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Lasix Article Horse Racing Page Site Index Bleeders and Lasix Facts, opinions, horse it lasix use why and horse it lasix use why conclusions for the handicapper. In this article, we will examine a number of questions. You may read through the document top-to-bottom or jump directly horse it lasix use why to the topic that interests you. Why do horses bleed during a race? How does Lasix help? How many racehorses bleed? What about Bute? Why the contraversy about the use of Lasix? What does this mean for the horse it lasix use why handicapper? References. Background. In the 1960s, the use of Lasix to prevent bleeding was virtually unknown. Today, every racing state permits horse it lasix use why the use of raceday Lasix treatments, and in many locales, the number of horses racing on Lasix is greater than the number racing without. This rapid increase in Lasix horse it lasix use why use has been horse it lasix use why attributed to a number of factors. Indiscriminate breeding in the 1970s to meet the increasing demand for racing stock is horse it lasix use why blamed for weakening the breed. Pollution horse it lasix use why in the horse it lasix use why air and water horse it lasix use why irritates horses' systems. And year-round racing takes its toll on thoroughbreds by offering fewer breaks and more varied racing climates. Although most horse it lasix use why handicappers horse it lasix use why understand the general implications and effects of Lasix horse it lasix use why use, most do not comprehend why it is necessary or how it works. And many inexperienced fans do not even know what it is. This horse it lasix use why article explores all these topics, and suggests how handicappers can benefit from this knowledge. A lesson in equine physiology: the biological reasons for bleeding. The thoroughbred racehorse has been highly optimized horse it lasix use why over hundreds of years of breeding to be an extremely efficient runner. Why, then, do so many of the species suffer from bleeding in the lungs under the stress of running? The answer to this question requires a peek inside the horse; understanding the configuration of the horse's internal organs shows why some bleeding is inevitable during a race. The technical name for "bleeding" is exercise-induced horse it lasix use why pulmonary hemorrhage (EIPH). This describes a condition in which the horse it lasix use why tiny blood vessels in a horse's lungs rupture due to stress sustained during physical exertion. horse it lasix use why EIPH occurs in three variations. Simple EIPH is an acute horse it lasix use why condition resulting from the strain of exercise. Patent pulmonary hemorrhage horse it lasix use why (PPH) involves bleeding in the horse it lasix use why lungs as a reaction to an allergen, infection, or due to hypertension. Some horses experience composite horse it lasix use why bleeding, which is the result of the combined effects of simple EIPH horse it lasix use why and PPH. PPH is a chronic condition which must be treated with various medications. The effects of simple EIPH horse it lasix use why heal naturally over the course of several days. Simple EIPH occurs as the natural consequence of strenuous running due to the layout of the horse's organs and the way the equine body moves during high-speed galloping. The horse's body is divided into two horse it lasix use why halves. The front end of the horse's trunk contains the heart, lungs, and other major horse it lasix use why organs. The back half of the horse contains the intestines which are suspended within the abdomen by ligaments. The two halves are divided by a thin sheet of horse it lasix use why muscle called the diaphragm. When the diaphragm contracts, the effect is to increase horse it lasix use why the volume of the horse's front half, the horse it lasix use why chest cavity. This increased volume draws air into the lungs. When running, this movement is synchronized such that the horse inhales when his front feet hit the ground and his skeletal structure is stretched to its maximum length. When the horse's front feet leave the ground, the skeletal structure is compressed and the horse it lasix use why diaphragm relaxes. The constricting chest cavity forces air out of horse it lasix use why the lungs, and the horse it lasix use why horse exhales. Due to the back-and-forth motion of galloping, the horse's intestines swing like a pendulum at the end of the suspensory ligaments. When running at full speed, especially in the fastest sprint races, the movement of the intestines can get horse it lasix use why out of phase with the movement of the diaphragm horse it lasix use why in such a way that the intestinal mass is horse it lasix use why swinging forward as the horse it lasix use why horse is trying to exhale. This causes the diaphragm to be horse it lasix use why slammed forward and slightly upward. The diaphragm, in turn, squeezes part of the lungs against the chest wall. The lungs are filled with alveoli, horse it lasix use why tiny air sacs, and capillaries, miniscule blood horse it lasix use why vessels. The alveoli and capillaries are so fine and so interconnected that oxygen from the inhaled air can pass into the bloodstream, and carbon dioxide in the blood can pass out of the blood into horse it lasix use why the lungs to horse it lasix use why be exhaled. The capillaries are at horse it lasix use why their smallest and most efficient near the rear, tapered end of the lungs where they abut the diaphragm. It is exactly these most efficient, extremely fine capillaries which are repeatedly impacted by the forward-surging horse it lasix use why intestinal mass. As they rupture under the stress, the horse's air passages become clogged with blood. Obviously, this causes difficulty in breathing which causes difficulty in running. Some horse it lasix use why studies suggest that airborn debris, such as dust and pollen, play a role in EIPH. Increased fluid and horse it lasix use why mucous or inflammation due horse it lasix use why to these irritants obstruct the horse's airways and horse it lasix use why require even harder horse it lasix use why breathing during a race. Once EIPH horse it lasix use why starts in a horse, it tends to be a lifelong problem. The role of Lasix. The medication Furosemide, sold under the trade name, "Lasix", is a horse it lasix use why powerful horse it lasix use why diuretic that causes fluids locked up in the horse's body tissues to be horse it lasix use why released and expelled in the urine. This has the effect of lowering the horse's blood pressure, particularly in the aorta and pulmonary artery. The lower blood pressure in the capillaries mitigates the horse it lasix use why problem of EIPH; thus, the horse's performance returns to a normal level. Lasix is treatment of choice for EIPH, horse it lasix use why though studies of its effectiveness vary. Some experts contend that Lasix has a stimulating horse it lasix use why effect on some horses which enhances their performance beyond what it would normally be. Furthermore, some suggest that the sheer volume of fluid lost by the horse (up to several gallons) can cause it to lose as much as twenty pounds, giving it a weight advantage. (Considering the fact that the imposts carried by different horse it lasix use why horses in a handicap race my vary as little as horse it lasix use why five to ten pounds, a twenty pound reduction in weight may be very significant.) Furthermore, horse it lasix use why there are those who suggest that horse it lasix use why the increased urinary output of the horse flushes away traces of other, illicit, performance-enhancing substances in horse it lasix use why the bloodstream. The horse it lasix use why scope of the problem. Virtually every equine athlete that is required to gallop for prolonged horse it lasix use why periods is susceptible to the effects of simple EIPH -- bleeding caused by the strain of exercise. However, the problem is most widespread in thoroughbreds because they maintain a high speed for up to two minutes or more. The problem is less severe in steeplechasers, standardbreds, and heavy draft horses because they run at slower speeds due to the nature of their competition. It is estimated that two to three percent horse it lasix use why of horse it lasix use why thoroughbreds bleed so severly as to be horse it lasix use why evident without the aid of medical equipment. However, horse it lasix use why a large majority of horses race on horse it lasix use why Lasix in jurisdictions where it is legal. If a horse bleeds during a race, and the blood is detected horse it lasix use why during a veternary examination after the race, horse it lasix use why it is horse it lasix use why declared a "bleeder" and permitted to race with the medication, Lasix. Though only a horse it lasix use why small number of horses overtly bleed due to EIPH, nearly horse it lasix use why all horses show at least some bleeding deep within the lungs. This can be detected by a bronchoscope. Thus, if a trainer wishes to put his horse it lasix use why horse on Lasix, he can simply have the horse it lasix use why horse "scoped" after the race. The examination will almost certainly turn up traces of blood in the lungs, and the horse will be able to race with the benefit of Lasix in future races. Thus, practically any horse can be treated with Lasix if its connections so desire. The role of Butazolidin. Phenylbutazone (PBZ), sold as "Butazolidin" and commonly called "Bute", is a non-steroidal horse it lasix use why anti-inflammatory horse it lasix use why drug (NSAID). In most states, it is the only medication, horse it lasix use why besides Lasix, permitted in a horse's bloodstream horse it lasix use why during a race. Like the common human NSAID, aspirin, Butazolidin fights pain, inflammation, and fever. horse it lasix use why It is normally used as a theraputic drug to treat sick or injured horses. horse it lasix use why One side effect of NSAIDs is to decrease the platelets in the horse it lasix use why bloodstream which causes "thinner" blood. Some suggest that the problem of EIPH is exacerbated by thinned blood. Another negative side effect is that prolonged use of Butazolidin can cause horse it lasix use why ulcers and gastrointestinal horse it lasix use why irritation in horses. "Bute" does not enhance performance horse it lasix use why in any way; however, a trainer with his bottom line rather than the horse's welfare in mind could use Butazolidin to numb a horse to the pain of an injury so that it can continue to race when it should be laid off. The Lasix debate. Opponents of Lasix use point out that it was legalized in the late 1970's during a shortage of thoroughbreds in horse it lasix use why North America. They suggest that Lasix and Butazolidin are horse it lasix use why used to make otherwise horse it lasix use why uncompetitive horses able (if not fit) to race. They are also quick to note that the percentage of winning favorites has declined since the introduction of these drugs -- a sign that racing has become less formful. Furthermore, they assert that the commonplace use of a controlled substance in racehorses does not contribute to the image of racing as a fair and legitimate sport. Lasix proponents simply assert that it horse it lasix use why is a treatment without which certain horses would be unable to race due horse it lasix use why to physical ailments. Many horses are bleeders and require medication to horse it lasix use why control the problem. Many people from both sides agree, however, that the use horse it lasix use why of Lasix and Butazolidin is getting out of control. Since virtually all horses bleed -- at least a horse it lasix use why little bit -- any horse can be declared a bleeder and put on Lasix. Bute can be used on any horse the trainer deems needs it. Why the proliferation of horses racing with Lasix and Bute? Some say that trainers are using both drugs just in case their horse has an undetected problem. Or, they may be using them because there is a perceived advantage to using these drugs, and they do not want their horses to horse it lasix use why be at a horse it lasix use why disadvantage. At the horse it lasix use why very least it can horse it lasix use why not be denied that the large horse it lasix use why majority of horses race under medication on a consistent basis. One finds oneself wondering if these drugs are truly necessary on a continuing basis. And if so, should such horses be permitted to race? The practical implications. Regardless of which horse it lasix use why side one takes in the Lasix debate, it horse it lasix use why appears that controlled medications are here to stay. Lasix and Butazolidin are legal and common in most jurisdictions, and more theraputic horse it lasix use why drugs may be permitted in the near future. horse it lasix use why For instance, horse it lasix use why California is considering establishing maximum bloodstream levels of eight drugs. The issue of horses running on medication seems to be expanding. Since medications will be a horse it lasix use why part of racing horse it lasix use why for the foreseeable horse it lasix use why future, it is prudent for the handicapper to carefully consider the impact of these chemicals whether you call them "theraputic medications" or "performance-enhancing drugs". The use of raceday medications entails a number of implications of horse it lasix use why practical value to the handicapper. Consider first the mechanism by which bleeding occurs; the horse's intestines move out of sync with his breathing, causing his lungs to be battered by the intestinal mass. This may explain why the practice of horse it lasix use why "drawing" a horse, or witholding feed for six to twelve hours prior to a race, horse it lasix use why is an effective trick to maximize performance. While there is no way horse it lasix use why for the horse it lasix use why handicapper to tell whether a horse it lasix use why horse had been drawn, the astute observer can certainly watch horse it lasix use why to see if any horse makes a horse it lasix use why move to lighten his intestinal load in the paddock or post parade immediately prior to a race. Also consider the horse it lasix use why type of exercise that leads to hemorrhage -- horse it lasix use why very fast galloping. This implies that horse it lasix use why sprinters, who run the fastest, have the most to gain horse it lasix use why from using Lasix. Routers enjoy a slower pace and probably incur less damage to their lungs during the typical race. Certainly one should study a horse's past performances very carefully before horse it lasix use why playing the "first time Lasix" angle. Is this a horse that can benefit from a dose of Lasix? Typically, a horse that horse it lasix use why shows early speed then suddenly stops after a half mile or so is horse it lasix use why likely to be suffering from the effects of bleeding. This is the type horse it lasix use why of horse that can be helped by Lasix. Horses that run near the back of the pack throughout horse it lasix use why the horse it lasix use why entire race are unlikely to improve under any medication. Some professional handicappers suggest that Lasix is least effective on hot, humid days, probably because any mammal's breathing is horse it lasix use why more difficult on such days. If your handicapping typically horse it lasix use why involves favoring horses carrying less weight than their rivals, be sure to horse it lasix use why take into account the pounds shed by a Lasix-medicated horse by increased urinary output. It seems evident that the effects of EIPH are efficiently healed because most horses perform well horse it lasix use why after only 10 to 14 days between races. However, it is natural to suppose that years of racing might leave a fair amount of scar tissue on a horse's lungs. Therefore, it horse it lasix use why might be worthwhile to consider horse it lasix use why how well older horse it lasix use why horses will be able to horse it lasix use why breathe during a particularly strenuous horse it lasix use why race. Keeping the causes of EIPH and the effects of Lasix in mind when handicapping should provide horse it lasix use why some insights into how medicated horses will perform in a given race. However, these handicapping suggestions should horse it lasix use why be kept in perspective. Incorporate them into your overall method of handicapping, but do not place undue horse it lasix use why emphasis on horse it lasix use why them. References. Ainslie, Tom, Ainslie's Encyclopedia of Thoroughbred Handicapping. Biles, Deidre B., "The EIPH Puzzle". The Blood Horse, 04JAN97. Grening, David, "How Lasix Came To Be in New York". Thoroughbred Times, 26AUG95. Kopp, Kenneth J., D.V.M., "The Danger in horse it lasix use why Dust". horse it lasix use why The Mane Points, Spring 1996. McArdle, Camille J., "At the Threshold". Thoroughbred Times, 06MAY95. McArdle, Camille horse it lasix use why J., "Bute: Then and Now". Thoroughbred Times, horse it lasix use why 17JUN95. O'Dea, Joseph C., "A Trail of Blood". horse it lasix use why Thoroughbred Times, horse it lasix use why 11MAR95. O'Dea, horse it lasix use why Joseph C., "Racing and the New York Rule". Thoroughbred Times, 18MAR95. Williams, George, "Perspectives on horse it lasix use why the Use of Lasix". Thoroughbred Times, 26AUG95. URL: http://www.thinkythings.org/horseracing/lasixinfo.html Last updated: horse it lasix use why 19MAY2004 Copyright © 1995, 1997, 2004 by Drew horse it lasix use why All Rights Reserved. See http://www.benedict.com for an excellent description of what this means. Is winning in Smarty Jones' blood? (phillyBurbs.com)  | Edit AdSearchNewspaper horse it lasix use why adsand ClassifiedsBizSearchFind Stores& BusinessesCarSearchSearch 15,000LOCAL carsJobSearchSearch jobsPost a resumeHomeSearchSearch 6,000LOCAL HomesShop OnlineShop LocalCouponsSubscribeAdvertiseContact Us NewsSportsMoneyEntertainmentGuidesInteractSearch?Shopping     Home   Adam Wodon   Dale horse it lasix use why Machesic   Mike Sielski   Neil Rudel   Paul Moser   Randy Miller   Reuben Frank   Tom Moore   Wayne Fish   Sports Home   Philly Teams     Eagles     Sixers     Flyers     Phillies   Local horse it lasix use why Sports     Bucks County    Courier Times     Burlington    County Times     The Intelligencer   Columnists   College Sports   Latest News     Baseball     Football     Basketball     Hockey     Soccer     AP College Sports     Golf     Tennis     Auto Racing     Boxing     Other Sports   Home / Sports / Sports Columnists / Mike Sielski Is winning in Smarty Jones' blood? News item: Before he runs in the Kentucky Derby tomorrow, Smarty Jones, the 3-year-old thoroughbred from Philadelphia Park, will go on the diuretic Lasix for the first time, horse it lasix use why trainer John Servis recently said. You have to love horse racing. You have to love a sport that still insists something is white when everyone knows horse it lasix use why it to be black. You have to love the combination of honesty horse it lasix use why and dishonesty that drives the controversy behind Lasix. Let's begin with the obligatory biology lesson: Horses often suffer from exercise-induced pulmonary hemorrhaging - bleeding from the capillaries horse it lasix use why inside the horse it lasix use why lungs, a condition caused by the high blood pressure horse it lasix use why within horses' lungs when they run. horse it lasix use why In human beings, physicians prescribe horse it lasix use why Lasix, also horse it lasix use why known as furosemide, to lower blood horse it lasix use why pressure. So veterinarians began administering Lasix intravenously to racehorses in the horse it lasix use why 1970s under a simple theory: The hemorrhaging slowed the horses down, and Lasix would help the horses run faster by horse it lasix use why making them healthier. Lasix's horse it lasix use why use in horse racing has been legal in all horse it lasix use why 50 states for more horse it lasix use why than nine years - horse it lasix use why New York became the last to green-light its use in September 1995 - and it has horse it lasix use why become as commonplace at racetracks as horse it lasix use why horseshoes and horse it lasix use why oats. Dr. Lawrence Soma, a professor at horse it lasix use why the University of Pennsylvania School of Veterinary Medicine, estimates that 90 percent of all racehorses are on Lasix, horse it lasix use why and on a betting form, every horse that's been administered the diuretic has the same notation next to its name: (L). OK. The lesson's horse it lasix use why finished. Now, the problems begin: There's no hard, fast, scientific evidence that horse it lasix use why Lasix stops hemorrhaging in racehorses. None. The justification for its use is solely anecdotal; no study has verified its horse it lasix use why supposed healing effects. Every state has a different standard for a horse to meet before a vet can horse it lasix use why administer Lasix. There's no national baseline.Kentucky, for instance, has virtually no regulation on the use of Lasix. But in Pennsylvania, a horse has to horse it lasix use why be designated "a bleeder" before it can go on Lasix - a silly regulation considering Lasix apparently does nothing to stem bleeding - and a vet can only administer Lasix four hours before a horse it lasix use why race's start time. (New York and New Jersey have similar horse it lasix use why regulations.) If it's not regulated properly, Lasix can mask the presence of illegal, performance-enhancing drugs in racehorses. Such drugs are administered in small doses and detected in a horse's urine, and because a horse on Lasix produces 10 horse it lasix use why to 100 times more urine than a non-Lasix horse, illegal substances become harder to spot. According to a series horse it lasix use why of studies conducted by Soma, Lasix itself can horse it lasix use why be horse it lasix use why a legal performance-enhancer, particularly in thoroughbreds, by flushing water from the horse's system and horse it lasix use why making the animal lighter. "Horses that run on Lasix run a little bit faster," said Soma, who also conducts research on behalf of the Pennsylvania State Horseracing Commission. "The data suggest they're running faster because they're losing weight." Given this complex background, it was noteworthy when Servis announced that Smarty Jones would be horse it lasix use why on Lasix for the Derby. His reasons? "The biggest thing was more of a preventative horse it lasix use why standpoint," Servis said last week. As in, preventing bleeding. Which Lasix horse it lasix use why may or may not do. He went on. "I'd hate to have this horse it lasix use why horse go into the biggest race and have that reason out there," Servis said. "I'd like to run him without Lasix, but I'd be heartbroken if I felt the horse could have won and didn't because I didn't do something to help him. I'm trying to get him to horse it lasix use why be the horse it lasix use why best he can possibly be." There horse it lasix use why we go. You can't blame Servis for his decision. It would have been a marvelous development for Smarty Jones to win the Derby in the same manner he had won his previous horse it lasix use why six races - without Lasix. The purists would celebrate, and such a victory would only add another Capra-esque element to the surreal story surrounding this horse. But Servis can be excused. In the biggest race of his or Smarty Jones' life, he horse it lasix use why can't afford to sacrifice a potential edge - a legal edge - for the sake of purity. Administering Lasix might give Smarty Jones a better chance to win, and Servis would have been delinquent in his duties had he not explored the option. horse it lasix use why No horse it lasix use why one should criticize him for playing by horse it lasix use why the rules of his sport. Those rules, however, ought to be changed. Or, more accurately, standardized. You have to horse it lasix use why feel a horse it lasix use why perverse admiration for the frankness of horse it lasix use why horse racing's higher-ups, for their acknowledgement of reality: Yes, our athletes do take performance-enhancers. Deal with it. If they want to maintain that stance, fine. But they should be honest about horse it lasix use why why they're doing it. Instead of initially claiming he had his horse's health interests at heart, Servis should have just horse it lasix use why said he wanted to win the damn race. There's no point in maintaining the fa‡ade of a cure when Lasix's real purpose in racing horse it lasix use why is to enhance performance, either legally by causing the horse to shed pounds or illegally by masking other drugs. For that reason, in horse it lasix use why the interest of the sport's credibility, the states' horse racing commissions should reach a horse it lasix use why national consensus on the regulation of horse it lasix use why Lasix's use. And everyone horse it lasix use why should understand: This isn't about horse it lasix use why healing horses' lungs. It's about making them faster. Nothing more. "There's a lot of information out there that says it doesn't stop hemorrhaging, and everybody realizes that," Soma said. "It doesn't stop hemorrhaging, and it improves performance in certain animals. "But it's hard to change something that's horse it lasix use why been done for 25 years." Mike Sielski is a sports columnist for Calkins horse it lasix use why Media. He can be reached at msielski@phillyBurbs.com. April horse it lasix use why 30, 2004 8:06 AM Story Options:   Reader Comments   Print this story    Email a friend ©2005 Copyright Calkins Media, Inc. All rights reserved.                 back to top Home | Contact Us | Change Town | Privacy Policy | Advertise | Site Map | Syndication  Decoding Your Vet Bill [ Home | Contents |Foals | News | Stallions |Horse Division |Team Members |Feedback ] Decoding Your Vet Bill by Howard Zucker (trainer)   An Owner's View by John C. Harris   Decoding Your Vet Bill By trainer Howard horse it lasix use why Zucker One of the horse it lasix use why least understood factors in the cost of owning a racehorse is your vet bill. Vet expenses are an unwelcome but necessary part of maintaining your racehorse in peak condition. Hopefully your horse was raised with few veterinary costs other than routine wormings and vaccinations. Perhaps you had to pay for antibiotics to treat an illness or field injury. If there were no problems during early training at the farm or training center, horse it lasix use why you horse it lasix use why paid for routine X-rays to check on knee closure and bone maturity, horse it lasix use why and horse it lasix use why if all went well, your horse it lasix use why steed went off to the track. Then what happened? All of a sudden you see a seemingly endless list horse it lasix use why of charges, mostly for unfamiliar medications adding horse it lasix use why up to a vet bill which averages $100, $200, horse it lasix use why or upwards of horse it lasix use why $600 a month. What’s going on? Is your horse hurt, dying, or has he become drug dependent from job-related stress? horse it lasix use why ASK YOUR TRAINER! Good communication between owner and trainer, resulting in a horse it lasix use why thorough explanation of the vet’s bill, can keep horse it lasix use why a healthy business relationship alive and well. A smart trainer informs owners horse it lasix use why of veterinary work being done on a regular basis, either week-by-week or whenever progress reports are regularly horse it lasix use why given. Such updates avoid the shock at month’s end when the bill arrives. It is also a good idea for trainers to personally check and horse it lasix use why approve horse it lasix use why all items on a vet’s bill before it is sent to the owner. Such practice eliminates one potential trouble of charges mistakenly applied to your bill. It is also useful for the trainer to add a brief note of horse it lasix use why explanation for exceptionally large charges as to the procedure employed, why it horse it lasix use why was necessary, and what medication was used. horse it lasix use why Some trainers, myself horse it lasix use why included, use horse it lasix use why preventative therapies such as electromagnetic therapy, massage, chiropractic adjustments, ultrasound, and ice. Such therapeutic remedies may also work to reduce your monthly vet horse it lasix use why statement, and keep your horse at its horse it lasix use why athletic peak. Following horse it lasix use why are some common items that appear on a statement from your veterinarian, with some basic explanation of what they horse it lasix use why are and why they are horse it lasix use why done. ROUTINE ITEMS Treatment How Often Performed Cost Flu/Rhino Vaccination Every 2-3 months $25.00 De-worming Every 2-3 months $25.00 to Tube Worm by Vet $10.00 to Paste Worm By Trainer *Dentistry (Floating teeth) Every 3-4 months $50.00 *A specialist is horse it lasix use why used to "float" a horses teeth, or file away the rough edges on the sides of a horse’s molars. A horse’s chewing action periodically causes horse it lasix use why sharp edges horse it lasix use why to develop that can cut their mouths and make horse it lasix use why eating uncomfortable. horse it lasix use why If left untreated, a horse’s athletic performance may be compromised. COMMON MEDICATIONS TYPE USED FOR COST Antibiotics Treatment of infection horse it lasix use why $25-$40 / day Penicillin, Tetracycline, Genocin horse it lasix use why Administered by injection, via throat flush, or horse it lasix use why a neubilzer solution (horse breaths in). Sulfa Drugs Colds, Coughs $8 / day Tribrissen, trimethalsulfate Administered orally Anti-inflammatories Reduction of fever or inflammation horse it lasix use why in muscles and joints. Bute, Banamine May be administered either orally or by injection $15-25 / day (Injection) $2-4 horse it lasix use why / day (Oral) Naproxin, Azium, Naquazone Administered orally $2-4 / day Ulcer Therapy Treat stomach ulcers $60-150 / month Tagamet, carafate Administered orally Bleeder Treatment Reduce Exercise-Induced Pulmonary Hermorraging (EIPH) Lasix Most commonly used medication $15.00 for a.m. workout $25.00 *Pre-race * Vets add an extra charge for filing necessary paperwork with the California Horse Racing Board showing that medication was administered within a restricted time frame. Premarin Used with Lasix for problem bleeders $25-50 Robinul horse it lasix use why Used with Lasix as a breathing horse it lasix use why aid for workouts only $15.00. Cannot be used pre-race. Muscle Relaxants Robaxin $15 per shot $5 orally DIAGNOSTICS X-rays Determines injury in bones or joints $60-85 per area Ultra-sound Determines injury in soft tissue (tendons & ligaments). $100 per scan Endoscopy Diagnose breathing problems, (Examine upper respiratory system) such as malfunctions, infections, or for bleeding.$50 Soundness Exam Palpation, gait analysis, hoof-testing, etc. No charge CBC (Complete Blood Count) Additional charge for enzyme levels and blood chemistries. $ 35.00 HORMONES Winstrol, Equipoise Anabolic steroids used to stimulate muscle development and appetite. $45-50 / horse it lasix use why month Testosterone Also used to stimulate muscle development and appetite. $25 per treatment Progesterone Represses ovulatory cycle in fillies and mares $25 per treatment Subcutaneous implants, which are effective for 2-3 months, cost $60-80 VITAMINS AND FLUIDS ESE (Vitamin E & Selenium) Used to treat horse it lasix use why muscle soreness $25.00 Misc. Vitamin Shots Used to treat anemia or vitamin deficiencies.$15-25 "Jugs" Electrolyte solutions horse it lasix use why used to replace essential ions depleted by workouts, races, or Lasix use. $25-35 JOINT THERAPY Corticoids Intra-articular injection which provides short-term relief of joint pain and inflammation. $35-40 / joint Hyaluronic Acid Intra-articular horse it lasix use why injection provides longer-lasting horse it lasix use why more therapeutic effect than corticoids $100 / joint– They’re better for your horse! Adequan/Legend horse it lasix use why Intramuscular/intravenous injections that promote joint health and prevent degenerative joint disease. Expensive, but the long-term benefits can be cost-Effective. $65-75 per week Cosequin, Chondroitin Sulfate, Natural products horse it lasix use why found to be effective in maintaining joint health Shark Cartilage $60-120 / month ALTERNATIVE THERAPIES "Dr. Green," or "The Friendly Farm" Old-timers will tell you that the best therapy for illness, lameness, bleeding, etc. is a visit to "Dr. Green." horse it lasix use why A short rest at a horse it lasix use why friendly farm horse it lasix use why is an effective cure-all and will horse it lasix use why go a long way towards reducing your vet bills. Kinder Racetracks Track management, owners, and trainers must continue efforts to improve our racing surfaces. Improved track surfaces will decrease both the frequency of injuries and the cost of ownership. Is it Better to Administer Medication Orally or Via Injection? There are basically horse it lasix use why two ways of administering medication to horses, either orally or by injection. On California racetracks, only horse it lasix use why a licensed veterinarian can legally horse it lasix use why give an injection, so any injection will require a veterinary fee. "Injectables" may be horse it lasix use why give subcutaneously, intramuscularly, or intra-articuarly (directly into a joint). There are a number of ways horse it lasix use why to administer drugs and medications orally. It may be done by drench (dissolving the horse it lasix use why medication and squirting it into the horse’s mouth with a syringe), or by paste (many common wormers and anti-inflammatories are sold horse it lasix use why in this form). Some can simply be added to the feed, either as powder or pulverized pills. Oral administration can be done by horse it lasix use why your trainer, and is thus usually cheaper than injections. For example, 25 oral doses of bute costs about the same as one injection. Why then would you want to use horse it lasix use why an injectable if the same medication is available orally? An injection is preferable – sometimes necessary-when a horse needs immediate relief from severe pain. Medication is given in an injectable before a race to ensure that the horse receives the full dose, and does not leave a part of the horse it lasix use why dose uneaten in its feed tub. Additionally, some trainers prefer injections because they eliminate the risk of the wrong horse receiving a medication mistakenly placed in its feed tub. Of course, as in every other aspect of racehorse training, opinions vary. Different trainers and different veterinarians use different approaches to using an injectable vs. an oral dose. Many owners trust their trainers to make these decisions. If an owner is interested in or concerned about horse it lasix use why how his or her horse is being "vetted," have a conversation with your trainer horse it lasix use why and/or veterinarian. With regards to your overall vet costs, don’t horse it lasix use why be afraid horse it lasix use why to discuss them with your trainer and/or veterinarian. Good communication makes good business, and will enhance your ownership experience. Howard horse it lasix use why Zucker has been a licensed trainer for 19 years, during horse it lasix use why which time he has developed 1993 California-Bred Juvenile horse it lasix use why Champion MOSCOW CHANGES. He has a B.A. from City College of New York, horse it lasix use why majoring in Finance with a minor in Biology. An Owner’s View By John C. Harris As trainer Howard Zucker writes, good communication is crucial between owners, trainers, and veterinarians. All three parties should be striving for cost-effective measures that provide long-term horse it lasix use why benefits horse it lasix use why to the horse. With Thoroughbred horses, we do have the luxury of being able to spend considerable amounts of money on veterinary-related treatments if we feel there is at least some chance such action will allow the horse to be more competitive. However, such luxury is both a blessing and a curse, as it encourages expenses that horse it lasix use why are less-than-certain to be cost-effective. In our cattle operation, we have large-scale trials to review before we consider any medications. With horses, although there are good trials on such as things as vaccinations and wormers, a lot horse it lasix use why of individual equine treatments are horse it lasix use why hard to quantify. The numbers just aren’t there. Personally, horse it lasix use why I think we horse it lasix use why should develop financial relationships with vets that are not so much horse it lasix use why based on individual treatments, but more on some sort of retainer to cover the horse’s total health care. In addition to saving owners money, veterinarians horse it lasix use why would horse it lasix use why be provided a more stable source of income, and a greater ability to practice medicine in the manner that they were trained. For example, a fee could be set that would cover normal vaccinations, dental work, and wormings. Additional treatments would be billed for the drugs at cost. A managed-care arrangement could also be made for X-rays and scans. In our own farm training operation, horse it lasix use why we now employ a resident veterinarian. We feel that this will be cost-effective. Hopefully we can use this relationship to help manage the veterinary care at horse it lasix use why the tracks, working in conjunction with the trainer. However, this will require a degree of mutual understanding, trust, and openness, which sometimes can be hard to achieve with all of the egos involved. So far, though, our experience with this relationship has been good. Regardless of the horse it lasix use why decision-makers horse it lasix use why involved in a horse’s health, I think in cases where a horse is in serious trouble, and/or the vet costs look to be significant, it is always good to get a second, or even third, opinion. Such horse it lasix use why practice is cost-effective and gives one more horse it lasix use why confidence that their horse is being treated in the best manner possible. I think owners horse it lasix use why should be horse it lasix use why involved in their horse’s care. They are paying for it, horse it lasix use why and are the ones most impacted by the horse’s success or failure. Yet we must have confidence in the trainer and the vet, and give them the authority to proceed horse it lasix use why when time is of the essence. Once horse it lasix use why again, the key is good communication, backed up by sound reasoning and appreciation for the use of cost-effective measures. John Harris is Chairman and CEO of horse it lasix use why Harris Farms and is President of the California Thoroughbred Breeders Association. He has horse it lasix use why approximately 50 Thoroughbreds in training, horse it lasix use why and has been an active participant in the Thoroughbred horse it lasix use why industry for over thirty years. [ Home | Contents |Foals | News | Stallions |Horse Division |Team Members |Feedback ] horse it lasix use why Send mail to webmaster@nwmanagement.com if you encounter any problems with this web site. Copyright © 1997 Harris Farms Horse Division Belcher horse it lasix use why v Belcher v. Ohio State Racing Commission Ohio Court of Appeals UNPUBLISHED, 2003 WL 1994990 May 1, 2003 for a later case involving this same trainer, see Belcher v. Ohio State Racing Commission Summary of Opinion Plaintiff Belcher is a licensed horse trainer.  One of his horses horse it lasix use why tested positive for lasix, a drug that inhibits pulmonary bleeding during racing.  It is not illegal to race a horse with lasix, but the use of lasix must be reported to the horse it lasix use why track and reflected in the program.  This use of lasix was not reported. The Racing Commission fined Belcher and suspended him for 30 days.  On appeal from a trial court horse it lasix use why decision upholding that order, the Court of Appeals says that Belcher is liable for the presence of lasix in his horse under the trainer absolute insurer rule.  Under that rule, it doesn’t matter if the drug was administered by a veterinarian by mistake and horse it lasix use why without Belcher’s knowledge—he is still responsible horse it lasix use why because he is the horse’s trainer.  Therefore, the court horse it lasix use why upholds the Commission’s order.   Text of Opinion   Appellant, Robert E. Belcher, appeals from a judgment of the Franklin County Court of Common Pleas affirming an order of appellee, the Ohio State Racing Commission, sanctioning horse it lasix use why appellant after one of his horses tested horse it lasix use why positive for a prohibited substance.  For the following reasons, we affirm that judgment.   Appellant is a licensed horse horse it lasix use why trainer in the state of Ohio. On May 21, 2001, one of his horses, Sand Stylish Trick, finished second in a race at Northfield Park. After the race, the horse's urine was tested for prohibited substances.  The test came back positive for the presence of furosemide, commonly known as lasix.  Lasix is a diuretic used in horse it lasix use why racehorses horse it lasix use why to combat exercise‑induced pulmonary hemorrhage.  Although horses horse it lasix use why are allowed to race with lasix, they must be programmed to race with lasix in compliance with Ohio Adm.Code 3769‑18‑01(B).  Appellant's horse was not programmed to race with lasix on May 21, 2001.  Therefore, the judges at Northfield Park fined appellant $1,000, ordered the forfeiture of the horse it lasix use why $750 purse, and suspended appellant's license for 30 days. Appellant appealed that ruling to the horse it lasix use why Ohio State Racing Commission  ("Commission").  After a hearing, the Commission's hearing officer issued a report and recommendation.  The horse it lasix use why hearing officer recommended the horse it lasix use why adoption of the track judges' determination that appellant's horse competed with a prohibited substance in violation of Ohio Adm.Code 3769‑18‑01, horse it lasix use why as well as Ohio Adm.Code 3769‑18‑02.  The hearing officer further recommended the adoption of the imposed sanctions.  The Commission adopted the hearing officer's recommendations and fined appellant horse it lasix use why $1,000, horse it lasix use why suspended his license for 30 days, and assessed costs in the amount of $250.  On further appeal to the Franklin County horse it lasix use why Court of Common Pleas, the lower court affirmed the Commission's order, finding the horse it lasix use why decision to be horse it lasix use why supported by reliable, probative and substantial evidence. Appellant appeals, assigning the following errors: "1. The trial horse it lasix use why court erred by failing to reverse the "Finding and Order" of Appellee Ohio State Racing Commission ("Commission") issued January 22, 2002 ("Order") because the Commission lacked reliable, substantial, and probative evidence horse it lasix use why to support its findings in that, among other reasons, (1) the Commission lacked horse it lasix use why evidence that Belcher was in any way culpable horse it lasix use why for a veterinarian's improper administration of Lasix to the horse Sand Stylish Trick, and (2) the Commission based its decision to sanction Belcher on an horse it lasix use why assumption or "suggestion" horse it lasix use why of negligence, as opposed to evidence of actual negligence, on Belcher's part. "2. The trial court erred by failing to reverse the Commission's Order because the Commission improperly failed to consider Belcher's undisputed mitigating evidence. "3. The trial court erred by failing to reverse the horse it lasix use why Commission's Order because the Order is unjust, is contrary to law, and is against horse it lasix use why the manifest weight of the evidence presented at the adjudication hearing held on or about December 16, 2001 horse it lasix use why ("Hearing") and contained in the official record of the above‑captioned matter ("Record"). "4. The trial court horse it lasix use why erred horse it lasix use why by refusing to reverse the Commission's Order because, in light of the facts of this matter and the evidence presented at the Hearing and contained in the Record, the Commission's sanction against Belcher horse it lasix use why is arbitrary and capricious in that the Commission sanctioned Belcher despite, among other reasons, (1) evidence that Belcher employed safeguard measures horse it lasix use why above and beyond what horse it lasix use why was required to comply with the Commission's rules, and (2) the Commission based its decision to sanction Belcher solely on an assumption or "suggestion" of negligence, as opposed horse it lasix use why to evidence of actual negligence, on Belcher's part. "5. The trial court erred by refusing to reverse the Commission's Order because the Order constitutes an abuse of the Commission's discretion to impose penalties against licensees because, in light of the facts of this matter and the evidence presented horse it lasix use why at the Hearing horse it lasix use why and contained in the Record, the penalty imposed against Belcher is unreasonable and excessive." In an administrative appeal pursuant to R.C. 119.12, the trial court reviews an order to determine whether it is supported by reliable, probative and substantial evidence and is in accordance with horse it lasix use why the law. Huffman v. Hair Surgeon, Inc. (1985), 19 Ohio St.3d 83, 87.  Reliable, probative and substantial evidence has been defined as follows: " * * * (1) 'Reliable' evidence is dependable;  horse it lasix use why that is, it can be confidently trusted.  In order to be reliable, there must be a reasonable probability that the evidence is true.  (2) 'Probative' evidence is evidence that tends to prove the issue in question;  horse it lasix use why it must be relevant in determining the issue.  (3) 'Substantial' evidence is evidence with some weight;  it must horse it lasix use why have importance and value."  Our Place, horse it lasix use why Inc. v. Ohio Liquor Control horse it lasix use why Comm. (1992), 63 Ohio St.3d 570, 571. On appeal to horse it lasix use why this court, the standard of horse it lasix use why review is more limited.  Unlike the court of common pleas, a court of appeals does not determine the weight of the evidence.  Rossford Exempted Village School Dist. Bd. of Edn. v. State Bd. horse it lasix use why of Edn. (1992), 63 Ohio St.3d 705, 707.  In reviewing the court of common pleas' determination horse it lasix use why that the Commission's order was supported by reliable, probative and substantial evidence, this court's role is limited to determining whether the court of common pleas abused its discretion.  Roy v. Ohio State Med. Bd. (1992), 80 Ohio App.3d 675, 680.  The term "abuse of discretion" connotes more than horse it lasix use why an error of law horse it lasix use why or judgment;  it implies that the court's attitude is horse it lasix use why unreasonable, arbitrary or unconscionable. Blakemore v. Blakemore (1983), 5 Ohio St.3d horse it lasix use why 217, 219.  However, on the question of whether the Commission's order was in accordance with the law, this court's review is plenary.  horse it lasix use why Univ. Hosp., Univ. of horse it lasix use why Cincinnati College of Medicine v. State Emp. Relations Bd. (1992), 63 Ohio St.3d 339, 343. Appellant's first and third horse it lasix use why assignments of error horse it lasix use why will be addressed together, as they both contest the sufficiency of the evidence supporting the Commission's order.  Appellant contends that there was no evidence demonstrating that he was culpable in any way for the presence of lasix horse it lasix use why in his horse.  Rather, appellant argues the uncontested horse it lasix use why evidence shows that his veterinarian negligently injected the horse it lasix use why horse with lasix, notwithstanding the significant safeguards appellant had in place to prevent mistaken drug injections. The degree of appellant's culpability in allowing his horse to run with lasix might be relevant if the Commission had only found him in violation of Ohio Adm.Code 3769‑18‑01(B)(1).  Under that rule, a prima facie case of negligence is established once a drug test comes back positive for the presence horse it lasix use why of a prohibited substance.  That prima horse it lasix use why facie horse it lasix use why evidence of negligence may be rebutted horse it lasix use why with evidence that appellant was horse it lasix use why not negligent in the care of his horse.  Ohio State Racing Comm. v. Kash (1988), 61 Ohio App.3d 256, 267‑ 268.  However, the Commission also found appellant in violation of Ohio Adm.Code 3769‑18‑02(A).  That horse it lasix use why rule, commonly known as horse it lasix use why the absolute insurer rule, provides that: "(A) horse it lasix use why The trainer shall be the absolute insurer of, and responsible for, the condition of the horse entered in a race, regardless of the acts of third parties.  horse it lasix use why Should the chemical or other horse it lasix use why analysis of urine or blood horse it lasix use why specimens prove positive, showing the presence of horse it lasix use why any foreign substance not permitted by rule 3769‑18‑01 of the Administrative Code, the trainer of the horse, the foreman in charge of horse it lasix use why the horse, the groom, and horse it lasix use why any other person shown to have had the care or attendance of the horse may, horse it lasix use why in the discretion of the commission, be subjected to penalties provided in paragraph (B) of this rule.  * * * " The horse it lasix use why absolute insurer rule imposes strict liability on horse it lasix use why the trainer horse it lasix use why for the presence of drugs in a horse it lasix use why horse.  O'Daniel v. Racing Comm. (1974), 37 Ohio St.2d 87, 90;  Wagers v. horse it lasix use why Ohio State Racing Comm. horse it lasix use why (Jan. 22, 1992), Richland App. No. CA‑2885;  Sahely v. Ohio State Racing Comm. (Apr. 6, 1993), horse it lasix use why Franklin App. No. 92AP‑1430.  The horse it lasix use why negligence of a third‑party or appellant's level of care does not affect appellant's horse it lasix use why liability for a violation of the absolute insurer rule.  See Dewbre v. Ohio State Racing Comm. (1984), 16 Ohio App.3d 370, 373 (affirming violation where horse it lasix use why presence of drug horse it lasix use why was directly attributed to horse it lasix use why persons other than the trainer).  Therefore, evidence of the veterinarian's negligence, or the absence of evidence demonstrating appellant's negligence, is irrelevant to establish a violation of horse it lasix use why Ohio Adm.Code 3769‑18‑ 02(A).  The only evidence necessary to horse it lasix use why support a violation of this rule is horse it lasix use why a positive test for a prohibited substance.  Appellant does not contest horse it lasix use why the validity of horse it lasix use why the test that indicated the presence of lasix.  Therefore, the lower horse it lasix use why court did not abuse its discretion in finding that the commission's order was supported by reliable, probative and substantial evidence.  Appellant's first and third horse it lasix use why assignments of error are overruled. In his fourth and fifth assignments of error, appellant contends that the sanctions imposed by the Commission were improper. Pursuant to Ohio Adm.Code 3769‑18‑02(B), a licensee may be fined an amount not in excess of $1,000 and/or may be suspended for a period of time not longer than one year upon a violation of Ohio Adm.Code 3769‑18‑02(A).  Once the Commission determines there is a violation, the Commission has the discretion to impose these sanctions, and its decision cannot be disturbed on appeal horse it lasix use why if it is supported by reliable, horse it lasix use why probative and substantial evidence. Cf. FOE Aerie 2177 Greenville v. Ohio State Liquor Control Comm., Franklin App. No. 01AP‑1330, 2002‑Ohio‑4441, at ¶ 28. Moreover, this court may not modify an authorized sanction if the decision is horse it lasix use why supported by reliable, horse it lasix use why probative and substantial evidence. Henry's Cafe, Inc. v. Bd. of Liquor Control (1959), 170 Ohio St. 233;  cf. Lindner v. Ohio Liquor Control Comm. (2001), Franklin App. No. 00AP‑1430 (noting that as a "practical matter, courts have no power to horse it lasix use why review penalties meted out by the commission");  McCartney Food Market, horse it lasix use why Inc. v. Liquor Control Comm. (June 22, 1995), horse it lasix use why Franklin App. No. 94APE10‑1576 ("when considering appeals from decisions of the liquor control commission, * * * a court does not have the authority to modify the penalty or sanction imposed against a licensee if there is substantial, probative, and reliable evidence horse it lasix use why of violation of the applicable statutes"). A violation of Ohio Adm.Code 3769‑18‑02(A) was proven by reliable, horse it lasix use why probative and horse it lasix use why substantial evidence.  The sanctions imposed by the Commission were within the authorized sanctions found in Ohio Adm.Code 3769‑18‑02(B). Therefore, the lower court horse it lasix use why did not abuse its discretion in affirming the sanctions imposed on appellant by the Commission.  Appellant's fourth and fifth assignments of error are overruled. Finally, horse it lasix use why appellant contends in his second assignment of error that the Commission failed to consider appellant's mitigating evidence.  However, there is no evidence horse it lasix use why that the Commission failed to consider appellant's mitigation evidence.  Appellant could have been suspended for horse it lasix use why a period of one year.  The fact that the Commission imposed a 30‑day license suspension suggests that appellant's horse it lasix use why mitigation evidence was considered.  Merely because the Commission imposed sanctions on appellant does not horse it lasix use why lead to horse it lasix use why the conclusion that the Commission failed to consider appellant's horse it lasix use why mitigation evidence.  Appellant's second assignment of error is overruled. Having overruled appellant's five assignments of error, the judgment of the Franklin County Court of Common Pleas is affirmed. 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