Our first interview with a Brit abroad! Our good friend Professor/Dr. Stephen Divers is a British vet living abroad in the United States of America. We discuss the difference between the two cultures and what that means for Steve's working life, Britishisms and how he translates these to his American students and his coral reef fish tank.Steve is also an endoscopic wizard, and shares his best practices and techniques and how he teaches these to his students.(Apologies in advance, we had technical difficulties during this episode and the audio quality is not quite up to our usual standard. We're doing all we can to improve our quality with each episode but unfortunately, tech can sometimes get the best of us!)Support the show
Our first interview with a Brit abroad! Our good friend Professor/Dr. Stephen Divers is a British vet living abroad in the United States of America. We discuss the difference between the two cultures and what that means for Steve's working life, Britishisms and how he translates these to his American students and his coral reef fish tank.
Steve is also an endoscopic wizard, and shares his best practices and techniques and how he teaches these to his students.
(Apologies in advance, we had technical difficulties during this episode and the audio quality is not quite up to our usual standard. We're doing all we can to improve our quality with each episode but unfortunately, tech can sometimes get the best of us!)
Support the show ā Support this podcast on Patreon āTired of boring, clinical veterinary podcasts? Join Veterinarian Dr Julian Hoad & Anaesthetic Expert Mike Brampton, as they interview inspirational guests each week who are related to the veterinary world. Veterinary Ramblings is like going for a drink with your favourite work colleagues after a long day - weāll make you laugh, inspire you and perhaps teach you something new!
Mike Brampton: Oh, no.
Major glitch glitch.
Julian Hoad: Yeah you just froze
as well.
Are you back? You back up?
Mike Brampton: You're back. Ok.
Julian Hoad: Carry on moving
like this, very slowly
Mike Brampton: Good evening and
welcome to everybody.
My name is Mike Brampton
Julian Hoad: and my name is
Julian Hoad
and we are glitching terribly
folks
Mike Brampton: because your
video has completely frozen.
I've got a bad feeling about
tonight.
Julian Hoad: It's gonna be fine.
People will be very
understanding.
Brenda will be very
understanding because she'll
know we've tried our best
So, Mike, who do we have this
week?
Mike Brampton: This week, we've
got an old friend of ironically
both of ours who has left the
shores of the UK to find fame
and fortune in United States of
America.
A gentlemen, we know as Steve,
but I think, to his students, he
likes to be known as Professor
Stephen Divers.
Julian Hoad: Professor Stephen J
Divers I think
Mike Brampton: i think your
right, Professor Stephen J
Divers.
Steve, Steve bit like yourself.
He graduated initially, with a
Bachelor of medical science
physiology from King's College
London, way back in 1991.
I didn't actually know that
until I looked him up, which
would explain probably some of
the links that I've had with him
in the past,
because I first met him when I
was working with the training
department of London ambulance
service, which of course is all
Julian Hoad: Oh, yes
Mike Brampton: pretty much
physiology. And he then went on
to take his bachelor of
Veterinary Medicine from the RVC.
And that was in 1994.
He's founder of diplomat of the
European College of zoological
medicine,
diplomat of the American College
of zoological medicine,
diplomat of the Royal College of
Veterinary surgeons zoological
medicine,
fellow with the Royal College of
Veterinary surgeons,
and de facto diplomat of the
European College of zoological
medicine, and all of that sort
of stuff. And you and I know him
as Steve.
So let's get him in. He's in the
waiting room.
And here's Steve! Well, you
don't look very animated there,
Steve.
Stephen Divers: Don't worry. I'm
turning on my video.
Julian Hoad: We're such
professionals Steve. Honestly,
these days.
It's slick as anything, within
an hour or two, we can actually
be on and recording. Brilliant.
Stephen Divers: it's only 3: 30
in the afternoon here. So I'm
not supposed to have a drink.
But you're gonna be very, very
disappointed because I'm
actually having tea.
I've still got work to do. But
anyway,
Mike Brampton: No, we wouldn't
expect nothing less. I mean,
well,
you're the brit waving the flag
in the United States.
Stephen Divers: Julian I have to
say there is a significant lack
of foliage up here from when I
last saw you.
Julian Hoad: It's gone. I was
Mr. Curly Mop the last time I
saw you
Stephen Divers: You had loads of
hair, and then there was a
significant,
I mean, you had a hard time
trying to find a area that
wasn't sort of follicular.
And now it's like, it's all,
although Mike's not doing too
much better on top either to be
fair
Julian Hoad: Mike's still got
the beard, he's hoping that
eventually he can turn his head
upside down and have a normal
head of hair.
Stephen Divers: Yeah.
Julian Hoad: Steve, that's gonna
be what 20-22 years ago, is it?
Stephen Divers: Yeah, it's gotta
be something like that. Yeah, I
mean, well,
I graduated 94, joined Elands
and I think you, what was it 96
or something?
Julian Hoad: That's right 96,
Yeah.
Stephen Divers: 1996 and then I
saw Phil Lhermette on your show
A few weeks ago or?
Mike Brampton: Yeah
Julian Hoad: Our first boss, our
first boss. Yeah.
Stephen Divers: Yeah, that
brought some memories back
seeing him actually.
He's greyed a little bit. That
was probably more to do with his
daughters than it was to do with
us I suspect Julian.
Julian Hoad: I think it's all to
do with his daughters
Stephen Divers: Probably
Julian Hoad: Absolutely
Mike Brampton: Yeah, you keep
telling yourself that Steve.
Julian Hoad: You've picked up a
little bit of a twang there,
Steve, haven't you?
Stephen Divers: Well
Mike Brampton: Sounds more
Australian than American.
Stephen Divers: Yeah. So I get
that now, whenever I go home to
see my family, my parents and my
brother, my sister.
They tell me I sound very
American, fortunately, the
Americans still think I sound
very British.
And I think they're under the
misconception that I'm like 300
and 22nd in line to the British
throne.
So that often gets me out of
trouble as well.
Julian Hoad: So I'm holding the
cover sheet of, a facsimile, I
should say,
Stephen Divers: Yeah
Julian Hoad: Of a very, very
good textbook that Steve has co
edited.
Stephen Divers: Yes.
Julian Hoad: And it's the Bible,
basically, of reptile and
amphibian medicine and surgery.
Doug Mader wrote the previous
two editions.
Stephen Divers: He did. Doug and
I worked on the cut therapy,
which was like a current therapy
version between the second and
the third.
But yeah, I wrote the first and
the second. He edited that all
by himself.
But yeah, so this was like, this
is an interesting story about
So this is like 125 authors.
this. Right.
And anyone that even considers
writing a textbook, I suggest
you do it yourself.
Because trying to herd 125
authors is like trying to heard
a bunch of cats after dark in
thick fog.
I mean, it's just a nightmare.
Julian Hoad: I take my hat off
to you Steve if I'm editing a
BSAVA book
Stephen Divers: There you go,
you're gonna find out
Julian Hoad: 20 authors and
that's hard enough.
Stephen Divers: So what's
interesting, though, so every
author, right, because they
don't pay you very much for
doing these things. Right. It's
a love.
It's, you know, it's a very
altruistic sort of love thing
that you do for the profession.
You don't get paid a lot of
money for doing this.
But every author was supposed to
get one copy of the book, right?
And every editor, ie, myself and
Scott, right, we were supposed
to get eight copies.
Well, Elsevier made a little
mistake.
Elsevier sent every author 125
of them.
Each author got eight copies of
the book. Now, each book is $180.
Julian Hoad: Yeah.
Stephen Divers: So when you do
the math, Elsevier basically
sent out a quarter of a million
dollars of books that they
shouldn't have done, and then
had to kind of clamour to get
them back again.
But anyway, they've managed to
do it. So I think we may have
flooded the market a little bit
early with this, we'll see.,
Julian Hoad: Well I'll reserve
my addition, tomorrow, I will
actually,
Stephen Divers: You know, what's
concerning me is as you age,
every decade, there's something
that happens, like I remember in
our 20's and Julian can attest
to this.
There was a lot of partying that
was going on, there was a lot of
drinks going, in fact,
the parties above the Elands
veterinary clinic was fairly
notorious because I remember
once Philip came into work,
and he said, 'I understand there
was a party here on Saturday
night'
I'm like 'how did you know?' and
he said, apparently, they were
talking about it in the
hairdresser's in town.
So at that point, I knew we had
achieved some degree of
notoriety. But anyway, in my
20s, you know, you could drink,
I used to smoke
In your 30s, you know, that has
to kind of be curtailed, and
then you hit 40s, and you have
to be careful about what you
eat, and stuff like that.
And so, I'm convinced the reason
why people die is because people
take away all the pleasures in
life,
and there's nothing worth living
for at that point. So you might
as well just pop your clogs.
Julian Hoad: It's true. It's
like the man who goes to the
doctor, and he says, If I give
up wine, women and song will I
live longer, and the doctor says
well...
Stephen Divers: So you know, and
I knew I was middle age, when I
think it was about 10 years ago,
I was about 40.
And I sneezed in front of the
bathroom mirror and put my back
out for two days.
And at that point, I realised
that middle age is well and
truly here. So anyway,
Mike Brampton: Have you given up
the motorbikes Steve?
Stephen Divers: Actually, I
didn't acquire another motorbike
when I came over to the states.
I came over in 2001, left the
bike in the UK, sold the bike
and the reason being is because
they make you take another test
again,
and at that point I dunno I just
thought maybe not.
Now. I'm more fearful as you get
older, I become more fearful of
my own mortality.
When I when I was in my 20s. It
was like, 'Yay, off we go, we'll
bounce it doesn't matter.' But
now I find I don't bounce
anywhere near as much as I used
to. Right.
Julian Hoad: I remember getting
on the back of your bike,
Stephen Divers: Really? Because
normally they were usually more
attractive than you but anyway,
but fair enough. Maybe you did.
That's fine.
Julian Hoad: Presumably because
I had hair then you let me.
Stephen Divers: Maybe, maybe
Julian Hoad: I was holding on
behind, every time I stuck my
head out to see what happened, I
was pushed back by this waft of
air and you kept on saying
'don't lean out!'
'You leaned out!' 'Sorry, sorry,
sorry!'
Stephen Divers: Lot of fun, I
did enjoy it.
What was interesting, so when I
came to the States, you have to
do all these extra things, so
you have to take a driving test.
And you know, which is fair
enough.
But the DMV is notorious for
being slow and very inefficient.
But I remember I went and did
the theory and they said,
'right, you got to go outside
for a practical driving test.'
So I was like, okay, so we go
out in the parking lot,
I get in the car, we're in a car
park, right. And we drive to the
end of the car park
and they say 'Turn left' so I
turn left,
'Turn left, turn left again,
turn left then park.
Congratulations, you've passed.'
I'm like, you have no idea if I
can turn right. And you're
giving me a driving licence?
But it's kind of the way it is
over here. But yeah, it's
definitely a, there's a culture,
a culture shift, let's say, put
it that way.
Julian Hoad: Do you like it over
there?
Stephen Divers: So it's
interesting, right. So there are
certain things that I absolutely
adore,
I miss my family, family and
friends is probably the big
negative. British culture, you
know, going to the pub, and that
kind of stuff I miss
Mike Brampton: So do we!
Julian Hoad: We haven't done
that in a while
Stephen Divers: Yeah. But what
I've realised is that because I
left in 2001, I miss the England
of 2001.
And when I go back now, I don't
quite recognise it, it's not
quite the same place, you know
what I'm saying? So it's weird.
But there are certain things
like family, family things I
miss. And I try and get over
there at least once a year.
But then what I've got over here
is, you know, I work in
$100million state of the art,
you know, academic teaching
hospital, and we've got all the
gadgets
and I mean, the caseload, the
high referral caseload, it's
phenomenal. I mean, it really is.
So there's those kind of
benefits. And I have to say, now
I'm in academia, I'd have a hard
time going back to private
practice.
Julian Hoad: Do you have pets?
Stephen Divers: We have pets?
Yes, we've got two cats, Tiger,
and Nina.
And then I guess I have pets as
well, I've got a marine reef
tank, I have a 300 gallon reef
tank in my office and a 55
gallon reef tank in my office.
Mike Brampton: Wow
Stephen Divers: I emailed the
building manager. And I said,
'Can you tell me, is the floor
of my office,
is it like reinforced concrete?
and he said, 'Why do you need to
know?'
I said, 'Well, I just want to
put a fish tank in.' He said
'Well how big is the fish tank?'
Well, 300 gallon tank weighs you
know, two and a half tonnes or
something so, but what I did got
all my tanks in before the
building officially opened.
Because it's in academia, there
is a general motto, which is you
ask for forgiveness, not for
permission.
And so I thought if I get these
tanks in, there'll be immobile
and immovable. And so they'll
just accept them. And they did.
But I did, while putting
together, spring a bit of a leak.
And so at the opening ceremony,
the dean did make a comment
about the fact that we'd already
had our first incident with a
fish tank leak on the second
floor.
But apart from that, it's been
okay.
Julian Hoad: What sort of fish
do you have in there?
Stephen Divers: Oh, you know,
like Pacific Tangs, blue chrome,
clown fish, those kinds of
things, but really most of it is
about the corals, you know, the
anemones, soft corals, SPS.
The whole system is probably,
it's pretty expensive system.
It's all computer controled.
So I can actually on my phone, I
can actually show you that. So
this is in real time.
So this is in real time, I can
tell you the pH, the salinity I
can turn pumps off, I can feed
fish, I can do all sorts,
but it's the whole system
probably about 15-18 grand, I
would say it's pretty expensive.
Julian Hoad: Is it easy to keep
going once you've set it up?
Stephen Divers: Well, it's a lot
of hassle to take it back down
again, put it that way. I mean,
once it's up and running, you
kind of just want to keep it
going. Right.
So that can be problematic. But
no it's fun, actually, I kind of
enjoy it. I used to have the
tank at home, but I would spend
so much time at work.
By the time I come home, I'd sit
down, you know, at the end of
the day, and I would just sit
down in front of the tank to
admire it
and then blink, the lights would
turn off and it would be the end
of the corals day.
And so I decided to move into my
office so that every now and
again I can just turn around and
gaze at the undersea Odyssey in
front of me.
Mike Brampton: You swap this
undersea Odyssey instead of
doing cat vaccinations?
Stephen Divers: So actually no,
the replacement was that I used
to do a lot of scuba diving.
Mike Brampton: Right
Stephen Divers: And then I
stopped doing scuba diving,
largely because obviously having
a young family and stuff its
difficult to do all that kind of
travelling.
So then I decided, Well, how do
I get my, you know, marine fix
and so there are two ways to do
that.
One is that I have a marine fish
tank in my office and, two,
Sunday night is now fish and
chips night at the Diver's
House. So that's kind of our
approach.
Mike Brampton: It's traditional
British fish and chips, yeah?
Stephen Divers: Kind of, it's
difficult to get cod in Athens,
Georgia, put it that way.
It's more like tilapia, breaded
tilapia and chips
Julian Hoad: But its fish and
fries though isn't it, it's not
fish and chips?
Stephen Divers: True. If you
describe it to other people,
other Americans, then I have to
say fish and fries.
Because if I say fish and chips,
they're like, what fish and then
like potato, like crisps or
something.
So, but you bring up a good
point. So I actually have a list
of Britishisms, and a glossary
in the hospital so that the
students, because otherwise they
get very confused,
because if we start talking
about you know, everything's
gonna go pear shaped, you know,
sixes and sevens, or, you know,
whatever we say, chock a block
or whatever,
all the students are completely
confused. So we have to have
some Britishisms summary on the
board, so they can keep track
but anyway, yeah, fish and chips.
Julian Hoad: Otherwise, it's not
cricket is it.
Stephen Divers: Exactly.
So on the topic of cricket, So
remember when I went over here
first of all, a friend of
mine Scott, the other co edito
of the book, we often would go
to conferences together and w
would share a hotel room.
And, you know, as I was now a US
citizen, I said to him, You know
what, you're gonna have to teach
me the rules of American
football,
Anyway, approximately six
minutes later, that was done and
dusted. It's not a particularly
complicated game. And so then he
said 'Could you teach me
cricket?'
Anyway, two and a half hours
later, he is no further down the
road of learning about the
intricacies of cricket. I mean,
it just, you know, wasn't going
to happen.
Julian Hoad: it was a game
invented purely to foil
foreigners. That's that's the
reason cricket was invented
Stephen Divers: I think so i
think so.
Julian Hoad: So there's a lot of
work, isn't there, going into
trying to engineer or force
evolution of corals to live at
higher temperatures and in
different salinities,
different conditions to make
them more robust, given global
warming. Is that something you're
involved in Steve?
Stephen Divers: Well, so let's
just be clear. I mean, you know,
the United States at the moment,
our republican president and I'm
from Georgia, which is also
Republican,
we don't refer to it as global
warming. Right, we refer to it
we as as climate change, because
that sounds far less malignant.
So that's kind of the term we
should use, but to answer your
question, I have not been
involved.
I've done some work on some
coral diseases with ecology, but
not a great deal. This is
definitely like a hobby thing
rather than a work thing.
Most of the fish stuff I've
done, there's been things like,
Well, let me think we did some
endoscopic gonad evaluations and
biopsies in endangered sturgeon.
And we've done some sturgeon
sonic transmitters and
implantations and things that so
Julian Hoad: Cavier to the
masses, so to speak,
Stephen Divers: right, right.
Yeah, that was on the
Mississippi River. And I had
these idyllic visions of you
know, Tom Sawyer, and you know,
Huckleberry Finn
and floating down the
Mississippi with a straw hat.
Let me tell you in January, it's
very, very cold.
It was so cold that we used
saline, it's a saline infusion
rather than co2 insufflation. So
it's a saline infusion that goes
into the body cavity of the fish,
the saline was freezing in the
line before it got to the fish,
sometimes, thats how cold it
was, it was so cold, you know
those hand warmers, you know,
so I'd have hand warmers shoved
in the inside of my surgical
gloves and you could do about
one fish and then you would sort
of break your frozen tendons
and put your fingers into your
palm to warm them up again while
they got the next fish ready. It
was very cold not pleasant
Mike Brampton: Was there a
reason you did this in winter
and not in summer then?
Stephen Divers: Well see, now
see, that's where my ignorance
of, you know, the ecology of the
Mississippi because I just kind
of immediately made the
connection of you know,
Huckleberry Finn straw hats, you
know, flip flops on, you know,
so no one told me it's gonna be
that cold.
Julian Hoad: I don't think
reading Huckleberry Finn, I
can't remember a time where it
says. So Tom went inside and got
his muffler and parker.
Stephen Divers: Right. Well, and
so it was run actually by the US
Army Corps of Engineers. So this
was more like a seals operation.
They had these like fast boats.
Everyone's in camo, right,
except the vets, the vets, they
like to put the vets in a bright
orange one piece floatation suit,
with a bright orange balaklava
on the basis that either we're
an easy target if there's a
sniper, or
if we fall in the water, because
we'd be silly enough to do that
they can fish us out more easily.
Julian Hoad: Probably both of
these reasons
Stephen Divers: probably both
Mike Brampton: Let's admit it.
You wanted a camo suit, didn't
you?
Stephen Divers: I did ask
actually, if I could have a camo
suit. And, and I got one in the
end.
I think it was by day two, the
first day I felt like a large.
I felt like a bit of a carrot,
shall we say. On the second day
I did get my camo
Mike Brampton: No, sir. No,
those are operational procedures.
Julian Hoad: So you say you're
doing endoscopy on on this fish?
That's a real love of yours
isn't it, endoscopy?
Stephen Divers: I do like the
endoscopy. And it's interesting
because I actually started that
with Phil's practice.
Julian Hoad: I know, I remember
Stephen Divers: Remember, we
were hanging around?
Julian Hoad: Yeah.
Stephen Divers: And it's
interesting, right? Because, you
know, Phil wasn't into it at the
time then.
But then he went on and got into
it in a big way. And he became
the editor of the BSAVA manual
Julian Hoad: He's now the god of
endoscopy in England.
Stephen Divers: I know,
Julian Hoad: and your the god of
endoscopy in America,
Stephen Divers: I think we tell
the same story of this evolution
that occurred in Elands from
very different perspectives. I'm
sure the truth is probably
somewhere in between.
Hey, I don't know. Can I share a
screen? I want to show you guys
something I found a photograph
I promise I won't do anything.
risque. But I want to show you a
picture
Mike Brampton: I don't know if
I'm actually going to see it
Steve, but Yeah, please. Let's
see if that's allowed it there?
Stephen Divers: Okay, and we go.
Okay, can you see? Can you see
this picture?
Julian Hoad: Yes. Gosh!
Stephen Divers: This must be
circa. I don't know. This could
easily have been when you were
there. Julian, this could have
been in 1990 to be fair,
or 1995? I don't know.
But that's that's me as a new or
recent graduate. And then you
can see Phil there. He doesn't
look much different To be fair,
right. But anyway, I found that
picture. And I thought I had to
show you guys because you had
him on a couple of weeks ago.
Mike Brampton: Yeah, for sure.
Julian Hoad: I remember that. I
remember that. operating and
prep room. Great. Well,
fantastic.
Mike Brampton: That's Brilliant
steve .
Julian Hoad: You can't see this
Mike, But I'm holding up an
advert for an endoscopy training
symposium that, that Steve now,
have you organised this or have
you been asked to
Stephen Divers: We do that every
year. This has been going on
since like 2004. Every year we
do a three day course at UGA.
And we've had people from, we've
had one or two people from
England, but we definitely get a
few people from Europe.
We've had people from Australia,
Korea, China, North America,
obviously North America, but
also South and Central America.
We have 16 people and we teach
them the sort of six of
diagnostic endoscopy, birds,
reptiles and mammals. It's
something that I that I enjoy
doing.
And when you're dealing with
these exotic animal, in fact,
let me show you an example. We
can chat about that. And I can
show you hang on a second.
Julian Hoad: So again, I'm just
gonna fill in here for the
people who can't see this
because Steve is showing us an
endoscopic view of the inside of
a red eared slider is that?
Sudamice scripta is it?
Stephen Divers: Almost,
Trachemys scripta elegans, but
that was a good stab.
Julian Hoad: Well sudamice was
the original name probably
Stephen Divers: Probably back in
the 60s. Yeah
Julian Hoad: So you're doing a
salpingectomy, you're removing
the the ovaries and the uterus
essentially
Stephen Divers: so basically,
you know what people love their
tortoises in the UK, which is
why I decided to show you some
sort of tortoise chelonian
pictures but
being able to do these kinds of
surgeries now we can perform
Salpingohysterectomis, we can
remove eggs, we can remove
actually we're pretty good now
for routine ovariectomy
we're doing this in sub adult to
adult females routinely before
they develop reproductive
disease,
we can now go into a soft tissue
approach with the endoscope, in
front of the back leg don't have
to go through the shell.
I mean, we used to go through
that shell.
Julian Hoad: yeah,
Stephen Divers: we probably did
some of those back at elands.
nd it's a much more traumatic
invasive procedure, right,
Julian Hoad: I remember mixing
up the fibreglass for you.
Stephen Divers: That's it,
right, you remember.
Now, we can avoid that by using
these endoscopic techniques. And
so that worked out pretty well.
So this was something, this sort
of endoscopic approach to
resolving reproductive issues is
something that we developed in
the clinic, so we could avoid
going through the shell.
And then here's a bigger
example. This was a conservation
project we did in the Galapagos.
Okay, so this is a giant
tortoise.
And these were hybrids. So they
weren't of any ecological value-
they weren't of any conservation
value from a breeding
perspective.
But they wanted to release these
hybrid females to help engineer
the island recovery, because it
was all getting overgrown
because there was no tortoises
on the island, and they killed
off all the all the invasive
goats.
And so it's just a video showing
how you can take that 100 kilos
tortoise. And we can perform a
ectomy without going through the
shell.
So anyway, this video is gonna
play so you can keep chatting,
and we can keep talking, but I
thought you might want to see
that
Mike Brampton: This is excellent.
Julian Hoad: And again, for the
benefit of those poor people who
can't see this, or, indeed for
anyone who's covering their
eyes, because they don't want to
see it.
What Steve is doing now is
making an incision through the
soft tissue in the, essentially
the groin region of one of these
huge 100 kilo tortoises.
And he's introducing a little
endoscope, a rigid endoscope and
identifying the ovaries, and is
then using I imagine, do you use
a LigaSure?
Stephen Divers: I'll just bring
it forward a bit. So you go in
with an instrument and then you
can grab the arms in the
endoscope to guide you.
And once you've grabbed the
overary and you pull the first
part up to the skin, then you
can just feed out the entire
ovary out through that incision
and obviously, this is a good
thing
because this is at the Darwin
Centre in the Galapagos, so we
don't have a surgical theatre.
And so the good thing about this
sort of endoscopic or
endosurgical endoscope assisted
approach is that everything
which is exteriorized is
removed, right?
You're not putting anything
back, whereas if you opened up,
you could imagine you could get
a lot of contamination, but look
at the size, that's one ovary.
Julian Hoad: That's huge, about
the size of a bunch of grapes,
but the grapes in this case are
tangerines
Mike Brampton: almost tennis
ball size, some of those.
Stephen Divers: Yeah, some of
them are like, yeah, 2-3
centimetres in diameter.
Mike Brampton: Yeah.
Stephen Divers: And so when you
think we did about 39-40
tortoises over about 3-4 days.
So we're not using LigaSure,
we're using radiosurgery here
with hemoclips.
And I was like, removing all
this egg materials, like we must
be able to come up with some
kind of like recipe like a
galapagus Flan? Or a key lime
pie or?
You know, something, you would
think, but apparently...
I mean, you'll see, this is one
ovary going into the bucket. And
we had buckets of galapagus
overies.
So that's just, it was just a
nice conservation technique that
was developed from what we
learned as clinicians you know,
in the hospital dealing with
people's pets.
Julian Hoad: Gosh, that's
absolutely incredible. I'd never
tire of looking at endoscopy
stuff. I wonder how squeamish
some of our viewers are but...
Stephen Divers: Oh. Let's find
out. Anyone that vomits, please
leave a comment on the Facebook
page.
Julian Hoad: Brenda, if you're
watching, Brenda from Burton, if
you're watching this, please
vomit away old girl.
Stephen Divers: Look at this.
Here's a good thing about
global, not global, not a good
thing. But here's an issue of
A lot of these chelonians have
temperature dependent sex
global warming.
determination, right? They're
not genetically determined to be
male or female.
It's the incubation temperature
of the egg. So if the
temperatures start to warm up,
we're gonna skew the ratios of
our turtles and tortoises. Right.
So this was a project where they
needed us to do a gender ID. And
so what you're looking at here
on the right, this is an
endangered asian box turtle.
It's a Cuora flavomarginata. And
it weighs about 10 grammes. So
that's just under half an ounce
for those of you outside of the
scientific community.
Julian Hoad: 10 grammes is about
the size of a small egg.
Stephen Divers: Yeah, so that's
the stomach here and then you
can see the liver. It looks pale
because it's really absorbed
It's yolk sac.
And as we go caudalie you can
see lung and this is the
intestinal tract down here.
That's actually Meckels
diverticulum. That's where the
yolk sac was attached. And then
this is the gonads.
And so you can now see that this
is a very immature ovary. Right,
you see that?
Mike Brampton: Wow.
Julian Hoad: Yeah, yeah, gosh.
Stephen Divers: And then
actually, as we're get in
closer, to give you some idea of
the visual purity you can get
with this equipment. And you can
now see the individual
erythrocytes coursing through
the caterpillaries
Julian Hoad: oh my goodness.
So you can
Stephen Divers: So that's going
from like, you know, a 100 kilo
tortoise to a 10 gramme tortoise
Mike Brampton: This is
incredible Steve, Amazing.
Stephen Divers: Well, do you
want me to show you another one?
Are you bored? Do you wanna go?
What do you want to talk about?
Julian Hoad: I couldn't get
bored at all with this
Stephen Divers: This is a
Gyr-Prairie Falcon. And so this
is a nice, falconry bird. And it
was diagnosed with aspergillosis.
So common fungal condition,
theres the radiograph of the
bird, they put it on the
antifungal, but it got worse.
And now you can see this big
granuloma just here, and it's
right over the heart.
Julian Hoad: Sorry Steve, for
the listeners, Steve showing us
some radiographs. And in the
lung field, there's a rather
hazy lump, its probably the best
way of describing it.
That hazy lump is caused by
chronic inflammation and
infection within that lung. And
it's stopping the lung from
inflating properly and stopping
the parrot from able to breathe
adequately. So sorry carry on
Stephen Divers: No, it's ok
Mike Brampton: Except its a
falcon Julian
Stephen Divers: Yeah, its a
falcon Julian not a parrot.
I was gonna let that slide Mike,
but obviously he weren't going
to that's fair enough.
But how do you get access to
this? And so some people have
tried to get access to this
area, you have to think about
removing the keel.
And though there is a very well
renowned surgeon who's actually
attempted to remove the keel
from birds to get to these
sites, and they've all expired.
It's not been successful.
So I want to show you a video.
And this is an endoscopic video.
And so you can see the lung here.
You can see this beating down
here, which is the heart and on
top. This is this granuloma,
this mass.
And so we're using an endoscope
to go in and actually debride
remove,
and I'm gonna do this quickly,
but just show you breaking down
that membrane and then getting
access to this infection and
being able to remove it and
I'm a bit embarrassed really
that how come endoscopy and endo
surgery was developed for huge
hulking, you know, 70-80 kilos,
humans,
I mean, whereas when you're
dealing with something that
weighs you know, grammes, or
maybe a kilogramme, or two at
most,
the endoscopic techniques make
far more sense. So you can see
this actually isn't me now, this
is my resident.
I'm actually just the camera
holder on this particular case.
She's a third year resident, so
she's at the end of a training
programme.
So at this point, we let them do
and take more of a lead.
But you can see now she's
removing the infection and it's
gonna come out
So anyway, that's, I just wanted
to share with you guys a couple
of examples of this sort of
endoscopic techniques
Julian Hoad: Absolutely amazing.
And did the Falcon do well?
Stephen Divers: What? Julian I'm
not going to show you a video of
an animal that basically expired
like immediately after surgery
I mean, I have those cases, but
I thought you'd prefer to see a
success story.
Julian Hoad: I prefer to see
one, what I meant was did it
need much in the way ongoing
treatment?
Stephen Divers: Whats
interesting is that birds, well
all animals right, humans
included, we tolerate these
minimally invasive endoscopic
approaches much more readily
easily than a traditional
surgery.
You have a person that goes for
an endoscopy, they're up and
they're out hospital the next
day, you do a major x lab, that
person is in hospital for five,
six days.
It's the same thing for all of
them, so we find when we do
these endoscopy procedures, the
birds, the rabbits, the
tortoises, they recover so much
quicker, their hospitalisation is
reduced, and they respond
quickly. A good example would be
rabbits. So I do all my rabbit
sterilisations now the females
are all done laparoscopic
ovarian ectomy, and those
animals bounce back very quickly.
Julian Hoad: Here's an
interesting thing. I thought the
for the rate of development, or
the risk of development of a
view was that you had to do
ovarian hysterectomy in rabbits,
uterine adenocarcinoma
Stephen Divers: So if you remove
the ovary before the animal
reaches about, well, probably
before a year of age, but we're
a little bit more conservative,
because we say as long as we do
it before nine months of age,
and of the dozens and dozens and
dozens that we've done over the
last sort of eight years, 10
years, we've never had any
comeback.
And I think the same thing.
Actually. I don't know.
Actually, I'll ask you this
question. What about the bitch
the female dog?
Is it still recommended to do an
ovariectomy or a ovary
hysterectomy?
Julian Hoad: It's a bit of a
heated debate. For the last 10
years, I've done purely
ovariectomys. And for the last
three years that's been
laparoscopic.
Stephen Divers: Right, exactly.
And I think that's the important
point is that we have those same
debates in the US but there's
been I mean, if you look at the
peer reviewed literature,
there is no doubt that a
laparoscopic ovariectomy is the
procedure of choice if you can
do it, and the whole concept of
getting uterine disease, I think
falls away.
Once you remove that endocrine
component. I mean, it just
becomes an involuted structure.
So but I do agree,
I do agree that I wouldn't be
doing laparoscopic ovariectomy
in a mature older animal because
I would be fearful that there
could be pre existing uterine
changes,
but we haven't seen if we do at
nine months or below, but that's
just another example of how
we're using endoscopy as a
routine part of the practice now.
Julian Hoad: Yeah,
We find it when we're doing
liver biopsy or general
abdominal biopsies they are day
patients now,
Stephen Divers: Right, exactly,
yeah. And what's interesting
actually, we recently published
a paper in the vet rec, I don't
know if you saw it
It was an evaluation of the
diagnostic accuracy of things
like you know, history, physical
exam, bloodwork, imaging,
radiographs, endoscopy and
biopsy for evaluating liver
disease in parrots.
And what was in one way
concerning and in one way,
revealing is that it doesn't
matter. All of those diagnostic
procedures, whether it's the
history, physical exam, whether
it's bloodwork, whether it's
imaging,
They were not effective at
diagnosing liver disease in
birds, even endoscopy, you would
endoscope, and you might look at
the liver,
and you couldn't tell if it was
diseased or not. But the biopsy,
the biopsy was the gold standard.
And so I think, you know, that's
what we're learning in birds,
but I know you've got much more
reliable clinical pathology
tests that you can use for dogs
and cats.
But ultimately, you're right,
you got to get a piece of that
liver tissue for a definitive
diagnosis.
And that's what we now strive to
do on a more sort of regular
routine basis.
Julian Hoad: Yeah, I do a lot of
ultrasound-
Mike Brampton: Gentlemen, I've
finally got you!
Julian Hoad: You got us. You got
us Mike!
Mike Brampton: Hello Steve!
Stephen Divers: So have you just
been staring at a blank screen
for the last 20 minutes?
Mike Brampton: Well, the last
hour? Yeah.
Julian Hoad: I was chatting to
some of my younger colleagues,
at the practice the other day.
And I was telling them when I
first qualified, we'd be down
the pub wouldn't we of a
lunchtime.
Stephen Divers: Do people still
do that? Do people still go to
the pub on a lunchtime?
Julian Hoad: No, you'd never
dream of it!
Stephen Divers: See. That's the
difference. I miss England of
2000. Not 2019.
Now, I must admit, though, I was
never a big proponent of going
to the pub. And it was always
only on a Friday because if we
went for a beer on Friday
lunchtime.
Oh my god Friday afternoon. That
was that was problematic. That
was just difficult.
It's just, you know what I mean,
the energy drains out of you and
I can't drink anywhere near the
way I used to.
I mean, my fridge used to be
full of Guinness, you know, and
you were a single malt person,
if I remember correctly,
McKellen? That's it, Tallisker
Julian Hoad: Other malts are
available,
Steve do you remember that guy
who drove to practice because
he'd found a snake crawling up
his leg while he was driving
and he phoned us and said if I
bring it to the practice, if I
carry on driving to the
practice, will you identify it
for me?
Stephen Divers: I take your word
for it. Obviously, there are so
many unidentified snake stories
that I can't pinpoint that
precise one. But that doesn't
surprise me.
Julian Hoad: I mean, you used to
say, there's no such thing as a
reptile immersion-
Stephen Divers: I still maintain
that, I still maintain that it's
pretty tough to convince me that
I need to go in and see a
reptile at two o'clock in the
morning.
Julian Hoad: You'd say to
someone, okay, it sounds really
urgent. I'd recommend you put a
first class stamp on this one.
Stephen Divers: Yeah, we should
see probably by a week on
Tuesday. Now, what usually
happens is they're like, 'Oh, it
is emergency because it stopped
breathing.'
And so they actually bring it
in, in the final throes of life,
you know, or actually, even
sometimes, you can actually get
the odour of,
of death that's been percolating
for several days when they bring
it in. So, I mean, sometimes
they just wait a little bit too
long.
Julian Hoad: They do, although I
do remember someone sent you,
was it a Python for post mortem?
And you started doing the post
mortem and realised it was still
alive. And so
Stephen Divers: Their hearts
keep going, so they can actually
be dead. You can actually have a
completely dead snake.
You can decapitate it, but its
heart might keep beating for
like a day or two.
Yeah, it can be a little off
putting to the less seasoned
reptile pathologists put it that
way. Although I did have one
situation. I mean, obviously, we
never did venomous snakes in the
UK, but in the US, we you know,
we see venomous snakes.
And so there's a you know, my
approach is that you have to be
inappropriate to get bitten by a
venomous snake, right,
you're doing something wrong to
put yourself in that position.
To get envenomated by
n unconscious anaesthetised snak
obviously, indicates that there
are probably greater problems,
but I have actually had one case
where a pathologist got
envenomated by a snake that had
been dead for three days. And I
don't think there's any hope for
those sorts of individuals.
I just don't know what you're
supposed to do.
Mike Brampton: I love the way
you flip your mic up around your
glasses to have a drink there
Steve Was the pathlogist okay?
Stephen Divers: It's fine. I
think they were just more
embarrassed and then well,
actually, so I got I actually
did get bitten by a beaded
lizard once.
Actually, there's been a few
stories. I've been chased by a
bison.
I got bitten by a beaded lizard.
So, we have this group of beaded
lizards come in. And so I'm
working with residents.
I'm like, I'm gonna grab it,
right? Yeah, you kind of you
have to be quite, somewhat
stupid to get bitten by a beaded
They're not like really rapid.
They don't strike, you know,
lizard.
they kind of wander over, they
sort of grab and then they chew
on you a little bit.
You know, it takes a lot of
effort to get envenomated by
beaded lizard. So I'd grab the
lizard and then I get my
resident to wrap up its head as
a kind of muzzle
and then we'd inject it and,
ketamine medetomidine, and then
we could work on it.
So I grabbed this beaded lizard,
my resident at the time, she
wraps up its mouth. And I'm
like, is it wrapped up?
Yes. Are you sure? Oh, yeah,
it's absolutely wrapped up, it's
secure.
And then the animal suddenly
moves.
And I basically caught my finger
on one of its teeth. So it was
more a case of I pulled my
finger against its tooth rather
than I actually got bitten.
But anyway, you know what it's
like with reptiles, you bleed
quite profusely from their
little razor sharp teeth.
So blood starts dripping. And
then, you know, my technician is
like, do I need to get the car
and take you to the hospital?
And the student says, But hang
on a second. Dr. Divers, I
thought you said you'd have to
be stupid to get bitten by a
beaded lizard?
So anyway, it was fine. It was
just like one of those little
things, but we have a few
stories like that.
Yeah, that's the one thing I
miss, the relationship that
people have with wildlife is
quite different in the UK
compared to the US.
I mean, don't get me wrong. We
have a lot of good Samaritans
that will bring in injured
wildlife.
But there is a lot more hunting
that occurs in the US. So that
creates a little bit of a
separation, I think, between
people wanting to get involved.
And then we also have certain
things like you know, venomous
snakes, we have copperheads.
If you get bitten by a
Copperhead that's going to ruin
your day.
And if you get bitten by a
rattlesnake, it's probably going
to ruin your entire weekend. If
not the rest of the week.
So we have those things and then
we have some rather nasty bugs
that give you a bit of a nip. So
there's a few things to watch
out for.
But yeah, so copperheads,
rattlesnakes, cotton mouse,
those are the kind of main ones
we see in Georgia.
So we get a dogs quite
frequently come in having been
bitten and have to have the anti
venom.
Julian Hoad: Yeah. What about
the reptile owners?
Are they are they more of a
knowledgeable bunch than they
are in...? I'm not dissing the
UK there.
Stephen Divers: I was like. I'm
like, I'm watching Julian dig
himself a hole here. And I'm
like, should I interject? I'm
like, No, keep going. Julian,
this is comedy at its best.
Julian Hoad: I stand by that
actually. Because the number 1
problem we see as vets in this
country with all reptiles is
poor husbandry.
Stephen Divers: I think that's
still true. I think that we see,
I think we generally see some
improvements. And I'm very
protected. Right.
So I'm in the ivory tower of
academia. So for things to come
to me, they've already filtered
out by first opinion
practitioners,
the financial restrictions have
already been filtered out. So by
the time people come to me,
there's usually a very dedicated
client,
and with resources, but yeah, we
still see a lot of secondary
nutrition, hyperparathyroidism,
metabolic bone disease, we still
see trauma cases,
we still see malnutrition. And
if they don't kill it, before it
becomes an adult, then we see
reproductive disease, and the
consequences of that animal
making it to adulthood,
particularly females. So yeah,
we still see a lot of those
sorts of issues. And most of it,
most of it is ignorance, right?
They just don't know, rather
than it being any kind of abuse
or any kind of, you know, yeah,
negligence its more a case of
lack of education,
and the trouble is, there's a
lot of advertising, you know,
you can buy those reptile bulbs,
and it says, you know, daylight,
and people think oh, that's
that's what divers meant,
that's, that's that full
spectrum, daylight bulb. And
it's not right, you know,
and so there's a lot of those
sort of marketing subtleties,
which is, I think, problematic.
So we often actually get people
to take photographs and videos
of their setups.
So that or if they can't bring
it in, but take videos and
pictures, and then when they
come in, we can actually look at
that kind of setup. And that's
very helpful.
And then our history form, I
think, for reptiles and birds,
just the husbandry, nutrition is
like three pages long. So you
know, trying to get all those
details, because you're right,
if you can't find a predisposing
factor in the husbandry and the
nutrition, then go back and look
again, because you're probably
missing something.
Julian Hoad: Would you ever,
you'd see yourself going back
into private practice you said
earlier?
Stephen Divers: No, I must admit
I do love it.
So, you know, my, like I said,
we've got this fantastic
hospital. And you know, we have a
dedicated exotic service.
So I have two residents, and
usually around four students,
and then I have two technicians
as well. And so their day,
students and the residents their
day starts pretty early. So
like, usually, we're busy at the
moment.
So they're usually coming in
about 630-7 o'clock in the
morning.
They're processing all the
cases, making sure everything's
fits treatments, making sure
that medical records are written
up, and then I roll in about 830.
And then we sit down and we have
rounds and so we discuss all the
cases. And then we do our
workups or our appointments and
then to put it in perspective
Currently, we have four
appointment slots a day. Now,
those of you in private practice
will laugh, right but we have
four appointments,
Julian Hoad: So you saying you
have 4 appointments slots an
hour, that's that's not many, is
it?
Stephen Divers: No, no, no, I
have four appointment slots
between nine o'clock and three
o'clock in the afternoon or
whatever.
And so we have appointments and
then the other resident will be
during workops and surgeries and
then we reconvene,
but yeah, we've got a CT we got
three T MRIs. We've actually got
70 MRI available as well.
We've got 24 seven ICU and IMC,
we have dedicated pharmacy with
pharmacists. I mean it's just
it's just a wonderful place to
work
the people phenomenal as well.
And you know, it's physically
impossible for me to get from my
car when I park and get into my
area of the hospital
without having to say good
morning or reciprocating a good
morning gesture to at least a
dozen people, so everyone's very
friendly.
And so, it's nice to be able to
do on hospital duty and then off
hospital duty and then doing
research and they let me do
things like write textbooks or
travel and lecture
and so there's a lot of freedom.
So I would have a hard time I
think going back. I do love it.
I actually joke with my wife, I
said, if we won the Georgia
lottery, we won like $200
million I would still go to work
every day.
You know, she wouldn't, she'd be
off like a shot but I would
still be oging to work everyday
and I think that's the best
thing right?
I mean, if you can say that you
enjoy your job that much that
you'd go in even if you didn't
need the money, then you don't
really work a day in your life
to be honest.
Mike Brampton: Yeah, you enjoy
the teaching as well don't you
Stephen?
Stephen Divers: So I do like the
teaching and but my philosophy
of teaching comes from
influences, particularly the
British SAS,
so my approach to teaching
follows the British SAS which is
I psychologically destroy them,
and then rebuild them in my own
image. That's kind of my
approach.
Julian Hoad: And of course, you
pay attention to the the seven
P's
Stephen Divers: The seven P's?
Julian Hoad: The seven P's, so
the the UK army thrives on this.
proper planning and preparation
prevents piss poor performance,
Mike Brampton: that says a lot
for veterinary ramblings,
doesn't it?
Julian Hoad: Bit of gins gone up
my nose there. We'd better move
on from that.
I think we getting to the stage
that we could do the CPD
certificate, what do you think
Mike?
Mike Brampton: We probably
should do the CPD certificate at
this point in time. Wow, what an
evening of CPD
Julian Hoad: Our regular viewers
will know that we are a CPD
provider
Mike Brampton: Absolutely
Julian Hoad: and as such we do a
CPD certificate and it's tailor
made each time so this is a
certificate of diverse CPD. And
what we can do is we can
actually cross off the-
Stephen Divers: Hang on, just so
I'm clear.
You're telling me that people
actually get, I can't this isn't
true, right?
People can get a certificate but
they're not actually getting CPD
for this surely?
Mike Brampton: Yeah, this is CPD
Stephen Divers: This is approved
CPD if people put this down on
their RCVS, CE or CPD diary,
they get credit for it. Is that
what you're telling me?
Mike Brampton: Yeah, yeah.
Stephen Divers: And you guys
have just blown that for
ridicule, out of the water. I
mean, I can't believe it.
Julian Hoad: We try and top
everything, so we've got, CPD of
Divers CPD.
Today we've covered all sorts of
stuff and shown incredible
diversity. Gosh, aren't we good?
So him and me, and there we go,
there a Komodo dragon.
Stephen Divers: That is a Komodo
dragon.
Mike Brampton: We haven't talked
about Komodo dragons yet
Stephen Divers: That's a
chameleon. I'm trying to work
out if that's a, is that a
Parsons chameleon?
I can't really tell or is that a
yay man?
Julian Hoad: It's not a parsons
Stephen Divers: It's not a
parsons, is that a mayor's?
Julian Hoad: Yeah. And there's a
picture of a snake and I thought
this was quite good because this
tells us what we need to do to
make this class as CPD
this snake is reflecting.
Stephen Divers: Okay
Julian Hoad: I don't know
whether you have to do that in
the States but we we can't just
absorb CPD, we have to reflect
on it after we've been to a
lecture or if we read something
Mike Brampton: We can't just
present it or listen to it. We,
in the UK, it is required that
you reflect upon the CPD that
you've received. Or given.
Stephen Divers: I could do that.
Okay.
Julian Hoad: There, that's me
done.
Mike Brampton: There we go. CPD
Stephen Divers: I found that
strangely strangely refreshing
Julian Hoad: It's nice isn't it?
Stephen Divers: Pleasant
I hope it makes sense to
everybody.
Mike Brampton: I'm sure it will
Julian Hoad: If you have any
questions, please direct them to
Professor Stephen J Divers.
If you have any positive
comments, please send them to
Mike & Myself.
Steve, it's been fantastic
seeing you tonight. It really
has!
Mike Brampton: It's been
brilliant!
Julian Hoad: We need people to
remember that you have edited
the new-
Stephen Divers: Julian Julian,
let me hold it. Let me hold it
up because you're just holding
up something that looks fake.
Mike Brampton: Oh, here we go.
Stephen Divers: There you go.
See, that's the real thing.
Mike Brampton: Third edition
Stephen Divers: This weighs just
under five kilos. In fact, in
some states, this is classified
as a lethal weapon,
because if you hit someone on
their head with this, that's it.
It's all over. But that's how
much it weighs. All 1500 pages,
and 184 chapters.
Julian Hoad: So you didn't have
to slip into two volumes then?
Stephen Divers: Well so, there
was that discussion, but they
don't like to do that. If they
can help it. They certainly
don't like to do it. But anyway-
Julian Hoad: You grab the book.
You look in the index, you think
urgh the other volume, isn't it?
Stephen Divers: Right? Exactly.
Yeah.
But I think it's a good cure for
insomnia. And like you said, I
think in the US, it's $180,
which means in the UK, it's
probably 120 or something?
Mike Brampton: It's more like 180
Stephen Divers: Is it really?
Okay, so it's 180. If you can
get an unsigned one.
If you get signed one, they're
only worth about five. So try
and get yourself an unsigned
copy. And it's, I think they're
worth their weight in gold.
Mike Brampton: We haven't done
the joke yet.
Stephen Divers: Oh, there's a
joke.
Julian Hoad: I always, always
tell a crap joke at the end.
Stephen Divers: I thought the
entire hour and a half was
supposed to be the joke, there's
something in addition? Okay, all
right. Now I'm looking forward
to this.
Julian Hoad: I tell quite a
quick one, because we don't know
what the internets gonna be like.
But I thought let's do something
a little bit exotic. So I'm
going to do the joke about the
snail, who wants to buy a
Ferrari.
And he goes into the Ferrari
showroom. He says, 'I've saved
up a bit of money.'
'I want to testarossa'. And so
that'll date the joke.
'I want to red testarossa, but
could you paint a big S on the
front of it?'
And the salesman said 'Well is
your money, we can paint an S
wherever you like'
'Really? So what about on the
back?'
'Yeah.' 'I want it on the sides,
as well, could you possibly
paint a big S on the sides? And
the roof?'
'Yeah, it's your money, we can
put an S... What? Why do you
want S's all over it?'
'Well, because when I drive out
with my new Ferrari, I want
everyone to look at it and say,
'Wow, look at that ess-car-go.''
(escargot)
Stephen Divers: You know, this
just reminded me of a client I
saw with snails.
I had a client come in, this
wasn't at Elands, this was at
the exotic animal Centre in
Essex,
I had a client comes in. And you
know, with a Tupperware and I
swear to God, this is true.
She comes in with a Tupperware
container. And I lift the lid
off, and there's a limp leaf of
lettuce. And there's a snail in
there.
And this woman proceeds to tell
me that there's something wrong
with her snail. And I mean, my
level of snail medicine doesn't
go beyond, you know, is it alive
or dead?
I mean, it was just, I was
pretty basic. But she was
concerned because she said the
snail was lethargic and had a
tendency to only move to the
left.
And so I'm there in the exam
room. And I'm trying to kind of
push this process through
because I couldn't really I
said, and I and
I made the mistake because I
thought, silly of me. I thought
this was one snail of a colony.
Most people don't have just one
invertebrate usually, there's
usually a number of them.
So I made the mistake of
recommending an elective
necropsy to find out what was
wrong. And this owner just got
very upset with me and was very
concerned.
And then she tried to tell me
that this animal was lethargic
and always goes to the left. And
I said, Well, it wasn't moving,
obviously and we sat there,
she made me sit there for 10
minutes and while she is
reciting, and then giving verbal
encouragement for this snail to
move,
and we're both staring at it
about six minutes later she
suddenly shouts there it is,
he's moving. He's moving.
I couldn't perceive anything but
that just came back to me, that
that was a repressed memory that
I've managed to bury for
probably 18-20 years
but you coming up that story
just kind of pulled it back to
the front so
Julian Hoad: Cured you, I've
cured you
Stephen Divers: Not sure if it's
a cure, but anyway, yeah,
Mike Brampton: That's just
fantastic.
Julian Hoad: Brilliant, snails
Stephen Divers: I just I mean,
I was lost for words.
I mean, I'm not usually lost for
words, but I'm like, you know,
when she eventually went. I said
to the reception staff,
I said 'You've got to give me a
heads up when these things are
coming in,' I mean, if it's, you
know, anything outside of the, I
mean,
we're talking about exotic pets,
so everything is kind of outside
the ordinary, but I said
anything that's just like, way
outside of left base or something
You need to give me a heads up.
But anyway, that was a
Mike Brampton: that's brilliant.
Julian Hoad: Hey, Steve. Thanks,
a million.
You're gonna go home and play
lego with your son now?
Stephen Divers: I'm gonna go
Yeah, well, I've actually got
consolts,. It's 5: 30 in the US
now. So I've still got work to
do.
But anyway, it was a pleasure to
see you guys again.
Hopefully, I'll meet you again
at some conference in the
future. And stay healthy.
Don't go and contract COVID or
do anything stupid. And I'll see
you soon.
Julian Hoad: May your dog go
with you Steve.
Mike Brampton: May your dog go
with you Steve Thank you very
much, indeed. Thank you.
Stephen Divers: Bye. Bye.
Mike Brampton: Good night
Julian Hoad: Cheers bye bye
Mike Brampton: See you Mate,
Take care. Cheers.
Julian Hoad: Thanks so much for
coming on.
Oh, that was awesome. That was
absolutely fantastic.
Mike Brampton: Steve was
absolutely brilliant. HE was
exactly what I thought he would
be. And more.
Julian Hoad: He is brilliant. He
has developed a bit of an
American twang, hasn't he?
Mike Brampton: No, that's more
like it's more Australian than
American.
Julian Hoad: Actually, your
right yeah, it is isn't it? Yeah.
More sort of. Very slow. Yes.
Mike Brampton: Yeah, absolutely.
Mate.
Julian Hoad: But he is still the
same old Steve and it brought me
back to 20 odd years ago at
Ellands, brilliant fun.
Mike Brampton: That photograph
was brilliant
Julian Hoad: It was wasn't it?
Mike Brampton: Yeah.