Friday, 15 June 2018

Oh, a change is gonna do me good!

Today was my last day at Cornell.

It began with the best Food Friday I have ever had- we all decided on a brunch theme and there were two types of quiches, some veggies, some fruits, croissants and Italian bread, cookies, Havarti cheese, crackers, pineapple icebox dessert, orange juice, and just an awesome day laughing with some new friends.

This is Star <3

Next I had the most perfect patient- a 3 month old miniature donkey who first came to Cornell because her back foot had been dislocated in a traumatic accident. Several rounds of surgery, screws, and cast changes, she came to me for a recheck and to see if one of the two screws could be removed (screws near the ends of bones in young, growing animals can cause angular limb deformities if not removed at the proper time.) Star was easily sedated and placed under general anesthesia.

I will say this, though, I did not expect how gross it was underneath the cast. I won't go into the details, but let's just say there was a lot of white and yellow stuff on the floor. And it smelled bad enough to "make a maggot leave the meat pile." In the end, the cast change became a bandage placement instead, along with some antibiotics. Now usually horses and other equids recover from general anesthesia in large padded stalls with rubber floors. It's one of the safest ways that an animal can wake up, but horses are flight animals by instinct and sometimes recoveries are violent "animated." Because Star was so little, I was permitted for the first time to sit in with a patient in the recovery stall to snuggle her awake.

Then I spoke with her owner- an awesome guy who just happened to commute to Pittsburgh for his work about every month or so. We had some nice conversations about the Pirates and places at the Strip District which have the best bread, about rescuing horses and other animals, and at one point how I accidentally killed 5 fish in my youth because while I knew how to bait a hook, I never knew how to take the hook out of the fish's mouth after I caught it. He then told me that he's deathly afraid of needles, and the resident agreed with my advice to change Star's medications from an intramuscular antibiotic to an oral form. I showed him how to apply a sterile bandage, and where to get the best deals on non-sterile items such as brown gauze and cotton rolls. The man shook my hand and said he would come back to Cornell only if I were still here to be Star's vet- a phrase which made me feel all warm and fuzzy inside.

Finally, at the end of the day, when I was tired and had walked 6 miles around the hospital according to my pedometer app, when I was helping other colleagues with their patients because my single patient was easy to get him settled for the night, the resident who I thought had always disliked me told me that I clearly had come a long way from when she first met me in September (my first rotation was Anesthesia, the second was Large Animal Orthopedics: I was a truly bumbling idiot for that first entire month of clinics because I had just moved from a different country, I didn't know anyone, I didn't know where anything was located, and the computer program we used was not user-friendly.)

She then said,
"You know, we were hard on you because we know you're going to be a great equine veterinarian."


And that was the end of my favorite day at Cornell.

Sunday, 4 February 2018

I present to you.....Dr. Farabeest (for real!)

Three years ago to the day, I created this blog as a way to help me cope with the demands of veterinary school abroad. True, I haven't always been as up-to-date as I would like. Yes, I've forgotten to post pictures on Facebook for basically the last two years, allowing my peers to post tagged photos of me enjoying the last few months on St. Kitts and far fewer pictures of me enjoying my new life in Ithaca.



While I have been *extremely* neglectful in how often I update everyone about my life in a hopefully not-narcissistic fashion, that doesn't mean I've forgotten. It means that life gets in the way. That even on the "easier" clinical rotations I still put myself into bed around 9, sleep until 6-7 and wonder why I'm so exhausted.

So, in honor of my three year mark, I'll give you guys all a taste of what I've been up to since finding out I was accepted to clinical year at Cornell University (since....um....June.)

June:
  • Was the anesthetist for our sheep's epidydectomy (castration).
  • Was the anesthetist for our donkey's nerve identification surgery.
  • Was the surgeon and performed my first canine neuter.
  • Was the surgeon and performed my first sheep celiotomy and procedure requiring glove/instrument changes, sewed up my first incision and it looked amazing.
July:
  • Hiked up Mt. Liamuiga one last time. Unfortunately never made it back down into the crater, but still always a humbling experience.
  • Experienced my first "all-night on emergency" graveyard shift back to back. 
  • Put a cast on my first horse limb (it was only a model, shhh!)
  • Sold my island car.
  • Was the anesthetist for my first spay patient.

August:
  • Took the practice NAVLE with all my peers.
  • MOVED BACK HOME Saturday, August 19th, 2017.
Two weeks of bliss and riding later....

September:
  • M came to visit me and help me move up to Ithaca.
  • Officially started my clinical year with Anesthesiology, one of the toughest subjects for me (and the one that I was actually terrified of.) I came out of that rotation with so much more confidence in myself, thanks in part to the amazing team who mentored me and who I truly became friends with.
  • Moved to Large Animal Orthopedic Surgery. Was reminded of how little I know of horses. My general care knowledge was excellent, but it was certainly a reminder to keep reading and keep learning. Also reminded me of how expensive good textbooks are. And how huge draft horses are. And how awesome it is to work with Dr. Ducharme.
October:
  • Small Animal Orthopedic Surgery - The miracle of fixing knees and fixing hips. Learned how implants can unfortunately fail, and that Care Credit is a lifesaver (Seriously. Get pet insurance. Most vet clinics accept it and it can cut so many costs down!) Was yelled at by an owner for the first time to the point of tears, followed immediately by seeing my first surgeries to correct pyometra and then GDV (gastric dilation and volvulus).
  • Ophthalmology - Lots of dogs, but got to see my first eye enucleation in a horse (taking out the eye under standing sedation). Had a very sad case about a cat presenting for blood in its eye who was ultimately diagnosed with cancer.

Oh yeah, we had baby reindeer. This
one had Babesia, a blood parasite which
causes anemia. Luckily he pulled through
with flying color
November:
  • Large Animal Medicine - Got to meet the legendary Dr. Divers, one of the nicest and most intelligent people I have ever met. Rounds were extremely informative and after changing my studying habits I retained so much more information. Performed my first atlanto-occipital CSF collection in a calf and managed a very difficult case of acute-on-chronic renal failure in a goat.
  • Had my first (and only) two week break and was able to spend my first Thanksgiving in three years at my family's house.
  • Took the NAVLE the week after Thanksgiving. The most difficult exam of my life. 7 hours, 360 questions, 1 shopping trip to Dover Saddlery later, and the results were out of my hands until January.
December:
  • Small Animal Soft Tissue Surgery - Performed my first spay, saw a laparoscopic ovariectomy, one of my patients had 60% of her liver removed and is currently thriving at home. I was called in on the last day of the rotation and scrubbed into three emergency procedures (two foreign bodies and another i cant remember off the top of my head), performed a surprise neuter on a dog here for another surgical issue, etc. Easily one of my favorite rotations.
  • Presented my senior seminar (15 minute presentation about a horse with a rare disease and rarer clinical presentation) to faculty members here at Cornell and I received very good reviews!
  • Large Animal Soft Tissue Surgery - my first 3 week rotation. It ended up being combined with Orthopedic surgery so had a lot of similar cases. Saw my first equine broken leg and successful surgical repair!
January:
  • Experienced the fun and revealing Sports Medicine rotation, whose chiefs created and are the board leaders for a field that I'm seriously considering becoming board-certified in (even though they made fun of me for wanting all my patients to be horses, which was a total of 0/32). A lot of underwater treadmill therapy, and one week of "doggy bootcamp" which showed markable improvement for a former patient of mine who I first saw on my Emergency Relief shift back in November. Experienced laser and shockwave therapies, which in my mind may help to alleviate post-operative pain. (we were also able to test these modalities on ourselves!)
  • On January 16th, I found out that I had passed the NAVLE (aka my national licensing boards). It was such a huge relief for me, but immediately marred by the knowledge that several people close to me did not pass. As a quick note, never give up. There are literally hundreds of articles about people who didn't pass the first, the second, or even the third/fourth times. And they are still excellent, well-respected veterinarians. This test is just a hoop you need to jump through, and if you did not do as well as you wanted to please know that there is a huge network of support available to you. And I believe in you.
  • Secondary to that, I postponed letting my friends/family know until about two weeks later. My mom was officially retiring from teaching, and I was able to take time off from Cornell to surprise her at her party and tell her in person. My dad, sister, and M knew within 5 minutes of the results being posted.
  • Went riding, and Bebe didn't try to kill me. 
  • Just kidding, she always just gets really excited when I come home and pretends to be Ricky Bobby as soon as I hop on her back.
  • Pathology rotation- while the idea of necropsy was initially almost abhorrent to me, this rotation quickly grew on me as I gained a deeper understanding of the pathophysiology of diseases within the body. I was able to see pancreatitis, abortion (due to Leptospirosis), multiple legal cases, forensic pathology (which is a hell of a lot like CSI/Criminal Minds!) I was able to see multiple cases of pneumonia, a disease which had always slightly confused me back in vet school.
I don't know why none of my pictures are uploading to here, but I'll try to upload them in a separate post, or to Facebook. Or to anywhere, really.

I'll also try to update with any more major life events, such as if I participate in an internship or when I get a job. Still unsure which would be best for me, but only time will tell. In the meantime, I've been working on a bullet journal, on knitting a blanket, on reading more fun books not related to veterinary medicine, on going to the gym about 4-5 days a week, and going hiking as often as I can with Toothless. See y'all in the future!