Feb 3 2011

Things got tense tonight between Dr Schur and Lamb. The old guy has a different philosophy than the younger lady. Things have been slow and the practice is not making enough money to break even so they are trying to find out ways to be busier and make more money. Garth wants to offer discounts on some procedures like vaccinations and other routine care. Dr Schur is very opposed to offering discounts and has actually raised prices of things a few months ago. She is a big believer in charging and in my opinion charging too much. In her defense Vets do not get paid well. We all went to school for so long and payed a lot in student loans and we really don’t get paid any better than a plumber who makes house calls. I do agree with Garth though because I would rather be charging a little less and work a little more to stay busy vs working less and charging more. I think there is a component of providing the best care for our patients we can and part of that is being affordable so the clients don’t neglect their horses. It shouldn’t be our responsibility, it should be the owners to make a judgment if they can afford to properly take care of a horse and if not then not have a horse in the first place. Mike Rowe summed it up well in a talk I attended at the Western Veterinary conference last week. They invited him to talk because of his show on the discovery channel called Dirty Jobs. He has done a lot of shows with animals and quite frankly being a veterinarian is just about the dirtiest job in the world. He was funny and for every letter of the alphabet he thought of an animal and a story or experience while shooting his show about that animal. It was quite James Herriott-esk. Something he said that I thought was true is when he compared Vets to human MDs and then other blue collar careers. He said that Vets are one of the few jobs that is in between blue and white collar. You do hard work like a blue collar but you are most valuable because of your knowledge and ability to communicate. It has some of the best of both worlds in his opinion and I agree with him. Just like being between blue and white collar I think we should charge as such.

June 3, 2011

This morning started like many others I slept up to the very last moment I could I was up late treating a colic in Henderson till midnight and then getting up at 4 to treat a horse in the hospital returning to sleep between 5 and 7:45 am when I rolled back out of bed took a shower threw Sally a flake of hay and drove down Jones Blvd to the hospital. Just as I was rolling up on the hospital I could see a little black guy crossing the busy street leading a scraggily grey arab causing traffic to back up as they looked puzzled and irritated. I thought it was strange that this little guy was dressed like a homeless man in baggy sweatpants typically not the type of person you would think would be leading a horse around town. Hanging out around a casino or down on the strip but not up in our part of town with a horse. I then heard some of the techs talking about the strange homeless man that Garth had to ask to leave cause he had tied his horse to the flagpole and was asking a bunch of weird questions. He was asking the girls up front in the office about farriers and various questions that seemed strange. He said that he had paid $10 to board his horse up the road for the night. He called himself a “drifter” and he rode his horse in from Pahrump which is a good hour drive by car around Mt Charleston. According to a techs boyfriend who fed the horse last night and gave it water the two stayed in a vacant lot up the street the guy was lying about boarding his horse for the night. He also was begining to lie aobut a lot of stuff before Garth asked him to leave. It was all pretty shady but for some reason as I heard them talk about how this drifter had ridden his horse across the desert and was just roaming around with his horse I thought what a great lifestyle that would be. Free to come and go as you pleased without anyone expecting anything from you. If he wanted to drift off to Utah or California and he could find food and water he would. It seemed like he was the master of his destiny much more than someone like me who might think he is achieving the life he seeks. It doesn’t really make a lot of logic especially given the other part of the story where animal control began to question the drifter about his horse and if he is able to care for it. The story was the he bought the horse from a lady in Pahrump who now wants the horse back. It seems more likely that he stole the horse from someone or that someone abandoned the horse and he just took over ownership. It is really endearing to me how the horse would follow him accross the road. The horse looked every bit as homeless and the man leading him but there was a sort of nobleness in the skinny horse being a companion of this drifting character. Instead of seeming like just another run of the mill vagrant probably a drug user, scoundrel, and thief who has wasted his life away making one bad choice after another, the fact he now makes his course with a horse by his side turns him into more of a don quitoe traveler tackling various challenges such as crossing a desert just to see if you can or reach the otherside. Spending a night in a vacant lot with a horse is like setting up camp on the outskirts of town like a free range cowboy would have done a hundred years ago. It is amazing what the companionship of a loyal horse can do to a mans outlook at least in my view.

January 30, 2011 DPEC Las Vegas

I had a chance to go to Tina’s baptism yesterday.  It was a pretty small gathering which she said she preferred.  For the first time I looked at the missionaries there and realized how young they look.  I was surprised with their awkwardness and baby faces.  I realize that I was probably the same way as a missionary if not worse, but to me, I really don’t seem like I am much past the return missionary stage myself and that was a whole decade ago.  It was funny to hear the Elder’s side of Tina’s conversion story because I have heard Tina’s on occasion and sometimes wondered about what kind of missionaries they were.  After having met them I think it differently.  He talked about how they worked her apartment complex and saw her walking to and from her car to her apartment.  When she tells the story you have to wonder if they were stalkers but from their side I really think they were following her for the right reasons that maybe only you understand if you were a 19 year old guy walking around looking for people that might need the gospel.  It is hard to explain but one time they even talked to her but she cut them off before they had a chance to start.  She knew what they were because she had attended the church for a period in California.  Around that time I met her through being invited to a vet techs boyfriend’s band who happened to be Tina’s brother.  She talked about how she used to go to church in California and we stayed in contact but didn’t really go out on too many dates because I am so busy.  She contacted the church and had them send the missionaries out and began attending the single ward near her house.  That was the touching part of the Elder’s story when he would watch her leave in her car and then one day he got the contact information to go teach her.  I’m sure she wasn’t easy to teach with her constant texting and updating of her Facebook page from her phone.  She had a difficult time keeping her commitments to read the Book of Mormon but enjoyed the discussions.  She had the Elder’s over often and like to cook for them.  She even made them take care of her cats while she came home with me for Thanksgiving.  She didn’t have any problems with learning about the restoration and becoming a member of the Church she just had hesitation about taking the plunge and changing her lifestyle permanently.  I wasn’t involved with much of the process especially since Thanksgiving I haven’t seen or talked to her much at all.  She started nursing school and waitressing and I of course spend my time in the hospital or waiting for a phone call.  It is humbling to think that you had a positive effect on someone joining the Church.  No doubt she will be the belle of the singles ward and I hope they don’t smother her too much but just enough to make good friends and keep her busy learning.

After the baptism in between when they were changing her clothes and after I heard an Elder tell his side of the story I got up and told mine. I bore my testimony that today the feelings Tina is having are from doing one of the few things in life that we are sent here to do.  Kind of like when you haven’t done something you used to do so often like ride a bike, swing a rope, or ride a horse you are reminded how much you like it and how you wonder why you haven’t done more of it.  When we do things like getting Baptized, going to the Temple, and probably like having children don’t know for myself yet though, my theory is that we get that feeling of remembering that this is one of the things we came to Earth to do and it gives us such a good feeling of fulfillment and peace.

A young lady named Amanda is trying to be a bit of a horse trader of Rocky Mountain Trail Horses as as a result is shipping horses in from all over the country to establish a market and clientele here in Las Vegas.  I first met her when she bought a Tennessee Walking horse from New Mexico for $1000 sight unseen and when it got off the trailer it wasn’t eating, drinking, or acting right.  I looked at the horse and passed a tube and pumped mineral oil into her stomach to ensure that if she was a little impacted or other mild colic it didn’t get worse.  Just a common preventative thing to do even though I really didn’t see anything wrong with the horse other than when she walked up from the trailer to the hospital she looked ataxic which is she seemed uncoordinated.  My problem is that she is a Tennessee Walking horse and to me they look uncoordinated all the time when they are perfectly fine.  I am just not used to the way the swing their hip and legs.  Amanda expressed a concern that the mare didn’t move right so I did a brief neuro exam.  I did a sway test where you walk behind the horse holding the tail and when the hind leg closest to you is up in the air you tug the horse and a normal horse will be able to resist you fine without tipping or swaying much.  Without much pull at all I could pull the mare nearly over to the ground.    I held her head high and backed her up and did several other special tests to asses neurologic function and to my honest clinical impression she was not right.  Now, it is difficult to say if she is suffering weakness from not being healthy since getting into town or if she is truly have neurologic problems from some neurologic disease or traumatic event.  On top of it all my gut was just twisting because those darn Tennessee Walking horses move so funny that I could just be making it all up!  That was my fear anyway.

Of course Amanda called the seller in New Mexico and said you sold me a neurologic horse and I want my money back.  The guy on the other end swore that the horse was fine when he put it on the transport and was refusing to give her money back.  She had me call and talk to him which I was glad to do and he was fine to talk to on the phone.  I explained what tests I did and what my impression was that the horse had some difficulty with knowing exactly where she was placing her feet which is called a defect in proprioception.  I didn’t feel she was severe and finding the exact cause of the neuro signs can be costly and difficult including blood work for EPM, radiographs, etc.  Prognosis is difficult to make without an exact known cause other than horses with neuro problems usually stay that way unless they are due to an acute inflammatory process or infection that can be resolved.  Long story short, she never got her money back and ended up sending the horse with the guy who transported her here.  I still have fears that the horse is probably normal for a Walking horse and I made it all up but I don’t know if I’ll ever find out.  They are probably riding her all over the desert without so much as a stumble.  

Nov 2, 2010

Election day across America and especially here in Nevada where Harry Reid has been a Senator for way too long.  I’ve done my best to follow all the ins and outs of what he is and where he comes from but he really is an interesting man in that little is know about him and his dealings.  He has done an amazing job of covering up his tracks and doing business in the shadows enough that there is not much evidence of his past.  We know that he came from Searchlight Nevada with nothing.  He is a lawyer.  And after years of public service he is a multi millionaire now.  We are either paying our public servants way too much or he is obviously doing dirty deals behind the scenes to position himself to make investments or flat giving political gain to those who either pay him off or allow him to participate with them in their money making schemes.  I have no doubt he has used his political position to get rich.  Not to mention the fact that he is LDS and aligns himself politically with those who would harm the family unit and take away freedoms from Americans.  He views the government as what he should view the church.  I didn’t know him when he was young but I cannot understand how he could not be corrupted today and I don’t understand how he could have a temple recommend.  The problem is that this opponent is not very sharp but she at least will stand up to President Obama and fight for smaller government, lower taxes, more freedom in our free market, capitalism, and personal responsibility.  Obama has gotten very nasty in his slandering of those who oppose his marxist beliefs.  He calls us “enemies” that need to be “punished”.  He could be a very dangerous man and I have no doubt that before he looses power in a couple of years he will get even nastier and nastier.  He is not a man of faith he is a man that understands manipulation and power.  He will try to exercise his power soon to force Americans in to what he thinks is America needs to be to fit into the new global community that he and his puppet masters envision.

My confidence has grown the last several weeks.  Procedures like passing a tube for colics I am really competent at.  M

November 22

I had to put down one of my favorite patients today.  His name was Commanche he was a big red bald faced horse that has battled with colic all summer and fall.  I used to think he had a stone in him but lately it seemed more like a tumor that may have been in his abdomen.  He was a very mild mannered horse that was good to work on.  He has nearly drove his poor owner crazy with worry and fret about his problems.  I would go out and treat him and he would get better only to again have colic signs a couple days later.  Two times I passed a tube into his stomach and relieved nearly 20 liters of reflux off his stomach.  It was a difficult decision to make for us and the owner but he was beginning to loose lots of weight and she could not afford to keep treating him on emergency basis.  It was a little disturbing to me because he was not in severe distress when I put him down but at the same time it was a good feeling like I had released his spirit from his failing body.  I didn’t feel guilt just respect for this good horse and the people who love him.  It must be one of those experiences that God feels and that as human learning Gods ways we have the opportunity to feel at times how he must feel by being blessed with the care of animals and the responsibility to treat them as well as we can and care for them even though that means at times making difficult decisions like today.

September 21, 2010

I went out on the south end of town this morning to see a horse who was thought to be bitten by a snake.  Its nose and upper lip was very swollen and his nasal passages were starting to close and make it hard to breath.  Snake bites are not very common here even though you would think they were being in the desert so I was thinking more along the lines of an allergic reaction to an insect or something else.  I enjoyed the drive because it was through Red Rock Canyon which is kind of a shortcut from the west side of Las Vegas to get to the southwest side of Vegas without having to go through the city or have the traffic of 2-15.  The cliffs your drive along have a beautiful red streak of rock that courses through one of the areas that give the canyon its name.  I have always meant to go hiking up there but have not made the time yet.  There are some clients there along the way that I have visited in Bonnie Springs and Calico Basin.  Whenever I go through there I get a really feeling of the old west even though we aren’t that far out of town.  There are wild burrows that range along there and on one occasion I came over a rise in the road to see 3 of them standing in the middle of the road.  I slowed down but they didn’t move as I approached.  When I was less than 10 feet away I finally came to a stop as they stayed like statues staring at me in my lane until I stopped and then they walked up along side of me to the passenger window where a technician was sitting and peering in the window and stuck up his upper lip as if to ask for a treat.  I am sure they have been feed by many a driver by and have learned that if they stop cars bay standing in the road it usually results in a treat.  I honked my horn and they bolted off into the brush.

Back to my horse with a swollen nose.  When I arrived at the place I began to think more seriously about it really being a snake bite.  The horse was kept way out in a hilly, deserty area that looked like a perfect area to encounter a rattle snake.  The poor horse’s nose was hugely swollen from the middle of the face down.  It was almost funny to look at because he looked like Bullwinkle the Moose from Rocky and Bullwinkle.  He could breath adequately but he did make a loud blocked nasal passage noise when he inspired.  The owner had been hosing his face off with cool water and said that the swelling had gone down just in the little while she had done that.  At this point I gave him a shot of anti-inflammatory Banamine and  a steroid to take down the swelling as quick as possible.  He usually gets fed in a tin feeder on the ground so I walked into his stall and removed the hay from the bottom of the feeder because I want him to keep his head up or the swelling will not be able to go away as quickly.  I thought about tipping it over to dump out the alfalfa leaves at the bottom because he was leaning down vacuuming them up but decided that he would be done soon and it wasn’t worth the trouble.  I vaccinated the horse for tetanus because rattle snake bites are notorious for causing secondary clostridial infections and they can cause really necrotic wounds where they bite.  Not a lot more else to do because anti-venom is available but to treat a grown horse it might cost thousands of dollars and usually not necessary because its rarely fatal though it can damage the muscle of the hart and weeks later the horse may fall over dead.  So I left telling her that as long as the horse can breath at this point there is not much we can do anyway.

Later that night I got a call confirming that her horse definitely was bitten by a rattle snake.  She was cleaning his stall and turned over his feeder and there was a 2 foot diamond back rattle snake coiled up hiding.  A chill ran up my spine thinking that I had been down in the bottom of the feeder cleaning out hay that morning and likely slid my hand over the snake with only a thin layer of sheet metal between me and it. 

September 19, 2010

September 19, 2010

For the last month as I have been organizing plans to head to Australia for the breeding season I have had the feeling that it might not work out.  Mostly because I have not heard much from the office lady in response to most of my emails about what I need to do to get my visa.  Turns out she was sending emails to a wrong address.  Long story short, they were planning on me getting a working holiday visa for which there is little paper work and no waiting period.  Unfortunately, the working holiday visa only is available for 18-30 years of age.  Since I am older, I would need to be sponsored, registered as a vet in Victoria, and several other steps that I haven’t been receiving because the emails were being sent to the wrong address.  So last week I got an email from the office lady giving me a couple options.  I could come as a visitor and they would pay for the plane tickets, housing, and living expenses but couldn’t legally pay me a salary.  The other option is that I could come down sometime in the future when the many steps to get a visa could be done in a timely manner and I could stay for a longer period of up to 12 months.  I let her know that I would love to stay in touch and hopefully arrange a time when I can come and stay for 12 months if it works out for me and them.  I really don't know if it will ever happen but I guess worst case scenario if I finish here in a year I have an option in Australia.

I was relieved in some ways because I am really happy here in Vegas and would really hate to miss the NFR.  It became pretty clear to me shortly after I graduated high school that I would really never be able to compete in the NFR so it would be a once in a lifetime opportunity to be in the NFR as the arena Veterinarian.  I hope to be able to do that for at least one of the performances.

August 31, 2010

August 31, 2010

Some firsts happened to me in the last couple days.  My first emergency call was last Saturday during the day when Dr Ballard got backed up with a bunch of calls he sent me out on a colic.  It was pretty routine really and nothing to exciting happened.  A grey arabian named Ben that was pretty much better by the time I got there so I just passed a naso-gastic tube and gave him mineral oil and palpated him and felt nothing abnormal.  My first night emergency was this Sunday night when Dr Schur didn’t want to come back up to this part of town.  It was a horse that had been bitten by a dog.  I expected a wound or two that I would clean up, give some antibiotics and a tetanus shot and be done but it turned out to be a lot more than that.  The horse was Crissy a small black mustang 14 years old.  She was not broke to ride but was gentle.  She has a pit-bull that is another one of the many out there that are great with people but can snap and really do a lot of damage like I saw with Crissy.  She must have been running around in her paddock for quite a while fighting off the dog because she had hundreds of bite marks on all her legs.  On her chest and thighs there was strips of skin hanging down and large chinks of muscle exposed underneath.  She was very sore and didn’t like to walk.  The dog also was in bad shape.  She was happy but had all of her teeth kicked out and who is to say she didn’t have broken bones but she sure didn’t act like it.  It wasn’t going to end well for her because there is not much hope for a dog that if given a chance would attack like that.  Heaven forbid that she do that to a human being if she gets wound up.  Not much to tell about the job, I trimmed up the flaps hanging and left some antibiotics and instructions to keep the wounds clean and call if she still is lame because this could mean that a joint or tendon sheath was bitten into and is infected.  I have called a couple times but haven’t been able to talk to the owner.  The other day though, I did drive by and saw Crissy standing in the back yard looking normal so I can assume hopefully that all is well.

August 29, 2010

It has been a bit of a grind these last few days.  Not that it has been very busy but it has been a lot of time up late sitting around checking on colics getting IV fluids.  They have done well so I guess I should be grateful but I would rather be busier doing different things than just being up late but not really doing much but babysitting.  I have been paying close attention to the “restoring honor” gathering in Washington DC that Glenn Beck organized.  It is interesting reading the different articles written about the event.  Most of them skillfully try to dissect what the people there are doing and their motives.  Most try to paint them as racist and deranged people but when I watch the footage that are ordinary and quite boring people to be honest.  I can help but think how much the church has changed Glen Beck and how much of a difference it has made in his life.  He is a great example of what enlightenment through the Holy Ghost can do to someone who is lost in life.  He has really gotten good at praying and receiving answers to his prayers.  It really makes me and so many others do as he did and look to God for answers to todays problems.  What I can’t decide is whether he will be successful in his movement to return peoples lives to Christ or if he will be one of the voices that will be extinguished in the period before the Second Coming.  I hope it is the former rather than the later.

I had an interesting day at Shiloh Horse Sanctuary and Rescue last Monday.  It is the clinics biggest client because it has somewhere in the neighborhood of 200 horses that are mostly either crippled or diseased in some way that people either tried to sell them at auction or they were surrendered directly to the rescue.  It is located in Sandy Valley which is about 30  miles southwest of Las Vegas on I-15 and then a right turn out into the desert for another 20 miles on a lonely road that climbs into the scorched hills and drops down into a dusty valley surrounded by hills completely.  In the middle there was an oasis-like clump of buildings and trees of a small sleepy community and off to the west on the slope up the hills was a bright emerald green block of land with a few buildings that is a large alfalfa hay operation.  It is amazing what water can produce in even the harshest environments.  I looked around for roads that climbed out of the dusty bowl but except for a couple dirt roads that wound off into the distance in to the hills the only road in or out I could see was the one we came in on.  We drove through the town to the opposite outskirts and visited a small horse facility to look at a horse with a bad eye and then we went to Shiloh.  Shiloh was started and is operated by Tony Curtis’s current wife and her mother and a countless hoard of mexicans.  I saw pictures of Jill Curtis recently with Tony looking exactly like Marilyn Monroe but these days with the addition of a few pounds she is quite ordinary looking but still tall and has a very kind yet strong presence while her mother Sally is shorter and even kinder in gesture and disposition and originally I mistook her for a friend instead of a mother because they appear too close in age.  Shiloh is an large piece of land covered with mesquite and geriatric horses, ponies and burrows bought from auctions all over the west, dogs rescued from the pound, and an assortment of pigs, goats, llamas and alpacas, and other farm critters.  We did a lot of lameness work, worked on teeth problems, froze tumors, and put down 4 old horses that have been wasting away recently due to disease, pain from lameness, or just old age.  What they do there is truly honorable and I am sure God approves and will reward their charity to his creatures.  We definitely need more people and places like this in on Earth.  But even though they intent to do the most they can for animals in my opinion they make a mistake by some of their ideology.  Every week they turn away over a dozen horse owners who want to surrender their horses to be cared for but they don’t have the room or ability to care for them so the owner should put them down but don’t allow them to be slaughtered.  It is probably true that if they had the resources they would like to save all animals but where they go wrong is when they tell the owners they they cannot slaughter them.  Slaughter is a bad word for doing the same thing as having a veterinarian come an put them down.  It is one of the controversial topics for vets today because the AAEP and most vets that work with horses think it would be best if there was a way that horse could be put out of its misery if its quality of life is not good buy humanly killing it and harvesting its carcass for consumption whether it is eaten by Frenchmen or dogs.  The current legislation to prevent the killing of horses for human consumption in the US does not care about all the poor horses out there who suffer unnecessarily.  It is wrong to force someone to not put a horse out of its misery or even tell them that they shouldn’t because once the horses is dead the carcass should be used and not wasted.  They don’t oppose the killing of horses they only oppose the eating of horses which in my opinion is only imposing your ideology on others which shouldn’t be done.  You can’t and shouldn’t save them all because they shouldn’t suffer for your ideology.

August 27, 2010

Finishing up on last months story of the bathing beauty, in short it didn’t end well.  Due to the craziness of the owner and the poor condition of the horse I figured the main problem was that the horse needed to be fed better and have its sheath cleaned.  The penis did have a little tumor that most likely regrew from when it was here a couple years ago to have a much larger tumor removed from the same site.  After a couple days here over the weekend it was clear that the horse had more going on.  He had very little appetite though we was very thin and his teeth were in pretty good condition for an old horse which can become a real problem as a horse ages and starts to get down to nubs or loose teeth altogether so the opposite tooth over grows.  A rectal palpation revealed a strange mass on inside body wall of the abdomen that we hypothesized was a tumor.  We then began to think it may be a metastasized tumor related to the same cancer he had earlier and likely has spread to other organs in the abdomen that you can’t reach from the rectum.  This was not good news to give the owner who was quite upset but given the age of the horse there is likely nothing we can do that the owner could afford or that would improve the quality of life of the horse.  She decided to just come pick him up but it would take a couple of days to round up a trailer.  During those two days the horse really began to go down hill quickly.  He became more and more depressed mentally and even began to show neurologic signs of stumbling, and not being aware of his surroundings.  By the time the distraught owner arrived the horse was in very bad condition.  We began to wonder if he should be put down here and not taken all the way back to Utah.  Upon seeing her horse the crazy owner became hysterical yelling that she should have never brought her poor horse here and he would have been better on the farm with his friends (all of which were probably true in hind sight).  She kept draping her arms around him and crying uncontrollably.  She finally decided she would take him home and have her veterinarian put him down when she got there so we loaded him up though he at this time was having a hard time standing and starting to act very agitated.  As soon as he climbed into the two horse trailer and the doors closed the owner reached her arm in the side window to give him a handful of hay and he collapsed and struggled until he was in a very awkward position on his back wedged at the back door.  I crawled in the window with another Dr and tried to see if we could get him up but it was clear that he was not able or willing.  It was decided to put him down in the trailer and she could drive him home to bury him on the farm.  It was quite a dramatic scene with the owner involved but the sound I will probably remember forever in the sad sobbing I heard trailing off over the noise of the engine and the tires as the poor crazed and distraught owner pulled away from the parking lot and down the road.  I felt so sorry for the owner and wished that there was something I could do to comfort her but I know well enough that there are sometimes when there is just nothing that can take those tough experiences away.

Later on that night, I was assisting Dr Schur on an emergency colic farm call and she told me a story that happened to Dr Lamb and the owners of the boarding facility we were at treating the colicky horse.  The owners were kind of shifty in that they never worked yet always had lots of money.  In Vegas there are lots of ways that people get money but the husband did get put in jail for drug related stuff in fact he may still be there now because the wife came out to see us work on the horse but he wasn’t around.  In any case, they had a daughter in her teens several years back who had a horse that got colic really bad.  In fact, the horse had ruptured his bowel and once a horse does that there is no saving them.  You can do your best for a couple days with fluid therapy and antibiotics and surgery but eventually they will die from it.  So the only thing Dr Lamb could do was put the horse down.  It was a very dramatic scene with the daughter being very distraught, laying on the horse yelling, “put me in the ground with her...I don’t want to live with out her…” and carrying on.  Later on that night the teen over dosed on drugs and was rushed to the hospital but died that same night.  Thinking of how I felt earlier that day I could imagine how Dr Lamb felt when he got the news.  Especially since he was the one who put the poor horse down that caused the daughter to be so upset.  Both events were out of his control but it really made me think about how much of an effect horses have on their owners and how as a veterinarian might effect people lives.  As a veterinarian things can be so fragile and complex and the outcomes sometimes are so unpredictable more from the human side rather than with horses who are simple animals in comparison.  

July 28 2010

Not too much interesting as far as horses today but there was a really interesting horse owner that came in. Interesting is the word you are supposed to also use in surgery when you accidentally slash open an artery or puncture a bowel instead of your normal reaction of woops! Or ough-oh! Just calmly say interesting...and then go about frantically fixing whatever went wrong. I’ve seen surgeons in Purdue use it and it is surprising how much it helps you rather than wasting energy and focus on swearing and pitching a fit.
It was after hours about 7 or so and I was hanging around reading or killing time for some reason. An old truck and trailer pulled up and a short fat middle aged lady unloaded a old paint horse that was a rack of ribs. She had came down from Utah somewhere and was quite distraught about the horses swollen penis. It looked pretty bad because it had become swollen and unable to retract up in to his prepuce so it had gotten pretty beat up by exposure to the sun and elements. He had what is called a reefing surgery a few years back because of a tumor on his prepuce that they remove a bunch of of the skin all around the penis. I suspected that he potentially had complication secondary to that or perhaps he had some cancer as well but the thing that made it look bad was the swelling and the sunburn and exposure damage to the light colored skin.
Anyway getting back the the lady. She was clad like most in the desert. A spandex aerobics like top under some kind of spaghetti string over shirt that the strings wouldn’t stay over he shoulders and slid down to her elbows most of them time. She was quite a large woman too, I’d say about 5 foot and 225 pounds or so. So there was lost of gross skin all over the place. She was quite crazy really I could tell from the start when she babbled on about how this horse was full of worms and she had beed up since 6 Utah time and really tired and her AC was broken. The first thing she wanted was the hurry and get this horse hosed down because he was really in bad shape and over heating. The horse looked fine to me, just thin and a big swollen sun burned penis. I just figured it couldn’t hurt anything but I was wrong. I gave her the hose and walked over and turned it on and when I turned around and she had the hose up over her head just hosing herself down. I could believe what I was seeing in the way she did it was like you would expect to see in the movies where there would be music playing and in slow motion the female actress would be turning and acting sexy as the water poured all over her. I just stood there in amazement. When the lady was done hosing herself thoroughly she put a little on the horses back for about 10 seconds and said OK that enough and I turned it off. Now she is soaking wet from her hair to her toe and there was a disturbing amount of wet skin hanging out all over.
Slightly traumatized I put the horse in a stall and told her to park the trailer over there and went to try and forget what I just saw but as you can tell I haven’t been able to. I came out a while later thinking she would be long gone and she was over in the parking lot lifting and heaving at the hitch of her little steel 2 horse trailer. She saw me and quickly yelled I don’t know how this stupid thing works. I assumed there was some sort of malfunction and went over to help. It looked like it was all undone and I couldn’t figure out what her hold up was. Then she said I have been lifting but I don’t
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Then she said I have been lifting but I don’tknow how to get it off. It was a normal bulldog hitch and it was all unlatched so I reached for the jack and she said,”now what is that, what does that do.” I didn’t look at her this time I just started turning it and jacked up the trailer I learned my lesson last time. I made sure she could drive away safely and thought to my self...interesting. Hopefully I won’t be around when she comes to pick her horse up but I will be floating his teeth on Monday.

July 13, 2010

Spent the first night in the new apartment last night. Well, that isn’t completely true, I spent about a half an hour the night before sleeping in the bed before I had to come in to the hospital to assist with a colic surgery. From 11pm to 11:30 I slept before I met Dr Dornkamp at the hospital where we stayed till about 7:15 in the morning. I went up stairs for about 30 minutes to sleep before the appointments came in for the day at 8am. The surgery ended up being 3 medium sized stones, 2 flat ones like hockey pucks in the large colon and one round one like a baseball in the small colon. We had to open 2 spots of the colon to get them all out. The horse recovered well and is doing well so far. I went out on 2 emergencies after hours with Dr Dornkamp (Jim). The first was a choke in a 20 year old horse that we passed a tube on and shot water at until it passed through to the stomach. When this happens it looks very dramatic because you are pumping water in to the plug of feed and a lot of water and green goo in coming right back out the nose and mouth. It looks like you are going to fill the lungs with nasty ingesta but the important thing to do is to sedate them pretty heavily so that their heads are down low to the ground so gravity will take all of the over flow out of the nose and mouth. It only took a couple pumps and this one cleared without any real problems but he got a bit of a bloody nose from the tube. The other call was a mini horse who’s stifle was locking in place. It was down on the south side of town and it was neat to drive down I-15 along the giant casinos. I never go down there especially at night and it’s kinda breath taking the marvel that has been built up by humans. The lights and spectacular buildings I could stare at for hours. It reminds me of Sao Paulo and the crazy commotion that you could always just sit back and gaze at and be entertained for hours. The mini horse indeed had a patella that would lock upward due to patellar ligaments that are too lax. The best thing to do is to exercise them and strengthen those quadriceps and tighten those muscles. Other wise you could go in there and split that medial ligament to get it to scar down and shorten or if it is severe enough you can even cut that ligament completely. Cutting it has been shown to predispose the patella to fracture so you only do it as a last resort.

July 7 2010

It was an interesting day. I met Jerry Lewis's wife today at a big horse barn in one of the only irrigated areas in Las Vegas. The whole area didn’t have the feel of Las Vegas to it and I figured out that is because the heat is not coming off the ground like it does every where else. The sun is probably not any stronger but the heat given off by the ground just really cooks you. It was a different world all together because the horse we looked at just was shipped in from Germany and costed $750.000 dollars. It is a lot like desperate house wives Las Vegas. The only males were the mexican grooms and me. I don’t know how much I would be comfortable working there because I don’t know anything about that type of horse or style of riding. We bred a few mares today with frozen semen that went well. A couple days ago a kid left a note on my car that he would like to buy it. I didn’t think much about it other than I began to worry if he was going to steal it. I called him the other day just to see what he would pay and then he came and drove it. He texted me that he has cash to buy it now and I asked him what he thinks its worth. He said that he honestly thinks it is worth about $1000 bucks so I told him if he had the cash come and get it tomorrow. So we will see if that goes down but it would be good because the room I want to rent is going to cost me about $1100 to move in because he wants the first months rent and last months rent for deposit. I like it when things sort themselves out like that. I guess the Lord knew exactly what I needed and it makes me think that I should rent the room. The guy is 30 years old and is a captain in the Airforce. He flies the predator drones and teaches others how to fly them here at Nellis air base. It should be interesting. Went of a colic emergency tonight and it didn’t look good for the poor old guy. It was a 28 year old grey arabian who was quite painful. He had 2 prior surgeries for colic many years ago. There is only so much you can do for them but you like to give them a chance even if they are in pain. This one didn’t look good though.

July 1, 2010

It was only around 95* today...at 8:30 AM. I bet it reached 108* or so at peak afternoon. It felt hotter than that standing out in the sun squeezing a liter of fluids in to a neurologic mustang stallion. The poor horse was not very tame in the first place and he had no idea where he was placing his feet. He looked some what like you would see with a West Nile Virus infection though you would think it difficult for a mosquito to survive out here in the desert. Apparently they do because they had to confirmed cases last year. It is a good thing the horses back home have been vaccinated. This horse had been down most of the day struggling to stand. It was interesting to see his frustration at his in ability to do the simplest things like get up or down or even move away from us like he would have liked to do it was clear when you looked in his eye. He still had the desire to be in control but his brain would not make his legs do what he wanted. He would grind his teeth in frustration and bite at whatever was near him like buckets, fences, even your boots if you were near enough. It wasn’t in a mean manner it was more because he was really irritated and just mad that he wasn’t himself.
I decided the old Honda needed a muffler if I was going to keep it. This morning the receptionist told me I left my lights on. I went out and the tail lights were on but not because I had left the head lights on. It was more like the car thought that it needed to have its brake lights on. I pulled the fuse so that the battery wouldn’t die. At lunch I looked into it and found the switch on the pedal had a plastic piece that had crumbled and fallen to pieces on the floor mat. I tried to find the part at autozone but they had no idea where I could get such a part. It was cleat that I was going to need to McGuyver a solution. I placed a penny on the brake arm secured with ducktape and it seemed to do just the trick. No doubt the extreme heat played a part in the crumbling plastic because I bet it reaches 150* in that poor car during the day.

June 29, 2010

Man has it been hot! The thermometer in the pickup truck says 110*F! I went up the canyon yesterday to see a horse that was down and when the temp dropped to 90*F it felt cool like I may need to jacket. Today I was able to run a nasogastric tube in a horse with colic due to a gut full of sand. It is a really big problem here as well as enteroliths that form due to the sand out here. I also performed a peroneal/tibial nerve block on a horse that is really lame in the hind limb. Other than that it hasn’t been too exciting. I have been doing the 1AM treatments on the poor rope horse that fell out of a horse trailer. Tomorrow, Dr Garth called and told me if we have time we will do some joint blocks so I need to study up the land marks and techniques. He has also asked me to breed a mare with frozen semen for him this weekend if she needs it. I will need to scan her a bunch to track her cycle progress. I actually haven’t done a lot of that though I have seen it done a lot. Dr Kevin also needs me to track his mares this week/weekend because he has had them on Regumate and is wanting to breed them which I potentially may need to do as well.

June 27, 2010 Las Vegas NV

I arrived in town tonight and will be staying in the apartment in the clinic till I find a place of my own. The drive was easy and the little honda had no problems. The land scape between here and home has a few really beautiful areas from I-15 but for the most part I was thinking you could cover it all up with big solar panels and it would improve the scenery. You could also harvest enough energy to power the entire globe with the strength of the sun down here. I arrived in the valley while the sun was still shining but I remember what it is like riding in at night and seeing the horizon to the west light up like the sunrise from the city lights. It is almost another wonder of the world how much this city can illuminate the sky with neon lights.

I thought it would be good over the next year to keep daily records or even take a daily picture that captures what ever interesting things might be going on. Especially since I have no idea exactly where I will be and what I will be doing on a daily basis.

• A sorrel quarter horse is in the hospital that fell out of a new horse trailer on the highway at 75 miles an hour on the way to the little britches finals. Apparently it was a brand new trailer and the doors were faulty somehow. This kneed are skinned down to the joint and this withers are horrible gouged. He is able to stand and seems of pretty good attitude attitude tonight.