Horse Health Veterinary Consults with Dr Gustafson

Horse Health Veterinary Consults with Dr Gustafson
California, New York
Showing posts with label Triple Crown. Show all posts
Showing posts with label Triple Crown. Show all posts

Tuesday, November 8, 2022

Breeders' Cup Keeneland 2022 Failing the Horse

Breeders’ Cup Keeneland 2022, coda

Medication remains intense--Breakdowns continue

 








 

I attended this year’s Breeders’ Cup to celebrate the revival of the American game, to finally—after half a century of advocacy—enjoy racing where horses were not intravenously injected with furosemide prior to going to the saddling paddock. When I arrived Sunday and read the permissive medication rules still in place in the Breeders’ Cup Horsemen’s Guidebook, I could feel the trouble coming. We were all hoping for an injury free event. The Europeans came through, but the Americans did not. Two of their horses did not make it across the finish line.


Monday morning, seeking more information, hoping to ally my fears, I accompanied a prominent Kentucky attending veterinarian as he made his rounds through the Breeders’ Cup barns. He picked me up as I was making the daybreak walk from the frontside where the media shuttle dropped us off each morning, to the stable area, a good mile hike. The Kentucky gentleman noticed my gimp, stopped his car, and took me in as he passed by on his way to work. It was Monday, so time was soft. We visited about trainers and racehorses, Europeans and Americans, the differences therein. We visited openly and extensively. Call it professional courtesy, call it ‘birds of a feather,’ we talked vet talk. We listened to each other. He, having read all of my New York Times racehorse advocacy articles, and I, knowing his honorable reputation, got on fine. We had met briefly at the Run Happy Breeders’ Cup at Keeneland in 2015. As our conversation narrowed to the horses at hand, he explicated all of the impending American medication scenarios, hiding nothing from me, knowing nothing could be hidden from my seasoned eyes:

The majority of American Breeders’ Cup runners would be injected with Lasix 24 hours before loading into the gate. This potent diuretic alters the metabolism and pharmacodynamics of previously injected medications (masking). This is one reason the permitted 24-hour drug is given, as its ability to manage pulmonary fragility and prevent EIPH is by and large absent by race time. Lasix to flush. The good doctor noted that Mr Baffert’s recent problematic post-race positives in Kentucky from horses medicated in California took place in stakes races where raceday furosemide was not allowed. Sophisticated doping strategies falter when Lasix is no longer part of the formula.

Most of the treated American Cup horses received 10cc IV, the maximum allowable. Furosemide is showing up in the post-race blood and urine samples as you read this. Thresholds have been set somewhere, although they were notably absent from the Breeders’ Cup Horseman Guide that stated that 24-hour Lasix was permitted, while the thresholds for all the other drugs were published, an interesting omission, I thought, one still missing, I might add. If the Breeders’ Cup post-race Lasix positives are below established furosemide thresholds, nothing will be said. I personally received this information from the Breeders’ Cup and Kentucky regulatory veterinarians. After we finished our ride around the Smith barns, my attending veterinary friend introduced me to the examining veterinarians who were hard at work. In all, I visited with 11 regulatory veterinarians and 2 attending veterinarians during the week preceding Domestic Spending and Epicenter’s feature race fractures. Drugs and regulators were plentiful.





 

Ultimately, regulation failed as regulation does in permitted pre-race drug jurisdications. In the Classic, the all-time leading American trainer’s horse suffered a fetlock fracture. Out went the ambulance in the most anticipated race of the century. I watched with glasses four floors up. Epicenter faltered badly when asked to move through horses on the backstretch, nearly going down. Joel Rosario, no stranger to leg-fracture spills, kept him afoot, and pulled him up deftly and professionally, saving two lives. 

The outriders and ambulance crew restrained and manhandled Epicenter to keep him upright and off the fractured canon bone. Veterinarians alongside, the uncentered horse hopped three-legged into the ambulance. He rhythmically threw his head as he moved toward the ambulance to lessen the weight bearing of his right front, that catastrophic gait that still makes me shudder. 

Meanwhile, unbeknownst to me, Flightline galloped. 

The ambulance sat stopped for a few minutes after Asmussen’s horse was loaded, a worrisome sign to me. I am an extensively-experienced track veterinarian who has been in ambulances with three-legged horses more than once. The impact of those experiences runs deep, especially when a jockey is being loaded into the other ambulance. The stopped ambulance likely allowed the outriders and veterinarians to suspend Epicenter in a hydraulic squeeze device—taking weight off the broken leg—where it was safe for them to draw blood, medicate pain, soothe excitement, and secure the splint. Pain managed, stability provided, the ambulance departed. Epicenter was transported to Rood and Riddle, a primary sponsor of the Breeders’ Cup, to undergo orthopedic surgery.

Epicenter’s fracture has been screwed back in place and it is said he is being syndicated to stud to perpetuate the cycle of breeding horses whose legs do not hold up to racing. Neither laws of the state nor laws of genetics nor morals nor equine welfare concerns impede American owners, breeders, and trainers. Drug free solutions as to how to prevent these tragedies were put on full display by the foreigners at this year’s Cup. Despite readily available training strategies that enhance soundness of wind and limb, Americans continue to rely on drugs to train horses. 

The results of the American trainer affair with drugs are tragically apparent. Americans cannot get away from unnecessarily locking their horses down requiring a heavy dependence on medication. Overly-confined horses become fragile of limb and wind, and a perceived need for medication follows. This medication cycle exacerbates racehorse vulnerability to injury and subsequently imperils jockey safety. 

Confinement and medication are the downfall of American racing. Rather than a drug-free Flightline celebration, this year’s Breeders’ Cup became a tragedy rivalling Eight Belles bilateral breakdown in the Kentucky Derby. This year’s breakdowns were made all the more tragic for me considering all the time that has passed since that first Saturday in May. Why can lessons in animal welfare not be learned by Americans? Unlike the Eight Belles breakdown—and to their credit—the Kentucky regulatory veterinarians kept all of the horses on their feet despite the fractures, thus sparing the jockeys’ injury. 

The Euros and Asians demonstrated how to race safely. 


Knowing better but refusing to adapt, drug-dependent US trainers continue to break down horses and unnecessarily endanger the lives of jockeys. Mr Brown’s Domestic Spending fractured his pelvis, racing from gate 14 in the BC Mile after a 440 day layoff from an injury. Chad medicated the horse and raced, two weeks earlier claiming to be omniscient regarding all of his horses’ soundness’. Domestic Spending fractures his under-conditioned pelvis, and the horse is vanned off with a major injury. At the starting gate, the horse made it clear he was not ready to race, yet they made him run. 

American trainers continue on with their medication charades that make horses vulnerable to injury, despite simple labor-intensive, medication-free solutions that fulfill and favor the racehorse. Easily-employed enrichment strategies sustain and enhance soundness of wind and limb. Medication does not. Breakdowns and bleeding are largely preventable with appropriate breeding, development, sensitivity to behavioral need, and conditioning that fulfills and enhances the horses’ long-evolved speed and strength. 

The American confinement and training methods remain horse-insensitive, unprofitable, unethical, and ineffectual. The trainer is responsible for the condition of his horse. Not the attending vet, owner, or regulatory vet—the trainer. American trainers continue to send their horses to races medicated and in a condition unfit to race as Brown and Asmussen demonstrated in the Breeders’ Cup. Their horses were not ready, and as a result they were seriously injured in the running and vanned off.  The Euro and Japanese horses were ready, drug-free and ready, sound of wind and limb. All of them returned sound and safe, many of them won easy.



Horses in America continue to break down at an unacceptable rate. Any break down in the Breeders’ Cup is disturbing, and here we had two, further reflection the American horseracing culture continues at its worst—humans failing the horse. Drugs continue to flow into inadequately stabled horses, and injuries and fatalities unnecessarily continue. When the drugs stop, the injuries will dissipate, as has been demonstrated time and again everywhere other than America.

The solution for safe flat racing has been effectively employed across continents and throughout the world by restricting drugs. The foreign horsemanship specialists not only brought their charm and beauty, they displayed sophisticated training strategies that favor the horse’s health and well-being. Holistic therapies, and keen attention to the horse’s long-evolved behavioral needs resulted in winners, winners all around wherever they finished. All made it home sounder of wind and limb than when they arrived to showcase their talent. Their trainers make stabling, training, and racing a good deal for their horses. In return, their horses make racing a good deal for them. If only Americans would embrace these winning strategies that make racing safer and horses and owners happier. All of the Euro and Asian horses returned safely. In fact, their horses returned sounder of wind and limb, a sophisticated display of preparation that Americans must soon emulate if they expect the sport to survive here, much less thrive. 

Two American-trained horses sustained racing-fractures on the biggest day of racing. As well, some of the American horses bled, while the Europeans and Japanese remained sound of both wind and limb. No bleeding, no fractured bones in those horses trained and conditioned with the horses’ best interests in mind. And winners, yes, win after win.

 

Permitted medication perpetuates substandard horsemanship. Drug-free racing favors the horse. America has a choice. Drug-free runners win and come home sound as demonstrated by the Europeans. Look, see: Drugged racehorses are more apt to break their legs. Permitted pre-race drugs do not favor the horse. Too many medicated horses do not finish, exemplified by the American breakdown endemic still in play at the Breeders’ Cup.   

As it turns out, horses do not need drugs to race. NSAIDs and cortisone joint injections potentiate breakdowns by masking inflammation, allowing horses to race and train with pathology present. At times, trainers have had their veterinarians add local anesthetics to the cortisone injections to facilitate a good hard preparatory work. Many of these blocking agents do not test, but both Baffert and Asmussen have had local anesthetic positives in the not-so-distant past. Hall of Fame trainers. Baffert’s horse Messier bled, and Asmussen’s classic runner broke down. 

All drugs and any drug deteriorate safety when utilized to mask pain and inflammation to facilitate training when pathology is present, especially local anesthetics such as lidocaine or mepivacaine. Rest and rehab are indicated when pathology is present, rather than drugs to ease the pain so as to train. Furthermore, drugs and failure to properly develop and condition their horses likely incited the pathology that had them call for more drugs to get their horse to the next race. Claiming trainer tactics taken to the top of the game, to the Breeders’ Cup. 

The American permitted pre-race drug experiment has failed. Permitted drug use led to unpermitted drug use, doping a billion dollar industry, horses the victims. Americans continue to fail their horses on the biggest stage of all. America’s horrid breakdown endemic will not stop until the drugging stops. In Europe and China, drugs are forbidden two to four weeks before horses race. Breakdowns and epistaxis are rare. Their horses fly over here and win easy, and safely.

At Keeneland, where local horses continue to breakdown and bleed, BC runners can receive IV phenylbutazone 48 hours before loading into the gate, and, unfortunately, they can be doped with Lasix 24 hours before they race. None of the Europeans I interviewed planned to partake in the Lasix, considering it more likely to stiff the horse than help. But according to the Kentucky attending veterinarians I rode and visited with, many, if not most, of the Americans are fulfilling their racing drug addiction at the Breeders’ Cup, and having their horses injected with Lasix the day before, and IV Bute two days before. Disgraceful. Unethical. Ineffective. Heartbreaking. Leg-breaking.

 

I observed nearly all of the Breeders’ Cup horses in the barn area and on the training and main tracks. The differences in stabling, training, and care are significant and remarkable. The foreign horses walked, jogged, and conditioned together in herds. Miles and miles of locomotion to enhance the soundness of wind, limb, and mind. Hour upon hours of socialization. If not with other horses, with hands on grooming and grazing care. I estimate Chain of Love spent 10 hours out of her stall day in and day out, accompanied by her pony horse. I visited her most every day. Her pre and post exercise routines were well over an hour long. Rubbing and brushing before, bathing, massaging, and walking after. More massages, more walks, physical connection horses need. A typical conditioning day included two to three trips around the smaller training track with her pony horse, followed by one or two trips around the main. This was in addition to abundant walking to and from the stable, and within the isolation compound.

Likewise, the Euros provided their horses with abundant daily locomotion and socialization. They successfully re-created natural for their horses, rewarded by  how safely and successfully they raced, and how happily they returned. Limb health, lung health, metabolic health, hoof health, digestive health, and mental health are all dependent on miles and miles of daily walking. It was a joy to see trainers putting the horse first, a joy to witness the happy horses loving their track lives. If only the Americans could learn to appreciate the happiness and soundness appropriate husbandry brings. If they do not learn, and learn soon, the American game will continue its decline.

As the Euro horses walked, jogged, galloped through the morning, the American horses were back in their stalls by 9am. Many remained there the rest of the day, Tyler’s Tribe among them as far as I could tell, their lungs withering, legs weakening, veterinary drugs flowing into them, and Lasix flowing them out. Meanwhile, Chain of Love walks clean. Mishriff jogs clean. The Appleby herd whinny together as one.

Beyond the USDA quarantine, I observe the covey of attending veterinarians go from American barn to American barn medicating horses all afternoon, every afternoon during the days preceding the Breeders’ Cup. As counterbalance, the examining veterinarians examine. I witness all of this. I have an eye for medicating-veterinarians and medicated horses. I, too, was once an attending veterinarian. I know their game.  From a distance, I watch the horsedoctors carefully select and load the medications, syringe after syringe. They color the fluids with vitamins and whatever else they can sneak in that will slip by the testing lab. Off they march with their tray of medications into the shuttered stalls. Two days before, the day before. 

As the Friday races went off, the veterinarians with horses in Saturday went to work. The Saturday runners received their intravenous Lasix, urinating the weight away, flushing other drugs along. Lasix imbalances equid electrolytes, drawing the horse up, pulling calcium out of bone. At one stable, I observed the water buckets set out Friday evening, seemingly withholding water, I am not sure. In the quarantine barn, the lads were changing water, cleaning pails, rubbing their horses, walking in communal circles, providing abundant locomotion in the most restricted spaces.

The untoward injuries on Saturday were reflective of the inappropriate American veterinary approach of medicating horses to race rather than walking them. Meanwhile, the drug-free hydrated, enriched and fulfilled Euros ran to win. You’d think winning would be enough incentive for Americans to do right by the horse, but our culture has not yet embraced the welfare of the horse like it needs to. I am sorry to report that as long as the drugs are permitted, American racehorse drugging will continue along with the substandard horsemanship the drugs facilitate. Bleeding and breakdowns will follow at unacceptable rates, and the game will fade away, or be forced to stop. 

 

If and when all of the medications to race are restricted as they are in Europe and Asia where happy racehorses graze, walk, socialize, and race together, Horseracing in America will have a chance, a last chance to help the horses prevail in fashions that favor the horse, rather than fail her. 

 

 

 




Dr Gustafson graduated from Washington State University as a Doctor of Veterinary Medicine in 1979. He is a practicing veterinarian, animal welfare journalist, equine behavior educator, and novelist. The application of behavioral science to the husbandry of horses enhances optimal health, performance, soundness, contentment, and longevity. Behavioral, social, locomotory, and nutritional strategies enhance the prosperity, vigor, and health of stabled horses. Sid offers veterinary care, training, husbandry, and conditioning from the horse's perspective to achieve willing and winning equine partnerships with humans.

Tuesday, August 9, 2022

Horsemanship Bloodstock, Sid Gustafson DVM

Horsemanship Bloodstock






Sid Gustafson DVM

Equine Behaviorist

Racehorse Welfare

 


I secure yearlings sound of wind and limb, captivated with the behavioral essence to prevail.

 


I help develop the willing partnerships between horses and humans, keeping your horses sound, happy, and healthy. 

 

 

 

 

 Bird_suspension.jpg

 

 


I offer purchasing and management services. Once your ideal horse is purchased, I guide your horse to the most appropriate farm, barn, or stable, one with knowing and sensitive human hands. Based on the horse's development and physical maturity, the most behaviorally positive training situations are found. Once placed, I monitor the stabling and training on your horse's behalf. 

I represent the health and welfare and drug-free training of your horse. In addition to monitoring the training, racing, and conditioning protocols, I monitor your horse's contentment, nutrition, socialization, daily locomotion, and happiness. My behavioral fulfillment strategies are designed and implemented to enhance your horse's potential to train and win. Nurturing a willing partnership between horse and trainer/rider is essential to racehorse success, soundness, safety, and longevity. I promote drug-free racing, and educate and guide trainers with strategies to prevent injuries and bleeding issues.

 


 

 Blame.jpg


 

To blend with caretakers and riders as herd is key to horse happiness. Each horse must be stabled, trained, and managed in a fashion that fulfills both their individual and herd behavioral needs. Abundant daily locomotion is essential for soundness. Grazing and communing with other horses is essential for welfare. Miles and miles of daily walking and jogging together are essential for digestive, hoof, joint, bone, muscle, pulmonary, metabolic and mental health. 

I ensure that all horses under my management are stabled in a fashion that re-creates natural. Progressive racehorse management ensures behavioral health. Healthy horses become willing partners. Those who please racehorses, develop racehorses who please their owners, riders, and guardians.   

Natural behaviors must be re-created in the training and stable setting. Near-constant movement and foraging, along with abundant daily socialization with other horses creates winners. A naturally fulfilled and behaviorally enriched racehorse is a willing partner, happy to train and win. 

 


 

 Sid_and_Tiny.jpeg


 

 

Utilizing sophisticated training-monitoring technology is now a premier strategy to ewin races. Additionally, monitoring assures owners that their racehorse is being trained properly. Welfare and health are easily tracked, reported, and monitored. Conditioning and stabling protocols are accurately adjusted. Problems are detected before they appear.

EKG, GPS, and stride length are monitored. Conditioning and distance preferences are determined for each horse. Soundness is maintained, both mental and physical, for each individual. This scientific monitoring enhances each trainer's ability to train, place, and condition horses to sustain a long and safe career. Breakdowns are prevented. Welfare is monitored, along with medication use. Dr Gustafson reviews all suggested medication protocols. Horses under Dr Gustafson's management are trained without medication, or with minimal medication. Never is medication allowed to facilitate training or racing by suppressing a problem or reducing pathological inflammation. Physical therapy, rubbing, swimming, walking, lounging, grazing, and socialization with other horses are the soundness-maintaining strategies that enhance endurance and longevity.

 


 

 

Rocky_Mt_Front_12114.jpg
 

 


My experience as an attending veterinarian, regulatory veterinarian, and equine behaviorist supports my seasoned ability as a bloodstock agent and racehorse manager. I secure sound horses with animated movement. I find horses with the mental aptitude to readily blend with humans to condition, stable, and race successfully. 

Pedigree is but half the equation. Horses evolved as social grazers of the plains moving and grazing together nearly 2/3 of the time in natural settings. Abundant daily locomotion is essential to maintain soundness, pulmonary, digestive, metabolic, and behavioral health. Dental health in growing horses requires daily attention and care. 

 


 

 

  


The Language of Horsemanship.Racehorse Advocacy. 
Native Bloodstock. 
Racehorse selection, acquisition, and welfare management.
Securing yearlings sound of wind and limb with the behavioral essence to train up and prevail. 
Progressive racehorse monitoring utilizing sophisticated EKG and GPS motion monitoring technology. 
Enhancing welfare to maintain the soundness of wind and limb, while developing the will and stamina to prevail. Medication-free training and racing enhances welfare.

 

 

 

Dr Gustafson is a thoroughbred bloodstock agent and a Doctor of Veterinary Medicine. The application of behavioral science to the development of racehorses enhances optimal health, performance, soundness, contentment, and longevity. Behavioral, social, locomotory, training, and nutritional strategies enhance the prosperity, vigor, and health of competition horses. Sid develops racehorses in deference to the horse's perspective, achieving willing and winning equine partnerships with humans. 

 

Thursday, April 2, 2015

Conditioning and Winning, Lasix-free

Competition Horse Medication Ethics

Horses evolved as social grazers of the plains, group survivalists moving and grazing together most all of the time. During their 60-million-year evolution, horses came to require near-constant forage, friends and locomotion to maintain health and vigor of wind and limb.
http://therail.blogs.nytimes.com/2012/05/11/conditioning-and-winning-lasix-free/
Despite domestication and selective breeding, today’s racehorses are no exception. Although horses are extremely adaptable, the last place a horse evolved to live is in a stall, alone, with limited space to move and forage about with others. The solution to manage bleeding in racehorses is to breed, develop, teach, train and care for horses in a horse-sensitive fashion that provides abundant lifetime locomotion and socialization. Pulmonary health is reflective of overall health and soundness in horses.
In order to maintain pulmonary health, natural conditions need to be re-created in the stable. Horses prefer to graze together and move nearly constantly. Constant foraging, grazing, socializing and moving are essential for joint and bone health, hoof health, metabolic health and pulmonary health, and, of course, mental health. In order for lungs to stay healthy, horses need movement, more movement than American trainers currently provide the population of stabled. Horses communicate with movement and sustain physiologic and metabolic health via near-constant locomotion. Movement is what is most often missing in a racehorse’s stabled life.
Walking throughout the day enhances and maintains lung health. Stabled horses need hours of walking each day, more walking than most are currently afforded. Veterinarians who manage racehorse health need to ensure that their patients are provided with adequate daily locomotion. The movement of training and track conditioning are not adequate to condition healthy lungs throughout the rest of the day, as lung health requires 24/7 movement. For a horse, moving is breathing. Abundant on-track and off-track locomotion is necessary to condition a horse’s lungs and to provide the necessary resilience to withstand the rigors of racing.
Lungs deteriorate when movement is restricted. Horses breath all day long, and near-constant movement is required much of the day to assist their breathing to maintain pulmonary flexibility and vigor. Plentiful walking enhances breathing and lung health. Swimming and doing lunges are also appropriate lung-conditioning activities. Grazing while casually walking clears the airways. Hand grazing may be the best lung-healthy activity of all. Racetracks need to provide abundant hand-grazing opportunities for all of the stabled horses, and the green grass needs to be appropriate grazing grass. Kentucky limestone grass is always best, it seems.
Training over hills and dales, as well as walking up and down inclines helps develop and sustain pulmonary vigor. When horses are locked in a stall a large percentage of the time, their lungs deteriorate. Stabling that does not afford abundant movement and head-down grazing and foraging impairs lung health, making horses vulnerable to bleed when exerted in a race. The cause of exercise-induced pulmonary hemorrhage is insensitive and deficient stabling and husbandry practices and includes diagnostic failures to detect bleeding during training.
The care that establishes and enhances pulmonary health and endurance in horses is the same care that enriches stabled horses’ lives. Pulmonary care is providing the same near-constant movement that keeps racehorses’ musculoskeletal systems sound. It is the care that keeps horses on their feet during races. Horses must remain sound of limb to ensure lung soundness, and they must remain sound of lung to achieve and maintain limb soundness. Afternoon and evening hand walking and hand grazing are essential to develop and sustain lungs and limbs fit to race.
Horses with healthy lungs are content and fulfilled horses whose lives their caretakers adequately, if not extensively, enrich. Lung health is supported by limb health. Breathing and running are biologically intertwined on the track, a breath per stride. To stride correctly is to breathe correctly. To breathe correctly is to breathe soundly, and race sound.
Horses who are bred, socialized, and developed properly from birth, and who train while living enriched stable lives are seldom likely to experience performance-impairing E.I.P.H. while racing. They are more apt to stay sound. Humane care of the horse prevents bleeding. Pulmonary health is reflective of appropriate husbandry, breeding, training, nutrition, and the abundant provisions of forage, friends, and perhaps most importantly, locomotion. Bleeding in a race is reflective of inadequate care and preparation, of miscalculations and untoward medication practices. Lasix perpetuates substandard horsemanship, artificially suppressing the untoward result (bleeding) of inadequate preparation of the thoroughbred.
Genetics play a role in pulmonary health and physical durability. Lasix perpetuates genetic weakness by allowing ailing horses to prevail and sow their seeds of pharmaceutical dependence. Running sore causes lungs to bleed. Lasix manages a wide variety of unsoundness, as do the cortisones and NSAIDs (bute and similar drugs). These anti-inflammatory drugs aggravate coagulation processes. Rather than drugs, pulmonary health is dependent on appropriate breeding and proper development for the vigor, durability and endurance thoroughbred racing demands. Drugs are not the solution. Competent horsemanship is the solution. Genetic dosage, behavioral and physical development, socialization, training, and locomotion husbandry are the keys to racehorse soundness, lung health, stamina, and durability. The causes of E.I.P.H. are no mystery to seasoned race folk. Horses prone to bleed are those horses that are mistakenly bred, inadequately developed and inappropriately stabled and trained.
Horses evolved in the open spaces of the northern hemisphere and require the cleanest, purest air to thrive and develop healthy lungs and hearts. Stable air needs to be constantly refreshed to maintain pulmonary health. Ventilation is essential, and enclosed structures are often inappropriate. Barn design needs to provide both clean air and abundant locomotion. Bedding is critical. Clean straw provides the most movement by simulating grazing. Horses stalled on straw are noted to move about with their heads down nibbling and exploring for hours, recreating nature to some degree, keeping their lungs healthy with movement, their respiratory tracts drained by all the head-down nibbling and grazing. Horses need near-constant head-down movement to maintain optimum lung health. Long-standing horses’ lungs deteriorate quickly. Not only does near-constant movement maintain and enhance pulmonary health, abundant locomotion maintains metabolic health, joint and bone health, hoof health and digestive health.
To enhance lung health is to enhance the overall health and soundness of the racehorse. Racing appears much safer in Lasix-free jurisdictions, where the drug crutch is not allowed, because the drug crutch allows horses to be cared for in a substandard fashion. (A link to the transcript from the Kentucky Raceday Medication Committee hearing is here.) Drugs are not allowed to replace appropriate care and training in Asia and Europe, and raceday drugs should be barred in America as they are in the rest of the civilized world. The stabled racehorse has to be carefully and humanely cared for and nourished in a holistic fashion, both physically and behaviorally, to win and stay healthy to win again.


Saturday, June 7, 2014

A Solution to Horseracing's Medication Troubles

http://nyti.ms/1kGbh3Y

On-track pharmacies have the potential to restore racing integrity in America. 
The on-track pharmacy would be the only place drugs are allowed on the racetrack. The attending veterinarian examines a horse and prescribes a treatment. If medication is determined to be part of the therapy, the veterinarian submits the horse’s name, the diagnosis and requested medication to the racing regulatory body. The pharmacist and the regulatory veterinarian evaluate the request and dispense the medication. Everything is recorded; drug, dosage, frequency of administration, expiration date, lot number, brand name, etc.
Veterinarians would not be allowed to drive around the backside with truckloads of drugs, as this current practice has led to indiscriminate inappropriate treatments that have led to breakdowns and doping problems. On-track pharmacies would restore the medication protocols to be decided by veterinarians rather than trainers. 
Currently, trainers in large part decide what drugs their horses receive. With an on-track pharmacy policy in place, if a trainer thinks his or her horse needs a certain medication, a veterinarian would be required to assess the horse, arrive at a diagnosis, and then request the medication from the pharmacy, where further vetting would occur. 
Rather than being utilized as medication technicians, as attending veterinarians currently are, they would again become doctors practicing veterinary medicine. Instead of being paid for drugs they administer, horse doctors would again be compensated for their medical evaluation of the patient.
The pharmacy is the only place medication could be stored or dispensed on the racetrack, other than with the emergency trauma and colic responders. Pharmaceutical manipulation to enhance performance would be eliminated. No drugs would be allowed to come into the track through any other venue. Every horse would be medicated via this process, with the exception of emergency treatments. 
This is the model in Hong Kong, where the breakdown rate is one of the lowest in the world. This policy effectively prevents doping while providing horses with the necessary therapeutic medications to train and race. Every treatment is transparent. The bettors, trainers, owners, and all others are made aware of every treatment for every horse. The result is racing with increased integrity, increased safety, increased public support and increased handle.
The effectiveness of an on-track pharmacy on a wide-scale basis depends on the construct that all racehorses are stabled at the track, at least for a period of time before they run. Horses that are stabled off the track would be able to avoid the pharmacy protocol, unless some sort of stabling island surrounding the track could be established.
In Hong Kong, horses are required to be stabled at the track to race. Modifications to manage American racing could include that the pharmacy protocol, while best serving horses on a continuous basis, would be enforced after horses are entered into a race. This would also allow a gradual implementation of the on-track pharmacy. Protocols to include ship-ins could include prerace testing for horses stabled off track, but as we have seen, testing as a reliable method to manage doping has vast limitations.
Horsemen and veterinarians will oppose this, of course, as it is inconvenient, restrictive, and allows total transparency. On-track pharmacies have the potential, nonetheless, to manage doping and restrict the pharmaceutical manipulation of performance.
It is pharmaceutical manipulation that has caused much of the trouble the industry is having. Injuries to horses and jockeys are often because of doping and other improper medication practices, which also devalue horses, shortening their careers.
The sport was designed to test the natural ability of the horse, and the trainer’s ability to bring it out. Doping and pharmaceutical manipulation have become an integral part of horse racing in America. The breakdown rate in America is many times higher than in Hong Kong, and the ease of pharmaceutical manipulation is a primary reason.
Development of an on-track pharmacy policy is in the best interest of the racehorses, the riders, the players and the owners. It is this system that has the greatest potential to restore integrity to horse racing in America.
Sid Gustafson, D.V.M., is a novelist and equine veterinarian specializing in thoroughbred sports medicine and equine behavior. He currently practices regulatory veterinary medicine, representing the safety and welfare of thoroughbred racehorses. 


Link to the New York Times article by Dr. Gustafson outlining a potential solution to better manage racehorse doping in America to improve the health and safety of racehorses and riders.

Dr Gustafson is an equine veterinarian, veterinary behaviorist, and novelist. Dr Gustafson provides equine behavior and welfare consultations to help recreate the needs and preferences of horses in training and competition.

Dr Gustafson's novels, books, and stories