Tag: Pain Management

  • The wrong end of the telephone

    The wrong end of the telephone

    Pepsi3
    Jordan and Pepsi in happier times.

    A couple of weeks ago, I received the phone call I’ve been dreading since moving away to university.

    My horse had had an accident in the field, hurt her leg, and the vet was on the way. That’s all the information I received until the next call, with the vet on the other end.

    “Communication within the tarsal joint… leg swinging… don’t think the long bone is actually fractured but significant damage to tendons at the back… rapid respiratory rate.”

    As soon as I knew which way the conversation was going, I barely heard the rest.

    My girl, who I’d had for 10 years. My girl, who’d been passed from pillar to post before we gave her the stable long-term home she’d never had. My girl, who had taught me to ride by being an infuriatingly awkward cow at the best of times.

    My girl, who, when in the mood, was unbeatable and with whom I achieved a national title. My girl, who was the only one I trusted not to hurt me after my four-week stint in hospital when another horse landed on me. My 21-year-old girl, who’d been steadily getting stiffer from arthritis over the last few months. My girl, who, when I last rode about a week before this incident, was 10 times better than she’d been in a long time.

    pepsi2
    “My girl, who, when in the mood, was unbeatable and with whom I achieved a national title.”

    My girl was about to be shot…

    All the vet language stopped making sense, the clinician rationale went out the window. I just needed to know one thing, vet to vet student: is this fair? Could it wait five hours for me to tear down the M6 to say a final goodbye or would even that be an unnecessary amount of suffering?

    I think I already knew the answer.

    I felt utterly helpless and beyond reason for the following days, but as the shock wore off I was able to consider things retrospectively.

    Having spoken to the family that were with her at the time, I’ve gathered a bit more information and been able to convince myself it was the right and only decision.

    pepsi1
    RIP Pepsi.

    I’ve seen many animals have to be euthanised, for varying reasons. Some cases were more upsetting than others, but, for the most part, I’ve been able to detach myself from it – always telling myself it was for the best, in the animals’ interest for welfare reasons, and that there were no alternatives.

    They say clients will only take in a small proportion of bad news. Now I know what that means. All the vet talk just went straight over my head, and the only thing I really got was that there was only one way it was going. This has outlined the importance of clear and concise communication when delivering bad news to my own clients in the future.

    In communication skills classes, we’re told to encourage owners to bring someone with them who can write down key points and ensure they understand before proceeding. Now I appreciate the value of this so much more, having been the receiver instead of the bearer of bad news.

    While the pain is still raw, I think I can take something from this to help me be more empathetic and ensure I communicate effectively in the future.

    You can steal all the ham sandwiches you want now, Pepsi.

     

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  • Don’t forget acupuncture as a possible therapy

    Veterinary acupunture
    Image ©iStock.com/Susan Chiang

    I have found acupuncture really helps some of my chronically painful canine patients, usually due to arthritis, but also in some cases of back pain too.

    I have to say I usually use this as an adjunctive, rather than sole therapy, but often with good effect.

    Evidence certainly exists in human medicine to suggest this helps (Witt et al, 2005). However, for some reason I have a mental blank and sometimes forget this as a possible therapy where dogs are not fully, or completely, responding to more traditional medications – and I would suggest this is well worth a go.

    We are lucky enough to have a veterinary surgeon in our area who practices acupuncture and we are very grateful for his efforts.

    References
    Witt C, Brinkhaus B, Jena S et al (2005). Acupuncture in patients with osteoarthritis of the knee: a randomised trial, Lancet 366:136–143.

  • Dress for success: tips for job interviews

     

    Image ©iStockphoto.com/YanLev

    We are all familiar with the adage “Don’t judge a book by its cover”. It is true that appearance is ultimately superfluous, but there is no escaping the fact that it has an effect, especially initially.

    In a job interview situation, the way you present yourself is an important factor in the overall impression you portray. You could be responding brilliantly to their questions, but if your interviewer is distracted by the birds nest on your head and the evidence of lunch around your mouth, your efforts will be futile. The reality of the matter is that if a person looks as if they take care of themselves, they convey the subliminal message that they are more likely to take care in other areas of their life, including their job. Here are a few basic guidelines for ensuring you present yourself favourably.

    It may seem an obvious point, but it is important that you dress appropriately. Not all jobs will call for a suit-and-tie get-up everyday, but it is always best to err on the smart side on first introduction. If you look well put together, you give the impression that you take yourself seriously – not in a negative way, but in an I-can-be-relied-upon way (always helpful when you are trying to convince someone to give you a job). It is best to lean towards simple items of clothing with clean-cut lines. Avoid garish prints and shapes, outrageous colours and anything too fussy. T-shirts with contentious slogans are an absolute no-no. Basically, you don’t want anything you’re wearing to be a distraction for your interviewer. Think of your clothes as a frame and yourself as the picture: the frame can be attractive and understated, but its function is ultimately to draw attention to the brilliance of the picture: you, in other words. That is not to say, however, that you should dispel with your individuality completely. A couple of discreetly placed accessories can hint at personality and add interest.

    Secondly, make you what you are wearing is comfortable. It is no secret that clothes enhance the way you feel in any given situation; if you are heavily constricted, and in pain from that darn seam digging in, you are more likely to be flustered and thrown into a state of anxiety. If you are physically comfortable when interviewing for jobs you will be more inclined to feel at ease and more able to focus on the job interview questions being thrown at you.

    Your pre-job interview grooming should, of course, extend beyond what you are wearing. It is no good turning up in a bespoke, beautifully tailored masterpiece if your face and hair still make it look like you spent last night sleeping in ditch. Make sure your hair looks tidy and is away from your face: not only does good facial exposure allow for heightened expressivity, but constantly flicking wayward strands of hair from your eyes will eventually become very irritating for both for you and your interviewer.

    For the women, if you are wearing make up, it is important to not go overboard. Just as you should shy away from wearing clothes with excessively bold colours, so should you avoid putting said colours on your face. It all goes back to the being taken seriously issue: if the amount of blusher you have on makes you look like a clown, your interviewer may be inclined to treat you as such. In case of doubt, a couple of coats of mascara, a dab of concealer in crucial areas and a lick of a neutral lipstick will serve to make you look fresh-faced and groomed.

    With sensible dressing, a quick sprucing up, and of course a wealth of perfectly-prepared interview questions responses, you are sure to come across as an exemplary candidate in any job interview, hopefully enabling you to make the job a good’un!

    Article Source: articlesbase.com

    About the Author

    Xanthe Kershaw is a staff writer for VCCP Search and writes articles on careers and jobs for http://www.totaljobs.com, a leading UK Job site.