{"id":272,"date":"2018-02-12T14:51:26","date_gmt":"2018-02-12T14:51:26","guid":{"rendered":"http:\/\/www.spaysisters.org\/?page_id=272"},"modified":"2018-02-16T14:38:59","modified_gmt":"2018-02-16T14:38:59","slug":"2018-cape-verde","status":"publish","type":"page","link":"https:\/\/www.spaysisters.org\/?page_id=272","title":{"rendered":"2018 – Cape Verde"},"content":{"rendered":"

SPAY SISTERS CAPE VERDE 2018<\/h3>\n

 <\/p>\n

So the actual trip started for most of us on Sunday 14th January. I had spent the previous two weeks in an absolute turmoil, faced with a myriad of problems due to the possible consequences of drug trafficking, the lack of written confirmation concerning accommodation and unfortunately Toni-Marie at the last minute falling sick with a hooping cough!!<\/p>\n

However, despite the uncertainties and in true Spay Sisters style the trip wasn\u2019t cancelled.\u00a0 Some of us met at the Stansted airport to share luggage.\u00a0 Suzy flew in from Kuwait and joined us in Lisbon airport. While Phoebe and Anna, unknown to the majority of us, vet students met us at the visa booth in Saint Vincente arrivals.\u00a0 Jill, the final warrior, was waiting for us at the Saint Vincente port where we caught the boat to Sao Antao. To what we were going to arrive, other than a definite Portuguese-English language barrier, we didn’t know.\u00a0 At the last minute, due to Toni not coming, Tess, my daughter joined us, which though Spanish isn\u2019t Portuguese, they did seem more able to understand her than the rest of us!<\/p>\n

The boat docked and despite studying the quay, there didn\u2019t seem to be anyone, that looked as if they would be meeting us.\u00a0 Though we had had email contact with Irlando finally on the Tuesday before we left, we had taken sleeping bags in case.\u00a0 The countryside looked barren and volcanic, the weather was warm, but the wind was impressive.\u00a0 So we wandered through the port buildings along with\u00a0 the rest of the people who had been on the boat and looked around.\u00a0 It was very busy as people met friends and family, jumped into taxis or cars and disappeared.<\/p>\n

We were attracting a bit of attention, nine white women, but we were left alone after the taxi drivers had understood we were not interested.\u00a0 So still with no idea, who we were meeting or where we were going to be taken if indeed we were, action was needed.\u00a0 Approaching a man I said \u2018Do you know Irlando Ramos?\u2019 He seemed to get the idea and started babbling away into his telephone.\u00a0 He didn\u2019t have the number, but he knew someone who did! The result was we were told \u2018meetings, meetings, later\u2019 In the end, we were left waiting under an hour, before Irlando arrived, greeted us, waved a hand for a taxi to come and we were driven off in two vehicles to a very nice looking hotel.\u00a0 Everybody was very relieved, the accommodation for the trip was going to be fine\u2026.there was even a hotel pool!!!<\/p>\n

Irlando, then let us get organised, it was Monday evening, before returning to have a meeting with us, and then the President even arrived to welcome us. Information was exchanged about where we would be working, where we would be eating our evening meals, and at what time the Taxi would be arriving, 8.30am for us to start work.<\/p>\n

They had never had a veterinary charity working on their island before so they didn\u2019t know how it would work but they had put some men at our disposal for catching the dogs and cats.<\/p>\n

\"\"<\/a><\/p>\n

Viviene is their local ministry vet, who thankfully spoke English and whom we met the following morning when we arrived at the Centro Caprino de Cha de Italia, where we worked.\u00a0 Relaxing now with the accommodation and food organised we soon had our next worry, how was our anaesthetic protocol going to work.<\/p>\n

We have always used the ketamine, domitor and butorphanol up until this year.\u00a0 However, Ketamine is now becoming very difficult to get, and it is becoming very carefully controlled, due to its use in the party scene.\u00a0 So the alternative we decided to try was Zoletil, though none of us had ever used it before.\u00a0 The other problem with Zoletil is that there are no combination drug charts.\u00a0 We rang Virbac to enquire, and they sent information on how to anaesthetise animals and also a chart on drug doses for all sorts of exotics!<\/p>\n

\"\"<\/a><\/p>\n

So we decided we would start with the lowest dose of the drug, and the vets with the most experience and see what happened.\u00a0 Suzy was obviously the most involved with this as she was doing the majority of the nursing while Toni and Tess\u2019s job was catching and prep\u2019g.\u00a0 Our first animals did, in fact, take a long time to wake up, still being asleep 3 hours after the operation. The doses of Zoletil were decreased, and we used the combination chart replacing the Ketamine, with a markedly lower dose of Zoletil, however, combining it with the weight-specific domitor and butorphanol. After 527 anaesthetics, we unfortunately had a cat castrate that died. A 12wk old puppy which we were spaying, worried us as she went into apnoea, we then tubed her, gave her some antisedan and she woke up without consequences. However the dogs wake up calmer, with fewer animals fitting post operation.\u00a0 So we all agreed that we would use the drug again in preference to Ketamine in future trips (despite the increased cost).<\/p>\n

Having had lizzy and Amy as vet students last year in Mozambique, I ended up being a bit blase with Anna and Phoebe. I paid them less attention and expected them to be able to get on with it and do it.\u00a0 Again it all went well, with the typical problems of inexperience and knowledge of what is a tight ligature and how much tissue can you tear.\u00a0 The other difficulty surgery wise is that the dogs were covered in ticks, therefore surely carrying ehrlichia, babesia etc…causing them to bleed a lot.<\/p>\n

One of our most memorable stories was this stray bitch that had been found at the beach.\u00a0 She was laid in front of Anna to spay, so Anna got her equipment organised, put on her drape, with drape clamps and did her first skin incision. Suddenly with no warning, the bitch leapt off the table, landing the large stone which had been holding her in place onto Anna\u2019s foot, whilst running out of the room, literally entirely conscious!! We all screamed, and she then got recaught by Suzy before leaving the grounds, and re anaesthetised.\u00a0 Anna then restarted operating and naturally, it became a nightmare, she was bleeding too much.\u00a0 Anna was unsure of her ligatures, I got called in.\u00a0 Yes, she was bleeding a lot, so Anna finished the operation, we put her on a drip, reversed the domitor and woke her up as quickly as possible.\u00a0 She seemed fine, she woke up, we all breathed in relief and got back to our following surgeries.\u00a0 Then she started bleeding from her wound, staggering around dripping rapidly.\u00a0 We didn\u2019t have any bandages; they didn\u2019t have any bandages either, so we tied swabs together got a huge piece of cotton wool and strapped it around the dog.\u00a0 When we finished our working day, it was decided that we would leave this dog in the pound and either she would be ok or not the following morning.\u00a0 She was fine the following morning, and this picture tells the story.<\/p>\n

\"\"<\/a><\/p>\n

After the 4.5 days, we had already done 178 animals and were amazed at the number of dogs, with people bringing their own dogs.\u00a0 Ownership of dogs isn\u2019t the same as in Europe, but the locals definitely liked their dogs, they bought them to be operated on and then waited for them to wake up to take them home again. Toni and Tess then intermittently disappeared with Roni and Mario to catch and bring back more dogs in the pickup. We were also surprised at the number of female dogs, and there weren\u2019t many cats.<\/p>\n

\"\"<\/a><\/p>\n

The second week we were more in the swing of things, the music was blaring all the teething problems were out of the way, and even Lizzy had calmed down!!\u00a0 We were only working for four days with us going to Center of rural development of Ribeira das Patas on Wednesday to work in what seemed the Mairie of a pretty small village.\u00a0 Before arriving, we had written to Irlando to tell him we estimated being able to sterilise 350 animals in our time there and we wanted to achieve the numbers especially as the accommodation and food were excellent, and everybody was so friendly to us.\u00a0 At the end of our working day on Tuesday we had already reached 375 animals, and thankfully our drugs hadn\u2019t run out.\u00a0 Every animal operated on was getting an anaesthetic combination including a narcotic.\u00a0 They were also getting a long-acting antibiotic jab and a nsaid, with the majority even getting a shot of ivomec.<\/p>\n

The last day involved Jill hitting the 100 animals neutered though she had already been out the night before to celebrate!!<\/p>\n

\"\"<\/a><\/p>\n

Suzy still had the energy to do the maths after a fantastic score of 92 animals operated on to tell us we had done 527 animals in all and Motta, who started the sejour as Michel agreed.\u00a0 We were all very happy and very tired, but we held a little ceremony and gave out awards to the workforce of drivers, catchers, cleaners, Viviene and Irlando who had made it all happen.<\/p>\n

\"\"<\/a><\/p>\n

\u00a0Drugs used:\u00a0\r\n\r\nZoletil 100mg 5ml bottle x 15\r\n\r\nMeditomidine 50ml x 4\r\n\r\nDolorex 10ml x 8\u00a0\r\n\r\nMeloxicam x 100ml x 3\u00a0\r\n\r\nShotapen x 250ml x 2\u00a0\r\n\r\nAmoxycillin x 100ml x 1\u00a0\r\n\r\nIvomec x 250ml x 1\u00a0\r\n\r\nAdrenacaine x 100ml x 1<\/pre>\n
So after another successful Spay Sisters trip we must also thank the people who didn\u2019t come but contributed.\u00a0 We were lucky enough this year thanks to Toni Cobbett to get a very generous donation from Mr Peter Cullimore, whom we will be sincerely in love with if he wishes to continue to sponsor us next year!\u00a0 Also David Eagar, who allows us to buy our equipment, draps and syringes etc.. through his surgery Elmhouse Vets, Chelmsford.\u00a0 Koen Goovaerts and Monica for allowing me to purchase the drugs through the Cabinet Veterinaire de St Pons.\u00a0 The University of Bristol for providing us with a lot of sterile gloves brought along in Phoebe and Anna\u2019s suitcase. And lastly all the employers that allowed their employees to come away on the adventure.\u00a0<\/em><\/p>\n
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 <\/p>\n
Now in Portuguese:<\/strong><\/pre>\n
SPAY SISTERS CAPE VERDE 2018<\/h3>\n
 <\/p>\n
Para a maioria das Spay Sisters, a viagem come\u00e7ou no domingo 14 de janeiro.<\/p>\n
Passei as duas semanas anteriores numa turbul\u00eancia absoluta, perante uma mir\u00edade de problemas: as poss\u00edveis consequ\u00eancias do tr\u00e1fico de f\u00e1rmacos, a falta de confirma\u00e7\u00e3o por escrito do alojamento e, infelizmente, a doen\u00e7a de Toni-Marie, que no \u00faltimo instante ficou com uma tosse aguda!<\/p>\n
No entanto, apesar das incertezas e ao verdadeiro estilo de Spay Sisters, a viagem n\u00e3o foi cancelada. Algumas Spay Sisters encontraram-se no Aeroporto de Stansted para distribuir a bagagem. A Suzy voou do Kuwait e juntou-se a n\u00f3s no Aeroporto de Lisboa. Enquanto isso, a Phoebe e a Anna, estudantes veterin\u00e1rias desconhecidas para a maioria de n\u00f3s, encontraram-se connosco no departamento de vistos das chegadas a S\u00e3o Vicente. Jill, a guerreira final, estava \u00e0 nossa espera no porto de S\u00e3o Vicente, onde fomos de barco para Santo Ant\u00e3o. N\u00e3o sab\u00edamos muito do que nos esperava, al\u00e9m de uma barreira lingu\u00edstica absoluta, entre a l\u00edngua portuguesa \/ inglesa. No \u00faltimo momento, devido \u00e0 Toni n\u00e3o se poder juntar ao grupo, Tess, a minha filha, que fala espanhol, juntou-se a n\u00f3s. Embora o espanhol n\u00e3o seja portugu\u00eas, pareceu-nos que as pessoas em Cabo Verde eram bem mais capazes de a compreender do que o resto de n\u00f3s!<\/p>\n
O barco atracou e no cais n\u00e3o havia ningu\u00e9m \u00e0 nossa espera. Embora tiv\u00e9ssemos sido contactadas por e-mail, na ter\u00e7a-feira antes, pelo Irlando, que nos garantiu que estava t\u00ednhamos alojamento garantido, levamos sacos cama. A paisagem parecia est\u00e9ril e vulc\u00e2nica, o clima era quente, e o vento impressionante. Vagueamos pelos edif\u00edcios portu\u00e1rios juntamente com os amigos e familiares que se encontravam, apanhavam um t\u00e1xis, ou os seus pr\u00f3prios carros, e desapareciam.<\/p>\n
Atra\u00edamos um pouco de aten\u00e7\u00e3o pois \u00e9ramos nove mulheres brancas juntas, mas os taxistas deixaram-nos em paz assim que entenderam que n\u00e3o est\u00e1vamos interessadas. Assim, sem a menor ideia de com quem estava a falar ou onde isso nos iria levar, aproximei-me de um homem, e disse: “Conhece Irlando Ramos?\u201d Ele pareceu ter ideia de quem era e come\u00e7ou a balbuciar ao telefone. Ele n\u00e3o tinha o n\u00famero dele, mas conhecia algu\u00e9m que o tinha. O resultado \u00e9 que fomos informados de “reuni\u00f5es, reuni\u00f5es, mais tarde\u201d\u2026<\/p>\n
Ficamos \u00e0 espera cerca de uma hora, at\u00e9 que Irlando chegasse. Cumprimentou-nos, chamou um t\u00e1xi e fomos conduzidas em dois ve\u00edculos para um hotel muito agrad\u00e1vel. Ficamos muito aliviadas por saber que t\u00ednhamos alojamento e tudo ficaria bem… Havia at\u00e9 uma piscina no hotel!!!<\/p>\n
Irlando deixou-nos \u00e0 vontade para nos instalarmos e voltou na segunda-feira \u00e0 noite para uma reuni\u00e3o onde at\u00e9 o Presidente nos recebeu. Formos informadas sobre o local de trabalho e o local de jantar, e ainda sobre a que horas chegaria o t\u00e1xi (\u00e0s 8h30) para come\u00e7armos a trabalhar.<\/p>\n
Nunca tinham tido uma institui\u00e7\u00e3o de caridade veterin\u00e1ria a trabalhar nesta ilha, logo n\u00e3o sabiam como funcionaria, mas colocaram alguns homens \u00e0 disposi\u00e7\u00e3o para apanhar os c\u00e3es e gatos das ruas.<\/p>\n
\"\"<\/a><\/p>\n
Na manh\u00e3 seguinte, Viviene, a veterin\u00e1ria local, encontrou-se connosco no local de trabalho – o Centro Caprino de Cha de Italia, e felizmente falava ingl\u00eas. Agora que est\u00e1vamos descansadas com o alojamento e refei\u00e7\u00f5es organizadas, tivemos logo a pr\u00f3xima preocupa\u00e7\u00e3o, como funcionaria o protocolo de anestesia.<\/p>\n
Usamos sempre a Ketamina, o Domitor e o Butorfanol. No entanto, a Ketamina est\u00e1-se a tornar muito dif\u00edcil de obter e cuidadosamente controlada, devido ao seu uso para consumo de drogas. A alternativa foi tentar o Zoletil (embora nenhuma de n\u00f3s tivesse usado antes). O outro problema com o Zoletil \u00e9 que n\u00e3o h\u00e1 gr\u00e1ficos de drogas combinadas. Contactamos o laborat\u00f3rio Virbac para pedir informa\u00e7\u00f5es e eles enviaram-nos um gr\u00e1fico com as doses para todos os tipos de animais, inclusive ex\u00f3ticos!<\/p>\n
\"\"<\/a><\/p>\n
Decidimos que come\u00e7ar\u00edamos com a dose mais baixa e com os veterin\u00e1rios mais experientes para ver como corria. Suzy foi, obviamente, a mais envolvida no trabalho de enfermagem enquanto a Toni e a Tess seguravam e preparavam os animais. Os nossos primeiros animais demoraram muito tempo a acordar, e dormiam at\u00e9 3 horas ap\u00f3s a opera\u00e7\u00e3o, logo as doses de Zoletil foram diminu\u00eddas. Usamos a tabela de combina\u00e7\u00e3o de f\u00e1rmacos que substitui a Ketamina, com uma dose marcadamente mais baixa de Zoletil, no entanto, combinando-a com o domitor (espec\u00edfico do peso) e o Butorfanol.<\/p>\n
Infelizmente ap\u00f3s 527 anestesias tivemos um gato que foi castrado e que morreu. Houve tamb\u00e9m um cachorrinho de 12 semanas que esterilizamos, que nos preocupou pois entrou em apneia. Procedemos \u00e0 entuba\u00e7\u00e3o demos-lhe algum antisedan e ele acordou, felizmente, sem consequ\u00eancias. No entanto, constatamos que os c\u00e3es acordam mais calmos ap\u00f3s a opera\u00e7\u00e3o. Concordamos que usaremos novamente o Zoletil em vez da Ketamina, em viagens futuras (apesar do aumento do custo).<\/p>\n
Tendo tido a Lizzy e a Amy como estudantes de veterin\u00e1ria, o ano passado em Mo\u00e7ambique, suponho que fui um pouco culpada de prestar-lhes menos aten\u00e7\u00e3o este ano, e esperei que fizessem as cirurgias sem grandes complica\u00e7\u00f5es. Novamente tudo correu bem, com os problemas t\u00edpicos de inexperi\u00eancia e do conhecimento do que \u00e9 uma ligadura apertada e quanto tecido se pode ou n\u00e3o rasgar. A outra dificuldade em termos destas cirurgias \u00e9 que os c\u00e3es estavam cobertos de carra\u00e7as, portanto, seguramente carregados de parasitas como a ehrlichia, babesia etc … o que os fazia sangrar muito.<\/p>\n
Uma das nossas hist\u00f3rias memor\u00e1veis foi uma cadela que tinha sido encontrada na praia. A Anna organizou o equipamento para a esterilizar e fez uma primeira incis\u00e3o na pele. De repente, sem aviso pr\u00e9vio, a cadela saltou da mesa, empurrando a pedra grande que a segurava, para cima do p\u00e9 da Anna, enquanto corria pela sala inteiramente consciente! N\u00f3s ficamos em p\u00e2nico, at\u00e9 que a Suzy a agarrou e a voltou a anestesiar. A Anna reiniciou a cirurgia que, naturalmente, se tornou um pesadelo, pois esta cadela sangrava imenso. A Anna n\u00e3o tinha a certeza que as suas ligaduras estavam bem, e eu fui convocada. Sim, a cadela sangrava muito de facto, ent\u00e3o a Anna terminou a opera\u00e7\u00e3o, e colocamos-lhe soro. Revertemos a anestesia e tentamos acord\u00e1-la o mais r\u00e1pido poss\u00edvel. Parecia-nos bem e quando acordou, todas respiramos aliviadas e voltamos \u00e0s nossas cirurgias. A cadela come\u00e7ou a sangrar da sua incis\u00e3o, cambaleando em torno do soro. N\u00e3o t\u00ednhamos grandes pensos; eles tamb\u00e9m n\u00e3o tinham bandagens, ent\u00e3o com v\u00e1rios materiais e um enorme peda\u00e7o de algod\u00e3o, colocamos um penso compressivo na cadela. Quando terminamos o nosso dia, foi decidido que esta cadela ficaria em observa\u00e7\u00e3o at\u00e9 ao dia seguinte. Ela estava bem na manh\u00e3 seguinte e esta imagem conta a hist\u00f3ria.<\/p>\n
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Ap\u00f3s 4\/5 dias, j\u00e1 t\u00ednhamos esterilizado 178 animais e ficamos maravilhadas com o n\u00famero de c\u00e3es trazidos pelas pessoas que os tinham em casa. A deten\u00e7\u00e3o de c\u00e3es n\u00e3o \u00e9 como na Europa, mas os habitantes locais gostam, definitivamente, dos seus c\u00e3es. Eles levavam-nos para serem operados e depois esperaram que acordassem para lev\u00e1-los de volta a casa novamente. Toni e Tess ajudavam Roni e Mario a trazer c\u00e3es de volta, na pickup. N\u00f3s tamb\u00e9m ficamos surpreendidas com o n\u00famero de c\u00e3es do sexo feminino. N\u00e3o havia muitos gatos.<\/p>\n
\"\"<\/a><\/p>\n
Na segunda semana, as coisas flu\u00edam melhor, a m\u00fasica tocava e todos os problemas estavam longe, inclusive a Lizzy se acalmou!! N\u00f3s trabalh\u00e1vamos apenas mais quatro dias neste local.<\/p>\n
Na quarta-feira seguinte ir\u00edamos para o Centro de Desenvolvimento Rural da Ribeira das Patas para trabalhar naquilo que parecia ser uma c\u00e2mara municipal de uma pequena aldeia. Antes de l\u00e1 chegar, escrevemos ao Irlando para lhe dizer que estim\u00e1vamos ser capazes de esterilizar 350 animais, durante a nossa estadia. Quer\u00edamos alcan\u00e7ar esses n\u00fameros, especialmente porque a acomoda\u00e7\u00e3o e comida eram excelentes, e todos nos tratavam t\u00e3o bem :).<\/p>\n
No final da nossa ter\u00e7a-feira, chegamos aos 375 animais, e, felizmente os nossos f\u00e1rmacos n\u00e3o acabaram. Todos os animais eram operados com uma combina\u00e7\u00e3o anest\u00e9sica, incluindo um narc\u00f3tico. Tamb\u00e9m recebiam antibi\u00f3tico de a\u00e7\u00e3o prolongada e um anti-inflamat\u00f3rio n\u00e3o ester\u00f3ide. A maioria dos animais recebeu tamb\u00e9m uma inje\u00e7\u00e3o de ivomec.<\/p>\n
Os acontecimentos do \u00faltimo dia envolveram a Jill atingir o recorde de 100 animais esterilizados, (embora tivesse sa\u00eddo na noite anterior para celebrar)!!<\/p>\n
\"\"<\/a><\/p>\n
A Suzy, depois que um fant\u00e1stico dia de 92 animais operados, teve ainda energia para fazer as contas e nos dizer que esterilizamos no total 527 animais! Est\u00e1vamos todas muito felizes e muito cansadas, mas realizamos uma pequena cerim\u00f3nia onde concedemos pr\u00e9mios \u00e0s for\u00e7as do trabalho – os motoristas, os coletores, os limpadores, \u00e0 Viviene e ao Irlando que tudo fizeram acontecer.<\/p>\n
\"\"<\/a><\/p>\n
Drogas usadas: Zoletil 100mg Garrafa de 5ml x 15Meditomidina 50ml x 4Dolorex 10ml x 8 Meloxicam x 100ml x 3 Shotapen x 250ml x 2 Amoxicilina x 100ml x 1 Ivomec x 250ml x 1 Adrenaca\u00edna x 100ml x 1<\/pre>\n
Depois de mais outra viagem com sucesso das Spay Sisters, tamb\u00e9m devemos agradecer \u00e0s pessoas que n\u00e3o vieram, mas contribu\u00edram. Este ano tivemos a sorte do nosso lado, gra\u00e7as \u00e0 Toni Cobbett que recebeu um donativo muito generoso do Sr. Peter Cullimore, a quem estaremos eternamente gratas se desejar continuar a patrocinar-nos no pr\u00f3ximo ano! Tamb\u00e9m queremos agradecer a David Eagar, que nos permitiu comprar os equipamentos, f\u00e1rmacos e seringas, etc. atrav\u00e9s do seu centro de cirurgia Elmhouse Vets, Chelmsford. Agradecemos tamb\u00e9m a Koen Goovaerts e \u00e0 Monica por me permitir comprar medicamentos atrav\u00e9s do Gabinete Veterinaire de St Pons. Obrigada \u00e0 Universidade de Bristol que nos forneceu muitas luvas est\u00e9reis trazidas na mala de Phoebe e Anna. Finalmente, um obrigada a todos os chefes que permitiram que os seus funcion\u00e1rios se juntassem a n\u00f3s nesta aventura.<\/em><\/p>\n
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 <\/p>\n
 <\/p>\n
 <\/p>\n","protected":false},"excerpt":{"rendered":"
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