Is Your Veterinarian a Good Horse Doc? by Beth A. Valentine, DVM, PhD
As a horse owner you know (or should know) that you need a good
equine veterinarian. Looking in the yellow pages of the phone book will give you
a list of veterinarians in your area and the species they treat. Not all
veterinarians treat horses. When you find one that does, how can you tell if the
vet is good for you and your horses?
Tales abound of disgruntled animal owners, with the occasional horror
story of veterinary care gone wrong. Please remember that veterinarians are
human, and they are dealing with a species that not only can't tell us what is
wrong, but is also difficult and sometimes dangerous to examine. Many of the
tools available to physicians and small animal veterinariansprocedures
such as radiography (X-ray) of the chest and abdomen, ultrasound of internal
organs, MRI and CAT scans, and exploratory surgeryare difficult,
impossible, or dangerous to perform on horses. Many of the medications used to
treat illness in horses do not have the benefit of the same lengthy (and
expensive) testing of factors such as absorption, therapeutic blood levels, and
efficacy as medications for use in people, dogs, and cats often have.
Veterinarians come with a wide range of backgrounds, knowledge,
experience, and expertise. All practicing veterinarians must have graduated from
a veterinary college. Most veterinary colleges do not allow for much in the way
of species specialization during training (the veterinary college at Davis,
California, is one exception that allows species tracking). Students wishing to
specialize in equine medicine and/or surgery often continue their training
following graduation by entering into internships or residencies.
In the United States, all practicing veterinarians in private practice
must have passed a National Board examination, and most states also require
separate examinations for state licensing. Veterinarians from foreign veterinary
colleges must complete special programs and examinations before they can be
licensed to practice veterinary medicine in the United States. A veterinarian
working at a college or university, however, does not have to be licensed to
practice in that state. Of course, the qualifications of veterinarians at
learning institutions have been carefully screened before they are hired on as
clinical faculty.
So, back to the question of how to know if you have a good equine
veterinarian. First, inquire about education and training. Next, ask the horse
owners in your area for their opinions. Good personality and so called bedside
manner count, but should not be the only reasons to prefer one veterinarian over
another. Some popular equine veterinarians may be popular more for their charm
than for their expertise.
Many people feel a veterinarian who is also a horse person is best. In my
experience, though, some veterinary students who are horse-oriented in their
private lives may carry some of the pervasive myths and legends of horse
medicine and horse care into their veterinary practices. Some of the best equine
veterinarians I know are neither horse owners nor would they be considered horse
people.
Some veterinarians specialize only in treating horses. Others have a more
general large animal practice, treating cattle, small ruminants, and pigs, as
well as horses. Still others have a mixed practice where they treat almost all
animal species. Equine specialists may have their own facilities for surgery and
treatments, or they may rely on the referral of complicated cases to local
referral hospitals.
As a horse owner as well as a veterinarian, I have found a few things to
be really important when selecting a veterinarian for horses. Keeping in mind
that all veterinarians make errors at some time, your veterinarian should be
willing to admit when he or she is wrong and learn from the experience. Your
veterinarian should be willing to listen to your description of problems. As the
horse's owner, you will be more aware of slight differences in weight, way of
going, attitude, and appetite that might indicate a problem than your
veterinarian will be. If your veterinarian always dismisses your concerns as
those of an over-anxious horse owner, he or she is risking the possibility that
you may be correct about something being wrong. Veterinarians should always
listen to the horse's owner.
Veterinarians should be willing to
consult with other veterinarians and specialists regarding problems and possible
treatments. A veterinarian working as a solo practitioner has less opportunity
to physically interact with peers than does a veterinarian in a multi-person
practice, but has plenty of opportunities to consult through the telephone and
the internet. The Equine Clinicians Network (ECN) list is one online forum for
consultation, where the advice of experts, as well as the experiences of
veterinarians in the field, may be sought. ECN and other forums for
professionals in veterinary medicine may be found online at
netvet.wustl.edu/vetmed/list.htm
For horse owners, a veritable explosion of information is available in
periodicals and on the internet. Some information is more accurate than others.
Your veterinarian should be willing to take the time to talk to you about
information you may have gleaned from such sources and, when appropriate,
willing to learn from you.
Your veterinarian should keep up with the current veterinary literature
and periodically attend continuing education meetings. On top of all this, your
veterinarian should always be available for emergencies or have an emergency
contact available. Sounds like a pretty tall order to fill, doesn't it?
Maintaining the optimum health and well-being of our horses is a team
effort, and knowledge of disease and of treatments is constantly evolving.
Veterinarians, farriers, and horse owners must work together for the good of the
horse. If you are not satisfied with your veterinarian, carefully analyze the
situation to see if your reasons are valid. If your veterinarian refuses to give
a particular treatment because he or she feels the procedure is too risky, for
example, do not feel the vet is not giving your horse proper care. In some
circumstances you may wish to pursue a second opinion. Your veterinarian should
be perfectly comfortable with your doing so, as well as willing to discuss and
possibly pursue other diagnoses, diagnostic approaches, and treatments.
If you have a good equine veterinarian, please treat him or her well. Such
veterinarians are not always easy to find.
Beth A. Valentine, DVM, PhD,
is a veterinary pathologist at the Oregon State University College of Veterinary
Medicine in Corvallis, this site's virtual vet, and co-author of
Draft
Horses, an Owner's Manual. This article appeared in the
Spring 2001 issue of
Rural Heritage.
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