Showing posts with label medical. Show all posts
Showing posts with label medical. Show all posts

Tuesday, September 04, 2012

Paynter Watch: Top Thoroughbred Colt Diagnosed with Post-Colitis Laminitis in New York

Paynter in his stall at a vet hospital near Saratoga. (Zayat Twitter photo)

You could hear a collective moan rise from the world of Thoroughbred racing today.

Paynter has laminitis.

For the past month, the racing press has been reporting on the condition of top three-year-old colt Paynter, trained by California's Bob Baffert. Paynter is owned by Zayat Racing Stable.

After winning the Haskell Invitational at Monmouth Park in New Jersey on July 29, the colt was transferred to a New Jersey vet clinic, then released a few days later. Few details about his condition were available but it was clear that both his connections and his fans hoped to see him run in the Travers Stakes at Saratoga.

Paynter was sent to Belmont to recover and then moved to Saratoga, where he was reported to be in light training.

Union Rags - 2012 Belmont Stakes
Paynter (turquoise cap) finished a game second in the Belmont Stakes in June and then went on to win the Haskell Invitational on July 29. (Mike Lizzi photo)

However, last week Paynter was admitted to the Upstate Equine Medical Center in nearby Schuylerville, New York. It was confirmed that the horse was suffering from colitis, a severe infection of the horse's digestive tract that involves extensive and debilitating diarrhea. Severe and sudden laminitis is a common side-effect of colitis in horses.

A moving tribute to the colt spontaneously erupted on Twitter as hundreds of people tweeted the mantra-like hashtag, "#PowerupPaynter" throughout the weekend.

It seemed like a miracle when, on Monday, the owners tweeted that the horse was improving.

In what might be a new trend for news gatherers in horse sports, the horse's condition has been reported via the Twitter accounts of Justin and Ahmed Zayat.

Earlier this afternoon, Justin's flying fingers tweeted, in poignant 140-character bursts:

"Unfortunately we have a very sick horse who has developed serious complications in the last 24 hours. 

"Other than fighting bravely his colitis, he continues to have diarrhea as well as his protein blood level is very low. We continue to give him plasma to help him out. His blood work continues to be good as well as his temp so on a standalone basis he is fighting bravely and hard...

"...He is developing a new issue about his veins being swollen, a disease that is called DIC which stands for 'disseminated intravascular coagulopathy'.

"...The most concerning news is as of last night he started becoming sore on his left foot and was scared to turn around and walk on it..unfortunately we only thought it was some swelling...but it has worsened because today he has been diagnosed with our nightmare scenario of laminitis.

"...It seems it is rapidly progressing after...additional x-rays of the foot and discussing with some foot experts, Dr. Laura (Javsicas) (has) found out that he has developed it in three of his four legs, which is heartbreaking. 

"...Poor Paynter, I don't know how long he can fight this out so bravely without having pain and suffering. So far (Dr. Laura) is very conscious of that and having his pain under control. 

"But we need to look at all these problems. My deep concern is that if he is a healthy horse he can fight laminitis since it is the beginning but to be a sick horse and fight all these issues all at once, it is asking for too much. 

"We need to be compassionate and merciful and treat our star with the respect and love that he deserves while giving him the best chance in fighting for his life."

The prognosis for horses suffering from colitis is grim. Acute post-colitis laminitis can be especially sudden and severe and bears little resemblance to laminitis seen in otherwise healthy horses.

Ice baths have been documented in Australian Equine Laminitis Research Unit studies to prevent laminitis in horses with colitis. As described by Mark Andrews MRCVS in Equine Sciene Update

"One treatment that (Dr. Chris) Pollitt has shown to be effective in preventing laminitis is cryotherapy, using iced water....

"'It is important that the ice water comes up to just below the knee. If only the foot is cooled laminitis still occurs.

"'We don't yet know how long this protective effect would last. But horses with toxic colitis (which often causes laminitis) have been treated successfully with an ice-water bath. The clinicians involved believe that it has prevented laminitis.'"

Paynter appears to be wearing ice boots on his legs.

To learn more:




© 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.  
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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.

Friday, February 10, 2012

AVMA: Horseshoeing Is No Longer an Excluded Profession in the New Model Veterinary Practice Act (But Farriery Is)

confusion

What's in a name?

The American Veterinary Medical Association (AVMA) Executive Board approved revisions to the new 2011 Model Veterinary Practice Act (MVPA) in November 2011, and those changes became official on January 7, 2012 when the AVMA's governing body, the House of Delegates, approved the document.

The Model Veterinary Practice Act is just that: an approved sample ("model") document that is promoted by the AVMA as reflecting the verbiage  and policies it would like to see adopted in each of the 50 states as the ideal state veterinary practice act.

That said, each state can and probably will make some changes; the states usually end up with documents that vary on some level related to how veterinary practice is conducted or regulated.

Each time the MVPA is changed, the AVMA opens a comment period for members and the public to have their say. That period has now passed.

The AVMA reported that it received "985 comments on individual sections of the model act.  About 70% of the comments were submitted by non-members, and 10% came from organizations as opposed to individuals.  The sections attracting the most comments are Section 2 (definitions, especially “complementary, alternative and integrative therapies” and “practice of veterinary medicine”), Section 6  (exemptions to the act), the preamble (general comments) and Section 3 (board of veterinary medicine)."

While horseshoeing had been previously excluded from practicing veterinary medicine, this year's edits (Section 6. Number 8) showed a line drawn through the word "horseshoeing". It was changed to "farriery".

The old document read

The document-in-progress showed the change:


The exemption now reads "Any person lawfully engaged in the art or profession of farriery."

No explanation is given for the change, and while other words are defined, "farriery" is not.

Although other professions, such as pharmacists and researchers, are also listed as exempt, farriers are one of only a few professions predicated by "lawfully engaged". And it is the only one described as an "art or profession".

Since farriery and other hoof-related professions are not regulated in the United States except on racetracks, the language begs the question of how it would be determined whether or not an individual was lawfully engaged in providing farriery care to an animal.

And what, exactly, farriery is.

The word change in the horseshoeing--or farriery--section is probably a minor matter in the big picture of things, but it should be duly noted. "Horseshoeing" is the word traditionally used in all US government documents; farriery is seldom mentioned. The word seems to have been dusted off, perhaps around the time of the formation of the American Farrier's Association and it has enjoyed a renaissance, particularly in the past 30 years or so.

That said, it remains poorly defined and some hoof-oriented professionals simply don't like the word, while others prefer it. You can call yourself whatever you please--except a veterinarian, unless you are one.

The general public, however, is behind the curve; people are usually convinced that a farrier either makes fur coats or carries people back and forth across rivers in a boat. They think "farrier" is a great word for "Words with Friends" on their iPhones.

Repeated calls and emails to the AVMA and its task force administrators were not acknowledged or returned except for one interchange with a media relations representative who referred me to the librarian. I did enjoy my conversation with Diane Fagen, AVMA librarian, who set out to find out if a farrier was defined anywhere by the association.

Being a good librarian, she cheerfully suggested we look up farrier in the ultimate reference, the Oxford English Dictionary. I warned her not to, and that attorneys roll their eyes at OED definitions, but she did anyway.

"Oh my," Ms Fagen murmured, reading aloud a lengthy definition of the term "farrier" that seems woefully outdated, though historically accurate. "It means horse doctor," she concluded.

"I can see why you called," she acknowledged. But no, she didn't have any information on why the word had been changed.

But that's how change happens, sometimes: it just does.


© 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.  
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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.

Tuesday, November 16, 2010

AVMA's 2011 Model Veterinary Practice Act Process Will Be Open for Comments in January

"Moore's Shoeing Scene: The Veterinarian" was painted circa 1845 and holds a place of honor on the wall here at the Hoofcare and Lameness office. It was a gift from Walt Taylor many, many years ago and I never tire of looking at all the details (especially that dog!). But anyone visiting the office has trouble with it. They admire the print but when their eye falls on the title they don't understand. "Who's the veterinarian?" they ask. "Why is the focal point character working on a hoof?" This just proves the point that the precise definition of the veterinarian's role in the horse health scenario is far from a new topic. In the last 25 years, we've seen the emergence of diversified horsecare professions that never existed before. Farriers, on the other hand, pre-date veterinarians and once treated all ailments of the horse. At some point, farriers in Europe and North America relinquished the care of the horse and kept the hoof as their domain.


The following text is from a press release issued last week by the American Veterinary Medical Association (AVMA), which is integrally involved in state and national legislation regarding the practice of veterinary medicine and, overall, is influential in all matters related to animal care. Text in bold emphasized by the Hoof Blog so it will not be overlooked by those it may affect.

Do you have an idea on how animals can receive the best care from veterinarians and other members of the veterinary healthcare team? Early next year, you will have an opportunity to offer input that could help make your ideas a reality.

The American Veterinary Medical Association (AVMA) is soliciting public comments on its Model Veterinary Practice Act (MVPA). The current MVPA, which was last reviewed in 2003, includes sections on definitions, veterinary medical boards, licensing, client confidentiality, veterinary education, veterinary technicians and technologists, abandoned animals, and cruelty to animals, as well as other topics.

"This is an excellent opportunity for veterinarians, pet owners, the public, farmers or really anybody who cares about animals and veterinary medicine to offer input that will help guide the profession," says Dr. John Scamahorn, chair of the AVMA Model Veterinary Practice Act Task Force. "The Model Veterinary Practice Act is used by state legislatures and state veterinary licensing and exam boards to help shape the rules and laws that govern the practice of veterinary medicine."

The AVMA is issuing early notice of this public input period to encourage all interested parties to get involved and give informed comments. The current MVPA is available for public review on the AVMA website, at http://www.avma.org/issues/policy/mvpa.asp.

Organizations and individuals can contribute comments about the MVPA on the AVMA website during the 30-day public comment period, which is scheduled to start in January 2011. The AVMA requests that the comments submitted be specific and include suggested language for the new MVPA.

"The AVMA wanted to give notice of this public comment period as early as possible because we realize that there is a lot of interest in the Model Veterinary Practice Act, which is lengthy and contains many important provisions," explains Dr. Ron DeHaven, chief executive officer of the AVMA. "We feel it is important to alert stakeholders now so they can begin to review the many provisions of the act in advance of the comment period. Some organizations may even choose to meet and discuss the act in order to come to consensus on their comments, and we wanted to encourage and allow for these discussions about the future of veterinary medicine."

The first MVPA was created by the AVMA in the early 1960s. Over the years, it has been revised several times to reflect changes in the profession such as new technologies and techniques and even societal changes.

(end of text from the AVMA)

© 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.
 
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