My Pocket Knife, From the Archives

D. E. Larsen, DVM

I have a vivid memory of having only a single request for a present for Christmas in 1950. I was five years old, and the only thing I wished for was a pocket knife. I was delighted when I opened the small package. It wasn’t much of a knife, small and thin with a single blade and fake pearl on the handle. But it was a pocket knife and for me, probably my first rite of passage. Virtually everybody in my life carried a pocket knife, my brothers, my father, my grandfather, and all my uncles. Now I was closer to that group of men.

I carried that knife, or others, every day since that Christmas. I don’t remember the pocket knife being much of a thing at school until about the third grade. At that time, skills with the knife became essential to the other boys (and a few girls) and me. Being able to ‘stick’ the knife when thrown, at the ground, at a wall he or in the chest of invading Russian, became a valuable skill.

  We played knife games before and after school and during recess. Mumbly-Peg was the main game played. We would stand to face each other, maybe 3 feet apart. The object of the game was to throw your knife a distance out from your opponent’s foot. If the knife stuck, the opponent would have to move his foot to the knife and then retrieve your knife. Then it was his turn. If the knife did not stick, then you lost a turn. The winner was determined when someone could not spread his feet far enough and could not retrieve your knife.

We also played a Cross Country game where you would throw your knife from a starting point, and you could advance to the knife if it stuck. There was a goal line, usually the fence around the schoolyard, and the first to reach the goal line won the game. 

In those years, 3 – 6 grades, I would go to school with my knife and a pocket of marbles. Marbles were also huge in the lives of most of the student body. There are not many pictures that survive those school days at Broadbent Elementary School. Cameras were not in every pocket in those days. 

      You can tell from this picture that the economic status of the school students was far different than what you see today. If you look closely at our shoes, you can read a lot into the picture. Jimmy was from a family less well to do than ours; he is in rubber boots. My shoes are new and too large for my feet. We got new shoes only at the start of the school year, and they were sturdy, work shoe types, and always large enough to allow the growth during the school year. These shoes would become my work shoes next year. The funny thing is that we were all poor, but we didn’t realize it. 

From these humble beginnings, most of us turned out pretty good. Jimmy became a minister of a church in Washington. Like so many men in my age group, he recently died from liver cancer from Agent Orange exposure in Vietnam.

As the years have passed, I have continued to carry a pocket knife. Even today, I feel naked if I don’t have one. Naked to the point of returning to the house to retrieve it if I get to town and realize that it is not in my pocket.

With the urbanization of our culture and the advent of political correctness, I have come to strenuously resent those who would call my pocket knife a weapon. To me, it is an essential tool that I use daily. In recent years that might be limited to opening boxes, but in the past, I have used it to kill fish, gut deer, peel oranges, open cans when camping and slice meat. The blade usually gets cleaned by a good swipe across a pants leg when necessary.

I have used my knife professionally also. Not often, but I can remember saving at least one life with my pocket knife. It was in the early winter when I was called to look at a backyard goat who was down and could not get up. Wintertime was often a time when those animals who were not fed well started to suffer from environmental stress. Backyard goats were often expected to survive on berry vines growing in the back yard. The first freezing weather would show the ones who had no reserve, and they were essentially starving to death.

We received a call to look at a goat who couldn’t stand. Arriving at the house, the driveway was packed with cars. We had to park some distance from the house. Dixie was with me on this call. Dixie was a short, trim, blonde girl who had worked for me almost from the beginning of my practice in Sweet Home. We walked up the driveway to the open garage, where a group of men was working on something. At the outside corner of the garage was a small, pitiful little goat laying flat out.

I knelt and did a brief exam. This gal was pregnant; you could see the kids kicking at her belly. She was skin and bones. I didn’t think there was any hope for her. The owner came over as I stood up. Jim was a young man with a full head of dark hair, the hand he extended was smooth and had no sign of a callous.

“What do you suppose is her problem?” he asked as we shook hands.

“Agroceryosis!” I said. “She is starving to death. I know everyone thinks you can tie a goat in a brier patch, and they will do well, but this little gal is pregnant and still trying to grow a little herself. I doubt if we can save her.”

No sooner than the words were out of my mouth, and she took her last breath. We stood for a moment and looked at the lifeless little goat. Then there was a noticeable kick on her belly. 

Dixie and I exchanged glances. “Run,” I said, “get a scalpel blade.”

Dixie was off like a shot. I watched her, and the kick in the goat’s belly. It is too far, I thought. She will not make it in time. I reached in my pocket and pulled out my knife. I hope it is sharp enough.

With a stiff swipe, I opened the abdomen. I pulled the uterus to the edge of the wound and opened it only slightly more carefully. I grabbed one kid by the neck and pulled him out of the open uterus. No pulse, hopefully, the next one will still be alive. I reached into the uterus and found a foot; it retracted from my grasp. I reached deeper and grabbed the kid by the back of his pelvis. He came out with one pull.

About this time, Dixie returned with the blade. A little out of breath, she was quick to turn her attention to clearing the airway of the little surviving kid. It took a deep breath, shook its head, flapping his ears, and then let out a short bleat.  

We took care of his navel, gave a dose of BoSe, and milked out what little milk was in mama’s udder. We gave him the milk with a stomach tube.

“You got lucky,” I said to Jim. “This kid will give your kids something to for a few months.”

Then, with a little bit of my Army voice, I said, “You need to drop by the office in the next hour or two. We will discuss what you need to do to raise this little guy and how to care for him later. We can also hook you up with a goat lady in Brownsville who has a herd of goats and will be able to help you out with some milk and more advice.”

Dixie smiled as I wiped my knife blade on my pants leg, folded in closed, and returned it to my pocket.

“I will remember that the next time you offer me a slice of apple off that blade,” she said.

Brownie, 1953

Brownie, 1953 

D. E. Larsen, DVM

I woke to an empty bedroom. The sky was clear and the morning sun was out, but there was still a chill to the summer air. I laid still and tried to listen to hear my brothers downstairs. I hated to wake to an empty room. Did the monster get them when they got up, was he still waiting for me? I felt confident that I was safe if I watched them get up and dress, but now, I didn’t know.

I stood up and backed up to the far corner of the old double bed. I had to bend over a little because of the slant of the roof on the side of the bedroom. After a deep breath, I ran and jumped, hit the floor on the dead run and made a rapid turn to the open staircase. I bounded down the stairs, taking 2 or 3 steps at a time. I didn’t look back until I was at the bottom. No monster, I opened the door and entered the kitchen as if nothing had happened. Both Larry and Gary were at the table eating breakfast. I huddled up to the wood stove, the only heat in the house. It felt good after my run down the stairs.

“You need to go get dressed and get back down here for breakfast,” Mom said. “Your brothers are planning to go swimming this morning but you guys have to clean the barn first.”

“We can ride Brownie to the river and back,” Gary said. “That way you won’t have to worry about the thistles in the field.”

I hurried back upstairs and dressed. Mom had a bowl of Wheat Hearts mush waiting for me when I got back to the kitchen. I didn’t like mush but Wheat Hearts were better that Oatmeal. The warm mush felt good on a cold morning, and the large glass of milk made it easier to swallow

With the three of us the barn cleaning went fast. Larry was the oldest, and he assigned the chores. Gary scrapped any manure on the flood into the gutter. I went along behind him and used the large barn broom and swept the loose dirt on the floor into the gutter. Larry cleaned the gutter, using the shovel to scrape long sections out the door onto the manure pile. With the job done we could head to river. No need for a bath today.

Back at the house we changed into our swim trunks and slipped on a pair of thongs (flip flops). I hated to cross the lower field in these things because of the thistles. There was no good way to avoid the stickers except when we could ride Brownie.  Gary headed to the pasture to get Brownie. With a couple of whistles he came running. He probably knew he would get the whole lower pasture to himself while we swam. 

Brownie was a Jersey cross steer, solid light brown in color with a pinkish nose. This was his second summer and he was starting to get extra grain every evening. We had raised him from a calf and he was very friendly. He came when Gary whistled. I couldn’t whistle yet but I was trying.

Gary had no trouble getting onto Brownie in the middle of the field. It was a little hard for me so I would wait at the gate. We didn’t need a bridle or rope. We just tapped him on the side of the neck with a switch to tell him where to go. I jumped on and he trotted down the lane. Larry was already across the highway and in the lower field but we would catch up with him now.

The grass in the lower field was knee high. The cows were not allowed in this field until we cut hay. Dad would be a little upset with Brownie being down here but we could tell him that we were just helping to fatten him up. 

When we got to the riverbank we slid off and Brownie ran to middle of field, bucking with joy.  The sand on the riverbank was warm from the morning sun. The river was probably still cold. Larry was already in the swimming hole. He had crossed the river and was ready to dive off the old log on the far bank. I was not supposed to go over to that log but with just us boys here today, I thought I would swim over to it.

The water was really cold. It took a slow walk to get into it. I swam a little up and back. I think I will wait until it is warmer before I swim across. A couple of times up and back was enough for me.  I got out and laid down in the warm sand. It wasn’t long and everyone was ready to go back to the house.

“You go get Brownie while I dry off,” Gary said.

I ran up the riverbank. Brownie was clear across the field with his head buried in the grass. I made my best attempt and out came a weak little whistle. Brownie raised his head and looked. He had heard my whistle. Here he came on the run. This was going to be a good ride home. He came to a stop in front of me. I nuzzled up to his belly for a little warmth. I would need some help getting on him here in the field. Pretty soon Gary came up and jumped up on him with no problem.  I jumped and Larry gave me a little boost and I was on also.

Brownie trotted toward the gate. His trot was a little rough, not like a horse, but we were used to it and had to no problem staying on his back. He stopped at the highway and waited for our heels to tell him to go. He gave a long look back to the lower field as he started up the lane toward the house.

We rode Brownie everyday that summer. He enjoyed the rides, we covered the hill on Brownie and went to river on all the good days. When we had company everyone wanted to see how well he was trained. As the summer worn on, I was able to get myself onto his back in the middle of the field. He was a better companion than a dog.

But fall came, and the second fall of all good steers would be their last. The day for Brownie’s slaughter finally came. We slaughtered on the farm. It was a common event that we were used to watching. We generally helped where we could. The steer was shot in the head and hung in the machine shed. He was gutted and skinned there. I had helped in this part in the past but today I waited in the house. Brownie was different than the other steers. After he was skinned and gutted, they would split his carcass with handsaw. Then cut him into quarters. The quarters were carried over and hung from the large cherry tree in the back yard. It would hang there in the cold fall air until the weekend when Uncle Ern would come and cut him up. Uncle Ern was an old man now but he had been a meat cutter in his younger days. He knew just how to do it.

It was hard to see Brownie hanging there in the back yard every day. In farm families, life revolves around the kitchen and the back yard. We never used the front door, and the front yard was seldom used. Finally Saturday came and with a lot of help for Uncle Ern, Brownie was in the freezer in a short time.

Dinnertime that winter became a challenge. With every meal, I would fiddle with the meat on my plate. I knew it was Brownie and I knew I had to eat it. It proved to be long, hard winter.

“Is this Brownie?” I would ask, almost every meal.

“Yes, this is Brownie,” was always the answer. “Now eat your dinner.”

“This meat is tough,” I would say.

Dad would answer, “It would be a damn sight tougher if you didn’t have it.”

On a Thanksgiving Eve, From the Archives

On a Thanksgiving Eve 

D. E. Larsen,DVM

The barn was cold, but there was steam rising from the back of young heifer. A dusting of snow on her back was melting fast.  Bill and Connie Wolfenbarger had called with a heifer in labor.  They were not regular large animal clients but did visit the clinic with their small dogs.  I had been to their place several times to treat cows belonging to the Gilbert’s.

    When they discovered a tail hanging from the heifer’s vulva, they knew they had a problem. This meant the calf was in a true breech presentation and almost certainly dead. In a true breech position, the calf does not engage the cervix, and the cow doesn’t go into hard labor.  Most people will not notice a problem until the calf has been dead for a day or two.

    Tomorrow was Thanksgiving, I would miss some of the prep for the family dinner. The evening snowfall was light but continuing. Hopefully, I could make it home before the roads became a problem. Sandy’s folks were already at the house, so we didn’t have to worry about anybody traveling tomorrow.

    I tied the heifer’s tail out of the way and started to wash the her rear end. The hair on the tail came off with the slightest touch. I pulled on a plastic OB sleeve onto my left arm. With a little lube on my hand, I eased into her vulva to explore the birth canal. She strained hard when I reached the butt of the calf. No fluid was expelled with the strain. I pushed the rear of the calf with a couple of fingers. There was a spongy consistency under the skin and some crackling like I was popping air bubbles. The calf filled the entire birth canal, I could not advance my hand into the uterus, and I could not move the calf, it was wedged solidly into the birth canal.  I withdrew my hand, the sleeve was covered with hair from the calf and the odor was slightly pungent.

    “This calf has been dead for over a week,” I said as I removed the sleeve. “It is emphysematous, blown up with gas, I am not sure I am going to be able to get it out of her.”

    “What are our options?” Bill asked.  I knew their daughter was a small animal veterinarian, maybe in California. I did not know her, but I would assume they would be a little more knowledgeable than most clients.

    “Options are not many, the calf is in a breech position. That means its’ hind legs are retained and only the rump is presented. It is blown up so much that I cannot even insert my hand into the uterus. We are not going to be able to deliver this calf vaginally. I try not to do a C-Section on a dead calf, but with all the emphysema I won’t be able to do a fetotomy.  That leaves us with two viable options. Option one is a C-Section, which will be with risk and will be difficult.”

    “And the second option?” Bill asked.

    “The second option is to get your rifle and shot her now. It would not be fair to her to leave her in this situation,” I said.

    “Let’s do the C-Section,” Bill said.

    I double checked her halter to make sure she would not be choked if she went down. Then I change the tail, tying it to the right side. I placed a rope around her neck with a bowline and ran it along her side and tied it to ally fence, holding her against the fence. With her in a reasonably secure position, I clipped a wide area on her left flank, from her dorsal midline to her bottom of her flank.

   I prepped her flank with Betadine Surgical Scrub. The with 90 ccs of 2% Lidocaine, I did a large inverted ‘L’ block of her left flank. I blocked a wider area than usual because I may need to make a longer incision than is usually required. This was not going to an easy procedure. I repeated the prep after the block.

    After laying out the surgical pack and supplies, I pulled on a pair of surgical gloves, more to keep my hands clean than to pretend that this was going to be a sterile procedure.

    “We have a couple of major risks with this surgery,” I explained as I prepared to make my incision.  “The first one is that it is going be difficult to pull this uterus to the incision and second when I open the uterus, there is going to be no way to prevent the contamination of the incision and the abdomen. We are just going to have to depend on antibiotics.”

    Bill nodded, and I made a long incision down her flank, starting a few inches below her transverse processes and extending about 15 inches down her flank. The skin and subcutaneous tissues parted easily. Then I incised the muscles of the flank, they quivered as the blade divided them.  When I incised the peritoneum, the abdominal content did not sink away from the incision with a characteristic rush of air into the abdomen. The distended uterus filled the entire abdomen. There was no trouble finding it or worry about moving the rumen to externalize the uterus. The abdomen was filled with the uterus. 

    I reached into the abdomen to the tip of the uterus. Cupping my hand around the tip of the uterine horn, I pulled. The uterus did not move. I tried to rock the uterus in the abdomen. Sometimes you could swing the uterus enough to make it easier to bring it to the incision. This uterus did not budge. Again and again, I tried to bring the uterus to the incision.  I searched and found a hoof, I could not move the hoof.  

    I pulled my arm out, stretched and changed gloves. It this cold barn, but I was sweating profusely.

    “Do you think I could give you a hand?” Bill asked.

    “We might try that, if we could both get a hand under the end of the uterus, we might be able to make it move,” I replied.

    Bill stripped down to his waist and washed his hands and arms thoroughly.  I stood on the head side of the incision and ran my left hand down to the tip of the uterus. Bill on the other side of the incision inserted his right arm.  I guided his hand to the correct position.  We pulled, we pushed, we tried almost every maneuver. The uterus did not budge.

    Bill and I were almost nose to nose.  Bill had sweat on his brow and sweat dripping off the tip of his nose. He looked me square in the eye.

    “A woman couldn’t this,” he said.

    I smiled, “If you haven’t noticed, I haven’t got it done myself, yet.”

    We pulled out, and I rethought the situation.

    “I am going to try one more thing,” I explained. “I am going to open the uterus up here without externalizing it. I will then try to get a hold of the calf’s hoof and turn it up to the incision.  The risks in doing this are many. I could spill content into the abdomen, I could tear the uterus, and even with a grip on a foot, I might not be able to budge this uterus.”

    “And then, if this fails, we are going back to option two. We will get your rifle and put this girl out of her misery.”

    That said, I incised the uterus in the middle of the flank incision. With a surgical glove and an OB sleeve on, I ran by right hand down the inside of the uterus. There was a front foot, I grabbed the leg just above the hoof and pulled as hard as I could.  The uterus rolled and the hoof popped out of the incision. With my left hand, I incised the uterus over the hoof, and then I slipped an OB strap onto the hoof.  

I handed the strap to Bill. “Keep that foot from going back into the abdomen.”

    Pulling my arm out of the upper incision, I enlarged the incision over the exposed hoof. Bill was able to pull the entire front leg out of the incision.  I reached in and found the other leg. It came out quickly, and we attached it to the other end of the OB strap.

    With both front legs out, I enlarged both the flank incision and the uterine incision. Now I was able to pull the head out of the incision. Then putting things down, I helped Bill put a hard pull on the calf. It was sort like pulling a basketball through a knothole but when gas-filled abdomen of the calf finally cleared the incision both Bill and I almost fell as the rest of the calf followed with a swoosh.

    The membranes and the calf landed on the barn floor in a splat. Then the odor hit us. Bill and Connie both gagged and had to turn back to the side door.  When they opened that door, things were better, or maybe we were just adjusted.  Bill grabbed the OB strap and pulled the calf out the barn door, and I returned my attention back to closing up this mess.

    I washed and changed gloves. I put 5 grams of Tetracycline powder into the uterus and pulled the open incision to the outside. This was a long incision in the uterus, and then there was the small incision higher on the horn.  I elected to close the upper incision first, just in case the uterus would start to involute, and I would not be able to reach this incision.  I closed It with a simple continuous suture.

    The larger incision I closed with my standard Utrecht closure. After closing, I returned the uterus to the abdomen. I was concerned that there was probably a lot of leakage into the abdomen and pondered how best to deal with that event. There was no option to lavage the abdomen in the middle of this barn, so I just dumped another 5 grams of Tetracycline powder into the abdomen.

    I closed the flank incision with 4 layers. I used simple continuous in the peritoneum, interrupted mattress in the muscles and simple continuous in the subcutaneous tissues. I closed the skin with an interrupted mattress pattern.  No need to spray for flies in this weather.

    The heifer had to feel tremendous relief getting that mess out of her. She was going to need some additional antibiotics to keep her incision from falling apart. The easiest thing was to use some long-acting sulfa boluses.  I gave her 4 boluses of Albon SR. That would give her 5 days of protection.  

    I untied her tail rope and the sideline. She was as calm as could be expected.  I loosened the halter and slipped it over her head. She turned slowly and headed to the door, sniffing the floor a little as she passed.

    “She should be okay for tomorrow, but I will check with you on Friday,” I said to Bill as I was cleaning myself up.

    “She will be just fine,” Connie said.  “Our daughter will be home for a week or two.  She can check her tomorrow.  We will let you know how she is doing. You go home and rest for dinner tomorrow.”

    At least I was going to have a few days to rest up with the holiday.  I stopped at the clinic and cleaned all the equipment.  It would be a real mess if I left it for the girls on Monday.  I stripped down to the waist and washed thoroughly. The one mistake I made with the clinic was not putting in a shower. I thought I would wash here and go home for a shower.  Then probably have to start working on dinner for tomorrow. 

Friday morning, Bill called. “The heifer is doing great. Our daughter is impressed with how the incision looks. We told her the story, but I don’t think she really believed us. 

Two weeks later Bill called again to say they took the sutures out and the heifer continued to do well.

Photo by Ehoarn Desmas on Unsplash