Thursday, December 7, 2017

The Riptide Project: helping our profession, one cuppa at a time

cuppa, tea set, riptide project


Imagine being able to debrief over a cuppa with a veterinarian who gets it? Or gaining an insight into the career trajectories of others? The Riptide Project, established by New Zealand veterinary student Vicki
Lim provides just that. They’re looking for stories, and veterinarians – anywhere in the world – who are prepared to share their wisdom over a cuppa with other veterinarians.

Vicki explains how it works here.

How did you get the idea for The Riptide Project?

The Riptide Project currently exists in two forms. One is the sharing of stories from veterinary professionals from all over the world. The other is the “cuppa” register where veterinary professionals can get in touch to either give or receive a cuppa.

I was initially working on a different veterinary mental health initiative. I left when it began to take on a more profit-driven direction, as that didn’t sit well with my personal views on improving mental health in the veterinary profession. I was already slated to speak at WSAVA 2017 in Copenhagen so had to come up with something else on the fly, so I looked towards my previous experience in the industry. 

As a vet student, one of the things I really enjoyed was getting out and seeing practice and interacting with the vets and nurses. So many people in our profession have such diverse and valuable experiences. I wanted to share these insights with other veterinary professionals in the hope that it would strike a chord with them, or provide a perspective that they would not have otherwise experienced.

I’ve very thankful for the support of Hill’s Pet Nutrition NZ, Boehringer Ingelheim NZ, and Massey University, for their generous help in bringing The Riptide Project into being. I wouldn’t have been able to do this on my own!

How does it work?

I have an informal chat with the vets and nurses you see on the page. It usually takes an hour or so, and I try not to ask any pointed questions – I prefer to let the people ramble and share their stories. The conversations are recorded and transcribed, so it’s easier for me to be mindful while I speak with these veterinary professionals, rather than try and remember verbatim what they’re saying. I upload a selection of quotes with photos – a good number are shot in film, to keep it old school and even more intimate.

As for the cuppa register, veterinary professionals usually write to The Riptide Project directly, or the learn about it from the website at https://www.theriptideproject.com/cuppa.

To date, we have had way more people willing to give their time and a cuppa to a fellow veterinary professional than people who have written in to ask for one, but we’re hoping to change that and get some cuppa buddies going!

Have you had many people sign up and are you looking for more?

The interest in people who are keen to help out has been really heart-warming, but we are definitely still looking for more!! It’d be fantastic to get this off the ground and to a point where these veterinary professionals who want to help their colleagues are able to do so easily. So if anyone who is reading this needs a listening ear, or who wants to be one, we want you!

How do you think vets and nurses can help each other?

I think the dynamics of each vet/nurse relationship really differs, so it’s hard to generalise. But some of the best vet/nurse relationships I know of involve experienced mentors devoting time and attention to fresh graduates, highly skilled nurses who are able to pre-empt vets’ needs, and enable them to perform their duties efficiently (and vice versa), and vets/nurses who are just great mates. 

I once asked a vet and nurse together what helps them to cope with the stresses of the job, and they both pointed at each other and said “her”. Having a supportive workplace and colleagues is essential, and I think the sooner we come to the realisation that we are all one big team, the better.


For more information, visit www.theriptideproject.com, check out their facebook page https://www.facebook.com/theriptideproj/ or follow on Instagram: theriptideproject 

Sunday, November 26, 2017

Are smaller dogs better?

small dog, microdog, dog breeding, dog welfare
Phil is hoping whatever is in the oven is for him.

Small dogs are growing in popularity globally. Because I happen to cohabit with one, a colleague recently forwarded an article about some of the welfare issues around breeding for size (specifically, lack thereof). Not that I bred or even chose Phil, but that's another story.

Prospective adopters may be attracted to smaller dogs because of a perception that they are easier to care for than larger dogs (not always the case), they are cheaper to keep (definitely true when it comes to food and veterinary fees although there is significant individual variation), they’re easier to keep in high-density urban areas (often pet-friendly apartment complexes place a size or weight limit on dogs - this be a can of worms that I will leave unopened for this post), they’re easier to transport (that depends), they often live longer and they’re “cuuuuuuuuuuuuuuuute”.

This article raised a concern that because of the shrinking (in size) canine population around the world, some breeders tried to capitalise by breeding for miniature dogs, either by line-breeding, introducing smaller breeds or selecting for chondrodysplasia (abnormal development of cartilage and bone associated with shorter legs, made famous by Dachshunds, corgies and so forth).

None of the above strategies are foolproof and some may introduce inherited disease. The other issue raised is that unscrupulous breeders may try to breed “un-thrifty” dogs to create smaller animals, or even adopt out puppies at a very young age (I have seen the latter time and again through online selling of pets – the owners are mislead). Another technique mentioned which horrified me is the restriction of food to stunt the growth of puppies.

And small breeds aren’t perfect. Phil, the poster-child for dental disease (now living with zero teeth and the tiniest little jaw on the planet), is a good (or bad – depending on how you look at it) example. Smaller dogs are more prone to severe dental disease, retained deciduous teeth, bone loss and even jaw fracture. They’re also more prone to tracheal collapse, myxomatous mitral valve disease (MVDD), and different types of lameness (patella luxation, femoral head necrosis) than their larger counterparts (cruciate ligament rupture and hip dysplasia). Females are more likely to require a caesarean due to disproportionate foetal size.

Smaller dogs reportedly have increased risks of adverse drug reactions and anaesthetic complications, although the latter relate largely to drug dosing and anaesthetic monitoring/supply of an appropriate external heat source, which can be controlled.

They’re more likely to suffer from dehydration when they’re sick, e.g. with diarrhoea, because they’re tiny and lose a lot of fluid. They’re more likely to get sick from eating human food, simply because we tend to feed them proportionally more than we might feed a larger dog (these are generalisations) and they’re more likely to have behavioural problems. Again, the latter is likely – at least in part – to be due to our management of small dogs. Because there is a perception that they do little if any harm, humans tend to tolerate behaviours such as growling and snarling when moved off the couch, that would be unacceptable in larger breed dogs. They may miss out on opportunities to socialise if they’re being carried around. And their tiny bladders make them harder to toilet train, simply because they fill a lot more quickly. 

This is an issue because dogs may be surrendered to shelters or euthanased for problem behaviour.

The article is not an attempt to trash small dogs, or any dogs. Dogs are beautiful, majestic, amazing creatures. This is a people problem. The point it makes is that selection of a dog for size only is problematic, is it can be associated with (some unintended, some simply ignored) negative welfare impacts that are lifelong. The article is making a case for veterinarians to prepare for an increased case load of smaller dogs.

It’s a reminder that we need to really reflect on the way dogs are bred, and the traits that humans select for.

Reference


Freyer, JL (2017) The small dog trend: impact of size on pet health. Veterinary Focus 27(3):2-8

Monday, November 20, 2017

The Recent Graduate Survival Seminar and an update on the Vet Cook Book

puppy, hiding
First day at work feels?
It’s that time of year again – final-year students from most Australian veterinary schools are about to graduate into fully-fledged vets.

The first year out isn’t easy. Despite the hours (and there were many) of practical, clinic-based learning it’s still not the same as being confronted with animals we are ultimately responsible for. Competence and confidence take time to develop (and so they should) – but it’s easy to be impatient.

As a mentor of new graduates, and receiver of the occasional distraught phone call, I recommend seeking support, attending continuing professional development events (if not for the knowledge, for the networking), and having something non-veterinary in your life that can recharge you.

Every year the Centre for Veterinary Education (CVE) runs the Recent Graduate Survival Seminar, a one-and-a-half day review of the skills you will need when starting or returning to practice.

The theme is clinical reasoning, which is common across all areas of practice.
Among the speakers this year are colleagues James Carroll and Anthony Bennett, who were in my year at uni and are now successful mixed practitioners in Southern NSW and stars of the TV show Village Vets. There’s also Professor Geraldine Hunt, who taught us surgery, invented a novel approach for porto-systemic shunts, could close wounds that no one could believe would heal (they did), and is about as flappable as Ripley from Alien (although internally she did have anxieties like other vets, documented in the excellent book Pitfallsin Veterinary Surgery).

Also on the program are some amazing speakers including medical doctors, cattle vets, mixed practitioners, pathologists, regulators and specialists.

I will be giving a talk called “why is it so hard to be a good vet”, about some of the ethical challenges that practice throws our way.

If you want to check out the program or enroll, visit here. It has been designed to be as affordable as possible.

If you’re interested in reading more about clinical reasoning, there are three fantastic articles on clinical reasoning in fine medicine available via the Journal of Feline Medicine and Surgery.






The other big news is that the CVE threw their support behind the Vet Cook Book and it’s in the process of being printed. The Vet Cook Book, for those of you who recall, is an attempt to promote collegiality by collating recipes and stories from veterinarians, nurses, groomers, kennel-hands, doctors, receptionists, counsellers…anyone involved in our profession.

Behind the scenes there have been some very intense weeks between the editors, the team at the CVE and the printers. Things one takes for granted – turning 100+ word documents into a single volume, working out how to price a book you don’t know how many copies you will sell, working out the weight of pages in advance – has been challenging.

The book is now for sale via the CVE website, and there is a discounted price for students and nurses. You can order here - you do need to create a login, but it doesn't take long.

It contains recipes, stories and mental health tips.

Late last week we received the news that a number of organisations have come on board as sponsors. This means that if we sell all of our copies we should have some funds so that the CVE can develop and provide a mental health resource (the details to be worked out – we’re going to consult a number of groups including contributors once we have the figures).

As we state in the book, we’re under no illusion that a pavlova will end mental health issues or even the shocking suicide rate in our profession. But we do believe that making and sharing meals with colleagues is one way to start meaningful conversations.

DECLARATION: I work with the CVE on a volunteer basis from time to time.

Thursday, November 2, 2017

Charity to help pets of the homeless launches nationally

Pets in the Park
Pets in the Park provide vital veterinary care for the pets of the homeless and at risk of homeless.

Around 105, 237 people are homeless in Australia, and many live with companion animals. As a regular volunteer for Pets in the Park, I’ve seen the mutual benefit derived by humans and animals in these situations, and the importance of access to veterinary care.

Tomorrow, Pets in the Park – an organisation founded in 2009 – is launching nationally. Yvette Berry MLA, Minister for Housing and Homelessness, and the Honorable Dr. Andrew Leigh MP, Shadow Minister for Charity and Not For Profits, will be speaking at the event to be hosted in the ACT.

Pets in the Park (PITP) will officially launch its community services in the ACT, aimed at helping people in the Canberra area who are experiencing or are at risk of homelessness by providing free veterinary care programs for their companion pets.

“For many homeless people, having a pet provides the unconditional love, companionship, emotional support and security that they’re unable to find elsewhere,” PITP Director and founding member Mark Westman said.

“The benefits of this bond between owner and pet are immense; including increased social, emotional and physical health. However, although pet ownership greatly enriches the quality of life of those who are experiencing homelessness, it can at times come at a significant financial cost and result in the forfeiting of personal welfare. This is where Pets in the Park comes in.”

PITP began in Sydney. Today, PITP runs free monthly veterinary clinics in NSW (including a mobile ‘outreach program’ clinic in Sydney), Queensland, Victoria and most recently the ACT.  The monthly clinics operate on the first or last Sunday of every month (depending on the clinic) and are run by a strict client referral system.

The organisation relies on volunteer veterinarians, nurses, students and others to deliver excellent service to people in need. It doesn’t take too much out of your day to make a huge difference to someone’s life, so I’d recommend volunteering. You’ll also meet some amazing people.

The ACT program commenced in April this year as a monthly clinic service in collaboration with the Uniting Church Early Morning Centre in the Canberra CBD.
PITP relies on community donations and the financial support of sponsors and community grants. All donations are 100% tax deductible.  The charity is also supported by veterinary practices that donate surgery space and surgical procedures. Clinics can make a huge difference in this way, whether its donating desexing or other important services like orthopaedics, dentistry, lump removals and so on. 


For more information about PITP, visit www.petsinthepark.org.au or visit PITP on Facebook - PITP NSW, PITP Melbourne, PITP Frankston, PITP Brisbane and PITP Canberra. 

Sunday, October 29, 2017

Self care just became a professional obligation for doctors - and its about to be for vets


This goanna was soaking up the heat on the road to a bush trip I did with AMRRIC last week.

Self-care just became a professional obligation for doctors, and it’s about to become so for veterinarians.

This month, on October 15, the World Medical Association ratified some key changes to the Geneva Declaration – a kind of modern-day Hippocratic Oath.

A petition, started by New Zealand doctor and signed by over 4700 doctors in Australia and New Zealand, called for the addition of apledge about self-care.

The ratified change reads thus:

I WILL ATTEND TO my own health, well-being, and abilities in order to provide care of the highest standard;

(You can read the full declaration here…its fascinating).

This change is a big deal. Although we know that doctors and other health professionals – including vets and vet nurses – suffer from health issues, there remained an absurd notion that a health professional put their patients interests, always, above all of their own. This just doesn’t work. To do their job properly, health professionals need to eat, sleep, and attend to their physical and mental health.

The Australian Veterinary Association is currentlyreviewing its professional code of conduct, and care for self and others is part of that too.

Self-care, and care for one’s immediate colleagues, has been formally recognised as an ethical and professional obligation.

Speaking of self-care and caring for colleagues, the VetCook Book is entering the final stages of preparation. The fantastic team at the Centre for Veterinary Education are finalising the design and layout, and this resource – designed to promote collegiality with cakes, curries and carbs on the side – will soon be available to purchase.

I don’t want to jinx it by sharing the tentative publication date. Pulling together a project this takes an army of people, there are so many details to finalise and little challenges to sort through, and things can change. But a date has been floated! Believe me, it hurts not to share!

The CVE have been amazing in supporting the vision, coping with our creative quirks and managing a pretty unwieldy bunch of word and image files. They’ve donated their time and their skills, and they’re really keen to support the well-being of our profession.

This is not a money-making exercise, but any proceeds raised will be donated to mental health resources available to all veterinarians.


Please jump on facebook and like the Vet Cook Book page, and watch this space!

Wednesday, October 18, 2017

What’s going on with Small Animal Talk?

Hero, three legged cat, tripod, cat grooming
Whatever I do Hero will be there to ensure that my desk is pretty much unusable because he will plonk himself in the middle of it and demand my undivided attention. Here he is doing his impersonation of a meerkat.
Well, folks, I will be posting a little less regularly. The reason is that I’ve committed to a very large animal welfare and ethics project, one that I hope will make a difference and - in some ways - consolidate a lot of the work I am doing. And I needed re-evaluate my commitments.

I don’t want to reveal too much at this stage, but I will keep you informed as it progresses.

I will still continue to post, just not three times per week as previously. I suspect that, in this era of information overload, it won’t be a big deal. Nonetheless there are some regular readers who have kept up with just about every post and sent me suggestions and comments.

Please keep the ideas coming, and I look forward to keeping in touch.
One another note, earlier this year I was asked to write an opinion piece for Sydney Alumni Magazine. I wrote about how we can make a difference with personal choices. You can read it here.

Finally, Perth based artist Helen Norton (interviewed by SAT earlier this year) currently has an exhibition called "Dog" on in Sydney until November 11 at Michael Commerford's Gallery. Find out more here.



Wednesday, October 11, 2017

Do animals get bored?

boredom, bored dog
How do you tell if an animal is bored?

Do animals experience boredom? Those of us who cohabit with companion animals are generally convinced they do, but science is catching up.
In a review article(Burn, 2017) looking at boredom in non-human animals, Charlotte Burn claims that “chronic inescapable boredom is neither trivial nor benign.”

Burn argues that boredom includes sub-optimal arousal and aversion to monotony.

She discusses triggers of boredom, like spatially and temporally monotonous situations, confinement, and its effects - like frustration, stereotypic behaviour, disengagement and cognitive impairment. We know that for bored humans, time seems to drag. We know that monotony causes some individuals to seek novelty, even stimuli they might normally avoid (in humans, boredom is one factor associated with addiction). Chronic, inescapable boredom is “extremely aversive”, and under-stimulation can reduce physiological and behavioural flexibility.

Despite its significant welfare implications, animal boredom has been neglected by science, which is concerning given that most animals studied by scientists are confined in relatively barren environments for their entire lives. Yet we know that to develop neurologically, most animals need species-appropriate stimulation.

Boredom perhaps has an evolutionary advantage in motivating animals to seek stimulation and learn. It might even motivate some animals to leave their homes and seek new territories, or try new foods, or new behaviours.
Restricted periods of boredom may be helpful in motivating us to learn. But prolonged, inescapable boredom has negative effects, including damage to the central nervous system (the brain can literally shrink).

Environmental enrichment may alleviate boredom, but only if the enrichment is perceived as stimulating and relevant to the animal.

Burn’s article documents significant evidence that boredom exists in animals. She summarises various studies which highlight potential indicators of boredom (for example preference tests, escape behaviour, negative cognitive bias), indicators of sub-optimal arousal in humans and animals (for example, decreased HPA (hypothalamic-pituitary-adrenal) and SAM (sympathetic-adrenomedullary) activity, and EEG (electroencephalographic) patterns) and other indicators including time perception, disrupted sleep, and abnormal, repetitive behaviours.

Some may consider the study of boredom to be a bit of a “luxury” compared to study of other established animal welfare problems like pain and stress. Burn does not agree.

She writes: “Given the intense distress that prolonged boredom can cause in humans, and the cognitive damage to which under-stimulation can ultimately lead, it is potentially a severe and highly prevalent animal welfare issue neglected too long.”

There is a need, she argues, for scientists to investigate the biological basis for boredom, and to evaluate techniques and strategies to combat boredom in humans and in animals.

The implications for anyone housing animals are huge. That includes people working in laboratories, zoos, aquariums, sanctuaries, farms and companion animal owners. Which species are most susceptible to boredom? How do we ensure that confined animals experience appropriate stimulation for their development? Which interventions can offset boredom?

This is a paper worth reading in full. In terms of companion animals there are a number of ways we can offset boredom. Interacting with them in a meaningful way – whether it’s going for a walk, engaging in training, petting or grooming, providing appropriate environmental enrichment or even companionship with their own species can all help to offset boredom.

Different animals at different stages in their development may require different 
types and levels of stimulation.

Reference


BURN, C. C. 2017. Bestial boredom: a biological perspective on animal boredom and suggestions for its scientific investigation. Animal Behaviour, 130, 141-151.