STUDENT EXPERIENCE: GUATEMALA

Submitted by Nardine Nasr, Cornell University

"Over Spring Break of March 2023, I have had the opportunity to go on a FARVets experience with a group of students and a couple veterinarians. We went to Santiago Atitlan, Guatemala where we performed sterilization procedures on the local dogs and cats. This experience was eye opening, as I got to learn the local culture, the level of veterinary care in a poor community, and how to perform veterinary care with limited access to supplies.

            In Santiago Atitlan we performed spays and neuters on the cats and dogs owned by the local people. We assessed if the patient is healthy enough for surgery, premedicated the patient, intubated them, IV catheterized them, shaved, prepped, and sterilized the patient. We anesthetically monitored the patient through manual counting of the heart rate and respiratory rate, and monitored the palpebral response. Over time we learned when the patient was starting to wake up and we would immediately give more anesthetic drugs before they woke up. We also got to perform surgeries. Lastly, we monitored, recovered, and reversed patients. Personally, I performed one feline male castration, four spays (three canine and one feline), and closed on a different patient. I also got to perform all the anesthetic duties, preparation of the patient for surgery, and recovery. As I got more experienced with each surgery I got to do more and more. The last two spays I preformed I had even accomplished doing 90% of the surgery on my own which was rewarding! 

          This veterinary experience also allowed me to see situations that would otherwise be unique in the United States. I got to see several pregnant spays, females in heat spays, and more. I even got to perform a spay on a large uterus with a lot of bleeding and a tiny uterus that was hard to exteriorize. This allowed me to see the whole spectrum of spays that will occur and feel the variations on such spays. I even learned different methods that are used in such situations. For example, I learned how to make a transfixation knot on a huge uterus and I learned on how to exteriorize a tiny uterus.

            Not only did I get hands-on surgery experience, but I also got to learn about the local veterinary care. I learned that the local people cannot afford to go to the veterinarian and many go without medical care. However, since there are few doctors and lack of affordability, it is common to be able to buy drugs over the counter. Thus, I learned that a lot of people may ask for other people’s advice and buy their own drugs for their pet.

            This experience was a truly valuable one. I got to gain surgical experience, but also I got to learn about veterinary care in a completely different situation. There are many valuable lessons I learned on this trip such as not relying on machines for monitoring and variations of methods on the same surgery due to different patients’ size and age. I look forward to applying what I learned to my veterinary career and maybe even going on a FARVets trip as a veterinarian myself."