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: Halloween

I love this time of year! The cool fall breeze, the crisp chill to the air, the brilliant gilded glory of the golden aspen and cottonwood leaves, the smell of the first fire in a wood burning stove, and the taste of hot apple cider. It takes me back to days of long ago. I think about my childhood, pumpkin pie, Halloween carnivals at Castle Dale Elementary, and the magic in a young boy’s hopes and dreams.

I remember one year especially well. I set out with my friend Jake Bulkley on an epic trick-or-treat adventure in the small town of Ferron, Utah. I remember walking along 500 South carrying brightly colored plastic buckets filled with what seemed like endless supplies of Sour Patch Kids, Candy Corn and Reese’s Cups. We felt like we had a successful candy haul until Jake’s younger sisters arrived home carrying pillowcases filled to the brim with candy. They followed the same route, but somehow ended up with ten-fold the amount of candy. Jake and I still laugh to this day about our mischievous fall adventures we had while attending San Rafael Junior High.

Halloween for me is still filled with unpredictable adventures. As a veterinarian, I encounter more black cats than the average person. October 31st is always a busy day at Mountain West Animal Hospital. Although this is a fun holiday for us, Halloween can be precarious for our four-legged family members. Here are a few pointers to keep your pets safe:

1. Don’t feed your pets Halloween candy, especially if it contains chocolate or xylitol (a common sugar substitute found in sugar-free candies and gum); or chocolate.
2. Make sure your pet is properly identified (microchip, collar and ID tag) in case s/he escapes through the open door while you’re distracted with trick-or-treaters;
3. Keep lit candles and jack-o-lanterns out of reach of pets;
4. If you plan to put a costume on your pet, make sure it fits properly and is comfortable, doesn’t have any pieces that can easily be chewed off, and doesn’t interfere with your pet’s sight, hearing, breathing, opening its mouth, or moving. Take time to get your pet accustomed to the costume before Halloween, and never leave your pet unsupervised while he/she is wearing a costume;
5. Keep glow sticks and glow jewelry away from your pets. Although the liquid in these products isn’t likely toxic, it tastes really bad and makes pets salivate excessively and act strangely;
6. If your pet is wary of strangers or has a tendency to bite, put him/her in another room during trick-or-treating hours or provide him/her with a safe hiding place;
7. Keep your pet inside. This is the easiest way to keep them safe.

Have a safe and fun Halloween!

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 114 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 1/16^th 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: 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 single tree, standing along the fence 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 producers of 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 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 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 in case 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 stoped abruptly as they arrived at the closed perimeter gate. Accepting their 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 step through the golden brown carpet of leaves, as they crunch under foot and quiver in gusts of the October 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: 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: 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. In high school, I took an aptitude test. The test results suggested that I would not make a good veterinarian. 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 mind in particular was focusing on 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 two weeks later began my first college classes. After 8 1/2 years, 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: The Attribute of Adaptability

My Take Tuesday: The Plasticity of Parturition

Mongolian gazelle (Procapra gutturosa), are a medium-sized antelope with a heart-shaped patch of white fur on their rump. They are among the last great herds of migratory wildlife. Over 1.5 million of these antelope migrate across the vast expanse of Mongolia’s Eastern Steppe—the largest intact grassland in the world—as they search for forage throughout the year.

Herds of as many as 100,000 gazelle are commonly seen across the steppe with larger congregations occasionally reported. During the two weeks of the calving season, up to 400,000 females will gather, and the vast majority will give birth within a four-day period. This is a unique phenomenon. This is thought to be a strategy to reduce neonatal death loss due to predation. This synchronicity also ensures that the young will grow big enough by winter to survive the harsh weather.

Some studies also hypothesize and attribute the synchronization of parturition to plant phenology, with birth occurring when there is maximum available forage.

This synchronization of parturition has been described in reindeer, caribou, alpacas, wildebeest and many other migratory species. It has also been described in other species such as the banded mongoose. Induction of parturition among animals varies greatly, but nearly all of them involve progestagens, estrogens, progtaglandins and oxytocin. These adaptations are not only beneficial to the offspring, but are mutualistic for the dam as well.

Nature has created many adaptations that we are just beginning to understand. Over thousands of years, these species have survived because of these unique adaptations. As we learn more about exactly how this phenomenon occurs, it will have a significant impact on use in species conservation and agricultural animal production.

Clearly, the future of this technology in the conservation of endangered species as well as in agricultural production will rely on our developing a better understanding of the interaction of reproductive function with such diverse aspects of animal management as behavior, nutrition, stress and genetics. Who knows, perhaps this technology application can also help humans.

And that is my take.

N. Isaac Bott, DVM

My Take Tuesday: 9/11

My Take Tuesday: The Gift of Life

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 38 years ago today 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