1 00:00:00,720 --> 00:00:04,200 What there you're rider grume owner or simply upsess with all 2 00:00:04,240 --> 00:00:08,720 things equine this potcast is for you the careest the dicated 3 00:00:08,720 --> 00:00:12,840 the horses gech episode brings u behind the scenes of equine 4 00:00:12,840 --> 00:00:15,840 Vetonary Medicine with expert voices from niederlands 5 00:00:15,840 --> 00:00:19,440 pferdekinique and beyond we're deep in to the science and 6 00:00:19,440 --> 00:00:23,320 practical know how that help horses the drive this is your 7 00:00:23,320 --> 00:00:25,040 trusted source of equine knowledge. 8 00:00:25,040 --> 00:00:28,080 Straight from the people. Who live it every they learn 9 00:00:28,080 --> 00:00:37,040 more to carbetter. So we're back with professor 10 00:00:37,040 --> 00:00:40,720 derrick not in bell to we're will today talk about the the 11 00:00:40,720 --> 00:00:44,080 saarquits if we's out from the beginning. 12 00:00:44,080 --> 00:00:48,440 What is a saarquit? There in lies at tricky 13 00:00:48,440 --> 00:00:54,560 business, the storicly it just to be tomed award. 14 00:00:55,120 --> 00:00:58,560 If it but he was what and that we're know what a walk looks 15 00:00:58,560 --> 00:01:04,319 like if if you see award on you or an and the out animal and you 16 00:01:04,319 --> 00:01:09,840 see as arguide there is no simularity what's have a soguide 17 00:01:09,840 --> 00:01:16,400 is a form of skin cancer. That the rives not from a change 18 00:01:16,400 --> 00:01:21,280 in the sel structure, it self inharing structure, but from the 19 00:01:21,280 --> 00:01:27,280 acquisition of a small partical of a peppalomavers and that gets 20 00:01:27,280 --> 00:01:31,440 in to the sel is a fibre blast. It's a truma of fibre blast. 21 00:01:32,240 --> 00:01:36,120 It's noting to do with. Skin and surface when you can 22 00:01:36,480 --> 00:01:41,760 like as it's it's a it's a sell what's live's inside the skin 23 00:01:41,760 --> 00:01:48,040 the farber bloss and and win we realize that we realize it's a 24 00:01:48,040 --> 00:01:52,160 lock moul complicate then it actuity lux for my outside and 25 00:01:52,480 --> 00:01:56,240 they identity lokal invasive but fortunity. 26 00:01:57,040 --> 00:02:01,320 They do not spread to internal ogans the sockoide is a 27 00:02:01,680 --> 00:02:06,920 potentaly lokaly manignant tuma not the what's it petatratsin to 28 00:02:06,920 --> 00:02:10,479 the lokal tissue rejasent to weat the tuma is found in 29 00:02:11,400 --> 00:02:15,160 initialy, but it just not spread, but the blood stream or 30 00:02:15,200 --> 00:02:19,920 by the but the lymphatic system into internal ogans there's no 31 00:02:19,920 --> 00:02:23,520 rekord in kase of that what's a about and that's simply because 32 00:02:23,520 --> 00:02:26,680 it has an. It is in to meutational touma it 33 00:02:26,680 --> 00:02:30,640 does and meutate for one stage to another because the it what 34 00:02:30,640 --> 00:02:36,800 you've down is to put inside and it a time ball my suppose it's 35 00:02:36,800 --> 00:02:42,640 put inside this so with converts it's bahavia into a holican ok 36 00:02:42,640 --> 00:02:45,280 and then of go as you get the consequence is all so it's a 37 00:02:45,280 --> 00:02:49,360 twouma of fibre blast, but it is a form of cancer. 38 00:02:50,400 --> 00:02:54,080 Ok, and the where does it com from so you menschen from the 39 00:02:54,080 --> 00:02:58,320 populomaviris the. Bova and populomaviris is 40 00:02:58,320 --> 00:03:05,360 seamingly the main cours for it because i supposed histority. 41 00:03:06,080 --> 00:03:10,560 This was this aspect of it was founded bei bei pathologies can 42 00:03:10,560 --> 00:03:17,000 shared in glasgow in the mits mit early seventies on late 43 00:03:17,000 --> 00:03:20,480 sixties, i think he was do in the work and published around 44 00:03:20,560 --> 00:03:24,240 nineteen seventeen what you identified that the bowride 45 00:03:24,240 --> 00:03:28,520 popular of a virs was involved here and the dan of corsever, 46 00:03:28,520 --> 00:03:32,840 but it is a virs to see that was now becoms oh i'm on a minute 47 00:03:32,840 --> 00:03:34,800 this is a virs and it's go to sprint. 48 00:03:35,120 --> 00:03:40,040 By and like a virus, then do that no it's people does and do 49 00:03:40,040 --> 00:03:43,640 that and it's a lotmol complicator not that it's on the 50 00:03:43,640 --> 00:03:46,800 a little peace of the vires. We just the cours of the problem 51 00:03:47,040 --> 00:03:50,880 ok, and so the vires does and motorply. 52 00:03:51,520 --> 00:03:55,120 On the hors, the bowinepeppalomavirs.com so a 53 00:03:55,120 --> 00:03:59,960 catal ja ok, and if you take that peppalomavirs and 54 00:03:59,960 --> 00:04:03,440 injecteding to in to the skin of a hors you get what's call to 55 00:04:03,440 --> 00:04:08,560 suedo sackoid it's a two mat at lux like a sackoid, but it get's 56 00:04:08,560 --> 00:04:13,360 bigger and then sudandy the the mean system of the hors rembesit 57 00:04:13,360 --> 00:04:16,680 there's i'm want to do on this and get's rit of it ok, and so 58 00:04:17,000 --> 00:04:24,240 they all resolve if you take. The geno that is responsible for 59 00:04:24,240 --> 00:04:26,480 it and inject it. Then you don't get handy of that 60 00:04:26,480 --> 00:04:31,040 you just get what we know office of socka ok that transmission. 61 00:04:31,760 --> 00:04:36,960 Work was done three the seventies and a ts of there and 62 00:04:36,960 --> 00:04:40,680 and that that we were tate bits of the of the sargoid and 63 00:04:40,680 --> 00:04:44,560 transfered from one side of the hors to another and of coach you 64 00:04:44,560 --> 00:04:48,200 just got the sainting going and game so that is be we jackie 65 00:04:48,200 --> 00:04:51,120 what what with happen with the with the tumer prediction leaf 66 00:04:51,120 --> 00:04:56,400 was a fibrebrass tumer and you you we remember that the skin 67 00:04:56,800 --> 00:04:59,920 contains thirteen different sells. 68 00:05:00,320 --> 00:05:05,280 Of which fibre blast is one of them ok, and and these thirteen 69 00:05:05,280 --> 00:05:09,680 cells all have that on kansas, so there all a kansas genuine 70 00:05:09,680 --> 00:05:14,320 kansas of fibre blasts fibre sockom of, for example that are 71 00:05:15,520 --> 00:05:20,080 different and there's on mutational tumas but not 72 00:05:20,080 --> 00:05:24,880 insertional tumas like the like sackgate ok. 73 00:05:24,880 --> 00:05:27,440 And how.com an or sackgate in Horses. 74 00:05:28,160 --> 00:05:33,760 About that's a interesting question in in 19 seventy two, i 75 00:05:35,240 --> 00:05:39,120 think seventy two. I don't it little sevely and in 76 00:05:39,120 --> 00:05:43,440 a markets to stables arounded about and i can't the two point 77 00:05:43,440 --> 00:05:49,040 five Prozent of horses have a proximity two point five socuits 78 00:05:49,040 --> 00:05:50,800 each on everage. Ok. 79 00:05:51,280 --> 00:05:54,720 Of cors and avridge just an meanalord because if i but one 80 00:05:54,720 --> 00:05:57,840 of your legs in the freeze and the kind of forty and one of 81 00:05:57,840 --> 00:06:00,720 your legs in the avanet two hundred degrees on avrit you 82 00:06:00,720 --> 00:06:06,000 very comftable so that you extremed don't we're want to met 83 00:06:06,000 --> 00:06:10,000 as i see, but but it least it get's an index, it's so they we 84 00:06:10,000 --> 00:06:14,800 conmision so i don't know the one just bevor i retide in and 85 00:06:15,040 --> 00:06:20,000 two thousand and 9, we're i're i think that eight point five 86 00:06:20,240 --> 00:06:24,480 prozent of horses. Have twenty five saargoid seach 87 00:06:24,520 --> 00:06:30,560 on every so that shows that there's been aroys in the 88 00:06:30,560 --> 00:06:35,440 incidence of saargoid in the population of horses, and that 89 00:06:35,440 --> 00:06:39,360 is sergeant be true and that crash the reason for that is not 90 00:06:39,360 --> 00:06:43,480 clear. I think it has something to do 91 00:06:43,520 --> 00:06:48,000 with the with the flys we're i belief to be responsible for 92 00:06:48,000 --> 00:06:52,480 transmission of that is seas. Like main not be a simpolis that 93 00:06:52,880 --> 00:06:57,160 we don't know in truth. We don't know that it, but but i 94 00:06:57,160 --> 00:06:59,920 think we have to have some high polices it liest. 95 00:07:00,000 --> 00:07:04,560 We're a same this is like leed to be some thing involve with 96 00:07:04,560 --> 00:07:08,840 the because we stop controlling flys around them ok because we 97 00:07:08,840 --> 00:07:10,960 don't spray stables with chemicors. 98 00:07:11,320 --> 00:07:13,040 The. Kind of Fries we we just let 99 00:07:13,240 --> 00:07:17,840 them go and because that's part of Award live. 100 00:07:18,480 --> 00:07:21,160 What's also very hard to have. And it's but it's. 101 00:07:21,280 --> 00:07:25,040 You trike on. And it's very differor to keeper 102 00:07:25,040 --> 00:07:28,560 trik of it. So so i think it's it's it's 103 00:07:28,640 --> 00:07:32,720 it's by fanger in the way the common is two of horses by 104 00:07:32,720 --> 00:07:38,360 fanger of all and of cors, it is by fanger in the way the common 105 00:07:38,360 --> 00:07:43,920 is cutani is two of horses by a lowway and so because you can 106 00:07:43,920 --> 00:07:46,480 see it and and should be reginizable and we should be i 107 00:07:46,480 --> 00:07:48,080 will to do some think that they're. 108 00:07:48,560 --> 00:07:51,280 A. So but we do the usualy app here 109 00:07:51,280 --> 00:07:54,760 that's. Annollation that is important 110 00:07:54,760 --> 00:07:57,080 because the one place we don't see us post. 111 00:07:57,200 --> 00:07:59,400 It's more in they in the negative, the Beasts. 112 00:07:59,520 --> 00:08:02,960 That they. Don't to car on the back of the 113 00:08:02,960 --> 00:08:08,200 hors on the back in the bottic region for the most part and you 114 00:08:08,200 --> 00:08:13,000 have see one o two that out of i don't know i'll lot of sockrits 115 00:08:13,000 --> 00:08:16,040 i don't have. Hundred tenmore than hundred and 116 00:08:16,040 --> 00:08:20,520 fifty thousand tases through my service anyway, and I'm can the 117 00:08:20,520 --> 00:08:25,840 man i I'm retried analyson but what it is in what the skin is 118 00:08:25,840 --> 00:08:30,000 very thin. What is limited have with a 119 00:08:30,000 --> 00:08:35,760 horse swats without difficulty and we're flys can feed without 120 00:08:35,760 --> 00:08:39,600 being repellwold. That is in the on pet regions 121 00:08:39,600 --> 00:08:43,200 around the is from the based of the is of the sites of the maut 122 00:08:43,360 --> 00:08:47,560 and in the gryan region right about the memory glant and 123 00:08:47,560 --> 00:08:52,160 around the shief in the penis of the hors and all there's all 124 00:08:52,320 --> 00:08:57,520 we's critaryat I'm most prevenant beyond that sock 125 00:08:57,520 --> 00:09:01,680 what's a car at won sites now the question is the won that's 126 00:09:01,680 --> 00:09:05,440 not have to be big the womed can be my chrisopic. 127 00:09:06,800 --> 00:09:10,720 The for at my even be the bite of a biteing fly. 128 00:09:11,440 --> 00:09:15,840 I'm Blood sucking flying that don't transmit the disease, the 129 00:09:15,840 --> 00:09:19,320 biteing flys. That create the room and to 130 00:09:19,320 --> 00:09:23,200 which the sockoide element what have you you belief that to be 131 00:09:23,200 --> 00:09:26,840 yourself could be avires and could be part of the vires or 132 00:09:26,880 --> 00:09:29,040 some of that. We think that you my think all 133 00:09:29,040 --> 00:09:32,640 that i don't think about and or potenting that this is 134 00:09:32,640 --> 00:09:37,840 necesarity the gospel and it main or toply it all in the end, 135 00:09:37,840 --> 00:09:41,640 but at least it the moment it it is a reasonable, i poses that 136 00:09:41,640 --> 00:09:46,240 then the surface feeding flys feed on the sockoide. 137 00:09:46,720 --> 00:09:49,920 I know that's aquate of a that and that at the hors all on the 138 00:09:49,960 --> 00:09:54,080 and not a site on the same hors and then they sit on the site 139 00:09:54,080 --> 00:09:57,360 because that's how so this feeding fly is feed and like to 140 00:09:57,360 --> 00:10:01,320 go to runes and things open, and then they're a transmitted in to 141 00:10:01,480 --> 00:10:07,160 that not just because they're a carry the viral component all 142 00:10:07,160 --> 00:10:09,600 the vires we're have a way you want to do canat it. 143 00:10:11,400 --> 00:10:15,120 They a do's in mean assasserity that they the two will go grip. 144 00:10:15,520 --> 00:10:20,640 It's all need just to you the do and that's why they're a car in 145 00:10:20,640 --> 00:10:24,800 the sites, so what IA car the toolim for exalm for from the 146 00:10:24,800 --> 00:10:27,920 carnier band of the fat lock of the nee copers and in rum the 147 00:10:27,920 --> 00:10:33,920 nee or the rum the hawk region these are always insipient 148 00:10:33,920 --> 00:10:35,800 corses of we're and healing fedia. 149 00:10:36,000 --> 00:10:38,080 Ok. And that cost a will and does 150 00:10:38,080 --> 00:10:39,040 and heal and. Does and. 151 00:10:39,440 --> 00:10:42,400 Heal and does and heal and does you do all the thing is that 152 00:10:42,400 --> 00:10:45,000 does the post to make a will for me all have with them me, it 153 00:10:45,000 --> 00:10:48,240 does and heal and i does meal does and heal and every really 154 00:10:48,240 --> 00:10:51,720 panics and then you take a by ups and oh the it's a saw quite. 155 00:10:51,760 --> 00:10:53,800 Ja, ok and. That's the Problem. 156 00:10:54,400 --> 00:10:59,680 You Menschen early. Intervention or so how do you 157 00:10:59,680 --> 00:11:02,520 actually spot this arco is in anerity stage. 158 00:11:02,720 --> 00:11:07,320 I think that there are some there are some signals because 159 00:11:07,320 --> 00:11:12,000 it's a two mal of fibre blast that has a genetic expression 160 00:11:12,400 --> 00:11:17,480 that relates to peppaloma vires. It will change the behavio the 161 00:11:17,520 --> 00:11:20,800 surrounding. Ragnasites upcors it das cositic 162 00:11:20,800 --> 00:11:25,440 expresses mediates that to fuser and so the first signs of a 163 00:11:25,440 --> 00:11:29,040 sogway to usly at change in the hack color in a circular fashion 164 00:11:29,120 --> 00:11:32,560 with a little hell as a rier in the little o if you pick up to 165 00:11:32,560 --> 00:11:35,560 skin a little bit and ronit petrinia fingers like that you 166 00:11:35,560 --> 00:11:37,760 can feel a little britti bits inside little. 167 00:11:39,240 --> 00:11:42,640 Walls growing inside because every single sells that every 168 00:11:42,640 --> 00:11:44,480 think of two and a starts out as a single. 169 00:11:44,480 --> 00:11:49,000 Sell it's start out as billions sever and starts out as what and 170 00:11:49,120 --> 00:11:54,000 and so the gragity gragity get it if you do CD'S hall as round 171 00:11:54,240 --> 00:11:59,600 areas of them interesting lean of associ to blunt vessels i the 172 00:11:59,760 --> 00:12:02,640 on the inside in the time and they're a lots a prominent blunt 173 00:12:02,640 --> 00:12:06,880 vessels in the hors all on the unpit all around the ea or the 174 00:12:07,520 --> 00:12:11,440 eye what blutt vessel. Or prominent on on the second. 175 00:12:11,600 --> 00:12:13,240 I they feeding off the bloodwessel or. 176 00:12:13,840 --> 00:12:16,400 They don't feed off the bloodwessel they feed off the 177 00:12:16,400 --> 00:12:21,520 wind that is that because the flys feed on the bloodwessel and 178 00:12:21,520 --> 00:12:24,960 see the buy and flys feed of the bloodwessel they can see have 179 00:12:24,960 --> 00:12:30,000 this link and seems to satisfy it's a high prothesis it's not 180 00:12:30,000 --> 00:12:34,880 this is not proof, it's not in it's a high prothes. 181 00:12:35,200 --> 00:12:40,640 And but it it themes to provide and explonation for the home 182 00:12:41,360 --> 00:12:45,360 epidemiology of the equance arquide you can't treat it as 183 00:12:45,360 --> 00:12:47,360 aviras blowing around on the wind. 184 00:12:47,520 --> 00:12:52,280 No you know because it's the inside of the thy preferentialy 185 00:12:52,280 --> 00:12:54,800 if it's going around on the blowing around on the wind. 186 00:12:54,960 --> 00:12:58,920 Yes, and why what and it's the and infect every hors and why 187 00:12:58,920 --> 00:13:01,680 they're. Funny just see that's in the 188 00:13:01,760 --> 00:13:05,080 effect every single solitry hors that's us to the. 189 00:13:05,160 --> 00:13:08,840 The fact that there are some wars is that are geneticly per 190 00:13:09,040 --> 00:13:13,600 pedos bost to or to disease and some wars is that are geneticly 191 00:13:13,680 --> 00:13:17,680 resistent to the disease because they don't have the genes that 192 00:13:17,680 --> 00:13:24,160 in part susseptability and these are in myopinion geneticly 193 00:13:24,160 --> 00:13:28,680 sussept a genes for genetic suceptibility and this more that 194 00:13:28,720 --> 00:13:31,840 one of there's we don't know how many but they're baby three all 195 00:13:31,840 --> 00:13:34,960 for of i. And so for horses has one gene 196 00:13:34,960 --> 00:13:40,000 for suceptability at me have miled as he's if it has to and 197 00:13:40,000 --> 00:13:44,840 so and so for, but the problemies if you treat it like 198 00:13:45,040 --> 00:13:50,480 that a signifian proportion of the overall population of horses 199 00:13:50,480 --> 00:13:54,160 seems to have the genes that in pot suceptability so ja sixty 200 00:13:54,160 --> 00:13:57,520 prozent to more may have genes that get some form of 201 00:13:57,520 --> 00:14:02,400 suceptability. And it's quit compicated because 202 00:14:02,400 --> 00:14:09,680 you may have to have this gene one a gene a bevor you have any 203 00:14:09,680 --> 00:14:16,000 suceptability relating to gene BCD and EI haveing a gene E.ON 204 00:14:16,000 --> 00:14:19,800 it's on doesnt help at all and it you can to text that gene 205 00:14:19,800 --> 00:14:23,440 it's they it's got a gene for them and main need the others or 206 00:14:23,440 --> 00:14:28,400 one or more in some companation to be don't don't have to think 207 00:14:28,400 --> 00:14:31,800 of this. I prophicies that we're not ball 208 00:14:31,800 --> 00:14:33,040 the sees. I'm sorry but. 209 00:14:33,160 --> 00:14:37,120 That. It's just i don't think the car 210 00:14:37,120 --> 00:14:41,120 and textprenation is good you know and II think it do's in the 211 00:14:41,120 --> 00:14:45,640 pride, I'm in the humans have a brackaging it brackaging and 212 00:14:45,640 --> 00:14:48,640 proths a septability to some forms a can's a bristan's a 213 00:14:48,640 --> 00:14:51,040 prostate conses servical conses so und so for. 214 00:14:52,160 --> 00:14:56,120 In One in one form or not up and so people have that do's a mean 215 00:14:56,120 --> 00:14:58,960 they going to get there's. Conses now but they're more and 216 00:14:59,120 --> 00:15:03,040 likely. Ok so, so as far is that's con 217 00:15:03,040 --> 00:15:07,320 so then people up's it will or i the vires and and that led us to 218 00:15:07,480 --> 00:15:10,960 the concept of a vaxine that we're talking about or it as 219 00:15:11,120 --> 00:15:15,360 people so it will you convexenate children against. 220 00:15:15,920 --> 00:15:20,800 A papalomavirs and they don't get so of a canse I'm in Boyz 221 00:15:20,800 --> 00:15:26,000 get axenate is will of and that so and they and that of cors 222 00:15:26,000 --> 00:15:30,320 protectum but a course that's a very different socom stance from 223 00:15:30,320 --> 00:15:35,480 the song coid yes see that gaven ide of a fladof informate oh my 224 00:15:35,520 --> 00:15:39,080 god we god the solution we just make an not a vires backsine 225 00:15:39,200 --> 00:15:43,240 like we god for peopalomavirs for people, we just make it and 226 00:15:43,240 --> 00:15:46,200 sockwins will all be protective. With it don't work like that 227 00:15:46,240 --> 00:15:50,200 because it's not like that and disease is an immuno jennic and 228 00:15:50,240 --> 00:15:54,120 that's all and for them all servical can's of, for example 229 00:15:54,160 --> 00:15:58,680 is an epithelial two, it's a servical cosanoma is a squame of 230 00:15:58,680 --> 00:16:03,600 so cosanoma and that is a barry differ thing for my fibre blast 231 00:16:03,600 --> 00:16:08,160 we've two and which is an intern or meason climble so type so. 232 00:16:09,200 --> 00:16:13,080 And you can't treat them in the samway it's inpossible to do 233 00:16:13,080 --> 00:16:16,400 that and we we should get a way from the vexine story because 234 00:16:16,400 --> 00:16:21,880 it's in my view. It's arrational I'm servaly 235 00:16:21,880 --> 00:16:28,560 they're very view document and reports of success i really 236 00:16:28,560 --> 00:16:31,200 understand white people do it and that's what they do it 237 00:16:31,200 --> 00:16:35,760 because that's the concept it was that's pot out but unfortity 238 00:16:36,160 --> 00:16:38,240 it just. It's an work. 239 00:16:38,400 --> 00:16:41,120 It's you know. Working and inifitis working 240 00:16:41,440 --> 00:16:44,240 publish it that's see the publication that's see what we 241 00:16:44,240 --> 00:16:48,720 can do and that's pract the code of this disease because it's 242 00:16:48,720 --> 00:16:52,240 geting out in hand. It's geting out in hand i will 243 00:16:52,240 --> 00:16:59,120 we off and presenting it we're off and presented with hidias 244 00:16:59,120 --> 00:17:05,359 cases upsolity in cases that you what not belief. 245 00:17:06,280 --> 00:17:10,640 What be what Beats existent and i fort when i started out 246 00:17:10,640 --> 00:17:14,640 dealing with this three seven years it go that we would 247 00:17:14,640 --> 00:17:18,720 eliminate there's and we would start dealing with early kasens, 248 00:17:18,720 --> 00:17:22,560 but we're still for them to every day with hidias kases 249 00:17:22,599 --> 00:17:27,200 upsently hidias and you save what's going wrong here you 250 00:17:27,599 --> 00:17:31,800 know, we know kases got kens of for years we have we have kens 251 00:17:31,800 --> 00:17:33,600 of for years what to me expect ja. 252 00:17:34,400 --> 00:17:36,600 You know get to recover you know you. 253 00:17:36,720 --> 00:17:40,160 Know for shirt. It's we know you don't deal with 254 00:17:40,160 --> 00:17:43,520 cans and i that's why that's really reckignition that you're 255 00:17:43,520 --> 00:17:47,760 talking it out, it's a. Critical nation but so then that 256 00:17:47,760 --> 00:17:52,240 brings as actually two with the kurs of treatment, how because i 257 00:17:52,240 --> 00:17:56,120 mean i think with being and stables all of that we all see 258 00:17:56,120 --> 00:18:00,080 in people's a or just but a rubber band on it or but two's 259 00:18:00,080 --> 00:18:04,480 past or or all all of this. Things that are actually not 260 00:18:04,480 --> 00:18:09,440 very klinical i would say but how do you have should we treat 261 00:18:09,440 --> 00:18:12,440 the sarkoid all? Like depends with they all you 262 00:18:12,480 --> 00:18:15,520 know, they're acritary that we have to when we makeing a 263 00:18:15,520 --> 00:18:19,360 decision for tritment we have a series of twelve decisions that 264 00:18:19,360 --> 00:18:23,680 have to be made and the list of cors in bos the typ of sarkoid 265 00:18:23,840 --> 00:18:30,800 the location of the sarkoid the extent of the sarkoid you know 266 00:18:30,800 --> 00:18:36,120 the the the greed we're a. It's the hord so it's a type the 267 00:18:36,440 --> 00:18:40,560 the location the duration what's been done bevor and the 268 00:18:40,560 --> 00:18:45,520 prognoses that is for i will six thing that we consid a primarity 269 00:18:45,520 --> 00:18:49,520 and then we have to say what's a bailable because that we 270 00:18:49,520 --> 00:18:52,880 gressible. They there's no commonity of 271 00:18:52,880 --> 00:18:56,400 what's available and so what's available in swits and and a 272 00:18:56,400 --> 00:18:59,040 very different for what's available in France, so Evan A 273 00:18:59,040 --> 00:19:04,200 cross, the boarder in Germany and you know evan with in you 274 00:19:04,200 --> 00:19:07,840 know twenty five we what with the one Meter with just the 275 00:19:07,840 --> 00:19:11,560 board of with you know there's such an enorm is differenz in 276 00:19:11,560 --> 00:19:16,960 what's available and and what can be done so and there are. 277 00:19:18,080 --> 00:19:22,320 Want to different trigments that i have looked have of the years 278 00:19:22,440 --> 00:19:27,960 and and this involves penal of surgical trigments we can do 279 00:19:28,000 --> 00:19:31,680 surgery we can do ligation, which is what you mansion poting 280 00:19:31,680 --> 00:19:35,400 a rupper wing ram. The was it doesnt wok and the 281 00:19:35,400 --> 00:19:40,320 reason that doesnt wok and this you're very very lucky, some 282 00:19:40,320 --> 00:19:43,840 don't you're very lucky because there's an to any rutson is the 283 00:19:43,840 --> 00:19:45,920 when you look at a sok, i what you see. 284 00:19:46,560 --> 00:19:51,160 It's just a tipp of the is. What you see what there is is 285 00:19:51,160 --> 00:19:54,560 you're fingers and that they go in every with direction. 286 00:19:54,560 --> 00:19:59,720 The wave like a andchalm we in rabas if you get my trive so so 287 00:20:01,200 --> 00:20:03,360 then you have to get to everything one so if you're for 288 00:20:03,360 --> 00:20:08,480 the rubbering on it and you live some sells behind the rubbering 289 00:20:08,760 --> 00:20:13,760 ok, a it's going back but be all a blonds supply that went to the 290 00:20:13,760 --> 00:20:17,440 holtuma now goes to the bartant the bittant the bartum. 291 00:20:17,840 --> 00:20:22,440 Not spitting mat and that's a well don't phänomen for all 292 00:20:22,440 --> 00:20:27,400 conses in all species that you interfear arrationaly the two 293 00:20:27,400 --> 00:20:34,320 and get's angry and comes back was and every ok and so sojical 294 00:20:34,320 --> 00:20:38,560 metals you know these kind of things and shop surgery laser 295 00:20:38,720 --> 00:20:44,880 surgery you know diathomy i just i used I'll monic scalpal 296 00:20:45,440 --> 00:20:49,600 plasman i you all is. Insticate and surgical things 297 00:20:49,680 --> 00:20:54,760 you can do with all was of forse you can't but how do you know 298 00:20:54,880 --> 00:21:01,080 you've got the holtumer DC, and if you don't have the holtumer, 299 00:21:01,440 --> 00:21:07,200 what is the like he consequence like he no cert and he but like 300 00:21:08,680 --> 00:21:15,120 he the tuber it's also will come back wears anever we're can't. 301 00:21:15,720 --> 00:21:20,560 A lot of that to happen because what is growing on the nef, you 302 00:21:20,560 --> 00:21:24,000 don't see and to it's two late so you're going because it's cut 303 00:21:24,000 --> 00:21:27,200 off and everything glucks find and everything glucks find and 304 00:21:27,200 --> 00:21:32,240 mean time what's going on the nef is growing growing grings is 305 00:21:32,240 --> 00:21:36,280 any minute now i'm going to rush for the surface and that wash it 306 00:21:36,280 --> 00:21:40,400 comes to the surface that oh my god this is a terrible state of 307 00:21:40,440 --> 00:21:42,400 a fast. So actually it kind of grow 308 00:21:42,400 --> 00:21:47,000 reany fasts there is no. There's no general timeline 309 00:21:47,000 --> 00:21:49,760 actually on how it. I'm not I'm going to know I'm 310 00:21:49,760 --> 00:21:53,600 see in tumes that they're static for thirtee is and i'm see in 311 00:21:53,600 --> 00:21:58,160 tumes that have a entroped with in days from tumes all that 312 00:21:58,160 --> 00:22:03,000 interfued with or not interfued so it's such an unpredicible and 313 00:22:03,000 --> 00:22:09,560 i think mostly that's what's. The previous raw the like it is 314 00:22:09,560 --> 00:22:13,640 a cool rw the lay safe and live it to lone it to be all. 315 00:22:13,640 --> 00:22:15,960 Right, i can't the more you poke it to the more, i'm like. 316 00:22:16,240 --> 00:22:19,800 Poking you tigers, it's it to know it's to you poking extra 317 00:22:19,800 --> 00:22:26,040 and then subanies not happy with you and and that's it so so the 318 00:22:26,400 --> 00:22:30,880 reality is that. As far as the surgical 319 00:22:30,880 --> 00:22:33,800 treatment, so consign to go be very careful and you've go to 320 00:22:33,800 --> 00:22:37,280 send the somples off for histology because that's 321 00:22:37,520 --> 00:22:40,320 professionally and my view professionally obligatry. 322 00:22:41,280 --> 00:22:46,320 It's should not ever be left without the histology because 323 00:22:46,320 --> 00:22:50,080 you have to know it protexes the patient for the anastomosting 324 00:22:50,080 --> 00:22:54,400 bourden this it protexes surgeon as the segant and the that think 325 00:22:54,400 --> 00:22:56,840 is protexy owner and of cores for the. 326 00:22:58,000 --> 00:23:00,960 Profession because this is at the right and proper 327 00:23:01,360 --> 00:23:05,280 professional think to do what we do if we have a two my cutal 328 00:23:05,280 --> 00:23:07,840 phells and there's that we're going to ball that with the 329 00:23:07,840 --> 00:23:09,120 histology. No. 330 00:23:09,520 --> 00:23:15,000 We we we're be hurifi ja hurifi I'm Kind rightly so yes, we 331 00:23:15,080 --> 00:23:17,200 adoct is what be struck all that that it that i don't. 332 00:23:17,440 --> 00:23:20,440 For share that we're. But we're so out them, but that 333 00:23:20,440 --> 00:23:23,680 it because fifty franks extra to out the pathology. 334 00:23:24,240 --> 00:23:27,160 But when you consider. What is costing to remove it 335 00:23:27,160 --> 00:23:32,000 anyway and what the cost of a recurrents is fifty fridays like 336 00:23:32,040 --> 00:23:35,600 stupido. Yes absolutity but that's go's 337 00:23:35,600 --> 00:23:39,800 like to the to doing something store what in are the stage or 338 00:23:39,800 --> 00:23:43,640 that and waiting it out. So that's a surgicaleron of 339 00:23:43,640 --> 00:23:47,440 variity of surgical methes it individual people do but i'm 340 00:23:47,440 --> 00:23:52,160 kind to in carage because of the risks people to you surgory 341 00:23:52,160 --> 00:23:55,640 plus. Concurrent keymatherapy so 342 00:23:55,760 --> 00:23:58,960 you're remove a two mut and you inful trait the arry with some 343 00:23:58,960 --> 00:24:02,800 keymatherapy and then you're watch for the keymather for the 344 00:24:03,040 --> 00:24:05,800 histology report to comback, and then you take some action a 345 00:24:05,800 --> 00:24:11,080 cordingly so you've your action with the information you carry 346 00:24:11,080 --> 00:24:16,240 the information into the action ok, and that you naves you to 347 00:24:16,240 --> 00:24:20,880 get battle results not perfect. And not no cancer if is i'llash 348 00:24:20,880 --> 00:24:26,240 you we the internet there is, there is no cancer in the world 349 00:24:26,240 --> 00:24:30,000 that has dokument in one hundred prozent success rate, not not 350 00:24:30,000 --> 00:24:33,760 even one, but if you read the internet about the sockoid as 351 00:24:33,760 --> 00:24:37,520 you so rightly sorry. There's two pasted as a one 352 00:24:37,520 --> 00:24:41,880 hundred prozent success and some of the nonsons that the ALC you 353 00:24:42,680 --> 00:24:46,080 know all sols of rubis that's in publised you know term or it 354 00:24:46,080 --> 00:24:49,920 past you know this in consit you know this so so it's out 355 00:24:49,920 --> 00:24:53,280 consent, we'll like to people you it carry still get consent. 356 00:24:53,400 --> 00:24:56,880 And as. You know if it was that good. 357 00:24:57,440 --> 00:25:00,240 With it is not. No if there was evidence that 358 00:25:00,240 --> 00:25:03,240 you would actually care it's and it's what all of the biene her. 359 00:25:03,240 --> 00:25:07,680 Absolutity so i just think you know we've got to get some 360 00:25:07,760 --> 00:25:10,720 rational keem at there, we will go to develop keem at there a 361 00:25:10,720 --> 00:25:15,080 puting agens that we can us in a junction with in conjunction 362 00:25:15,080 --> 00:25:18,720 with sergory because you want to improve you're sixty prozent 363 00:25:18,760 --> 00:25:23,320 overall surgical prognoses and i know sombody listing to this is 364 00:25:23,320 --> 00:25:26,800 get a sate is, this is rubish because i get a 100%. 365 00:25:27,480 --> 00:25:31,080 And that's find, but if you is geting will she is geting a 366 00:25:31,080 --> 00:25:35,600 hundred prozent, then she's a puta data in the publication 367 00:25:35,600 --> 00:25:39,600 that tella so she does it because that's what has to 368 00:25:39,600 --> 00:25:42,640 happen, we was we have to learn from that so from stance and we 369 00:25:42,720 --> 00:25:45,440 have to make the best of it we can but i've don't. 370 00:25:47,920 --> 00:25:51,840 Supervised the treatment of more them a hundred and fifty five 371 00:25:51,880 --> 00:25:55,520 thousand cases. All this disease and i know that 372 00:25:55,680 --> 00:25:59,680 to get a hundred prozent success is impossible and and that for 373 00:25:59,680 --> 00:26:02,960 if you have and got a failure, get he's still have and done in 374 00:26:03,000 --> 00:26:05,800 off. Oh you're being very selective 375 00:26:05,800 --> 00:26:11,160 about the one's it you're very lucky all all three on this's 376 00:26:11,160 --> 00:26:14,400 going you know and and we. All need a bit of Lock in now 377 00:26:14,400 --> 00:26:18,080 lies if you're happen to be air, we're shice a pois, no you've 378 00:26:18,160 --> 00:26:19,600 people toke about the lock of the air. 379 00:26:19,760 --> 00:26:22,720 Is you know they they they have a hund of the sand, but that's 380 00:26:22,720 --> 00:26:26,080 because they go all so it's a shamrocks and thing is but give 381 00:26:26,080 --> 00:26:29,480 them give them event so so that's they the combination so 382 00:26:29,480 --> 00:26:32,640 you're in kim at there in kim at there can be us on it so we've 383 00:26:32,640 --> 00:26:36,560 got lots of new kim at they're puting agions kind of platon 384 00:26:36,880 --> 00:26:41,360 five your sloweries my to mizen CM plans this kind of things 385 00:26:41,600 --> 00:26:45,440 topical my to mizen seas. The greatest but it's it's it's 386 00:26:46,160 --> 00:26:51,600 AA it's used anyway, but we just got to be very rational about 387 00:26:51,680 --> 00:26:55,680 what we are expecting we stratements to be able to do and 388 00:26:56,560 --> 00:27:01,120 some of them or able to do a lord and some of them on not 389 00:27:01,160 --> 00:27:06,000 able to do very much at all some of them or at jumtive and to be 390 00:27:06,000 --> 00:27:09,400 used and a long side of this like sergure real crure surgery 391 00:27:09,400 --> 00:27:12,640 what have a. And that's good, so that's the 392 00:27:12,640 --> 00:27:15,040 key my therapy and that's lots of agents for that. 393 00:27:15,040 --> 00:27:19,320 Now you know they're also that we was a got immino therapy and 394 00:27:19,320 --> 00:27:23,280 that's very interesting was that users the body's on immunsystem 395 00:27:23,600 --> 00:27:28,320 to target because of sils and can's that on the exists because 396 00:27:28,400 --> 00:27:33,520 your immunsystem fails to reckignal is the two massels not 397 00:27:33,520 --> 00:27:40,160 because your immunsystem is. Is bad and impad, but because 398 00:27:40,160 --> 00:27:46,360 the can't so so you can't improve your immunsystem to it 399 00:27:46,360 --> 00:27:49,680 to say hang on a minute. I'm going to beable to reginice 400 00:27:49,680 --> 00:27:51,960 these think is we're jaring camer flash because they just 401 00:27:51,960 --> 00:27:56,000 like a new camer flash. The sells hide them sells that 402 00:27:56,080 --> 00:28:00,800 this is so the scientific receptor macines and on the 403 00:28:00,800 --> 00:28:06,720 surface of blogs, the the the mac receptor and and that when 404 00:28:06,720 --> 00:28:09,880 that happines it is a meta have good you or in you in system, 405 00:28:09,880 --> 00:28:12,480 and then we're going to for in smarts eva and you will've to 406 00:28:12,680 --> 00:28:16,400 make it ja not to make it reckignisable you're i the have 407 00:28:16,400 --> 00:28:21,880 to you're you're i have to change the sell completely or 408 00:28:21,920 --> 00:28:26,800 you have to. Stick something on to it so when 409 00:28:26,800 --> 00:28:31,600 have a cansas sole develops he carry's tutible flanks i am your 410 00:28:31,600 --> 00:28:34,800 friend and the all the ones, so the First flight i am your 411 00:28:34,800 --> 00:28:40,360 friend, the all the One don't teed me ok, so we have a time 412 00:28:40,360 --> 00:28:43,040 they me and system see's this so it is walk post. 413 00:28:43,400 --> 00:28:44,960 I'm in the so Fessel all right. And. 414 00:28:45,240 --> 00:28:47,520 You're but it beast, it's allustator it's what i tell on 415 00:28:47,520 --> 00:28:52,720 it's ok and so and you kind for therapay. 416 00:28:53,440 --> 00:28:59,200 You have to say how can i change the don't eat me for like a 417 00:28:59,200 --> 00:29:02,720 paint out it's sign over to sticky label on the. 418 00:29:02,960 --> 00:29:06,560 Don't coming get so. Now it's as eat me you see, but 419 00:29:07,120 --> 00:29:12,120 the other flags still that it's i'm your friend so one trick 420 00:29:12,160 --> 00:29:15,680 kind of treatment is not really in off because the cat the 421 00:29:15,680 --> 00:29:20,160 immunsystem so oh hang do i do i do this or hang on this is i'm 422 00:29:20,160 --> 00:29:22,080 your friend how can i eat my friend? 423 00:29:23,440 --> 00:29:27,000 I can myself for. It's like the rut so this don't 424 00:29:27,120 --> 00:29:29,520 work for you. Well it in combination if you 425 00:29:29,520 --> 00:29:35,040 can combined that with something that ses inserts into the sel, i 426 00:29:35,120 --> 00:29:38,960 am not your friend and you can bine in me not therapy with kema 427 00:29:38,960 --> 00:29:45,760 therapy that i am not your friend eat me that so out 428 00:29:46,160 --> 00:29:51,760 straight away. If you're going for that, yes 429 00:29:51,760 --> 00:29:54,880 and all can's up if we single thing on's always as ending to 430 00:29:54,880 --> 00:29:58,720 make the immunsystem, see every single sell we can if you make 431 00:29:58,720 --> 00:30:01,040 the immunsystem see every single sell all. 432 00:30:01,440 --> 00:30:04,360 Then it's car of it. Ups and it the ja now that 433 00:30:04,360 --> 00:30:09,000 tellies with the one or two saarguids that respond and that 434 00:30:09,280 --> 00:30:14,080 resolve on that on completely i've see in saarguids conform 435 00:30:14,080 --> 00:30:16,240 saarguids that. That we to his don't you see 436 00:30:16,240 --> 00:30:20,160 conformed that then we like we can't deal with it right now 437 00:30:20,240 --> 00:30:23,000 because a horses going to olympia or going to the 438 00:30:23,000 --> 00:30:25,560 olympics, so i. Just just disapears I'm how. 439 00:30:25,560 --> 00:30:29,440 And then six weeks like to do, it's a tuma, i it's going to 440 00:30:29,840 --> 00:30:35,200 just just appeared one they you see there was horses as immun 441 00:30:35,440 --> 00:30:38,680 for the rest of that live so that is you see and it will see. 442 00:30:38,760 --> 00:30:39,880 This in some. What? 443 00:30:40,520 --> 00:30:44,280 And i think of see that it's you know was this and we just need 444 00:30:44,280 --> 00:30:47,720 to beable to find a way triggering it and that's what i 445 00:30:47,720 --> 00:30:53,920 some of the bizon stupent things work if we don't get pudding two 446 00:30:53,920 --> 00:30:58,480 face on the tumor. Triggers this that'll change, no 447 00:30:58,480 --> 00:31:02,000 white is it do that it's not consistant no and it only does 448 00:31:02,000 --> 00:31:04,840 it ones in a 1000000 no what have a twos of horses that get 449 00:31:04,840 --> 00:31:09,400 two past or my vague my momide that that you know this beef 450 00:31:09,520 --> 00:31:16,000 beefs spread in australia or tamaric past or tt oil and all 451 00:31:16,000 --> 00:31:20,680 these kind of things that people proton it everyone it just 452 00:31:20,680 --> 00:31:24,160 triggers that same thing. With just the spontane as 453 00:31:24,160 --> 00:31:28,120 resolution syndrom, i the of an individual touma all mal 454 00:31:28,120 --> 00:31:32,080 poticinity of the homebody there's anomals i think of the 455 00:31:32,160 --> 00:31:34,840 resistance to the you can that the go to all the jeans for 456 00:31:34,840 --> 00:31:38,240 sisap to will it's open resistance now and that's 457 00:31:38,240 --> 00:31:42,480 because they're immunsystem no's what to look for it's it's like 458 00:31:42,480 --> 00:31:46,680 a makeing the immunsystem so god and so strong that it is going 459 00:31:46,680 --> 00:31:49,640 to a bluterate everything because it's it's like any more 460 00:31:49,640 --> 00:31:52,960 reginisible. It know convertity immunsystems 461 00:31:52,960 --> 00:31:56,280 they hang on a minute when we see that we still going to kill 462 00:31:56,280 --> 00:31:58,640 it. Yeah you see and. 463 00:31:59,840 --> 00:32:05,200 Then i go, but so you see in the meckanism basity so how a klaus 464 00:32:05,200 --> 00:32:09,200 to do you think? You are to solved or the 465 00:32:09,200 --> 00:32:10,760 vetrinary. I'm we're time. 466 00:32:10,880 --> 00:32:16,640 But the vetrinary field hocklos do you think the art to solved? 467 00:32:16,720 --> 00:32:19,880 We're in the sombody ons to tok to me are we willing to tok to 468 00:32:19,880 --> 00:32:23,120 sombody ja, because at the Moment. 469 00:32:23,960 --> 00:32:27,520 All the researchistal looking for virices looking for vaxins 470 00:32:27,520 --> 00:32:30,720 looking for things, i don't think it's the right way to go 471 00:32:31,200 --> 00:32:34,880 and I'm viewed as a bit of an outly I'm a bit of an not case 472 00:32:35,760 --> 00:32:40,480 and and and may may I'm rong. And may be nots. 473 00:32:40,640 --> 00:32:48,240 But may be not and absolutity and and may my hot polices 474 00:32:48,240 --> 00:32:51,400 onses. Right you not everything we know 475 00:32:51,400 --> 00:32:55,560 about the epidemiological states out this disease explains right. 476 00:32:55,680 --> 00:32:58,840 There's six different types up disease it explains white, 477 00:32:59,040 --> 00:33:02,480 there's some with a more easily treat at explains white, some 478 00:33:02,480 --> 00:33:05,960 spontaniesly resolve it explains white, they will exessabate 479 00:33:05,960 --> 00:33:10,080 explains white, there's no iminological reckignition no 480 00:33:10,080 --> 00:33:13,600 molke that we know off with in the blunt it explains white not 481 00:33:13,600 --> 00:33:17,200 think to do with the vires and we don't have fires conversion. 482 00:33:17,840 --> 00:33:23,200 It's experensive, it's experensive what it's the right 483 00:33:23,320 --> 00:33:24,960 thing and not is in not the mat of it. 484 00:33:24,960 --> 00:33:28,640 That's that's what I've put up as an option you know and it's 485 00:33:28,680 --> 00:33:32,840 only men to that framework and i know that's a people working on 486 00:33:32,840 --> 00:33:36,920 the disease across the world and no down theywill.com up with 487 00:33:37,120 --> 00:33:41,840 onses but sinside been interested and now for fifty 488 00:33:41,840 --> 00:33:53,240 seven years, i don't think. The has been in off bluesky 489 00:33:53,360 --> 00:33:58,320 thinking that's no bluesky thinking, it's oh. 490 00:33:59,120 --> 00:34:04,160 Is back related to the original work about the vires and so and 491 00:34:04,160 --> 00:34:07,760 and so for and i think with balking up the rong tree you 492 00:34:07,760 --> 00:34:09,520 know this is not the wate, I'll new. 493 00:34:09,520 --> 00:34:12,679 To white and a lilabits this is go and von ja. 494 00:34:12,800 --> 00:34:16,800 We need to white and all minds to alternative suggestions for 495 00:34:16,800 --> 00:34:22,159 this is because what's the the current the carent dogma mhm, 496 00:34:23,920 --> 00:34:30,960 that's not explane that is is. Will if also if the have an 497 00:34:30,960 --> 00:34:35,120 founder solution going down that road and we like you to go down 498 00:34:35,120 --> 00:34:37,880 another road. And then the Gold Standard 499 00:34:37,880 --> 00:34:42,679 treatment is radiation. That's unfortunity becoming less 500 00:34:42,679 --> 00:34:46,159 and less and less a reagable the place and france this and do it 501 00:34:46,159 --> 00:34:50,520 animal. That's one in germany that 502 00:34:50,760 --> 00:34:54,880 reluctant to do it no i think with the htr radiation. 503 00:34:55,040 --> 00:34:57,640 What is reason for the the being reluxant to? 504 00:34:57,760 --> 00:34:59,440 Do it. I they don't want to do it on 505 00:34:59,440 --> 00:35:02,960 horses they that have the unit, but they i think they. 506 00:35:03,440 --> 00:35:07,440 I don't know that they want to do with it and it seems to me 507 00:35:07,920 --> 00:35:11,000 well i know the from the french places cars down for as so 508 00:35:11,320 --> 00:35:14,360 that's out of the question, they're animal have trusted and 509 00:35:14,360 --> 00:35:17,840 you know i to Kingdom clase down Liverpool trust that's radiation 510 00:35:17,840 --> 00:35:22,120 you know i left and. Is it because of like a 511 00:35:22,120 --> 00:35:25,040 resources or? II. 512 00:35:25,040 --> 00:35:29,840 Don't politics. It's politics and and red tape 513 00:35:29,840 --> 00:35:32,080 because win have you're dealing was radiation. 514 00:35:32,080 --> 00:35:34,400 You have to have very special with the solitic you have to 515 00:35:34,400 --> 00:35:39,040 beable to but the anomals in to her surtoning one, but 516 00:35:40,080 --> 00:35:43,520 historicly it took you know long time to treat them was radiation 517 00:35:43,560 --> 00:35:48,320 for you's low Dost. Ready why is intrelational 518 00:35:48,480 --> 00:35:56,400 whyers you know and and Black latony we US HD r no the low 519 00:35:56,400 --> 00:36:00,720 do's with ten days or in the box with the wire sitting in. 520 00:36:01,280 --> 00:36:04,200 You know that you's to be done for prostate cancin particular, 521 00:36:04,320 --> 00:36:07,800 but all so some surf for cancins and the whis we shaped to 522 00:36:07,800 --> 00:36:12,640 calling lee and so, so there's the implanted then people is the 523 00:36:12,640 --> 00:36:16,080 walker out with the whisin you know and walker out, and we're 524 00:36:16,080 --> 00:36:20,200 going to ready a to right and but they don't do that and you 525 00:36:20,200 --> 00:36:26,320 more they's HD r now and HD r is mechanism budding the whisin and 526 00:36:26,320 --> 00:36:28,640 then. When i was you do's of 527 00:36:28,800 --> 00:36:32,720 readiation and immediity very will planed and we will 528 00:36:34,480 --> 00:36:40,000 constructed application and then five ten minutes mabi fifty 529 00:36:40,000 --> 00:36:43,080 ministlator taking all out to get and the was just goes home 530 00:36:43,080 --> 00:36:47,400 and the two was get butter and i've seen lols of the he's and 531 00:36:47,400 --> 00:36:53,760 and when it was a will ja but it's not and that's not go i's 532 00:36:53,760 --> 00:36:56,120 not go. I just to be we have to be 533 00:36:56,120 --> 00:37:00,560 better because radiations the gold standard yes, and that get 534 00:37:00,640 --> 00:37:04,960 us as near one hundred percent as we can get usly ok out of my 535 00:37:04,960 --> 00:37:08,560 five for nealy five hundred kase for and to and some in kases 536 00:37:09,760 --> 00:37:13,760 that i'd it liverpool, we we failed in three i think. 537 00:37:14,520 --> 00:37:16,760 So it's. But some of them need it. 538 00:37:16,760 --> 00:37:20,160 Two lords some of them need it multiple treatment some of them 539 00:37:20,160 --> 00:37:23,760 this and that threed and failed on no i and these we have an 540 00:37:23,760 --> 00:37:26,960 explonation so last it is not have a person and if. 541 00:37:27,120 --> 00:37:30,320 No, but it's still call to higg's re success. 542 00:37:30,880 --> 00:37:34,080 For the the out of the treatment's by no the out of 543 00:37:34,080 --> 00:37:39,600 treatment so. So to rap this up will would be 544 00:37:39,600 --> 00:37:43,040 your practical advis or your take home message in regards to 545 00:37:43,040 --> 00:37:47,920 sour coats to hors oners. The tech the murly look of your 546 00:37:47,920 --> 00:37:50,160 hors on the regular bases. If you find ital. 547 00:37:50,160 --> 00:37:57,120 Areas of skin changes that don't look right, we're have a they up 548 00:37:57,120 --> 00:38:00,520 at my particulin the sites with argways to elopin the onpits 549 00:38:00,520 --> 00:38:04,720 from the face on the eye and in the croin us to that. 550 00:38:05,080 --> 00:38:10,960 Contact you that and say what is this ok and havely you was AI 551 00:38:11,400 --> 00:38:15,640 think my horse as a sackgate but also them because the man not be 552 00:38:15,680 --> 00:38:18,800 a sackgate because it's the tipes of sackgate have a 553 00:38:19,280 --> 00:38:22,800 different set of all the conditions that good be involved 554 00:38:23,040 --> 00:38:26,240 and that's not as easy to separate them, but. 555 00:38:26,560 --> 00:38:30,000 That's with experience can do this and as it's all swiss study 556 00:38:30,000 --> 00:38:35,280 with swissmody from burn was amazing, and they proved that 557 00:38:35,320 --> 00:38:39,360 that's with very good at makeing the diagnosis without taking 558 00:38:39,360 --> 00:38:42,160 samples because it if you like a sampel for massakai remember 559 00:38:42,240 --> 00:38:45,160 you're interfering but it and you have to me really to do 560 00:38:45,200 --> 00:38:49,240 something you can't just walk away ok, you're kind of walk 561 00:38:49,240 --> 00:38:53,520 away a fed the more you on the walk away for massakai it if 562 00:38:53,520 --> 00:38:57,200 you're yourself personity. I going to walk away from you're 563 00:38:57,320 --> 00:39:01,400 on cance up and i don't think we're going to do that all we. 564 00:39:01,440 --> 00:39:05,280 No for sure nots, but we're like you to be in switz you land, we 565 00:39:05,680 --> 00:39:09,360 have a good that's for that. Thank you so like they're for 566 00:39:09,360 --> 00:39:14,360 your insight. Think you for joining aus dem 567 00:39:14,360 --> 00:39:16,600 Professor Derrick not in belt for this fasinate in 568 00:39:16,600 --> 00:39:20,200 conversation and equine sarkozes if you've injoy this episode 569 00:39:20,240 --> 00:39:23,240 don't has it it to shirt with the friend or cally who like 570 00:39:23,240 --> 00:39:27,000 benefit from it's and like shirt to follow pay can podcast on you 571 00:39:27,000 --> 00:39:30,320 fevered streaming Plattform so you don't Miss Out on future 572 00:39:30,320 --> 00:39:33,840 Episode on equine health and well being and till next time 573 00:39:33,920 --> 00:39:37,040 thanks for lisining learn more to care better.