2017 NO Laminitis! Conference

2017 Conference Schedule

Hours noted are approved by AAVSB/RACE for a total of 13 hours veterinary professional CE.**

Thursday, October 26, 2017 - Arrival
5:30pm - 7:00pm

Meet and Greet ~ Tucson Hilton East

Meet fellow attendees over hors d'oeuvres and cash bar.

Friday, October 27, 2017
7:00am - 8:00am Sign in
8:00am - 8:15am

Jaini Clougher, BVSc, BSc, ECIR Group Inc. President

Welcome

8:15am - 9:15am

Jaini Clougher, BVSc, BSc

How Did We Get Here: Historical Review of Diagnosis and Treatment of PPID and EMS
The ECIR Group has had a unique opportunity to view veterinary research and development of the recognition of PPID and IR in the Equine, along with the ability to experience first-hand how diagnosis is undertaken and how treatments succeed. This lecture will explore how that view has brought us to today.

9:15am - 10:15am

Eleanor M. Kellon, VMD

**A Tiered-Management Approach to EMS and PPID
Successful prevention or rehabilitation of laminitis takes finding the correct Diagnosis, establishing a supportive Diet—and Drugs if needed—maintaining the correct physiological Trim and, when the horse is able, an appropriate Exercise program (DDT+E). This lecture will show how a tiered-management approach maximizes the chances of success in maintaining or rehabilitating a healthy Pituitary Pars Intermedia Dysfunction (PPID) and Equine Metabolic Syndrome (EMS) equine.

10:15am - 10:30am BREAK
10:30am - 11:30am

Kathleen Gustafson, PhD

**Informed Dietary Decision Making — the Benefit of Forage Analysis
Forage is the foundation of the equine diet, yet nutrient value, common mineral deficiencies, regional differences in forages, and the factors that determine forage quality are underappreciated. Through data compiled over several years, attendees will learn the benefits of forage analysis, how to determine hay quality, the impact of quality on specific nutrients and minerals, and different approaches to mineral supplementation.

11:30am - 12:30pm

Carol Layton, B.Sc, M.Ed

Minerals and Hoof Health
The overall health of a horse, including hooves, coat, and immune system, depends on a number of factors. Nutrition is one factor that is completely within our control and offers significant results. The most common deficiencies in pasture and hay tests are the minerals copper and zinc. It's very common for iron, and sometimes manganese, to be excessive, which can lead to a secondary deficiency in copper and zinc. The aim of this presentation is to show how dramatic an improvement can be with copper and zinc supplementation targeted to forage intake.

12:30pm -1:30pm LUNCH  ~  Tucson Hilton East
1:30pm - 2:30pm

Eleanor M. Kellon, VMD

**EMS and Inflammation
An extensive body of research in human and laboratory animal insulin resistance has linked obesity, inflammation, and insulin resistance. The picture in equines is less clear. We will review published findings and the implications with regard to etiology, management, and complications of Equine Metabolic Syndrome (EMS) in horses.

2:30pm - 3:30pm

Eleanor M. Kellon, VMD

**Endocrinopathic Laminitis: How is it Different?
Researchers initially assumed endocrinopathic laminitis was similar in mechanism to other models of laminitis. However, histopathological studies of tissues obtained from horses with laminitis induced via insulin infusion show a different picture. We will look at what is currently known about these differences.

3:30pm - 3:45pm BREAK
3:45pm - 4:45pm

Eleanor M. Kellon, VMD

**Acute Care for Endocrinopathic Laminitis
Because of the unique pathophysiology of endocrinopathic laminitis, usual acute care measures may be ineffective or even potentially harmful. This lecture will explore approaches to acute care that provide targeted and more effective pain control, focusing on the underlying pathology.

4:45pm - 5:15pm

Question and Answer Session

5:15pm - 6:15pm

Break Out Sessions

6:30pm Dinner  ~  Tucson Hilton East
Saturday, October 28, 2017
7:30am Doors Open  ~  Tucson Hilton East
8:00am - 9:00am

Lisa Lancaster, DVM, PhD

**Multimodal Treatment for Chronic Foot Pain in Horses
Practitioners agree that successful treatment of chronic equine foot pain requires a multimodal approach. However, there is no agreement on which modalities are the most effective, and there is limited research to guide us on the specifics. This first hour will be an introduction to the concepts and methods of chiropractic and acupuncture, two of the modalities I use most frequently when addressing chronic foot pain in horses. Attendees will gain an understanding of how the concepts and methods can be applied to other modalities that they may already be using to help horses recover from chronic foot pain.

9:00am - 10:00am

Lisa Lancaster, DVM, PhD

**Case Histories Using Multimodal Treatment for Chronic Foot Pain in Horses
Equine practitioners must use clinical judgment and therapeutic trials on a case-by-case basis to find clinically effective solutions for laminitis and other causes of chronic foot pain in horses. I will present case histories, including some histology, to enhance understanding of this multimodal approach used in my practice, and how I combine various options in pharmacologic and physical medicine. After attending this talk, attendees will have an appreciation for how these techniques work at different levels of the nervous system. Furthermore, attendees will gain an understanding of how the concepts and methods can be applied to other modalities that they may already be using to help horses recover from chronic foot pain.

10:15am - 10:30am BREAK
10:15am - 11:15am

Lavinia Fiscaletti, BS

Trim – the Essential, Missing Ingredient
Too often the trim is the last and forgotten part of rehabilitation. Learn the simple methods used to recognize common hoof capsule distortions and how to determine the corrections needed to realign the hoof capsule with the bony column.

11:15am - 12:15pm

Paige Poss, AFP

**Understanding the Anatomy of Foundered Feet
Foundered hooves twist and distort in alarming ways. Tried-and-true, commonly used, external landmarks become unreliable and do not reflect soft-tissue changes that will affect successful outcomes. Understanding how and why the feet change so dramatically internally helps the professional know how to deal with these changes.

12:15pm -1:15pm LUNCH  ~  Tucson Hilton East
1:15pm - 2:15pm

Paige Poss, AFP

**The Courage Not to Know
Trimming laminitic feet is not an exact science. Each and every case is slightly different, and I have had to embrace not knowing the perfect course of action. Recognizing how trimming affects internal structures will potentially allow us to help horses build the best possible foot and avoid or minimize the affects of laminitis and founder. In this lecture, I will share variations that I have found to work when dealing with problematic cases and how they affect internal structures.

2:15pm- 3:15pm

Robert M. Bowker, VMD, PhD

*Understanding Laminitis: How We View "Normal" Function
Virtually all traditional laminitis researchers believe the hoof wall is the primary loading structure for the foot, with the laminae acting as the suspensory apparatus of the coffin bone. Our belief is that, by using the hoof wall as the loading structure, we are setting up these horses for laminitis through these husbandry practices, irrespective of the actual cause. This presentation will show, via histological observations, that by focusing on the hoof wall and this suspensory apparatus, foot tissues are potentially compromised prior to laminitis, as they are gradually adapting to this mechanism of loading and support; this sets our horses up to fail upon insult.

3:15pm- 3:30pm BREAK
3:30pm - 4:30pm

Robert M. Bowker, VMD, PhD

**The Vascular Cushion of the Frog: Avoiding Consequences of Laminitis through an Understanding of Fascia, Microvessels, and Dissipation of Energy
Most work in equine hoof research has focused upon the above-mentioned husbandry practices of hoof wall support and loading to suspend the distal phalanx and other foot tissues. Building on the previous hour, this lecture will show morphological evidence that blood flow through the foot is designed to pass from the central foot towards the rear, providing support and dissipating vibrational energy. Many pathological changes can be seen in feet long before typical symptoms would be observed.

4:30pm - 6:00pm

Break Out Sessions

Sunday, October 29, 2017
8:30am - 9:30am

Robert M. Bowker, VMD, PhD

**The Coffin Bone: How does Adaptation to Early Changes Impact the Hoof During Laminitis?
Osteoporosis in the coffin bone is seen so often that everyone accepts it as normal. Early stage osteoporosis can be seen often, as the foot gradually loses its bone in the dorsal cortex with invasion of blood vessels and pores. We will discuss why we believe this sets the foot and coffin bone up for a catastrophic process during a bout of laminitis.

9:30am - 10:00am

Robert M. Bowker, VMD, PhD

**Considering the Live Horse: The Impact of Nerves During Laminitis and Rehabilitation
Dissections of cadaver feet have shown only a limited view of equine sensory innervations of the distal limb and do not take into consideration how they affect the live animal. The horse is really interested in the sensations other than pain exclusively, to know how he can begin to be comfortable when standing. Ongoing research will be presented to show how the foot is innervated and the impact nerves have on blood flow and comfort in all gait abnormalities, especially acute and chronic laminitis, and founder.

10:00am - 10:15am BREAK
10:15am - 12:30pm

Question and Answer Session

12:30pm - 2:00pm

ECIR Group Inc. Annual Meeting


Continuing Education Credit

RACE

This program 817-29300 is approved by the AAVSB RACE to offer a total of 13.00 CE Credits (13.00 max) being available to any one veterinarian, and/or 13.00 Veterinary Technician CE Credits (13.00 max). This RACE approval is for the subject matter categories of Category One: Scientific using the delivery method of Seminar/Lecture. This approval is valid in jurisdictions which recognize AAVSB RACE, however, participants are responsible for ascertaining each board's CE requirements. RACE does not "accredit" or "endorse" or "certify" any program or person, nor does RACE approval validate the content of the program.


AAPF

This event has been approved for 21 American Association of Professional Farriers (AAPF) Continuing Education Credits. For more information visit their website: www.ProfessionalFarriers.com


PHCP

Pacific Hoof Care Practitioners (PHCP) has approved 20 Elective or CE credits for members attending the 2017 NO Laminitis Conference. http://www.pacifichoofcare.net/


This even has been approved by the International Association of Animal Behavior Consultants for 16 Lecture hour CEUs. For more info see  http://iaabc.org/bin/#/ceus/search/




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