Showing posts with label PennVet. Show all posts
Showing posts with label PennVet. Show all posts

Sunday, September 30, 2012

Paynter Watch: Surgery at University of Pennsylvania's New Bolton Center Next Option for Ill Zayat Colt, Laminitis Under Control


 Paulick Report flashed the news today that champion three-year-old Thoroughbred colt Paynter will be transferred tomorrow from Upstate Equine Medical Center in Schuylerville, New York to the University of Pennsylvania's New Bolton Center in Kennett Square, outside Philadelphia.

Owner Ahmed Zayat of Zayat Racing has been announcing his horse's medical condition on Twitter since the colt was admitted to the clinic near Saratoga over Labor Day Weekend. Zayat's tweets informed his fans that the colt was suffering from severe colitis and, later, laminitis.

Today Zayat turned over the responsibility of announcing his colt's next move to The Paulick Report, who released the story to the public.

Dr. Southwood (Penn Vet
web site photo)
Paynter's medical condition may require some form of surgery; colon surgery for colitis treatment is a specialty of Louise Southwood Parente, DVM, MS, PhD at New Bolton Center, according to The Paulick Report.  

Background


As is so often the case, acute laminitis in three of the horse's four feet was diagnosed after a particularly severe extended period of fever and diarrhea. Dr. Bryan Fraley, a laminitis specialist farrier-veterinarian from Lexington, Kentucky applied foot casts and, from Zayat's reports, helped the colt avoid entering the chronic phase of the disease, during which coffin bone rotation or sinking would have compromised his athletic future.

The foot casts have been removed, according to Zayat's tweets, and the horse is wearing Soft-Ride boots for support and comfort.

Many horses do not survive colitis or the laminitis that follows. Paynter's story has been a great inspiration to people who follow racing and are concerned with horse health. The colt has been in the care of Laura H. Javsicas, VMD, DACVIM, of the Upstate Equine Medical Center.

To read much more about Paynter's medical condition, The Hoof Blog directs you to the Paulick Report's Paynter to New Bolton Center Special Report, published late this afternoon.

Thumbs up photo for title graphic provided by Kristian Niemi.

© Fran Jurga and Hoofcare Publishing; Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. Please, no use without permission. You only need to ask. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.  
Follow Hoofcare + Lameness on Twitter: @HoofcareJournal
Read this blog's headlines on the Hoofcare + Lameness Facebook Page
 
Disclosure of Material Connection: I have not received any direct compensation for writing this post. I have no material connection to the brands, products, or services that I have mentioned, other than Hoofcare Publishing. I am disclosing this in accordance with the Federal Trade Commission’s 16 CFR, Part 255: Guides Concerning the Use of Endorsements and Testimonials in Advertising.

Sunday, September 04, 2011

New Bolton Center: "The Rest of the Story" with Radio Legend Paul Harvey



The University of Pennsylvania built a world-class equine hospital and research center outside Philadelphia in the 1950s. "New Bolton Center" is now a household word to Hoofcare and Lameness readers, but it was big news when the clinic opened almost 70 years ago. It was such big news that legendary radio commentator Paul Harvey had to tell America "the rest of the story".  The equine surgery unit is known worldwide for its innovative anesthesia-recovery pool.

Update: I am sorry that the original recording of the 1950s Paul Harvey radio program describing the futuristic wonders of the Penn Vet New Bolton Center equine hospital is no longer available.

It seems like a long time ago, but as soon as I hear the voice, I'm taken back in time. At our house, there was a radio on the kitchen counter. It came on when a blizzard or a hailstorm was predicted. It came on when Something Big happened in the news. It told me that Martin Luther King had been assassinated, that Nixon had resigned, that Secretariat had been syndicated and retired to stud. 

That radio played right through mealtimes and while our bodies were fueled, our brains were alternately bombarded and enriches with the news of the world and, on summer afternoons, the Red Sox games. It came on at breakfast, lunch and dinner: the news seemed especially important at lunch.

Lunchtime was especially important. My father came home from his office to check the farm every day at noon, and lunch was on the table at exactly 12. We might talk right through the news but a few minutes after noon, the room went silent and we all listened for about four minutes. A man's voice filled the kitchen and he told us a story.

Paul Harvey 1918-2009
Radio storyteller Paul Harvey
It wasn't the stories he told, but how he told them. Many of the stories were about everyday things. He had a sing-songy voice, though, and the story was always a puzzle. He'd talk in a staccato rhythm that almost hypnotized you. 

On and on he rambled and then, bam! He'd hit you with an ending you weren't expecting. And every day's story ended the same way: "And....now...you...know the REST of the story..."

We'd look at each other. Usually, none of us had any inkling what the rest of the story was until Paul Harvey let the storyteller's cat out of his bag.

I don't think I was listening the day he described the medical wonders of the University of Pennsylvania's new futuristic medical center--with the punch line that it was horses, not people--but I know my family would have cheered.

How did he come up with those stories, day in and day out? I don't know, but if he was writing now, he'd surely be a blogger.

I didn't grow up with the tradition of radio as my primary source of news and entertainment; I was a product of television (Thanks, Bullwinkle! Thanks, Mr. Ed!), to be sure, but I think there must have been such magic to gather around the radio in the days before television and be carried away by the talented people who finessed that medium.

There's a little of it left today, and you can hear it on Christmas when NPR broadcasts the radio play of Dickens' A Christmas Carol, or on some of the great NPR, APR and BBC radio shows like This American Life.

I experienced what I call one of my "Paul Harvey moments" when I listened to a radio documentary tribute to John Lennon on the anniversary of his death last December. I was driving through New Jersey on my way home from the AAEP Convention, serenaded by song after song by John Lennon. It took a while before I realized that what I was listening to was actually a documentary. As I continued to listen, the documentary ended and the broadcast went live.

I started to listen a little more closely.

Then it happened. At precisely the moment when John Lennon had been shot outside his Manhattan apartment 30 years earlier, I realized I was leaving New Jersey and climbing up the ramp onto the George Washington Bridge. I'd be driving over the Hudson River, with the lights of all of New York and New Jersey twinkling as far as the eye could see.

George Washington Bridge
New York's George Washington Bridge
I knew that people would be gathering in Central Park's Strawberry Fields far below me. I didn't know, though, that Yoko Ono would light two candles on the windowsill of the dark apartment where she and Lennon had lived, as a signal to the fans standing vigil in the park. But I do believe that at just that moment, when the radio played Give Peace a Chance and I was crossing the middle of the span, all the lights of Manhattan below me blinked off and then came back on.

I had to keep driving. You don't take your eyes off the road for more than a second on the George Washington Bridge. You can't stop and ask the guy in the toll booth, "Did that really happen?"

A minute later I was in the Bronx, rocketing toward Connecticut and home.

RADIO ONLINE I don't know what will happen one week from today, on September 11, to mark the tenth anniversary of the World Trade Towers attack and disaster. But I wish I had the bird's eye view from the top of that bridge, and I wish Paul Harvey was still alive to talk to me from that little radio, so he could tell me the rest of the story.

I think I'll turn off the television that day, and turn on the radio, so I can really hear what someone has to say. Radio has a power all its own, as I've known all my life but just realized now.

 TO LEARN MORE

Paul Harvey's obituary in TIME Magazine
University of Pennsylvania's New Bolton Center web site




© Fran Jurga and Hoofcare Publishing; Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. Please, no use without permission. 
  
Follow Hoofcare + Lameness on Twitter: @HoofBlog
Read this blog's headlines in your Facebook news feed when you "like" the Hoofcare + Lameness Facebook Page
We'd love to connect with you on Instagram, too!

 


Disclosure of Material Connection: I have not received any direct compensation for writing this post. I have no material connection to the brands, products, or services that I have mentioned, other than Hoofcare Publishing. I am disclosing this in accordance with the Federal Trade Commission’s 16 CFR, Part 255: Guides Concerning the Use of Endorsements and Testimonials in Advertising.


Sunday, May 25, 2008

UPenn Technical Horseshoeing Symposium at New Bolton Center Announcement: Late Registration Opportunity

The forge at the University of Pennsylvania was originally in downtown Philadelphia and was one of the first buildings constructed on the campus when the school began. This photo was taken in the late 1800s; notice the bellows in the ceiling. (Double click on photo to view larger image; I believe that's a woman in the long apron down at the end of the room. Notice that the "students" are not wearing aprons; I bet they were proud of the cinder burns in their nice clothes.)

Event: Technical Horseshoeing Symposium at Penn Vet/New Bolton Center

Date: Saturday May 31 and Sunday June 1, 2008

Location: Woerner Amphitheatre in the George C. Widener Large Animal Hospital at the University of Pennsylvania School of Veterinary Medicine at New Bolton Center, Kennett Square, PA (near Philadelphia and Wilmington, Delaware).

Wet labs will be held in the Outpatient Clinic of the Hospital, the Farrier Shop and the Pathology Lab.

Cost: Saturday or Sunday only $150, Saturday and Sunday $225

Highlights:
• Jeff Thomason lecture on functional anatomy of the limb, as well as hoof deformation and ground force interaction
• Bryan Fraley lecture on managing problems- from laminitis to hoof cracks to “hoof first-aid” (dealing with emergency hoof traumas).
• Jim Orsini will be updating the Laminitis Institute and the research projects underway at Penn
• Andrew Van Eps will discuss laminitis, cryotherapy and the effectiveness of commonly utilized techniques for cooling feet.
• Sunday’s wet labs include:
• Dissection of the equine limb with regard to biomechanics and anatomy by Jeff Thomason
• Shoeing lab with Bryan Fraley
• Bruce Daniels will discuss the Podological Museum of the University of Pennsylvania
• Trevor Sutherland will demonstrate forging techniques and shoe building

PLUS demonstration by hoof repair specialist Ian McKinlay (featured on the Hoof Blog for his work with the Yasha glue-on shoe customized for champion racehorse Big Brown in the 2008 Triple Crown races)

Conference Format
Saturday, May 31, 2008- Lectures 8AM- 5PM
Sunday, June 1, 2008- Lectures 9AM- 11AM; Demonstrations 12PM -3PM

Hotel list available; nearest airport is Philadelphia.

More details: http://www.vet.upenn.edu/nbc/equine/farrier-symposium.htm
If you attend, please mention that you learned about the event on the Hoof Blog.

(Double click on page images to view and print full page flyer and registration form.)

Sunday, March 09, 2008

UPenn Laminitis Research Project Hopes to Clarify the Mechanism of Developmental Laminitis

Dr. Hannah Galantino-Homer, senior research investigator of the newly created laminitis research initiative at the University of Pennsylvania School of Veterinary Medicine, is beginning her research in 2008 with a grant from Grayson Jockey Club Foundation.

“Molecular and Cellular Level Studies of Laminitis” is the title of the project.

Currently, laminitis still is so baffling to scientists that researchers tend to be split into two camps (theories) as to cause of the problem — vascular and enzymatic.

“The lack of agreement about the basic pathophysiology of laminitis explains why standard guidelines for therapy are not yet available,” noted Dr. Galantino-Homer in her research statement.

If this project can identify which specific genes and proteins are up-regulated or down-regulated during the first phase of the disease — when identifiable symptoms are not yet manifested — it “will determine the pathways of the disease and allow institution of preventive or interventional treatments sooner,” according to Galantino-Homer.

The first phase of laminitis, the developmental phase, is followed, of course, by the acute phase. One of the frustrations of dealing with the disease is that often by the time it is diagnosed, the horse may be gravely threatened.

Galantino-Homer believes the study “will provide information that we and other investigators can use to verify or elaborate on existing theories about laminitis, explore previously unrecognized cellular and molecular events during laminitis, and validate in vitro models of laminitis.” The latter will facilitate research projects that do not require laminitic horses.

Click here for information about Galantino-Homer's appointment at PennVet.

Thursday, May 25, 2006

Laminitis Prevention for Barbaro: Copper Sulfate Silicon Hoof Packing and Sigafoos Glue-On Shoe on “The Good Foot”

Barbaro's "good" foot is shod with a glue-on double hospital-plate support device. Photo © Rob Sigafoos.


Photos by Susan Hankin, JD, MPH

Many thanks to Upenn Chief of Farrier Services Rob Sigafoos for sharing with us the first official release of photos and information on the shoe designed for Barbaro’s “good” foot. The good foot must be supported in an effort to prevent what is called “support limb laminitis”, caused by over-stressing the good leg during recovery from an injury in the opposite limb.

While support limb laminitis is more of a risk in horses who injure the front legs, which bear more weight than the hind, there is still a risk of developing laminitis in the hind limb.

According to Rob, who granted Hoofcare & Lameness his first interview on the case today, Barbaro was laid down on the surgical table around noon on Sunday, after being admitted on Saturday following his injury in the Preakness Stakes in Baltimore, Maryland.

All the colt's race plates were pulled off by Rob and his feet were trimmed. Rob traced the left hind at this time, and went to work building a shoe to fit the tracing while Dr Dean Richardson moved the horse into the sterile surgical suite to begin surgery.

Later that night, when the operation was finally complete, Rob returned to the surgical suite and met up with Barbaro again when he was removed from the sterile setting and the cast was applied to his injured leg. Rob glued the shoe on the left hind (“the good foot”) at that time, while the horse was laying down. The horse was then lowered via hydraulic sling into the recovery pool, where he emerged safely from anesthesia.

The shoe is a double hospital-plate device. It is quite possible that blog viewers will not be able to read the fine lettering on the art that accompanies the official statement from the vet school about the device, so I will describe it to the best of my ability:

The bottom layer is what is called by farriers a hospital plate. It is a 1/8” thick sheet of aluminum, cut in the shape of the foot, and is held on with four bolts that are threaded into the two bottom layers of the device.

The “sandwich” layer is high-density polyethelene used as a spacer, followed by the second plate, also made from 1/8” high-grade aluminum, which attaches to the shoe, which is made from 3/16” high-grade aluminum, and is bonded to high-performance polyurethane, which is in turn bonded to Vectran/polyester braided fabric, which forms the “cuff” of the shoe. Thickened with adhesive, the Vectran becomes an artificial outer wall for most of the hoof and holds the shoe in place. A PMMA-type adhesive is used; in this case the commercial name is EquAcrylic.

The spacer plate (white polyethelene) is used to equalize the horse’s limbs, so that they will be the same length and increase the probability that the horse will easily shift weight from one leg to the other and bear weight normally while standing in the stall.

Rob’s secret weapon is the use of copper sulfate-impregnated silicon hoof packing. While no one is predicting that the horse will develop laminitis (according to Rob, the foot looked normal in conformation, with no visible evidence of past hoof disease), it is important to be pro-active. The hoof packing will keep the sole clean, in the event of laminitis.

The hospital plates can be unscrewed and removed to check the bottom of the foot. If the horse does develop laminitis, the sole and frog will be accessible for medication and treatment without removing the shoe.

“This copper sulfate silicon packing is the closest thing I have seen to a silver bullet in laminitis treatment,” Rob told me today. “In this case, of course, the use is prophylactic and we certainly hope that this horse does not develop laminitis.”

The wad of blue hoof packing will pop out of the foot once the hospital plate is removed. In addition to keeping the sole clean, the copper sulfate will toughen the sole as well. It will be carefully monitored.

Shoeing to prevent support-limb laminitis in orthopedics cases is often a “Catch 22” situation, according to Rob. If the horse does not get laminitis, the shoe will not get the credit, the horse will, for standing on both legs. If the horse does get laminitis, the shoe design will be blamed—-it should be have shorter, taller, more support, different configuration, etc.

Rob didn’t mention it, but the horse is probably also wearing support wraps on the good leg.

In closing, both Rob and New Bolton Center farrier Laura Florence remarked on the media frenzy and the outpouring of support from the public. Delivery trucks are bringing cases of apples and carrots, and a wall of get-well wishes lines the highway outside the campus.

Sigafoos shoes link (Sound Horse Technologies in Pennsylvania):  http://www.soundhorse.com Copper sulfate silicon link:  http://www.soundhorse.com/copper_sulfate.htm

Text and photos © 2006 Hoofcare Publishing. Text and photos posted on “The HoofBlog”, a casual news source for subscribers and friends of Hoofcare & Lameness: The Journal of Equine Foot Science. Learn more (and subscribe online using our secure server) at http://www.hoofcare.com or write to Hoofcare Publishing, 19 Harbor Loop, Gloucester MA 01930 USA. Tel USA 978 281 3222; Fax 978 283 8775, or email hoofblog@hoofcare.com

Note: this blog is an interactive web page. By clicking on the envelope icon at the bottom of an article, you can instantly email that article to a friend. By clicking on the word “comment” after a post, you can leave a message, which may be viewed by future blog readers who click on the same “comment”. Commenting may require registering with Blogger.com. You may also comment by emailing the author, Fran Jurga, at fran@hoofcare.com and your comment will be posted for you, technology willing.