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.

Equine Behaviour Through Time

The link below is Dr Gustafson's latest published Equine Behaviour article, as seen in Horses and People Magazine in Australia. The piece covers the principles of Equine Behaviour in literary fashion.


Equine Behaviour Through Time

http://www.horsesandpeople.com.au/sites/default/files/articles/Equine%20Behaviour%20Through%20Time_0.pdf

Dr Gustafson is an equine veterinarian, veterinary behaviorist, and novelist. He helps refine horse and dog training methods to accommodate the inherent nature and behavior of horses and dogs. 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. Training and husbandry from the horse's perspective result in content, cooperative horses. DrSid provides equine behavior consultations to help recreate the needs and preferences of horses in training and competition.

On-Track Pharmacies Restore Racing Integrity

On-Track Pharmacies; the potential to improve racing integrity

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 regulatory veterinarian evaluate the request and dispense the medication to be administered to the specific horse. 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. Rather than trainers dictating medication protocols, 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 has a notion that his or her horse needs a certain medication, a veterinarian would be required to examine and assess the horse, arrive at a specific diagnosis, and then request the medication from the pharmacy, where further vetting of the plan would occur from the regulatory veterinarians and pharmacists. Rather than being utilized as medication technicians as attending veterinarians currently are utilized, attending veterinarians would again become doctors practicing the science and art of veterinary medicine. Instead of being paid for drugs they administer, horse doctors would again be compensated for their medical evaluation of the racehorse 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. Veterinarians will have to practice veterinary medicine as veterinary medicine should be practiced with racehorses. Pharmaceutical manipulation to enhance performance would be eliminated, while therapeutic treatments could be sustained. No drugs would be allowed to come into the track through any other venue. Every horse medicated is medicated via this process and no other, 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 all of the 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 each and 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 of the horses are stabled at the track, or stabled at the track for a period of time before they race. 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 pre-race 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 the trouble the industry is experiencing. Injuries to both horses and jockeys are often due to doping and other unwholesome improper medication practices, which also devalue the horse while shortening their careers.  A problematic part of American racing has become the ability of veterinarians and trainers to pharmaceutically manipulate performance, a practice so entrenched that it has become part of the game. The sport was designed to test the natural ability of the horse, and the trainer’s ability to bring out that natural ability. Doping and pharmaceutical manipulation were never intended to be part of horseracing, but pharmaceutical manipulation has become an integral part of horseracing in America. The breakdown rate in America is manyfold higher than in Hong Kong, and the ease of pharmaceutical manipulation is a primary reason for this safety differential.

Development of an on-track pharmacy policy is the doping prevention policy that 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 horseracing in America. The model is in place in Hong Kong, where it has been tremendously effective in supporting racing with integrity while sustaining ethical horseracing values, while experiencing excellent handle as a result.  

On track pharmacies represent the health and welfare of the horse. On-track pharmacies can make racing considerably safer and more ethical, restoring public trust in the sport.

Dr Gustafson is an equine veterinarian, veterinary behaviorist, and novelist. He helps refine horse and dog training methods to accommodate the inherent nature and behavior of horses and dogs. 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. Training and husbandry from the horse's perspective result in content, cooperative horses. DrSid provides equine behavior consultations to help recreate the needs and preferences of horses in training and competition.

How Horses Heal

Restorative healing in Equus caballus.

Restoration strategies that recreate the horse's social grazing preferences facilitate and potentiate horse healing. Appropriate healing of many equine maladies is encouraged when the veterinarian provides appropriate initial treatment and subsequently carefully facilitates a scenario to provide the horse with abundant forage, friendship, and locomotion. 

Grazing pasture in an open setting with other horses, when appropriately orchestrated, has the potential to provide the most profound and often the most cost-effective healing of musculoskeletal infirmities and injuries. For conditions allowed to progress to lameness, time is required, often months. When musculoskeletal conditions are detected early, before lameness ensues, short term rest and restorative strategies encourage solid healing (days to weeks). Both long and short term healing are enhanced when the horse is content with the forage, friendship, and locomotion resources. Avoid unnecessary restrictions to locomotion whenever feasible.

The earlier inflammation is detected, the shorter the time period is required to heal. Healing in a social-grazing setting is a long-evolved trait of the horse. Horses acclimated to herd and pasture settings during their development respond best to restorative healing. 

Horsefolk need to take special care not to exceed the horse's adaptability regarding stabling and healing. 

Horses require a sense of comfort and security for physical and mental restoration (and maintenance). An adequate social grazing environment, or appropriate facsimile thereof, often provides the most comfort to the most horses. Horses provided with adequate socialization throughout their upbringing are most responsive to these strategies. For horses, comfort and security come from friendship, forage, and, most-critically, a near-constant casual locomotion. Young horses and newborns learn to be horses from the dam and herd, and foals are best served to develop with horses in an appropriate grazing environment, as well. Horses learn to socialize, communicate, graze, locomote, run at speed in close company, play, smell, balance, move, and compete from their mother along with the herd members.

Corral or stall rest is counterproductive to healing, as it deprives horses of all three healing essentials. Horses heal efficiently in a social grazing setting, not one of isolation and deprivation. To a horse, restoration, from the word rest, ideally implies grazing open country in a herd setting with abundant environmental resources; appropriate grasslands to graze and walk, salt, and appropriately placed clean water. The properly managed social grazing setting with the open view is the environment in which horses evolved to thrive and heal.

Healthy physical and mental development are best actualized in a social grazing environment. Neonates rely on their dam for critical early learning processes, including sensual development, locomotion, and early mobility.  The development of agility, coordination and athleticism in early life is critical to subsequent mental health and soundness. Abundant social contact, grooming, sleep, play, athletic development, and social bonding occurs during early herd life. Horses rely on constant contact and frequent interactions with other horses for healthy mental and physical development. 

Opportunities for the abundant expression of normal equine behavior and motion promotes healing. 

Unfortunately, healing opportunities of this sort are not available everywhere, especially in the more urban equestrian settings. Space and grazing limitations restrict healing opportunities. In these scenarios, the horse's preferences have to recreated with carefully designed and implemented ENRICHMENT strategies that provide some fashion of near constant forage ingestion that allow oral and physical and movement and motion. Stabling scenarios often restrict social expression and sensual contact. Horses are sensitive to these deprivations which results in stress, which complicates and delays healing. 

LOCOMOTION is essential for both horse health and healing. 

Husbandry, healing, and rehabilitation nearly always benefit from appropriately managed and free choice locomotion strategies that are constantly tailored to the horse's healing process. Locomotion is required not only for normal healing, but for normal digestion, respiration, hoof health, circulation, and all other physiologic functions of the horse. Stall rest is at the expense of many systems, especially the hoof and metabolic systems. Digestion and respiration are compromised by confinement and restriction of movement. Metabolic, digestive, circulatory, hoof health, musculoskeletal, and nervous, systems, as well as the all other systems and functions of the horse, are dependent upon adequate and appropriate locomotion for normal functioning and/or healing. 

For horses that are hospitalized, paddocked, stabled, and corralled; active implementation and re-creation of the social pasture setting is necessary to maintain health and promote healing. The absence of abundant forage, friends, and locomotion are detrimental to a stabled or hospitalized horse's health, if not welfare. Medical conditions are apt to deteriorate in the face of the deprivations created by stabling and hospitalization. 

Stalled horses heal poorly. Locomotion, social, and forage deprivations create problems for horses. In addition to appropriate medical treatment, veterinarians and stable managers must creatively provide horses with abundant socialization, forage, and locomotion to maintain health and facilitate healing. 

Horses also heal horsefolk, and those horsefolk that implement these healing strategies often experience a sense of healing themselves, it seems. The human/horse bond runs deep. Domestication of the horse is a co-evolving evolutionary process. The human perspective is being shaped by the horse's perspective these days. Appreciation of the science of equine behavior and equitation is a welcome change for the horse after centuries of considerable subjugation.

To healing horses,

DrSid

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. Training and husbandry from the horse's perspective result in content, cooperative horses.