tag:blogger.com,1999:blog-1963277636652034473.post8045519117843065090..comments2023-09-09T05:35:11.672-07:00Comments on Boots and Saddles: NSAIDs and dehydrationMelhttp://www.blogger.com/profile/16627065628317652042noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-1963277636652034473.post-70490928796934589252013-01-08T10:29:15.758-08:002013-01-08T10:29:15.758-08:00most of the time - and the vet doesn't even co...most of the time - and the vet doesn't even consider that their endurance clients regularly deal with a horse under a large amount of physical stress that is almost certaintly dehydrated. It's a unique set of circumstances. Doesn't excuse it....but I can see why it happens. I think one reason that vets may not say things like this as strongly as they might is that they don't want to scare the client into refusing treatment that in the scope of the illness/injury that the vet is trying to treat is a manageable risk. For example, when talking about euthansia risk, we are coached very carefully in the words we are to say about the risk, in order to both obtain "informed consent (meaning that they understand that their pet could die), BUT to also make it as likely as possible that the owner will agree to a procedure that we think is necessary. So, when the horse is suffering from laminitis, or we are perscribing bute because of a bowed tendon eetc., we don't necessarily want to spend an hour reasurring the client that we aren't worried about kidneys and we have taken that into consideration and that it is worth the risk because not treating is much worse etc etc........but I think it's a disservice to send a client home with a perscription for an Rx drug "just in case" and not make them fully aware of the risks --> No drug (over the counter or Rx) is benign and completely safe; and the damage may not be seen for a very very long time. It's like the people that feed full alfalfa for 20 years with not problems....but then you find out that they sell their horses before they've had them for 5 years and mysteriously all of their clients that buy their horses have to deal with stones........There may be a competitor that gives bute post competition for years to all their horses, but then you find out that they donn't compete their horses over time, but mysteriously seem to have a sensitivty to bute and show signs of kidney issues when the horses are older and being treated for a bought of laminitis etc. Damage accumulates over time in organs such as the kidenys. Melhttps://www.blogger.com/profile/16627065628317652042noreply@blogger.comtag:blogger.com,1999:blog-1963277636652034473.post-85505096680969410792013-01-08T10:20:03.157-08:002013-01-08T10:20:03.157-08:00I think one reason that vets may not bother to sta...I think one reason that vets may not bother to state this risk is because endurance horses are a tiny subset of the horses they see. When treating an endurance horse at a ride, after a ride etc. I think that vets experienced with endurance propably think about hydration status more and don't assume that a horse is fully hydrated just because it looks like it is. That was one take away point I got from last years convention is that many vets that may be treating your horse after a ride, may not be familiar with endurance and simply don't know that small amounts of fluids may make a difference in a potential tye up (conventially we are taught that unless you can give/horse needs a LOT of fluids, don't bother) etc. We put a unique stress on our horses. I gather that papillary necrosis with NSAIDs mostly occurs in horses treated more long term with NSAIDs for other conditions (acute) where the dosage is more, it is being given more often, fluids may or may not be given concurrently etc. And for the normal owner, I think it isn't a big deal Melhttps://www.blogger.com/profile/16627065628317652042noreply@blogger.comtag:blogger.com,1999:blog-1963277636652034473.post-82112683316264125522013-01-08T05:55:39.091-08:002013-01-08T05:55:39.091-08:00Whoa! That is extremely important information. T...Whoa! That is extremely important information. Thank you so much for spreading the word.Valhttps://www.blogger.com/profile/07335385366138424092noreply@blogger.comtag:blogger.com,1999:blog-1963277636652034473.post-68486050371349188572013-01-08T05:49:16.236-08:002013-01-08T05:49:16.236-08:00What shocks me is that my vet happily sold me a bi...What shocks me is that my vet happily sold me a big tub of bute and said nothing at all about any contraindications of usage. Why make it an RX drug if they're just going to hand it over and then not tell you anything about it? I might as well go to a feed store and buy it - I'd be just as uninformed!Katehttps://www.blogger.com/profile/08707037151404133158noreply@blogger.comtag:blogger.com,1999:blog-1963277636652034473.post-55450338853314859332013-01-07T12:55:20.260-08:002013-01-07T12:55:20.260-08:00Yikes! Thanks for sharing! Reading your blog is li...Yikes! Thanks for sharing! Reading your blog is like the cliff notes for vet school. =)Sarahhttps://www.blogger.com/profile/15925650148327532110noreply@blogger.comtag:blogger.com,1999:blog-1963277636652034473.post-60109945239446725542013-01-07T10:13:17.674-08:002013-01-07T10:13:17.674-08:00This has been in my post idea list for MONTHS and ...This has been in my post idea list for MONTHS and my regret is that I haven't found the time to post earlier! <br /><br />I'm grateful that I learned this through a book/teachers and NOT through personal experience!Melhttps://www.blogger.com/profile/16627065628317652042noreply@blogger.comtag:blogger.com,1999:blog-1963277636652034473.post-88393533485066517332013-01-07T10:07:35.100-08:002013-01-07T10:07:35.100-08:00"Excuse me for being presumptuous..."
N..."Excuse me for being presumptuous..."<br /><br />NEVER NEVER NEVER apologize for giving potentially life saving/damage preventing information to us.<br /><br />I had no idea.<br /><br />Thank you,<br /><br />Bill Allenspark Lodgehttps://www.blogger.com/profile/06390004633731055728noreply@blogger.com