McLaughlin, South Dakota was the third and final site in the reservation that we held a clinic at. McLaughlin is known as the busiest site in the reservation. We spent three days there: two surgery days and one wellness day. From where I was standing, it was also the most fucked up site in the reservation. I’d say the health status of the animals there was a couple notches above Belize, but significantly lower than Brazil. At least in McLaughlin (unlike Belize), people consider dogs to be in the “pet” category. I don’t know if that really says a lot, though.
It was the same trend that we saw in Fort Yates: a definite distinction between the “pet” and the guard dawg. Some people didn’t have dogs as “pets,” but as workers… McLaughlin is in an area with a lot of beef cattle, so we saw a lot of working cattle dogs. There’s nothing wrong with that… UNLESS you’re putting the dogs to work without paying attention to their welfare and health status. That was a concern that appeared in a big way here.
Also feral cats. Lots and lots of feral cats.
For my first day at McLaughlin, I got to be the anesthetist again. That made me happy. You get to do a lot as an anesthetist and all of the things are related to preventing your patient from dying… something that I’d like to be proficient in as a veterinarian.
We filled up on surgery slots at around 8 AM on both surgery days. There was a crazy demand for surgery… which is great. It also sucked, though, because we had to turn a lot of people away. We only had the time and resources for 50 surgeries a day. That’s a lot, but there was more demand. A lot of the surgery slots got filled up by straight up feral cat HOARDERS.
Everything was good for me as an anesthetist until the feral cats started coming in. I was placing catheters, not panicking while monitoring in surgery, and I even had my multitasking down enough during surgery to WATCH the actual procedure being done. That’s in comparison to my first day as anesthetist, where I felt like Lucy on that episode with the chocolate factory because I was constantly struggling with balancing between taking vitals every five minutes, giving fluids, and giving my patient an occasional breath on the machine. I was feeling pretty good.
Then the cats happened.
In case you don’t know what FERAL CATS are, the name is synonymous with FRUSTRATION. Feral just means wild, essentially. I’ve gotten to the point that I can generally tell a cat is feral just be looking at them for a few seconds. They are in FULL ON fight or flight mode. Their pupils are fully dilated and a lot of them have a really distinctive meow. They’re terrified, really. I feel bad for them… and then they do something like lodge their claws in my throat. That happened on my first day at the Kent County Animal Shelter back in 2008. Good times. People used to dump off duct-taped cardboard boxes filled with feral cats on our front door before the shelter opened in the morning. I, as the lowly intern, had the fun job of opening these boxes and then catching the feral cat(s) that came springing out like bats out of hell. Feral cats also don’t understand the concept of windows. They would usually fly out of the box and try to jump out of the glass windows on the door, only to bounce off and start tearing around the room. Ideally, they wouldn’t come flying out of the box and I could snatch them up with a net before all of that traumatic stuff happened. We had scissor nets and tupperwares for that. So, yeah… that’s fun with feral cats. All a part of a day in the life of a veterinarian.
Despite the fact that these feral cats at McLaughlin were “owned,” they generally belonged to hoarders. Hoarders usually have a couple cats that become pet-like. The rest of their living collection tend to roam free in their house as a gigantic, unkempt cat colony. They’re often not handled or socialized because there are just so many of them. I don’t even know how many this woman brought in. They were all filthy, mean, and had upper respiratory infections so we just started piling them in cages in the men’s bathroom of the gymnasium.
You can’t do the whole calm, rehearsed pre-surgical sedation regimen with feral cats. It doesn’t really work. Feral cats can fight their way through mild sedation with pure, unadulterated rage. You just give them the drugs and get them on gas anesthesia as quickly as possible. I got the last feral cat as my patient to monitor during a spay. Most of the time, feral cats wake up quickly and violently. I say violently because they tend to wake up and be immediately angry as fuck. Jessica monitored one that she said woke up and within a matter of seconds, tried to latch onto her arm in one of those angry cat balls and someone had to help her get the cat off and toss it back into the cardboard box from whence it came.
My feral cat, however, would NOT wake up. For almost two hours I sat on the floor of the men’s locker room filled with ammonium scented feral cats taking vitals every five minutes. This was from about 7:30 PM to around 9 PM. The bathroom was hot and probably had at least 200 flies in there. I felt like I was slipping into madness, but I shouldn’t complain. Andrea, the vet tech, had to sit in that bathroom for the entire afternoon. I walked in at one point and she was sitting Indian-style on the floor, humming, swaying, and eating Fig Newtons. I got there.
I got out of that god-forsaken bathroom at around 9 PM and got a chance to eat dinner. My hair smelled like ammonia all night.
After dinner, I sat out in the car and drank vodka. I always had vodka. Vodka was important. Jessica would come out with me. This was our nightly thing. I thought I had it rough with the feral cat bathroom stranding, but Jessica saw some bad shit on receiving. The working dogs on the reservation are worked until they can’t work anymore. That and the fact that most people don’t have the means to travel to a veterinarian.
Jessica saw a cattle dog that had its leg run over by some sort of vehicle over a year ago. She described his leg to look like “when you see a dead squirrel that got flattened by a car and just dries out and turns into jerky.” It was completely crushed. Due to disuse, the rest of the arm kind of shriveled up into an atrophied blob that just dangled there. There were open wounds, abscesses, flies, and maggots on it.
The leg thing was only second to the hot mess that was happening on the hind end. Apparently this dog also had a hay bale fall on him, leaving him with a half-severed tail and no control of its rectum. He was covered in feces, but also backed up and impacted to the point that it had to be manually removed.
The most astounding part of the entire thing? The dog was still working and herding cattle. RUNNING. That’s not to say he’s doing well. His body condition score was apparently no higher than a 2/9. That’s essentially skin and bone. They called the head vet over who gave them two options, (1.) go to a vet clinic and have the leg amputated, but the dog will have to live inside (remember the incompetence issue) and be given special treatment for at least a month or two or (2.) euthanasia. This is the kind of thing that makes it so hard to be a vet. I would be pushing euthanasia like a motherfucker. I’m still at the point where emotions play a big role in my actions. It’s hard for them not to when you work with adorable, innocent creatures all day every day. But it’s really not your place as a veterinarian to tell people how to make life or death decisions. If the client specifically asks, you then have a right to say what you’d do if it were your own animal. It is a veterinarian’s job to present the options, the potential repercussions of one’s choices, and to respond accordingly with the client’s wishes.
The people didn’t want to euthanize the dog. They wanted US to amputate the leg. Our lead veterinarian did not think that they were a good candidate for such a major surgery… plus we don’t DO surgeries like that in the gymnasium at RAVS. This dog lives outside on a pasture. It doesn’t have a house to take shelter in. They don’t even see this dog for months at a time. The owners left, upset that we wouldn’t perform surgery on their dog. They came back the next day and again, said “We thought about it and decided that the dog can live in the house if you amputate the leg.” That request was, once again, declined. WE CAN’T DO THAT HERE. Plus, I can only imagine the level of aftercare (or lack thereof) that dog would receive. The only service we could offer at our limited mobile clinic was euthanasia. And then the people disappeared with the poor dog.
Again… veterinary medicine is NOT all puppy dogs and candy canes.
That night, Jessica and I snuck out. We went to the bar. We had to. There was only one bar in McLaughlin and within that bar, there was only one patron: a heavily-sauced gentleman named Glen Yellow Horse. Bad ass name. He was a bad ass guy, too. The bartender was half Caucasian, half Sioux and was extremely well educated. We just ended up hanging out, talking, drinking beer, and eventually I got into a joke-telling battle with the bartender. That’s right—Shawty got jokes. Especially when I’ve been drinking.
At the end of the night, Jessica and I snuck back into the gymnasium at like 1:30 AM, tiptoeing around sleeping bags full of our peers. It was weird. I felt like I was 17 again.
The next day was my surgery day. It was fun. I got to scrub in and do stuff in two dog spays, a dog neuter, and a cat neuter. It’s weird being back in America and watching surgeries. I got kinda ingrained in my third world country ways, so surgery was strange.
YOU MEAN I CAN’T TOUCH ANYTHING?!
It was good though. Except for one of my cases. She was an inconspicuous 2 year old shepherd mix. We opened her up and saw that her spleen was ENORMOUS (probably from tick-borne disease) and she was in heat… so her girl parts were friable. JUST LIKE BELIZE DOGS! In a nutshell, everything went wrong. The abdomen filled up with blood after the uterine arteries were ligated, then the suture cut into and through the body of the uterus, plus the spleen was ginormous. We were in surgery for about 90 minutes. That’s LONG. I didn’t get to do much in that surgery (and fuck, neither did I WANT to), but catastrophic surgeries like that are the ones you learn the most from. I think so, anyway.
I asked Dr. Paul, the veterinarian doing the surgery if he gets nervous when stuff like that happens. “Of course,” he said. “I’m always nervous during surgery. You should be.”
My third and final day at McLaughlin was spent on receiving, which was crazy– as usual. Angry cats and guard dogs galore. People were lined up down the street in their vehicles waiting to be seen by a pair of veterinary students. We would just take our little portable treatment caddies and bathroom scales out to the truck.
At around 4 in the afternoon on our seventh, and final day at RAVS we inventoried and packed up our clinic for the last time.
It was a really good experience. I am extremely glad that I did it. I wouldn’t really describe it as a “fun” experience in the traditional sense of the word. We kind of felt like it was a veterinary boot camp of sorts. What I learned the most from RAVS was the more “technician” kind of skills: putting in catheters, intubating, monitoring in surgery, etc. Some people may be disappointed by this, but it’s that kind of stuff that I feel like I need to practice the most. Yes, a veterinarian in practice generally has technicians that do these things, but what if your technician can’t find the vein for a catheter? What if there’s something wrong with the anesthesia machine? What if your assistant is some high school kid who is too nervous to get a mean cat out of a carrier? The vet has to be able to step in and fix these problems. We don’t really get a lot of practice doing “technician” things in vet school. With that being said, veterinary technicians are amazing people to learn from. They are the glue that holds vet clinics together, honestly. I feel like I learned more from the technicians on the RAVS trip than anyone else. They would give us little tips along the way that are truly good things to know. I learned a lot and I am so grateful.
I just want to, once again, thank the people who donated to my fundraiser that allowed me to go to RAVS. Your donation helped bring veterinary services to animals who SERIOUSLY wouldn’t have access to it any other way. You helped make this possible:
30 veterinary students. 6 veterinarians. 6 technicians. 7 days. 3 gyms.
821 animals treated. 200 spays and neuters.
That’s pretty incredible if you ask me.
Oh and we took a puppy home. We named him Abu because he’s a little street rat. He had a nasty case of worms and was, at first, a parvo suspect. We couldn’t just leave him. Look at this face:
And so my summer is drawing to a close. I am starting my third year of veterinary school tomorrow. This is my last semester of “book work.” In January, I move onto clinical rotations and I couldn’t be more excited. A different setting every 3 weeks… that is RIGHT UP MY ALLEY.
It was an incredible summer, though. It feels like forever ago that I was in Rio de Janeiro but that was this summer too. I feel like I’m a completely different person now than I was in the beginning of May. I got to see some amazing places and meet/ learn from A LOT of truly wonderful people. I am forever changed.
Someone recently told me that I should take more breaks or that I shouldn’t work so hard or that I should chill the fuck out or something. Even though it has all been veterinary-related, none of it feels like work to me. I love what I do. I had a little more than a week off after RAVS, and I spent two full days hanging out at Dr. Schuiteman’s clinic because I just think it’s FUN. I want to live my life in a way that allows me to keep loving what I do. I just don’t know what that way of life will be yet.
Thank-you all for reading my blogs—one of them, some of them, most of them, or all of them. I have grown to really enjoy writing at the end of the day. My brain is a big jumble of weird, and writing about stuff has a grounding effect on my life. It kind of helps me weed out the extraneous clutter that’s always bouncing around in there. Plus, I feel like it’s beneficial for people to see what kind of bullshit we have to go through in vet school. It’s hard and, YES, veterinarians are in fact DOCTORS.
Anyway, I have enjoyed rambling to you all this summer. I may continue doing it.
Maybe…
To be continued…