Horse Health Veterinary Consults with Dr Gustafson

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

Friday, February 27, 2015

The Principles of Equine Athletic Development

Horses require abundant friends, forage, and locomotion to develop and maintain behavioural and physical health. Horse health is dependent on body and jaw movement. Digestion, respiration, metabolism, and musculoskeletal and hoof health are all dependent on abundant daily exercise, walking, and socializing.
The causes of cribbing, weaving, and other stereotypies are clear. Deprivations of friends, forage, and locomotion are the causes of stereotypies. Abundant daily friends, forage, and locomotion is the prevention and treatment of stereotypies. Horses are born to socialize, communicate, move, and chew on a near constant basis. The nature of the horse is to move and graze with others day and night. For behavioural health, these preferences need to be re-created in the stable.
Stabled horses require 24/7 forage, and miles and miles of daily walking, as well as abundant socialization to re-create a natural existence. When these needs are not provided in adequate measure unwelcome behaviors develop.

Foals raised by the mare and herd in a grazing setting develop into easily trainable animals, as it is the mare and herd that teach growing horses how to learn. It is the in-depth socialization and interaction with the herd of mares and foals that nurtures and develops athletic ability and prowess the growing horse. In the case of thoroughbreds, it is the mares and cohorts that instill growing horses with the confidence to run by and through other horses at speed. The herd teaches the horse how to prevail. Horses learn how to cooperate from other horses. They learn how to see and graze and move, and perhaps most importantly, how to communicate with others as taught by other horses. This is socialization. Please appreciate the necessity of socialization in the development of equine athletes. It is the herd that provides the foundation for the horse to learn, endure, and prevail in athletic competitions.
The horse's genetic potential is usually well-documented and identified. It is appropriate socialization that develops the equine athlete. Foals raised in stalls and stables seldom develop the wherewithal to become consistent reliable winners, as it is the herd that develops the foal's inherited abilities to perform. Much of this development occurs during the first hours and days of life, and this development phase with the mare should be nurtured rather than interfered with. The mare and herd are the most qualified individuals to teach the newborn foal to become a developmentally healthy horse. 
 All physiologic, behavioural, and metabolic functions of the horse are dependent on abundant daily walking. In natural settings, ingestion is paired with walking, and takes place 70% of the time. Horses requires miles of daily walking to maintain homeostasis. Digestion, respiration, metabolism, musculoskeletal function, and behaviour are all dependent upon abundant daily locomotion. Locomotion is the most overlooked and deprived maintenance behaviour of stabled horses.
http://www.amazon.com/Horse-Behaviour-Nature-Horses-Gustafsons-ebook/dp/B00ILG3JX0/ref=la_B00IN7XNNI_1_1?s=books&ie=UTF8&qid=1393961474&sr=1-1



Conditioning and Winning without Raceday Medication 
By SID GUSTAFSON






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.


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.


Science link. Exercise Induced Pulmonary Hemorrhage in Horses: American College of Veterinary Internal Medicine Consensus Statement



Supporting Science link, ACVIM EIPH 


http://onlinelibrary.wiley.com/doi/10.1111/jvim.12593/full

Dr Gustafson is a practicing veterinarian, equine behavior educator, and novelist. The application of behavior science enhances optimum health, performance, soundness, contentment, and longevity in animal athletes. Behavioral and nutritional strategies enrich the lives of stabled horses. Training and husbandry from the horse's perspective result in content, cooperative horses who are willing to learn and perform.

Thursday, April 5, 2012

Racehorse Advocacy, The End of Raceday Medications




Racehorse Advocacy
The End of Raceday Medications 


Sid Gustafson DVM
Equine veterinary behaviorist representing the health and welfare of horses

Thanks to a wide and diverse variety of racehorse advocacy efforts, a review of racehorse raceday medication practices by a variety of racing jurisdictions and organizations is making advancements to support the drug-free welfare and humane care of racehorses. Raceday medications are in the process of being rescinded, as are the indiscriminate and abusive use of drugs in racehorses in general. It has become clear to many that current racehorse medication practices in the United States and Canada exceed the adaptability of the racehorse, resulting in unnecessary breakdowns and injuries and death to both horses and jockeys. Rather than drugs, it is the humane care of racehorses that supports soundness of wind and limb.
A variety of groups have responded to the call by the HSVMA and HSUS to better care for racehorses. The Kentucky Horse Racing Commission invited the HSUS to testify at its raceday medication hearing, and I provided a version of the racehorse advocacy that follows. The Interstate Horse Racing Improvement Act is making its way through the United States Congress, and is supported by several congressional representatives. Make sure your representative supports this important Act. Governor Cuomo has called for an investigation of the New York Racing Association breakdowns. The New York Times is running a series of articles exposing the medication charade that has endangered horses and riders for decades in America. The Breeder’s Cup committee has banned raceday Lasix for two-year-olds racing in this year’s Breeder’ Cup.
Drug-free racing will improve stabling, conditioning, and husbandry practices for racehorses. Medication has long been a crutch that facilitates the improper care of stabled horses. Rather than alleviate medical conditions, recent data clearly demonstrates that racing medications allow people to exceed racehorse adaptability.  Drug use perpetuates fragility in racehorses.[1] Fragility is dangerous for both horses and riders. To appreciate the principles of equine behavior is to understand what is required to maintain pulmonary health in horses confined to stalls being conditioned to race, and it is not drugs. The solution to managing Exercise-Induced-Pulmonary-Hemorrhage and preventing breakdowns is appropriate breeding, development, horsemanship, training, and husbandry rather than drugs. The care that establishes and enhances pulmonary health and endurance in horses is the same care that enriches stabled horses’ lives. It is the same care that keeps racehorses’ musculoskeletal systems sound. It is humane care that keeps horses on their feet during races.
Horses with healthy lungs and sound limbs are content and fulfilled horses whose lives their caretakers adequately and extensively enrich. Lung health is supported by limb health. Appropriate husbandry and training maintains and establishes soundness of both wind and limb. 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. Limb soundness and pulmonary soundness are physiologically entwined.
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 EIPH while racing. They are more apt to stay sound of limb. Humane care of the horse prevents bleeding, my friends. Humane care of the horse prevents breakdowns. 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. Drugs and raceday medications perpetuate substandard horsemanship, artificially suppressing the untoward result (bleeding and breakdowns) of inadequate preparation of the thoroughbred. Drugs are no longer the solution. Humane care of the horse based on evolved behavioral needs is the solution to safe horseracing.
The solution to manage bleeding and prevent breakdowns in racehorses is to breed, develop, teach, train, and care for horses in a horse-sensitive fashion. Horses evolved as social grazers of the plains, group survivalists moving and grazing together much of the time. Horses require near-constant forage, friends, and locomotion to maintain health of wind and limb, even if they are stabled. Racehorses are no exception. The last place a horse evolved to live is in a stall, alone, with a limited view and uncirculated air. Training and husbandry need to be a good deal for horses in order for horses to maintain healthy partnerships with people. Pulmonary health is reflective of overall health and soundness in horses. Pulmonary health is reflective of limb soundness.
In order to maintain pulmonary health, natural conditions need to be re-created in the stable. The solution to managing racehorse health is proper horsemanship and husbandry, which is sadly lacking at today’s racetracks. Horses prefer to graze together and move nearly constantly in natural settings, and to race without drugs, natural has to be re-created in the stable. The equine requirement for near-constant grazing and moving is essential for joint and bone health, hoof health, metabolic health, and pulmonary health. In order for lungs to stay healthy, horses need more movement than they are currently provided. Abundant on track and off-track locomotion is necessary to condition a horse’s lungs. Lungs deteriorate when movement is restricted by excessive confinement in a stall. Horses breath all day long, and trainers need to appreciate abundant movement is required through much of the day to maintain pulmonary strength and health.
To enhance pulmonary health is to enhance the horse’s entire life and outlook. Not only do properly stabled and trained horses’ lungs hold bleeding in abeyance, they hold sway and win. Pulmonary health and bleeding prevention are dependent on smooth running and biomechanically sound locomotion.
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 inadequate in providing healthy air horse require. Appropriate barn design and stabling practices maintain pulmonary health. Bedding is critical. Clean straw provides stall 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. This is not enough. For healthy lungs, horses need to get out of their stalls for hours each afternoon. Horses need near-constant 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 support, and maintain lung and limb health without drugs is to enhance the overall health and soundness of the horse.
Sid Gustafson DVM



http://therail.blogs.nytimes.com/2011/10/28/goodbye-lasix-and-good-riddance/



[1] http://www.nytimes.com/2012/03/25/us/death-and-disarray-at-americas-racetracks.html?pagewanted=all


Dr Gustafson is an equine veterinarian, veterinary behaviorist, and novelist. Applied veterinary behavior enhances optimum health, performance, soundness, contentment, and longevity in animal athletes. Natural approaches to development, training, nutrition, and conditioning sustain equine health and enhance performance. Behavioral and nutritional enrichment strategies enhance the lives of stabled horses. 

Monday, April 6, 2009

Thoroughbred Culture

Society and racehorse culture continue to tryingly adjust to the new age of horseracing. Racing jurisdictions became overly permissive regarding medications through the past, the pro-medication argument being to protect the health and assure the comfort and well-being of the horse. The medication experiment went too far, and has failed, with widespread medicating resulting in the adaptability of the horse being exceeded (Eight Belles and too many others).
Racing jurisdictions and regulatory veterinarians are working diligently to improve racing safety and thoroughbred soundness. Previously accepted medication practices are being rescinded on a widespread basis in response to the untoward shift of racehorse medications to achieve competitive advantage. Across the board this year medication has been significantly reduced. Pre-race and post race examinations have been intensified. Soundness concerns (The Pamplemousse) and medication incidents will remain prevalent as we adjust the management of our relationship with the horse.
The blame lies with us all, and it is all of us who must contribute to make racing safer, and to improve the competitive ethic and our relationship with the horse.
In time horsemanship will once again replace medication, and the horse will be appropriately considered, and allowed to race with its senses fully intact. Blinkers take the sense of sight partially away from horses. Nose and mouth aids take the sense of smell and vomeronasal insight away from horses. There is a long tradition of masking these senses in horseracing.
Why do trainers take these senses away from horses? They do it so the horse focuses on the race and does not spook or become unmanageable, in many trainer's minds they do it for the safety and welfare of the horse. The industry is sorting through all this in the best interests of the horse. These practices are subject to change, and the change, while welcome and timely, will be painful at times.


Dr Gustafson provides consultations regarding the design and management of equine facilities to best accommodate the inherent nature and behavior of horses. He provides information and management assistance creating natural approaches to maintain equine health, prevent diseases, and resolve lameness.

Thursday, June 12, 2008

Drugs and Horseracing

June 4, 2008, 3:42 pm
Drugs and Racehorses
By SID GUSTAFSON
Phenylbutazone seemed a miracle drug when the stuff began entering the bloodstreams of racehorses in the 1960s. I was collecting the post-race urine that concentrated the metabolites of that drug during the ’60s, and as a teenager I became acutely aware of drugs and racehorses.
What a soothing anti-inflammatory effect bute brought to racehorses in those simpler days when its use first became widespread. The alleviation of certain lamenesses was dramatic. “Really sweet stuff,” I remember Wright Haggerty’s Kentucky groom telling me on the Shelby, Montana, backside in 1965 as he pestelled up tiny white 100-milligram dog pills he had received from my father, the attending and regulatory veterinarian (thus my job as urine catcher). The original medical plan, being that most racing jurisdictions back then prohibited the use of any and all drugs, was to use bute for training. The groom mixed the white powder into a mash, and fed his eager and waiting racehorse, who trained like Seabiscuit the next morning.
Bute cools hot joints and quiets inflamed tendons to desirable medical effect, allowing horses to return to training and racing sooner than otherwise, allowing them to maintain their conditioning. Tight, cool legs and hooves are necessary to continue conditioning the racehorse. If there is excess fluid in a joint, or swelling within a hoof, conditioning is generally counterproductive as further inflammation and damage follow exercise.
Bute was first used to facilitate continued training by quieting certain injuries or inflammations, and was especially effective when used conscientiously and conservatively. In a certain sense and in compassionate, knowing hands the drug provided humane relief to the rigors of racehorse life. The question quickly became: Could bute enhance performance? It was not a question for long. The answer was yes. Bute was and is the cleanest boost ever for a horse with mild inflammation in need of relief. The stuff could move a horse up, as they say, without a mental, or stimulant effect, but with an anti-inflammatory effect.
Two horses being equal, however, bute generally won’t make a horse with quieted inflammation run faster than a horse without joint, bone, or tendon inflammation. In a sense, bute restores normal overall biomechanical function. The nonsteroidal anti-inflammatory drug takes the heat out of mildly inflamed legs, feet, and joints, and this can be good in considerate hands.
Bute also became useful in the sense that it was diagnostic, or so the mind-set went at the time. If you administered bute and your horse went back to training and eating and being a sound horse after laming up a bit, then it was concluded that the condition was not significant enough to warrant rest, only to warrant bute. Bute, then, could be used to assess the severity of the lameness in racehorses. Some did not consider bute-responsive conditions serious, and this is one line of reasoning that eventually allowed the legalization of bute. There were medical arguments for its use in racing horses, medical arguments made by veterinarians and drug companies.
The conditions that bute administration does not resolve or effectively manage are considered problematic, and those conditions generally warrant rest, rather than more intensive treatment. Today, however, if bute does not manage the condition, more intense treatments are used, and more intense drugs are used.
Rest is the oldest and most effective treatment for lameness. In the history of horse doctoring, no treatment is more effective. The horse has a tremendous potential to heal musculoskeletal injuries if returned to natural pasture conditions, grazing the plains with herdmates. The problem is that it takes a full year of rest to cure many conditions racehorses develop, and at least months for others. No one has time to rest racehorses, to wait a year, and then take eight months to recondition the horse. With racehorses the clock is ticking, fast. If drugs can save time with racehorses, they are used for just that. And that is the case these days. The industry has transcended bute. The monthly veterinary bills at Belmont and Aqueduct often exceed the monthly training fee. Ask any owner.
If conditions are diagnosed accurately and thoroughly, and drugs are dosed properly and administered in a timely manner, doctors can reduce problematic inflammation in a given leg or joint, which in turn protects the rest of the horse by minimizing the risk of extra strain on other joints and limbs to compensate for the painful injured joint. However carefully dosed and administered, however, this brand of racehorse sports medicine puts more pressure on the weakened, and now treated joint, and herein lies the danger. In addition to systemic medication given intravenously to treat joint inflammation, cortisone is injected directly into joints and tendon sheaths to get a significant anti-inflammatory effect. Cortisone is in a different class of drugs called steroids, which can be used more specifically than bute to reduce the inflammation in a specific joint.
When there is swelling in a joint or tendon sheath, excess synovial fluid is secreted, distending the joint structures, and in some cases, deforming them, making for irregular movement. The reason for excess fluid in a joint is most often damage to the sensitive joint structures; damage to the synovial membranes, articular cartilages, ligaments, tendons, and underlying bone, any or all of the above. Damaged joints are weakened joints. They are inflamed joints, and in racehorses, many become cortisone-injected joints: weakened joints that are quieted down with cortisone. Why? Horse joints need to flow smoothly. Imagine an abraded joint surface, or a tendon that loses its lubrication as is passes over a running, moving joint, the resultant pain, swelling, inflammation, increased friction, and impaired function. If there is rough movement in one joint, the roughness is relayed throughout the horse’s musculoskeletal system, increasing the burden on the other legs and joints.
Intra-articular injection of a joint with cortisone is a potent treatment. In certain veterinarians hands it can be used beautifully. The most commonly injected joint is the fetlock, which is also the most commonly fractured joint. The reality is that most of fractured joints were cortisoned joints, although this information is inaccessible because of medical confidentiality. Bute is less intense, less potent, and a more conservative, safer remedy. The original idea was that legalized bute would replace joint injections, or that was part of the intent. That has not been the case.
Phenylbutazone, or bute, abbreviated from the early popular brand Butazolodin, is a nonsteroidal anti-inflammatory drug very similar to aspirin. Those who understand the pharmaceutical principles of aspirin understand phenylbutazone. Bute reduces inflammation, and subsequent to that, pain. That is the sequence, anti-inflammatory first, with subsequent pain relief. As a result of reduced inflammation, there is restoration of function accompanying relief of the joint pain.
If you consider aspirin a painkiller, then I suppose you can consider bute one, as well. Bute lasts longer, a day or two, while aspirin is more quickly metabolized in the horse, a matter of hours. The sustained anti-inflammatory effect of bute is especially therapeutic to horses. Prolonged anti-inflammatory relief allows the interdependent musculoskeletal system of the horse to redistribute weight appropriately. Lameness anywhere imbalances the horse. In a sense, bute can improve the balance by providing anti-inflammatory relief of the inflamed parts.
Initially, drugs for racehorses being illegal, bute was used to facilitate training and not so much enhance racing. That came next. The medication got to working pretty darn good, and in time trainers began administering bute to their horses closer and closer to racing, and soon the testing folk started picking it up. Matt Lytle was one trainer who taught me about bute, the smile it put on his face until Croff Lake, one of his horses, suffered a bad test after winning the Oilfield Handicap in Shelby, Montana, one of those years in the mid-’60s. Lost his purse and sort of soiled his reputation all because of a shade of bute in the urine.
Later, I heard him defend the drug, and his use of it: he gave it for the horses well-being, he claimed, and knowing Matt and his connection to his horses, I did not doubt his intent and compassion. Pain relief is compassionate, especially the sort of racehorse pain relief bute provided. The problem today is that a good thing, bute, or medication in general, has been taken too far. In the passion of competition and in a world of big money, horses have become victims of a misguided pharmaceutical culture.
My dad, having dispensed the bute, sampled Matt’s horse after it won the Oilfield Handicap. I was the one who caught Croff Lake’s urine, which tested positive. Then the next spring a winning horse tested positive in the Kentucky Derby. Rather than further restrict drug use to remedy the situation, the industry legalized drugs. From that time, horse racing shifted from a covert medication culture to an overt medication culture, which has been recently brought to its knees.
After hundreds of other doping incidents, there came a general consensus that if so many felt the need to use bute, maybe it should be O.K. to run on. After all, it was only a type of aspirin. And perhaps its legalization would eliminate the need for other more abrasive medications, such as opiates and amphetamines, and local anesthetics. Some even thought it would reduce the urge to administer intra-articular injections of cortisone. Not the case.
By the time I graduated from vet school and began practicing at Playfair Racecourse in the late ’70s, I could legally treat racehorses with nearly everything except stimulants, opiates or depressants. That left a lot of anti-inflammatory drugs, antihistamines, hormones, steroids and bleeding medications to administer to running racehorses, not to mention a multitude of vitamins, amino acids and minerals thought to help a horse endure the rigors of confinement training and racing.
Now virtually all racehorses run on bute and Lasix, and now with too many fractured fetlocks the medication has to be reduced. Bute wasn’t enough. No drug is. Legal bute engendered a drug culture. The ideology that more conservative use of potent medications would follow legalization of bute did not prove up. More intense drugs and medical treatments followed, rather than less. The pharmaceutical adaptability of the racehorse has been exceeded. Horse racing has to wean itself from its addiction to drugs that no longer help, but instead weaken horses. Racing jurisdictions are in the process of rolling back drug use. The trend should continue as a part of the remedy to reduce breakdowns. Foreign horse racing jurisdictions run without medication, and their safety records are better than the United States’. Horses running clean are less likely to break down than those running on medication.
Sid Gustafson is a novelist, social commentator, and former thoroughbred attending and examining veterinarian licensed in New York, Washington, and Montana, where he has had significant experience in the regulation of racehorses, especially as it pertains to soundness and breakdowns.

Dr Gustafson's novels, books, and stories