Wednesday, March 6, 2013

Guatemala seen through Dr. Lechten's eyes....


It has been two weeks since we left Todos Santos, Guatemala.  It was a wonderful experience and I can’t wait to go back next year.  Natalie and Melissa did a great job talking about our day to day experiences, so I am going to use my blog to just give some general observations.

 
The Veterinarians Without Borders group was a wonderful mix of people and I now consider them all friends.  Elena and Guillermo are the program directors for VWB/VSF in Latin American.  They are a wonderful couple with a great passion for what they do.  Tracy and her technician Stacey are from Victoria.  Tracy has worked in Todos Santos longer than anyone!  She does an amazing job of figuring out how to anesthetize animals using only the drugs that can be purchased in Guatemala.  Believe me, it is not an easy task to safely anesthetize animals and provide them with pain free surgery with limited drugs and no gas anesthesia.  And yet, Tracy comes up with an incredible protocol that does just that.   Kelleigh was a final year veterinary student that had previously spent time in Todos Santos.  Kelleigh was a fabulous help all the way around.  Marian was originally from Puerto Rico so was able to help out with Spanish translation.  She also kept the recovery area running smoothly and made sure that all surgeries got a good meal and some extra food to take home.  Marian was assisted by Janne who swore that she was afraid of dogs and didn’t particularly like children.  Janne is a fund raiser supreme for VWB.  By Day two she was also known for her kindness to all of the children and her gentle hand as she assisted Marian with recoveries.  Marian, Janne and Kelleigh did not have it easy with as many as eight recovering dogs AND THEIR FAMILIES all in their small recovery area at one time.  Stephanie is a technician from Barrie that was a huge help with Spanish translation and everything else.  Adriana, Andrea and Heidi were Guatemalan veterinarians that joined the group for the first half of the week.  They were tremendous to work with!  We are very excited to say that Heidi is coming to Barrie to visit for the month of May!  And of course, there was myself, Natalie, Melissa, Dr. Rogers and Lynsay from Allandale. 

 
Todos Santos is a beautiful village.  It is surrounded by mountains which are covered in plots used for farming.  We were told that the people can be somewhat suspicious of strangers.  However, overall we found everyone to be very open and welcoming.  Despite the language barrier, we were able to make a connection with many people.  The villagers that brought their pets for care were grateful to be able to provide their pets with surgery and/or vaccines.  The pets may not have been cared for in the same way that many of our pets are, but they were absolutely loved.  There were people that walked substantial distances while leading their dogs, carrying their cats in bags, corralling small children and carrying babies on their backs.  These people then filled out paperwork and patiently waited their turn.  Rabies vaccines were given on a first come, first serve basis.  Surgeries were by appointment, but that still didn’t eliminate waiting.  Since many people had walked a fair distance with their dog for surgery, they watched the surgery, and then waited while their pet recovered enough to be able to walk home.  For many people this meant spending the entire day.  And yet, there was never a complaint.  Instead it was a joyous atmosphere – children playing, people chatting, everyone milling about and watching surgery.  Many people stopped by simply to see what was going on.  School children in particular enjoyed the opportunity to watch surgery.

 

There were several dogs that had been coming for years – Junior the Dalmatian, Terry the Rottweiller.  They were well cared for and the owners were quite proud of their pets.  There were a few dogs and cats that were thin, but the owners were quite open to discussions of how to provide better care for their pets.  In most cases, the pets eat what the owners do – tortillas, potatoes, a bit of meat.  Dogs and cats do not really provide any meaningful benefit to their families other than companionship.  And yet, people who have very little themselves share with their dogs and cats.  That is obviously a sign of how much they love their pets. 

 
We provided new collars and leashes to all dogs that had surgery.  Unfortunately we did not have enough to provide collars for the vaccine patients.  Collars are very important as many dogs run free.  Dogs and cats without collars are thought to be strays so are often poisoned.  We are planning to have a collar/leash drive prior to next year’s trip in the hopes that we can provide every pet that visits with at least a new collar. 

 
We worked hard and lived simply while we were in Todos Santos.  It was a good reminder to be grateful for everything we have.  Our rooms were cold at night as Guatemalans (even in larger cities) generally do not heat their homes.  Our showers were in a shared washroom and were often chilly.  And our meals were eaten outside on a rooftop terrace (sounds romantic, but is actually quite cold at 7 in the morning or 8 at night).  However, we got to come home to comfy houses with hot showers.  The food we had while in Todos Santos was delicious.  We ate three healthy meals per day and didn’t overeat as we tend to do at home.  Again, a good lesson that I wish I was better at sticking to. 

 
Overall I can’t say enough about our experience with Veterinarians Without Borders, the new friends we made, the people of Todos Santos and the animals we helped.  I feel very blessed that I was able to contribute to improving the lives of people and their pets.  The visits to Todos Santos have a tremendous impact.  The incidence of rabies in animals and people is being reduced, the number of strays is being reduced and pets are healthier.  I can’t wait to go again next year and hopefully we can do even more!

-Dr. Patricia Lechten

Friday, February 15, 2013


Day 5... a blog from Melissa

Landing in Guatemala City airport was what I expected. Small customs area and 2
old X-ray machines for your luggage. Customs was good,  they only opened one tote
(out of six) and did not have any problems with what we were bringing into their country.
So that was the start of our journey. We needed to head to Todos Santos, as this is the town where we would be working. We squished 8 people ( 9 if you count our driver),a huge wooden box, ( carrying the autoclave) our 7 totes and all of our hiking bags and off we
went. Now Todos Santos is not far in Kilometers, however it is a 8 hour trip, as all the
roads are winding and very steep. The Guatemalan's are very aggressive drivers,
there were a few times that I thought we may go over the mountain's edge! We arrived at night and was met by veterinarian (who is a part of Vets Without Borders) and she showed
us to our hotel. The conditions are poor, our hotel is more like a hostel. There were 3
double beds, with futon mattress on plywood and one old wickety desk, covered with
cement walls. Very little bugs here, and have not seen any bed bugs, so it could be
worse. Our shower is electric, and does not get warm, let alone hot, so we are definitely
getting cold showers. We get up each morning at 6:30 am and head to a house where
these ladies feed us breakfast. They also bring lunch to us and we return back to their
house for dinner. The food has been pretty delicious, chicken, beef and
banana pancakes, mmmm. We head over to the auditorium for a start to the day.

People walk for miles to get their pets vaccinated, or spayed and neutered. For the
most part these owners love their pets, and the pets love their owners. Their conditions
are poor, under-weight, infested in fleas and filthy. Vaccines go on all day and we do
surgeries in the morning so they are awake to go home at 5 when we close the doors till
the next day. We definitely have language barrier as they speak two languages,
Spanish and MAM. . The surgeries are tricky as there is only limited drugs for anesthetic and no oxygen, but everything has been going well. I am excited to say we have spayed and neutered 52 dogs at this point and vaccinated 273 dogs and cats. We do have one more day of vaccines and surgeries tomorrow, but then ending Saturday with inventory for Vets Without Borders trip in 2014. The trip has been a amazing experience so far.

Thursday, February 14, 2013

Happy Valentines Day from Guatemala!





Day 4 in Guatemala- an update from Natalie

People start to line up in front of the "The Salon" at about 8 am. I've been told
they walk from as far as 3 hours away to have their pets vaccinated and spayed
or neutered. They meet with one of the local women who helps them fill out the
form for our records and many sign with just a thumbprint. Then they have
a seat and wait for their turn, I'm sure some of them are just happy to be out
of the hot sun and they don't mind the wait. The dogs can be quite aggressive
here so we place a slip lead over their head and ask the owner to place a
muzzle on their pet. It's for our safety as well as it helps to keep the dog calm.

We have stations set up for vaccines or surgery so we then bring owner and
 pet to the appropriate station for the veterinarian to examine and vaccinate.
We have a translator to help us determine if there are any problems. The Dr.
 does a thorough exam and we vaccinate for rabies. If they were scheduled
for surgery they go back to the front area to wait for a technician to come and
sedate them for surgery. Once the dog is sedated we wait for the drugs to take
effect. As theywait, the technician is getting the drugs and surgery table ready.
The technician then brings the dog to the table and anesthetize him or her.
The surgery is performed under very primitive circumstances and when finished
the dog is placed in recovery. All the while this is going on the owner are
watching and waiting. The owners sit in recovery with their pet for a couple
more hours. Until their pet is able to get up and walk out of "The Salon".

The end of day brings us to cleaning up and preparing for the next day.
After a very long day we head back to our room to freshen up for dinner.




Wednesday, February 13, 2013

Day 3

Here are the latest photos sent by our team from Guatemala...Looks like they are having some long busy days!

Surgical pack prep area- Natalie and Melissa

Spaying "Rebecca" as her family watches on
All dogs get muzzled for safety

Tuesday, February 12, 2013

Day 2 - Working in Todos Santos

Here are some photos sent early this morning from our crew in Todos Santos. Viewers please be advised some photos may be graphic to some.




Some of the children bringing their pets for care

families with their pets

getting an exam

unpacking and sorting supplies


Dr. Lechten operating

Melissa holding a dog for an exam

Lynsay getting a patient prepared for surgery


The children  (who look amazed) watching the team working on patients



recovery ward, keeping the patients warm


Dr. Lechten, Dr. Rogers at work
 

Monday, February 11, 2013

DAY 1



Feb 9th, 2013- Day One - an update from Melissa

On Feb 8, 2013 we started our journey to Guatemala. Our original flight was Feb 7th,

but our flight had been cancelled due to mechanical problems. So our ten day trip has

now become an eight day adventure. Now you would think that getting there would be

the easier part of this trip, however it has already been a challenge. We arrived at

Pearson Airport (Toronto), and all five of us have huge hiking packs with our personal

belongings, carry-ons, 6 large green totes full all the medical supplies, and

an autoclave. The airport was very busy as a lot of flights were cancelled, due to the

snow storm. We headed to  check-in, we loaded all our packs on,

all the totes, but when it came to the autoclave they were not going to let us take it.

This was not good, an autoclave is a machine that sterilizes surgical instruments, this

unit had been donated from another vet hospital. We had  a local company  build a

box for us with wheels as the unit itself weighs 75lbs, and now we find out that it weighs

155lbs in the crate!  Air Canada will only accept items under 70 lbs. It is very

important that we take this, as there is not even one at the human hospital to use. We

try to find a screwdriver to open the crate, we probably spent a good 45mins looking,

but no luck. Finally Janine, our baggage lady came up to us, she checked with the head of

the airlines and found they would allow us take it. We were thrilled- we made our flight

with minutes to spare. We had a lay over  in Houston Texas at 12:30 am.

We hustled to our hotel, hit the pillow at 1 am. By 6:30am (after a short nap),

we headed back to the airport in Houston to catch our flight to Guatemala. So

once again we lug our hiking packs, 6 totes, carry-ons and the autoclave to check in.
 
It was the same problem all over again. Now United Airlines would not accept

the autoclave! We could not believe we had made it this far and we were going to have

to leave it. Once again we needed a screwdriver, as the airline said they may let us

take it out of the wooden crate as it would weigh less. All of us went hunting, from

maintenance men, to police women, to running back to the hotel-  we needed a

Robertson screwdriver, and there was none to be found!  Finally they called the baggage

handler and he said he would take it, he probably could not say no to grown women crying.

So off we went, got breakfast and boarded our plane. What a great guy! So I am going to

sign off now as we head for a 3 hour flight to Guatemala. Stay tuned for our next update...


Tuesday, January 15, 2013

Fast approaching...V-Day!


About one  month away, Valentines Day will be here soon enough. A few hazards to ensure your pet doesn't become a victim of toxic ingestion...

Flowers. All species of lily are potentially fatal to cats. If possible, specify no lilies if buying an arrangement for a household with cats. If not, sort through the flowers to remove any lilies. Symptoms of lily ingestion in cats can be stomach upset, vomiting, or diarrhea. Likewise, thorns on roses or other flowers can be dangerous for dogs or other pets. Biting, stepping on, or swallowing stems with thorns increases risk for a puncture, which can result in serious infections internally or externally.

Chocolate. Many people receive chocolate on Valentine's Day—Americans spend some $1 billion on chocolate for this holiday alone—but it's important to remember that chocolate is toxic to both cats and dog. The darker the chocolate, the more toxic it is. Darker chocolates contain caffeine-like stimulants that cause gastrointestinal, neurologic, and cardiac functions that can cause vomiting/diarrhea, hyperactivity, seizures and elevated heart rate. However, any kind of chocolate—dark, milk, semi-sweet, and baker's chocolates—can cause adverse reactions. High fat in lighter chocolates can cause life-threatening inflammation of the pancreas, so make sure to keep the chocolate where pets can't reach it.

Along that note, what are you doing for your pet on this special holiday? How about giving them special cuddle time, baking dog treats in a heart, or giving them a new heart shaped tag with their name on it? There are lots and lots of ideas out there!