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| Please Welcome Our New Veterinarian
Lynn Facemire, DVM, Diplomate A.B.V.P. |
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Dr. Facemire started at Monocacy
Equine in 2007. She is a Diplomat of the American Board of Veterinary
Practice with a specialty in Equine Medicine. She is 2000 graduate of
Purdue University and completed a surgical internship at the
Hagyard-Davidson-McGee equine hospital in Lexington, KY in 2001. She
has spent the last five years working in mixed animal practices. Prior
to veterinary school, she worked as a chemical engineer for a major
pharmaceutical company.
Dr Facemire’s professional interests include emergency medicine,
internal medicine and ophthalmology. Her personal interests include
pleasure riding, dressage, gardening and hiking with her husband and 4
dogs. |
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Farm
BioSecurity |
With all of
the controversy over recent outbreaks of herpes and strangles, we
wanted to reiterate some simple biosecurity rules for your farm to
follow:
1. Before allowing newcomers on your farm make sure that all
out-of-state horses have valid health certificates that were issued
within 21 days of shipping and signed by a veterinarian. In addition
be sure that they have been inoculated with all recommended
vaccinations.
2. Isolate any new arrivals on the farm for at least 21 days.
Observe the new horses for signs of illness.
3. If a new arrival shows signs of illness, call your veterinarian
as soon as possible to discuss a treatment plan, quarantine
time-frames, and how to keep the rest of the farm healthy.
4. Work with your veterinarian to distinguish between contagious
and non-contagious diseases.
5. If you and your veterinarian suspect that there is a contagious
disease present on the farm, do not hold any horse shows or allow
horses to ship in and out of your farm until you and your veterinarian
have determined that the threat of spreading any illness has passed.
6. Should you have a sick horse on the farm, practice good hygiene.
This means treating, feeding and caring for the sick horse after
you have taken care of all the others on your farm. Wash your hands
and change your clothes after handling a sick horse and before
caring for a healthy one.
7. Vans, trailers or stalls that have housed any sick horses may be
contaminated and should be cleaned and disinfected according to your
veterinarian’s directions.
A few precautions go a long way and will allow everyone to move
about and participate in the equine activities we all enjoy. |
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Equine Herpes
Myeloencephalitis
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| Equine herpes
virus (EHV) is a common viral pathogen of the horse that occurs
worldwide. There are several existing strains. EHV-1 and EHV-4 are the
most common and cause respiratory disease. EHV-1 is also capable of
causing late term abortion and neurologic disease. The neurologic
form of EHV-1, herpes myeloencephalitis, occurs when the infection
spreads to the blood vessels of the nervous system. These horses
present with clinical signs approximately 6-10 days following an upper
respiratory tract infection. Clinical signs include uncoordinated hind
limbs, urinary incontinence and rectal impactions. Horses that become
recumbent have a poor prognosis for survival. However, the majority of
cases respond to supportive care.
No specific treatment for herpes myeloencephalitis is currently
available. Management of horses with neurologic signs include: therapy
to reduce central nervous system inflammation, nutritional support and
nursing care.
Horses should be encouraged to eat by providing highly palatable
meals. Laxative diets may be administered (bran mashes, mineral oil,
psyllium) to help prevent impaction. Hydration should be maintained
either orally or via intravenous fluids and electrolytes. If bladder
function is affected, the bladder may need manual evacuation or a
urinary catheter placement.
Anti-inflammatory medications are given to control fever and combat
the presence of inflammation in the central nervous system. These
include steroids, banamine or bute, and DMSO. Antiviral therapy has
been used on a limited basis, but is cost prohibitive.
Due to the life cycle of EHV, it is impossible to eliminate it from
a herd. Once infected, up to 60% of horses develop post viral
persistence (latency). These animals do not show clinical signs but
can shed the virus under periods of stress (weaning, overcrowding,
transport, training, performance, etc.) and serve as a source of
infection for other animals.
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| The current vaccines
available for EHV are licensed for respiratory disease and the
prevention of abortion only. There are no products licensed for the
prevention of myeloencephalitis. Currently, much research is focused
on understanding how and why myeloencephalitis occurs and how to
prevent it. Research done by Cornell University regarding the 2003
myeloencephalitis outbreak at the University of Findlay college
suggested that horses vaccinated with a modified live vaccine showed
less disease than those vaccinated with a killed vaccine product. None
of the horses vaccinated with a modified live product died or were
euthanized due to their neurologic disease.
The results of this study were not
completely conclusive. Based on this study and our current knowledge
of EHV, most experts recommend vaccinating with a modified live
product. Monocacy Equine Veterinary Associates has been using such a
product (Rhinomune) for the last several years.
Despite the limitations of current
vaccines, it is important to continue vaccinating your horses to
minimize the effects of infection if exposed, increase herd immunity
and reduce the spread of disease. We are currently recommending
vaccinating against EHV four times a year. In addition, we plan to
incorporate several of the available EHV vaccination products in our
protocol with the intent of providing the best immunity possible. |
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Potomac
Fever
Prevention Tips |
| 1. Vaccinate
your horses in the spring (March-April) and early summer (May-June).
Unfortunately, the vaccine has not proven to be 100 % effective, but
in most cases, it may help to weaken the symptoms of the disease and
help your horse to recover quickly and without additional
complications. 2. It is now believed that aquatic insects are the
mode of transmission of the Potomac Fever organism. Horses ingest the
insects when grazing or drinking water and then develop the disease.
3. The peak of Potomac Fever in our area is July and August so be
extra vigilant at this time. Observe your horse’s appetite, manure
production, and general overall attitude. If something seems amiss,
take your horse’s temperature and call your veterinarian to determine
whether your horse needs to be examined.
4. Do not use lights in outdoor arenas or dusk to dawn lights
during the summer months, as aquatic insects can be attracted from
long distances to the lighted areas. We have seen cases where the farm
was at least one mile from the nearest stream or river and the lights
above the water tanks attracted insects in great numbers. Two
different horses on the same farm contracted Potomac Horse fever one
year apart. There where no problems on the farm prior to installing
the lights.
5. Do not allow horses to graze in pastures that are adjacent to
streams or rivers unless there is a substantial buffer of trees or
very tall grass between the water and the beginning of the pasture. As
aquatic insects hatch off, they will be caught in this buffer zone and
are unlikely to end up in the pasture in high numbers.
6. In just the last two seasons, we have seen that these
preventative measures make a difference and can lower the incidence of
the disease even on farms which have had cases on a yearly basis. We
hope, as we continue to learn more about Potomac Horse Fever, it will
become a disease of the past. |
| Healthy Foals - A
Team Effort Normal Post-Foaling
Parameters and the Mare and Neonatal Wellness Exam |
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Breeding your mare involves a lot
of time, planning, and money. We all strive for the same outcome, a
healthy mare and foal. To increase the likelihood of a positive
outcome, we cannot stress how important it is that the owner and/or
barn manager be present to observe and if necessary assist in the
parturition process and the post-foaling period.
Being familiar with the normal
stages of labor, newborn foal parameters, and post-foaling events is
necessary in order to determine if emergency veterinary intervention
is necessary. The normal foal should be alert and actively attempting
to sit up into a sternal position immediately following delivery.
Their respiratory rate at birth is rapid ranging from 40-60 breaths
per minute with their heart rate ranging from 60-80 beats per
minute. Rectal temperature ranges from 99-100ºF immediately
following birth and rises to 100-102ºF by 12 hours following birth.
The foal should demonstrate a strong suck reflex within 5-10 minutes
following delivery. The umbilical cord will typically rupture as the
foal struggles to stand and/or the mare stands. Minimal bleeding
should occur from the umbilical stump. Success in standing may
require assistance; however, typically occurs within 30 minutes – 2
hours following delivery. Once standing, the foal should actively
search for and attempt to suckle from the mare’s udder. Successful
nursing should occur within 3-4 hours. While udder searching and
following nursing, the foal may lie down and rest for short periods of
time. Passing of meconium or the first manure should occur within 1-2
hours of birth. Frequent posturing to defecate and flagging of the
tail may indicate a meconium impaction. The foal’s first urination
typically occurs later, sometimes 9-12 hours following birth.
Following delivery, the mare lay quietly resting if tired or may stand
up quickly and anxiously address her foal. Uterine contractions will
continue and may result in signs of mild colic. The third stage of
labor, or passing of the placenta should occur within 3 hours of
delivery. If any of the above parameters or post-foaling events
appear abnormal or delayed, veterinary advice and/or assistance is
indicated.
Following the normal foaling
process, we plan to do our first exam of the mare and foal, known as
the “wellness exam”, at 8-12 hours from the time the foal first
nurses. Evaluation of the foal includes a thorough physical exam
paying close attention to vital parameters, the degree of maturity,
the foal’s affinity for the mare, its ability to nurse, the umbilical
stump, and the musculoskeletal system. Blood is drawn so that we can
assess for signs of infection; as well as, for passive transfer of
antibodies from the mare to the foal via the colostrum. This is very
important because in horses there is no placental transfer of
antibodies from the mare to the foal during gestation, meaning foals
are born immunologically naïve. Ingestion and absorption of good
quality colostrum allows for passive transfer of protective antibodies
from the mare to the foal. Unfortunately, there is a 12-24 hour window
of time during which time the foal is able to absorb antibodies via
the gastrointestinal tract. If needed during this time frame, we can
supplement the foal with oral antibody products. However, if the foal
is greater than 24 hours of age and requires supplementation,
administration of intravenous plasma is required which is a more
invasive and expensive procedure.
Examination of the mare typically
includes a physical exam (including evaluation of the vulva for
bruising and tearing) and examination of the placenta to assess for
signs of infection and assure that the entire placenta has been
passed. During the exam, we will attempt to obtain a thorough history
of the entire foaling process. This is important as it will assist us
to predict impending problems. It is helpful for owners to write down
the timing of the parturition events along with any questions or
concerns they may have prior to our arrival. |
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New Vaccination
& Deworming Protocol Released ~ see our Health Care Section |
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| Please note that we have
updated our vaccine & deworming schedule to accommodate recommended
changes for vaccination against Equine Herpes Virus (EHV-1 or Rhino).
These recommendations are just that and are tailored for horses
receiving maximum exposure to communicable disease (i.e. showing,
trailering, high traffic bars, etc).
See
Health Care section for specific vaccine
& dewormer information, barn sign-up sheets and new client information
forms - extra copies can be printed by selecting the link located on
the left column. |
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Volunteer
Foal Team |

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Our foal team for 2007 is in
place and operating great. So far the Monocacy Equine clinic
nursery has been busy the past month. We thank all our foal team
volunteers for their hard work and dedication!
If you are interested in joining the foal team
please call our office 301-607-4025. You must be 18 years of age
or older, be able to safely lift 50 lbs unassisted, and be able to
safely work around a horse. |
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| Tips For Owners

One morning you go down to the barn and your horse’s head is hanging, his
usual bright-eyed greeting is missing and worse yet, he turns his nose up
at breakfast! Every horse owner’s heart sinks at seeing their horse miss a
meal, as it can only mean that he is sick. By now, the phone number
usually reserved for calling to schedule vaccines is running through your
head. Before making that phone call, there are a few basic facts that you
can gather to help you, and us determine the urgency of the situation.
The most basic tool for gathering information about your horse’s health is
called a TPR. TPR stands for temperature, pulse, and respiration. An adult
horse’s normal temperature ranges from 99.0-101.5 degrees Fahrenheit,
depending on the time of year and recent activity. The most reliable way
to take a temperature in a horse is rectally, using any commercially
available digital thermometer. Pulse is measured one of two ways, either
by feeling for the pulse through an artery, or listening to the heart beat
with a stethoscope. Count the number of beats within a 15 second period.
Multiply that number by 4 and you’ll have your horse’s heart rate, or
pulse, per minute. If you have a stethoscope readily available, place the
drum behind your horse’s left elbow and count the number of lub-dubs. Each
lub-dub is considered one heart beat. The average pulse for an adult horse
is 32-44 beats per minute. Respiration rate is easily calculated by
watching the number of times your horse takes a breath within a 15 second
period and multiplying by 4. The average respiration rate for an adult
horse is 10-18 breaths per minute. As with temperature, your horse’s pulse
and respiration rates may be increased in hot weather and recent exercise.
Another area of your horse to consider is his mucous membrane color. By
simply lifting your horse’s upper lip and examining his gums, you can help
determine how your horse is feeling. Mucous membranes should be a nice
pretty pink color, not too pale and not too bright. Neon pink or dark pink
gums can indicate some form of toxicity, and yellow (jaundiced) gums can
indicate a liver dysfunction. Other abnormal gum colors can include pale
pink or white (blood loss or shock), blue (lack of oxygen), and mottled
red (loss of clotting factors).
Other routine observations such as manure output and water consumption are
also important in determining how your horse feels. Remember that overt
signs of pain such as looking/kicking at the belly, tail wringing,
continuous rolling, shaking, sweating etc., signs of trauma such as a
laceration, or any eye issues, are considered emergency situations and
MEVA should be contacted immediately.
By gathering the above information, you can take an active role in
communicating your horse’s health status to your veterinarian. Knowing
what your horse’s normal temperature, pulse, and respiration rates are
when he is healthy can help us determine the significance of abnormal
findings when your horse is ill.
As always, our office is available for any questions or concerns regarding
your horse’s health, and a veterinarian is available 24 hours for
emergency-related questions or situations. |
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