
It was a quarter to two, when I woke up, realising that I had been invited for 2 PM.
It was clear that I would not make it in time. Not something that was taken lightly in Switzerland… Thankfully I had very forgiving hosts.
While driving out of the city, I reflected, that I had made it to the halfway point of my assignment, to the 21-kilometre mark of a marathon.
It is vital to still feel good at this point, if you want to last the whole distance, and so I did. I had slept well and although the workload had been considerable in the first two nights, I had found brief periods of rest in the early hours, before the first patients that had not looked right at their morning walks, had turned up.
Nao and Patrick, who had invited me, were also veterinarians, but of a very different breed – veterinary dermatologists, and in fact some of the best in their field.
By now the sun had come out, we were sitting in their garden, and I took full advantage of the output of their high-end Italian espresso machine.
The whole atmosphere was a stark contrast to my nocturnal activities and while my friends were listening intently to my recollections of some of the events of the previous two nights, they could not imagine, putting themselves under the same sort of strain again.
For them, it was a matter of the past, something they had done during their training at university.
Running a very successful dermatology referral service had the indisputable advantage, that in their line of business, emergencies were extremely rare, if not unheard of.
There are not a lot of skin diseases, that develop into a life-threatening condition over night.
Reflecting on this and having to agree, I thought “….but you don’t know what you are missing…..”
Back at the clinic, I said hello to the nursing team, that had supported me so much over the previous two nights, but I noticed that the head nurse, who had not looked too well last night, appeared even worse now. Sure enough, she was already on some medication, but had dragged herself to work, as some of the other nurses had already called in sick.
The situation was not much improved by a first look into the critical care ward, where the oxygen generators were firing on all cylinders.
It turned out to be a night of mostly heart and lung patients, that were struggling with the warmer spring weather.
Radiographs confirmed the sad story of enlarged cardiac silhouettes and B-lines on the emergency ultrasound scans indicated the presence of water in the lungs. Some of these, predominantly small canine patients had arrived already with their own supplies of heart muscle stimulating, blood vessel dilating or fluid draining medication, others were first timers that despite their young age were already challenged by their narrow airways, deformed chests or genetically predisposed heart valves, that were “normal” features of their breed standard.
Regardless of their background, they all appreciated that extra bit of oxygen, that made their condition slightly more bearable, until – hopefully – the adjustments of their medication would improve the situation.
In the early hours of the morning the head nurse finally disappeared and I was not expecting to see her back again the following night.
Later, I handed my patients over to Audrey, the lead vet.
I instantly liked Audrey – calm, analytic, competent. In fact, a walking encyclopaedia.
“There are people that just talk and there are people that just talk… sense.” I thought to myself, and I was silently hoping that someone like Audry would look after me, if I myself would require any emergency treatment.
In a calm and efficient way, Audry took in my report, made the necessary notes and adjustments on the treatment plans and addressed any uncertainty with professional reasoning.
I was in no doubt that my patients were left in good hands.
(to be continued…)































































































