https://kmehredc.com/home daily 1.0 2024-01-23 https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633135632139-T4DKLYQO97HWK1Q2H0MU/unsplash-image-2bAjkE2QJgY.jpg Home https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633136434940-U32URXEV5OMNXBQ1SED0/MyVetStoreOnline_Logo_zoom.jpg Home https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633136798248-X59SPE6GSYIR5SVPVV19/unsplash-image-ucdh5HMkRMg.jpg Home https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633136846796-7JJJSI1V3AMBBRC6VS35/unsplash-image-NIJuEQw0RKg.jpg Home https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633137399930-UIY905JK4AYTT8SJ1GMF/unsplash-image-Ak5c5VTch5E.jpg Home https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633138278992-8PGW2XE1CMNUWQE96ZMX/unsplash-image-82TpEld0_e4.jpg Home https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633138394981-CP67KN4RJ9IKFRVYQYG6/unsplash-image-1xp5VxvyKL0.jpg Home https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/ec49ecc2-0b87-40f7-b915-26998fead76d/KMEH+Logo+FB.jpg Home https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1634054084974-7YTVDUF6FVK6AYERV2KW/unsplash-image-vLrlxsNKE3Y.jpg Home https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1634059473183-Q60NSL15EOHTQBBVHCVN/20210727_171957%25280%2529.jpg Home https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/3ce83258-9b76-4e26-b9ab-b4b57e740d0a/20211220_171147crop.png Home - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/cc1603b4-9b6a-4eae-af24-f23dcedf8895/20211220_171622edit.png Home - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/ee808dda-04f1-49a8-b2b7-0e1df4d2278f/20220322_165450cropedit.png Home - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/9a9de13d-14f3-454a-bbe8-923d6e7de8d1/20211220_171038.jpg Home - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/d7457678-491b-450e-b0b8-4e36a1344b2e/20210906_105538_Edit.jpg Home - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://kmehredc.com/services daily 0.75 2023-11-30 https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633477890081-IKCWUK8ZRST0WYSPKEJD/unsplash-image-3N8aGhfyYP8.jpg Our Services https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633477975221-UM1WJ3UDO6L82EYU70J1/unsplash-image-vLrlxsNKE3Y.jpg Our Services https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633478032085-9IT889R38N4OEFK6KGJ6/unsplash-image-ayUqEfNB7_w.jpg Our Services https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633547809175-5946LI1ZVP5BT3XZ2MBM/unsplash-image-9lz_hcKRvSU.jpg Our Services https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633974990404-117ZYOTGJ24Y3XZ53AWN/unsplash-image-R6hB2o3Z3pA.jpg Our Services https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1634054551338-R48RHXNSA8H3QIGHGSOL/20190913_161556.jpg Our Services https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1634056254759-H2KK4HAFYQHQ9LQX0RGZ/20180724_135717.jpg Our Services https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1634056391046-70G7ZSR98697INHUO63L/IMG-20190111-WA0077.jpg Our Services https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1640841146663-YLEENWQSTG03UB8T7T68/20211027_080636crop.jpg Our Services https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/2429971c-7004-4c66-915b-43ad5e57e542/Surgery+crop.jpg Our Services https://kmehredc.com/alerts daily 0.75 2022-03-15 https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633388415962-9TVHB55D7E0ILAUCE3DI/unsplash-image-82TpEld0_e4.jpg Alerts Alerts! https://kmehredc.com/instructions-for-clients daily 0.75 2022-03-14 https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/2f0b0208-fc43-4156-ba67-2c2af141593b/Information-Coggins-Form.JPG Client Instructions - New Patient Information/Coggins Form Would you like to make your appointment more efficient, allowing for more questions with your veterinarian or allowing you to move onto the next task in your busy day? 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Click the link below to see what opportunities Kettle Moraine Equine Hospital currently has to offer you! https://kmehredc.com/contact-us daily 0.75 2026-03-18 https://kmehredc.com/client-programs-1 daily 0.75 2022-03-14 https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633376759518-83S61T2ETRSXKIXZ9KTT/unsplash-image-UMLlSIAS7p4.jpg Client Programs - New Client Program Welcome to Kettle Moraine Equine Hospital and Regional Equine Dental Center (KMEH-REDC). Thank you for allowing us the opportunity to show you how committed we are to providing the highest quality equine health care available. Our mission is to provide unsurpassed professional expertise in a genuinely personal manner, at the best possible value. You qualify for our NEW CLIENT PROGRAM by meeting the following criteria: You have not retained the services of KMEH-REDC within the past 24 months. (If you have see our “Client Loyalty Program” below) You have not defaulted on a past balance and do not have an outstanding balance with KMEH-REDC. NEW CLIENT PROGRAM TERMS: Mention while scheduling your first appointment and at your appointment that you wish to participate in our New Client Program. Simply complete a service transaction with KMEH-REDC, pay in full at time of service and receive a certificate for 10% of the value of the services completed. NEW CLIENT CERTIFICATE is good for future services at the time those services are provided. ** Cannot be combined with other offers. All certificates must be originals – copies are not allowed. Some restrictions and/or limitations may apply. Terms and conditions may change without notice. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633377015957-H0IB95L7QL3LKA3V1FG2/unsplash-image-Ih2e_shFVdI.jpg Client Programs - Client Loyalty Program At Kettle Moraine Equine Hospital and Regional Equine Dental Center, KMEH-REDC, we have been providing equine health care for over 26 years. During that time we have formed long-standing relationships with our clients. We are proud to call you our friends. As a thank-you for your continued support, we designed an appreciation program. Whether you are a large equine operation or an individual horse owner, you can take advantage of our CLIENT LOYALTY PROGRAM. You qualify for the program by meeting the following criterion: KMEH-REDC has provided health care services for you within the past 12 months. (If not check out our “NEW CLIENT PROGRAM”). CLIENT LOYALTY PROGRAM TERMS: Simply refer a NEW CLIENT to KMEH-REDC. When that NEW CLIENT completes a service transaction totaling $120.00 or more and confirms you referred them, you will receive a certificate for $20.00 toward services provided by KMEH-REDC. That’s it! The greatest part is that you are already referring to us. You just need to make sure those referrals mention you and we will send you the certificate as a thank-you! LOYALTY CERTIFICATES must be presented at the time of service. NEW CLIENTS are defined as parties that have not retained the services of KMEH-REDC within the past 24 months, have not defaulted on a past balance with KMEH-REDC and do not have an outstanding balance with KMEH-REDC. Referred NEW CLIENTS must pay in full for services at the time provided, for a certificate to be issued. NEW CLIENTS must specifically list one referring party at the time services are provided. Only one certificate will be issued per NEW CLIENT. NEW CLIENTS must sign the certificate to be issued to the referring client. NEW CLIENTS can qualify as such one time, after which time they are considered LOYAL CLIENTS. ** Cannot be combined with other offers. All certificates must be originals – copies are not allowed. Some restrictions and/or limitations may apply. Terms and conditions may change without notice. By participating in this program both the referring client and the new client agree to allow KMEH-REDC and/or its representatives to explain why a certificate might not have been issued to the referring client. https://kmehredc.com/online-pharmacy daily 0.75 2022-03-16 https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1635198369450-ZWLQ4W603IZHFRBLHKJH/MVSO-Custom-Web-Banner_Equine_KMEHREDC.jpg Online Pharmacy - Explore what MyVetStore online has to offer you and your horse. With a valid client patient relationship, prescriptions can be delivered directly to your address and certain prescriptions can be set up with automatic refills. MyVetStoreOnline also offers a variety of other products, including general equine supplies, emergency care kit products, supplements, and enrichment toys. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1635198089309-C3ZHXCEBA2GQTCE2KX7P/MVSO-Custom-Web-Banner_Companion_KMEHREDC.jpg Online Pharmacy - MyVetStoreOnline is not just for all your horses’ needs. You can get your pets’ products through MyVetStoreOnline too! https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1635198158451-C404XYRD52XBISAIOVSU/MVSO-Custom-Web-Banner_Livestock_KMEHREDC.jpg Online Pharmacy - Do you have a script from us for a camelid patient? Or do you just need to purchase general livestock supplies? Check out what MyVetStoreOnline has to offer for livestock species too! https://kmehredc.com/dental-interview daily 0.75 2022-03-16 https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633072717399-V33Y9UP80X6CIG22GYN8/DSCF2052-cropped-resized.jpg Dental Interview - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/0bc45f59-e9ec-4ad8-a32a-da483ea51de4/DSCF1890.jpg Dental Interview - INTERVIEWER: Dr. Gieche, what constitutes a good dental examination? DR. GIECHE: This is a subject every horse owner should have a good understanding of. Armed with this knowledge they can often tell whether the medical provider is doing a quality job or not. I routinely do two levels of examinations. The first is a very brief tactile examination of the first upper premolars (cheek teeth). This examination only provides information about the condition of these teeth. If an Oral Adjustment (OA) is not indicated here, I would proceed to a full examination of every tooth in the mouth. This requires sedation, a full mouth speculum, light source, equine dental mirror, periodontal probes, and dental explorer, to complete a visual and tactile examination of each tooth in the horse’s mouth. If the doctor does not have these tools or does not use them routinely, they are not doing a quality examination and the result is a substandard job or even injury to the horse! The first examination only tells us if an oral adjustment is needed, it does not tell us one is not needed, because only a small portion of the dentition can be evaluated this way! https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633079378166-NIXZ3HP2L6G70U35QI05/20190107_015147.jpg Dental Interview - INTERVIEWER: So why do the first examination at all? DR. GIECHE: The first examination can quickly indicate if a horse needs at least an OA. This examination enables me to estimate how many of the horses in the barn will need to be scheduled for procedures directly, making scheduling efficient. The full examination can then be properly done while the horse is sedated, at the start of any necessary dental procedures, saving the owner and myself time and money. I do not charge for a brief examination because it cannot tell us definitively that the horse doesn’t need any dental procedure, only a full examination can tell us that. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633128382081-IDGBNO9TLOOPLHAPDTQ7/Jon%26LyndsyDental2020-09063crop.jpg Dental Interview - INTERVIEWER: How can horse owners help ensure they receive quality dental care for their horses? DR. GIECHE: Horse owners need to educate themselves so they can tell if their dental professional knows what they are doing and if they are taking the time to do dental procedures properly. If owners repeatedly hear “your horse’s teeth will be fine until the next time we are out”, they are almost assuredly not getting a quality examination. If the provider is not doing a good examination, they can’t do quality procedures either. They don’t even know what needs to be done! Secondly, owners should remember that just because a dental provider has a lot of specialized tools doesn’t mean they know how to use them correctly. I highly recommend horse owners use expertly trained veterinary dental providers that have a large assortment of excellent quality tools to choose from, perform pre and post procedural examinations including patient charting, and have a hospital facility to use or refer to when necessary. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633122774700-ZXM9WUE0K6722ZWZ6MMG/20190913_161556.jpg Dental Interview - INTERVIEWER: What is a good way for horse owners to acquire the knowledge they need to make decisions regarding their horse’s dental provider’s abilities and their horse’s dental needs? DR. GIECHE: They need to seek out reliable sources of information they can trust. They should not be shy about asking questions and they should always check the sources of articles they read. Be careful of information found on the internet, often it is misinformation from sources that are not refereed by any official body. Kettle Moraine Equine Hospital & Regional Equine Dental Center offers dental seminars for clients and various equine groups. Any interested parties may contact Dr. Gieche to discuss scheduling at (262) 495-2799. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633074384298-LHAHJXN6972U98066JYB/unsplash-image-MySy-2bd930.jpg Dental Interview - INTERVIEWER: Tell us what the most common dental procedure you perform is. DR. GIECHE: An Oral Examination! After the examination, an OA or Oral Adjustment. This used to be called a “float” but floating is actually only one part of an OA. A veterinary equine dental professional will use the term Oral Adjustment and maintain quality dental medical records. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633128170031-R6G1JXZYNRZNZ4ZD3985/Jon%26LyndsyDental2020-09058crop.jpg Dental Interview - INTERVIEWER: Could you describe an Oral Adjustment for us? DR. GIECHE: An OA is bringing the dentition into the best functional condition as possible for the individual patient. This may be as simple as removing the sharp enamel points from the cheek teeth (molars and premolars) or it could involve things like waves, stepped teeth, wedge teeth, shear mouths, diagonals, smiles, frowns etc. (primarily type I malocclusions). It should include performing function tests during the pre and post treatment examination phases. Treatment plans will often need to be executed over a period of time to prevent patient injury. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/81e4fc3a-aee5-4395-bd6e-dde61525c6a2/MAX+Molars+Right+60+Degree+DLMO_1_A-LUT_DentiSlate_Molar_20190109_v0_ENH_DentiSlate_Molar_20190109_v0_JPEG.jpg Dental Interview - INTERVIEWER: How often are these procedures performed? DR. GIECHE: Generally, adult horses should have a thorough dental examination, not a brief one, annually. Young stock and the elderly patients should be evaluated every six months. There are many factors to consider when designing a dental health schedule. Age, use, breed, stage of training, feeding program, past or present dental pathology and so on, all need to be factored into this decision. https://kmehredc.com/vaccination-interview daily 0.75 2022-03-30 https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633128859400-M2OV0R7PD5UPOL5XND5B/unsplash-image-A81818EFqGQ.jpg Vaccination Interview - Interviewer: Should all horses be vaccinated? Dr. Gieche: In the vast majority of cases every horse needs vaccinations. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633129236699-K2GMDC7L02WWNQ2VGFGQ/unsplash-image-SBt7hj2QX7M.jpg Vaccination Interview - Interviewer: What diseases should horse owners vaccinate for? Dr. Gieche: This is a more complicated question than it seems. There are many issues to consider when making this decision. You need a thorough understanding of the horses’ individual needs and risk factors. For instance, does the horse travel out of the area? Is it an aged or a young horse? Does it live alone or with other horses and if so how many? Do the other horses on the farm travel to events that expose them to horses from the surrounding area or from far away? Has the horse been ill or stressed in a way that could compromise its immune system? Has it had any medications that may render vaccinations ineffective or dangerous for the horse at the current time? Has the horse ever been vaccinated for the disease before and if so how long ago? Has the patient had an adverse reaction to a particular vaccine in the past? These are only a few of the more obvious considerations I make when deciding what vaccines a patient requires. There is no perfect vaccination plan to put all horses on. A trained professional should evaluate each patient’s needs on an ongoing basis and make an informed decision annually as to what to vaccinate a patient for. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633130246912-6F8EZK2FHV8QMGFNB5RV/unsplash-image-yktK2qaiVHI.jpg Vaccination Interview - Interviewer: Why can’t horse owners just follow the suggestions they get from magazines, journals and the internet? Dr. Gieche: Because advertisers and drug sales people have a vested interest in selling their products. Advertised products are not always the best or most cost effective products. As an Equine veterinarian my obligation is to the horse, not the drug/vaccine manufacturers. After reviewing all the available current scientific information, I choose the best products for the well-being of the horse. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633130657292-LXYJ5KI9N82H1FWPLCLN/unsplash-image-BUfaFc4L8V0.jpg Vaccination Interview - Interviewer: Aren’t all vaccines pretty much the same. Dr. Gieche: No. That’s why it’s so important for owners to have a veterinarian do the vaccinations. I research what the current technological advances are in vaccines each year. Advances in vaccine manufacturing are ongoing and DNA vaccines are going to change many aspects of our vaccination programs, including what vaccines to use and when to use them. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/6b95917e-d459-4c16-8d33-fabb6a96773e/20220322_100625crop.jpg Vaccination Interview - Interviewer: It sounds like Equine vaccines are getting pretty advanced. Dr. Gieche: We have come a long way from the days of egg proteins in vaccines causing site reactions in muscles. The newer vaccines are so good that I believe most reactions are either due to poor administration technique or the vaccine did its job too well and cranked the immune system response up extremely high. With the newer vaccines that veterinarians have to choose from, the risk to benefit ratio has taken another dramatic stride forward in favor of the horse. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/767618ba-e143-40a5-96b5-4a1df90c7458/20220322_090807crop.jpg Vaccination Interview - Interviewer: Is there anything else you would like to add, Dr. Gieche? Dr. Gieche: Hopefully, even though we have only scratched the surface of this topic, horse owners can see how in-depth the decision making process is when formulating vaccination programs. As highly trained equine veterinarians, we are an invaluable asset to the client and horse. If anyone would like to discuss their horses’ or stables’ individual needs with us, please call KETTLE MORAINE EQUINE HOSPITAL (262) 495-2799. https://kmehredc.com/links daily 0.75 2022-03-14 https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1618497259178-6XJGK9GR6YAVBQL5L519/20140301_Trade-151_012-2.jpg Links https://kmehredc.com/sample-surgery daily 0.75 2022-03-16 https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633379949967-MJ5IKY3FPPA96TMU0TTP/prep.gif Surgery Example - Dr. Gieche places the IV catheter and administers the pre-anesthetic medication. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633380073126-8ZTBC30A0HX11VPSNYON/support_wall.gif Surgery Example - The fold out wall in our surgery suite comfortably supports the horse. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633380335122-P8LF1DS0OEE4X3ZCWYE7/monitor_anesthesia.gif Surgery Example - Dr. Gieche administers the IV anesthetic. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633380393402-7AHHVUC94YCZSTS81L0U/almost_out.gif Surgery Example - The horse becomes progressively more drowsy. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633380483073-30E504RJWSW4Z71ZTHI4/sit_back.gif Surgery Example - The horse begins to lie down. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633380582707-1GB0GAAMGKVVMV94495R/sinks_down.gif Surgery Example - Carefully guided to the sternal position within the protection of the folding wall. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633380694392-6XFO7H4Z3DK7VPT9UQRR/start_roll.gif Surgery Example - Dr. Gieche supports his head, while the technician swings the wall back so the horse can roll over on his side (lateral recumbency). https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633380759144-IGMU863DH8PCEQQHSYMD/meds_for_surgery.gif Surgery Example - The technician monitors anesthesia and reports vitals to Dr. Gieche. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633380929635-6TCK29P6LGS55PNP9DGT/more_meds.gif Surgery Example - The technician administers medications via the IV catheter as needed, to maintain proper anesthetic depth. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633380979861-COQK7303255YAHGRJ4AY/speculum.gif Surgery Example - A speculum is placed on his head so we can operate in his mouth. The head is cushioned using an inflatable ‘pillow’. Towels pad the face so the speculum bars don’t cause bruising. The horse is ready for tumor removal. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633381455337-7UJ1UC767YWFPUGWECOX/s1small.gif Surgery Example - Here is the tumor – about the size of a golf ball. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633381529325-KMRZ1N29PKO1C17JGNI3/s2small.gif Surgery Example - Dr. Gieche begins removing the tumor. He’s able to do this from the inside of the mouth, rather than through the cheek. This decreases surgical trauma, improves recovery rates, and results in a better appearance when healing is complete. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633381585451-V8K8ITY0PN85ONRM50HL/s3small.gif Surgery Example - It’s delicate work, because the tumor is fed by many blood vessels and it is difficult to move around in the limited space. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633381627411-SSLN8FJYKTMZLKAAMY9V/s4small.gif Surgery Example - The tumor is slowly coming free. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633381687279-DS61NJ2KH15Z8SEVBOJ4/s5small.gif Surgery Example - About half-way there…. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633381742778-2PBTDD0VU74MWCLYIZZ2/s6small.gif Surgery Example - Here’s the tumor – but look what it is sitting on! A very large blood vessel is supplying this tumor. Dr. Gieche needs to carefully avoid cutting this while he removes the rest of the tumor. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1633381796052-OPZPJCC626PFRRGHOK23/s7small.gif Surgery Example - The tumor is gone! This area will fill in with granulation tissue after some suturing is done. The tumor is examined, and sent for a biopsy. If benign, this horse’s prognosis is excellent! https://kmehredc.com/reproduction daily 0.75 2022-03-15 https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/4139a821-f709-4ada-8746-746d9c224054/IMG-20190505-WA0000edit.jpg Reproduction - Reproductive Examination Breeding your mare is a big and exciting decision and we are here to help! The reproductive examination for breeding is a transrectal ultrasound examination of your mare’s reproductive tract to check for any abnormalities (and make any associated diagnostic or treatment decisions), stage where she is in her cycle, and determine when it is best to breed her. Depending on initial exam findings, this examination may need to be repeated to monitor where she is in her estrus cycle, when to breed, and/ or treatment progress. This examination provides extremely valuable information for deciding if any hormonal treatment is necessary for breeding and when to give it, when to ship semen for artificial insemination, when to breed, and to check whether she ovulated as expected post-breeding. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/c4863ffa-38f0-4a21-98b2-a85a12974b5a/IMG-20190110-WA0052crop.jpg Reproduction - Artificial Insemination After receiving your shipment of semen and confirming it is the appropriate time to breed, our veterinarians are prepared to artificially inseminate your mare with either fresh-chilled or frozen semen. This procedure involves depositing the semen from the semen straw directly into the uterus of your mare with a uterine pipet. After the procedure, the mare is allowed to rest and transrectal ultrasound is used to monitor for and confirm ovulation. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/f0cd45ed-f8b8-4d5e-bd8f-e647bf729234/20211227_112257.jpg Reproduction - Pregnancy Examination At 14-16 days post-ovulation, a mare should be transrectally ultrasounded to confirm pregnancy and monitor for twinning. Twinning in equids can be detrimental. Oftentimes, twinning in horses will lead to a loss of both fetuses in an earlier stage of pregnancy. If both fetuses survive to later stages of pregnancy, one or both usually die and can put the mare’s life at risk as well as the fetuses’. For these reasons, monitoring for twins between days 14-16 is extremely important. If twins are identified, embryo reduction can be completed at this time to protect the pregnancy and the mare. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/5626415f-2a80-4931-aea8-0202f246f38a/IMG-20190114-WA0086edit.jpg Reproduction - Mare Infertility Evaluation There are multiple causes for infertility in the mare. Infertility evaluation includes a breeding conformation examination, transrectal palpation and ultrasonography for evaluation of the reproductive tract, culture and cytology of the uterus, and possibly a biopsy of the reproductive tract tissue for evaluation. Depending on the determined cause of infertility, the mare may be treated and bred at a later time, or selection of a different mare may be discussed or recommended. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/ab5e4837-0a41-4381-84bd-01dd32f0f073/IMG-20210428-WA0003edit.jpg Reproduction - New Foal Examination Having a new foal is an amazing and exciting experience, but also comes with a lot of responsibility. Evaluating foals between 12-24 hours after birth is extremely important for their health. Foals need to drink quality mare’s colostrum before 18-24 hours of age or risk developing failure of passive transfer. Foals that develop failure of passive transfer require plasma transfers and are at increased risk of developing septic joints, systemic sepsis, gastrointestinal dysbiosis, and other deadly diseases. By evaluating the mare’s colostrum and the foal’s ability to nurse appropriately, steps can be taken to mitigate these concerns. Foals are also evaluated for evidence of broken bones, a ruptured bladder from the birthing process, patent urachus, gastrointestinal obstruction (such as retained meconium), gastrointestinal diseases, any developmental abnormalities and more during this examination. It is also important to understand that foals oftentimes have conformational abnormalities that are significantly easier to correct when identified and treated early on. Something as simple as bandaging in the first few days or weeks of life may correct a conformational abnormality that will require a surgical correction at an older age. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/8ae5dfb0-1b24-434c-90a5-9c682bec16df/20210611_112654_IgG_edit.jpg Reproduction - Immunoglobulin G (IgG) SNAP Testing Immunoglobulin G levels in the blood are evaluated to determine if your foal received enough quality colostrum from his mother to have protective immunity. If the IgG value is 800 mg/dL or above, it has received appropriate protective immunity. If your foal is between 12-24 hours of age and the value is under 800 mg/dL, measures can be taken to make sure your foal received quality colostrum and the test can be repeated in 12 hours. If the levels are above 800 mg/dL, no further treatment is required to protect against failure of passive transfer. If the values are still below 800 mg/dL, a plasma transfusion is necessary to protect the foal. The amount of plasma required is determined from the IgG levels and the foal’s clinical condition. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/ef6ac3bb-6777-4c31-983b-4a206f18a538/IMG-20190109-WA0015edit.jpg Reproduction - Postpartum Mare Examination While a lot of our initial attention post-foaling goes towards the adorable new addition to your herd, we all know your mare deserves a great deal of credit and attention too. The most common concerns for mares postpartum are a retained placenta, trauma from parturition, colic, and producing enough quality colostrum for her new foal. If your mare has not passed her complete placenta within 3 hours of foaling, or is not producing appropriate colostrum within 2 hours postpartum, it is an emergency. If she has passed her entire placenta and is producing colostrum appropriately, a complete physical exam with special attention to the aforementioned topics can be completed at the time of the foal’s examination. https://kmehredc.com/upper-airway-endoscopy daily 0.75 2022-03-15 https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/6181167c-fcbe-4671-86c5-ac92f7ade862/20211118_162154edit.jpg Upper Airway Endoscopy - Endoscopy Upper airway endoscopy is used to visualize the structures of the upper respiratory tract. This is a great diagnostic tool for horses with exercise intolerance, a cough, or that are displaying other abnormal respiratory sounds or effort. The upper airway exam of the horse includes the nasal passages, the arytenoids, the larynx and pharynx, the guttural pouches and can include part of the trachea. It does not include a view of the bronchi or other lung structures that are part of the lower airway/respiratory tract. Endoscopy allows for evaluation of which structures are affected, how significantly they are affected and guided sample collection. It aids in diagnosis of upper airway infections, partial or complete arytenoid paralysis or hemiplegia (where the cartilage(s) at the opening of the trachea do not open correctly), equine asthma (when paired with bronchoalveolar lavage), and other respiratory diseases and syndromes. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/bbdebc31-7db0-4041-bac8-8402e49819cf/243041573_2953925738171332_1089347017513646801_n_edit.jpg Upper Airway Endoscopy - Bronchoalveolar Lavage (BAL) Bronchoalveolar lavage is a procedure where sterile saline fluid is administered into the lungs and aspirated back out to collect samples of the cells and debris inside the lung fields. It is the gold standard in diagnosis of equine asthma (previously called Heaves, Chronic Obstructive Pulmonary Disease (COPD), and Recurrent Airway Obstruction). It is also the ideal way to collect samples when evaluating for possible infections within the lung fields. https://kmehredc.com/services-3 daily 0.75 2022-03-16 https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/893023ee-b233-4633-a61c-a6d83fcf2dec/DSCF0040crop_adjust.jpg Lameness and Performance - Lameness Evaluation Exam Whether your horse is at the prime of their competition years or you want to keep your retired companion or trail buddy comfortable in the pasture, we have the equipment and expertise to help you make the best decision for your horse. Our lameness evaluations start with getting a history from you and finding out what your goals are for your horse. From there our veterinarians will observe your horse move through a series of patterns and gaits. After acquiring a baseline, flexion tests are completed where indicated to see how the flexions change your horse’s movement. The rest of the exam will vary significantly from horse to horse. Regional blocks can be used to isolate lameness, or other diagnostics such as digital radiology or ultrasound may be indicated. The reasons and what we hope to achieve with each diagnostic option will be discussed with you so that you can make an informed decision about how you wish to proceed with the diagnostics and treatment for your horse. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/da6c2866-766d-4412-b34b-225d19e0c3eb/20211130_170552.jpg Lameness and Performance - Digital Radiology Our State-of-the-Art, portable, battery-operated, digital radiology equipment allows our veterinarians to make stall side decisions with you while evaluating your horse. The highly sensitive equipment provides an enormous amount of information and provides better image quality than previous models. Our veterinarians’ in-depth understanding of the physics behind how this equipment functions further improves image quality and interpretation. Our in-house software allows for image mark-ups, subsequent evaluation, and progress assessment. These marked images can be shared with you and your farrier upon request, reducing the time to treatment and thereby time to return to work for your horse. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/e009d765-e54f-4abc-a9ae-dd805a34fef7/20211228_130541edit.jpg Lameness and Performance - Ultrasound Our State-of-the-Art ultrasound equipment is the ideal way to evaluate for soft tissue injuries in lameness. A robust amount of information about the soft tissues and the integrity of the bony surfaces, that can not be attained with radiology, can be attained with ultrasonography. Special software features allow for side-by-side comparison of bilateral structures, blood flow in the region of interest, and stored digital records for progress assessment and much more. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/7d022b7d-19c4-4b52-b800-e66ae3bddf0b/20211115_153823crop.jpg Lameness and Performance - Joint Injections Joint injections are a way to relieve joint pain and/or treat joint disease at its source. If you think your horse is experiencing joint pain, call for an appointment to evaluate your horse’s pain level and joint health. After evaluation, our veterinarians can help you decide if joint injections are the right treatment for your horse and what joint product is the best choice for your horse. https://kmehredc.com/wellness-and-preventative-care daily 0.75 2022-03-30 https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/a7aebff5-2c85-498e-9700-9064bcc9fac6/20220322_100443cropflip.jpg Wellness and Preventative Care - Wellness Examinations and Prepurchase Exams Whether you are looking to get a new horse, have acquired a new horse, or just want a routine check up for your horse, we are here to help. Our veterinarians can tailor the exam to meet your and your horse’s needs. They will start by getting a history, observing your horse at a distance, and then acquiring vitals. From there, they will palpate your horse for any abnormalities, such as heat, swellings, enlarged lymph nodes, injuries, scars, etc. For pre-purchase exams, tiered lameness evaluation exams are available to meet your needs. After this, our veterinarian will discuss any further recommended diagnostics with you to help you decide how you would like to proceed. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/a3cd87bd-7528-42ba-aa53-9b69194ce758/20220322_100629crop.jpg Wellness and Preventative Care - Vaccinations Vaccinations are an important part of preventative care. Core equine vaccinations include eastern and western equine encephalomyelitis (commonly abbreviated to “eastern” and “western” when discussing vaccinations), rabies, tetanus, and west nile. Other vaccinations are considered “risk-based” and our veterinarians will be happy to discuss their recommendations for your horse based on your horse’s risk of exposure to the respective diseases. Commonly to highly recommended vaccinations for our general area include: rhinopneumonitis, equine influenza, potomac horse fever, strangles, and in some cases leptospirosis. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/947aefdf-c365-4e79-ba9d-2ddc82fe1f2d/DSC_0701edit.jpg Wellness and Preventative Care - Parasite Evaluation and Management Protocols for deworming horses have changed over the years. The current recommendation is completing a fecal egg per gram evaluation in the spring and the fall, and possibly an additional time over the summer, to determine how often your horse should be dewormed and which deworming product should be used each time to most effectively address the parasites your horse is exposed to. Parasites have become increasingly resistant to dewormers due to their overuse in the past. By taking these steps to target treat our horses for the parasites they are exposed to, and the loads of parasites they acquire, we can help keep the antiparasitic products currently available effective longer. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/e5bbc397-eb9d-4e5f-a43f-4c54fcb0db93/20211223_140940.jpg Wellness and Preventative Care - Routine Bloodwork Bloodwork is a great tool to monitor for signs of infection and organ function. Baseline bloodwork includes a complete blood count (CBC) and serum chemistry (Chem). Depending on what is observed on initial bloodwork, other bloodwork or other diagnostic tests may be recommended. Routine bloodwork can identify subclinical or early stage disease processes. If no abnormalities are observed, this bloodwork serves as a baseline comparison if your horse shows clinical signs of illness in the future. Routine bloodwork is a good idea for any horse, but is particularly useful in older horses or horses on medications that can affect their liver and/or kidneys (such as NSAIDs like phenylbutazone (bute) and flunixin meglumine (banamine)). https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1634077857368-UBKK2YTWVV4N27OXSN8W/unsplash-image-aJSfCUr41bw.jpg Wellness and Preventative Care - Coggins and Health Certificates Testing for equine infectious anemia (EIA) with a Coggins test is required in a variety of situations for the movement of horses. Health certificates are required for interstate and international travel and oftentimes for movement of a horse to a new boarding facility. From the date your horse is examined, Coggins testing is usually valid for a year and health certificates for 30 days, but this can vary slightly depending on where the animal is traveling to. Be sure to find out what testing and paperwork requirements you need to travel with your horse and we can help you get it completed. https://kmehredc.com/dentistry daily 0.75 2022-03-16 https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/7240f9ac-b0fb-4a3d-bde6-e825ef4d9f60/DSCF4059.jpg Dentistry - Oral Examination The oral examination is one of the most important parts of equine dentistry. In order to provide the best dental care for your horse, the veterinarians at KMEH-REDC complete an extensive oral exam and chart all the abnormalities observed. First a history is gathered, followed by an extraoral examination. After your horse is sedated, oral function test measurements are taken. Then a speculum is placed in your horse’s mouth and the veterinarian visually examines the mouth with a mirror and/or oroscope, and palpates the structures in the mouth with their hand and/or dental instruments. From here your veterinarian will decide what needs to be addressed in the oral adjustment and if some abnormalities may require more than one visit to correct. Once the current treatments are completed the speculum is removed and post treatment oral function test measurements are taken. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/26680486-4aed-4676-bf72-8fd46196c86b/Jon%26LyndsyDental2020-08982.jpg Dentistry - Oral Adjustment An oral adjustment (OA) is bringing the dentition into the best functional condition as possible. This may be as simple as removing the sharp enamel points from the cheek teeth (molars and premolars) or it could involve adjusting or correcting abnormalities like waves, stepped teeth, wedge teeth, shear mouths, diagonals, smiles, frowns etc. (primarily type I malocclusions). It should include performing function tests during the initial examination phase and after the OA is completed. It is important not to remove too much dental material from a tooth at one time and treatment plans will often need to be executed over a period of time to prevent patient injury. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/5165cd98-55d8-4967-b5c2-d0ebb7b037f5/DSCF4090.jpg Dentistry - Malocclusions Malocclusions are any deviation from normal occlusion. A tooth is, or multiple teeth are, not in the correct place, or an abnormality preventing the jaw from closing in the correct position or chewing in the normal pattern is present. Malocclusions can originate from the teeth themselves or from asymmetry or an abnormality of the bones associated with the dentition. If identified early, these abnormalities can be addressed and improved to achieve the most functional occlusion possible for the patient. When identified late, treatment often requires a more involved and higher risk approach and may require more frequent oral adjustments. Common malocclusions identified in equids include hooks, ramps, steps, excessive transverse ridges, wave mouth and diagonal bites. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/b16f5bdd-3f3e-4a1e-ba83-9a5afbbdba47/20210518_090845edit.jpg Dentistry - Periodontal Disease Management Periodontal disease is not uncommon among horses. Roughage in the horses’ diet can collect in diastemas (spaces between teeth) or be packed under the gum line along the teeth. The packed feed allows for excess bacterial growth in the area and can create damage to the attachment tissues of the teeth (periodontal disease). In addition, other conditions like advancing endodontic disease may lead to attachment loss (periodontal disease). By recognizing these signs and completing the required diagnostics, a treatment plan can be developed to prolong the health of both the teeth involved and your horse. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/aa51f54f-1d4f-474e-8f0e-baaadae2b00b/MAX+molars+Left+45+Degree+DLMO_0_A-LUT_DentiSlate_Molar_20190109_v0_ENH_DentiSlate_Molar_20190109_v0_JPEG.jpg Dentistry - Diagnostics Digital Radiography is a key diagnostic tool in identification and treatment planning of dental disease, especially when it comes to the early stages of a disease process. Imaging helps us to evaluate the affected and surrounding structures and tailor the best possible treatment plan for your horse. KMEH has state-of-the-art, specialized digital radiographic equipment allowing us to take both intraoral and extraoral radiographs. The addition of intraoral radiographs provides a means to obtain oral radiographic images of specific oral structures that are difficult to evaluate from extraoral images. Intraoral digital radiographs help eliminate confusing overlapping structures from areas other than the target tissues (teeth, etc.), providing “cleaner” images and allowing for more detailed evaluation of the structure(s) of interest. Oroscopy is endoscopy of the mouth, or video feed of a camera image from inside the mouth. It is used to obtain detailed images of less accessible portions of a horse’s mouth, such as the back of the mouth, or where the tongue or cheek runs along the teeth. It can also be used to provide detailed, magnified images of the occlusal surface (where the top and bottom teeth pass over each other to grind food) to further investigate suspected abnormalities, such as infundibular cavities. Oroscopy may be recommended as an additional way to examine your horse’s mouth, as a way to increase visibility for completion of delicate intraoral procedures, or as a way to track and record progress of a staged treatment plan or the healing process. Sinoscopy is an endoscopic exam (camera view) of the sinuses. Horses’ maxillary (upper) teeth are intimately associated with the sinus cavities of the skull (specific teeth are associated with specific sinus cavities). Infections of the maxillary tooth roots can lead to sinus infections (secondary sinusitis), and sinus infections can, in turn, affect the maxillary teeth. Sinoscopy is used to obtain detailed images and information about disease processes that affect the sinus cavities and evaluate for dental involvement. This information helps us determine specific diagnoses and plan surgical procedures and treatment plans. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/48a4c406-bc79-4f07-9bd6-de090d81177c/20200131_112804_Moment.jpg Dentistry - Dental Extractions While our goal is to keep your horses’ teeth healthy and in their mouth, sometimes the best way to help your horse and treat their dental disease, is to extract the teeth involved. KMEH-REDC has all the equipment necessary to perform any dental extraction, from simple to complex extractions, of any tooth in the horses’ mouth. This includes special equipment for equids of all different shapes and sizes. The large majority of dental extractions at KMEH-REDC are completed with an intraoral approach in the standing, sedated horse. This decreases the risk to your horse and shortens healing times. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/a33e84c0-666b-4d32-a300-dc5f65c450c1/EOTRH.png Dentistry - EOTRH Surgery EOTRH (Equine Odontoclastic Tooth Resorption with Hypercementosis) is a progressive painful disease of primarily the incisor and canine teeth of the horse. It may occur in a number of presentations including: primarily resorptive where the teeth are eaten away over time, hypercementotic where the teeth form excessive amounts of cementin over their surfaces, or a combination of the two. Often the horse will hide its pain very well and as an owner you may not realize your horse is suffering. Tests like the “carrot test” and evaluation of the “grimace response” may be helpful to assess levels of pain. Unfortunately, to date the best treatment for EOTRH is extraction of the affected teeth. This may be an involved surgery requiring an experienced dental surgeon with intimate knowledge of the involved anatomy. Specialized surgical instruments and techniques are employed to achieve the best possible outcomes. These may include raising tissue flaps and removal of bone to reshape the upper and/or lower facial bones. The good news here is that horses generally do extremely well postoperatively and go on to live a happy pain free life. If you or your veterinarian thinks your horse may have EOTRH, please reach out to us for a consultation. We can substantially improve your horse's quality of life. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/a6b4c4b1-a64c-4a84-a65f-1fa032d49fb7/20211119_141837.jpg Dentistry - Sinus Surgeries Horses have six pairs of paranasal sinuses. When a sinus becomes infected or affected directly it is termed “primary sinusitis or primary sinus disease”. When a sinus becomes infected or affected due to extension of disease from an area outside the sinus it is termed “secondary sinusitis or secondary sinus disease”. There are a number of treatment options for sinus infections depending on the source of the problem. In some cases tubes may be placed under the skin and through the bone into a sinus to allow flushing of the sinus for a few days. In other cases the sinus may need to be opened surgically to allow removal of dead and decaying tissues, cysts, or infected teeth or tooth roots. Masses may form in the sinuses requiring one or more sinuses to be surgically opened to gain access to the mass for safe biopsy or for removal etc.. Horse sinus anatomy is complex and involves a number of critical vessels, nerves and other structures like the thin wall of bone that separates the sinuses from the area housing the brain. Special training and advanced care techniques must be employed when performing sinus surgeries. Being a seasoned clinician and both fellowed by the AVD EQ and boarded by the AVDC EQ gives you confidence Dr. Gieche has the training and expertise needed to perform these challenging sinus procedures. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/69789c55-b35c-41e5-bf21-4b2876c8c2ff/Broken+Jaw+Sx.png Dentistry - OTHER Surgeries of the Head/Mass Removals Not every procedure fits into the categories listed above. KMEH-REDC is well equipped to meet all your equine dental needs. Whether a mass is found in your horse’s mouth, your veterinarian is looking to refer a complicated dental case, or you have any other concern about your horse’s dental health, we are here and ready to help. Just give us a call at (262) 495-2799 so that we can determine how we can best meet your needs. https://kmehredc.com/chiropractic daily 0.75 2022-03-15 https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/a7105b20-c89c-4109-8464-18f92d133597/20180724_135101editcrop.jpg Chiropractic - Chiropractic Evaluation Just like people, horses can greatly benefit from chiropractic care. If your horse appears to have back soreness or pain, stiffness through its neck or back, or less fluidity to its gait, a chiropractic evaluation is recommended. During the evaluation, our veterinarians will palpate your horse’s TMJ, along its spine, its limbs, and joints, as well as complete range of motion and flexibility tests to isolate areas of concern. From there, recommended adjustments and any other necessary treatments can be addressed. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/6837f251-823b-46cd-b34b-392bd288955c/20180724_135202editcrop.jpg Chiropractic - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/a6d107d4-d05f-45f2-95c2-8181eab3dcd1/20180724_135717edit.jpg Chiropractic - Chiropractic Adjustments Depending on your horse's chiropractic evaluation, specific adjustments will be recommended to help decrease soreness and pain and improve your horse's gait and freedom of movement. A period of rest and certain stretches may be recommended. Depending on the case, a series of adjustments may be necessary, especially in animals that are making significant changes in the way they are using their bodies (growing animals, starting training, career changes, etc.). Improving and maintaining your horse’s neuro-skeletal health will not only help them feel better in the moment, but it can also improve your horse’s body’s ability to heal itself and preserve your horse’s neuro-skeletal health as he/she ages. https://kmehredc.com/emergency-services daily 0.75 2022-03-15 https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/afa2a2bb-de35-4c8b-bd74-dafa7bdf3cd8/20200615_145812.jpg Emergency Services - Colic Care Colic is abdominal pain and has a wide variety of causes. Common signs of equine colic are inappetence, pawing, camping out, flank watching, biting at the flank or sides, “sucking up” of the abdomen in the flank region, decreased fecal output, rolling, sweating, etc. Colic has a wide variety of causes and can be mild and self resolve, severe and require surgery, or anywhere in between. Our veterinarians can provide ambulatory colic care in the field and medical colic care with fluid therapy in the hospital. If you observe your horse displaying signs of colic, call us right away. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/7e811a55-a18b-494a-ae52-cc2e8f53d949/Facial+Laceration+Repair.png Emergency Services - Lacerations Lacerations are a common injury in the equine world. It is important to remember that a small laceration can still be an emergency depending on their location and what the injury occurred on. Lacerations around joints should be evaluated for joint involvement so that necessary treatment to prevent or treat joint infections can be initiated as soon as possible. The sooner a laceration can be repaired, the better its rate of healing and the less it will scar. Not all lacerations can be sutured closed and other methods of repair, such as bandaging, will be evaluated on an individual basis. Tetanus Toxoid vaccine boosters are often necessary in laceration cases. Knowing your horse’s vaccination history and when it last received a tetanus toxoid vaccine is useful information. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/e353e05c-5459-49b9-84f1-8c26ce9db75a/20210126_105150.jpg Emergency Services - Eye Emergencies Any injury to the eye or eyelids is an emergency due to the risk of loss of vision. Injuries to the eye itself that are left untreated can develop into infections of the eye that are difficult and intensive to treat. Whether your horse's eye is squinting, tearing, swollen, has something weird floating in it, or is abnormally red around the eye or the tissue that surrounds it, it should be seen by a veterinarian. Eyelid lacerations should also be seen on an emergency basis to try to save the protection it provides to the eye. Eyelid lacerations that are left untreated or receive delayed treatment often experience dieback or loss of some or all of the affected eyelid tissue. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/840caa32-95a7-45f6-bd72-c6d78a61b83a/20180421_104410chokecropedit.png Emergency Services - Esophageal Obstruction Relief Esophageal obstruction, commonly referred to as “choke”, is when a food bolus gets stuck in a horse's esophagus. While this does not actually prevent a horse from breathing, it can be very painful and can risk permanent damage to the esophagus and aspiration pneumonia if left untreated. Horses that are going to self-resolve a choke usually do so within the first 30 minutes of experiencing the esophageal obstruction. If they have not resolved the “choke” by then, they are unlikely to and need emergency medical attention. Common signs of esophageal obstruction are food material coming out the nostrils, inability to swallow, extended neck, tearing, coughing, distressed behavior. If you observe any of these signs in your horse, please call us right away. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/d4558e2e-dc20-493f-981c-0df7ae49735d/unsplash-image-Ucg0yh7Rkuc.jpg Emergency Services - Emergency Care in General The list of possible equine emergencies is endless and we see it all. Just give us a call at (262) 495-2799. If we can not answer, the message will direct you to the correct emergency number to call for the on call clinician. We provide emergency services 24/7 365 days a year. https://kmehredc.com/therapeutic-trimming-and-shoeing daily 0.75 2022-03-15 https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/cdf4ef90-b069-41a1-8717-e4aeb80bff7d/IMG-20210804-WA0005.jpg Therapeutic Trimming and Shoeing - Combining Veterinary and Farrier Expertise The value of paired expertise is exponential. At KMEH, we are happy to work with your farrier and provide trimming and shoeing recommendations for your horse based on our radiographic findings. We are also happy to provide you and your farrier a copy of your horse’s radiographs at your request. Each horse responds to therapeutic trimming slightly differently and what works for one horse may be different from what works for another horse with a similar disease process or radiographic findings. Therefore, our veterinarians enjoy including you and your farrier in open discussion of how to best accomplish our goals for your horse. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/4d0d5b72-66d7-48ff-8ed0-9e3ae167f4bb/20211027_095516.jpg Therapeutic Trimming and Shoeing - Trimming and Shoeing for Laminitis After acquiring radiographs of your horse’s feet, we can provide individualized recommendations for trimming and shoeing for laminitis. This includes deciding the best location for breakover in regards to the location of your horse’s coffin bone inside its hoof and placement of the shoe to continue to ease breakover and provide additional support in the necessary locations. Shoeing laminitic horses often includes providing sole protection with a pad and partially filling under this pad to help disperse your horse’s weight while preventing pressure on painful areas. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/3963343d-3d4e-4953-a798-dd0c2dd77b11/20211027_100041.jpg Therapeutic Trimming and Shoeing - Todd Gillis Todd Gillis is an excellent farrier and blacksmith with exceptional knowledge of therapeutic trimming and shoeing. He has been a valued colleague for over 30 years. He regularly comes to KMEH to complete therapeutic trimming and shoeing for our patients. https://kmehredc.com/camelids daily 0.75 2022-03-15 https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1634080982228-B31AFOFBVXLDM6YLVXDU/20191219_154351.jpg Camelids - Wellness and Preventative Care General Wellness Examination Vaccination Fecal Egg per Gram Evaluation Deworming External Parasite Evaluation and Control Routine Bloodwork https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/d6a5f8a7-12c2-4bac-be68-d5ef4056a9f2/camelid+dental+collage.jpg Camelids - Dental Care While camelids do not require routine oral adjustments like horses, they may still have dental abnormalities that need attention. Dr. Jon Gieche is prepared to meet all your camelid’s dental needs. The most commonly performed dental procedure on camelids is extraction of a tooth or multiple teeth. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/7a0362a2-283a-4fa8-9dbb-a8634578c2d1/20210915_073516crop.jpg Camelids - Reproductive Care Reproductive Ultrasound Pregnancy Examination Pregnancy Monitoring New Cria Exam Postpartum Exam https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1634080838117-UFU5RUDVGV400TAVJSHW/20210723_165746.jpg Camelids - Lameness Evaluation and Treatment Lameness Examination Local and/or Nerve Blocks Radiography Ultrasonography Surgery https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1634081091901-6W7995WYOIKLOSB73Q2H/20191219_154342.jpg Camelids - Chiropractic Care Chiropractic Evaluation Chiropractic Adjustment At Home Recovery/Physical Therapy Recommendation https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1634080742268-QA2W7ZJLH3C08KMZ5QUE/20210723_163844.jpg Camelids - Surgery Castration Mass Removal Dental/Oral Surgery Injury Repair Other https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/1640730107107-MNB5OMAQ2MXTFWLYAQOF/unsplash-image-jrX3BsN53ls.jpg Camelids - Health Certificates Health Certificates are usually good for 30 days from examination by the veterinarian. If you require other veterinary based travel documents, let us know and we will help you meet your requirements. https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/b5363bfc-83f4-47f2-8369-46abf69b468c/20211222_153802.jpg Camelids - Our Walker Dr. Jon Gieche majored in physics before deciding to become a veterinarian. He loves thinking outside the box and developing medical equipment to better match the needs of his patients. In one such case, he constructed a walker for a down llama requiring physical therapy to recover. It worked wonders and our walker is now available for future cases. If your llama or alpaca experiences a limb or neural injury that requires assisted walking, our walker is available for in hospital care and may be leased for use outside of the hospital under certain circumstances. If you are interested in this equipment for one of your llamas or alpacas, call (262)495-2799 for more information. https://kmehredc.com/job-opportunities-at-kmehredc daily 0.75 2023-12-01 https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/2f5fb11c-f2b4-4d95-bc1a-935245119bd6/20211122_222814.jpg https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/cf2c3481-28b9-4cf4-9793-3943b9a2a1f3/20211115_152751.jpg https://kmehredc.com/soft-tissue-surgery daily 0.75 2023-12-01 https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/8f0b4ac5-68aa-4e79-8551-0cbea9691f7c/KMEH+sx+suite+CO2+Laser+Crop.jpg https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/8961931c-7293-4227-aff5-6173f2946c14/20230718_100332.jpg https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/453c3e9f-1725-4e51-b4b9-20042875c17d/20230718_101223.jpg https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/da3303c6-a89a-4b2d-985f-b06c50485b7d/20230705_130419.jpg https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/8d8e5edd-bda7-4a03-8bd4-49062e32306d/20230705_132153.jpg https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/720f1484-430f-43a1-a08d-ec92caca73f9/20220414_124934.jpg https://images.squarespace-cdn.com/content/v1/61553541236ee350ffb69131/e76d831e-dc12-4793-a359-0125b90ca2b0/20211119_141837.jpg