Today our friend the sun disappeared. It is drizzly and chilly. The team is doing well, although yesterday we did have two of our techs out with various gi related manifestations. Not a nice place to be when you are sick. Thankfully they are feeling better today and are back in action.
Our clinic today is in the Salon de El Centro…which is just the community centre in the centre of town. It is a big gym, with open windows at the ceiling. It is cold and we can see our breath: plus it is raining into the building through the windows that run along the sides of the building. It is a challenge to keep the dogs that are sedated warm. We have a butane burner which we use to boil water for hot water bottles and two space heaters…..but only one functioning power outlet which is located along one of the sides walls where the rain is coming through the windows. Good times.
Today our clinic is slow. Basically there are very few dogs coming to see us. We have had a good turn-out at the other 3 days so I am not sure why today is different. Perhaps our signage is not as good, perhaps the community leader for el centro has not encouraged his members to attend..or perhaps it is just the rain. Marjo, our head technician who has been to Todos Santos many times, went to the radio station this morning and made another radio announcement to remind people. This is the third radio announcement regarding our clinics. We will see how the rest of the day goes.
Our days this time around have been much lighter than our January trip. The main reason is that we are seeing a number of dogs that we sterilized in January so they only need deworming and rabies vaccination. This is a good reason for things to be a bit lighter.
We have hospitalized our first patient. Terry is a Rottweiler we sterilized in January: It was a big deal to sterilize him because he is a purebred and the people that have purebreds here want to preserve the ´good genes´. I was going to do some houe calls yesterday and walked past his house. He was standing there emaciated, drooling and looking exceptionally uncomfortable. He looked awful and was definitely not the big burly dog we sterilized in January. I had Andres our local translator find the owner and find out what was going on with Terry. The owner said he hadnt been well since we sterilized him in January´: Ok – so that was 11 months ago! On further questioning it turns out he was ok after the sterilization and then got hit by a car a number of months later…and had had a poor appetite for the past 3 months. And had not eaten anything for 3 days. This dog looked like he wanted to die. On physical exam I found what looked like old bite wounds on the cranial aspect of his prepuce and pus was just dripping out. His prepuce was huge and the cellulitis and swelling extended into his groin. The testicles felt absolutely normal and were non painful. He was lame and having difficulty chewing…I think he was septic. I am pretty sure this dog´s current problems are not related to his sterilization in January. Too long a time lapse and it looks like he has multiple bite wounds on his prepuce and his leg. The owner had had the local veterinary supply guy, Pauncho, come out and look at the dog. pauncho had given him an injection that very morning: Who knows what it was. Pauncho is also the guy who does dog castrations in town….but it doesn´t hurt the dogs because he ties their muzzle with binder twine and uses antibiotics. And I assume he does it like you would a piglet. Poor dogs. We have tried to explain about the pain to him, but it doesn´t seem to be flying just yet. I think because Terry¨s owner associated his recent illness with the January sterilization he didnt want to bring the dog to us….and it took quite a while to get him to warm up to us treating Terry: But we started with SQ fluids, IV antibiotics and pain meds yesterday, and today he let us bring the dog to the clinic where we got a catheter in and he is now on IV fluids and IV antibiotics: we have flushed the abcess and are keeping him warm and comfortable. Today he seems better although getting him to eat is a challenge. But we will do what we can and will hope that over the next week we can improve his situation. The client is much more open to us helping him out and has done a big turn around. Baby steps.
Off to the farmacia to see what I can find for poor Terry! Buenos dias. – Kate