The Banded Collie

D. E. Larsen, DVM

I stepped out of the garage to greet the station wagon that had just pulled into our driveway. We were trying to run a practice in the garage and with house calls and farm calls. The clinic was scheduled to be completed in August of 1976, but now it was looking more like December.

The back doors flew open as soon as the car came to a stop. Kids were pouring out of both sides, and then out jumped a large Rough Collie. Henry finally got out on the driver’s side.

“Hi, I’m Doctor Larsen,” I said as I extended my hand. “What are we looking at today?”

“Henry here, I was hoping you could get a look at Lassie,” Henry said.

“I wonder where you came up with that name?” I said.

“One of the girls insisted on it, I sure,” Henry said. “I couldn’t tell you which one.”

“What’s going on with Lassie?” I asked as I watched her, and the four little girls make a full circle in the yard. “She is acting fine.” 

“I don’t know what is wrong, but she has a bad smell about her,” Henry said.

“Let’s just bring her into the garage, and I will get a look at her,” I said. 

The August days were warm but not blistering like they had been in July. But we kept the garage door open. It was sort of an open-air clinic.

As I lifted Lassie onto the exam table, I got a whiff of a putrid odor from somewhere.

“Wow! I smelled something,” I said as I ran my hands over Lassie, trying to feel some abnormality. I was suspecting some necrotic tumor or wound under all this long hair.

Feeling nothing, it was time for the old nose to go to work. I ran my nose along her side while taking in a deep breath. Starting at her rump, it took me a couple of breathes to reach her head. Bam! There it was in the middle of her neck. A very rotten tissue smell. 

I carefully parted the thick hair coat, looking for a wound. Finally, right in the middle of her neck was a wound, most scabbed over, but open in a couple of spots. It looked like there were small areas where the wound had healed. I traced the wound as it ran up and down the right side of the neck. Then it ran under the neck and started up the other side. I finally realized that this wound was entirely around her neck.

“Do you have her tied up or something?” I asked. 

“No, she doesn’t even own a collar,” Henry said.

“This wound doesn’t seem to bother her,” I said. “I am going to clip some of this hair away so we can get a good look at this wound.”

I started clipping the hair away from the wound. There were areas where the skin had healed. This wound would have to be 2 or 3 weeks old. It did not seem to bother Lassie at all as I continued to clip the hair away. Finally, at the very top of the neck, I could see the bottom of the wound. And there it was, in the bottom of the wound, at the top of the neck, a rubber band. I snagged the rubber band with a forceps and clipped it with scissors. It snapped away from the spot, and the rubber band’s ends were buried in the granulation tissue.

“There has been a rubber band around her neck for probably 3 weeks,” I said. “I am going to have to get her under anesthesia and cut away all this dead and infected tissue and then suture this neck back together. I would guess that she is going to have some tubes sticking out of this wound for a few days.”

“One of the girls must of put it there and forgot about it,” Henry said. 

“Things happen with little kids,” I said. “Hopefully, this is going to be okay. I think this rubber band is buried deep enough that it is very close to damaging the jugular vein. Another week and you probably would have woke up to a dead dog in a pool of blood.”

“Are you going to need her overnight?” Henry asked.

“It is early enough in the day that I think we can do this and send her home this evening,” I said. “We are not set up very well for overnight patients. The clinic is just getting off the ground, and we were supposed to be in it by now.”

With a handshake, the deal was made. The state requires written authorization these days. I handshake to me has always been more binding than any piece of paper. It has maybe lost some understanding with the younger generations, but my handshake is my word, my honor. I would make almost any concession to make that deal correct.

I moved Lassie onto the surgery table and induced anesthesia with Pentathol. We hooked her up to the gas machine, with Metaphane gas. I clipped the entire neck to make sure there wasn’t another rubber band hidden in her hair. 

After a surgical scrub, I started cutting away the dead and infected tissues. When I was done, I had a trench all the way around her neck. This wound was almost an inch deep in some areas. The rubber band was in contact with the jugular veins on both sides of the neck. Another day or two and one of them would have ruptured.

I placed Penrose drains around the wound. The ends of the drains stuck out at the top and bottom of the neck and at both sides. Then I sutured the wound.

When we were done, it looked like Lassie had her head cut off and sewn back on. After an antibiotic injection, we woke her up. Recovery was smooth, and she acted like nothing was wrong.

Henry was back, by himself, at 5:00. Lassie was happy to see him and bounced out of the garage and into the car. Henry was impressed with the appearance of the wound.

“I had a long discussion with the girls about their responsibilities when playing with Lassie,” Henry said. 

“Don’t be too harsh them,” I said. “We got lucky this time. That allows them to learn a lesson without scarring them for life.”

After 4 days, we removed the drains from Lassie. The stitches were removed at 2 weeks. Her hair was growing so fast that I had trouble finding the sutures. 

“In another 2 or 3 weeks, you won’t be able to tell there was anything wrong with her,” I said as I handed the leash back to Henry and the girls.

“The girls are already impressed at how well she has healed up,” Henry said. “I don’t think it is going to happen again.”

Photo Credit: https://www.pexels.com/@anna-guerrero-788383

A Lesson Well Learned

D. E. Larsen, DVM

Floyd was waiting for me at his driveway on Liberty Road. Sitting in his old pickup, he woke with a start when I pulled in alongside his truck. Floyd was a big man, his hands spoke of a lifetime of hard work, and his gray hair told of his age.

“I am glad you could come this morning, Doc,” Floyd said. “I have a dead ewe in the upper pasture. She was fine last night.”

“You saw her last night?” I asked.

“Yes, I’m not up there every day, but last night I was up there bringing a feed rack back to the shop with the tractor. I figured I wouldn’t need it this spring and summer. The ewes were all there, and their lambs. This morning, she is lying near the gate, all blown up like she has been dead for several days.”

“That almost sounds like Blackleg or something,” I said. “I didn’t think we were supposed to have that stuff on this side of the mountains.”

“You can follow me up there,” Floyd said. “The road gets a little rough, but it looks like your truck can probably handle it okay.”

“Yes, you put 4-wheel drive on these trucks, and they go just about anywhere,” I said.

I followed Floyd up a well-graveled drive beside a cemetery. Floyd stopped and opened a gate to the dirt road to the upper pasture. I stopped and closed the gate as soon as I was through it.

“You can leave that open,” Floyd yelled back to me.

“Habit, Floyd,” I said. “My grandfather always said it was easier to close the gate than it is to wish you had closed it.”

“Smart man, your Grandfather,” Floyd said.

We continued up the badly rutted dirt road, finally crossing a cattle guard into the upper pasture. The ewe was right there beside the road. If Floyd had been up here last night, there is no way he would have missed seeing her.

This ewe was on her right side and blown up, not from rumen bloat, just blown up like a balloon. All four legs sticking straight out, there was some pinkish foam at her nostrils.

I got out of the truck and opened the vet box. After pulling on my coveralls and boots, I retrieved my necropsy knife, a bucket with some water, and a pair of gloves. As I approached the dead ewe, I noticed that she smelled like she had been dead for several days.

“You are sure she wasn’t here last night?” I asked Floyd.

“She was sort of a pet, you know,” Floyd said. “She was up butting me around when I was hooking up the feed rack. She was as normal as could be.”

With gloves on, I pressed my fingers into her skin over her back. She had a lot of air under the skin, subcutaneous emphysema. It felt and sounded like I was popping bubbles. The wool pulled out along with the outer layer of the skin. There was a blueish discoloration to both the skin on both rear legs and extending along her back. This was Blackleg.

“Floyd, I am not going to open her up at all,” I said. “This is probably Blackleg. It could be one of the other Clostridial diseases like Malignant Edema, but that is sort of academic. They are all diseases that cause sudden death; most are impossible to effectively medicate, even if you make the diagnosis early. Most of the time, you just find them dead. The vaccines are all combination vaccines that include the whole bunch in one shot.”

“I have not heard of Blackleg around here,” Floyd said.

“We saw a lot of it in Colorado,” I said. “Guys had to vaccinate for it, or they would have dead animals. I never saw a case in Enumclaw. I was always told it was rare on this side of the mountains. This might change my thinking on that aspect of the disease. I am going to aspirate a little fluid from under the skin. I can pretty much confirm the diagnosis when I get back to the clinic and get the sample under a microscope.”

“What should I do with her?” Floyd asked, pointing to the ewe.

“You should bury her deep if you have a backhoe or some grandkids,” I said. “Bury her right where she lays, don’t drag her anywhere. This disease is caused by spore-forming bacteria, and you would contaminate the pasture more. Or you could burn her if you have enough fuel. I don’t know if the rendering company would pick her up or not.”

“And what about the others?” Floyd asked.

“You need to get a vaccine into them,” I said. “I have both a 4-way and a 7-way vaccine at the office. You should do that yesterday, and they will need a booster vaccine this year, in 3 – 4 weeks. I would hedge on the short side, 3 weeks.”

“I can bury her with a backhoe,” Floyd said. “And I can get some guys to help me vaccinate the others, that might take a day or two.”

“I wouldn’t let it take too long, you might find some more like this one,” I said. “If you are going to work through the whole bunch, it might be a good time to worm them.”

“You are trying to make a sheep rancher out of me,” Floyd said.

Back at the clinic, I did a quick gram stain on a slide I made from the aspirate from the ewe. The slide was covered with large gram-positive rods that were characteristic of Clostridium organisms. That, coupled with the clinical signs of the ewe, was pretty much diagnostic for Blackleg.

I checked and made sure I had an adequate supply of vaccine for Floyd. 

The next morning I thought I should call a couple of other veterinarians in Lebanon and Albany. I wanted to check to see if they saw any of the Clostridial diseases in this area. As I was considering those calls, the telephone rings. 

“Doc, this is Walt up on Fern Ridge,” he said. “I went out this morning to look over the animals in the field. I check them morning and night. Everything was fine last night, this morning there are seven dead steers in the pasture. I sure hope you can tell what the heck is going on with that.”

“Give me a little time, Walt,” I said. “I can get up there in a little over an hour. Are they near the house?”

“No, they are down the road a ways,” Walt said. “I will be in my blue truck and will park at the gate. You should not have any problem, the field is right along the road.”

When I pulled up to the gate, I could see the seven dead steers scattered across the field. These steers were all at market weight. What a loss.

“I moved all the other stock out of this pasture,” Walt said. “What do you think is going on?”

“Let me get a look at them,” I said. “You said they were fine last night?”

“I was up here before dark last night,” Walt said. “They were all up and running around like nothing was wrong.”

All of these steers looked just like Floyd’s ewe. They lay on their sides, puffed up like a balloon, and all four legs were sticking out, straight and stiff. When I pushed on the skin, I could feel the air popping under the skin, not unlike pressing on some bubble wrap.

The carcasses were in an accelerated rate of decay, with a strong odor and hair easily slipped from the skin, especially in areas where the skin was discolored. These steers all died from Blackleg. I took a few aspirates and went to talk with Walt.

“Walt, this is Blackleg,” I said. “Everything fits, sudden death, rapid decay, subcutaneous emphysema, and discoloration of the skin and tissues. If you want a thorough diagnosis, you need to load one of these guys up and take them over the diagnostic lab at Oregon State.”

“What is the risk to the rest of the herd?” Walt asked.

“Clostridial organisms are spore-forming bacteria,” I explained. “Those spores last for many years. They have spores from soil collected in Kanas in the 1890s that are still infective. What causes an event like this is not really known. What is known is that vaccination is a very effective preventative. You need to vaccinate the rest of the herd yesterday.”

“Okay, I can get a crew together and do that chore this afternoon,” Walt said.

“If you have any animals that have not been vaccinated before, you need to booster the vaccine in 3 weeks,” I said.

“What do I do with these steers?” Walt asked.

“The rendering company can probably pick them up,” I said. “If not, you should bury them deep, right where they lay, no dragging them across the pasture.”

“Have you ever seen anything like this before, Doc?” Walt asked.

“In Colorado, the Clostridial diseases were common, and ranches who did not keep up on their vaccines always had problems,” I said. “There, I would see several animals at a time. In Enumclaw, I never saw a case. Had you talked to me last week, I would have recommended vaccinations for Blackleg, but I would not have worried too much if you failed to take my advice. After the last couple of days, vaccinations will be required in the herds I take care of regularly.”

“That sounds like you are a little strict, Doc,” Walt said.

“Better than checking seven dead steers in the pasture,” I said. “There are other veterinarians in the valley, people always have choices.”

Photo by Vicky Ng on Unsplash.

Pat’s Menagerie

D. E. Larsen, DVM

The mouth was wide open, and salvia dripped from the gleaming white teeth. The snarl could have come from a timber wolf. As I reached around to his rear end, the mouth snapped viciously at my arm. My arm would have been chewed to pieces if Joleen hadn’t had a death grip around Paco’s neck.

Once Joleen was able to get a grip on Paco, we were committed to complete the procedure. There would be fooling him a second time.

Paco was in for a much needed and overdue, neuter. He was one of our most unmanageable patients. His black color made with white teeth more obvious. Paco was a Chihuahua. Soaking wet, he maybe weighed four pounds. Joleen, who is no small girl, needs most of her strength to direct Paco’s slashing teeth away from my hands.

I applied a rubber band tourniquet to his forearm as Joleen continue to struggle, directing his bites away from me. I slipped a small needle into his cephalic vein, and the effects of a low dose of Pentathol was rapid. Joleen turned Paco to his side and relaxed her grip. I could feel myself relax as we inserted the endotracheal tube and moved Paco toward the surgery room.

With Paco clipped and prepped for surgery, I placed sterile towels around the surgery site and covered those with a sterile drape. I pushed one testicle forward out of the scrotum. Then because we didn’t want to have to see Paco back to remove sutures, I made a short midline incision over the testicle. I squeezed the testicle out of this small incision. The second testicle was externalized similarly.

I generally opened the tunic covering the testicles and ligated the vessels separately. With a small dog, like Paco, I placed a couple hemostats on the cord and ligated the cord without opening the tunic. Now with Paco’s jewels on the tray, I could rest assured that there were going to be no little Pacos running around to eat my fingers.

I closed the skin incision with a single mattress suture placed under the skin. I did not want to have to see Paco for suture removal.

Pat was happy to be able to pick up Paco that evening. Paco was wagging his tail rapidly when Pat opened the cage door. Paco jumped on her shoulder. It is hard to believe this was the same dog we had on the exam table this morning.

As I watched Pat and Paco walk out the door, I couldn’t help but remember one of my calls to Pat’s farm on the top of Scott Mountain Road. 

It was a warm afternoon in August when Pat had called about her old horse, Dan.

“Doctor, I am hoping you can get a look at Dan today,” Pat said into the phone. “He has not been his self for some time now, but today he is out in the pasture just wandering in circles. I am worried sick that there is something terribly wrong with him.”

“Pat, I can get up there in the early afternoon. That will give me time to get any lab samples ready for the courier this evening.”

Pat was waiting for me in the front yard. I could see her wringing her hands and wiping a tear from her cheek.

“I am so glad you could come this afternoon,” Pat said. 

“Your old horse is not doing well?” I said.

“Yes, it is Dan,” Pat said. “He is old, but there is something terribly wrong with him. Look at him.” Pat points to Dan, who is slowly walking in a wide circle in the middle of the pasture.

“Let’s go get a look at him,” I suggested.

We walked around the small shingled farmhouse to the gate into the pasture. As we walked out to Dan, I scanned the small farm. Pat had several horses, a small flock of about 40 sheep, a couple of pigs in a pen by the old barn with ducks and chickens scattered everywhere. The pasture was dotted with Tansy plants. Tansy is a poisonous weed that seemed to be everywhere in the 1970s. It was bitter tasting, and most grazing animals would not touch it. However, for some reason, an occasional horse would develop a liking for it and seek it out. It was toxic to the liver, and the toxicity was cumulative. A nibble here or there, over time, became a lethal dose.

When we got to Dan, Pat stepped in front of him. He stood there, pressing his head into her chest and grinding his teeth. As I worked through an exam, Dan did not move. His mucus membranes and the whites of his eyes were noticeably yellow. To me, the diagnosis was Tansy toxicity. Pat was going to need some time to come to grips with the finality of that diagnosis. I drew some blood to send to the lab.

“Pat, Dan is probably in liver failure,” I said. “You can see how yellow his membranes are by looking at the whites of his eyes.” I lifted Dan’s head to a level that Pat could see his eyes a little better.

“What does that mean for him?” Pat asked.

“It is seldom good,” I said. “I will send in this blood, and they can tell us how advanced things are. This is likely Tansy poisoning. If that is the case, Dan is going to die.”

“I was so afraid of that. I knew he was very sick. When will you hear on the blood results?”

“I will hear in the morning,” I said.

“Is he suffering?” Pat asked.

“If this is Tansy, there is nothing we can do for him,” I said. “It would be best to consider putting him to sleep. I will give him a couple of injections to make him more comfortable for tonight.”

I had no hope of helping Dan with any injection. I could just remember a couple of mentors admonishing me to always give an injection, even if it is sterile water. That way, if the patient dies, at least you tried in the eyes of the client. And then, if there is a miracle recovery, you get all the credit. And in school, they always said no patient should die without the benefit of a steroid.

“I will give you a call as soon as I get the results,” I told Pat as I was leaving.

There were no miracles, the blood showed Dan had advanced liver failure. His days were numbered. I took a deep breath and called Pat.

“Thank you for the call and for your efforts,” Pat said. “I need to spend some time with the old boy. We have been through a lot together over the years. I will call when I am ready.”

“That is fine, I know it is never easy,” I said. “If you wait too long, Dan is going to go down and have an awful death struggle.”

It was a few days later when Pat called. I again made the trip to the top of Scott Mountain and quietly put Dan to sleep while Pat waited in the house.

It would be another dozen years before the imported Cinnabar moth would give Western Oregon some relief from the losses associated with Tansy ragwort.

As I sat down to fill out Paco’s surgery record, I scanned through the old records. Dan’s file was still there. Pat had sent me a poem after that event. I looked for it, but it apparently did not survive the years. Probably not clinical enough, I guess.

Photo credit: https://www.pexels.com/@pixabay