Sunday, May 2, 2010

A Terrible Accident



The above picture is of JB's leg in a cast. Sorry for the quality of the photo but I took it with my phobe. I can barely bring myself to write this post, but sometimes writing can also be healing for me. I am still in a bit of shock and just trying to deal with all the complications of what has happened.

Last Thursday , April 29th something happened to JB. He was in a terrible accident. I was just leaving from work, when I received a call from my husband to get home quickly. The neighbor had just called him and said that JB was caught in a gate and was hanging upside down from his leg and was in big trouble. “ Get home now..” was Tom’s last words before he hung up the phone. Tom was only a mile from home at that point. I was still 12 miles from home, stuck in 5:00 traffic.

As terror ripped through every cell in my being, I managed to think clearly enough to call my vet. Even if I couldn’t get there quickly, atleast the vet could and meet Tom at the house. I knew for sure that whatever condition JB was going to be found in, he would need a vet.

I made it home in record speed. The vet was already there. I ran around the barn to find JB standing at the horse trailer, soaking wet, full of mud and trembling uncontrolably. His front right leg was bleeding and he was not bearing weight. He nickered when he saw me. The vet had already given him bantamine and a sedative and was waiting for it to kick in so he could be examined. I threw a second blanket over JB to help keep him warm and hopefully stave off any further affects of what was clearly shock setting in.

Tom filled me in on the details. Somehow JB managed to catch his front right leg in between the top part of the gate where it is attached to the barn. The problem is that how he did it is still a mystery. There was absolutely no gap between the barn and the gate. We build all of our gates this way to prevent this exact nightmare. And here we were. Needless to say, JB managed to get hung up. His front right foot was up in the air and JB was on his back underneath the gate. It’s hard to imagine, even now. I have probably gone to look at that gate 100 times in the last 72 hours trying to figure it out. My best guess is that he reared up, came down with his front feet on top of the gate, which is 6 and half feet high, and as he tried to get his feet down, his feet must have slid to the left and his right foot got caught in the process... somehow… The weight or angle or both must have been enough to force his foot down between the exterior wall of the barn and the gate. We have no idea how long he was in this position. The UPS driver was who noticed JB in his predicament and alerted the neighbor, who then called Tom.

Tom was able to unbolt the gate and get JB free. He said JB jumped right up as soon as he was free but it was obvious his front right leg was not in good shape. It was bleeding and he was not putting weight on it. The vet got there shortly thereafter.

As Tom caught me up on the details, I stood there trying to offer whatever comfort I could to JB, the freezing rain pouring down on us while the vet examined him. His foot and pastern was “sloppy” (sloppy meaning there was too much lateral movement. We needed to get xrays to see what was going on, possibly something broken. We put a temporary cast on him and got him loaded in the trailer.

The xrays revealed , to my surprise, no broken bones. But, nearly as bad, maybe worse. It appeared he had torn his medial collateral ligament (MCL) of the short and long pastern bone, or the proximal interphalangeal joint. This was the reason for the “sloppiness “ of the joint from side to side when the vet first examined the foot. Normally, xrays are not the best diagnostic tools for tendons and ligaments. Ultrasound is the more traditional method but the vet was able to maneuver the joint in such a way that allowed a clear image, showing the displacement of the joint, indicating clearly that the ligament tear.

The treatment:

My vet encouraged me to have the radiographs reviewed by an advisory board at Pullman. He felt that they would be able to give me a more accurate prognosis , because they would obviously see more of these types of injuries than he would . He would be able to email the radiographs over night and have an answer the next day.In the meantime, the vet put a cast on and JB stayed the night at the clinic.

I went ahead and had my vet send off the radiographs and Friday I spent the day waiting to hear back .


The options are complicated. For right now, JB has to be in his cast for about 10 days until the swelling has come and gone. JB also sustained a crush injury to the tissues just above his coronet band. That has to heal. For right now, JB is on stall rest and he has to be on even ground. Since I don’t have a stall, I have him at a boarding facility about 3 miles away. Atleast for now. The plan is to get him home and we started making that happen this weekend (more on that later).

In 10 days, he will be ultrasounded, and recast again. This cast will be more permanent, for 6-8 weeks. JB would remain on stall rest for 3-4 months. Assuming he is healing well at that point, the cast can come off and then he can be moved out to a small paddock. That’s assuming everything is healing as it should and other complications don’t arise along the way. The final outcome of this method,which I'll refer to as the conservative method for now, is that JB would be a horse that might be sound enough for a pleasure but would have arthritis complications for the rest of his life…most likely.Ofcourse, every horse is different so my vet was not able to be more specific than that.

The other option is to put JB through surgery and fuse the two joints. The vets at Pullman that reviewed his radiographs thought this would be best option if JB is to stand any chance of recovering to full use, but as with any surgery, there are no guarantees. They felt that he would most likely be able to go back to work as an endurance horse if the joint was but there is always a risk. Ofcourse, the other down side is that the surgery is very expensive. On a good note, if I do opt to do the surgery, there is a surgeon that can come here from Great Falls, and perform the procedure. The recovery and rehab period would be a total of 6-7 weeks. With a fusion, there would also be no risk of arthritis since the joint is one unit, so to speak.

At this point, I haven’t made a decision yet. I have to consult with my vet further, I have lots of additional questions. Since JB has to get through these first 10 days,I do have a little bit of time to make a decision.

Right now, JB is at a barn about 3 miles from home. I'll try not to over exaggerate but it's a dreadful place. It's noisy and stressful there for him and he hates it. It's dark in the barn and there is an arabian stallion across from JB's stall that is completely out of control. Keeping JB quiet and as stress free is going to crucial to his recovery. That's why I am getting him out of there by Tuesday. It’s killing me to have him away. For the last two days, I have restacked 6 ton of hay to one side of the hay barn so that we can get a section set up for a stall for him. That involved getting my brother to come up with his skid steer to scrape down the dirt floor of the hay barn for an even base for gravel. A truckload of gravel is coming tomorrow. I will then place rubber mats down, section off a 12x12 stall using panels, which will then have plywood attached to the inside of those panels to make them completely risk free.

Right now, I can’t think about 3 months down the road, I am only taking it moment by moment. Getting JB home will help my emotional state, as well as his. I am hoping I can then think a little more clearly. His body is hurting, his nerves are tattered. All I can do is everything for that horse right now.

To all my blog readers, I hope you keep us in your thoughts and prayers. We need all the help we can get right now.

14 comments:

Funder said...

OMG, Jonna, I'm so sorry to hear this! You and JB are in my thoughts. ((hugs))

Dunappy said...

WOW sorry your JB is hurting. Hope he recovers well. I have a mare that's pretty accident prone, but she's not done anything as bad as that yet.

Anonymous said...

Oh no!! I'm so sorry to read about JBs accident- I'll be thinking of you both this week and sending all the healing wishes I can your way. Please keep us posted.
Karen W.

Cheyenne said...

OMG!!You must be devastated! Poor thing. I am sure with your care JB will pull through. Thinking of you all!

ellescee said...

Jonna-

I'm so, so sorry to hear about this catastrophe. I'm also sorry I wasn't there on Friday to receive your x-rays (I'm on radiology for my final rotation). Please let me know if there's anything I can do to help, or if you have any questions you need clearer answers on. I'm good at bothering radiologists and surgeons to get a better idea of what they're meaning--both speak a foreign language.

You all are in my thoughts and prayers.

Elly
egburnett@gmail.com

Anonymous said...

Oh Jonna my heart is breaking for you and JB. You and JB are absolutely in my thoughts and prayers. Aside from utilizing Elly, my husband is an equine vet at Idaho Equine Hospital along with three board-certified surgeons so if you wanted a third opinion on those radiographs please let me know. Thank God JB has a fighting chance - I know he (and you) will fight hard. Amanda

Merri said...

my god how awful!!!! I feel for you - I don't ever want that phone call.
please keep us updated, we are pulling for you.
- The Equestrian Vagabond

Mel said...

I am so SORRY. (HUGS!!!). I'll definately be keeping you in my prayers. Please keep us updated as you are able. I am so very very sorry that something like this happened to as nice a pair as the two of you.

irish horse said...

This is so terrible to read! I love to follow your adventures and this is so scary. I hope you get him home soon where you'll both feel better, and work towards a successful recovery.

Jonna Kelner said...

Just a quick note to everyone: Thanks for the outpouring of well wishes , prayers and good wishes being sent our way. JB is handling his cast extremely well, in fact, its everything I can do to keep him from wanting to trot when I take him for his daily walk! Tonight was a little rough, had to give him his last dose of antibiotics, with needle administration.. He is pretty awful with needles but we got through it with the help of beet pulp , carrots and Tom holding him as still as he possibly could. We'll be finishing up the stall tomorrow and bringing him home tomorrow evening. Thanks everyone.

Endurance Granny said...

Jonna,

Thoughts, prayers, and hugs....praying for the very best outcome. So terribly sorry you and your horse are going through this.

~E.G.

Tamara of In the Night Farm said...

Ohhhhhhh, Jonna!!! I'm stunned and speechless, and so, so sorry. Please let me know if there's anything I can do.

Anonymous said...

Just checking in, and hoping things are improving with JB.
Karen W.

Dom said...

I know this was long ago, but what a HORRIBLE thing to have happen. I'm so glad JB pulled through this ordeal. Holy cow...