Setting Horse Owners Straight: Colic Surgery Facts

Though colic is a fairly common medical emergency, its prevalence doesn't make the diagnosis any less difficult for horse owners. Some of the angst that occurs with colic is the wide variety of colics, from mild and resolving on its own, to life-threatening and requiring surgery to resolve. 

Approximately 10 percent of equine colic cases require surgical intervention, reports The Horse

Many horse owners still perceive colic surgery negatively, though colic surgery outcomes have improved over the last 20 years thanks to advanced diagnostic capabilities and safer anesthesia protocols. 

Rather than relying on factual colic surgery outcomes, many horse owners rely heavily on other owner's experiences with colic surgeries. This can lead to a belief that many horses are not candidates for colic surgery, or that their outcomes are often not successful. 

Some prevalent myths about equine colic surgery include: 

Myth 1: Horses can be too old for colic surgery. A University of Pennsylvania study compared colic surgery outcomes in mature horses (4 to 15 years old) and geriatric horses (over 20 years old) and found similar postoperative complication and survival rates. They determined that age alone is not associated with colic surgery outcome and should not be a reason to decline colic surgery.

Myth 2: Horses that have had surgical resections of bowel aren't ever the same. In resection surgeries, surgeons remove damaged portions of the bowel and put the two healthy ends back together. The area of the bowel the surgeons must resect is important: horses tend to tolerate resections of the middle of the small intestine (the jejunum) better than those involving the end of the intestine (the ileum). Large colon resections also have good long-term success rates. 

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Myth 3: Horses don't return to prior competitive level after colic surgery. Horses undergoing colic surgery often require around three months of restricted exercise, with many horses back in full work four to five months post-surgery. A study of more than 200 horses that underwent colic surgery found that 79 percent of horses were performing at or above their performance level prior to surgery. 

Read more at The Horse

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CARMA Summer Fundraiser Raises Over $300,000 For Aftercare Programs

Brought back for a third year, CARMA's summer fundraiser, CARMAthon, exceeded all expectations. The nonprofit dedicated to Thoroughbred aftercare raised more than $300,000 to help fund its programs – more than DOUBLE that of last year's event.

With the help of TVG, CARMAthon shared the spotlight on Del Mar Oaks Day and shined on social media platforms. TVG's on-air commentators promoted the event throughout the day, highlighting the importance of aftercare for the sport. The network also played videos showcasing Thoroughbreds who retired through CARMA's Placement Program in their second careers as sport horses.

The fundraiser was on pace to meet its goal of $150,000 when a mid-afternoon phone call changed everything. An anonymous donor put forth a dollar-for-dollar matching fund up to $150,000. This was met by the end of the day bringing the total raised to over $300,000, making this CARMA's most successful event EVER!

“Today has been about the horses, about the racing industry coming together, about supporting our equine athletes, and about all the non-profit organizations dedicated to Thoroughbred Aftercare” said Billy Koch, CARMA's President and Little Red Feather Racing Founder and Managing Partner. “I know I speak for the entire CARMA Board of Directors when I say we are overwhelmed by the generosity and support the racing industry has shown today. Aftercare is not an afterthought – and that was proven today.”

Throughout the month leading up to the big day, CARMAthon hype dominated Twitter, Instagram, and Facebook. Many supporters could not wait to donate to CARMAthon and began making contributions before the event even started. Once CARMAthon kicked off Saturday morning, donations continued to come in around the clock, even during the early morning and overnight hours.

“We can't thank everyone enough for all their support today,” said CARMA Executive Director Lucinda Lovitt. “CARMA only has one major fundraiser a year so having the racing community come together in such a big way means so much. And of course, all our success was magnified by the generosity of an anonymous donor who's matching fund of $150,000 knocked this year's goal out of the park! We cannot even begin to express how big of an impact these additional funds will have on our programs and for our aftercare charity partners this year.”

CARMAthon donors include TVG Network-Fanduel, Marsha Naify, James & Shari Ough, Samantha Siegel, Oak Tree Racing Foundation, Santa Anita Park, Del Mar Thoroughbred Club, Bob & Jill Baffert, Rick Gold, Tom & Nicole Bachman, Eclipse Thoroughbred Partners, Jeffery Ward, Carol Fernandez, Madeline Auerbach, Mike Birkland, John Sondereker, Roger Straus, Lisa Beattie, Jeff Blea, Joel & Cathy Eichenberger, Mark Feld, Katie Fisher, Flavien & Manon Prat, Thorbred Stables and many, many more.

For more information and to donate to CARMA at any time, visit CARMA4horses.org or contact Lucinda Lovitt at (626) 574-6622 or lucinda@carma4horses.org.

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GoFundMe Set Up For Cost Of Freedom’s Emergency Surgery

John Malone, the head clocker at Del Mar, was faced with a tough decision recently concerning Cost of Freedom, the million-dollar earner he purchased and retired after the Grade 1 winner dropped down the claiming ranks to the $8,000 level in December 2013.

Last Wednesday, the 19-year-old Cost of Freedom began pawing at the ground and wouldn't eat. Malone called his veterinarian, who treated the gelding for colic, then came back a few hours later and noticed no improvement. After another check and no progress, the vet recommended shipping Cost of Freedom from his home in Winchester, Calif., to the San Luis Rey Equine Hospital in Bonsall.

Malone said X-rays showed stones in Cost of Freedom's intestinal tract – mineral masses known as enteroliths that cause recurring colic symptoms and would require surgery for removal. Malone was told there was a good likelihood of survival, but the surgery and recovery at the clinic would run from $8,000-$10,000.

“My heart is bigger than my bank account,” Malone said. “But I had been through a situation with my father where I had to decide whether or not to take him off life support when he was sick. That was really difficult. I couldn't make the decision to put Cost of Freedom to sleep.”

Malone recalled another pensioner he had taken in decades earlier who had shattered a pastern. “If that horse could talk, he'd have said, 'Give me a chance,'” Malone remembered. “We took care of him and he became ridable, living until he was 32. I had to give Cost of Freedom a chance, too.”

Malone okayed the surgery, which last several hours, ending around 1:30 a.m. Cost of Freedom came out of it well.

The son of Cee's Tizzy has led a good life with a pasture-mate on the five-acre ranch he's resided at since Malone bought him privately after his final start, believing the horse had done enough. Among his 16 victories were the G1 Ancient Title and G3 Los Angeles Handicap and G3 Vernon O. Underwood Stakes.

Malone's daughter, Megan, has set up a GoFundMe account in hopes of raising enough to cover the expense of the surgery. “I'm not a 501(c)3,” John Malone said. “I have paid all his cost of care for nine years. He was a real nice horse, one of the best sprinters in the world. When I saw him running for $8,000 at Hollywood Park, I thought it was a little disrespectful.”

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Ramey: Can Horses Have Mental Illness?

OK, here's the full question –

“A couple friends and I were talking about all the horses we've trained and ridden throughout the years and comparing their characteristics and personality traits, etc. We were wondering if horses can develop mental illness similar to what humans exhibit. For example, one of my horses, many years ago, acted like he had a nervous breakdown. And my one friend described her mare as 'acting autistic.' We both had raised these horses from birth and they had never been mistreated, and had normal-acting sires and dams. Do horses experience mental illness? Have there been any studies? Or do you think all behavior problems stem from training?”

I guess that we'd first have to define terms. Otherwise stated, what does the term “mental illness” mean? In looking it up, I find this definition, in the online medical dictionary: “Any of various conditions characterized by impairment of an individual's normal cognitive, emotional, or behavioral functioning, and caused by social, psychological, biochemical, genetic, or other factors, such as infection or head trauma.”

As such, that seems to me to be a pretty broad definition. But the key phrase seems to be “impairment of an individual's normal …. functioning….” As such, in order to determine if a horse had mental illness, you'd have to know what's normal for that individual. And there's the rub.

One would presumably equate mental illness in a horse with abnormal behavior. And, the subject of horse behavior is one that has received a whole lot of study. There's a lot that goes into horse behavior, but a lot of it comes down to two things: how horses normally behave, and how they were raised. So, for example, in the wild, horses are prey animals, so they normally react quickly, and without thought, when confronted with things that seem threatening; while we may understand that a traffic cone or a flapping tree limb isn't going to eat us, to a horse, it's something strange, and something to be afraid of. You never know when that tree limb is being pushed around by a pack of wolves, I guess. And while it'd be pretty weird for a person to run off blindly if, say, they saw a piece of paper blowing across the street, that's just the way that horses are.

The way that horses are raised definitely affects behavior. So, for example, it's been shown that stalled weanlings spend significantly more time engaged in behaviors that are considered undesirable, such as licking or chewing the stall/shed wall, kicking at the stall/shed wall, pawing, and bouts of bucking and/or rearing. And, of course, they may react quite aggressively to an unpleasant stimulus, remembering, for example, that something was unpleasant for them (like a horse trailer). While some people may not be able to understand why the horse wouldn't want to climb in the trailer, and may think that it's irrational, I personally have no idea why a horse would ever consider climbing into a dark, moving box.

Certain diseases definitely cause behavior changes, as suggested in the definition of mental illness. Diseases like encephalitis or rabies can cause depression or aggression. I remember one horse that I treated that had a brain abscess – he would seem normal, then start running around blindly, and become very aggressive. (He had to, ultimately, be put to sleep.) So I guess from that standpoint, you could say – at least on some level – that the horse was mentally ill.

From a physiology standpoint, horse brains are somewhat similar to human brains in both form and function; for example, most of the same chemical neurotransmitters work in both horses and humans. So there's not any reason why horses couldn't have mental illness.

But I think that the biggest problem with answering your questions is that there's no objective way to tell if a horse might have mental illness. There aren't any cognitive tests that might help differentiate between a horse with a behavioral problem and one that is certifiable. Even some of the questions that are typically asked people wouldn't help much if you were screening a horse.

OWNER: “Doc, I'm concerned that my horse might be depressed.”

PSYCHOLOGIST, TO CLIENT: “Hmmm. Let's see. Let me ask him a few questions.”

PSYCHOLOGIST, TO HORSE: “Do you feel like eating all the time? Do you feel fearful, but you can't figure out why? Do you find it hard to focus?”

From my point of view, if the horse answered, “Yes” to any of those questions, it would mean that he was a… well, a horse.

So, bottom line is that I think it's possible, but I think that it would be really hard to tell. Some of your friends probably act crazy from time to time, too, but you accept them for who they are, or move on. I think that's probably a good idea for most horses, too!

Dr. David Ramey is a vocal advocate for the application of science to medicine, and—as such—for the welfare of the horse. Thus, he has been a frequent critic of practices that lack good science, such as the diverse therapies collectively known as “alternative” medicine, needless nutritional supplementation, or conventional therapies that lack scientific support.

This article original appeared on Dr. Ramey's website, doctorramey.com and is reprinted here with permission.

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