Friday, January 11, 2019

Another week of charity practice

I'm back seeing practice at the PDSA for a couple of weeks and since I was here last year they've had a few new members of staff so it's been nice working with new people.
One of the locums has been asking me questions throughout the week, I thought she was testing me for revision, then on Thursday she asked me for the controlled drugs key and we both realised she thought I was a vet!! aha

I've got to do a fair bit of surgery and am confident with cat and dog castrates, fairly happy with bitch spays and closing the abdomen after other vets have done ex laps but I've still yet to do a cat spay!
I used to find dentals fairly boring to watch because you can't see much from the other side of the table but I enjoyed the session at BSAVA in Liverpool so made an effort to get stuck in as it were.
Tessa let me section some molars to extract them and it looks easier than it is so she had to help with some roots, we took out 4 molars and 3 incisors then did a scale and polish which is actually quite enjoyable! Later in the week I did another dental and have never seen teeth so bad and had to extract most of the teeth, bar the canines and a couple of incisors.

I'm quite aware that I'm happy with the practical procedures side but not as confident with internal medicine so Nam said I need to push myself and do some more consults. I've been calling patients in to take a history, do a clinical exam and then call a vet in at the end to dispense meds and answer any questions they owners have. They see lots of skin disease, ears and trauma (cat bite abscesses, RTA etc) so once you've seen a few you get an idea of the treatment plan and how other vets treat them.
Some of the diabetic cases are really interesting as the owners are more switched on and have really good control and we saw three dogs this week with ascites and Dilated Cardiomyopathy; sadly one which died at home overnight after we examined her as the owner hadn't been giving medication for the past month.

This afternoon the Friday (cat) cesarean came in which Nam sorted pretty quickly and she had two healthy kittens.

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