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for the Welcome Reception to celebrate the opening of the 10th Annual NEAEP Symposium “From Our Practice to Yours” Wednesday September 26th, 2018 beginning at 7:00 pm at the National Museum of Racing and Hall of Fame 191 Union Ave, Saratoga Springs NY 12866 (Shuttle transportation will be provided from the Holiday Inn) NEAEP Symposium 2018 “From Our Practice to Yours” 2
Welcome PRESIDENT’S MESSAGE NEAEP MISSION From Our Practice to Yours 2018 The NEAEP exists to improve the health and welfare of horses by providing state-of-the-art advanced professional education to Dear Friends, equine veterinarians, farriers, technicians, veterinary students and horse owners. The Association was created to support owners It is my pleasure to be able to invite and practitioners who care for their horses by providing access to you to join us in Saratoga Springs, region-specific industry information, networking opportunities, NY in September for our 10th Annual and additional representation on medical and legislative issues at Symposium - From Our Practice to the state and regional levels. Yours. Having recently toured the town of Saratoga Springs and the The NEAEP is the first organization to include farriers in our facilities we will be utilizing, I can say definition of “equine practitioners” and to actively foster the with complete confidence that you relationship between veterinarians and farriers. will not be disappointed! Saratoga Springs is a beautiful place to visit, and the variety of restaurants, spas and shopping is astounding for a small town. The downtown is vivid, and is quite walkable from the hotels in the area, and just a short cab ride from the outlying hotels. Please consider booking an extra day to enjoy the town and all of its amenities. WHERE TO FIND: As you will see in the following pages, the Program Committee Schedule at a Glance..............................................................19 Chairs have assembled an all star line up of speakers from around Lameness Program...................................................................9 the world to provide only the highest quality of continuing Podiatry Program...................................................................... 11 education available in both the classroom and wet lab settings. New this year we will be offering daily combined sessions to allow Internal Medicine and Reproduction Program..........14 veterinarians and farriers to exchange ideas and information on Wet Labs........................................................................................17 certain topics, as well as various engaging topics specific to our AAEVT Program........................................................................ 21 lameness, podiatry, internal medicine and reproduction programs. Schedules by Program......................................................... 23 Trade Show..................................................................................27 We have instituted an “Early Bird” pricing program where if you Registration Information..................................................... 30 register to attend the symposium prior to August 1st, you will Travel Information.................................................................... 31 receive a $50 discount off your registration. This has been made Registration Form.................................................................... 32 possible by the generous support of our Educational Partners. The NEAEP could not continue to provide the educational opportuni- Tourism Information..............................................................34 ties that we do without their continued support. I look forward to welcoming you to the Annual Symposium in person at our Welcome Reception on Wednesday evening to be held at the National Museum of Racing and Hall of Fame. The board and myself are incredibly excited for this new event and hope that you will join us to celebrate a decade of continuing education and cooperation between equine professionals. See you in September, Dr. Travis Blackwelder Dr. Travis Blackwelder President NEAEP Symposium 2018 “From Our Practice to Yours” 3
Who We Are BOARD OF DIRECTORS COMMITTEE CHAIRS Many thanks to our Committee Chairs for their time and efforts in President: Travis Blackwelder, DVM putting together the 2018 Symposium. Vice President: Raul J. Bras DVM, CJF, APF Treasurer: Jim Zeliff, DVM Past President: Robert Causey DVM, PhD Sarah Cohen, DVM Ronald Gaeta, DVM Michele McRae, BA, CF, APF Stuart Muir, NZCEF, CJF, DIPWCF, APF Christopher Penola, BS, MBA, APF Gregory Staller, DVM Veterinary Industry Council Rep: Carli Progin, MS Farrier Industry Council Rep: Remco van der Linden Lameness Program Committee Chair: Gregory Staller, DVM Executive Director/Chief Executive Officer: David G. Dawson Podiatry Program Committee Chair: Raul J. Bras, DVM, CJF, APF Internal Medicine and Reproduction Program Committee Chair: Carli Progin, MS Social Media: If you are active on social media, be sure to follow the NEAEP. NEAEP Symposium 2018 “From Our Practice to Yours” 4
l . W E B E L I E V E G R E AT N ES S N E V E R R ESTS , A N D ‘ G O O D E N O U G H ’ I S N OT A N O P T I O N . F RO M i a C OMPE T I T ION HORS ES TO T R AIL C OMPANIONS TO T HE PEOPLE WHO CARE FOR T HEM, E VERY t M OMEN T IS AN OPP ORT UNI T Y. T H AT ’ S WHY WE DELIVER ONLY E XC ELLEN C E IN EQUINE HE ALT H en SOLU T IONS AND SUPP ORT. BECAUSE A HORS E DES ERVES NOT HIN G LES S. WE DON ’ T BELIE VE t IN LIMI TS. WE BELIE VE IN ELIMINAT IN G OBSTAC LES AND UNBRIDLIN G P OT EN T IAL. Po Visit unbridleyourpotential.com By Merial By Merial By Boehringer Ingelheim By Boehringer Ingelheim Merial is now part of Boehringer Ingelheim. Prascend and Vetera are registered trademarks of Boehringer Ingelheim Vetmedica GmbH. Gastrogard and Ulcergard are UNBRIDLE YOUR POTENTIAL registered trademarks of Merial. ©2017 Boehringer Ingelheim Vetmedica, Inc. EQU-0332-GEN1117 NEAEP Symposium 2018 “From Our Practice to Yours” 5
Schedule at a Glance WEDNESDAY SEPT 26/18 TIME SPEAKER TOPIC ROOM 3 - 4 pm Dr. Greg Staller Selected conformational conditions and injuries leading Holiday Inn Conference Center to lameness for which shoeing is of utmost importance to outcome 4 - 5 pm Dr. Greg Staller The management of keratomas; recognition Holiday Inn Conference Center (clinical, radiographic) surgery, post-surgical management including shoeing. 5 - 6 pm Dr. Raul Bras How to obtain and use radiographic information to enhance Holiday Inn Conference Center therapeutic trimming and shoeing. 7 pm onward Welcome Reception at Racing Museum THURSDAY SEPT 27/18 TIME SPEAKER TOPIC ROOM 7:55 - 8:50 am Dr. Ric Redden How to Correlate the External Characteristics of Meeting Room 1 Mismatched Feet with Radiographic Soft Tissue Parameters 8:50 - 9:45 am Dr. Ric Redden How to Recognize the Various Grades of Club Feet and Meeting Room 1 Basic Management Principals 9:45 - 10:15 am Coffee Break Breakout into Individual Lecture Programs: Lameness, Podiatry, Internal Medicine/Reproduction 10:15 - 11:10 am Dr. Sue Dyson Why is it important to see sports horses ridden? Meeting Room 1 The importance of saddle fit for optimal performance Mr. Joao Neto The value of professional relationships between a Meeting Room 2A veterinarian and farriers. Dr. Eric Parente Diagnosis/Treatment and the Impact of Upper Respiratory Meeting Room 2B Abnormalities on Lower Respiratory Function (Part I), 11:10 - 12:05 am Dr. Sue Dyson Sacroiliac joint region pain in sports horses: Meeting Room 1 a growing problem? Mr. Stefan Wehrli Examination for shoeing: Gait analysis for shoe design, Meeting Room 2A x-ray for trimming Dr. Eric Parente Diagnosis/Treatment and the Impact of Upper Respiratory Meeting Room 2B Abnormalities on Lower Respiratory Function (Part II), 12:05 - 12:55 pm Lunch in Lounge and Front Foyer or Lunch in another room TBD 12:55 - 1:50 pm Dr. Sue Dyson Hindlimb proximal suspensory desmopathy: why is it Meeting Room 1 such a management challenge? Mr. Stefan Wehrli Shoeing with a exact plan: How to apply the messurements Meeting Room 2A from the x-rays on the hoof. How to use simple tools (angel finder, compass, ruler) and record sheet to improve your shoeing job. Dr. Eric Parente Causes and Treatments for Nasal Discharge Meeting Room 2B NEAEP Symposium 2018 “From Our Practice to Yours” 6
Schedule at a Glance THURSDAY SEPT 27/18 (CONTINUED) TIME SPEAKER TOPIC ROOM 1:50 - 2:45pm Dr. Mike Ross Diagnosis and Management of selected Hindlimb Meeting Room 1 Lameness Issues Mr. Joao Neto How to improve and manage the negative palmer angle Meeting Room 2A with trim and shoeing Dr. Nettie Liburt New insights into feeding the senior horse: Does diet really need to change with age? Meeting Room 2B 2:45 - 4pm Dedicated Trade Show Time 4 - 4:55pm Dr. Mike Ross Injuries of the Sagittal Grove of the Proximal Phalanx Meeting Room 1 – a Diagnostic Dilemma Dr. Greg Staller A discussion of the importance of shoeing, footing in the Meeting Room 2A development and management of suspensory ligament disease in sport horses. Dr. Nettie Liburt Managing Obesity & Laminitis from a Nutritional Perspective Meeting Room 2B 4:55 - 5:50pm Dr. Rick Mitchell Suspensory ligament branch injuries-diagnosis and treatment Meeting Room 1 Dr. Ric Redden How to use Mechanical logic to treat Injured and Meeting Room 2A Diseased Components Dr. Nettie Liburt Feeding the Endocrine Challenged Horse Meeting Room 2B 5:50 - TBD Trade Show and Cocktails FRIDAY SEPT 28/18 TIME SPEAKER TOPIC ROOM 7:55 - 8:50am Dr. Ric Redden Technique and Value of the Venogram Meeting Room 1 8:50 - 9:45am Dr. Ric Redden Laminitis Revisited Meeting Room 1 9:45 - 10:15am Break in Trade Show lounge and Main Foyer Breakout into Individual Lecture Programs: Lameness, Podiatry, Internal Medicine/Reproduction 10:15 - 11:10am Dr. Mike Ross Is Nuclear Scintigraphy Still Relevant? Meeting Room 1 Dr. Greg Staller A discussion of the surgical and shoeing management Meeting Room 2A of keratomas; recognition (clinical, radiographic) surgery, post-surgical management including shoeing Dr. Etta Bradecamp Diagnostics and Treatment for the Mare with Meeting Room 2B Chronic Infertility Problems 11:10 - 12:05pm Dr. Rick Mitchell MRI-what is important and how do you integrate it into your practice? Meeting Room 1 Dr. Greg Staller A discussion of P3 osteomyelitis – recognition, medical Meeting Room 2A and surgical options, post-surgical management including shoeing options Dr. Etta Bradecamp Diagnostics and Treatment for the Mare with Chronic Meeting Room 2B Infertility Problems 12:05 - 1:55pm Lunch served in Trade Show Lounge and Trade Show Time 1:55 - 2:50pm Dr. Rick Mitchell MRI case discussions Meeting Room 1 Mr. Joao Neto How to manage the club foot? Meeting Room 2A Dr. Etta Bradecamp Working with Problem Stallions Meeting Room 2B NEAEP Symposium 2018 “From Our Practice to Yours” 7
Schedule at a Glance FRIDAY SEPT 28/18 (CONTINUED) TIME SPEAKER TOPIC ROOM 2:50 - 3:45pm Dr. Carla Pasteur The big three- acupuncture, medical manipulation Meeting Room 1 and conventional medicine Mr. Stefan Wehrli Shoeing in relationship to the coffinbone : Meeting Room 2A How to detect the position of the coffin bone without x-rays. Horizontal horn capsule rotation. Dr. Amy Polkes Advances in Equine Diagnostic testing for Meeting Room 2B Infectious Diseases 3:45 - 4:15pm Break in Main Foyer area and Lounge 4:15 - 5:10pm Dr. Carla Pasteur My horse won’t bend – causes, effects and treatment Meeting Room 1 for cervical stiffness and pain Understanding back pain, thoracolumbar fascia and the middle compartment Mr. Stefan Wehrli Trimming on different levels : under the coffin bone for Meeting Room 2A palmar angel and lateral/medial balance, at the heels for comfort and support. Dr. Amy Polkes Advances in Equine Diagnostic testing for Meeting Room 2B non-infectious Diseases 5:10 - 6:05pm Dr. Rob Boswell Bisphosphonates; How They Work and Clinical Applications Meeting Room 1 in Equine Practice Dr. Ric Redden How to use Mechanical logic to treat Injured and Meeting Room 2A Diseased Components Dr. Amy Polkes Equine Diagnostic Case Studies Meeting Room 2B 6:05 - Onward Discover Saratoga downtown NEAEP Symposium 2018 “From Our Practice to Yours” 8
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Program Information Combined Veterinarian and Farrier Sessions The NEAEP is pleased to present the following topics as combined lectures for veterinarians and farriers to learn side by side. GREGORY S. STALLER, DVM R.F. (RIC) REDDEN DVM l Selected conformational l How to Correlate the External conditions and injuries leading to Characteristics of Mismatched lameness for which shoeing is of Feet with Radiographic Soft utmost importance to outcome. Tissue Parameters l The management of keratomas; l How to Recognize the Various recognition (clinical, radiographic) Grades of Club Feet and Basic surgery, post-surgical manage- Management Principals ment including shoeing. l Technique and Value of the Venogram l Laminitis Revisited RAUL BRAS DVM, CJF, APF l How to obtain and use radiographic information to enhancetherapeutic trimming and shoeing. NEAEP Symposium 2018 “From Our Practice to Yours” 10
Program Information Lameness Program ROBERT P. BOSWELL, DVM WHY IS IT IMPORTANT TO SEE BISPHOSPHONATES; SPORTS HORSES RIDDEN? HOW THEY WORK AND Riders ride horses and the problems that they experience may not CLINICAL APPLICATIONS be evident under other circumstances. To understand the rider’s IN EQUINE PRACTICE problems (e.g., hanging on the left rein) the horse must be seen Bisphosphonates have been used in ridden. Lameness may not be apparent in hand or on the lunge, human medicine for well over 40 but only evident ridden. Elimination of a baseline lameness seen years to treat a variety of conditions. in hand or on the lunge may make no difference to a horse’s They are primarily used to prevent performance when ridden. Observing the horse’s behaviour when osteoporosis as well as adjunct being tacked up can be a clue to the presence of a problem. therapies for certain types of cancer. They are also known to have Musculoskeletal pain may be manifest as a change in perfor- pain relieving characteristics which are independent of their mance, rather than overt lameness, which may only be evident in anti-resorptive properties. There are two categories of Bisphos- canter rather than trot, and in some horses may only be apparent phonates, nitrogenous and non-nitrogenous, with very different under specialised circumstances e.g., half pass, or landing. mechanisms of action, affinity for bone, and possible adverse Recognition of aspects of ridden horse behaviour can highlight the reactions. There are currently 2 FDA approved Bisphosphonates likely presence of pain. The presence of saddle slip may be a clue for use in equine practice. They differ dramatically in their method to the presence of a hindlimb gait abnormality. of administration and efficacy, as revealed in the results of their clinical trials. I use Clodronate (OSPHOS) in my practice to treat a THE IMPORTANCE OF SADDLE FIT variety of conditions which are characterized by increased bone FOR OPTIMAL PERFORMANCE metabolism and remodeling. A saddle which does not fit either a horse or a rider correctly has potentially far reaching consequences for both horse and rider health. The saddle should be assessed off the horse and on the SUE DYSON, PhD, FRCVS horse, without and with a rider. The fit of the saddle for both the HINDLIMB PROXIMAL horse and rider must be evaluated. A well-fitted saddle should SUSPENSORY DESMO- distribute weight evenly via the panels to the horse’s thoracic PATHY: WHY IS IT SUCH A region, with complete clearance of the spinous processes by the MANAGEMENT CHALLENGE? gullet. The saddle should remain fairly still during ridden exercise Hindlimb proximal desmopathy can at all paces. The saddle must also fit the rider to enable them to sit be a challenging diagnosis. It has in balance. Signs of an ill-fitting saddle include equine thoraco- been suggested that ultrasonogra- lumbar pain, focal swellings under the saddle, ruffling of the hair, phy has inadequate specificity and dry spots under the saddle immediately after exercise surrounded sensitivity compared with magnetic by sweat, or abnormal hair wear. If a saddle does not fit the rider, resonance imaging. New data will be presented comparing the rider may not be able to ride in balance with the horse, and ultrasonography with gross post mortem examination and this may induce equine thoracolumbar pain. A saddle of inappro- histology, which will demonstrate that good-quality ultrasono- priate size and shape for the rider may induce rider back pain, ‘hip’ graphic images are reliable for diagnosis, but adhesions between pain, sores under the ‘seat bones’ and perineal injuries. the suspensory ligament and the third metatarsal bone and adhesions between the suspensory ligament and adjacent soft Examples of ill-fitting saddles and their influence on performance tissue structures may be missed. The presence of such adhesions will be discussed. The influence of a saddle on the rider will also may explain why some horses fail to respond adequately to be illustrated. surgical treatment. Risk factors for proximal suspensory desmop- athy have been poorly documented. It has been suggested that Sacroiliac joint region pain in sports horses: a growing problem? conformation may play a role. Aspects of static and dynamic Sacroiliac joint region pain is a rather poorly understood and conformation will be explored; a causal relationship is difficult to potentially complex syndrome, but one which has some typical prove. Sports discipline is a risk factor, with dressage horses being clinical features, occurring as a primary condition or secondary to particularly susceptible. This may be related to the predominance other causes of hindlimb lameness, especially proximal suspenso- of Warmblood breeds, the way in which dressage horses work ry desmopathy. Clinical features, with particular emphasis on and the surfaces on which they work. The effect of working assessment of horses ridden, will be described. The responses to versus collected or extended trot will be described. diagnostic analgesia and imaging features will be discussed, together with management. NEAEP Symposium 2018 “From Our Practice to Yours” 11
Program Information Lameness Program Photo by Hyperion Farms’ Al Guden RICHARD D. MITCHELL, medicine, acupuncture and spinal manipulation can treat cervical DVM,MRCVS, Diplomate, dysfunction at any stage. ACVSMR MRI-WHAT IS IMPORTANT UNDERSTANDING BACK PAIN, AND HOW DO YOU THORACOLUMBAR FASCIA AND THE INTEGRATE IT INTO MIDDLE COMPARTMENT YOUR PRACTICE? Lumbar instability and back pain is seen in all types of equine This lecture session will discuss the athletes. Osseous changes in the caudal thoracic and lumbar basics of magnetic resonance vertebrae may present as back pain or may mimic hind limb imaging (MRI) from a practical lameness and sacroiliac pain. Recent research has shown that standpoint and how the equine practitioner can integrate the lumbar stability is related to tensioning the thoracolumbar fascia advantages of MRI into his/her practice. The speaker will discuss and relies on proper use and timing of abdominal muscles. Failure basic findings and interpretations that will eliminate some of the of this system can contribute to thoracolumbar instability. mystery in reviewing images. MRI CASE DISCUSSIONS MICHAEL ROSS, DVM A series of lameness cases will be presented where the use of MRI DIAGNOSIS AND was useful and sometimes critical to establishing a diagnosis. MANAGEMENT OF Essential diagnostic findings for each case will be discussed. The SELECTED HINDLIMB value of MRI in establishing treatment regimens and prognosis LAMENESS ISSUES will also be discussed. Hindlimb lameness continues to be a mystery in some horses given the SUSPENSORY LIGAMENT BRANCH INJURIES lack of obvious clinical signs and -DIAGNOSIS AND TREATMENT similar gait deficits seen in horses The clinical presentation of suspensory branch desmopathies will with disparate sources of pain be reviewed. Various routine and advanced imaging diagnostic causing lameness. Gait deficits, clinical characteristics, definitive techniques and findings will be discussed. Treatments for the diagnosis using the hallmark of relevance, diagnostic analgesia, various levels of injury will be proposed. and management of lameness issues from the common to the obscure will be highlighted. CARLA PASTEUR, IS NUCLEAR SCINTIGRAPHY STILL RELEVANT? DVM, CVA, CVSMT In this day-and-age of standing and recumbent computed THE BIG THREE — tomography and widespread use of magnetic resonance imaging, ACUPUNCTURE, MEDICAL many question the relevance of using nuclear scintigraphy as a MANIPULATION AND diagnostic tool. Far from being over-the-hill the modality CONVENTIONAL MEDICINE continues to be a workhorse for lameness diagnosis and one of Horses are masters at compensating the best ways of assessing current activity and relevance of bony so that issues may remain sub-clini- abnormalities. I will tell you why using clinical cases. cal until the compensatory mecha- nisms are overwhelmed. Combining INJURIES OF THE SAGITTAL GROVE OF THE these three modalities give us the best opportunity to find PROXIMAL PHALANX – A DIAGNOSTIC DILEMMA problems before they result in lameness. Mid-sagittal fractures are a classic form of severe injury of the proximal phalanx and while they most commonly occur in the MY HORSE WON’T BEND – CAUSES, EFFECTS race horse, these fractures represent the most common long- AND TREATMENT FOR CERVICAL STIFFNESS bone fracture in the non-racehorse. Horses with injuries such as AND PAIN traumatic collapse of the articular surface resulting in subchondral Cervical stiffness is a common rider complaint. Chronic neck pain cyst-like lesions can be problematic. Important clinical character- leads to changes in muscle timing, fiber type and muscle mass istics of lameness associated with these injuries, why they can be and unfortunately these changes lead to vertebral instability and a challenge in diagnosis and management will be highlighted. injury. Correcting this problem early may help prevent degenera- tive changes in the facets. A combination of conventional NEAEP Symposium 2018 “From Our Practice to Yours” 12
Program Information Podiatry Program JOAO NETO, CF, APF HOW TO RECOGNIZE THE VARIOUS GRADES COMMUNICATION IS A KEY!! OF CLUB FEET AND BASIC MANAGEMENT Prompt and efficient communica- PRINCIPALS tion between the veterinarian and The club foot syndrome is a result of persistent deep flexor farrier is not always easy due to over muscle contraction. Apparently there is an increased firing signal commitments, however it is the key at the synapsis that triggers muscle fiber contraction. This in turn to success when presented career is transferred to the base of the coffin bone via the deep digital and life threatening foot issues. flexor tendon. This increase in the suspension function of the Several very extensive cases will be tendon alters the internal as well as external characteristics of presented from start to completion the foot. The degree of hoof distortion is relative to the degree that point out the value of the team effort and the professional of synapsis malfunction. Therefore a classification of the effects i relationship that is vital to achieve mutual goals. s merited. THE NEGATIVE PALMAR ANGLE LECTURE TECHNIQUE AND VALUE OF THE VENOGRAM The crushed heel typically has a negative Palmer Angle (PA) and is The invitro venogram technique was developed by Dr. Chris one the most common problems in the horse industry through- Pollitt. Together he and I performed the first venogram on a live out the world. This presentation teaches the value of using horse in early 1990s. Finding the information incredibly exciting radiographs to identify and interrupt sole depth at the apex and over the next 25 years I have strived to learn how this information beneath each wing from a farrier’s perspective. This knowledge helps me better understand the requirements that must be met can develop an eye for external landmarks that guide the farrier to to mechanically and medically enhance the healing environment. the most efficient ,mechanical trim and shoe selection which is of The technique requires good working knowledge of the procedure utmost importance for maintaining a healthy foot. itself, a basic level of horsemanship skills, along with basic understanding of the relationship of the vascular supply and static load. Needless to say it’s like most all technique sensitive proce- R.F. (RIC) REDDEN, DVM dures itrequires good repetitious practice to overcome the HOW TO CORRELATE ill effects of Murphy’s Law. THE EXTERNAL CHARACTERISTICS OF LAMINITIS REVISITED THE DIFFERENTIAL MISMATCHED FEET WITH VS DEFINITIVE DIAGNOSIS RADIOGRAPHIC SOFT The acute laminitic case suffering from high scale pain (grade 5/5) TISSUE PARAMETERS with a typical clued to the ground laminitic stance, reluctant to The discovery exercise starts with move, rapid respirations, elevated heart rate and painful eye our visual perception of the horse, expression is with most probability a laminitic case. These classic body language, gate, basic degree signs speak for themselves. However, the lower insult cases can and location of lameness and the specific characteristics of each closely resemble other commonly occurring syndromes and a foot in question. How efficient our perspective impression is definitive diagnosis isn’t so straight forward. depends on our past experience, knowledge of the subject and skill level. Therefore the more we understand what we see, the easier it is for us to detect smaller and smaller details that make the greatest difference. HOW TO USE MECHANICAL LOGIC TO TREAT INJURED AND DISEASED COMPONENTS Mechanics is a branch of science that deals with energy and forces and their effect on bodies or the functional parts of an activity. Considering the complexity of the equine foot it is only prudent that we learn all we possibly can about the forces at play and their influence on all components. The live horse is by far our greatest study subject as they continually reveal many of the secrets of basic podiatry principles. NEAEP Symposium 2018 “From Our Practice to Yours” 13
Program Information Podiatry Program GREGORY S. STALLER, DVM STEFAN WEHRLI SELECTED CONFORMA- EXAMINATION FOR TIONAL CONDITIONS AND SHOEING INJURIES LEADING TO Gait analysis for shoe design, LAMENESS FOR WHICH x-ray for trimming. SHOEING IS OF UTMOST IMPORTANCE TO OUTCOME. SHOEING WITH Conformation directly influences AN EXACT PLAN forces acting on the hoof as well as How to apply the measurements the bones, joints and ligaments. from the x-rays on the hoof. How to Many conformational issues lead to lameness in sport horses and use simple tools (angle finder, compass, ruler) and a record sheet shoeing solutions are often required to manage lameness and to improve your shoeing job. improve performance and function. Similarly, there are injuries to the hoof and limb for which a combined approach between SHOEING IN RELATIONSHIP medicine, surgery and farrier are required in order to achieve TO THE COFFINBONE success. Some common and more obscure conditions will be How to detect the position of the coffin bone without x-rays. discussed and highlighted with case examples. Horizontal horn capsule rotation. THE MANAGEMENT OF KERATOMAS; TRIMMING ON DIFFERENT LEVELS RECOGNITION (CLINICAL, RADIOGRAPHIC) Under the coffin bone for palmar angel and lateral/medial SURGERY, POST-SURGICAL MANAGEMENT balance, at the heels for comfort and support. INCLUDING SHOEING Keratomas have been described in the literature as relatively rare, however it appears that the recognition of their presence in equine feet is on the rise. Improved knowledge and imaging may account for this. A description of some of the varied clinical presentation of keratomas as well as a straight-forward method for surgical treatment and post-surgical management will be presented. OSTEOMYELITIS OF THE DISTAL PHALANX– RECOGNITION, MEDICAL AND SURGICAL OPTIONS, POST- SURGICAL MANAGEMENT INCLUDING SHOEING CONSIDERATIONS Infection in the distal phalanx is a relatively common diagnosis in practice. Clinical features leading to early diagnosis, discussion of the role of diagnostic imaging, medical and surgical management will be discussed. The role in support and protection of the foot as part of management will be emphasized. NEAEP Symposium 2018 “From Our Practice to Yours” 14
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Program Information Internal Medicine & Reproduction Program ETTA BRADECAMP DVM, MANAGING OBESITY AND LAMINITIS FROM A DIPL. ACT, DIPL ABVP NUTRITIONAL PERSPECTIVE DIAGNOSTICS AND Research has shown that horse owners lack skills to simply look at TREATMENT FOR THE a horse and estimate body weight. As the proportion of obese and MARE WITH CHRONIC overweight adults in America rises, so does that of our animals, INFERTILITY PROBLEMS including horses. “Food is love” is an emotional feeling often carried from the dinner table to the stable. Unfortunately, excess WORKING WITH DIFFICULT energy intake leads to weight gain, and potentially an increased STALLIONS risk of insulin resistance and laminitis. This talk will discuss ways to help veterinarians and owners identify overweight horses using the Henneke Body Condition Scoring System, the Cresty Neck Scale, and body measurements. It will also cover feeding strate- gies aimed at reducing body weight while ensuring nutrient needs NETTIE LIBURT, PAS are met, and how to reduce nutritional risk factors for laminitis. NEW INSIGHTS INTO The importance of exercise for weight management will also be discussed. FEEDING THE SENIOR HORSE: DOES DIET FEEDING THE ENDOCRINE CHALLENGED HORSE REALLY NEED TO CHANGE The endocrine system has widespread influence on the body, and WITH AGE? can in some ways be affected by diet. High carbohydrate diets can The population of horses over the exasperate hormonal disturbances associated with Equine age of 20 years is growing in the Metabolic Syndrome (EMS) and Pituitary Pars Intermedia Dys- United States, and many of these function (PPID). While EMS and PPID have different etiologies, seniors are remaining active into their golden years. Previously feeding strategies often have similarities. This talk will simply held beliefs dictated that a “senior” horse needed a special diet, review EMS and PPID and discuss strategies for dietary manage- but new research suggests that isn’t always the case. While there ment of horses with one, or both, of these conditions. An over- are certain physiological changes that occur as a natural part of view of the dynamic nature of pasture carbohydrates throughout aging, such as a decline in the ability to thermoregulate, a reduc- days and seasons will be covered, along with forage quality in tion in exercise capacity and changes in the endocrine and general. Approaches for providing forage-based diets, mainte- immune systems, healthy elders may not need major dietary nance diets, and feeding both over- and under-weight horses with changes. However, for some horses, it becomes harder to metabolic concerns will be covered. maintain weight and/or muscle tone. Endocrine concerns, such as PPID and IR, frequently affect the older population of horses, and have a big impact on dietary management. This discussion will cover the latest research and insights regarding the nutritional management of older horses in light of these physical changes, along with forage alternatives and strategies for how to manage weight and provide a balanced diet. NEAEP Symposium 2018 “From Our Practice to Yours” 16
Program Information Internal Medicine & Reproduction Program ERIC PARENTE, DVM AMY POLKES, DVM DIAGNOSIS/TREATMENT ADVANCES IN EQUINE AND THE IMPACT OF DIAGNOSTIC TESTING UPPER RESPIRATORY FOR INFECTIOUS ABNORMALITIES ON DISEASES ADVANCES IN LOWER RESPIRATORY EQUINE DIAGNOSTIC FUNCTION (PART I AND II) TESTING FOR NON- Too often we separate lower and INFECTIOUS DISEASES upper respiratory dysfunction. Yet, This lecture series is designed to the two systems depend upon each provide the current recommenda- other for the horse to perform well. These lectures will focus on tions for diagnostic testing for common equine infectious and the diagnosis and treatment of upper respiratory abnormalities non-infectious diseases. These lectures will cover a brief overview from a surgeon’s perspective while considering the impact on and of the disease process, current data on diagnostic testing proto- interaction with lower respiratory abnormalities. cols, sample recommendations including proper collection and handling techniques. The purpose of the lectures is to promote CAUSES AND TREATMENTS good practices for equine diagnostic testing that will allow for the FOR NASAL DISCHARGE proper diagnosis of disease and lead to the best outcome with Nasal discharge can represent something benign, life threatening, appropriate treatment. Case studies are designed to provide an or anything in between. Often horses are placed on antimicrobials interactive discussion on formulating a differential diagnosis and for any nasal discharge because of limited ability to evaluate the best diagnostic treatment plan. problem and effectively treat the horse, but with advanced diagnostic imaging and newer surgical techniques the effective- ness of treating such patients has improved dramatically. NEAEP Symposium 2018 “From Our Practice to Yours” 17
Don’t miss the NEAEP Wet Lab Day! September 27th cOST $249 NEAEP Symposium 2018 “From Our Practice to Yours” 18
Wet Labs Lameness Wet Labs Podiatry Wet Labs WHOLE HORSE CADAVER ULTRASOUND LAB TEAM APPROACH FOR HORSES WITH LAMINITIS DR. RICK MITCHELL REQUIRING DEEP DIGITAL FLEXOR TENOTOMY The lab will consist of a brief review of anatomy and conditions of DR. RIC REDDEN the cervical and lumbar spine and the sacroiliac with description Veterinarians will be performing radiographs for farriers to of ultrasound guided injection techniques. Cadaver specimens will evaluate the degree of coffin bone displacement / rotation and be available for practice. performing a DDF tenotomy (on cadaver limbs), and the farrier will be shoeing the horse accordingly based on their findings and VENOGRAM requirements for a successful outcome. DR. ROB BOSWELL TBA TEAM APPROACH ON HOW TO TRIM AND SHOE ON DIFFERENT LEVELS IN RELATION TO THE HANDS-ON EXPERIENCE WITH SPINAL COFFIN BONE MANIPULATION AND ACUPUNCTURE EXAM MR. STEFAN WHERLI AND TREATMENT Veterinarians will be using radiographs using the WTS template DR. CARLA PASTEUR for positioning the foot on the blocks and beam direction for See how these modalities can enhance your lameness exam, farriers to trim and shoe in relation to their drawings on the sole treatments and help to find subclinical problems. and hoof capsule. DYNAMIC ENDOSCOPY KERATOMA/DISTAL PHALANX OSTEOMYELITIS: TBA SURGICAL APPROACHES AND SHOEING CONSIDERATIONS MR CHRIS PENOLA & DR. GREG STALLER Septic osteitis of the distal phalanx and keratomas are fairly commonly diagnosed problems in equine practice. Surgical debridement of infection and removal of keratomas is key to successful treatment, but approaches to the affected areas leave defects in the hoof wall that require careful stabilization. In this laboratory, surgical approaches to areas of the distal phalanx, across the hoof wall will be demonstrated. Horseshoe- ing techniques crucial to stabilization of the invaded hoof wall will be demonstrated and explained. Veterinarians and farriers will then work together on cadaver limbs to collaborate in surgical management and shoeing. Instrumentation and materials required for successful management will be introduced and demonstrated. NEAEP Symposium 2018 “From Our Practice to Yours” 19
Wet Labs Podiatry Wet Labs (continued) Internal Medicine Wet Labs HOW TO IMPROVE AND MANAGE THE ADVANCED EQUINE NEUROLOGY NEGATIVE PALMAR (PLANTAR) ANGLE DR. SARAH REUSS AND/OR THE CLUB FOOT This lab will start with a hands-on live horse review of a thorough MR. JOAO NETO neurological examination with a focus on practical identification This wetlab is based using rads as well for shoeing, so we will need and localization of abnormalities. Still using the live horse, we will another vet, or ideally if we could pair vets and farriers. If we could review the landmarks for CSF collection from the atlanto-occipital get cadaver limbs, the wetlab should be hands on for them to and lumbosacral space, as well as using ultrasound to demon- shoe the feet as a team. strate the more recently described C1-C2 CSF collection method. Cadaver heads and necks will then be used to allow attendees to FRONT END LAMENESS — ANATOMY, THERAPY practice AO taps, C1-C2 taps, and cervical articular facet injections. AND PODIATRY DR. BRITT CONKLIN TECHNIQUES FOR PROCESSING SEMEN This lab will take a detailed look at various common distal limb INCLUDING CENTRIFUGATION MODIFICATION pathologies of the front end that practitioners are presented and DR. ETTA BRADECAMP develop therapies based on the lesions given that involve; TBA medication, injection, rehabilitation and podiatry. The lab would include cadaver limb dissection to visualize the anatomy and its ENDOSCOPY LAB OF THE UPPER AIRWAY function based on the diagnosis of the live horse cases given. It AND GUTTURAL POUCHES would also include various treatment options with instruction on DR. MARK CRISMAN their use including synovial injections, regenerative therapy, The purpose of this wet lab is to familiarize practitioners with the bisphosphonates and the application of the corresponding upper airway of horses. Identify primary sites of pathology and podiatry appliance for the case. diagnostic modalities including sampling techniques. We will focus on the guttural pouches and demonstrate techniques for HUNTER/JUMPER CREDENTIAL (AAPF) accessing and flushing the pouches. Endoscopy section; MR. ADAM WYNBRANDT APF-I A. Endoscopy of the upper airways and guttural pouches. Will MS. CATHY LESPERANCE APF-I demonstrate how to access the guttural pouches and demo In 2016, the American Association of Professional Farriers created novel techniques for flushing the pouches. Will perform Trans “Farrier Credentialing”. Participants have embarked on a journey endoscopic aspirate to demonstrate to horse owners, trainers, veterinarians, and B. Endoscope removed and will perform a bronchoalveolar others their personal commitment to their profession. The lavage (BAL) and collect lavage fluid program is based on a two-step process: Foundation Credential C. Tracheal site prep and transtracheal aspirate performed. and Stackable Credentials for disciplines or specialties. Over 300 AAPF members have completed the first step and are now ready ABDOMINAL AND THORACIC ULTRASOUND to begin their second step. IN THE FIELD – WHAT TO LOOK FOR IN EMERGENCY CASES AND WHEN The first “Stackable Credential” will focus on the shoeing of TO CONSIDER REFERRAL Hunters & Jumpers. AAPF President Adam Wynbrandt APF-I and DR. AMY POLKES Vice President Cathy Lesperance APF-I will be presenting an Abdomen - Review of the basic anatomy that should be identified overview while highlighting: in the abdomen; discussion of the important items to identify in l An overview of the Credentialing program the abdomen of a horse with colic or other abdominal emergen- l Steps involved in the Hunter/Jumper Credential cy. Learn the use of various probes and settings to correctly l Study Guide with Test identify structures and review when it would be appropriate to l Hands-On Shoe Modifications refer for further evaluation. l Explanation of the Uses for Each Modification Thorax - Review of the basic anatomy that should be identified in Participants in this wet lab will focus on two of the modifications the thorax; discussion of the important items to be aware of in a while not only forging the modifications, while also gaining an horse with a respiratory emergency. Learn the use of various understanding of how the modifications would actually be used probes and settings to correctly identify these structures and review with Hunters and/or Jumpers. when it would be appropriate to refer for further evaluation. NEAEP Symposium 2018 “From Our Practice to Yours” 20
Wet Labs Ultrasound Wet Labs ULTRASOUND ESSENTIALS FETLOCK The ultrasound essentials wetlab will provide specific instruction DR. RICH REDDING on ultrasound technique for the following regions of the musculo- This station will introduce the clinician to the anatomic structures skeletal system. Ultrasound machines will be graciously provided associated with the fetlock joint wich is the most commonly by our wet-lab sponsors. The wet lab will be split into 4 stations injured region of the limb in many disciplines. The lab will present running throughout the morning. Hands on practice will be and practice imaging of the SDFT, DDFT, DFTS, fetlock canal, the emphasized. SL branches PSBs as well as examination of the collateral liga- ments and articular cartilage of the fetlock. PROXIMAL METACARPUS/PALMAR CARPUS DR. RON GENOVESE METACARPUS-INCLUDING IMAGE OPTIMIZA- Often lameness has been isolated to the soft tissue structures of TION, ARTIFACT RECOGNITION AND DIAGNOS- the proximal metacarpus or the palmar carpus. Ultrasonography TIC CRITERIA –DR. TRACY NORMAN of these regions is a practical and efficient methodology to DR. TRACY NORMAN identify soft tissue injury. This wet laboratory will provide the This station will focus on teaching the practitioner tips for improv- practitioner with an in-depth technique of ultrasonographic ing their ultrasound skills, regardless of region. We will discuss evaluation of these anatomical areas. The practitioner will receive choosing the correct settings to optimize the image. We will then a live demonstration of diagnostic technique and will then be able look at some common artifacts encountered in the distal limb. to perform these examinations on a live horse with personal Lastly, we will discuss criteria for diagnosing and following lesions instruction on technique of ultrasonographic evaluation of through sequential ultrasound examinations during the rehabilita- tendons and ligaments of these anatomical locations. tion process. PALMAR PASTERN DR. WADE TENNEY Soft tissue injury in the pastern region is a common cause of lamenesses that improve with a palmar digital and/or abaxial nerve block. Ultrasonographic evaluation of the palmar pastern is a very efficient, non invasive way to rule out soft tissue injury in this area and can be done in the field with a portable ultrasound. This lab will review the soft tissue anatomy and ultrasonographic technique of the palmar pastern over P1. Practitioners will have the opportunity for hands on ultrasound time to improve their ultrasound skills in the pastern. NEAEP Symposium 2018 “From Our Practice to Yours” 21
Wet Labs Ultrasound Wet Labs ULTRASOUND ADVANCED CERVICAL/SHOULDER The ultrasound advanced wetlab will provide specific instruction DR. TRACY NORMAN on ultrasound technique for the following regions of the musculo- Sonographic evaluation of the cervical region is performed for skeletal system. Ultrasound machines will be graciously provided diagnostic and therapeutic reasons. This station will review by our wet-lab sponsors. The wet lab will be split into 4 stations anatomy of the region and the ultrasound technique for diagnos- running throughout the afternoon. Hands on practice will be tic imaging and common injections approaches. Time permitting emphasized. the shoulder joint and biceps region will be evaluated. HIND SUSPENSORY/PLANTAR HOCK STIFLE DR. RON GENOVESE DR. RICH REDDING Lameness referable to the proximal metatarsal and plantar hock Sonograhic evaluation of the large stifle region can be challenging. can be difficult to diagnose accurately. Ultrasonography of these This station will provide the practitioner with a review of ultra- regions is a practical method to help aid in the proper diagnosis of sound anatomy of the stifle joint. Techniques to enhance imaging or rule out of soft tissue injuries in this region. The anatomy of the including helpful hints and pitfalls will be discussed. Participants soft tissue structures of the proximal metatarsal, metatarsal and will have the opportunity to evaluate this complex joint with plantar hock regions will be reviewed as well as the ultrasound personal instruction. approach. The practitioner will receive a live demonstration of diagnostic technique and will then be able to perform these examinations on a live horse with personalized instruction. “ADVANCED PASTERN” - INCLUDING P2 AND DIP COLLATERALS DR. WADE TENNEY Soft tissue injury in the pastern region is a common cause of lamenesses that improve with a palmar digital and/or abaxial nerve block. This lab will build on the basic anatomy and ultraso- nographic technique of the palmar pastern reviewed in the morning lab Structures evaluated will include the medial and lateral axial and abaxial plamar ligaments of the pastern joint. We will also review eh palmar structures of P2 viewed between the heel bulbs, including medial and lateral lobes of the DDFT., navicular bursa, palmar recess of the coffin joint and suspensory ligament of the navicular bone. Practitioners will have the oppor- tunity for hands on ultrasound time to improve their ultrasound skills in the pastern. NEAEP Symposium 2018 “From Our Practice to Yours” 22
Speaker List Speakers LAMENESS PROGRAM LAMENESS WET LABS Dr. Robert P. Bowsell Dr. Robert P. Bowsell Dr. Sue Dyson Dr. Richard D. Mitchell Dr. Richard D. Mitchell Dr. Carla Pasteur Dr. Carla Pasteur PODIATRY WET LABS Dr. Michael Ross Dr. Britt Conklin PODIATRY PROGRAM Ms. Cathy Lesperance Mr. Joao Neto Mr. Joao Neto Mr. Chris Penola Dr. R.F. (Ric) Redden Dr. R.f. (Ric) Redden Dr. Gregory S. Staller Dr. Gregory S. Staller Mr. Stefan Wehrli Mr. Stefan Wehrli INTERNAL MEDICINE AND REPRODUCTION Mr. Adam Wynbrandt Dr. Etta Bradecamp INTERNAL MEDICINE WET LABS Dr. Nettie Liburt Dr. Etta Bradecamp Dr. Eric Parente Dr. Mark Crisman Dr. Amy Polkes Dr. Amy Polkes Dr. Sarah Reuss ULTRASOUND WET LABS Dr. Ron Genovese Dr. Tracy Norman Dr. Rich Redding Dr. Wade Tenney NEAEP Symposium 2018 “From Our Practice to Yours” 23
AAEVT NEAEP WetLab Day Hosted By Rood and Riddle Saratoga Equine Hospital Saratoga Springs, NY Saturday, Sept 29th, 2018 Registration : AAEVT Member $150.00 Non-Member $ 250.00 Saturday, September 29th Arrival, Registration, Breakfast 8:00 -8:30 am Sponsored by Patterson Veterinary Anesthesia Basics- Overview 8:30 - 9:30 am Instructor: Dr. Lori Bidwell, DVM, DACVAA, CVA Inhalent Anesthesia and Monitoring Lab 9:30 - 12Noon Lunch 12Noon - 1 PM Shockwave Therapy, Instructor: Liz Rigby 1:00 - 2:30 pm Sponsored By PulseVet Equine Positioning Techniques for Digital Radiography 2:30 - 4:30 pm Instructor: Joni Watkins, LVT Sponsored by MinXRay Registration Information Special NEAEP Lecture Registration Rate: $149.00 Go to the NEAEP Website to download Registration form: https://www.theneaep.com/from-our-practice-to-yours To Join the AAEVT or Register for the AAEVT WetLab Day online: Go to the AAEVT website: www.aaevt.org You may also Print off and Mail/ Email or Fax this form to: Deborah Reeder/ AAEVT 544 Saddleridge Dr Wimberley, TX 78676 DBReeder@gmail.com FAX # 760-301-0349 AAEVT Members: $150.00 Non-Members: $ 250.00 PLEASE PRINT CLEARLY Full Name: _______________________________________ Designation: __________ Practice: _________________________________ Email: _______________________ Address: ________________________________________City: __________________ State: _________ Zip Code: ________________ Phone: ______________________ AAEVT Member # ______________ Non-Member? ______ ACT Online Enrollee? _____ Total Payment Amount: $ _____________ Payment Method: Credit Card Cash Check Card Number: __________________________________Exp Date__________ SC_____ Name on Card _____________________________________________________ Billing Address for Card : __________________________________________________ NEAEP Symposium 2018 “From Our Practice to Yours” 24 Contact Deb Reeder at DBReeder@gmail.com for further information
Lameness Program Schedule WEDNESDAY SEPT 26/18 TIME SPEAKER TOPIC ROOM 3 - 4 pm Dr. Greg Staller Selected conformational conditions and injuries leading Holiday Inn Conference Center to lameness for which shoeing is of utmost importance to outcome 4 - 5 pm Dr. Greg Staller The management of keratomas; recognition Holiday Inn Conference Center (clinical, radiographic) surgery, post-surgical management including shoeing. 5 - 6 pm Dr. Raul Bras How to obtain and use radiographic information to enhance Holiday Inn Conference Center therapeutic trimming and shoeing. 7 pm onward Welcome Reception at Racing Museum THURSDAY SEPT 27/18 TIME SPEAKER TOPIC ROOM 7:55 - 8:50 am Dr. Ric Redden How to Correlate the External Characteristics of Meeting Room 1 Mismatched Feet with Radiographic Soft Tissue Parameters 8:50 - 9:45 am Dr. Ric Redden How to Recognize the Various Grades of Club Feet and Meeting Room 1 Basic Management Principals 9:45 - 10:15 am Coffee Break Breakout into Individual Lecture Programs: Lameness, Podiatry, Internal Medicine/Reproduction 10:15 - 11:10 am Dr. Sue Dyson Why is it important to see sports horses ridden? Meeting Room 1 The importance of saddle fit for optimal performance 11:10 - 12:05 am Dr. Sue Dyson Sacroiliac joint region pain in sports horses: Meeting Room 1 a growing problem? 12:05 - 12:55 pm Lunch in Lounge and Front Foyer or Lunch in another room TBD 12:55 - 1:50 pm Dr. Sue Dyson Hindlimb proximal suspensory desmopathy: why is it Meeting Room 1 such a management challenge? 1:50 - 2:45pm Dr. Mike Ross Diagnosis and Management of selected Hindlimb Meeting Room 1 Lameness Issues 4 - 4:55pm Dr. Mike Ross Injuries of the Sagittal Grove of the Proximal Phalanx Meeting Room 1 – a Diagnostic Dilemma 4:55 - 5:50pm Dr. Rick Mitchell Suspensory ligament branch injuries-diagnosis and treatment Meeting Room 1 5:50 - TBD Trade Show and Cocktails NEAEP Symposium 2018 “From Our Practice to Yours” 25
Lameness Program Schedule FRIDAY SEPT 28/18 TIME SPEAKER TOPIC ROOM 7:55 - 8:50am Dr. Ric Redden Technique and Value of the Venogram Meeting Room 1 8:50 - 9:45am Dr. Ric Redden Laminitis Revisited Meeting Room 1 9:45 - 10:15am Break in Trade Show lounge and Main Foyer Breakout into Individual Lecture Programs: Lameness, Podiatry, Internal Medicine/Reproduction 10:15 - 11:10am Dr. Mike Ross Is Nuclear Scintigraphy Still Relevant? Meeting Room 1 Dr. Greg Staller A discussion of the surgical and shoeing management Meeting Room 2A of keratomas; recognition (clinical, radiographic) surgery, post-surgical management including shoeing Dr. Etta Bradecamp Diagnostics and Treatment for the Mare with Meeting Room 2B Chronic Infertility Problems 11:10 - 12:05pm Dr. Rick Mitchell MRI-what is important and how do you integrate it into your practice? Meeting Room 1 Dr. Greg Staller A discussion of P3 osteomyelitis – recognition, medical Meeting Room 2A and surgical options, post-surgical management including shoeing options Dr. Etta Bradecamp Diagnostics and Treatment for the Mare with Chronic Meeting Room 2B Infertility Problems 12:05 - 1:55pm Lunch served in Trade Show Lounge and Trade Show Time 1:55 - 2:50pm Dr. Rick Mitchell MRI case discussions Meeting Room 1 Mr. Joao Neto How to manage the club foot? Meeting Room 2A Dr. Etta Bradecamp Working with Problem Stallions Meeting Room 2B 2:50 - 3:45pm Dr. Carla Pasteur The big three- acupuncture, medical manipulation Meeting Room 1 and conventional medicine 3:45-4:15 Break in Main Foyer 4:15 - 5:10pm Dr. Carla Pasteur My horse won’t bend – causes, effects and treatment Meeting Room 1 for cervical stiffness and pain Understanding back pain, thoracolumbar fascia and the middle compartment 5:10 - 6:05pm Dr. Rob Boswell Bisphosphonates; How They Work and Clinical Applications Meeting Room 1 in Equine Practice 6:05 - Onward Discover Saratoga downtown NEAEP Symposium 2018 “From Our Practice to Yours” 26
Podiatry Program Schedule WEDNESDAY SEPT 26/18 TIME SPEAKER TOPIC ROOM 3 - 4 pm Dr. Greg Staller Selected conformational conditions and injuries leading Holiday Inn Conference Center to lameness for which shoeing is of utmost importance to outcome 4 - 5 pm Dr. Greg Staller The management of keratomas; recognition Holiday Inn Conference Center (clinical, radiographic) surgery, post-surgical management including shoeing. 5 - 6 pm Dr. Raul Bras How to obtain and use radiographic information to enhance Holiday Inn Conference Center therapeutic trimming and shoeing. 7 pm onward Welcome Reception at Racing Museum THURSDAY SEPT 27/18 TIME SPEAKER TOPIC ROOM 7:55 - 8:50 am Dr. Ric Redden How to Correlate the External Characteristics of Meeting Room 1 Mismatched Feet with Radiographic Soft Tissue Parameters 8:50 - 9:45 am Dr. Ric Redden How to Recognize the Various Grades of Club Feet and Meeting Room 1 Basic Management Principals 9:45 - 10:15 am Coffee Break Breakout into Individual Lecture Programs: Lameness, Podiatry, Internal Medicine/Reproduction 10:15 - 11:10 am Mr. Joao Neto The value of professional relationships between a Meeting Room2A veterinarian and farriers. 11:10 - 12:05 am Mr. Stefan Wehrli Examination for shoeing: Gait analysis for shoe design, Meeting Room2A x-ray for trimming 12:55 - 1:50 pm Mr. Stefan Wehrli Shoeing with a exact plan: How to apply the messurements Meeting Room2A from the x-rays on the hoof. How to use simple tools (angel finder, compass, ruler) and record sheet to improve your shoeing job. 1:50 - 2:45pm Mr. Joao Neto How to improve and manage the negative palmer angle Meeting Room2A with trim and shoeing 4 - 4:55pm Dr. Greg Staller A discussion of the importance of shoeing, footing in the Meeting Room2A development and management of suspensory ligament disease in sport horses. 4:55 - 5:50pm Dr. Ric Redden How to use Mechanical logic to treat Injured and Meeting Room2A Diseased Components 5:50 - TBD Trade Show and Cocktails NEAEP Symposium 2018 “From Our Practice to Yours” 27
Podiatry Program Schedule FRIDAY SEPT 28/18 TIME SPEAKER TOPIC ROOM 7:55 - 8:50am Dr. Ric Redden Technique and Value of the Venogram Meeting Room 1 8:50 - 9:45am Dr. Ric Redden Laminitis Revisited Meeting Room 1 9:45 - 10:15am Break in Trade Show lounge and Main Foyer Breakout into Individual Lecture Programs: Lameness, Podiatry, Internal Medicine/Reproduction 10:15 - 11:10am Dr. Mike Ross Is Nuclear Scintigraphy Still Relevant? Meeting Room 1 Dr. Greg Staller A discussion of the surgical and shoeing management Meeting Room 2A of keratomas; recognition (clinical, radiographic) surgery, post-surgical management including shoeing Dr. Etta Bradecamp Diagnostics and Treatment for the Mare with Meeting Room 2B Chronic Infertility Problems 11:10 - 12:05pm Dr. Rick Mitchell MRI-what is important and how do you integrate it into your practice? Meeting Room 1 Dr. Greg Staller A discussion of P3 osteomyelitis – recognition, medical Meeting Room 2A and surgical options, post-surgical management including shoeing options Dr. Etta Bradecamp Diagnostics and Treatment for the Mare with Chronic Meeting Room 2B Infertility Problems 12:05 - 1:55pm Lunch served in Trade Show Lounge and Trade Show Time 11:10 - 12:05pm Dr. Rick Mitchell MRI-what is important and how do you integrate it into your practice? Meeting Room2A 11:10 - 12:05pm Dr. Greg Staller A discussion of P3 osteomyelitis – recognition, medical Meeting Room2A and surgical options, post-surgical management including shoeing options 1:55 - 2:50pm Dr. Rick Mitchell MRI case discussions Meeting Room 1 Mr. Joao Neto How to manage the club foot? Meeting Room 2A Dr. Etta Bradecamp Working with Problem Stallions Meeting Room 2B 1:55 - 2:50pm Mr. Joao Neto How to manage the club foot? Meeting Room2A 2:50 - 3:45pm Mr. Stefan Wehrli Shoeing in relationship to the coffinbone : Meeting Room2A How to detect the position of the coffin bone without x-rays. Horizontal horn capsule rotation. 3:45-4:15 Break in Main Foyer 4:15 - 5:10pm Mr. Stefan Wehrli Trimming on different levels : under the coffin bone for Meeting Room2A palmar angel and lateral/medial balance, at the heels for comfort and support. 5:10 - 6:05pm Dr. Ric Redden How to use Mechanical logic to treat Injured and Meeting Room2A Diseased Components 6:05 - Onward Discover Saratoga downtown NEAEP Symposium 2018 “From Our Practice to Yours” 28
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