When bad news is Good news

When bad news is Good news

Post by sjorgen.. » Thu, 28 Aug 2008 21:52:38


I went out yesterday morning and old Chevy, my Arab who has been in
honourable retirement for the last 7 years, was brutally lame in the
near front foot. Chevy is 28 but seems a lot older due to a Cushing's
episode.  My first thought of course was founder, and my heart sank.
The vet came out, and got a *** reaction with the hoof tester.
"Aha" she said, "we may have an abcess here".  Less than a minute of
exploratory digging and she hit it.  She slapped on a sugar and iodine
poultice, wrapped it up, told me to give him some bute and soak the
foot in epsom salts the next morning.  As she packed up she commented
"would that all lameness issues were this easy to definitively
diagnose and treat!"  Who would have thought that an abcess would be
such welcome news.

footnote - no pun intended.  After soaking Chevy's foot this morning I
put Yoko's Mac boots on his front feet for protection.  I forgot Chevy
had never had boots on before.  He took one step and his eyes
widened.  The poor boy had the idea of galloping them off...but when
you are old and stiff and have an abcess to boot, the equivalent of 3
slow piaffes in place is the best you can do before even an arab
realizes that maybe they are not so bad after all!!  He shuffled off,
looking as if his dignity was being injured.

Sally

 
 
 

When bad news is Good news

Post by Fran Brag » Thu, 28 Aug 2008 22:03:07


Quote:
>I went out yesterday morning and old Chevy, my Arab who has been in
> honourable retirement for the last 7 years, was brutally lame in the
> near front foot. Chevy is 28 but seems a lot older due to a Cushing's
> episode.  My first thought of course was founder, and my heart sank.
> The vet came out, and got a *** reaction with the hoof tester.
> "Aha" she said, "we may have an abcess here".  Less than a minute of
> exploratory digging and she hit it.  She slapped on a sugar and iodine
> poultice, wrapped it up, told me to give him some bute and soak the
> foot in epsom salts the next morning.  As she packed up she commented
> "would that all lameness issues were this easy to definitively
> diagnose and treat!"  Who would have thought that an abcess would be
> such welcome news.

That is good news!  With Cushings, any lameness makes you think founder.
I'm glad it wasn't!  Hope he's feeling better soon!

Fran

 
 
 

When bad news is Good news

Post by JC Dil » Fri, 29 Aug 2008 00:48:34

Quote:

> I went out yesterday morning and old Chevy, my Arab who has been in
> honourable retirement for the last 7 years, was brutally lame in the
> near front foot. Chevy is 28 but seems a lot older due to a Cushing's
> episode.  My first thought of course was founder, and my heart sank.

Except in cases of mechanical founder (such as Barbaro had), founder is
a systemic problem and affects both front feet (or rarely, all 4 feet).
  When you have a sudden lameness in a *single* front leg, founder is
highly unlikely - even with a horse that has Cushings.  When you have
sudden and severe lameness in a single leg with no obvious external
cause (no wound), the odds are quite high that you have an abscess.

Quote:
> The vet came out, and got a *** reaction with the hoof tester.
> "Aha" she said, "we may have an abcess here".  Less than a minute of
> exploratory digging and she hit it.  She slapped on a sugar and iodine

Iodine, or betadine?  Normally this is made with betadine, and the
solution is called sugardine.  It's wonderful stuff.

Quote:
> poultice, wrapped it up, told me to give him some bute and soak the
> foot in epsom salts the next morning.  As she packed up she commented
> "would that all lameness issues were this easy to definitively
> diagnose and treat!"  Who would have thought that an abcess would be
> such welcome news.

Hoof abscesses are extremely gratifying to diagnose and treat.  You need
just 2 simple tools (hoof tester and hoof knife) to locate and open the
abscess, which provides dramatic and immediate relief for the horse and
allows it to drain and heal.  Treating it is relatively cheap and simple
(compared with almost everything else that can cause lameness) - the
most expensive parts of the treatment are the costs for materials for
daily bandaging the hoof or buying a hoof boot!  Sugar, betadine, espon
salts, etc. are all readily available and inexpensive.

The most important part is making sure the abscess hole closes from the
inside out.  Don't let it close over on the outside when there is still
a cavity on the inside.  Use an old (clean) wormer tube or syringe to
flush the hole after soaking the hoof.  You can tell that the internal
cavity is getting smaller day after day and sense when you can stop
flushing because the cavity is almost entirely filled with granulating
tissue, and let the wound close up on the outside.  Then it's just a
matter of providing protection until he regrows horny sole to protect
the region from rocks and such as he's walking about.  If he gets
suddenly lame again, it means the outside closed up while there was
still infection inside, and the drainage tract needs to be reopened.

Quote:
> footnote - no pun intended.  After soaking Chevy's foot this morning I
> put Yoko's Mac boots on his front feet for protection.  I forgot Chevy
> had never had boots on before.  He took one step and his eyes
> widened.  The poor boy had the idea of galloping them off...but when
> you are old and stiff and have an abcess to boot, the equivalent of 3
> slow piaffes in place is the best you can do before even an arab
> realizes that maybe they are not so bad after all!!  He shuffled off,
> looking as if his dignity was being injured.

LOL!  Give the old guy some scritchies for me.

jc

 
 
 

When bad news is Good news

Post by Ruffia » Fri, 29 Aug 2008 04:28:27

Quote:

> Iodine, or betadine?  Normally this is made with betadine, and the
> solution is called sugardine.  It's wonderful stuff.

> jc

What is the ratio for sugar to betadine?

Thanks.

Mikki

 
 
 

When bad news is Good news

Post by Ocean of Nuanc » Fri, 29 Aug 2008 05:28:25

Quote:

>> Iodine, or betadine?  Normally this is made with betadine, and the
>> solution is called sugardine.  It's wonderful stuff.

>> jc

> What is the ratio for sugar to betadine?

> Thanks.

I just aimed for the consistency that the vet's concoction had.  It was
more sugar than betadine.  You want flowy to get in the hole but not too
flowy so that it doesn't immediately exit.

sharon

 
 
 

When bad news is Good news

Post by Ruffia » Fri, 29 Aug 2008 05:43:16



Quote:

>>> Iodine, or betadine?  Normally this is made with betadine, and the
>>> solution is called sugardine.  It's wonderful stuff.

>>> jc

>> What is the ratio for sugar to betadine?

>> Thanks.

> I just aimed for the consistency that the vet's concoction had.  It was
> more sugar than betadine.  You want flowy to get in the hole but not too
> flowy so that it doesn't immediately exit.

> sharon

Gotcha.  Thanks.

Mikki

 
 
 

When bad news is Good news

Post by betse » Fri, 29 Aug 2008 07:59:40


Quote:
> I went out yesterday morning and old Chevy, my Arab who has been in
> honourable retirement for the last 7 years, was brutally lame in the
> near front foot. Chevy is 28 but seems a lot older due to a Cushing's
> episode. ?My first thought of course was founder, and my heart sank.
> The vet came out, and got a *** reaction with the hoof tester.
> "Aha" she said, "we may have an abcess here". ?Less than a minute of
> exploratory digging and she hit it. ?She slapped on a sugar and iodine
> poultice, wrapped it up, told me to give him some bute and soak the
> foot in epsom salts the next morning. ?As she packed up she commented
> "would that all lameness issues were this easy to definitively
> diagnose and treat!" ?Who would have thought that an abcess would be
> such welcome news.

> footnote - no pun intended. ?After soaking Chevy's foot this morning I
> put Yoko's Mac boots on his front feet for protection. ?I forgot Chevy
> had never had boots on before. ?He took one step and his eyes
> widened. ?The poor boy had the idea of galloping them off...but when
> you are old and stiff and have an abcess to boot, the equivalent of 3
> slow piaffes in place is the best you can do before even an arab
> realizes that maybe they are not so bad after all!! ?He shuffled off,
> looking as if his dignity was being injured.

> Sally

Sally--

I;'m glad to hear he's OK....i always love a happy ending.

betsey

 
 
 

When bad news is Good news

Post by JC Dil » Fri, 29 Aug 2008 15:34:01

Quote:

>> Iodine, or betadine?  Normally this is made with betadine, and the
>> solution is called sugardine.  It's wonderful stuff.

>> jc

> What is the ratio for sugar to betadine?

Whatever.  :-)

I find it works best if you use a lot of sugar, not much betadine.  Too
much betadine and it gets runny and you have to add lots and lots of
sugar to get it to thicken up.  Start with a quantity of sugar close to
the amount of sugardine you want, and dribble in just a small amount of
betadine (an amount that you think is not nearly enough) and mix.  Watch
the sugar dissolve and the paste become runny.  Add more betadine as
necessary.  Work with a bigger container than you need, in case you need
to add more sugar (which happens a lot, as most people add too much
betadine the first time).

BTW, sugar is just as much a part of the magic as the betadine.  Have
you ever seen spoiled sugar?  Spoiled honey?  Both sugar and honey have
antibacterial effects when used on wounds.  Honey was used as a
battlefield dressing circa 1500 BC:

http://en.wikipedia.org/wiki/History_of_wound_care

jc

 
 
 

When bad news is Good news

Post by sjorgen.. » Sat, 30 Aug 2008 21:26:14


Quote:

> > I went out yesterday morning and old Chevy, my Arab who has been in
> > honourable retirement for the last 7 years, was brutally lame in the
> > near front foot. Chevy is 28 but seems a lot older due to a Cushing's
> > episode. ?My first thought of course was founder, and my heart sank.
> > The vet came out, and got a *** reaction with the hoof tester.
> > "Aha" she said, "we may have an abcess here". ?Less than a minute of
> > exploratory digging and she hit it. ?She slapped on a sugar and iodine
> > poultice, wrapped it up, told me to give him some bute and soak the
> > foot in epsom salts the next morning. ?As she packed up she commented
> > "would that all lameness issues were this easy to definitively
> > diagnose and treat!" ?Who would have thought that an abcess would be
> > such welcome news.

> > footnote - no pun intended. ?After soaking Chevy's foot this morning I
> > put Yoko's Mac boots on his front feet for protection. ?I forgot Chevy
> > had never had boots on before. ?He took one step and his eyes
> > widened. ?The poor boy had the idea of galloping them off...but when
> > you are old and stiff and have an abcess to boot, the equivalent of 3
> > slow piaffes in place is the best you can do before even an arab
> > realizes that maybe they are not so bad after all!! ?He shuffled off,
> > looking as if his dignity was being injured.

> > Sally

> Sally--

> I;'m glad to hear he's OK....i always love a happy ending.

> betsey

Chevy was dozing in the sun when I went out yesterday.  He is so
mellow he didn't even bother to get up, so I removed the boots from
his front feet as he lay there.  Then he got up and walked a bit.
Still limping, but not quite as badly.  I cleaned out the hoof and
repacked it and he ambled off.  He has put on some weight over the
summer   so he should be in good shape to weather another winter.

Sally

 
 
 

When bad news is Good news

Post by Laurel Reddic » Sun, 31 Aug 2008 12:10:15



Quote:
>Chevy was dozing in the sun when I went out yesterday.  He is so
>mellow he didn't even bother to get up, so I removed the boots from
>his front feet as he lay there.  Then he got up and walked a bit.
>Still limping, but not quite as badly.  I cleaned out the hoof and
>repacked it and he ambled off.  He has put on some weight over the
>summer   so he should be in good shape to weather another winter.

I'm glad Chevy is doing better Sally.  We had our horror shown last
July with our 22 yr. old mare foundering and having multiple
abscesses.  She was in dreadful shape a year ago.  It has taken
exactly one year for her to back to her old self.  But we still find
old abscess holes that have been buried in the toe area where she had
the worst abscess (she had a resection done there last year).  She is
my stick like glue buddy since her episode.  She seems to know that it
was me who spent hours with her rasping her feet when she was flat
out, putting on poultices, and putting on and off boots.  It was a joy
seeing her cantering into the arena mach 10 this evening--no boots.
I'm sure Chevy appreciates all you are doing for him.
Laurel
 
 
 

When bad news is Good news

Post by LandShar » Sun, 31 Aug 2008 12:24:39

Quote:
> He has put on some weight over the
> summer ? so he should be in good shape to weather another winter.

> Sally

Woo Hoo!  That's great news!

Ruth W.