Tuesdays with Tony – The Olympic Edition

Tuesdays with Tony – The Olympic Edition

So with all this athletic horse research I’ve been doing lately, it was inevitable that I would have to check out the Olympic team horses.  I have to say they have a pretty good gig.  If it weren’t for all the fitness stuff, I would try out.  I look good in red, white, and blue and I like to travel so I think I could get  a spot on a team.  I suppose I would need to pick a sport but since it’s too late for this Olympic cycle, I will look to something for 4 years from now.  Plenty of time for that later.

Just a warning, I went hard core social network stalker for this week’s blog.  I started at the USEF and USEF Eventing High Performance Facebook pages, then checked out the Chronicle of the Horse, and finally went to the social media pages for the humans involved in this endeavor.   Apparently getting to the Olympics is a very long process.  It may take more patience than this cat can muster.  It starts with a list of potential horse/rider combinations.  These combinations are watched by a coach so special they need a French name: Chef d’equipe.  Around the beginning of the year this coach narrows the list down to 7-10 possibles (the long list).  And then the real fun begins.

Being a Team horse is kind of like being an NFL player.  There are lots of perks, but there are lots of people who want to know all about how fit and healthy you are.  It starts with a VERY complete examination by the Team veterinarian.  They look at everything from tendons, to bone, to muscles, to eyeballs, to fitness.  Next that special coach looks at competition results, how the horse works at home, and the rider’s history in high stress situations.  Finally, there are some “test events.” These are set horse shows or three-day events that Team horses have to go to.  Based on all of these factors the Chef d’equipe gets to pick a team.  The check-ups continue after that.  The coach is constantly checking in to see how training is going, the vet is checking to see how healthy the horses are, and the behind the scenes people are checking to be sure all the organizational stuff is ready.

Now the horses have to get to Brazil.  No matter what discipline (Dressage, Eventing, or Show Jumping) if you made that long list you had to have a complete list of everything you wanted to bring for feed, supplements, and hay ready to go in January.  This Olympics thing is looking a bit too complicated for this cat.  All of the things on that list had to pass through the government of Brazil for approval and were shipped down well ahead of the Olympics.  Next the grooms have to pack everything they could ever want to have in two tack trunks (OK they are big ones, but still).  I mean this is the Olympics and you get a maximum amount of stuff you can pack.  I don’t have a lot of experience at this sort of thing but I think I would want to take everything just in case.  Meanwhile, the horses have to get special blood tests, vaccines at designated times, and make sure their passports are ready because they are getting on a plane.  I think it would be really fun to get on a plane!  Luckily by this point in their careers most of these horses are pros at the international travel thing.

Once the horses arrive at the Olympics they have an entire staff of people making sure their every whim is catered to.  The vets are checking for soreness, stiffness, or any sign of even a slight sniffle.  The physiotherapists are stretching, massaging, and FESing away to keep everyone in tip-top shape.  The grooms are taking care of all the details like fluffing the bedding just the way these superstars like it, providing their favorite snack, and scratching that particularly itchy spot.  Like I said earlier, there are perks to this Olympic horse thing.

And at the end of it, no matter the outcome, every one of those people will be honored to have taken care of these amazing horses.  And with that I’m off to watch Eventing Show Jumping.  I’m rooting for Boyd Martin and Blackfoot Mystery.  Mostly because I have black feet so I’m sure it’s a sign but also because who doesn’t love an off the track Thoroughbred.

  • Tony

Tony Olympic pic

 

Tuesdays with Tony – White Line Disease

Tuesdays with Tony – White Line Disease

Tuesdays with Tony – White Line Disease

It seems there has been an awful lot of something called White Line around here lately.  I decided if there was going to be a bunch of it, I was going to learn about it.  As it happens, we had one of these horses come in to the Clinic to have his feet worked on, so I got first-hand experience.

This horse was seen by our Docs for a Wellness visit.  Small shameless plug for our Wellness Program:  It’s everything your horse needs for the year, it has built in discounts, there’s no emergency fee if you are on the Plan, there’s an awesome Kentucky Derby Party, and we take care of all the remembering of what needs to be done.  I really don’t understand why everyone who has a horse isn’t on one of our Wellness Plans. Anyway, back to what we were talking about… While there, they examined him for a right front lameness.  As with all lameness evaluations, the exam started at the foot.  This guy had a whole flap of hoof wall that wasn’t attached!  I have now learned this is a tell-tale sign that you’ve got White Line.  Yes, I did purposefully make that rhyme. It’s called a Cat-ch Phrase!

I started my adventure by assisting with x-ray set up.  I find there is no better resting place than atop a keyboard on a computer.  Turns out the humans don’t like it much, but we compromised and I was allowed to observe from an adjacent table as long as I agreed not to touch the x-ray computer.   They get sooo protective of their stuff.   We started our work on this horse with an x-ray of the front feet.  X-rays let our Docs and Shawn (the farrier) get an idea how much White Line Disease is present before they bring out the nippers, knives, and rasps.  The x-ray also shows if there are any other problems going on, such as founder.  I learned White Line can so compromise the structural integrity of the foot that founder starts.  Scary stuff.  I know from years of managing this Clinic that founder is very hard on horses.  Turns out this guy had a little bit of a change to the bones in his leg and foot.   The Docs and Shawn explained to me this wasn’t because of founder (looked the same to me) but was because this horse had something called a Club Foot.

white line with arrow

The x-rays led to a lively discussion on the causes of White Line Disease.  Apparently fungi and bacteria can be cultured from the nasty, chalky stuff that builds up under the loose hoof wall, but that’s not the heart of the problem.  Physics is the real problem.  The fungi and bacteria under there are just taking advantage of hoof wall that is being pulled away from the foot.  Almost always, that hoof wall is being pulled away because the hoof has bad conformation or it has been trimmed/shod poorly.  Usually the break-over is way too far in front of where it should be, which causes pull on the hoof wall with every step.  That pull opens up tiny cracks where bugs can grow.  The bugs then harm the hoof wall allowing it to open even more, which lets the bugs multiply. As you can see, it’s a vicious circle.  Check here for more information on the physics of feet: http://springhillequine.com/part-1-everything-you-ever-want-to-know-about-your-horses-feet

What’s a cat to do? Let the air in and fix the physics.  We’ll delegate the task out to fix the physics.  I’m not one for physics.  I lean more towards business management. Step one on White Line cases is to take off all that hoof wall that isn’t attached.  The bugs hate fresh air.  Take off the hoof wall, and they get more air than they can stand.  Off to bacteria/fungi heaven they go.  Next a shoe is put on that addresses any of those pesky physics problems.

white line Georgia

Voila! The worst of it is done.  At home the humans just have to make sure the foot stays clean.   They can do this by hosing the foot off, brushing with a wire brush (gently), and the occasional squirt of hydrogen peroxide (not too often, that is some powerful stuff).  The hardest part is time.  The horse will now need time for the hoof to grow out and heal.  Humans just don’t do patience well.  I recommend a good nap in a sunny spot.  It does wonders for my patience.

With all this talk about feet, I’m off to give myself a nice pedicure on the scratching post.  I think I will follow that with some patience practice.

-Tony

Tony supervising Shawn

Tuesdays with Tony – Joint Love

Tuesdays with Tony – Joint Injections

This week I’m going to continue my foray into the athletic world.  I figure once I’m on a roll, I may as well continue.  This athletic thing is a fascinating topic I knew nothing about.  Sleeping: now there’s a topic I am an expert on!  Anyway, I have learned a ton watching Dr. Lacher and Dr. Vurgason work on these athletic horses.  Lameness or poor performance seems to be a topic that comes up a lot.  Personally, I think horses have not trained their humans well.  No one talks about my “poor performance.”

Lameness appears to come in two categories as far as this cat can tell.  There is the ‘trot them around and, yep, there it is on such and such leg’.  Then there is the ‘my horse just isn’t doing right.’  This is also known as ADR (ain’t doin’ right).  For the first kind the Docs perform nerve blocks to numb specific areas.  Once the horse improves, they know the approximate area to look for the problem.  Then they can pull out the x-rays and the ultrasounds to see what’s going on.

ADR lameness is more difficult.  These will often require watching the horse perform under saddle.  Sometimes, the lameness can only be seen when the horse is doing its job.  I’m not sure what a job is, but it seems to involve work.  A good video of the problem will often help the Docs out a lot.  It seems some horses only have an issue if they are at something called a horse show.  I have heard there is a similar problem with cars and mechanics.

All goes great, and the Docs are able to isolate a problem.  Now what?  Often the answer is an injection of an offending joint.  What does that even mean? Never fear, I put my investigative hat on to find an answer.  Turns out the answer is both simple and complicated all at the same time.  There will be a serious nap after this blog.  It has taxed my brain.

The simple part: a joint injection is injecting stuff into a joint. The complicated part: why and with what.

I assumed (you know what they say about assuming) that joints got injected because of arthritis.  Turns out that is true in older horses.  In younger horses, joints are injected to reduce inflammation from injuries and reduce soreness from training.  It is very important to know why you are injecting a joint.  If it is to help with an injury, then rest has to happen too.  If it is soreness, it may be necessary to back down on the work for a few days.  Arthritic horses can, and need to, go back to work as soon as possible.  Why and what joint are very important for the future.  Hocks can be injected for the competitive career of the horse.  Every other joint that gets injected is at a cost to the long term health of that joint.  Our Docs are always evaluating if that cost is worth it.  For example, if the joint has inflammation that is harming the cartilage, then injecting it will cause less harm than leaving that inflammation in there.

Now for the what.  Joints are usually injected with a combination of steroids, a lubricant, and some antibiotics.  The steroid is chosen based on how much motion the joint does.  For example, the fetlock does a whole lot of moving compared to the sacroiliac joint.  Steroids are also chosen based on how friendly they are to cartilage, the lining of the joint, and any nearby important things like muscles.  This means a different steroid is used in the stifle, than in the fetlock or the hock.  The lubricant is almost always a high molecular weight hyaluronic acid.  That is a fancy way of saying really gooey stuff.  Sometimes the Docs will use Adequan, but that is reserved for the really bad joints.  Last thing that goes in there is a bit of antibiotics.  Joints do not handle bacteria well, so the antibiotics are there as a preventative.  Our Docs are also super picky about scrubbing the area where the needle is going in to be sure it is really, really clean.   Lastly, for those joints that are in really big trouble, our Docs go to what they call the “big guns.”  These are called IRAP, PRP, and stem cells.  They tell me these injections target the inflammation one step higher than steroids.  They are pricey, but they do a very good job with minimal side effects.

Whew, that was a lot to say, and I only scratched the surface (pun intended).  Joint injections are complicated and have a lot of factors involved.  Want to know more? Ask away in the comments or check in with our Docs next time you see them.  For now, I am off for a bite of food and a good nap.  I haven’t had either for at least an hour.

Tuesdays with Tony – Sugar…..Yes, please!

Tuesdays with Tony – Sugar…..Yes, please!

I’m going to start with an easy one this week:  Vaccinate your horse for Eastern Encephalitis (EEE).  Florida has hit 12 cases of EEE in horses this year.  Eleven of those horses are dead.  One had a current vaccination status and is recovering.  Did you get that? All eleven that had not been vaccinated had to be euthanized.  The one that was is going to be OK.  Call, text, e-mail, facebook message, heck send a carrier pigeon, however you want to get in touch with the humans here, but make sure your vaccines are up to date.

Whew now that that’s done, I would like to move on to my favorite topic: food.  OK, one of my favorite topics, the other being naps.  I had to research this week’s food topic since it is about the equine athlete and we all know I am not an athlete.  Luckily, we had some very nice folks from Nutrena and Purina in recently that know all about feed and I got to pick their brains.  It’s nice when all my sources agree.   Here’s the problem in a nutshell: for the average horse sugar is bad (also true for humans and cats) but athletes need some to fuel muscles.  Where is the line? Oh and it’s summertime and it’s hot.  I promise that last bit is important, not whining.  Cats don’t whine.

Nutrition for horses has come a long way in the past 20 years.  Those bags of feed are no longer “grain” but are now a perfectly blended mixture designed for your horse’s metabolism, level of activity, and their weird GI tract.  A large part of this change has been a decrease in simple sugars.  Instead calories now come from complex sugars, fats, and protein along with a bit of simple sugar.  For the average horse this is great.  They spend a lot of time eating, lounging, and discussing the meaning of life with their closest cat.  Sometimes the humans make them work but it usually isn’t for very long or very hard.  Calories aren’t so important in this scenario.  I resemble this scenario, though I am always trying to convince my minions to share their food with me since I’m starving.

Horses who work for a living are different.  I’m not sure why you would want to work but I understand that horses do this and some even enjoy it.  Weird.  Anyway, at a certain point the equine muscle requires simple sugars to work well.  Fat and protein are great long term energy sources but for those bursts of energy, sugar is the way to go.  I’m not saying turn them loose in the sugar cube bin, but it is important to have sugars available in the diet.  How much sugar you ask?  That is an excellent question.  How does your horse feel when riding?  Do you find you are hitting a wall? Is there less zing when you need zing?  Is the hot weather zapping them of energy? These can be indications it may be time to up the sugar content of the diet.   That wall and that lack of zing happen when the muscle has used up all its energy stores.  The fats and proteins can be used for energy, but the process takes longer.  Processing fats and proteins also creates heat.  Told you I wasn’t whining about the heat.  Summertime in Florida is not when we want to make more heat.

You have decided your horse could potentially benefit from an increase in sugars in the diet.  Now what? First check with the Docs.  Horses with certain medical conditions such as metabolic syndrome, laminitis, or a muscle disorder called PSSM have to be very carefully monitored.  Often the Docs will work with a nutritionist to come up with the best diet for these guys, and monitor them with bloodwork.  If you get the OK from our Docs, then it is simply a matter of picking a diet with a higher NSC than the one you use now.  I say simply but in reality it is simple but not easy.  I’m going to recommend you talk with our in- house expert, Beth, before you just go with a bag of feed.  There are million different ways to increase sugars in the diet and not all of them are good.  Seriously, check with Beth.  Beth has more years than she will allow me to say of experience in the equine feed industry.  Beth will help you come up with the perfect program for your horse!

And now I am off to consume my low sugar diet which has been specially designed for diabetic cats.  At least it means I don’t have to get insulin shots anymore!

– Tony

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Tuesdays with Tony – When Pigs Fly

Tuesdays with Tony – When Pigs Fly

When Pigs Fly

I thought I had seen just about everything in my 9 lives. While I didn’t actually spot any pigs flying on Saturday, I did see several swimming in Kiddie Pools, walking on leashes, and eating watermelon during our first annual Piggy Ice Cream Social! It was quite the spectacle. I chose to park myself at a safe distance in front of the fans and speakers that the humans set up for me, and I waited for everyone to come give me attention. It worked.

 In case you humans needed yet another reason to come and adore me at the clinic, this month we are offering $35 off in-house dentals! I didn’t quite understand why horses require so much dental care, so I asked the docs about it after Saturday’s social, and this is what I learned:
Unlike the superior feline species, horse teeth continue to grow throughout their lives. The fancy doctor word for this is hypsodont dentition. As the teeth erupt from the gum line, they are gradually ground down by forage in the horse’s diet. Humans have done a few things to fowl up this natural process of wear and tear, including feeding horses large grain meals to replace grazing on the prairie, and breeding horses to have extra long or short heads, which often means their teeth no longer line up.

In an ideal situation, the top rows of cheek teeth line up with the bottom rows of cheek teeth, and when the horse grinds it’s food in a circular motion, all of the teeth wear down evenly. (We are talking about molars and premolars now, not the incisors, which you see when you lift up the lips.) In reality, it is common for the top rows of teeth to stick out farther in the front, and the bottom rows of teeth to stick out farther in the back. This causes sharp hooks and ramps, respectively,  to form. 

  In addition, the horse’s upper jaw is wider than the lower jaw. Over time this causes sharp enamel points to form on the cheek side of the upper teeth, and the tongue side of the lower teeth. Sharp points lead to ulcerations, which lead to pain, which lead to difficulty eating, which leads to weight loss…
   Moral of the story: bring your horse in for a dental float, and the docs will be able to identify and quickly correct any and all of these issues. A healthy horse with an average mouth should have his teeth filed down, or “floated” at least once a year. If your horse has dental problems, such as missing or broken teeth, a wave mouth, a step mouth, or a long history of inadequate dental care, he may need more frequent dental exams.
   The only way to thoroughly and safely examine all of a horse’s teeth is with sed
ation, a good light source, and a speculum (that’s the contraption that holds the horse’s mouth open and prevents the doc’s arm from being crushed). Honestly I still wouldn’t be caught dead sticking my paw inside the mouth of a 1000 lb animal with 42 teeth, but then again I’m not a vet!
   Now, thanks to my cat wisdom, you are an expert on horse teeth. Feel free to go out and impress your friends with your new knowledge. I won’t even ask for credit, just give me a scratch behind the ears when you bring your horse in for his discounted dental this month!
        -Tony
Tony in front of fan