The other family doctor A veterinarian explores what animals can teach us about love, life, and mortality

Karen R. Fine

Book - 2023

"Karen Fine always knew that she wanted to be a vet and wasn't going to let anything stop her: not her allergy to cats, and not the fact that in the '80s veterinary medicine was still a mostly male profession. Inspired by her grandfather, Dr. Fine persevered, and brought her Oupa's principles into her own practice, which emphasizes the need to understand her patients' stories to provide the best possible care. In The Other Family Doctor, Dr. Fine shares touching, joyful, heartbreaking, and life-affirming tales that make up her career as a vet. There's the feral cat who becomes a creature out of a fable when he puts his trust in a young vet to heal his injured paw, the pot-bellied pig who grows too big to fit in... the car but remains a cherished part of her family, the surprising colony of perfectly behaved ferrets, the beloved aging pet who gives her people the gift of accompanying them on one final family vacation, and the dog who saves his owner's life in a most unexpected way. Woven into Dr. Fine's story are, of course, also the stories of her own pets: the birds, cats, and dogs who have taught her the most valuable lessons -- how caring for the animals in our lives can teach us to better care for ourselves, especially when life seems precarious."--

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Subjects
Genres
Anecdotes
Biographies
Large print books
Autobiographies
Published
New York : Anchor Books, a division of Penguin Random House LLC 2023.
Language
English
Main Author
Karen R. Fine (author)
Item Description
"An Anchor Books original 2023"--Title page verso.
Physical Description
viii, 294 pages : illustrations ; 25 cm
Bibliography
Includes bibliographical references (pages 285-294).
ISBN
9780593466896
  • 1. It's a Calling
  • 2. Veterinary School
  • 3. Sacrifices
  • 4. Ain't Doin Right
  • 5. House Calls
  • 6. Where Puppies Come From
  • 7. New Beginnings
  • 8. A Whole New Toolshed
  • 9. Dog of Honor
  • 10. The Universe Shifts
  • 11. He Knew Just What to Do
  • 12. Go Toward
  • 13. Bucket List
  • 14. Dances with Death
  • 15. A New Addition
  • 16. A Good Death
  • 17. The Red Dot in Winter
  • 18. Veterinarians in Crisis
  • 19. Rana in Summer
  • 20. Rana
  • 21. The Rana-Colored Thread
  • 22. Stories of Medicine
  • 23. I Fix Broken Hearts
  • 24. Learning from Animals
  • Acknowledgments
  • Rituals for Grieving the Loss of a Pet
  • How to Write a Pet Obituary
  • Resources
  • About the Author
Review by Publisher's Weekly Review

"Animals connect us to the environment... to our families... and to our own reactions to illness and death" writes veterinarian Fine (Narrative Medicine in Veterinary Practice) in this spirited homage to domesticated animals and their bond with humans. Fine first became interested in veterinary medicine while visiting her family in South Africa at age 11, and a safari trip paired with the influence of her physician grandfather sent her on her path. In recounting her career, she recalls the prejudice she faced for "taking away a spot from a man" as an aspiring female veterinarian and describes the bias against women for not being "physically capable of treating animals." As well, she chronicles the beginning of her private house call practice and addresses difficult subjects, including caring for a terminally ill pet, making the decision to euthanize, and coping with the grief and guilt that frequently follow. She circles back to her profession throughout, examining what qualities make a good veterinarian (notably, being willing to learn from animals and recognizing the emotional impact animals have on humans) and sharing the particulars of how she developed her combination of conventional Western and traditional Chinese medicine. Fine's keen observations will strike a chord with animal lovers, and her upbeat style keeps the pages turning. Agent: Jennifer Herrera, David Black Agency. (Mar.)

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Review by Library Journal Review

In her first book for a trade audience, Fine, a veterinarian of 30 years, discusses her experiences in the profession while also weaving in anecdotes related to her own pets. She provides candid accounts related to her struggles and growth as a veterinarian. Fine recounts the sexism, burnout, and stress many individuals in the veterinary field endure. Other chapters include stories related to her beloved grandfather whose medical career inspired her own, dealing with puppy mills, international veterinary work, establishing work/life boundaries, and implementing acupuncture in animal treatments. This is a lovely book in which Fine openly shares what she has learned about life, illness, death, and love from the animals she has treated and/or owned. She notes that loving animals should include recognizing that they will eventually die and argues that humans, like other animals, should try to remain present in the moment. Fine also offers resources and advice on grieving the loss of a pet, including writing a pet obituary. VERDICT This inspirational tearjerker is highly recommended for anyone who has ever owned or loved a pet.--Erica Swenson Danowitz

(c) Copyright Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.
Review by Kirkus Book Review

The pain and joy of loving animals. Fine, a holistic veterinarian and expert in "the emerging field of veterinary narrative medicine, draws on her 30-year career to create a lively, often moving memoir of caring for animals. As part of her training in vet school, she worked with large animals on a farm in upstate New York, collaborated with a Peace Corps vet among nomadic herders in Morocco, and spent time at a clinic in the Navajo Nation in Arizona. Most of her career, though, has been devoted to treating house pets: cats and dogs--and one family's 10 ferrets and another's massive pig--in her native Massachusetts. Fine recalls the many sick, injured, and aged animals she has treated, and she is consistently empathetic about the distress of animal owners facing a dire diagnosis. To augment her arsenal of treatments, she has learned animal acupuncture and the use of herbal remedies from traditional Chinese veterinary medicine. Inevitably, because owners typically outlive their pets, the author has had to euthanize animals, a decision that she knows is traumatic for the owner--and for veterinarians, as well. Noting the unusually high suicide rate among veterinarians, she acknowledges the stresses of the profession, and she applauds the creation of a new field of veterinary social work to address the ethical and psychological issues practitioners face. "Veterinarians are commonly confronted with not only animals in crisis," she writes, "but people in crisis." Besides sharing her experiences as a veterinarian, Fine writes about her own relationships with the animals she's adopted. When one dog was diagnosed with inoperable cancer, the author despaired; when she needed to be euthanized, her death plummeted her into darkest grief. For readers facing the end of an animal's life, the author offers guidance about how to create rituals for grieving, how to write an animal's obituary, and where to find support books, websites, and hotlines. A warm and humane tribute to animals who enrich our lives. Copyright (c) Kirkus Reviews, used with permission.

Copyright (c) Kirkus Reviews, used with permission.

1 It's a Calling The cat had come with the house. He was a feral black cat that John and Susan, who bought the tidy bungalow in a quiet tree-lined neighborhood, had named Miles. Many people wouldn't have concerned themselves with a stray, especially not when doing so cost them money. But although John and Susan hadn't expected Miles, they accepted him as their responsibility. They had him neutered and vaccinated at a nearby clinic. Miles warmed to his new humans, enjoying their attention even though he remained wild at heart, preferring to be outdoors most of the time. John and Susan allowed him into the house whenever he wanted, keeping him fed and warm. Slowly, he had become a part of their family. But one chilly afternoon in February, John called me, his voice heavy with worry. He thought Miles might have an infected front paw. It was swollen, he explained over the phone, and Miles was limping. Suspecting an abscess, I told him it might need to be treated at a clinic. But as he and Susan were unable to catch Miles, I agreed to come to their house. I was never happy about using a fishing net to catch a cat. I had learned the technique from another house-call veterinarian, who specialized in cats and cared for some feral cat colonies. It always felt traumatic, especially when I knew the cats I cared for didn't understand. Still, I kept a fishing net in my car, if only to use as a last resort. This was a last-resort kind of case. When I arrived at their home, John and Susan led me to the back bathroom, where they'd been able to corral Miles. The poor kitty was petrified from being cooped up, and although he wouldn't allow me near him, I was able to trap him with the net. Wild creatures do not like being confined, and I hoped to be able to release him soon. Remembering what the other vet had taught me, I used the double-wrapping method to enfold Miles until he was snug inside the net. My patient scratched and clawed, and I felt his distress. Yet I knew I had to be vigilant not to let him out or I wouldn't be able to catch him again. This was my one chance to help him. Finally, he settled and became still. Biting my lip in concentration, I gently slid the long handle of the cat-net package a few feet along the linoleum floor into the kitchen, where the light was better and I had more room to work. I stood on the handle to hold the net in place. As soon as I looked closely at the paw, I could tell what was causing the limp. Occasionally a cat's claw will grow long enough to curl around in a circle and continue growing right into the pad, causing pain and often an infection. Miles had a badly ingrown nail, which had become embedded in his paw. I would need to trim the nail to relieve Miles's pain and allow the infection to heal. However, I couldn't get to the nail with Miles compressed under the netting. Complicating matters, it was a front claw, close to Miles's sharp set of teeth. In a clinic setting, it would have taken two trained professionals using leather gloves to hold Miles so I could trim his nail safely, if it could be done at all. Otherwise, we'd have to anesthetize him. But here, hovering over Miles in the middle of the kitchen, none of those options was available to me. I explained the problem to John and Susan and told them I didn't know what to do. They looked at me nervously. Although it would terrify Miles to go to a clinic, it would be a good option if I could get him into a carrier. But I doubted I'd be able to do that once I unwrapped him from the netting. And I had no injectable anesthetics with me, as that was not something I used in clients' homes. We had no good options. As I stood there debating what to do next, this feral cat, trapped in the net, slowly extended the affected paw through the netting. The three of us watched, disbelieving, as he spread his toes. We looked at each other, mouths agape and soundless. That old thorn-in-the-lion's-paw story was flashing before our collective eyes. As I quickly found my nail trimmers and cut the offending nail, Miles kept his paw completely still. None of us made a sound for fear of breaking whatever spell he was under. At last, I released Miles from the net. He shook himself and headed back outside. His limp was gone. It was impossible to look at Miles, who would surely make a full recovery with the help of some antibiotics, and at John and Susan, who cared so much about this feral cat, and not think about the ways they had agreed to take care of each other and how, because of this, they were all better off. I've been a veterinarian for thirty years. For most of that time I've had my own house-call practice, going inside people's homes to care for their animals, meeting my human clients and animal patients where they live. I've been in hundreds of residences, working at kitchen tables and living room sofas, even in bedrooms and bathrooms. Occasionally clients seem awkward as they invite me in, apologizing for clutter, dishes in a sink, or an unmade bed. "Don't worry at all," I respond. "No one sees my house!" In this book, I am going to open my door and allow a view into my own home. You may see my clutter, my unmade bed, the dishes in my sink. You may witness how fully I've loved my own animals, and how I have struggled personally as well as professionally over the difficulties pet lovers face. And you can discover how much I have learned from my animal family members and patients about life, and love, and even death. When people ask me when I knew I wanted to become a veterinarian, I tell them I've known my whole life. I have always loved animals. As a child, I drew them with crayons. I read books about them. I pretended to be a dog, a cat, or a horse and favored stuffed animals for toys. Yet one trip stands out in my memory as the moment when I knew I didn't just want to be a vet but needed to make animals a central part of my life. Although I grew up in Massachusetts, my parents were born and raised in South Africa, and most of my extended family lived there. Holidays were lonely times for us because they highlighted what others had that we did not. While other people had family who visited them, who showered them with presents and hugs, we had only each other. We didn't have pets, either, as my mother said she had her hands full caring for myself and my brother. Then, however, came the opportunity to not only connect with my family but also to encounter the animals whose company I craved. When I was a child, the fare for an international plane ticket was half price for children under twelve. My parents offered my younger brother, Michael, and me each a choice: at age eleven, we could either travel to South Africa to stay with family for the summer or we could save the money for a party to celebrate our bar or bat mitzvah when we turned thirteen. I immediately chose the trip. I didn't know much about what to expect in Johannesburg when I arrived there in 1978, only that I would get to see my grandparents, aunts, uncles, cousins, and second cousins, many of them for the first time. I imagined what they would be like, these people who looked like me and spoke with accents like my parents'. I expected to finally get to see what their lives were like and to be spoiled by my grandparents. What I did not expect was that when I finally arrived, my aunt Hilary, uncle Leigh, and cousin Joanne would invite me on their weeklong safari vacation to Kruger National Park. Kruger National Park is one of the largest game reserves in Africa. It has a land area roughly the size of Wales and within its walls live just about every kind of African animal imaginable: lions and zebras, elephants and giraffes, wildebeests and antelopes. The night before we left, I was so excited I could barely sleep. Little did I know this was one of those rare childhood moments when the excitement I felt beforehand paled in comparison to what it was like to experience the real thing. On the appointed day, we piled into the family sedan, the car packed full of food and provisions, and, driving on what I thought was the wrong side of the road, headed north for several hours. As we drove, leaving behind the hustle and bustle of the city, Aunt Hilary explained the rules to me and four-year-old Joanne. "You can't get out of the car," she said. "Except when we are at the rest camp." "What about bathrooms?" I asked. "You go before we leave the camp. It's not safe to get out of the car. Sometimes it's not even safe in the car," she added. "I had a friend years ago whose car was trampled by an elephant. The parents had to jump into the back seat with the children. They were lucky they weren't killed." This seemed impossible to me then, like a story adults told to scare children into compliance. Elephants could trample a car? What would that even look like? I was nervous but also thrilled at the idea of encountering creatures so big and powerful that they could crush our car to rubble. I longed to see them up close, to look into their eyes and see what kind of lives lived there. Six hours felt like a very long time that day, as I constantly checked the clock to see how much longer we still had to go. We sang songs and played "I spy" until we were all sick of it. Eventually we drove through the gates of the park. Joanne and I positioned ourselves at the windows, spotting for wildlife. "Look there!" said my uncle, pointing to a few impalas running across the road in front of us. The graceful antelopes leaped as though they were on springs. I didn't know yet that they were as common in the park as squirrels were at home. I was transfixed by their beauty and freedom. I watched them leap away in complete awe. But this was only the beginning. We stayed at one of the many rest camps inside the park, where warthogs ran throughout like stray dogs as we walked around the grounds. Their large heads and long tusks made us giggle, as did the way they trotted along as though they were late to a meeting. In the morning, Aunt Hilary woke us when it was still dark outside. The animals, she explained, were most active at dusk and dawn; they slept through much of the day. We rubbed the sleep out of our eyes and piled into the sedan. As we drove through the long, straight roads of the park, the African sun painting the sky a deep orange, we were enraptured. We saw zebras, elephants, and giraffes. Hippos. Baboons. An elegant kudu, a type of antelope with large curling horns. Silly-looking wildebeests, also called gnus. Large herds of impalas, graceful and leaping. Occasionally, vultures circled overhead. It was winter in the southern hemisphere, and the limited vegetation made it easier to see the wildlife. I took pictures with my little Kodak Instamatic camera, hoping the photos would provide proof of the amazing sights I was experiencing, as well as memories I could hold on to when I eventually had to go back home. Some animals were common, like the impalas; others were rarer, like lions. Each time we spotted one we stopped to watch. We could drive for hours without seeing another car, but when we did notice a stopped car ahead, it elicited great excitement. What had they spotted? we wondered. A pride of lions? A rhino? Hyenas? Each time, I felt like the lucky winner of an out-of-body experience, able to experience the world through the eyes of something wild. One day a swarm of monkeys enveloped our car. They were on the roof, on the hood, on the ground. My cousin and I pointed at a mother carrying a baby monkey. "So cute!" "Don't open the windows!" my uncle shouted. We guessed that some people had fed the monkeys through car windows and now they were looking for food. I didn't open my window, but I held up my hands to the glass as I met a monkey's eyes. I wished I could touch him. In the distance, we at last spotted what we had been hoping to see. It was a herd of elephants. They were enormous, bigger than I had imagined, like houses come to life. As soon as we saw them, Aunt Hilary, who was driving, turned the car around while keeping a respectful distance, explaining, "If they charge, I want to be able to drive forward, not in reverse." I was impressed that she could keep her wits about her in that moment when all I could manage to do was gawk. The large figures were so improbable, they looked as though they'd been created by Dr. Seuss. I wanted to get out of the car and stand close to them, but I knew that was impossible. Although the animals had become accustomed to the cars driving around and mostly ignored them, a person outside a vehicle could easily be viewed as prey, and you never knew what dangerous animal might be lurking nearby. I also knew that although the elephants looked slow-moving, they could move fast when they wanted to. We didn't want to anger them. This was their world, and we were the lucky visitors, compelled to obey their rules. All too soon, our trip was coming to an end. I was trying to soak up every last bit of wildlife I could, sure that if I could just bottle up these memories, I could hold on to them for the rest of my life. I don't remember where we were driving or what we had just seen when, without warning, we happened upon a tree with a half-eaten impala carcass slung across a high fork of branches. Its head and front legs were dangling limply toward the ground. All four of us collectively gasped. We could only guess that a predator, likely one of the big cats, had carried it up into the tree for safekeeping until the hunter was ready to eat again. I thought my aunt and uncle would quickly drive past it, but instead they lingered. Excerpted from The Other Family Doctor: A Veterinarian Explores What Animals Can Teach Us about Love, Life, and Mortality by Karen Fine All rights reserved by the original copyright owners. Excerpts are provided for display purposes only and may not be reproduced, reprinted or distributed without the written permission of the publisher.