I have just returned from my missions trip with Christian Veterinary Mission to San Luis Rio Colorado, Sonora, Mexico. Below will be an assortment of experiences and stories from the past week.
The Border
The Mexican border cross from San Luis, AZ to SLRC, Mexico is an interesting place. There are many people who live in Mexico, but cross the border on a daily basis for
work and school. By car, crossing back into Mexico can take up to 8 hours (depending on the time and day). When our host Rene told us that we would be walking across the border, I thought he was joking. He wasn’t. It is generally faster to cross the border on foot, so that was the plan. We unloaded the large van a couple blocks from the border, and then the vehicle was parked before we headed across. We were a bit concerned because one of our bags contained donated medical supplies. If the border patrol finds out that you are medical professionals, they want to make some money off of the imported supplies. This is not like in Canada where there are general import fees that go to the government, these import fees are more like bribes. Sometimes they can be as much as 50% of the value, just because the border guard would like to make a bit of extra cash. We were told to keep walking and not make eye-contact. Obviously if they ask you questions, you answer, but to just keep walking. So we did. The border guard was looking down at her cell phone as we walked past. Neil, our trip leader was at the end of the line and got stopped and searched. Thankfully, the border guard was not corrupt and allowed him to cross without issue, even though she found out he was a veterinarian. Another missionary on the mexican side picked us up in the small bus we rode in for the following week.
We also walked back across to US, which was very different. We waited in line outside for about an hour and a half along with many people who were crossing into the US to cash their paycheques (for the people who work in the US and live in Mexico). Along the border wall, there were a bunch of people living in tarps – waiting to be able to cross
permanently into the US.
On the topic of the “US/Mexico border crisis” – it is crazy. There are people from Mexico who have applied to immigrate to the US, and it can take months to years to be processed. On the other hand, if you cross illegally at the US border and “peacefully surrender”, you get processed way faster – and are given accomodation, a living allowance, food stamps, education for your children, etc. Meanwhile, the people waiting legally to gain acceptance into the US have to wait even longer because of how backed up the immigration services are with illegal immigrants. Even one of our hosts were brought over illegally as a child from Mexico into the US to be processed faster, so it’s a tricky subject.
In Mexico, once a student is high-school aged, tuition has to be paid by the parents (even though it is mandatory to go to high school). Since this is often unattainable for people, students either drop out or parents send their kids to school in the US, using a relative’s address. This results in both cheaper and better education for their kids. In order to get to school on time however, kids often leave their house at 3am in order to get across the border on time for school at 7am. I can’t even imagine how tiring that would be. Workers who cross into the US daily for work have a similar situation.
The Clinic
This same trip has been going on for years on an annual basis – but was pursued by
Auburn University students until the past couple years. We were the first team there since they stopped going, and the first ever Canadian CVM team. The clinic was often held in a feeding center in the inner city of SLRC. Three weeks prior to our arrival, our host Rene confirmed with the feeding center our plans. He was to return the day of to get the key. The day we were going to be setting up, the organization said that it would no longer be possible to host us. This was a bit concerning. Thankfully, Rene decided that we would host
the clinic on the outskirts in the bulding used to store supplies for the various free clinics held by I Care Inc. It worked out amazingly. We didn’t have to truck supplies over to another location, the layout worked so well, and there were many things we found use for throughout the week that we wouldn’t have had access to at the original location. Yahir, a young law student helping us made a beautiful sign to direct people to the proper location – for those who had signed up in advance with the city.
The Children’s Feeding Center
Cristina is this wonderful woman who runs a children’s feeding center on the outskirts of SRLC, near the dump. She feeds children (and leftovers for their parents) twice per week after a church service with her husband. She has anywhere from 30-80 kids show up to a meal. Once a week she also brings food to the people working at the dump. Cristina has a unique story. She used to be an illegal drug runner and then spent years in prison as a result. While in jail, she commited her life to God, and made a promise that if she ever got out, she would spend her life serving him. Well she did get out, and now she and her husband use most of their resources to fund the church services and serving people meals who desperately need it. They run a mechanic shop to source their income. We had the opportunity to help serve the meals on two occasions, and even help with a delivery of meals to the people at the dump.
What struck me most was how joyful the people were being served. We were essentially in the most poverty-stricken place of the city, yet the kids had smiles on their faces and were just happy to be. Even their families, although they were living in difficult conditions, still spoke about the gratitude they had for how the Lord blessed them in their daily lives.
The Dump
The people working at the dump were not hired. The landfill is open and people go there
in search of resources to sell back to the recycling plant. This can mean bottles, metals, etc. Sometimes, in order to find the metals, they will burn piles of garbage to find the metals that remain behind. This makes for an incredibly smokey environement that is difficult to breath in. Within minutes of arriving there with Cristina, all of the 100+ burritos were gone.
There were also many dogs at the dump. Unfortunately, they weren’t a part of our spay/neuter clinic this time, as we went to the dump after we had finished all of our surgeries. The
dump dogs were incredibly friendly, happy to receive scratches (yes, you aren’t supposed to pet the dogs, but we had been touching dogs there all week – I had already been exposed to ringworm) and one of the dogs in particular (a pitbull dog who had what appeared to be a terrible allergic skin condition) wanted to play. The dogs were mostly huddled around this water tank – where some of the people set up some large basins (old camping coolers) and filled them up for the dogs to drink from.
The Surgeries
Prior to starting the clinic, I was pretty uneasy about the anesthetic. In school we are taught to be very worried about anesthesia, as it does come with risk. In Canada, the standard of care is for dogs to receive a sedative, then an injectible anesthetic while a
tube is pushed down their windpipe. The tube delivers oxygen and inhalant anesthetic gas for the duration of the surgery. The animals are also given intravenous fluids through a catheter to keep them hydrated and help them maintain good blood pressure. During the surgery, a dedicated anesthetist (usually a veterinary nurse) monitors a variety of parameters to ensure the patient is doing well while the surgeon does their thing, with a full sterile gown, gloves, instruments, etc.
At our clinic, a patient was injected with what would be considered a horse tranquilizer (telozol and xylazine) in the muscle, which lasted most of the surgery (depending on whether it was a cat or dog, and how long the surgery took). Someone would listen to their heart beat and check the eye position and jaw tone once in a while – but was often divided between multiple patients and surgeries. If the animal moved while the surgery was commencing, the local bylaw nurse was called for and the same drug was given again. No tube for oxygen, no monitoring equipment other than stethoscopes, and no sterile gowns (still sterile gloves and instruments of course). No IV fluids were given (except in one case where I placed an emergency catheter and delivered fluids while surgery was happening because there was a lot of bleeding). If you were to check the gums, which should be pink in a normal patient, the gums were pale to white. This is because any anesthetic decreases how much oxygen is getting around the body, and without
supplementing oxygen, this problem is quite evident. You would think that considering this, we would have at least a few animals die during surgery or recovery. By some miracle, every single patient made it through. 109 sterilization surgeries were performed in 4 days. We were there most of the days from 9am-4pm.
Prior to this trip, I had done a small handful of spays/neuters over the past year. While in Mexico, I performed 14 surgeries (1 cat neuter, 1 dog neuter, and the rest were spays). For clarification, a spay generally refers to a female sterilization surgery, where the ovaries and uterus are removed. It takes longer than a neuter and is more invasive (meaning that you have to open the abdomen). A neuter can refer to either a male or female sterilization, but generally we use it to describe a male sterilization surgery, where the testicles are surgically removed (also known as a castration). Every student who went on the trip did surgeries
(by themselves), which is pretty cool. We had one student who just finished first year, three students who had just finished second year, and three of us who just finished third year. We had a boarded specialist surgeon and a general practitioner go with us. We also worked with the bylaw veterinarian and her nurse.
Whenever we had an issue in surgery, we called for the boarded surgeon veterinarian to come and help us out (he was often re-sterilizing our surgical instruments with our host Rene). Many of the dogs bled a lot. The bylaw vet told us that ehrlichia was pretty common there, which likely was the cause of the reduced clotting (especially of the skin). Ehrlichia is an infectious organism that infects the blood – and causes the amount of platelets to be reduced. Platelets are responsible for clotting the blood when a cut happens, which stops the bleeding. So if a dog or cat is infected, it will take longer to clot. Ehrlichia is very rare in Canada, and when it is seen, it is usually in a dog who was adopted from Mexico.
The Problem
It seemed from driving through SLRC that most houses had dogs. For many of them, it
appeared that they had at least 3-4 in their yards. It makes sense to have them for security especially, as many of the houses are very small and not the most secure. The problem lies in that many of the dogs are not spayed/neutered, resulting in a lot of unwanted puppies. There isn’t much of an “adoption culture” there like there is here in Canada. The poverty combined with the overpopulation of dogs makes it difficult to find someone who wants more animals. The puppies that are born are commonly put into a sealed garbage bag and disposed of. This sounds horrible, but if you were in a situation in which your dog had a litter of puppies at least every year, and nobody could take them, and you could barely
afford to feed your one dog, the last thing you can consider is to accumulate 10 more dogs annually (who will also create even more puppies, so that is a steep underestimate). This is where sterilization surgery comes in. Nobody wants the emotional damage that comes with having to dispose of living puppies. In addition, by sterilizing just one female dog, this prevents the birth of up to 67,000 puppies in only six years (you have to consider how many puppies will be a result of her offspring, and their offspring, and so on). Sterilizing just one female cat can prevent up to 370,000 kittens in the same amount of time (female cats can have more litters in a year than dogs).
All of the animals that we did surgery on were owned. The city vet already does surgeries on a daily basis, and can do as many as 10 per day. People who cannot afford to get their animals spayed/neutered were given the opportunity through the bylaw program. We were able to work alongside her and get far more done than she could have alone in the same amount of time (and we provided the resources for the surgeries down while we were there, such as suture, which costs more than you would think). The people were so grateful to be able to provide veterinary care for their animals. It was so evident how much they cared for them, and wanted what was best. Even with the risk of anesthesia and having a student perform surgery – people were so grateful.
My Reflections
Part of why I have taken a while to publish this is because I have still been processing the entire thing. It is one thing to write an objective account of what happened, but another entirely to consider it all.
The biggest thing I felt while there was inner peace. I could have been so worried about a patient dying on the table, but I wasn’t. I could be so worried about walking across the border, but I wasn’t. I could have spent the week worrying about if I had passed my exams that I had just wrote, but I wasn’t. For me, this was a big deal because I am always worried about these kinds of things. Yet it was so evident to me that we went there with a purpose, and that things were going to work out because we were supposed to be there.
Christian Veterinary Mission is an incredible organization that wants to share God’s love through service. It is really important to them to be focused on how we can serve people, and do it well. We were talking to a missionary who lives in SLRC, who was telling us that sometimes groups come down to “help”, start building a house for someone, run out of time and then leave, with the project incomplete. Then people are left with this half-finished house, that in addition to being unfinished, was built by people without much, if any training. This missionary (who is a contractor by trade) goes and basically fixes the damage that has been done, and finishes building things along with some local volunteers. It is clear that the best way to help in an international setting, is to work alongside those who are already doing things, rather than invade, “help”, leave and really just make things worse.
As I reflect on this week, I have had a perspective shift in terms of what life really is about. What I thought was most important such as success and comfort is no longer, and has been replaced with having tasted true joy and satisfaction through the service of others. We worked hard, slouching over tables that could not be adjusted, not taking any breaks throughout the day, and yet the fullness I felt was so immense that I had no desire to complain about a single thing. My soul has been satisfied.
I certainly see myself going back again, and again. I know that I am in veterinary medicine because I am supposed to be. I am excited for what the future holds, and am so grateful for this opportunity. Thank you to everyone who helped make this happen – my teammates and leaders, our hosts and local workers, and everyone who donated. You have all contributed immensely to helping the people and their animals.

A couple verses from the Bible that relate to this trip:
“Come to me, all who labor and are heavy laden, and I will give you rest. Take my yoke upon you, and learn from me, for I am gentle and lowly in heart, and you will find rest for your souls. For my yoke is easy, and my burden is light.” – Matthew 11:28-30
“With long life I will satisfy him and show him my salvation.” – Psalm 91:16
“And the peace of God, which surpasses all understanding, will guard your hearts and your minds in Christ Jesus.” – Phillipians 4:7