Small animal surgery at Dr Val's

  Surgeries!

Wednesday 26/9/12

 Today Dr Liz from Oregan in the US, and I did 8 surgeries (2 neuters and 6 spays) and yes, I got my birthday wish, I completed a whole spay and neuter, solo. Most of the others I did half of, and Liz did the other half, as I am not very efficient at it yet.

For the vets interested out there, here is some info on doing surgery on an office desk :) We did it all 'clean' as opposed to aseptic. It was 'field work' so we did the surgeries on the only space available, on someone's desk in the CLIDE* office! We gave the dogs Acepromazine first to chill them out a little, then a mix of ketamine and Valium (50% of each in the required dose, IV) and then gave half of that dose again once the dog was prepped for surgery and we were beginning and then as needed, we topped up with Propofol.

 

 On the field, as they say, you use whatever you have and these all worked really well! The animals went down and woke up really smoothly. Antibiotics were given afterwards because the surgery was 'clean' not aseptic and because they will most likely be rolling around in bacteria-ridden dirt before too long.

The cats were given what is called 'kitty magic' - I think the drug companies came up with that one- which is 0.1ml each of Torbugesic, Ketamine and Dexdomitor for every 5kg. Ooh and I learnt a new trick it's called the 'clove-hitch knot' and I've used it with tying up horses and boats before but never seen it in a surgery, so that was cool to learn. Hopefully we'll get to do some more next week as well and when we go to Karamoja on Wed next week, there as well :)

 *CLIDE stands for Community Livestock-Integrated Development (consultancy), it has four offices, two in Karamoja, one here in Soroti and one in Kampala. It is another Christian Veterinarian Mission outlet here in Uganda.

 

 

 

 

 

 

 

 

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Extra Ordinary Women of Uganda

Friday, 28 September 2012

Extra Ordinary - Significant Women of Uganda.
"I love to catch the sunrise. I love the multifaceted aspect of being feminine. I love God. He inspires me to see the best in life, people, myself and my work." Jennifer Mypisi. Designer/Architect

"If I could speak to my younger self, I'd say; "Baby girl you can be all that and then some. Give life time. Give yourself time." Dr Paula Mundari. Physician.

"While in exile I had to carry my child on my back and walk to the market. I'd learnt that the high status I'd enjoyed before was - an addition to me and not who I truly am." Florence Nakyoni. Human Rights Activist.

"My day of courage dawned when I met President Amin. I didn't know whether I would come back alive or dead. I know who I am because of the commitments I have made in my life." Juliana Bezuidenhout. Girl Guide/Presidential Advisor.

"Every day is unique and when it is gone, it is gone forever." Maria Kiwanuka. Entrepreneur.

"I come from a strong line of women. I look at my grandmother, my aunts and my mum, and I know that I too can make it. I am emotional and intuitive." Gloria Wavumono. Fashion Designer.

"God comes first. Fear Him and have integrity." Leticia Kikonyogo. Deputy Chief Justice.

from here

Veterinary Symposium in Kampala

17-23rd September Oliotya!

 Heya, from Kampala, Uganda at Mackerere University, where I have spent this last week, listening to lectures, meeting other veterinary students and doing surgery practicals in the afternoons. The program has been run by the Ugandan Christian Veterinary Mission and has been fantastic fun; learning, laughing and loving each other (as my new US friends say). Five Americans flew over for the time (some are staying a bit longer as well) on a mission trip, they're mostly small animal veterinary surgeons who have been doing the lectures & surgeries (they brought all the vet materials we're using over with them!).

The week has also been a great opportunity to hear of the faith of the students and to fellowship with them. The lectures have been on many different topics, ranging from 'client communication' to complex surgeries to common skin diseases. In most of the lectures we've looked at the theoretical side of certain surgeries; cystotomy, gastrotomy, enterotomy, intestinal anastamoses, speys, neuters, opthamological surgeries, even fluid therapy for post operation, etc.

The students seemed really excited that I was a student too (as all the other mzungus we're real docs haha) and very interested to hear what vet work in Karamoja is like! Many of the students still hold to their culture of segregation of the Karamajong even subconsciously looking down on them as lesser than they are, which comes out when I speak to them about my work. Back home we have such a culture of being politically correct and even if you secretly think badly of someone you would never show it or say it. Of course, ignorance in what the K'jong are really like (these students and most of the Ugandans living outside of Karamoja have never been or met a traditional K'jong, they just know what they've been told of them) will always breed distance and even disdain or fear. That seems to be a fact of culture clashes throughout history and throughout the world today, even a funny example of this is the way the Karamajong harshly judge a woman for wearing pants. To the women down here at the bottom of Uganda in Kampala, wearing pants is a sign of an educated woman. To the Karamajong, wearing pants is saying that you are basically a prostitute (no joke, from their mouths not mine), showing the shape of your legs is very provocative. A simple thing like that means two very different things to two different people of the same country.

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