Saturday, 7 June 2014

When Babies get hurt….


In the field…in the Mobile Vet Unit

So Thursday was spent setting up the lab.  I was preparing for my hartebeest project. It felt good, and like old times, to be in the lab.  Tim, Mathenge, and I went to the field to collect samples.  It took us about 2 hours to find the Hartebeests.  They are remarkably well camouflaged, as are most of the species here.  We were only able to collect 1 fecal sample, but it was a start.  Whilst we were finishing up in the field, so much commotion started on the walkie-talkie system.  So many people were talking.  I kept catching some words.  I figured out that Elvis (the rhino in the hut) had attacked the 3 orphan rhino babies that I have gone to see two times.

Jackal I saw on the way to see the baby rhinos

There was no hesitation in my voice when I said “Yes” when Mathenge asked if I wanted to go and look at the babies. Mutinda was at a meeting in Nanyuki, so I suddenly became the “vet” on site.  We left the field and rushed over to where the attack happened.

I was expecting one or two other vehicles at the scene, but there were 6 or so vehicles, and so many people looking concerned.  It reminded me of people around a car accident, waiting for help to arrive.  It dawned on me that they were waiting for me, the “vet”. The heads of Lewa, rangers, and others surrounded Kilifi.  The other 2 orphans had been led back to their safe nighttime enclosure.  I saw the Mike (CEO of Lewa) and Sarah (his wife) look up, and the look of utter concern on their face hit me head on. 
 
Kilifi's left side, note the bruising
Right, I need a history of what happened.  I found out that Kilifi had been hit and tossed numerous by the adult Elvis.  He had been unable to get up for a while after the attack, but had just risen.  He had shown signs of shock, shaking, increased respiratory patterns, and stupor.  He remained reluctant to walk. 

I began to think about what I would want to do for Kilifi.  Pain meds were on my mind, but what anti-inflammatories does the Vet Mobile Unit have on it.  I didn’t want a steroid, I wanted a non steroidal for this baby.  The next thing I know, someone who was currently on the phone with Mutinda, said to me,  “20ml Flunixin”.  Perfect.  So I start sifting through the drug box, trying to find the Flunixin.  Found the bottle….10 mls left.  Well that will have to do for now.  Next thing I know, another message from Mutinda says give Betamox (antibiotic).  Nope, can’t, our bottle is empty.  Next message, Norodine (antibiotic).  Right, we have that. 

I head towards Kilifi with the Flunixin.  He is standing, wobbly and a bit out of it.  I stick the needle into his muscle, and slowly inject the Flunixin.  He resents me a bit, but nothing horrible.  Right, his keepers want to get him to his enclosure before the sun set, which was already on it's way.   So we make our way to their enclosure.  I get a look at the other 2 orphans, Nicky (the blind older one).  He looks a bit beat up, walking stiffly, and not wanting to put weight on his back right.  He is once again protecting Hope (the middle aged orphan).  I think he needs an anti-inflammatory, but he is going to be difficult to inject because all of the orphans are agitated, and we are out of the drug.  I think to myself that I will look at him early in the morning and make a decision. 

Back to Kilifi, I place the needle in his muscle again to give him the antibiotics, and he screams, bolts, and panics.  Immediately, the other 2 went on guard, screaming and running towards us.  We remove the needle and call it a night without administering the antibiotics.  It is not worth getting bulled over by 3 baby rhino.  Babies ranging from 150kg to 400kg. 

Sunrise - Epically stunning


Friday morning, I woke up at 530am to see the rhinos again.  I had spoken to Mutinda the night before about what possible treatments I would give Friday morning.  I wanted to be there for the first bottle of the morning, when the rhino were still sleepy, cold, and really hungry.  I must say that I did have Mathenge stop the truck just so I fully witness the sunrise.  How stunning.  The mix of colors.  Breathtaking.  I once again felt so small, but so utterly important.  It really is a confounding feeling.

Kilifi was feeling better, but still sore.  I administered the remaining part of his anti-inflammatory drug.  Nicky was still moving slowly and was sore.  He had had difficulty lying down. I weighed the pros and cons.  I opted to wait on giving him drugs to see how he fared through the day. 

Sunrise after visiting Kilifi the first morning after the attack


Since Mutinda was at a meeting in Nanyuki, Brono, a vet from neighboring Meru came to evaluate the rhino.  I was out in the field (see below) when he arrived, but we communicated our findings over the phone whilst I sat in the field looking at my Hartebeests.  I was so grateful for his help, as rhino medicine is quite new to me.  He agreed to continue the anti-inflammatory on Kilifi for a few more days and to hold off on giving the antibiotic.  We also agreed that we did not want to have to sedate Nicky to be able to give him an anti-inflammatory.  We both decided to wait and see how he did overnight, but I would reevaluate him in the morning with a possible injection of anti-inflammatory.  I asked if he thought that it would be possible to give the injection.  His exact response was  “You will encounter resistance though.”

Nicky, after the attack. Nothing visible except abrasions on his skin. 
This phrase made me chuckle.  We knew that resistance was going to be a factor, hence why we held off on giving the medication before.  We didn’t want to have to sedate him to give him the drug.  However, in the morning (when the rhino are cold, sleepy, and hungry) we might have a chance.  I thought about how I wanted to approach the situation in the morning.  Yes, do Nicky first whilst he was on his bottle.  Then do the easier, but still incredibly strong, Kilifi. 

So this morning, once again, I was off before sunrise.  I arrived and took a brief history on how Nicky had been doing.  I decided that he did need some pain control.  I talked with Sarah and we agreed that we should inject Nicky first, then Kilifi.  Sarah is  experienced in rhinos.  I told Sarah that rhino behavior is not my forte, and I will keep going until she tells me to stop.  She tells me that I will know when to get out.  We shared a chuckle.

Nicky's back

Directions for the feeding protocol were divvied up between the guards.  Sarah delegated who was going to feed who, how quickly they were going to let the babies nurse (to ensure that Kilifi still had milk when I went to inject him), where we were going to stand, and what I was doing.  We all spread out in the enclosure and I waited for Sarah to give me the ok.  Nicky took to his bottle and I swiftly inserted a needle in his gluteal muscle, ready the whole time to jump back and bolt.  He had no reaction.  I then went to inject the drug.  I injected steadily over about 10 seconds.  No reaction.  I pulled the needle out and stepped back.  I looked up at Sarah and smiled.  Well that was easy.  Now to Kilifi.  The procedure went exactly the same way.  I was done in a total time of 2 minutes.  We then stood back.  I looked at Mike and Sarah and said, “Well that went well”.  We had all been expecting a fight and we were all very relieved that our morning was not started with a fight.

I went to check on the babies at noon today, just to see how things were going.  So I went out with Sumbere (since Mathenge is off this weekend) to the babies.  The babies had been taken out of the enclosure for a short walk and to graze.  They were still fairly close to their enclosure.  On a normal day, they are out from Sunrise to sunset grazing in the fields with guards.  

Nicky has had a marked improvement.  He wallowed in the mud, wallowing a good judge of how rhinos are feeling; if rhinos feel poorly, they tend not to wallow.  He still has some very sore areas, but I will repeat his dose of anti-inflammatory tomorrow morning.  Kilifi is doing well also.  He had wallowed in the mud as well.  I spent about 10 minutes auscultating his chest.  There was a concern in the morning, and it took me a bit to find where Mutinda kept the stethoscope (locked away in a non obvious box).  It was so cool.  I kept looking around thinking, “I am in Africa, in the bush, with stethoscopes, listening to the breathing of a rhino.”  I also auscultated Hope; the uninjured baby to get a sense of what is normal to hear in a rhino.  Hope was not injured because Nicky protected her.  I called Brono whilst with the babies just to give an update.  We are both pleased with their progress. 

I will head out tomorrow morning to see the babies again to repeat their doses of dawa (medication).  I hope everything goes as smoothly as it did today. 


Territorial Male Hartebeest
And on a further note about my field work yesterday….

So yesterday I went out to the field to find my 11 Hartebeests.  We found them quite quickly, about 30 minutes from camp.  When we arrived all but one was on the ground sleeping.  Over the next 20 minutes, we crept as close as we could from them without startling them.  We ended up being able to be about 20 meters from them, so much closer than I could have imagined with this flighty species.  I then attempted to document all the different individuals in the herd; I achieved 9 out of 11.  We then patiently waited for them to arise, knowing that they would defecate once they stood up. 

Within 5 minutes of them standing up, all of them had defecated.  I was snapping photos, scribbling data down (i.e. time, location photo, id photo, etc.) They slowly walked off to another location, and we went to work.  I must say at this point, I really missed EB. 

Hartebeests


When EB and I worked on Grevy’s Zebra, one of the steps was collecting individual stool samples.  We had to know which individual stool we were collecting.  EB would stay at the car and give me directions, based on the photograph taken, to the stool.  I would collect, and then label the bag based on what she told me. 

We had a system, and it worked well.  She was good at determining where the stool was from the photograph, and giving directions, and I was good at following her instructions. 

I had Mathenge and Tim helping me in the field.  We decided that they would go to the field to retrieve the samples, and I would give directions over the walkie-talkie to them.  They were amazing, and were able to find so many samples! However, because so many animals defecated within feet of each other, it made very difficult to accurately differentiate the actual individual whose stool it was.  We were able to find 9 of the 11 that defecated!  We have samples from 80% of the herd! It is fantastic. 

Tim came to help me process the samples in the lab.  We worked for 2 hours and had the tests set up.  We then took a trip to the human clinic to use their centrifuge.  I read samples into the night.  Something felt right about being in the lab, I felt at home.  Yet, there was something that felt wrong about being in the lab without EB and Katie. It was a strange feeling.  Home and homeless.

Lab at the end of the setting up all my samples

 My busy day yesterday concluded with girly giggle talk with Ruwy next door.

What a perfect end to yesterday and a perfect start to today. 

Let me see where tomorrow leads me…



1 comment:

  1. Hi...your mom gave me the blog site yesterday and I have read and reread it all...I can't believe all you are doing and experiencing...it's fascinating! You are a very special person and I am so happy you are following your dreams....this is truly amazing....take care....Joanne

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