surgery

Progress Pony

No drainage except for a teeny drop of blood. Huzzah!

Farrier on Monday which means I am coordinating with the vet to pick up a tranq. It will be interesting to see a) if he goes back to his normal self, or something like it and b) how much of the holes are trimmed off.

Soaking seems to be working well, and tonight we accidentally hand walked for nearly 15 minutes and he was just fine – he also decided that trot poles were for trotting when I asked him to walk over them. Oops?

In conclusion, I present to you our soaking routine.

shedding · surgery · turnout

One Less Worry

First things first: Tris went outside last night! I took him to one of the small turnouts near to the barn and threw him a flake of hay. He behaved beautifully, just munched away happily. He went on a bit of a walkabout in search of a puddle to drink from, but that was it.

Unfortunately, the mud/puddle situation is such that I don’t think he can go on more frequent turnout until he is more healed or it’s drier. His boots are too porous. They are really meant for stall rest. So he will get occasional, supervised outings but mostly stick to handwalking.

In the good news department, he has finally started shedding! I spent a whole currying away while he was eating his hay. Spring is on its way!

surgery

And one step back

So, bad news first: Tristan’s foot is definitely infected.

Good news: he is sound at the walk and trot, and the vet caught the infection, and we tranq’d him and she cut back a bit to get at clean, bleeding flesh. We sent pictures off to the surgeon and he was concerned but not worried.

Good news also that we are wrapping les, so he fit into his normal sized boot today, and he’s cleared to do more handwalking and try some light turnout.

So I keep up with my flushing/wrapping schedule, and add a powdered antibiotic called metronidazole on top of the wound – it’s the same stuff we were using in his abscess holes in the fall, for anaerobic infection.

The surgeon also suggested soaking the foot a few times, to draw out the infection. Basically treat it like an abscess. I’ll dig out & disinfect his soaking boot in the next few days and start that on Wednesday, with his next rewrapping.

If he goes lame, throws a temp, etc, then we start to worry but until then we assume this is small, mostly surface, and while we are treating it aggressively, it probably won’t be a setback.

Scroll down for pictures, first showing the infection/pus, second showing the cleaned out foot – it’s grown back quite a bit, really, so that’s encouraging.

surgery · winter

Spring…

Yesterday was the first full day of spring. We had several inches of snow on the ground and are getting more today. Tristan has not shed one single, solitary hair of his winter coat. I am torn between worrying and admiring his good sense, because it’s not meant to go much above freezing for at least another week. (To be fair the poor pony also hasn’t seen sunlight in nearly a month, so I’m sure that’s thrown him off kilter.)

Healing continues apace. He has had three days of 5 minutes of handwalking and is doing beautifully, very eager to move out, sound to my eye. The drainage is, knock wood, slowly decreasing. When I sent the 2 week pictures to the vet hospital they said it looked good and suggested that the local vet could take a hoof knife and pare off the top blood clot to get a clearer sense of what the wound looks like underneath.

When I flushed last night, I used the tip of the syringe to move the blood clot (it’s basically a scab) aside a bit, and there was bright pink flesh underneath. Yay for that. Tris was not wild about that, which leads me to think that we’ll have to tranq him a bit if the vet’s going to do that on Monday.

He’ll also get the first half of his spring shots on Monday, and if the vet clears everything we’ll decrease the amount of wrap I’m using and try to get him into the smaller size boot so a) it’s less likely to fall off and b) he can possibly go on light turnout. (I’m fairly certain the larger boot would be destroyed in short order if it ventured outside, as it flops a bit.)

He’s now eating his antibiotics as dressing in his regular supplements, mixed in with some mints for intermittent reward, and hasn’t had them syringed in 5 days. They run out on next Friday, and we’ll talk about getting another bottle and keeping him on them. He’s down to 1/4 quart of grain a day, half in the AM and half in the PM, and holding his weight steady.

So hopefully on Monday we’ll a) cut away the blood clot and take a good close look; b) get the ok to do 10 minutes of handwalking at a time, and possibly light turnout the week after that; and c) get a judgment on the antibiotics.

surgery

WHEW

So much better. Soooooooo much better. Thank God. Back to his normal self, well-behaved and patient. I was dreading tonight, making plans to beg the vet for drugs or the boyfriend for carrot-feeding duty. But Tris stood like a champ, fussed a little bit at the very, very end but only then and only for a few seconds. BEST pony.

In happy news, too, when I called the clinic to talk about the photos I sent them (they are still pleased) they gave me the go-ahead to do a little bit of handwalking as long as he stays comfortable. So tonight we did three! whole! laps! of the indoor! He was soooooo happy, moving right out and looking at everything.

When we left the indoor to head back to our stall he paused for a long moment and looked hopefully at the door to go outside. Poor guy. On Monday we’ll be halfway to the low end of his estimate, though, and I he tolerates handwalking well then maybe the Monday after that he can go on short turnout – especially if we can wrap less and put on the smaller boot.

In my continuing attempts to document everything: here, have some random pictures of our wrapping supplies.

Bucket o’stuff: 5 gallon bucket filled with vet wrap, gauze rolls, and underneath some miscellaneous extras. Mostly what you see on top, though, all the way down.
Typical supplies for a night’s wrapping. Starting with the  knockoff Betadine and going clockwise: betadine, gauze roll, vet wrap, betadine swab, baggie of gloves, two pairs of bandage scissors, and a roll of elastikon.
surgery

No Go

So we were meant to have a two week checkup yesterday morning…but due to a scheduling mixup with the vet, we’re going ahead next week with a three week checkup instead. I took pictures and sent them to the clinic along with a detailed verbal description of everything, so I expect to hear back from them today.

I rewrapped his foot last night and it was awful. The foot itself looked okay, I think – some discharge, but not copious amounts – but he was just totally unmanageable. He reared, kicked out, tried to fall over on top of me, tried to bite me, yanked the foot away – you name it. I got at most stretches of 10-15 seconds to accomplish things before I had to hang on tight again and not let him put his bare, unwrapped foot back on the aisle. He did not respond to cajoling, growling, smacking on his shoulder, manipulations to try and find a more comfortable way for me to hold the foot – none of it. He just wanted me GONE.

I don’t know why he was so awful. It could be that the flushing mixture was too cold. It could be that he was in some kind of pain – that the discharge is more worrisome than I thought. It could be that he is just DONE with everything. He’s been on stall rest a little over three weeks now. He has 4-6 weeks to go. This is the longest he has EVER been in a stall. While he is still a gentleman to handle (for everything except wrapping) and he is showing no obvious signs of sourness or frustration, I’m sure he’s bored and ready to move on.

I’ve made arrangements with the barn to get him his antibiotics tonight, as we are getting as much as 18″ of snow today (happy spring!) and I might not be able to make it out tonight. Even if I could risk it – maybe – it might be smarter for us to take a little bit of a break from each other.

Below, two close-up pictures of the foot at two weeks out from surgery. Scroll down for them; I’ll put some space in case anyone is squeamish.

surgery · winter

Spring is still far away..

Not much to report. Healing continues. Two week checkup is tomorrow, and fingers crossed we’ll be cleared for a bit of handwalking – I think we’d both like that.

In bad news, it’s meant to be -5 overnight, and we are getting a blizzard on Tuesday. Ugh. Tristan’s blanket was laid out and waiting for night check when I went to give him his evening antibiotics – have I mentioned how much I love the staff at this barn?

surgery

Just Keep Swimming

Though last night was to be my first night off from wrapping, I rewrapped anyway, because I was worried about him having stood in his dirty stall.

He had a little but of blood and discharge, more than I wanted, but not enough to go through the small square of gauze that was in the hole itself. The hole also smelled a bit funkier than I would have liked. I’ll keep a close eye – he’s still walking fine and in good spirits – but I can’t help but feel it’s a bit of a setback.

I think when they told me 6-8 weeks of recovery I was mostly excited about how short that was, how I’d be back to riding in May, possibly. I didn’t think how long that was if you’re worried practically every second of every day.

I took a picture of the gauze from his foot in the interests of disclosure; if you’re at all squeamish, don’t scroll down.

pony club · surgery

Onward…

We’re now a week and two days out from the surgery; one week ago was his first full day home.

After Tristan’s escapades on Monday in getting his boot and wrapping off, I checked on him first thing Tuesday morning and again last night. I flushed and rewrapped last night and it looked the same. The same stale betadine/hoof crud smell was present, and there was maybe a teensy bit of discharge on the gauze, but not much at all – if any.

He ate his antibiotics again with mints and a little bit of grain, and stood quietly to have his foot flushed and re-wrapped. I also got to explain his injury to some barn kids, who have their freaking adorable little dun pony named Petticoat across the aisle from Tristan for a few months while they put her back in work after the winter. They do short stirrup hunters with her and are smart, nice kids. I explained things in as non-graphic terms as I could and then explained how I was treating it.

Moral of the story: I need to find a Pony Club.  I don’t have the time to commit to weekly meetings, but I can do judging and occasional teaching for sure. I’ve emailed the Regional Secretary for the Western New England Region and offered my services; we’ll see what happens.

In conclusion, here’s the vet’s write-up of Tristan’s Monday appointment:

Surgical site dry and clean with only the faintest smell that indicates very mild infection. Wound open and draining. Owner has been keeping it immaculate. Horse is standing on leg better than I have seen him do since I have known him, with the LF planted squarely underneath him vs pointed a bit. Plan to go to EOD bandage changes. Recheck 1 week. Owner to continue to monitor for drainage, foul odor, lameness, etc.