My Take Tuesday: Airport Security

They say hindsight is 20/20. Looking back, it was clearly a mistake.

I hurriedly prepared my luggage, assuring that everything would fit in a carry on. I have a perfect record, in all of my travels I have never had my luggage lost. Taking a single carry-on bag is the only way to assure your luggage gets to your destination on international flights.

The destination this trip, was the Philippines, and it was my first trip to Asia. I had been called to travel there to assist in establishing both Water Buffalo and deer reproduction programs in this far away country.

I placed my required instruments, long forceps and miscellaneous items used for freezing semen delicately in my bag. The last piece of equipment was something called an electro-ejaculator.

In the practice of veterinary medicine, it is common to collect semen from domestic ruminants using electro-ejaculation.

This instrument is an electric probe that is inserted into the rectum of an animal, adjacent to the prostate gland. The probe delivers an AC voltage, usually 12–24 volts. The probe is activated for 1–2 seconds, referred to as a stimulus cycle. Ejaculation usually occurs after 2–3 stimulus cycles. The instrument fits in your hand and runs on a traditional 9 volt battery, the exact battery most smoke alarms use. It is a valuable tool when collecting semen from agricultural and wild animals.

It fit, without a problem, in my suitcase.

Salt Lake City International Airport was busy on this particular day. The lines extended over the sky bridge and nearly to the parking garage.

I passed through the metal detector and my bag went through the usual belt driven scanner. As I waited for my bag to come out, the operator of the scanner lowered his head and spoke into his mouthpiece. What he said was inaudible, but the response it triggered was anything but quiet.

I was circled by at least 10 TSA agents and hurried off to the far right end of the security entrance. If there ever was a suspicious item, this was it.

A tall gruff man asked, “Sir, do you have any prohibited items in your bag?”

Now clearly, they know the answer to this question before they ask it. On a prior trip, I had left a small pocket knife in my bag. They asked the same thing, and I had completely forgot it was in my bag. My answer then was, “I don’t’ think so?” Fortunately, they allowed me to mail my pocket knife home and the delay was minimal.

Clearly today it was not going to be as easy.

“I have a medical device called an electro-ejaculator in my bag”, I tried to explain. One of the TSA workers removed the device. Clearly red flags were raised, and rightly so. Here is an electronic device with a push button, a red light and metal tongs protruding from the probe. The gruff man demanded, “What is this and why do you have it?”

“It is used to collect semen from animals,” I explained, “you insert this end in the rectum and push this button. It then applies current over the prostate, and ejaculation occurs.”

The gruff man’s face went from viable anger to disgust in less than two seconds.

“What? Ewwwww!!! Are you serious?”, he continued, “Why would you ever do that to an animal?”

“I am a veterinarian”, I explained, “And my expertise is in animal reproduction.”

“Man kid, I thought my job was tough,” he replied, laughing this time.

Fortunately for me, the device was labeled as such and my story was collaborated. I was allowed to pass.

En route to Manila, we stopped in Narita, Japan. Even though it was just a connecting flight, I had to pass through a security line once again before continuing on to the Philippines. Once again, a huge mess unfolded as I tried to explain in English why I would have such a dangerous looking device in my bag.

There are a couple dozen airport security officers around the world who now know, albeit unwillingly, what an electro-ejaculator is and how it is used.

After an eventful and productive stay in the Philippines, I entered the airport in Manilla, excited to be going home. As I stepped up to the counter, the ticket agent asked, “Sir, do you have any bags you would like to check?”

“Yes, I sure do”, I quickly replied.

I made my way to the gate and sat down to await my flight. I was relieved that I didn’t have to once again explain what was in my luggage. It appeared my trip home would be uneventful.

All of the sudden, over the loud speaker I hear the following announcement, “Passenger Nathan Isaac Bott, please report to the security desk immediately!”…………

And that is my take.

N. Isaac Bott, DVM

My Take Tuesday: The Fragility of Life

Just west of Castle Dale, Utah, the sky above Horn Mountain turns  a beautiful cinnamon on clear summer nights as the sun sets over the place I call home. These summer nights smell of freshly cut grass and alfalfa, of sagebrush and lilacs.

If you are heading west along Bott Lane, just past the tall poplar trees, lies a piece of ground that was homesteaded by my great-great grandfather. This piece of land has passed from generation to generation, from fathers to sons, and has always remained in my family.

On the east side of this piece of land, a silhouette of a Ford Tractor and a Hesston Hydroswing Swather were visible on many beautiful summer evenings during my childhood. On the tractor, sat my uncle Jerry Bott.

Jerry was a giant of a man. He stood over 6’4”. His gentle demeanor and kind heart were his most precious of character traits. His soft voice and carefully chosen words were never cross or unkind. At least two times every day, I would be able to greet my uncle as I would enter his house before milking our cows. He became my constancy, my anchor, as I grew from a small child into the man I am today.

On this particular night almost exactly 28 years ago, in 1990, my uncle Jerry was cutting the first crop of hay. The tall grass makes this cutting the most difficult on the equipment. Constant attention must be given to the rotating wheel and hay knives that were prone to clogging.

This time of year, hen Ringneck pheasants are on their nests. They sit so still that even the loud rumbling of a tractor and the ground tremors of the hay cutter leave her undeterred. Occasionally, these hens are injured or killed as they sit on their eggs. The nest, whether it be full of chirping hatchings or incubating eggs, is left to the merciless predators from the air and the nearby fortress of trees and Russian Olives that run along Cottonwood Creek.

As the sun faded behind the towering cliffs of Horn Mountain, I stood on my parents lawn, looking eagerly at the approaching two-toned tan GMC Sierra. My hero was coming home for the night.

As Jerry exited his truck, he held under his arm a brown paper grocery bag. His long stride headed towards me instead of his house across the street.

As he approached, he called my name.

“Isaac,” his low and gentle voice called, “I have something for you.”

He handed me the brown paper bag.

Inside, a green towel was wrapped gently around 8 medium sized olive colored eggs.

“These are pheasant eggs,” he continued, “and they need to be cared for.”

“Isaac, I know that you will do a good job at taking care of them.”

I looked in the sack as Jerry walked back across the street and into his house.

“How do you hatch pheasant eggs?”, I wondered as I entered my parent’s house.

My incubator was nothing special, just a Styrofoam box with a small heater inside. Knowing that peasant eggs incubate for 23 days, I set the temperature and humidity and carefully laid the eggs inside.

I faithfully turned the eggs three times a day for three weeks.

Somehow, the incubation was successful and the eggs all hatched out. The tan chicks had dark brown stripes that ran parallel along their backs.

I was overjoyed when I told my uncle Jerry about my accomplishment.

“Uncle Jerry,” I exclaimed, “I did it! The eggs hatched!”

“That is great!”, he responded, “Isaac, I knew you could do it.”

His response and validation filled my system with light and my soul with joy.

The world with all of its power and wisdom, with all the gilded glory and show, its libraries and evidence, shrink into complete insignificance when compared to the simple lesson of the fragility and value of life that my uncle Jerry taught me that warm summer evening.

Over the years, uncle Jerry repeated this phrase to me. As I graduated high school, college and eventually veterinary school, his reassurance illuminated my understanding of my potential and his unwavering love and support.

There are days that change the times and there is a time to say goodbye. My sweet uncle Jerry passed away in late 2016. His loss left a tear in the eye and a hole in the heart of all my family members.

There is a place beyond the clouds, in the cinnamon sky to the west of Castle Dale, where a precious angel flies.

Somethings never change. Yet, there are things that change us all. This experience changed me.

My uncle Jerry’s lesson, from long ago, was not lost on me.

Each and every day, I remember the immense value of life, as I attend to my four legged patients.

As lives are saved and others are lost, I remember how important it is for someone to take initiative and to tend to the responsibility to care for the helpless and to speak for those without a voice.

This is a lesson my dear uncle Jerry so effectively showed me how to apply and live, and it is a responsibility I take most sacredly.

And that is my take.

N. Isaac Bott, DVM

My Take Tuesday: Baby Chicks 

 

I love springtime in Utah County! The grass is leaving behind its dormant brown state and turning dark green, the flowers are blooming as if to welcome the longer days and the beautiful season filled with the sound of birds chirping and new life coming into the world. I love baby animals! From lambs to foals, from reindeer calves to baby chicks, Spring is filled with hope for the future. 

I recall days long ago in Castle Dale, UT. While growing up, we would receive day old chicks during the third week of April. I would await this day with all of the excitement a small child could muster. 

In the basement of my parents house, my dad made a make shift brooder. This was made of a large cardboard box lined with newspaper and a heat lamp placed at just the right height to provide the needed warmth for the freshly hatched chicks. They would crowd around the light bulb and nestle tightly together as they slept. There was a constant chorus of peeping. 

In a sense, I was a student as I sat and watched the starlings each morning. I learned through deliberate, diligent observation. I faithfully fed and watered the hatchlings each morning and night. I carefully placed fresh newspaper in the box with each feeding. I closely observed how they would eat selectively, picking out shiny pieces of corn before consuming the finely ground mash. As they drank, they would take just a few drops in their mouth and then lift their head upwards, pointing their beaks, and would swallow each drop of water. I learned how to tell if a chick was ill or otherwise isolated, and I would tend to these with as much care as a child could muster. I remember crying as some of the chicks didn’t make it. These experiences were my first real exposure to the frailty of life and the sting of death. 

As the chicks grew and matured, I was allowed to go to the chicken coop to collect eggs. One by one, I set them in my basket, the brightest white with the deepest red, the palest green alongside the softest brown. 

When I was a child, I frequently dreamed that I could fly. It felt so natural to come down the stairs as if on wings, swooping out the door, joining the wild birds and eagles that soar above Castle Valley. In one dream, I coasted over our chicken coop, and peered through windows of protective wire. I saw the hens, the roosters, the pheasants and the chukars all waking and stretching their wings, as if they wanted to fly alongside me.  I woke up grounded, wishing the freedom of flight could be as easy for me. 

I find that in today’s chaotic world, the simplest things are forgotten and over looked. The beauty of a sunrise, the fresh dew on a summer’s morning, the sound of a mountain creek, and the clean smell in the air after it rains: these simple things are there constantly, but we have to take the time out of our busy lives for deliberate and diligent observation. No matter our circumstances, no matter our challenges or trials, there is something each day to embrace and cherish. 

Often, our mind conflates the world and our own interpretation of it without much thought. We simply assume that the way we see is the way it is. And once that way is verbalized, put into specific words with specific meanings, it becomes all the more difficult to parse. The challenge, is to recognize and appreciate all of the little moments of joy that come along and to enjoy this unpredictable journey of life. 

When I am faced with a problem or challenge, I try to approach it like a young observant child. After all, the world never stops teaching us if we have the humility of a beginner’s mind and the generosity to share it with others. This is all we need to do. 

Everything else is inconsequential.

And that is my take!

N. Isaac Bott, DVM

 

My Take Tuesday: The Universal Human Animal Bond

A few years ago, I had the opportunity to spend several weeks in Mexico working as a veterinary ambassador. It was an incredible experience.

The first week, we traveled to the outskirts of a city called Queretaro. We sat up a set of tents and hosted an animal wellness clinic. We spent an entire day vaccinating dogs and cats.

The next two days were spent in Guadalajara. Here we also set up vaccine clinics. Over the three day period we vaccinated the pets of over 1,800 families. We spent time with each individual and answered questions about the pets they had and educated them on preventive care and how to assure a long and happy life for their 4 legged family members. These are among the longest days I have had as a veterinarian. It was exhausting to speak to so many people. However, the exhaustion was insignificant compared to the happiness I experienced by helping in these activities. 

When we look at veterinary medicine on a global basis, people everywhere are attached to their pets and want their pets to be healthy. In the villages where we held our clinics, people couldn’t imagine putting their dogs on a leash; they would consider that cruel. If they want their dogs to walk somewhere, they pick up the dog’s front legs and walk them on their hind legs. The dogs are amazingly patient with this practice.

Lines each day extended around the block. Hundreds of people stood in line for hours under the hot sun to receive the services we were providing. Dozens of children brought their beloved pets, often in a grocery bag or carried safely in their arms, to be vaccinated and dewormed. They showed the same love towards their pets as anyone I have ever seen back home. The Human-Animal Bond is the same across borders – it is the same in the hearts of people everywhere. The happiness I experienced while performing these vaccine clinics was inexplicable.

It is commensurate with service to experience reciprocity. What effort we exert is returned many fold. I find the satisfaction of such service to be rewarding beyond comparison.

Veterinary medicine is a unique profession. What motivates us is the important services that we provide. There has to be a love of service and of reaching the hearts of the people who own the pets. I concur with what Dr Seuss conveyed through the character the Lorax, “Unless someone like you cares a whole awful lot, nothing is going to get better. It’s not.”

At Mountain West Animal Hospital, we care. We value life. We are advocates for those who have no voice. We believe that all animals have the right to a life free of pain and suffering. Everything we do is centered around this principle. We strive to provide the care that pets need and deserve.

And that is my take.

N. Isaac Bott, DVM

 

My Take Tuesday: The Negative Review

When was the last time you heard of someone phone shopping for the price of their hysterectomy? Imagine being on the receiving end of such a phone call. As strange as it may sound, this is something that veterinary clinics deal with every single day.

Our policy at Mountain West Animal Hospital is not to give estimates for surgical procedures without first seeing a pet. Prices vary greatly with most medical care, especially surgery. Every animal is unique and individual. Prices vary on the need of each animal. Depending on health and condition some patients require different anesthesia, more care, different treatments to go home and so forth. There are myriads of variables that must be considered when providing an estimate for a surgical procedure and a thorough physical examination is required to provide such an estimate accurately.

Despite the misinformed general public perception, a “spay” is not a simple surgery. The ovaries are held in place, in close proximity to the kidneys, by a ligament. Arteries that branch from the aorta supply the blood to each ovary. Two additional arteries provide the blood supply to the uterus. Each of these 4 major arteries are ligated during a “routine” spay. This is a very invasive procedure. Despite this, the total cost to spay a 100 pound dog is still only around $300. In contrast, the total cost to perform an ovariohysterectomy (“spay”) on a 100 pound woman is about $40,000 – over one-hundred times as much!

As a veterinarian, I have always been interested in parallels between my profession and the human health care profession. While veterinarians, on some levels, seem to try to model what we do after “how it’s done in human medicine”, there are some things that I hope we will always do differently.

We have been able to keep our fees for most procedures relatively low compared to the same procedures in human medicine. The reasons for this difference are numerous, but in my opinion come down to mostly two things. The first is that we, as human patients, have become so dependent on insurance to cover our medical bills that we have removed competition from the equation.

Another major difference between veterinary medicine and human health care is the degree of specialization. Yes, we do have a growing number of specialties in veterinary medicine, including surgeons, cardiologists, neurologists, dermatologists etc., etc., but for the most part, we as general practitioners, are still able to do what we feel we are capable and qualified to do. Therefore, we are able to treat most problems that arise in pets very efficiently and without having to refer our patients to a specialist for everything more severe than a laceration or an ear infection.

All too often in human medicine, many different specialty practitioners share in the care of a patient. As Dr. Bob Encinosa has observed, “One doctor takes care of Mary’s diabetes, while another takes care of her heart condition and yet another handles her dementia or her arthritis. It becomes very easy to overlook the question, “How is Mary?”

At Mountain West Animal Hospital, we provide individualized care. We strive to provide the best possible veterinary care for our patients by maintaining and utilizing state of the art facilities and equipment, and by employing and developing a well-trained competent and caring staff. We are dedicated to providing friendly, compassionate service to our clients in an atmosphere of professionalism, respect and concern. We advocate community and client responsibility in improving the welfare of animals. We seek to be a positive, contributing influence within the community we serve.

Veterinarians are some of the most caring and considerate individuals on the planet. There is widespread damage done to all veterinary professionals when they receive the message that what we do is not valuable and should not cost money, and that we are terrible people who are only in it for the money. Suggesting we are only in it for the money, or that if we cared for animals we would do this for free, is laughable to any veterinarian. We love animals more than anything. We have made caring for their health and welfare our life’s work. We have given up so much to do this. 

As a veterinarian, I experience the emotional ups and downs that happen to each of us. It can be difficult to maintain a happy, smiling face, especially after I have dealt with a case of animal abuse, neglect, or after performing a euthanasia. I am human. I am fallible. When this happens, I try my best to make things right. I earnestly strive to treat each client and patient with the dignity and respect that they deserve. 

Unfortunately, occasional negative reviews are posted that reflect a lack of respect for our high standard of care and commitment to pets. Sometimes they are vicious and mean. These can be hurtful. Often fake names and accounts are made and utilized as an anonymous base from which these cowardly attacks can be made. The review pictured is made from one of those fake accounts. 

I recently listened to Larry The Cable Guy talk about how when he looks out at an audience, if there is a single person that is not laughing and smiling, he takes it personal. It doesn’t matter if 10,000 people are laughing, the one outlier is what he will remember. I can certainly relate to this.

If you appreciate our individualized care and our unique team at Mountain West Animal Hospital, I encourage you to provide a positive google review.

I feel that we have the best clients and patients out there. I consider myself blessed to work with such extraordinary people and to be able to help their beloved four-legged family members.

And that is my take!

N. Isaac Bott, DVM 

My Take Tuesday: Up A Tree

In the early spring, when the ice and snow begin to disappear, most of the fields in Utah County are a muddy disgusting mess. A farmer would be wise to avoid calving their cattle during this time. A clean environment required for calving is impossible to find in a swampy, muddy field.

Dwane is not a typical farmer. To him, this is the perfect time of year for calving. His solution to the muddy disgusting mess in his pasture was simple: A four wheeler.

Each morning he would ride around the cow pasture to check on his pregnant stock. On this particular day, had spotted one cow calving and could see the infant’s nose and one foot exposed. Circumstances such as this require help from DocBott.

“Hey Doc, I need some help with one of my cows,” Dwane stated matter-of-factly, “She is kind of a wild one, so I don’t dare work on her by myself.”

I know better than to get myself into a situation like this. There is no way it can end well. Unfortunately, as it often goes, I gave in and headed towards Dwane’s place in Palmyra.

Dwane sat, on his Honda four wheeler at the gate. Every inch of the machine was covered in dark brown mud. As I looked into the field, I could see a few cows standing literally knee deep in mud.

“What a mess!”, I exclaimed, “Dwane, you really need to get a barn if you are going to calve out this time of year.”

“Yeah, I know,” he replied, “But you know how beef prices are this year.”

He did have a point, unpredictable and forceful influences that have negligible affect on most businesses, can dramatically alter the beef industry. From changing product demand, rising input costs and market fluctuations, to weather patterns and even consumer nutrition and lifestyle trends, farmers and ranchers must balance a long list of variables in order to be successful. The beef industry is not for the faint of heart.

“Where is she?,” I asked.

“Hop on, Doc, I will take you to her”

Out in the center of the field, along side a large cottonwood tree, the big Angus cow was comfortably sitting. As we approached her on the four wheeler, the wide eyed cow jumped up on her feet. Almost instantly, out popped the calf.

“Wow!” Dwane explained, that was easier than I thought it would be.

“It sure was,” I replied.

We should have just kept driving on the four wheeler at this point. The mother and newborn were both apparently healthy. There was no reason to stay, except that Dwane felt this was an opportune time to put a tag in the calf’s ear while we were near.

We dismounted and quietly approached the new born calf. Dwane reached down and quickly placed the tag in the left ear of the calf. The small calf let out a quiet but deliberate “moooooo”.

No sooner had the calf opened its mouth, the cow charged. She hit Dwane squarely in the chest. He immediately flew backwards towards the tree. He quickly jumped up and raced behind the tree, trying to use its massive trunk as a shield from the raging bovine.

I raced behind the tree as she bellowed and snorted. I looked at Dwane and he looked at me. We both knew there was only one way out – and that was up! We both climbed as fast as we could. Our mud covered rubber boots slid as we tried to climb the massive tree.

A large low hanging branch provided support as we held on and climbed on top of the life saving perch.

“Are you ok?” I asked

“Yeah,” Dwane replied between gasps, “I thought we were both dead!”

“Me too!” I agreed.

Fortunately, we have cell phones in today’s world, if not for that, Dwane and I would have had to stay in the tree for who knows how long.

“Just look for a four wheeler and a savage cow circling a tree,” I heard Dwane say as he grinned.

As we rode out of the pasture, he commented, “Hey Doc, I think I just might get that barn after all.”

“That sounds like a great idea,” I agreed, “I ain’t much of a tree climber!”

And that is my take.

N. Isaac Bott, DVM