Weight loss during vet stay

sam72431

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My 26 year old mare has been at a veterinary hospital since August she has been on loan for past 8 years as a companion and is now coming back to me due to loaners ill health. Sadly she had an accident and this has prompted her return to me as well as the vet visit

She’s in a hospital that isn’t one I would choose in an ideal world but is one that loaner is a client of. The practice is about 2.5 hours from me and due to various reasons and my other commitments I’ve been unable to visit in the last month. I’ve been having daily calls from them and have been told she is doing well.

She went in for wound management due to the size of superficial wounds to front and back legs. Wounds are healing well which is good and have agreed she will do rehab there before coming home to me in a few weeks time where she will be going to grass retirement livery which will suit her better being out than in a busy yard where she doesn’t like being on her own and tends to get clingy.

I visited her yesterday and if I’m honest I’m shocked at the weight she has lost. She has always been a good doer and when on box rest previously has put weight on not lost it. They have continually told me she is calm and settled and doing well. I had also been told that she had some localised swelling on the cannula site which she had rubbed and they had removed it.

It now turns out that in actual fact the neck is infected with some sort of contagious bacteria that had spread up and down the neck to the throat latch. I was only told that this week when I was told it had come back but not as bad as before. Yesterday when I arrived at 4pm she had no hay she was very quiet and settled so not stress based. I took her out for grass for around 45 mins and when I came back she had been given what I assume was her evening hay net which on sight looked at a guest to be around 4kg no staff to ask for her to have more.

I’ve spoken to them today and raised concerns first of all I was told well she’s being fed correct amount and don’t want to over feed and risk compaction colic I queried why not feed Speedi beat and grass to keep things moving. Apparently she’s having correct amount but I said well that can’t be possible I can see every rib and she has muscle wasting and fat loss over neck and hind end. I was then told it was due to how unwell she had been I then said well that’s strange as I’ve not been made aware.

So now I am thinking should I move her to my vets who I trust more, do I take them on face value they will increase feed and I think I could send over a treat ball for her and visit again I’ve also got a friend more local to them that can visit or do I get her to a yard and do the rehab myself. Very tricky as she is quite easily unsettled and as calm I’m not sure it’s best.

Also to add she is very much not a typical 26 year old she looks about 15 with excellent teeth!
 

Arzada

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So now I am thinking should I move her to my vets who I trust more, do I take them on face value they will increase feed and I think I could send over a treat ball for her and visit again I’ve also got a friend more local to them that can visit or do I get her to a yard and do the rehab myself. Very tricky as she is quite easily unsettled and as calm I’m not sure it’s best.
I don't think you can trust them so she really needs to leave. I think I would take to my vet if I didn't have a known yard with suitable available space to rehab myself. You may only need to be at your vets for assessment and a plan going forward. Not only will this be reassuring but it will give you time to find a suitable yard or suitable retirement livery.
 

sam72431

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Move her to your vets, this week if possible
What wounds is she rehabbing for exactly?
Is she well enough to go straight to retirement livery?
So on the front leg it’s very superficial injuries that are no longer needing bandages although yesterday I did note flies on wound which was still bloody. Hind leg more significant almost top to bottom and down to cannon bone. She is having bandage changes every other day for this but now focus seems to be on neck which has all happened with them. I question stable protocol and how bacteria has entered cannula site from her rubbing it on a wall surely all boxes should be scrubbed down between patients?! I can’t seem to add photos of neck keeps saying file too large. The wound photo is from two weeks after admission.
 

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sam72431

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Move her to your vets, this week if possible
What wounds is she rehabbing for exactly?
Is she well enough to go straight to retirement livery?
They have said she would be but apparently has only been in stable and we had agreed she would be getting turnout but the hind leg seems to still have a drain on it and apparently the one time they tried to put her out she didn’t settle but I did explain she would need company assume they haven’t tried again.
 

Zoeypxo

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So on the front leg it’s very superficial injuries that are no longer needing bandages although yesterday I did note flies on wound which was still bloody. Hind leg more significant almost top to bottom and down to cannon bone. She is having bandage changes every other day for this but now focus seems to be on neck which has all happened with them. I question stable protocol and how bacteria has entered cannula site from her rubbing it on a wall surely all boxes should be scrubbed down between patients?! I can’t seem to add photos of neck keeps saying file too large. The wound photo is from two weeks after admission.
gosh that looks nasty, poor girl, do you know if she is or if she has been on any pain relief?
the weight loss could be also if she’s struggling with pain levels.
i would definitely be looking to move her to your normal vets
 

sam72431

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Yes it was nasty very lucky no structures effected and no damage to synovial fluid. She’s been on pain relief but apparently they have stopped this recently I now just don’t trust anything they say
 

nagblagger

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Move asap.
Inadequate communication and honesty from vets = loss of trust.
You are paying for a service they are not providing, are you paying for the full treatment on her neck which they potentially caused? However your vet might be reluctant to take unless they have an isolation box available.
 

PinkvSantaboots

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I would move her as soon as you can that's not good management on the vets part.

I remember when Arabi was at Rossdales I told them he stresses at vets and the weight just falls of him, they gave him ad lib hay that was dampened down to help prevent any colic they also asked what bucket feed he can have.

I would always wet hay for horses on box rest anyway just as a precaution so I wouldn't be happy with a vet practice that has that kind of attitude it's not acceptable.
 

sam72431

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Move asap.
Inadequate communication and honesty from vets = loss of trust.
You are paying for a service they are not providing, are you paying for the full treatment on her neck which they potentially caused? However your vet might be reluctant to take unless they have an isolation box available.
Yep it’s how I feel. Currently loaner is covering costs due to injury happening whilst in her care which is obviously amazing I will need to run over with them if they are happy for move and will also speak to my vets tomorrow about it all.
 

sam72431

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I would move her as soon as you can that's not good management on the vets part.

I remember when Arabi was at Rossdales I told them he stresses at vets and the weight just falls of him, they gave him ad lib hay that was dampened down to help prevent any colic they also asked what bucket feed he can have.

I would always wet hay for horses on box rest anyway just as a precaution so I wouldn't be happy with a vet practice that has that kind of attitude it's not acceptable.
Yeah I have suggested haylage and or weight hay and more grass Speedi beet etc. She isn’t stressed at all but now saying it’s due to how unwell she is when on daily calls that has not been highlighted I’ve just been told doing well and had the localised swelling mentioned. Now trying to say the neck infection has come from the hind leg?!
 

TheMule

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So on the front leg it’s very superficial injuries that are no longer needing bandages although yesterday I did note flies on wound which was still bloody. Hind leg more significant almost top to bottom and down to cannon bone. She is having bandage changes every other day for this but now focus seems to be on neck which has all happened with them. I question stable protocol and how bacteria has entered cannula site from her rubbing it on a wall surely all boxes should be scrubbed down between patients?! I can’t seem to add photos of neck keeps saying file too large. The wound photo is from two weeks after admission.

I'm sorry you're unhappy with how your mare looks, I would move her to your preferred practice asap.
Re the bacterial infection, there are literally trillions of bacteria that could potentially infect a cannula site on your horse and in her environment- it won’t have anything to do with previous patients
 

sam72431

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I'm sorry you're unhappy with how your mare looks, I would move her to your preferred practice asap.
Re the bacterial infection, there are literally trillions of bacteria that could potentially infect a cannula site on your horse and in her environment- it won’t have anything to do with previous patients
Yes in fairness I did think that with the bacteria but it’s more how it’s all been downplayed by them that I’m so concerned about
 

PinkvSantaboots

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Yeah I have suggested haylage and or weight hay and more grass Speedi beet etc. She isn’t stressed at all but now saying it’s due to how unwell she is when on daily calls that has not been highlighted I’ve just been told doing well and had the localised swelling mentioned. Now trying to say the neck infection has come from the hind leg?!
I wouldn't be happy with how they have not mentioned any weight loss or tried to address it by feeding more or at least asking what you recommend feeding her.

In regards to her neck I would think normally they would take a culture and provide the right antibiotics in that situation.

Was the leg infected?
 

sam72431

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Presumably she’s insured, so I would move her to your vets and start picking up the extra bills yourself from the day of the move.
No annoyingly not and I’m now kicking myself for that, she had been insured but loaner is old school and said didn’t want/need her insured. When she comes back to me she will be insured but currently in limbo
 

sam72431

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I wouldn't be happy with how they have not mentioned any weight loss or tried to address it by feeding more or at least asking what you recommend feeding her.

In regards to her neck I would think normally they would take a culture and provide the right antibiotics in that situation.

Was the leg infected?
Yeah I’m really confused why it’s not been mentioned and call today was vet trying to fob me off saying she was stable and only got round to weight loss when I pushed on it, I said my other horse lost no weight when she was in for nearly nine months with ddft injury following operation and he said oh well that’s very different she’s been very unwell and I said well not that it’s relevant but my horse nearly died and had Infection in tendon sheath that required her to be on a drip for 5 days he literally said nothing and said would look into it. I hate it when vets assume you are stupid I’ve had him explaining clicker training to me 🙄
 

PinkvSantaboots

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Yeah I’m really confused why it’s not been mentioned and call today was vet trying to fob me off saying she was stable and only got round to weight loss when I pushed on it, I said my other horse lost no weight when she was in for nearly nine months with ddft injury following operation and he said oh well that’s very different she’s been very unwell and I said well not that it’s relevant but my horse nearly died and had Infection in tendon sheath that required her to be on a drip for 5 days he literally said nothing and said would look into it. I hate it when vets assume you are stupid I’ve had him explaining clicker training to me 🙄
It all sounds a bit strange I would just get her somewhere you trust, even if the leg was infected doesn't mean the neck bacteria is the same that could have occurred from literally anything.

I would just go and collect her it's not worth the worry
 

CobsaGooden

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What a tricky situation.

I too would want her back with a vet I trust but if she isn't insured and he loaner is currently paying, what kind of cost is that going to incur to you? Is it feasible to spend and then just retire her?

Also, moving her might not be in her best medical interest if it is going to stress her out. Can you speak to the vet and ensure she is having more hay/feed? Ask them to send you update pictures on her condition?

So sorry you are dealing with this.
 

sam72431

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What a tricky situation.

I too would want her back with a vet I trust but if she isn't insured and he loaner is currently paying, what kind of cost is that going to incur to you? Is it feasible to spend and then just retire her?

Also, moving her might not be in her best medical interest if it is going to stress her out. Can you speak to the vet and ensure she is having more hay/feed? Ask them to send you update pictures on her condition?

So sorry you are dealing with this.
Yep it’s so tricky. She is already retired so it’s just a case of getting her well enough to be in the field. Now concerned at drop in weight this close to winter as well. It’s moving again I’m worried it might cause more stress just for sake of two weeks and although I want her out if like you say they can increase her feed is that fairer to her.

Luckily no infection in the leg it’s all from the cannula site
 
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