Friday, November 13, 2015

November 12, 2015 - Interview Day

Today when I arrived at Durant Animal Hospital, my objective was to obtain my interviews.  I was told previously by staff that Tuesdays and Thursdays were their slower days therefore, I scheduled my day for interviews on a Thursday.

It was still busy at the hospital and I had to make sure that I kept my interviews to a minimum. Not everyone wished to participate in the interviews and I respect their decision.  Those that did were happy to answer my questions and share their experiences and knowledge with me.  It seems that they all enjoy their work at the hospital and enjoy talking about it but like I said, not everyone wished to be "quoted" or have it put down on paper in black and white.

One thing that I did observe and felt kind of odd about was the fact that during a regular day at the hospital, communication flows freely and automatically but when faced with an interview, I had to steer my participants in certain directions in order to get the results or answers that I wanted.  For some of my interview participants, speech was difficult or short winded and I had to dig deep for complete answers.  In some cases, my observations of the daily happenings at the hospital answered my questions better than the interview itself did.

I am at this point forming a theory about people who work with animals (keep in mind that it is only a theory based on my personal opinion) and that theory is:  people who work with animals tend to understand and bond with animals better than they do with people. They tend to be more understanding of the animal(s) and communicate with them not only through spoken language but mostly through their actions and body language.  It appears that they are more comfortable forming these bonds between animal and human than they are between human and human.  The communication from human to animal is very comfortable and flows freely but the communication between human and human is something that they need to work at and comes with some form or degree of difficulty.

I have found through my observation that there is a true literacy between humans and animals.  Animals have a fight or flight reaction.  If an animal feels scared, in most cases, they will take flight but when an animal feels threatened, the fight instinct takes over and they go into fight mode.  When dealing with animals, humans tend to be more patient and use their tone of voice to aide in their interactions with them.  Animals do not understand speech but they do understand the tone used when spoken to.  You could say the stupidest or meanest thing to an animal but if spoken sweetly, that animal is going to respond to you with positive results.  Funny I know.  Body language is another form of literacy that takes place and is very important when dealing with animals.  If you go towards an animal in a threatening manner, that animal is going to perceive you as a threat and potentially react with their fight mode.  If approached in a non-threatening manner, the animal is probably going to be curious and possibly a little apprehensive but they will be approachable.  When dealing with animals, size can also mean a lot.  Think about it, if you were approached by an elephant in their own habitat, you would probably be a little scared, as just the elephant's size alone is intimidating; well the same is true for animals.  When dealing with an animal that is smaller than you and one that is scared or intimidated, the staff at the hospital tends to decrease their size (possibly getting down on hands and knees for instance) and approach that animal with care and loving concern.  This sort of approach lessens the animals fear and they become more curious, interested, and accepting about what is going to happen.  When the staff is dealing with an animal larger than them, they still approach the animal with concern but in an authoritative manner.  Every animal is used to a herd hierarchy and in that hierarchy, there is a dominant animal followed by the submissive animals. When approaching an animal that is larger than them, the staff must take that dominant factor and use it (no fear as the animals can sence it) showing the animal that they are the dominant in the herd hierarchy.  You don't want to approach a 1200 pound horse on your hands and knees in a submissive way, the horse will walk all over you.  You must approach them in a caring yet authoritative manner (saying to yourself and the horse in your body language that, "Yes, you are going to stand there and let me give you your shots and you are going to do it properly."

During my interviews and observations, I have a better understanding of the literacy that is used and takes place at an animal hospital.  This literacy can make a huge difference in how the client or patient responds to the staff and could possibly be the difference in how smoothly a procedure takes place with positive results.

Below, you can observe my questions and the staff's answers to the questions asked during an interview.  I have also included a picture of the staff member that was interviewed.  Following the interviews, you will see copies of my field notes for the day.


Interview Questions




Doctor Boyd Mills, DMV
 


Wade Peterson, Kennel Assistant
 


Wanda Gibby (GiGi), Head Surgery Nurse


 


Michelle Woodson, Certified Technical Assistant and Lab Assistant
 



Becky Peterson, Kennel Assistant
  


 Field notes from November 12, 2015; interview day.

 











Monday, November 9, 2015

Monday, November 9, 2015 Visit with field notes and pictures

It is Monday, November 9, 2015 and I arrive at the hospital at approximately 11:30 am.  It is not too busy today and I hope to really get some questions in today.  It has been almost a month since my last visit and everyone seems to remember me and I am greeting with welcoming gestures.  It appears that the staff is becoming more comfortable with my presence here.

I am told that Doc is in surgery and I walk in and am greeted warmly.  Doc jokes with me telling me that they thought they had all scared me off.  I explain to him that things have just been crazy at college and he laughs telling me that he remembers his college days.  We discuss the crosswalks at the college while he is performing a c-section, a pretty common procedure for Doc and one that I have witnessed many times already in my short time here.

Conversation is pretty intense today with a lot of veterinary terminology being used.  I am able to follow most of it and question some that I am not familiar with when time permits.  I am really observing the literacy taking place today and forming more questions for Thursday when I plan to do my interviews.  I have been told by staff members that Tuesdays and Thursday are their least busy days therefore I have chosen Thursday to perform my interviews.

The schedule at the hospital is running smoothly today and the staff goes over some of the scheduling for the upcoming week.  Doc exams some animals and jokes with the clients telling many stories of his past. I am thoroughly enjoying his stories and am able to relate to a lot of them through past experiences with my own animals.

Doc discusses some breeding procedures with me and I ask questions for better understanding.  We discuss in and out breeding and why it is important while he discusses it with a client also.  Today is a very laid back kind of day, one in which I am able to learn a lot.

A possible rabies case comes in.  This is an area that I will not observe as it can be a very touchy subject for the owner and also for my safety.  I do not know if the animal brought in is alive or already deceased.  I am told that the client already has one animal there at the hospital in quarantine being observed for possible rabies.  Doc walks out carrying a white bag which I am assuming is the deceased body of the possible rabies case.  I do not ask any questions on this very sad subject.  In this environment, not every outcome is a happy one and one I must train my heart to accept.

While Doc is at lunch, a dog with a possible broken front leg comes in.  One of the other vets is performing the exam on the dog.  The dog is brought into x-ray to have it's leg x-rayed.  I am able to view the x-ray and find the fracture in the bone. I will  include a picture of this below.  It is not everyday that one gets to view an x-ray and see the results. This is a very neat cultural artifact that I am able to share with you.

With today being a slower day, I am able to go through the hospital and take a lot of pictures of cultural artifacts which I will share with you below.  You will also be able to view my field notes for the day.












Large Capacity Automatic Autoclave - used for sterilization of surgical tools.

X-ray machine and apron

microscope
 
Catalyst One Machine - used in Chemistry - used to test chemistry profile, electrolytes, liver function, CBC testing, testing for safe administration of anesthesia dosage, thyroid disease, fructosamine / diabetic testing, phenobarbital levels and urine P:C ratio for renal disease.


Procyte Dx - used for hematology - used to test blood count, five-part white blood cell differential, absolute reticulocyte counts, presence of band neutrophils, nucleated red blood cells, body fluid analysis, abdominal/thoracic and synovial fluid parameters.

Blood Rocker (on the left), used to mix the blood and keep it from clotting - VetLab UA (on the right)- used in urinalysis - used to test urine samples for pH, LEU (leukocytes), PRO (protein), GLU (glucose), KET (ketones), UBG (urobilinogen), BIL (biliruben), and BLD/HGB (blood/hemoglobin)


Mediums  used in testing

Multipurpose Centrifuge - A centrifuge is a laboratory device that is used for the separation of fluids, gas or liquid, based on density. Separation is achieved by spinning a vessel containing material at high speed; the centrifugal force pushes heavier materials to the outside of the vessel.

Catalyst DX - used in chemistry - comprehensive equine (horse) testing, NSAID therapy, test chemistry profile, electrolytes, liver function, CBC testing, testing for safe administration of anesthesia dosage, thyroid disease, fructosamine / diabetic testing, phenobarbital levels and urine P:C ratio for renal disease. Can test up to 30 slides at one time and results received in 7 minutes or less.

Small Animal Warming Unit with Oxygen

Medical liquids

Gauzes and Medical Tape

This is the x-ray screen with the x-ray of the small dogs leg with a fracture.

Closer picture of the x-ray showing the fracture.


Close-up of the fracture.  It is located on the upper bone in the center of the curve.