Friday, July 31, 2009

Best waiting area EVER

UPDATE: Riley is eating well and his vitals are normal. They hadn't changed the bandage when they phoned, but said they would call if there were any problems. That's the scoop!



This is the sitting area adjacent to the clinic -- pretty homey, eh? If you have to be in a waiting area for a few hours, it doesn't get much better than this.



If you happen to recognize the facility, keep it on the "down low," just as a courtesy to the clinic. Feel free to email me, but I won't publish comments that identify the clinic.


Thursday, July 30, 2009

Riley update: AOK!

Just got back from the clinic. Riley went into surgery at 1pm and at 3:15 he was in recovery. I was able to see him at 4pm. He looked pretty good! Sweaty, sleepy, druggy, but he did nose me through the bars as I talked to the surgeon's assist (Note: That's what I'm calling her. Actually I don't know her role, it sounded like she was the anesthesiologist during the surgery). Here's what she told me...

  • They went through the sole AND the side of the hoof, basically extending the toe notch upward -- I don't know how far. There was black gook (not her words) extending from the farrier's notch to the coronary band.
  • She didn't know if they could identify the source of the problem as bruising versus abscess. Apparently with really bad bruising the pressure can cause a tract to form. She said she would ask the surgeon for his best guess. I'm wondering if they'll get any lab results on the black gook.
  • He'll be in the clinic a full week to get IV antibiotics and monitoring. It's not clear when he'll be released -- it depends on his progress.
  • Toward the end of his time there, they'll put on a backwards shoe to keep pressure off the toe.
  • They'll feed him at 11pm.
  • They'll call me daily with an update.
Well, it's a great relief to have him through this part. But I'd be lying if I told you I was feeling great. I'm more than a little unsettled at the news this whatever-it-is-or-was extended through the length of his hoof. What the heck WAS IT? I may never know.

And having two surgical entry points was something I didn't anticipate. I can appreciate that the surgeon was thorough, and I don't question the decision, hey, whatever it takes just make him better! Here is what I've read about each method of entry into the hoof...
  • With the sole incision, the wound/hole will heal quickly (+), but the sole entry is more painful for the horse (-) and of course you have to keep the bottom of the foot clean and dry (-).
  • The side entry is less painful for the horse (+), and easier to keep clean (+), but the healing will take longer (-), more or less until the hoof grows out.
What a bummer to deal with two kinds of wounds and BOTH sets of disadvantages. Now, I may well be overstating the difficulties here, but this is according to a book on equine podiatry.

It's the end of a long day, can you tell? :-) I guess it's human nature to short change the good news, like RILEY'S OKAY. At the moment, I just want to sleep, and thank goodness there's nothing stopping me from doing just that. I'll feel better in the morning...


Importance of the mare in breeding: Living proof!

This little fellow is named Boot Cut, is that perfect or what? His markings are outrageous, I love that right knee. The dad, Black Tie, has a fair amount of white too. Actually, I can't quite tell if his good looks are more from mom or dad, but both mom and baby have fantastic rhythm in their trot. And the jumping in unison is just adorable.




Wednesday, July 29, 2009

Riley says "Hey, this ain't no SPA!"

Riley's surgery is not until tomorrow, but they asked that we bring him in the day before. As it happens, we hitched a ride with another horse going to the same clinic so we left this morning with them at 7:45am. The hour's drive during rush hour was made all the more exhilarating when an overturned tractor trailer brought I-78 to a standstill. We got off at the nearest exit and hoped to find an alternate route. We were lucky, and arrived only ten minutes late for the other horse's appointment.

All of those breed shows, plus a pretty mild temperament, have made Riley a seasoned and easy-going traveler. He went into his stall, rolled, and started eating like he'd always lived there. I rubbed him down and picked the shavings out of his tail. He was munching hay and watching the clinic activity like it was a TV show. I left by 10:30am and stopped at Horseman's Outlet on the way back. Got Harv a nice saddle pad for under $20 and replaced Riley's cheapo brushes with a couple of natural bristle ones. Grooming will be his main recreation for awhile...

Questions answered, rads on disc!

I talked to Jessica, the surgeon's assistant, and got copies of his x-rays, so you can actually see what's happenin'...

Whole hoof shot: This is the right front. Can you see the margin irregularity?
Speckles are probably duct tape adhesive...

Closeup. You have to look close for the toe notch.
My local vet did a good job of locating the key area, don't you think?

Horses can lose up to 25% of the pedal bone, no worries. You can see from the radiographs he hasn't lost much bone, really. That's good! While I was at the clinic I also got a little more info about what specifically is happening tomorrow...
  • Surgery is at 1pm and should take 1.5 to 2 hours. Jessica told me that Dr. M---- will call me after Riley is standing and walking. "Oh, no need to call, I'll be here!" I told her. Thank goodness I'm on vacation.
  • Bad news: Riley will be under general anesthesia for the procedure. More risk--more expense, too--but mostly more risk. I'm sure it will facilitate the surgeons job, though.
  • Good news: They are hopeful that they'll only have to drill a hole into his hoof, not anything more invasive. They don't know yet, can't promise, but that is their initial thought.
  • They may be able to trim up his hooves (he's at 5 weeks) prior to the surgery. He may not feel like getting trimmed/shod for a looong time afterward.
  • If the minimal procedure is possible, his layup time will be less than the 3-4 months I'd planned on, and the bandaging will be relatively cinchy!
So Thursday the 30th, at 1pm, EST, be thinking good thoughts about Riley. We appreciate any waves of positive energy, prayers, Gipper talks, jingles (for you COTH'ers)--bring it on! Start now if you want (research studies show it does help). Tomorrow's post will not be Riley-related but I'll do a quickie update at the top of the post when I get home...


Tuesday, July 28, 2009

TMI! Forewarned is, well, kind of gross...

The photo to the left is from Fran Jurga's blog article and video on hoof keratoma surgery. It's the kind of surgical procedure Riley is having. I made the image MUCH smaller to reduce the gross-out response -- but I figured if you are interested in horse medicine you're tough enough to take it. Apologies to the squeamish.

The COTH posting Ever had coffin bone debridement? has a good deal of information about the type of surgery Riley is having. The poster's horse was diagnosed with a keratoma (kind of a tumor?) near the coffin bone, and on performing surgery they decided it was an abscess.

For better or for worse, one poster provides links to her horse's hoof in various stages of ghoulish recovery. I'm can handle horse-related medical shots, but the thought of Riley's foot looking like that had me breathing into a paper bag. If you choose to click on her link, note her "graphic photo" warning!


Training Level

Join Date: Jun. 24, 2008
Location: Alberta
Posts: 42

My gelding had a keratoma removed in 2004. On the x-rays is showed up as a black area. His was on the tip of the coffin bone, so part of it was removed as well as the Keratoma.

Here is the link to his 1 year hoof growth. WARNING GRAPHIC PHOTO'S

http://s300.photobucket.com/albums/n...hoof%20Growth/



Not my Riley!!!!
This owner's horse had a different sort of problem -- or so they thought -- and I'm hoping Riley's surgery is less invasive.

Here's what the resources below have to say about the surgical procedure...
  1. Trim the hoof since farrier care may not be possible for a time after surgery (hey, no one told me this -- will they do it???).
  2. Taping radiopaque markers (BBs) to the hoof wall and take a sequence of radiographs to find the lesion location.
  3. Administer systemic antibiotics and NSAIDS.
  4. Perform antibiotic perfusion with tourniquet.
  5. Anesthetize the horse, either with local or general anesthetic.
  6. Go in through the hoof wall (preferred for comfort of the animal) or sole, depending on the the extent of the bone lesion and soft tissue infection. Sometimes both the sole and wall will need to be invaded.
  7. For entry via the hoof wall, use a drum sander or motorized burr.
  8. Use n. 3 or 4 bone curettes to expose the bone. Diseased bone will be soft and discolored, and it ca be curetted out.
  9. Pack the area with iodine and gauze pads. Apply sheet cotton bandages, one front to back (folded long ways) and one side to side.
  10. Wrap with elasticon bandage. Pressure should be applied to control bleeding.
  11. Remove tourniquet.
  12. Change bandage daily until the site is dry.


RESOURCES

Equine foot surgery: Basic procedures
from U Mich

How to approach Hoof Wall Surgery in the Horse from IVIS.org

How to access lesions beneath the hoof from equinepodiatry.com


Monday, July 27, 2009

My post-lottery dream barn

Truthfully, until recently I haven't given much thought to the design of my dream barn. However, Bob assures me that winning the lottery is inevitable, because he buys several tickets a month. It's pretty much in the bag, so I've been thinking and looking around.

I love the exterior design of the barn to the right, and think Harv and Riley would approve so long as it was tastefully landscaped. While stunning, the interior is less to my personal taste. Judge for yourself at the Blackburn Architects portfolio page. What do you think? Check out the links below to high end barns and tell me which ones you like, and why!

Do I have a knowledge of barn design? No. But I'll have lots of time to learn and plan while we wait for the lottery check to clear. Here are a few random opinions based on my experience as a boarder...

  • Dutch doors facing outside, with grillwork and options to close off in winter.
  • Stalls that open out to individual paddocks, or at least nearby access to paddocks. Not sure what footing to use on those areas, though.
  • Open, airy stall design, grates between stalls.
  • High ceilings everywhere, including wash stalls.
  • No protruding ceiling lights! Recessed lighting wherever ceilings are low.
  • Chutes from the hay loft to each stall, if the hay is not stored separately.
  • Cross ties in each stall, not in the aisleway.
  • A non-slippery, wide aisleway!!
Asphalt and concrete flooring is cost effective but scary. Harv slips every time he walks down the slight incline in his barn aisle, and recently I had a horse slip and fall on concrete (he spooked). The barn on the right, by Blackburn architects, seems like a nice solution. It looks like a mat to me, but it could be rubber paving stones.

Here are links to architects specializing in high end facilities -- check out the portfolios for a real drool-fest...

Blackburn Architects
CMW Equine Architects
Chenault Woodford
Hayward Designs
Equestrian facility design
GH2 Equestrian
Harrison Banks
Hafer Associates
Zaic and Associates
Wissmach Architects
Pearson and Peters Architects
International Equestrian Designs (commercial, public)

Blogs
Stable-minded: An equestrian design blog
Equus blog on stable architecture


Other resources
Horse farm planning from Stablewise.com
FBI Dream barn planner
Your dream barn planning guide from myhorse.com
Stable Scoop Episode 33 – Barn Building with Blackburn Architects ...
Designing your horse's home from The Horse Magazine
Build a barn that works from Equisearch
Ultimate horse barns from Google Books
55 tips for better barn function from Equisearch
Horse stable design from Penn State U


Sunday, July 26, 2009

"Show us your worst hunter/eq pix"

Delaneythehorsegirl started this soon to be legendary thread on the Chronicle of the Horse bulletin board. You really should visit this 11 page thread, but here are a few highlights (the ones I consider the winners of this dubious competition). Since the owners posted their pix to COTH, I hope they won't mind me linking to them here. I'll remove them if requested.

BTB Awards first place to
2DE Photography, Dorytuo of COTH

Rider Sandra Donnelly at Rolex



Second Place, COTH's Affirmed Hope



Honorable Mentions to the following
(with their anonymity preserved..

last fence in the jump off
"Always ride to the back rail of the oxer" says COTH contributer

"He hesitated, I didn't"


One reader comments, "How sweet to give your horse
a supportive hug in the middle of a course."









scan


Saturday, July 25, 2009

Come and marvel with me at...

Note: Saturdays are kind of a 'low readership' day so I tend to post lightweight or marginal stuff. This one is one that I'm not all that keen on posting, but here goes.

The things people say!
Okay, maybe I feel a teensy bit of self-pity over my vacation plans getting deep-sixed, and I've already lamented publicly about Riley's stall rest. But Riley's surgery? I feel good, and positive, about Riley's upcoming procedure. It needs to happen, it's getting done, and he can then go about the business of getting better.

So when it comes to Riley, I'm not exactly craving sympathy, but still I marvel at some of the things people have said to me when they heard about Riley. Their words don't make me feel angry, or bad, or sad. I'm filled with wonder, though. What possesses people to say things like...

"Is there some kind of defect in his bloodlines?" [okay, this was a blog comment]

"You're taking him THERE for surgery? Did you TALK to anyone first?"

"Remember, I told you not to buy a weanling."

"Wow, and I heard that Riley is biting you now too." [amazing non sequitor, eh?]

People have opinions and advice, which is welcome, for the most part. But these comments are really just intended to hurt. Thankfully, many people have a gift for knowing what to say...
"This is great news. You're getting it taken care of! You did the right thing."

"Hi, I'm sorry to be so far away, what can I do to help. And hey, there's a care package for Riley in the mail..." [voice message]

"I have a drawerful of vet wrap you can have."

There will always be "nattering nabobs of negativism" (I'm quoting Spiro Agnew at Bob's insistence). But here's the deal: I have a wonderful, sweet horse that I feel fortunate to own, and he lifts my spirits whenever I'm with him. Right now he has a problem, and it's being taken care of.

Thanks to all who have expressed concern :-). If you can stand it, I'll keep writing about Riley's journey to wellness.


Friday, July 24, 2009

So long, Oregon vacation

Bob and I were supposed to leave July 29, but I'll be trailering Riley to the vet clinic instead. Three or four years ago we did a whirlwind weekend in Oregon, and we made one of those Scarlet O'Hara "God as my witness" pacts that we would come back and spend more time there. Below are some pix from our last trip.



This year we planned to spend 9 days with Bob's family in and around Portland. Bob's cousin had rented a beach house on Cannon Beach and we were going to drive south on the coast. I was going to visit with one of my blog readers at her farm too! It was going to be a rockin' trip, right down to our favorite foods: beer for Bob and salmon for me.

The good news? Oregon isn't exactly going away, and we can try for another time. I'll miss seeing folks and enjoying their company.


Thursday, July 23, 2009

The Harvster: A heckuva healthy horse

I saw Harv for the first time since Saturday -- went riding, fed him five apples and some mints, and turned him out for the night. Harv and his pasture mate Sonny have totally bonded. It's nice that they're attached, but Sonny is obsessed. Can a horse be co-dependent? Watch how he intercepts my attempts to interact with Harv. Could he be jealous? Protective? Or just looking for attention himself? As a point of interest, Sonny's racing name was "Forty dollar bra."





The point of the video was going to be Harv's nice condition and weight gain since he got a little gaunt this winter. It was hard to get a good picture though, he kept following me. I'm so blessed that Harv is well. At least one of my boys has a low maintenance lifestyle...

Harper's Index of Harvey's Health
  • Number of abscesses (*lifetime total): 1
  • Number of lost shoes (*lifetime total): 1
  • Number of leg lamenesses (excluding injuries) lasting over 3-4 days: 0
  • Number of colics requiring a vet visit: 0
  • Biggest medical mystery: Seasonal bouts of bucking when girthed (every April and October)
  • Biggest medical expense: Sinus surgery in 1998
  • Most injured body part: head
  • Medical claim to fame: Highest Lyme titer ever measured at Cornell U.
  • Best conformation feature: Good bone
*Lifetime meaning his life with me (starting at age 10)


Wednesday, July 22, 2009

Pedal osteitis: What you don't know....

Can hurt your horse, especially when it's inside the hoof. This is why you want to get those hooves x-rayed for any persistent/chronic/recurring abscess or foot pain. PO occurs when there is infection or inflammation/bruising in the foot occurring near the coffin bone. The process in the hoof can erode or demineralize the bone, which is officially Not Good.

How Bad Is It?
Well, a horse can lose up to 25% of the pedal bone and still perform athletically. But the process that compromises the bone needs to be stopped. PO is more a symptom than a diagnosis, and the success of the treatment depends on the cause and how readily the cause can be addressed. There are two types of PO: septic and non-septic. They are treated differently.


Septic PO
Septic PO occurs when bacteria or foreign matter penetrates the hoof wall, such as when:

  • a horse steps on something like a nail or piece of glass
  • a misplaced horse shoe nail provides a conduit for bacteria
  • bacteria from dirty bedding or mud penetrates protective barriers of the hoof capsule
  • a horse kicks in the stall and gets a splinter in his hoof
All of these things can cause an infection and/or abscess. Hopefully it'll drain and go away, but sometimes it doesn't drain, or if the foreign matter is not expelled, it drains and recurs. A chronic infection near the bone can cause it to erode/demineralize, or the bone itself can become infected (I'm not sure if the latter case is actually PO).

How is septic PO treated?
The treatment is usually to surgically debride and clean the infected area of the hoof, and/or administer antibiotics through a technique called perfusion ( a tourniquet applied to assist the meds in going into the hoof). Expect a long-ish recovery time for this treatment.

Nonseptic PO
This is what we think Riley has, and thank goodness it was caught very early. Nonseptic PO is bone erosion due to inflammation, but not necessarily bacterial infection. The most common cause of nonseptic PO is repetititve concussion or perhaps a traumatic injury (non-penetrating) that causes bruising. A severe or chronic bruising can result in a hematoma. Dead blood can provide a great "home" for bacteria, which is one area I'm frankly a bit fuzzy on. If there is bacteria, is it non-septic?

Anyhoo, the treatment generally is to stop the trauma or concussion and let the affected tissue grow out. If there is dead bone, or very diseased tissue, surgical debridement may be indicated. What's the prognosis? It depends on how effectively the concussion to the hoof can be reduced or eliminated. If you ride on hard ground, stop! If your horse is barefoot, put shoes on. For a competitive jumper whose career depends on the ability to withstand concussion, there may not be much that can be done. PO can be the end of a career or the beginning of a new, less strenuous career. If the bruise was caused by one-time trauma (e.g., stepping on a stone), the prognosis can be very positive.

Riley
The PO on Riley's radiographs is certainly less than 25% of his bone -- more like 5 or 10%. I'm kicking myself for not putting shoes on Riley. I wanted to buy his feet time to grow and expand in the barefoot tradition. At any rate, the surgery will be scheduled sometime early next week.

RESOURCES

Pedal Osteitis from Horseshoes.com

Nonseptic Pedal Osteitis: A Cause of Lameness and a Diagnosis? from IVIS.com

Pedal osteitis from Veterinary Notes for Horse Owners

Pedal osteitis from Adams Lameness in Horses

Non-septic pedal osteitis from Equine Podiatry

Pedal osteitis: A not so uncommon condition from the Equine Medical Service Newsletter

Pedal osteitis from Anvil Magazine


Tuesday, July 21, 2009

Riley gets referred (or, why I have insurance)

Fasten your seatbelts, it's going to be a bumpy ride.

Bette Davis

Also a long ride. This could easily be two posts...

Riley started his two months of stall rest on July 3. Did I ever tell you why he's laid up? Well, the initial diagnosis was pedal osteitis in the right front hoof, caused by bruising, which was caused by repeated concussion and thin soles. My local vet recommended two months of stall rest.

In good faith (sort of), I followed my vet's advice. I say sort of, because I had her send x-rays to another vet at a nearby clinic. This vet concurred with my vet, but they both admitted it wasn't a "cut and dried" diagnosis. Two weeks into the stall rest regimen, I felt restless.
  • Why wasn't the left foot, which is actually the clubbier foot, bruised/inflamed?
  • If it was chronic bruising, why did he alternate between perfectly sound and very lame?
  • What if this was not the right diagnosis?
  • What if there was/is infection? Could Riley lose more bone during this rest?
Do you know where I'm going with this? Those who know me will not be surprised to hear about my little self-referral...

Riley's road trip
Off to the clinic we go. A really, really good clinic. I chose it because a) it's renowned for lameness, b) it has a standing MRI machine, and c) they have already consulted on Riley's x-rays this spring.

Here's a rundown of what happened...
  • I meet the vet and hand him Riley's history -- a one page bulleted list of the sequence of events/significant stuff.. The assistant accepts it without comment, and I sense they won't read it right away, or maybe at all.
  • Lameness evaluation. Riley is trotted on macadam, after 3 weeks of stall rest. He moves out with loft and energy, almost a passage. I think he looks beautiful, but even I could tell he was NQR. The vet rates him a 1/2 to 1 on his right front. He blocks the heel, and notes 90% improvement.

    The heel? Wait! His injury/problem is at the toe.

    The focus of the exam now turns to his heel. I want to call time out bring us back on task, but of course that would be offensive. I just watch everything unfold.

  • X-rays. More radiographs are taken. The vet initially tells me he sees nothing to explain the lameness. As we talk, he moves the slider back and forth (making the picture darker and lighter). I notice him looking more closely at the picture, but he says nothing for 30 full seconds. He points to the navicular bone. "You know, there actually is some sclerotic bone there." (He had seen this when I sent him x-rays in March, but it didn't concern him then.) I explain that Riley has been sound except for two weeklong bouts of three legged lameness -- how would this be caused by the navicular bone? The vet responds that if tendons/ligaments are involved this is quite possible. He seems to have found his answer. I feel at a loss.
  • What about the toe???? Next he pulls up the x-ray that depicts the pedal bone loss. It shows a small shark bite out of the inside edge of the bone. Radiographs just don't offer much useful information about what is causing it. I ask about other diagnostic tools.

    He says, "Do you have insurance?"

    "Yes."

    We settle on an MRI, to be done after lunch.
  • Lunch. Based on the vet's assessment so far, Riley may have navicular unsoundness at age 3. I knew I had to get through lunch, and the rest of the exam, with some sort of composure. Have you heard the psychological buzzword compartmentalizing (walling off your emotions)? Mentally I shove the whole morning into a box and slam the lid.
  • Post-lunch MRI. This procedure takes over an hour but reveals new info. I overhear the vet conferring with a colleague, who is saying "it's osteomyelitis, it's just that there's no infection." That would be Riley," I thought. I resist the urge to eavesdrop further and keep walking.
The conference and diagnosis
Twenty minutes later, the vet calls me over from the waiting area -- my notes are in his hand, and he waves them at me. "I read your history," he said, "and I think we can put this all together."

He feels that the pedal osteitis is caused by bruising, but he thinks it was a traumatic bruise, like landing on a rock at speed. The severe inflammation compromised the bone--blood flow to the bone is reduced, and it dies. The bruise itself got better, but some bone was lost. The vet called the second occurrence of extreme lameness a "flareup."

What about the navicular bone? The heel? According to the vet, the heel pain/lameness is likely to be "compensation pain," as Riley adjusted his movement to avoid pressure at the toe (where the bruise is). He said that the MRI showed some navicular bursitis which he again says is likely to be from compensation.

The treatment
Horses can lose up to 1/4 of their pedal bone with no ill effects, and Riley is nowhere near that. But the necrotic bone could break off or otherwise mess things up -- it needs to go. The vet recommends a standing procedure to debride/scrape out the dead pedal bone. Though invasive, it is not an enormously complex procedure, and he feels Riley will likely be fine afterward. The scary thing is that the scraping exposes the pedal bone. It takes 7-10 days for new tissue to cover it, and 2-3 months to recovery. But he will recover.

It ain't over yet
We trailer poor Riley, our groggy charge, back home. Frankly he doesn't look too good, but he has been sedated for hours. He hasn't eaten since 10am, and probably has had very little to drink. Coming off the trailer he seems subdued and clammy, so I hand walk him for a half hour before putting him into his stall. The vet gave the okay to give him his hay at home. He eats, drinks about 1/4 of a bucket of water. He looks totally spent and starts dozing.

8pm
The barn manager calls. She found him lying down and groaning. She said that he is "not himself," and earlier he had seemed gimpy on both front feet (which are now shoeless). I pelter her with questions. He has pooped three times since 3:30 and drunk a lot of water. Gut sounds on one side, but not the other. As she talks to me, he gets up and shakes. He looks a little brighter, and starts interacting with his neighbor. I say I'll come out and have a look. She will meet me at the barn. I want to hold off on Banamine until I can see how he is moving -- he shouldn't be outright lame, and I want to see how severe it is.

Twenty minutes later, I arrive to find Riley looking tired but comfortable. I hand walk him a bit, and he poops. The foot ouchiness isn't outside normal limits. The manager gives him his banamine shot and says she'll call me at 7am with a report.

7am today, Tuesday
All is well in Rileyville. He's back to normal, perky and bright. Praise Allah.

So now, I await the doctor's call. He is concerned that a big surgical facility will want to redo all of the diagnostics, and he thinks it's overkill. He will do some checking to help me find a vet to do the procedure.


Monday, July 20, 2009

Stall rest and handwalking: Lord help me cope!

We're on week two of stall rest and hand walking twice a day (barn manager am, me pm). Forget Riley, I can't take it anymore. Don't get me wrong, all things considered Riley has been a gem. It's just a lot to ask of a youngster, being confined 23 out of 24 hours a day. Bob has witnessed some of the more exhilarating moments, and his new pet name for Riley is "bouncey horse."

As usual, I turn to COTH, from whence cometh my help. The most useful thread was started by some poor soul whose 2 year old was sidelined with a tendon tear. Here is some of the advice she received...

The environment

  • No grain, feed poor quality hay in greater quantities than usual.
  • Walk him during the quiest times of the day, NOT during feeding or turnout.
  • Try to walk in the heat of the day, but use fly spray.
  • Horses on stall rest like to have a mirror (find one that is shatterproof)
  • See if you can walk him near a quiet horse buddy.
  • One poster said: my horse found it very calming if I just sat on a folding chair in the stall with her (obviously only do this if it's safe) and read for half an hour.
  • Choose an area he associates with walking, not a pasture or an outdoor ring.
Equipment/handling techniques
  • Chain over the nose (no brainer), and some suggested a chain over the gums.
  • For rearing or severe behavior, try a chifney bit.
  • A "bumper" or "bonger," an aluminum bosal, is sometimes used at the racetrack.
  • Stuff the horse's ears.
  • Create patterns, walk over poles, etc to keep his attention and get his brain focused on paying attention rather than being fresh.
  • Try to do more short walks rather than one long walk (he'll get bored and fussy).
  • Use a lunge line when hand-walking so you can get out of their way.
  • Carry a crop or whip.
  • Can you pony your horse?
  • Watch for signs they're getting distracted. Shake their change, lightly tap their nose with a crop, turn them quickly, get them focused on you agiain.
  • Make a pen out of round pen panels about the size of a stall, and move it around each day so there is always fresh grazing in it. NOTE: ROUND PENS ARE NOT DESIGNED FOR TURNOUT. Make sure the configuration is safe, see previous article on this subject.
  • Handwalk the horse between TWO handlers, like he is cross-tied. One handler on each side. Two stud chains, etc. Walk about 6 feet out from the horse.
  • Wear a hard hat and eventing vest, says one poster who was injured when her horse jumped on her.
Drugs
Truthfully I was surprised that the COTH community embraced the use of drugs so wholeheartedly -- no dissenters (how often does that happen on COTH?). I guess when you think of the typical hot horse on stall rest, drugs may be the safest thing for everyone. The drugs below were mentioned, I personally have no experience with the prescription drugs for managing stall rest.
  • Supplements such as magnesium, Quietex, Command Serene, Tryptophan, etc, can be fed daily.
  • More than one horse was so bad the owners resorted to daily drug injections. Said one poster, "The big joke at the barn was that after he got done with his suspensory rehab he'd need drug rehab." Drugs mentioned were:
    • Reserpine. Oral and injectable, long acting
    • Acepromazone (did you know this came in oral formulation?)
    • Fluphenazine (Prolixin), correct dose
    • Xylazine (Rompun)

Riley's drug is natural high
Riley is on Quietex but I can't really see any effect. What relaxes him immensely is pretty basic -- grooming. He must miss nibbling and scratching from his pasture mates. A boarder loaned me some massagey grooming tools and you'd think I was a professional masseuse the way he responds. He closes his eyes, lowers his head, and almost snoozes. It's satisfying for both him and me, I feel like I'm really helping him. And it relaxes him for our hand-walk...


RESOURCES

Managing the patient on stall rest from Chronicle of the Horse

Laid up or losing it from the Horse Magazine

How to handle stall rest from Equisearch

The pros and cons of stall rest from Wit's End Farm

How I survived the stall rest and handwalking blues from flyingchanges.com

Management of the stallbound horse from petplace.com

Nutrition during stall rest from The Horse Magazine


Sunday, July 19, 2009

Riley's full bro (the 2005 edition)

Did you know that two half-sibling horses are only considered a 'half brother' or 'half sister' if they share the same dam? Two horses by the same sire are not really considered 'related' breeding-wise.

Anyway, I occasionally exchange email with the owner of Riley's full brother -- same sire and dam. Genetically the two of them are more similar to each other than to any other horse, including their parents. Here he is! He's the one introduced to the pasture -- the bigger one.



I saw footage of him last year, when he was in a growth spurt -- he looked lovely but the parts were growing at different rates. Now he's really developed into a powerful, attractive guy. And the owner told me he's still changing/developing. He's a big boy at 4 years, with huge bone and feet. He's going to be impressive in the dressage ring.

Is he similar to Riley? Well, yes, I suppose, but it's probably more accurate to say both of them favor their mother. Delaurentis passes on temperament and rideability, and many many of his babies have exquisite heads and necks -- super-refined, beautifully shaped. Think Riley's mom stamped both these boys with her own head/neck/body type. And I'm perfectly happy with that.


Saturday, July 18, 2009

Gina Haddad reflects on her 1998 rotational fall

This fall occurred in 1998 but it's interesting to hear Australian Gina Haddad reflect on how the fall occurred, how she experienced it, and how it changed her life. Teaser: she missed the 2000 Olympics but something positive came of it (watch and see what it is). The horse was injured but recovered and eventually went on to a career in show jumping. If you can't view the embedded video here is a link.

Sorry about the goofy dental ad that you have to watch first, and sorry this is set to autoplay. I tried to modify it but it broke the video...


Friday, July 17, 2009

Riley and Regal rendezvous

You may remember my post about Regal, the jumping bean thoroughbred from Gettysburg. Well, who do you suppose lives at Riley's new barn?

On the right you see Riley and Regal meeting for the first time -- instant friends, no posturing, but then they have a lot in common.

  • They're both cribbers.
  • They're both 16.2 hands.
  • They're both happy boys.
I've never seen Regal look better, he's in good weight and fit as a fiddle. For a horse on stall rest, Riley looks pretty relaxed and happy. The barn manager assures me he is good for his morning hand walk and for foot bandaging (which they do 4 times a week). He does a beautiful job duct-taping a foot, it's downright artistic. I tried to take a picture but it came out too dark. It's like something from an episode on Project Runway--hand this guy a roll of duct tape and he'll turn it into a silver hoof sculpture.


Thursday, July 16, 2009

Craigslist: Where hope springs eternal...

If it were Bucks County, I'd be concerned that Harv had posted this anonymously. Looks like someone is trying to fund their horse habit.

(click to enlarge)

Hey, maybe I should post to Craigslist for Riley:
Muscular redhead gelding available as a personal trainer specializing in resistance training (hoof bandaging) and a new extreme sport (layup handwalking). $100 a month, $125 includes organic powerlifting (a.k.a. mucking).


Wednesday, July 15, 2009

Choosing an equine veterinary hospital

Three times in my life, I have had to trailer a horse to a veterinary clinic for surgery or other procedures. Fortunately, none of these road trips was an emergency, but it was stressful enough! It's a good idea to do a little research on the facilities near you, just in case you do have an emergency. Depending on where you live, you may have no good choices of veterinary clinics -- some folks live hours away from the nearest clinic -- while others, such as myself, live close to many good choices. I tried to do some research on how to choose a clinic, but couldn't find any good advice on the web. I have a feeling it's the kind of thing that is transmitted more by word of mouth. Thought I'd share the little bit I gleaned...

Choosing the right clinic...
Is there a teaching clinic near you? When Harv needed surgery, my vet gave me a few suggestions but said university/teaching clinics have several advantages, namely a cheap labor pool (students) and access to the newest techniques and research.

What diagnostic tools and treatments are available? Try to get at least some sense of what diagnostic tools or treatment might help your horse -- whether it's endoscopy, ultrasound, bone scan, MRI, stem cell therapy, whatever. Learn as much detail as you can. For example, if you think your horse might need an MRI (or your local vet suggests it), did you know there is such a thing as a standing MRI machine? I didn't. The standing MRI alleviates the need for general anesthesia, which carries some risk. Not all facilities have all the bells and whistles. Clinic web sites are very valuable for making comparisons among facilities near you.

What is the clinic's reputation? In my region, Cornell University and another facility in New Jersey are extremely good for reproductive/breeding issues, while two famous facilities in New Jersey are known for lameness. New Bolton is a great all around facility, with top notch researchers experienced in the latest techniques. It's a great place to go for highly unusual or rare cases (these guys have seen it all). You have to be careful about getting personal opinions, but I believe a well-chosen local horseman can offer insight into the local facilities -- stuff you just aren't going to find written down anywhere.

What fees to they charge? A phone call should suffice. Usually you can have a frank chat with the person in the billing department if you are on a budget. A friend of mine who had limited funds made this clear to the facility when she called to make an appointment. The facility didn't say they would cut her a break but she showed me her bill. The facility was "top tier" and had a reputation for being expensive--yet the endoscopy fee was less than I had paid recently at a small local vet clinic. We both agreed they had discounted her procedures. Even if the facility can't do this for you, they can help you decide if a procedure will be informative enough to be worth the expense. The fancy equipment doesn't yield useful information in all cases.

Below are some resources that may be helpful to someone who is ready to hook up the trailer and get their horse some medical attention. But I know you guys will have advice too, not just about choosing a facility but about the whole experience. Speak up, now :-).

RESOURCES

Barbaro's hospital one of the best from MSNBC.com

Top 5 equine hospitals in the U.S. from Horseman Magazine

Equine ER: A year in the life of an equine veterinary hospital

Does your horse need a specialist? from PMVetservices.com

What happens to your horse under general anesthetic from Loch Leven Equine Practice

Equine hospital homepage (major UK hospitals)

When your horse visits the UT Equine Hospital...
book available from Amazon.com ($13)

Directory of equine clinics and veterinarians
from Polocenter.com

Emergencies and your horse: Where and what to know From NCSU vet school

Best equine vet schools?
discussion from studentdoctorforum.com

What are the large vet clinics in the U.S.? discussion from COTH


Tuesday, July 14, 2009

These boots are made for walkin' II

In my last post I wrote about boots for stall rest and light turnout. There are boots out there intended for riding and turnout. I looked at the Easy-boot Epic, Boa, Cavallo, and Old Mac boots side by side at Horseman's Outlet, and I read about the Renegade and other boots.

Confession time!
Without doing a ton of homework, I bought the Cavallo Simple boots based on their low cost ($115) and uncomplicated design. The other boots didn't appear as easy to use (a problem when barn workers have to apply and remove), they cost more (range $130-$159), and they were more complicated to get a proper fit. I like the Cavallo boot just fine, and Riley "took to them" easily. Now here are some notes on the other boots, based on personal observation and postings on bulletin boards...

Some general points

  • They vary in their design -- some are more oval shaped, and some are round. You just won't be happy with a boot that is not in the correct basic shape, and if you buy an oval boot for your round-footed horse he'll be more prone to tripping
  • They have to fit properly to be safe! Experts say that most people buy them a size too big.
  • Most come above the coronet band, which protects from grit but also may cause rubbing.To combat rubs, most boots now come with "gaitors" or you can purchase them separately. They're like socks.
  • If you're thinking of wearing them in competition, check with the organization that makes the rules to make sure they're legal. In dressage, these boots are considered to be like leg coverings, which are not allowed.

Old Mac (OM) boots ($169ish)
These come in two types, or generations. The G1s are rounder, intended for a hoof as wide as it is long. The G2s are pointier, for an oval hoof. The Old Macs buckle over-strap that many owners describe as "difficult," and one COTH member recommended using pliers for the strap. Many OM boot owners that described them as clunky, cumbersome and difficult to get on and off. One COTH member hadto use pliers to buckle them. Even so, a large number of posters cited these boots as their favorites. Read a review of Old Macs from the Nuzzlingmuzzles blog.

Easyboot ($150-$170ish; can be bought in singles)
Easycare, Inc. makes a lot of boots, including Old Macs and Boa boots. There are many types of Easyboots, carefully and candidly described on the Web site (e.g., The Edge model "will not fit a horse with wide feet"). There is a style with an "aggressive tread" for example. Easyboots have come a long way since I bought my first one in 1998 -- actually I ended up cutting it off Harvey! Their customer service has received praise and they have quite a following in the edurance community. They have styles that fit below the hairline, eliminating rubs. I've read that they must fit perfectly to work right -- a close fit -- and that they stay on well in all types of terrain. They are not designed to be worn with pads, are good for turnout, and are difficult to get on and off. The older designs have metal pieces that could break if they hit a fence, so they may not be suitable for jumping. Finally, horses that forge may tear the gaitor off (it is replaceable). To learn more about each Easycare boot go to New to hoof boots? or read a review of the Easyboot Glove from a cutting horse owner.

Hoof wings ($170 to over $200)
While these boots are less well-known, they have a strong following and are one of the only boots to offer a true custom-tailored boot (the other is Renegade). Designed to be used for riding and turnout, they come in many colors and can be produced for very large feet. They are reportedly easy to put on and take off. See the product review from NC Horse News for more info...


Cavallo Simple boots ($119)
It's an incestous world! Cavallo used to make the Old Macs, but they sold the patent to EasyCare and moved on to the Simple Boot. These are best for a rounder foot. They're considered to be a great value, easy to get on and off, and they stay on well if they fit. The velcro suffers from the same problem as bellboots with velcro -- you must protect the velcro "stickiness." One owner mentioned they require a breakin period.

Boa boots ($150ish)
The Boa boots have their fans, and they are simple to use, but the word on the street is that they have issues. They use tension wires which you can loosen or tighten with a dial -- but one owenr complained the dial makes an impression on the hoof. Others say that the wires start to loosen on their own over time, the fasteners break, and there is one part that detaches and it can pop off mid-ride. Riley fusses with his boots, and I'm certain he could pull it off with his teeth. Some Boa boot owners report they need to trim their horse every three weeks to maintain a good fit. Other posters complain that the boots twist on the foot.

Renegade boots
These used to be available only through a farrier. They seem to be quite popular -- easy to put on, great colors, a below the hoofline (no rubbing), lighter and more flexible than Easycare boots, durable for endurance riders. One poster on COTH did lament that they do not come in larger sizes (Web site sizing tops out at 5 1/2" wide and long). Here's a review from Gopony.blogspot.com

Sabresneaker ($100ish each)
These are kept behind the counter at Horseman's Outlet -- not sure why except that they're sold in singles and are a tad pricier than most. Or, perhaps it's just that they're often special-ordered. They are definitely for a round-soled horse. My friend has one that is going strong after a lot of pasture turnout -- not just her horse but other boarder's horses (she's the generous type). One owner said that there is no tread on the sole, and they're slippery on wet grass. I doubt it is intended for turnout.

Marquis hoofwear ($300ish)
These boots use air bladders or chambers that can be pumped to improve fit, and there are replaceable parts available if something breaks. They're the priciest in this review. Certainly some people report they like them, while others have commented they "have a nice fit but are relatively heavy." From the comments generally I gather they were one of the early models that have gotten pushed out of contention by an ever-growing array of boot choices.

A nifty tip for the budget-conscious
Wanna find a used boot? Check out the Boot swap page where you can buy or trade used boots, courtesy of naturalhorsetrim.com

My .02
I'm not conservative about spending, but I am conservative on safety issues. Any of the boots on the market are potentially unsafe if the fit is less than perfect. Let's face it, the boots are unwieldy looking, bulky, and stiff. Imagine your horse gets one half-way off and then is compelled to run around. Here is a quote from a COTH poster: "Old Macs turned on his feet and the strap that keeps them on necrosed part of his pastern skin, and the crank button on the Boa boots dug into his coronet band and caused a ripple in his hoof growth after just being on for about 6 hours." Unless your horse is pretty quiet, and unless the fit is absolutely perfect, I would probably worry too much about using them for riding or unsupervised outside time.

So, after spending all that money, I've decided that Riley can wear his Cavallos in his stall. They'll keep his feet clean, hold bandages and meds, and they'll last forever. I don't care if they're over-engineered for their purpose!


GENERAL RESOURCES ON HOOF BOOTS

Hoof boots hit the trail from Myhorse.com

Hoof boots: The sound alternative to conventional shoes from High Performance Hoof Care

Hoof boot reviews from, well, some individual

Hoof boots from All-natural-horse-care.com

Barefoot boots from Valley Vet Supply

Hoof boots: Protection without permanence from The Horse magazine

Hoof boots and Brands of hoof boots from bellaonline.com

Hoofwings by horsneakers (custom fit horse boots)

Hoof boots from All-natural-horse-care

Hoof boots for riding from the Horse Journal

Changes afoot a pdf document from Tag 'n Togs Merchandising (May 2007)

These boots are made for walkin' and a whole lot more! (pdf file, discussion of boots aimed at farriers)


Monday, July 13, 2009

Ulla Salzgeber's very bad day

Ulla Salzgeber's dressage horse Herzruf's Erbe pulled a suspensory while in the ring in Aachen for the CDIO Grand Prix Special on Saturday 4 July 2009. Here is the video footage, which is non-gory, tactfully handled by the rider, but it might be upsetting to some. It was certainly a poignant moment and members of the audience shed some tears. If I could pick someone to model myself after as a rider it would be her. And after seeing this, you have to admire her character and grace in the face of tremendous stress and disappointment.


Ulla Salzgeber's very bad day

Ulla Salzgeber's dressage horse Herzruf's Erbe pulled a suspensory while in the ring in Aachen for the CDIO Grand Prix Special on Saturday 4 July 2009. Here is the video footage, which is non-gory, tactfully handled by the rider, but it might be upsetting to some. It was certainly a poignant moment and members of the audience shed some tears. If I could pick someone to model myself after as a rider it would be her. And after seeing this, you have to admire her character and grace in the face of trememdous stress and disappointment.


Sunday, July 12, 2009

The digital pulse: Normal or not?

Warning: The lower portion of this article has some horsie cadaver photos. Scroll carefully...

The first few times I took a digital pulse I felt frustrated and angry with myself for not having a better sense of what is normal for Harv and Riley. I've more or less learned how to take a pulse but recently Irishcas on COTH posted some super pictures of the actual arteries (on an actual dead horse -- scroll down with CAUTION) so that you know what you're feeling.

I can't summarize how to feel/evaluate a digital pulse any better than this video, Evaluating the digital pulse from The Horse, with Dr. Doug Byers. He refers to individual variation in a normal horse pulse but an abnormal pulse is a "bounding pulse."

Horse and Rider magazine also did a video, apparently without sound, but the accompanying text says that a horse’s pulse should be between 36-42 beats per minute.





Warning, here are the icky photos.....
Warning, here are the icky photos.....
Warning, here are the icky photos.....
Warning, here are the icky photos.....










These photos are from http://s277.photobucket.com/albums/kk64/irishcas/Mitch%20Taylor%20Clinic/?action=view&current=IMG_1355.jpg


Saturday, July 11, 2009

Riley's new home: Option C Farm (OCF)

Well, I picked Option C -- the barn 15 minutes from home and work, and literally two minutes from Harv. The pictures included in this blog entry are Option C Farm. Yes, it's toney digs, but the critical thing is that this barn has what Riley needs. If you don't recall the choices I blogged about, this barn has a worker who lives on the premises to help with hand-walking and hoof care.

A tour of OCF and visit with Riley


It's clean, well-managed, my vet boards there, and it has paddocks of varying sizes (starting at .3 acre) in the event Riley does get paroled early. But what's the real reason he's there?

Stop stalling!
My horse will spend most of the next two months in a stall. OCF's stalls are larger than the other options, the windows to the outside are larger, and they have grates all the way around so that the horses can "talk" to their neighbors. Also every surface is covered in metal -- two other cribbers at that barn don't wear a collar, so Riley may not have to either. We'll see. If it doesn't help him psychologically, it'll help me psychologically, anyway.

Anyway he is all moved in, and although I had worried about his behavior after all that confinement, he was a champ from hauling to stalling.
He settled in great, made friends with his neighbors, and was eating and drinking in a few minutes. I was made to feel welcome by staff and boarders, many of whom are older female dressage riders just like me. The dressage trainer asked me about Riley's breeding, and it turns out she bought her horse from the same farm Riley came from :-).

Okay, there was one bad moment. There were two empty stalls at this facility, and he ended up in the one where both buddies on either side were on night turnout. Riley watched them get turned out -- actually saw them running in the pasture out his window. Bob and I were a few stalls away talking to another boarder, and we heard a loud crack -- he kicked the stall pretty hard. Jesus. Riley, stop torturing your hooves! This morning he was moved across the aisle so he won't have a view of the pastures, and his buds on either side go out during the day, at different times.

I told a friend of mine about Riley's hoof, the mysterious cause, and the long road to recovery. She said "I know from experience, you are going to have to make some people unhappy in the process of getting him what he needs." Ahh, wise words. The vet is coming back next week to re-radiograph the hoof. Think some good thoughts in our direction!


Friday, July 10, 2009

Unintentional Rollkur? Katie PJ rides...

This isn't just an ufortunate photo, she has a lot of these moments.



I hate the long hair with the hat!


Thursday, July 9, 2009

5 years, an injury free workplace: An what'd ya get?

The scuttlebutt is that the dept. supervisors get big bonuses when their workers go without injuries for a certain length of time. Here's what Bob and his co-workers got...

Gee, uh, thanks?

There is a flip-side too. One year at Christmas, I recall the director at a former job got each employee a lovely Harry and David-type coffee-cake. Do you know people complained??? I don't recall their specific grievance, maybe they just wanted a bonus.


Wednesday, July 8, 2009

These boots are made for walkin' Part I

Some of you know that Riley is suffering through a hoof issue, and a hole in the bottom of his foot that needs to stay clean -- and until recently he was on turnout. I did some research and testing of hoof boots for turnout, and here is my considered opinion on the matter.

How I'm booting up my horses...
My research hasn't been exhaustive or first-hand in every case, but I learned enough to arrive at a reasonable verdict. It may surprise some of you to find that I recommend the Penn Equine Gear Hoof Sock for turnout. I gave this product a mixed review a few months ago, for reasons of fit more than anything. Even Penn Equine Gear does not say it the boot (pictured above/right) turnout-worthy. Yet it's lasted through weeks of turnout in a big field, with no sign of wearing through. I did take a few precautions...

  • I duct-taped the boot on, winding duct tape around his pastern three times. It would never have stayed on otherwise.
  • I vet-wrapped and duct taped his foot -- mostly to poultice the hoof but it also protected the ballistic nylon fabric from the sharp edges of the hoof.
  • Riley was unshod at the time I used it for turnout. Now that he is shod and stallbound, I'm putting the boot on his shod foot every other day, for added cleanliness and to help the bandaging last longer. I do it every other day so that his foot has a chance to breathe. The nylon is more breathable than a lot of other boots, but it's not the same as a bare foot.
There is similar product, a hoof slipper, on the market. It looked interesting in the magazine, but when I saw it in the store it didn't look as sturdy. Also the stiff leather bottom seemed too slick for safe turnout. Note that that manufacturer doesn't say it's turnout worthy either. It may be quite useful for stall-bound horses.


Penn Equine gear also makes a "trailworthy" boot that I also purchased for $49. It is nylon and breathable, but with a tougher outer sole. I have used it in Riley's stall with great success -- but the fit must be quite snug or the boot will turn. A second boot would be needed to test turnout. But the great thing about it is its soft construction. If it turned or got stepped on, it would not be painful to the horse. I'm sure I'll buy another one in the future, but I'm all booted out right now.


Coming up next... Hard turnout boots!