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Let Sleeping Vets Lie Page 24
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wisteria climbed high over the old bricks of the tall Georgian house. In
the cobbled yard at the foot of the garden he looked up at the rooks
making their din high in the overhanging elms and he gazed for a few
moments through the trees to where you could see the bare ribs of the
fells still showing the last white runners of winter.
"Charming," he murmured. "Charming."
I was glad enough to see him to his lodgings that evening. I felt I
needed time to readjust my thinking.
When we started out next morning I saw he had discarded his check suit
but was still very smart in a hacking jacket and flannels.
"Haven't you any protective clothing?" I asked.
"I've got these." He indicated a spotless pair of Wellingtons in the
back of the car.
"Yes, but I mean an oilskin or a coat of some kind. Some of our jobs are
pretty dirty."
He smiled indulgently. "Oh, I'm sure I'll be all right. I've been round
the farms before, you know."
I shrugged my shoulders and left it at that.
Our first visit was to a lame calf. The little animal was limping round
its pen holding up a fore leg and looking very woebegone. The knee was
visibly swollen and as I palpated it there seemed to be a lumpiness in
the fluid within as if there might be a flocculus of pus among it. The
temperature was a hundred and four.
I looked up at the farmer. "This is joint ill. He probably got ah
infection through his navel soon after birth and it's settled in his
knee. We'll have to take care of him because his internal organs such as
the liver and lungs can be affected. I'll give him an injection and
leave you some tablets for him."
I went out to the car and when I came back Carmody was bending over the
calf, feeling at the distended knee and inspecting the navel closely. I
gave my injection and we left.
"You know," Carmody said as we drove out of the yard, 'that wasn't joint
ill."
"Really?" I was a bit taken aback. I didn't mind students discussing the
pros and cons of my diagnoses as long as they didn't do it in front of
the farmer, but I had never had one tell me bluntly that I was wrong. I
made a mental note to try to keep this fellow away from Siegfried; one
remark like that and Siegfried would hurl him unhesitatingly out of the
car, big as he was.
"How do you make that out, then?" I asked him.
"Well there was only the one joint involved and the navel was perfectly
dry. No pain or swelling there. I should say he just sprained that
knee."
"You may be right, but wouldn't you say the temperature was a bit high
for a sprain?"
Carmody grunted and shook his head slightly. Apparently he had no
doubts.
A few gates cropped up in the course of our next batch of calls and
Carmody got out and opened them just like any ordinary being except that
he did it with a certain leisurely elegance. Watching his tall figure as
he paced across, his head held high, the smart hat set at just the right
angle, I had to admit again that he had enormous presence. It was
remarkable at his age.
Shortly before lunch I saw a cow that the farmer had said on the phone
might have To. "She's gone down t'nick ever since she calved, guvnor. I
doubt she's a screw, but you'd better have a look at her, anyroad."
As soon as I walked into the byre I knew what the trouble was. I have
been blessed with an unusually sensitive nose and the sickly sweet smell
of ketone hit me right away. It has always afforded me a childish
pleasure to be able to say suddenly in the middle of a tuberculin test
"There's a cow in here about three weeks calved that isn't doing very
well," and watch the farmer scratch his head and ask me how I knew.
I had another little triumph today. "Started going off her cake first
didn't she?" and the farmer nodded assent. "And the flesh has just
melted off her since then ?"
"That's right," the farmer said, "I've never seen a cow go down as
quick."
"Well you can stop worrying, Mr. Smith. She hasn't got TB, she's got
slow fever and we'll be able to put her right for you."
Slow fever is the local term for acetonaemia and the farmer smiled in
relief. "Damn. I'm glad! I thowt she was dog meat. I nearly rang Mallock
this morning."
I couldn't reach for the steroids which we use today, but I injected six
ounces of glucose and 100 units of insulin intravenously - it was one of
my pet remedies and might make modern vets laugh. But it used to work.
The cow, dead-eyed and gaunt, was too weak to struggle as the farmer
held her nose.
When I had finished I ran my hand over the jutting bones, covered, it
seemed, only by skin.
"She'll soon fatten up now," I said. "But cut her down to once a day
milking - that's half the battle. And if that doesn't work, stop milking
her entirely for two or three days."
"Yes, I reckon she's putting it in "'bucket instead of on her back."
"That's it exactly, Mr. Smith."
Carmody didn't seem to appreciate this interchange of home-spun wisdom
and fidgeted impatiently. I took my cue and headed for the car.
"I'll see her in a couple of days," I cried as we drove away, and waved
to Mrs. Smith who was looking out from the farmhouse doorway. Carmody
however raised his hat gravely and held it a few inches above his head
till we had left the yard, wh:eh was definitely better. I had noticed
him doing this at every place we had visited and it looked so good that
I was playing with the idea of starting to wear a hat so that I could
try it too.
I glanced sideways at my companion. Most of a morning's work done and I
hadn't asked him any questions. I cleared my throat.
"By the way, talking about that cow we've just seen, can you tell me
something about the causes of acetonaemia?"
Carmody regarded me impassively. "As a matter of fact I can't make up my
mind which theory I endorse at the moment. Stevens maintains it is the
incomplete oxidation of fatty acids, Sjollema leans towards liver
intoxication and Janssen implicates one of the centres of the autonomic
nervous system. My own view is that if we could only pin-point the exact
cause of the production of diacetic acid and beta-oxybutyric acid in the
metabolism we'd be well on the way to understanding the problem. Don't
you agree?"
I closed my mouth which had begun to hang open.
"Oh yes, I do indeed ... it's that oxy ... that old beta-oxy ... yes,
that's what it is, without a doubt." I slumped lower in my seat and
decided not to ask Carmody any more questions; and as the stone walls
flipped past the w.indows I began to face up to the gradually filtering
perception that this was a superior befog next to me. It was depressing
to ponder on the fact that not only was he big, good-looking" completely
sure of himself but brilliant as well. Also, I thought bitterly, he had
every appearance of being rich.
We rounded the corner of a lane and came up to a low huddle of stone
buildings It was the last call befo