Jessica's RAM trip to Baja Mexico

 

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Day Three: Cañada el Diablo, AKA Barb's bar, Todos Santos
I happened to roll over at about 5 AM and open my eyes to this sight. After taking the picture I slept for another hour and a half. Long day ahead! (FYI - I photoshopped a lot of these pictures to correct for my poor photography, but this image is unchanged.)
In this location, after the dogs were admitted they were tied to the foot rest of the bar and sedated there. How fitting!
We did surgery on the patio under tarps, with the tables from the day before. We each had two packs of instruments per surgeon. The red buckets on the side tables contained sterile soak, and the pink buckets contained water. When we were using one pack, a volunteer would remove the instruments used in the prior surgery from the water soak (pink bucket), scrub the instruments clean, change the water, and put the scrubbed instruments into sterile soak (red bucket). When we finished one surgery, we would put the instruments we had just used into the water (pink bucket). Then we'd open a new set of sterile gloves, and use the paper from the glove package as our sterile field. We'd then remove the pack from sterile soak (red bucket) and place it on the paper, and begin. A volunteer would clean the dirty pack (pink bucket), and that's how we rotated packs. Got it?
Robin being silly.
Bruce in surgery.
Me in surgery. Note the absence of blood, but the presence of lots of fluid? That's because I was spaying a puppy with worms, and that's all excess peritoneal fluid.
Kris Ann and Paco: Paco finished human medical school in Mexico City and is working for a year in Todos Santos. They have a plan similar to that which we have in the US, where if you work for a year in an area of need, your student debts are forgiven. Paco is 24, and his senior MD is 25, named Tomas. These two guys are the doctors for Todos Santos, a town of 5,000 people. Kris Ann led Paco through a spay, which was a new experience for him. More Paco to follow.
Me in surgery again.
Dogs recovered in a covered area with volunteers watching over them. We used injectible anesthesia (ace + atropine, xylazine, then ketamine), which worked just great. We had two dogs seizure, but that's it, out of about 300 dogs and cats. We gave ketoprofen post-op (painkiller), and ivermectin (dewormer).
Girl & Pup: So cute! We spayed puppies/kittens if they weighed 1 kilo or more (2.2 lbs). We neutered male dogs if we could feel both testicles. I should say sterilized, because we used neutersol on male dogs. Neutersol is an injection that kills the cells in the testis. Pros: Quick, safe, Mexicans are left with a dog that still looks macho. Cons: Can't tell just by looking that the dog is sterile because it still has its nuts, expensive in the US (Bruce got a deal). Neutersol worked well for us in this situation. We surgically neutered male cats.
We spayed this bitch and her litter. She was trying to gather her puppies to her as she was waking up. The tape on their heads was to keep track of the dogs and which drugs they had gotten.
This staged picture gave Bruce much joy.
I'm sure Barb is remarking on the waste of her margarita. These cats were sedated for neuters, and Bruce loves a photo-op.
Bruce is almost as sedated as the cats.
The end of day three saw us taking full advantage of Barb's bar and her wonderful margaritas. Paco and Kris Ann and I shared many margaritas....
Comparing feet was essential to getting to know each other better.
After many margaritas, Kris Ann, Robin, Paco, and I decided that it would be great to meet Tomas, the other doctor in Todos Santos, so we walked from Canada el Diablo to the hospital. On the way, Kris Ann and I took in some of the local scenery. By the way, Robin was sober, bless his soul.
Todos Santos, like all the other towns, has a town square. I snapped this picture on the way to the hospital.
This picture was taken in Paco and Tomas's living quarters at the hospital. The hospital there was a little scary - cats running down the hallways, big cockroaches scuttling across the floor, a 50 year-old X-ray machine that sometimes works. They played salsa music for us off their laptop. :)
The doctors, except for me, that is (Robin has a PhD). Tomas is far left.
Kris Ann and Paco back at Canada el Diablo, after yet more margaritas.
I'm still drunk...
Awwwwww......
No comment.
Yeah, we had fun.

 

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