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We Are Flying Solo

Showing posts with label vet care. Show all posts
Showing posts with label vet care. Show all posts

April 16, 2013

Look, It's Hard Being Six People At The Same Time

So many posts that need writing, so little brainpower available to throw at them.  But there are exciting things coming up, I swear, including a contest.  Like, with actual prizes!

Monday, I sat down with Dr. Bob at the clinic to talk about short- and long-term management options and possibilities for dear little Encore.  As many of you know, last spring, with the help of the amazing orthopedic department at NC State University's Vet School, we were able to pinpoint Encore's hind end subtle quirks and pain to arthritic changes in his vertebral processes between T12-L1.  He was injected at the vet school (although a resident told me this process would never have to be repeated, which seemed highly biologically improbable at the time and later, I learned my instincts were right) and over the process of three weeks, returned to comfort and full work.  Of course, he then promptly slipped and pulled his SI ligament at Five Points HT that August.  *headdesk*
Being a star at Holder Event Team's Windhaven Farm.

When we returned from our magical fantasy time with Becky, out of nowhere, his back flared up and it was as if someone had flipped a switch, turning my strong, balanced horse into the stumbling, rushing, anxious kid of a year ago.  I was caught so completely off guard, I admit to full-on panic, frantic weekend emails to NCSU (which were actually answered, bless them) and whirling confusion as to what this all meant.

Dr. Bob was able to reinject his back with no issues after consulting with the Vet School, with the clocking ticking down to Longleaf Pines HT.  I did not want to push a sore horse, so I deeply hoped he would feel better quickly and not make me eat $220 of entry fees.

Long story short, it was bumpy, but he began to make positive progress this past weekend and it looks as if he will ok to head to my favourite horse trial on Saturday.  But I had some things to think about and some questions to ask.

Would managing his back spiral into insanity, leaving both of us in a constant state of anxiety and frustration?

Would Encore even be able to make it in eventing -- all I want is Training Level and he can jump that from a standstill.

Should I consider surgery?

Head spinning, quite exorcist-like, I crashed through the clinic doorway and assaulted our poor, wonderful vet with all of it.  In his trademark practical, calm delivery, he allayed many of my concerns and quieted the howling confusion and uncertainty yet again.

As his imagery shows, Encore's vertebral changes are low-grade, a 1 out of 4.  He does not show bone loss or fusion and still has joint space, even though it is reduced.  By keeping his topline strong, continuing to teach him to use his body in a round outline, and keeping the inflammation at bay with periodic injections, he should not have a problem achieving the goals I have set for us.

So I decided to start breathing again.  That is reasonable management and that I can do.  I am well aware by now that a horse in training and competition WILL need management of some kind.  As soon as you begin to challenge their body, unless you are just insanely lucky (and I sort of hate you), you will have to support that body, just as you would any athlete's, through diet, medical care, physical therapy, and all those other details.  Be it injecting hocks or padding feet or supplying Adequan or calming ulcers or building up stifles or unlocking a weak joint or muscle, once you enter the sporthorse game, those cards will land on your table.

The decision we must make, then, includes defining what is reasonable for both horse and human.  If it's a joint injection and muscle building, well heck, half of that I need to do anyway and the other half is pretty straightforward and low on the "things that help our horses" totem pole, so I'm ok with that.  Solo needed his hocks done every six months when he was in work.  Encore needing the same for his back every 8-10 months (pretty much the same price) is fine.  In fact, it may be less than that -- doing ten days of very intensive training in a row, in my reality, is not something that is going to happen again any time in the foreseeable future, so that level of body stress for a prolonged period of time will be rare (thank goodness for BOTH of us).

For today then, Encore and I will continue to be a matched pair, with a bit of crunch in our backs that, with a little helping hand, doesn't diminish our enthusiasm for the road ahead.  Hopefully, it will stay that way.

April 4, 2013

I Want To Go For A Walk

I'm  not dead, I swear.



I just need a clone to get all my stuff done.  Should be easy enough, right?

But Dr. Bob took care of Encore and injected his back for me yesterday.  I'll bring him back to the long lines on Sunday and go from there and with any luck, we'll be back to golden for Longleaf.

Speaking of long lines, the videos from Becky's magical training session with Encore are up!  Thank you so much to Amber; this is quite possibly the most valuable tool I took from those two weeks.

It is currently raining ice (WTF, sky, it's April?!) so...I guess I'll just wait 30 minutes to see what season is up next. 

March 29, 2013

Happy Happy Happy Sad

I have a few more Becky insights to share with you, but to share the most recent reason why only crazy people own horses:

I did our first home long lining session on Saturday and although it took a bit for me to get sorted out, I got some REALLY nice trot work from Encore!  Happy!

Solo and I warm up at Tamarack in 2009.
Monday, after being very patient and positive and ignoring all his silly head flinging and eye-bugging on a cold, windy day, we finally settled into a dressage school and he was connected, moving over his back, and just generally awesome!  Happy!

I noticed on Monday that his left lead canter felt quite disjointed, but I attributed it to post-training muscle soreness and gave him some bute and a few days off.  No problem, a little rest and we can still go visit the Emersons' lovely farm in Southern Pines, Tamarack Hill, for their fantastic schooling HT series (if you haven't, you should go, EXCELLENT courses, Denny and his wife, May really make it a welcoming, educational experience for the horses).  Still sticking with happy...

Today I got on for an evaluation ride so I could make sure he was ok before spending diesel money and getting up at 4 am.  NOT ok.  I have the horse I had a year ago and my gut says he needs his back re-injected.  He is stiff, running around on his forehand, stumbling behind, and very anxious about his back.  Naturally...because we have already entered Longleaf.  And we definitely won't be heading south tomorrow, I will not run him when I know he is uncomfortable; it's a waste of time and money and will only jeopardize future outings.  Sad.

Post-XC Tamarack 2009 -- yeah, it was that good.
On the plus side, I called Tamarack to scratch him and May was very, very kind and generous and has offered to send us some entry money back, which is unheard of in eventingland, yet is like water in a desert to this house of poverty!  Thank you, Emerson peoples!  I am very sorry that I won't get to run their course but I hope we'll get to support their efforts in the future and oh, did I mention, YOU SHOULD GO!  There is another one on April 13th. 

Countdown to Monday morning and call Dr. Bob.  Already emailed the NCSU vet school orthopedist who worked on Encore almost a year ago.  Of course I did.  Sigh.  I don't mind the maintenance at all, but it would be a little less brain-exploding if it had been mentioned that we might need to repeat when there are big changes in strength and fitness...

March 5, 2013

The C Word

No, not that word.  Although I hate that one too.  But I have now officially decided I hate this one more:

Colic.

It sends a shudder down any horse owner's spine, that unpredictable monster hidden deep in your horse's guts which can twist and cramp and snatch his life away from you in a matter of hours.

Yeah, it scares the living bejeezus out of me.

Sunday night, I was on feeding duty and noticed Encore had stopped eating mid-meal and walked out of his shed.  He stood making funny faces for a minute and I watched with concern, as he is a steady, if slow, eater who works his way through the meal, then goes and gets a drink.  He returned to eating and I continued my rounds, but with a yellow warning light in my head.

As I finished turning out the herds, I returned to my pasture and found Encore standing rather pitifully by the shed divider next to Solo, with a sad eye and a half-finished meal.  He peed and it appeared he was dehydrated.  Now that light turned to red.

I led him down the barn, his head hanging, his feet dragging at a slow walk, which hardly helped as this TB usually takes a big swinging step that I can't keep up with.

I called the vet on the way down and put him in stall with warm water while I simultaneously crouched in the dark with my ear against Encore's belly and tried to carry on a conversation with Dr. Bob's junior vet.  He got some very mushy food with bute mixed in and I went to hang out in the BO's house for an hour to see what happened.

I was kindly fed a delicious dinner while I worried, but I came out to find my horse perky, with good gut sounds, and when I led him up to his pasture, he took a drink from his trough and wandered off to comfort an annoyed Solo.  Driving home, I breathed a sigh of relief and assumed an "all clear" text from the BO Monday morning.

Yeah right.  Never worked for him either.
So you can imagine my blood pressure when instead, my phone rang at 10 am and I answered it to a, "Well...."

Encore had eaten his breakfast, but was laying down in the field.  He may have wanted to nap in the sun, but BO put him on the hotwalker to keep him in sight for easy monitoring just in case (Encore's owner may or may not have a reputation for being the crazy lady...).  The horse got some more bute and mushy alfalfa pellets, but no more dry hay, and he was relegated to a prison cell for water and poop monitoring.  His owner was forced to drive to Southern Pines for a work presentation, a fine chance to work on her stomach ulcers.

After flying back north following work, I arrived to find Encore pouting quite noisily in his cell, demanding release after knocking one water bucket over, although hopefully at least drinking part of it.  I stirred a possibly illegal amount of salt and electrolytes into an alfalfa pellet mush and confess to being slightly shocked that he actually ate it, albeit stopping and slapping his tongue out after every bite at the brine component.

Oh, because we have a really important thing in 5 days!
He was left in his prison last night, in hopes that the salt would force his mouth to eventually shrivel up and force him to drink.  His guts were moving so he is allowed to be pardoned pending empty buckets.  I await my notification this morning with guarded optimism.  He will certainly be kept on electrolytes for the rest of the week.

Our insanely bipolar weather is no doubt to blame, although the biologist in me finds it completely nonsensical that weather should have any effect on a endothermic animal's digestive system.  But Dr. Bob and his junior sidekick were all over the place tending to moaning horses, so it wasn't just us.  When it is 60-20-50-30-70-20-55-20-30 all of us are just damn confused.  It will be 70 today and then 42 again tomorrow.  I curse they bones, climate change...

October 23, 2012

I Think It's Over Now

I've been in this blind panic, trying to get Encore going properly for Virginia, my destination event of the year, the one thing I've set my sights on that was to be a balm for my life, a grand adventure of a true 3-day event with a great team of friends.

He never gets sore spots.
I've decided instead to invest in pet rocks.

Encore has had soreness in his left hip ever since he slipped at Five Points in September.  I, like an idiot, took two horse trials to figure out what was even going on.  It's not like him to go into the ring and pull 5 rails in stadium.  He should NOT be getting 44's in dressage.  I blamed my riding, I blamed lack of preparation.  FINALLY, I was able to piece together the evidence, see a timeline and figure out he was just plain sore. 

Dr. Bob came out several times, as mentioned previously.  He put the skeletal pieces back where they belong and gave the muscles and ligaments a little juicy help. 

On our Facebook page, I mentioned we did a trail ride on Saturday -- some walk/trot work on hills.  As soon as he picked up the trot though, I could feel his diagonals were uneven.  The muscles in his hindquarters fatigued quickly.  He was hot and sweaty in less than an hour; not normal for a fit young horse.  There was obviously something else stressing his system.

So I spoke to Dr. Bob yesterday and he instructed me to try everything last night and see what I had.

What I had was a tense, anxious horse, ears pinned back, teeth grinding, tail swishing, who would not step under with his left hind.  He kicked out, he dropped his hind end in downward transitions, and in general, I felt like I was torturing him.  But I had to collect the data.  After the ride, I admit I ended in tears because I knew he was only getting worse in work and I knew that, barring unicorn magic, our journey for the year was over after a frustrating fall half-season and  now, my riding was done for a long time.

I palpated and tested and stretched post-ride.  Everything seemed concentrated around the SI/ligaments/muscles on top of his left hip.  Strains to the SI ligament often happen when a horse slips at a gallop at the moment that leg is loaded:  exactly what he did a month and a half ago.  I will talk to Dr. Bob again  later today and I will wait and see, but odds are I will be calling in a scratch next week and I will just eat $400.

Because there comes a point where it's all about you and stops being about your horse.  I could probably push him through the event, but then it is all about my personal wants and NOT about what is best for him in the long term.  So I choose him.  I choose what I hope will allow him to continue to perform for many years to come. 

It could change, something magical might happen in the next week.  That has not been my experience.  While I am heartbroken, there is also a little bit of relief -- taking away the pressure of getting to the horse trial took away the panic and anxiety of wondering how he will make it.  Now if it works, that's great, but if it doesn't, I'm now mentally prepared to pull his shoes and start over again next summer.

So now it's just me and two half-broken horses, kicking around the broken remnants of our goals.  Maybe we'll share a beer and share a dream of a brighter comeback.  Maybe we'll just lean on each other and watch the days crawl by, waiting, always waiting, for a little luck to glance our way. 

October 7, 2012

The Horseman's Decision

Dr. Bob warned me on Tuesday that Encore would be sore for a while following a rather large chiropractic adjustment and recommended that I keep him on bute for the rest of the week.  I asked if he would be ok to do the horse trial and he didn't say no.  But I saw a look that I knew and I wondered.  Looking back, I think he made a gamble and because he knows me, hoped it would work.

I schooled Encore lightly on Thursday, some walk/trot lateral and stretching work and a few crossrails.  He felt great.

We trailered to the Horse Park on Friday and settled in for the night.  I wanted to hack him that evening, but ran out of time and daylight and we had to settle for a walk.
Carolina dawn.
 The Moment of Weakness

Dressage warmup was ugly.  Encore was unfocused.  I regretted not making the time to at least longe him the day before.  He had no bend, ignored my leg except to leap forward from every application.  He was stiff, cranky, and anticipatory.  40 minutes of work brought some improvement and I thought we might squeak through.

We didn't.  He turned like a motorcycle, ignored every aide, had no bend in either direction, stiffened and braced whether I was soft or not, and generally brought me near to tears by the end.  Which is almost impossible.  I made a promise on this blog that I would be open about the whole process, that I would not create some kind of false Facebook life where only the good is shared.  So yes, there is a video.  A sad, sad video.  Erm, at least I am getting better at sitting up straight?  And yes, yes he is violently allergic to the rail and wanders drunkenly down the long side like a lost cow. 



I slumped in despair when we left the arena.  Arriving back at our stall, where we were next door to our friend Sue and her magical, wonderful homebred, Rocky The Amazing Horse, I finally said it out loud:  "This just makes me want to give up.  I want to pack up my trailer right now and go home."

The Rally

I didn't.  I took a deep, shaky breath and took a long look at my horse.  I gave him a snack and a drink and thought hard.  He is a worker bee, he does not generally just behave like an asshole because he can.  Gearing up for stadium jumping (it was a one day HT), I decided to feel every step and carefully evaluate what was going on beneath me.

He jumped five or six warmup fences well, moving up when I asked and mostly maintaining a rhythm.  But he leaned hard on the left rein and his left lead canter was a bit flat.  We started our course and after jump 1 when he hit the ground running, the pieces began to form a clearer picture.

He ran at the jumps and about halfway through, started pulling rails behind.  There were only 9 fences so it ended quickly and as we walked out, the answer was clear:  his left hip was still sore, despite the bute and he needed more time.  Apparently a few jumps was ok.  15 was too many.

The Big Decision 

We began our walk over to XC, my first thought being, "Well, we might as well finish."  Then I paused.  Why?  There was nothing to gain -- the course was EXACTLY the same as the once we jumped at 5 Points, there were no new challenges.  I hadn't checked our dressage score, but I've gotten fairly accurate in my assessments and it certainly was not competitive and we'd just pulled at least 3 rails.  I knew my horse was sore and there was nothing to be gained by running him up and down hills for 4 minutes, knowing he would jump flat, chip in, and generally try his best while being physically compromised.  That would just be stupid.

So I walked over to the steward (who was very kind and sympathetic, thank you), calmly informed her we were withdrawing because my horse was sore, and returned the barn to pack up.

The legendary CHP steeplechase infield would not see this Thoroughbred's hoofprints today.
Disheartening?  Absolutely.  A hard choice?  Not really, because I strive to always put my horse first.  Frustrating?  Well, considering my day would have been better spent drinking and setting $300 on fire, yes, I'd say so.  Six hours of driving and we had neither learned nor developed a thing.

The Aftermath

I knew someday it was a choice I would have to make -- looking out for my horse in the long term vs. the short term gratification of completing an event.  It was a choice I will never forgive myself for not making for Solo and it cost us both a great deal.  It was the indisputably right choice to make for Encore yesterday.  I was also encouraged that people in stabling near us that I didn't even know expressed their support and good wishes for our choice and our future when we made it back.

I don't think there is any real damage done; I will talk to Dr. Bob on Monday and assess.  The only real stressor is that we have four weeks and I'm already $400 in to the VA Horse Trials in November.  A part of me wants to just give up, scratch, move the surgery up and be done with it.  This fall season was supposed to be fun, the last good thing I had to look forward to for a long time.  Since 5 Points, it has not been fun.

Because I think it all traces back to that point (ha, see what I did there):  Encore was going very well and had an excellent dressage test.  But he had two big slips on XC on the hard ground and even then, I felt something that I couldn't identify and he jumped poorly on Sunday.  Now I am just upset with myself for not figuring out the problem sooner -- a tweaked up back that just needed a reset and some time, which I attempted to do too close to a competition because I was too slow.

But I am stubborn.  Perhaps stupidly so.  But I'm not giving up just yet; I never thought for a second any of this would be easy.

As of this past Wednesday, he is tapped for studs and wore them on Saturday, so we shall have no more slipping.  Hopefully, all he needs is a bit more time for his hip to settle and rest and he will be back to good.  Did you hear that, big, young, thing?  Get good, I need you!

Oh, we'll be back.  The dream will not die that easily.

September 30, 2012

Shhhhh, Did You Hear That?

It was nearly like the sound of a new post forming.  This only counts as half of one though.  I must apologize for a quiet summer; field work is rather like being slowly eaten alive, yet still-half enjoyable?  And the universe continues its focused plan to smoosh me, but fails as yet...

Solo has been finessing his guilt skills, trying to push his nose into the halter hole when I get Encore.  I take him out for a trail ride or a work session when I can, but there is so little time.  He has lost all that hard-won muscle and I'm a bit sad on the trail, where he stumbles and tires easily compared to the muscle-bound athlete he was before.  Before everything changed.  I look at him now and am frustrated, I want more for him but my plan to bring him back to shape this winter ended before it even began.  I can read his frustration too, we know each other too well.  But he will be my rehab horse in a couple of months, so I have hope yet to pique his interest.

Our barn wall speaks truth.
Encore and I have our final practice run this weekend in Southern Pines; next stop the Adult Team Challenge in VA.  We've joined up with three of our fellow Adult Riders to make a kickass team, so look out, because Team "Smurf Cocktail" will be looking to burn up the leaderboard!  If I can manage not to do anything stupidly obvious, perhaps Encore can bring home his own giant ribbon...

Dr. Bob comes up on Tuesday for a pre-flight chiro adjustment.  Encore's left hip has gotten tight again, which I have learned means that some cracking and re-rotating is in order.  For us both, funnily enough, I see mine tomorrow morning, ha.  I will do my best to assure that we are in our finest fighting form. 

Because October is already here, with November on its heels.  By the time I hit the O.R., I'll be broke and exhausted, but there will be plenty of time to nap later and no lessons to pay for for quite some time.  So I'll live right now, thank you.

June 4, 2012

Baby's Got Back

Injections, that is.

I wanted to talk a little bit more about what steroid injections do, about where the science is today, & about what my experience has been within my sample size of n = 3.  Full geek-out links are included for your reading pleasure.

Yes, I used to be one of those people who said you should never puncture a joint capsule & introduce bacteria unless your horse was at death's door & blah blah blah.  I fully admit my lack of education on the topic & can gladly say that time, careful research & thought, & experience has changed my position somewhat.

While I still don't believe in administering "preventative" joint treatment, I have learned that, in a problem area, steroid injection can be a very powerful tool to keep your horse doing his job happy & comfortably over the years.

Why would I want to inject my horse's joints?

Most sporthorses (and humans, sigh) will experience a deterioration/roughening of their joint surfaces & sometimes a reduced production of synovial fluid (joint lube).  The results can vary from just a little extra warm up time to reduced range of motion & pain.

Sometimes that can be treated with a reputable feed-through supplement (I have gotten good results with SmartFlex Senior) or an intramuscular injection which addresses the body as a whole, such as Adequan.  These can increase production of synovial fluid & even help repair cartilage.

However, sport is demanding on both our bodies & sometimes we need targeted relief.  Arthritis is technically defined as joint inflammation, which causes the pain, & if you don't break that cycle of inflammation, the body will compensate, causing problems in other areas & the horse (or person, ow) will continue to degrade in condition.  So the key is breaking that cycle at the source.

What do they shoot in there with those big, fat needles?

The fluid injected is generally a mix of broad-spectrum antibiotics to prevent infection mixed with a corticosteroid.  For example, my own spinal injections were done with dexamethasone.  Encore's were triamcinolone.  If I remember correctly, Solo's hocks got cortisone.  All are the same type of drug & reduce the inflammation in the joint.

You can also include hyaluronic acid if you'd like to drop another $300 per injection, however, Dr. Bob says he sees little difference unless you are competing at the very top levels of your sport, i.e. if you are the 1%.

That sounds expensive.  Oh wait, it's a horse.

It can feel expensive.  A set of hock injections (doing both high & low hock joints) here will be $300.  That breaks down to $50 per month.  The cheapest I have found Adequan is $36 per dose & I used that approximately once a month, so the prices are not far off & the IA (intra-articular, or in the joint) injections were effective immediately & worked better.  A back or SI injection may range from $350-500.

Try to think in the long term & make fair comparisons.  That feed-through supplement may sound cheaper, but it may be costing you $40 a month & results may be something you can feel maybe if you close one eye & hold your tongue just right.  So it's all relative & in the grand scheme of a horse's career, it may not be as expensive as you think.

What's the point if I just have to do it again later?

Each horse is unique & each joint is unique.  Some horses can get one joint injection, the cycle is broken, & that joint will perform pain-free for the rest of their lives.  Others do have to be repeated.

For example, to compete, Solo needed his hocks injected every six months (a fairly standard interval for horses with mild to moderate hock arthritis).  But it is impossible to predict, because just like humans, the results will vary with each body.

I really want a full set of knitted bacteria...
But by breaking the joint capsule, am I not taking this huge risk of bacteria getting in there & killing my horse?

Every puncture of the skin can open a passageway for bacteria.  A fly bite, a scratch, a shot, all create a chink in the armour.  But any worthwhile vet should take every precaution to make sure your horse is safely injected.

As I mentioned before, antibiotics are usually included in the injection itself.  The horse's skin is washed & scrubbed repeatedly to sterilize it.  Often, the hair is clipped away to create a clearer work area.  It should never be a procedure taken lightly or performed quickly.

How soon will I notice a difference?

Like every biological process (engineers hate talking to us), it depends.  For Solo, within three days, he had power & loft back in his trot.  For me, the first 3-4 days after the injections were intensely MORE painful, then over 7-10 days the pain decreased rapidly, although there was some bruising, & by 2-3 weeks, I felt pretty darn good  That was a year & a half ago.

Encore is about 10 days post injection; he still has a sore spot or two if I hit it just right with the curry & if there are bone or connective tissue bruises as the vets suspected in the stifle or hock, those will take a few weeks to heal (yeah, I had those too last year, we REALLY match).  There were some really promising moments in the trot on Saturday, but I am taking it slow & easy & demanding little.  At three weeks, we will know more.

How do they know the needle is in the right spot?

Some injections, like hocks, stifles, & fetlocks, can be done by feel by an experienced vet.  Others, like vertebrae or SI joints can be guided by radiograph or fluoroscope (live video radiograph) because the target is small & surrounded by large muscle groups.

I hear all these condition names thrown around with injections, what do they really mean?

Science is a continuum -- it is forever evolving & forever learning.  Often, when something is not completely understood, vets toss it into a pre-existing bucket so that clients can have a label to hold on to.

Take "navicular" for example -- this is a convenient bucket that can contain all manner of arthritic & bony changes & inflammation to the navicular bone.  Some are very serious & career ending, others simply require a change of hoof angle or shoe.

Another growing bucket is "kissing spine" -- this is the one Encore got tossed into.  Right now, it is being used to contain cases where either arthritic changes or simply conformation or genetic misfortune cause the spaces between the vertebral processes to be narrower than normal.  The degree & effect can range from zero to 15....on a scale of 1 to 10.

This may sound frustrating, but it's because we are still learning.  But clients want a name, they want a definitive answer, heck, I want a definitive answer. Even though the name may not be a very accurate one, nor truly fit the original description of the condition.

I have come to really like a plain big ol' cut:  I can see it.  I know what's wrong.  I know how to treat it.  I can watch it heal.  And I know when it's fixed.

This internal stuff, well, I'm kinda over it.  Actually, I'm WAYYYYY over it.  From a scientific perspective, it is fascinating.  But I'd rather be fascinated by someone else's horse, thank you.  However, I hope this treatise, which escaped me & ended up longer than intended, can help you understand a little bit more about the process & why steroid injections can actually be your friend.

Or in the case of my back, your true love.

May 31, 2012

Diagnostic Geek-Out Imminent

After I left Encore at the NCSU Equine Hospital on Wednesday night, things proceeded roughly like this (italics are me):

Wednesday night:

He's not lying in his stall, whinnying in anguish.  He is not lying in his stall, whinnying in anguish.  Dr. Newman said he would call on Thursday when Encore was going into his bone scan tomorrow, so I will just try and breathe deeply till then.

Thursday:

Did my phone ring?  How about now?  Now?  How about now?  Ahh, I have to pee, I'm taking my phone with me.  It still didn't ring.  How about now?  Well, I guess they would call me if he died.

Friday:

10:30 am; Dr. Newman calls with results of bone scan -

"Overall, he looks pretty good.  There are three hot areas, in his left stifle, left hock, and the spinous processes of his thoracic spine.  So I would like to do radiographs there, unless you prefer to try blocks first.  I'm not sure if it's just his back or if there are any surgical lesions on his hock or stifle"

When looking at bone scan images, darker areas indicate where there has been greater uptake of the radioactive isotope into the bony structures.  This can mean a potential problem area, but keep in mind, that it is only an indicator to help zero in on spots, because it will show you EVERYTHING.  Dr. Newman said almost all horses will show up hot in their sesamoids, withers, and some elbows.

A nice matched set of knees.
Pretty  matchy scan on the hind feet too.
 ZOMG, you said the "s" word.  No problem.  I'm totally not freaking out right now.  It's only $600 more, radiograph away, my friend!

11:00 am:  Dr. Newman informs me that Encore is going into radiology.  At this point I realize my horse has basically just gotten to be high for two days and I start to feel less bad for him.

11:30 am:  Dr. Newman calls with the results of radiographs -

"His hock and stifle are lovely and clean, so I suspect there is just some bone bruising there or bruising at tendon/ligament attachments.  His neck and cervical spine are beautiful and some of the cleanest we've ever seen.  What Dr. Redding and I feel is causing the problem are the arthritic changes between his vertebrae from about T15 to L1 and we'd like to inject those."

Look at that hock -- pretty darn clean, I can't ask for much more than that!

Left stifle.  Radiographs fascinate me.  But you can see the joint edges are pretty dang clean and smooth.

So no surgery?

"No, no surgery."

OMG, my horse and I are a perfectly matched pair.  This is the same procedure I got last year, only I didn't get to be doped out on xylazine.  Go get 'em, vet-man.

Shortly after that, I was able to pick Encore up and take him home for three days of pen rest, after which I am slowly bringing him back to work over the next 2-3 weeks.  If there are any lingering issues at that point, we can poke and block and see if we can chase them down.  Dr. Newman also sat down with me when I arrived to rescue the pony and went through the imagery with me.  It was easily apparent (if your entire career has been training to look for small differences in details) where the problem was.

Bone scan of happy withers.  Notice the spinous processes above the vertebrae are clearly defined.
Now compare that to his thoracic spine (back of the saddle) -- the processes are dark and indistinct.
Radiographs confirm -- see the nice spaces between the processes at his withers?  Happy withers.
Back to his thoracic spine and you can see the uneven edges of arthritic change and that the spaces between vertebral processes have shrunk.  Very common in riding horses, especially short-backed horses.
Four injection needles inserted and position checked prior to injection.  This one gave me shuddering flashbacks to the horrific pain of my own injections but Encore got sweet sweet drugs, so the vet said he didn't even flinch.

So, best case scenario, I bring him back in 3 weeks, he is fixed, I jump up and down and I never have to talk to you again?

Dr. Newman:  "LOL, yes, that is the most likely outcome."

Now, my goals are Training Level long format events, which are 3'3" jumps.  We're not asking for Rolex, but will he have a problem with this?

"No, he should do just fine."

If I didn't have massive personal space issues, I would hug you right now, but I do, so let's just pretend.

Is it just me, or did his laugh sound relieved?

May 25, 2012

Horses Are Horses And There's Not A Damn Thing You Can Do About It

I've been posting running updates on Encore on the TFS Facebook page, but I wanted to talk a little about the underlying issues.

I know there are people out there who will say, ha, I knew it, all OTTBs have issues and I will never buy one.

Well, you would be missing out.  Because you want to know the 100% honest truth?  You can never predict which horse will be sound throughout its career (pretty rare) and which horse will have issues on and off and which horse will have to be retired prematurely. 

You can buy a beautifully perfect two year old warmblood with impeccable bloodlines who has never been touched and it can try to reach the wrong clump of grass and break its silly neck in the gate.

You can buy an 18-year-old campaigner who's evented through Advanced and been working since he was 3 and he can never have a problem and you can show him until he's 30.

I know (well, online "know") an excellent breeder/owner who produces beautiful eventers and raises them exactly the right way.  They start out with road work and cow work on all types of terrain, they build their bones and soft tissue, they don't start jumping till they are four or five, I mean EVERYTHING right.  Yet one of her horses still suffered a catastrophic bone shatter on course after reaching the top levels of the sport.  It's a cruel and horrible thing, but there is no insurance that says your horse will never have a problem.

Horse ownership is a risk, plain and simple.  When you start to compete, you (exponentially, I have concluded) raise that risk as you ask more from the horse and his body.

Encore raced steadily for three years and 26 races and as far as I know, did not have issues.  Parklane Hawk, who is currently taking William Fox-Pitt on a run for the eventing Grand Slam, raced 144 times and is insanely athletic and brave and takes on the biggest, baddest jumps there are and keeps on winning.

Some of it is heart, some of it is luck, and the rest is just...horses.  Each one is unique and (if you are a pushover like me) each one is special and has something to teach. 

So my advice to you is to never walk away from a horse just because "it's an OTTB" or "it needs a hock injection" or "it's over 10" or any of those types of reasons.  There are so many great diagnostics and treatment options out there and OMG, BUY INSURANCE and when you find a horse that you click with, give him a chance to be the best he can be and I promise that you will have time of your life, even when there are speed bumps.



May 23, 2012

Horse Hospitals Are Even Slower Than Human Hospitals

Hard to believe, isn't it?

Remember the Flying Solo Test Of Horse Ownership Preparedness?  Oh yes, we're at it again.  Actually, when I called my insurer to give them a heads-up on what was going on, I swear I heard them sigh in despair when I said NC State.  They just sent me the kick injury check last week.  They are not thinking I am a good investment at the moment.

All surfaces hoseable...
Since Encore was NQR (Not Quite Right, for the uninitiated) at our lesson, I followed David's advice and so today found us meeting with the head orthopedic diagnostic guru at NC State University's veterinary hospital.  He and his flock of undervets and minions flexed and jogged and watched Encore under saddle and videoed and scribbled.  Oh, and this was all around 1:30ish.  Our appt and arrival time was at 10:30 am.  Ha.

I had given Guru a strict lecture -- I am a state employee and Encore IS insured, but there is still a 30% copays for diagnostics.  Guru turned to his head undervet and said, "what would you recommend for this horse?"

Undervet replies as dreaded:  "Bone scan.  But I think it's going to be a hard sell."

"Why is that?" asks Guru, "Just because it's money out of her pocket?"

Gee, thanks, man.  Oh well, just fix my horse.

The equine version of those little bracelets
Guru did agree with my assessment that Encore's limbs were fine, but there was something going on higher up.  And he wanted to scan his whole body since that pesky little LF limp step was showing up -- it's been there since the beginning, but I figured it was a bad foot thing and it goes away after a few minutes of warmup.

I did tell them that I already have radiographs of his front feet and his hind leg where he was kicked, so there's something...and I just paid his insurance deductible thanks to the lovely kick injury.

I wasn't alone though -- a girl just a bit younger than me was handgrazing her horse on the front lawn as I walked by and asked me beggingly, "Please tell me good news!  I just need to hear someone has good news."

"Sorry," I sadly replied, "I have none.  Horse ownership is pretty much a period of dealing with issues punctuated by brief interludes of bliss doing what you actually love."

We sighed together.

So Encore must stay in the hospital until Friday and will be released once he is no longer radioactive.  If you are curious about bone scans, you can read the layperson version here or the total science nerd version here.

I had read about bone scans and the procedure, but I suppose I hadn't really processed that I would have to leave him there and drive home with an empty trailer.  Undervet apparently recognized the blind panic on my face and suddenly became a great deal gentler.

"Don't worry," he said, "We'll take very good care of him and we will call you with any updates and before he goes in for scanning."  He took down feeding notes and had I been a bit younger, he might have patted me on the head.

Do not like.  Take home now, please.
I went to say goodbye to Encore, who kept trying to sneak out the door in a nervous lunge to please not stay here, mum!  I gave him a hug and told him to be a good boy and promised I was coming back for him (ok, maybe I cried a little, but no one saw it so it can never be proven) and took a deep breath and walked away.  It was a very loooong walk back to the trailer, with a brief pause at the checkout to give away a massive sum of invisible money.

They tell me images will be available on Friday morning, so we will know more then.  I have fearful suspicions, but hope that they are very wrong.  I do want something to show up though, because if it doesn't show up on a bone scan, that means it's soft tissue, which is far harder to pinpoint and treat.

All around though, I can assure you, hospitals still suck no matter what species you are.  At least in a person hospital, it's just me that's nervous.  In the horse hospital, I am nervous, Encore is nervous, then I am trying to be not nervous so he will not feed off my nervousness, then I get nervous that he looks more nervous...really, they should just give out Xanax at the door and be done with it!

May 16, 2012

When Is Naptime Again?

There are so many things I want to write for you, so many "almost ready" posts to breathe life back into the blog.  I am just trying to figure out how to do that while trying to be four people at once. 

I am, for some reason, expected to show up at work in order to get a paycheck (entirely unreasonable, I think), so there goes 40 hours.  The horses, well, who knows how many hours that is. 

Dealing with life itself, that can't even be counted in hours.

If you haven't already clicked over to Facebook to follow Team Flying Solo there, I am putting up extra content for you to have fun with because it's just a little bit faster. 

Everything Encore is pretty much in slow motion until a thousand million seconds pass and we meet with the Equine Sports Medicine Man at NCSU.  And after tonight's ride, I know we'll have to keep it slow until then.

Which means I have some time to get on Solo again; Solo, who has reduced from hippopotamus to normal horse size since the move, which is nice (unfortunately, Encore has been subject to the same phenomenon, dang TBs) so a little work has been done for me. 

So I think tomorrow, we'll put his boots on, I'll swing a tired leg over his back and settle into my favourite home for a very familiar ride. 

I can't wait.

April 18, 2012

Game On!

I jumped Encore tonight the second I got home from field work.  Note to self:  if you leave a young OTTB pretty much off for 1.5 weeks and then point him at a jump, you will have your hands full.  But.  He JUMPED SOUND and the leg finished CLEAN AND TIGHT.  So Plan B is a go!  Complete with veterinary approval!

I'm not giving out the quiz answer yet, I am having way too much fun reading everyone's guesses and justifications.  I am both intrigued and entertained, congratulations!

As for Longleaf, you will find live scores here.

You will find ride times here.

The unicorn will be doing dressage at 11:06 am on Saturday, then he will run cross country at 3:08 pm.  Then his rider will ingest large amounts of carbohydrates and fluids and Sunday, show jumping will run in reverse order of placing.  This will be his first Novice HT, so one hopes his rider will do her job properly and not screw him up, ahem, like last time.

I am hoping if I ride Thursday and Friday, I will NOT have a fire-breathing dragon on my hands on Saturday...

No, I have no idea why Longleaf is run in classic format, while others, like SoPines I, are not.

April 11, 2012

Heal Faster!

Encore's leg laceration is healing nicely -- filling in from the inside out with healthy flesh.  Most of the swelling in the leg and hock has gone down cosiderably.  Compare his hocks tonight with Saturday, the day of injury!

Late Saturday morning turkey hock.
The right one only looks bigger because it is closer to lens.
I am holding my breath every day.  It's getting tiring.  I do have a funny Solo story, but it shall have to wait until next time.

For those of you still shopping for your spring show needs, don't forget we have lots of goodies.  I'll post them here so they tempt you more.  Hey, I don't lie about it, ha!

The gory details:  Shipping and handling for all items is a flat $8.00 (sorry, I had to go up, boxes cost more to send than I thought!) in the US.  If you are in Canada or elsewhere, I'll have to figure that out.  All items will ship as soon as I can upon receipt of payment.  Payment is accepted via check or Paypal, email me for information.  I will also take reasonable offers or do package deals.  I have done my best to accurately represent, photograph, and measure all items.  Everything is kept clean, nonsmoking, I have cleaned and conditioned all the leather, blah blah.  Please inquire if you need any more details.  Sorry some of the pictures are from crappy cell phone camera, you have to use what you have on you.   

Ready.....set.....GO!

APPAREL

Caldene english show coat -- Black.  100% wool.  Made in England.  I had the seams let out when I bought it because I have big shoulders, so it could fit a 6 or a narrow thin 8 without giant shoulders.  Single vent in back with two black accent buttons behind.  Three button front with seal grey lining.  Lovely and I am sorry to part with it, but I found one that fit me perfectly in blue, and well, you know my weakness for blue....  This will have you set for dressage, hunters, eventing, schooling shows, whatever you want.  I had it drycleaned last year and have not taken it out of the bag since for fear of getting cat hair all over it (so I'm not unwrapping it now, black wool will be an instant hair magnet!), so it's clean.  Last time I wore it, it was in excellent condition.  Retail ~$200.  $75.



LEATHERWORK

Collegiate reins -- never used.  Brown laced leather reins.  I just don't like laced reins, so they are new!  Total length is 116" so half is 58".  Retail $75.  $30.  Sale pending.


Collegiate Raised Breastplate with standing attachment -- raised havana leather.  A lovely piece of tack, very nice leather, this will look great on your hunter.  Can use with or without attachement.  Horse size.  Very lightly used, like new, plus I had my leatherworker reinforce the D-ring snaps so they won't pull the stitching out, as they are narrow.  Retail $100.  $50.  Sale pending.


Flat Breastplate -- havana leather.  This is one sturdy piece of tack; it has seen many trail miles and competitions with Solo, yet it is in perfect condition and not a stitch out of place.  No brand, but apparently is indestructible.  I have used for schooling and shows.  Horse size.  $30.  Sale pending.


Hunting breastplate -- dark brown, plain raised leather.  Lovely condition, nice leather.  Horse size.  Retail $100.  $40.  



Running martingale attachment  --  Dark brown leather.  Attach to your breastcollar or breastplate with easy buckle.  $10 but if you buy it with a breastplate, it's only $5.


Dover jumper girth -- dark brown with lighter brown inset.  42", measures 46" from tip of buckle to tip of buckle.  Stainless steel roller buckles.  I was schooling a very small QH, LOL!  Retail $50.  $25. 



Zilco crupper -- ok, technically not leather, I believe it's made of beta biothane, but it's very nice and like new.  For your mountain getaways!  Brown with black padding and brass toned hardware.  Horse size, very adjustable.  Retail $40.  $30.



Leather draw reins --  Dark brown leather.  I use these only when I want to remind or teach a horse how to use his body correctly (back off, draw rein nazis!).  They have done the job excellently, I usually only use them for two or three rides, then take them off once the horse gets what I am asking.  Horse size.  $5.  Sale pending. 




BLANKETS

Big D dress sheets -- THERE ARE TWO OF THESE.  Blue/hunter/burgandy plaid with burgandy trim, very nice, hardly used.  One is a 74", one is a 78".  Leather-reinforced fittings with nice hardware.  Closed front.  Surcingle and leg straps on both.  The 78" does have a 1" tear near the butt dart, pretty easy to stitch up, pictured.  Retail $70.  $40 for the 74" and $30 for the 78"


This tear is ONLY on the 78".

MISC


Loose ring snaffle -- looks like a KK with copper-y (but not in an illegal way) type mouth.  5.5 inches.  $10

 

Solo says thank you for looking!  We hope you have a fantastic spring!  Remember, I take offers and will make package deals!!