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|The Cupola |

|Summer/Fall 2012 |

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|Welcome to our Summer 2012 issue! We are excited to share new things that are going on at Tennessee Equine Hospital with everyone. In |

|this issue we will talk about past events, show you the new Coggins technology, and bring you pictures of our 2012 foals. We also have|

|some interesting and educational articles including a note from our surgeon Dr. Liberty Getman, as well as an article about the proper|

|care for your foal from Dr. Jess DeLisle and Dr. Matthew DeLisle. We also have an article by Dr. Nathaniel Wright with information on |

|wellness exams. We would like to welcome new staff members to our team this month. Dr. Rena Chang is our new Associate Veterinarian, |

|Dr. Kara Pietroski and Dr. Toria Waldron are our new interns. Kate Redmon and Kourtney Anthony are new to our office staff. |

|Click here to meet our new staff members. |

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|Remember to check out our website at  for updated specials and news! We also have daily postings and pictures |

|on our Facebook so be sure to check that out at tnequinehospital |

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|The 2012 Tennessee Equine Hospital Grand Prix was awesome. The day was beautiful and the food and guests were remarkable. We had such |

|a fun time. The athleticism and jumping ability of the horses and riders at Brownland Farm was incredible to watch. They all did a |

|great job. We would like to congratulate Laura Linback and Whittaker MVNZ on their win at the Tennessee Equine Grand Prix!!!  We would|

|like to thank everyone who attended for supporting the Horse and encouraging the competitors throughout the day at Brownland Farm.  |

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| Click here to view more pictures from The Grand Prix  |

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|Raise the Roof Benefit for Harrlinsdale Park  |

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|Friends of Franklin Parks put on an incredible event to help Harlinsdale Farm. The food vendors provided wonderful food and we had |

|live music by Diamond Hitch. The event also had an art show and sale where local artists and JGP Artist Group displayed and sold their|

|art. The donations all went to help support the park to fix the roof on the old barn as well as the Hayes Home and surrounding |

|structures. We want to thank everyone that attended and made donations to this project. The farm is an amazing park and is a |

|historical farm in the history of the Tennessee Walking Horse.  The Park at Harlinsdale Farm is open to the community and has walking |

|trails, a pond for catch and release, and an enclosed dog park. If you are able to go and check out the park it is beautiful and truly|

|a beautiful facility. Thank you again to the sponsors and the donations that were made.  |

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|Dr. Monty McInturff presenting commemorative Harlinsdale Park poster to Bill Harlin, Original Owner of Harlinsdale Park. |

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|Gastroscope Day sponsored by Merial |

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|On June 27 we had our Free Gastroscope Day. We had a great turnout and would like to thank Merial for sponsoring the event. We had |

|some horses with Grade 3 ulcers that were sent home with GastroGard to help treat the ulcers. Thank You again to everyone that came |

|out.  |

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|Stomach Ulcer. Grade 3. |

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|Stomach Ulcers. Grade 3. |

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|Merck Adult Horse: Performance to Pleasure: Caring For The Adult Horse |

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|We were lucky to have RFD TV film a Live Broadcast here at the clinic, which included three panelists. Dr. Monty McInturff, Dr. |

|Joe Manning, and Dr. Katie Young talked about things that can help you care for your adult horse, such as vaccinations, types of |

|feeding programs, lameness exams, and general wellness care. We had two case studies:  A Western performance horse, Quick, and a |

|pleasure/family horse, Stitch. Some of our studio audience members participated in the live show by asking questions that the panel |

|of doctors answered. The show was a success and the TEH team enjoyed being apart of the live broadcast. It was aired on RFD August 6, |

|but you can click on the link to view the show. Hope everyone gets a chance to watch it. Thank you again to RFD TV, Merck Animal |

|Health, and everyone that participated in this fun event. |

|Clcik here to watch the show. |

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|West Nile Information  |

|There has been one confirmed case of West Nile in the state of Tennessee. Please check your records and ensure that your horse has |

|been vaccinated for West Nile. Call us if you have any questions or if you would like to make a vaccination appointment. 615-591-1232 |

|Click here for information. |

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|Athletic Horse Performance Check Question |

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|Here are some questions that Dr. Monty McInturff would like you to ask yourself about how your horse is performing and competing. |

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|Is my horse competing at the level I feel that he/she is capable of? |

|Am I doing things to prevent wear and tear on his/her joints? |

|Are his/her feet holding up to the work load? |

|Is the weight of my horse adequate for maximum competition? |

|Is my horse comfortable with his/her mouth during work? |

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|If you answered Yes to all of these questions, great job and we are sure you are competing at a high level and most of all having |

|fun!! |

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|If you answered No to any of these questions, please give us a call so that we can turn your No into a Yes!! |

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|Dr. Jess DeLisle and Dr. Matthew DeLisle have an article about the proper care of foals for the first year of their life. This article|

|is very interesting and has some great information. Hope everyone enjoys!!! Click here to read the article. |

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|A note from our surgeon: Dr. Liberty Getman |

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|Windpuffs Are a Warning Sign |

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|          Windpuffs refer to soft, fluidy out pouchings on a horse's leg located at the back of the ankle behind the cannon bone, |

|below the splint bone, and in front of the suspensory ligament. These out pouchings are actually part of the fetlock joint itself, and|

|the soft swelling you can see & feel is an accumulation of joint fluid. In some horses this can be an incidental finding that is not |

|associated with lameness. However, in many cases it can mean that there is inflammation within the joint. This can be caused by many |

|things, such as arthritis, chip fractures, OCD lesions, or damage to the cartilage or the soft tissue structures inside of the joint. |

|          A small amount of fluid accumulation here may be normal for your horse, especially if this is not a new finding or if there |

|is similar swelling in other limbs. However, if this is a recent occurrence or if there is more swelling in one leg than in the |

|others, or if the swelling is very obvious, then a veterinarian should examine your horse to make sure this isn't a sign of a problem |

|within the joint. Typically your vet can get an idea of whether or not this is a problem by doing a thorough physical exam, watching |

|the horse jog to determine if it is lame, and flexing the joint to see if this elicits a painful response. If a problem is suspected |

|then we will usually recommend radiographs and possibly an ultrasound exam to determine what is causing the inflammation in the joint.|

|          If a problem is identified, treatment options may be surgical or medical depending on the underlying cause of the |

|inflammation. Arthroscopic surgery can be performed in order to remove OCD lesions or chip fractures. Medical therapy usually consists|

|of joint injections for arthritis, cartilage damage or soft tissue damage. The joint may be injected with traditional treatments such |

|as steroids and hyaluronic acid; however, some of the newer regenerative medicine therapies such as IRAP or platelet rich plasma (PRP)|

|have been extremely beneficial in treating horses with these problems in recent years and have become routine therapy at our hospital |

|for these types of cases. |

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|Wellness Information and Knowledge: by Dr. Nathaniel Wright |

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|At Tennessee Equine Hospital we like to teach everyone about the types of wellness routines that help keep your horse healthy.  Some |

|of the routines include parasite control, dentistry work as well as vaccinations. An annual wellness exam is an excellent way to |

|ensure that each of your horses is kept in peak condition. Below you will find the services we offer and the reasons each service is |

|important to the overall health of your horses. During this evaluation your veterinarian will perform a routine physical exam, check |

|his feet and legs, examine the skin and eyes for any new lumps or bumps, evaluate his body condition (overweight or underweight?), and|

|provide the appropriate vaccinations, parasite control, joint care, and nutritional management that will keep your horses healthy, |

|happy, and productive. |

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|Vaccinations- Each individual horse has unique needs; therefore we offer an individualized preventative healthcare program for every |

|horse. The veterinarians at Tennessee Equine Hospital have selected the following five annual vaccinations as the centerpiece of our |

|immunization program. These diseases are preventable with proper vaccination and are often fatal if an unvaccinated horse contracts |

|them. For these reasons we recommend that all horses be vaccinated to prevent: |

|-Eastern Encephalitis |

|-Western Encephalitis |

|-Tetanus Toxoid |

|-West Nile Virus |

|-Rabies |

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|Does your horse show or trail ride? For horses that travel or are boarded and will be near other horses we recommend vaccinations to |

|help prevent three highly contagious respiratory diseases: |

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|-Rhinopneumonitis (Equine Herpes Virus Type 1 & 4) Your vet may offer specific advice for your situation, but the Rhino vaccine should|

|be given every 90 days for maximum protection. |

|-Flu (Equine Influenza Virus) Typically give every 90-120 days along with Rhino. |

|-Strangles (Strep. Equi) Annual vaccination |

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|Depending on the unique circumstances surrounding your horses, your veterinarian may also recommend some of the following vaccinations|

|to prevent some less commonly encountered diseases: |

|-Botulism |

|-Potomac Horse Fever |

|-Salmonella |

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|We have also developed very specific immunization protocols for foals near weaning age and for broodmares in foal and would be glad to|

|tailor a program if you have these types of needs. You will be reassured to know we work tirelessly to provide the most modern and |

|effective vaccine products to protect your horses from the dangers lurking in the air and on the ground. |

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|Parasite Control - For years "parasite control" has simply meant giving a horse a tube of the cheapest de-wormer at the feed store |

|every couple of months, but times are changing. With the emergence of resistant strains of parasites in the equine population it has |

|become very important to create customized strategies for parasite management on farms depending on the pasture conditions, the number|

|of horses per acre, and the age and medical history of the horses. Our veterinarians use information from periodic fecal exams, along |

|with our knowledge of equine husbandry to make specific parasite control plans and then provide the highest quality de-wormers |

|delivered to your barn and administered at a great value. |

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|Dental Care- Your horse's mouth and teeth comprise one of the most important portions of his digestive tract and are areas that are |

|often overlooked. A routine exam of the mouth (with a speculum) and all of the teeth during the annual wellness exam is a valuable |

|tool in gathering information that will help you maintain your horse's proper body condition and digestive health. Although it may |

|seem expensive at first glance, proper dental care often makes horses more efficient digesters of forages and grains helping to lower |

|feed bills throughout the year. |

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|Global VetLink - Access your Horse Health Documents Online Anytime! |

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|At Tennessee Equine Hospital we like to stay abreast of the newest technology from diagnostic equipment to Coggins tests.  With the |

|digital Coggins, Health Certificates, and Go Passes you can now access your horse's health documents online from your computer, iPad, |

|smartphone, etc.  |

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|Global VetLink is a web based company that our digital health documents are processed through.  You can create an owner account online|

|at that will enable you to access your horse's health documents.  No more panic attacks over forgotten Coggins when you |

|arrive at the horse show - just go online and print a new copy or pull it up on your smartphone for the show secretary to see.  This |

|is a great benefit to trainers and barn managers as well.  Sign up for an Agent Account and you can request access to the documents of|

|the horses you are caring for.  |

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|The digital Coggins process is streamlined by the connectivity of our veterinary managment software and the new eyeD Iris Scan |

|Technology.  This technology allows us to improve our record keeping and ensure the accuracy of your horse's identity on a local |

|level.  |

|If you are interested in a non invasive, accurate (more accurate than human fingerprinting), easy, secure, affordable method of |

|permanent identification for your horse then consider eyeD Global Enrollment click here for more information.  Our staff and |

|veterinarians will be happy to help you enroll your horse today.  |

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|Click here for more information on MyVetLink Owner Accounts |

|Click here for more information on MyVetLink Agent Accounts |

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|2012 Foals  |

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|A few of our new patients! |

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|Check out our website for more pictures of 2012 foals.  If you would like your foal to appear on our website, send a picture to |

|amedved@ |

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