Travels With Kathi #6

Travels with Kathi #6 – Wearing Out

Wearing Out

We had a valued client who was a farmer south of town.  He was in his eighties and worked his farm until a few months prior to his passing.  One of his sayings that were a favorite of mine was, “I don’t mind wearing out but I sure didn’t want to rust out”. The implication was a few of his neighbors had set around and rusted out from disuse instead of wearing out from many years of hard work as he had done.  I have always wanted to do the same, wear out not rust out.  As I continue to age I have found I am wearing out a little sooner than I had planned.

 

But wait!  I am living in the twenty-first century where the possibility of receiving bionic replacements is a reality, not just a fantasy on Star Trek.  So about two years ago I started to make plans for some updates on my aging veterinarian body.  My plan was to replace a knee that had received a pretty good injury from a run-in with a sixteen hundred pound dairy cow some twenty years ago.  Today all trails to major surgery lead through physicians with specialty training on every body system that may show any suspicion of having a problem.  Most of us do not have in our phone’s contact list a specialist for all branches of human medicine.  My contacts now have a list of many.  After visiting several specialists, my to-do list had grown, and many more visits to my staff of doctors were necessary.

 

My purpose is not to promote sympathy, however if it makes you feel better, I will accept it.  What this process did do was allow me the opportunity to view the plight of a client in an office of medical professionals, an office much like our office at Littleton Equine Medical Center.  I would like to share my impressions.

 

Impressions

So, what was I expecting when it came to doctors?  When I was in my twenties, there was a show on TV about just the physician I was seeking:  Marcus Welby, MD.  Dr.Welby was an older doctor who frequently received patients in his home, always made correct diagnoses in a timely manner, and the client got well while showing great appreciation to Dr. Welby.  I also remember another TV show during the days when I was in my forties about a doctor named Doogie Houser, a sixteen-old doctor who was a child prodigy.  As I started the process of obtaining appointments I found if I could wait ninety to one hundred twenty days I could get an appointment with Dr.Welby.  However, with my schedule restraints I got appointments with Dr. Houser, an individual one-third my age.  In fact, almost all the medical staff seemed to be either Dr. Housers or classmates.  I hoped they all had good relationships with their grandparents.

 

I found as I investigated the doctors with whom I had made appointments, those who were staff members in practices with good reputations had great credentials.  There was an obvious correlation between the reputation of the practice and the qualification of the doctor.  That made sense.  Good practices were careful to include only well -trained, competent clinicians within their staffs.  This reminded me of how thorough the staff of Littleton Equine Medical Clinic is as we ad new staff and the annual group of new interns.  I am also very thankful for the reputation of LEQMC and the natural appeal of our practice area that make it possible to attract such a large group of great candidates for these positions.

 

Conclusions

The ever-evolving technology and rapid improvement of remarkable equipment have made it much more efficient for human doctors to practice in larger groups.  There are fewer doctors who offer medical care similar to that portrayed in the Dr. Welby TV series.  However, today’s practices with their well-qualified staff offer great care for a seasoned veterinarian like yours truly with a few worn parts.  I’m satisfied Dr. Houser can handle the job.

 

Now back to LEQMC.   There are many well-qualified veterinarians in Colorado who practice great veterinary medicine.  At LEQMC we are lucky enough to have the technology and well qualified staff that allow us to offer special diagnostic techniques to the great veterinarians practicing in this region.  It is true LEQMC is a large practice group, and it is natural to worry about such a facility being too large and impersonal.  I am very proud to be part of such a great practice that blends a good number of Marcus and Mary Welbys with new staff additions of competent, caring individuals who assure LEQMC will continue to offer excellent veterinary care.  I look forward to working with our new group of excellent interns who are hand picked from a very large pool of excellent candidates.  I can assure all that every staff member at LEQMC is dedicated to delivering the best service to all our clients, Marcus Welby-type service.

 

Let Us Know

You can be a part of our quest to improve veterinary services while nurturing that special personal service.  Call or e-mail the clinic with any critiques or suggestions you might have.  Such input is greatly valued. 

Travels With Kathi #5

Travels With Kathi # 5 – End Of Life

End Of Life

We listened to the radio as we went on our farm calls .  The news on this January day was dominated by discussions of a bill being considered in the Colorado State Legislature called “The End of Life” bill.  The essence of the bill was to allow a person to choose euthanasia for himself or herself if they were suffering from a terminal disease.  The end of life matter hit too close to home for us.   Our oldest Labrador, Ruby, who was fourteen and one half years old, had been experiencing a worsening condition where she was unable to keep her food down.  Although Ruby was not extremely sick, she was becoming weaker each day, and her demeanor told us the struggle was getting the best of her.  Although Ruby was not a human, the subject of this bill and our struggle with Ruby’s condition was emotionally very similar.

 

Ruby

Ruby was, for me, what I would call a once-in-a-lifetime VIP {very important pet}.  All of the dogs that have lived in our home have primarily been Kathi’s dogs, and have preferred her over all other humans.  But Ruby seemed to sense I was a VNH {very needy human}.  Ruby would often choose me over Kathi!  She would lie next to me on the sofa and allow me to pet her for long periods of time.  I called her “my snuggle pup”.  Ruby was a very obedient dog and was good on so many levels.  But when she was hunting birds, she would often choose her ideas over either of ours and more often than not her ideas would prove to be the superior ones.  We loved that independence in her.

 

I have heard Kathi tell many clients that they would know when it was time to let their pets go.  Well, the advice proved accurate for us; we knew the time had come.  We gathered the dogs together around Ruby on her bed.  The medication acted quickly as I snuggled one last time with my Ruby.

 

Profound Loss

The loss of Ruby was profound.  My eyes still glass over even months later as I recount her loss.  But even as my loss is great, the joy received from knowing Ruby for fourteen-plus years is much greater.  Ruby was a great blessing in my life.  Many people say they can’t bear another loss and therefore can’t get another animal friend.  It’s their loss.  Because if one doesn’t take the risk and get another animal, you can be sure you won’t experience the great joy.  The greater the love for an animal, the greater the sadness is at their loss; that’s the deal.   As for me, count me in.  I will always have animal friends as long as I can physically and financially fulfill their needs.

 

I’m sure our clients have many special animal friends that you feel the same love I felt for Ruby.  It is a great honor for all of us at Littleton Equine Medical Center to give care to your special friends.  Thanks you for your trust!

Travels With Kathi #4

Travels With Kathi #4 – Emergencies

 

Emergencies

We awoke to several inches of new snow.  As the snow accumulated on sheets of ice left by previous January snows, we were pretty certain our schedule for the day would change.  On such days routine appointments were usually cancelled, and any calls were usually emergencies.  I wasn’t surprised when the phone rang and it was a client calling for help with an old horse that could not get up.

Down

The thirty-something gelding was at a ranch some forty-five minutes away on this snowy day.  A couple that had been both long-time clients and friends managed the ranch.  Their daughter and four-year-old granddaughter also lived on the ranch.  This old gelding was the granddaughter’s favorite horse, the one she had ridden all last summer and the one who had taught her to be confident on horseback.  Needless to say, this horse was very important to the entire family.

The gelding had been out with several other horses in a large hay meadow.  The footing was perfect as was the short meadow grass that had come up after the meadow had been cut for hay that summer.  The falling snow coated the surrounding trees and gave us a view as fine as a winter mountain scene on the front page of a travel magazine.  Only one thing ruined the mood.  About a quarter-mile away there was a horse on its side surrounded by people.

The Work Up

As we drove up we saw the horse was covered with blankets and surrounded with bales of hay.  Large snowflakes continued to fall as we stepped out of the truck.  It was a sudden shock to step out of the warm truck and I was acutely aware of the stress this animal must be enduring since he had been down for some time.  We immediately administered painkillers and proceeded to examine the patient for signs of severe injuries that would physically prevent him from getting up.  None were found.  We attempted to roust him up while assisting his effort by lifting his tail.  He would give us a good effort with both front legs, but we saw absolutely no movement from either hind leg.  We next used straps lifted by a tractor to get him up on his back legs.  He appeared unable to use the back legs.  We were out of options.

Our four-year-old cowgirl arrived to try to help her old friend.  I had the un-enviable duty of telling this little girl we could not do anything to get him up.  And if we just left him in this condition he would suffer greatly.  The only choice we had to keep him from hurting was to put him to sleep.  After a few minutes of wet hugs and kisses given to this poor snow- covered old gelding, we all agreed to the inevitable, to put him to sleep.

Rainbow Bridge

Many times owners wish to be with their animals as they go.  Well, this brave little four-year-old wanted to be there for this special friend.  I felt a great responsibility as I explained to her the process she would see.  So with great trepidation I proceeded with the injection with her only a few feet away.  We were blessed with a smooth procedure.  We all cried and hugged.  We got in the truck.  Kathi and I were silent as we drove off.

There is a circle of life that starts with birth and inevitably ends with death.  I always tell people when we treat these old horses, we know someday soon will be their last day, but we hope its not today.  For this old guy, today was the last day.  This old gelding had taught this little girl to ride, and now he had taught her to say goodbye to a friend.

Kathi recently heard a quote that goes something like this: “Sometimes it’s hard to hold on, but it’s harder to let go.”

If you have an old friend in your life, whether human or animal, give them a hug tonight.

Ewe

Travels With Kathi #3 – Heros

Ronald Streeter, DVM

 

 

 

The radio was on as we headed home from our last call.  I was excited to hear ”My Heroes Have Been Cowboys”, one of my all-time favorites.  Willie Nelson had performed this song in the early 1980’s in the movie “The Electric Horseman”.  The song and the movie both lamented the end of the cowboy lifestyle in the West.  So the song really isn’t about heroes.  But we had recently watched the movie “American Sniper” and the whole idea of heroes was on my mind.  What made a person a hero and whom would I include in a list of my heroes.

 

I always find it good to start with a definition:  A hero is a person who is admired or idealized for courage, outstanding achievements, or noble qualities.  Who fit that definition for me?  Someone like Chris Kyle portrayed in “The American Sniper” who went to war and risked his life for me and my family is a no-brainer choice for red necks like me.  I have clients who have been very financially successful and have decided to share their skills and good fortunes by donating enormous sums of funds to improve the welfare of both humans and horses.  They are on my list.  I have a veterinary friend who is the type of person and veterinarian who I strive to be.  He’s on my list.  These are individuals you all may know or know of, and they may be on your list too.

 

But there is a larger group of people on my list who are probably not known by you but are just as important to me.  There is the modest- income family who spend all their extra income and much time caring for a menagerie of unwanted animals.  There’s the family that happily toil to care for special-needs children.  There’s the large family who spend much time home schooling their many children.  There is a farmer south of town who spent his whole life working his farm with a special reverence for the soil.  There was the woman with a terminal disease who spent her last years helping others.  All are my heroes.

 

Being someone’s hero may be easier than you think.  I remember my first day as a new employee at Littleton Large Animal Clinic.  While I was introducing myself to the staff one young woman came up to me with the biggest smile and recounted how I had been her hero when I saved her 4-H ewe when she was a little girl.  I remembered working on animals at her family’s farm but I could not remember her ewe.  She had not forgotten me or the very special thing I had done for her.  I was just doing my job..  That reminded me how lucky I am to be a veterinarian and have the opportunity to do something special for a small child, to be her hero.

 

Don’t miss an opportunity to be a hero, to be someone special to another human being on a special day.  Make the world a better place!

NWSS

Travels With Kathi #2 – Stock Show

 

 

January is Stock Show month at LEQMC.  It has been a forty-plus year tradition for the clinic to provide veterinary care for all the horses competing and performing at the Stock Show.  I asked myself why is this a tradition for LEQMC.  Tradition is defined as a belief or behavior passed down within a group with symbolic meaning or special significance with origins in the past.  Well that answers it:  The Stock Show has been an important part of Colorado agriculture and the horse industry for many years.  I’m glad LEQMC has stepped up and supported our industry for many years with little concern for financial gain.  It is a source of pride for me to be part of this effort.

 

The entire clinic staff takes turns being available at the Stock Show for any veterinary care that might be required.  As Kathi’s and my duty days approached, we heard a radio news report a suspected case of Ebola had been identified in Denver.  Would this report change anything at the Stock Show?

 

Last summer a vesicular stomatitis outbreak had a great impact on horse shows.  The clinic staff had been very busy performing inspections on all participants prior to horses being allowed to enter the show facilities.  The horse community soon became familiar with the disease control protocols, and it was unusual for a horse owner not to cooperate.  I was so proud of the horse community.  But how would the general public react to disease control measures if similar rules were implemented at the Stock Show if Ebola Virus was in fact present in Denver?

 

Luckily the suspected case of Ebola Virus tested negative.  I still thought it might be interesting to look at the Stock Show with an eye for disease control among the human attendees.  I started my mock-inspection at a crowd favorite, the children’s petting zoo.  It is always such fun to visit the petting zoo without children.  The unbridled joy of these young kids as they hug and kiss the small farm animals is contagious [no pun intended].  For many of these kids this was the first time they had ever seen or touched such animals; but today looking at the zoo as a potential disease spread area forced me to look in a different way.

 

There were numerous parents holding small hands waiting in a long line for the chance to turn the child loose in a small fenced-in area with multiple small animals.  The farm animals were anxious to exchange a few hugs and kisses for treats.  The waiting line was marked with Cairns formed from soiled diapers and empty drink containers, instead of traditional stones.  Parents fearing if they accomplished proper disposal the action may have caused them to loose their place in line had formed the Cairns.

 

It didn’t take an especially sharp eye to see one similarity between horses and children.   Both are quite proficient at removing nasal discharge by wiping it on convenient objects.  For the horse the site is usually its front canon bone area.  For the child it is on any object, even the farm animals!  I’m sure if Ebola Virus were present in these children and if someone had a special light that caused the virus to fluoresce, the donkey and the goat would light up like the evening star on a clear night.

 

My conclusion?  Considering the social habits and the lack of education of many people on the most basic methods of disease control, I fear the control of a severe disease outbreak in humans would be very difficult.  Also I am very glad I work with horses!

 

Horse people are stable people for the most part, aren’t they?

Streeters

Travels With Kathi #1- Come Ride With Us

277,891. That’s how many miles I have driven my veterinary truck in eight years. If I assume an average speed of 40 miles per hour, those miles would have taken slightly less than 7,000 hours or 875 hours per year. That’s about 22 forty-hour weeks of time spent driving a truck within 50 miles of the clinic. My assistant, Kathi has been with me for 99.99% of that time. She’s my helper, my advisor, caregiver, and as needed, my critic. She is my wife, my soul mate.

One would logically think this time in the truck is a waste. But actually it is a big part of how we practice veterinary medicine and even live life. As we drive down the road we discuss cases, schedules, clients, and horses; Kathi completes the medical records and communicates with clients and the clinic while I drive. And of course, I think; due to my many years on earth my thoughts are usually reflection on veterinary practice and life. It’s hard to believe with today’s traffic, but the truck is our safe place. It’s warm in the cold; it’s cool in the heat. It can be quiet or boom with music. It is our think tank; it has been the boardroom; or the war room as we prepare to combat difficult horses or cases. Sometimes we laugh and sometimes we cry as we drive through one of God’s great creations, the front range of Colorado.

So what’s the point? Is this just the monotonous droning of an old, grey haired veterinarian from Oklahoma who loves his truck? Well, I am old, grey, and a veterinarian from Oklahoma. And even though the driver’s seat is worn to fit only my derrier, I do not “love” my truck; “like” is as strong as I am willing to go.

What are we trying to do? Share with you what it’s like to spend time with us going down the road on ambulatory veterinary calls by sharing the personal side; the good, not so good, and great parts of this type of practice as seen through the eyes of one veterinarian and his assistant who is also his wife.  We would like to share the other side of the syringes and needles, the hoof testers, stethoscopes and stomach tubes, the time when the science is secondary and all that is left are the emotions of our clients and the two of us.

We will continue until all our stories are told or until our day is done. Please come with me on my “TRAVELS WITH KATHI.”

 

p.s. Maybe “Bubba T” would be a good name for my truck.