Equine Imed

Equine Imed Equine Internal Medicine and Diagnostic Services (Equine Imed) was formally known as Hudson Valley E I am a board certified Equine Internal Medicine Specialist.
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Board-certified Veterinary Specialists are similar to their human medical counterparts in that they have completed an internship and residency in their specialized field.

11/12/2024

Did you know sleep deprivation and narcolepsy can impact your horse's health and performance?

In the latest issue of Platinum Magazine, we dive into the signs, causes, and effects of sleep issues in horses. Recognizing subtle symptoms is vital to understanding how stress, pain, and environmental factors can disrupt rest. Learn how to identify and address sleep-related issues to keep your horse healthy, rested, and ready to perform at their best!

Learn more here ⬇️
https://www.platinumperformance.com/articles/sleep-deprivation-in-horses.html

Check out this new podcast on Equine Gastric Ulcer Syndrome with Dr. Amy Polkes and Jessie Bengoa, presented by Platinum...
09/09/2024

Check out this new podcast on Equine Gastric Ulcer Syndrome with Dr. Amy Polkes and Jessie Bengoa, presented by Platinum Performance.

With such a high prevalence, particularly in performance horses, understanding the causes, risk factors, diagnostics, treatments and preventive approaches to Eq

Some helpful info from MHC.
08/08/2024

Some helpful info from MHC.

07/12/2024

The summer heat and sun won't be letting up any time soon, so make sure your equine friends are adequately protected from harmful UV rays. ☀️

Hot summer weather puts horses at risk not only for dehydration and heat stress but also the skin damage and discomfort that accompany a sunburn— just like humans.

A lot of equestrians love some chrome on a horse, but it's important to remember that those beautiful white markings and the non-pigmented pink skin underneath are more likely to suffer from sunburn, especially in areas where the skin is more sensitive — like around the eyes and the nostrils.

In addition to the pain and discomfort, horses that are prone to recurrent sunburn may also face other long-term consequences, like the increased likelihood of developing squamous cell carcinoma (a common cancer).

If your horse is susceptible to sunburn, contact your veterinarian for more information about sun damage and recommendations to keep your horse protected this summer.

07/12/2024
07/09/2024
06/26/2024

NEW Podcast Episode: Move Over Microbiome

We’ve all heard the term “microbiome,” but what does it really mean and how does it impact the health of the horse?

Hear the latest from Dr. Canaan Whitfield-Cargile on why the microbiota (bacteria) that make up the microbiome are yesterday’s news, and why the newer (and more telling) players in town are unveiling never-before-seen discoveries. The metabolome, metatranscriptome, and exfoliome are revealing that it’s not necessarily what bacteria are present in the horse’s gut that matters, but rather how the metabolites those bacteria produce influence not just gut function, but the overall health of the horse. This episode is a must-listen to understand how the gut truly functions.

Listen Now: https://podcasts.apple.com/us/podcast/move-over-microbiome/id1535855327?i=1000657405532

06/06/2024
What is a "scoop" or a "flake?"Check out the article below ⤵️📖🐎🌾☘️to learn why defining your horse's diet by weight is c...
05/22/2024

What is a "scoop" or a "flake?"
Check out the article below ⤵️📖🐎🌾☘️
to learn why defining your horse's diet by weight is critical for their well being and the best management practices from their team! 💞🦄

By weighing feeds you not only know exactly how much your horse is getting daily, but also if your horse is receiving a balanced diet and meeting requirements for forage and the nutrients that are important for achieving optimum health, development, and performance.

There's still time to sign up and settle in to listen to this First Tuesday Lecture!
05/07/2024

There's still time to sign up and settle in to listen to this First Tuesday Lecture!

Rehabilitation is vital to getting your equine athlete back up to speed. 🐎

🔓Unlock the secrets to successful rehabilitation by joining us and Kara Brown, VMD, DACVSMR, assistant professor of equine sports medicine and rehabilitation, for the latest installment of our virtual First Tuesday Lecture Series: Rehabilitation in Animal Athletes.

This event is free and open to the public. 🌟

🐎 Rehabilitation in Animal Athletes
🗓️ Tuesday, May 7, 2024, 6:30 – 7:30 pm
🔗Register today: https://bit.ly/3ZvrrVE

05/02/2024

BUG SEASON IS HERE!

Besides being very irritating, it's important to remember that some of these insects can spread infection and disease to your horse (and, in some cases, to you as well). Therefore, a smart strategy is to control the problem before it gets out of hand and minimize populations from the beginning.

The attached infographic contains some suggestions to get you started. Please keep in mind that there are many variations of these suggested programs that will still meet the same goals and follow the same principles.

As always, reach out to your veterinarian for recommendations suitable for your horse’s specific situation!

We are often finding bots in the stomach during gastroscopy.  Bot fly larvae are extremely common in horses.  The two mo...
04/20/2024

We are often finding bots in the stomach during gastroscopy. Bot fly larvae are extremely common in horses. The two most common species are Gasterophilus intestinalis and Gasterophilus nasalis. Both species attach their eggs to the hairs of the horse, Gasterophilus intestinalis to the distal forelimbs, shoulders and withers, and Gasterophilus nasalis in the area of the jawbones. Licking and grooming stimulate the eggs of G intestinalis to hatch, whereas the G nasalis hatch spontaneously. The first instar larvae find their way into the oral cavity of the horse and migrate within the tissues of the tongue for up to 3 weeks and then found in interdental spaces for about a week following. As second instar larvae they continue on to the stomach where G intestinalis attaches to the non glandular (top of the stomach) lining near the margo plicatus (area that sperates the non-glandular/top and the glandular/bottom of the equine stomach) and G nasalis in the pylorus (exit of the stomach) with oral hooks. After 7-9 months third instar larvae develop and pass out of the horse in feces. The larvae pupate in soil and dry manure, with adult bot flys emerging after 3-5 weeks. The adult bot fly searches for a mate with haste and the life cycle is renewed. Adult bot flys have no mouth parts and do not feed during the mature stage of their life cycle, relying on the stored energy gained during their adolescent stages.
Bots can be clinically identified during an oral exam or gatroscopy, and occasionally in feces but fecal eggs counts are not useful for detecting this parasite (read life cycle above!) Observation of eggs on the hair coat does not necessarily indicate infection but certainly exposure for that individual and it’s herd mates. The most marked clinical signs are related to the oral stages, including excessive salivation, head shaking, lingual irritation and problems chewing. The gastric stages do not typically cause clinical sign however erosions and ulcerations can occur at the attachment sights in the stomach.
Ivermectin has good efficacy with both the oral and gastric stages and can be given in the fall to reduce larval burden. Moxidectin has more varying efficacy. Bot eggs can also be manually removed from the horse’s coat by either use of a bot knife, grooming blocks or clipping.
It is important to have your primary care veterinarian as part of the deworming program for your horse! There are guidelines that change with new information on how often to fecal test for parasites, which methodology and updates on resistance and deworming strategies.

🌿🐴🍀🐎🌳🐴🌱🦟☘🪰🌾🩺Allergies in horses can present in several ways, most common are skin allergies with hives and itchy skin bu...
03/29/2024

🌿🐴🍀🐎🌳🐴🌱🦟☘🪰🌾🩺

Allergies in horses can present in several ways, most common are skin allergies with hives and itchy skin but it can also cause respiratory and gastrointestinal disease (rare).

Skin allergies and hives can come from exposure or ingestion of allergens. This can be different for every horse and figuring out the source of the allergic reaction can sometimes be frustrating.

Respiratory allergies (Equine asthma / RAO) most often present with coughing, clear nasal discharge, sneezing and exercise intolerance. Exposure to environmental or barn allergens can incite an allergic response that may be seasonal or constant. A respiratory evaluation is the first line diagnostic testing but allergy testing may be part of the evaluation.

Gastrointestinal allergies are very uncommon and can be difficult to determine if results from allergy testing is the cause of the clinical gastrointestinal signs (example is eosinophilic enteritis).

There are a few options for allergy testing in horses. Serum based allergy testing or skin allergy testing to determine the inciting cause. Skin allergy testing is not readily available. There are several companies that offer serum allergy testing with variable methods and reporting of results.

The company we use offers a regional panel and provides results on environmental allergens with trees, weeds, grasses/hay as well as barn allergens such as mites and insect allergens. A recommendation is made for desensitization based on the serum results.

Serum allergy testing provides an overview of the level of allergic response in an individual horse but it is not always specific for the allergen as there is a large amount of cross-reactivity between allergens. Desensitization usually provides a “global desensitization “ and “shifting” of the immune system to lessen the response to the allergens. This is much like desensitization in people.

The options are injections (SQ) starting off every 4 days initially, then every week, 2 weeks and then every 3-6 weeks for what an individual horse may need.
There are also liquid allergy drops but these need to be administered daily always.

If you have concerns about allergies in your horse we recommend you contact your veterinarian to discuss some options that can provide relief.

🌿🐴🍀🐎🌳🐴🌱🦟☘🪰🌾🩺

The importance of cardiac health in horses is highlighted in this feature article in Platinum Magazine “Heart to heart: ...
11/01/2023

The importance of cardiac health in horses is highlighted in this feature article in Platinum Magazine “Heart to heart: cardiac health in horses”.

What are we looking for when we listen to a horse's heart? We are listening for any indication of a murmur or abnormal rhythm (arrhythmia). A murmur is just a change in normal blood flow direction in the heart. It is not the murmur itself that is the problem but the consequence of the murmur with a change in cardiac size and function that is the concern.

Horses can develop a murmur or arrhythmia without having any clinical signs that there is a cardiac problem. Sometimes there may be a performance concern like exercise intolerance or there may be no outward signs that there is any change in the heart.

Having a veterinarian listen to the heart at least once a year – or more for high performance horses- is highly recommended.

If a murmur or arrhythmia is detected, a thorough cardiac evaluation should be performed by a board-certified specialist with advanced training in Equine Cardiology. This will include a complete cardiac ultrasound and ECG to look at the structure and function of the heart. Other diagnostics such as an exercising ECG may also be recommended. These diagnostics can be done right at the farm!

My practice, EQUINE IMED, is committed to education on cardiac health in horses. There is often apprehension when discussing cardiac concerns in horses. It is important to understand that not all cardiac murmurs or arrhythmias become a serious problem. Many horses can perform at all levels with a cardiac condition if they are monitored appropriately so that any concerning changes can be detected.


Please contact our office at 845-444-0134 to find out about our new Cardiac Health Program that we will be offering to support this initiative.

Dr. Amy Polkes discusses conditions affecting the equine heart and their impact on a horse’s health and athletic performance. Learn more about the equine heart.

We're so excited to share these before and after photos of the beautiful Polly! Shown here competing in tiptop shape tha...
10/24/2023

We're so excited to share these before and after photos of the beautiful Polly! Shown here competing in tiptop shape thanks to the team efforts of Dr. Amy Polkes, Dr. Suzie Welker of Erskine and Associates and her wonderful and dedicated owners!💗🦄🩺

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