Monthly Archives: March 2010

“Hast thou given the horse strength? hast thou clothed his neck with thunder? Canst thou make him afraid as a grasshopper? the glory of his nostrils is terrible. He paweth in the valley, and rejoiceth in his strength; he goeth on to meet the armed men. He mocketh at fear, and is not affrighted; neither turneth he back from the sword.” JOB 39:19-22

He heaves his front end up, flinging the cloth off his face, scattering all four humans. His legs collapse and he falls heavily to one side. He scrambles up, half-slithers across the lawn. We give him space but position ourselves carefully, to keep him out of the trees and pond. Then Erin gets a halter on him, and now we can give him support and direction. He rises to his feet again and this time he sways left, wobbles right, and then steadies himself with a wide stance. One hoof trembles. One blink. Two. An ear flick. His eye finds a focus, no longer glazed with panic. He exhales with force and we breathe a sigh of relief.

The posterior digital neurectomy (PDN) operation is one of the most common equine surgeries in the world. It’s a routine procedure that can be done in a ranch call, without having to transport the horse to a hospital and rig him up in slings and restraints.

(Note: I couldn’t find any explanations of the PDN procedure online, and certainly nothing from a layperson point of view. I am writing it out for anyone else who is researching what PDN is and whether to schedule it for their horse and will post it soon.)

But Rocky’s full name is Rockstar for a reason. He has never been an average, everyday kind of horse. He is extraordinarily intelligent, very sensitive, playful in his own subtle way. He thinks. A lot. And he is a survivor.

He has no trouble with sedatives other than his faster-than-light metabolizing of them so that they wear off too fast. But as we discovered yesterday, he has an idiosyncratic reaction to general anesthesia. Even though Appaloosas (and paints) are known for fighting off drugs faster than other breeds, Rocky’s reaction was extreme. The vet had to give him more frequent anesthesia boosters than any horse in the past 30 years of his practice. He even added a side order of valium. Even then, Rocky’s muscles never relaxed, and his body twitched and jerked as if in an unending seizure.

I got a battlefield education in how to keep 1200 pounds of should-be-completely-unconscious-but-does-not-seem-to-be prey animal down on his side. I’m keeping the details private as they affect people other than just me. Suffice it to say that it was an abnormally long and difficult example of what should have been simple.

But because of it, I have left my apprenticeship behind. I am now a journeyman horseman. I am now fully confident about my ability to make decisions about what is best for my horses, no longer automatically deferring to those I perceive as more experienced than I.

For hours, I crouched over Rocky’s poll, hands on his neck, leaning hard on him every time he moved his  front end. A horse uses its head and neck to swing himself up; it was my  job, as vet tech draftee, to keep that powerful fulcrum down.

They say your horse is your mirror. It’s even an English proverb: Show me your horse and I will tell you who you are.

I am 19 and scheduled for a routine umbilical hernia repair operation. My doctor hands me a valium to relax me before they wheel me in. But instead it makes me anxious, tense, jittery. I can’t keep still. I have full-body spasms when I try to sit down, so I pace, four strides each way. Eventually they strap me on a gurney, then transfer me to a table and strap down my wrists. I try to breathe and there’s a prick for the IV and then I spiral down and it’s dark. But suddenly there’s an excruciating pain right in the hernia and I can feel the surgeon’s hands inside me and I hear him saying “don’t let her cross her legs” and someone straps my ankles wide and they can’t hear me screaming that I am awake, I should not be awake, I should not have his voice booming in my ears, his fingers pressing in my guts.

I held Rocky down and I breathed for us both, deep into my belly, breathed like my wellness trainer is teaching me. Connect to the breath and you cannot get trapped in future or past. (If your mind has run off, you’ve stopped breathing properly.)

I watched Rocky’s  nostrils and imagined him slowing his breath to my rhythm, grounding himself through me even as I grounded myself through my breath. This steadied me, although after one huge spasm in which Rocky almost rolled onto his belly, I choked with tension  and tears, and the resulting snot inhibited my airflow.

We got through it. Rocky returned from anesthesia at a gallop instead of a sensible amble and so he ended up with some skinned knees, which the vet painstakingly cleaned and treated with antibiotics, just to be on the safe side.

Obviously, we’ll have no more field surgeries, no matter how routine and simple.  (“Clinics are great, but give me a drafty barn and equine surgery anytime, that’s where I live,” I once overheard the vet say to another owner.) Should Rocky ever need another operation, it will be at the hospital, in a sling.

Erin has also sworn off such things, even though Rocky’s reaction is so rare and had the vet not taken off his halter to make his head more comfortable, we’d have been able to help Rocky even though he tried to stand too soon. Any other horse would have come to much more slowly, giving us time to halter and help him.

By dinnertime, we had Rock settled in a deeply bedded stall, munching away on grass hay, drinking water, peeing and pooping like normal, a bit woozy but steady on his feet. He has to be cooped up for a week before he can be hand-walked, but he can stick his head outside and we put Salsa in the stall next to him. Salsa hangs out in the run where Rocky can see him and both are taking comfort in the proximity. This morning, Rocky licked my hand, and then put his head on my shoulder for a moment before returning to his hay net.

A special thank you for your supportive comments in the “pre surgery” post. I had your words with me during the unexpectedly dramatic day.

Categories: Health, Learning Experience | 8 Comments

Rocky’s surgery is tomorrow

Dr. White is coming out tomorrow to perform a posterior digital neurectomy (PDN) on Rocky. This means he will remove a small piece of nerve from Rocky’s wrists, which will numb the back third of Rocky’s hooves. Just the heels, not the whole foot. This will provide relief from the arthritis and low fluid levels he has in his coffin joints.

The slang for this procedure is “nerving” and it has a really bad rap in the horse world. A Google search for “PDN rehab plan horse” brings up a ton of forum threads on how evil it is to nerve horses, how going barefoot, changing diets, using boots, injecting Adequan, or using Equisoxx, or a handful of other treatments are more humane.

After 2.5 years and at least $15,000 (I stopped counting, here, as I really don’t want to know), the PDN is the only treatment I haven’t tried. We have been through: padded shoes, heel-lift shoes, eggbutt shoes, transition to barefoot, endurance/protective boots, Adequan, direct hyaluronic acid injections into the joint, judicious use of pain meds to see if that brought temporary soundness, hoof support supplements, joint support supplements, diet changes, and other herbal supplements.

I’ve had X-rays done four times and joint fluid aspiration done twice. (In early 2008 he had almost no fluid in the left and only watery, brownish fluid in the right; but the X-rays did not show the coffin joint arthritis until the last set, in February 2009.) I’ve had him treated by animal communicators, energy workers, chiropractors, massage therapists, acupuncturists, and six different veterinarians.

The result or diagnosis in all cases has been arthritis but not navicular syndrome. Rocky has the pain in the coffin joint and the weird unfluidness, but none of the other symptoms of navicular. He doesn’t toe-walk. He hasn’t worked on hard surfaces (or even worked hard at all in the past two years). He doesn’t stand with his feet far in front of him. He doesn’t have collapsed heels.

He has done better barefoot than shod, and the trimmer said Rock’s feet are looking great. The Adequan helps some although it wears off in three weeks, not four. Bute does not seem to have much effect. I am about to run out of the hoof support supplement so I guess I’ll find out if that was worth the $50/month (sigh).

The irony about the anti-PDN virulence is that the surgery is not a permanent solution. The nerve grows back in four or five years, at which point I’ll have to decide whether it was worth doing, and whether to do it again. I’ve been going back and forth about the PDN for more than a year now, exhausting all my other options first, because I don’t like the idea of his not being able to feel his heel. On the other hand, it’s not helping that the main sensation he feels is pain. Given the choice, I’d rather the numbness (and in fact with my extreme form of plantar fasciitis I wish I could have Dr. White slice my nerve too).

But the kind of life I want to have with Rocky is not one that includes strenuous competition like reining, jumping, or cutting. We just want to amble along trails with friends, play our way through the Parelli levels, enjoy our moseys and our coffee breaks, and maybe do some parades and Parelli games and things just to keep us sharp. We’d like to trot and canter again, too, but this time in balance without me wincing for him at every head bob. I do not need to jump, and in fact if I can just get enough miles on horseback to build confidence and skills, I’m sure I can find other people to lend me horses to re-learn how to jump, if I want to. Which I might not, by then.

The recovery program will take about five weeks of increasing exercise, starting with “stall rest and hand walks” which of course in a Parelli world means an outdoor pen large enough to walk around and lie down in and lots of clever games with obstacles. I’ve got a mental list that I need to write down, so when I talk to Dr. White tomorrow I can assign games of the appropriate activity level to each of the five weeks.

I will also consult with Erin about how to help Rocky reshape his body. He’s been favoring his feet for so long, so I imagine he’s got his ribs, back, hips, and other body parts out of balance as well. Like a more extreme version of how I feel when I stand up and walk away after 14 hours at the computer.

In our dreams!

The most important — really, the only important — thing about all of this time, expense, and swimming against the tide of horsepersony opinion, is that Rocky will have immediate relief. By tomorrow evening he will be munching his dinner with no pain in his coffin joints.

Cross your hooves that this works.

Categories: Love | 4 Comments

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