Sunday 17 December 2017

Still waiting...



I TOSSED DOWN A GLASS of skinny latte and now staring across the wide window glass panel. I've been conveniently sitting on this bar stool, alone, amidst a crowd of cultured strangers that have been pacing back and forth while others are having a quick bite and taking their own dose of caffeine. There's a flat LCD screen on the wall-- inaudibly airing the news so I can't blame some of these outgoing passengers who opted to read the daily paper instead, while waiting for their boarding time.

This airline lounge has been bustling since I came in earlier this morning, and despite the orchestrating muffled sound of TV audio, the classic airport terminal voiceover and the continuous clanking of dishes, this themed room hasn't lost even an inch of elegance at all.


MY FLIGHT HAS BEEN DELAYED for two hours... and I was mocked by the irony of having a mobile phone that sent the alarm bells off to wake me up to get ready for my early morning flight but at the same time, the same device also informed me via SMS that my departure time has been moved.

Knackered from the five-day NZ 'workcation', I then decided to reset the alarm and buried myself in the softness of that meticulously-made bed with pillows dressed with smooth, bleached, immaculate linen! I dozed off for another hour.


NOW IN THIS LOUNGE, it seemed that a shot of caffeine from that latté had supplied enough stimulant to awaken my sleepy brain!

Instantly, under the gloomy Sydney sky, I now notice the aircrafts taking off, another three are taxiing on the damp tarmac, and there are passengers down there queuing to climb up the ladder to board a small plane...

What are they up to? Probably a business trip extended over the weekend... or maybe going home to spend the holidays with their family?

How about this passenger sitting next to me in this lounge? He's on his phone and I could smell something 'romantic' going on. Most likely, somebody is getting his favourite meal ready the moment he steps on the doorway... and that lovely young lady over there, a loved one must be have been waiting to give her a tight hug as she gets to her destination.

How about me? Well, not quite.

Today is just another day. Another typical day.

Monday 3 April 2017

A Pig's Tale

IT’S 7:14pm AT OUR CURRENT LOCATION on-board QF5 en route to Singapore; the 'flight path' board says this Airbus 330 has already flown three quarters of the total time to our destination.  While the majority of the passengers have been dozing off in the comfort of their fully reclined ‘cradle’, my mobile phone screen illuminates my face as I type this 'note' amidst the darkened aircraft cabin.

As usual, I'm travelling for work.  There's not much difference as to what I'd normally do except for this being an international flight this time (there’s actually been a few of these since I joined the company 22 months ago).  I'll be away for the next six days to attend a meeting that will basically cover a few things about pigs as well as their health.  Who would've thought that working with these 'lesser beasts' (as what Mark Essig calls them in his book ‘A Snout to Tail History of the Humble Pig’) could also take me to places?  Trips like this would definitely bring a lasting and memorable learning experience!


ACTUALLY, MY VERY FIRST OVERSEAS trip was when I left my job as a pig veterinarian in the Philippines to embark on an extraordinary journey as a piggery attendant in Australia. That venture didn't last for more than a year, though...  Things may not have worked out as planned but I'd say that that was definitely the gate that opened the path of greater opportunities that lead me to where I am right now.

This ‘career’ actually started more than three decades ago, though at that time—as a six-year old boy, I'd call it an ‘adventure’.  I remember in the late 80's, Auntie Manay was into backyard pig raising— looking  after half a dozen grower pigs.  I would join her collect some stalks of gabi (taro) or tangkong (swamp cabbage) from the swampy areas of the family property, chop these 'veggies' and, using a firewood, cook these outdoor in a big pot with binlæd (a waste product of rice milling).  The cooked veggies were called la-on and when cooled down and mixed with upa (rice hull shavings from a grain while milling), this was the staple diet of our pig herd back then!  When these hogs would reach market size, Auntie Manay would sell them to the public-market butchers; it would feel a bit sad at the start seeing my 'pets' squealing while being weighed using a traditional weighing scale but after receiving the payment it would get more interesting as it was then the time to go to Davao City to shop and dine.  Meanwhile, after slaughtering, the butchers would usually give our pigs’ liver back to us as a consolation and that was absolutely a special dinner treat for the family!

Auntie Manay would usually own at least one Philippine native sow those days, would have it naturally bred by an outdoor-raised Duroc-Pietrain boar owned by Uncle Simo in the property nearby.  Every time the pregnant sow would get closer to its ‘due date’, Auntie Manay and I would sleep in the barn with the sow so we could assist during farrowing (act of giving birth in pigs).  That was actually quite exciting as the activity would include a guessing game as to whether the total piglets born alive would get up to a dozen or more!  Night duties would then follow over the next 7-10 days so we could look after the cute little piglets (most of them black, some were brown with black spots) at suckling time thus protecting them from the danger of being laid over and crushed by their dam.  I'd also witness the young male piglets' surgical castration performed by a trained technician who, at that time, would call himself a 'veterinarian'.


ONE TIME MY PARENTS got a female piglet as a gift from a family friend; completely clueless about gilt (maiden female pig) selection, Nanay and Tatay decided to have ‘her’ naturally bred.  I remember the poor sow only had six piglets born, and didn't even have the ideal teats (nipples) a mother pig should have!  Day-old piglet processing wasn't practiced at that time; we had no idea of proper sow management post-farrowing so the sow suffered from a hard and swollen udder which made her difficult to lactate!  The poor piglets, who also hadn't receive iron injection suffered from malnutrition, gradually became lethargic and died one after the other.  I shed buckets of tears out of grief. 
After finishing high school I wasn't, actually, the one who decided to enrol at vet school; my parents did... they groomed me to become a veterinarian.  It worked and ended up really well, though, because at the moment I definitely enjoy and love what I am doing.


THREE DECADES LATER, here I am, still working with pigs but definitely not in our small village in southern Philippines.  I have, somehow, started conquering the world because of swine production and medicine.  The great things about it: while looking after the welfare and health of the swine herd, I could help feed Australia and the rest of the world. 



-END-

Saturday 11 March 2017

The pig's placenta: in sickness and in health

That’s disgusting!  Uhhh, don't do that!” his voice was echoing in the farm office.  Seventeen-year old Ethan screamed when he heard me telling his dad that I had to get into their piggery to gather some fresh pig placentas.   

“Really?!  What are you gonna do with it?” he asked. 

“I will have to ‘milk’ it so I could collect the placental umbilical cord blood in a tube and submit it to the diagnostic laboratory,” I answered with a modulated voice hoping that this young farmer with Asperger Syndrome could understand what I meant.


IT WAS A BRIGHT AND COOL early autumn morning at the Victoria-New South Wales border, I entered the farrowing (act of giving birth in pigs) room all geared up for the scheduled sample collection that Thursday.  There was an increasing number of sows (mother pigs) in this piggery farm that could hardly get pregnant, the number of piglets born alive had been getting lower with higher rate of piglets born dead or mummified (we call it lan-os in our dialect).   

Matthew—the farm owner, who’s running the farm himself looked very frustrated at the office earlier while he was telling me about his farm’s current reproductive performance.  Their farm facility was relatively modern, obviously well-updated to keep up with the demands of the pig farming industry.  Matt added that aside from breeding issues, there had been an increasing number of dead pigs in the weaner and grower sheds despite their regular improvements in husbandry, health and nutrition. 

Their consulting veterinarian asked for a favour; he requested if our company could extend some diagnostic services so, together, we could discover the real health issue of this piggery and eventually come up with a practical and cost-effective solution for them.  Having been working with this pharmaceutical company that’s not just selling the product but offering some 'value' beyond the bottle was the main reason why I was, at that moment, checking the farrowing crates of the piggery to see if there were fresh afterbirths lying behind the newly-farrowed sows. 

The placenta of a pig (diffused).
Source: http://merrilysanimalsciencejournal.blogspot.com.au

EVERY PIGLET BORN has its own placenta, and because the average piglets born per sow at Matt’s Piggery were 9, I could expect 9 placentas from each sow.  Disgusting as it may seem, the gelatinous placenta was actually the ultimate reason why a piglet is born at full term— alive and healthy at the average of 114 days.  Sadly, the placenta that gives life could potentially get infected thus becoming an unwanted medium of disease transmission!
Human placenta, disc-shaped (DISCoidal).
Source: 
Regeneration Center of Thailand

Placental development in pigs starts 17 days after fertilization, and unlike the human baby’s placenta that attaches to the womb like a disc (discoidal), almost the entire surface (diffused) of the baby piglet’s placenta is attached to uterine wall of its mommy!  And again, unlike in humans, the pig placental attachment is just a superficial connection of the lining of the foetal membrane that doesn’t create a deeper invasion into the inner wall of the sow’s womb (epitheliochorial). 

Placentation in animals, the shaded brownish area shows the attachment of the foetal membrane to the uterine wall.
Source: vle.du.ac.in  

Swine placenta is extra-gelatinous compared to other animal species— it is a sac containing fluids and blood vessels extending around the piglet to protect and nourish it.  These tiny ducts and vessels gradually converge together to become a bigger, highly functional sow-to-foetal piglet 'link' known as the umbilical cord that's approximately 12 centimetres (4.7 inches) in length!  Since the lungs and intestines of a developing piglet are not functional, the placenta, through meticulous blood filtration, supplies oxygen and nutrients from the sow to the piglet via the umbilical cord.

Classification of placentas based on histological assessment of the maternal-chorion interface.
Source: http://www.nature.com/ni/journal


MY HEART LEAPT when, finally, I spotted a sow lying and continuously grunting as if calling for her eight groggy, pinkish and damp ‘babies’ scattered around the heated and well-lit farrowing crate.  While I was having fun observing these cute little piglets as they obviously blinked, innocently root around and tried to find their way up to their mum’s udder, I noticed some streaks of fresh, maroon mucous staining the sow’s ham, tail and hock.  There was also a pile of placenta behind her.  That’s what I exactly need, I almost screamed at myself!     

I asked for assistance from the lovely farrowing room attendant.  Luckily she was happy to hold the red-topped blood tube for me as I individually picked-up the slimy, expelled-inside-out afterbirths— I would manually tear each one of them to expose and grab the umbilical cord stump...  We were both double-gloved and wearing facial mask and goggles to protect ourselves from the potentially contaminated splatters but I could sense her revulsion to what I was doing especially when I uncovered two mummified pig foetuses hidden under the pile of afterbirths!  

I skillfully held each placenta, cut the clotted end of the navel cord off with a pair of scissors and desperately squeezed the blood out from the placental vessels through to the severed end of the cord that was comfortably resting inside our sampling tube.  The process had to be repeated until I could come up with one substantial diagnostic sample— a collection of placental umbilical cord blood from 3-4 placentas sourced from one donor sow. 

A simple illustration of Placental Umbilical Cord Blood sampling.  
Illustrated by: Ruel P. Pagoto, DVM


THE PLACENTAL UMBILICAL CORD SERUM (PUCS) samples from a farm are the best diagnostic tools to establish the occurrence of in-utero transmission of Porcine Circovirus 2 (PCV2).  In addition to what has been commonly observed in weaner and early grower pigs (emaciated, hairy, yellowish pigs with varying sizes of red patches on their skin) around the globe, the infective level of PCV2 in gilts (a young female swine), sows and boars could directly affect their reproductive performance.  This was the reason why we decided to collect PUCS from Matthew’s Piggery; I submitted the precious samples we collected to the diagnostic lab so they could check for the presence of viral DNA for us. 

Don’t worry; PCV2 virus doesn’t cause disease in humans so we’re safe.  

In pigs, it can be transmitted via direct contact (nose-to-nose, mouth-to-nose), by contaminated needles, and through the boar’s semen!  Unlike influenza virus, PCV2 virus is sort of ‘naked’ or non-enveloped, and its DNA contained in a naked capsid is single-stranded; but as it gets into the sow’s womb during breeding (via semen), this virus would acquire some necessary proteins from its host transforming itself into a double-stranded DNA virus— which makes it highly replicative!  PCV2 will then divide and invade the sow’s blood stream (viraemia) thus having the potential of infecting the developing embryo at all stages of the reproductive cycle!
The Porcine Circovirus2 before and after infecting a pig.
Illustrated by: Ruel P. Pagoto, DVM 


If the embryo gets infected on the early stage of development, embryonic resorption could occur.  When PCV2 infection happens after foetal bone development has commenced (35 days after fertilisation), it could result into a mummified piglet!  Luckily, the piglet’s immune system (thymus) would start to develop but NOT fully functional at 70 days of gestation (pregnancy), so when the foetal pig gets infected on or beyond this period— the immune system would try to combat the infection, it may survive, otherwise, a weak, sick or dead piglet is born.
PCV2-related reproductive failure.
Source:  Boehringer Ingelheim CircoFLEX brochure.


Interestingly, as with other diseases’ dynamics and severity, not all sows get infected with PCV2 at the same time.  Sows that get infected would develop protective antibodies against the virus that are passed on to the newborn piglets via colostrum; piglets of these infected sows are therefore protected but could potentially shed the virus to the piglets born out of an uninfected sows that, of course, haven’t developed specific protection!  This could be the reason why increasing number of weaners and young growers at Matt’s Piggery would still get sick and die despite the updated health and nutrition program they’ve been implementing in the farm.                          
PCV2 infection and immunity.  
Illustrated by Ruel P. Pagoto, DVM

The lab test result was released 4 days after we submitted the samples.  It's positive, trans-placental transmission was happening at the piggery farm!  

We went back to the farm to give our recommended health program and Ethan was attentively listening to what we had to say during our meeting with his dad.  It was clear to him that we were there to look after the health of their pigs.  A ‘blanket’ PCV2 vaccination in boars and sows (regularly boosted twice a year) was implemented.  All the incoming ‘maiden’ gilts had to be vaccinated 2 weeks before their entry to the breeding herd and the piglets, as it had been successfully implemented— PCV2 vaccination at 14 days or older.


WHEN WE TESTED the same herd eight months later, there were no DNA copies detected from the PUCS samples submitted.  The farm’s performance had improved and the same health program was implemented to their other two pig breeding sites. 



.      
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References:
http://www.nda.agric.za/docs/Infopaks/Careofsowpiglets.pdf 
http://www.thepigsite.com/pighealth/article/220/parturition-farrowing/ 
http://placentation.ucsd.edu/pig.html 
Pig Diseases 9th edition by DJ Taylor
Swine Diseases 10th edition edited by Zimmermann et al.
Various publications by Boehringer Ingelheim

Thursday 5 January 2017

My Time Capsule

My holiday has come to an end; this is my 7th since I moved to Australia last January 2007. 

Ten years have gone by... or if I add up all those years I spent away from the place I once officially called 'home', it's actually been 15 long years of physical absence! 



That 'home' is now my holiday destination and finding it could, sometimes, potentially get hard. The vegetation has significantly gotten lush and thick along the highway thus making the appearance of the landscape quite different from the time I last saw it. So despite my exhaustion after taking 4 plane rides  from Melbourne and finally a 3-hour PUV trip on the road, paying attention would be necessary so I could spot and get off at the right location.  

Every time I arrive at my 'holiday destination', there's that strange feeling of like coming out of a time capsule-- it's like I had been frozen for a while, thawed and awakened, then I feel like I am entering into an old place that's very familiar to me! 

Yes, welcome embraces were still warm and, actually, tighter but some things have obviously changed. Those kids have become grown-up teens, some faces have become wrinkled and those otherwise grey hairs are now regularly dyed. Ageing and vital-organ failure have gradually worn a pair of knees out; and if others are thriving with the aid of haemodialysis machines, there were those that have, sadly, given up and permanently departed. 

Geographically, our place still exists but a lot has changed! There are relationship bridges that have been, thankfully, constructed but there have been some freshly acquired wounds that resulted to a few unwanted walls being built. 
Several humble shelters were erected, and though renovations had been attempted-- ancestral houses have ended up dilapidated. 


I LEFT BIALONG YESTERDAY MORNING-- that little village where I didn't just simply grow-up but most of all-- the place where I learned most of the important lessons I need in life... and where the greatest memories of my childhood were made! 

My family and close relatives are aware that my nationality has changed but before I boarded the public utility van yesterday to commence my trip back to Australia, they sweetly asked me (with their tears held back, I knew), "So, when are you coming back home to visit us again?" I had managed to smile but opted not to answer the question. 

I have stepped back into my 'time capsule' once again (I am typing this aboard SQ 227) and I wish I could also lock my birthplace up in a time capsule so every time I come 'home' (as what my loved ones would prefer to call it), everybody and every family historic structure is still there-- alive, healthy and still standing tall! 

For the meantime, all I can do is lock them up tight and safe in my heart. 

.