‘Watch me snip snip, watch me neuter’

I’m on my way back to Australia right now; sitting in LAX (my least favorite airport) and killing 9 hours.

Yesterday I finished off a 2 week placement at Tri-Municipal and Meridian vet clinics. They are a mixed animal practice–with the majority being small animal work.

Throughout the week I followed doctors into dog and cat consults. Often I would just listen but sometimes I was involved in the discussion of the case. I  also did my own physical exams and administered vaccines and dewormer to the patient.

Early in the first week I got a chance to try my hand at a cat neuter.  This is a relatively ‘easy’ surgery in small animal medicine—you still have to go to school for a lot of years to get to do it though!  There is a few different techniques and I wanted to try them all.

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I made sure to practice on this string with a knot in the end… I probably castrated it about 18 times. #poorstring

We diagnosed a textbook case of demodicosis.   This is a skin disease caused by a little mite that lives in the skin and can cause a dog to be itchy and lose patches of hair. You can find the mite by looking at a sample under the microscope. This was interesting for me because it is not an overly common disease. As well, quite often you can diagnose a patient with the disease without ever finding the little bug! This particular case presented an interesting opportunity for research to determine if this animal was safe to breed. There is a concern that this could be passed on to future puppies.

My favourite calls this week were the cattle calls. The first one turned out to be a bit of an emergency— we were called to a farm who had a cow with an episiotomy. Unfortunately the cow was bleeding out and the vet had to rush in and suture her up! I hear she is doing great!

We also went to a couple of small hobby farms to do some preg-checking. Yes, this is one of the times where vets stick their arm up cow butts to see what they can feel. It was nice to be on a small farm for these appointments because it allowed us to go a bit slower.  I palpated each cow after the vet and gave my own diagnosis of pregnant vs open (not pregnant).  You can diagnose this based on what the uterus feels like. I need more practice before I can really start being specific about weeks of gestation.

We went to a dairy and examined 4 sick cows. Two of them likely had pneumonia. This was interesting for me to see after my last placement where we did lots of post mortems on cows that had died of pneumonia. This week I got the chance to examine and observe clinical signs of pneumonia in live cows.

Abscess are pretty common in cows. And if you are one of those people that love ‘Dr. Pimple Popper’ then you will love cattle abscesses. So when we got a call about a ‘cow with a lump on it’ that is what we suspected. But, that was not quite the case….

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This is not an abscess, not an abscess at all.

Instead we were presented with a really weird tumor hanging off the cow. It had appeared to have burst open then sealed and re-grown. We determined that it would be best to sedate the heifer for the removal procedure. We attempted IV sedation via the tail vein. Either we under-dosed or the heifer was just not having it—she got a bit loopy and angry but never sleepy enough for us to cast her. She paced at the end of her rope on the non-ideal side of the squeeze.  A bit of a rodeo ensued but eventually she was safely inside the squeeze again, and we infused the stalk of the tumor with a local anesthetic before removing it. The sun was going down and it felt like a bit of a race against time. When we finally had the tumor off I cut it open to see what it looked like inside (classic vet student… because this thing was gross!!).

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It was swollen and dark red inside. When you pressed on it a black liquid came off in my hand

The inside was really weird looking and my best guess is a hemangioma? Any other vet field friends have guesses as to what it could be?

 

I had been crossing my fingers and saying little prayers that we would get a calving call on one of my placements. It is a bit too early for lots of calving in Canada right now.  But we got a call for a c-section! Surgery was preformed in a fantastic and heated (yay) barn! with warm water and facilities—like a table! Everything went great and we had a live (large) calf at the end of it! We did a 2 layer closure on the uterus and a 3 muscle layer closure, then sub-cutaneous tissue, then skin. I definitely got my practice in with cattle sutures!

We had a few other interesting cases this week. One of them was a dog who could not pee. He is an adult dog but we suspect that he was born with an abnormality that prevents him from urinating. We took x-rays and he had a huge bladder! I catheterized it and drained a lot of urine for him! You could tell that he started feeling better by the minute. We hadn’t got to the bottom of the problem by the time my placement was over.

I also observed tail docking of some rottweiler puppies. This is quite the ethical/moral debate in the veterinary world.

Another interesting house call was to do puppy exams on German Shepherds (one of my favourite breeds!) at a breeder’s facility. This was a particularily cute….and wiggly exam day.

One morning we arrived to a severely sick scouring calf. We monitored vitals (heart rate, breathing rate, and temperature) and ran in warm IV fluids for a short while before heading off on a farm call. There was an older bull calf castration on the schedule that I wanted to watch.  The bull calf was a bilateral cryptorchid (inguinal crypts).  This means that his testicles were not fully descended and castrating him was not going to be as easy as we wanted it to be.  After putting in an epidural we got the job done on not 1, but 2 bull calves.

By the end of the second week I was lucky enough to have done a few feline spays, a couple of canine castrations, and a bunch of cat neuters on my own. I feel much more confident doing these surgeries by myself. I have yet to determine my own specific favorite method though—hopefully that will come during my de-sexing rotation in a few weeks time.

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So much focus and brain energy used. I also need to focus on not tensing up my shoulders during surgery.

 

 

After the last day of placement I said goodbye, and drove home in a beautiful snowfall to finish off my packing. Some of my friends stopped in to say goodbye which was lovely as well.

Thanks again to all the staff at Tri-Municipal and Meridian Vet Clinics! I had a great time!

 

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Poutine, Emus, and Study Days

I very much admire the vet students who have managed to create regular blog posts throughout their semesters. I thought my second year was busy but my third year must have been busier because here I am writing my first blog post in over 6 months.

We have just finished our third year of classes and this only further confirmed how fast time can fly. Here is a quick run down of some of the most exciting/important things from the last few months:

I spent Canada day in Melbourne this year. Sometimes the weather in July here really makes ‘Christmas in July’ feel possible. Its often very rainy and windy. So I donned my Canada toque, met up with my cousin and one of my closest friends ( who thinks he is Canadian, but he’s not), and we ventured off for a day of fun. Its not my ideal Canada day–usually I look forward to some sunshine, a bit of dirt on my feet, and an escape from the city. This year we started the day off at a nearby pub. We had a maple imperial stout which was actually amazing…. but had a scarily high percentage! We may have also had two different kinds of poutine. Once we found out that not everyone was sure what a zamboni was we headed to the very busy skating rink in town to see if we had retained any skating skills. The next bar had ceasers…. disappointing…very disappointing. Federation Square was set up with red and white lights, Canadian flags, and a few spots of fake snow! We ended the night at the last bar which was a huge party with Tim Horton’s espresso martinis, life size cut outs of Justin Bieber, fooseball, plaid, and non-stop Canadian tracts. Oh… and more poutine.

We had a very exciting week in August.  We had our White Coat Ceremony at which we were all presented with our doctors coats. I was very blessed to have a family member— my cousin (who is currently living in AUS) at the ceremony. This day signaled our official transition from pre-clinical study (lectures and textbooks and exams) to clinical studies (working in hospitals, hands-on, practical assessments).

Then a few days later I got to wear that shiny new coat to complete one of my first surgeries. My roommate and I worked together to spay a lovely greyhound–who happened to be my other roommate’s dog! The surgery went very well and we still see the dog often which is so nice! I was much less nervous for this surgery than my last one which was very refreshing! We had multiple papers to read, videos to watch, and a tutorial on medical models the week beforehand.

On my spring break I planned a quick camping trip out to the Grampians for 2 nights!  I’ve been wanting to camp in this park since my first year in Australia. Other than an annoying detour  the trip was fantastic. We went hiking both days, wandered the town, stopped for ice cream, hid from the rain, and saw kangaroos, an echidna, and even emus! How crazy is it that I am seeing WILD EMUS. I would love to come back to the Grampians for a week in the summer and do more hikes and hopefully find a couple of swimming holes.

Another very cool thing I did this past semester was participate in a 1 day large animal emergency rescue course. We mostly talked about horses but the techniques are applicable to cattle and other large livestock animals. The day was a mix of lectures and hands on. We learned how to make our own darts for medication, how to organize and run an emergency incident site, and practiced safely restraining horses from a variety of difficult situations.  They day concluded by rescuing a (model) horse from a dam.

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‘Bruce’ the model horse, just moments after our team coordinated his recovery from the dam

And finally, my last exam period. We had 6 finals this time. These are my classes:

  1. Cats & Dogs
  2. Principles of Professional Practice
  3. Horses
  4. Cattle
  5. Small Ruminants (mostly sheep and goats… with a few llamas and deer thrown in)
  6. Birds

(How cool is that!?)

At the University of Melbourne we have 1 week off before the exams begin. My alarm went off at 7am every morning and I used a timer to keep myself focused during the long hours and days. Finals were just as enjoyable as usual…..but with that I’m done my 7th year of university and am looking forward to the final year in my vet school journey.

Next year will be all placements and rotations. I get to book some of them myself–at practices that I am interested in working at or curious about the cases. The other rotations are administered by the university. I have a lot of high expectations for next year. I expect it to be challenging, exciting, and quite a growing experience.

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I have a new study buddy. She showed up most mornings at about 7:30am to sleep on my bed until she headed downstairs for dinner around 5pm.