Try the Goat

As I watch the sun set over the Caribbean it seems remarkable that 6 weeks have passed since our arrival on the beautiful island of Carriacou. In just 5 days, we we start on a long journey to Eastern Europe with the end goal being some family time and to visit our daughter who is a student at the United World College in Mostar, Bosnia. For the next month we will not be doing any veterinary volunteer projects and just enjoying some travel time and family time. While we will enjoy just being vagabonds and on our own schedule for the next 8 weeks, volunteering as veterinarians has been an amazing experience. It has given purpose to our travels and improved our surgical skills, adaptability and resourcefulness as veterinarians. These are benefits I had expected when I started down this road of international volunteerism, but there is one benefit that I had not fully anticipated. Volunteering abroad has provided us with an instant community of interesting, passionate and dedicated people from around the world, with whom we have formed lasting and meaningful friendships. To all you exceptional humans, whose we’ve met over the past 16 months, thank you. Getting to know you, sharing our stories, sharing a meal and occasionally sharing too many rum punches has made the last year a truly amazing journey. It has gotten me thinking about what makes for an exceptional veterinary volunteer experience and also what makes an exceptional volunteer.

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In the last year and a half we have worked with a large number of volunteers. People from around the world, with different backgrounds, nationalities, ages and experience levels.  Compassion and a love of animals is the common ground that unites us and brings this diverse group of people together on a project. While I can only truly speak to my own experience, I feel some volunteers return home transformed and empowered while for others the experience is less fulfilling. Like so many things in life, the benefits you receive are directly related to the effort you are willing to put in. So once you have decided to dip your toes in the world of veterinary volunteerism (or really any type of volunteer work), how can you ensure you will have the best experience possible?

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When you pack your bags, don’t forget to pack a great attitude. If you walk around with a storm cloud over your head at your practice back home, leave the attitude there please.  This is a working holiday, after all, so leave your worries at home and consider it an opportunity to make a fresh start.

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Be ready to work hard and pitch in wherever you are needed. This means forget about your job description at home and be willing to clean kennels, wash instruments, answer phones and sweep floors, even if you are a vet!  Really?  Yes, really.

Shut your mouth and open your mind. Forget about how you do things “back home”, listen to the project directors, follow the protocols and accept that things are done differently for good reason. Costs and availability of medications varies greatly from country to country and project to project. Stop and consider the Project leaders and directors. These people have often put in countless hours of their own time not to mention countless dollars from their own pockets, in order to get the veterinary project launched. They have a very personal stake in the project. When you show up and immediately start complaining about the type of suture available, the anesthetic protocols the expired drugs on their hospital shelves you have just successfully alienated the very people that gave you this opportunity. Good work!

If you have a big ego, please stay home. Seriously, there are enough big egos and competitive attitudes in our veterinary practices at home, let’s not bring them along on volunteer trips. Egos are the enemy of teamwork. A big egos does not endear you to your coworkers, and most importantly it gets in the way of reaching the project goals.

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Talk with the local people not at them. Engage and interact with the community you are working in and try to leave your preconceived ideas of a country or culture at home. This can be harder to do than you may think. We are all programmed to believe our way of thinking is correct and to want to change a local populations way of thinking to more closely match your own.

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Remember your manners. Be respectful of local people, the charity organizers and the other volunteers. Say good morning, smile and don’t forget to say thank you. Nothing will give you a bad reputation, as a volunteer, faster than rudeness and an ungrateful attitude. Have fun but remember you are working in a small community of people, both the volunteer community and the local community.  Your behaviour can impact not only you but can also affect the reputation of the project. Remember you are an ambassador for more than just yourself.

Finally, remember to bring a sense of adventure, have fun and be willing to trying something new. Never eaten goat? Now is your chance. Always wanted to snorkel with sharks? Say yes to that unexpected invitation. Things rarely go as planned on volunteer trips, electricity goes out, patients wake up in the middle of surgery and you may find yourself forced to improvise and try things you would never consider in your practice at home.  Just go with it, stay cool and don’t sweat the small stuff. Odds are you will be amazed that, in the end, it all turns out okay. 

 

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Since selling our veterinary practice in November, we have discovered a new world of opportunities and experiences as veterinarians. A huge thank you to everyone who has made these past 8 months so remarkable: Maun Animal Welfare Society, the Spanky Project, Carriacou Animal Hospital and all the people we have met along the way. You accepted us without hesitation, made us feel welcome and gave us the opportunity to be part of something bigger than ourselves. Thanks to you, we now have friends around the world and networks to new adventures in the years to come.  Following our travels in the Balkans we will be returning to Canada for 4 months to work as locum veterinarians. Our journey as volunteer veterinarians, however, has just began as we have several new projects, as well as a return to some of our favorites, lined up for the end of 2018 and 2019.

Stay tuned and until then remember to try the goat!

Where the heck is Carriacou?

Since March 26, Rob and I have been hanging out on a chill little island in the Caribbean. In exchange for a free bed, we are offering up our veterinary skills to the Carriacou Animal Hospital, the only veterinary service on the island of Carriacou. Let me tell you this gig is one sweet deal! While Rob and I live at the hospital and are available for walk in appointments and emergencies, the relaxed pace, instant social life and beautiful turquoise sea just a few steps away is ample reward for the work we provide.

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Kathy (director of Carriacou Animal Hospital) and Nadine (Head Veterinarian)

So where the heck is Carriacou? Located in the South eastern Caribbean Sea and one of the Grenadine islands, Carriacou is a two hour ferry ride north east of Grenada. 

The population of the island is listed as 8000 but locals suggest this may be inflated by seasonal visitors and a more realistic number may be 6000. In either case, at just 13 square miles, it’s a pretty small place and to our delight, has a very authentic Caribbean vibe. It is a place that seams stuck in time, with friendly locals, small shops and restaurants with glimpses of  beautiful white sand beaches and a turquoise Caribbean Sea from every vantage point.

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Rough seas on the ferry from Grenada to Carriacou
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The ferry landing and our first glimpse of Hillsborough Carriacou

So what does a typical day at Carriacou Animal Hospital look like?  Most days we awaken early to the frenzied sound of the hospital’s yard dogs barking at the passing garbage truck. We lounge under our mosquito net and listen to the ocean waves as we plan our morning.  Coffee is the first priority, then while one of us attends to the animals in our care, the other begins emptying garbages, sweeping and cleaning the cabin before our clients and patients arrive. We clean kennels, wash wounds, give medications and make sure all our charges have had some exercise and some love before we head to the beach to relax for a bit with toes buried in the soft sand and our morning coffee in hand.

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The hospital officially opens at 8:30 am, but clients trickle in at any time of day, often as they are passing by and remember they need advice or medication. In Carriacou, appointments and surgeries are rarely planned very far in advance. After all, this is the Caribbean, relax man and go with the flow! The amazing and upbeat Lorraine, arrives at 8:30 and starts to organize our day. She manages to juggle phone calls, client requests, finding lost files and confused volunteers with a laugh and smile. Clients are called a day ahead to schedule elective surgeries but our days rarely go as planned. Carriacou is a small place and it is often while out in the community that the founder of Carriacou Animal Hospital, Kathy or Nadine, the head veterinarian, will be met by local people asking “Are you the vets? I have a dog that needs to be cut.” The local term for sterilization, either a spay or neuter surgery, is to have your dog “cut”.  They will take a name, phone number and try to find out where the dog lives and then set up a time for surgery, usually as soon as possible.

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Our patients arrive in all sorts of “carriers”.  This little guy had a small eyelid injury from a dog bite. He healed up and did great.

 

Some days our surgeries arrive at the hospital between 8:30 and 9:00 am and we get an early start, but often the clinic team needs to travel and pick up our patients at home. Many locals rely on public transportation and cannot take animals on the bus. After following the winding roads up hillsides and into small communities, we now have to catching our patients. While most dogs are friendly, they have not all been socialized to strangers and this can take a good part of our morning. We sedate them onsite and arrive back at the clinic ready to start surgery. 

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Rob preforms a cat spay

During most of our time at Carriacou Animal Hospital we did not have a veterinary technician/nurse, but instead had 3 veterinarians, myself, Rob and Dr. Nadine. One of us would assist the “surgeon” for the day while the other would see appointments that dropped in, wash surgical instruments and attend to laundry.  As patients recover through the afternoon we write up charts and finish with instrument sterilization and cleaning. Sometimes there are emergency calls about animals which had been “bumped”, the local term for being hit by a vehicle and sadly, a common occurrence on the island. Other days we see walk in appointments or attend to scheduled house calls to check on patients or treat animals whose owners have no transportation.

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Children showing us their puppy while checking on another dog with heartworm that lives with this family.

 

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Puppies – Our favorite house call patients!

By mid to late afternoon our patients are awake and ready to be delivered home, to their thankful owners. Now its time to relax and cool off in the turquoise sea, that is literally steps away, while we watch the most spectacular sunsets.

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Similar to veterinary hospitals around the world, everyday brings something new through the doors of Carriacou Animal Hospital. For me, this variety, is one of the things I love most about my chosen profession; life as a vet is never dull and there is always something new to learn! Our patients are usually covered in fleas and ticks and heartworm infection is extremely common here. 

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This client brought his dog in for a check up and tick treatment. Check out the ticks in his ears in the photo below.
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Wow, he will feel so much better after his treatment!

Educating clients about preventative treatments and their importance is a routine part of every client visit. Tick Fever is extremely common on Carriacou and can present with a variety of symptoms. Interestingly enough, we have found the amount of bleeding during surgery seems to be less severe than with our erhlicia infested patients in Botswana. Nutritional advice is also much needed on the island. Locals commonly feed puppies bread and milk. Dog food, while available, is expensive and not commonly used.  Part of our job is educating people about the importance of nutrition and protein in a puppies diet.  Sometimes the smallest changes and advice can have a huge impact on the health of the local dog population.

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These three puppies were all from the same litter but the small one lives with a different family member and has only been fed bread and milk. Note the difference in size and health.

Injuries, accidental and deliberate are also common in the local dog population. Burns, gunshot wounds and fractures (sometimes secondary to malnutrition and often the result of trauma) are just a few of the cases we have treated.

The local dog population is a mix of breeds with the average size adult dog weighing between 10 to 20 kg. Mixed breed Pit Bulls are popular with the islands young men and occasionally we see pups that look like they have some type of herding breed in there background.

Being the only veterinary service on the island of Carriacou, we also get calls to treat the occasional sheep or goat. One sheep arrived for emergency wound care after being attacked by the neighbours pit bull. Another little orphaned lamb came in to treat an abscessed hoof. In general, however, livestock concerns are referred to the local agriculture veterinary department.

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Rob reliving his days as a mixed animal vet!

While the hospital was started to provide veterinary care to the local population and their pets, as a way to give back and provide a desperately needed service, Carriacou Animal Hospital also provides care to the local expat population.  Export permits are commonly needed as well as routine preventative care for pets that are lucky enough to spend part of the year in the Caribbean with their owners.

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Sancho arrives at the hospital via the sea
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Sancho gets a checkup from Rob

Founded in 2012, Carriacou Animal Hospital is an independent non-profit veterinary hospital. The hospital does not receive public funding and is staffed entirely by volunteer veterinarians and veterinary technicians/nurses. Volunteers often fundraise at home, prior to their trip to Carriacou, bringing with them much needed medications and supplies. Minimal fees are charged in order to cover the cost of delivering this much needed service. However, the hospital’s main goal is to provide care for the animals in most need, often those whose owners cannot afford treatment.  Clients are NEVER turned away due to lack of financial resources and patients are treated, without question or judgement, with the goal of alleviating distress and suffering and providing the necessary care for each individual patient. Check out their website at www.carriacouanimalclinic.com to learn more or donate to this wonderful project. You can also follow Carriacou Animal Hospital on Facebook: www.facebook.com/CarriacouAnimalHospital.

While it is easy to tell you about our work days, the patients we see and the fun activities we have experienced in Carriacou, it is harder to put into words the cultural experience of volunteering as a veterinarian on this small island. Carriacou is not what I  pictured when envisioning the Caribbean. It has a small town feel, it is not yet a “hot” tourist destination and on most beaches you will them completely to yourself. There are no all inclusive resorts and the restaurants, for the most part, are small and locally owned.

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The “road” we cycled along to a small beach with great snorkeling.  

 

While the local people are friendly and welcoming, there is no doubt that you are an outsider. I find it interesting that there are several unique “communities” that coexist in Carriacou and between these “communities” there is a wide range of values and of course wealth. After spending the day doing house visits to families living in abject poverty we would often return to the hospital and see super yachts anchored just off shore. I am talking yachts that are towing at least one speed boat as well as 3 jet skis and rent for $800 000 USD per week! The yachting community and other expats who spend part of their year living in the Caribbean, while not all are of the uber-wealthy super yacht set, are definitely part of the “haves” of the world (as are we). There are also the local Carriacou families who were born here but moved away as children or young adults, often to Britain, to be called back to the simple way of life and family values that tied them to the islands. Finally there are the locals who have grown up on the island and never left. They may be fisherman, tradesmen, running a small business and raising their families here on the island, proud of their home and heritage.  For the most part, all co-exist peacefully on this beautiful island, but the disparity in wealth is ever present and more obvious given the small size of Carriacou.

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The Coral Ocean Super Yacht which was anchored just off shore

 

 

Since hitting the road in November, I have tried to be an observer and record what I see, letting the experience of being in the moment and using the skills I have acquired, guide me. I am sure as time passes and I process these experiences I will find a more articulate way to express what I have learned. Right now, I feel extreme gratitude for all the blessings I have in my life, my health, my family and most of all, the one over which I really had no control; my good fortune in the genetic lottery of life.  How very luck to be born into a middle class family in Canada with the intelligence, drive and opportunity at my disposal. Seeing families living in poverty unlike what many of us can imagine, drives this gratitude home. How to help those less fortunate, whether at home or abroad, living in the cycle of poverty and despair, is so complicated it leaves me feeling quite helpless. Over the last 6 months, the problem of the worlds overconsumption as become more real to me. The amount of garbage and waste we find in the country side and the ocean, coupled with over packaging and lack of recycling is disheartening to say the least. Living out of a backpack, makes it easier to reduce consumption and consumerism but the real test will be finding ways to continue this positive change upon our return home. This journey has made me more mindful of my own consumption as well as questioning my western values and lifestyle.

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Garbage littering a green space in Havana Cuba

 

In 10 days we will leave Carriacou and start a new journey in a new part of the world. We will take with us two new friendships and the knowledge that we will be back again to work with this amazing charily in November.Stay tuned for more adventures and more ramblings from a mind unleashed in the weeks to come. And yes, I will be feeling very guilty about my carbon footprint when I get on that plane.  

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Local dogs playing in the ocean