A Gift for Mom

D. E. Larsen, DVM

For everyone looking for the perfect gift for Mom, especially those who may be a bit pinched for funds, all four of my books are free this weekend on Amazon Kindle. Starting Friday and running through Sunday, all books are available for immediate delivery at no charge.

Autographed paperbacks are available for sale at Lilies and Lovelies at 1141 Long St., Sweet Home, or by contacting me via email at d.e.larsen.dvm@peak.org.

Links to these books are also on my home page at docsmemoirs.com. They can be previewed at this link. Scroll down the page. The books are near the bottom.

Granny’s Instructions, From the Archives

D. E. Larsen, DVM

I struggled to secure the cow with a rope tied to a fence post and a sideline to hold her still enough for me to do a pregnancy exam. I looked over this place while I was working. 

Big house, too fancy for my style, and a large guest house. All the driveways are paved. The barn is almost falling down, and this corral is the only thing for handling cows. No crowding ally and no squeeze chute.

When I was growing up, any spare money went into the barn first. The house was meant for living in, not to be a showplace. All the women in the extended family complained, but nothing changed.

I finally had this cow secured, the pregnancy exam only took a moment. My first boss would have said to linger a bit, so the client felt he got his money worth. My left hand ran into feet and a nose before I was up to my elbow in the rectum. 

“She is pregnant, probably about 7 months along,” I said. “But it is difficult to be accurate in the third trimester. I would say plus or minus a month. If I do a pregnancy exam between 40 and 90 days, I can be very accurate.”

“I just wanted to know if she was going to calve,” Howard said. “All my other cows have calved, and it is still going to be a couple of months before she calves?”

“Did she have problems calving last year,” I said as I released the cow.

“She had retained membranes,” Howard said. “I had problems getting someone to take care of her. The first vet I called, a young guy like you, looked at her but wouldn’t clean her. He said it is better not to do that. So anyway I had to call an older guy out of Albany. He cleaned her, and said she should be fine.”

“You know, things are always changing in medicine and veterinary medicine,” I said. “Treating a cow with retained fetal membranes is one of those things that have changed. We now know that manually removing those membranes does more harm than good, unless they are loose and just need a little tug. Had you gone with the first recommendation, she would have had some breeding issues, but nothing like this.”

“The old guys have been cleaning cows forever,” Howard said. “You young guys come out here and think you know everything.”

“The proof is in the pudding, my Grandfather always said,” I said. “One cow doesn’t prove much, but all the research says, treat the cow, remove the membranes if they are loose, but never manually remove the membranes. Had you called me last year, I would have told you the same thing.”

“So what do you think I should do now,” Howard said.

“She will never recover the lost time,” I said. “You will have to have a separate calving season just for her, or you will need to hold her over a year to get her back onto the herd schedule. I would sell her, let someone else fit her into their herd.”

“You might have a point there,” Howard said. “I will have to give it some thought. You probably have a bunch of recommendations to make about how to run this place.”

“I have some standard recommendations to help ranchers shorten the calving season and improve their herds,” I said. “Most of those recommendations require working the entire herd once or twice a year. To do that, the first thing you need to do is upgrade this corral. You need a squeeze chute and a crowding ally.”

“You expect me to spend a thousand dollars before you even get started,” Howard said. “I don’t think so.”

“That’s fine, but I won’t be much help to you then,” I said. “Most of those upgrades will only make your life easier. And there is no way to work a herd of cows on the end of a rope.”

It was my guess that I would not be back to Howard’s place any time soon. He will have to have some wreck before he calls again. And then he will really be pissed when I decline his herd.

Retained membranes remained a thorn in my side for several years. The older veterinarians in the valley continued to clean cows. My recommendations were unyielding but also, often taken with a grain of salt. I figured it would be that way until I had some grey hair show up.

Then, just when I thought there was only one way to do things, Mrs. Guerin called.

“I have a heifer in the barn that needs to be cleaned,” Mrs. Guerin said to Judy. “My husband left her in a small pen in the barn. The Doctor can take care of her and then come to the house, and I will pay him.”

“When did she calve?” Judy asked. “Doctor Larsen doesn’t like to look at these cows until at least 3 days after calving.”

“She calved yesterday,” Mrs. Guerin said. “I want her taken care of now.”

When I pulled into the driveway, I noticed that this was an old place. The house was old, and the barn was old. But according to directions, I pulled up to the barn and had no trouble finding the heifer. She had a small calf by her side. There was probably little chance that these membranes were loose.

The heifer was almost tame, and I had no problem getting her tied up and doing an exam. I was able to remove some of the membranes, but for the most part, the bulk of the mass would not budge. I instilled 5 grams of Tetracycline powder into the uterus and gave the heifer some long-acting sulfa boluses that would give her 5 days of therapy.

After cleaning up, I pulled the truck over to the house as Mrs. Guerin had instructed. I knocked on the door.

Mrs. Guerin opened the door. This lady could have passed for Granny on the Beverly Hillbillies. She must have been close to 80 years old, her grey hair was tied in a bun, her wire-rimmed glasses sort of balanced on her thin nose.

“Good afternoon,” I said. “I am Dr. Larsen. I just took care of your heifer in the barn.”

“Did you get her cleaned?” Mrs. Guerin asked bluntly.

“Well, I treated her with antibiotics, both in her uterus and orally,” I explained. “She will do much better if we leave those membranes to come out on their own in a few days.”

“You mean you didn’t clean her out,” she said.

“The current thinking is that it is better to allow those membranes to come out on their own,” I explained. “These heifers will breed back a lot better that way. If we manually remove those membranes, there is enough damage to the uterus that it adversely affects the fertility of the cow.”

Mrs. Guerin listened carefully to my explanation.

“That’s okay, then, if you don’t want to clean her,” she said. “I will just have my husband shoot her when he gets home. I won’t have a sick cow on the place.”

I think this old lady just nailed me and my treatment philosophy to the wall.

“Okay, we don’t have to shoot her,” I said. “I will go and clean her out. She will be fine.”

So back to the barn I went. This little heifer became the only cow that I manually removed membranes. I found it a difficult task, peeling the membrane attachment from the individual cotyledons, those ‘buttons’ that in the bovine uterus to which the placenta attaches. I just hoped that she would get pregnant this summer.

Photo by Luke Besley on Unsplash

Dehorning Calves on the End of a Rope 

D. E. Larsen, DVM

Don had the calves in a small area on one side of his barn. The good thing was they were all only four or five months old. The bad thing was there was no squeeze chute or headgate. I would be working these calves all on the end of the rope, and that would make an easy job a lot harder.

***

Just before I left Enumclaw, I talked with another veterinarian in the area. He was older and had learned the ropes, so to speak.

“Dave, a couple of years ago, I told all my clients that I was throwing my ropes away,” Doctor Jim said. “That was the best decision I made in life. My job was so much easier. Clients now all have the animals caught and restrained when I pull onto their place.”

I thought that sounded like good advice, but when I would mention it to other cow doctors, I would get a range of opinions. 

When I went to continuing education class at Colorado State, I mentioned it to an older veterinarian who looked like he had spent many years working on cattle.

“A veterinarian friend of mine in Washington told me that the best thing he ever did was to throw away his rope,” I said.

“Throw away his rope!” the old vet said. “If I threw away my rope, I would starve to death. And there is no doubt about it.”

***

“I have them all in the barn,” Don said as I stepped out of the truck. “They are in a small area, so it should go pretty well.”

I put my small Barnes Dehorner and my forceps for pulling arteries into a bucket of warm water. I squirted a lot of Betadine in the water. I placed three twelve cc syringes of lidocaine into my left breast pocket and a handful of needles in the pocket of my coveralls. 

“Let’s go get to work,” I said to Don as I grabbed my rope and headed to the barn.

The calves knew something was up as soon as I came through the gate of their holding pen. There were only six of them, so it should go pretty well.

They were all crowding into the far corner, trying to figure out which one of them was going to be first.

The one looking at me out of the bunch was an easy target, and I threw a loop of the rope over her head. I took a dally on the post in the feed rack and pulled her up close to the rack.

This was probably going to be easier than I thought. She planted her feet and pulled straight back against the rope. I put a needle on a syringe and injected the nerves at the base of each horn.

I retrieved the dehorner from the bucket and scooped both horns off before the calf knew what was going on. Calves this size didn’t have the frontal sinus growing into the base of the horn, so only a smooth wound resulted from the dehorning. I pulled the single artery at the bottom of the wound and then applied antibiotic powder and sprayed the wound for flies.

“One down and five to go,” I said to Don as I released the calf to go back to the corner.

The other calves went along well. The procedure was the same. The only problem was getting a rope on the next calf as the target selection became harder to pick out of the bunch when most calves were dehorned.

Then came the last calf. It always seemed the last one was the problem child. I fitted a new needle on the remaining syringe of lidocaine and stuck it in my pocket. Then I moved the crowd around enough to get a rope on the last calf. She bellowed and bucked and ran circles around me as I leaned my weight against the rope and worked myself over to the feed rack to take a dally on the post.

I struggled to maintain my position as the calf continued to buck and bellow. She acted like she knew something terrible was going to happen. I wrapped the rope around the post and decided to take a second dally. I just about had it done when the calf lurched one more time and pulled the slack out of the rope, trapping my ring finger under the dally. I could feel the flesh tear. I pulled a little slack and freed my finger from the wraps of the rope.

I looked at my finger. A tear on the end of my finger was longer than the nail on the outside edge. It would obviously need stitches, and it hurt just a little bit, still somewhat numb from the injury. 

I hated sutures because the doctors were not very good at it, and the lidocaine hurt like hell. 

I took the syringe out of my pocket, pulled the needle cap off with my teeth, and injected the wound with a good dose of lidocaine. 

I left the calf tied with a long rope, went to the truck to wash my wound, and I put on a surgical glove to finish the dehorning. 

I pulled the calf close to the feed rack and retied the rope. After choking herself while I tended to my finger, she had settled down a bit. I considered not giving her any lidocaine for the dehorning, but that would have been a bit abusive. 

I headed back to the clinic when the work was done and the finger on my surgery glove filled with blood. 

I cleaned and wrapped my finger as Sandy called the doctor’s office. I was in luck, and Doctor Toffler could see me right away.

I was shown into the treatment area of the local clinic in Sweet Home. The nurse carefully removed the wrap from my finger and scrubbed it slightly. 

“This looks really painful,” she said. “You must be pretty tough, not to be bothered by my efforts. I don’t want to hurt you, so I will leave most of the scrubbing until the doctor numbs this wound with some lidocaine.”

I didn’t say anything. I thought I would just leave her with the illusion that I was tough.

Doctor Toffler came in and looked at my hand.

“Ouch!” he said as he held my finger up for a closer look. He took a little wire probe and started poking around on the end of my finger.

“What are you doing?” I asked.

“I just want to see if there is any nerve damage before I put any lidocaine into this wound,” Doctor Toffler said.

“That ball game is over,” I said. “I had a syringe of lidocaine in my pocket when this happened, and I injected it while it was still a little numb from the initial injury.”

Doctor Toffler looked at me and shook his head. “The things you guys do,” he said. 

They finished scrubbing the wound, and Doctor Toffler placed several sutures and then put a large, cumbersome wrap on the finger. My tetanus shot was up to date, so they gave me an appointment for suture removal and ushered me out the door.

The wound healed well, as did the dehorning wounds. When it was time for suture removal, I did that at my clinic. I had Sandy call the doctor’s office and report good wound healing. That probably gave Doctor Toffler one more reason to shake his head.

Photo by Gaspar Zaldo from Pexels.