Ethical? Vet referring horses to unqualified physio

Rowreach

Adjusting my sails
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For some time now a friend of mine (fairly novice rider, fairly new to horse ownership) has been having problems with her mare's back. She has been using a highly qualified and well-respected veterinary physio to treat her, and until lately the physio seemed to be keeping the situation under control.

However, the problem has become more "chronic", and both the physio and I suggested that she ask her vet to do a more thorough exam and diagnosis (ie xrays/scans etc).

The horse was in my yard when the vet came. Because the owner is inexperienced, I gave him a run down of the problem and the symptoms. He saw the mare trotted up, and pronounced it sound. I said yes, it is "sound", but doesn't its action look a little odd to you? (she was basically crossing her off hind right underneath her body with each stride).
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He then did flexion tests, which didn't make any difference to her, and then saw me ride her. I gave him a running commentary on what I was feeling - it is rather like riding a crab, with the front end going forwards, the back end sideways. Obviously I didn't want to do a lot, and any twit could see she wasn't right, so I was literally on her for a couple of minutes.

He then said he thought it might be a high suspensory (
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) and that he might refer her to an equine hospital 2 hours away (which I use). I said a bit hesitantly, don't you think the problem might be a bit higher up, at which point he suggested that someone I will call RTW (not her actual initials) be asked to come and look at the horse's back. And what is RTW? I asked. Oh, I don't really know what she goes under, he said, but she is very good with backs. If she can't do anything, I'll refer the horse for xrays.

Now I had never heard of RTW, so the owner made an appointment, and RTW never showed up. By now I was getting mighty suspicious, so I did some detective work, and discovered that RTW is not qualified to do ANYTHING with horses, is a good friend of the vet, took a few horses to an equine physio a couple of years ago and decided from watching her that she too could do this, and has been going round "treating" horses ever since.

My friend is appalled and has now asked for her horse to be referred immediately for xrays and a full work-up, and will not be seeking the advice of RTW.

I am steaming I am so cross
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- the vet is the only one for miles and miles who actually knows one end of a horse from the other, but clearly he has no idea about the middle bit.
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Surely a vet shouldn't be referring clients to someone who isn't qualified to treat them?
 
If it is an consolation (and I don't think it will be), my horse has the exact same symptoms as the one you mention. We have been to vet hospital, my vet has looked at him 3 times and is due again this week, he has had physio and saddler.
So, after 5 months, where are we?
Vet says ride him and he'll come right. I don't want to ride him, it's like driving a car with a flt tyre!
Thing is, he's getting worse, not better, hence vet this week.

As for not being qualified, I agree, I wouldn't have her treat mine, that's for sure.
 
OMG - she will be in trouble when the insurance find out!

I dare say they will not pay out after an unqualified person has touched her!

Its a good job she has you looking out for her - its a minefield for novices!
 
Sorry to hear about your horse
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- sounds like your vet is as enlightened as mine. Maybe I shouldn't be worrying about qualifications - the vet has loads and hasn't a clue anyway!
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[ QUOTE ]
OMG - she will be in trouble when the insurance find out!

I dare say they will not pay out after an unqualified person has touched her!

Its a good job she has you looking out for her - its a minefield for novices!

[/ QUOTE ]

Somehow, I don't think she'll tell the insurance and I'm guessing they won't ask.
Can you claim for physio on insurance, I never thought to do that
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One equine hospital in Cheshire has been refering horses to a back man with no quals for years. Not uncommon to do so. In fact I think they actually let the guy use their facilities for "treatment sessions" and may still do.
 
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Does he not have qualifications? Not that that necessarily means he's no good at what he does. Gives me more reason not to like him though.
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If you're talking about who I think I thought he had qualifications too. Have used him in the past but now he won't come out unless you have a yard full for him to look at.
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At this stage I would not use anyone but a specialist vet to firstly get a diagnosis and then a treatment plan.

I would suggest that you go down the route of having the horse reffered by your vet to a specialist equine clinic such as one at a veterinary hospital where they have sufficient number of good specialists and equipment to be able to make an in depth diagnosis.
 
[ QUOTE ]
At this stage I would not use anyone but a specialist vet to firstly get a diagnosis and then a treatment plan.

I would suggest that you go down the route of having the horse reffered by your vet to a specialist equine clinic such as one at a veterinary hospital where they have sufficient number of good specialists and equipment to be able to make an in depth diagnosis.

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Good in theory but if you see my above reply, you're not necessarily going to get an answer.
Told mine wasn't in enough pain to do further tests, even though you can see his action is just not right.
I have found the whole thing worse than banging my head against a brick wall.
 
[ QUOTE ]
[ QUOTE ]
OMG - she will be in trouble when the insurance find out!

I dare say they will not pay out after an unqualified person has touched her!

Its a good job she has you looking out for her - its a minefield for novices!

[/ QUOTE ]

Somehow, I don't think she'll tell the insurance and I'm guessing they won't ask.
Can you claim for physio on insurance, I never thought to do that
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Ive claimed for physio on my policy, when referred by the vet. On the claim form the vet has to list all diagnostic methods and treatments used, with contact details of the specialist (ive claimed for back problems). So unless the vet lies on the insurance form........
 
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Ive claimed for physio on my policy, when referred by the vet. On the claim form the vet has to list all diagnostic methods and treatments used, with contact details of the specialist (ive claimed for back problems). So unless the vet lies on the insurance form........

[/ QUOTE ]

Hmm, interesting, I may have to re-visit my insurance form
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Most insurance companies cover horses for up to £1,000 for complementary assistance such as sports massage, physio, chiro, osteo etc, as long as the issue has been examined by a vet first & then recommended by the vet, and as long as the issue is not a pre-existing one when you took out the cover.

But you need to decide whether the issue could not be dealt with over just a couple of treatments or if the issue is more serious. That's where the vets input working together with your therapist is important.

You should always ask to see a therapists qualifications & insurance if you have any concerns.

The veterinary act of 1966 makes it illegal for anyone other than a vet or the owner to treat a horse in any way unless recommended, so the vets referral is on dodgy ground if they are passing someone on to an unqualified person.
 
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The veterinary act of 1966 makes it illegal for anyone other than a vet or the owner to treat a horse in any way unless recommended, so the vets referral is on dodgy ground if they are passing someone on to an unqualified person.

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This is kind of what I was driving at, thanks.
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[ QUOTE ]
I would suggest that you go down the route of having the horse reffered by your vet to a specialist equine clinic such as one at a veterinary hospital where they have sufficient number of good specialists and equipment to be able to make an in depth diagnosis.

[/ QUOTE ]

Yup, this is what the owner was trying to do! And exactly where we are taking the horse next.
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I hope we have more luck with a diagnosis than Quirky did
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