Hambletonian Continuing Education Seminar* Sheraton Meadowlands Hotel, E. Rutherford, NJ Friday, August 3, 2012 7:00 AM – 5:30 PM *Approved for CE credit by the NJ Veterinary Medical Association and the NJAEP *Seminar approved for CE credit by the NJ Veterinary Medical Association and the NJAEP 7:00 - 8:00 AM Exhibit Area Registration and Continental Breakfast (sponsored by Nutrena) Trade Show Opens 8:00 - 8:15 AM Exhibit Area Welcome to Seminar Participants 8:15 – 9:15 AM Derby West Equine Acupuncture: Beyond the Qi Concept (sponsored by the International Veterinary Acupuncture Society) Mark V. Crisman, DVM, MS, DACVIM Dr. Crisman received his DVM from the U. of Warsaw Poland. He earned an MS in Veterinary Medicine from Washington State University. From 1987-2010, Dr. Crisman served on the faculty of the V-MRCVM where he was a Professor in the Dept. of Large Animal Clinical Sciences and section chief of equine medicine and surgery. He was Director of the Molecular Diagnostics lab at the V-MRCVM. He has co/authored over 75 refereed publications and book chapters. His primary research interests include immunology, pharmacology, and inflammation associated with equine metabolic syndrome. In 2010, Dr. Crisman joined Veterinary Operations with Pfizer Animal Health. He is certified in acupuncture by IVAS, and is a well-known acupuncture instructor/lecturer. Chronic pain is a significant health problem associated with severe patient suffering and disability. Acupuncture is considered one of the most ancient therapeutic interventions of mankind dating back thousands of years. This discussion will focus on current literature and the neurophysiologic basis of acupuncture and applications in equine medicine. Derby East A Practitioner’s Perspective on Compounding and Unapproved Drug Use in Equine Practice Nathan M. Slovis, DVM, DACVIM, CHT Dr. Slovis earned his DVM from Purdue University, and completed his residency in Internal Medicine at the University of California, Davis. Dr. Slovis is a noted speaker at state, national, and international meetings. He is a noted author and editor of numerous scientific articles and books. He is an internist and Member of the Practice at the Hagyard Equine Medical Institute & Pharmacy, where he implemented the Infectious Disease and Equine Emergency Response Programs. He currently holds the positions of Director of McGee Medical and Critical Care Center, Director of the Davidson Center for Hyperbaric Medicine, HEMI Infectious Disease Officer, and Equine Emergency Response Director. Compounding is any manipulation of a drug formulation that provides a product to fit the unique needs of a patient. Although compounding is oftentimes a necessary service for the equine veterinarian, it is important to understand when it is appropriate to use compounded products and when it is not. This lecture will include several studies showing the differences in potency of the active ingredients in compounded formulations compared to the FDA approved drug. The lecture will also illustrate how unethical practices of compounding medications are harming the future for equine pharmaceuticals. 9:20 – 10:20 AM Derby West Ocular Emergencies in Horses (sponsored by Wedgewood Pharmacy) Dennis E. Brooks, DVM, PhD, DACVO Dr. Brooks received his DVM from the University of Illinois. He received a PhD in glaucoma-induced optic nerve damage from the University of Florida College of Veterinary Medicine, where he currently serves as a Professor of Ophthalmology. Dr. Brooks has received numerous teaching and research awards, and he is a recognized authority on infectious keratitis, corneal transplantation, and glaucoma of horses and other animals. Dr. Brooks has lectured extensively, nationally and internationally, on comparative ophthalmology and glaucoma, and was selected to present the Frank J. Milne State-of-the Art Lecture at the AAEP annual meeting in 201. He is past President of the American College of Veterinary Ophthalmologists. He has refereed more than 140 publications. Dr Brooks published the second edition of his book, Equine Ophthalmology, in 2008. This presentation will focus on: Initial therapy for corneal ulcers and lacerations How to treat lid swelling from acute facial trauma in horses Color changes in corneal disease Derby East Antioxidant Research and its Applications for Use in Exercising Horses (sponsored by Rutgers Equine Science Center) Carey A. Williams, PhD Dr. Williams earned her PhD in animal sciences (with an emphasis on equine nutrition and exercise physiology) from Virginia Polytechnic Inst. & State Univ. She joined Rutgers University in 2003 as Equine Extension Specialist and Associate Director of Extension in the Equine Science Center, taking an active role in teaching, conducting research, and working with the equine and academic communities to ensure the viability of the horse industry in NJ. She was promoted to Associate Professor in 2009. At Rutgers, Dr. Williams maintains a herd of Standardbred horses for exercise physiology research, focusing on how to decrease the stress of intense exercise. She has won special recognition through her work with many industry organizations, including the Equine Science Society’s Outstanding Young Professional Award in 2009. Many studies have been performed using antioxidants to decrease oxidative stress and increase antioxidant status in exercising horses, however, results still remain inconclusive. In this presentation, an overview of the results using key antioxidants will be discussed along with recommendations for their use in performance horses. 10:20 – 10:50 AM Exhibit Area 10:50 – 11:50 AM Derby West Morning Break/Refreshments (sponsored by 3M Animal Care Products & Milburn Equine) Hot Topics in Equine Medicine (sponsored by Merck Animal Health) Nicola Pusterla, DVM, PhD, DACVIM Dr. Pusterla received his DVM and PhD from the University of Zurich, Switzerland. He completed his residency at the University of California. He currently serves as Associate Professor and Chief of Service, Large Animal Medicine, at UC Davis School of Veterinary Medicine, where his research focuses on selected aspects of equine infectious disease with an emphasis on epidemiology, clinical disease understanding, diagnostics, prevention and treatment. Ongoing research focuses on EHV-1 infections, proliferative enteropathy, EPM, Potomac horse fever, and equine granulocytic ehrlichiosis. Dr. Pusterla has served as a reviewer for numerous veterinary industry publications (JAVMA, AJVR, JVIM, etc.), and is a noted speaker at national and international conferences. Wendy E. Vaala, VMD, DACVIM Dr. Vaala received her VMD from the University of Pennsylvania. She then served on staff as an Assistant Professor of Medicine at New Bolton Center, where she organized the development of a neonatal intensive care program, a high-risk pregnancy program for mares, and supervised the neonatology teaching program. Dr. Vaala then worked at two large private practices in NJ, where she established NICU’s, equine medical referral services, and foaling programs for mares with high-risk pregnancies. She joined Intervet in 2004, and currently serves as Senior Equine Technical Specialist for Merck Animal Health, where her field responsibilities include participation in research and development of new equine biologics and pharmaceuticals and continuing education for veterinarians and horse owners. She is widely-published, and is a noted lecturer nationally and internationally. This fast paced lecture will cover a variety of topics including an update on recent EHV-1 outbreaks, diagnostics available and practical control strategies; an update on EPM including a discussion about different diagnostic tests and therapies available; and an introduction to Corona virus in adult horses, an emerging disease. Other topics will include new information on influenza challenge trials; results from regional parasite trials, and research data examining what FEC’s do and do not reveal; as well as the introduction of a new therapy for certain equine behavior problems. Derby East Computed Tomographic Arthrography of the Equine Stifle Joint (sponsored by Sound-Eklin) Alex Valdés-Martínez, DVM, DACVR Dr. Alex Valdés-Martínez received his veterinary degree from the Universidad Autónoma de Nuevo León, Mexico. Several years of equine medicine and surgery practice, both in private referral hospitals (México and Southern California) and academia (Louisiana State University) preceded three years of specialty training in veterinary radiology at the University of Pennsylvania. He currently serves as an Assistant Professor in Diagnostic Imaging at Colorado State University. Dr. ValdésMartínez’ special clinical interests are orthopedic and cancer-related musculoskeletal diseases in all species. Dr. Valdés-Martínez’s presentation will focus on: Technique and normal anatomy. Advantages and disadvantages with case examples 11:50 – 1:50 PM Exhibit Area 1:50 – 2:50 PM Derby West Exhibitor Displays and Buffet Lunch (sponsored by Merck Animal Health and Pfizer Animal Health) Strangles: Vaccination, Treatment and Biosecurity (sponsored by Pfizer Animal Health) Mark V. Crisman, DVM, MS, DACVIM See bio in Dr. Crisman’s 8:15 – 9:15 AM session This seminar will cover vaccination and treatment protocols with updates on interventional strategies for S. equi. Additionally, biosecurity measures to contain and control an outbreak will be addressed. Derby East Brachytherapy in the Horse (sponsored by Sound-Eklin) William M. Bradley, DVM Dr. Bradley received his DVM from Colorado State University. He completed his internship and surgical residency at Kansas State. He then practiced for a year on the racetrack circuit in Nebraska. In 1976, Dr. Bradley joined New England Equine Practice in Patterson, NY. He continues to serve at NEEP as a full Partner, and over the years, has helped the practice expand to include comprehensive horse care and state-of the-art imaging services in a full-service hospital facility and on the farm. In this presentation, Dr. Bradley will discuss both the technique and some early results in several cases of equine tumors treated with the Xoft Axxent Brachytherapy System. There will be brief discussions of the types of tumors which are amenable to treatment; the use of the machine itself; the results of the treatments seen thus far; as well as some general comments regarding Brachytherapy. 2:55 – 3:55 PM Derby West The Lameness Quiz - Observations and Characteristics of Lame Horses (sponsored by Milburn Equine) Michael W. Ross, DVM, DACVS Dr. Ross received his DVM from Cornell University. He then completed a 3-year large animal surgical residency program at New Bolton Center, University of Pennsylvania, where he was appointed Lecturer in Surgery in 1985. He subsequently was named Assist. Professor of Surgery and then Assoc. Professor of Surgery. He currently serves at New Bolton Center as Professor of Surgery and Director of the Nuclear Medicine Program. His broad clinical interests include equine gastrointestinal, respiratory and musculoskeletal surgery, with concentrated efforts in orthopedic surgery, and special focus on arthroscopic surgical techniques and lameness in Standardbred and Thoroughbred racehorses. Dr. Ross is the author of over 295 scientific papers, proceedings, etc. The 2nd edition of Drs Ross and Dyson’s comprehensive Diagnosis and Management of Lameness in the Horse was published in November 2010. Participants will view several videos of horses with gait deficits and will be asked questions regarding characteristics and observations. A discussion of each case, diagnosis and management will follow. Derby East The Use of Serum Amyloid A in the Monitoring of Clinically Ill Hospitalized Patients Rodney L. Belgrave, DVM, MS, DACVIM Dr. Belgrave received his veterinary degree from the Atlantic Veterinary College of Prince Edward Island. He completed a 3-year residency and MS in Veterinary Medicine at Washington State University. He then served on staff as a clinical lecturer at the University of Florida’s Veterinary Teaching Hospital. Dr. Belgrave has served as the Staff Internist and Director of the Internal Medicine Dept. at the Mid-Atlantic Equine Medical Center in Ringoes, NJ, since 2003. He has been published in numerous peer-reviewed journals. He presented his findings on clinical research he performed on the use of Serum Amyloid A as a diagnostic monitoring tool in clinically ill patients at the 2011 AAEP annual conference in San Antonio. Dr. Belgrave is currently PresidentElect of the Northeast Assn. of Equine Practitioners (NEAEP). His specialty interests include respiratory and neurological disorders, neonatology, and gastroenterology. Serum Amyloid A (SAA) has been identified as a major acute phase protein in the equine species. The use of SAA may allow for a more accurate assessment of the response to therapy in patients with various infectious diseases, relative to the more traditional markers of inflammation or infection such as total white blood cell count, fibrinogen, and albumin: globulin ratio. 3:55 – 4:30 PM Exhibit Area 4:30 – 5:30 PM Derby West Afternoon Break/Refreshments (sponsored by Merial and SoundEklin) Nutritional Consultations: What Veterinarians Need to Know to Make Sound Feed Recommendations (sponsored by Land O’Lakes Purina Feed) Mary Beth Gordon, PhD Dr. Gordon earned her PhD in Equine Nutrition and Exercise Physiology from Rutgers University. Her research focused on the effects of exercise on the hormonal regulation of appetite in horses and her work was the first to characterize the appetite stimulating hormone, ghrelin, in equine. She is published in numerous scientific journals including The Veterinary Journal, Equine Veterinary Journal, Journal of Equine Veterinary Science, and Equine Comparative Exercise Physiology. She has also co-authored chapters in several textbooks such as Equine Sports Medicine and Surgery. Dr. Gordon joined Purina Mills in 2005, and is currently Director of Research & New Product Development. Horse owners often ask veterinarians for nutritional advice when they are in the middle of a procedure or as they are packing up their truck to leave the farm. But as a veterinarian, do you feel you have the tools to make good recommendations in a short amount of time? This talk will discuss tools, questions to ask your clients, and information you need to know to make sound nutrition recommendations. Dr. Gordon will discuss body weight estimating, measuring feed, hay quality, supplements and more. You will leave this session with a new confidence of how to answer feed questions from horse owners. Derby East Diagnostic Imaging of the Suspensory Ligament (sponsored by Sound-Eklin) Alex Valdés-Martínez, DVM, DACVR See bio in Dr. Alex Valdés-Martínez’s 10:50 – 11:50 AM session Dr. Valdés-Martínez’s presentation will examine: The use of different imaging modalities (radiography, ultrasound, nuclear medicine, computed tomography and magnetic resonance) for evaluation of the suspensory ligament will be discussed. Case examples