Musings in Transition

I took up my college degree for 7 years; S e v e n y e a r s, that is 84 months, 2,555 days and almost 1/3 of my entire existence here on earth.

When I was in college, my goal and vision was crystal clear: to be excellent in my studies, earn my DVM degree and above all, honor God. My whole seven-year season was fueled by that mindset. I was the student leader, church volunteer, hardworking student who did her best to glorify God; that was my stable identity at that time. Now as I transition into the real world as a young professional and started working, my vision was suddenly a bit blurry. I started asking questions: What now? Who am I now? What do I really want to become? Do I see myself in this specialization in the long run? Am I where God wants me to be? Or where I want to be?

I wondered what happened to the passionate and purposeful student for the past few years? She is now stuck in a 6-days-a-week, 9am-7pm shift in the clinic. I was suddenly in a totally unfamiliar environment, I was with unfamiliar people, and I did unfamiliar things. The passion and energy of my student season was a lot different from the routinary day as a young professional in a clinic.

B u t G o d. I was reminded in:

Philippians 1:6 “For I am confident of this very thing, that He who began a good work in you will perfect it until the day of Christ Jesus.

James 1:17

“Every good thing given and every perfect gift is from above, coming down from the Father of lights, with whom there is no variation or shifting shadow.

Our God is never changing! We may have different seasons, different emotions, different situations but we have the same God. The God who was faithful, passionate, and loving when I was in college is the very same God guiding me as I enter the young professional season. My identity is never based on what am I doing or how much am I doing but it is entirely based on who God is and who He says I am.

When God takes us to new levels and greater heights, we will start to feel uncomfortable or unprepared but we have to trust the process! We have to anchor our faith in Him, trust Him, and believe He will pull us through; there are no shortcuts. Our capacity and our character is growing.

I realized not just because I feel lost and dazed of the unfamiliar present and unknown future does it mean that God left me or God treats me differently now. I know and I believe that He sees me as His daughter and I can come to Him like a child.

When I started having this kind of mind set, my perspective changed. I am extremely grateful for my work, I see how favored I am, how blessed I am to have the opportunity to use what I spent my 7 years on.

We have and unknown future but an all-knowing God. My confidence is sure, my identity secured.

Choosing Gratefulness Over Self-entitlement

Slow internet connection, we complain. Long lines at Starbucks, we complain. Easily drained iPhones, we complain. We didn’t get what we want, we complain.

We failed the first time, we give up. We get corrections from friends, we walk away. Two to three scrolls in Facebook and Twitter is all you need to get a dose of rants from people every single day. It seems like every time we experience the slightest inconvenience, we easily give up. It seems like it doesn’t take much for us to forget our purpose, our goal in the first place.

These days I can’t help but notice how our generation fails to see the God working in our everyday situations. I can’t help but see how we are becoming more and more self-entitled every single day. See, I know these things because I am guilty of it, too. Please do not take me wrong, though. I do not, in any way, belittle the daily inconveniences and difficulties we are are going through. I believe those are real and those are legitimate. The thing is, if we only realize that God is working on our character and molding us every time we experience these difficulties, then just maybe we will see this world a bit different. I hope we realize that God teaches us patience by placing us in situations where we are expected to be impatient; He teaches us how to love by surrounding us with unlovable people; He teaches us strength by allowing us to experience pain.

As Christiana, I hope we remember that we are not entitled to anything in this world; no matter how we worked hard for it or prayed hard for it. When Jesus Christ died on the cross for us 2,000 years ago, we are already complete. We are full. We lack nothing. Whatever gifts or provision God blesses us with are just mere bonuses. Once we fully grasp this, only then will we be able to live a life of gratefulness and contentment. Only then will we be able to see the beauty in waiting, the beauty in delays and the beauty in failures.

“But godliness with contentment is great gain, for we brought nothing into the world, and we cannot take anything out of the world.” 1 Timothy 6:6-9

My rally is that we become a generation of gratefulness, contentedness and endurance, and not self-entitlement and ranting. Gratitude begins where self-entitlement ends. A life of gratefulness and contentment is definitely one of the best ways to live. And this is only possible if we receive the love and grace from Jesus Christ.

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EXTERNSHIP 2017. Week 5.

New farm, new beginning! For five days, we conducted our large ruminant specialization at the CV Toreja Dairy Multiplier farm. It is an almost 400-head dairy cattle farm located in Barangay Dayapan, Ibaan, Batangas owned by Mr. Arnel and Dr. Eileen Toreja. They were very generous and hospitable that they even allowed us to stay in their huge and fully-furnished room inside the farm!

Sir Arnel also gave us a short lecture on grasses. I realized how huge the role of grasses are when it comes to cattle raising. I also realized that it is important to be familiar not only with the animals of the farm but the environment and management as a whole (i.e. nutritional content of grasses, design of houses and pens etc.). As he said, farming is timing.


Farm Tour

Dr. Aileen herself gave us a tour around their farm. It was a whopping 20-hectare land! Dairy cattle production is just one of their many businesses. They also have a sugarcane plantation, banana farm and an upcoming swine farm. The dairy cattle farm started in the year 2011 with only 25 cows provided by the National Dairy Authority (NDA). They have two large houses with 4-5 large pens per house.They seperate the dry cows, heifer, pregnant and calves. Their calf barn is located beside the houses. Most of their lands are their source of forage to feed the cattle. They have various grass planted in their vast lands: star, sudan, signal, napier, sorghum and wheat.

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Cows are allowed to graze in the morning.

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Farm’s Medicine Cabinet

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Feeds Storage Room


Artificial Insemination (AI)

Kuya Uban, the farm’s AI technician, taught us how to perform artificial insemination. The farm practices AI ever since they started. They export the semen they use all the way from New Zealand! They follow the AM PM rule when it comes to insemination. It means that if a cow is seen to be in  heat in the morning, it will be inseminated in the afternoon and vice versa.

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Kuya Uban performing Artificial Insemination


Milking Process

We were allowed to take part in their milking process! I was surprised because some farms would not allow OJT students to milk since it is more prone to contaminating the milk. Their milking parlor is a parallel type with 8-10 animals per side. They milk their cows twice,  4AM in the morning and 3PM in the afternoon. The farm milks 70 cows per day and their maximum yield is 12 liters per cow per day.

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Before milking, we wear head cap, mask and apron to prevent contamination and of course, to prevent us from harboring dirt, fecal matter and urine during the process.

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Three Milk Maids!

The first step in milking is the animals are lined in the chute side by side while being fed with mineral mix. Their udder and teats are washed with water using high-pressure water hose. It is then doused with warm water and each udder is squeezed three times to remove the discard milk or any dirt. It is again washed with high-pressure water hose for final washing. Cleaning the udder and teats is a crucial step in the milking process. Finally, it is dried with a white washcloth. One washcloth is used per animal to prevent transfer of disease. The milking suction cups are placed per teat. Once we see that no more milk is produced, the suction cups are removed and the teats are dipped in an iodine solution.


Pen Cleaning

Every morning, we scrape mud and fecal matter off from the pens using a large shovel. Daily pen cleaning is important to prevent the animals from sliding due to slippery floors and also, to reduce the chance of dirt going in their teats and udder, thus cause mastitis. Also, I noticed that the smell of cattle’s feces is more tolerable than that of a water buffalo. The farm used to do vermicomposting for their fecal material but it was stopped when a storm caused the worms to be washed out. They have not practiced vermicompost since. They merely give the fecal mater to nearby farms who uses it as fertilizer.

I really recommend that the farm to practice vermicompost making again since they produce massive amount of fecal matter every single day and turning them into vermicompost is a practical and income-producing way to make use of it.


Forage Harvesting

We went with the farm workers to help harvest Napier grass. Kuya Ruben allowed us to drive the tractor used to harvest! It was such a huge machine! They harvest twice a day everyday.

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Harvester used for foraging

 


Dehorning and Disbudding

Dehorning is the removal of fully grown horns of an animal. Disbudding, on the other hand, is the process of removal of the buds before they grow into horns and performed in young animals usually as less than two months of age. Horns are removed because they can pose a risk to other animals and the farmers. It can also affect the carriers of the horns themselves as horns are sometimes caught in fences or prevent feeding.

Dehorning is normally performed with local anesthesia or sedation. However, we did not use such in the farm. The calves were restrained and tied at their legs. Hair around the horns were cut to expose the horns fully. A hot iron is then pressed into the horn to slowly melt it. It is the sprayed with Oxytetracycline spray to prevent bacterial contamination and dusted with Permethrin powder to prevent flies from infesting the wound.

I really recommend the use of anesthesia in this procedure because it is very difficult and painful for the calves.

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Bathing the Cows

Twice a month, the animals are bathed with a mix of  Mectin© and Supermethrin© diluted in water using a power spray hose. These are broad-spectrum insecticide. These prevent the animals from fly and tick infestation.

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Pregnancy Diagnosis (PD)

Ka Cesar, a former NDA technician, taught us how to perform pregnancy diagnosis via rectal palpation. I realized that it really takes a lot of practice to be able to be an expert in  performing proper PD.

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Five days in the farm went by so quickly! I enjoyed our little farm life: early rising and early sleeping, simple lifestyle and simple food. We learned a lot on farm management and livestock production.

The five weeks of externship in PCC and Ibaan has taught me so much. It is definitely one of the most humbling and fulfilling experience in my life. I learned that there is still so much to learn! 🙂

EXTERNSHIP 2017. Week 4.

DAY 16. February 6, Monday.

8AM. Today we are assigned at the NIZ division. Unfortunately, they had a whole day meeting so they assigned us with an administrative job. Ma’am Myra gave us contracts between the farmers and PCC. We sorted all the contracts and checked if any signature was missing.

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DAY 17. February 7, Tuesday.

6:30AM. Milk Testing. Earliest call time we had! Today we were scheduled to do milk testing in Eastern Cooperative in San Jose. Member farmers of the coop from different areas bring a gallon of milk from the carabao they own. PCC personnel will test if the milk is viable for processing. The test we did for today was the California Mastitis test.

California Mastitis Test (CMT) is a simple test and indicator of the Somatic Cell Count (SCC) of milk. It works by using a reagent which disrupts the cell membrane of somatic cells present in the milk sample; the DNA in those cells to reacting with the test reagent. It is a simple but very useful technique for detecting subclinical mastitis on-farm, providing an immediate result and can be used by any member of farm staff. In this test, a four-well plastic paddle is used, one well being used for each quarter of the cow to be tested. A small amount of milk placed into each well. After that, an equal volume of test reagent is added and then the sample is gently agitated.

The reaction is scored on a scale of Negative, Trace and then from 1 to 3. Negative score is given if the mixture remains unchanged and 3 if it is an almost-solid gel forming. A score of 2 or 3 being considered a positive result. This result is not a numerical result but is an indication as to whether the cell count is high or low; the CMT will only show changes in cell counts above 300,000.

We were able to process almost 50 – 70 bulk milk samples. After that, we processed milk samples from individual teats. The milk samples which were viable will be used in the processing of milk. Eastern cooperative is one of the largest cooperative has their own processing plant.


DAY 19. Feb 9, Thursday.

7AM. Back at Gene Pool! Today we are to work in Gene Pool. Our first task was to do farm rounds. We administered 10mL Tolfenamic acid in a carabao with an inflamed leg. We also cleaned and debrided a carabao with bed sores.

9AM. Deworming and Vitamins administration. We went to the calf barn to treat the calves. We administered 2mL Duramectin and 10mL Fercobsang© (Iron, vitamin B1, vitamin B12, vitamin PP, cobalt and copper supplement).

1PM. Cleaning the pens. Before transferring the calves to their new houses, we cleaned the pens. We removed the mud and fecal matter using power spray. After which, we applied a mist of disinfectant.

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3PM. Weighing and Transferring the calves. This was one of the most tiring activity of the day! The calves were very strong and heavy. We weighed them first before transferring them into their new houses.


DAY 20. Feb 10, Friday.

8AM. Last Day. We went to the Animal Health Unit to meet with Sir Dado. We fixed our requirements for our specialization: time cards, exit interviews, evaluation forms, etc. It was quite sad because it would be the last time in the building! We saw some of the veterinarians and staff who helped us and taught us in our first few weeks here in Nueva Ecija. I am gonna miss them!

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10AM. Tail docking. We went to gene pool to perform tail docking in animal  Y1538. It was my first time to assist in such surgery. Tail docking was performed because 40% of the lower tail was already necrotic.

First, we induced local anesthesia using 5mL Lidocaine at the caudal epidural area. We then determined the area where we will cut the tail. We tied two elastic bands at the area before the cut will be made. This is done to stop the blood supply from flowing into the tail. A “V” cut was made at the dorsal and ventral portion of the tail. The muscle and cartilage was carefully cut. Hemostat forceps is applied whenever there is bleeding. The skin is then sutured using simple interrupted suture.

4PM. Goodbye Pakain! We went to the NIZ building to have a last visit to the NIZ people and have a small feast of pizza and soft drinks. The vets and staff gave us their farewell advice in life and in the upcoming board exam. We will really miss them!

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20 days working in PCC and 26 days staying in Nueva Ecija was really a memorable experience for me. I can really say that I will never forget the learnings I had, the places I went to and the people I met. Till next time, PCC Nueva! 🙂

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EXTERNSHIP 2017. Week 3.

Week 3! This week we are assigned at the National Impact Zone (NIZ) division of PCC. This is the division responsible for the regulation and maintenance of the cooperative farms and farmers under PCC. This is probably my favorite rotation because we got to travel to different places around Nueva Ecija, talk to hard working farmers and treat different cases on water buffaloes.


DAY 11. January 30, Monday. 

8AM. Flag Ceremony. Second time to attend PCC flag ceremony!

10AM. Pregnancy Diagnosis and Estrus Synchronization. Together with Tata Mar Belizo and Doc Jega Ortiz, we went to Barangay Poblacion, San Jose. Today we are scheduled to go to different houses/ farms of the members of the cooperative (“coop”) under PCC to do pregnancy diagnosis and estrus synchronization.

Pregnancy diagnosis (PD) can be done in various ways, two of the most common are rectal palpation and ultrasound. Rectal palpation involves introducing the arm into the rectum of the cow or heifer and physically feeling for the fetus.  Pregnancy can be detected as early as 40 days of gestation. It is usually possible to determine the gestation length (or fetal age), although the variation in size of individual fetuses makes it somewhat more difficult as the fetus gets larger.  It is quick and requires no specialized equipment, gives instant results, and is the most economical of all methods. Trans-rectal ultrasound also involves inserting the arm in the rectum but this time, with an ultrasound probe. Real time (B-mode) ultrasound is also a reliable and relatively simple method of diagnosing pregnancy as early as day 26.

Estrus synchronization is the manipulation of the ovarian activity so that time of ovulation can be predicted. It can be done by inserting a progesterone intravaginal insert. It was my first time to see the equipment. It contains 1.38 grams of progesterone and used to synchronize the estrus in cows and heifers. Removal of the inset will result in a rapid fall in plasma progesterone levels, which results to the occurrence of estrus. It is inserted in the vagina of the animal as guided by the non-dominant hand in the rectum.  After its placement, GnRH is then administered intramuscularly. GnRH is widely used to manipulate patterns of ovarian cycle. It leads to an LH surge during any stage of the estrous cycle, which will promote the ovulation of a dominant follicle.

3PM. Artificial Insemination. In the afternoon, Tata Larry performed artificial insemination in two caracows. Artificial insemination is the process of collecting sperm cells from a male animal and manually depositing them into the reproductive tract of a female. One can cite a number of potential benefits from the use of artificial insemination. It is a common practice in cattle, buffaloes, and horses.

We went to 5 farms around San Jose to do PD and estrus synchronization. It was memorable for me because I saw how creative the farmers were in making their own chutes. Also, I am amazed how they were very knowledgeable about how the the estrous cycle goes, when to administer the drugs, when to have the cows inseminated etc. They really take dairy buffalo farming seriously. One thing I love about roaming around the area is that we never run out of beautiful views and sceneries!

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DAY 12. January 31, Tuesday.

8AM. We arrived at the National Impact Zone building. We met with Tata Mar and Doc Cla Odsigue at the office but since they had to finish a report, we had to wait at their pantry.

9:30AM. Together with Tata Mar, Doc Cla, Doc Bjet Castaneda, we prepared the things we needed for today’s trip and loaded them into the shuttle.

10AM. Sample Collection and Check-up. We arrived at our first area. We loaded the carabao into the chute. Tata Mar did rectal palpation to determine if the caracow was pregnant and also, to check for the corpus luteum, ovries and follicles. The protocol of what we did are as follows:

  1. Urine collection – As the carabaos are being loaded into the chute, we have a vial ready in hand to catch the urine once the animal starts micturition.
  2. Feces collection – As Tata Mar proceeds with the rectal palpation, he manually collects the feces as we place it in a small plastic bag and label it immediately.

3. Blood collection via jugular vein – It was my first time to use a vacutainer for blood collection in a carabao. It was very efficient and also, the animal’s jugular vein is very large. We collected for two vials, one with green cap (with Heparin) and one with red cap (no anticoagulant), 5ml per vial. I realized that restraining makes up for almost 50% of the blod collection process. If the animal is restrained properly, blood collection is an ease.

4. Vitamin ADE administration (5mL) – This is given intramuscularly. There are two common sites for IM injection in large ruminants. One is at the rump and one is at the triangular area in the neck.

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If the animal is not pregnant or pregnant for more than 6 months, the following are given:

  1. Hemorrhagic septicemia Vaccination (2mL) – Hemorrhagic septicemia is an acute fatal disease common in large ruminants characterized by high fever, nasal discharge, hypersalivation and difficulty in respiration. It is of high morbidity and mortality.It causes huge economic loss which is why vaccination is important.
  2. Deworming with Albendazole (60mL) – This is given orally using a drench. Albendazole is a wide-spectrum dewormer which acts against roundworms, tapeworms and liver flukes.

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This was what we did for the whole morning. Doc Bjet also allowed us to do ear tagging in the calves present in the farm.

12nn. Lunch Break. The president of the cooperative paid for our lunch at a nearby eatery! Yay for free food! I have to appreciate that people here are very generous; they would always provide us with food and meryenda.

1PM. Sample Collection and Check-up. We went to two more areas and did the same protocol. One pregnant caracow was accidentally stuck in a chute because it was very wild while we were doing blood collection. The farmers had to use a metal cutter to free it.

One thing I love is that each area always gave us food/meryenda! And soft drinks seem to be a household meryenda. I think I drank almost three bottles! The farmers, most especially the wives, were really hospitable always making sure we were comfortable and well-fed. I also met a lot of kids in the area! They were very curious on what we were doing and always asking questions. They watched us almost the whole day! 🙂


Day 13. February 1, Wednesday.

8AM. We met at the NIZ building and prepared the things we needed for our trip.

10:30AM. Together with tata Mar, we went to San Jose to again get samples and administer vitamins and vaccines, pretty much the same thing we did yesterday. We went to two locations with 8-10 water buffaloes each.

3PM. Farm Visit. We visited a farm with a carabao with retained placenta. We did vaginal flushing using 2% iodine solution. We also administered DCM (Dextrose, Magnesium Gluconate, Calcium borogluconate) IV. Oxytetracycline was given intramuscularly. We also collected blood so we can have it processed in the laboratory. Tata Mar made his very own IV hanger, using an arm-length gloves and rope.

4PM. We went to one of the cooperatives under PCC. Tata Mar had a quick meeting with the coop members. The members were also very generous to give us some of their products like choco milk, strawberry milk and pandan milk. Tata Mar also brought us to this chicharon place which sells the best chicharon I have tasted!!!


Day 14. February 2, Thursday.

8AM. Follow Up. We did a follow up check up in the cow with retained placenta we treated yesterday. It has good appetite but still has whitish-mucoid vaginal secretions.

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10AM. Farm Visit. We visited a farm with an animal with diarrhea. The owner said it has good appetite but had a very watery feces. Unfortunately, we were not able to see the excreta  to fully assess it. We administered Dextrolyte© (Electrolyte, amino acids and vitamin B complex) intravenously via jugular vein.

We also went to another farm to treat an animal recovering from prolapse. The animal gave birth last January 2 but also had uterine prolapse. Tata Mar did surgery on it the day after, January 3. Today we removed the stents he placed. However, he said that the stents should be removed 2 weeks after the surgery. We sprayed Permethrin to prevent fly infestation.

Vaginal prolapse can occur pre- or post-calving. A common cause of vaginal and uterine prolapse is usually caused by heavy weight and pressure in the uterus. When it occurs, a warm water and mild disinfectant is used to wash the prolapse and pushed back in carefully. It ill be the stitched at the skin at the sides of the vulva to prevent the prolapse from occurring again.

3PM. Bacterial Smear. In the afternoon, we went to the laboratory to do gram-staining of bacterial smear. It was the same thing taught to us in Micro 1 lab. The only difference is here in the lab, I worked under the fume hood to ensure no contamination.

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Day 15. February 3, Friday.

9AM. Cooperative Visit. Together with Doc Cla and Tata Mar, we went to a cooperative in Pulong Buli, Sto. Domingo. The coop is planning to have their own processing plant in their area and consulted Tata Mar and doc Cla for the plant structure and protocol. I found it amazing how dairy carabao farming can really uplift the lives of simple Filipinos.

5pm. Case Reporting. We were assigned to report a case that we have encountered on our stay here in PCC. I was assigned with Francis and our topic is on a case of downer carabaos in Saranay and Lomboy farms. We were all very very nervous! A lot of veterinarians from the Animal Health Unit were present to critic us. We worked on our report since last week. Thankfully, we all did well. We even had a small feast after the report. It was such an experience!

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EXTERNSHIP 2017. Week 2.

Week 2 is here! This week we are assigned at the National Gene Pool (GP) division of PCC. According to their website, this division essentially operates as an “open nucleus herd”, i.e., it allows entry of breeding stocks into a herd of purebred (riverine) dairy buffaloes where systematic breeding, selection, and genetic evaluation procedures are being carried out. Their purpose is to eventually produce an elite herd of dairy buffaloes that would be sources of superior germplasm for future generations. In simple terms, it is here in GP where they mix and match genes in order to make excellent breed of dairy carabaos for the farmers around the Philippines.

Compared to our laboratory week, this week was more physically-demanding which is good because who doesn’t a love a good day’s work out? 🙂


DAY 6. January 23, Monday.

6:30AM. Good Morning, Gene Pool! The road to gene pool farm is quite far (a solid 30-35 minute walk) so we had to start early. Good thing the weather was on our team: it was very windy with a hint of the sun.

8AM. Flag Ceremony. Every Monday, the whole of PCC office is required to attend the flag raising and sir Mark from the HR Department invited us to join them as well. It was nice to see everyone working in PCC for the first time. They have a lot of employees! Also, I realized it has been a long time since I attended a flag ceremony! I missed it!

10AM. Farm rounds. Doc Jim Candelaria, one of the gene pool veterinarians, had a meeting in the morning so he tasked us to roam around the GP farm and list down if there were downer animals or any abnormalities we may see.

11:30. Farm overview. Doc Jim arrived from his meeting. He gave us a tour around the whole farm and explained the farm protocol and other farm fundamentals. As of counting, the facility maintains 609 purebred dairy buffaloes (422 Bulgarian and 187 Brazilian). He taught us how the animals were identified. The ear tag on the left ear shows 5 numbers. The first two numbers indicate the year the animal was born while the following 3 numbers indicate the order of which its birth for that year. Gene Pool also developed their own system of identifying their animals and is placed in the right ear. It is composed of one letter followed by three numbers. The letter indicates the year it was born: A- 2013, B – 2014, B – 2015 and so on. The next 3 again indicates the order of which the animal was born that year.

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For instance the calf above has the numbers “16125” on its left ear tag which means it was born on the year of 2016 and it is the 125th calf born that year. The ear tag on its right says the same thing.

The calf protocol are as follows:

  • 1st day: Seperate immediately from the dam. Place ear tag.
  • 3rd day: Iron supplement administration
  • 7th day: Dewormer administration
  • 10th day: Anticoccidial administration
  • 90th day: Hemorrhagic septicemia vaccination
  • 104th day: 2nd shot of HemoSep

The farm has 7 houses with almost 600 heads of Water buffaloes. Each of the houses were further subdivided into pens of different categories as well. There were also cattle present on the farm used for research purposes.

1PM. Patient treatment. Animal no. 2GP138 was said to be recovering from pneumonia. It has been a downer since December 2016 and has been isolated in an individual pen since then. Upon examination, it was lethargic, cannot stand on its own but it had good appetite. We attached the animal in a scow lifter/sling to help it stand up on its own.

As we were doing rounds, we observed an animal to be limping. It also has crossed- forelimb conformation when standing. Doc Jim taught us how to administer a drug intramuscularly at the neck- shoulder area just rostral to the scapula. We administered Dexamethasone, an anti-inflammatory  drug, synthetic  analogue of prednisolone. It has a similar  but more potent anti-inflammatory therapeutic action and diversified hormonal and metabolic effects. In bovine, Dexamethasone may be used as supportive therapy in inflammatory conditions, such as arthritic conditions, snake bite, acute mastitis, shipping fever, pneumonia, laminitis, and retained placenta.

2PM. Milking. Milking is done everyday at 9AM and 2PM. We toured around the milking parlor and even tried how to attach the suction cups in the caracow’s udders.  Prior to milking, the animals are bathed with high-pressure water to remove mud and other dirt in their body. They are then placed in a milking parlor. The type of parlor they use is a side opening (tandem) parlor. Side opening parlors are usually located on the end of a holding area with two entrance lanes similar to herringbone and parallel parlors. A gate at the entrance point between the holding area and the milking parlor holds the cow until an empty stall is ready. The parlor may be organized to allow the cows to exit in return lanes on either side of the operator area or cross over to a single return lane on one side.

The teats are cleaned with wash cloth and suction cups are then attached. On the average, one caracow produces 3-4 liters per milking and they are milked twice a day giving a total of 6-8 liters per day. After suction, iodine solution is used to wash the teats to prevent mastitis.

3:30PM. Feeding the calves. A part of the milk freshly collected will be brought to the calf barn to give it to the calves. The milk gallon is first placed in a warm water bath to make sure the milk is not too cold for the calves’ stomach. We bottle fed those which are very young.  It was the most enjoying activity of the day because the calves were too cute!

4PM. Vermicompost Making. Vermicompost is the product of the composting process using various worms of which earthworms are the most common. This is to create a heterogeneous mixture of decomposing vegetable or food waste, bedding materials, manure and other organic materials. Since vermicompst contains a lot of water-soluble nutrients, it is an excellent and nutrient-rich  soil conditioner.

Kuya Jonathan, an expert in vermicompost making, showed us how he makes them. The fecal material produced by a 600-head farm is no joke and  I really think vermicomposting is such an intelligent way to make use of it.

5PM. Milking the cow. A herd of cattle is present at the carabao farm for research purposes. Doc Jim instructed us to manually milk one pregnant cow since it needs to release its milk to prevent mastitis. This is one of the activities I am looking forward to! Doc Jim taught us how to properly milk the udder manually. We were even able to bring home almost three full bottles.

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Day 7.  Januray 24, Tuesday.

8AM. Farm rounds. Doc Cyril instructed us to do rounds around the farm: check for downers, check the feeds and other occurrences.

9:30AM. Patient treatment. We checked animal no. 2GP138, the animal recovering from pneumonia. We named it “Theodore” because of no apparent reason. Its appetite was still good but it still cannot stand on its own. We placed it again in the cow lifter. It takes the strength 7 people to put it in the sling! Wounds and bed sores were also present all over its body so we sprayed chlortetracycline hydrochloride wound spray and permethrin.

Chlortetracycline is an antibiotic produced by some strains of Streptomyces aureofaciens. It works by inhibiting protein synthesis (elongation). It is said to be effective against Gram-positive and to a lesser degree Gram-negative bacteria than tetracycline. This is used ot prevent bacteria from multiplying and cause further damage. Permethrin, on the other hand,  act on the membrane of nerve cells blocking the closure of the ion gates of the sodium channel during re-polarization. It is used to prevent flies, maggots, ticks and other insects to infest the wounds.

In the afternoon, we removed Theodore from the sling. It is able to stand but can hardly walk. We tried pushing  and pulling it. I think Theodore was able to walk for more or less 3 steps.

10:30AM. Meeting the goats! PCC also has a goat farm! Their pens were very clean and the goats all looked healthy. Mang Gerry, the pen’s farm boy, allowed us to feed the goats and even taught us how to drive “kuliglig”, the vehicle he uses to carry the grass.

We did the same activities yesterday: we milked at around 2PM, fed the calves at around 3:30PM and manually milked one pregnant cow.

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Day 8, January 25, 2017.

8AM. HR Department. Due to unforeseen changes in the schedule, we had to extend our stay in PCC, Nueva Ecjia for another week. We went to the Human Resource department to request for an extension. Sir Mark told us to simply submit a letter.

10AM. Patient treatment. We checked Theodore. It still tries to stand but has no strength to do so. It still has good appetite, which is a good thing. We placed it again in a cow lifter to help it stand. We administered a Vitamin B Complex supplement (Betamyl©) and Calcium carbonate + Vitamin D3 supplement (Calvitam©). We also gave it fresh grass and water.

11:30PM. Farm rounds. As we went on rounds in the farm, we noticed one heifer that cannot stand and is also quite lethargic. Doc Jim decided to transfer it to an individual pen. However since all individual pens were filled, we place it inside Theodore’s pen. Its animal ID is C112. It was inappetent and nasal discharge was visible. We suspected that it had the similar case with Theodore. We gave IV D5 Lactate Ringer’s Solution via jugular vein. We also administered Marbofloxacin and Flunixine Meglumine (Flunivet©). After which, we administered a Vitamin B Complex supplement (Betamyl©) and Calcium carbonate + Vitamin D3 supplement (Calvitam©). We gave it fresh grass but it was inappetent. Doc Jim said that inappetence is a sign of the first phase of disease.

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1PM. Deworming and Vitamins Administration. We started to deworm the animals using Albendazole (Penalvet©) 15% and gave them Retinol + Cholecalciferol + DL-a-tocopherol vitamins. We herded the animals from their pens into the chute. It involves a lot of running and jumping over fences. It was easy since water buffaloes have a submissive attitude;  they were extremely large and heavy but they were completely scared of humans. Once inside the chute, we will restrain its head using a rope and then administer the drugs. Water buffaloes in the GP farm are not used in being handled which is why t takes the strength of almost 4 people to restrain just its head.

We then herd them back to their respective pens. We were able to finish more or less 50 heads. It was such a tiring , dirty and super fun day!


Day 9, January 26, Thursday.

9AM. Patient treatment. We did a follow up check up on Theodore and we were happy because he was already standing up! We did not have to place him in the cow lifter anymore. It seems it was on its way to full recovery. We also used wound sprays on all the affected areas. However, animal no. C112 seemed to be more lethargic than yesterday. It was able to stand up but it was not moving. It was still depressed and inappetent.

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 10AM. Deworming and Vitamins Administration. Since we were not able to finish all the animals yesterday, we finished them today. We started to deworm and administer Vitamins to the bulls and caracows at around 10AM and finished at around 3PM. I learned the definition of tiring and dirty and draining. Haha!


Day 10, January 27. Friday

9AM. Patient treatment.We started doing rounds around the farm. We checked Theodore today. He was standing and walking around his pen. Although a slight difficulty in walking can still be visible. Animal C112 is still lethargic and is still a downer.

11:30PM. Rumenotomy. I am very excited because it is my first time to conduct rumenotomy in a large ruminant and this time we even did two! Rumenotomy is the surgical opening of the rumen by making the incision on its wall.  It is indicated in cases of ruminal impaction, frothy bloat, diaphragmatic hernia, foreign body ingestion and exploratory laparotomy. Today is the scheduled rumenotomy for two animals: Y166 and W78. Their cases are both foreign body ingestion, specifically they ingested the ropes used to bundle up the hay they eat.

Weeks before the surgery, the farm boys noticed that their fecal consistency varied from day to day. The veterinarian decided to do an ultrasound and confirmed the foreign body. The animals were fasted from grass and silage for three days prior to the surgery giving them only concentrates and water.

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Field Surgery starter pack.

First we herded the two animals from their individual pens into the chute. We then gave them a bath using high-pressure water to remove the mud and other dirt in the left side of their flank since this is the area of incision. After which, we shaved the area and cleaned it with Iodine solution.

Doc Cyril and Doc Jim are the surgeons while all of us assisted. Animal no. Y166 was first up. The surgery is performed in a standing animal. Local anesthesia is done by giving 20mL of Lidocaine in the paravertebral area. In paravertebral anesthesia T13, 1L and L2 nerves are blocked. Aside from that, Inverted L technique was also done using 20mL Lidocaine. After 20-25 minutes, the first skin incision was made. The site of incision is equidistant from tubercoxae and the last rib beginning 5 cm ventral to the lumbar transverse process. Dissection of the subcutaneous fascia and oblique muscles continues to the transverse abdominis muscle. Allis tissue forceps was used to keep the incision open. The length of incision from skin to the peritoneum should be in descending order to facilitate closure. Also, the skin incision should be wide enough to allow the surgeon’s arm inside the abdomen. A fold of rumen is exteriorized. A plastic drape was placed to prevent spillage of the ruminal contents into the abdominal cavity.  A stay suture is placed at the 3, 6, 9 and 12 o clock positions to prevent the rumen form going back inside the abdominal cavity and also, to prevent contamination. After fixation, the rumen is incised longitudinally in a vertical direction. Large amount of digested material were present so doc Cyril had to manually evacuate it. The whole arm is then inserted and the entire rumen, reticulum, reticulo-ruminal fold were explored.  Every now and then, the suture site and exposed area is irrigated with normal saline solution to prevent the organ from drying. After a few minute of exploration, as expected, a rope was found. Surprisingly, Doc Cyril was also able to palpate an almost full-grown fetus. We were not aware that the animal was actually pregnant.

After exploration, the rumen was closed by double row of continuous inverting sutures using chromic catgut no. 3.  The stay sutures are removed and the rumen is re-placed inside the cavity.  The peritoneum was then closed using a catgut no. 3 in a simple continuous suture pattern. The muscles were also sutured using catgut no. 3 in a simple continuous suture pattern as well.   The skin was sutured using a silk suture in a simple interrupted pattern. The area is cleaned with iodine solution. Dried blood were removed as this can attract flies. We administered Tolfenamic acid as analgesic.  The surgery ended at around 2:30PM.

4PM. 2nd Rumenotomy. After we had our lat lunch, we started another rumenotomy on animal W78. Like the animal Y116, variation on its feces were also observed and ultrasound was also performed. The same procedure was carried out. One thing I will surely remember is that the chute area where we were performing the surgery has no available lights. We had to use our phone lights to illuminate the procedure.

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Surgery in the dark.

At around 6PM, the animal lied down which made the surgery more difficult. We were all tired from the whole day of standing and restraining. It is not seen in the picture above but there is actually 8 people doing the surgery. It was 8PM and it was VERY cold and windy in the farm, no lights were available so we had to use our phones’ flash lights. What I learned in performing surgery in the field is that you always have to be resourceful, use what is available, adjust to changes and keep the animal alive. It was around 8:30PM and the procedure was finally done! If I am not mistaken, this is the latest time we went home.We had dinner with doc Jim on a nearby eatery.

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National Gene Pool division week is over!


Our second week in PCC is officially over! It is Saturday and I am sipping my coffee as I am writing this entry. Two straight weeks here in Nueva Ecija is such a joy. I am really loving its very “province feels”! Next week we are assigned in the National Impact Zone (NIZ) division where we will be visiting different farms around Nueva Ecija that is connected with PCC. I am really looking forward to it since we get to go to places and get a chance to talk to farmers and businessmen alike.