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    Let Sleeping Vets Lie

    Page 24
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      wisteria climbed high over the old bricks of the tall Georgian house. In

      the cobbled yard at the foot of the garden he looked up at the rooks

      making their din high in the overhanging elms and he gazed for a few

      moments through the trees to where you could see the bare ribs of the

      fells still showing the last white runners of winter.

      "Charming," he murmured. "Charming."

      I was glad enough to see him to his lodgings that evening. I felt I

      needed time to readjust my thinking.

      When we started out next morning I saw he had discarded his check suit

      but was still very smart in a hacking jacket and flannels.

      "Haven't you any protective clothing?" I asked.

      "I've got these." He indicated a spotless pair of Wellingtons in the

      back of the car.

      "Yes, but I mean an oilskin or a coat of some kind. Some of our jobs are

      pretty dirty."

      He smiled indulgently. "Oh, I'm sure I'll be all right. I've been round

      the farms before, you know."

      I shrugged my shoulders and left it at that.

      Our first visit was to a lame calf. The little animal was limping round

      its pen holding up a fore leg and looking very woebegone. The knee was

      visibly swollen and as I palpated it there seemed to be a lumpiness in

      the fluid within as if there might be a flocculus of pus among it. The

      temperature was a hundred and four.

      I looked up at the farmer. "This is joint ill. He probably got ah

      infection through his navel soon after birth and it's settled in his

      knee. We'll have to take care of him because his internal organs such as

      the liver and lungs can be affected. I'll give him an injection and

      leave you some tablets for him."

      I went out to the car and when I came back Carmody was bending over the

      calf, feeling at the distended knee and inspecting the navel closely. I

      gave my injection and we left.

      "You know," Carmody said as we drove out of the yard, 'that wasn't joint

      ill."

      "Really?" I was a bit taken aback. I didn't mind students discussing the

      pros and cons of my diagnoses as long as they didn't do it in front of

      the farmer, but I had never had one tell me bluntly that I was wrong. I

      made a mental note to try to keep this fellow away from Siegfried; one

      remark like that and Siegfried would hurl him unhesitatingly out of the

      car, big as he was.

      "How do you make that out, then?" I asked him.

      "Well there was only the one joint involved and the navel was perfectly

      dry. No pain or swelling there. I should say he just sprained that

      knee."

      "You may be right, but wouldn't you say the temperature was a bit high

      for a sprain?"

      Carmody grunted and shook his head slightly. Apparently he had no

      doubts.

      A few gates cropped up in the course of our next batch of calls and

      Carmody got out and opened them just like any ordinary being except that

      he did it with a certain leisurely elegance. Watching his tall figure as

      he paced across, his head held high, the smart hat set at just the right

      angle, I had to admit again that he had enormous presence. It was

      remarkable at his age.

      Shortly before lunch I saw a cow that the farmer had said on the phone

      might have To. "She's gone down t'nick ever since she calved, guvnor. I

      doubt she's a screw, but you'd better have a look at her, anyroad."

      As soon as I walked into the byre I knew what the trouble was. I have

      been blessed with an unusually sensitive nose and the sickly sweet smell

      of ketone hit me right away. It has always afforded me a childish

      pleasure to be able to say suddenly in the middle of a tuberculin test

      "There's a cow in here about three weeks calved that isn't doing very

      well," and watch the farmer scratch his head and ask me how I knew.

      I had another little triumph today. "Started going off her cake first

      didn't she?" and the farmer nodded assent. "And the flesh has just

      melted off her since then ?"

      "That's right," the farmer said, "I've never seen a cow go down as

      quick."

      "Well you can stop worrying, Mr. Smith. She hasn't got TB, she's got

      slow fever and we'll be able to put her right for you."

      Slow fever is the local term for acetonaemia and the farmer smiled in

      relief. "Damn. I'm glad! I thowt she was dog meat. I nearly rang Mallock

      this morning."

      I couldn't reach for the steroids which we use today, but I injected six

      ounces of glucose and 100 units of insulin intravenously - it was one of

      my pet remedies and might make modern vets laugh. But it used to work.

      The cow, dead-eyed and gaunt, was too weak to struggle as the farmer

      held her nose.

      When I had finished I ran my hand over the jutting bones, covered, it

      seemed, only by skin.

      "She'll soon fatten up now," I said. "But cut her down to once a day

      milking - that's half the battle. And if that doesn't work, stop milking

      her entirely for two or three days."

      "Yes, I reckon she's putting it in "'bucket instead of on her back."

      "That's it exactly, Mr. Smith."

      Carmody didn't seem to appreciate this interchange of home-spun wisdom

      and fidgeted impatiently. I took my cue and headed for the car.

      "I'll see her in a couple of days," I cried as we drove away, and waved

      to Mrs. Smith who was looking out from the farmhouse doorway. Carmody

      however raised his hat gravely and held it a few inches above his head

      till we had left the yard, wh:eh was definitely better. I had noticed

      him doing this at every place we had visited and it looked so good that

      I was playing with the idea of starting to wear a hat so that I could

      try it too.

      I glanced sideways at my companion. Most of a morning's work done and I

      hadn't asked him any questions. I cleared my throat.

      "By the way, talking about that cow we've just seen, can you tell me

      something about the causes of acetonaemia?"

      Carmody regarded me impassively. "As a matter of fact I can't make up my

      mind which theory I endorse at the moment. Stevens maintains it is the

      incomplete oxidation of fatty acids, Sjollema leans towards liver

      intoxication and Janssen implicates one of the centres of the autonomic

      nervous system. My own view is that if we could only pin-point the exact

      cause of the production of diacetic acid and beta-oxybutyric acid in the

      metabolism we'd be well on the way to understanding the problem. Don't

      you agree?"

      I closed my mouth which had begun to hang open.

      "Oh yes, I do indeed ... it's that oxy ... that old beta-oxy ... yes,

      that's what it is, without a doubt." I slumped lower in my seat and

      decided not to ask Carmody any more questions; and as the stone walls

      flipped past the w.indows I began to face up to the gradually filtering

      perception that this was a superior befog next to me. It was depressing

      to ponder on the fact that not only was he big, good-looking" completely

      sure of himself but brilliant as well. Also, I thought bitterly, he had

      every appearance of being rich.

      We rounded the corner of a lane and came up to a low huddle of stone

      buildings It was the last call befo
    re lunch and the gate into the yard

      was closed.

      We might as well go through," I murmured. "Do you mind?"

      The student heaved himself from the car, unlatched the gate and began to

      brtog it round. And he did it as he seemed to do everything; coolly,

      unhurriedly, with natural grace. As he passed the front of the car I was

      studying him afresh, wondering again at his style, his massive

      composure, when, apparently from nowhere, an evil looking little black

      cur dog glided silently out, sank its teeth with dedicated venom into

      Carmody's left buttock and slunk away.

      Not even the most monolithic dignity can survive being bitten deeply and

      without warning in the backside. Carmody screamed, leaped in the air

      clutching his rear, then swarmed to the top of the gate with the agility

      of a monkey. Squatting on the top spar, his natty hat tipped over one

      eye, he glared about him "What the hell?" he yelled. "What the bloody

      hell?"

      "It's all right," I said, hurrying towards him and resisting the impulse

      to throw myself on the ground and roll about. "It was just a dog."

      "Dog? What dog? Where?" Carmody's cries took on a frantic note.

      "It's gone - disappeared. I only saw it for a couple of seconds." And

      indeed, as I looked around it was difficult to believe that that

      flitting little black shadow had ever existed.

      Carmody took a bit of coaxing down from the top of the gate and when he

      finally did reach ground level he limped over and sat down in the car

      instead of seeing the case. And when I saw the tattered cloth on his

      bottom I couldn't blame him for not risking a further attack. If it had

      been anybody else I'd have told him to drop his pants so that I could

      slap on some iodine but in this instance I somehow couldn't bring myself

      to do it. I left him sitting there.

      Chapter Twenty.

      When Carmody turned up for the afternoon round he had completely

      recovered his poise. He had changed his flannels and adopted a somewhat

      lopsided sitting position in the car but apart from that the dog episode

      might never have happened. In fact we had hardly got under way when he

      addressed me with a touch of arrogance.

      "Look, I'm not going to learn much just watching you do things. Do you

      think I could carry out injections and the like? I want actual

      experience with the animals themselves."

      I didn't answer for a moment but stared ahead through the maze of fine

      cracks on the windscreen. I couldn't very well tell him that I was still

      trying to establish myself with the farmers and that some of them had

      definite reservations about my capabilities. Then I turned to him.

      "OK. I'll have to do the diagnosing but whenever possible you can carry

      on from there."

      He soon had his first taste of action. I decided that a litter of ten

      week old pigs might benefit from an injection of E cold antiserum and

      handed him the bottle and syringe. And as he moved purposefully among

      the little animals I thought with gloomy satisfaction that though I may

      not be all fait with all the small I print in the text books I did know

      better than to chase pigs into the dirty end of the pen to catch them.

      Because with Carmody in close pursuit the squealing creatures leaped

      from their straw bed and charged in a body towards a stagnant lake of

      urine against the far wall. And as the student grabbed at their hind

      legs the pigs scrabbled among the filth, kicking it back over him in a

      steady shower. He did finally get them all injected but at the end his

      smart outfit was liberally spattered and I had to open the windows wide

      to tolerate his presence in the car.

      The next visit was to a big arable farm in the low country, and it was

      one of the few places where they had hung on to their horses; the long

      stable had several stalls in use and the names of the horses on the wall

      above; Boxer, Captain" Bobby, Tommy, and the mares Bonny and Daisy. It

      was Tommy the old cart horse we had to see and his trouble was a

      'stoppage".

      Tommy was an old friend of mine; he kept having mild bouts of colic with

      constipation and I often wondered if he had a faecolith lurking about in

      his bowels somewhere. Anyway, six drachms of Istin in a pint of water

      invariably restored him to normal health and I began automatically to

      shake up the yellow powder in a drenching bottle. Meanwhile the farmer

      and his man turned the horse round in his stall, ran a rope under his

      nose band, threw it over a beam in the stable roof and pulled the head

      upwards.

      I handed the bottle to Carmody and stepped back. The student looked up

      and hesitated. Tommy was a big horse and the head, pulled high, was far

      beyond reach; but the farm man pushed a ramshackle kitchen chair

      wordlessly forward and Carmody mounted it and stood swaying

      precariously.

      I watched with interest. Horses are awkward things to drench at any time

      and Tommy didn't like Istin, even though it was good for him. On my last

      visit I had noticed that he was becoming very clever at holding the

      bitter mixture at the back of his throat instead of swallowing it. I had

      managed to foil him by tapping him under the chin just as he was toying

      with the idea of coughing it out and he had gulped it down with an

      offended look. But it was more and more becoming a battle of wits.

      Carmody never really had a chance. He started off well enough by

      grasping the horse's tongue and thrusting the bottle past the teeth but

      Tommy outwitted him effortlessly by inclining his head and allowing the

      liquid to flow from the far side of his mouth.

      "It's coming out t'other side, young man!" the farmer cried with some

      asperity.

      The student gasped and tried to direct the flow down the throat but

      Tommy had summed him up immediately as an amateur and was now in

      complete command of the situation. By judicious rolling of the tongue

      and a series of little coughs and snorts he kept ridding himself of most

      of the medicine and I felt a pang of pity at the sight of Carmody

      weaving about on the creaking chair as the yellow fluid cascaded over

      his clothes.

      At the end, the farmer squinted into the empty bottle.

      "Well I reckon t'oss got SOME of it," he muttered sourly Carmody eyed

      him impassively for a moment, shook a few ounces of Istin solution from

      somewhere up his sleeve and strode out of the stable.

      At the next farm I was surprised to detect a vein of sadism in my

      makeup. The owner, a breeder of pedigree Large Whits pigs, was exporting

      a sow abroad and it had to be subjected to various tests including a

      blood sample for Brucellosis. Extracting a few c.c."s of blood from the

      ear vein of a struggling pig is a job which makes most vets shudder and

      it was clearly a dirty trick to ask a student to do it, but the memory

      of his coldly confident request at the beginning of the afternoon seemed

      to have stilled my conscience. I handed him the syringe with scarcely a

      qualm.

      The pigman slipped a noose into the sow's mouth and drew it tight over

      the snout and behind the canine teeth. This common method of restrain
    t

      isn't at all painful but the sow was one of those who didn't like any

      form of mucking about. She was a huge animal and as soon as she felt the

      rope she opened her mouth wide m a long-drawn, resentful scream. The

      volume of sound was incredible and she kept it up effortlessly without

      any apparent need to draw breath. Conversation from then on was out of

      the question and I watched in the appalling din as Carmody put an

      elastic tourniquet at the base of the sow's ear, swabbed the surface

      with spirit and then poked with his needle at the small blood vessel.

      Nothing happened. He tried again but the syringe remained obstinately

      empty. He had a few more attempts then, as I felt the top of my head was

      going to come loose I wandered from the pen into the peace of the yard.

      I took a leisurely stroll round the outside of the piggery, pausing for

      a minute or two to look at the view at the far end where the noise was

      comparatively faint. When I returned to the pen the screaming hit me

      again like a pneumatic drill and Carmody, sweating and slightly

      pop-eyed, looked up from the ear where he was still jabbing fruitlessly.

      It seemed to me that everybody had had enough. Using sign language I

      indicated to the student that I'd like to have a go and by a happy

      chance my first effort brought a dark welling of blood into the syringe.

      I waved to the pigman to remove the rope and the moment he did so the

      big sow switched off the noise magically and began to nose, quite

      unperturbed, among the straw.

     


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