[RC] Fw: Marla's Mystery Ataxia (was NC Treatments) Part 1 - k s swigartSince my horse is one of the horses that received IV fluid treatment at the recent NC100 ride, and like Heidi, I agree that a) the fact that she was treated means I over-rode my horse and that b) a detailed post-ride evaluation needs to be done in order to determine what caused my horse to get into the situation where I thought it would benefit from treatment. We will never know whether she "needed" treatment since, yes, it was me who made that decision despite the fact that when I first requested it, I think the treatment vet thought I was crazy (although he had changed his mind after he saw her condition progress while we were getting the catheter in her and getting a good place set up for her to receive the fluids) and since we treated the horse we will never know what would have happened to her if she hadn't been. The control vets also thought I was crazy when I pulled her from the ride at the 58 mile check (11:45 into the ride, so an average speed of ~4.9 mph; 10 hrs of riding time for an average speed of 5.8 mph out on the trail) despite the fact that she recovered to criteria almost immediately (about 3 minutes from her arrival time), received either As or A-s on her vet card, ate and drank well, peed (a little on the darker yellow side but not excessively so) and pooped normally during the 1 hour hold, and trotted out willingly and soundly when I asked them to look at her again (under saddle since I had just gotten on her before going back out on the trail...for the flattish, easier part that was left of the ride). I pulled her (actually, I decided to wait a little longer at the vet check and see what happened) because I didn't like the way she moved her back legs when I turned her around (and I was sensitive to "doing something funny with her back legs" from a previous experience...more on that later) and neither I nor my crew liked the way she kinda dipped her back when I got on. We let her walk around a little bit, eat, drink, etc. for about 15 minutes to see if the way she was moving behind changed if she got a little bit more time to rest. I still had an hour or so before the cut-off time. The condition did not improve during that time, so I told the vets that I wasn't going on, and walked my horse back to camp with a sinking suspicion that I was seeing a repeat of the bizarre condition that I had seen at the 20MT 100 back in 2002 (which is why I decided that it would be in her best interests to get the fluids immediately rather than waiting until the next morning when the condition had progressed to the point where it was obvious that there was something pretty seriously wrong with the horse)...more on that later. To give a little background on whether the "heat of the competition" affected the way that I rode this particular ride.... I attended the ride because it was a 100 mile ride that was only a 1 1/2 hour drive on a pleasant trail at a pleasant venue, and if Terry ever decides to put a hundred miler on again on the same trail, I will be there (assuming I have a horse I consider ready for it). The fact that it was the "National Championship" was totally irrelevant to me, and like all endurance rides, I was there to ride my horse to the finish well within its capabilities and I, quite frankly, didn't give a shit what other people were there for or how they were planning to ride their horses. When my crew person asked me "What are your plans for this ride?" My response was, "I am planning to ride my horse." And she asked, "No, I mean, are you planning to race? Do you want to try to top ten? Or what?" And I responded, "I am planning to ride my horse." So, you can take my word for it that it is unlikely that what caused my horse to be treated had absolutely nothing to do with the fact that it was "the National Championship" or that I was caught up in the race and not paying attention to the capabilities of my own horse. Additionally, I was well aware that temperatures were predicted to rise significantly during the day, that we would be out on the toughest part of the course in the heat of the day with no shade...on a black horse. I was not ignorant of the high temperatures (it wasn't particularly humid, in fact it was a little on the dry side and there was a pretty decent breeze). The breeze did help to keep horses' temeratures down, but it also was extremely dehydrating without it being apparently so because though the horses were sweating quite a bit, they weren't getting wet because they dried off almost immediately) and I did everything I could (with a great deal of help from the way ride management had set up the course and the water available...there was lots, and though we didn't much use the stuff along the trail for sponging, because dunking your sponge in the drinking trough is considered rather rude, there was plenty for scooping it onto the horses and most people did, myself included. I had also arrange, in advance, for my crew to provide me with frozen water in my water bottles for the second and third loops (the hot ones) so I could pour COLD water on my horse, which I did. I feel pretty confident that I didn't have a problem with my horse over-heating. I did have a heart rate monitor on the horse, mostly so it would be easy to tell when she was recovered at the vet checks (although this turns out to not have been necessary, since there was pretty much a P&R person for each horse at the vet check with a hand held HRM that would monitor the horse for you). And her heart rate did not go above 135 but once or twice all day (once when going up a short but very steep incline on the first loop it went up to about 150 for about 5 strides and once when we had to pass through a herd of cows...that she really wanted to bolt through :)). While trotting on the flattish parts of the course her HR was between 90 and 100, when trotting or cantering up the hills (if we were) it was between 110 and 125, when walking up hill it was between 100 and 115, when going down hill at either trot or canter it was between 80 and 100, and when walking down hill it was between 55 and 80. I don't know what it was when I got off and walked because the signal wasn't reliable. I got off and walked on most of the up hill portions of the third loop (mile 34-58: ~12:45 to 4:45). I was aware that the course was more difficult that most people might think it would be and even mentioned such to both Jamie Kerr and the Bradleys (who I spent most of the second and/or third loops riding with). I remarked that the couse was "deceptively difficult" because it wasn't as flat as it might seem, and that the heat was, indeed, going to be a factor, and that I saw no reason to rush my horse through the hardest part of the course in the heat of the day, only to have no horse left for the easier part when it cooled down. Taking advice from Susan Garlinghouse with respect to increasing my horse's thirst response by adding salt to her diet in the days before the ride, I gave her a couple of ounces of salt in her regular beet pulp/4-way mix during the four days before the ride, and before the trailer ride. She ate well in the trailer, and drank well after getting out of the trailer and through the night. She also started drinking quite early in the ride (she drank at the 5 mile water stop, although not at the 9 mile stop) and ate and drank well throughout the ride. She ate hay for about 15 minutes at the 12 mile VC and was electrolyted with a mixture of 1/2 oz salt and 1/2 oz carbo loader before going back out on the trail. At the 19 mile water stop I gave her another does of the same mixture and fed her about 1 to 1 1/2 lbs of 4-way grain (same as she gets at home). At the 28 mile water stop, she ate hay (Utah mix of grass and alfalfa kindly provided by the Bradley crew, with whom I was now riding) for about 15 minutes along with a bit more of the 4-way sprinkled on top. At the 34 mile vet check she recovered in less than the time it took to get from the in-timer to the water trough and vetted through with all As except for impulsion and attitude for which she got Bs. She jogged out quietly in hand rather than running over the top of me :). She spent most of the 45 minutes of the VC eating hay (a mix of alfalfa and timothy), her beet pulp mix and carrots. Before leaving I electrolyted her again with about 1 oz of salt, 1/2 oz of carbo loader and as much applesauce as fit in the syringe with the mix. She drank at most (but not all, they were, after all, only about 4 miles apart) of the water stops between miles 34 and 58. She was electrolyted again at ~42 miles and also given another 1 to 1 1/2 lbs of 4-way. She got a little bit of the same grain and grazed a bit on the available grass at mile 46 and again at mile 52. She also grazed a bit at the mile ~55 "human refreshment" stop while _I_ ate cantaloupe, cookies and gatorade. I have already told what happened at the 58 mile check; although she also spent some time eating the bran/carrot mash and oat hay provided by ride management. She ate pretty constantly for the hour hold there and showed no signs of distress or unhappiness about anything in particular. However, in the hour between the time I pulled her and walked her back to camp and when I could get the vet to treat her, she went from being a little late with her hind legs when turning to all the classic signs of ataxia, failed the assorted proprioception tests (i.e. you could pull her over by pulling on her tail) and even more oddly, you could practically push her over by applying light pressure on her shoulder blade, and you could get her knees to practically buckle and her back to drop by just setting her hand on her withers. Although all obvious manifestations of the problem go away after the first couple of steps of getting her moving. Because these signs reminded me of what had happened at 20 MT two and a half years before (more on that later), and because 6 liters of fluids (as prescribed by the Duck) made the horse go from, "I can't move because I don't know where my feet are." to "Jump in the trailer and go home" within a couple of hours, I told the treatment vet that and decided that I would rather jump straight to fixing it with a few liters of fluids and skipping over the "I can't move stage." John McConnell (the treatment vet) asked me if Dave had given her anything in the fluids (banamine, etc.) to which I said, "No." Although he had gone and gotten Jamie Kerr (who had ridden the ride) to show the horse to him because the question of the day was, "Have you ever seen a horse like this before?" To which both of them said, "No, never." So, now, more about what happened at 20 MT. see part 2 kat Orange County, Calif. =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= Ridecamp is a service of Endurance Net, http://www.endurance.net. Information, Policy, Disclaimer: http://www.endurance.net/Ridecamp Subscribe/Unsubscribe http://www.endurance.net/ridecamp/logon.asp Ride Long and Ride Safe!! =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
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