Friday, April 10, 2009

Leaving Koh Lanta

It's mid-April on Koh Lanta, and almost time to move on. The rainy season is drawing nearer, with afternoon storms becoming more regular and ferocious - only the temperature fails to realise it should be dropping. Yesterday was the best thunderstorm yet - as the lightning split the sky above my bungalow, the thunder crashed down and rain fell torrentially for an hour, taking half the beach with it and flooding a few roads.

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I've now spent nearly 3 weeks on Koh Lanta as vet-in-residence at Time for Lime, and have managed to operate on a few animals, treat some more, confiscate a couple of ill treated ones, and looked after a baby kitten in my bungalow (currently doing a good job of climbing on the laptop keyboard). For those of a veterinary bent, read on..... otherwise skip to the next paragraph!

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One cat I operated on was a resident at a high class resort further up my beach. It had 3 "tumours" on it's left side, which on closer inspection were hernias - probably from a dog bite. With a bare minimum of equipment, I guesstimated a dose of xylazine/ketamine to knock the cat out and proceeded to close up the holes - although not until I had replaced a liver lobe coming out of one hernia, and most of the mesentry (both well adhered) through another. Not something to be recommended when using an NHS single use suture kit!! I have also operated on one of the Time for Lime dogs - a painful lump on the right ribcage needed investigating. I considered rib fractures and sequestra, but dismissed the idea of a bone coming from the dog's intestines..... until I removed a 3 inch long, barbed Barracuda bone which can only have made a sharp exit via the stomach.

The high season here is grinding slowly to a halt as the tourists wither away, leaving behind empty beachfront bars and boarded up massage parlours. There is still some life in Saladan, the main town, though. Saladan is a fairly typical tourist town in Thailand, rapidly on it's way to becoming overdeveloped and losing it's charm. Travel agents and dive shops are on almost every corner, as well as an improbable number of opticians.

The opticians in Saladan are a breed apart. They only emerge from their empty shops wearing suits and sporting umbrellas (for the sun), usually to visit 7-11 and impress people with the amount of cash they have. With names like SK Optic, KT Optic and ST Optic (there are 7 in total) it's a bit difficult to tell one deserted shop from another - all specialise in cheap "genuine" frames and 2 for 1 offers. Some cynics have suggested this may be a particularly comical money laundering operation, although I prefer to imagine that the Thai business model - "if it's nice and shiny then copy it" - is more to blame.

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Since arriving I have been renting a little scooter to get around between Saladan, Time for Lime and my various "house" visits. Road rules in Thailand are very flexible; driving is usually on the left side, although this does not count if you like the other side of the road better. As a scooter driver you have no rights of way whatsoever, and the onus is upon you to avoid the 4x4 doing a U-turn immediately in front of you with no warning. This happened 2 weeks ago to one of the bar girls at Time for Lime - she currently has an externally fixated tibia and her jaw wired back together. As a farang, or foreigner, the loose interpretation of the law becomes more problematic if you have an accident. If a farang is involved in a crash it is always their fault, no matter who is to blame - the reason being that if you were back in your own country in the first place the crash would not have happened.

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A week or so ago I had the not-to-be-repeated experience of a tuk tuk ride with a charming and funny Thai guy called Ivory, accompanied by 2 English girls who were also staying at Time for Lime. After hopping onto his tuk tuk - think of a moped with sidecar built by a Blue Peter-inspired child - we proceeded along at a stately 12mph (with no lights) to a nearby bar, as Ivory regaled us with his plans to open a restaurant. He even went so far to specify discounts for ourselves and future families - although we struggled to decide on whether the discount applied only if we had 3 babies or if it was free for babies. Throughout our journey he kept only minimal eye contact with the road - although at 12mph we figured that injuries would be limited. It was with a sigh of relief that we made it in one piece to the bar, although a slightly sinking feeling followed as he informed us that he would wait for us all night.

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Our return journey was even slower (about 8 mph)- perhaps a good thing as it appeared he hadn't seen the signs advising against drink-driving. In the process he gave us an indepth opinion of the British royal family.
"Thai people, we like Princess Diana one hundred percent," he cried gleefully.
"That's great Ivory, would you mind just looking at the road?" was my short reply.
"Thai people, we love Prince William too, one hundred percent!"
"That's amazing Ivory! I didn't realise you could get the Daily Mail in Thailand?" I replied.
"Yes yes yes! And Prince Charles, we like him not so much.... maybe eighty percent!" he shouted.
This coming from a man who lives in a country where the King is revered like no-one else - Charles was damned by faint praise. But there was worse to come.
"And that woman, who that woman, we no like that woman!" he laughed.
"Who's that Ivory...... Oh, Camilla Parker-Bowles?!" we asked.
"YES!!" he shrieked, and almost fell off the bike cackling loudly.


To help out whilst Bim, the injured waitress, gets better, I've been doing some bar and waiter work at Time for Lime. My mojito-making skills have picked up considerably, as has my ability to give opinions on dishes that I've never tasted. The restaurant here is Thai fusion, and delicious it is too. It is not, however, what typical Thai people eat. The other night as the last customers departed I strolled into the kitchen to get some food, and asked Mai, the Thai girl who does front of house, what I could have. She held up a bowl.
"This very nice. What Thai people eat." She beamed at me.
"That sounds interesting Mai - what is it?" I asked.
"Stir fried chicken insides," she replied, still smiling away.
I skipped on the giblets and stayed with the green curry.

Mai has also been very handy in translating for me (and almost everyone else). She has helped when I went to pick up cats and dogs, when I put an order in at the kitchen and no-one understands me, and when I get text messages in Thai on my new mobile. Often I'll ask her to translate what turn out to be the usual texts you get - I'm getting low on balance, there's a call promotion on, or - my own personal favourite - text this number and we'll send you a photo of a ghost. I kid you not.

Working at Time for Lime has given me a great excuse to meet more people and get to know the menagerie of animals that Junie, the owner, has collected. Along with 20 dogs and 6 cats (not including my kitten and 2 confiscated dogs today!) there is also Joey, the monkey. I'd love to tell you what kind of monkey he is but I'll just describe his character - he's a a bad tempered teenager. In the past he's has his canines removed (particularly barbaric) and then been dumped as he got bigger, older and developed attitude. Now Joey likes swimming, trying to drown dogs whilst swimming (it's long story), playing with knives, biting fingers and pinching nipples. Today he seemed desperate to climb up the inside of my board shorts - given his penchant for inflicting pain I thought better of it.

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Joey goes under the knife

With the end of high season also comes the end of regular dive trips, due to lack of tourists and bigger swells. After I managed to finish my Advance Open Water certificate I went on one more dive out to Hin Deung, the furthest dive site from Koh Lanta. Hin Deung has a reputation for strong currents and large fish - in the past few days whale sharks and manta rays had been seen - both come in usually at least 6-7 metres long. There was also a rumour that a reef shark had been found dead with a couple of foot-wide bites taken out of it, raising the possibility of a tiger shark - very unusual in these waters.

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Passing Koh Haa on the way back

The journey out to Hin Deung was one of anticipation, and on the first dive we planned to go 38m deep (the limit for recreational diving is 40m) to have a look for sharks. Sadly we saw little, and battled for a while against some very strong currents. The second dive was better as we encountered an enormous barracuda, but no mantas or whale sharks. As we headed back to Koh Lanta the swell had picked up considerably and we were heading directly into a strong wind. The boat was rocking all over the place as waves broke over the bow - and afterwards I found out that another bilge pump had to be set up after the first one became unable to cope with the amount of water we were taking on board. I sat in silence, mostly feeling pretty nauseous but admiring the beautiful sunset as night fell - it took us nearly twice as long to get back.

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Having exhausted all the dive sites around Lanta I tried another discipline, Free Diving. Free Diving has several different forms - the one most people know involved descending on a weighted sled to an incredible depth whilst holding your breath, the using a float to take you back to the surface. Needless to say, this "No Limits" form is particularly dangerous and only suitable for crazy folk. On my course, we would try 4 different types - static apnea (holding your breath underwater), dynamic apena (swimming horizontally underwater), free immersion (descending and ascending by pulling yourself down a line) and constant weight (swimming down a line with fins).

The course started with a morning of physics, physiology and breathing exercises. It was amazing how long you could hold your breath after a little practice, but what I found most astounding is that you can make yourself black out by voluntary breath holding. Not that that would be a problem for me! In the sea that afternoon I managed a 3min20sec breath hold, and swam 40m underwater - the world records are around 10min and 240m respectively.

Over the next few days we went out to Koh Haa to try the free immersion and constant weight. The constant weight discipline relies heavily on having good technique to descend - something I struggled with. On the second day I managed to get to 23m and wouldn't have felt comfortable going much deeper. I also managed 26.7m deep on the free immersion (pulling yourself down a weighted line) - I got to the end of the line and had to return to the surface, gutted because I could have gone deeper. The fascinating thing is that below 20m the body becomes negatively buoyant because the air volume in the body is so compressed - so you just sink. If you're particularly relaxed and well trained you can sink to 130m or so and still come up breathing... although maybe a little blue. At any rate, hopefully it will make a real difference when I am snorkelling and want to have a closer look!

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The 12th and 13th of April saw another clinic at Blue Planet Divers in Saladan, in conjunction with a Thai vet -Dr Narin - from Trang. The setup was very professional in equipment terms, although the bamboo operating tables were a bit unstable..... We concentrated mainly on cats, and managed to sterilise around 40, as well as doing the honours with Joey and enucleating a prolapsed eyeball in a street dog. By the second afternoon I was by myself with 4 cat spays and 2 cat castrates left, with only a modicum of xylazine and ketamine to knock them out..... as well as the madness of Songkran going on all around.

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The 13th of April in Thailand is Songkran - the water festival. Meant to celebrate the end of the dry season and beginning of the new year, the entire of Thailand degenerates into a day long water fight with no quarters safe - riding a moped, eating a meal.... fortunately this did not extend as far as soaking people whilst operating! After finishing and packing up by 6pm I made my way down the main Saladan strip, replete with scrub top, stethoscope and donation box...... I was soaked within about 30 seconds.


The rest of the evening passed in a blur - possibly due to the water getting in my eyes, although the local Chang beer may have had a little to do with it. I made my flight to Kuala Lumpur, Malaysia the next day, however, with only the slightest of sore heads.

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Saturday, March 28, 2009

In the Andaman Sea

After a day of rest I was back at Soi Dogs in Phuket, where along with Katie, I was working with Mikel, a Spanish vet, and Thai vets Drs Max and Mint.


The Soi Dogs shelter set up was pretty similar to the mobile clinic, although with around 200 dogs permanently housed at the shelter there are always cases to see and plenty of howling in the background. The dog catchers depart early to collect their daily crop, whilst the inpatients are treated and dogs that were neutered the day before are checked. Around midday a take-away lunch - usually fried rice - mysteriously appears from somewhere, then the main part of the day - the neutering - begins.

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Working in Phuket does have some advantages - primarily an air conditioned theatre with lots of fans, but also more equipment and drugs for sick animals.


Having worked most of the previous 2 weeks I felt the need to see a bit more of Thailand than it's stray dogs, so Katie and I decided to go to the Similan Islands for a couple of days on a snorkeling tour. The Similans have the reputation of having some of the finest diving/ snorkeling anywhere in the Andaman Sea, and the group of 9 islands is a National Park. We headed out on a tour there - independent travel there being just about impossible - in a huge speedboat filled with weekend tourists, about half Western and half Thai.

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After a couple of snorkeling stops over beautiful coral reefs, we landed on an equally idyllic beach for lunch and to check in to our basic tented accommodation. After a couple of lazy hours we were back on a larger, slower boat which would be our floating restaurant and dive boat until the end of the trip.

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Landing on Donald Duck beach

The afternoon consisted of more of the same - snorkeling over fantastic coral reefs with a myriad of brightly coloured tropical fish, plus a green turtle. Later on we landed at Donald Duck beach, named after a rock that looked unsurprisingly nothing like it's namesake. Here the clear blue sea lapped gently against a white sand beach and a gentle breeze stirred the jungle behind.... it was lovely.

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Dinner was back on the boat, watching a disappointing sunset and the gathering storm clouds. We landed as night fell, and had a brief and incredibly unsatisfying visit to look at some land crabs - swiftly aborted as the rain started to gently fall. After beating a hasty a retreat to the tent, the skies opened and an hour long deluge ensued, which despite my best Boy Scout efforts left us with several small lakes inside the tent - the dampness permeated everything.

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Morning was clear and beautiful. After having the beach to myself for sunrise we were back on board and enjoying the snorkeling again under blue skies and on calm seas. In no time we were back on the speedboat, and a few hours later back in Phuket, enjoying the deliciously cool aircon in my room at my guesthouse on NaiYang beach.

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Monday was back to work at Soi Dogs. Katie was heading off to northern Thailand to another neutering project, Mikel had left on Saturday which left myself and a newly arrived volunteer vet, Jo.

After rounds with Dr Mint or Dr Max (usually with ourselves as slightly bemused onlookers), there would be a break before lunch then a few hours of rapid surgery. On average I managed 5 or 6 surgeries a day in 2-3 hours - the production line efficiency of the setup means that once you take a dog off the table, another one is lying in place when you get back.

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As well as the surgery, Jo and I would see Westerners who would bring in their sick animals for a consult. Although there are 6 vets on Phuket, often the language barrier would mean expats would visit SoiDogs first - but if my consult with a Russian lady and her little Westie (with itchy skin, some things never change!) was anything to go by, sometimes not a lot could be gained!!

After work Jo and I quickly adopted a routine involving the beach/swimming/eating/beer in no particular order. Friday evening and Jo left for her return to the UK, and I met up with some Canadians from Koh Lanta who were on a heroic mission to sort out homes for 12 puppies, as well as spaying the mother. That evening we decided to head into Patong for a taste of the overdeveloped Thai resort.

For those not in the know, Patong has become a byword for sex tourism in Thailand. The gaudy strip is lit by endless neon lights advertising KFC, McDonalds and "massage parlours", ladyboys try to entice you into their bars and hawkers tempt you with pingpong shows (if you don't know, you should be relieved!). It was awful - after a few beers and an overpriced meal, we headed back to the hotel, past lines of girls and ladyboys waiting to be picked up for the rest of the night. An experience best not repeated - and I couldn't bring myself to take photos!

On Saturday I headed back to Koh Lanta with the Canadians and a dozen puppies crawling around my feet - fine until they need the toilet. Junie welcomed me back to Time for Lime where I reinstalled myself as Lanta's resident vet - hopefully until the 12/13th April when there will be another neutering clinic.

In the meantime, as well as tending to the needs of the local animal populace, I've been learning to dive and making friends with the local expat diver set - a very welcoming bunch who have been very kind. Fortunately for me sick animals seem to be a bit thin on the ground, and my treatments so far usually relate to flea and tick problems.

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The diving has been something else. My instructor, a large friendly Frenchman called Ben (whose cat I castrated!) has seen me through my PADI Open Water certificate, and today I passed my Advanced Open Water. Tomorrow I'm starting the FreeDiving, which promises to be a different kind of fun - there's physics to learn and everything.

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The dive days so far - there have been 5 - have been to islands west of Koh Lanta, often Koh Haa and once to Koh Bida. Here there are gorgeous coral reefs, loads of tropical fish, a few sharks, turtles and eels, and water as warm as a bath.

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In the evenings I have my little moped to take me to where the action is at, and a hammock in front of my bungalow which is just lovely as long as the mosquitos aren' t biting and the sunburn that day hasn't been too bad......

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Sunday, March 08, 2009

In at the Deep End

Welcome back and thanks for reading! Though you're here for the photos, right? You'll be glad to hear that my aspirations as a writer have decreased. No more deep and meaningful soul searching (I was never very good at that anyway) and no history lessons... well, maybe just a few.

Two weeks after getting back from snowboarding in Colorado - another solo trip, but that's a different story - I had moved home, put my belongings in storage, said goodbye to my old job and practice, sold my beloved pimp car, found new tenants for my house and generally packed up my life into a rucksack. I had my one-way ticket to Thailand, a visa for Australia, no local currency and only the vaguest of plans (that bit hasn't changed).

Fortunately for me Singapore airport is one of the easiest and nicest airports for the dazed and confused traveler wanting a connection. My flight to Phuket, Thailand was smooth, and soon enough I found myself in the tropical sunshine of Monday morning waiting for a lift to my first destination.

After Central America in 2007 I came to the conclusion that volunteer tourism has a lot to offer - there's the veterinary experience for me, working with local people, and the feeling that maybe this holiday isn't entirely selfish - I'm still struggling to justify that one!

In Phuket, the place I was going to work was the Soi Dog Foundation. The Foundation runs a clinic dealing mainly with neutering street dogs, but also treating sick and injured animals, and feeding starving dogs all over the island. As well as the full time Thai staff (including 2 vets), there are usually a few Westerners volunteering. The charity was set up in 2003 and expanded to it's present size on the back of donations for tsunami relief. I had arranged to stay for a while, and was told that on my day of arrival I was to be thrown in at the deep end, sent off on a mobile clinic to Koh Lanta, an island to the southwest of Phuket.

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Dog catching at a temple


After almost no sleep and a quick tour of the main Soi Dog clinic with it's bewildering array of permanently housed street dogs, hospital cases and pet strays, I folded myself into the back of a pick up and we headed to Koh Lanta with 2 dog catchers and one Thai vet, Dr Max.

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Dr Max doing his thing
We arrived on Koh Lanta, eyelids drooping, and slept for hours after some great food. The next morning I understood the full set-up; a Westerner who lived on Lanta called Junie had taken it upon herself to establish Lanta Animal Welfare some 7 years ago, and the Soi Dog Foundation ran clinics every 6 months or so in conjunction with her. We stayed at her guesthouse, ate in her restaurant and drank her beer, and were looked after very well.


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Stray dogs in the dog catching van


I got the measure of the veterinary procedures after setting up the first morning in the back of a dive centre. Along with Dr Max and myself, one other English vet called Katie was coming, and together we would neuter as many dogs and cats as the dog catchers could lay their hands on - or blow dart.


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Dog catching on the beach

The operating started as soon as we got the first dogs in, and the first afternoon saw 20-something dogs and cats spayed or castrated. Dr Max's operating speed was amazingly quick; with no gas to keep an animal asleep once under anaesthetic, I was concerned a few of mine might wake up because I wasn't so fast - as it turned out sometimes dogs (not just mine) would start coming around but a top-up anaesthetic dose would usually sort them out.


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Starting to operate

The rest of the week passed in a flash - a 7am breakfast on the beach at Junies restaurant, Time for Lime (and very tasty is was too!), followed by arrival at the clinic/dive shop at 8am and then work until 6pm. The nature of the dog catching usually made for a quiet morning with a few cats and owned-dogs to operate on, then once the dog catchers arrived around lunch with a van full of stray the real surgery would start. By Friday evening at 6.30pm, in failing light, I was closing up about my 15th op of the day, I was exhausted. Dinner at Time for Lime, a beer then bed at 9pm - what a life!


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The view from Time for Lime


On Saturday after knocking out 20 quick spays/castrates in the morning, we were packed up and left by 1pm. I had promised to return - the guys where we were working at Blue Planet Divers had said they would teach me my PADI thing, and Junie was already lining up sick animals for me to see when I came back.


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Too many spays can drive you crazy...

Back in Phuket, I had a day off before another early start heading to Khao Lak, up the coast from Phuket, on another mobile clinic. This time we ended up operating in a temple, with the Buddhist monks providing an effective dog catching service for us.


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The temple setup



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Handy blokes in orange robes



One night we were invited back for dinner to the house of a local who dog and cat we had neutered, so after equipping ourselves with some drink with made our way across fields full of water buffalo to a typical Thai house - the kind you don't see on the tourist adverts. After meeting the head of the family and paying the appropriate respects, we feasted on an array of food unavailable in most Thai restaurants. As the light dimmed so the numbers of beetles attracted to the fluorescent tube above us grew, until all of us and all of our food was literally crawling. Shortly after it started raining so we all moved inside, where the head of the family encouraged me to drink some Thai whiskey and attempted to marry me off to his daughter. Although that was a fate preferable to beetles, I breathed a sigh of relief when the dog catchers and Dr Max decided to leave to our accommodation in a local school house.


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Friendly family dinner

After 3 days operating at the wat we were just starting to get busy, but it was time to pack up and head back to Phuket and the Soi Dog shelter. I was given another day off by Jon, the Englishman in charge of the charity, and vegetated with alternate hot showers and aircon for the rest of the night.

My willpower not being up to much, I have now promised to return to Koh Lanta in mid-April for another clinic run by Junie and a Thai vet from the mainland. In the meantime I'm off on a snorkelling trip to Koh Similan at the weekend, and then a week more at Soi Doigs afterwards. Then I need something to fill my time - maybe a trip to Burma?

Sorry, I promised I wouldn't write much..... but I think I now know how to post better photos.... here goes nothing!