Showing posts with label emergencies. Show all posts
Showing posts with label emergencies. Show all posts

Friday, November 13, 2015

Out of the Woods


One of the horses, a gelding, settled in to the new barn right away, making himself popular with the staff for his calm demeanor and habit of grazing quietly in turnout. The other, a mare, has seemed tense and worried, though still willing enough to get out every day. It was a relief when finally she dropped her head and relaxed for the first time on a trail ride in the woods last Friday.

At 18, the mare Nacari is no longer sound for much more than trail rides. A suspensory ligament tear almost a decade ago never healed properly, or was reinjured.  Back in Seattle my trainer encouraged me to retire her in 2009, and though I had my misgivings, I complied, and sent her to a facility in Sacramento. The reports were never encouraging; she lived alone in a 20 by 20 pipe stall and they hadn't been able to find her a friend to live with. In the summer of 2011, we were leaving the west coast and I wouldn't leave Nacari in California. We shipped her east to join our other horse at the new barn in New York.

She arrived with a long mane, strong bare feet, with a wild defiance in her eye and none of the ground manners she had known when she left. We started her on some light work on the walker, to see if she was sound, and she was. Over the next four years we found that real ring work was always too much for her, but she had a great attitude about riding outside, especially with another horse. She was a serviceably sound horse for that job.

It brought me tremendous joy to be able to spend many good days with this horse whose show career had ended much too soon. On reflection, retiring her at a barn far away and not seeing her for a whole year, she must have felt abandoned. I saw her look of recognition when she greeted my youngest son in New York. She groomed his hair in just the way she always had when she towered over him because he was four and so was she; we are her people as much as she is our horse. Retirement far away was truly a mistake. My mistake.

She had but two days of ill health over our four years at the last barn in New York; one when she got anaplasmosis from a tick bite. An alert staff member  noticed that she was especially quiet in turnout and thought to take her temperature: it was dangerously high. The other was on a December day two years ago. I finished riding her and she seemed agitated and unsettled. When I put her in her stall she turned and looked at her belly. She pooped, and curled her lip, and tensed her belly muscles, looking for just like anyone with bad stomach cramps. We called the vet.

Colic is unarguably the leading medical cause of death in horses. It refers to a range of gut-related conditions, and can be caused by horses not drinking enough water, or consuming sand, or bad hay, or weather, or change of feed, or you know, Tuesday. Some barns keep a supply of banamine and administer it when a horse looks seriously colicky, right around the some moment that they send someone to call the vet.
In this case, Nacari pooped and pooped until it was liquid diarrhea, and the vet pronounced it colitis and not colic. She responded to meds, recovered, and we pretty much forgot about it.

But when you change barns, you watch, because changes in weather or feed can upset a horse, and anything that upsets a horse can make it colic.

Saturday we were on our way to the new barn when I got the call from the manager, saying that Nacari was looking colicky, they'd given her banamine, and they had called the vet. It speaks highly of staff that they took the time to call me even though they already knew I was on my way over, and only minutes away; many barns would have waited for an owner to arrive.



The horse was visibly distressed. Her groom F. was walking her outside on the grass. Nacari was curling her lip and pausing to kick at her stomach; sometimes the cramps in her belly were so strong her hind legs would buckle under her. The vet was an hour away.



I stood with the barn manager and told her that though I love this horse and I have owned her fifteen years, she is not a candidate for an expensive belly surgery. This is my decision. I have other horses. I have a great emotional attachment to the horse, but the recovery from a big colic operation requires many months of careful rehab, and it seems unfair to ask it of a horse that's not in great shape to begin with. Perhaps another owner would make a different decision. Perhaps even my husband, who has authorized, watched, and paid for a belly surgery on a mare of a similar age. I told this to the barn manager because in a crisis, a real crisis, where the vet has come and I have to choose between putting my horse on a trailer to go to the hospital or putting that animal to sleep, I might need some help sticking to the right decision.

The vet on call was on her way. She suggested another, stronger drug than banamine, but only if the horse seemed not to be responding. She was not responding. The other drug was tried. F. continued to walk her, back and forth on the grass. The mare flung herself onto the grass a couple of times.

F. brought the horse inside in anticipation of the vet coming. We took the hay out of her stall. The vet on the phone said that if she'd lie quietly and not thrash that it would be okay to let Nacari lie down in her stall. They let her lay down in her stall. She looked exhausted. Were the drugs starting to work, I wondered. Was the light in her eye returning, and the panic leaving?



People die. Cats die. Tiny mice die. Dogs die. Hamsters die. Giant whales die. Horses also die.

When you get a horse, you don’t think of it ever being sick or injured or dying. You imagine the happy times you’ll spend together. The riding in the sun, the ribbons in the show ring, the quiet moments brushing in the crossties or grazing on a grassy hill. You don’t imagine the clammy hours you’ll spend holding your horse for the vet while she puts in an IV. You fail to picture the thousand-plus vet bills for sutures when they get kicked by a pasture pal. You pretend you won’t ever have to tell a vet, “This horse is not a candidate for surgery.”

When you get a horse you don't think about it ever being lame or sick or having to decide about its quality of life issues.

People don't talk about their horses being lame or sick. Especially do not talk about their horses’ injuries on social media, where it’s all birthdays, graduations, new babies, and political outrage filling your timeline. Horses go lame and they do get sick. Maybe it’s superstition, or decorum. Few talk about it.

Certainly, the health records of performance horses are a closely guarded secret, because if an animal is ever for sale, it will be presented to the world as never having had an off day. Nacari is no longer a performance horse. She was bred to be a performance horse, sold to us at a premium price, and we put what we felt was all the best training into her that money could buy.

Many performance horses trickle down through a series of owners, as their physical capabilities diminish they are sold for less money to less and less experienced riders, ending their days teaching beginners to walk and trot, going around in a big oval in a lesson program. Older horses are great to learn on. We are stuck holding the bag with Nacari, being her first and last owners.

By the time the vet arrived, Nacari was finally showing some relief from the drugs. Her vitals were good, and the vet put on a long glove, lubed up, and performed a rectal exam; she didn't find anything. 

The facilities manager was called in to put some hardware in the ceiling, and he brought a ladder and a drill, and drilled the pilot hole and put a screw eye in the ceiling. Nacari looked slightly alarmed but did nothing more than raise her head. Next they put a long tube up her nose and down into her gut and pumped about a liter of mineral oil in. "This'll be through in about 18-20 hours," said the vet, interrupted by the horse’s coughing and farting. When the oil was in, she pulled out the long tube as quickly as she could. The barn manager went to get a clipboard to write down the vet’s instructions.

The vet prepared to put an IV catheter in Nacari's neck while I held her. First she shaved a square patch where the big jugular vein runs under the skin. Then she injected two spots with a topical antiseptic, one the square patch for the catheter and another anchor point a few inches away. She made two braids in the horse’s mane securing it with adhesive tape.


The vet injected the long IV needle and secured the catheter in several places with a needle and strong black thread. Then, her phone rang. The vet was on call until Tuesday. The first call was from the office. There were people buying a horse in Kentucky with an urgent question for her. She said she'd call back when she could. She hung up, started the next stitch. The phone rang again. It was someone else from the office, with the same message. She said that she would call back when she was finished. She tied off the stitch.

Her phone rang two more times, regarding the same emergency, 900 miles away. I'm not sure what sort of veterinary emergency requires a person to call a vet who is already handling another emergency in another state. I wondered aloud, and with a full coating of sarcasm, if they have veterinarians in Kentucky. The vet seemed to appreciate my query.



The catheter was attached to a pair of bags of fluid hanging from the ceiling, one with calcium and one without. I stood holding my horse long past the time when I was free to let her go. Someone had to tell me I could leave her. She wandered to the corner where her hay had been before, and ate whatever scraps she could find. I hung up her halter and lead rope. She gave me an angry look.



The vet cleaned up. The barn manager took notes on flushing the catheter and swapping one of the empty bags of fluid for the third full one. We took turns holding that bag; at 12 pounds it felt like a baby, just a few weeks old. Or a floppy cat maybe. The mare would get half sized portions of food, twice as often for the next 24 hours.

She looked like she was feeling better already.



I checked on her the next day. The catheter was out. She'd spent the morning eating grass, safely rolling in mud, tossing her head and enjoying the drop in temperature. Her groom was cleaning her legs in the wash stall. I had to cajole her into an ears-forward photo, playing peek-a-boo until I got the one I wanted. But I can see she is feeling better, and she can see that so am I.



Wednesday, August 1, 2012

North Dreadful

The next day
Thursday afternoon we went for a dog walk, and while we were out it got even hotter and more humid. When we arrived home, we jumped in the pool. I put my iPhone well away from the water because we all know that iPhones are easily ruined and had to get out of the pool to answer my phone when it rang.
There is a certain style of customer service which is employed for especially valuable customers, either to handle a high profile person or to remedy a past problem. I received the call and immediately heard the urgency in her voice and went inside to take notes.
In her eagerness to help me, “Deb” kept accidentally calling me by my first name, then hurriedly correcting herself and calling me “Mrs....” As it turns out, we are just high profile enough, and had just enough of a problem to fall into both categories, so “Deb” was giving it her all and going to fix everything.
At the same time I started getting texts from my husband, the Medium Cheese (he is why we warrant the special treatment). I had to juggle the phone, continuing with “Deb” and letting the Medium Cheese know that he was making my iPhone buzz in my ear during my phone call. My texts to him say, “Getting smothered right now...like a Persian cat rubbing your legs right after you slathered them in lotion.”
By the time our conversation was finished, I was shivering and took a hot shower. We even had plans to go out to dinner. I got out of the shower to find the house was fully engulfed in a violent storm, with thunder, high winds and driving rain. In the midst of texting the Medium Cheese (who was on his way home on a Metro North Train) about the storm, the power went out.
I next wrote, “The long conversation with the Persian cat means my phone is almost dead.”
The Medium Cheese’s train then stopped. “We will have to sit in Chappaqua ’for a few minutes,’” he wrote. “Which means they don't know.”
The source of the delay was a tree on the tracks, and I was advised to fetch the Medium Cheese from the train station in Chappaqua.
Turning right out of our driveway we encountered the first downed tree across the road almost immediately, at the top of our next-door neighbor’s driveway. Reversing, we discovered another mess of downed trees tangled in power lines about a quarter mile in the other direction. There was another way out, and we took it, but our way was blocked by another large tree which had pulled down the power lines. We reversed again, and made our way on the last possible route. This final attempt ended when we found the road blocked by a very large tree, about two miles from the red barn where we live. The Medium Cheese had to find his own way back. We were trapped.
The only way back was to re-trace our route, and when we got there we got busy lighting candles and deciding what we would eat, given that the dinner plan had been to eat out so we had nothing on deck. We ate the potstickers from the freezer and as much ice cream as we could. 
The Medium Cheese never made it home. His train was over an hour late, but he couldn't get past the downed trees from the other direction, either. He went and found a hotel.
I checked the NYSEG web site before bed (having mostly recharged my phone in the car), and saw their estimate that the power on my road would be restored by 3:00 pm the next day. This gave our minor emergency an ending, in the near future, and made the situation seem like a non-event.
We woke to a stuffy, quiet house. I was quite awake before six, and walked a dog, and checked on the status of the fallen trees. Overnight road crews had removed the obstacles and our daily newspaper had been delivered. We cooked up all the bacon and fried some eggs, hard-boiling the rest of the dozen. I checked the NYSEG web site and it had changed the status of our repair to the next day, in the afternoon. The non-event felt like a minor emergency again.
In the afternoon I drove to the airport to pick up our oldest son and he had more friends with him than I had anticipated, so we drove home to our hot, dark house with an over-full car. I gave the houseguests a lesson in flushing toilets with a bucket of water from the swimming pool, and we all had a specific disappointment: there would be no hot showers despite a many-hour plane ride from Europe. Not long after this disappointment, I checked the NYSEG web site and found that the status of our road’s power outage repair had changed from the next day to a blank. I called NYSEG at this point, and spent 25 minutes on hold. I was told that the time was not posted because they no longer knew when power would be restored. We ate out.
That night, I woke at 1:57 am, very hot. I thrashed around for quite a bit, and then my phone rang at 2:25 am. I made motions to answer it, but saw it was a “425” number and decided it was a wrong number. I have had this number for almost two years, but I still get wrong number calls for the old owner of it. I imagine that someday each of us will have one number for our whole lives, but for now, I will still get calls for “Brian.”
I checked the NYSEG site then, and it was still blank.
I managed to get back to sleep.
For breakfast there was coffee (using a French press and bottled water and lighting the gas stove with a match to boil water) and cereal with less-than-ice-cold milk from the cooler. After a few hours of lying around we rallied and went to the grocery store.
On the way we had to detour around the first work crew, addressing the downed trees and power lines closest to our house. A NYSEG crew had commenced work despite the lack of a planned time of completion. We met the second NYSEG crew at work on the other mess of trees and power lines, and we were told by the only guy who didn't look busy (the grumpily scowling guy standing in the road with no gear, no uniform, no helmet and no sign), “Road closed. You gotta go the other way.” 
I told them to hurry.

Also the next day

How cold and bright and startling is the American supermarket after a few days of no electricity! We replenished the drinking water supply and planned to barbecue. It had come time to buy plastic forks and paper plates as well, since we had run through the dish supply.
I think it was at this point, after the grocery store run but before the power came back that I dropped my iPhone in the toilet. Back when I was teaching at my last teaching job, I used to hear the sounds that high school girls make when they drop their mobile phones in the toilet. My classroom was across the hall from a bathroom, and while they were never supposed to take out their phones except during lunch, they often took advantage of the privacy of a closed bathroom stall. As for me, I did not scream.
As we re-stocked the food shelves and re-organized the coolers, a scheme was devised whereby the overflowing sink full of dishes would be washed by hand using pool water. All of the big pots were filled and set on the stove to boil. The sink was about half full of hot water when the light in the kitchen changed. The hood above the range had come on, for power had finally been restored.
My husband, the Medium Cheese, is also a Relentless Troubleshooter, and by the time we got down to making that dinner, my calls had been forwarded to another phone, and my profile fully installed. It feels almost like magic when technology works, and your pictures and contacts and apps are all there in the new handset. It reminds me that the iPhone is, for me, a nearly perfect device, with exactly three flaws: the battery life is too short, it is not waterproof, and it is made by workers who work under conditions so dire they must be prevented by nets from throwing themselves from their dormitory windows.

Storm victim found in road

 

Wednesday, May 23, 2012

Cat Panic: Part 2


The next day, I woke up after having hit the snooze button on both alarms. I had to rouse The Battlefield and deliver it to school by 7:28 am. I had to rouse the Middle Child and deliver it to the train station by 8:24 am. I had to rouse the dogs and walk them up and down the driveway. I did the dishes, fed the cat, and looked at my arm.
Was it even puffier than the night before?    Was it turning red?
It certainly was very tender. None of the wounds themselves looked like anything, but my left arm was painful and swollen.
I cancelled my plans and called the doctor.
Of course, having only moved here in September, I do not yet have a cat-bite-doctor. I have a women’s-parts-doctor, and a dentist, and a dermatologist. I called the Middle Child’s internist’s office. I explained that I had an animal bite on my arm, and that it was swollen and painful, and I wanted to get it looked at that day so I could avoid going to the emergency room.
The nurse on the phone replied, “You need to go to the emergency room.”
To me, the emergency room is for people who were run over by a car, the kid who fell off the monkey bars and broke his arm, the rider who came off her horse, the sous chef scalded by hot oil. You know, emergencies.  “My cat bit me yesterday” is not an emergency, it’s a thing to take care of, today if possible. But not an emergency. An emergency is falling off a ladder, it’s a venomous snake-bite, it’s a tornado, it’s a heart attack, it’s a stabbing. Yesterday’s cat bite is a stupid emergency.
Northern Westchester Hospital (which I passed three times the day before without realizing) is doing some construction in its parking lots, so when you go to the emergency room there these days you get valet parking. Hospital administrators everywhere need to know this important thing: valet parking at the emergency room is the best thing since sliced bread, since the germ theory of disease, since the agricultural revolution, since Skype, since the birth control pill or even since the invention of the Reese’s Peanut Butter Cup.   You drive up. You’re having an emergency! Hurry! You are greeted by a fellow who opens your door, and in exchange for your car he hands you a valet ticket.  You can even leave it running.
Inside, the Northern Westchester Hospital emergency room has a huge waiting area, with chairs for at least 75 people by my estimating glance. Behind a counter sat two pleasant, cheerful staffers, one of whom took my name and summoned a nurse. I sat in a chair and started to wonder how long the wait would be in a suburban emergency room at 9:30 am on a Tuesday. I never got to finish wondering, because Tammy, the nurse, had arrived to take me to a room.
Mine was room 15, though the door never closed. Tammy took my story, my name, my vitals. She told me they were very busy and to be patient.  Within the next half an hour I had seen the nurse who gave me the IV and the doctor, talked about what happened, and heard about other people’s cats. It was agreed all around that cat bites are nasty, and decided that IV antibiotics were warranted. I tried to read the paper, but never really had time. I was out the door again by 11:30 am.
I still say it was not an emergency, and that IV antibiotics could be administered in a doctor’s office.
A day later, my arm was still sore but no longer as swollen.  The cat seems to have resumed a normal activity level, though his toes bother him noticeably.

Wednesday, February 1, 2012

A Story from the Weekend Before Last


We had turkey chili for dinner. We finished dinner. We were sitting around the table talking. The youngest kid got bored with us and went to his room. He heard a “pop.” We didn’t hear a “pop,” because we were still talking. The lights went out.
We have had three power outages since we moved here. The first power outage was a result of Tropical Storm Irene, and began before we even moved in.  We were delayed in our being able to move in, so that we had to stay in a hotel the first few days of school. It was a terrible way to start the school year. The school year has been rough, too, with nasty Spanish teachers and confrontational attendance ladies who sometimes require a note just because they are clueless.  It’s all part of the long bad vacation.
Last time the power went out, it was because of a freakish snow storm in late October. This time, it was predicted to get down to about 7F overnight, as if in solidarity with the earlier, unusually cold weekend in October. Because we had heard the “pop,” the Relentless Troubleshooter called NYSEG  to report the outage. They were confused. As it was, we turned out to be only one of two houses affected, the other being our landlords, in the garage apartment next door.
A crew was dispatched, and it was determined that someone in a car had smashed into the utility pole that serves our two houses. Man Landlord (who is eccentric) insisted that we contact the police. The Relentless Troubleshooter called the local police to inform them that someone had hit our utility pole and driven away.  He was asked several tired and irritated questions like “Did the pole hit the house?” and “Did you see it?” before the crowning achievement of questions: “What do you want us to do about it?”
We were told that a North Salem police officer would come and have a look, but we never saw him.

Overnight, it was very, very cold, and the Relentless Troubleshooter kept the fires going in all three woodstoves. We put the food that needed to stay frozen outside. By morning the power was restored and a new pole had been installed at the top of the driveway. As of this writing, a little over two weeks later, the old pole had not been removed yet.  The Relentless Troubleshooter and other interested parties went up to make an inspection, and concluded that a small, red car with bald tires had done it (based on tracks in the mud, paint on the pole, and broken bits on the ground). That a small car could drive away after breaking a utility pole surprises me. The Man Landlord (who is eccentric) believes that the addition of a new house nearby has changed how the road looks on the curve, and while he hates the look of a big yellow arrow sign, he believes a big yellow arrow sign might be in order. 
When I was in elementary school, my father, who hated speeders who drove too fast through Davis Place, got elected to the board of neighborhood trustees.  He pushed the effort for speed bumps to be installed, in addition to having the gates to the minor streets of the subdivision closed on alternate weeks. One speed bump was added right in front of our house.
I think the reason he wanted people to slow down on Davis Drive was that he liked to play catch with my brother.  Dad would stand on the island in front of our house and my brother would stand in our yard.  People came barreling down the street between them. What he did not realize until the speed bump was added was that now there was the sound of braking, followed by the ker-thump, ker-thump of the car going over the speed bump, and then the acceleration away. Now it was much noisier, cars lingered longer, and it was not an improvement.
Today, there do not seem to be speed bumps in Davis Place anymore. At least, there were none the last time I was there.

Thursday, February 3, 2011

How Pluto Lost a Piece of His Ear

One day, my brother and I both had relatives visiting, and we decided to take the whole group on an easy hike on Cougar Mountain.  As I remember it, I had all three of my kids with us, both dogs (Pluto and Wheatie) plus my half-brother, Tony, who was 10 or 11.  My brother also had his daughter, his mother-in-law, and his father-in-law along.  The hike had the flavor of what my children still call a “forced march,” in that they weren’t altogether so keen to go for a walk in the woods and might actually complain the whole way.  Tony was pretty excited to go, and asked for the chance to walk Pluto.  Pluto was very strong on leash, and wore a prong training collar.
We were on our way down and almost back to the parking lot when we encountered a Dalmatian off-leash. Whether it actually bit off the bottom of Pluto’s ear, or the ear was trapped under the prong collar and was ripped off by the force of Pluto’s lunging at the other dog we can never know.
My brother was far enough behind to actually notice the piece of ear lying on the gravel path (I am sure of this detail, because later he wrote a haiku about it).  Someone did go back for the piece of ear before we loaded everyone up in the car to find the emergency vet. I don’t know if we thought it could be sewn back on. I think we folded it in a tissue and I put it in my pocket.  A dog’s ear is a blood-rich thing, and Pluto reacted to the bleeding by flapping his ears vigorously. To transport him without being showered in blood, we wrapped his head in disposable diapers and a cold compress from the minivan’s first-aid kit.
Despite these efforts, the car interior and the children and my brother’s in-laws were showered in dog blood, especially Tony who was visiting without his parents. Tony came from a home where he was an only child and did not grow up with pets.  He was very agitated, and complained the whole way to the vet’s office that he was going to catch a disease from the dog blood. I had a vet technician tell him that he could not get AIDS from a dog. Pluto had some stitches put in, and we all drove home.
For many years, the piece of Pluto’s ear sat forgotten on a bookshelf in our computer room. It dried into a nice little triangle, covered in short red-brown hair.