Palm Beach Equine Clinic is renowned for its exceptional care of performance sport horses of all disciplines around the world. Sometimes, the veterinarians and surgeons have the opportunity to treat the horses owned by their colleagues. This summer, Palm Beach Equine Clinic veterinary technician Megan O’Neal experienced the clinic’s surgical expertise firsthand when her rescued off the track Thoroughbred (OTTB) was diagnosed with severe spinal impingement (kissing spines).
Signs and Symptoms
O’Neal adopted Blessing, a 10-year-old mare, almost three years ago. After Blessing’s career on the track ended, she was given to Pure Thoughts Horse Rescue in Wellington, FL. Blessing had moved through a few foster homes before O’Neal gave her a forever home. Blessing had been successfully jumping three-foot courses with one of her previous foster homes. After adopting Blessing, O’Neal was jumping the mare as well, but only about two-feet high. She had plans to compete, but Blessing’s behavior changed under saddle. The mare began rearing and bolting, endangering both herself and her rider. Her attitude on ground handling turned sour as well, no longer enjoying being groomed and pinning her ears in agitation.
Identifying the Problem
With the help of Palm Beach Equine Clinic surgeon Dr. Weston Davis and the advanced imaging technology available at PBEC, O’Neal was able to pinpoint the cause of Blessing’s troubling change in behavior. The diagnosis was severe chronic back pain with dorsal spinous process impingement (kissing spine lesions). The vertebrae in her back from T16 – L1 were affected, which is the mid-section of the horse’s back, in the general region of where the back of the saddle sits.
Addressing the Problem Through Non-Surgical Treatments
The first course of action was to try several non-surgical techniques to treat Blessing’s pain. Dr. Davis tried treatments of intramuscular injections for arthritic pain and corticosteroid injections in between the spinal vertebras. A veterinary chiropractor adjusted the mare every few weeks. For almost eight months, several additional methods were tried to avoid kissing spines surgery including acupuncture, back stretches and oral muscle relaxants. In July, when the pain continued after all their efforts, O’Neal finally decided that surgery was the only option for recovery.
Kissing Spines Surgery
In the state-of-the-art hospital at Palm Beach Equine Clinic, Blessing was sedated to obtain pre-operative radiographs that map the exact site of the lesions. She was placed under general anesthesia and the surgical site was sterilely prepared. Dr. Davis made a single 20cm incision on the dorsal midline over the palpable dorsal spinous processes. Eighteen-gauge needles were inserted at regular intervals and used as radiographic markers to identify the interspinous spaces. The incision was extended through the supraspinous ligament at each site.
Dr. Davis used sterile surgical equipment, known as a bone rongeur, to elevate the soft tissues and resect some of the affected dorsal spinous processes (DSPs). The rongeurs, which are similar to large pliers, were used to slowly remove the edges of the overriding bone. This process frees the space between adjacent vertebrae until widened enough that the index finger of the surgeon could easily pass in the interspinous space. The site of resection was lavaged to remove any loosed tissues. Lastly, Intra-operative radiography was used as needed to confirm the location and completion of the surgery. Following confirmation, the supraspinous ligament was internally closed with absorbable sutures. The skin was closed with surgical staples and a stent was sutured in place over the incision. After several weeks of healing, the stent and staples were removed.
The kissing spines surgery was performed without complication and Blessing was provided a good prognosis. Soon after surgery, the space that was created between vertebrae filled with a non-painful, fibrous scar tissue. Blessing went home the following day after surgery. She was monitored closely at home and received routine peri-operative antibiotics (gentamicin and penicillin) and anti-inflammatories (phenylbutazone) for pain. Recently, O’Neal was given the okay from Dr. Davis to resume riding for normal exercise. O’Neal looks forward to continuing her partnership with this special mare. Thanks to Dr. Weston Davis and the team at Palm Beach Equine Clinic for their exceptional care to get Blessing back to happy and healthy!
Learn More About Dr. Kathleen Timmins
Dr. Kathleen A. Timmins is a 1993 graduate of the Ohio State University School of Veterinary Medicine. She completed her internship in equine medicine and surgery at the Illinois Equine Hospital near Chicago. Prior to coming to Florida, Dr. Timmins practiced in Aiken, South Carolina, where she met her husband, John Gobin, who plays polo professionally. Growing up in Central Ohio, Dr. Timmins began her relationship with horses as a child on the hunter/jumper circuit. She and her husband are enjoying parenthood with their daughter Schuyler.
Will you tell us more about your background riding on the hunter/jumper circuit?
I grew up in a family who was not involved with horses. At nine years old, I began showing in the hunters/ equitation locally in central Ohio and continued to ride until I went to college. I was fortunate enough to have a couple of nice junior Thoroughbred horses to show. I unfortunately don’t ride very much anymore. I have passed the reins over to my daughter, Schuyler. My daughter began riding at a young age on a medium pony that she has since outgrown. Schuyler is now 13 years old and rides a really nice green hunter. My husband is also a polo player, so she has been fortunate to have grown up with horses her entire life.
Were you involved with polo before you met your husband? How involved are you with the sport in Wellington?
I was working in Aiken when I met my husband. I came to Wellington with my husband in 1996 and that was also the year I started working for Palm Beach Equine Clinic. I currently have a nice mix of clientele in all disciplines located in both the Wellington/Virginia areas. My clients are mainly show horses; however, I do have many polo ponies as patients. I am also a member on the USPA (United States Polo Association) Equine Welfare Committee and Drugs & Medication sub-committee that authored the USPA Drugs & Medications Rules Book which was implemented a few years ago.
What do you enjoy about being part of the team at PBEC?
I love working at Palm Beach Equine Clinic. All the Doctors and staff are very supportive of each other and always willing to help. All the doctors have our own area of expertise and everyone is always willing to work as a team when necessary. There are many employees that have been there for many years. Additionally, I love having all of the technology available to help with all my veterinary cases. I have worked as an ambulatory tech practitioner in the past where I have had to refer cases to the local hospital. I like being on the referral end and receiving cases to help with rather than having to send clients off for various reasons.
When and why did you decide to become a veterinarian?
I was the kid following the vet around the barn when I was young. I was always seriously interested in the sciences and animals; combining the two passions seemed like a natural progression. I just came home one day and said to my mom, ‘I applied to vet school.’ I have never regretted my decision!
Do you have a specialty or main focus?
In my practice, I do a little bit of everything, but I enjoy the challenge of the difficult medical cases the best. I take many of the patients that enter the hospital, including the seriously ill ones such as pneumonias, colitis, kidney failures, or colics; the types of cases that require problem solving. At Palm Beach Equine Clinic Hospital, I can closely manage their care every day to hopefully recover successfully. I also like working with the geriatric animals. We have seen an increase in the senior performance animals and I enjoy working to keep them comfortable and happy.
Who has been the biggest influence in your life or career? What did they teach you?
It really hasn’t been any one person who influenced my career, it has been many. The truth is, you learn something or gain something from everyone, good, bad or otherwise. There are always lessons to be learned and you are always influenced a little bit by everybody in your life.
What are some of your other hobbies or interests?
During the summers when school lets out in Florida, my family travels to Middleburg, Virginia. My husband runs Great Meadow Polo Club and also has a polo school up there. I help him with the club when I’m there. I am licensed in VA so I can still work with my clients from the clinic there. We also travel to Aiken as we have a farm and clients there, but we don’t get there very often as we are so busy with the club in VA.
What is one of the most interesting cases you have worked on?
Recently, I had a racehorse filly with a case of multidrug-resistant pneumonia that was really tough to treat. Our team had to think outside the box from normal procedures to treat her, but it was successful! She recovered fully from her aggressive case of pneumonia and went home to her owners. In today’s veterinary world, horses, like people, are contracting these drug-resistant bacteria as well.
If you were not a vet, what would you be doing?
I would be a chef and run my own restaurant. I really love to cook, it is a passion of mine!
Is there anything else that people would like to know about you?
I am an FEI Veterinary Delegate for the past 10 years. I have many close contacts within the FEI and I am knowledgeable with all of their up to date rules. An FEI veterinarian is present at the shows to monitor the care of the horses.
Q&A with Dr. Bryan Dubynsky
Get to Know Dr. Dubynsky
Q. Where did you grow up and what is your background with horses?
A. I grew up in Northern Indiana on a horse farm. I was fortunate enough to breed, show in the Midwest circuit, and train our horses.
Q. When and why did you decide that you wanted to become a veterinarian?
A. My father is a physician and I’ve always grown up with an interest in medicine. Choosing to become a veterinarian seemed to be a natural fit combining my love for horses and medicine.
Q. Who has been the biggest influence in your life or career? What did they teach you?
A. I spent my entire childhood from 8 to 18 years old with a third generation horse trainer from Kentucky. He taught me horsemanship and patience of which are two crucial foundations for successfully working around horses every day.
Q. What is your specialty/main focus as a veterinarian?
A. My main focus and interest is sport horse medicine. I love focusing on improving athletic performance and treating horse-related injuries to help clients get their equine partners back to the top!
Q. When did you join Palm Beach Equine Clinic and what do you like about working there?
A. I joined Palm Beach Equine Clinic in 2009. I love working here for the exceptional medical and surgical capabilities and experiences available. I also love the camaraderie of all the employees; we really work as a team! Teamwork is paramount for making the clinic successful.
Q. What is some advice that you would give someone who wants to become a veterinarian?
A. Pick out the top people in the industry and work with them. Learn as much as you possibly can from the people who have been practicing for a long time.
Q. What are some of your other hobbies or interests?
A. Polo, golf, guitar & music, hiking, seeing family and friends. Spending time with my lovely dog, Ginger.
Q. What do you love about your job?
A. I love the opportunities to travel all over the country and Europe to see really cool places to work with my clients. I love working with the competition horses and the atmosphere of high-level competition, as well as caring for the sweet trail horses at home.
Q. What is one of the most interesting cases you have worked on?
A. My horse Batman. He was an abandoned polo pony suffering from West Nile Virus. He was paralyzed for three days and no one wanted to treat him. We treated him with intensive care for three days and used a tractor as a last ditch effort to get him to stand. He has since made a full recovery and is currently playing polo.
The 2015 Pan American Games were held in Toronto, Ontario showcasing exciting equestrian competition in the disciplines of show jumping, dressage and eventing. Countries from North, South and Central America, as well as the Caribbean, fielded teams for the prestigious event which served to secure qualifications for the 2016 Olympic Games in Rio de Janeiro, Brazil. Palm Beach Equine Clinic was proud to have two of its finest sport horse veterinarians in the middle of the action, providing veterinary support to the world’s elite horses.
Palm Beach Equine Clinic’s Dr. Jorge Gomez was in attendance at the Pan American Games to care for many of his competing clients throughout the event. Dr. Gomez is not only a top sport horse practitioner but is also a board-certified surgeon. Dr. Natalia Novoa was also one of the treating veterinarians at the Games, where she provided conventional veterinary services as well as alternative medicine including chiropractic adjustments and acupuncture for many of the equine stars.
Drs. Gomez and Novoa were witness to great sport and tremendous results during their time in Toronto. The show jumping portion of the Games was held July 18-25, awarding medals for individual and team events. Both veterinarians were fortunate enough to watch the Canadian Show Jumping Team win gold. Argentina went home with the silver medal and the United States earned bronze. They also proudly watched several of their own clients earn top finishes in the individual competition. McLain Ward (USA), Andres Rodriguez (VEN), and Lauren Hough (USA) earned the gold, silver and bronze medals respectively.
There is a great deal of work that is vital to maintaining a world class performance horse in peak condition for an event such as the Pan American Games. Dr. Gomez was selected to be the Team Veterinarian for Venezuela and Guatemala. Dr. Gomez teamed up with Dr. Novoa to provide veterinary support for silver medal winner Darlon van Groenhove with Andres Rodriguez (VEN) and sixth place finisher Hardrock Z ridden by Emanuel Andrade (VEN). Dr. Novoa was honored to work with and care for many of the event’s most successful horses, including Canada’s Tripple X III (Tiffany Foster) and Coco Bongo (Eric Lamaze), Argentina’s Abunola (Luis Pedro Biraben) and Cannavara 9 (Matias Albarracin), and Venezuela’s Darlon van Groenhove (Andres Rodriguez), as well as Hardrock Z (Emanuel Andrade).
“Such success is attained with the contributions of a number of people, including the riders, trainers, owners, grooms, veterinarians, farriers and other support personnel, and I wish to take this opportunity to congratulate each and every person involved,” Dr. Novoa stated. “It is my honor and pleasure to provide veterinary care to such top caliber horses. It is truly exciting to watch these athletes compete at the highest level, earning personal bests, such as Andres Rodriguez winning the Individual Silver Medal for Venezuela! Good luck to everyone in the preparations for the Olympic Games in Rio in 2016!”
Palm Beach Equine Clinic, an industry leader in sport horse veterinary care, features a renowned list of veterinarians who are experts in their respective fields, and available to provide services to clientele throughout North America and around the world in the various horse sport disciplines.
A 12-year-old show jumper is moving nicely just 2 months after laboring to walk.
Palm Beach Equine Clinic Staff Surgeon Dr. Weston Davis operated on a severe lameness case on July 5 that had quickly progressed into an emergency situation.
Evaluation and Diagnosis
Annabelle was referred to Palm Beach Equine Clinic for advanced imaging and evaluation of severe subsolar abscessation in the Holsteiner mare’s left front foot that was not responding to aggressive therapies.
She was diagnosed with infectious pedal osteitis in the left fore and early stages of support limb laminitis in the right fore. Pedal osteitis is an infection of the coffin bone. Annabelle previously showed in the Adult Jumpers with her owner, Jennifer Knobel, but the infection had advanced to the point that she could barely walk.
Local veterinarian Dr. Kim Snyder vigorously managed Anabelle’s foot condition in the field before referring the case to Palm Beach Equine Clinic. She performed digital radiographs at the farm, but they failed to adequately define the lesion. She requested an MRI study of the foot to more accurately image the underlying causes of the persistent foot abscess, such as a foreign body, bone infection, sequestrum, or tumor.
Advanced Medical Imaging Technology
As the radiographs were not definitive enough alone, the team at Palm Beach Equine Clinic used their state-of-the-art MRI technology for a more detailed analysis. The MRI showed excess fluid and severe inflammation within the coffin bone. The infectious pedal osteitis had caused the bottom of the coffin bone to begin to deteriorate. Worsening the situation, Annabelle was reluctant to bear weight on her left foot. Then she developed mild laminitis in her right foot due to the increased load on the supporting limb to relieve pressure. The development of support limb laminitis determined the emergency status of the left fore lameness as laminitis could be a fatal complication.
Dr. Davis and the team at Palm Beach Equine Clinic took immediate action using the MRI scans for accurate surgical mapping. The MRI study documented exactly where the infectious pedal osteitis was located. This mapped position was used in comparison to the previously taken radiographs. Both imaging modalities were used intra-operatively to guide Dr. Davis precisely to the area of infected bone.
Surgery and Recovery
Annabelle was placed under general anesthesia, and the left front limb was prepared for surgery. A 5 cm long x 3 cm wide window was cut through the sole down to the surface of the coffin bone, through which the necrotic (infected) bony tissue was removed. Prior to recovery, the surgical site was packed with antibiotic powder and a full distal limb bandage was applied. Additional support of Soft-Ride boots and sole supports were positioned. Medical grade maggots were applied to the foot the day after surgery to safeguard absolute full debridement of all necrotic/infected tissues.
Annabelle was placed on a range of antibiotics. Pain was managed with local nerve blocks and anti-inflammatory medications. Her pain improved rapidly in the operated left limb and signs of laminitis in the right fore resolved as well. During her stall rest recovery, the foot was soaked routinely in Epsom salts. Betadine soaked gauze was applied over the frog and surgery site each day and the hoof was wrapped for protection.
Snyder continued to care for Annabelle in the post-op period. Synder’s husband and farrier, Jim Gilchrist, applied a shoe with a treatment plate to protect the bottom of the foot. This allowed for routine access by removal of three simple screws.
The initial cause of the abscess or why the infectious pedal osteitis progressed so aggressively is still unclear. Dr. Davis speculates that it was possibly a spontaneous abscess and for whatever reason, whether the depth into the foot or the presence of a highly infectious bacteria, Annabelle was just unlucky. Instead of draining like a “normal” abscess, this particular case established an infection within the bone. This made it impossible to clear the infection with even the most aggressive medical therapies apart from surgical removal.
Annabelle’s infectious pedal osteitis has cleared and her hoof is healing well. Now she is walking sound and has a favorable prognosis for further improvement with hopes of eventually return to work.
Best in Class Veterinary Team
Palm Beach Equine Clinic is renowned for its full-service surgical center and intensive care hospital located in the heart of Wellington, Florida. Board-certified surgeons, primary care veterinarians and hospital technicians are scheduled 24 hours a day, 365 days a year to treat, monitor and care for critical cases. With world-class veterinarians and a full staff of highly trained technicians, both clients and patients of Palm Beach Equine Clinic are in the best hands possible for equine emergency care and beyond.
Surgical Facilities for Equine Emergency Care and Beyond
Palm Beach Equine’s surgical suite and staff is prepared for all kinds of 24-hour equine emergency care. The large team of 24 veterinarians includes three board-certified surgeons who rotate on-call duties for all equine emergency care. This aids Palm Beach Equine Clinic veterinarians and all of Southeast Florida with the ability to quickly treat equine emergencies requiring surgical assistance. The state of the art intensive care hospital is equipped with digital video cameras for the clinicians to easily monitor their patients from any location, at any time.
Laboratory and Diagnostic Capabilities
Palm Beach Equine Clinic has the most advanced imaging technologies available on-site, including Magnetic Resonance Imaging (MRI), Nuclear Scintigraphy (Bone Scan), Ultrasonography, Digital Radiography and Endoscopy. Palm Beach Equine Clinic has a board-certified radiologist on-site to interpret images and assist in precise diagnosis. Palm Beach Equin Clinic is equipped with a full-service laboratory with hematology, chemistry, and microbiology equipment to quickly help with the evaluation of each case.
For more information on Palm Beach Equine Clinic or in case of an equine emergency, please call (561) 793-1599 to contact an on-call veterinarian.
A leader in sport horse medicine, Palm Beach Equine Clinic is always on the forefront of advances in regenerative therapy. One treatment that has become widely used in modern equine medicine is the use of Platelet Rich Plasma (PRP) for soft tissue injuries.
Platelets are very small blood cells that are a crucial part of our body. Platelets are an integral part of the blood clotting process to stop hemorrhage from any wound. Platelets also contain Growth Factors – the elements that aid in healing and stimulate specified tissue to heal at an increased rate.
In order to treat your horse with Platelet Rich Plasma, the veterinarians at Palm Beach Equine Clinic are able to take a sample of the horse’s blood and concentrate the platelets in a high-speed centrifuge using procedures, filters, and equipment. The concentrated platelet rich sample is injected back into your horse at the specific area of injury in a sterile procedure usually ultrasound-guided.
A sample is pulled from the bloodstream in the exact method one would draw blood from the jugular vein. The pulled blood sample is then processed in the sterile laboratory on site at Palm Beach Equine Clinic to extract and concentrate the platelets in a condensed sample. The prepared PRP sample is injected into a tendon lesion or ligament or even into the joint space to provide natural growth factors to increase the tendon rate of healing and aid in the repair of the injury.
PRP treatment has had repeated great success in tendon and suspensory ligament injuries and is increasingly used in the treatment of intra-articular joint injuries. It can be very helpful to help repair cartilage and soft tissue injuries within the joint space.
Palm Beach Equine Clinic prides itself on continuing to remain State of the Art on continuing medical advancements. Along with PRP, Stem Cells are also frequently used with PRP. The growth Factors are combined with regenerative Progenitor Cells. This cutting edge therapy is part of a continually advancing field that has made exciting developments in both human and equine sports medicine.
Palm Beach Equine Clinic veterinarian Dr. Richard Wheeler considers PRP to be one of the best-studied regenerative therapies offered.
“The nice thing about PRP is that you are using the body’s own healing mechanisms,” Dr. Wheeler explained. “It is very natural; it is all endogenous. You are using the horse’s own cells to repair injuries, and it can be really useful.”
“Regenerative medicine is a very explosive field at the moment,” Dr. Wheeler continued. “We are improving and finding out new things all of the time. PRP is being used extensively in human medicine as well. It has good science behind it, so I think it will stand the test of time.”
Every regenerative therapy program is different and it is important to consult your veterinarian and understand the options and specific applications for each treatment. To find out if PRP therapy is right for your horse, contact Palm Beach Equine Clinic for more information at 561 793 1599.
Thoroughbred Brazilian Triple Crown winner Bal a Bali was admitted to Palm Beach Equine Clinic on August 3, 2014. The elite athlete was treated for life-threatening laminitis by board-certified surgeon Dr. Weston Davis of Palm Beach Equine Clinic, in conjunction with Dr. Vernon Dryden, just months after his Triple Crown win in March of that year.
Brazil’s 2014 Horse of the Year, Bal a Bali (Put It Back—In My Side, by Clackson) took an impressive win in the Grande Premio Cruzeiro do Sul (Brz-I) to become the country’s 12th Triple Crown winner. He finished the race in track-record time at Gavea racecourse.
Following his last start in June 2014, Bal a Bali was purchased by Fox Hill Farm and Siena Farm and imported to the U.S. in late summer, but unfortunately suffered from laminitis brought on during his travels. Bal a Bali was in a Florida quarantine center scheduled to fly to trainer Richard Mandella’s stable in California when the problems developed.
Bal a Bali Admitted to PBEC Equine Hospital
Bal a Bali was quickly moved to Palm Beach Equine Clinic in Wellington, Florida, where he was received by Dr. Weston Davis, who would oversee his care in the equine hospital for the next three months. Palm Beach Equine Clinic set aside an entire section of the hospital barn as a quarantine unit to meet the horse’s final import requirements while he was treated with aggressive cryotherapy – a gold standard of laminitis care. Hospital staff carefully monitored Bal a Bali and treated him with consistent cold-water spa treatments for several days throughout the severe acute phase of this disease. He was gradually weaned out of the spa as he improved clinically.
On two occasions, Dr. Davis performed intravenous regional perfusions of the horse’s feet with advanced stem cell treatments. A myriad of other medical therapies were administered throughout his stay. The progression of his laminitis was closely monitored with the use of diagnostic imaging and meticulous farrier care. Farriery care included ensuring optimal sole support and proper mechanics to decrease strain on the fragile lamina. By October, the horse was cleared to travel to Siena Farm in Kentucky. There, Dr. Dryden continued to treat the horse and he was then flown to California in January.
Winning his Battle with Laminitis
After a nine-month recovery process, Bal a Bali made a miraculous return to the track for his North American debut in May 2015. He cruised to victory in the $100,000 American (G3), a one-mile turf race for three-year-olds and up at Santa Anita Park. At that point, the five-year-old had captured 12 of 13 career starts and earned $570,078.
Bal a Bali’s comeback was no doubt a result of the outstanding care he received at Palm Beach Equine Clinic under the extraordinary supervision of Dr. Weston Davis and Dr. Vernon Dryden.
Thank you Fox Hill Farm and Siena Farm for the trust you placed in Palm Beach Equine Clinic.
As you prepare to compete, the partnership with your veterinary team is critical for your sport horse’s health and success. It is comforting to know that the finest equine hospital and sport horse care in the Southeast is less than one mile away from the Palm Beach International Equestrian Center and across the street from the Global Dressage Festival. The veterinarians and staff of Palm Beach Equine Clinic are respected throughout the industry for their advanced level of care and steadfast commitment to the equine industry and horse care.
Palm Beach Equine Clinic is proudly the Official Veterinarian of the Winter Equestrian Festival and the Global Dressage Festival, two of the world’s most competitive equestrian horse show circuits.
The team is onsite at all the competitions to provide veterinary services and is ready to step up in case of an emergency. This dedication has become invaluable over the years to many competitors that have needed their expertise in veterinary medicine.
As the consistent leader in sport horse medicine, Palm Beach Equine Clinic provides 24-hour coverage at their all-inclusive on-site hospital; complete with full surgical and internal medicine capabilities, laboratory, pharmacy and advanced diagnostic imaging center.
State-of-the-art diagnostic imaging services include:
- Standing magnetic resonance imaging (MRI)
- Nuclear Scintigraphy (bone scan)
- Digital ultrasonography and radiography
- Standing computed tomography (CT)
Furthermore, Palm Beach Equine Clinic performs thorough lameness examinations, extensive pre-purchase/pre-lease evaluations, dentistry, podiatry consultation, and complete reproductive services. Palm Beach Equine Clinic also provides alternative medicine services such as chiropractic and acupuncture therapies, as well as, resourceful preventative medicine programs.
The veterinarians of Palm Beach Equine Clinic are are top-level academics frequently published in popular equine magazines and national veterinary journals. One of the more recent members to the Board of Directors at the Palm Beach Equine Clinic is Dr. Richard Wheeler, whose primary area of interest is equine lameness and sports medicine. He is passionate about his role in maintaining sport horses to enjoy a long and successful career.
What are the latest innovations that allow you to administer cutting-edge care to sport horses?
Dr. Richard Wheeler: There are many exciting new developments in equine sports medicine. The addition of imaging modalities such as magnetic resonance imaging (MRI) and computed tomography (CT) together with recent improvements in digital radiography, ultrasound and Nuclear Scintigraphy allow us to be more specific with our diagnoses and image areas of the horse that we were previously unable to image. Furthermore, regenerative therapies such as platelet rich plasma (PRP), bone marrow concentrate and the use of stem cells offer exciting opportunities with regard to the treatment of a wide variety of conditions, including soft tissue and joint injuries.
What do you find separates the most successful equine competitor from the rest?
Dr. Richard Wheeler: Across the field of disciplines, I believe attention to detail and a good team are the most important factors. As a veterinarian, I try to work closely with the owner, rider, trainer, farrier, groom and often many other support staff members. I will often examine the high level horses every week during the intense winter season and we will work together to make subtle adjustments to keep the horse performing at their very best.
How do you feel about your move to the USA and Palm Beach Equine Clinic ten years ago?
Dr. Richard Wheeler: Time has gone fast! There is nowhere in the world like Wellington, Florida, it is a wonderful place to live and practice veterinary medicine. Palm Beach Equine Clinic is an amazing family with a wealth of experience and knowledge to draw on. I think our greatest strength is our team approach; we will spend hours discussing and debating the best approach to cases and I think this is incredibly valuable to our clients. It is of great value to me as a veterinarian to have the high quality equipment we have invested in as well as the support of our Board Certified Surgeons (Drs. Brusie, Gomez and Davis) and our Board Certified Radiologist Dr. Puchalski. I am a strong believer in developing a specialty as a veterinarian so having the depth of support at Palm Beach Equine Clinic allows me to concentrate on lameness and sports medicine with the capability to provide my clients with doctors who specialize in other areas such as alternative therapies, reproduction and dentistry.
Dr. Wheeler’s extensive experience with a variety of equine performance sports advanced after graduating from the Royal Veterinary College in London in 2002. Dr. Wheeler completed an internship at the world-renowned Newmarket Equine Hospital, specializing in surgery and sports medicine, before moving to Palm Beach Equine Clinic in 2005. Licensed to practice in Florida, Kentucky and New York, as well as the United Kingdom and Europe, Dr. Wheeler is an FEI official veterinarian. A horseman himself, Dr. Wheeler has competed in a variety of equine sports including eventing, dressage, show jumping and polo.
Many international Grand Prix riders, such as one of the United States’ top Dressage riders, Tuny Page, attributes the health and soundness of her horses to Dr. Wheeler and the Palm Beach Equine Clinic team.
“Richard is a fine veterinarian with great depth of experience and super instincts. On top of that, he communicates beautifully with me as the client and my grooms as my horse’s managers. Richard is very secure in his positions about diagnosis and treatment of the horses, which allows him the ability to communicate openly with other veterinarians and therapists. This works particularly well when I am traveling with the horses and need to have open communication between other veterinarians and Richard. Richard has always treated my staff with the respect and integrity they deserve and the result is tremendous trust within our team. The most important recommendation for Dr. Wheeler is, quite simply, that my horses are happy, healthy and sound.”
International Grand Prix Dressage Rider Tuny Page
Additionally, International Dressage star, Mikala Munter (DEN), who recently won the FEI Grand Prix Freestyle CDI 4*, knows the importance of equine health and states praise for Dr. Wheeler.
“Dr. Wheeler from Palm Beach Equine Clinic has a good eye and feel for what a horse needs, and he is the best veterinarian for a sport horse”
International Grand Prix Dressage Rider Mikala Munter
Palm Beach Equine Clinic is committed to provide care for your equine athlete throughout the year and across the globe, and support at shows across the USA, Europe and South America.
Dr. Sarah Puchalski is a Diplomate of the American College of Veterinary Radiology whose specialty includes the interpretation of bone scans, MRI, ultrasound, radiographs and other diagnostic imaging techniques. With her addition to the staff, Palm Beach Equine Clinic is one of the few equine hospitals in the country to employ a full-time radiologist on-site. In addition to working with horses locally and assisting veterinarians around the world, Dr. Puchalski also competes in the Medium and High Amateur Owner Jumper circuits.
It is important for clients to get know our doctors so we asked Dr. Puchalski to share a little about herself!
How do you like being in Wellington and having the opportunity to compete at the Winter Equestrian Festival?
I think it is a really unbelievable opportunity to ride in the most competitive rings in the country regardless of the level at which you are competing.
How do you like working at Palm Beach Equine Clinic?
Palm Beach Equine Clinic is great place to work. It is very vibrant and busy. I like the energy that comes out of the place and the imaging equipment is world-class.
Why do you feel it is important to have a Board Certified Radiologist on site?
My full time job is image reviews which takes a high level of specialization. This provides support for all veterinarians ranging from field veterinarians to surgeons. It is very rare for an equine hospital to have a full-time radiologist so having one on board offers a step up in the quality of service. When a horse comes in for an MRI or bone scan everything can be reviewed before the horse leaves the clinic so if any other care is needed it can be handled in one visit.
What ways do veterinarians use radiologists?
There are a couple ways. One is that I read complicated images such as bone scans and MRIs. Most veterinarians do not have the training to read these images. The second way is to provide a second opinion on routine diagnostic techniques such as radiographs and ultrasounds. Clients and referral veterinarians will also use my opinion for pre-purchase examinations.
Tell us about your studies and how you’ve developed an international reputation?
I did two internships in field service and sports medicine at New Bolton Center Hospital at the University Of Pennsylvania School Of Veterinarian Medicine. Then, I spent four years at the University of California, Davis in imaging. For eight years I stayed there as faculty for doing research instruction and clinical service. I have published more than 50 scientific articles and performed over 100 presentations around the world on lameness diagnosis and Diagnostic Imaging in Sport Horses.
What would you like veterinarians and owners to know about you?
My philosophy is to support all veterinarians, whether it be a veterinarian from Palm Beach Equine Clinic or a referral. I read cases from all over the world on a daily basis. Many owners ask their veterinarian to consult with me for a second opinion. I view my role more as a support role for all veterinarians to provide the best care for horses.