TEVA - 2023 Spring Remuda by LivestockDirect

the

Remuda SPRING 2023

VERSATILITY OF COMPUTED TOMOGRAPHY IN PRACTICE

TOP OF TEXAS BOUTIQUE CE MEETING TELLING OUR STORY PLATINUM PRACTICE FEATURE: 113 EQUINE VETERINARY STUDENT SPOTLIGHT

THE DEDICATION TO RAISE FUTURE CHAMPIONS ...

IT STARTS WITHIN.

LYLE LOVETT

Results don’t happen overnight. It takes passion, dedication, hard work and the right nutrition to reach your goals. For over 25 years, Platinum Performance® has been improving the lives of horses by impacting health, from the inside, through advanced nutrition. No matter the level of achievement we seek, the love and care for our horses start from a place deep inside of us all.

THE POWER OF NUTRITION STARTS WITHIN.

The nutrition supporting Lyle’s team includes: • Platinum Performance® CJ • Platinum Motility Plus® • Platinum Potency® Lyle Lovett is a sponsored endorsee and actual client.

PlatinumPerformance.com | (800) 553-2400

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This American Quarter Horse Breeder and 4-Time Grammy Award Winning Recording Artist recognizes the power of nutrition. He’s been a Platinum client since 2005.

For questions, please call 888-215-1256

www.aurorapharmaceutical.com

TOOLS OF THE TRADE

Altren® (altrenogest)

Throughout the mare breeding season, Altren® (altrenogest) is quickly becoming the product of choice in handling estrus issues in horses. Containing the same formulation and active ingredient as Regu-Mate® (altrenogest) and backed by Aurora’s “Best-Price-Always” commitment, Altren is becoming the industry’s most requested altrenogest product line, enhanced by Altren’s proprietary 150 mL dose and FDA-approved vented cap.

Wade Shoemaker, DVM Countryside Large Animal Veterinary Clinic Greeley, CO “Altren® (altrenogest) is a product our practice relies on to provide the same active ingredient as Regu-Mate® (altrenogest), but at a much better price point. My clients appreciate the cost savings I can pass on to them. Altren has quickly become the #1 altrenogest in our practice due to the cost savings and specialized packaging.

Spending more no longer makes sense when it comes to effective estrus management.

We routinely send the Altren 150 mL home with clients, especially if we have a problem mare that needs to be on altrenogest after breeding. That will allow us to get out to the ranch at 15 days for the first preg-check and then decide if the mare stays on the Altren or not. It’s been a great deal for us and for the client.”

Regu-Mate is a Registered Trademark of Merck Animal Health Altren is a Registered Trademark of Aurora Pharmaceutical, Inc.

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Altren

DOSAGE CHART:

(altrenogest)

SOLUTION 0.22% (2.2 mg/mL) CAUTION: Federal law restricts this drug to use by or on the order of a licensed veterinarian. DESCRIPTION: Altren® (altrenogest) Solution 0.22% contains the active synthetic progestin, altrenogest. The chemical name is 17α-allyl-17βhydroxyestra-4,9,11-trien-3-one. The CAS Registry Number is 850-52-2. The chemical structure is:

Each mL of Altren® (altrenogest) Solution 0.22% contains 2.2 mg of altrenogest in an oil solution. ACTIONS: Altren® (altrenogest) Solution 0.22% produces a progestational effect in mares. INDICATIONS: Altren® (altrenogest) Solution 0.22% is indicated to suppress estrus in mares. Suppression of estrus allows for a predictable occurrence of estrus following drug withdrawal. This facilitates the attainment of regular cyclicity during the transition from winter anestrus to the physiological breeding season. Suppression of estrus will also facilitate management of prolonged estrus conditions. Suppression of estrus may be used to facilitate scheduled breeding during the physiological breeding season. CONTRAINDICATIONS: Altren® (altrenogest) Solution 0.22% is contraindicated for use in mares having a previous or current history of uterine inflammation (i.e., acute, subacute, or chronic endometritis). Natural or synthetic gestagen therapy may exacerbate existing low-grade or “smoldering” uterine inflammation into a fulminating uterine infection in some instances. PRECAUTIONS: Various synthetic progestins, including altrenogest, when administered to rats during the embryogenic stage of pregnancy at doses manyfold greater than the recommended equine dose caused fetal anomalies, specifically masculinization of the female genitalia. DOSAGE AND DIRECTIONS: While wearing protective gloves, remove shipping cap and seal; replace with enclosed plastic dispensing cap. Remove cover from bottle dispensing tip and connect luer lock syringe (without needle). Draw out appropriate volume of Altren® solution. (Note: Do not remove syringe while bottle is inverted as spillage may result.) Detach syringe and administer solution orally at the rate of 1 mL per 110 pounds of body weight (0.044 mg/kg) once daily for 15 consecutive days. Administer solution directly on the base of the mare’s tongue or on the mare’s usual grain ration. Replace cover on bottle dispensing tip to prevent leakage. Excessive use of a syringe may cause the syringe to stick; therefore, replace syringe as necessary.

Approximate Weight in Pounds 770 880 990 1100 1210 1320

Dose in mL 7 8 9 10 11 12

WHICH MARES WILL RESPOND TO ALTREN® (altrenogest) SOLUTION 0.22%: Extensive clinical trials have demonstrated that estrus will be suppressed in approximately 95% of the mares within three days; however, the post-treatment response depended on the level of ovarian activity when treatment was initiated. Estrus in mares exhibiting regular estrus cycles during the breeding season will be suppressed during treatment; these mares return to estrus four to five days following treatment and continue to cycle normally. Mares in winter anestrus with small follicles continued in anestrus and failed to exhibit normal estrus following withdrawal. Response in mares in the transition phase between winter anestrus and the summer breeding season depended on the degree of follicular activity. Mares with inactive ovaries and small follicles failed to respond with normal cycles post-treatment, whereas a higher proportion of mares with ovarian follicles 20 mm or greater in diameter exhibited normal estrus cycles post-treatment. Altrenogest Solution 0.22% was very effective for suppressing the prolonged estrus behavior frequently observed in mares during the transition period (February, March and April). In addition, a high proportion of these mares responded with regular estrus cycles post-treatment.

ADDITIONAL INFORMATION: A 3-year well controlled reproductive safety study was conducted in 27 pregnant mares, and compared with 24 untreated control mares. Treated mares received 2 mL altrenogest solution 0.22%/110 lb body weight (2x dosage recommended for estrus suppression) from day 20 to day 325 of gestation. This study provided the following data: 1. In filly offspring (all ages) of treated mares, clitoral size was increased. 2. Filly offspring from treated mares had shorter interval from Feb. 1 to first ovulation than fillies from their untreated mare counterparts. 3. There were no significant differences in reproductive performance between treated and untreated animals (mares & their respective offspring) measuring the following parameters:

2. Facilitate management of the mare exhibiting prolonged estrus during the transition period. Estrus will be suppressed in mares exhibiting prolonged behavioral estrus either early or late during the transition period. Again, the post-treatment response depends on the level of ovarian activity. The mares with greater ovarian activity initiate regular cycles and conceive sooner than the inactive mares. Altren® (altrenogest) Solution 0.22% may be administered early in the transition period to suppress estrus in mares with inactive ovaries to aid in the management of these mares or to mares later in the transition period with active ovaries to prepare and schedule the mare for breeding. 3. Permit scheduled breeding of mares during the physiological breeding season. To permit scheduled breeding, mares which are regularly cycling or which have active ovarian function should be given Altren® (altrenogest) Solution 0.22% daily for 15 consecutive days beginning 20 days before the date of the planned estrus. Ovulation will occur 5 to 7 days following the onset of estrus as expected for non-treated mares. Breeding should follow usual procedures for mares in estrus. Mares may be regulated and scheduled either individually or in groups.

Effects of Overexposure There has been no human use of this specific product. The information contained in this section is extrapolated from data available on other products of the same pharmacological class that have been used in humans. Effects anticipated are due to the progestational activity of altrenogest. Acute effects after a single exposure are possible; however, continued daily exposure has the potential for more untoward effects such as disruption of the menstrual cycle, uterine or abdominal cramping, increased or decreased uterine bleeding, prolongation of pregnancy and headaches. The oil base may also cause complications if swallowed.

•

interval from Feb. 1 to first ovulation, in mares only.

•

mean interovulatory interval from first to second cycle and second to third cycle, mares only.

•

follicle size, mares only.

•

at 50 days gestation, pregnancy rate in treated mares was 81.8% (9/11) and untreated mares was 100% (4/4).

•

after 3 cycles, 11/12 treated mares were pregnant (91.7%) and 4/4 untreated mares were pregnant (100%).

2. Anyone with thrombophlebitis or thromboembolic disorders or with a history of these events.

•

colt offspring of treated and control mares reached puberty at approximately the same age (82 & 84 weeks respectively).

3. Anyone with cerebral-vascular or coronary-artery disease.

•

stallion offspring from treated and control mares showed no differences in seminal volume, spermatozoal concentration, spermatozoal motility, and total sperm per ejaculate.

•

stallion offspring from treated and control mares showed no difference in sexual behavior.

•

testicular characteristics (scrotal width, testis weight, parenchymal weight, epididymal weight and height, testicular height, width & length) were the same between stallion offspring of treated and control mares.

SPECIFIC USES FOR ALTREN® (altrenogest) SOLUTION 0.22%: SUPPRESSION OF ESTRUS TO: 1. Facilitate attainment of regular cycles during the transition period from winter anestrus to the physiological breeding season. To facilitate attainment of regular cycles during the transition phase, mares should be examined to determine the degree of ovarian activity. Estrus in mares with inactive ovaries (no follicles greater than 20 mm in diameter) will be suppressed but these mares may not begin regular cycles following treatment. However, mares with active ovaries (follicles greater than 20 mm in diameter) frequently respond with regular post-treatment estrus cycles.

INFORMATION FOR HANDLERS: WARNING: Altren® (altrenogest) Solution 0.22% is readily absorbed by the skin. Skin contact must be avoided; protective gloves must be worn when handling this product.

REFERENCES: Shoemaker, C.F., E.L. Squires, and R.K. Shideler, 1989. Safety of Altrenogest in Pregnant Mares and on Health and Development of Offspring. Eq. Vet. Sci. (9); No. 2: 69–72. Squires, E.L., R.K. Shideler, and A.O. McKinnon. 1989. Reproductive Performance of Offspring from Mares Administered Altrenogest During Gestation. Eq. Vet. Sci. (9); No. 2: 73–76. WARNING: For oral use in horses only. Keep this and all other medications out of the reach of children. Do not use in horses intended for human consumption. HUMAN WARNINGS: Skin contact must be avoided as Altren® (altrenogest) Solution 0.22% is readily absorbed through unbroken skin. Protective gloves must be worn by all persons handling this product. Pregnant women or women who suspect they are pregnant should not handle Altren® (altrenogest) Solution 0.22%. Women of child bearing age should exercise extreme caution when handling this product. Accidental absorption could lead to a disruption of the menstrual cycle or prolongation of pregnancy. Direct contact with the skin should therefore be avoided. Accidental spillage on the skin should be washed off immediately with soap and water.

In addition, the list of people who should not handle this product (see below) is based upon the known effects of progestins used in humans on a chronic basis. PEOPLE WHO SHOULD NOT HANDLE THIS PRODUCT: 1. Women who are or suspect they are pregnant.

4. Women with known or suspected carcinoma of the breast. 5. People with known or suspected estrogen-dependent neoplasia. 6. Women with undiagnosed vaginal bleeding. 7. People with benign or malignant tumors which developed during the use of oral contraceptives or other estrogencontaining products. 8. Anyone with liver dysfunction or disease. Accidental Exposure Altrenogest is readily absorbed from contact with the skin. In addition, this oil based product can penetrate porous gloves. Altrenogest should not penetrate intact rubber or impervious gloves; however, if there is leakage (i.e., pinhole, spillage, etc.), the contaminated area covered by such occlusive materials may have increased absorption. The following measures are recommended in case of accidental exposure. Skin Exposure: Wash immediately with soap and water. Eye Exposure: Immediately flush with plenty of water for 15 minutes. Get medical attention. If Swallowed: Do not induce vomiting. Altren® (altrenogest) Solution 0.22% contains an oil. Call a physician. Vomiting should be supervised by a physician because of possible pulmonary damage via aspiration of the oil base. If possible, bring the container and labeling to the physician. Store at or below 25° C (77° F). Reclose tightly. HOW SUPPLIED: Altren® (altrenogest) Solution 0.22% (2.2 mg/mL). Each mL contains 2.2 mg altrenogest in an oil solution. Available in 1000 mL and 150 mL plastic bottles. Manufactured by: Aurora Pharmaceutical, Inc. Northfield, Minnesota 55057 Approved by FDA under ANADA # 200-620

04/2019

Why Precision Equine? Reliable & exceptional quality Fast delivery Remarkable & personalized customer service Precision Equine has dedicated itself to being the nation’s leader in veterinary compounding. Our state-of-the-art facility was specifically designed for the art and science of compounding, and we ensure that every step of the process—from ordering to service to delivery—is handled with the utmost care and regulatory compliance.

Contact Susan Welch-McCulloch to get started with an order today. Susan.Welch@precisionpharmacy.com | 817.550.7237

precisionpharmacy.com

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Volume 38, Spring 2023 Editorial/Design/Subscriptions: Sara Green 806-673-1987 info@texasequineva.com Editor: Ty Tipton, DVM, DACVS ttipton@113equine.com

The Official Publication of the Texas Equine Veterinary Association. Copyright 2023. The Remuda is an international publication serving veterinarians across the world. Published quarterly, this periodical is designed to provide educational opportunities for members, highlight scientific research, improvements, and industry news. The purpose of The Remuda is to serve the best interests of the members while keeping practitioners informed and up to date.

Postmaster:

Please send address changes to TEVA, PO Box 11779, El Dorado, AR 71730.

Subscription Rates:

Subscriptions are free with any TEVA membership.

Contact:

Address: PO Box 11779, El Dorado, AR 71730 Telephone: 806-673-1987 Website: www.texasequineva.com Email: info@texasequineva.com Texas Equine Veterinary Association does not verify claims made by the advertisers in this publication.

TEVA BOARD OF DIRECTORS:

PRESIDENT Leslie Easterwood, DVM, MA Texas A&M University College of Veterinary Medicine College Station, TX leasterwood@cvm.tamu.edu

DIRECTORS Shem Oliver, DVM, DACVS-LA (2021-2023) Performance Equine Associates Thackerville, OK shem.oliver@pea-texoma.com

PRESIDENT ELECT Piper Norton, DVM, DACVIM (2020) Texas Equine Medical Associates Austin, TX piper@texasema.com

Britt Conklin, DVM, CF (2021-2023) Associate Dean for Clinical Programs Texas Tech University School of Veterinary Medicine Amarillo, TX Britt.Conklin@ttu.edu

VICE PRESIDENT Michelle Bessire, DVM, DABVP (2021) Brock Veterinary Clinic Lamesa, TX drmbessire@gmail.com

Ty Tipton, DVM, DACVS (2022-2024) 113 Equine Millsap, TX ttipton@113equine.com

IMMEDIATE PAST PRESIDENT John Janicek, DVM, MS, DACVS Brazos Valley Equine Hospital Salado, TX jcjanicek@yahoo.com TREASURER Randy Lewis, DVM (2020) West Texas Equine Clinic Abilene, TX roca1492@aol.com EXECUTIVE DIRECTOR Sara Green 806-673-1987 info@texasequineva.com

Bruce Buenger, DVM (2022-2024) Washington Animal Clinic Brenham, TX brucebuenger@washingtonanimalclinic.com Ali Broyles, DVM (2023-2025) Equine Sports Medicine & Surgery Weatherford, TX abroyles@equinesportsmedicine.com David Dutton, DVM, DACVS (2023-2025) Texas Tech University School of Veterinary Medicine Comfort, TX David.Dutton@ttu.edu ASSISTANT EXECUTIVE DIRECTOR Blaine Fisher Blaine@texasequineva.com

Advertising:

Melanie Fuller 979-255-3343 | mwfuller@hotmail.com Media Kit available by emailing info@texasequineva.com

Photography:

Various photographers are used and noted. Cover Photo and interior scenery photos by: Rebecca Cowan | @rebeccacowanphotography www.texasequineva.com | 5

Spring

2023 the

Remuda 8 10 12 14 15

From the Point Leslie Easterwood, DVM TEVA President Telling Our Story | Dr. Ricci Karkula, DVM, MS, cVMA Platinum Practice Feature | 113 Equine Summer CE Symposium Information

16 20 24 26

Versatility of Computed Tomography in Practice Weston Warnock, DVM, DACVS-LA

Veterinary Student Spotlight

Texas Equine Foundation News Rabies Drive Bo Brock, DVM, DABVP

Top of Texas Boutique Meeting Information | June 1& 2

Dates to Remember: 4.11 5.31 6.1–6.2 8.3–8.5

TEVA/TAMU Chat at the Chicken, College Station Please email outreach@texasequineva.com to attend TEVA/TTU Chat at the Hummers, Amarillo Please email outreach@texasequineva.com to attend Top of Texas Head & Respiratory Boutique Meeting Page 15 for more information 2023 Summer CE Symposium | Register online today! Page 14 for more information

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A Message from the Point Howdy, friends, As we enter into the busiest time of our year, I always reflect on the amazing parts of our jobs that happens every Spring…new babies to watch grow, new performance horses for the upcoming summer shows, and new pregnancies to celebrate are among my favorites. Seeing bluebonnets and wildflowers blooming on the drives to farm calls is also a bonus of our jobs! Hope you are all getting a chance to enjoy the things that make this profession worthwhile for you! TEVA has been busy over the past few months. We are continuing to support students with “Chats” to connect practitioners and students from TAMU, TTU, OSU, and TAMU-VERO. If you would like to participate in one, please email outreach@texasequineva.com. We sponsored the job fair at the Texas A&M Student Wet Lab and had 52 practices participate! That was an amazing turnout. We are continuing to hold dialogues to discuss improving equine practice for new grads. Our discussions will be continued with findings being incorporated into discussions at the TEVA Symposium in August.

PRESIDENT LESLIE EASTERWOOD DVM, MA

In June, our Boutique Meeting will move to Amarillo for a hands-on program at the new Texas Tech University School of Veterinary Medicine. This will be a great program with the chance to see their new facilities and beautiful campus so get registered today if you would like to attend. Drs. Piper Norton and Michelle Bessire have been working hard on the details for the August 3–5 meeting. It is going to be a great meeting! Hope y’all are making plans to come and also send your technicians. Our second year in Fort Worth is going to be epic! Our Texas Equine Foundation has also been very busy this year. Hope that y’all have seen the first videos that are being produced to tell the story of our Foundation and the programs that we support. These initiatives are going to take our Foundation to the next level by supporting research projects, student initiatives, benevolence programs, and disaster response. We hope that these efforts help to raise awareness of our Foundation and all the programs we support. We would appreciate you sharing these with your friends, clients, and peers as you see fit. Our association continues to evolve into an amazing resource to support our Equine Veterinary Community. This could not be done without our incredible staff! I am continually amazed at what our “team of 2” gets done. Sara Green and Blaine Fisher are our secret weapons! We would not be who we are without them. I am so grateful for all that they do on our behalf. Please thank them every chance you get! Hope to see everyone in Fort Worth in August! God Bless,

Leslie

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TO CARE FOR A MASTERPIECE IS TO

DEVOTE YOUR LIFE TO IT. WE SPEAK FROM EXPERIENCE.

The horse is a living work of art. Caring for it requires the touch of an artist — and tools of the highest precision. Boehringer Ingelheim has assembled the market’s most comprehensive equine health portfolio. Ta k e y o u r a r t i s t r y t o t h e n e x t l e v e l a t T h e A r t o f H o r s e . c o m

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Telling Our Story... A. Equine Veterinarian B. Working mom C. All of the above Ricci Karkula, DVM, MS, cVMA Brazos Valley Equine Hospital, Navasota

A California native, Ricci moved to Stephenville to attend Tarleton State University on a rodeo scholarship. She graduated with both a BS in Animal Science and a Master’s Degree in Animal Science with an emphasis in reproduction. She stayed in Texas and graduated with her DVM from Texas A&M University in 2015. After an internship and subsequent sports medicine/surgery fellowship at Equine Sports Medicine and Surgery, she has become a very well-rounded veterinarian. Additionally, Ricci also completed her acupuncture training through Colorado State University in 2016. Prior to joining the BVEH team, Ricci spent two years on staff at Elgin Veterinary Hospital as a general practitioner and reproduction veterinarian. As part of BVEH-Navasota, from midDecember through mid-to-late July, you can find Ricci cycle checking and breeding mares, including embryo flushing and freezing, and management of sub-fertile mares. When she isn’t breeding mares, Ricci is also an accomplished sports medicine veterinarian and an asset to the surgery team. Between working, barrel racing, and taking care of her two young children, Grayson and Addison, she has her hands full. Ricci was a TEVA Student member during her time in veterinary school and we are excited to have had her continue to be involved with TEVA as she has continued her career in veterinary medicine!

I was asked to write an article and should be writing about reproduction, but I feel compelled to share my personal journey as an equine veterinarian and working mom with you instead. More than 50 percent of the AAEP membership is now female, and as such the equine veterinary industry will see a shift in the number of female veterinarians that have, or want, a family. The equine veterinary profession is losing veterinarians at a rapid pace due to long work hours, unrealistic client expectations, and a lack of work-life balance, which includes veterinarians leaving the work force to have a family. But it is possible to have both! My personal journey started with an internship, followed by a surgical fellowship, then two years in private practice before starting a family. Am I fabulous veterinarian? Probably not. Am I a fabulous mother? Probably not either, but I try really hard and take pride in both. I struggle daily with thoughts of trying to be the best veterinarian and best mother that I can be, and those thoughts will likely never fade, but I have found a way to enjoy two great loves in my life. My children and my career. My work schedule looks different than most. I sat down with my boss two years ago and had this conversation and he was very open to me working the hours that I do now. I still work five days a week (and six to seven days a week during breeding season) but abbreviated hours. I take our children to daycare in the morning, so I start my day later, and I pick our children up from daycare so I finish my day earlier than traditional hours. I take appointments without a scheduled lunch break so that I can still accomplish the breeding appointments that I need to, but also allows me the freedom to schedule appointments for the kids in the afternoons. I have been very fortunate to find a team of veterinarians in the clinic that are very supportive, including my husband, who jumps in whenever needed, and will see breeding appointments when I am not available. I have worked this schedule for the last two breeding seasons and clients are aware of my abbreviated work schedule. Being married to another veterinarian, who is a surgeon, adds a whole other element to a chaotic schedule but that will be an article for another time! There is a great deal of value associated with a happy veterinarian, and a happy veterinarian is driven to be productive. I am happy with my current schedule and enjoy being at work and seeing appointments, but also really love spending time at home with my children. If a family isn’t in your plans, work-life balance is still all about what makes you happy as an individual. I hope that the equine veterinary profession embraces the changes it faces and finds a way to make it sustainable for the future, as it truly is a wonderful profession. The Texas Equine Foundation is committed to telling the story of today’s equine veterinarian. We want to hear your story too. If you would like to share, please contact us today at info@texasequineva.com. www.texasequineva.com | 10

Bryant W. Craig, DVM

It’s just who we are.

We know horse people because we’re horse people. And like you, the love and respect we have for horses is unconditional. Everything we do is for their benefit. If we do right by the horse, we’ll never do wrong.

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#BeUnconditional

Platinum Practice Feature 113 EQUINE

113 Equine, LLC, is a full-service equine veterinary hospital in Parker County, Texas. The facility, conveniently located just off Interstate 20 on FM 113 in Millsap, Texas, consists of a 12,000 square foot hospital, 50-stall mare motel, and a 10-stall stallion barn that also offers both sports medicine and reproductive services. We are extremely proud to offer specialized equine veterinary services including surgery, internal medicine, sports medicine, pre-purchase examinations, and full reproductive services including stallion collection and management. The veterinarians at 113 Equine are highly trained in equine veterinary practice and have many years of experience in the management of equine athletes and breeding stock. The hospital staff is incredibly well versed and passionate about the wellbeing of the equine patients we serve. We genuinely believe in working with trainers and owners to provide the best possible outcome for our patients and their owners. Every staff member, from the receptionists to the veterinarians, is dedicated to providing the very best veterinary experience possible. Our main objective is to provide an unmatched quality of medical and reproductive services to our clients and patients. This goal will be achieved by providing the latest technological and clinical

advances, as well as staying up-to-date with the most effective treatments for our patients. 113 Equine provides digital radiology, digital ultrasound, extracorporeal shock wave therapy, therapeutic and regenerative laser therapy, Interleukin-1 Receptor Antagonist Protein therapy (IRAP), ProStride therapy, regenerative medicine (Stem cell and Platelet Rich Plasma), and the latest in surgical and reproductive techniques and equipment. 113 Equine is comprised of three like-minded veterinarians: Dr. Ty Tipton, Dr. Skeet Gibson, and Dr. Chris Ray. Dr. Skeet Gibson was raised in Washington, Oklahoma. He completed his undergraduate studies at University of Oklahoma, and then went on to become a graduate of Oklahoma State University’s College of Veterinary Medicine. He then joined Equine Sports Medicine and Surgery (ESMS) in Weatherford, Texas, in 2008. Dr. Gibson complete one year internship at Equine Sports Medicine and Surgery in Weatherford. After completion of the internship, he became an associate vet in 2009 at ESMS. Dr. Gibson has worked in all areas of vet medicine while at ESMS, including ambulatory medicine, internal medicine, racetrack, and reproduction. Dr. Gibson has been the Primary Veterinarian at ESMS on the Brazos Reproduction Facility since 2011. He enjoys playing golf, spending time with family, and

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traveling in his free time. He looks forward to having the opportunity to provide all your reproductive needs from full-service stallion and mare care. Dr. Ty Tipton and Dr. Chris Ray specialize in advanced lameness diagnosis and treatment. They have over 25 years of combined experience working with performance horses from various industries. Dr. Tipton grew up in Newcastle, Oklahoma. After high school he attended Vernon Regional Junior College in Vernon, Texas, and then to Oklahoma State University in Stillwater, Oklahoma. Dr. Skeet Gibson transferred Dr. Tipton graduated with a bachelor’s degree in animal science and then continued his education to veterinary school at Oklahoma State University College of Veterinary Medicine. He graduated in 2009 as a member of two honor societies, Phi Kappa Phi and Phi Zeta. After graduation Dr. Tipton completed a one-year internship in equine surgery and lameness at Oakridge Equine Hospital in Edmond, Oklahoma, under the mentorship of Dr. Brent Hague and Dr. Mike Major. Upon finishing his internship, he completed an equine surgery residency at Equine Sports Medicine and Surgery in Weatherford, Texas, under the mentorship of Dr. Chris Ray and Dr. Reese Hand. Dr. Tipton completed his residency in June 2013 and remained at ESMS as an associate emergency surgeon while studying for the ACVS board examination. February 2014, Dr. Tipton passed the American College of Dr. Ty Tipton In Veterinary Surgeons board exam, becoming a Board-Certified Equine Surgeon. His main clientele includes cutting horses, barrel and other rodeo horses, western performance horses, and racing Quarter Horses. Dr. Tipton’s professional interests include advanced lameness diagnosis and treatment, as well as orthopedic and soft-tissue surgery. Dr. Tipton is a published author of research articles in peerreviewed journals, most notably a paper on superficial digital flexor tendonitis in cutting horses. In his spare time, he enjoys spending time with his wife Jessica, hunting, fishing, team roping, and playing guitar. Dr. Tipton is also a member of the TEVA Board of Directors Dr. Chris Ray grew up in Borger, Texas. He graduated from Texas A&M University’s College of Veterinary Medicine. Following his Dr. Chris Ray graduation in 1990, he completed an internship at Littleton Equine Medical Center. Dr. Ray then completed his surgical residency at Colorado State University from 1991–94. Since then, he has practiced in Texas, Oklahoma, New Mexico, and Montana. In 2018 he was nominated for PRCA Veterinarian of the Year Award. He is a recognized Equine Sports Medicine Surgeon, who is known to have dedicated his life to the health, well-being, soundness, and longevity of the rodeo-competitive horse. With the clinical focus of prevention, rehabilitation, and soundness in the future, his clientele includes past and present world champions of the PRCA and WPRA. 113 Equine gladly offers externships for students hoping to gain experience in equine lameness diagnosis, surgery or reproductive services. Students have the ability to be involved in performing lameness examinations and imaging as well as welcome to observe any surgeries or other procedures. 113 Equine also offers a one-year internship with competitive pay and benefits. The internship is designed to allow new graduates to improve their skills in lameness diagnosis and imaging. There are many opportunities for interns to interact with clients and patients, and the high volume of patients exposes them to many of the common lameness and sports medicine cases commonly seen in equine practice.

THANK YOU

Platinum Practice Sponsors 113 Equine Clinic 4S Equine Clinic 6666 Ranch Animal Imaging Austin Equine Hospital Border Equine Hospital Brazos Valley Equine Hospital Brock Veterinary Clinic Cooper Veterinary Clinic DeCillo Equine Delta Equine Center Elgin Veterinary Hospital Equine Sports Medicine & Surgery Hansford County Veterinary Hospital Katy Equine Clinic La Mesa Veterinary Equine Sports Medicine MidSouth Equine Sports Medicine & Surgery North Texas Veterinary Hospital Oakridge Equine Hospital Performance Equine Associates Premier Equine Veterinary Services Reata Equine Hospital Retama Equine Hospital Southwest Stallion Station Southwest Texas Veterinary Medical Center Texas A&M Veterinary Medical Teaching Hospital Texas Equine Hospital Texas Equine Medical Associates Town & Country Animal Hospital Veterinary Chiropractic & Rehabilitation Center Waller Equine Hospital Ward Animal Hospital Washington Animal Clinic Weatherford Equine Medical Center Weems & Stephens Equine Hospital West Texas Equine Clinic

For more information on externship/internship opportunities please contact the clinic at (940) 654-8013 or email info@113equine.com.

Western Veterinary Hospital

113 Equine is a Platinum Practice Sponsor of the Texas Equine Veterinary Association. Platinum Practice Sponsorships fund the associations speaker budget for the Summer CE Symposium. If you would like to learn more or become a Platinum Practice sponsor, email info@texasequineva.com

Platinum Practice Sponsorships support the speaker budget for the annual Summer CE Symposium. If you would like to join this group, contact us today! Email: info@texasequineva.com

www.texasequineva.com | 13

Young Equine Services

21 CEU AVAILABLE

KEYNOTE SPEAKERS

Carrie Finno, DVM, PhD, DACVIM UC Davis

Internal Medicine with a focus on Genetics and Vitamin E

Katherine Garrett, DVM, DACVS-LA Rood and Riddle Equine Hospital

Ultrasound of the Pelvis, Foals and Laryngeal Ultrasound

Dean A. Hendrickson, DVM, MS, DACVS, ACVS Founding Fellow Colorado State University

Wound Care, First Aid, Sedation

Plus more! Scientific Lectures • One Full Day of Wet Labs with Advanced and Novice Sections in Each Lab • *NEW* Student Wet Lab • How-To Sessions on Site with Wet Labs • Technician Specific Lectures • Trade Show • Collegiality • Texas Equine Foundation Gala

PLATINUM PRACTICE BREAKFAST The Summit Internship Focus Discussion

Ali Broyles, DVM, DACVS-LA; Ricci Karkula, DVM, MS, cVMA; Kevin Claunch, DVM, DACVS; Leslie Easterwood, DVM; Moderated by: John Janicek, DVM, MS, DACVS

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Versatility of Computed Tomography in Practice Weston Warnock, DVM, DACVS-LA Brazos Valley Equine Hospital, Navasota

Weston was raised in Bastrop, Texas, on a small family-owned feed yard, and attended Texas A&M University for undergraduate studies in Animal Science. He obtained his Doctor of Veterinary Medicine from Texas A&M College of Veterinary Medicine in 2012, and went on to a rotating internship at Steinbeck Country Equine Clinic in Salinas, California. Weston then completed an equine surgery residency in private practice at Equine Sports Medicine and Surgery in Weatherford, Texas, and became a Diplomate of the American College of Veterinary Surgeons in 2020. His main professional interests include orthopedic surgery, upper airway surgery, and sports medicine. Weston is a practicing equine surgeon at Brazos Valley Equine Hospitals in Navasota, Texas, with his wife, Dr. Ricci Karkula-Warnock who focuses on equine reproduction at the same practice. Outside the clinic, Weston enjoys spending his time with their son, Grayson, and daughter, Adelyn, and salt water fishing.

Volumetric imaging modalities have become more widely available in the recent years, and as a result, have advanced the envelope of equine practice, increasing the accuracy of our diagnoses and shedding light on specific pathologies that previously remained illusive due to an inability to image certain structures or regions of anatomy. A more accurate determination of specific injuries should allow development and implementation or more specific/appropriate treatment plans, ultimately resulting in improved prognoses through development of more effective therapies. A unique challenge to accurate diagnosis of musculoskeletal pathology in horses is the sheer size and frustratingly inaccessible regions of anatomy in the context of imaging, which, with some variation of discipline, seem to be common sources of lameness and performance limitation. Advanced imaging of the distal extremity in equine sports medicine practice is well established and widely available in the context of both magnetic resonance imaging (MRI) and computed tomography (CT). However, reliably imaging the axial skeleton and more proximal regions of the thoracic and pelvic limbs with a volumetric modality have been limited to smaller patient size due to gantry and table constraints. Development of large bore CT scanners and cone beam CT (CBCT) have allowed adaptation of this modality to those regions of the limb and axial skeleton that previously were inconsistently accessible, such as the caudal cervical spine and proximal appendicular skeleton. CT imaging of the cervical spine (Rovel et al. 2021) and CT myelography have been described (Gough et al. 2021) recently. Rovel et al assessed adult warmblood horses that underwent CT imaging for forelimb lameness that failed to respond to nonaxial diagnostic anesthesia, signs indicative of cervical spinal ataxia, and cervical pain or stiffness. This report showed that most abnormalities were found from C5 to T1, with stenosis of the intervertebral foramen occurring in 85.7% of case horses. This pathology of spinal nerve compression has been compared to cervical radiculopathy in humans, commonly treated with surgical foraminotomy (removal of the margin of the intervertebral foramen reducing nerve compression), which was recently described in horses (Swagemakers et al 2022). Perineural injection of the ventral branch of the cervical spinal nerve in conjunction with intrasynovial articular process joint medication is commonly used as a medical approach for cervical pain management. While these techniques are newly described and require further clinical evaluation before widespread adaptation to clinical cases, the advancement of imaging capabilities allows this process. Lameness localized to the stifle is a well established source of performance limitation, especially in the Quarter horse, accounting for 35% of cutting horses (Swor et al. 2019) and 9% of western performance horses (Johnson et al. 2021) presenting for lameness or performance limitation. Sport horses have also been suggested to sustain stifle injuries frequently (Singer et al. 2008). Traditionally, beyond the scope of clinical examination, kinetic gait analysis, and diagnostic anesthesia, most common clinical impressions or differential diagnoses are derived from a correlation of radiographic and ultrasound findings, and in select cases, nuclear scintigraphy. In humans, MRI is considered the gold standard imaging modality for articular cartilage and intra- and peri-articular soft tissues of the knee. MRI coil size and patient positioning www.texasequineva.com | 16

Figure 1: Severely enlarged/degenerative right C5-C6 articular process joint with static extradural compression and narrowing of the intervertebral foramen. Image was obtained during CT myelography. Adjacent image is an example of positioning for cervical spine CT. constraints with MRI in horses can limit the size of patient suitable for MRI imaging of the stifle (Murray et al. 2011). Diagnostic arthroscopy, both standing needle arthroscopy (Frisbie et al. 2014) and standard arthroscopy under general anesthesia, have traditionally been the final diagnostic option when radiographic and sonographic findings are not definitive, but clinical examination and diagnostic anesthesia localize lameness to the stifle. The diagnostic ability of arthroscopy is, however, limited to only select intra-articular structures in surgically accessible regions, making thorough evaluation of peri-articular or partially articular structures, such as the cranial and caudal cruciate ligaments difficult or impossible to thoroughly assess. With the development of CT scanners with a gantry of sufficient diameter to accommodate the large muscle mass surrounding the stifle of the adult horse, CT imaging has been recently been evaluated for its ability to adequately image articular structures of the stifle. The technique for CT and CT arthrography of the stifle has been described by Bergman et al. in 2007, and precontrast CT imaging was found to reliably identify the medial and lateral collateral ligaments, medial and lateral menisci, cranial/caudal cruciate ligaments, and patellar ligaments. Addition of intra-articular iodinated contrast medium allowed further identification and assessment of the cranial and caudal, medial and lateral meniscotibial ligaments, and menisco-femoral ligaments. Multiplanar reconstruction enabled superior assessment of the cruciate ligaments. However, in 16 clinical cases described in the same report, CT imaging of the entire cranial and caudal cruciate was inconsistent, but sufficient to identify pathology in 8/16 cases, with abnormality of the caudal cruciate being more commonly represented (5/8). Cruciate abnormalities in this study were characterized by ligament enlargement, mineralization, or fragmentation or osseous proliferation/resorption at the insertion or origin of the ligament. In this study, the most commonly identified lesion was desmopathy of the craniomedial meniscotibial ligament and enthesopathy of its insertion on the proximal tibia, which was underestimated on prior radiographic and ultrasound exams. Medial meniscal injury, the second most commonly identified abnormality, was defined by extension of contrast into the meniscus from the joint space, or abnormal medial extrusion. CT arthrography has been found to be superior to diagnostic arthroscopy for evaluation of the cranial and caudal cruciate ligaments and proximal tibial enthesopathy, but significantly less sensitive for detection of articular cartilage injury on the medial femoral condyle. Nelson et al found that while arthroscopy detected articular cartilage injury in 96% of cases that underwent CT arthrography and diagnostic arthroscopy for stifle lameness, CT identified cartilage abnormality in only 60% of cases, using an intra-articular nonionic iodinated contrast. Cationic iodinated contrast may improve CT arthrography detection of articular cartilage injury, but this has not yet been validated (Nelson et al.). In the same study, CT arthrography detected 75% of arthroscopically visible meniscotibial ligament tears, while only 27.3% were detected on ultrasound. Additionally, craniolateral tears of the medial meniscus in this study

Figure 2: Yearling Quarter horse positioned for conventional CT imaging of the stifle and coxofemoral joint.

Figure 3: Adult horse positioned for bilateral stifle CT. Both hindlimbs are taped to the CT table to reduce motion artifact and tied in extension to a wall anchor with hobbles.

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Figure 4: Sagittal plane helical CT image of the proximomedial tibia illustrating enthesopathy/ bone resorption at the insertion of the craniomedial meniscotibial ligament not visible on radiographs, ultrasound, or diagnostic arthroscopy. Adjacent, the hypoattenuating tear in the cranial meniscotibial ligament is visible when viewed with a soft tissue window.

were not visible sonographically, but CT detected 55.6% of these lesions (which comprised 70% of the meniscal tear location in this report). In our hospital, we routinely recommend contrast CT arthrography of the stifle prior to considering diagnostic arthroscopy, in effort to identify injury to periarticular soft tissues prior to surgical intervention. CT imaging is noninvasive, requires a short anesthesia time (less than 45 minutes in most cases), and has been well accepted by clients from a financial standpoint. In our experience, it has correlated well with arthroscopic findings within the menisci and cranial meniscotibial ligaments, while allowing identification of pathology in less accessible structures, as described in the previously cited reports. Intraarticular contrast administration is generally well tolerated with minimal patient discomfort noted after recovery from anesthesia. Extravasation of iodinated contrast may cause a local inflammatory response associated with altered tissue osmolarity (Nelson et al. 2017) resulting in swelling, pain, and tissue necrosis. However, we have not experienced this complication with periarticular or perivascular administration of Iohexol, anecdotally. Other possible complications of contrast administration include renal insult (lower risk with lower osmolality contrast), acute anaphylaxis, or delayed reactions (fever, edema, urticaria)(Nelson et al. 2017). Other less common areas of lameness or performance limitation, not commonly accessible to traditional advanced imaging modalities include the proximal thoracic limb region. Recently, Zimmerman et al. reported on the feasibility of CT imaging of adult warmblood horses with lameness localized to the cubital joint, with subchondral cystlike lesions of the proximomedial radius and medial humerus being the most common lesion identified. While lameness attributable to the cubital joint is rare, this report illustrates the advancing forefront of advanced imaging to regions of anatomy previously limited to planar imaging. In the near future, the regions of the horse inaccessible to volumetric imaging will likely become fewer and farther between, guiding research and development of therapeutic strategies to alleviate lameness and performance limitation. I would also like to thank Dr. Ty Tipton of 113 Equine for the invitation to write this article.

Figure 5: Contrast noted within the lateral cranial meniscotibial ligament suggesting a tear that communicates with the joint. The tear was visible arthroscopically.

REFERENCES • Rovel T, Zimmerman M, Duchateau L, Delesalle C, Adriaensen E, Mariën T, Saunders JH, Vanderperren K. Computed tomographic examination of the articular process joints of the cervical spine in warmblood horses: 86 cases (2015-2017). J Am Vet Med Assoc. 2021 Nov 15;259(10):1178-1187. doi: 10.2460/javma.20.03.0105. PMID: 34727072. • Gough SL, Anderson JDC, Dixon JJ. Computed tomographic cervical myelography in horses: Technique and findings in 51 clinical cases. J Vet Intern Med. 2020;34:2142– 2151. https://doi.org/10.1111/jvim.15848 • Swagemakers JH, Van Daele P, Mageed M. Percutaneous full endoscopic foraminotomy for treatment of cervical spinal nerve compression in horses using a uniportal approach: Feasibility study. Equine Vet J. 2022 Dec 26. doi: 10.1111/evj.13919. Epub ahead of print. PMID: 36572912. • Swor TM, Dabareiner RM, Honnas CM, Cohen ND, Black JB. Musculoskeletal problems associated with lameness and poor performance in cutting horses: 200 cases (2007-2015). J Am Vet Med Assoc. 2019 Mar 1;254(5):619-625. doi: 10.2460/ javma.254.5.619. PMID: 30779625. • Johnson SA, Donnell JR, Donnell AD, Frisbie DD. Retrospective analysis of lameness localisation in Western Performance Horses: A ten-year review. Equine Vet J. 2021 Nov;53(6):1150-1158. doi: 10.1111/evj.13397. Epub 2020 Dec 26. PMID: 33617019. • Singer ER, Barnes J, Saxby F, et al: Injuries in the event horse: Training versus competition. Vet J 2008; 175:76-81 • MurrayR, WerpyN, CollinsS. Thestiﬂe. In:MurrayRC(ed):Equine MRI. Hoboken: Wiley-Blackwell, 2011;237–248 • Frisbie DD, Barrett MF, McIlwraith CW, Ulmer J: Diagnostic stifle joint arthroscopy using a needle arthroscope in standing horses. Vet Surg 2014; 43:12-18 • Nelson BB, Kawcak CE, Goodrich LR, Werpy NM, Valdés-Martínez A, McIlwraith CW. COMPARISON BETWEEN COMPUTED TOMOGRAPHIC ARTHROGRAPHY, RADIOGRAPHY, ULTRASONOGRAPHY, AND ARTHROSCOPY FOR THE DIAGNOSIS OF FEMOROTIBIAL JOINT DISEASE IN WESTERN PERFORMANCE HORSES. Vet Radiol Ultrasound. 2016 Jul;57(4):387-402. doi: 10.1111/vru.12366. Epub 2016 May 12. PMID: 27170533. • Bergman EH, Puchalski SM, van der Veen H, Wiemer P: Computed tomography and computed tomography arthrography of the equine stifle: Technique and preliminary results in 16 clinical cases. AAEP Proc. 2007; 53:46-55. • Nelson BB, Goodrich LR, Barrett MF, Grinstaff MW, Kawcak CE. Use of contrast media in computed tomography and magnetic resonance imaging in horses: Techniques, adverse events and opportunities. Equine Vet J. 2017 Jul;49(4):410-424. doi: 10.1111/evj.12689. Epub 2017 May 22. PMID: 28407291. • Zimmerman M, Schramme M, Barthélemy A, Mariën T, Thomas-Cancian A, Ségard-Weisse E. CT is a feasible imaging technique for detecting lesions in horses with elbow lameness: A study of 139 elbows in 99 horses. Vet Radiol Ultrasound. 2022 Mar;63(2):164-175. doi: 10.1111/vru.13044. Epub 2022 Jan 10. PMID: 35007365.

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Student Spotlight Texas A&M University - VERO student Brynn Waley is a class of 2026 veterinary student who is originally from Austin, TX. Brynn plans to pursue an equine internship with an interest in sports medicine and orthopedic surgery. She has joined both SCAAEP and TEVA to help broaden her network of like-minded equine focused students.

BRYNN WALEY

When asked what her favorite vetmed experience has been, thus far, she says, “Even though it’s not horse related, one of my favorite experiences so far has been going on a study abroad to South Africa and working with exotics. I also have to amazing opportunity to go back to South Africa on another study abroad this coming summer (2023)!” Today she is looking forward to being a part of the TEVA Summer CE Symposium as a student volunteer. She has already volunteered at the TAMU SCAAEP Wet Lab in the joint injection station. About her experience at the wet lab, she said, “Throughout the morning, the practitioners gave me to incredible opportunity to participate and learn.” I’ve always been drawn to horses. I began riding when I was 12. I did hunter/jumpers and eventing and was competitive throughout undergrad. After graduation, I began working at Texas Equine Hospital (in 2018) where I developed my passion for the equine medicine. I worked at Texas Equine until I started vet school (4 years) and look forward to joining the industry as an equine veterinarian! Throughout my first year, F AVAI LABL E FROM TEVA ERIE NCE” SCHO LARS HIPS it’s been really neat to be able to connect the dots between what I’ve learned in class and my CHEC K OUT THES E “EXP RINA RY experience as a technician. THE TEXA S EQUI NE VETEANNUAL ION AWA RDS

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Thanks for being a part of TEVA, Brynn! She can be reached at bewaley@tamu.edu.

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ATTENTION TEVA MEMBERS: In attempt to help connect our TEVA Student Membership with internships and externships available with our DVM members, we are building a database that will be available on our website. If you would like to submit your internships or externship opportunities, please EMAIL (info@texasequineva.com) today! www.texasequineva.com | 20

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Student Spotlight HAVEN ERENGIL

Haven is a Texas A&M School of Veterinary Medicine member of the class of 2025. After graduation she plans to pursue an internship and residency in equine internal medicine or Surgery. She has a special interest in neurology, but says that she has grown to love surgery as she’s practiced skill in class. She looks forward to pursuing and developing both interests as she continues through her educational journey. Originally from Austin, she is tracking either mixed animal or equine medicine for her fourth year. She says that she is currently involved in our school’s Student Chapter of the American Association of Equine Practitioners (SCAAEP), where she serves as the Wet Lab Coordinator for Texas A&M Veterinary School’s 2024 Equine Wet Lab. This is a large event that brings students and clinicians from veterinary schools across the country to Texas A&M’s campus. She is also involved in our school’s Student Chapter of the American College of Veterinary Internal Medicine (SCACVIM), where she serves as the Secretary. She coordinates with speakers to host internal medicine related meetings for her veterinary school peers. She is also a member of our school’s Student American Veterinary Medical Association chapter (SAVMA), as well as the Veterinary Business Management Association (VBMA), Latinx Veterinary Medical Association (LVMA), Society for Theriogenology (SFT), and of course the Texas Equine Veterinary Association (TEVA)! When asked about her favorite vetmed experience to date she said, “My favorite experience in veterinary medicine so far was assisting with the coordination of Texas A&M’s 2023 Wet Lab this past January. I had never seen anything like it — I was amazed at how many people came, as well as the complex skills we were able to practice under the direction of fantastic veterinarians. I thoroughly enjoyed participating in the planning of this year’s Wet Lab, and I am already eager to start planning for next year!” When asked about her favorite TEVA experience so far, she said, “I have really enjoyed attending our TEVA Chats at the Chicken here in College Station! I think it’s awesome that so many clinicians from around Texas come to join us for food and drinks. I appreciate the conversation and honest advice I get from a number of great role models in the field.” When asked about her volunteer experiences she said: For the past three semesters, I have been involved in Texas A&M’s REACH Pet Wellness Fair. This is a program where veterinary students team up to provide free veterinary care to underprivileged people in our community. Giving back is something I am incredibly passionate about, and every experience I have had with REACH has only fostered my desire to serve. I look forward to continuing my volunteer work with REACH, and hope to find ways to apply their principles to my future veterinary practice. Last semester, I got the chance to volunteer for VetPD’s Beyond Basics in Mare Reproduction Continuing Education workshop. I had a great time working with the clinicians both taking and teaching the course, and really got a good appreciation for what it means to be in a career that prioritizes lifelong learning. This semester, I was able to volunteer with our school’s Food Animal Wet Lab, which is the food animal counterpart to our Equine Wet Lab that we hosted in January. While food animal medicine is not a large focus of mine, I really enjoyed getting to see a different side of veterinary medicine and collaborate with my peers who are interested in another aspect of our profession. Most recently, I volunteered with our school’s VetEd Day, which is a veterinary education experience for underprivileged families in our community. I helped run the Large Animal Room, where I taught children about differences in digestive systems between small and large animals, as well as where some popular cuts of meat come from! Educating our community is an incredibly important part of the veterinary profession, and I am thankful I was able to be a part of this experience.

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Student Spotlight Continued Awards/Honors: Throughout the first two years of veterinary school, I have been awarded the Texas A&M University Charles and Margaret Plum Endowed Scholarship as a recognition of my academic achievement and financial need. In my second year of veterinary school, I have been awarded the Texas A&M University Dr. & Mrs. Hubert Schmidt Endowed Scholarship as a recognition of my academic achievement and financial need. Horse Background: I have been riding and working with horses since I was 5 years old. Nobody in my family was very horse-y, so I took any opportunity I had to be around horses! Growing up, I exercised a number of horses at my home barn, and helped out as a groom at horse shows. During my time at the University of Texas as an undergraduate, I joined our school’s Intercollegiate Horse Show Association (IHSA) team and competed in the hunter/jumper discipline. In my final year on the equestrian team, I was elected Captain and got to work closely with trainers and other team captains across our entire region, which spanned from West Texas to Mississippi. Since starting veterinary school, I have stopped competing and now only ride for fun. I thoroughly enjoy any equine experiences we have here at school, and look forward to spending more time with horses during our school breaks. Hobbies & Interests outside of Vet Med: Besides horseback riding, I enjoy various art forms such as drawing, painting, crochet, and sewing! I actually considered pursuing an art degree in my undergraduate career before deciding on Neuroscience instead. My biggest art-related claim to fame is a crochet blanket that I made to represent the year of 2019 — it has over 380 panels and is a beautiful rainbow of colors! Besides art, I also enjoy music. I played guitar growing up and took up flute throughout middle school and high school. I am currently trying to relearn guitar, and I pick up my flute occasionally to play some old excerpts. Other: I love to travel — I have family in Mexico and Cyprus, and visit them as often as I can! I am working on developing my Spanish and Turkish, and speak with my family via FaceTime or Skype any chance I get. This past summer, my fiancé got to travel with me to meet my family in Cyprus and travel around Europe for a few weeks. I look forward to planning more trips with my family in the future. Thanks for being a part of TEVA, Haven! She can be reached at hkerengil@tamu.edu.

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Breeding season is in full swing! Brazos Valley Equine Hospitals believes in challenging the status quo by providing the highest quality of care to our clients through sports medicine, surgery, sports medicine, internal medicine, reproduction, and primary care. Computed tomography (CT scan) imaging of the head/skull, cervical spine, and limbs is available at both Salado and Navasota hospitals to provide accurate, detailed diagnoses and prognosticate complicated cases to help horses reach their full athletic potential.

HELPING PEOPLE THROUGH THE CARE OF HORSES

OUR DOCTORS

www.bveh.com

Salado Hospital

Navasota/Cypress/AZ Hospital

John Janicek, DVM, MS, DACVS Beau Whitaker, DVM, CERP Jamie Ashbrook, DVM, cVMA Rachel Youngblood, DVM Saybl Sprinkle, DVM, MS

Ben Buchanan, DVM, DACVIM, DACVECC Kurt Heite, DVM Weston Warnock, DVM, DACVS Jon Johnson, DVM Ricci Karkula, DVM, MS, cVMA Ted Kellerman, DVM Kyle Grogger, DVM

BVEH – CYPRESS Outpatient/Ambulatory 18703 Juergen Rd Cypress, TX 77845 Phone: 281-255-2280

BVEH – SALADO Hospital 1920 FM 2268 Salado, TX 76751| 25 www.texasequineva.com Phone: 254-947-1292

BVEH – NAVASOTA Stallion Center Navasota, TX Phone: 936-577-7898

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Rabies drive Bo Brock, DVM, DABVP Brock Veterinary Hospital, Lamesa, Texas Every so often we put on a rabies drive to raise money for a group such as the pre-vet club from a nearby College or an animal shelter. We lower the cost of a rabies shot by a whopping one dollar over what we normally do it for at the clinic. Yes, one dollar. Who do you think shows up for these events? Well, I will tell you, it is three people types: 1. People that don’t have even one extra dollar. 2. People that want to save a little money while helping out a cause. 3. Rich people that are too tight to part with even one single dollar. Regardless of which of those three types we are talking about, they all want to show up first. I have never understood that, if the rabies drive starts at ten and goes to 2, one hundred people will show up at ten and there wont be another soul after the first hundred have passed through. Today was no different. We started at ten and there were one hundred people of those three types standing in line across the parking lot of the vet clinic. Have you ever really considered what it is like when those three types of humans, with the types of dogs that comes with those types of humans, stand in line in single file for an extended period of time? Cast of characters: Harley – Half Labrador Retriever half basset. Has the head and body of a lab and the legs of a basset. You can just guess which people type he belonged to. Prissy – Extremely short nosed Pekinese, spoiled rotten, hyperexitable. You can just guess which people type she belonged to. Dr. Zach Smith – Recent graduate, first rabies drive ever for him. Dr. Dan Thompson – Fourth year veterinary student from Iowa State. We had organized the process where Dr. Smith was giving the vaccination and Dr Thompson and myself were getting people to fill out the proper paper work while they stood in line. Things were going well but Dr. Smith was getting a bit behind, so I stepped in for a few minutes to help out with deworming while he continued to give shots. Suddenly I heard a giant cheer come from the parking lot where the waiting patrons were lined up. It was one of those cheers that was followed by loud talking and laughing and a buzz of excitement. I was interested to see what was happening, but prissy the short nosed rich dog was a few places back in line and all the excitement and cheering was making her nervous and her preppy owner wanted me to talk to her for a minute and calm her down. So I stopped heading out the garage door that opens out the back of our clinic and rubbed prissy’s head for a minute and talked some baby talk. It worked, she calmed down and wagged her tail a few times just as Dr. Thompson rounded the corner shouting for me to come out to the parking lot, he had something amazing to show me. So amazing that everyone in line had let out this raucous cheer.

Dr. Thompson is a character. And I mean he is a hoot and a half. During his progression down the line getting people to begin the paper work process, he came across Harley the bassa-lab. When Harley saw Dr. Dan, he got very excited (probably because he had not left the back yard since the rabies drive last year) and took a poop. This was no normal dog poop. It was an amazing one. Dr. Dan had supposed it was the longest unbroken strand of continuous dog poop the world had ever seen, so he got a stick and uncoiled it. Just picture with me if you will, a hundred people forming a circle, watching a fourth year veterinary student from Iowa unroll a giant pile of dog poop. When he got it uncoiled into a straight line, he came back into the clinic where I was to get a tape measure so he could go back and get the true length. When the final coil was removed, the surrounding rednecks and their associates, let out a massive cheer as they viewed the masterpiece Dan had created. Dan was explaining the situation to me as we hurried back across the parking lot, tape measure in hand, to get some sort of Guinness book of world record measurement. I was flabbergasted. What in the world was this guy thinking measuring a dog turd in the parking lot of a rabies drive? What are all the people going to think of us as professionals? Good night, who measures a dog turd length? Wow, what is Prissy’s owner gonna think when she sees us measuring dog poop? A hush gathered over the on-lookers as Dan shimmied out a few inches at a time on the tape measure. Ten inches, then fifteen inches, next twenty five inches, and finally...32.5 inches was shouted out by Dr. Dan in a tone of total triumph. The crowd went wild. Let’s go back in to the clinic now and see what was happening as the crowd screamed with joy over the final proclamation on Harley’s turd. Turns out, at just that moment, Dr Smith was sliding the needle under the skin on the back of Prissy’s neck to give the vaccination. The stress of the vaccination, coupled with the high decibel roar coming from the parking lot was just too much excitement for the rich dog’s system. When I came back around the corner, I discovered Dr. Smith holding Prissy up at eye level to himself with a concerned look on his face. The dogs owner was looking out the garage door with all the rest of the people there, but Zach was not looking anywhere but at the face of Prissy. Then I saw it. Prissy’s eye had popped out. Dr. Smith had never seen anything like that in his life. I guess all of the excitement of the moment had got the bug eyed short nosed critter’s blood pressure up enough that it just popped that eyeball out of it’s socket. Once again we had to stop the rabies drive to take Prissy in the clinic and fix the problem. The moral of the story is hard to find. If there is one, I think it may be this: Don’t have a crappy outlook on life. That may be a little to corny.

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Good nutrition is only half of the story.

Some horses need more than a high-quality feed to keep them looking and feeling their best. Adding Empower ® Digestive Balance Supplement to their regular feed promotes better nutrient absorption, improved overall health, digestive pain and stress relief, and encourages optimal performance. It may just be the advantage you’re looking for. VISIT NUTRENAWORLD.COM/EMPOWER-DIGESTIVE-BALANCE TO FIND YOUR www.texasequineva.com LOCAL RETAILER. | 27

NEW GENERIC

Detomidine Hydrochloride (detomidine hydrochloride)

Bioequivalent to DORMOSEDAN® Sterile Solution (detomidine hydrochloride).

Allows dosing flexibility so you can accurately regulate the depth and length of sedation and analgesia.

Cost-effective alternative.

Indicated for use as a sedative and analgesic to facilitate minor surgical and diagnostic procedures in mature horses and yearlings.

Place your order and receive significant savings through First Veterinary Supply, Penn Vet, or Victor Medical! Contact your Bimeda Equine Sales Representative for more information today! West

Tina Riley

TRiley@bimeda.com

480-678-5533

South

Mark Glassford

MGlassford@bimeda.com

513-361-6316

NorthEast

Archie McNeil

AMcNeil@bimeda.com

706-224-3871

LIST No

UNIT PACKAGE

CASE SIZE

1D E T001

5 mL

126

Central

Rory Boren

RBoren@bimeda.com

630-366-9037

1D E T002

20 mL

SouthEast

Ed Howard

EHoward@bimeda.com

630-828-1006

Caution: Federal law restricts this drug to use by or on the order of a licensed veterinarian.

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