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Kate Marley knelt on the neck of a young rescued horse that, minutes before, had been altered from stallion to gelding.
With the horse laid flat-out under general anesthesia, Marley adjusted a surgical towel protecting the animal’s eyes from abrasion and light stimulus. She checked his gum color, a sign of circulation. She held a palm over his nostrils, the field doctor’s way of monitoring breathing. She stroked his velvet muzzle.
Nigel Miller, a fellow veterinary student, paused while examining the incision between the horse’s legs. “Doing all right up there, Kate?” he asked, to confirm that the patient was well sedated.
“Yeah,” Marley responded, glancing up from her watch on vital signs. “We just topped him off.”
The students were in a group of three Colorado State University veterinarians and eight fourth-year trainees castrating young stallions at the Dumb Friends League Harmony Equine Center near Franktown, south of Denver. Just one month ago, the rehabilitation center accepted 59 abused and neglected mares and stallions that authorities had seized among more than 200 American Quarter Horses from a farm in Conroe, Texas, north of Houston.
The horses had been starving to death – emaciated, skeletal. Some had open wounds. Others were injured and limping. Their hooves were so overgrown that the animals could not move normally. The farm’s owners were arrested and charged with animal cruelty. The lead prosecutor called the case, one of the nation’s largest reported horse seizures, “a nightmare.”
After the seizure in June, the Houston Society for the Prevention of Cruelty to Animals spent several weeks on triage, then dispersed the rescued horses to centers designed for intensive rehabilitation. Harmony Equine Center is one such rehabilitation facility: a pristine collection of fenced pastures, barns and arenas equipped to nurse and train rescued horses so they may be successfully adopted by responsible, caring owners.
Feed is job one. Since arriving at Harmony in September, the horses from Texas have gained an average of 100 pounds each, a startling sign of just how malnourished they were. Next are hoof and dental care, so the horses are comfortable, can eat and may be trained to ride. Then halter breaking, a key step in socialization.
And then, for the stallions, castration. The procedure, like neutering a male dog, prevents unwanted offspring and calms aggressive behavior. The surgery is thus required for all stallions that arrive at Harmony Equine Center.
“Our biggest goal is to do the best thing for the horse,” said Dr. Luke Bass, head of Colorado State’s Equine Field Service and leader of the daylong surgical clinic. “This is also giving these students important skills to use when they get out into practice. It’s making them better veterinarians.”
In about six hours, the CSU veterinary team would castrate 23 rescued horses. They worked on three horses at a time, the students taking turns handling, administering anesthesia and performing surgery.
As he talked, Bass oversaw a student at work, cutting and clamping with an emasculator. “Another brain surgery,” he remarked lightly, referring to the animal’s newly acquired ability to focus on something more than procreation.
Meanwhile, in another team of students and instructors, Marley checked her watch, eyeing the time her patient had been under. Miller, her partner, investigated the gelding’s 4-inch incision, looking for the source of a slow blood leak. Dr. Chuck Whitmer, a veterinary intern, sat on the ground holding a hind leg out of the way with a lead rope wrapped around the horse’s hock.
Stopping the leak
Finding, clipping and clamping the leaking vessel would avoid hemorrhage and allow for speedy healing. Soon, Miller, wearing surgical gloves, found the source of the leak.
“If you need to, you can ligate that little guy,” said Dr. Elsbeth Swain, another veterinarian with the CSU Equine Field Service. She observed closely as Miller wound surgical thread around the leaking vessel and prepared to clip off the end.
“As proximal to the body as you can get,” she coached, as Miller then stanched bleeding with a hemostat. He dabbed with gauze, noting that blood flow had stopped.
“I’m OK with it,” Miller said, nodding to his instructor.
“If you’re happy, I’m happy,” Swain replied. “This was a good one to triple troubleshoot.”
Castration incisions typically are not stitched in horses, she explained, as veterinarians have found that complete healing occurs quicker without sutures.
Waiting for her patient to rouse from anesthesia, Marley noted the value of the surgical clinic for veterinary students.
“It’s an excellent experience because we really get to be the veterinarians, working through problems as we see them, but Dr. Bass and Dr. Swain are right there to help if we need them,” she said. “In May, when we graduate, this is going to be us. So this gives you so much more confidence that you can perform the surgery, probably with just the horse and your client in the field.”
With proper technique, castration is among the simplest surgeries – barring hemorrhage or another problem.
“The actual process is not complicated, but the complications that can occur because of it are why we go to vet school,” Marley said.
Back to consciousness
After about 30 minutes under anesthesia, her patient began to wake; it was time for the horse to stand, a precarious process for an animal that rarely had been with people. Marley snatched veterinary supplies and stood back. Whitmer grabbed the lead as the gelding clambered to his feet, rushed forward in fright, stumbled sideways, then stood swaying drunkenly and blowing air in loud huffs. Miller hung on to the animal’s tail to steady him.
“Easy, son. Hold, hold, hold,” Whitmer told to the horse in quiet sing-song. “Easy, buddy. Good boy. Good job, buddy. You’re alright. Good boy. Easy.”
With help from Harmony staff, the gelding soon faltered to a holding pen, and it was time to ready the painkillers, iodine wash and instruments for another patient.
Moving to another surgical team, Swain quizzed student Katlin Hornig about effects of the day’s anesthesia cocktail on equine blood constriction and heart rate. Hornig was taking a turn as field anesthesiologist on a young stallion’s front end while on the hind end classmate Blake Aiton conducted his first solo castration surgery under Whitmer’s supervision.
Hornig is a high-achieving scholar, rising scientist, and through-and-through country girl who grew up with draft horses on a farm in southern Colorado. She has assisted with castration surgeries since she was a little girl, yet enthusiastically discussed the day’s drug protocol – made up of xylazine, ketamine and diazepam – with her veterinary professor.
“Learning from these veterinarians is awesome,” Hornig said, and then added, “The day you stop learning is the day you stop living.”
Aiton, wrapping up his turn at surgery, said he hopes to move to rural Montana after graduation to practice veterinary medicine for cattle ranches. He anticipates castration surgeries for ranch horses, likely performed alone with his patients in a remote pasture. Preparing with multiple procedures in a row at Harmony Equine Center is “a great experience because it’s a controlled environment, you learn what to look for, and you can get your rhythm,” Aiton said.
Beyond the day’s learning experience, the students understood the impact of their work on their patients, two dozen horses not carefully bred for beauty or performance, yet holding potential as fine riding companions.
“It’s really satisfying to know that we’re helping these animals,” said Cami Gonzalez, who wore a Life is Good cap embroidered with a horse head. She had just removed a wolf tooth, a kind of rogue premolar, from a horse’s upper gum to prevent pain – the first time she had done the procedure.
“When I learned about these horses,” Gonzalez continued, “I was like, ‘Wow, people actually care.’ So it was really nice to be part of it.”
Just as the veterinary team completed work on their 23rd patient, a downpour began. The group gathered supplies, munched pizza and slugged Gatorade as rain hammered the barn roof.
Garret Leonard, director of the Harmony Equine Center, asked the group to circle around.
“You did more than castrate horses today,” Leonard told the team. “You gave horses another chance at life.”
As veterinary student Kevin Lavelle headed toward the university van, he stopped to consider the day. “It can’t be replaced,” he said.
The Dumb Friends League Harmony Equine Center
• On 168 acres near Franktown, south of Denver.
• Accepts horses that have been seized by law-enforcement officials as part of abuse and neglect investigations.
• Rehabilitates the horses – focusing on health needs and training – then adopts them out to permanent owners.
• Has received 665 horses for rehab since opening in 2012.
• Started with a donation from Colorado philanthropists John and Leslie Malone, who also provided substantial funding for center operations. The Malones also have been generous donors to Colorado State, supporting Equine Sports Medicine and Rehabilitation and providing a record-breaking $42.5 million gift to establish an Institute for Biologic Translational Therapies in coming years.
• More information: http://www.ddfl.org/visit-us/harmony-equine-center