Humans

Little Old Ladies

/ Dr. Christine McFadden / Leave a comment

She was a little old lady, short and round as a dumpling. She energetically grabbed her dog from the exam table and tipped him onto his paws. You’d never have guessed her age except for the grey hair. Her dog found his footing and waited expectantly by her feet. “I’ve got to go”, she declared, “I have to decorate the Hall for my sister’s 50th wedding anniversary.” Wow, I marveled, that’s something! A blaze of blue eyes flashed at me. “It’s a pain in the-you-know-what” she said. “My 50th was 2 years ago and every day I wake up and wonder if we’re going to make it.”  She gave me a saucy grin and danced out the door, her dog following her in adoration. I stared after them open-mouthed. Awesome woman.

People and pets share their lives with me. It’s a jumble and a jungle out there, and hanging on to these moments builds a life. On a long work day, I spend more awake time with fellow staff than I do with my family. 

When I’d first started out in town I struggled to put my textbook medical knowledge together with my patient’s needs. My focus was on the animals and I learned their names first. This fact appalled me the day I rounded a clothing carousel at a local store and came face to face with a client. The woman looked up, a smile starting and then fading as I blurted out “Beau!” – not her name at all, but her dogs. Good grief! I worked harder to learn BOTH their names in future but don’t test me on that one. Over the years my brain often refuses to let go of the first impression, the pet we bonded over who is now deceased, so that I continue to call the next dog, or worse, the third or fourth pet that follows, by the original dog’s name. My staff cringes at these mistakes, occasionally alarmed as they search for other signs of dementia. There’s Zoie’s Mom. Oh, she has another dog now. Mrs. R is 87 years old. Last year she took a trip to China with her daughter. Next year they’re thinking of Australia. Zoie was a 10 pound black miniature poodle who had epilepsy and the sweetest disposition you could ask for. Her new dog is 3 years old, but she will always be the “new” dog. When we get together we talk more about Zoie. The new dog is very healthy and we don’t have twelve years of medical battles fought and won to look back upon with her. 

And I have fond memories of the family matriarch, in her 90’s, who put out condensed milk for her cats every day. They were all terribly obese. She confided to me once that if they turned up their nose at a can of food she’d just open another flavor. Sometimes, she said, there would be as many as 7 cans lined up along her porch. I marveled at the ability of our pets to train us. She took in many neighborhood strays and it pleased her to spoil them. She laughed at my dietary advice. Condensed milk had seen her into her 90’s and I wasn’t going to convince her otherwise.  She gave me a chocolate colored blanket she’d hand crocheted. I have it yet.

old ladydog-walking-4426782.jpg

It was a little old lady who taught me about the bluing older woman used to take the grey out of their hair and make it lustrous white. True, sometimes it turned their hair a delicate blue. This invaluable knowledge helped me make white poodles whiter. 

I’ll be a little old lady someday. I’ll hoard cats and keep too large of a dog and goodness knows what other kinds of critters. I plan to wear purple with a red hat and act up just like those women in the Red Hat Society, because I love the poem by Jenny Joseph. And to all the older women who have shared their pets and their lives with me, thank you for enriching my days and just for being you.

 

Christine B. McFadden, DVM

drmc@mcmenagerie.com

Hysterical Clients

/ Dr. Christine McFadden / 1 Comment

Who said veterinary medicine wasn’t fun?

There’s the man who got out of jail (he didn’t say why- either for going in or getting out) and came home to find his dog sick. This enraged him. We know this because he brought the dog to us (he was passing by, thought he’d drop in) and he was very thorough in his explanations to us of society’s injustices, particularly that he might have to take financial responsibility for his pet. We couldn’t diagnose the illness without a blood test – and magic wands are out of date, though I kept one on my desk for years. We’ve kept statues of the Virgin Mary, Buddha, dice, and a crystal ball. We do not turn our nose up at anything that might intervene on behalf of our patients. In the science-based world of medicine we have seen miracles – but we have also seen cases where the pet should have lived, by all rights, but died. In the end, we fall back upon diagnostic tests because they do just that: they help us to diagnose your pet’s illness, to unlock the pieces of the medical mystery so that we may help the patient.


This man was very angry. The time spent in jail seemed not to have been used for self-reflection or internal contemplation. It seemed unlikely that he read poetry. We thought we should focus on the dog. We weren’t entirely sure he could focus well enough to drive. He had no interest in paying to care for his dog nor did he wish to surrender it to a Rescue group. So he left. Only to return a half hour later, which we noticed immediately because his car was sideswiped as he drove in to the parking lot. While he was waiting for the police to show up (to investigate the accident) he surrendered the dog to Rescue. Post-script : dog did great.

And I fondly recall Crack-A-Nose. Her name alone kinda gives you a heads-up, yes? A pitbull, she had a huge pink mass of doughnut-shaped tissue protruding from her vulva. Bigger than your fist. It was very dramatic. This dog had a condition called vaginal hyperplasia, or swollen vaginal tissue. It is not a true prolapse of the vagina nor a cancerous tumor. It occurs when a female dog has been in heat, producing high amounts of estrogen. The swollen tissue will shrink back to normal size when the estrogen hormone has declined – and the fastest, most effective and permanent cure for that is to recommend an ovariohysterectomy or spay. I explained all of this to her owner, a young woman who was rail thin with blond hair, beautiful, a little twitchy. The young woman pulled a fistful of hundred dollar bills out of her bag. She requested that I perform whatever services were required and informed me that she would pay in full right then. I agreed to her terms and performed surgery successfully that night. I figure the dog must’ve been a great guard dog for some very important stash, oops, stuff.

Now stop me if I’ve told you this one before. This was when I worked in a small office off Highway 59, still called “J” street back then. I remember the skirt I was wearing because it was the last time I’d ever wear it. It was quiet, around lunchtime. A man in his twenties came in. He announced that his dog had been run over by a mower. I was nearby and nodded, told him to bring the dog in. Occasionally you see an overactive puppy bouncing around a lawn mower and accidentally getting a toe clipped. Not very serious. He stared at me. But he’s bleeding, he said. I nodded again. This was to be expected. Please bring him in.

And he did. Only he hadn’t been talking about some little push mower, he meant a tractor hay/disc mower (the tractor weighs over a half ton) and it had practically amputated the dogs’ leg, so the “bleeding” he’d mentioned was an enormous spraying jet of blood from the severed femoral artery. The dog was going to bleed out – I was surprised it hadn’t died already. I stepped in with a pair of hemostats to stop the gushing fountain and got lucky. I completed the amputation in a sterile surgery and the dog lived. But my clothes were history.

Christine B. McFadden, DVM

drmc@mcmenagerie.com

Stayner and Queenie (A Boy and His Dog)

/ Dr. Christine McFadden / 3 Comments

On January 23, 2019 the Merced Sun Star newspaper printed a front page photo that showed both of the Stayner boys together in 1980, shortly after Steven Stayner had been reunited with his family. Steven’s story was remarkable. Steven disappeared when he was 7 years old, simply vanished from his neighborhood one day. It was 1972. Missing for over 7 years, he was reunited with his family only after his captor kidnapped a second child. Steven couldn’t endure seeing this child’s anguish and he hiked the little boy out to a police station. Although rarely mentioned, he also brought with him a dog. The child Steven aimed to rescue ultimately led to his own rescue. It was an incredible story, one that mesmerized the nation. This photograph, taken during the family reunification, shows Steven with his older brother Cary and their father, Delbert Stayner. The portent was only realized in hindsight : one brother, Steven, had saved a life.  Sadly, Steven died an untimely early death in 1989. Ten years later, in 1999, his older brother Cary Stayner was to gain notoriety for committing the unbearable murders of four women. Overall, a very grim and sad story for the family and the town of Merced.

This was a rare photo that captured both Steven and his older brother together, a moment in a time of celebration. But my eyes saw only the dog. Hey! What about Queenie? That’s a picture of Steven and his DOG! She’s right there, just to the side of Delbert Stayner’s elbow! A little black dog with tan legs, Queenie had been with Steven throughout the years of his captivity. She looks happy in this photo, bright eyed.         (Link to Photo from Modesto Bee Here)

I’m a veterinarian. Of course I noticed the dog. That and – I knew Queenie, knew them both, she and Steven. I knew them because I took care of Queenie at her life’s end. That was many years ago. Her importance was to Steven, her passing private. I share a bit of this story because in today’s world we talk about the “human-animal bond”. We use scientific methods to analyze the effects that animals have in sharing our lives. C’mon people – it’s simple : love.

Queenie. Steven was very young, only 7 years old, when he was torn away from home and family. Queenie entered his captive life early on and remained a constant throughout the years to follow. She gave him unwavering loyalty, and non-judgmental constant cheerful companionship. It is notable that when he left that night to return the little boy, Steven never considered leaving his dog behind.

I met Queenie and Steven in late 1982 or early 1983. She was very ill. The little dog looked thin compared to her bloated abdomen. Steven was very quiet. A polite young man, he desperately wanted to save her. I think, in many ways, she had saved him.

Queenie’s abdomen was enlarged due to fluid build up, a condition called ascites and often caused by liver failure. Back in the early 80’s, blood tests, ultrasounds and other diagnostic tests were not readily available in the Central Valley. Neither was overnight care. I lived in Turlock and commuted to my job in Merced that year. So I started Queenie on IV fluids and other medications and drove her home with me that night. I rigged her IV fluids first to my car door strap, then used a coat hanger to suspend them from a towel rack. She was a sweet dog, but had no energy left to fight her illness. Queenie passed away quietly in my living room at home in Turlock. Steven took her from me the next morning. Although no autopsy was performed, I believed she had liver cancer.

Although I saw Steven with other pets after that, we did not have a personal friendship and I lost touch with him over the years. The love that he and Queenie had for each other has stayed in my heart and I was touched to see her once again, that doggie laugh on her face as she forever follows the love of her life, Steven.

Christine B. McFadden, DVM

drmc@mcmenagerie.com

My Husband’s Hospital Vacation

/ Dr. Christine McFadden / 2 Comments

My first indication that text messaging had gone too far in my household was the afternoon I checked my phone and discovered the following message : “Just wanted to let you know. I thought I might be having a heart attack so I checked myself into the hospital.” It had been sent from my husband’s cell phone.

 

What you need to know were the events preceding this text message. My husband had taken our children skiing two days earlier. On this morning, he had done some moaning and groaning around the house. The problem is, I not only have to get ready for work myself, but I oversee care of the kids, the cats and the chickens before leaving. Getting to school on time is a mountain we climb every day. If it’s not worth opening your mouth to speak up about something, I’m not going to slow down long enough to start an inquiry. He knows where to find his Advil.

 

I confess I felt more irritation than anxiety when I read the message. Really? I’d had a full day and no lunch up to that point. So I called him. He answered. He sounded cheerful. Enough hours had passed before I’d discovered his message that he could assure me that his chest x-rays, his blood tests and his EKG were all normal and he wasn’t having a heart attack. So why are you still there? I reasoned. Well, he rambled on, this doesn’t explain the pain. “What about arthritis?” I asked. Oh no, he assured me, I’ve never had arthritis here. It’s on my right side. I was driving myself to the golf course and felt pain in my right arm, so I pulled over and googled heart attacks. It said they would be on the left side, but I thought I should be sure. They’re going to run another test to see if I have blood clots. If it’s abnormal, I’ll stay for a CT scan.

 

OK, honey. I returned to my own patients. There was a cat that had been tumbled in the dryer for 7 minutes. She appeared dazed, with tiny bruises starting to appear on her skin where patches of fur were missing. She was a lucky cat; only last month, another cat had actually died in a similar accident. We began treatment for shock and started the cat on IV fluids.

 

It was closing time when my husband called. My test is abnormal, he said. “What’s the name of that test, hon?” D-Dimer. We use the D-dimer test in veterinary medicine. Platelets, the cells that help blood coagulate or clot so you don’t bleed out, will slowly break down after they’ve served their purpose. If your body is forming big blood clots where it shouldn’t, the by-product of platelet breakdown will be very high in the blood stream. The D-dimer test measures this level.

 

For a variety of reasons, I didn’t believe it. So while getting the kids squared away I researched the normal blood levels for humans. Armed with this info, I went down to visit my husband in the ER. He looked remarkably fit. In fact, he wasn’t feeling any pain, though he’d not been given any medication. I asked his nurse for the actual number on his D-dimer test. It was less than 200. I stared at the nurse. “But that’s normal”. Yes, the nurse agreed. I stared at my husband. “Who told you it was abnormal?” He frowned, concentrating. He wasn’t sure (What else did he have to do?). About then they came to wheel him down for his CT scan. They said it would be read that night. Forgive me my skepticism, but having assured myself that my husband was doing very well, I kissed him and told him to enjoy his scan. At this point I reflected that if they did find something wrong with him, it would not be what he’d gone in for. I slept poorly (despite my brave front). At 2:20 in the morning (5 hours later) my husband sent a text message that he had completed his CT scan but it wouldn’t be read until the next day.

 

I visited him on my way to work the next morning. He was cheerful and even complimentary on the hospital breakfast. They were going to run some more blood tests. I left him to it.

 

At work, my own patients were well. My dryer tumbled cat looked much better and was enjoying a hearty breakfast herself. Her bloodwork was excellent. By early afternoon I was discharging my patient to her ecstatic owner. Back at the human hospital, my husband had been leaked the information that he had a “non-displaced hairline fracture in his right rib”. My husband was now being offered an echocardiogram and had begun to call me every hour or so. I told him if he couldn’t relieve the babysitter by 3:30 to let me know. If he wanted to stay another night in the hospital that was on him. I was worn out.

 

Once he knew it was just a cracked rib, my husband felt lots better. I arrived home that night to find he had invited several people to dinner and cooked up a storm. Even better, he could go on his golf vacation next week.

 

I am SO grateful my patients can’t talk!

 

Christine B. McFadden, DVM

drmc@mcmenagerie.com

Castor the Police Dog

/ Dr. Christine McFadden / Leave a comment

There are many fine working dogs out there – cattle and sheep dogs, Guide Dogs for the Blind, Special needs assistance dogs, Bomb and Drug dogs, and perhaps one of the finest working groups, the Working Police Dog, or K-9 Cops, complete with their own badge. Hired on by Police and Sheriff departments nationwide, they are largely made up of German Shephard and Belgian Malinois breeds. I have had the honor of working with these dogs for over 30 years. Both local Police Department and Sheriff’s Departments have working dogs, used on the SWAT team, for school protection, building searches, drug deals and of course, criminal apprehension.

Astor was a beautiful sable shepherd. High strung, as so many of these dogs need to be to perform their job, ever alert, he suffered from stomach issues, and his spleen would swell to enormous proportions. We had just gotten in 4 new dogs at the Police Department, and one had already been rejected for a permanent lameness in the right shoulder and returned to the seller. This was at great expense and nerve wracking for the new program. To have problems with another dog was near unbearable. I said he needed to have surgery, to biopsy the intestine and spleen. It was late in the day when his handler came down to visit him in recovery. Though the individual police departments own the dogs, it is their Peace Officer Handlers that live with the dog and develop an intense bond. These dogs – and their handlers – were new to me and I knew very little about them. I was ignorant that even off duty an officer is expected to be prepared to respond to an emergency, so when the handler bent over in post op to greet his dog, I was most startled to note a gun in his waistband! I wondered if he’d planned to shoot me if the surgery hadn’t gone well! (He said no).

Most of the dogs have German names, as many were and still are imported from Germany. Their commands are given in the German Schitzhund or obedience training language. Handlers lucky enough to be assigned a partnership with one of these dogs will spend weeks learning the cues and training required while forming a deep bond. You see, these dogs can go where a person cannot. These dogs serve as the first line of defense when things go bad. No one wants to lose a dog – but better the dog than a Peace Officer. The K-9 Cop can mark a perpetrator in a crowd and run him (or her) down. Once the fleeing person stops, they will stand still, not biting unless the person resists and provokes a bite. They can be sent into buildings with cameras on their backs to locate the offender. They can smell or hear where someone is hidden.

Castor was a Malinois from the Sheriff’s Department. He passed away naturally some years ago. A very “sharp” dog, he was a holy terror when he came into our clinic. He growled at all the staff. He was not walked during his brief stays, as we customarily do with all boarding pets. Except….Castor loved me. There was no rhyme nor reason to it. I poked him with needles, gave shots, drew blood. No problem. At first I wondered if I resembled the handler’s wife, but once I met her, blonde, petite, beautiful, sadly I knew that I did not. Whatever the reason, I was grateful. Castor had many arrests to his name, but my favorite story was the guy swimming in the canal to elude capture. His handler sent the dog, knowing if the guy made it to the far bank he might get away. The criminal decided to drown the dog. Castor took matters into his own hands, simply wrapping his jaws around the only body part he could reach – his neck. The man surrendered.

In the United States Air Force, fighter pilots are accompanied by a “Wingman”, another fighter plane which flies off the right wing and just behind the lead, whose job is primarily to protect the lead by “watching his back”. Our Canine Corps of Peace Officers serve as “Wingman” to the officers they shadow.  May we be humbled by their gifts and grateful for their service.

The Large Animal Vet

/ Dr. Christine McFadden / Leave a comment

 

 

Perhaps the title sounds misleading. A “large animal” vet develops a veterinary practice caring for the needs of livestock such as cattle (dairy or beef), sheep, goats and pigs. A “small animal” veterinarian like me is usually slotted into the care of companion pets such as dogs and cats. So when I examine a 200 pound dog, it is still a small animal and likewise there is often confusion about whom to call when the patient is a pot-belly/miniature pig. Not me.

 

The life of a small animal vet and that of a large animal practitioner are markedly different. One works almost exclusively indoors, dressed neatly, white coat in place. The other weathers life outdoors, facing extremes of blazing heat to icy cold, rain and snow. One always has a sink handy to tidy up. The other uses outdoor hoses more than they’d like. A dairy vet may check over 100 head of cattle in a morning and four “farm calls” make a full day. A small animal vet may follow the medical strands of more than 25 patients a day, winding through exams, blood results, x-rays and working in a surgery or two.  All juggle the demands of unexpected emergency work.

 

Being in an office most of the day, I rarely interact with my brother and sister large animal veterinarians. So when the pygmy goat from the petting zoo fell over dead I was unhappy, but proceeded to perform a post-mortem examination and sent tissue samples off to our regular lab. I had overseen the care of these goats for many years, but they were on the back burner when it came to my interest in the truly exotic Zoo collection. My concerns centered on whether or not the public might have fed something odd to the goat? (I’ll jump ahead here : No. The public did not harm the goat). I mulled over the problem but prepared to wait until the pathology report was finished sometime in the next week. And then another goat died.

 

I was unnerved. The goats were being closely watched and none had shown any outward signs of sickness. They had all lived for more than 8 years at the Zoo and had never, collectively, suffered a single injury amongst themselves. I immediately sought the expertise of a Large Animal veterinarian. The Goat Expert was on a dairy farm. The return call came in as I was finishing one surgery and about to start another. Gloves still on, I was staring at some x-rays

in-between these surgeries when they told me they had Dr. B on the line. Multi-tasking at its best.

 

I hurried over, snapping gloves into the waste receptacle and grabbing pen and paper. I introduced myself and LAUNCHED into a recital of my goat woes. I verified that he had goat experience? Yes. I gave him dates, genders, date of deaths, lack of lab results, still pending. I drew breath to spew forth another list of details and heard him gently respond, “Yes…. I think…. I might be able…. to help”. His measured tones were from a man used to the gentle rhythms of milking machines, contented cows swishing their tails, chewing their cuds. Da-dum da-dum to my staccato dop-dop-dop-dop-dop! I managed to squeeze in a few more hurried sentences (surgery! Waiting!) before he responded calmly, “I think I drive past your practice on my way up from this dairy….”. I opened my mouth. Closed my mouth. I could hear the clouds, feel the sunshine, almost see the shining black and white hides of the gentle Holsteins he surveyed as we spoke. It was all there in the rhythm of his speech. I told myself to stop yapping before he decided my goat problem would be too stressful for him to bother with.

 

An hour later Dr. Thomas Bauman drove up in a large truck outfitted for all manner of veterinary ministrations. He spent an hour and a half doing a post-mortem on one goat. He had a wicked knife and mulled over the cause of sand in the stomach. He felt it was too much. Did we feed on the ground? No. But little kids feed the Zoo goats oat hay pellets and they often dropped to the sand, with all the goats scrambling to get their share. Hmmm. He gave the problem his full attention and we submitted a gazillion samples to the State Lab, including an intact eyeball because it would be useful for trace metal analyses. The final answer was a copper deficiency in the feed, to which Pygmy goats are especially susceptible. Hay grown in the San Joaquin Valley is often deficient in copper. The salt lick fed at the Zoo did not have added copper because Alpacas are in with the goats and they are susceptible to copper toxicity (too much) if supplemented. So we now feed our goats little capsules of copper wire every six months and all is good. But sometimes I find myself wishing that I was a Large Animal veterinarian. Just so I could slow down and smell the …..never mind.

 

Christine B. McFadden, DVM

drmc@mcmenagerie.com