
My Take Tuesday: Cast Iron Stomach Required
Veterinary medicine is not for the squeamish.
That’s not a complaint—just a fact. On any given day, I come face to face with things most people spend their lives actively avoiding. Urine. Feces. Blood. Flies. Maggots. Pus. Fluids of questionable origin. If it can leak, ooze, spray, crust over, or emit an odor that lingers long after it has physically left the room… I’ve met it.
Early in my career, these encounters were memorable. Traumatic, even. Today, they’re just Tuesday.
Over time, you develop a tolerance. Not immunity—but a kind of professional callus. I can now discuss dinner plans immediately after things that would have ended my appetite for a week in veterinary school. Most days, I remain composed. Upright. Respectable. Rarely do I dry heave in the exam room.
Rarely… but not never.
Occasionally, a case walks in that reminds you you’re still human. When that happens, defensive strategies are quietly deployed. A discreet swipe of Vick’s Vapor Rub beneath the nostrils. A surgical mask—not for sterility, but survival. Sometimes both. Dignity becomes secondary. Oxygen remains essential.
There are certain cases where caution is more than just good practice—it’s mandatory. When a suspicious swelling presents, I don’t rush in like a hero. First, I aspirate with a needle to confirm exactly what I’m dealing with. This step matters. Veterinary medicine teaches you many things, one of which is that surprises are rarely good—and sometimes surgically inconvenient.
Once, I had a cat present with an abscess that had clearly been holding onto its feelings for quite some time. When it was finally addressed, the contents made their displeasure known immediately. Copiously. Enthusiastically. The smell arrived before the explanation.
And then something unexpected happened.
The cat gagged.
It turns out that cats—aloof, superior, emotionally distant creatures—also possess a very real vomit reflex when confronted with something truly offensive. Watching a cat dry heave in response to its own abscess was one of those rare moments when nature reminds you it has an impeccable sense of humor.
In that instant, I learned two important things:
1. Cats are not as unbothered as they pretend to be.
2. I was not alone in my suffering.
The humans, however, did not fare as well.
Over the years, I’ve had owners faint. I’ve had owners bolt for the door. I’ve had owners make noises that suggested deep regret over every life decision that led them into that exam room. And honestly, I don’t blame them. This profession demands a cast iron stomach—and not everyone signed up for that part.
Veterinary medicine requires compassion, intelligence, patience… and a very specific tolerance for things most people would consider deal-breakers. It’s not glamorous. It’s not always pleasant. But it’s honest work—and occasionally, it’s unintentionally hilarious.
If you’ll excuse me now, we just ran out of Vick’s.
And that is My Take.
N. Isaac Bott, DVM












