Beer on a Hot Afternoon 

D. E. Larsen, DVM

I tied the heifer in the corner of the corral with enough slack in the rope so she could lay her down with no problem. When Carol called, she said they noticed this heifer in labor last night. From the odor coming from her, I would guess she had been at this for longer than overnight.

At least Carol was thoughtful enough to have her haltered for me. I would have been worn out in this July heat if I had roped her and wrestled her into a corner.

I grabbed a piece of twine from the truck and tied the heifer’s tail to her neck so it was out of the way. Then I scrubbed up her. The fluid leaking out of her vulva was rank-smelling. This had to be a long-dead calf.

I pulled on a plastic OB sleeve and lubed it up. When I slipped my arm into this heifer, she strained hard. Fluid gushed out of her and soaked my shoulder. I could tell this was going to be a mess.

I went back to the truck and removed my coveralls and shirt. I just hoped that I could get this job done before I got a sunburn.

Back at the heifer with a new OB sleeve, I was able to explore her birth canal. This calf was in a full breech position with both hind legs retained. No hair was on the OB sleeve when I pulled my arm out. That was a good thing. The calf was only a day or two dead, and I could probably get it out without a fetotomy.

Carol was back at the fence.

“What do you think, Doc?” Carol asked.

Carol was an older lady, probably forty-five or fifty. She was well kept for a farmer’s wife. She was probably stuck with being here for me to take care of the heifer. I doubt if she worked at the barn much.

“This calf is dead,” I said. “It’s in a breech position. When a calf is in a full breech, the cow often won’t go into heavy labor until the calf has been dead. Sometimes, you can notice them with their tail up, maybe acting a little different but not straining a lot. I think this calf has been dead for a couple of days. With any kind of luck, I should be able to get it out.”

“I’m sorry she isn’t in the barn,” Carol said. “You would be out of the sun then.”

“This should be a problem,” I said. “I sort of like this weather. It’s good weather to lie on the river bank and drink a cold beer.”

“Ha!” Carol said. “And how many days do we get to lie on a river bank drinking beer versus work in this hot sun taking care of a sick cow?”

“Well, you do have a point there,” I said.

“I’ll take a cloudy sky and a cool breeze any day over this hot weather,” Carol said. “But I better leave you alone so you can finish up and get a shirt back on before you’re burned to a crisp.”

The OB sleeves were doing little good at keeping me clean. I discarded them and went to work bear-armed. 

I reached in with my left arm and grabbed a hind leg below the hock. I pulled the hock up to the pelvic brim. Then with my right hand, I pushed the calf’s butt forward. This was a dangerous move because it had the chance of rupturing the uterus, but it gave me room to push the hock forward and pop the foot into the birth canal.

I repeated the maneuver on the other leg. Now, I had both feet sticking out of the vulva. 

I put a nylon OB strap on each foot and hooked up my calf jack. It was a simple task to jack the calf out.

This heifer had stood through the entire procedure, but she stiffened and flopped on the side when I started pulling the calf. The calf came out with a gush of fluid and membranes.

I pulled the calf over to the edge of the corral and through the gate. Then, I washed up as best I could. I was obviously going to need a shower before I was going to feel clean.

When I returned to the heifer, she was on her feet. I checked her birth canal for injuries and made sure there wasn’t a second calf in her uterus. Then, because this calf had been dead for a couple of days, I put five grams of tetracycline powder into her uterus. Cleaned her up and untied her tail.

When I turned her loose, she turned and sniffed around for the calf briefly, then went to the water trough for a drink.

I washed up again at the truck, and Carol came out again.

“You’re going to need a shower,” Carol said. “Do you want to use ours?”

“Thanks for the offer,” I said. “But I am not far from home. I will run home and clean up there. I still have some things to take care of at the office.”

Of course, the office stuff was just an excuse. I was able to get home, shower, and clean up. Then, I set out on the back porch with a cold beer.

“You look pretty comfortable,” Sandy said.

“Well, it would be better if I was on a river bank, but this is pretty close.”

Photo by Mark Stebnicki on Pexels.

Widow Woman’s Ranch, from the Archives

D. E. Larsen, DVM

I could see Dan waiting at the gate to the barnyard when I pulled into his driveway off of Pleasant Valley Road. There was still some snow on the ground from a late spring snowfall, and it added a chill to the air.

“Dan, I got the message that you wanted me to stop by, but I didn’t get any other information,” I said as I extended my hand.

Dan shook my hand. His hands were heavily calloused, and his fingers bent from arthritis. I am sure his handshake was much firmer in past years.

“I want you to look at my old horse, Joe,” Dan said. “This time of the year, I keep him in the barn. I’ve noticed that he has one heck of a time eating. He takes a mouthful of grain, and more of it dribbles back into the feed rack than he swallows.”

“That might be something pretty simple,” I said. “How long has it been since his teeth have been floated?”

“They probably have never been floated, since I don’t know what that means.”

“The horse’s teeth continue to erupt throughout their life. They wear against themselves, and sometimes, when they get a few years on their mouth, they develop sharp points on the edge of the teeth that need to be filed off.”

“You just say, open wide, I guess,” Dan said.

“Some horses object to the procedure more than others, but we have a little device to help hold the mouth open. Some horses stand right there and let it happen, some need a twitch, and then there are a few who need some drugs to help them relax.”

“Joe, he’s a pretty mellow old horse. He’s sort of like Mom and me. He was a lot prettier twenty years ago than he is today.”

“Let’s go get a look at Joe,” I said.

“I’m a little embarrassed to take you into the barn,” Dan said. “This place looks like a widow woman’s ranch anymore. I’m too damn old to keep it up anymore. Our son, Stan, died in that war, and our daughter doesn’t live close. She tries to help some. But you probably know how it is when you are working and have a young family. There is just so much time you have to give to the old man.”

“I’m sorry about your son. There were far too many young men lost over there. I was in the Army for four years, but I was able to avoid Vietnam. I had a good friend who came home in a box, though. I am glad that it is over.”

Dan didn’t respond to my comment. He busied himself with the gate that we had stopped at on the driveway leading to the barn. Dan was having some trouble untying some baling twine that held the gate closed.

“I’ve never heard the term, ‘widow woman’s ranch’,” I said.

“Nothing is fixed. All the fences lean this way or that. Everything is held together by baling wire or twine. The wire lasts a lot longer than the twine, but they don’t bale hay with wire much anymore. Or maybe, I just don’t buy alfalfa much anymore. Twenty years ago, I would’ve replaced any leaning post. Or at least, reset it. Now I just support it with a mesh made out of twine. It is a good thing I don’t have much stock anymore. We feed out a steer for meat, for ourselves, and our daughter’s family. And then there is Joe. And Joe knows he doesn’t want to get out. He’s got it made here, three square meals a day, and nothing is expected in return. Even the grandkids don’t seem to want to ride him anymore.”

I helped Dan with the large barn door. We had to lift it a bit, and then it would slide. It looked like the rollers needed a little grease, but I wasn’t going to say anything. 

I was shocked at the inside of the barn. It was immaculate, like stepping into a barn twenty years in the past.

“I try to keep this place like Stan would remember it,” Dan said.

Joe was in a large stall. He whinnied and tossed his head happily.

Joe was old, a buckskin. He was probably a striking horse in his day. Now his face was grayed, and his muscle mass was fading.

“Let’s get a halter on him so I can look at that mouth,” I said as I reached for a halter and lead rope hanging on a hook at the gate leading into the stall.

“Don’t use that one,” Dan said. “Stan hung that one there the last time he rode Joe before going to Vietnam. Joe was Stan’s horse, you see. Joe is the only connection I have to Stan. I worry what will happen to him if this old guy outlives me.”

I could see some moisture in Dan’s eyes as he spoke. I had to look away for a moment and take a couple of deep breaths before I tried to talk.

“I’m sure your daughter will take care of Joe,” I said.

“She has nowhere to keep him, but I guess she could find someone to take care of him. I have it all spelled out. I have a place picked out for him behind the barn. Joe and I go out at times and talk about how things used to be when Stan was around.”

I grabbed the old halter that Dan had been holding and stepped into the stall. I needed to get to work to change the subject.

Joe nuzzled me when I slipped the halter over his nose. I tied the lead to a ring hanging on the feed rack. Joe had no problem when I ran my index finger along the insides of his cheeks to feel the points on his back teeth.

I grabbed Joe’s tongue and pulled it to the side, causing Joe to open his mouth a little. With a small penlight, I got a good view of the left side of his mouth. Switching hands and pulling the tongue to the other side, I viewed the right side of his mouth.

Joe had jagged points on the inside of his lower cheek teeth and the outside of his upper teeth. I could see sores on both sides of his tongue and on the inside of both cheeks. Joe should feel much better with these teeth floated.

Joe was remarkably tolerant. I grabbed his tongue and inserted the float in the left side of his mouth. With long slow strokes of the float blade, you could hear the points disappear as the sound went from a rough rasping sound to a smooth, almost silent sound. I finished the floating in a couple of minutes.

I smiled as I felt Joe’s teeth after I was done.

“These are as smooth as can be now. I think you’ll see a big difference for Joe.” 

“I hope so. I am a little surprised that Joe wasn’t bothered by that whole thing,” Dan said.

“Yes, he is pretty exceptional to stand there and take it with no restraint and no speculum.”

“Do you think he is going to be able to eat now?”

“I think you’ll find he is a new horse. But to be sure, I’ll check with you in a few days.”

***

I was driving by Dan’s place a few days later, and when I noticed him coming out of the barn, I stopped to ask about Joe.

“Good morning, Dan,” I said. “I just wanted to check on how Joe was eating after I worked on him the other day.”

“He’s doing great. Doesn’t dribble a bit of grain. I think he enjoys eating now. If I had known that was a problem, I would’ve had you do his teeth a long time ago.”

“At his age, we should plan to check him every year, just to keep him as comfortable as we can for his old age.”

“That sounds like a good plan,” Dan said. “I’ll try to remember to give you a call.”

***

It was probably 3 years later when Dan gave me a call. He wouldn’t talk to Sandy when she answered the phone. He only wanted to talk with me.

“Doc, this is a terrible day for me,” Dan said. “I think I need you to come and put Joe to sleep for me. He sliped going out of the barn the other day, and he must have hurt a hip or something. He can hardly walk.”

“Do you want me to examine him first?” I asked. “It could be something simple that we help with some medication.”

“No, I think it is time for him to go see Stan. I’ve already had a neighbor over. He dug a hole with his backhoe, out behind the barn, under that big maple tree.”

“When do you want to do this, Dan?” I asked.

“The sooner, the better, do you have time to come now?”

“I’ll make time, Dan. I’ll be out there in a few minutes.”

Dan was waiting for me at the Barn door. I helped him with the door again. Joe was lying down when we entered the barn. It was quite a struggle for him to get on his feet.

Dan had tears in his eyes and one running down his left cheek.

“Can you get Stan’s halter down for me?” Dan asked. “This getting old stuff is no fun for me either.”

I remembered that Dan didn’t want to use this halter when I was out before to look at Joe.

“You want the one that Stan hung up?” I asked.

“Yes, we are going to bury him with it. I figure that is what Stan would have wanted.”

I carefully, almost reverently, lifted the halter and lead rope off the hook. Dan took it and held it close to his chest as he walked through the gate to Joe’s stall. Joe snickered softly as he smelled the halter. Dan slipped in on the halter and patted Joe on the neck.

“We can go out the back door,” Dan said as he started Joe toward the door. Joe was hardly bearing any weight on his right hind leg. Dan was correct. It was probably time.

Dan lead Joe out and had him lying down by the large hole that was recently dug. 

“He knows the routine. I’ve been bringing him out on good days for the last year. He lays down, and I sit here with him, and we talk about the old days.”

“Dan, do you want to stay for this?” I asked. “You could wait in the house or the barn.”

“No, Joe wants me to be here. It’s okay, Doc. Joe’s going to see Stan.”

“This is pretty fast stuff. I’m going to give him an injection to sedate him a little. Then, when I give him the big injection, he’ll be gone in an instant.”

“Okay, let’s get it done.”

Joe went quietly, resting his nose on Dan’s legs when he was sedated.

Dan shed a couple of tears, patted Joe’s neck, and stood up.

“Do you need me to help to put him in the hole?” I asked.

“No, the neighbor is going to come back with his backhoe. Our daughter will be here before too long. She and her husband will be able to take care of everything. You can stop at the house, and Sue will give you a check.”

“There’s no charge for this, Dan. Stan paid the bill some time ago.”

I walked back to the truck alone, leaving Dan to pay his last respects to Joe. I sat in the truck for a moment, took a few deep breaths, and dried my eyes before pulling out onto the road.

Photo by Idella Maeland on Unsplash

Elbow on a Grinder 

D. E. Larsen, DVM

The morning looked like it would be a nice early summer day in Encumclaw. The winter had seemed to run into spring, and anything approaching summer weather was yet to be seen.

I was at the front counter when young Ed Carter came through the door with Max. A large Great Dane, Max was a good dog. I knew Ed from several farm calls. Ed ran a large dairy with his dad. Max was always by his side on the farm.

“Max got hit by a little car a few minutes ago,” Ed said. “I think the car probably got the worst of the deal, but Max was dragged down the road a piece. He seems fine, but it tore up his elbow a little. I was hoping you guys would have time to take care of him.”

I stepped around the counter to get a better look at Max’s elbow. My approach caused Max to take a step back. His right elbow collapsed with the movement, and Max ended up on the floor.

When I looked closer, it looked like someone had taken a grinder to Max’s elbow. The lateral third of the joint was gone, along with all the soft tissue. There was nothing holding the lateral side of the joint together. 

I placed my hand under the elbow and lifted it from the inside. The joint gapped open. The only way to stabilize this joint would be by fusing the joint.

“Ed, this is a major injury,” I said. “The only way to fix this is by fusing this joint.”

“That sounds a little drastic,” Ed said. “Will he be able to use his leg?”

“It will impair the function of the leg, but there is no other way to fix this injury that I know of.”

“Can you do it here?” Ed asked.

“No, that is way above our capabilities at this clinic,” I said. “I was just at a meeting last week with a veterinarian who is starting a new specialty clinic in Seattle. He is an orthopedic guy. He could fix this leg, but it won’t be cheap.”

“Are there any other options?” Ed asked.

“The only other option would be to take the leg off,” I said. “Most dogs do well on three legs, but an old Dane might not do so well.”

“So, I should probably at least go talk with this guy,” Ed said.

“Yes, and the sooner, the better,” I said. “I need to clean up this wound and get a good wrap on the leg and a little splint to stabilize the joint. I will sedate Max just a little to clean any debris from this wound.”

We moved Max back to the treatment table, and I gave him just enough IV Surital to allow me to quickly clean the wound and get a wrap on the leg.

This wound looked like someone had held the elbow against a grinder. The lateral bone of the joint was coarsely ground away. There were deep striations in the bone, tiny bits of gravel in the bone, and soft tissues around the wound.

I cleaned things up the best I could and applied some Furacin Ointment under a non-stick gauze pad. Then I put a large pressure wrap on the entire leg. Max was waking up as I gave him a dose of IV ampicillin.

Let me call Dr. Willard to see if he can see Max right away. He is just starting his practice, and we will probably have no problem getting in to see him.

Dr. Willard was happy with the call and wanted Max as soon as possible.

“With a wound like this, we need to get it really cleaned up and into surgery as soon as possible after the injury,” Dr. Willard said.

We loaded Max into the front seat of Ed’s pickup, and Ed squeezed into the driver’s seat and headed to Seattle.

About an hour later, Dr. Willard called.

“Dave, this is quite a wound, but it looks like you did a good job cleaning it up,” Dr. Willard said. “I am a little concerned about the radial nerve. Were you able to evaluate it before Max was sedated?”

“Max walked into the office if you can believe that,” I said. “The leg gave out on him as he stood at the counter.”

“It is amazing that he could walk on that leg,” Dr. Willard said. “There is nothing holding that joint together. But I guess that answers my question about the radial nerve.”

Dr. Willard was able to do a good arthrodesis on Max’s elbow joint. The procedure was easy compared to working on an intact joint because the injury gave him total access to the joint. And the flat surface where the bone was ground down by the pavement made fitting the plate on the bone much easier.

Max healed well. He did walk with a limp, but it was much better than being without that leg. Ed was pleased with the repair.

Photo by Christian Álvarez on Pexels.