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 worst.

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 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 lose my balance. I 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 mls 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 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

My Take Tuesday: Thanksgiving Dinner in Emery, Utah

The sense of smell is closely linked with memory, probably more so than any of our other senses. Those with full olfactory function may be able to think of smells that evoke particular memories; for me, the smell of turkey in the oven takes me back to Thanksgivings of long ago. As this homeward journey begins, I find myself seated at a table in my grandparents house in Emery, UT.

Grandma makes the best food! The fresh baked rolls, the stuffing, the potatoes, roasted butternut squash – each dish renders a unique and enticing smell. With the ever-more ready turkey roasting in the oven, these combine, creating a signature fragrance greeting guests the moment they step through the front door. We salivate as we anxiously await the assortment of generations of family recipes cooked to perfection.

I remember exactly where I sat at the table, facing south, sitting across from my siblings and cousins. The sounds of the adults in the kitchen enjoying a home cooked meal as the delectable smells, good conversation, and the comfortable atmosphere make me feel at peace. As I close my eyes, I readily am able to conjure a significant mental image of Thanksgiving dinners at the home of Hugh and Shonna Peterson.

The joyous bustle and the incessant hum of conversation combine to create a warm atmosphere. The stokermatic furnace in the living room, with its gentle smell of burning coal, adds to the homey ambiance. As we reminisce and laugh, we give our diets a hall pass, stuffing ourselves in a way we would never dream of the other 364 days of the year. But more than the food we savor, it is the scent of the feast that we love and the constancy of family that makes us so complete.

After eating, I usually end up sitting with my cousins around the TV, watching a football game or laughing hysterically at the Farley Family Reunion VHS.

Later on, I return to the warm glow of the kitchen, Just in time to hear my grandpa telling a story from his younger days. I have never met anyone that can tell a story like Hugh Peterson. His excellent memory weaves a tapestry of nostalgia. With each word we move closer to the edge of our seats. With a smile on his face, and just a tad of embellishment, he tells a story like a boss. He makes us all literally laugh until we cry.

I will forever cherish these memories and conversations around the dinner table in Emery, Utah. They will forever remain a refreshing change from the chaos of everyday life. I will always remember the Peterson Family Thanksgivings as one of my most precious memories.

Since yesterdays are gone, and tomorrows are never promised, lets make this Thanksgiving count. Spend time with family and friends. Let us love and laugh and live in the moment. Be sure to spend time with the people in your life who want you to be in theirs. Cherish the people in your life who accept you for who you are, support you in the things you chose to do and, no matter what, are there for you.

And that is my take.

N. Isaac Bott, DVM

My Take Tuesday: Why did you become a veterinarian?

I hear this question on a regular basis. Each veterinarian has a story about why he or she decided to pursue a career in veterinary medicine. Most veterinarians share a commonality – that they have always wanted to be a veterinarian as long as they can remember. My story is a little bit different. I have always loved animals, but didn’t decide to become a veterinarian until the age of 21.

To tell my story, I must start at the beginning.

I was raised on a small farm in Castle Dale, UT. My first responsibilities as a child were to feed the chickens and gather the eggs. I began this task at 6 years of age. Each year we would purchase a variety of baby chicks from Murray McMurray hatchery. They would arrive at the post office on a scheduled day. I would wait with eager anticipation for this time. To me it was just like Christmas. My dad would let each of us pick out a chick that was “ours”. I would always name mine. I first experienced the remarkable human – animal bond with my chickens. I cried when they died. As a child, chickens became my favorite animal, and remain so until today.

Even though I spent my entire childhood around animals, I did not put much thought into becoming a veterinarian. On one occasion in high school, I took an aptitude test. The test results suggested that I would not make a good veterinarian. The reason was simple, I was not introverted. According to that particular test, I could not be successful as a veterinarian. Assuming that these tests were accurate, I pushed the veterinary idea out of my head and considered a law degree.

After I graduated from high school, I spent the next two years in Peru. I was immersed in a culture so much different from the one I was used to. It took nearly a year for me to adjust and to speak fluent Spanish. I remember walking down the street in Casma, Peru one day and seeing a group of men in the process of castrating a bull. It was a sight that I will never forget. They were beating the testicles with a large stick in an effort to destroy the testicular tissue and render the bull sterile. The brutality was sickening. I remember feeling so sorry for the bull.

That night I laid in bed thinking about why they would castrate a bull in such a barbaric fashion. I realized that perhaps that was the only way they knew how. Maybe they didn’t know any better. I decided at that moment that I would do all I could to teach these farmers a better way. Having a farming background, I was very familiar with animal husbandry and felt confident that I could help educate the farmers in this part of the world.

My first patient was a pig named Walter. He was a family pet that lived in a house in Casma. Walter had an attitude and his owners needed to have him castrated. I had a friend named Duilio Davelos that owned a pharmacy in town. I visited him and purchased some lidocaine, suture, iodine and alcohol. The procedure went flawlessly. Walter recovered very quickly. News spread of the event. Soon after, I began sending my free time on Monday’s castrating pigs. Farmers actually were open to learning. The supplies were very inexpensive and my services were free.

Next came chickens. Because of my time spent as a child taking care of baby chicks, I was able to teach basic poultry care and even help make incubators to boost production. I soon began helping with llama and alpaca herds. Soon, other curious Americans participated in this. In fact, a human dermatologist raised in Provo, UT had his first surgical experience South of Trujillo, Peru castrating pigs! It was very fulfilling to be able to help people out in this fashion. I felt like I was really accomplishing something. I was giving them something that would change the way they would treat their animals. No longer would they brutally castrate their animals without local anesthetic. They also knew how to surgically prep the skin, which eliminated so many post operative infections. I was helping people by helping their pets. It made me so happy.

As my time in Peru came to a close, I boarded a plane in Lima and headed back to the USA. As I sat in my seat, I reflected on the past two years. My thoughts kept returning to the animal services I rendered. It was in that moment, high in the air, that I decided to become a veterinarian. I landed in Utah, and a few weeks later began my first college classes. After 8 1/2 years of arduous study, my goal was reached and I became a veterinarian.

I often reflect on the decision I made. I look at how happy I am now. I love what I do. I love helping people by helping their animals. I have never had a boring day, nor have I ever regretted this career decision. I really feel like it is what I was meant to do.

So much in life happens by chance. I was fortunate to have my agricultural upbringing. It prepared me for the future. It is impossible to look forward and connect the dots of the random chances in our lives, but looking back, I can see it clearly.

I am glad that I had the chance to provide animal care in a far away place and how that opportunity led me down this remarkable path I am on today. I cannot imagine doing anything else.

And that is my take!

N. Isaac Bott, DVM

My Take Tuesday: Reflection

The wind howled, its lonesome lullaby piercing my ears as I turned up my coat collar. The desolate country lay still, with its towering stone cliffs and sage brush interrupted only occasionally by small clumps of cedar trees. The trail I was climbing was built by the CCC project (Civilian Conservation Corps) in the 1930’s during the Great Depression. The winding trail jots back and forth in a switchback as it leads to the south end of Trail Mountain.

I stood in awe as I gazed at the clear smooth reflective surface of Joe’s Valley Reservoir. The water was as smooth as glass and the towering mountains seemed to peer back from the water.
I have so many childhood memories of hiking this trail with my family, of fishing in the lake below and of family reunions with loved ones who are no longer here.

This is home. There is something about Emery County that heals my soul. This is my constancy and my serene sanctuary where I can reflect and recharge.

At its simplest, reflection is about careful thought. But the kind of reflection that is most valuable is more nuanced than that. The most useful reflection involves the conscious consideration and analysis of beliefs and actions for the purpose of learning. Reflection gives the brain an opportunity to pause amidst the chaos, untangle and sort through observations and experiences, consider multiple possible interpretations, and create meaning. This meaning becomes learning, which can then inform future mindsets and actions.

A reflective period need not be a time to be unduly harsh with ourselves, but rather to be lovingly honest. Firm yet forgiving. After all, endless rumination and self-recrimination keeps us trapped in a past we cannot change, and no one benefits from this. An attitude of self-forgiveness can liberate us from old patterns or ways of being that we likely adopted for a reason, but that do not serve us nor adequately reflect who we are and who we’d like to be.

Taking time to reflect will most certainly help you recharge. It will help you refocus and it will bring feelings of gratitude and purpose that are otherwise never experienced.
Try it. You will not regret it.

If you need a spot, there is a place along the CCC trail high above the world’s most beautiful reservoir just west of Castle Dale, Utah.

And that is My Take!
N. Isaac Bott, DVM

My Take Tuesday: Frank The Turtle

Third grade seemed to be a particularly creative time during my childhood. I remember sitting quietly in Mrs. Wikersham’s class at Castle Dale Elementary. As part of our daily routine, we would recite a poem each day. Most of the poems were short and simple and easy to remember. I still remember most of them verbatim. One of my favorites was about a little turtle, and it went like this:

“There was a little turtle.

He lived in a box.

He swam in a puddle.

He climbed on the rocks.

He snapped at a mosquito.

He snapped at a flea.

He snapped at a minnow.

And he snapped at me.

He caught the mosquito.

He caught the flea.

He caught the minnow.

But he didn’t catch me!”

I remember Mrs. Wikersham’s facial expressions vividly as she would teach us hand actions that went along with this poem.

A snapping turtle? It was something I could only dream about as a sheltered kid in a small town.

I recently thought about Mrs. Wikersham’s class after receiving an unusual call.

Frank the turtle needed an examination and a health certificate before flying to a warmer state. His owner called and explained that she could not find a veterinarian that would look at her turtle before her afternoon flight.

I really don’t know much about exotic pets, I somewhat reluctantly agreed to see her and provide the needed travel paperwork.

I entered the exam room to see the cutest little turtle imaginable. His innocent eyes peered up at me as I held him in my hands. I quickly looked him over and filled out the needed paperwork.

I handed the paperwork to the client and wished her safe travels. I then reached down to pat Frank on the top of his shell. Without warning, Frank snapped the tip of my right pointer finger.

Immediately, pain shot up my hand and continued all the way up my arm.

“Ouch!!!” I exclaimed, “That really hurts!”

Bewilderment filled my eyes. I didn’t see this coming. Frank, it turns out isn’t quite as sweet as he appears.

He might have snapped at that mosquito and caught that flea,

But in the end, Frank the turtle also caught me!

And that is my take!

N. Isaac Bott, DVM

My Take Tuesday: Veterinary Technician Appreciation Week

Being in the veterinary industry is hard work. Every day in filled with ups and down, happiness and sadness, and life and death situations. We end each workday exhausted and worn out emotionally.

Since our patients cannot speak for themselves, we spend a great deal of time communicating with their human owners. To an extent we are treating owners as much as patients. This requires a level of genuine empathy and professionalism that few people possess.

Behind every good veterinarian is a team of hard-working, caring individuals invested in the task of helping people help their pets. I am fortunate to be surrounded by a wonderful team of veterinary technicians at Mountain West Animal Hospital.

If you’ve ever experienced an emergency with your pets’ health or safety, you know how meaningful it is to have a knowledgeable and compassionate technician to care for them!

Veterinary technicians are the unsung heroes of your pet’s veterinary care team. Without these devoted professionals, my office would be a sea of chaos and confusion. These highly trained individuals do everything from greeting clients and answering phones to restraining pets, drawing blood, taking radiographs, assisting with surgical procedures, filling prescriptions, comforting grieving pet owners, and cleaning kennels.

I simply cannot get through the day without my dedicated team at Mountain West Animal Hospital. They provide the individualized care and compassion that make my clinic so unique.

Most people do not realize the emotional toll this job can take. They don’t see us crying after we euthanize a patient we have treated for years. They don’t see the hard work that goes on behind the scenes. They don’t know what it’s like caring for a pet who is suffering near death and the triumph of pulling it back from that edge and going on to live several more years. They don’t see the mistreated or neglected pet that we so often walk through our doors.

They don’t know about the scars and scratches, bumps and bruise, sore muscles and back pain. They don’t know about the blood, diarrhea and vomit that they daily clean up.

There are many heroes that never stand in the spot light, never hear the roar of the crowd and never receive the recognition they deserve.

Pictured are three of my heroes. They are my right hand and my left. They work in a high-stress environment, putting in long hours, caring for ill and anxious pets, cleaning messes, and putting themselves at risk of physical harm. They do this because they care. They care about each of our clients and their four-legged family members. Thank you for putting your health and safety on the line to help increase mine. Thank you for being such amazing advocates for our patients and for being such an incredible support system for our veterinarians and our clients.

This week is National Veterinary Technician Appreciation Week. Please join me in thanking these girls for the wonderful work they do at Mountain West Animal Hospital.

They are amazing!

And that is my take!

N. Isaac Bott, DVM

My Take Tuesday: Skunked

A few months back, a Boy Scout troop stopped by the clinic at the end of the day for a tour. As I showed them around and answered their questions, I couldn’t help but reminisce about my time as a boy scout.

The year was 1995.

Boy scout troop 306 of the Castle Dale 1st Ward embarked on a week long 50 mile hike during the month of July. The hike began on a Monday at Ferron reservoir and ended on Saturday at Indian Creek Campground in the beautiful Manti Lasal National Forest.

As a 14 year old kid, I was just like most of the other boys in my troop: wholly naive and completely unaware of my ignorance. My sense of adventure far outweighed sound logic and I was prone to encounter trouble because of my mischievous nature. My little brother Caleb and my best friend Zac were my partners in crime and were witnesses to myriads of situations that shaped our imaginative Boy Scout days working on merit badges, monthly camp outs and high adventure events that eventually led to each of us earning ours the rank Eagle Scout. These experiences consequently helped make us into the men we are today.

On the second night of this long hike, we made camp at a place called Cove Lake. This beautiful lake is just a few miles from the scenic skyline drive and is nestled in a large grove of Douglas Fir and Ponderosa pines.

As Boy Scouts do, we set out to set up camp and explore the lake. We soon found out that we were not the only species inhabiting the camp on this particular night. We shared the campsite with one of the most widely distributed mammals in North America, Mephitis mephitis, or the common striped skunk. The fecund creatures were everywhere. As we floated around the lake on a makeshift raft, we could see dozens of them around the waters edge.

We clearly had a dilemma. Almost immediately, the skunks began ransacking our tents and food supply. These smelly striped critters were endlessly curious about the bipedal invasive species that had entered their territory.

Passive in nature, skunks will avoid contact with humans and domestic animals; however, when challenged they are amply prepared to protect themselves.

If a skunk feels threatened, it will give a warning which includes hissing, stomping of feet, and elevation of the tail. Failure to heed the warning signs will result in the unlucky aggressor being sprayed with the skunk’s anal gland secretions. Skunks are highly accurate in their aim and can spray 7 to 15 feet away!

A dozen rambunctious boys were immediately perceived as a threat by the striped beast. They seemed to coordinate the invasion of the camp, approaching from all directions.

A scout watching the skunk rodeo spoke to me, “Hey Isaac, if you hold a skunk by its tail it can’t spray you.”

The notion had some truthiness to it, after all, if it can’t plant its feet it likely wouldn’t be able to empty its scent glands.

Without any further thought, I reached out and grabbed the nearest skunk by the tail. I lifted it directly in the air and held it suspended with my arms straight out.

The little guy simply twirled slightly and lined his backside to my face and fiercely sprayed with all that he had.

It went directly in my mouth and up my nose. It covered my entire face and some even got in my eyes.

I immediately began vomiting uncontrollably. By eyes burned and my vision became blurry.

What a lesson! Take my word for it, a skunk can certainly spray when it’s feet aren’t off the ground. This equivocated logic is dangerous.

As Mark Twain once observed, “It ain’t what you don’t know that gets you into trouble. It’s what you know for sure that just ain’t so.”

The odeur fetide that I experienced is actually a thick, volatile, oily liquid that obtains its pungency from sulfur-based thiols. There in nothing that smells worse than skunk spray inside your nose!

It took weeks before I stopped smelling skunk.

Frantically, I raided the food tent in search of cans of tomato juice. I found 8 cans and a can opener. I then took a tomato shower. I scrubbed my head in it, my whole body was covered in tomatoes. You haven’t lived until you take a shower in tomato sauce.

The rest of the week proved to be much less adventurous. I was forced to sleep in my own tent and I walked behind everyone else along the trails.

Now when I see a skunk, I give it plenty of space. And I tell everyone that I can that contrary to popular myth, a skunk can spray even when being held off the ground by its tail!

And that is my take!

N. Isaac Bott, DVM

My Take Tuesday: Playing Possum

Fall has arrived in the Rocky Mountains. The beautiful red and yellow mountainsides that surround Utah Valley are a sign of the changing weather. The olive-green leaves of the quaking aspen groves are quickly changing to orange and brilliant yellow.

I love this time of year! The cool, crisp, fall air, the warm evenings and cold mornings signal the arrival of October. I enjoy the first day that is just chilly enough for a flannel shirt and the taste of a cup of hot apple cider, and the smell of wood-smoke beginning to billow from the chimneys.

There is much to accomplish before winter sets in. It is a busy time for me as a veterinarian. Sheep, goats, reindeer and elk breeding seasons require traveling all over the country as I provide assisted reproductive techniques on farms and ranches from Alaska to Arizona, and from Texas to Oregon.

Local farmers are bringing their cattle and sheep home from summer ranges and are preparing their horses for winter.

A recent farm call brought me to the beautiful grass pastures south of Salem, Utah. The owner, a friend of mine, met me at the beautiful wooden fence at the entrance to his pasture. A large Percheron draft horse was undergoing a routine hoof trim and the farrier was having some difficulty. This massive animal would not allow its left hindlimb to be trimmed.

I administered an intravenous sedative as soon as I arrived at the farm. This sedative works almost instantaneously. The huge draft horse’s head tilted downwards as his lower lip began to sag. Typically, this allows for quick non-painful procedures to be performed without protest from the horse.

The farrier attempted to lift the left rear limb after the sedative kicked in. Immediately, the horse angrily slammed down its massive hoof in a stubborn response. Because of the danger of such a large animal kicking and injuring all involved, I quickly made the decision to administer general anesthesia and to lay the animal down on the soft grass of the beautiful pasture.

Ketamine is commonly used in horses. It is of the cyclohexamine class of anesthetics. It is effective at rendering the animal motionless. The difficulty is safely getting a 2000 pound horse to lay down and get back up afterwards without injuring itself or landing on me. It is terrifying to stand next to an animal over 8 feet tall as it falls to the ground asleep. I take extreme caution in where I stand, how I place my hands on the halter, and how I am going to get to safety if something goes wrong.

As I administered the ketamine in the massive jugular vein, the large animal smoothly slumped and laid down as it entered a deep sleep. I positioned myself on the neck of the sleeping giant, as the farrier and my friend began the process of trimming the problematic hoof.

A group of curious pasture mates began to form in a circle around us as we worked. These inquisitive horses couldn’t figure out why this large Percheron, the alpha and bully of the herd, was sleeping in the middle of the day.

A sorrel gelding flared his nostrils as he sniffed the face of the napping equine. I reached out and touched his nose to assure him everything was alright.

Suddenly, without warning, this gelding stomped his right front hoof directly on the face of the sleeping horse. My fingers were just centimeters away from the hoof hammer as it came down. I gasped in bewilderment at what had just happened. Suddenly, I felt the giant underneath me move. Within a second, the large Percheron went from being sound asleep to standing up and alert. This rapid motion gave me little time to respond. I was flung like a rag doll from atop the neck of this huge animal. The soft grass broke my fall as I came crashing down.

The three of us looked at each other in disbelief about what had just occurred. Fortunately, we were all safe and unharmed and the horse was unaffected by the stomp on its face.

Sometimes the unpredictable is best met with humor. A roar of laughter erupted as we replayed the sight of me flying headfirst through the air.

Even though Utah is not home to the mischievous opossum, there is a large Percheron draft horse in the pastures south of Salem that can play the part extremely well!

And that is my take!

N. Isaac Bott, DVM

My Take Tuesday: Fleming’s Vest-Pocket Veterinary Adviser

The year was 1904. The town of Emery, Utah had a population of around 560 people, nearly double what it has today. Emery has always been an agricultural community. Ranching and farming are as much a part of its scenery as the towering cliffs that overlook the small town. Visitors are often taken aback by the beauty and expanse of this beautiful country on the edge of the San Rafael Swell.

Lewis W. Peterson made his living as a farmer. Life during this time could not have been easy. Lewis and his young wife experienced extreme heartbreak during their first few years together. Their only two children at the time would die from an influenza outbreak that indiscriminately killed so many in this small community in 1907.  

The remote location of the town isolated it somewhat from other communities. The town had a fine yellow church house that had a large ballroom floor that served not only for Sunday worship services, but also for social gatherings. This building still stands in the center of town today.

Information came in the form of newspapers and books. Knowledge was a valuable asset that would set certain farmers apart. When information was available, these farmers were open to reading and learning. It was during this time that LW Peterson acquired a new book called, Fleming’s Vest-Pocket Veterinary Adviser.

This now 116 year old, pocket size handbook of veterinary information pertained to diseases of horses and cattle, and was designed to help farmers and stockman. It provided 192 pages of everything from birth to aging, to caring for illnesses, to poisonous weeds, maintenance, how to feed, and recipes for concoctions to treat a variety of ailments.

This book must have helped LW. He kept the book. He passed it down to his son, Kenneth Peterson, who passed it to his son Hugh Peterson.

My grandfather, Hugh Peterson, gave it to my mother, who gave it to me. This book is displayed prominently in the museum case in the reception area of Mountain West Animal Hospital.

The well worn pages of this book are fascinating to read through. Although veterinary science was in its infancy at this time, it is still interesting to read about treatments used. Without the luxuries of modern antibiotics, antiseptics, anesthetics and anti-inflammatories, these treatments were innovative for their time. The early 1900’s provided incredible advances in hygiene practices, preventive medicine concepts evolved, the first vaccines appeared, nutrition was studied and research was beginning to show which therapeutics actually worked, and why.

Perhaps some would consider this dated literature obsolete. Much of the information contained therein certainly would be considered so. I, however, consider it a treasure. I wonder if LW realized that, more than 60 years after his death, a veterinarian, carrying 1/16th of his DNA, would appreciate this book passed from generation to generation.

I will keep this book safe and pass it on to my children. Who knows, perhaps in another 100 years, it will still be seen as a valuable piece of family and veterinary history.

And that is my take.

N. Isaac Bott, DVM

My Take Tuesday: A Scar

Last Tuesday evening, after a long day at work, I slipped while using a knife and cut a large section of skin off the tip of my left middle finger. The pain was excruciating as I drove to the urgent care clinic. Because of the location and size of the wound, suturing it closed wasn’t an option. I am stuck wearing a large band-aid on my finger for the next few weeks. The occasional throbbing and tingling sensation remind me throughout the day to be careful as I examine pets and go about my usual routine. I will certainly have a good scar as this wound heals. 

My left hand has been injured many times during my lifetime. Each of these injuries has left a unique scar. Each represent the best healing scenario for the injury sustained. Each scar has taught me how to deal with pain, how to be strong and each leave a detailed memory about how and when each injury happened. The most prominent of these scars is on my pointer finger. 

You can definitely see it if you look close enough, each time I extend my left hand with my palm down. It runs nearly perpendicular to the axis of my index finger.

Scars are a physical reminder of our own survival. They tell a story about places that you’ve been. They are tangible roadmaps to life’s lessons learned.

Every time I notice the scar on my finger, my mind travels back to my senior year of veterinary school in 2008. My best friends from veterinary school, Dan and Travis, were with me on this wild adventure.

It was a beautiful November day in Emmett, Idaho. The crisp fall air and dark yellow leaves of the cottonwood trees reminded me why this was my favorite time of the year.

During my last year of veterinary school, an entire month was spent at the Caine Veterinary Teaching Center in Caldwell, ID. This provided hands on training in a variety of agricultural species. Our days were spent on massive dairy operations, in the classroom and at livestock auctions.

On this particular day the sale yard was full. Cattle of every breed, gender and size were being sold and sorted through the sale barn.

My tasks were simple: 1) Vaccinate the females between 4-10 months of age. 2) Diagnose pregnancy in adult females. 3) An occasional bull calf would also need to be castrated.

Often cattle are sold because of their disposition. Wild, aggressive and flighty cattle are difficult to handle. Studies have shown a lower pregnancy rate among beef cattle that are flighty. Farmers are quick to cull cows that exhibit these traits. Therefore, wild and crazy cattle are prevalent at a livestock auction. Extreme care must be taken to avoid injury.

Facilities to process cattle make all of the difference for a veterinarian. It is very dangerous to attempt to process cattle in a rickety old squeeze chute. Unfortunately, too many sale barns have cattle handling facilities that leave much to be desired.

A black Angus calf entered the chute. I had castrated many calves before this and was very comfortable with the procedure. To facilitate castration, I entered the squeeze chute behind the calf. I reached down and made an incision. The calf immediately jumped and kicked. His right hind leg hit my right hand with incredible accuracy. The knife, still held securely in my right hand, plunged downward. The blade entered the index finger of my left hand, right between the first and second knuckles. The blade sank deep, and only stopped as it hit the bone in my finger.

The pain was immediate. I quickly exited the chute, holding my left hand tightly. Blood poured down my hand and dropped on the ground. The professor asked, “What happened?”

“I cut myself,” I responded.

As I stepped away from the squeeze chute, I glanced down at my finger. The open wound gushed blood. I immediately became light headed and nearly fainted as I stumbled to the truck.

I wrapped my finger tightly and headed to the nearest urgent care clinic. The throbbing pain seems to peak with each heartbeat.

After a couple hours and a few sutures, I was back at the sale yard. The remainder of the day went smoothly.

I will forever carry a reminder of that November day in Emmett, Idaho. Although time tends to color our memories optimistically, I still remember the painful lesson I learned that day.

Such is life. The ups and downs leave us battered and scarred. But with time, things get better. The pain won’t always be there and someday we will look back at each scrape and scratch and be reminded that scars are beautiful.

And that is my take!

N. Isaac Bott, DVM