The Beard

D. E. Larsen, DVM

There was a fresh dusting of snow on the road as I pulled into the back of the clinic. It was early, but I had just finished treating a cow with milk fever.

Don, the other associate veterinarian in the Enumclaw clinic, came through the door before eight.

“I’m thinking we should grow beards,” Don said as he looked through the morning appointment schedule. “I was at the sale barn yesterday, and many of the guys are growing them for the bi-centennial. What do you think?”

This was February in 1976, and the weather was cold for western Washington. I had been working here for almost a year, and most of the dairymen accepted my services. 

“It’s cold enough that a beard might be a good thing,” I said. “I think Sandy would be okay with it.”

“Well, I didn’t shave this morning,” Don said as he collected his invoices for the morning schedule.

***

That was the start of the beard. In those years, my beard came in thick and heavy. It quickly got longer than Sandy’s liking, but she was tolerant, thinking that it would be gone after July fourth.

When we visited Sweet Home and met with the bank and Jim Stock to arrange for the clinic’s construction, I was in a full beard, and I would guess that I was close to the only person in town with a beard.

As things turned out, we moved to Sweet Home shortly after Derek was born in May, our fourth child. And, not wanting to look like a hippie to new clients, I shaved without giving it much thought.

***

When the weather turned cold in the fall of that first year in Sweet Home, I quit shaving and grew a full beard again.

Sandy tolerated it, and there were no clients who objected. Masking for surgery was a bit of an issue. I would use a hood to cover my hair and face, and the standard surgical mask sealed against the hood with no problem.

I shaved in the late spring and summer months for several years and grew a beard in the fall, winter, and early spring months.

***

It was a warm spring day when I pulled into the driveway of the Marble ranch. I was scheduled to do pregnancy exams on their cow herd. It was one of my large herds. Large for western Oregon, but small compared to some of the herds we checked when I was in school in Colorado. Checking over four hundred cows by rectal exam tested one’s endurance. My herds in Sweet Home were usually less than a hundred cows, with a few herds over that number.

I liked the work for a couple of reasons. The pace was slow enough that we had lots of time to discuss any number of herd health issues. We would discuss breeding strategies. I liked to have a herd shoot for a forty-two-day calving season. That was two cycles for a cow. I was pretty good at pregnancy exams. When checking cows from forty-five to ninety days of pregnancy, I could get within plus or minus five days with a rectal exam.

Pregnancy diagnosis and aging that pregnancy took practice. Actually, it took a lot of practice. The first step was to retract the uterus. This was not difficult with an early pregnancy. But after ninety days, it became more difficult, and a uterus that was over four months pregnant could not be retracted.

Once the uterus was retracted, one could carefully palpate the entire length of both uterine horns. At forty-five days of pregnancy, an amnion is easily palpated and is two fingers on its long axis. The fetal head can usually be palpated and sized at one finger width across the poll and a finger and half, poll to muzzle by ninety days.

Getting to that forty-two-day calving season usually took a few years. It required breeding heifers early so they would be the first to calve. That way, the rancher could provide his full attention to the heifer herd. It would also give those twenty percent of the heifers who had difficulty birthing a little more time to get their uterus in shape for breeding.

By paying attention to birthing problems and providing good nutrition following calving, most of the cows would be ready for the bulls. Turning the bulls in with the cows would see over seventy percent of the herd get pregnant in the first twenty-one days. Pulling the bulls out at day forty-two would cover over ninety percent of the cows. The others would be culled. Not that they had any problem, but if they were late in getting pregnant, one would never regain that time. Pretty soon, the ranch would be calving for half the year, and sooner or later, the cow would skip a year. 

The good thing about doing herd work at the Marble Ranch was lunch. Ag would always have a hearty homemade soup along with homemade bread. Served with ample casual conversation.

“It must be about time for you to shave your beard,” Ag said.

“Yes, it looks like spring is here, and summer will not be far behind,” I said. “Sandy doesn’t say much, but I think she likes it when I shave.”

“I think you should leave it,” Ag said. “When you shave, it makes you look too young.”

“Do you think so?” I asked.

“People like a certain level of maturity in their professionals,” Ag said. “I know you are in your mid-thirties, but you look too young when you shave and cut your hair like you are in the Army.”

“At the last State Veterinary Conference, a group of us young guys were talking,” I said. “It was pretty much the group’s consensus that anybody with a little grey hair would be believed over us, young guys. And it didn’t matter how outdated their opinion happened to be.”

“That’s exactly right,” Ag said. “You need to wear that beard to counteract that from happening.”

At dinner that night, I brought to subject up to Sandy.

“Ag thinks I shouldn’t shave,” I said. “She thinks I look too young when I shave. I sort of agree with her. Maybe I should wear this beard year-round.”

“Your mother will not be happy with that decision,” Sandy said.

“I’m not worried about my mother,” I said. “I was wondering what your thoughts were?”

“I am fine with it as long as you keep it trimmed,” Sandy said.

So, I didn’t shave that spring and haven’t shaved since.

Bill and Mary Jane, From the Archives

D. E. Larsen, DVM

I turned off of McDowell Creek road into the barnyard. I could see only a few cows in the holding pen and a couple of guys heading up the hill to the upper pasture. I looked at the clock to make sure I wasn’t early for the appointment to due the fall pregnancy exams on the herd.

Bill and Mary Jane comes out of the barn to greet me.

“I’m am sorry, Doc,” Bill says. “The boys are having a heck of a time getting the cows down. They smell a rat, I guess.”

“We could reschedule for another day,” I said. “I figured this will take the better part of the morning, and I have some afternoon work to do.”

“I think they will get the rest of them on this trip up the hill,” Bill said. “Maybe we could take you over to look through one of the chicken houses if that would interest you.”

“I have a lunch planned for everyone when the work is done,” Mary Jane said. “That should get you back to the office on schedule.”

“Okay, you twisted my arm just hard enough,” I said. “And yes, I would love to look through one of your chicken houses.”

“We don’t allow many people into these houses,” Bill explained. “It is upsetting to the birds when a stranger shows up. We try to have the same worker to handle each house. That way, there is no upheaval. We will be okay today if we just step through the door and stand and look.”

We step inside. This is a sizeable open chicken house, constructed of steel, it reminded me of the Quonset huts on the Army bases in Korea. These were about 30 feet wide and over 100 feet long. It was all open area on the inside except for a small room for feed and supply storage. The chickens ran free. And there must have been a thousand birds in this house.

“The company owns the birds,” Bill said. “They supply everything, the feed and the medical care. We just supply the house and labor. We get paid when they go to the market. It is to our benefit to have rapid growth and good survival. But if these birds grow to fast, they have heart problems, their hearts sort of explodes, sort of a heart attack, I guess.”

“Chicken medicine is a real specialty in veterinary medicine,” I said. “You just about have to go to vet school in Georgia to get any real education in chicken medicine. Just like swine medicine, you have to go to Missouri or Kansas to get much in the way of swine medicine.”

“If we have any losses, the veterinarian comes by and autopsies a few birds and gives us the answer and directions on what to do,” Bill says.

“Yes, chicken medicine is population medicine,” I said. “I had a virology professor who went to vet school in Georgia. He told a story of his diagnostic lab rotation during his senior year. A group of 4 students would spend a couple of weeks running the diagnostic lab. People would bring in several birds, they would have to fill out a questionnaire, then the students would euthanize the birds and do a necropsy, that way they could come up with a flock diagnosis. Necropsy is the veterinary term for autopsy. His group came up with a plan to finish the work faster so they could have time for a morning cup of coffee. One guy would check in the birds, pass them to the back, and then fill out the paperwork. So by the time the paperwork was done, the birds were euthanized, and the necropsies were complete. This one day a lady brings in a big rooster. The guy up front passes the rooster to the back and the group started the process back there. The guy up front starts going through the paperwork. “What signs of disease do you see in your birds?” he asks. “He has diarrhea,” the lady replies. Noticing this comment, he asks, “How many birds are in your flock?” “One,” replies the lady.” 

“Ops,” Bill said.

“Let’s go see if they are ready to get to work on the cows,” Mary Jane says.

With the cows lined up in the crowding ally and a crew of several young guys pushing the cows, the pregnancy exams go pretty fast. The pregnancies are sort of spread out more than I liked. They ran from 40 days to 5 or 6 months of pregnancy. 

The good thing was that almost all the cows were pregnant. They only had one open cow. The spread was something I would need to talk with Bill about. He was going to be delivering calves for over 4 months instead of the month and a half that I preferred. But getting there was a multi-year project that required increasing your replacement heifer numbers and doing some selective culling. That discussion would need a couple of set down sessions.

The best part of the day was lunch. When the herd was done, we all went to the house. I spent the most time at the sink and was able to get myself mostly clean. Only a small manure stain on my shirt at the left shoulder remained. Had I known lunch was on schedule, I would have brought a shirt to wear for lunch.

Mary Jane set a table that reminded me of the lunches during silo filling when I was young. They resembled Thanksgiving dinner more than lunch. We had roast beef, potatoes and gravy, veggies, and a salad. And then to top it off, apple pie with a scoop of ice cream.

We had plenty of time to talk following lunch. I told a bit about my early days of growing up in Coos County, and how many farms were located in the little valleys. 

“When I was a kid here, the school bus was always full,” Bill said. “There were family farms on the road all the way to town. Those are all gone today.”

“It is interesting, I have been transcribing the journals of my Great Grandfather and my Great Uncle,” I said. “My Great Grandfather talks about selling a bull for 11 cents a pound in 1890. And my Great Uncle sold a bunch of steers for 54 cents a pound in 1952. It just seems like those were pretty good prices for those days. Today, a young person cannot buy a ranch and make a go of it.”

“I think it is pretty sad,” Bill said. “The loss of the family farm has been a major change in society today.”

When the talk was over, I gathered my things, thanked Mary Jane for the super lunch, and headed back to the office to finish my day.

The next morning, I noticed Bill standing at the front counter. He looked a little agitated as he was waiting for his turn to talk with Sandy. I went out and shook his hand.

“Doc, I have got to show you this,” Bill said. “I have been up most of the night after we discussed your Great Uncle’s journals.”

We moved into an exam room, and Bill laid out a crumpled piece of paper that he had been using for a scratchpad.

“If your Great Grandfather sold a bull for 11 cents a pound in 1890,” Bill started, his hand shaking as he pointed to the paper. “The closest figure I could find was a Model T in 1908, it cost $850. Figuring 1100 pounds for a bull approaching 2 years of age, he would have needed 7 of those bulls to buy that car.”

“That’s interesting,” I said.

“Oh, there is more here,” Bill continued. “In 1952, my father went down here to Lebanon and bought the best, top of the line, Buick that they had on the lot. He paid $3200 for that car. If your Great Uncle was selling steers for 54 cents a pound in 1952, figuring those steers were 500 pounds, he would have had to have 12 of those steers to buy that car.”

“I am betting that you are trying to say things have changed a little,” I said.

“Changed a whole lot, I would say,” Bill said. “I could sell every darn animal I have out there, and I wouldn’t come close to being able to buy a decent car.”

“Those are interesting figures, they show the status of the farmer in the country today,” I said. “When I was in dairy practice in Enumclaw, I was told that the guy who delivered milk to the store, got more out of that gallon of milk than the dairy farmer.”

“It is no wonder that a guy goes broke ranching today,” Bill said.

Photo by William Moreland on Unsplash

Lacerations

D. E. Larsen, DVM

The big Holstein cow groaned a little as we pulled the massive calf out through the large incision in her right flank. Dr. Reese and I had been working for some time doing this C-section. To say this was an oversized fetus was an understatement. This was the largest calf I had seen delivered by any means.

Dr. Reese was one of the large animal interns at Colorado State University vet school, and I was in my senior year of study. Now, with the calf safely in the hands of several junior students, we could concentrate on closing the incisions. Usually, closing the uterus and the flank incision are the most time-consuming parts of a C-section on a large cow. In this procedure, however, getting the calf out was a difficult task, and both Dr. Reese and I were a bit tuckered out.

The closure went well until we got to the skin. The cow’s skin is thick, and even the sharpest suture needles are difficult to push through. After school, I would witness some veterinarians use a leather punch to make holes to lace the suture through. 

It was probably when Dr. Reese was placing the third skin suture that he lacerated the middle finger of his left hand with the needle. The laceration was less than an inch long, but it was deep and right across the first knuckle.

“I can suture that for you if you want,” I said.

Dr. Reese looked at the laceration and swore under his breath.

“No, I better go to a real doctor,” he said.

We finished the surgery, and Dr. Reese left to go to the Student Health Center to get the laceration sutured.

Later, he stopped me in the hall and showed me his finger.

“I should have had you suture this,” Dr. Reese said. “The guy didn’t even line up the creases in my knuckle.”

***

Some months later, Sandy and I were busy organizing the kitchen in our new rented house in Enumclaw, Washington. Brenda, a third-grader, was old enough to help a bit.

Halfway through getting the kitchen boxes unloaded, Brenda managed to run her forehead into the corner of an open cabinet door. She had a nice one-inch laceration above her forehead, just inside the hairline.

“What do you want to do?” I asked her. “Do you want to go to the doctor, or do you want me to suture that wound?”

“I want to go to the doctor,” Brenda said with some finality in her voice.

Off to the emergency room, we went. I don’t remember the doctor’s name, but he seemed efficient. He had Brenda lying on a table in the emergency room as he got ready to inject some lidocaine into the wound. He held a wet towel above her head.

“I will just drip some water on this cut,” the doctor said as he squeezed the towel, dripping some saline into the wound and on her forehead. At the same time, he stuck the needle into the wound and injected the lidocaine.

That stuff hurts, and Brenda let him know that it hurt.

Brenda was unhappy when we were leaving.

“I should have let you do the stitches,” Brenda said. “That doctor lied to me.”

***

It was another few weeks when I had a call to castrate a group of young bulls. These were all three hundred pounders, large enough to be a job but small enough to be relatively each to handle.

“Have these guys been on a clover pasture?” I asked the owner.

“No, what difference does that make?” she asked.

“Clover has a lot of phytoestrogens, and those can interfere with blood clotting,” I said as I moved behind the first bull in the chute.

I grabbed the scrotum with my left hand and squeezed the testicles down to the bottom of the scrotum. I made a couple of quick slices on each side of the scrotum with my scalpel. The second slice also included a nice clean, two-inch slice in the heel of my thumb.

“Ouch!” I said as I looked at the laceration.

I stopped and washed the wound on my hand with Betadine and injected it with a bit of lidocaine. Then I put on a surgical glove and returned to the job.

When I got back to the clinic, I didn’t have time to go to the doctor, and after Brenda’s experience, I decided I could suture it myself.

“Are you sure you can do this?” Ann said.

“I think so,” I said. “I will use a continuous suture pattern so I won’t have too many ties to make.”

I injected a little more lidocaine into the wound, which was the hardest part. I cleaned the wound well with Betadine scrub and laid my hand on a sterile towel as I picked up the suture needle with the needle holders.

In school, when Doctor Creed watched as each of us, one at a time, did our surgical ties on a practice board in front of him, I hurried through my one-handed tie because I had failed to master the technique.

“I’m not sure that was quite right,” Doctor Creed said. “But it was fast enough that I will let it pass.”

Now I wish I had worked harder on learning the one-handed tie. I struggled with the first knot but finally made the knot. It was the same on the other end of the closure, but I did it.

“That doesn’t look too bad,” I said as I held my hand up for Ann to see.

***

Although it is not entirely obvious, I still have the scar because it has become one of many on my left hand and arm.

When I lacerated my left forearm with a scalpel when a larger bull calf kicked in the chute as I was castrating him, I went to Corvallis to have it sutured.

I waited for some time, nearly a half-hour, in the immediate care unit before they called me back.

“How did this happen?” the nurse asked.

“I had a soon-to-be steer kick when he didn’t like my services,” I said.

“Oh, on-the-job injuries have to go to Occupational Medicine,” she said.

“And where is Occupational Medicine?” I asked.

“It is over at our annex,” she said as she cleared the tray she had prepared for me.

The annex was a couple of hundred yards walk from immediate care. A long walk but too close to drive.

There was a gal at the reception window when I entered.

“What can we do for you today?” she asked.

I held out my forearm for her to see. I had not reapplied the wrap after the nurse had removed it at immediate care.

“Oh my!” she said. “That looks like it hurt.”

“Yes, it hurt,” I said. “What are my chances of getting it taken care of today?”

“The problem is we won’t have a doctor here until two o’clock,” she said.

I looked a the clock. It was eleven forty-five.

“I will do it myself,” I said as I picked up my papers.

She didn’t say anything but had a surprised expression as I turned around and left.

Back at the clinic, I scrubbed the would and injected some lidocaine.

Progress made things a little easier. I closed this wound with staples in a couple of minutes. 

I probably saved the insurance company a thousand dollars.

Photo be Karolina Grabowska on Pexels.