"United we bargain, divided we beg."
Showing posts with label injury. Show all posts
Showing posts with label injury. Show all posts

Wednesday, April 19, 2017

Beat Up by a Sheep (For the LAST time)



Sometime this past winter, my sister gave us a sheep. A ram, actually. She and her husband raise Jacob's sheep, a heritage breed that is believed to be one of the oldest breeds around. They typically have four horns, and some even have six. They are not large, for sheep. They are a dual purpose breed, bred for meat and wool. They didn't want this particular sheep, my sister explained, "because he is an asshole."
Image result for jacob's sheep
Not ones to look a gift horse (or sheep) in the mouth, we said "thank you," and took him home.
Soon enough, we found out why they didn't want him around. Every time we went into the pasture, he would charge us like a deranged... well.... ram. Although he only weighed about fifty pounds, it still hurt like hell when he bashed into the side of my knee. And he didn't back off when I fought back, either. I took to carrying a stick, and once I hit him hard enough the nose to make him bleed (yes, I felt bad afterwards) but it made no difference to the sheep. He charged regardless.

The obvious solution would have been to kill him immediately, of course, but there were a variety of reasons we didn't do that. Firstly, we thought we could fatten him up. Secondly, the freezer was already full of beef, pork, and salmon. And lastly, Homero just didn't have time, and he is too cheap to let me schedule a professional to do any job he is capable of doing himself.

So we simply lived with the crazy aggressive sheep. I lost track of the number of times he knocked me down, but one instance stands out in my mind. It was mid-winter, and the ground was frozen solid. Over the past few days, it had repeatedly snowed, thawed, and frozen, and so there were a couple inches of ice in the barnyard, with hummocks of frozen dirt and gravel sticking up, and holes here and there as well. Treacherous ground, on which anybody might turn an ankle, irrespective of the need to fight off mentally impaired ovines.

The hose was frozen, so I was filling five gallon buckets directly from the spigot, precariously standing bent over on the ice-slick that surrounded the water pump. The sheep hit me from behind; I never saw him coming. I fell down, of course, and floundered around on the ice, unable to get up. The sheep backed up and charged again. He hit me in the hip, and I sprawled on my belly. I rolled over on my back and wildly flailed my legs trying to fend off his next charge. This ridiculous and humiliating scene went on for some time, until I managed to grab him by the horns and immobilize him. I still couldn't get up, however. My boots slid helplessly on the ice, and I didn't dare let go of the sheep to grab the fence for support. There were a few minutes of detente, the sheep and I frozen in an absurd tableau, catching our breath.

After a while, I managed to stand up, using the sheep himself as support. I lugged him into the barn and somehow closed the door between us. Then I limped back to the house, determined that the sheep had beat me up for the last time. Not so, alas, not so. Over the next few months, the sheep kept me well supplied with bruises. The children could not be sent out to do chores. We more or less lived in fear of this stupid, obstinate animal, himself apparently the victim of an overdeveloped instinct to attack everything that moved.

Recently, the grass finally being grown enough to provide forage, we moved the sheep by himself into the orchard, where he wouldn't interfere with daily chores. This worked fine until yesterday. Yesterday, I took the goats out to browse, and the sight of them moved the sheep to heroic efforts. He escaped, and as soon as he was free, he charged me. This time I saw him coming, and I grabbed him by the horns before he could hurt me. Holding on, I yelled for my husband. While I was waiting for him to run over from the shop, I noticed that one of the ram's four horns was curled back and growing straight into his own skull. As far as I could tell,  it hadn't yet penetrated the flesh, but it was surely uncomfortable, and soon would be downright painful, if it wasn't already. When Homero arrived, I showed him the situation, and said "we have to kill this sheep today."

Luckily, it was a fairly nice afternoon, and so Homero quickly dispatched the ram via a bullet to the back of the head (never the front; the bullet will ricochet off the shelf of thick bone). Within a couple of hours, the evil ram had been reduced to his constituent parts and was fulfilling his ultimate purpose of providing us with tasty protein. According to our personal system of division of labor, Homero deals with the slaughter and the icky parts of skinning, cleaning, and gutting, and delivers the meat to me inside in the form of large hunks - what I believe are called in the trade "primal" cuts - whole legs, shoulder, ribs and belly, back. I take it from there and trim and cut the chunks into reasonable portions as best I can, which isn't all that great since my only education in butchery is a thin book I bought called "home butchery of livestock and game."

The ribs (both sides) went into the oven, slathered with barbecue rub, and cooked on a moderate 325 degrees, covered in tinfoil, for about five hours until they were falling apart tender. That was dinner last night. I broke down the back legs into butt and haunch (I know those aren't the right terms) and packaged four nice roasts for the freezer. Then I took all the rest - shoulder, neck, back - and packed them into my giant tamalero (basically a gigantic spaghetti pot; a steamer) to make broth.

Today I strained the broth, ladled it into gallon ziplock bags for the freezer, and shredded the meat off the bones to be packaged in quart sized ziplock bags in the freezer. Except, of course, for the meat we are using tonight to make tacos de barbacoa de borrego.

Tacos de Borrego:

Make the broth

In a large steamer pot, pack all the mutton pieces (shoulder, neck, ribs, butt, whatever)
add:
1 large onion
1 head garlic, separated
10 chiles guajillo, torn into pieces and seeds shaken out
1 tbsp whole allspice
1/4 cup salt
1 tbsp whole black peppercorns

1 gallon water

cover, seal with foil, and steam 4-6 hours, until meat is falling off the bone

Strain broth and save for another purpose. 
Shred meat off bones and serve on a platter with:

Fresh hot corn tortillas
minced white onion
minced jalapeno peppers
quartered limes
minced cilantro

Raw Green and Cooked red salsa

Green salsa:
10 raw tomatillos, peeled and rinsed
3 serrano chiles
1/2 white onion
cilantro
lime
salt
blend in blender until fairly smooth

Cooked Red salsa:
10 chiles guajillo, toasted, soaked for 1 hour in boiling water
1/4 cup neutral oil, heated until shimmering
1 tsp whole cumin seed
1 clove garlic
1 tbsp apple cider vinegar
salt

Blend soaked chiles, garlic, and vinegar in blender until quite smooth
heat oil in saucepan, add cumin 
pour blended chiles into pan; be careful, it will spit. 
Stir, add salt too taste

To serve:

lay out a platter of steamed shredded mutton, minced vegetables and herbs, quartered limes, hot tortillas, and cubed avocado. Have simple boiled rice on the side. 


















































Friday, November 13, 2015

The Bog of Eternal Stench, The Dog from Hell, and Bad Knees

Once again it is November, number one on the list of months I wish I could fast-forward through, closely followed by February. Torrential rains have turned the barnyard - as always this time of year - into a sucking swamp. There is still a small pile of hog fuel we could spread, but so far we haven't been able to figure out how to do that without the pig charging out of the yard and into the backyard.

The pig has been able to get out of his pen for months now, and he has rooted up huge clumps of the pasture. He is now about 350 pounds, and that's no joke hurtling towards you at high speed and emitting high-pitched screams at the volume of a Van Halen concert, circa 1984.  The pig has a date with destiny, courtesy of our local mobile butcher, in a little over a week, so the problem will work itself out soon enough.

I did make a deal, way back last spring, with a tree service guy to trade cheese all summer in exchange for cedar chips come fall. He has called a couple of times, but we haven't been able to nail down a delivery, and now it is looking more and more doubtful that I will ever receive any chips.  That's the risk of trading for future goods. Meanwhile, the mud threatens to come up over my boot-tops.

Haku, our new German Shepherd puppy, has apparently made it his mission to tear my entire house into bite-sized chunks. I would post a picture of our playroom, if I could figure out how under the new operating system, but that would probably bring FEMA down on our heads. Seriously, it looks like - well, like a German Shepherd puppy has torn apart two queen-sized mattresses and one large sofa, not to mention gnawed an antique Victorian dollhouse to matchsticks and knocked over a shelf full of board games, torn up the boxes and ripped up all the cards, etc,  and evenly distributed all the chewed-up bits. I figure there's no point in cleaning it all up until he's finished - it might keep him occupied enough to leave a few of our furnishings alone. Why he isn't interested in the fifteen chew-toys I've bought for him I have no idea.

Homero has been suffering greatly this fall from a torn meniscus in his right knee. As a mechanic, he spends a lot of time getting up and down onto a concrete floor, sometimes squatting and sometimes kneeling. His knee will freeze up on him and leave him hobbling back to the house, unable to work for the rest of the day. He hates to take medicine of any kind; apparently he prefers to lay about looking pitiful and asking me to bring him stuff.

I know I sound unsympathetic - and maybe I am. He never reads this blog, so I feel free to say that his knee is nowhere near as bad as mine was - MY meniscus had two big "bucket handle" tears and various smaller tears.  My ACL was completely severed (the surgeon who read my MRI report used the word "trashed" to describe the state of my joint). Without health insurance, I had no choice but to live with it for four long years. I did my share of bitching and moaning - I'm not saying I didn't. I'm just saying I know how he feels, and then some. And then some more.

In my case, as soon as the ACA kicked in and we could finally afford health insurance, and the insurance companies couldn't exclude pre-existing conditions, I scheduled surgery and Hallelujah it has been almost a total cure. They had to remove almost all of the meniscus, and I was told that I'd need a total knee replacement sooner or later, but the pain has almost entirely disappeared, and the instability has been reduced by about 75%. The surgery - first surgery I ever had, unless you count wisdom teeth - was a piece of cake. From the time I woke up in the recovery room I was in less pain than I had been the day before. The next day I was walking on the beach.

Homero has been reluctant to schedule surgery. I'm not sure why. He's never had surgery before either - not even wisdom teeth - so maybe he's afraid. I was. But just as everyone told me, the only thing I was sorry about is that I hadn't done it sooner. I guess Homero just had to wait until it got bad enough. He's finally having surgery at the end of this month. I hope it will be as good for him as it was for me.

The first part of December looks to be a nice quiet time. Homero will be recuperating, and I will be taking a break from work. Right now I'm just finishing up a big job that, though it has left me exhausted, will pay enough to ensure a merry christmas and let me take time off to nurse my husband back to health.

Now if it we could just get a nice, hard freeze to lock up all the mud.

Thursday, October 24, 2013

The Lamest Farm Ever (Ethical Questions)

This place is pathetic. Seems like everywhere I look, I see an injured animal.


The new Jersey calf with her droopy broken ear, limping around on her dislocated hip, or whatever it is. She is actually getting around much better than she was at first, even frolicking a bit, but she will probably never be entirely normal. Homero holds out hope she can be bred and used as a family milk cow, but I rather doubt it, myself. He wonders if she can give birth normally; I wonder if one of her hindquarters will be unfit to eat. 

Flopsy the goat has something wrong with her left foreleg. She is a little slower than the other goats, bobs her head when she walks, and often holds her foot up off the ground. I thought it was hoof rot, because her hooves were horrible when we got from Mexico. All the goat's hooves were, actually; I think the renters hadn't trimmed in many moons. But this particular foot of Flopsy's was the worst: grossly deformed and swollen. However, after diligent trimming for three months, it's pretty much back to normal. I can't see that there's anything in the hoof that would explain her limp. Now I'm thinking she has a strain somewhere higher up in the leg. I'm a bit worried because she is certainly bred now, and the extra weight of pregnancy isn't going to do her any favors. Flopsy is a gigantic obese goat in any case, which is probably why the leg hasn't healed on it's own. I don't know why she's so fat - she just eats grass like all the rest of them. 

The white turkey got stepped on by a horse about six weeks ago. He was pretty bad off for a while. He spent most of his time laying down and his breast feathers all fell out. Now the feathers have grown in again, which greatly improves his appearance, but he still limps. He somehow flies up to the top of the chicken coop to roost every night, but I have no idea how. When he comes down in the mornings he flops heavily to the ground and it looks like a small airplane crash landing. I always try to run up and grab him to let him down gently, but he always evades me. 

Rosie Pony's intermittent eye infection is back, and her long lashes are gummed together. Twice a day I try to catch her, and if I can, I swab her eyes with warm salt water and cider vinegar. What she needs is to have her tear ducts irrigated, but she'd need to be sedated for that and last time, three years ago, it cost $400. (see What Do You Do With a Drunken Pony?)


The day before yesterday I saw Dorian, our elderly cat, sitting in the sun on the front porch. He was hunched up oddly, and when I went closer I saw he had one foreleg folded under him. I tried to get him to stand up and he fell over, crying. We brought him into the house and examined him, discovering a large, squishy lump over his shoulder. I couldn't find the shoulder blade, and that, combined with the way the leg was dangling, made me think he had a fracture or dislocation. 

A friend of ours, A., is a vet who makes house calls, and she came out yesterday to see Dorian, prepared to put him down if he turned out to have a fracture for real. Dorian is almost seventeen years old and in poor health; we weren't going to try any heroic measures. However, A. said that the big squishy lump was an abscess. We didn't find a bite mark, but A. said she saw a scar. She thought he had been bitten by something - maybe a rat- some time ago, and the skin healed over the infection. She said cat skin seals up quickly. I held Dorian while A. tried to aspirate the wound - without much luck - and then made a small incision to let the wound drain. 

I've been putting hot compresses on the wound three or four times a day, and giving him heavy doses of antibiotics. The poor cat is flat out, he hasn't eaten anything, not even the tuna I opened for him. I'm not sure yet if he's going to make it or not. The little girls are frantic, Dorian has been around since long before they were born. He's our oldest pet. 

The questions surrounding how much should be done to save a pet are complicated. The questions surrounding how much should be done for livestock are complicated as well. One of the reasons I didn't want a cow is that I know we can't afford the veterinary care she would need if she were to get sick or injured - further injured, I mean. I don't think we should have animals around if we are unable or unwilling to provide a certain minimum level of care for them. We shouldn't let animals suffer pain or debility, that seems like a simple statement. Until you begin to break it down into economic terms. 

Dorian's case is relatively easy. He's elderly and has other, chronic conditions. If he doesn't heal in a reasonable time frame, we will ask our friend to euthanize him and bury him beneath a fruit tree. He's a pet, with a name, so he gets a funeral and a headstone. Flopsy is in a grey area - she is livestock, not a pet. But she has a name and we all have feelings for her. If she had to be put down because of an injury, for example, we would never eat her. Homero might try to convince me to sell her as meat, but we would gang up on him and refuse. She would be buried in the goat graveyard, no funeral, no headstone. Flopsy is an animal with economic value - she provides us with meat and milk, year after year, and often with cash income from the sale of her adorable babies. Beyond the ethical requirement to provide her with some level of veterinary care that applies to all the animals, she justifies the vet's fee economically as well. Up to a point, anyway. 

Poultry does not get veterinary care. If a chicken gets injured, they get a cold appraisal and my best guess as to whether they will recover on their own or not. If I don't think they will, they get their necks wrung quickly and mercifully by Homero, and will be eaten or not eaten according to their age and health status. Chickens simply do not have either the economic or the sentimental value to justify spending money on the vet. I would only do that if, say, there seemed to be some sort of epidemic. 

These all seem like pretty middle-of-the-road positions to me, extreme in neither direction. But I know people have a wide range of opinions on these topics. How do the farmers among you make these kinds of decisions? How have you decided when it is time to authorize a pet? How much does money figure into it? Any comments would be greatly appreciated. 

Wednesday, June 15, 2011

Hole in the Goat Update (When to Cull?)

The vet finally called me back. He said that while it was hard to tell from just a photo, the wound did not look like CL. Just as some of my readers commented, the lack of pus and the location both argued against it. He suggested, just as some of you did, that it was most likely a splinter of some sort that became infected and formed an abscess. He told me that that particular spot, at the end of the breastbone, is where the goat puts the most pressure when she lays down. He said that older goats or thin goats often wear down that spot and get pressure wounds. Most likely, my middle aged, thin goat laid on something sharp.

Nonetheless, I've decided I should have my entire herd tested for CAE and CL. Although I bought goats from tested herds, I have not done any testing myself and it's been over four years now. I can't advertise anything about the CAE or CL status of my goats truthfully at this point, and I do want to be able to say I have a clean herd. So, it's time to test. The vet is coming on thursday to take blood samples and at that time he will look at Django's chest as well. In the meantime, I am washing it out twice a day with a dilute iodine solution. It's pretty gross. We are also not using any of her milk at least until we know what we are dealing with.

Assuming that Django (and the rest) come back negative for CAE and CL, I still have a decision to make. Django is not a robust goat. She was perfectly healthy until, three years ago, she got into the grain and ate herself so sick that she almost died. Goats can quite easily die from overeating carbohydrate rich food - grains of any kind but most especially chicken food. Django was at death's door, and only recovered very slowly. For a whole year, she was very ill. She had a severely damaged rumen and was almost blind from the vitamin B deficiency that resulted. She became prone to infections and more vulnerable to worms. She hobbled slowly about, not keeping up with the herd and barely keeping herself alive.

I should have culled her.

I should have culled her then. I felt so guilty for leaving the grain unsecured, for not taking good care of her, for letting her get sick. The least I could do was give her a decent chance to recover... right? And she did recover, not wholly, and not quickly, but she came back. Her vision returned, with daily vitamin B shots. She keeps up with the herd now. And she has thrown triplets and successfully raised them two years in a row, which is not something a very weak goat can do. But she is not and never will be the glossy, plump, energetic animal she was before she got sick.

And now she has this ugly wound, which has clearly been around for a long time without healing. Again - she's not actually sick - no fever, no infection - but she isn't healthy, either. She could probably limp along for the natural lifespan of a goat, some six to eight more years, and have a middling quality of life. She would even continue to provide me with the benefit of more kids and more milk. But should she?

Or should she be culled? My herd would be healthier without her. Removing her would relieve some stress on the pasture. It's one less animal to buy hay, grain and medicine for. And there's another, unpleasant reason. She's embarrassing. Her gimpy, straggly presence in my herd is embarrassing. She makes it look like I don't have healthy animals, like I don't care well for them. This is an ego thing, I guess, but when people visit my far, (especially if they are coming to look at an animal I have for sale) I don't want them to see an old, skinny, scraggly goat. I want them to see a lot of fat, sassy, shiny animals leaping about.

When is it the right time to cull an animal? Is there ever a right time if the animal in question is not suffering? Should animals only be put down to put them out of misery, or does the goal of improving the herd justify the culling of any substandard animal?

What do you think?

Tuesday, June 14, 2011

What The @$&! is That? (WARNING-graphic picture)

My doe Django has something horribly, horribly wrong with her. You are all going to judge me for letting something so terrible go on for so long, but I swear I knew nothing about it until yesterday. In my defense, it is in a very difficult place to see - on her chest, low down between her front legs. This spot is not visible with a goat in any normal goat-postures. I even trimmed her hooves last week without seeing this awful thing. Homero is the one that finally noticed it.

Here ya go - if anyone has the faintest inkling what the heck is wrong with my goat, please let me know!



I e-mailed this photo to my vet, along with the information that Django is eating and behaving normally, nursing 12 week old twins, afebrile, apparently not in any pain, and five years old. The wound itself has clearly been there for a while - it has thick, indurated edges and is non-tender. Django didn't move a muscle even when I stuck a q-tip a full inch inside her chest and wiggled it around to get a sample of exudate for the vet. There pretty much isn't any exudate - neither blood nor pus. Nor is there any smell.

It's just a great bloody baffling hole right in the middle of the goat.

So far no word from the vet. I think I'll call.

Monday, April 18, 2011

Plodding Along

There hasn't been a whole lot going on here, we're just plodding along through this cold spring. The weather has finally turned a corner and we have had several days of sunshine, but it is still very cold. We ran out of propane about three weeks ago and I didn't buy any more, thinking that any day now spring would kick in. Nearly a month later and we are still shivering in our sweaters. At least the sunshine means it warms up in the greenhouse. The kids like to play in there, and I took in a folding chair and a book just to enjoy the warmth through the glass.

The broiler chicks got too big for the rabbit hutch, and we were casting about for a place to put them, when I spied an old truck canopy upside down out in the blackberry bushes. Righted and dragged over to the side yard, it makes a fine chicken house, Except that Lancelot, the collie dog, tore out the mesh on one of the windows so he could crawl in with the chicks. He didn't kill any of them, he just wanted to be in there with them. Weird dog. So now we have to keep that window closed. They still need the light at night, but not during the day.

The annual struggle with the lawnmower has begun. This time, it only took Homero about a half an hour to get it running - a record - but it only ran for about two minutes before one of the tires peeled off. Another record. He doesn't want to look at the damn thing anymore (I don't blame him) but on the other hand the grass is really starting to get long and if we don't mow now we will need to rent a brushmower.

I did something to my left shoulder. It's been bothering me moderately for some time now, but yesterday I tripped on a brick, fell on the shoulder, and now I can't lift it more than 45 degrees in any direction. I'm wearing a sling and taking lots of ibuprofen, and we'll see how it in a week.

Sunday, October 31, 2010

Gimpy Goat and No More Milk

This is Django. She is one of the original three goats we bought when we moved here, and now she is the only La Mancha I have (La Manchas are the earless goats. Nobody cut off her ears: it's just her breed.). Django has always been a good goat - good mother, good milker, about as easy-going as a goat gets. She did get terribly ill a couple of years ago after getting into the grain, but she recovered and has been pretty healthy ever since. She had triplets this past year.


Yesterday when I went out to do the chores, I saw something awful. Django appears to have a dislocated shoulder. One of her shoulder blades is depressed downwards and if I lay my palm on the place where it ought to be I can feel the bone socket. Her elbow is rather radically displaced - down and to the side. Nonetheless, she is getting around okay. I called the vet, of course, and as I was trying to explain exactly where the dislocation was, Django kept running away from me. As James Herriot said in his wonderful book All Creatures Great and Small, if you can't catch your patient you've probably got little to worry about. She was browsing normally and later on chewing her cud. She didn't cry when I manipulated the joint.

The vet said that he's seen this before, and never had any luck trying to manually replace the bone. He said an operation would be the only option. Well, I said, it's not an option for us... do you think she'll recover on her own? Is this a very painful condition? He said that it was unlikely the joint would "pop back in" on it's own, but that over the next few months she would develop a false joint and be more or less normal. She would look funny and probably never quite keep up with the herd, but once the joint stabilized she would get around fine. It's hard to tell how much pain a goat is in, they are very stoic animals, but it's a good sign that she's chewing her cud. He said it's a good thing it's the foreleg; hind leg displacements are more problematic and could interfere with kidding.

So we aren't going to do anything. This morning she jumped on and off the milking stand just like usual. She is interacting with the other goats and seems pretty normal, except for that weird elbow thing. I'll just keep an eye on her and watch for worsening mobility or signs of pain. If she does get worse, we'll have to make a decision then.

Also, all the goats are more or less dry. I got about a cup of milk from each one, and that's just not worth it. Most likely they are all pregnant and so I'll just stop milking until next spring.
Cheese season is over at last!

Tuesday, June 8, 2010

NOT Better the Second Day

Okay, so apparently I have a delayed reaction to bee-stings. It doesn't hurt but my wrist is swollen up like an inner tube and ITCHES constantly, and badly enough to drive me right out of my tiny little mind.


Thank God for Benadryl. G'night.

Friday, January 8, 2010

Hoof Rot


Trimmed the goat's hooves today. Best argument I can think of for having only three goats. Trimming is nasty, and dangerous. I got through it this time without spilling any blood (human or caprine) but that is by no means a given. In the past I have cut both myself and the goat deeply enough to require pressure, iodine, and bandages.


Since trimming hooves is such a tough job, I tend to procrastinate. I'm afraid I must confess that my goat's hooves looked like crap. My photos turned out terrible, but the above picture is the best of the bunch. Ignore the dirt - of course hooves are always dirty. But can you see the bright white hoof wall along the outside edge? And the dark line between that and the yellowish interior of the hoof? That dark line is a gap, a space between the hard hoof wall and the softer inner surface of the hoof. And that gap is packed with crap.

Literally.

Regular trimming is supposed to eliminate that gap, so that the hard shell of the hoof adheres closely to the soft inside and there is nowhere for dirt and manure to collect. Packed-in manure can lead, as you might imagine, to infections and disability. In severe cases, the infection reaches the bone and goat is crippled. This infection is called hoof-rot.

My goats are fine - they aren't lame at all. However, they do indeed have spots of hoof rot. There are varying opinions on the preventability of hoof rot - my veterinarian told me that in this wet climate, some amount of hoof rot is pretty much inevitable. You just watch them closely and when you find hoof rot you trim vigilantly and frequently. The wet winter (and fall, and spring..) months are conducive to hoof rot. Just keep the barn dry and trim, trim, trim. In the summer months, it tends to resolve.

Two of my does have only very small spots on one hoof each, but the last doe has fairly extensive rot in one of her front hooves. I need to commit to trimming every two weeks (as opposed to every four-to six weeks normally) until the issue is resolved.

Wish me luck - I don't want to lose a finger.


Monday, December 28, 2009

Medical Preparation - Mediprep?

Christmas Day, I slipped on a patch of ice on my front porch and twisted my knee pretty severely. Today I finally got to the doctor and the diagnosis (which I had already come up with myself - R.N., remember?) is a sprained medial collateral ligament, possibly with a torn meniscus on top of that. Orders are ibuprofen around the clock until the swelling subsides, rest, ice, compression, and elevation (RICE), wait three weeks and if not significantly better, return for an MRI.


I think it will be fine - well, as fine as it was before, anyway, which isn't great. ("Doctor, will I be able to play the violin....I mean rugby?") But it got me thinking about preparation for medical emergencies. Lately I haven't been writing about it much, but my preparations for a more self-sufficient homestead are proceeding apace. Many of my major goals are either met (reproducing livestock, barns and fences, Homero's shop, biodiesel processor) or partially met (water storage, food storage systems, off-grid heat and cooking capability). Some are still in the planning stage (electricity generation).

Over the past several months I have slowly been building up the pantry, with the goal of eventually having a year's worth of food on hand. It's a gradual thing; an extra twenty pound of rice one week, a case of tuna the next, et cetera. When I hurt myself and it happened to be a holiday weekend with no medical attention short of the emergency room, it occurred to me it would be a good idea to do an inventory of my medical preparedness. One never knows what the future holds, and if it holds scenarios in which professional attention is not readily available (euphemism for "Oh crap, we're goin' down!") then it behooves us all to make what preparations we can.

As in other areas, medical preparedness consists of both knowledge and equipment. Although I am a registered nurse, my training is rapidly receding into the fuzzy past and it would be a good idea for me to take a first aid course. Every adult in a given household should at least have CPR training. Lucky for me I have all my old college nursing textbooks, which make a pretty big stack and include all kinds of extremely useful information. Many used bookstores carry textbooks, and emergency medicine texts should be relatively easy to find. This isn't the forum for a complete course in first aid, but adults should - at a minimum - know how to treat bleeding, recognize anaphylactic shock (extreme allergic reaction), give the heimlich maneuver and CPR.

Building a medicine cabinet is a good idea. We all have a bottle of aspirin in the cupboard, but that doesn't cut it. A good medicine cabinet will have a supply of both equipment and medicines. Here's a list of what's in mine - as a nurse, I have some things that aren't necessary or helpful for the average person, so take with a grain of salt.

Equipment:
Thermometer, band-aids, sterile gauze, tape, moist burn pads, ace bandages, self-adhesive wrap (horse tape), couple of assorted braces (wrist, knee) scissors of various sizes and specialties, good quality tweezers, nail clippers, chemical cold packs (if the power is out, you still want to be able to ice an injury), iodine and alcohol swabs, dental floss, stethoscope, otoscope, blood pressure cuff, blood sugar monitor. Measuring spoons and syringes (no needles). Epi-pen. cotton balls. An eyewash cup.

Medicines:
Not including prescriptions (try to have a month's supply of any prescription meds), aspirin, tylenol, and ibuprofen in quantity, including liquid and pediatric formulations. Benadryl for allergic reactions. Hydrocortisone cream. Triple antibiotic ointment (neosporin, for example). Tums or other antacid. An anti-diarrheal medicine and a laxative. Throat lozenges and spray - I like Chloraseptic, which actually contains an anesthetic. Mouthwash. Iodine. Hydrogen peroxide and rubbing alcohol. Anti-fungal cream for vaginal infections. Nasal spray (good for bites and stings as well as stuffy noses). Epsom salts.

That's about all I can think of at the moment, though I'm sure more will occur to me later. Most of these items can be purchased at a VERY steep discount at Costco. For example, if you buy Ibuprofen in 24 caplet bottles at the grocery store, you will pay about $5.00. If you go to Costco, you can get 500 tablets for about 8 bucks. Same with Benadryl (diphenhydramine is the generic name) and things like band-aids. I think a year's worth of medical supplies is a laudable goal. Not all medications will last a year, but most will. Just keep the cap on that bottle of hydrogen peroxide!

UPDATE: I thought of a couple of items important enough to add. Vitamins and fluoride tablets or drops.





Friday, April 17, 2009

Eggbeaters Are Too Complicated For Me

If anyone wants to know what kind of person I am, I really can't do better than to say I'm the kind of person who gets an electric eggbeater stuck in her hair. 


While making a fancy cheesecake for Rowan's school's fundraiser ball tomorrow night, I somehow leaned over the bowl too far and before I knew it, my handheld electric eggbeater had grabbed some of my hair and whirled up my head and was yanking my hair right out of my scalp. 

I'm not the kind of person of whom it is said "she really keeps her cool in a crisis," and so it didn't, at first, occur to me to pull the plug. Instead I staggered about the kitchen bellowing like a bull and clutching wildly at my head trying to find the off button. Luckily the cord isn't very long and I yanked it out of the wall in my thrashing dance of agony. 

Rowan came running, yelling "what's wrong, mom?" only to stop dead at the sight of me with a small appliance stuck to my head, not to mention about a half a pound of cream cheese. With her help, I was able to pop the beaters out of the machine body, which was an improvement, but I was in a not inconsiderable amount of pain. The motor had run long enough to roll the beaters right up against my scalp and  pull my hair extremely hard. Between the pain and the sheer ridiculousness, I didn't know whether to laugh or cry. So I did both.

To make a long story short, I only lost a hank of hair about the thickness of my pinky finger; cream cheese washes out fairly easily; and no, I didn't take a picture. 

Tuesday, February 17, 2009

Eyeball Drama


Yesterday I got something in my eye.  You know how sometimes, when you have something in your eye, it will move around, get comfortable for a while and you think it's gone, only to have it resurface and hurt even worse a few minutes or hours later? Well that was going on ALL DAY. And ALL EVENING. I kept my face in a bowl of warm water, blinking, for a half an hour with no results. By bedtime, I was ready to just pop my thumb behind my eyeball and say goodbye to left peripheral vision for the rest of my life. 

Homero applied a weird Mexican home remedy (holding my eyelid open and blowing hard into my eye) that actually worked pretty good. For a while. I kept waking up all night long with my eye gooped shut. This morning I looked bad enough that Homero was worried for his reputation. I slept for shit and my eye was four times it's normal size. 

Same thing today; it would feel okay for a while, I'd start to think it might be gone, then suddenly I'm being stabbed in the eyeball again. Finally I decided to take drastic measures. I got in the bathtub and pried my eye open with one hand while I held my face under the faucet. After several minutes of this, I thought it felt better. Then I found this thing:


That's hay. Another thing I did yesterday is move sixteen bales of hay into the barn. You can damn well bet that next time I do that, I'll be wearing safety goggles. 

Thursday, September 11, 2008

Ouch!

I'm typing this with one hand, because the other is totally broken. Well, probably not really, but it feels like it. Coming out of the small barn this evening with a container full of food for the pig, a goat (didn't see which one) jumped up on the door and slammed it on my thumb. Tore all the skin off the top and it instantly swelled to twice normal size. I howled like a banshee.


It's now two hours later and I've taken four ibuprofen and kept it soaking in ice water, but I still can't bend it and it still hurts almost as much as it did at first. If Homero were here I might go get an x-ray, but he's spending the night in Seattle at work. Can't leave the kids. I think a strong snort of bourbon might be the only treatment available tonight. 

It's been quite a while since I hurt myself, so I can't complain. The last time was way back last winter when I fell off the ladder. Oh well, and I put a staple in the palm of my hand last week when I was trying to staple up bird netting to keep the chickens out of the loft, but that hardly counts, that's just plain ordinary stupidity.