The Coffee Shop Doctors

D. E. Larsen, DVM

“I ain’t doing so good this morning, Guys,” Floyd said as he positioned himself at the table in Mollie’s Bakery. “Tiger is over at the Vet Clinic.”

Tiger is Floyd’s sole companion since Ella died from bladder cancer a few years ago. Floyd is in his early 80s, and his nickname of Red doesn’t fit well with thinning hair that is more grey than red nowadays.

“What’s up with Tiger?” Ed asked. Everyone at the table knew Tiger was a constant companion for Floyd.

“Doc says he has a herniated disk,” Floyd says. “He can’t use his hind legs right now. Doc says that if we give him a few days, he might get better.”

“Floyd, don’t let them send you to some specialist,” Bob said. “They will charge you thousands of dollars, and he will still never walk.”

“Yes, that is what happened to my sister’s dog,” George said. “She lives in Portland. Took her little wiener dog to see a specialist, and he told her he could fix the little dog. Cost $6000, and the damn dog never walked again. Then they fixed her up with one of those carts. Worst thing ever, my sister spent most of her time picking up poop behind the dog. Finally, she had her put to sleep. She would have saved herself a lot of money and grief if she had done that at the start.”

“I think George is right,” Ed said. “Tiger is no spring chicken, you know. They will slice him up, put him through misery, spend a lot of your money, and he will never be the old Tiger. Hard as it may be, I think you should put him sleep now.”

“Well, Doc isn’t sending me to a specialist,” Floyd said. “I am not one of those public employee guys with a big pension. My Social Security will only pay for the basics.”

“The dollar amount don’t matter,” Bob said. “If he takes all you have, you are still broke. Then you end up with a dog who can’t walk and no money. You will be far better off to put him to sleep and get a cat. Cats don’t tie you down. You can throw them outside and leave them for a week or two.”

“Ah, you guys don’t understand,” Floyd said. “Tiger is all I have, except for you bunch of jokers. He sleeps on my bed, and he talks to me while I eat breakfast. I mean, sometimes I think he is a better friend than Ella was. He sure doesn’t complain about anything.”

“Sleeping on the bed is probably his problem,” George said. “That is what they told my sister. Little dog jumps off a high bed and bam, there goes his back.”

“You got to think about what you are going be putting him through,” Ed said. “Everything is an adjustment at our age, but we adjust. Make the decision, and you will feel better for it next week.”

“I think that you should listen to Ed,” George said.

“I have listened to you guys long enough,” Floyd said. “I going to go over and check on Tiger and talk with Doc for a change of pace.”

I watched as Floyd came through the door with a bit of a frown on his face.

“Did you come to see Tiger this morning?” I asked. “He is doing better this morning.”

“I need to ask a few questions, Doc,” Floyd says, almost in tears now. “They were giving me a real hard time this morning over at Mollie’s. Most of the guys at coffee think I should have put Tiger to sleep.” Floyd explains. “Darn, I hate to lose him.”

Floyd had brought Tiger in yesterday. Tiger, an older Dachshund, had hind leg paralysis present when Floyd woke up in the morning. The good things were the time since injury was short, and Tiger still had deep pain in his hind legs. The presence of deep pain is a favorable sign, indicating an injured but intact spinal cord.

“Tiger has made significant improvement overnight, Floyd,” I said. “I think any discussion of euthanasia would be way premature.”

“Doc, I can’t afford a lot of treatment, and I can’t afford surgery,” Floyd said.

“Tiger is not a candidate for surgery at this point,” I said. “His back looks like a minefield on x-ray. But we don’t have to talk about surgery at this point. We do have to talk about some lifestyle changes.”

“The guys said that sleeping on the bed is what did this to him,” Floyd said.

“Let me get the x-rays and show you a couple of things,” I said.

With the x-rays on the viewer, I could show Floyd the multiple calcified disk spaces between his vertebra. There was one narrowed space in the middle of his back.

“This space is the culprit this time,” I said, pointing to the narrowed space. “These other spots are sort like a gun held to his head. There is a surgery to reduce the risk, but changing the way Tiger lives his life will be helpful. That means a bed on the floor. No up and down off the furniture. No standing on his hind legs for treats.”

“So is all of that what caused this?” Floyd asked.

“Not really, but now that it is here, we need to reduce the risk,” I said. “All of this sort of reflects on his mother. It is the way Dachshunds are put together, that coupled with their attitude. You know, they are the toughest dog on the block.”

“You don’t think I should put him to sleep, Doctor, do you?” Floyd asks, seeking reassurance.

“No, definitely not at this time. Tiger is on his feet today,” I say. “We need to keep him on some anti-inflammatory medication for a few more days and keep him on cage rest while he is on that medication. That is something you can do at home if you want. The expense is not much. We can loan you a large kennel. You just have to use it. He needs to be in the kennel all the time. You can carry him outside on a leash so he can potty a couple of times a day. Then when he passes his recheck next week, make him a bed on the floor and keep his four feet on the ground at all times. Make him a ramp, so he doesn’t have to go down stairs and keep him skinny.”

“That all sounds like stuff that I can do,” Floyd says. “So, I guess I can take him home.”

“Listen, Floyd, don’t pay any attention to that bunch over at Mollie’s. None of them are so tough when they are over here with a pet.” I assure him. “The truth is they are not the one who has to go home to an empty house. They don’t have to be eighty years old and get out of bed in the morning and have nothing to do. It’s easy for them to talk tough over coffee and embarrass a guy.”

“I know, Doc,” Floyd said. “But, I have to talk with somebody.”

“Tiger is no spring chicken,” I said. “There will come a day when we will have to say goodby. But hopefully, that day is a few years from now.”

“I hope you’re correct,” Floyd says.

“Life doesn’t come with many guarantees, Floyd,” I said. “But there is an excellent chance Tiger will return completely to normal in a couple of weeks. We can always put him to sleep tomorrow, whenever tomorrow comes. Once we do it, there is no going back.”

Tiger went on to live out his life with no additional back problems. He didn’t outlive Floyd, and saying goodbye was difficult. But that is the nature of most of our pets.

Photo by Dominika Roseclay from Pexels

What’s in a Name

D. E. Larsen, DVM

When I was a young boy, my great uncle, Ern Davenport, called me “Goliath.” I never knew why he assigned me that name. My name being David gave an obvious connection, but what event prompted it has been forever lost.  

My grandparents had 10 children, and there were 29 of us grandchildren. I always fancied myself as his favorite, and his daily journal entries (found years after his passing) support that idea. I am mentioned far more than any of the other kids. I am always referred to as Goliath in his journals.  

As he was reverently referred to by virtually everybody in my world at the time, Uncle Ern had been through some rough times in his life. Times that would destroy many people. He was born in Grizzly Bluff, California. His parents had five children, Dee, Vern, Ern, Mary, and Albert (Bert). They lived on a dairy farm there and built a creamery to make butter from their milk and other farms’ milk. They would ship their butter to San Francisco on one of many lumber schooners sailing up and down the coast. 

In 1904 the family sold out in California and moved to Coos County, Oregon. They bought 4 ranches in Coos County, two in Coquille, and two on Catching Creek outside of Myrtle Point. Ern is reported to have driven the family’s entire cow herd from Grizzly Bluff to Coos county.

Ern was married and had two boys, Delos and Ross. Delos was born in 1894 and Ross in 1896. Both boys were great kids, farm boys who loved life, and loved to fish in the streams and hunt in the hills. Both were athletes and were well-liked in school and in the community. 

Early in the summer of 1913, Ross fell ill shortly after a swim in the river. The diagnosis was Polio. Before the day of the iron lung, the disease was devastatingly rapid. Ross was gone in a short time.

This loss weighed heavy on the hearts of the entire family. Then early in 1914, Delos became the first person to die in an automobile accident in Coos County. Ern’s marriage did not survive. Lillian left Myrtle Point shortly after Delos’ death. Later that year, Ern’s mother died and then in early 1915, his father. In 2 short years, Ern had lost everything dear to him. He survived by immersing himself in work and embracing the extended families of sister Dee and brother Bert.  

He came to live at Bert and Amy’s farm in 1938. He was a constant fixture for me in the early years of my life. The family farm is a perfect place to grow up. Even better is a whole group of family farms. By the time I came along, four uncles had farms near Bert and Amy’s farm. My parents moved to a small farm in Broadbent before I was 5.  

These farms, along with several neighboring farms, shared equipment and labor. Hay hauling, silo filling, and spring planting became like family holidays to the kids tagging along and trying to stay out of the way while we learned by observation. The kitchens were also in a holiday mode. All the wives would come to help, and lunch was always a virtual feast. The men would lay in the shade and talk following lunch. Then jump up together to return to work. 

Ern was in his seventies during those years. Past the time of heavy labor, he was always there doing what he could. Staying busy was important to him, “retirement was the hardest work I ever did,” he would say. His favorite saying to me was, “the lazy man works the hardest.”  

The place where I remember him the most was the lower barn on Grandpa’s farm. The upper barn was used to milk the cows. The lower barn was for horses and the young stock. It was always full of chickens, and one chore the grandkids could help with was gathering eggs. This was a dangerous duty because the hens were nested everywhere, and roosters patrolled the barn’s far reaches. They could send even the toughest kid running for his life.  

Ern spent many hours resting in the open door of the barn. He was not a large man, but as strong as anyone I knew. His face was weathered as the boards on the barn. I always remember him sitting on the floor with his legs hanging out the doorway, usually with his legs crossed at his ankles and smoking his pipe. I never thought about it then, but I would guess that was the only place in the barn he allowed himself to smoke. I enjoyed the smell of the pipe smoke. I probably enjoyed the scent of his tobacco better. He would talk to us as we gathered around his feet. Telling stories of herding hogs from Powers to Myrtle Point for slaughter.  

“The Indian trails were the best route. Those trails ran along the tops of the ridges”, he would say. I would try to imagine herding 200 hogs along the tops of the ridges. 

He would tell of resting along a stream for lunch and watching the trout take Chittum berries. He put some on his hook and caught a mess of trout. Years later, in a similar situation, along the upper Coquille River, I pulled a few Chittum berries from a tree overhanging the stream bed and threaded them on my hook. Sure enough, they were readily taken by the fish in the stream.

The lower barn also housed Ern’s workshop. This was a wonderful place, full of things to get into and invent stories about. There was the large sharping stone wheel with a foot pedal. A kid could pump on the pedal, and the wheel would spin at an ever-increasing speed. There were no bearings in this wheel, and Ern would scurry everyone out of the shop when he found us spinning this wheel. The workbench was as old as the barn, weathered and soaked with oil. It was always loaded with tools, many from yesteryear. There was still a corn knife or two, large machete-like knives used for harvesting corn stocks for silo filling only a few years before my time.  

And then there was the bullwhip. A long, black bullwhip hung from a spike driven in a broad beam above the bench. It was an adventure to get that whip down. We would have to climb up on the cluttered workbench and find something to stand on, reach as far as our tippy-toes would allow, and push the whip off of the nail.  

It would have made an excellent video to watch us trying to crack that whip. It was a chore to swing it back and then forward, all the time telling stories of Uncle Ern herding cows or hogs along a dusty trail, keeping them in line by using the crack of the whip. In all the times we pulled that whip off the spike, I never once heard it crack. Thinking back, I’m not sure I knew what it meant to crack the whip. 

I think Ern would disappear just so we had the time to get his whip down and try to crack it. He would always show up, smile a little as he collected his whip, and carefully coil it again.  

“One day, Goliath, you will crack this thing. That is if you don’t break your neck getting it down first”. He would pull a step out from under his workbench, stand on it, and loop the whip back on its spike.

In the fall of 1955, my tenth year, Uncle Ern became ill. He was no longer in his place at the lower barn. Then after Thanksgiving, they moved him to the rest home in town. At my insistence, I was allowed a bedside visit. He was really old and laid flat on his back. When I came in, they elevated the head of his bed. He smiled and shook my hand.  

“Goliath, it is nice to see you,” he said as if nothing was wrong. “You will do fine” is about the last words I remember him saying to me. The visit was very brief. The next day or two, Uncle Ern was dead. This was the first time I experienced the death of someone very close. I begged to go to his funeral, begged and begged. My father was adamant, funerals were no place for kids. That is the last time I remember crying. I cried for my loss, and I cried because I could not say a final goodbye. The loss weighed heavy on my heart, and that weight is still felt today when my memories drift to Uncle Ern.   

That is where my thoughts were drifting as I drove up Ames Creek road. I was on a farm call to see Goliath. Goliath was a large Bactrian camel belonging to Frank. Frank owned a ranch at the end of Ames Creek Road. I had often visited this farm to see a host of exotic animals. Frank had llamas, sika deer, elk, antelope, wallabies, cattle, and horses. Goliath was relatively new to the farm. Frank had been walking the Pacific Crest Trail with his daughter this summer, and Goliath was with them every step of the way, carrying his load and theirs.

Today Goliath was not well. He truly fits the name. Goliath was a massive animal, and the guy’s sure size was an unexpected surprise for me. He was probably over 2400 pounds and much taller than I would expect. To look him in the eye took a small step ladder. Looking in that eye, I could see more than I wanted to see. The white of his eye was yellow. I crawled back down the ladder without trying to look in his mouth. Standing back and looking at this guy from a little distance, there was edema along his ventral abdomen. His legs were somewhat swollen also.

Drawing blood was a snap. Goliath’s neck was the size of my body’s trunk, and the jugular veins nearly the size of my daughter’s wrist. Goliath didn’t flinch at the needle poke. I made a habit of drawing blood on all exotics that I saw for Frank. We needed as much of a database as possible.

Explaining my findings was a little difficult for Frank. He was not only proud of Goliath, but he had also grown close to him over the long summer of hiking.

“His chances are not good,” I explained. Pointing to the findings, the yellowed membranes, the ventral edema, and Goliath was not eating, not feeling well. “The blood will tell the story, but we are probably dealing with advanced liver disease. It could be from an infection, like Leptospirosis. But more likely it is from a toxin, like Tansy Ragwort. He may die, Frank. He may be dead before we get the blood results.”

“I don’t want him to suffer,” Frank said, looking at Goliath as he said the words as if he didn’t want me to see the feeling in his eyes.

“Let’s give him a big dose of antibiotics, just in case they will do some good. Then we will see what the blood results say in the morning,” I said as I was drawing up a dose of tetracycline and mixing it with a bottle of glucose. We ran the IV quickly and packed things back into the truck. Morning would not come any too soon. Hopefully, he will still be with us, I thought, as I pulled out the ranch gate.

Tansy ragwort, Senecio jacobaea, was introduced into Oregon in the early 1920s. It is widespread in western Oregon. It contains toxic alkaloids that cause irreversible liver damage to cattle and horses and many other animals. It is often consumed in the hay, but some animals will develop a taste for the weed and seek it out while grazing. Obviously, that practice does not last long.  

When the blood results came in the morning, the diagnosis was confirmed. The call to Frank was not easy. He wanted me to come up and put Goliath to sleep.  

The euthanasia solution comes in 100 ml bottles. The dose is 1 cc per 10 pounds body weight, one bottle does 1000 pounds. The stuff is pretty rapid in its action. Getting an adequate amount into Goliath before his falling over will be a challenge. Having a 2400 pound camel fall on you is not something that brings good thoughts.

When I arrived, Goliath was far worse. He was laying down, his head was still up, but even this stoic camel was not going to last very long. I quickly clipped a patch of hair over the jugular vein and placed a 12 gauge, 2-inch needle into the vein. No head restraint was needed, Goliath sort of looked away, like someone having blood drawn in the lab, he did not flinch, even with the large needle. Four 60 cc syringes filled with euthanasia solution are rapidly injected. Goliath stays immobile for a brief moment then lowers his head to the ground. He is gone.  

Frank has difficulty talking, obviously upset. I pack up and prepare to leave. “What are you going to do with him?” I ask.  

“He has earned his spot right here under this tree,” Frank said. “I just have to get the backhoe.”

As I drive back to the clinic, my thoughts again drift back to Catching Creek and Uncle Ern. Goliath is a memorable name for me. The old lump in the throat makes the drive a little uncomfortable. Perhaps the rest of the day will be better.

Photo by Alessio Cesario from Pexels

A Little Bit of Magic Helps Sometimes

D.E. Larsen, DVM

“How long has she been down, Dick?” I asked, standing over a young heifer that had just delivered a calf.

“When I got this afternoon, she had this calf hanging halfway out of her,” Dick said. “The calf was dead, I hooked onto it with the tractor and drug her and the calf around the pasture. On the second time around, we hit a bump, and the calf popped out. When she wasn’t up when I got home after the football game this evening, I figured I had better give you a call.”

“I think you would have been better off if you had called me before hooking up the tractor,” I said. “When I have a calf in a hip lock, and the calf is dead, I cut the calf into a few pieces to get it out without doing any more damage to the heifer. But that is water under the bridge now. Let me check her over, and we can talk about what needs to be done at this point in time.”

“What do you do if the calf is alive?” Dick asked.

“That is my worst nightmare,” I said. “We have a few options today, but it is a nightmare. Decisions are often made based on economics. How much is the calf worth versus how much is the heifer worth.”

“This calf was half Simmental,” Dick said. “They say she would be worth $1200.00. That is a lot more than this $400.00 heifer is worth. Or should I say, was worth.”

“Sometimes, we can manipulate the calf in the birth canal,” I said. “If we can turn the calf 90 degrees, so the hips are up and down in the birth canal instead of across the canal, we can sometimes pop the calf through. If the hips are only slightly too wide, pushing them higher in the birth canal will do the trick. The heifer’s pelvis is wider at the top. Then there is a high-risk procedure for the heifer. If the heifer is young enough, we can split the pelvis’s bottom and get the calf out.”

“That doesn’t sound like fun,” Dick said.

“That is what I was saying,” I said. “It is my worst nightmare. Luckily, we have solved the problem somewhat by measuring the pelvis on the heifers before breeding. That, and people are learning that these big Simmentals don’t make the commercial producer any more money than the standard breeds.

We were in a small pasture on the top of Marks Ridge, overlooking the entire town of Sweet Home. It was quite a view at 10:00 PM, with all the lights shining brightly.

“You have quite a view up here,” I remarked.

“Yes, I really enjoy it,” Dick said. “But it is one hell of a drive to town in the wintertime. The wife worries herself sick about one of the kids killing themselves going down the road in the snow.”

“I guess there are pluses and minuses to any location,” I said.

I cleaned the heifer up and did a vaginal exam. Somewhat to my surprise, there were no vaginal injuries. Her hind legs had really restricted function, however.

“Dick, this heifer has Obturator Paralysis,” I said. “When that calf was stuck at his hips in the birth canal, and then you pulled her out in the manner you did, the obturator nerves were damaged. Those are the main nerves going to the inside muscles of the hind legs.”

“I suppose I have nobody to blame except myself,” Dick said. “Is she going to be alright?”

“Time will tell,” I said. “Some of these cases never get up again. Some get up in the first few days of injury, and some get up after a week or two of working with them. Some veterinarians hoist these cows up with a medieval contraption that clamps on the hips bones. It takes some pressure off the muscles when a cow is down for an extended period. I have never liked those. After a few days, you end up with damage up here on the hip bones.  If these cows are going to walk again, they will do it in a few days. Beyond that time, the odds are not good.”

“What do we do with her tonight?” Dick asked.

“I am going to give her a big dose of magic,” I said.

“That sounds like witchcraft,” Dick said.

“The good thing is we are not long after her injury,” I said. “My magic is in a dose of Dexamethasone. This is a potent steroid, a big anti-inflammatory medication. With a little luck, we can reduce the inflammation around those injured nerves. If we get really lucky, she might be on her feet in the morning.”

“That would be good,” Dick said. “If not, I would guess I should be moving her to get her undercover.”

“Yes, but we have to do that carefully,” I said. “Many of these heifers, that would get up, end up being injured because they are moved around or picked up with all sorts of jury-rigged contraptions. Many times, those injuries end up being fatal. For tonight, we will just leave her here. You give me a call first thing in the morning, and I will run up here and help you move her if she is not up.”

“Well do,” Dick said. “And you need to take it slow going down that hill tonight. There will be some frost on a couple of those corners this time of the year.”

Dick called first thing in the morning. He was in a jovial mood.

“Your magic seems to have done the trick,” Dick said. “That heifer was up waiting at the feed rack when I went out this morning. Thanks for your good work and quick response last night.”

“We got a little lucky,” I said. “What I want you to do now is go out and tape my phone number on the steering wheel of that tractor. Just so you remember to call me before you try to pull another calf with that thing.”

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