. I’m not working again until Thursday, so I have a few days of much needed rest. I will leave you with a photo of one of the painted Scottie Dog statues that I walked past on the way to work. Like Queen Victoria, he was wearing a cone, though his was at a very jaunty angle.

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