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@peregrine09

I’m not sure if I really belong in medicine sometimes. My ideas and values seem so foreign. I hate a lot of the prevalent medicine culture, both what I’ve heard for the last five years and sometimes what I see floating past my dash. I hate this whole glorification of the martyr bullshit. Breaking duty hours doesn’t make you a good doctor. Spending every last waking minute at the hospital doesn’t make you a good doctor. The inability to have interests outside of the hospital doesn’t make you a good doctor. This is a job, folks. Sure, it’s an incredibly important job… but it’s still just a job. YOU ARE SOMEONE APART FROM A DOCTOR (or med student). Your life outside of medicine isn’t a weakness. This is the exact kind of fucked up thinking that has turned this profession so toxic. When you hear this bullshit day in and day out, is there any wonder that our collective mental health is shit?

You’re a good doctor because you take pride in what you do. 

You’re a good doctor because you care about helping others. 

You’re a good doctor because you try, really fucking hard, every day. 

You’re a good doctor because you exist as a person outside of medicine.  

These are the important things you need to remember throughout your training.

Ask for Help

Today, one of the radiology residents at the vet school committed suicide. She taught us the radiology portion of our gross anatomy lab last semester and she was smart and beautiful and seemed to have everything going for her - on the outside.

You are not alone. Ask for help. Don’t be a statistic.

Several weeks ago a pet skunk came in to see me because it just wasn’t acting right. The skunk had been purchased from a breeder and had lived with the owner for five years. Although normally an indoor pet the owner had built an enclosed area in the back yard so that the skunk could be safely outdoors. When the owner first purchased the skunk it had gotten a rabies vaccine and a clean bill of health from a veterinarian but had not been in to see a vet since then.

I walked into the room and saw the owner with several blood soaked paper towels wrapped around his hand. The skunk was in a carrier on the table growling and biting at the bars. I asked him if he was ok and he said yes, the bite was very minor and it happened all the time. Slowly I approached the carrier and the skunk began screaming and biting the sides of the cage.

“Has anyone else been bitten?” I asked.

“Oh, probably my whole family. He’s never been very nice.”

Slowly I bent down to look into the carrier again and the skunk rammed the front snarling and snapping. I felt drops of saliva hitting me in the face. Gently I explained to the owner that I was extremely concerned this skunk was rabid and his entire family and anyone else that had been in contact with the skunk needed to get to a hospital immediately and get rabies post-exposure treatment. The owner was understandably upset and asked me to please look at the skunk close. Politely I refused and told him there was no way I was going to open that carrier nor expose my staff to a possibly rabid animal. After several more minutes of discussion he agreed to allow me to euthanize the skunk and have it tested for rabies but he wasn’t going to go to the hospital.

“What could happen if it is rabies?” the owner asked.

Very sternly I told him, “You’ll die. There is absolutely no treatment for rabies and the only possible outcome is death. You will die. Your family will die. Anyone who has been bitten or exposed to the saliva will die.”

“Is it expensive?”

“If you have insurance it should cover it. If you don’t, yes it can be expensive. But this is literally a matter of life or death. I understand being concerned about medical bills but the alternative is death.”

The owner said he would think about it. I sent the head off for testing and didn’t think anything more about it.

A few days later I got a phone call from the health department telling me that the skunk was positive for rabies. The phone numbers and information the client had given me, which I included on the submission form to the lab, were wrong and the department could not get in touch with the family to tell them they absolutely needed to get to the hospital. I got a little sick to my stomach thinking about the saliva that had gotten on my face and likely into my eyes as well. Luckily I had already had the pre-exposure vaccinations so would just need to get two booster vaccines and would be fine. If the family did not get medical help soon they would die of rabies. I gave the health department all of the information we had on the clients.

A few days later I got word that a man had gone to the hospital saying he had been exposed to a friend’s skunk that was diagnosed with rabies. Luckily that man was able to give the correct information to the hospital and the health department was able to get in touch with the family and they came in and were all treated for rabies exposure. I don’t think they ever really realized how close they came to dying.

There are a few lessons to take home here:

Skunks don’t make good pets. Leave them in the wild where they belong.

Rabies is not an old timey disease that people used to die from. It’s still here and vaccinating against it is still very important.

Give the proper information when you go to the vet! These people probably gave false information because owning a skunk is illegal where they live but vets aren’t interested in turning people in. We desperately needed to contact them to save their lives.

Finally, rabies is nothing to mess with. There is no treatment; there is nothing that can be done when symptoms begin. It is far better to pay for vaccines than it is a funeral.

Told an owner I would give up my pay for today and donate it to help their pet, but they also had to donate their day’s pay as well. The offer was not accepted.

“I need my money. I have bills. But you should want to help, you’re a vet.”

That’s one ugly horse…I don’t think I’ll be giving up vet to become an artist anytime soon 😅😅 For those interested I’ve made this to help me condense down the musculoskeletal diseases I need to learn for my equine practice unit. By having everything on the same page and seeing where the disease affects the horse it helps me remember a little easier, though as you can see the number of diseases I am required to learn is quite vast 😪 which doesn’t help with remembering!

Vaginal cytology in the bitch helps determine stage of oestrus cycle, optimal mating times and presence of infection. I remember one time a client called up saying “my dogs are tied but my girl is on her period so they can’t get pregnant right??!??!” …and I was just sitting there face palming. The spotting dogs get correlates to the part of their cycle called “prooestrus”, which is just before optimal fertilisation time. Blood comes from a process called “diapedesis”, where the cells in the vagina are so swollen and the vessels are so porous the red blood cells just seem to seep through. See if my you can correlate my poorly taken slide photographs with the stage of oestrus!

We got more uteruses to play with today, this time practicing artificial insemination. These were also from the local abattoir. Frozen semen needs to be deposited just after the cervix and before the bifurcation of the urterine horns. Passing the cervix can be difficult and requires rectal manipulation to help pass the inseminator through. We each used different coloured dye to see who would be most accurate, and upon opening the uterus up you can see we were all pretty damn close! (Poor dissecting skills on my behalf) The simulation is great and helps you get a feel for manipulating and handling the cervix, we are so lucky to have such a great way to learn!

A grade one murmur is a murmur a student cannot hear. A grade two murmur is a murmur a good student can hear A grade three murmur is a murmur a student will get failed for if they cannot hear A grade four murmur is a murmur that anyone can hear And a grade five murmur is a murmur even a surgeon can hear

Cariology lecturer (via thehappyvet)

Social Media and Vet School

This post isn’t to nag, or to whine about people putting up inappropriate photos. This post is to make you aware that putting photos up from vet school is fine, but if you do it wrong you can very easily get yourself expelled. And lots of people get away with posting photos that could be led back to them, sure. But do you really wanna risk five to six years of blood, sweat and tears on a cow selfie??

Below are some tips to try and do the social media thing right: