My Take Tuesday: 9/11

This Sunday marks 21 years since the fateful events of Sept. 11, 2001.

Alan Jackson’s poignant lyrics ask the simple question, “Where were you when the world stopped turning that September day?”

It was a beautiful morning in Trujillo, Peru. I was crammed inside of a small Tico model taxi. As we passed through the Monserrate neighborhood, I peered out the window at the solid brick buildings with their brilliant shades of brown and white. At this stage in my life, I was completing two years of service as a missionary for the Church of Jesus Christ of Latter-Day Saints. As we headed to the headquarters of the mission, the taxi driver turned up the radio.

After two years in Peru, I had mastered the Spanish language. This language is referred to in Peru as Castellano. I could sense urgency in the voice of the newscaster as the broadcast came across the radio. As he described the horrors that occurred that morning, he used the verb “clavar” (meaning “to nail”) in reference to the airplanes hitting the World Trade Centers. I remember the feelings of panic and despair that came over me after hearing the news.

Over the next few weeks, I would daily be approached by random people that could tell that I was from the United Sates. These wonderful people would express their heartfelt condolences about the tragic attack that occurred and about how Peru had experienced the horror of terrorism during the 1990’s.

Being on foreign soil was difficult on that day in 2001. I will forever be grateful for the kind hearts of the Peruvian people that reached out and made me feel comforted despite the uncertainty of what was going on back home.

At one extreme man is indeed a vicious killer. He has the capacity to destroy entire civilizations. He can spread the bloody dead and dying over miles of landscape without a touch of remorse. He can kill women and children for no better reason than that they worship a different god.

Yet this mammal called man will risk his life to save a stranger’s child, or to rescue a dog who’s fallen into the river, and to save a small helpless kitten in distress. I salute those engaged in this good cause and stand with them in this dangerous world.

May we never forget the lives lost and the sacrifices made by the first responders and military personal that responded without question to the events on that September Day.

And that is my take!

N. Isaac Bott, DVM

My Take Tuesday- My Life: I Appreciate It

In March of 1980, a busy young couple worked tirelessly as they went to school and managed an apartment just west of Old Main near the Utah State University campus. The mother worked tirelessly in doting support of her husband. The father went to school full time and also worked long shifts at a local cheese factory. Their first child, a boy, was just beginning to walk and life seemed to be going smoothly. These lean days of struggle brought this couple even closer together as they faced the brambles and thorns, challenges and difficulties most couples experience just starting out. Their dreams of the future were one step closer with each passing day.

Early one morning, the mother began to experience significant stomach pain. This sharp pain in the lower right side of her abdomen was unbearable. The worried young father rushed her to the hospital.

A diagnosis of appendicitis was made and emergency surgery was required. The skilled surgeon performed the appendectomy without any complications.

As the surgeon explored the abdomen during the surgery, he noticed that this young mother was pregnant. This was completely unexpected. The medications used for general anesthesia were not approved for use in pregnancy, in fact studies showed that they caused birth defects when used during the first trimester.

The doctor stepped out of the surgery room to speak with the young father. He told him that his wife was pregnant and that the anesthesia used posed significant risk to the heath of the baby. Birth defects and serious developmental problems were likely to occur. The likelihood of these complications was so great that the doctor recommended that the pregnancy be terminated.

The weight of the world was on the shoulders of this young couple. They were tasked with making such a difficult decision about the pregnancy and the potential outcome. Considering the future consequences of this decision must have been so stressful for each of them. The health of the young mother and the possible complications were carefully considered.

In the end, they chose to keep the baby and face the uncertainty of what was to come.

On September 4th, 1980, a healthy baby boy was born. The baby was free from any birth defects and the young mother did well following the scheduled caesarian section.

The child grew up normally and, along with his 4 siblings, has strived to contribute positively to this world.

I catch a glimpse of that baby born 42 years ago this Sunday, each morning when I look in the mirror.

How grateful I am that my parents made the choice continue with the pregnancy despite the risk. My very life was in their hands and, thankfully, they chose the path of uncertainty and risk.

My life has been filled with wonderful opportunities and experiences and I appreciate each and every day.

And that is my take!

N. Isaac Bott, DVM

My Take Tuesday: The Dinner Guest

“Hey Doc, we would love to have you over for dinner on Sunday. We will be having some ribeye steaks and banana cream pie.”

Hearing two of my favorite foods in the same sentence excites me. Who could turn down such an invitation? John and Laura were very loyal clients and were a pleasure to be around.

“I would love to!”, I excitedly responded.

“Great! We will eat at 7”, John instructed, “you can come a little early and have some root beer and see that new shed I am building.”

“I’ll be there”, I promised.

On Sunday evening I pulled into the driveway at exactly 6:45. John was waiting for me at the gate. He held a large frosted mug of root beer in his hand.

“Here it is Doc, fresh made.”

I grabbed the mug and took a sip. The sweet vanilla taste satiated my senses.

“Now, that is good!”, I exclaimed.

John then proceeded to show me around the yard. Most of my time with John and Laura was spent on the ranch. It was a nice break to be able to see their home. The yard was perfectly manicured, as is expected from a master farmer and crop producer.

The smell of the blooming purple lilacs reminded me just how beautiful this time of year is.

“Come on in Doc,” Laura continued, “dinner is on the table.”

As I entered the kitchen, the table was covered in a smorgasbord of deliciousness. Fresh potatoes, olives, bread, ribeye steak and banana cream pie awaited.

We sat down and began to eat. We laughed and joked as we finished the delicious meal.

“Hey Doc, there is another piece of steak here, would you like some more?”, John asked.

“I sure would,” I replied as I began cutting the fresh ribeye.

“Do you like it Doc?”, John inquisitively asked.

“Yes sir!” I replied

“Good. You remember that old cow that had mastitis and was prolapsed? You said we couldn’t sell her so we butchered her instead.”

News like this is never good to receive between bites.

Instantly, my voracious appetite disappeared.

All I could think in about was that nasty prolapsed cow. That cow that was now in my stomach.

“Can I have another glass of root beer?”, I politely asked, as I finished the steak.

After all, John and Laura are salt of the earth people.

However, this is the only time I will ever eat steak at their house.

And that is my take!

N. Isaac Bott, DVM

My Take Tuesday: The Saga of the Saiga

They look like something you would read about in a Dr Seuss book. From their long-exaggerated proboscis to their loud nasal roars; this species is truly unique. Their bulbous noses, which hang over their mouths, give these antelope an almost comical appearance. The nose is flexible and can be inflated, helping them to breathe warm air in the freezing winters and filter air in the arid summers as they sprint with their heads down in a cloud of dust. Two considerable populations exist today. Kazakhstan is home to the largest population and a second, smaller group resides in Mongolia. Over the past few decades, they have made a population comeback. But this all changed in 2015, placing them in grave danger.

There was almost something biblical about the scene of devastation that lay across the wide-open fields in the wilderness of the Kazakhstan steppe. Dotted across the grassy plain, as far as the eye could see, were the corpses of thousands upon thousands of saiga antelope. All appeared to have fallen where they were feeding.

The saiga in Kazakhstan – whose migrations form one of the great wildlife spectacles – were victims of a mass mortality event, a single, catastrophic incident that wipes out vast numbers of a species in a short period of time. These Mass Mortality Events are among the most extreme events of nature. They affect starfish, bats, coral reefs and sardines. They can push species to the brink of extinction or throw a spanner into the complex web of life in an ecosystem.

When this event occurred in 2015, over 200,000 (more than half the total population) died due to a mysterious illness. This mass die-off baffled both veterinarians and scientists as they scrambled to identify the cause. The culprit was identified as a bacteria called Pasteurella multocida. This bacteria normally lives harmlessly in the tonsils of some, if not all, of the antelope. It is thought that an unusual rise in temperature and an increase in humidity above 80% in the previous few days had stimulated the bacteria to pass into the bloodstream where it caused haemorrhagic septicaemia, or simply put – blood poisoning. 

In 2017, the saga population in Mongolia was devastated by a viral disease. Called peste des petits ruminants (PPR), this virus originated in sheep and goats and quickly spread through the Mongolian Saiga population. 

PPR, which is also known as sheep and goat plague, is highly contagious and can infect up to 90 percent of an animal herd once introduced. After just a few days affected animals become depressed, very weak, and severely dehydrated. This devastating illness swept through the saga population, leaving over two-thirds of the critically endangered animals dead. The remaining population in Mongolia has been vaccinated in an effort to prevent further outbreaks. 

Mass mortality events are not unusual for saiga antelope. However, the scale of the current events are unprecedented relative to the total population size. Warmer weather patterns, coupled with increased humidity, played a key role in causing the outbreak of hemorrhagic septicemia in Kazakhstan. Often these mass mortality events also occur in the birth period, when Saiga females come together in vast herds to all give birth within a peak period of less than one week.

Sometimes the answer to saving a species involves exportation, sequestration and assisted reproductive technologies to enhance genetic diversity. In my opinion, this is an important piece of the effort to save the saiga antelope.

In April 2021 a survey in Kazakhstan found that the Saiga population had risen from an estimated 334,000 to 842,000. The population increase was partially attributed to the government crackdown on poaching and the establishment of conservation areas. This is wonderful news! This species is a survivor. It’s been knocked down several times, and it keeps bouncing back.

The saiga antelope is truly unique. They existed at the same time as the sabretooth and wooly mammoth. They are a relic of the past.

I hope we can save this species. They are truly remarkable!

And that’s 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-La Sal 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 the rank of 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: Mold-A-Rama, the Magical Manufacturing Marvel

I had the privilege of being raised on a small farm in Castle Dale, Utah. Living in a small town had its perks for sure, for one, I rarely had to tell my parents when I got in trouble at school; as fast as word spreads in a small town, someone had almost always beaten me to it and mom and dad knew all of the details before I could even get home.

I loved growing up in a small town. I treasure the many wonderful people who helped shape my education and point me on the path I am on today.

My parents would set aside a few days each year where we could get away from the daily farm chores and spend time together as a family. I always looked forward to the time when we were able to leave Emery County and travel to the big city.

Vacations while growing up were typically short, lasting only a couple of days. I have many fond memories of visits to all of the national parks in the state and overnight trips to Salt Lake City. The overnight trips to Salt Lake were often planned around business meetings for my dad. We would typically come up early Friday morning and return home late Saturday.

We would usually stay at the Red Lion hotel in downtown Salt Lake. This hotel is still there, but it is now a Hilton hotel. I still remember the hotel layout. The swimming pool was located on the second floor. We must have stayed there a dozen times growing up.

Breakfast was always west of the temple at a Denny’s restaurant. It was a short 5 block walk from the hotel. I remember enjoying these meals immensely, despite the food being typical greasy breakfast items.

Following breakfast on Saturday morning, we would make a trip to the zoo. As children, we loved visiting the Hogle Zoo. I particularly looked forward to the Mold-A-Rama machines. These peculiar machines would make wax animal figurines on demand. The process melted polyethylene pellets at about 225 degrees and then injected the resulting liquid into a two-piece mold. Before the plastic could completely cool, a blast of high-pressure air would push any remaining liquid out a drainage hole in the bottom of the mold, leaving the sculpture hollow. Next, antifreeze was pumped inside and then drained to cool and harden the waxy plastic shell. The mold separated and the finished figure was ready. The whole process took less than a minute to complete.

For a five-year-old kid, they were a magical manufacturing marvel. These figurines were of many different animals and colors. I remember getting a gorilla, a giraffe, a lion, and many others. I still remember the smell of the freshly molded wax. The animals were quite hot when the came out of the machine, necessitating a fair amount of cooling off by rapidly blowing on them from all sides.

These were treasures to us. They would eventually crumble and fall apart, but they were placed on shelves in our rooms until that happened. There was something mystical and mysterious about owning a 4-inch mold of wax shaped like a gorilla.

Much of my love for animals was sparked by these trips to the zoo. In particular it instigated the comparative curiosity that has made my career so unique. I remember comparing different breeds of monkeys and apes, using the appearance of their hands, in particular their thumbs. I also wondered what was inside the camel’s humps, a question that took over 20 years to find the true answer, which came firsthand from the world’s foremost expert in this species. These trips led to my collecting zoo animal cards and reading about animal facts as a hobby.

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. It is interesting how these experiences all pointed to what I now do as a profession. I am glad I had the opportunity to go on these annual trips and for the wonderful memories that still remain.

And that is my take.

N. Isaac Bott, DVM

My Take Tuesday: The Society for Theriogenology

Tomorrow I am traveling to Bellevue, Washington to attend the annual conference of the Society for Theriogenology. It is so nice to be able to attend in-person veterinary conferences. The past couple of years have made all of us miss out on so much that can only be experienced through in-person human interaction.

This conference is an annual event that I have attended since 2007. Each year the meeting is held in a different city around the country. I eagerly await this conference each summer.

What is Theriogenology? Theriogenology is the branch of veterinary medicine concerned with reproduction, including the physiology and pathology of male and female reproductive systems of animals and the clinical practice of veterinary obstetrics, gynecology, and andrology. It is analogous to the OBGYN, Neonatologist and Andrologist of human medicine – all combined in a single broad specialization. From antelope to zebras, Theriogenologists work on all species of animals. It is a challenging, unique and rewarding discipline.

I became interested in theriogenology as an undergraduate at Southern Utah University. A professor and mentor named Dan Dail introduced me to this most unique area of veterinary medicine. I learned a lot from him. He entrusted me with a research project looking at the correlation of body condition scores and first service conception rates in heat synchronized beef cattle. His mentorship, along with this research contributed to my acceptance into veterinary school.

At Washington State University, I had the privilege of working extensively with Ahmed Tibary, a world renowned theriogenologist. He has made endless contributions in teaching, published books, chapters and scientific articles. His comparative approach taught me how to think and reason through difficult cases. He also entrusted me with the animals under his care. We published a significant amount of information on reproduction in alpacas. I remember with fondness my time working with him.

My theriogenology work has made me a better veterinarian. My clinical approach has been shaped and molded by the examples of so many mentors and teachers. What drives me is the comparative medicine; that’s what makes my brain move. Whether I am in the clinic working on dogs or cats, or out working with bighorn sheep, elk, alpacas or water buffalo, I am doing what I love.

Upon a cabinet in the lobby of Mountain West Animal Hospital, a small statue sits. The statue depicts a bull named Nandi. Nandi is the white bull which symbolizes purity and justice in Hindu art and serves as the symbol of fertility in India. It is a Bos indicus bull anointed with gold and silver jewelry and its association in Hindu art and scriptures can be traced to the Indus Valley Civilization where dairy farming was the most important occupation. There are a numerous temples in India dedicated solely to Nandi.

This statue was awarded to me after serving as president of the Society for Theriogenology in 2018. It is one of my most prized possessions. I am humbled by the opportunities that have came my way over the years as I have interacted with this unique group of veterinarians.

Kindness is a commonality among veterinarians who are reproductive specialists. They are approachable and humble. In a profession where arrogance often is the norm, they are a refreshing example of the best of the best. They are among the leadership at nearly every veterinary school in North America. They are leaving a lasting impression on the profession.

I am so proud to be a member of this group.

This is by far my favorite conference to attend. I look forward to learning from the best in the world this week and I can’t wait to apply what I learn at my own veterinary practice.

And that is my take.

N. Isaac Bott, DVM

My Take Tuesday: Sheep on the Loose

The morning was colder than expected.

I zipped up my jacket as I climbed out of my truck ready to begin a day of veterinary appointments. The clouds scuttled across the sky, the sun breaking out in bursts as I made my way through the make-shift corrals that are a common sight in Utah County. A solo tree, standing along the property line caught my eye as I crossed the fence. I marveled at the beauty of the crisp copper leaves falling off the lone tree that sway gently in the Autumn wind. A single golden leaf pirouetted down an invisible spiral of breeze, spinning through the air as it let itself be carried down. It shook slightly, as if it could have been whisked away any second by the grip of an icy wind, but it kept floating down the twirling course. It blew past my face and landed lightly on the ground, the shiny, vibrant color standing out against the ambers and bronzes beneath it.

Sheep are short-day breeders. The breeding season coincides with the decreasing day length each fall brings. Today’s appointment is a routine breeding soundness evaluation of a group of Rambouillet rams.

The Rambouillet breed of sheep originated more than two centuries ago, in 1786, when Louis XVI of France purchased over 300 animals from Spain’s famed Merino flocks, which were produced the world’s finest wool. The males of this breed have characteristic large, curved horns that are well developed with wide spirals. They weigh around 300 pounds at maturity.

A large horse trailer was backed up against the gate of the pen, with about two feet of space between the edge of the fence and the trailer. I could hear the deep bleating and baaing of a dozen rams echoing from inside the aluminum trailer.

I stood in the small gap between the fence and the trailer in an effort to stop any rams from escaping the enclosure. As the gate was opened, the first ram paused and then ran quickly from the trailer, giving a bounding leap as he landed on the ground. The remainder of the rams followed in perfect succession, pausing and bounding in unison.

The last ram exited the trailer and hesitated as it approached the rest of the herd. He turned his massive frame slightly as he looked in my direction. Suddenly, without warning, he lowered his stout head and neck and charged. I braced myself for the impact. Anticipating a blow to the legs, I lowered my body into a football stance. This massive ram, in a fit of ovine rage, leaped over my head and landed harmlessly on the gravel patch surrounding the pen.

He then let out a low “Baaaaaaaa”, as if to beckon the remaining rams to follow his lead. This flock mentality is a sure thing, meaning that if one sheep finds an escape route then the entire flock will follow. The remainder of the herd stampeded towards me in a frenzy. The lead ram lowering his head in apparent contestation head bunting stance. I knew that an attempt to stop a charging ram of this bold carriage would be futile. I stepped aside and yielded as the rams charged through the small alley on their way to apparent freedom.

I grew up around sheep. My family had a small flock that provided me with valuable insight into sheep behavior and husbandry. One of the valuable lessons I learned is to always have a perimeter fence as a backup when working with sheep.

Sheep are a prey species, and their only defense is to flee. The flock of rams fled in unison down the gravel path. They all stopped abruptly as they arrived at the closed perimeter gate. Accepting defeat, they turned and charged back through the alley and into their original pen.

The remainder of the morning was uneventful. Each examination revealed a healthy ram, and the group was cleared for the upcoming breeding season.

As I walked back to my truck, I stepped through the golden-brown carpet of leaves, as they crunched under foot and quivered in gusts of the autumn wind.

The deep sound of the rams bleating in concert echoed from the horse trailer. The cool breeze scattered the leaves in all directions and sent a chill down my spine. I took a deep breath and was warmed instantly by the smell of a nearby wood burning stove.

I sighed, relishing the feeling of fall. It was something I’d have to wait a whole year to experience again.

And that is my take!

N. Isaac Bott, DVM

My Take Tuesday: Human Blood

Times of severe stress, injury or fear can trigger the reflex: your blood pressure drops, your heart rate slows. This reaction is primeval stuff, buried deep within our brains. Medically, it goes by the name “vasovagal syncope.” Common folk like me simply call it fainting.

Being a veterinarian is not for the faint of heart. On any given day, I will treat a myriad of infirmities. The sight of blood, pus, maggots and trauma are part of a normal day at the clinic. I, fortunately, am not affected by this. I am able to reason and think clearly in situations like this and am able to immediately go about trying to fix the problem. I’ve seen some nasty stuff, but not once have I ever felt lightheaded with animal blood.

Human blood is a different story. Ironically, I cannot deal with human blood. The sight of it makes me queasy. I have fainted a couple of times at the sight of my own blood. I find it strange that I am fine with animal blood but so unstable when it comes to people.

As luck would have it, on a number of occasions, clients have experienced medical emergencies as I worked on their pets. During one of these situations, I overheard a radio exchange between emergency responders and dispatch.

“He is with a veterinarian,” the dispatcher said.

“Oh good,” the emergency responder replied.

Upon hearing this, I exclaimed, “No, it’s not good! I don’t do human blood! You had better hurry up and get here!”

Keeping it together in such situations is difficult for me. Luckily, no one has died in these situations. However, I did experience a very close call a few years back.

Sheldon was a nice man. His gentle smile and blue eyes were reflective of his kind nature. He raised beautiful Charolais cattle. The pure white bulls he hauled into the clinic on this particular day were no exception. The massive 2000+ pound animals were there to be semen tested before the breeding season.

Sheldon walked with his cane along the side of the alley that led to the squeeze chute. He gently nudged the first bull as I closed the hydronic chute. He opened the side gate and stood directly behind the bull.

I asked about his farm and about the drive down to the clinic. He seemed happy and excited about the coming spring.

As I proceeded to work on the bull, I turned my back to reach for some supplies.

I then asked, “Sheldon, can you help me hold this?”

There was no reply.

“Sheldon,” I continued.

Still no response. I peered into the chute where he was standing just moments before and he was nowhere to be found. As I stood up and entered the side gate, I found Sheldon lying in the alley. His head was lying just inches from the back feet of a bull. Any sudden movements and the bull could easily crush his skull. 

My blood pressure skyrocketed!

Instinctively, I picked him up and carried him out the side gate. He was non-responsive. I grabbed my stethoscope and listened to his heart. The rate and rhythm were irregular. He was clearly having a heart attack. I shouted for an assistant in the clinic. I asked her to dial 911 and get an ambulance there as soon as possible. I elevated his head and began the first aid I had been taught many times.

I sat with Sheldon until the ambulance arrived. His vitals continued to be irregular, but he continued to breath. As the EMTs arrived, they loaded him in the ambulance. As they pulled out of the clinic, despite having the light on and the sirens blaring, a car nearly side swiped the ambulance.

I stood there in awe. My body trembled as the stress finally caught up. I paced around the parking lot for nearly a half an hour until my nerves were under control and I was able to return to work.

Somehow Sheldon survived the ordeal. I visited him that night in the Payson hospital. He was his normal self as we joked about how bad he had scared me.

He thanked me for helping him.

“It is a good thing you knew what to do,” he continued, “I am lucky you were there.”

If he only knew how uncomfortable I am in situations like this. It took several days for me to be able to return to normal life. The thought of seeing him lying unconscious in the alley with such large animals on either side of him still haunts me to this day.

Fortunately, no other heart attacks have occurred on my watch since that day.

I can quickly fix even the most gruesome lacerations on an animal without a second thought, but when it comes to people, Doc Bott is not the person you want at your side.

And that is my take!

N. Isaac Bott, DVM