Veterinarian Volunteerism

Last summer I spent 8 days working as a volunteer veterinarian for the Humane Society Veterinary Medical Association. I joined the Rural Area Veterinary Service (RAVS) for their annual trip to the Standing Rock Sioux Reservation in North Dakota.  RAVS provides veterinary care to underserved communities within the United States. Many of these communities are located on reservations in the western half of the US. These MASH-type surgical and medical clinics are held once a year at different community centers on the reservation. RAVS provides spay and neuter surgeries, vaccinations, and parasite control.

The Standing Rock Sioux Reservation occupies 1 million acres and straddles the North Dakota/South Dakota state line. On this trip, 3 of the veterinarians and 1 LVT (licensed veterinary technician) were Humane Society employees. The additional personnel, all volunteers, consisted of:  4 veterinarians, 4 LVT’s, 35 veterinary students, and 2 clerical staff.  We gathered in Bismarck, ND for introductions and orientation. From Bismarck, we drove in caravan fashion to the Standing Rock Reservation.

The focus of this trip was to spay and neuter as many pets as possible. Vaccinations and parasite treatment were secondary to the primary mission of sterilization.  All services were free of charge to the clients. Veterinary students performed all of the pre-surgery and pre-treatment physical exams. They administered vaccinations and medications and talked to owners about exam findings, treatments, and preventive care. They assisted in anesthesia and surgery and monitored recovery of surgical patients. Most students were between the second and third years of veterinary school. These clinics provide the students with valuable surgical and clinical experience beyond what they get in veterinary school.  The students were extremely hard working, well prepared, flexible, and thorough. I was very impressed with their skills and their commitment to the well-being of the pets and the owners.

We admitted puppies and kittens as young as 6-8 weeks of age for surgery. Mature animal spays, which are rare here in urban practice, were common. These patients were primarily post- partum females, many of which were still nursing litters. Kittens and puppies as young as 2-3 weeks of age arrived along with mom and needed to be kept warm and quiet until mom was awake enough to be reunited with her babies. Every animal greater than 12 weeks of age received a Rabies vaccine, and all pets were dosed with oral worming medication and topical flea medication.

 The RAVS veterans stressed that this was likely to be the only opportunity many of these pets would have to be spayed or neutered. Pets that could not be found, caught, or transported to the site would miss the clinic and go on to produce additional litters of unwanted animals.  Neutered pets fight less, roam less, and are more likely to demonstrate behaviors that we find acceptable in household companions. Sterilized pets will lead more comfortable lives and suffer less traumatic injury and illness than their non-neutered counterparts. And they will not continue to contribute to the burden of unwanted animals on the reservation.

Clients frequently spent 2-3 hours waiting to have a pet assessed and admitted for surgery. Some waited 4 hours or more to have a pet or pets seen. Waiting for veterinary care was often a family affair, with 1 to 3 adults and 1 to multiple children and/or grandchildren piled in the car along with a variable number of animals. All pets in a family were treated as a unit-they were examined, treated, and returned to the owner at the same time.  It was not unusual for clients to arrive with 4-5 large dogs loose in the back of a truck, or 4-5 cats plus kittens loose in the passenger compartment of a car. 

Puppies and kittens seem to find homes fairly readily on the reservation. It was not uncommon for an owner to say the pet had been in the household less than a couple of weeks. Children are very involved with the puppies but interest and interaction wane as the puppy becomes an adult.  Many of the smaller dogs (a surprising number of Chihuahuas and Chihuahua mixes) live inside the house with the owners. Most medium sized and large dogs live outside of the house. 

Yards may or may not be fenced and are equipped with varying degrees of shelter. Many dogs wander freely. Some days they are observed by the owner and some days they are not. Feeding occurs if someone remembers to do it. Fighting is very common as are hit by car injuries and other types of trauma. It was rare to encounter dogs or cats over 6 years of age.

Pets come and go –household composition is very fluid – this is a different dynamic than what we are used to here in the city. Geriatric care is a major part of the services we provide to our clients. Most of the animals on the reservation do not live into these later years. But people clearly care about their pets. They would spend the entire day and into the evening waiting for their pets to be attended to. They were very thankful for the services we provided and for the interest we showed in their pets’ well-being. 

Clients’ knowledge of current recommendations for vaccination, nutrition, parasite control was minimal to non-existent. Their ability to provide the level of care that we provide for our pets is lacking. But these owners do want to do what they can within their means to improve the health and longevity of their pets. It is hard to see this when one first enters a situation so different from metropolitan Seattle but it is a large factor in the participation of so many professional volunteers. I fully anticipate accompanying RAVS on another trip next summer.

SOURCE:

Ann Whereat, VMD
Primary Location: Northwest Veterinary Hospital 

Dr. Whereat earned her degree from the University of Pennsylvania. She also received a B.A. in Biology from Lawrence University in Appleton, Wisconsin.

She has a veterinary interest in internal medicine and the human-animal bond.

Outside the office, Dr. Whereat has one pet – a Great Swiss Mountain dog – and likes to spend time with her husband and three daughters.