My Take Tuesday: Black Friday

It was a beautiful Friday in late November. The animals were standing, by the thousands, crowded in the isle. The primitive fight or flight instinct had clearly pushed towards the fight response on this particular day. This mammal known as man is best avoided on the day after Thanksgiving. In years past, I stood in these massive lines just to get a good deal, after all, nothing says “America” like fighting over a TV at Walmart.

This particular Black Friday, however, was spent driving to and from farms in Utah County tending to a variety of sick animals. What began as a perfect day, quickly took a turn for the worse.

The mare’s name was Dollar. She was a beautiful sorrel. She had recently given birth to a healthy young filly. 

Shortly after foaling, she developed severe lameness in all four of her feet. Her condition quickly deteriorated, and she was barely able to walk when I arrived. To make matters worse, Dollar had developed severe colic, a term referring to abdominal pain in horses. Her intense pain was caused by gut spasms and every few minutes she would suddenly drop to the ground and roll.

Upon arrival, I performed a thorough physical examination. I then administered a mild intravenous sedative and passed a tube through her nose and into her stomach. I then pumped in a half-gallon of mineral oil.

The next treatment in a case like this is to administer a non-steroidal anti-inflammatory to help with the pain. The two most common drugs that veterinarians use in this case are phenylbutazone (commonly called Bute) and flunixin meglumine (brand name is Banamine).

For me on this particular day, I reached for a bottle of Banamine. With the needle in my right hand and the syringe in my shirt pocket, I held off the jugular vein with my left hand. Dollar didn’t flinch as I quickly slipped the needle into her vein. With dark blood slowly dripping out the needle hub, I reattached the syringe and steadied my hand against her neck. Just then, a gut spasm hit, Dollar jumped up and staggered sideways. I quickly sidestepped in an effort to remain in a position where I could inject the medicine.

Without warning, and before I had injected any appreciable amount of Banamine, she reared up on her back legs. I retracted the needle immediately and instinctively stepped backwards. The momentum of her rearing up and me pulling back made me momentarily struggle with my balance. I then pulled my right arm abruptly to the side of my body to avoid falling over. As I did so, the large bore 18-gauge needle plunged over an inch and a half straight into the right side of my abdomen. The needle entered about 6” to the right of my navel and 3” below my last rib. I felt intense pain as the needle cut through my skin, subcutaneous fat, and abdominal muscle. The hub of the needle was nestled flush against my brown Carhartt Jacket. During my split-second of inattentiveness approximately 2 ml of Banamine was injected directly into my abdominal cavity.

Immediately, I grimaced in pain. The owner of the mare looked at me as I pulled the bloody needle from my abdomen. 

“Are you ok?” he inquired, “Did you just stab yourself?”

“I sure did,” I groaned.

The pain was incredible. It was so severe, that I actually laid right down in the stall and waited for the stinging to subside. It felt as though some one was burning my abdomen with a branding iron.

After nearly a half an hour, I was able to stand up and walk back over to the mare and administer the Banamine properly. I then climbed in my truck and immediately headed to the doctor’s office.

There are some veterinary drugs which are fatal when injected into humans; fortunately for me Banamine isn’t one of them. Although it relieves pain when administered intravenously in horses, I learned that day that when administered outside a vein, the effects are the total opposite.

It stung far worse than any insect sting or abdominal pain I have experienced.

“You what?”, The doctor blurted out, “How much did you inject?”

My physician is unique. His father is a veterinarian. He was raised at a veterinary clinic and spend his youth helping his father in a general mixed-animal practice. Fortunately, he knew exactly what Banamine was and what he needed to do to treat me.

Afterwards, he laughed as he reminded me, “Hey Doc, keep that needle pointed away from you next time!”

I most certainly learned a painful lesson that Back Friday.

And that is my take.

N. Isaac Bott, DVM