I am published! Cool Beans!

I am excited to share with you the story of our journey from practice owners to volunteer veterinarians. I recently submitted this article to the West Coast Veterinary Journal and had my story published. Very exciting for me (I know, it is pretty small potatoes but pretty cool to see my words in print)! Hope you enjoy and please feel free to share!

I cannot figure out how to attach a link to the original article as the West Coast Veterinary Journal a private publication for members of the Society of BC Veterinarians. I am sure there is a way but my old brain isn’t so good with this shit.  Anyway, below the jpeg image of the article, I have posted my original submission which will be much easier to read, I hope!

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Will Spay for Food

The life you have led, doesn’t need to be the only life you have

                                                -Anna Quindlen

Knowing it is time for a change is easy if you listen to your heart. Actually setting the wheels in motion to make that change, is the hard part. For most of us, it is fear that holds us back. Fear of failure, fear of judgment, fear of disappointment. It is far too easy to listen to that voice in your head, the one ruled by fear, instead of taking a chance and seeing where life can lead you if you are willing to make a change.

I love to travel and in 2011, had the opportunity, together with my then 11 year old daughter, to volunteer for 4 days with the Mexi-Can Veterinary Project in Jaltemba Bay, Mexico. This was my first international sterilization project and it planted a seed.  But how do you marry a career in private veterinary practice and raising a family with a desire to see the world? It isn’t always easy, especially if you live in a rural community and are married to another veterinarian with whom you own a practice. Our solution was to book locums and drag our kids around the world on family ”adventures”. Eventually, those children grew and left to pursue their own adventures, leaving us at home, running our business and a just a little envious of the exciting journeys they were about to embark upon. Perhaps this was the catalyst we needed.

In 2017 we decided it was time. Time to see where life might lead two middle-aged, vets if they were willing to sell their practice, embrace the unknown and embark on a new journey. Prior to the sale of our practice we had started to explore the world of international volunteerism and found, not only was there a huge need worldwide for veterinary volunteers, but we were we well suited to this type of work. We would return from each project energized, with a renewed passion for our chosen profession. To date, we have worked with the Equitarian Initiative, World Vets, the Canadian Animal Assistance Team and the Maun Animal Welfare Society, the Spanky Project and currently Carriacou Animal Hospital. These projects have taken us to Costa Rica, Ecuador, Botswana, Cuba and Grenada.

So what inspires successful practice owners to give it all up, to live on the road and work for free? It would be easy to stay home, keep doing what is comfortable and experience the world through yearly vacations and the discovery channel. In many ways, it would also be the safe path, but by doing so we would miss out on so many life changing experiences. And perhaps more importantly, we would miss out on meeting the remarkable human beings who have opened their homes and shared their lives with us. 

In Costa Rica, I worked with a group of dedicated equine veterinarians. Their goal “to sustainably improve working equid health by harnessing the passion and expertise of volunteer veterinarians”, appealed to me. Despite that fact that it had been 20 years since I had done any work with horses, the Equitarian Initiative volunteers accepted me, a small animal vet, without reservation. Perhaps, in part, because I provided some comic relief! I recall one spry, older gentleman who arrived with his very elderly horse for the free clinic explaining why his horse was so important to him. During certain times of the year, the river flooded, cutting off his access to town. His horse, however, could still cross the river allowing him to get to church on Sundays and maintain his contact with the community. The love he shared with his equine companion was just as strong as any we Canadians share with our pampered pets!

Working with World Vets in Ecuador, I marveled as over the course of a week a group of individuals with unique personalities, backgrounds and a wide range of ages became fast friends. The small town we were working in was well aware of our presence. Early each morning, as we boarded a bus to head to the campaign, local people would run up, dogs in tow and ask if we could take their pets to be sterilized. We would each grab a pet, bring it on the bus and head off with a few extra surgeries for the day. If you are traveling solo, volunteering with World Vets provides you with an instant group of like minded traveling companions, accommodation and the chance to experience a new culture while providing veterinary care in a unique part of the world.

In Cuba, we joined forces with the Spanky Project, founded by Canadian, Terry Shewchuck and named after his beloved dog. The Spanky Project arose from Terry’s love of Cuba and a desire to improve the lives of the dogs and cats he met during his travels. This group of passionate people works with the University of Havana veterinary school and local Cuban veterinarians to exchange ideas, provide much needed materials and medications and most importantly mentorship to the Cuban veterinary community.  Working with the students and enjoying the energy and enthusiasm they brought to the project was very rewarding. Many students commented that they would learn more about small animal anesthesia, surgery and recovery during the Spanky Project than they would in the university curriculum. Some of the Cuban veterinarians volunteering this year had participated in past campaigns as students themselves.  After being mentored by Spanky volunteers, they were back to give their time, improve their anesthesia and surgical skills and help mentor a new group of students during the 2018 campaign.  A great example of international collaboration and sustainability.

Botswana and the Maun Animal Welfare Society (MAWS) holds a very special place in our hearts. Rob volunteered with MAWS, through the Canadian Animal Assistance Team, in April and in November we both signed up for a 6 week commitment. Through their dedicated clinic located in Maun, as well as remote outreach clinics, MAWS provides free veterinary services to low income villagers across Botswana. Living in the MAWS cottage we woke early to enjoy a chorus of birds and cicadas as we prepared for the long day ahead. Working with very limited resources and supplies we sterilized and vaccinated animals until we were ready to drop. It took us back to our early years building our own practice and we came home each night, exhausted but happier than we had been in years.

The stories of how these animals arrive in our care humble us. We are reminded again and again of the resiliency of our patients and their will to survive, thrive and be happy.  There was “old girl”, who came to us after having boiling water thrown on her back for stealing eggs. During her stay at MAWS, we saw her fearfulness disappear and her sweet, gentle nature emerge. And little pup, who stayed with us after surgical repair of a preputial injury and within days was bossing around the adult dogs. Often amputation is a practical and life saving option in countries with little resources and nonexistent surgical aftercare. I fell in love with one amputee from a cattle outpost who had lost her paw after being caught in a snare. She arrived in skeletal condition but still running happily on the stump of her infected metatarsals! A proper amputation gave her the gift of a pain free life. Their affectionate nature and joyful exuberance in the face of such a harsh existence is both heartwarming and heartbreaking, in equal measures.

In a small village in Botswana, we met a young boy of 12 years who arrived at the outreach clinic with his dog and another small child in his care. He asked if he could stay with his dog during the surgery because, in his words “My dog is a good dog, but he is afraid and will be comforted by my presence”.  We advised him this was just fine and as we sedated and started surgery on his much loved dog Rob began to talk to him. The boy intently watched Rob preform and an ovariohysterectomy and explain what he was doing. When Rob paused, the boy looked at him and thoughtfully said, “So sir, I can see that what you are doing here helps the dogs and people of Botswana and for that we are grateful, but what I am wondering is how this benefits you”. Rob had a great response and said the benefits to us were not something you could see or touch, like money. He said that we loved visiting Botswana and think it is a very special place. We love the wild animals and by sterilizing the dogs and vaccinating them we were helping to keep both the dogs and the wildlife healthier. I could see the boy was both a little surprised but also proud that we loved his country and wanted to help. They then talked about the idea of “paying it forward” and Rob said that we were lucky to be in a situation where we could help the people and dogs of Botswana. He then said to the boy, “Perhaps someday you will remember us and how we helped your dog and this will remind you to help someone too. By paying it forward, each of us can do our part to make the world a better place”.

With any volunteer project there are also frustrations. At the end of a long day, we have asked ourselves what it is about this work that draws us in an keeps us coming back for more. The days are long, hard and we usually come home hot, tired and smelling of urine. We are practicing veterinary medicine with the most basic of tools to service the neediest population of pets. We often feel at a loss when it comes to making a diagnosis and we try our best to help and not harm. Our patients bleed easily and profusely during surgery, our clamps don’t clamp our suture is sometimes on a spool requiring our old eyes to thread needles all day and our scissors are as dull as the ones you buy for a first grader.  Yet we make do, we struggle, we laugh and at the end of the day it feels good to be “dog” tired and know we did some good today. If we are honest, we started this journey for selfish reasons, looking for adventure and escape from the stresses of practice ownership. But it became so much more. How do you tell someone how good it feels to help an animal in need and to see the relief and thanks on the faces of those you help? How do you explain the amazing ability to make friends and deep connections with a community that will last a lifetime in just a few days or weeks?

As a middle class Canadian, I live a life of privilege, compared to the vast majority of the world’s population. Working as a volunteer veterinarian has driven home this point and also made me realize how very little I need to be happy. I have discovered that what often appears straightforward on the surface, is actually very complicated. As a volunteer, it is important to critically consider the impact you have on a culture and the long term ramifications of your actions. This work has challenged me to be more resourceful, open minded and adaptable. But perhaps, most of all, it has taught me that there really is more good than bad in the world (despite what the media may lead you to believe) and if you travel with an open mind, an open heart and a big smile you will be amazed at where it will take you.

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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

Resolutions, Regrets… Get Real!

I hate New Years resolutions .  After the overindulgence and general chaos leading up to, and during, the holiday season I can understand the desire to “wipe the slate clean” with a grand proclamation for a fresh new year.  And, if I am honest, I too have fallen victim to the New Years resolution scam.  Did I carry through on any of my past resolutions?  To lose weight, be less judgemental, to stick to a budget or, my favourite, to stop procrastinating! What makes the flipping over of a calendar page the catalyst for grand proclamations? Announcements that are destined to start flagging or outright fail before the grey and gloomy days of February arrive. Only about 8% of resolutions stick (according to google) but hey if it making resolutions helps reduce the guilt of a December filled with debauchery who am I to judge? After all I did resolve to be less judgemental.

For many, January and the start of a new year, signals a time for fresh starts but for me, September was always the month that felt like the beginning of a new year. Summers in our veterinary practice were always hectic. Dealing with staff holidays, daycare closures and the increase in pet emergencies over the summer left me dreading those supposedly carefree summer days. By the time September rolled I around I was ready to get organized and get everyone back into a routine again. September was the time for resolutions and hatching new plans. January was a time for reflection, to consider the previous year and all that happened, before flipping over that calendar page.

So in a word, what was the underlying theme of 2017? Letting go. Okay that is two words…how about change. Stepping away from our veterinary practice and making the decision to sell it was big.  Saying goodbye to my daughter and trusting she was ready to leave home to  study at the United World College in Mostar was bigger. Giving my son the space he needed and accepting that I couldn’t change or control the things that life would deal out, was huge.  Your perspective determines how you view the overriding themes in your life. Positive or negative, your choice. Change can be terrifying and human nature is to choose the safety of what is familiar. Letting go, especially of my children, goes against my nature which is to hold them tight and keep them safe. 2017 forced me to embrace change and many times throughout this year I had to ignore that pessimistic voice inside my head and believe all this change would be good.

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We have friends who instead of making New Years resolutions, pick a word that they envision will embody the year ahead. Over the years they have picked words like “health” or “family” to help them visualize what they want to focus on in the upcoming year. Rather that make a resolution, which I know is destined to fail, I like this idea of thinking about what I want to work on in the year ahead. Being driven and goal oriented has gotten me where I am today but at times it has also left me feeling like I missed out on the now. I was so busy multitasking for today and planning for tomorrow that I missed the here and now. I suspect I am not alone in this regret, as the pace of modern life and our quest to “have it all” sets us up to be less mindful. So in 2018 I want to focus on being present, enjoying the moment, becoming more mindful.

When I make lofty statements of what I want to do, Rob will say “that sounds like a great idea, what’s your plan?” Being me, I assume shear stubbornness and will is all I need to get to where I want to be. But I have to admit he is right, you need a plan. What are the actual steps or things you are going to do, to get there? Yes I did just admit my husband is right, in case any of you missed this! This lack of a plan or concrete steps to reach your goal, is why so many New Years resolutions fail. Saying I want to complete my first triathlon is great but what do you need to do to achieve this?

Life unfolds in the present and I want to be more present.  How will I do this?  Here is my plan or the actual things I am going to work on in my attempt to become more mindful.

  1. Stop multitasking.  Do one thing at a time.  This is going to be hard for me but I want to try.
  2. Stop worrying about the future. Focus on today and enjoy the present.
  3. Pay attention to people and really listen.  Shut up and focusing on what they are saying instead of what I want to say.
  4. Stop beating myself up if I don’t complete everything on my huge to do list. Slow down, do less and enjoy the things I do more fully.
  5. Take 5 minutes a day to do nothing and just breathe.

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Wow, this actually sounds like I’ve made a resolution doesn’t it? Thank goodness for #4 above, if I do not succeed in my efforts to become more mindful, I will stop beating myself up and move on to #5.

Just. Breathe.

Happy 2018.

Never trust a fart and other travel tales

It is midday in a crowed market place in downtown La Paz, Baja California Sur when I realize what started as a feeling of being “slightly off” this morning is quickly turning into a tsunami in my bowels.  The smell of meat in the open air butcher shop is not helping my condition. I swat away the flies buzzing around both the hanging sides of beef and my head and suddenly, it hits me.  I need a bathroom and I need it NOW! I am too embarrassed to say what happened next, but I am sure you can guess.  As the saying goes, shit happens!

It was 1994 when two prairie farm kids decided to take two months off work and travel from Alberta, Canada to the tip of Baja California on motorcycles.  As kids, our family holidays consisted mostly of camping trips, ski holidays and trips to the big city of Calgary for back to school shopping.  International travel, was either outside the family budget or outside the family comfort zone.  Looking back, it no longer seems like such an epic adventure, but what we did not realize, is how pivotal that trip would be in our evolution both professionally and personally.  As veterinarians, leaving a mixed animal practice for two months to travel, was not done and, in hindsight, it was the first nail in the coffin of our failing partnership.  Leaving that prairie partnership, while terrifying, became the first step towards creating a life that was the right fit for us, rather than trying to make ourselves fit into the life we thought we should live.  From crashing my bike on a winding, mountain road in the northern California redwoods to stripping down to our swim suits so we could wash ALL our clothes in a small town laundromat, while the locals laughed at the crazy gringos, that trip left me wanting more. it changed the way I viewed myself, how I viewed the world and the way I viewed travel.

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Fast forward several years. We own our own practice, now have two small children and have finally managed to book a locum for a glorious two week holiday. We decide, it is time to have an adventure. The plan is for Rob to drive our Toyota truck, loaded with camping gear and supplies to San Diego.  I will stay and work for a few extra days, then the kids and I will drive 2 1/2  hours to Spokane, Washington (the nearest major airport) and fly to join Rob. From San Diego we will head south to Baja to recreate that epic trip, this time with two children in tow.  Finally the exciting day arrives.  Rob has made it to San Diego, enjoying 2 days of driving and blissful solitude along the way. The kids and I are on our way to the airport.  Suddenly a moment of inattention leaves me standing on the side of the road beside a crumpled car with two small, nicely shaken children.  A short ambulance ride and set of X-rays later and we determined to be intact and are discharged from the hospital . We once again I find myself standing beside the side of the road, holding a small pack filled with snacks and activities for the airplane as well as the hands of two small, nicely shaken children.  It is at this point my son, James looks at me and asks “Mom, what are we going to do now?”. I bend down, lean in and say in a cheery mom voice “Well, we are all okay and so we are going on this holiday.  I guess we will just have to hitch hike “.  Unknown to me, the driver who towed our car into town overheard us and quickly realized I was not kidding.  He kindly took pity on us and offered a ride.  It was an unfortunate start to what turned into an amazing trip.  From learning to do the stingray shuffle on the beach at Baja Conception to petting gray whales in their calving grounds at the Bay of San Ignacio, it introduced us to the joys of traveling with children. Seeing the world through their eyes, sharing adventures as a family and expanding their world, was for me, worth every episode of “shit happens”.

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The reasons for travel are as unique as the individuals who decide to take a journey. For us, travel was always a way to escape the pressures of our hectic life. To escape the internet, school pressures and just be together as a family.  An opportunity to realize the world over, humans wants and needs are the same and happiness is not necessarily dependent on money or status.  Then life moves along and the reasons change. Now there is no stress awaiting us upon return and the experience or journey becomes more important. We have discovered that having a community to connect with enriches the experience and working with organizations like the Maun Animal Welfare Society has allowed us to meet amazing people, interact with the local community and get a better sense of what life here is really like.  Tomorrow we head to the community of Shakawe a village in the northwest corner of Botswana where we will do daily outreach clinics over the next week. It will be hot, dirty and hard work but also a fun adventure, a chance to make new connections, see a new part of this country and, of course, to see what “shit happens”!

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For the love of dog

“To err is human, to forgive canine – unknown”

After two weeks volunteering with the Maun Animal Welfare Society (MAWS), I feel my jaded heart melting thanks to the amazing dogs of Botswana. While they come in all sizes and various shades of brown, white, tan and brindle, the best way to picture these sweet canines is to close your eyes and imagine Santa’s little helper, the cartoon dog from the Simpsons. They come to us in various states of condition, but the most common is painfully thin, often with pendulous nipples from nursing multiple litters and sometimes with unexplained injuries and wounds. They arrive at the clinic somewhat timid and fearful but amazingly, after what they have survived, with gentle care, food and a safe haven, they quickly warm up to us. After a few days we see their natural resiliency take over and we get to know their individual personalities.  The weary old girl who just wants a soft bed and kind word, the mischievous puppy determined to be the boss of every dog (and human) at MAWS and the fun-loving pest, constantly under foot and in our way.

A warning: the photos in this post may be upsetting to some readers. Please know my goal is not to shock but to simply report on our experience working as veterinarians in Maun, Botswana. It is easy to pass judgement and assume such things would never happen in another country, like Canada, for example. Sadly, this is not true, and my own dog Stella, is a living example of the ignorance and mistreatment that can lead to suffering of animals the world over.  When volunteering abroad as a professional, it is all to easy to assume “we know better”, however the reality is if we leave our judgements at home, we can learn something new and come away richer for the experience. I can guarantee there is no way we could sterilize 26 animals in 7 hours the way we do it at home!

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A local man sitting with his dog while she recovers from surgery

This blog is dedicated to the dogs of Maun, you’ve won my heart. You have taken me back to the beginning, why I was called to this profession and why I do what I do, to care for these creatures who share our lives. I have been a vet for 26.5 years and worked in veterinary hospitals since the age of 16 when I got my first “real” job at our families veterinary clinic.  That’s 34 years of puppy kisses, stinky messes, happy outcomes and sad goodbyes. A long journey from a wide-eyed teenager so very determined to become a veterinarian to a retired practice owner spaying dogs in the bush in Botswana. While I marvel at where those years went, what I find even more amazing is how I did it for 26+ years.

Veterinarians are a funny bunch and the reasons why we choose this profession are as unique as the individuals themselves. What seems like an amazing career is currently suffering from the highest rate of compassion fatigue, burnout and suicide of any profession in both North America and other parts of the world.  The selection process to gain acceptance into veterinary school rewards those who are competitive and independent.  Huge amounts of medical, surgical and scientific information are forced into our brains during our 6 to 8 years of training with little thought to the art of dealing with our true clients, the human at the end of the leash. We are given little instruction in the art of business and human resource management, needed to run a small business (news flash, veterinarians are not just doctors they are entrepreneurs). Add to this a lack of mentorship, high student debt, low salaries, huge client expectations/demands and online reputation slander and the multiple factors associated with veterinary burnout and depression become, if not clear, at least understandable. And yet, some of us thrive, laugh, build an amazing career and find ways to cope.  Family, an amazing partner (who just happens to be a vet too), strong friendships and an optimistic nature were my salvation.  But those who know me, know that over the last few years, it wore me down. Dealing with business matters, mentoring and training a team (even great people don’t just become a team without leadership) and difficult clients blinded me to the “fun side” of being a vet. The medicine, the good outcomes, helping make someone’s day a little brighter and the furry, four-legged beasts who called me to this professional were all getting a little lost in all the “other stuff” that running a practice entailed.

Since arrival we have sterilized so many animals, I have now lost count.  They come in with gums so pale pink, they are closer to white. We give anesthetic agents I would shudder to use at home, and yet our patients bounce back and recover despite my concerns.  These dogs are tough!  We have a lovely old lady hanging out at the clinic after being found with the most horrifying burn along her entire back. Apparently she was stealing eggs and someone threw boiling water on her. She is starting to trust us, is turning out to be a sweet and gentle girl and is going to recover.

She has little concern about the scar she will carry for the rest of her life and just wants to be loved.  We have another young girl awaiting surgery to amputate a limb who has been walking about on a stump of a hind leg with no pads, toes and a horribly infected leg.  How this happened, apparently no one knows, but she patiently lets us examine her painful limb with no attempts to snap or bite.

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So here I sit, on a little deck in Botswana, listening to the call of the cicadas, doves and various other evening creatures whose names I do not know and I feel the joy of being a vet creeping back.  What I am doing here is so basic compared to the level of care the pets in our old practice received.  No fancy cosmetic surgeries for stenotic nares, no diagnosis of autoimmune anemias or chemotherapy treatments to give a client a few more good months with a beloved companion.  Are we making a difference?  We hope so as it is the only skill I have to offer.  Does it really matter?  We’d like to think it does but the need is so overwhelming, it truly is hard to say.  On a World Vets trip last winter, a group of volunteers sat around debating exactly this question.  Are we actually making a difference when we come to a foreign country to sterilize and vaccinate dogs and cats or are we simply feeding our own ego? Volunteers threw out their opinions but the one that stayed with me came from a veterinary student, Emily, who said something to the effect of “for those animals you helped today, it made a difference and isn’t it better to do something than to do nothing?”.

Even if it is something small, in a world in need of so much more, sometimes a small thing is all you can do. Thank you dogs for forgiving us our humanness.

 

Botswana Bound

In 24 hours we will be on our way to Botswana. This will be my second visit to Botswana  but for Rob it will be his third trip. Our primary reason for heading off to Africa is to volunteer as veterinarians with two amazing organizations. Well, honestly the reality is that we LOVE Africa and being able to offer our skills to these two great organizations is a bonus! Being animal nerds we both grew up watching Wild Kingdom and dreaming of someday visiting Africa. For us, it is magical to see, smell and hear the wildlife on this continent and putting in long days as volunteer vets is well worth the pay off of time in this amazing country.

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During our time in Africa we will be representing the Canadian Animal Assistance Team  or CAAT which is partnering with a local organization, the Maun Animal Welfare Society or MAWS. CAAT was founded in 2005, in response to the overwhelming need for veterinary care in the wake of Hurricane Katrina.  Since this time, CAAT has expanded an its primary focus is on running animal health care projects in low-income communities with limited or no access to veterinary services for their animal both in Canada and abroad.  This organization is completely volunteer driven and does amazing work.  If you are interested in learning more about CAAT or donating, check out their website and know your donation dollars are being put to great use www.caat-canada.org 

Located in Maun Botswana, MAWS provides free veterinary services to low income villagers across Botswana.  The primary focus of our time in Maun will be providing spay, neuter and vaccination clinics to reduce pet overpopulation in the area as well as emergency veterinary services and treatments. We will also visit rural areas and set up mobile outreach clinics on an as needed basis.  In Botswana, villagers live side-by-side with Botswana’s rich and varied wildlife. MAWS work helps to prevent the transmission of rabies and canine distemper: diseases which can decimate wildlife including the African Wild Dog, lions, leopards and cheetahs. In addition to veterinary care, MAWS works to reunite, rehome, and rehabilitate lost, found, and stray animals. Check out their website at www.maunanimalwelfare.com

So how do you pack for 7 weeks in Botswana?  We find travelling with just a carry on is the best option. No worries about lost luggage and easy to make your connection gates when you  like to travel cheap and have multiple connections enroute to the final destination.  We will fly from Spokane WA to Seattle WA, Washington DC to Addis Ababa Ethiopia, then on to Livingstone, Zambia and finally to Gabarone Botswana. After an overnight in Gabarone in order to get our veterinary licences in order with the Botswana authorities we will fly to Maun.  Hey, the price was right and as Rob says if you aren’t having fun, then you better have a good story! After a short overnight rest we will start work the following day.

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Nigel helping us pack

After traveling with different types of luggage from traditional suitcases, duffel bags to backpacks we are firmly in the backpack camp of travellers.  As our age increases our pack size and weight decreases. This is lucky as our flight from Washington DC to Addis Ababa Ethiopia allows only one 7 kg carry on and one 5 kg personal item. In addition to the clothes I will wear, here is my packing list: 3 short sleeve t-shirts, 1 long sleeve sun shirt , 2 pairs of shorts, bathing suit, socks, undies, pair of sandals, sun hat, rain coat, first aid kit, toiletry kit, spare reading glasses, sunglasses, eReader, various charging cables, water bottle stuffed with Kind bars, a headlamp with spare batteries and a small bluetooth speaker to rock out during surgeries! Rob’s pack is pretty similar but includes a couple big bags of monocryl suture, bug spray, sunscreen and our laptop.

Initially we had planned to spend Christmas in Africa with our cool and amazing kids, then continue traveling after the holidays and see more of Africa. However plans have changed, as it was not possible to get the entire family to Botswana so we have booked our return flights to Canada in order to spend Christmas together. We do have some fun things planned for 2018 but will keep them secret for now (don’t want to jinx it)!

More to follow in the weeks to come. Next post will be from abroad!

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The Story of Frank and Zelda

The early years of running our own veterinary hospital were hard. We were open 6 days a week, on call 7 days a week and raising two young children with no family close by for support. I know this sounds like one of those stories you tell your kids… “you think you have it tough, well let me tell you about tough! Ever try to repair a smashed pelvis and fractured femur with a drooling baby on your back and another one screaming in a playpen next door?” I’m not complaining, it’s just the facts of what our early years as practice owners were like. It was the life we chose and after every exhausting day we looked at each other and agreed it sure beat being back in the dysfunctional partnership we had escaped. In those early years of raising a practice and raising a family, one of the highlights of every night was bedtime. I know, all you parents out there can relate…please, please just go to sleep, we need some adult time. No, the highlight wasn’t getting the kids to sleep, (although this was sweet too), the highlight of our day was story time.  Clean and warm from their bath and cuddled in their jammies we would take turns laying down on their little beds and reading stories. Often, for two exhausted vets, this turned into the kids poking us and saying mommy/daddy finish the story, as we found we were reading ourselves into slumber. I recall Dr. Suess books being especially effective at putting us soundly to sleep.

A little book called “Pizza for Breakfast”, was one of our favorite stories from this period. I do not recall how it ended up in our home, but it was a lovely little fable about Frank and Zelda, two portly restauranteurs who ran a small mom and pop pizza shop. They worked hard making their delicious pizza but were always wishing for more…more customers, a bigger restaurant, etc. After each wish, a “little man” would show up at the restaurant and their wish would be granted. Unfortunately, as each of their desires came true, a set of new problems appeared and they would end up lamenting to each other…”Frank/Zelda we need a plan”.

Our journey as veterinarians was not unlike Frank and Zelda’s (minus the magic little man to grant us our wishes, we just had hard work and staying power on our side) and over the years on those particularly difficult, stressful or truly draining days one of us would catch the other’s eye and say “Frank/Zelda we need a plan”.

How do you sell a veterinary practice? Well, obviously you need a plan and be prepared that plan is going to take some time to execute. Our goal was to get out before we were a couple of washed up, cranky shells of our former selves but still had enough energy to start a new chapter. So how do you sell a multi doctor veterinary practice without going corporate? These days it ain’t easy but we have a few tips for those of you in the same situation.

  1. Stop being a dick and start mentoring your young associates. I am not kidding about this, treat your entire team the way you would want to be treated if you were in their position. Respect, responsibility and appreciation for what they do for you goes along way with all your employees. Model the leadership you want to instil in the new owner and be patient. If you deal with your employees with honesty, transparency and respect you are setting the foundation for a respectful ownership transition.
  2. Evaluate your motives for selling and make sure your are truly ready to let go of the reins and give up control. This was a big one for me. Are you mentally ready to move on and let someone else take control of your practice? Only you can answer this question but you better spend some time reflecting on it and make sure you will be able to step aside when the time comes.
  3.  Have a professional evaluation long before you decide to sell. Address any management problems and get the place in tip top shape prior to looking getting serious about a sale.
  4. Recognize it is going to get stressful and set up expectations at the beginning of your negotiations. We have a great relationship with the associate who purchased our practice but even so, we all agreed that what was most important, to the three of us, was to remain friends. Then, when things get tense, and they will, be ready to step back, put yourself in the buyer’s shoes and be reasonable. Do you really want to sell? You better be willing to give a little and not always get your way.
  5. Let go of your ego, the stories of how much you sacrificed to build your practice and say goodbye to your ridiculous expectations of what your practice is worth. At the end of the day, it is worth what someone will pay for it. Get an evaluation, negotiate for a fair price but again, don’t be a dick. That will just lose you a sale and potentially a valued friendship.
  6. Don’t look back. When the documents are signed and you hand over the keys to the kingdom just pat yourself on the back and be happy. When the dust settles, you will realize you’ve given yourself a gift, the freedom to begin a new chapter and the chance to turn to each other and say “Frank/Zelda we need a plan”.