Tag Archives: Wivek

Smil

Beike came in last week to have his teeth cleaned. For those who aren’t aware, Beike is my friend Marian’s dog, a handsome Border Collie with a passionate love of balls and Frisbees. That’s him at the top of the page. Beike, Marian and I often go walking together and so I know him well. I think most vets would agree it’s more difficult treating an animal that has become a friend, whether it is an acquaintance from outside work or a long-standing patient that you have got to know over time. Anyway, I was nervous before he arrived and there was no escape because Marian had specifically requested that I treat him.

He went to sleep very quickly and we soon had him through in the dental room. The dental room is one of my favourite parts of the clinic. I’ve never worked in a practice with a dedicated dentistry area, but it undoubtedly makes for better treatment, both for the vets and for the animals. There is suction ventilation to remove the spray from the ultrasound descaler, excellent lighting that can be manoeuvred into position so you can see right into the mouth, polisher and drill, as well as more dental instruments for removing teeth than I have seen anywhere else. There’s even a specialised x-ray machine.

Anyway, back to Beike. The only complication was that he had a broken tooth right at the front of his mouth. In fact, if you look at the picture at the top of the page, you can see it. Happily for me Wivek was available to help. As well as wonderful facilities, Tu clinic has the best veterinary dentist I’ve ever come across. The more I get to know Wivek, the more impressed I am. She seemed very quiet to begin with, she never shows off, and yet she knows an incredible amount. If I read up about anything I can talk to her, and she is still ahead of me. Anyway when it comes to removing teeth she is second to none. I began to loosen Beike’s tooth, but as usual I came to a (literally) crunching halt. Wivek came to the rescue and very patiently worked away until, as if by magic, she produced the intact root. I, of course, was watching carefully. It’s great to learn new things!

After Beike’s teeth, it was nearly time for lunch. Every Thursday lunch is laid on and we have a practice meeting so that SBL can tell us all that we’ve been doing right and wrong. This week it was car parking. Apparently we are supposed to park down the side of the building, leaving the spaces in front for the clients. I kept my head well down at this point of the meeting because since arriving I have invariably parked my car in one of the prime sites. I have always stayed away from the doorways. I had worked out that when people had to take their sleepy animals to the car, it was better they could park there. But other than that, I have shamelessly avoided that difficult, overcrowded corner where all the staff seemed to leave their vehicles. Not any more it seems.

The meeting always ends with the Ukens Smil (The Week’s Smile). This is when the staff get to thank each other for favours done and congratulate one another for their achievements. There’s a little box in the staff-room with a hole in the top, and when someone does something nice, you write your thanks on a piece of paper and slip it into the box. Every Thursday the compliments are read out for everyone to hear. The person who gets the most smiles gets a packet of chocolates, conveniently named “Smil”. Incidentally, Marvellous Magne, whose English is good, but not as good as the vets who studied in English has never read my blog and therefore was wholly unaware of the extent of my evilness. He finally discovered last week that I had given Dagny the nickname, Scary Boss Lady. Since then he seems to have been Smil-ing rather a lot!

And finally, as promised two weeks ago, I attach below photographic evidence of the chicken-head ritual. There has been speculation that these events are part of contemporary Norwegian culture, similar to their habit of filling highly flammable wooden houses with candles each Christmas, or the more localised Jaeren farming custom of blasting liquefied animal dung into the air whenever washing is hung out to dry. However my personal theory is that this particular activity is related to Norse mythology, more specifically to Thaw, Goddess of Deep-Chilled Poultry. Irene has now gone on holiday and is sunning herself in Thailand amongst the mosquitos. If only it had been Turkey….

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It’s a gas

The past two Tuesdays have been busy with operations. So much so that I rarely set foot outside theatre on either day. Last week I assisted with the anaesthetics for an exploratory laparotomy, two cruciate ops and a  fracture repair. This week  there was an entropion op (to correct in-turned eyelids), an eye removal, a mammary tumour operation and yet another cruciate. Both weeks I ended up staying an hour late. We passed part of the time talking about the Julebord (Christmas party). It won’t be happening for two months, and yet it is already the subject of much discussion. It sounds quite a wild event. Apparently last year, Jan Arne had a candle on his head. The dress-code is listed as “Pyntet” which is the same word that is used for a Christmas tree when it has been decorated, but sometimes things can be taken a bit too far.

Thursdays are a bit more varied for me. As has been happening lately, I arrived to find Magne having coffee with a couple of the vets from the large animal practice next door. He invited me to join them and seemed disappointed when I said no, but when I explained that if I didn’t get on, his room wouldn’t be ready when he needed it, a wave of approval washed over me from all of them. Dedication is my middle name!

I found myself back in theatre later in the morning when Jan-Arne had a cat to spay. We were just examining the cat to check that it was healthy for its operation, when Jan-Arne spotted the fact that the cat’s mammary glands were distended. Having inspected them, and decided that he could still go ahead, he said something and suddenly started to giggle.

‘What is it?’ I asked him.

‘I just realised I said “pussy milk”‘ he said, and started laughing more.

He was quite insistent that I must add it to my blog, though I did express some concerns over the possible Google Searches it might send my way. I quite forgot to mention that my parents would be reading. Hello Mum. Hello dad!

As ever, a flank cat-spay seems to cause enormous interest in the practice. At one point I looked up to see Wivek, Magne and Irene all looking through the glass windows in the doors of the theatre. Seeing me looking at them, they all pulled crazy faces. I so regret not having my camera. I had never noticed the resemblance Wivek has for Jack Nicholson before, but it was very striking. Luckily she didn’t have an axe.

The operation itself was more difficult than usual. Most young cats have very little abdominal fat, but this one had more than average. It wasn’t hard to find the first ovary, but the second one was difficult and so Jan-Arne asked me to take over. It took a while to track down the offending ovary, but having finally located it behind the kidney, we were all able to relax a little. It seemed that the cat was not quite finished with us however. As I returned all the intestines to their correct place and prepared to close up, there arose in the room a vile miasma. The stench of cat-fart wafted around the room to a wretched chorus of groans and fluttering hands. The cat’s bowel had been quite distended before I pushed it back into the abdomen. Undoubtedly I had caused the stink. Without looking up I made a general apology to Jan-Arne, Kirsty and Marita, all of whom were standing in the room to watch.

‘Sorry about that.’

The silence in the room was palpable. So much so that I looked up, puzzled, only to see a wall of astonished and horrified faces (well, there may have been admiration on Jan-Arne’s. He is a man after all). It dawned on me that every single one of them thought that I was personally responsible for the awful odour.

‘Hey, no!’ I said, looking round at them all. ‘I only meant that I had caused it by handling the cat’s guts.’ The look of relief that came over the faces was hilarious. So much so that I began to giggle, and then Kirsty joined in, and then suddenly the whole room was filled with laughter. It was hard to stand up. About five minutes later, I was able to control myself enough to wipe away my tears and begin to stitch. So much for professionalism.

 

The picture at the top shows Ingo, a French bulldog who was in for an intravenous drip following a bout of illness. He was very patiently waiting for me to remove his drip so he could go home. Feel better Ingo!

Metzenbaum Meltdown

It’s been a week of instrument incidents this week, at least on Tuesday anyway. I didn’t sleep well on Monday night, and by nine o’clock on Tuesday morning, I confess I was wafting round the practice, trying to be all efficient. It wasn’t easy. Somehow the standard tasks of ensuring the rooms were well stocked with needles and syringes seemed unusually complicated. I thought I was finally getting into my stride though, as I emptied the instruments from the autoclave, put them away, and packed up a raft of new kits for sterilisation.

Irene came into the room at this point and started to chat. My brain being otherwise occupied (the routine tasks were taking up all of the limited space in my one cylinder brain) I looked at her vaguely and failed to answer to her satisfaction. She looked at me with narrowed eyes and her head on one side.

‘Are you tired this morning? You’re not usually this quiet. I went to a concert last night. I’m tired.’

I admitted that I wasn’t at my best. My inclination was to remain silent, but it seemed impolite. ‘What concert did you go to?’ I had to try to appear normal at least. She named a singer I had never heard of and I tried to carry on the discussion as I set up the autoclave to sterilise the instruments I had just packed.

The autoclave has something of a pre-set routine. When you first switch it on, it automatically says that the door is open, and the locking mechanism doesn’t work until the programs become available. So I meticulously emptied the outflow, ensured the distilled water was topped up and then, to pre-empt the frustrating period when the door won’t lock, I carefully pushed the door to and set the locking mechanism in place. With a sigh of relief that everything was beginning to settle down, I turned my back as the machine began to run through its program. Irene had continued chatting, but now she was looking at me with a very confused look in her eyes.

‘So what’s in the autoclave?’ she asked. I frowned at her for asking such a crazy question. Obviously the packs I had just set up so carefully, but her eyes weren’t looking at me. They were directed towards the neatly stacked rack with the kits all neatly packaged in their white paper parcels. I had just set the autoclave off on its hour long programme with nothing inside.

All day long, I seemed to be all fingers and thumbs. There had been a spell lately when it seemed I was unable to do the simplest task without dropping something on the floor, and on Tuesday the effect was magnified. Opening up some suture material while Dagny was operating, I thought that rather than risk handing it directly to her from the package, I would drop it on the instrument table. Of course, it flipped out of my hands and missed by several inches. Somehow, every needle I used became detached from the syringe. I spent so much time running in and out of theatre to get new ones that I began to worry that someone would comment. It was a relief therefore when Dagny, usually so efficient, managed to drop the straight scissors from her kit. I retrieved them and offered to get a new pair.

‘I’ll need some Metzenbaums anyway,’ she said ‘you can just get some of those and I can used the curved scissors for everything else.’ Metzenbaum scissors are long slim scissors designed to cut delicate tissue. I collected a pair from the instrument cupboard. Once again, Dagny being occupied with her operation, I decided to drop them directly onto the instrument table. I should have known better. They too slipped to the floor with a clatter that seemed so loud in the quiet operating room. Fortunately, Dagny was not in Scary mood (in fact, she has been so unscary lately, that if I didn’t know how much she loved her nickname, I might feel the need to change it) and she just laughed and asked if we had another pair. At this point, Magne, ever the gentleman obviously felt that he should join in with this game of throwing things on the floor and dropped the chuck-key of the drill. Really I didn’t feel so bad then. The final flourish occurred as Dagny was stitching up. As she went to set the scissors back on the table after cutting her suture material, she misjudged it and the last pair went toppling to the ground. She completed clipping the line of sutures using a scalpel blade. Obviously the idea of asking for yet another pair seemed too high a risk. After all, judging by earlier events, I probably would have stabbed her in the toe.

Thursday, thank goodness, was much more relaxed. Dagny’s sister-in-law brought in her lovely little dog (that’s him in the picture at the top of the page) to be castrated. In contrast to Tuesday, theatre was a hive of extreme efficiency. I’ve never seem Dagny operate so swiftly. So much so that I barely had time to stabilise the anaesthesia before it was time to switch the machine off. I spent the rest of the morning discussing some modification of the anaesthetic regimes with Wivek, who is thoroughly knowledgeable in this, as with so many other things. We want to be sure that the patients are as comfortable and as safe as possible during surgery, and so we are reviewing the analgesic (pain-relief) protocols. When all is said and done, however many times you throw your scissors on the floor, in a good veterinary practice the well-being of the animals always comes first.

The Eyes Have It

It’s been an interesting and busy week in the clinic. Dagny and Magne were both away on holiday, and what with working an extra day and with not being so intensively taken up in theatre, I felt a wonderful growth of teamwork with Wivek, Jan-Arne, and particularly Marita, with whom I spent more time this week than ever before. Given that we were two vets down, and the clinic was still busy, I was pressed into more directly clinical work than usual, and although it can be stressful at times, when things go well there is a huge satisfaction in meeting the challenges and knowing that you are making things better for the animals.

Of course, as soon as Scary Boss Lady and Magnanimous Magne, the ocular specialists were out of the picture, two of the cases that came in were eye problems. The first, a handsome spaniel who had been out for a long moorland trek the day before, arrived with a very sore looking eye. He was in so much discomfort that he wouldn’t even let me look at it and the first thing I had to do was sedate him. It was then quite hard to examine the cornea, because his eye rolled down as he got sleepier and so I asked Marita to come in and give me a hand. The cornea looked to be all clear, and it was at that moment, that Connie, a student who has been helping out for the past couple of weeks pointed out that there was actually a tiny splinter of wood stuck on the white part of the eye. I was tremendously glad of Magne’s special tiny eye instruments as we clipped a tiny hole in the conjunctiva and removed it. It was wonderful to see him yesterday for his check-up looking much more comfortable.

The second case, the gorgeous seven-week-old pup at the top of the page came in on Tuesday morning. He’d had some kind of accident with his mother, and his eye had completely prolapsed from its socket. He too was in a lot of pain, and needed a full anaesthetic before we could start to try to put his eye back into the right place. Again Marita and I worked as a team to place some stitches into his eyelids before carefully sliding everything back into position. The stitches in his eye have to stay in for two or three weeks and although everything went well, we will only know for sure how much damage has been done to his eye when the sutures are removed. Happily Dagny and Magne will be back by then.

Jan-Arne has been his usual crazy, endearing self. I love the way he takes his time and gets to know the patients really well and goes out of his way to make them feel at home. I went in at the end of one of his consultations on Tuesday to find him sitting cross-legged on the floor. When I worked in the emergency clinic in Scotland, I gradually got more and more idiosyncratic and often consulted sitting down on the floor at dog level and I think he is the first other vet I have seen doing the same. I also overheard him yesterday singing back at a German Shepherd who had been singing at him. It was a beautiful duet.

And somehow, though the quiet week I had anticipated with only two or three vets consulting didn’t emerge, I still found a few minutes on Tuesday to complete the first part of a project I am undertaking with Wivek to set up a consistent anaesthetic protocol for the practice to ensure that we are completely up to date with providing anaesthesia that is both safe and provides a high level of pain-relief for all our surgical patients. Of course, as I am in Norway, I thought that it would be a good idea to provide the poster I was creating about Gas Flow Rates in Norwegian. Having showed it to Irene, who assured me it was fine, I proudly printed it out and laminated it… and then went to show Wivek. How was I to know that the word that means flow when it is water and electricity doesn’t apply to gas? And of course my assumption that if you exchanged the “c” in “maintenance” to an “s” would turn it into a Norwegian word seemed logical enough at the time. And litre… apparently the Noregians prefer the American spelling. Ah well, after six years in Norway, I am probably one of the most proficient writers of Norglish that the world has ever seen, and that is something to be very proud of.

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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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?

Co-Operation

Tuesday morning began well with Dagny and Magne operating to remove the most enormous piece of detached cartilage I have ever seen from a dogs shoulder joint. It went so smoothly that I had a good feeling about the remainder of the day. Reality reasserted itself when I went through and carefully laid the dog in the kennel… and stood up, bashing my head off the door of the left upper kennel. Instinctively recoiling, I ricocheted and thumped the other side of my head on the door of the other kennel. It was that kind of day.

Next came a mammary tumour, which I had seen on the computer. I confess I had expected a dog (I saw the operation, and didn’t check the species because mammary tumours in dogs are incredibly common, and in cats incredibly rare). Again the same pattern, the operation itself went very well. I was doing this one on Magne’s behalf because he was running slightly behind schedule. As I inserted the last stitch, stripped my gloves off and walked out of theatre to wash my hands, Mobility Magne rushed into the room, brandishing a cat cage at arms length.

‘Can you do something with this,’ he gasped, before disappearing. I confess, I was somewhat surprised, but as the most disgusting stink assailed me, I realised that the cat in question had deposited something utterly rank in the cage. Luckily I have a strong stomach, so without further ado, I cleaned up the mess. Being a vet really is a very glamorous job. I am reminded at such moments, of James Herriot, comparing his vocation with that of a small animal surgeon and humorously self-deprecating as usual. He mentions that after his operations, “the final scene would have been of Herriot the great surgeon swilling the floor with mop and bucket”. Well even though I now work in small-animal practice, it’s not so very different. ReMorseful Magne (see what I did there) did proffer a partial explanation later when he told me that the awful smell was literally making him gag.

In the afternoon, I had a cat spay booked in, but somewhat to my surprise, two turned up. The owners, after being told by Magne that I sutured very beautifully, had asked that I be allowed to spay their cat, but they seemed confused when they arrived and saw only me. They had been expecting Magne to supervise. Fortunately at this moment, the man himself turned up and smoothed everything over. The highlight of my afternoon however, was when Irene was attempting to shave up the second spay for me. Because most cats here are spayed midline, she needed to be reminded of the landmarks I use when deciding where to incise. She had the cat laid out on a chair and seemed to be paying close attention as she felt around for the bony protuberances of the hip and thighbone. Finally, she found what she thought felt right.

‘Am I in the right place?’ she asked. Rounding the corner of the table to take a look, I was somewhat surprised to see her eyes were close to shut as she concentrated fiercely on what she was feeling, and that one of her fingers was on the shoulder and the other somewhere on the neck.

‘Um… well it would be if the cat was the right way round.’ I commented with a giggle. Fully expecting her to join in with my hilarity at this very funny joke, I was amazed when she opened her eyes wide and looked mortified. She really hadn’t noticed.

‘This stays strictly between us.’ Red-faced, she tried to silence me, but unfortunately nothing so amusing ever stays private here and she did continue giggling at herself for at least half-an-hour, so I guess she must have seen the funny side. I fear she may try to get her revenge by commenting to mention the very loud fart I let out when I was bending over to clean the floor in room B last week, but of course everyone will know that couldn’t possibly be true. I could never be so crudie.

Thursday morning began with a Caesarean. Dagny and Magne again, working as a team. Magne did the first part of the operation while Dagny revived the puppies, and then Dagny took over to stitch up. There were four healthy puppies, which is always a lovely event. Dagny had only had two hours sleep, but was still working as efficiently as ever. I have a feeling that her amazing cheekbones can get her through almost anything because she looked as good as ever too. Fortunately after the operation, she was able to go home and get a couple of hours sleep before the lunchtime meeting.

This weeks picture shows Wivek operating. It doesn’t get much more glamorous than this.

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.

IMG_4579

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.

 

 

 

 

 

Luna and Lusi

Dagny and Magne both seemed on good form on Tuesday morning. Our first patient was a still-youngish cat with an eye that was massively enlarged by a tumour. From an anaesthetic point of view, eye evisceration can be slightly complicated. As the eye is removed, the nerve at the back of the eye can cause changes in the heart-rate and breathing, so I was keen to ensure everything was stable and the monitors were all functioning well. The eye was so enlarged, that I wondered how easy it would be to complete the operation, but happily it all went very smoothly and the wound came together well.

Much later in the day, and another lump removal, this time from a dog’s leg. As happens sometime, Magne asked me whether I would like to suture the wound after he had removed the tumour. I know he doesn’t much like the stitching part of operations, and I rather enjoy it. There’s something very satisfying about bringing everything together and ensuring the end result is as aesthetically pleasing as possible. So as Jaqueline was available to monitor the anaesthetic, I told him he could go and get a cup of coffee and I would close up for him. As I was finishing, Magne came back into the room.

‘She’s very good,’ he said to Jaqueline, ‘No-one can stitch as elegantly as her.’ I was caught between delight and humour. As pleased as I was with the compliment, I had to laugh at the word elegant because I don’t think even my nearest and dearest would ever use that term. In fact, my mum once told me that I walk like a gorilla. Still, gorilla-steps or not, I did walk out of theatre feeling pretty good.

The weather in Jaeren recently has been wild: storm following storm. My drive to work takes me along the coast and there is little shelter, so on Thursday, as another gale flung hailstones horizontally at the window, I decided I would head to work early. In the event, the road was clear, and the wind, though gusty, didn’t affect my speed much and so I drew up in the car-park some twenty minutes before I was due to start. As I dashed through the rain, I was happily contemplating a cup of coffee with Magne before work began, but as I pushed the door open and stepped inside, I was greeted by an unpleasant odour. Working in a vet practice, you get to sample a number of different smells, most of them quite unsavoury. This one I identified as diarrhoea, though as I paced along the corridor, I was alarmed to see what appeared to be a trail of blood. Even more worryingly, on closer inspection, the bright red trail was in fact the faeces that I could smell.

Entering the prep-room, I found Lusi, a black Labrador retriever, panting on the floor. Her head was on her owner’s knee. Her eyes were frantic, her body stiff. I had seen Gerd as I came in, and rushed back along the corridor, to see whether she knew where Magne was. It only took a moment to ascertain that I was the only vet in the building. A few steps back and I was crouched on the floor with the little grouping. Wivek had made a tentative diagnosis yesterday of a prolapsed disc in the spine. Lusi was meant to go to Bergen this morning for an MRI, but had become very distressed, and the bloody diarrhoea was hers. I assessed her immediately for shock, but she seemed mostly to be distressed. She already had a catheter in her vein, and my first act was to grab some Vetergesic because she was so obviously in pain.

A drip next, and as she still seemed very unhappy, I decided to give some diazepam to try to relax her. I wasn’t one-hundred percent sure that yesterday’s venous catheter (now attached to the drip) was fully functional and anyway, I wanted to take a baseline blood sample, so I felt it would be better to place a second catheter.  As she was still lying on the ground, and I didn’t want to move (and thus hurt her) unnecessarily, I ended up lying full length on the prep-room floor as I angled my head to try to get the best possible view. Not necessarily the best idea in a cream-coloured sweater. Fortunately the floor was, thanks to Gerd, now spotless again.

Diazepam (better known to the UK public as Valium) works partly as a sedative, but with spinal pain that is causing muscle spasm, it can really make a difference. As I injected, I could see her visibly begin to relax, and though she was obviously a bit disoriented, the panicky panting stopped, and her rigid muscles became pliant.  According to Gerd, Wivek was going to be in at nine, and any decisions regarding the next step would have to involve her. I waited with her for a few minutes, but as she now seemed much more stable, I was able to go and get changed.

What with the weather, and with all the distress, Lusi didn’t make it to Bergen yesterday, but spent the day at Tu with her owner. The plan was, that if she continued to be stable overnight, she would travel up today. I’ll try to provide an update when I know more.

Working with Lusi reminded me of one of the reasons I love being a vet. There are few things more satisfying than knowing that you have helped an animal that is in pain. It often seemed to me, when working in the emergency clinic, that giving intravenous pain-killers to dogs in distress gave such immediate relief that they were genuinely grateful afterwards. Often in general practice, our patients become frightened of us because they associate the vets with injections and pain, and to see the opposite effect in action, was always a happy event.

I still don’t think Lusi liked being at the vets all day, but I very much hope that she goes on to make a full recovery.

Last, but not least, today’s photograph is Luna, a Tibetan Spaniel that came in this week to see Marita. Isn’t she lovely! Have a good week.