I've found some babies...
Trip Start Dec 26, 2006
19Trip End Jan 20, 2007
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activity here yesterday. It started out normally enough, morning rounds
begin at 7, we go through all the cases in the hospital and decide on
today's diagnostics and treatments. We had a left DA to do surgery on,
which was pretty routine, no complications. I bummed around for a bit,
helping with morning treatments and working with a calf who has an
abcess on his knee which goes into the joint (not a good thing). At
four, we got four new sick cows. One was a suspected uterine torsion,
it was not, however we pulled a dead calf from her within two hours.
(Right about the time our emergency surgery was happening...) Another
cow has prety nasty bloody diarrhea, we're thinking maybe some
salmonella. They do have hemorrhagic bowel syndrome here as well, but
at least in the states they usually present dead with that. We'll have
to wait and see about her. The last two were straightforeward
lamenesses, to be dealt with in the morning. We were about finished
with night treatments when another cow came in. We could tell this one
was going to take most of the night, she was very tachycardic,
tachypnic and severly dehydrated. She went straight to surgery for an
abdominal exploratorary, and all we could find were huge fluid filled
intestines (and abomasum, but at least it was not displaced). We went
through and through the small intestines, trying to find an obstruction
or intussusception, to no avail. We even had to call in one of the more
experienced doctors, but he didn't find anything more than we did. I
finally got to bed about 2, and slept well.
Today we had the typicall morning rounds. There were no surgeries for
me today, so I kept finding other projects to do. Morning treatments
didn't take long to finish. The way things work here is that the
doctors go round and decide the treatments, then start a list of
everything that needs to be done, which goes to the treatment team
(doctors and students/student workers), who actually do the treatments.
The students are divided (when they're actually on rotation, right now
they're on vacation, so it's just me and the paid student workers) into
treatment team, surgery, and orthopedics. I will be cycling through
everything while I'm here. Oh! We did get five couws in who are
carrying valuable calves, the calves were cloned by a breeding company
nearby. The cows are a month from calving, but they want to ensure the
viability of the calves, and have medical intervention close by if
needed. We ultrasounded for fetal status today. Four of the cows/calves
were fine, but the last was a special case. She is what is called a
hydrops, or rather, her uterus is filled with WAY too much fluid, much
more than normal. She bulges out on both sides and on her belly, and
all you can feel rectally is fluid and more fluid. Her calf was dead on
ultrasound, so we are going to try to induce labor and if that is not
successfull, we will do a C-section in the next few days.
So, even though that sounds like a full day, I still had time for a
nap, as well as for my first successful foray into the city all
by myself. I'm pretty proud of the fact that in a country where I have
no knowledge whatsoever of the language, I was able to find a market
get my groceries... Oh! And, I got Nutella....my favorite spread ever.
It's like chocolate frosting that is legal to eat anytime...it's great!
And, I didn't have to spend a fortune on it like at home, because here
it's not imported! :) Although, I now understand how easy it is to
depend solely on pictures in today's culture. Everything has photos!
Not just food, either, the public transportation does as well. It's
great for illiteracy. Tomorrow is Saturday, and it sounds like we won't
be busy all day. Hopefully I'll be able to get all the way into the
city center. Or, maybe I'll go to the zoo, Hannover has their own zoo!
We'll see, and I'll keep you updated.