Colic vs COLIC, and the Cost

Colic vs COLIC, and the Cost

Tuesdays with Tony

Colic vs COLIC, and the Cost

If I’ve learned anything from my years here at the Clinic, it’s that there’s colic, and then there’s COLIC. The colic kind of colic means some Banamine, some water and electrolytes, and, gasp, a whole lot less food over the next couple days. The COLIC kind of colic means one of two things: a whole bunch of fluids through an IV catheter, or surgery, or, even worse, both. The other difference: how much they cost. Being the wise and wonderful cat I am, I’m going to share with you all I learned about horse insurance the other night so that you can be prepared for the serious amounts of money COLIC can cost.

There are three different price brackets when talking about colic treatment. For the simple colic that just needs some drugs and some fluids, you can expect it to run somewhere in the $400 – $600 range. These things usually happen after hours, so there’s an emergency fee in there (unless you are on a Springhill Equine Wellness Plan!). If it’s a medical colic that doesn’t require surgery, but needs to come stay at the clinic for a few days, you’re looking at $800 – $2,000, depending on all kinds of things. This will include oversight by Yours Truly, so there’s that. For surgical colic, there is a very wide range of cost, because there’s a very wide range of surgeries, depending on what’s wrong. You can expect it to be somewhere between $7,500 – $15,000. I know, I know. I’ve napped on cars that were cheaper than that, too. So, let’s talk about insurance.

Springhill Equine Veterinary Clinic

I can’t afford horse insurance

 

I’ll admit, I thought horse insurance was a whole lot of money. However, I learned from Rhonda Mack from Jerry Parks Insurance in Ocala, that for around $350 per year, a horse could have $11,000 of colic surgery coverage! That is a very reasonable number. But. Yep, I’m going to have a but here. This covers colic, but not much else. Keep reading for more insurance stuff, but know that there are very, very reasonable options to make sure you can help your horse.

 

How does insurance for horses work?

 

First, everyone decides on a value for your horse. No, you don’t just get to pick a number, any number. The value is based on purchase price (or stud fee if it’s a baby), training, show record, yada, yada, yada. Okay, we have a number. Now we start with a basic mortality policy. Everybody starts here. The premium on this policy is a percentage of that value number we came up with.

 

Now that you have mortality, you can add things like major medical or a medical assistance plan. Major medical will pay for just about anything your horse can do to themselves from colic to pneumonia to major lacerations to eye issues (and holy cow, can those get expensive fast!). Major medical will even help with diagnostics and treatments for lameness. More on the lameness stuff later. Or, for a more economical package, you can go with the assistance plan. It helps with colics, lacerations, etc., but not lameness. What does all this mean? You’ve got options when it comes to insurance!

 

One kicker to horse insurance is the pre-existing condition. If your horse has a problem with something, that thing gets excluded on future insurance policies. For example, your horse develops a left front lameness. My amazing Docs do their thing, and determine your horse has a lesion in the Suspensory ligament on that leg. Insurance will cover things this time around, but not after that.

 

Lameness and Insurance

 

If horses only got lame just after their insurance was renewed, we wouldn’t need to have this discussion. Horses don’t work that way, though. They like to go with “I’m going to go lame right before this insurance policy expires” plan. Great, you think. That horse I used as an example above with the Suspensory injury will be out for 6 months minimum. You won’t get to use all your insurance benefits because it happened 2 months before renewal. Never fear. In that scenario, the Suspensory will be covered for 3-4 months (depending on the insurer) of the new policy. But (I hate that word), it will be excluded after that and for all eternity going forward. Moral of the story here: have a talk with my Docs about lameness and insurance. It will help you make decisions.

 

What about ColiCare?

 

ColiCare, and a couple other similar programs, can be great ways to cover colic surgery! There’s a big but with them: they only cover surgery; not a medical colic. My Docs have the most experience with ColiCare, and they love it. SmartPak is easy to work with, and the payouts have been really quick and easy. My Docs are pretty “Meh” on the value of the supplement, but worth talking to them about it!

 

I know I can be a little bit snarky, but in all fairness to you humans, colic is tough. Heck, horse emergencies are tough. Insurance may be a way to help you handle those crazy emergencies a little better. Now I have to harass them about insuring me. There’s no way to put a value on all this amazingness, though, so that’s going to be tough.

 

Now be a good human. Scroll down a little further and subscribe to my blog. And if my blog isn’t enough to satiate your thirst for horse knowledge, check out the podcast the humans do called Straight From the Horse Doctor’s Mouth. You can get it on all the usual places, and I’ll admit, it’s pretty good, especially considering I’m not even on it. Imagine how awesome it would be if I was?

Springhill Equine Veterinary Clinic

Tuesdays with Tony is the official blog of Tony the Clinic Cat at Springhill Equine Veterinary Clinic in Newberry, Florida. If you liked this blog, please subscribe below, and share it with your friends on social media! For more information, please call us at (352) 472-1620, visit our website at SpringhillEquine.com, or follow us on Facebook!

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Is It PPID?

Is It PPID?

Tuesdays with Tony

Is It PPID?

There is an interesting phenomenon that seems to strike around this same time each year amongst the horses I see: they get hairy. Despite the consistency and repeat-ability of this syndrome, owners seem to worry every time this happens. What do they worry about, you ask? PPID. Affectionately known as Cushing’s disease, Pituitary Pars Intermedia Dysfunction, or PPID, is a disease primarily seen in senior horses. One of the many signs of this disease, and undoubtedly the most familiar sign to horse owners, is a long, shaggy hair coat. So, is your horse’s winter coat normal, or does he actually have PPID?

Let’s Review

   Why should you care if your horse has PPID anyway? Well, what if I told you your horse has a brain tumor? That’s a little scarier. PPID in horses is in fact caused by a tumor pressing on the pituitary gland in the brain. As the tumor grows, it causes the pituitary gland to overproduce certain hormones. These hormones can cause a myriad of problems when their levels are elevated. Problems such as laminitis, inability to fight off infections, weight loss, lethargy, and abnormal hair coat are commonly seen.
    The most concerning, even life-threatening, consequence of PPID is laminitis. There is no treatment for laminitis, and the damage caused by laminitis is irreversible. This is why preventing laminitis by treating the underlying PPID is so important.
    If you have a senior horse with PPID, you may not even realize there is anything wrong. On numerous occasions I have overheard an owner tell one of our docs that their horse acts 10 years younger since beginning treatment for PPID. Since lethargy, chronic infection, and weight loss are common clinical signs of this disease, it is not surprising that horses feel a whole lot better once their symptoms are properly managed.
    To tell you the truth, the classic long, curly hair coat is actually an advanced sign of PPID. Early signs include a change in attitude, decreased athletic performance, loss of top line, and slightly delayed shedding. Vets are trying to get better about recognizing these subtle, early signs, so that testing and treatment can be initiated sooner, and the more severe signs and effects of PPID can be prevented.

Let’s Test

   So let’s pretend it’s fall and your horse went ‘poof’ and blew out a long, winter hair coat seemingly overnight. Does he have PPID? Before making the diagnosis, our docs are probably going to ask you a few questions.
    First, is this normal for your horse? If he has been blowing out a shaggy winter coat on September 1st every year since he was 3 years old, it may be normal for him. Is his hair coat relatively even over his entire body? The abnormal hair growth associated with PPID is often patchy at first, found initially on the back of the lower limbs. Is the hair straight, or is it long and curly? A horse with a thick, long, curly hair coat covering his entire body has about a 90% chance of having PPID. Does he shed out completely in the spring? Some horses just grow thick winter coats; as long as they shed out completely at an appropriate time each year, they may be completely normal. Have you noticed any other signs? While many of the signs of PPID are somewhat non-specific, it is very common for horses to exhibit more than one. Does your horse have recurrent hoof abscesses, and you’ve also noticed he’s been losing weight recently? Has your horse been a bit slugging under saddle recently, and he also took forever to get over that eye infection he had earlier this year?
   If any of these scenarios sound like your horse, or if your vet suspects that your horse may have PPID, I really recommend that you have him tested. Did you know that there is a simple, one-time blood test that is highly accurate for diagnosing PPID? A baseline ACTH test is all that is needed; no stimulation testing, fasting, or dexamethasone suppression testing required! Did you also know that based on recent research you can test your horse for PPID any time of year? That’s right, there are now scientifically established reference ranges based on season that account for the normal rise in ACTH seen in horses in the fall.
    We now know that many of the signs we used to associate with “normal aging” in horses are actually signs of PPID. And better yet, this means they can be treated! So, ask your vet about testing for PPID at your next wellness visit.

Let’s Treat

   We are fortunate that there is an extremely effective, safe, and easy treatment available for horses with PPID. Prascend (the brand name for pergolide) is a tiny pink tablet you can readily hide in your horse’s grain every morning. Since the medication mimics a hormone naturally found in the horse’s body, side effects are very rare and mild. The best part about treating with Prascend is the results! I have been surprised again and again with the positive difference I’ve seen in horses that come through the clinic before and after starting treatment. And by starting treatment early, you can prevent the development of those advanced signs of PPID including laminitis, tendon and suspensory ligament breakdown, and recurrent infections.
     A rare but recognized side effect we sometimes see with Prascend is horses not wanting to eat their feed with the tablet in it. Lucky for you though, I have come up with some creative tips and tricks to address this issue: First, try splitting the dose into 1/2 tablet morning and night, rather than a whole tablet at once. If that doesn’t work, we can even try going to 1/2 tablet once a day, but we would want to re-test your horse after a few months to make sure his hormone levels were controlled at this dosage. If your horse simply refuses to eat his grain with even a partial tablet in it, try feeding his tablet in a soft treat like a stud muffin. You can also try enticing your horse to eat it with molasses or applesauce on top of his grain. Yummy!
   So now that you know why it’s important to know whether your horse has PPID, how and when we can test them, and how easy it is to treat them, what do you think? Is your fuzzy horse just gearing up for the coldest winter of the century, or might there be something more going on? Call me at the clinic to schedule your horse’s ACTH test, and let’s see if it’s PPID!
     Affectionately,
            Tony
P.S. Are you craving more horse knowledge? Check out the podcast that my docs make, Straight from the Horse Doctor’s Mouth. You can learn a lot in a half hour listening to them talk about various horse things. It’s pretty amazing, even to this cat, and I’m not easily impressed.
Springhill Equine Veterinary Clinic

Tuesdays with Tony is the official blog of Tony the Clinic Cat at Springhill Equine Veterinary Clinic in Newberry, Florida. If you liked this blog, please subscribe below, and share it with your friends on social media! For more information, please call us at (352) 472-1620, visit our website at SpringhillEquine.com, or follow us on Facebook!

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Horse Boots: Fashionable Equine Leg Wear

Horse Boots: Fashionable Equine Leg Wear

Tuesdays with Tony

Horse Boots

It’s Fall Fashion season. Before you ask, yes, I keep my paw on the pulse of the fashion world. Okay, mostly I watch the models to get new judgey, slightly disdainful, you humans are beneath me looks. Can’t beat the runways for that! A funny thing caught my eye while I was watching:

This got me thinking about boots. The kind for horses, not fashion models. And so, down the rabbit hole of horse boots investigation I went.

Support, but not too much support

Ask any woman, and they will tell you: there is such a thing as too much support. What about boots, though? Number one thing I hear around the Clinic about boots is “Which ones give the most support?” The answer is: it’s complicated. First, what structures do you want to support? In horse boot land, that normally translates to minimizing the drop of the fetlock when the horse is landing on that foot. I hit PubMed looking for scientific articles about this. I’ll save you time by letting you know there aren’t a lot of them. However, the ones that do exist have looked at products like the Professional’s Choice Sports Medicine Boot (SMB). They did find that boots like these reduced fetlock drop at the trot on horses on treadmills. Where the data is lacking is at the lope, and in big maneuvers like jumping, piaffe, sliding or spinning, and the complicated things a horse does to turn a barrel. The authors of all the papers also discuss that reduction of fetlock drop may transfer forces from the tendons and ligaments to areas higher up like the shoulder, SI, back, and neck. All the papers also agree that polo wraps don’t do much of anything. However, this cat feels polos are the go-to for fashion, and sometimes that’s pretty darn important.

Whack a leg

Like Whack-a-mole, but instead of great prizes like a giant stuffed bear, you get a vet bill instead. A much less fun game. Lots of boots work for this! From the expensive Kevlar ones, to the plastic lined with neoprene ones, to the SMB type boots, they all offer decent protection from whacks. This is a super important task for boots!!! I don’t know if you guys have ever watched a horse’s legs while they’re doing some of the crazy stuff you do, but holy cow, I don’t know how they don’t tangle up in a knot of legs and go down every time! This means that unless you’re moseying, or showing in an event where leg attire is not allowed, it’s probably a good idea to at least have boots on the front legs. This video https://youtu.be/WHlqZ6VZvKE has an excellent illustration about why at approximately the 18:30 minute mark. If you have a weak stomach, don’t watch it, but it is a great video about how truly amazing horses are!

Like a Sauna

An often overlooked problem of boot application to the lower leg is heat. It’s summer in Florida. It’s 100 degrees, and the humidity is 98%. Now, put a boot on your horse, and go exercise. Imagine the temperatures in there! Boot manufacturers know about this problem, and have updated many of the designs to help get some air in there. However, no matter what, there will be more heat under a boot than if the leg is naked. Something to think about when selecting your horse’s fashion accessories. Also something to think about when shipping. Those shipping boots that model is wearing can get mighty toasty. Standing wraps and quilts can too! I’m not saying don’t use them, I’m saying think about if they are needed before using them. Free tip from this wise cat: check out Sox for Horses. They offer all the support, and don’t heat the leg up, AND they fight skin funk! I love these things. And, no, they don’t give me catnip to say that. In fact, they don’t give me anything.

Rehab boots

There is one case where fetlock support may be a good thing, and that’s rehab of tendons or ligaments like the suspensory or deep digital flexor tendon. The scientists aren’t 100% on this, but they feel like having a horse wear SMB-type boots may help in the early stages of rehab. There’s even a brand of boot out there just for rehab that supports the fetlock even more than SMBs. It doesn’t work for everyday, but may help horses just starting walk and trot work. I can’t overemphasize this enough: talk to one of my wise Docs about this before jumping in with both feet. There’s a process!

I learned a lot in that rabbit hole. Turns out boots were made for more than walking. Now be a good human: scroll down and hit subscribe to get my weekly words of wisdom delivered straight to your Inbox.

Until next week,

Tony

P.S. Want more horse info? Check out the podcast the humans do called Straight From the Horse Doctor’s Mouth. It’s loaded with way more information than I can type (without interrupting my nap schedule, which is very important). 

Springhill Equine Veterinary Clinic

Tuesdays with Tony is the official blog of Tony the Clinic Cat at Springhill Equine Veterinary Clinic in Newberry, Florida. If you liked this blog, please subscribe below, and share it with your friends on social media! For more information, please call us at (352) 472-1620, visit our website at SpringhillEquine.com, or follow us on Facebook!

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Preventing Colic

Preventing Colic

Tuesdays with Tony

Preventing Colic during Colic Season

As a cat, there is nothing I love more than sunbathing. The mid 90 degree temperatures of Fall in Florida have been less than ideal for this pastime. However, I am assured cooler temps will arrive one day, and my sunbathing can return to its normal schedule. What has arrived on schedule is decreasing daylight. With shorter days comes slower-growing grass, and with less grass comes hay season. Oh goody. Around the clinic we also call this Colic Season. Being the generous cat I am, I’m going to teach you how NOT to be a part of Colic Season.

 

Step 1: Go Slow

 

This is not something you humans are very good at. You are all about the ‘go big or go home’. When you start feeding hay (or even just feeding more hay), patience is key. It’s rather like my sunbathing. You must be patient! If your horse has only been eating pasture, begin by adding 5-7 pounds of hay per feeding. Coastal hay especially should be started slowly. Throwing a bunch of hay at a GI tract that’s been used to green grass is a recipe for an unscheduled visit from my Docs. Add an additional 2-3 pounds of hay every 4-5 days until your horse is leaving some hay behind. Absolutely DO NOT put a roll of coastal hay out until your horse is walking away without finishing their hay.

 

Step 2: Add some legumes

 

That would be alfalfa and peanut hay around these parts. These hays are salty, which helps remind your horse to drink. They also have a laxative effect on the GI tract. Both hays bring water into the gut, which helps prevent impactions. Small amounts of these hays does wonders, which is good because both are pretty high in calories. Four to five pounds per day can dramatically reduce the colic risk. As a cat who struggles with his weight, I understand keeping calories down, but a little bit of legume goes a long way!

 

Step 3: Get water into horse

 

The. Hardest. Thing. Ever. That saying, “You can lead a horse to water, but you can’t make them drink,” is the truest thing ever spoken by a human. Luckily humans are (sometimes) smarter than horses. My humans have found that you can feed a horse soup, and get them to eat it, thus making them drink, and they don’t even know it!! Especially when weather changes, but also when it’s a new shipment of hay, or you put a new hay roll out, it’s so unbelievably important to get those dang horses to drink. Get your horse used to eating soaked feed now. That way when it goes from 85 to 35 and back again in 12 hours, you can feed soupy food and know your horse got lots to drink whether they wanted to or not.

 

Other stuff to avoid colic

 

We usually talk about electrolytes in the summer to help replenish all the things in sweat, but in winter, electrolytes work great to help stimulate thirst on a cold day. Florida horses are really bad at drinking on those 2 or 3 truly cold days.

Beet pulp is also great at getting water into horses. However, don’t go starting beet pulp on a cold day because it seemed like a good idea that day. Beet pulp gets fermented in the large colon and make a lot of gas. If you want to use beet pulp in the winter, refer back to Step 1: start slow. It’s also important to remember you can add water to any feed, and you can even soak hay. All sneaky ways to get horses to drink!

We all agree cooler weather is amazing. With a few simple steps, you can also keep those beautiful Fall days colic free! Here’s another simple step: scroll down a little more, and subscribe to this blog. That way it will show up in your email!

Want more knowledge about colic? Take the deep dive with Dr. Lacher on our podcast, Straight from the Horse Doctor’s Mouth. Episode 2 is loaded with everything you could want to know about colic. You can listen right from our website on your phone or computer, or you can subscribe anywhere you download podcasts.

Springhill Equine Veterinary Clinic

 

Tuesdays with Tony is the official blog of Tony the Clinic Cat at Springhill Equine Veterinary Clinic in Newberry, Florida. If you liked this blog, please subscribe below, and share it with your friends on social media! For more information, please call us at (352) 472-1620, visit our website at SpringhillEquine.com, or follow us on Facebook!

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Vaccines: It Really Is Life and Death

Vaccines: It Really Is Life and Death

Tuesdays with Tony

Vaccines

I know this has been said before, but apparently some of you still need reminding: Vaccinate your horses. Every 6 months. By a veterinarian- not something you picked up at the feed store. Don’t skip Rabies, or West Nile, because you’ve owned a lot of horses and you’ve never had one get those diseases. Please humans, for the love! Bonus tip: if your horse has been vaccinated by a veterinarian within the appropriate time period and does contract the disease he was vaccinated against, the vaccine company will probably pay for your treatment costs. Of course, this would be an extremely unlikely scenario, because these vaccines are so incredibly effective. This whole anti-vaccine movement makes me so mad, I could pee outside my litter box!
    Many of these life-threatening diseases are transmitted by mosquitoes. Now, there are 2 ways to protect your horse from such diseases:
    1. Keep your horse indoors in a fully enclosed, air-conditioned, mosquito-free environment 24/7.
    2. Vaccinate.

Seeing as most horses live outside, horse owners usually choose the latter. That’s not to say you can’t work on mosquito control at your farm. Eliminating standing water, installing fans, and fly spray systems are all great ways to cut down on the number of mosquitoes in your barn. But you are never going to be able to prevent your horse from ever being bitten by a single mosquito; and it only takes one bite. Let’s take a closer look at these diseases, to remind us why it’s well worth a few bucks twice a year to protect horses against them.

 

West Nile Virus

    West Nile Virus is transmitted by a bite from an infected mosquito. The early signs of West Nile are subtle. Your horse may have muscle fasciculations, or twitches, of his face, ears, and neck. He may go off his feed. He may have a fever and act lethargic. You may also notice that he is hyper-reactive to sound, touch, or light. Within a few days, most horses will progress to stumbling, falling down, and being unable to stand. They may go blind. They are often distressed because they want to get up, but their legs are too uncoordinated for them to do so. The rule of thumb with West Nile virus is that once a horse is recumbent, or down, they never get back up. If the horse is not euthanized at this point, his signs will progress to seizures or coma, followed by death.
    Now, on to the treatment for West Nile: oh yeah, there isn’t one. All vets can do is supportive care in the form of IV fluids, anti-inflammatories, nutrition, and slinging the horse to keep it standing. If caught early enough and kept standing, eating, and drinking, about 30% of these horses will survive, but many of them will have lasting neurologic deficits.

Eastern Equine Encephalitis

   This is another mosquito-transmitted disease for which there is no treatment. Some fun facts about Eastern Encephalitis: far and away the most cases of this disease are seen right here in Florida. In fact, we  Floridians have already had 18 cases this year! The EEE vaccine only lasts for 6 months max, so you HAVE to be getting your horses boostered twice a year for this one. Another fun fact: Eastern Encephalitis is almost 90% fatal. This means that no matter how early the signs are noticed, nor how soon supportive care is initiated, the horse is most likely not going to survive longer than 5 days.
    Early signs of Eastern Encephalitis include fever, depression, and going off feed. The condition usually deteriorates rapidly to stumbling, circling, head-pressing, and sometimes blindness. EEE is also called “sleeping sickness,” so named because of the characteristic stance horses tend to adopt during the later stages of the disease. These horses hang their heads low between their legs, often with their tongue sticking out and their eyes nearly swollen shut. From there, many horses become recumbent (there’s our new vocabulary word for the day again), and begin to have seizures or go into a coma. At that point, a decision must be made to euthanize the horse.

Rabies

   When people think of Rabies, they often think of that dog (ugh, dogs) in Old Yeller. He had one form of Rabies, called the “furious” form. But there is another presentation of Rabies called the “stuporous” form that many owners don’t know about. It is also important to note that an aggressive, lunging, biting, foaming at the mouth horse would be in the late stages of this disease. Earlier, more subtle signs include dysphagia, or difficulty eating, and difficulty drinking or water aversion. The horse may also exhibit neurologic signs such as incoordination, stumbling, circling, and an altered mental status. In the stuporous form of Rabies, these horses will become unresponsive to their environment. With the furious form, horses can become hyper-reactive and even aggressive.
   The single most important thing for you to know about Rabies is that it is contagious to humans, and it is nearly 100% fatal. The Rabies virus is passed through the saliva of an infected animal. This means that even without sustaining a bite, you can get Rabies from an affected horse or other animal just by coming into contact with secretions from their mouth, eyes, or nose. Vaccinating your horses against Rabies is really a no-brainer. Horses live outside amongst several wildlife species that can carry Rabies, such as skunks, bats, foxes, and raccoons. Moreover, by vaccinating your horse against Rabies, you are really protecting yourself and your own family from exposure.

Tetanus

    Tetanus is a recommended core vaccine for horses because most horses have 4 feet in contact with dirt most of the time. Seeing as Tetanus is a bacteria that lives in the soil (definitely all over Florida), horses have an especially high risk for this disease. The Tetanus bacteria can infect a horse through even the tiniest wound. It is a myth that it takes a puncture from a metal object such as a nail to seed tetanus into a wound; any cut or break in the skin or hoof can create an opportunity for tetanus bacteria to enter.
    Tetanus also has a very high mortality rate when tetanus antitoxin is not administered rapidly. The first sign of tetanus is stiffening of the muscles, often first noted in the jaw, which is why this disease is also termed “lock jaw.” From there, all of the horse’s muscles will begin to contract and will be unable to relax. This results in the “sawhorse stance” typical of tetanus infection. Another common sign of tetanus is third eyelid elevation, which means the pink flap at the inner corner of the horse’s eyes becomes prominent. Over a period of only a few days, horses will go down and be unable to stand. Once the muscles of breathing are affected, the horse inevitably dies.

Western Equine Encephalitis

    If we lived on the West coast I would tell you about Western Equine Encephalitis as well, but thankfully we don’t see that disease round these parts. Suffice it to say, this disease is also spread by mosquitoes, and it causes signs very similar to Eastern Equine Encephalitis.
   You may notice a few themes with these diseases:
    1. They all have a high fatality rate. (That’s why we are so hyper about keeping your horses from getting them.)
     2. They are all easily transmitted to horses, either through the bite of a mosquito or other animal, or through the soil.
    3. They all exhibit some pretty horrible signs that you would never want to witness in your horse.
    4.  They are all easily preventable through vaccines.
   We are fortunate that we have vaccines which are extremely safe and effective against all of these core diseases in horses. Now, it is your job as a responsible horse owner to use your noggin and get your horse vaccinated!
   Ok, I’ll get off my cat-box now.
   Until next week,
        -Tony
P.S. Why don’t you check out the Podcast page while you’re here? After you scroll down a bit more and subscribe to this amazing blog, of course. It’s right below my handsome photo in the purple box.

Tuesdays with Tony is the official blog of Tony the Clinic Cat at Springhill Equine Veterinary Clinic in Newberry, Florida. If you liked this blog, please subscribe below, and share it with your friends on social media! For more information, please call us at (352) 472-1620, visit our website at SpringhillEquine.com, or follow us on Facebook!

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