1 00:00:03,360 --> 00:00:06,560 Alles beginnt mit einer Frage, mit dem Wunsch, ein Pferd 2 00:00:06,560 --> 00:00:09,960 wirklich zu verstehen. Aus genau diesen Gedanken ist 3 00:00:09,960 --> 00:00:13,640 der Pkn Podcast entstanden, ein Podcast für alle, die 4 00:00:13,640 --> 00:00:16,800 Verantwortung übernehmen und bereit sind, genauer 5 00:00:16,800 --> 00:00:20,800 hinzuschauen. Hier kommentieren Spezialisten 6 00:00:20,800 --> 00:00:23,600 Pferdebesitzer zusammen auf Augenhöhe. 7 00:00:24,160 --> 00:00:27,920 Geleitet von wissenschaftlicher Expertise, getragen von Neugier 8 00:00:27,920 --> 00:00:31,760 und Respekt vor dem Pferd. Mit jeder Episode öffnen wir die 9 00:00:31,760 --> 00:00:35,520 Türen der Klinik ein Stück weiter, wir teilen Wissen aus 10 00:00:35,520 --> 00:00:39,200 Forschung und Praxis und machen Pferdemedizin verständlich, 11 00:00:39,200 --> 00:00:43,440 relevant und lebendig. Das ist der PKN Podcast. 12 00:00:43,600 --> 00:00:47,280 Schön, dass du hier bist. Learn more to care better. 13 00:00:57,360 --> 00:01:00,680 Welcome back to the p can Podcast you know last episode. 14 00:01:00,680 --> 00:01:03,400 We got an all the person behind the profession today we're 15 00:01:03,400 --> 00:01:07,480 diving in to part two of a corrisation we Dr kirz silber we 16 00:01:07,480 --> 00:01:10,640 are you on a higlevel sporthars or laser companion todays 17 00:01:10,640 --> 00:01:14,600 episode is about moving from intermedation to empiriment we 18 00:01:14,600 --> 00:01:17,560 think a christer look what a readiologist actually is and how 19 00:01:17,560 --> 00:01:19,920 to job differs from the one of a general that. 20 00:01:20,400 --> 00:01:23,520 We also talk about how you defin in equine as leed as was some 21 00:01:23,520 --> 00:01:27,040 anic dots for what hapens behind the scenes at the lympics that 22 00:01:27,040 --> 00:01:29,360 lub because your in for real treat of in episode. 23 00:01:30,960 --> 00:01:34,960 So and our last episode we got to know the person behind the 24 00:01:34,960 --> 00:01:38,800 profession today. We are going to talk about what 25 00:01:38,800 --> 00:01:43,280 Dr Kurt selberg is known for worldwide, sing what other's 26 00:01:43,280 --> 00:01:47,040 kind and using the knowledge to protect a equine as leed. 27 00:01:47,760 --> 00:01:52,720 Diagnostic imaging can sound intimidating or highly 28 00:01:52,720 --> 00:01:56,720 technical, but today's goal is simple to help house ordners 29 00:01:56,720 --> 00:02:02,080 understand white meters when it meters and howard can make a 30 00:02:02,080 --> 00:02:04,400 real difference in the horses life. 31 00:02:05,360 --> 00:02:07,920 Hi Kurt. Hello i's again for Heaven. 32 00:02:08,479 --> 00:02:13,440 As cool to be here, curt many house ordners here the world 33 00:02:13,440 --> 00:02:17,000 radiologist. Was out really noing what it 34 00:02:17,000 --> 00:02:22,360 means if you're had to explane you're job to hose ordner in the 35 00:02:22,360 --> 00:02:26,440 stable in one Minute how what you just cribe what you do. 36 00:02:27,840 --> 00:02:32,640 You have the that is one minute my be chaunging to to kindance 37 00:02:32,640 --> 00:02:35,200 that in to you, but i don't say that the the nomber one think 38 00:02:35,200 --> 00:02:37,840 we're doing is with they're not to kimaging. 39 00:02:38,400 --> 00:02:41,440 Is confirming cliental suspicion of disease and then hoping 40 00:02:41,440 --> 00:02:44,880 target treatment options, and that is there of a idy of think 41 00:02:44,880 --> 00:02:49,600 so for me is a radio august. I they're there's my day is 42 00:02:49,600 --> 00:02:56,800 usery spend one looking at readiogathy Mr. C t's inform of 43 00:02:56,800 --> 00:02:59,600 the Computer and the other part of it is doing the ultrason 44 00:02:59,600 --> 00:03:04,480 examination of the horses. With the last me to get back in 45 00:03:04,480 --> 00:03:08,000 the the in the patient touching kind of being around the patient 46 00:03:08,000 --> 00:03:13,120 poting my hands on the think so the what i do on a daily bases 47 00:03:13,120 --> 00:03:19,120 is problem salfto.com up with what is most ralvant to the hors 48 00:03:19,200 --> 00:03:21,680 and then hofly targeter treatment options. 49 00:03:22,960 --> 00:03:27,480 So einstein used to say if you can't explained somesing really 50 00:03:27,480 --> 00:03:30,400 easy in if you centers, you don't not you don't understand 51 00:03:30,400 --> 00:03:34,160 what you do. So how is you're roll different 52 00:03:34,160 --> 00:03:36,880 from that of the general equin red narrin. 53 00:03:37,680 --> 00:03:40,800 Yeah, so if you're the General Equin Vanarin if you Drop big 54 00:03:40,800 --> 00:03:44,640 Circle, they kind of no everything about a little bit 55 00:03:44,640 --> 00:03:47,400 about everything and me be the have a cupal special topics that 56 00:03:47,400 --> 00:03:51,520 they like to delf dpin to you think that in amazon for me i 57 00:03:51,520 --> 00:03:54,120 still if in all the medicin and all that conest of but i and 58 00:03:54,520 --> 00:03:57,600 really focus on one specific aria that is that is. 59 00:03:58,040 --> 00:04:02,040 That is i think you be changing to put a three dimential 60 00:04:02,040 --> 00:04:04,760 structure and two dimential structure and meke? 61 00:04:04,760 --> 00:04:11,280 There's Diagnose so for meading it the the being ready all just 62 00:04:11,280 --> 00:04:14,320 means problem solving and pudding all all the things to 63 00:04:14,320 --> 00:04:17,480 get it. At what point in a lamness of 64 00:04:17,480 --> 00:04:21,200 performance is you that's a radiologest youusually.com into 65 00:04:21,200 --> 00:04:22,720 the picture. Oh into the. 66 00:04:22,720 --> 00:04:28,880 Game it for a little that pens and one of the areas people us a 67 00:04:28,880 --> 00:04:32,720 strate a way from the first time that they see the hors to the 68 00:04:32,720 --> 00:04:36,800 final time is see the hors and i the people all me get it when 69 00:04:36,800 --> 00:04:39,600 they've run out of the run ideas and. 70 00:04:40,280 --> 00:04:42,720 There they're something that's not what right and then they 71 00:04:42,720 --> 00:04:47,120 centered on to vensimaging and and hope for anser to can back i 72 00:04:47,120 --> 00:04:51,240 kind of like the we get to be used for everything we're we get 73 00:04:51,240 --> 00:04:55,640 to see the evolution of the hors of a time with is invalible 74 00:04:55,640 --> 00:04:58,960 experience to see what horses live with what they don't live 75 00:04:58,960 --> 00:05:04,080 with in they're specific disopin h and breed. 76 00:05:04,840 --> 00:05:09,240 That that is think is very very hill for me to see that that big 77 00:05:09,240 --> 00:05:14,200 chronical picture of have the horses behave of a time and them 78 00:05:14,200 --> 00:05:18,320 the stepshot and time is a bitmore changing, but is also 79 00:05:18,320 --> 00:05:22,120 the think that i see problem more of being a ready all just 80 00:05:22,120 --> 00:05:26,960 that words from remote from the klonic lot of time so get to the 81 00:05:26,960 --> 00:05:29,040 up to do it this kind of see the klonic but. 82 00:05:29,600 --> 00:05:34,560 And like i am here, but but i think that that are you of 83 00:05:35,520 --> 00:05:39,080 likeing at the computer and not seeing the tire picture is a bit 84 00:05:39,080 --> 00:05:41,560 of a chance, no like and be of a com with experience and 85 00:05:41,840 --> 00:05:44,800 understanding how things go and that go's back to the people 86 00:05:45,120 --> 00:05:50,800 using as from the start. So actually you're untering 87 00:05:50,800 --> 00:05:54,320 publy at lies my consequent question. 88 00:05:55,920 --> 00:06:00,160 Like and imaging something's be the missing pies of the puszle. 89 00:06:01,360 --> 00:06:05,840 Yeah, r the r the available are me and r of the imaging technics 90 00:06:05,880 --> 00:06:11,760 available what the the the person at doing the imaging. 91 00:06:11,760 --> 00:06:15,520 What is there capability is well and i that they're sirtan 92 00:06:15,520 --> 00:06:19,200 imaging technics that are very user depended on what what comes 93 00:06:19,200 --> 00:06:20,960 out of it and allsers on this one of us. 94 00:06:21,680 --> 00:06:25,880 Or it's like user dependant on how you're going to.com comed to 95 00:06:25,880 --> 00:06:33,840 that final enser, so i think that that it's alternative the 96 00:06:33,840 --> 00:06:39,040 the things that i'd really right to figure out i think or one to 97 00:06:39,240 --> 00:06:43,280 us diagnostic imaging meaning the test of self is it going to 98 00:06:43,280 --> 00:06:46,800 make it big change in this horses live or is it never going 99 00:06:46,880 --> 00:06:49,280 to is an nock at a change and that's axe one of the things 100 00:06:49,280 --> 00:06:53,360 that i think about intims of. Is the test word the price of it 101 00:06:53,360 --> 00:06:56,440 mission and if i can't up with my atiralist of differential 102 00:06:56,440 --> 00:06:59,200 dagnosis for the clonical picture like piddyer hands on it 103 00:06:59,280 --> 00:07:04,080 to understanding the boywork the the the physical's amination the 104 00:07:04,080 --> 00:07:07,600 movement if i can up at the differential dagnosis of all the 105 00:07:07,600 --> 00:07:10,360 things what are this hors patential a has and if i do 106 00:07:10,360 --> 00:07:18,400 imagine is i can't can't going to do there's to the hors is i 107 00:07:18,400 --> 00:07:22,800 going to the hors. Based on one the constrance of 108 00:07:22,840 --> 00:07:26,480 of medicine to financial conserns three h of the Hors, 109 00:07:26,480 --> 00:07:31,640 you're what it is, then the test is and we're going and so i 110 00:07:31,640 --> 00:07:34,240 think in we do a lot of screening tests. 111 00:07:34,240 --> 00:07:37,920 We're think are homeful as we'll toner standings, but we dyle 112 00:07:37,920 --> 00:07:43,600 back in to using diagnostic imaging as a tool to to shape 113 00:07:43,760 --> 00:07:47,480 prognoses and treatment for the horses i think we. 114 00:07:48,360 --> 00:07:52,080 Those of the arias that II think i like the most br also that 115 00:07:52,080 --> 00:07:54,560 think that that's are the most difficult. 116 00:07:55,600 --> 00:08:01,720 So bei bei Talking about screening Tests, we are off and 117 00:08:01,720 --> 00:08:06,560 talking about equine aslits. What does the term really mean 118 00:08:06,560 --> 00:08:09,120 to you? This the screening is the. 119 00:08:09,120 --> 00:08:12,080 Screening all the Equine aslit or Boss. 120 00:08:13,440 --> 00:08:15,520 I think there hand and hand and manuers just. 121 00:08:16,000 --> 00:08:19,440 And so screening is of times or it's it's like preperties of 122 00:08:19,440 --> 00:08:22,840 allivations forensed it's right so the forimiking at the radio 123 00:08:22,960 --> 00:08:26,560 radiografs there's many things that happen on radiografs we've 124 00:08:26,560 --> 00:08:30,640 in you that on or like get this hus list of things that are aban 125 00:08:32,240 --> 00:08:35,760 normal that. Really can be of a wellming in 126 00:08:35,760 --> 00:08:40,880 the idea was this for me is to pit that in to a context of 127 00:08:41,200 --> 00:08:44,800 meaning for meaning for relative information, so the preparches 128 00:08:44,800 --> 00:08:48,400 it's have people one and have a one is to have a christal balls 129 00:08:48,400 --> 00:08:52,880 to predic the horses future, and it's not that's no is possible 130 00:08:52,880 --> 00:08:56,080 but preparches aviations for screening are very how fall for 131 00:08:56,080 --> 00:08:59,040 us and your standing what horses can live with at what have a 132 00:08:59,040 --> 00:09:02,440 level the rat. And going for and that can be 133 00:09:02,440 --> 00:09:05,560 applyed and to other and was for me and you a the prepertis 134 00:09:05,560 --> 00:09:07,120 evaluation. I think it's one of the most 135 00:09:07,120 --> 00:09:09,760 important things in imaging wise. 136 00:09:10,640 --> 00:09:14,240 To understand the equine affleate and what they do for 137 00:09:14,240 --> 00:09:17,400 and so one we're. Aable do. 138 00:09:17,400 --> 00:09:21,200 You know what the able to do and the equine afflee as very 139 00:09:21,200 --> 00:09:25,760 level's just the same is as humans, we're corses just one 140 00:09:25,760 --> 00:09:28,320 and go do the job and i're going to live with some preriate 141 00:09:28,320 --> 00:09:31,960 troches things and do it and i don't going to get up preriquly 142 00:09:31,960 --> 00:09:35,800 in not do it and so the equine afflee it this for me what it 143 00:09:35,800 --> 00:09:40,600 means to be equine affleed is. Is it do's have to be in a lot 144 00:09:40,600 --> 00:09:43,200 at top level? It can be it can be just it your 145 00:09:43,200 --> 00:09:47,280 home, but the equine have this is really the the hors and join 146 00:09:47,280 --> 00:09:52,240 what it's doing the job it's doing and the owner likeing what 147 00:09:52,240 --> 00:09:58,080 it's doing and the venary coms in to how and shure that 148 00:09:58,560 --> 00:10:02,240 husbindry and medicine a working for the benefit of the hors to 149 00:10:02,240 --> 00:10:04,400 keep the hors doing what it's doing. 150 00:10:05,680 --> 00:10:09,360 And i think the the screen process is are hulful and that 151 00:10:09,360 --> 00:10:12,320 also hulful for yourself you have to be very. 152 00:10:12,640 --> 00:10:15,680 I think you have to be very open with yourself about what your 153 00:10:15,680 --> 00:10:18,400 capable is are, so that's a france and see are prepers of 154 00:10:18,480 --> 00:10:23,080 variation and a horse has marter hog arthuritis is that's 155 00:10:23,080 --> 00:10:27,040 something the we can keep going. And minions, it's is just i 156 00:10:27,040 --> 00:10:31,320 think it is, but what's there's some other i'm reality that we 157 00:10:31,320 --> 00:10:35,600 really struggle with we we have i multi horses we can get there, 158 00:10:35,600 --> 00:10:38,640 we what have a that this is proses and so the prepers is 159 00:10:38,640 --> 00:10:41,920 variation he've know the horses man out be lame at the time if 160 00:10:41,920 --> 00:10:45,760 we very i think open with your soft like i just i'm not 161 00:10:45,760 --> 00:10:48,520 confable get in these horses back to work after that 162 00:10:48,520 --> 00:10:51,440 becombing because it and so. There's the think that i think 163 00:10:52,720 --> 00:10:55,840 about and screening tests. I get it's the very interesting 164 00:10:56,320 --> 00:11:02,000 discussion because I'm in the the first reason for prepures 165 00:11:02,640 --> 00:11:08,080 usually is to insure the risk of the investment of this horse. 166 00:11:08,800 --> 00:11:11,920 But if you're talking about screening, then it is. 167 00:11:12,320 --> 00:11:15,280 Also to learn what is the hors capable and what all the 168 00:11:15,280 --> 00:11:19,600 consequence is for the organizer organism of the hors yes, what 169 00:11:19,600 --> 00:11:23,920 the rider the trainer, the the people are doing to the hors yes 170 00:11:24,000 --> 00:11:29,760 for you have to ask you yourself if you're doing korrekt so you 171 00:11:29,760 --> 00:11:33,600 can adap the management of the hors by doing regular screening. 172 00:11:33,680 --> 00:11:36,200 Yes, absolute and it. That's the one of think like 173 00:11:36,200 --> 00:11:40,840 that you're the going out with them people that are team 174 00:11:40,840 --> 00:11:43,280 betonarians. And if you know i've been around 175 00:11:43,280 --> 00:11:46,320 of a farm out a team vedinance i've really greate experience is 176 00:11:46,320 --> 00:11:48,280 beable. It's a go to the olympics and 177 00:11:48,280 --> 00:11:51,120 the will the question games as the imagine special and what's 178 00:11:51,120 --> 00:12:01,440 how these vedinance keep the patient's going it's really 179 00:12:01,440 --> 00:12:05,800 can't do's you're have a do's, you know have me concerts can't 180 00:12:05,800 --> 00:12:11,520 think going back but. The Screening tests are also of 181 00:12:11,520 --> 00:12:14,960 paramount because then you get to see this hors on multiple 182 00:12:14,960 --> 00:12:18,160 timepoints and horses or just like people they have, but 183 00:12:18,160 --> 00:12:21,040 there's and have good there's and you know you have at the 184 00:12:21,040 --> 00:12:23,320 time me your screen and it's it it's good they and then you get 185 00:12:23,320 --> 00:12:25,720 to have that is a baseline and understanding with the horses, 186 00:12:25,720 --> 00:12:30,000 but the screening evaluations i think are are important to the 187 00:12:30,000 --> 00:12:32,160 bit anarning but also to the patient that are trend it is 188 00:12:32,160 --> 00:12:37,120 there job in understanding we are the vitations of bufar. 189 00:12:38,160 --> 00:12:45,520 Just and what the horse is actually able to do and terms of 190 00:12:45,520 --> 00:12:48,720 performance ups of was changes on images. 191 00:12:49,120 --> 00:12:52,800 If you combine imaging and pulpation and clinical 192 00:12:52,800 --> 00:12:56,720 evaluation of the patient. Yeah, and that that point is 193 00:12:56,720 --> 00:13:00,840 activeer importance because when you're do your connical vivation 194 00:13:00,840 --> 00:13:02,880 or screening test. What are this and you.com up 195 00:13:02,880 --> 00:13:04,160 with something you think is at normal? 196 00:13:04,160 --> 00:13:07,440 That's we're that's we're dign us to imaging really it's the 197 00:13:07,640 --> 00:13:10,480 chine. Is now your confirming chronical 198 00:13:10,480 --> 00:13:15,160 suspicion of disease and the advance and just the frontline 199 00:13:15,160 --> 00:13:17,840 of defenses of that imaging wise. 200 00:13:17,840 --> 00:13:25,320 I think are that's the grate is use of them to to one tish 201 00:13:25,440 --> 00:13:29,040 insure you your paulpateing crackly because he's case when 202 00:13:29,040 --> 00:13:31,920 you paulpate and onerstand what are's a minute's confirm with 203 00:13:32,640 --> 00:13:35,520 what are diagnostic imaging test is that mix you better as a 204 00:13:35,520 --> 00:13:40,240 connitian moving for every time. I will II will say that the the 205 00:13:40,320 --> 00:13:45,120 two greatest as it's you have and diagnostic tests that you 206 00:13:45,120 --> 00:13:48,720 have as a vitanian are your hands in your brain in your 207 00:13:48,800 --> 00:13:50,560 eyes. What I'm in this the tectile in 208 00:13:50,560 --> 00:13:54,160 the visual and then thinking three do things that's the 209 00:13:54,160 --> 00:13:58,160 number one diagnostic test is a vitanian to preer hands on and 210 00:13:58,160 --> 00:14:01,520 go three and then the fall up is the diagnostic imaging to can 211 00:14:01,680 --> 00:14:04,640 them this this is and then really hopers of targing tripman 212 00:14:04,640 --> 00:14:10,360 options and a stand prognoses. And to and sure what you see and 213 00:14:10,360 --> 00:14:13,280 what you pulpate on and objektive Level. 214 00:14:13,280 --> 00:14:16,960 Absolute. Do you approach a high level 215 00:14:16,960 --> 00:14:19,200 sporthaus differently from a laserhouse? 216 00:14:21,840 --> 00:14:27,600 Me not massassiry the. I know the that you can devly 217 00:14:27,600 --> 00:14:31,400 plit more time and to the the speed the sporhors and i think 218 00:14:31,400 --> 00:14:34,320 that's a bit of a different. We're you're team me sing this 219 00:14:34,320 --> 00:14:39,280 guys all a time for me, my proge is still the same for the 220 00:14:39,280 --> 00:14:42,080 patient i have to know what they're doing what they're 221 00:14:42,080 --> 00:14:45,800 intended lovel what they one it do it the hors moving three even 222 00:14:46,160 --> 00:14:50,800 in a leaser hors versus the sporhors so for me. 223 00:14:51,360 --> 00:14:55,040 And all forses or gruffly equal, just some tak a little bit or 224 00:14:55,040 --> 00:14:58,360 time and new onses then others keeping them going. 225 00:14:58,840 --> 00:15:02,240 I think it disipending on the question that you a ast for. 226 00:15:02,240 --> 00:15:06,080 You're ups of the. We do all ridden horses have a 227 00:15:06,080 --> 00:15:13,280 common when it comes to musculo skelital risk do they have any 228 00:15:13,280 --> 00:15:18,560 common problems and and ridden horses or driving horses race 229 00:15:18,560 --> 00:15:21,600 horses do you have? What the other's institutesing 230 00:15:21,600 --> 00:15:26,320 like it you know it's i good is i went to you school and Evan 231 00:15:27,040 --> 00:15:30,880 Advanced Training there's sirtan disease proces II usly that 232 00:15:30,880 --> 00:15:35,320 we're going to be specific to one disiplin and the more i know 233 00:15:35,400 --> 00:15:39,320 and the more as technologies advanced i realized this disease 234 00:15:39,320 --> 00:15:43,440 proces he's have in multiple diseplance. 235 00:15:44,520 --> 00:15:48,480 That that that are there with it's tick for the the fatluck 236 00:15:48,480 --> 00:15:52,000 plomeroster condor to see is we see a lot and resorses, but i 237 00:15:52,000 --> 00:15:55,440 also see that seam to seas proses in trisales horses was 238 00:15:55,440 --> 00:15:58,880 your plaser horses and it's the just repetit of cycling think 239 00:15:58,880 --> 00:16:03,880 like goes and so the. Or there's bis of these disease 240 00:16:03,880 --> 00:16:08,960 processies for cert dispoints absolute there there are, but 241 00:16:09,680 --> 00:16:12,560 and we know what happens we're peoplely and some of this 242 00:16:12,560 --> 00:16:16,400 disopints, but the n result is a horses a horses and they can 243 00:16:16,400 --> 00:16:20,160 have all do rutly simer things now that future there's disease 244 00:16:20,160 --> 00:16:25,800 specific to the disopin but. I think for meed you with the 245 00:16:25,800 --> 00:16:28,440 there's not here's difference and what they do the see's 246 00:16:28,440 --> 00:16:31,760 processies hapen but they make just be slate variations of what 247 00:16:31,800 --> 00:16:35,880 you tradition i think. I get them the major difference 248 00:16:35,880 --> 00:16:39,920 is the purpus the us in the speed. 249 00:16:39,920 --> 00:16:44,640 Just. What out the earliest Warning 250 00:16:44,640 --> 00:16:48,800 Science ones of Miss especialy in horses that us still 251 00:16:48,800 --> 00:16:56,640 performing will. That is a strubble because like 252 00:16:56,640 --> 00:16:59,880 is it some horses have goodes and some horses have bades that 253 00:16:59,880 --> 00:17:04,640 sainers humans, but the understanding your hors in the 254 00:17:05,040 --> 00:17:08,480 owner or the professional i think is very portance because 255 00:17:08,800 --> 00:17:12,599 the you're can have to rely on them a little bit to say you 256 00:17:12,599 --> 00:17:16,319 know this what you feeling how you feeling it what is what is 257 00:17:16,319 --> 00:17:20,960 happening with this with this animal and. 258 00:17:21,599 --> 00:17:25,680 I think that as you as you game war understanding what that is 259 00:17:25,680 --> 00:17:27,920 you're, but that help patient along. 260 00:17:29,120 --> 00:17:34,400 So many ones think imaging is only used ons something is 261 00:17:34,400 --> 00:17:37,600 already see usly wrong true on a true. 262 00:17:40,240 --> 00:17:43,640 It's top to go to the saiki of people that you know but i do 263 00:17:43,680 --> 00:17:47,280 think that that people a specialy. 264 00:17:48,000 --> 00:17:52,640 Sporthorst people are are much or fokus on giting serial 265 00:17:52,640 --> 00:17:55,280 imaging to understand what's happening with the disease 266 00:17:55,280 --> 00:17:59,520 prozess because there's lot of times that this you can see an 267 00:17:59,520 --> 00:18:04,480 have a malody and that like a frog will like it's a something 268 00:18:04,480 --> 00:18:10,000 that cabitarable but as you wax is of a time and every changes 269 00:18:10,000 --> 00:18:14,960 the disease prozess typical the struxual changes will cur as the 270 00:18:14,960 --> 00:18:17,280 disease. If all see they're get's better 271 00:18:17,280 --> 00:18:22,720 or get's words and so i think that is we have this one one to 272 00:18:22,720 --> 00:18:29,120 tunal studies that are becoming more and more frequent that is 273 00:18:29,120 --> 00:18:32,960 also up's our game in understanding this is processies 274 00:18:33,280 --> 00:18:34,880 for. So we're coming back to 275 00:18:34,880 --> 00:18:37,480 screening. We're going to say one of the 276 00:18:37,480 --> 00:18:38,880 things that we think about as you know. 277 00:18:39,520 --> 00:18:43,520 We have this p one have pomerostro clondro fragnits and 278 00:18:43,600 --> 00:18:47,600 you see this and you're win and people with take them out to 279 00:18:47,600 --> 00:18:54,120 fixed the ready graphs not the hors persey and because i now i 280 00:18:54,120 --> 00:18:58,440 see horses with p one fragnits that are computing and they've 281 00:18:58,520 --> 00:19:00,920 all is computed and that is been there for some time and that is 282 00:19:00,920 --> 00:19:03,360 in the does and change with the ability is. 283 00:19:03,840 --> 00:19:07,360 And also the things that we get to do with repeated screening, 284 00:19:07,360 --> 00:19:12,160 test or you're in repeated tests to to look for what the disease 285 00:19:12,160 --> 00:19:14,480 prozesses and and fall of the disease Prozess. 286 00:19:18,240 --> 00:19:21,920 And what situations can imaging prevent bigger problems. 287 00:19:23,040 --> 00:19:26,960 I don't know that. Imaging I don't know that 288 00:19:26,960 --> 00:19:30,480 imaging provence big a problems percy, i think it helpes as on 289 00:19:30,480 --> 00:19:34,160 your stand out it how to manage them and maybe that is the 290 00:19:34,160 --> 00:19:37,600 problem the biggesting to do is that it gives as an idea of what 291 00:19:37,920 --> 00:19:40,440 based on our experience for the very animals in the sames as 292 00:19:40,440 --> 00:19:45,760 he's prozess how to best move is hors fort and makesure that is 293 00:19:45,760 --> 00:19:51,600 confiple and doing is job, but i don't as i't reckly i don't 294 00:19:51,640 --> 00:19:54,320 think that it. I. 295 00:19:57,520 --> 00:20:05,280 What i what consider the imaging can in true, you a little but to 296 00:20:05,280 --> 00:20:10,400 repeat the klinical screening what be very have for and 297 00:20:10,400 --> 00:20:14,400 nesseserry if you have consern that patient the horse what i is 298 00:20:14,400 --> 00:20:19,920 not is not hundred percent. OKI, I'm tolling we that's it's 299 00:20:19,920 --> 00:20:22,280 it's a probitronicid i we're think just not as i like man as 300 00:20:22,280 --> 00:20:25,680 you just it. But the that frisure that 301 00:20:25,680 --> 00:20:27,880 there's a things that the screening test going back to 302 00:20:27,880 --> 00:20:31,240 just donner standing now i that screening, test and imaging but 303 00:20:31,240 --> 00:20:34,080 screening test for thetarians and hell off and they get anagos 304 00:20:34,080 --> 00:20:37,160 back to the sport hors, we're perhaps there's seen on a more 305 00:20:37,160 --> 00:20:42,320 frequent bases and i'm can get one out in the feel doing stop 306 00:20:42,320 --> 00:20:47,040 there's i would go to farms and i look at the same hors. 307 00:20:47,440 --> 00:20:50,800 Evan of it's brief but it but like it it on every out of week 308 00:20:50,800 --> 00:20:53,680 or every week kind of think just understanding how we think it's 309 00:20:53,680 --> 00:20:57,400 going overtime and at this do's of the screening test of we 310 00:20:57,400 --> 00:20:58,800 tarked about that think can be have one. 311 00:20:59,200 --> 00:21:04,000 If an on as a unchual what the imaging is word it what fictus 312 00:21:04,000 --> 00:21:09,040 should that cools in your. Yeah, so when we can it imaging 313 00:21:09,040 --> 00:21:12,280 you want to make share that your the diagnostic that you of the 314 00:21:12,280 --> 00:21:15,680 test is a positive there so for instance it. 315 00:21:15,680 --> 00:21:19,440 I think imagine this just. What what back is what I'm like 316 00:21:19,440 --> 00:21:25,040 it the the diagnostic test and I'm confirming clonical 317 00:21:25,120 --> 00:21:27,440 suspition is is and what if that disease process that i think is 318 00:21:27,440 --> 00:21:31,600 have caning if the diagnostic test do's and this is so a 319 00:21:31,600 --> 00:21:35,280 change what i can do to the hors are do for the hors and the 320 00:21:35,280 --> 00:21:42,720 diagnostic test is and that's the the price of inmission but a 321 00:21:42,720 --> 00:21:44,800 do think that diagnostic imaging. 322 00:21:45,280 --> 00:21:49,520 If for sure halbeses understand the prognoses a little bit 323 00:21:49,520 --> 00:21:54,080 better and targin ar tripment options to make sure we're do in 324 00:21:54,080 --> 00:21:57,440 the right think and so that was back to i think in tripritation 325 00:21:57,440 --> 00:22:02,160 of are of are imaging and you know if you like it to to do of 326 00:22:02,160 --> 00:22:05,600 capty of over in tripritation and uner in tripritation of 327 00:22:06,320 --> 00:22:11,000 disease proces and over in tripritation means you have 328 00:22:11,000 --> 00:22:13,680 falls positive. And then you're treating the 329 00:22:13,680 --> 00:22:16,560 wong thing or something this petitioning normal, and then you 330 00:22:16,560 --> 00:22:20,080 have under tripitation what's then you have, falls negative 331 00:22:20,400 --> 00:22:23,240 and then you're not treating the trackings and you're all of the 332 00:22:23,240 --> 00:22:27,320 insback to properformance or liping horses, so I've See what 333 00:22:27,320 --> 00:22:31,640 the Bouncing act of what and tripitation but you also have a 334 00:22:31,640 --> 00:22:34,160 understand the limitations or a diagnostic test. 335 00:22:34,160 --> 00:22:38,320 What a we what a we chusing and a lot of times. 336 00:22:39,120 --> 00:22:44,160 It's a component of imaging that get us to the best result. 337 00:22:45,520 --> 00:22:49,520 So we need to have a match between the clinical and the 338 00:22:49,520 --> 00:22:56,200 imaging findings to find the solution for the was that's talk 339 00:22:56,200 --> 00:23:02,640 about some tools how's oners off and he'd here terms like x rays, 340 00:23:02,640 --> 00:23:07,600 altra sound emery CT it can be a little over wellming. 341 00:23:09,040 --> 00:23:13,880 In simple terms, what does each modelity modelity allow u to 342 00:23:13,880 --> 00:23:16,080 see? You know they're two camps it. 343 00:23:16,080 --> 00:23:22,640 I coming to one is an atomic struxral and the second is 344 00:23:22,640 --> 00:23:27,360 physiologic and some of there's imaging modality's can do a bit 345 00:23:27,360 --> 00:23:33,400 of bol for us, but the in general when we look at ready 346 00:23:33,400 --> 00:23:37,680 graphs we like in at struxral changes to indicate disease. 347 00:23:38,520 --> 00:23:40,480 We're not can see are. We're not going to see in 348 00:23:40,720 --> 00:23:43,840 nessesary in flimatory things that are with in the bone we can 349 00:23:43,840 --> 00:23:47,320 see in flimatory stop of the sims of tichy's poticy's one but 350 00:23:47,320 --> 00:23:50,680 roaring and a pick that that and we have all tresan and all 351 00:23:50,680 --> 00:23:53,360 tresan i can be a little bit of both one is it's we see 352 00:23:53,360 --> 00:23:56,160 structure changes, but we can also have some physiologic 353 00:23:56,800 --> 00:24:01,120 changes is well and that is inquise bloodflow to apoticarya 354 00:24:01,520 --> 00:24:06,640 and that can help is one and the the raldance of what i's but 355 00:24:06,640 --> 00:24:09,600 two. We can used the vaskive or 356 00:24:09,600 --> 00:24:16,560 patterns as a dopinaritarigation we can used that to to chained 357 00:24:16,600 --> 00:24:18,640 or to understand what's happening with the disease 358 00:24:18,640 --> 00:24:24,240 prozess, so as the bladbessel in corsion and reduces off and time 359 00:24:24,240 --> 00:24:30,400 that i see horses geting better klinically, and then we have mri 360 00:24:30,480 --> 00:24:35,840 we've do's bit a both red, so MRI get us grid in atomic. 361 00:24:36,480 --> 00:24:39,920 Definition but also give us some of the physiologic things that 362 00:24:39,920 --> 00:24:44,840 are happening for information, and then we have or nuclear 363 00:24:45,680 --> 00:24:49,840 medicine technics. We're give us really the one can 364 00:24:49,840 --> 00:24:54,160 be verifisiologic so bone turnover or arias that are 365 00:24:54,240 --> 00:24:59,640 avnormally that in the soltichees that are that are and 366 00:24:59,640 --> 00:25:02,400 we can have radio trasers that go to ange one of as arias to 367 00:25:02,400 --> 00:25:04,080 give us better ideas what's happening. 368 00:25:04,880 --> 00:25:09,440 So because the biggestings i see in imagine or structure versus 369 00:25:09,840 --> 00:25:13,000 physiologic and then we have to figure out what's happening and 370 00:25:13,000 --> 00:25:16,160 what test will give us the mosteline information without 371 00:25:16,240 --> 00:25:18,880 that's us are the breaking the big not of rehorse in news to go 372 00:25:18,880 --> 00:25:23,360 have a ct or in mri or nuclears and the grafic we can't we can 373 00:25:23,360 --> 00:25:26,880 get to the diagnose is an minions and is by using one the 374 00:25:26,880 --> 00:25:30,720 primary diagnostic to a bitterning hass with or it's 375 00:25:30,720 --> 00:25:37,680 taktal and visual and are bring. Going to it and then we can from 376 00:25:37,800 --> 00:25:39,840 that. This is process with ready 377 00:25:39,840 --> 00:25:44,080 graphs and all for some with are fields options to do and get to 378 00:25:44,080 --> 00:25:47,000 the point to that is are pointial to missly things we 379 00:25:47,040 --> 00:25:51,840 have there absolut is, but it's a pointial that is is there on 380 00:25:51,840 --> 00:25:57,600 there are imaging to you. And why Kind one technic do it 381 00:25:57,600 --> 00:26:02,320 all? What one to one to you can 382 00:26:02,760 --> 00:26:06,240 there's one the poticity code i think and that is a it's kind 383 00:26:06,960 --> 00:26:12,080 but pets kind for sure, but the if we fuse it was CT, then we 384 00:26:12,080 --> 00:26:14,800 get anatomic and physiologic for this for equity. 385 00:26:15,800 --> 00:26:18,920 And there's a two two things to go to get that we're nicely and 386 00:26:18,920 --> 00:26:23,760 then mri is also gus is that information potentialy, but the 387 00:26:23,760 --> 00:26:27,600 problem with that is we you to diing also test that is one 388 00:26:27,600 --> 00:26:33,120 break the back and one and is a fast rapid acure test mri i 389 00:26:33,120 --> 00:26:36,360 think you get to the inster but there's also is and hear riskes 390 00:26:36,360 --> 00:26:39,600 and pudding them that are general as tesure also it's for 391 00:26:39,640 --> 00:26:44,640 the lo but. The standing hors at think 392 00:26:44,640 --> 00:26:47,680 people want to have there hors as keep standing kind of think 393 00:26:47,680 --> 00:26:51,840 and so that position to the roam of CT and peter or nuklear 394 00:26:51,840 --> 00:26:56,560 cidografic in the end. All that comen miss on the 395 00:26:56,560 --> 00:27:00,480 standings about was imaging, ken show or kenot show. 396 00:27:00,960 --> 00:27:05,320 You're the in in this and in vitering ass and you people what 397 00:27:05,320 --> 00:27:09,320 to have more cornitative assessment of things and. 398 00:27:09,840 --> 00:27:14,760 We call it venenting Medicine is an art not oh is a science and 399 00:27:14,760 --> 00:27:20,280 so there's an old fries is is and many times the ridio august 400 00:27:20,280 --> 00:27:23,720 for the ruvern hand is ridio august and trubble so for line 401 00:27:23,720 --> 00:27:28,160 and mejamans to maker primar diagnose that me be not be the 402 00:27:28,160 --> 00:27:33,440 best way to do it, but i think the miss conception is we one, 403 00:27:33,440 --> 00:27:38,800 we can acutly get a timeline for this is processies. 404 00:27:39,520 --> 00:27:43,280 Espresso the like muscul scolal ingrees and that's not possible 405 00:27:43,680 --> 00:27:46,160 persay and us. We have multial imaging time 406 00:27:46,160 --> 00:27:50,640 points because i'm in a spony think that i see very a qed, but 407 00:27:50,640 --> 00:27:53,320 i was see in a very a chronic stage and they will all's a 408 00:27:53,320 --> 00:28:02,360 dandical to that on the imaging so you. 409 00:28:02,960 --> 00:28:06,400 I can be a bit of a Chance. I think understanding. 410 00:28:06,880 --> 00:28:10,240 It's i complicate and this not. And. 411 00:28:10,880 --> 00:28:18,720 One, two, a possible for bone and softic, you and inflamation 412 00:28:18,720 --> 00:28:22,720 and and circulation and all this right now baby in the future, 413 00:28:22,960 --> 00:28:27,160 one of the hardis situation for onas is one a horst doesnt blue 414 00:28:27,160 --> 00:28:30,960 blame. But something is isn killy 415 00:28:30,960 --> 00:28:34,400 right. He the the nebulus pore 416 00:28:34,400 --> 00:28:39,000 Performance Horses, i think or the one of the most changing 417 00:28:39,000 --> 00:28:41,720 horses in general because one you got to you got to potary 418 00:28:41,720 --> 00:28:45,160 think we get or anicially and maybe you ron down passed art 419 00:28:45,160 --> 00:28:49,400 assasserity what this horses problem is and you treed it and 420 00:28:49,400 --> 00:28:51,680 that in the's of can be a diagnostic test. 421 00:28:52,640 --> 00:28:59,120 So the nebulus ones i think are was changing and it takes that 422 00:28:59,120 --> 00:29:03,840 the screening tests if you as you know the hors more and more 423 00:29:03,840 --> 00:29:08,160 or a time you understand we're that hors, maybe falting it so 424 00:29:08,960 --> 00:29:14,000 in in as performance, so it that they did it have you and did you 425 00:29:14,000 --> 00:29:19,040 like i do know out thisage i like up some times and all it 426 00:29:19,040 --> 00:29:23,240 was sleep and my. Back feels terrible or you know 427 00:29:23,280 --> 00:29:27,840 it, we're mysulder feels like garbage and all it was sleep and 428 00:29:27,840 --> 00:29:30,560 the horses i they can do the same thing and be be slide the 429 00:29:30,560 --> 00:29:35,440 off and me be they did it they musal solar or there that the 430 00:29:35,440 --> 00:29:38,240 bone contusion we are no about or you know herses are eventive 431 00:29:38,240 --> 00:29:42,720 with a criters on injing and soles they they can up with IDS 432 00:29:42,720 --> 00:29:45,120 to her them soles that we're never what a dreamed of. 433 00:29:46,720 --> 00:29:50,280 That there's a things that that i think it the the nebulus ones 434 00:29:50,280 --> 00:29:53,320 or the last changing in offentimes when the test that we 435 00:29:53,360 --> 00:29:56,880 want to cheese for the nebulus ones are a screening test, which 436 00:29:56,880 --> 00:30:01,200 is newcreer's tickerfy right but do's or also if we like it back 437 00:30:01,200 --> 00:30:03,800 at the literatur and you have in my my personal experience that 438 00:30:03,800 --> 00:30:07,520 is we like back at us in news newcreer's integrity as a screen 439 00:30:07,520 --> 00:30:10,080 to and something we're not really understanding and what's 440 00:30:10,080 --> 00:30:13,120 happening with the hors do's in the ones that don't tendor 441 00:30:13,120 --> 00:30:18,000 randers the ansers. So the Look back in Suit i's in 442 00:30:18,000 --> 00:30:20,480 has an i's paper on that what it's last in fifty Prozent of 443 00:30:20,480 --> 00:30:24,600 the Horses exrigate diagnoses in last of for there's kind of 444 00:30:24,600 --> 00:30:28,480 streaming x am's if you will, but those are one stings of we 445 00:30:28,480 --> 00:30:32,000 tendit to go to now if we user clonical vivation and say i 446 00:30:32,040 --> 00:30:34,760 think this is happening for this and now i want to probate. 447 00:30:35,520 --> 00:30:39,760 And negative information on a diagnostic xam is equaly as 448 00:30:39,760 --> 00:30:43,640 helfal as the ansert so we know it's not now. 449 00:30:44,000 --> 00:30:48,640 Just absolut. Also I'm that i was drugling and 450 00:30:48,640 --> 00:30:53,600 waiting for the second part of your ants of because i'm can if 451 00:30:53,600 --> 00:30:57,680 you have a horse was pur performance, and you do a 452 00:30:57,680 --> 00:31:03,280 screening clinical first and then and nuke and you don't have 453 00:31:03,280 --> 00:31:07,480 a. A prisise on so still you have 454 00:31:07,480 --> 00:31:13,600 an on so and this is quite insuring that you can keep on 455 00:31:13,600 --> 00:31:18,200 trying to to surfed with adaptions of training food, 456 00:31:18,280 --> 00:31:22,800 nutrition, physiotherapy what have it is for this? 457 00:31:23,200 --> 00:31:27,440 The knowledge and other parts of the vetnary field is is squid 458 00:31:27,440 --> 00:31:29,920 big, so we but it is it. Gifs an Ansel. 459 00:31:30,160 --> 00:31:32,960 Just I'm in the app for it. No no. 460 00:31:32,960 --> 00:31:37,920 I know I'm a melody is are still a positive test in the some 461 00:31:37,920 --> 00:31:41,360 respekt, i think that's important to real is and i'm can 462 00:31:41,360 --> 00:31:43,520 we see that all a time of ridy graphs like oh a ridy graphs 463 00:31:43,680 --> 00:31:45,920 normal but or still lamping, and we know it's lamping in this 464 00:31:45,920 --> 00:31:48,000 region, but now we know what it's not potentally. 465 00:31:49,280 --> 00:31:52,800 And there's a issue that we we're talking about prepertious 466 00:31:52,800 --> 00:31:56,240 examination because it does in this is eddie mean that if the 467 00:31:56,400 --> 00:31:58,880 radio graphs are ok that the horses not haveing. 468 00:31:59,520 --> 00:32:02,200 An issue you absolute. And that's a reason why we need 469 00:32:02,200 --> 00:32:08,320 to combined klenical andridiology test you have word 470 00:32:08,320 --> 00:32:11,520 as and imaging consultant at the world equestion games and it's a 471 00:32:11,520 --> 00:32:17,200 olympic games that's elite sport, but most listeners at not 472 00:32:17,200 --> 00:32:20,960 riding at this level. What lessons from top Level 473 00:32:20,960 --> 00:32:24,080 Sport apply directly to amateur and liesure horses. 474 00:32:25,560 --> 00:32:28,960 The perlo that's just the perlo. I think be's out of there well 475 00:32:29,560 --> 00:32:35,120 and the leaser in the sport hors because the the the elite affly 476 00:32:35,440 --> 00:32:39,080 but on human ands the animal side spend a lot of time 477 00:32:39,080 --> 00:32:40,960 together and understanding what's uponing. 478 00:32:41,320 --> 00:32:44,880 And them sameding with the beasure hors is the people take 479 00:32:44,880 --> 00:32:48,680 a really vested interest and the beasure hors and they want to do 480 00:32:48,680 --> 00:32:51,040 the best by the horses. We'll so what can i take away 481 00:32:51,040 --> 00:32:56,000 from the spor hors and movedin to the beasure hors is the is 482 00:32:56,000 --> 00:33:00,960 the routine screening stuff. And making shirt of the horses 483 00:33:00,960 --> 00:33:02,760 top. Not she know we have you we go 484 00:33:02,800 --> 00:33:06,720 for physical xam or at some point we start to do this are 485 00:33:06,800 --> 00:33:11,080 anual physical zam pobled mic share we're all do on ok and 486 00:33:11,080 --> 00:33:14,080 think that's think that played to horses two and thatme.com in 487 00:33:14,080 --> 00:33:18,640 the form of vaxens or or the warming or provenitive stuff, 488 00:33:18,640 --> 00:33:22,480 but no ml as looking at the sport horses Bandit. 489 00:33:22,880 --> 00:33:27,080 And in or in about time with this horses and are deple in two 490 00:33:27,080 --> 00:33:31,000 with them at samting i think is over you're on a leaserside that 491 00:33:31,000 --> 00:33:35,760 we can use to a vanage and get people more contable with. 492 00:33:35,920 --> 00:33:39,040 All them is takes you see rapid Leo cross the levels. 493 00:33:46,960 --> 00:33:50,000 That's it as it tof crashion so what one i think about what my 494 00:33:50,000 --> 00:33:53,840 steaks we my have between the two between the two a cross the 495 00:33:53,840 --> 00:34:01,360 levels i think is man at tof, but i think we have to be intume 496 00:34:01,360 --> 00:34:04,280 of the hors i think do is it my steaks it we misses just sending 497 00:34:04,320 --> 00:34:07,280 like all the horses all that they what's send it to a bones 498 00:34:07,280 --> 00:34:11,520 ganner what's just inject what have it is an see you happens i 499 00:34:11,520 --> 00:34:15,760 think do is it things that i out perferts and to treat what we 500 00:34:15,760 --> 00:34:20,440 have dyk no strow and doing the something this shot kind of 501 00:34:20,440 --> 00:34:24,000 perge to tride of the fix it. Also for me, that is only one 502 00:34:24,000 --> 00:34:30,159 baby to at is if a horse is not willing to do what you ask for 503 00:34:30,159 --> 00:34:35,120 and hund prozent of the cases. The horse is not able two. 504 00:34:36,040 --> 00:34:39,840 At can me that can be a medical related is you it can be a 505 00:34:39,840 --> 00:34:44,719 defisit of education or training at can be in non ability of the 506 00:34:44,719 --> 00:34:48,840 rider or trainer, but it is nav of the mood of the hors know 507 00:34:49,000 --> 00:34:53,960 that makes it not posible. Crick they're just the goodies 508 00:34:53,960 --> 00:34:55,880 and babies, but there's the horses is still out. 509 00:34:55,880 --> 00:34:58,200 There are trained do what are we're student is just not doing 510 00:34:58,200 --> 00:35:01,560 it to's foribility and some horses will just flight refused 511 00:35:01,560 --> 00:35:04,080 to start to work and that's one of the biggest indicators a 512 00:35:04,080 --> 00:35:07,920 going back to. Pro performance is they start to 513 00:35:07,920 --> 00:35:10,880 have refusal behavare what's they go to a jump and they dock 514 00:35:10,880 --> 00:35:14,280 off one way and because and it do's your sattel things that you 515 00:35:14,280 --> 00:35:17,000 start to like at we're they always land for what have a ries 516 00:35:17,000 --> 00:35:21,760 and I'm one lim and they dock off to a sertan way or there 517 00:35:21,760 --> 00:35:24,560 just sattel changes and there what's they're jumping or what's 518 00:35:24,560 --> 00:35:28,160 they're gate in the chance for it's all this is the things 519 00:35:28,400 --> 00:35:32,400 really mean a tong for those afins and. 520 00:35:33,440 --> 00:35:37,600 That that i think is important donner stands and then figure 521 00:35:37,920 --> 00:35:40,560 how imaging incomponent this areas. 522 00:35:41,280 --> 00:35:48,480 So imaging is bringing onses, but some times there's ons as a 523 00:35:48,480 --> 00:35:50,320 difficult. We're. 524 00:35:51,200 --> 00:35:53,760 How do you approach conversations when the findings 525 00:35:53,960 --> 00:35:57,040 on what the owner? Oh a trainer a hoping for. 526 00:35:59,040 --> 00:36:02,240 One is. Tried to get them is much 527 00:36:02,240 --> 00:36:06,800 information is possible. Understanding the emotional 528 00:36:06,800 --> 00:36:12,000 tachment or to one the the profession or to the hors and 529 00:36:12,160 --> 00:36:17,880 nicking shure with to a shure of them that we're doing everything 530 00:36:17,880 --> 00:36:21,440 i can for the hors and for you and. 531 00:36:21,960 --> 00:36:26,400 This is an something we one it to to find, but is we're a out 532 00:36:26,560 --> 00:36:30,560 and now we need to make a good plan going for to the make share 533 00:36:30,560 --> 00:36:36,080 that this this patient is confiple and i think showing the 534 00:36:36,080 --> 00:36:40,960 compassion and empathy orivan sympathy to this oners i think 535 00:36:40,960 --> 00:36:44,520 is proba permanent and real as the everybody as a differre 536 00:36:44,520 --> 00:36:48,240 aktion and they get about news and be accepting of that that 537 00:36:48,240 --> 00:36:51,400 kind of stuff and and and. You know lot of people don't 538 00:36:51,400 --> 00:36:54,720 like sex and pinions, but i think also in this one of the 539 00:36:54,720 --> 00:36:58,560 things hears a here's what i'm this is are diagnoses and 540 00:36:59,600 --> 00:37:04,080 understand you me like this diagnoses and i will absolutly 541 00:37:04,320 --> 00:37:07,600 have another's that abies like at this hors for is a secan 542 00:37:07,600 --> 00:37:11,880 opinion just to make share that one not missity they and so be i 543 00:37:11,880 --> 00:37:17,680 think humbleen of to understand that that on or like need more 544 00:37:17,760 --> 00:37:21,400 information that. Or the theme information that 545 00:37:21,400 --> 00:37:23,440 you're going just by a second person. 546 00:37:24,920 --> 00:37:28,800 I'm in this like an any kind of field, also an human medice, and 547 00:37:28,800 --> 00:37:34,080 if you're doing a series job, you're not a frate because of a 548 00:37:34,080 --> 00:37:37,880 second opinion because it is bringing more opportunity to 549 00:37:37,880 --> 00:37:40,800 find just the best result. Absolut. 550 00:37:41,280 --> 00:37:47,520 The a team approach is is problem my favorite kind of go 551 00:37:47,520 --> 00:37:50,640 to a not like. You know I'm it was at us 552 00:37:50,640 --> 00:37:55,360 forensance we talk very freaking on a phone about cases, and's 553 00:37:55,360 --> 00:37:59,440 moving threestoff and i think the havingles conversations with 554 00:37:59,760 --> 00:38:03,120 a differents that avised looking at the horster a different lens 555 00:38:03,120 --> 00:38:08,080 if you will is is is really hoful and i get i get a ton of 556 00:38:08,080 --> 00:38:10,800 information by havingles conversations and i have a hoop 557 00:38:10,800 --> 00:38:14,520 it goes back me at away. As well, but i think haveing 558 00:38:14,520 --> 00:38:18,800 this teamerproaches is veribor hoful, and if i look at kind of 559 00:38:19,040 --> 00:38:21,920 one of things that that's in the mail, connect you or a sign the 560 00:38:21,920 --> 00:38:26,000 team of physicians to go to do you with you time and a lot 561 00:38:26,000 --> 00:38:30,400 time, so the horson the horses me have one primer wettering the 562 00:38:30,480 --> 00:38:34,160 go sure we think. But there's also special is or 563 00:38:34,160 --> 00:38:39,360 friends that are probly calls for the things and so again, the 564 00:38:39,360 --> 00:38:42,560 secinopinions have and just organity is what not assassily 565 00:38:42,560 --> 00:38:47,040 just because they don't like what are you have to say but we 566 00:38:47,040 --> 00:38:51,240 off and time is get secinopinius just or selbst to to AK is. 567 00:38:51,240 --> 00:38:54,000 We're case you know, here's what i think it's going on all of the 568 00:38:54,000 --> 00:38:57,840 things and the allything you befor kind of thing is it's 569 00:38:57,840 --> 00:39:01,200 conversations we have you know behind the curtin of you will. 570 00:39:02,400 --> 00:39:08,400 So that's Lok a lot of a head the future of imaging diagnostic 571 00:39:08,400 --> 00:39:13,600 imaging, hess and valve enormes lee over you karea what 572 00:39:13,840 --> 00:39:16,480 developments it like you the most right no. 573 00:39:17,680 --> 00:39:23,920 The a cup, a two things, two things or exit me the most one 574 00:39:23,920 --> 00:39:28,400 is the posibility of ct, and we're we can go that technology 575 00:39:28,960 --> 00:39:33,440 because it's such a rapid test. Are there uperting these to 576 00:39:33,440 --> 00:39:38,000 understanding is a bit war and in the second is every here 577 00:39:38,640 --> 00:39:40,960 alltersand get's a little bit better and get's a little bit 578 00:39:41,040 --> 00:39:46,560 extra of Kind of technology in there and i think that of a time 579 00:39:46,560 --> 00:39:50,880 is going to be have for one is the frequency you know physics 580 00:39:50,960 --> 00:39:54,080 the hirl of frequency the last penetration you have, but but 581 00:39:54,080 --> 00:39:57,680 really these prozies this have super i frequency and a 582 00:39:57,680 --> 00:40:00,800 penetriting river what so i geting. 583 00:40:01,360 --> 00:40:04,920 But it detail and so the two areas that exit me and a most of 584 00:40:04,960 --> 00:40:11,920 in terms of just aquipment or all to sounds and and ct mri 585 00:40:12,320 --> 00:40:15,800 odyssey has a hugged grof potential is well in terms of 586 00:40:15,800 --> 00:40:18,960 what we can do for the camel conformation with in the hors, 587 00:40:18,960 --> 00:40:22,480 but the ct it's somethingthat's.com on we're a 588 00:40:22,480 --> 00:40:26,400 strong like and i think that if we can get the most mining 589 00:40:26,400 --> 00:40:28,920 information out of this. I think that is a is a really 590 00:40:28,920 --> 00:40:33,520 cool test. And then pet newcer's integrity 591 00:40:33,520 --> 00:40:39,600 and and pet i think are a prime precoal little technologies to 592 00:40:39,600 --> 00:40:43,360 do stuff, but the the third think that i'm that i was say is 593 00:40:43,360 --> 00:40:45,360 problem. The nosexiting is the artificial 594 00:40:45,360 --> 00:40:49,800 intelligence one for gitting battle images, two is how do you 595 00:40:49,800 --> 00:40:56,720 you in specific ways with the imaging in I'm know malodies 596 00:40:56,720 --> 00:40:58,880 kind of think to make you a battle radio August. 597 00:40:59,840 --> 00:41:04,400 And and workflow and a geting to your day so you can span more 598 00:41:04,400 --> 00:41:09,040 time with the patient brother, then inform of a computer 599 00:41:09,040 --> 00:41:10,960 screen. Typing out what you just so. 600 00:41:12,880 --> 00:41:18,320 Cool what i like about the AI Perspektive good be that it will 601 00:41:18,320 --> 00:41:22,160 herp us to see things that we are usually mike miss. 602 00:41:22,480 --> 00:41:24,880 You. That is bringing more 603 00:41:25,360 --> 00:41:29,360 objektivity so we will have better results and we will learn 604 00:41:29,360 --> 00:41:35,880 more what do you see imaging changing in the way we manage 605 00:41:35,880 --> 00:41:43,720 horses in the future. I don't know that it's it's 606 00:41:43,720 --> 00:41:46,240 definity is of all of to this point like frances. 607 00:41:46,240 --> 00:41:48,880 There's this is proses this they can see on redy grips. 608 00:41:49,120 --> 00:41:52,280 And because we can see you something that mean that's at 609 00:41:52,280 --> 00:41:56,240 normal that means that's the cars of the problem and so as we 610 00:41:56,240 --> 00:42:01,160 look at the evolution right, we have re graphson and all trasand 611 00:42:01,160 --> 00:42:04,320 the all trasands the first images if you're jump on one 612 00:42:04,320 --> 00:42:07,000 phillip and Turnier hitside ways you can kind of me out the 613 00:42:07,000 --> 00:42:11,360 Anatomy now we have this great them they're fokust exams that 614 00:42:11,360 --> 00:42:14,560 you can see anatomy the credible will but. 615 00:42:16,240 --> 00:42:18,640 Um those of things as you move is you move three this this 616 00:42:18,640 --> 00:42:25,440 technologies that are improving or a time as especially inovated 617 00:42:25,440 --> 00:42:31,680 WSTUCT lucky mri in one makeing and faster, but also more 618 00:42:31,680 --> 00:42:36,000 diagnostic the artificial intelligence and and three is 619 00:42:36,080 --> 00:42:39,800 one understanding the disease processies that we have and what 620 00:42:39,800 --> 00:42:43,120 that my look like on another imaging modality so we have i 621 00:42:43,280 --> 00:42:47,240 get in advance imaging. I go back out and I us my frot 622 00:42:47,240 --> 00:42:50,720 my imaging but really graphs and all to see if i can see it and 623 00:42:50,840 --> 00:42:54,400 then that nix me a better ready all just in the end and so every 624 00:42:54,400 --> 00:42:58,000 time we get this incraminal incris in the ability of what's 625 00:42:58,000 --> 00:43:01,360 the ct to see a cert in the seas process, we don't think we can 626 00:43:01,360 --> 00:43:05,040 see befor or mr. I shows is something new in. 627 00:43:05,480 --> 00:43:08,440 The chemical information of the tendance or ligaments to 628 00:43:08,480 --> 00:43:13,040 understands degeneral changes all the things going for then we 629 00:43:13,040 --> 00:43:15,320 go back and we can apply at to the other imaging. 630 00:43:15,320 --> 00:43:18,000 No down is at we us, but when frequent on a day, the bases 631 00:43:18,480 --> 00:43:20,880 there's the things it really xide me is as incriminal little 632 00:43:20,880 --> 00:43:25,400 small changes that we'll go back and like it the the frontline 633 00:43:25,400 --> 00:43:30,080 imaging to be better at plainfilm and orterson. 634 00:43:31,280 --> 00:43:33,680 I get that we will find battleways of. 635 00:43:34,640 --> 00:43:41,920 More detailed treatments for specific disease that we will 636 00:43:41,920 --> 00:43:48,200 understand the bio mechanics more if we have better image 637 00:43:48,200 --> 00:43:54,960 quality, but and that's talk about some takeways for our 638 00:43:54,960 --> 00:43:58,720 horse ones. Bevor we rap up. 639 00:43:59,280 --> 00:44:04,200 I would like to to leave or alisinas was of you key takeways 640 00:44:04,200 --> 00:44:07,200 practical sorts. They can carry into there 641 00:44:07,600 --> 00:44:12,720 everyday live was horses takeway one imaging is about 642 00:44:12,720 --> 00:44:19,920 understanding not just finding damage what you think. 643 00:44:20,400 --> 00:44:24,800 I absolute that they go's back to the over versus under 644 00:44:24,800 --> 00:44:28,800 interpretation it's. Miking everything fit into a 645 00:44:28,800 --> 00:44:32,560 nice story and just because we can see an abramality does it 646 00:44:32,560 --> 00:44:36,200 masses are a mean that it is a klonicly ralbon abramality that 647 00:44:36,320 --> 00:44:39,680 it's i think is important to understand that we don't treat 648 00:44:39,680 --> 00:44:43,240 the rady grass we tea, we treat the patient and diagnostic 649 00:44:43,240 --> 00:44:47,560 imaging give us better target a treeman options as we just 650 00:44:47,560 --> 00:44:53,600 tartable. Takeway number two suttle or 651 00:44:53,600 --> 00:44:59,720 series changes meta. Both both conmater for sure and 652 00:44:59,720 --> 00:45:04,280 it offentimes as as you as we like it think something's are 653 00:45:04,280 --> 00:45:06,800 much one can't pick you was on out or imaging note out is so 654 00:45:06,800 --> 00:45:10,080 just because it looks like it's a very small legion in the hors, 655 00:45:10,080 --> 00:45:14,440 we know that small legions like big cruters lip so the aversize 656 00:45:14,440 --> 00:45:19,040 of a digital fuxer tenentar is about two to three millimeters 657 00:45:19,040 --> 00:45:22,320 in the emer, you know and offentimes there of last and a 658 00:45:22,320 --> 00:45:25,920 senameter and like this well, we know the that kindake hors lip. 659 00:45:26,240 --> 00:45:29,280 And so like you see it sodal things can me and big things for 660 00:45:29,280 --> 00:45:35,200 this horses is. But also big things can be some 661 00:45:35,200 --> 00:45:38,720 of clonicly herova is what that me of really terrible, but 662 00:45:38,720 --> 00:45:42,880 there's no real problem to so exackly it have to take you've 663 00:45:42,880 --> 00:45:46,280 not lux terrible and main not be that, but if it's if you know 664 00:45:46,360 --> 00:45:49,520 lux like it's three the nine and me you something that is really 665 00:45:49,520 --> 00:45:54,320 quit something but the hors. So as in Hors Hors on all and to 666 00:45:54,320 --> 00:45:57,360 just. Learn your house get to no your 667 00:45:57,360 --> 00:46:01,280 house so touch your house if you have an a scar and the tenten 668 00:46:01,280 --> 00:46:05,360 and the tenten as looking big it does an assasily mean even 669 00:46:05,360 --> 00:46:11,200 efficient and obvious change that is the clinical red of it's 670 00:46:11,200 --> 00:46:16,120 healed, but if at becomes more wom, you're could be the early 671 00:46:16,120 --> 00:46:19,440 stage of a future problem. I'm so really. 672 00:46:22,320 --> 00:46:27,480 Take way number three, there's no one size fits all skin so i 673 00:46:27,480 --> 00:46:30,520 get we will talking about as maybe in the future we will have 674 00:46:31,200 --> 00:46:36,960 the avalibility of you, put the horse and the beginning in and 675 00:46:36,960 --> 00:46:39,360 then you get the horse out and all the resides. 676 00:46:39,360 --> 00:46:42,240 To you need what this. Is was? 677 00:46:42,960 --> 00:46:44,720 AI was? A ok. 678 00:46:48,160 --> 00:46:52,880 Take away them bevor topsport lessons apply to every hors. 679 00:46:54,960 --> 00:46:59,040 Yeah, i think i think in some respekt like up is they the as 680 00:46:59,040 --> 00:47:01,400 you think about what the horses going to do? 681 00:47:01,400 --> 00:47:04,360 There's are in hearedly different from the see an a lee 682 00:47:04,360 --> 00:47:08,800 jumper to person that goes out and just hacks in the forest 683 00:47:09,120 --> 00:47:12,440 kind of thing this two things main out this is very meet meet 684 00:47:12,440 --> 00:47:15,920 up, but a horses of hors and they like is a they're inventive 685 00:47:15,920 --> 00:47:21,880 in the way they injo them sels. But offentimes injuries at the 686 00:47:21,880 --> 00:47:28,240 top level have in at the the the the we're kind of relaxed levels 687 00:47:28,240 --> 00:47:32,720 is will and so i think the we can take away at something from 688 00:47:32,720 --> 00:47:36,400 e cide of there's on what orses with and don't live with. 689 00:47:37,280 --> 00:47:41,440 So, I'm my faired dagway Nummer five the final one. 690 00:47:41,440 --> 00:47:46,160 I like the best is education bills better outcoms. 691 00:47:47,280 --> 00:47:50,320 Absolut. In the more we know the the more 692 00:47:50,320 --> 00:47:53,520 we can for a confin in the diagnosis, we're geting to the 693 00:47:53,520 --> 00:47:58,400 crack diagnosis, and as we're think there's an evolution of 694 00:47:58,400 --> 00:48:03,400 and your standing today. We know certantings that 695 00:48:03,400 --> 00:48:06,560 tomorrow main out be what we know and he more that my be 696 00:48:06,560 --> 00:48:09,080 person of be wrong and you at there's something els that can 697 00:48:09,080 --> 00:48:13,200 really happens you know we to we think back lücken and. 698 00:48:13,720 --> 00:48:17,400 Problem we moo passes, but it's like covid franceens they have 699 00:48:17,400 --> 00:48:20,000 all this recamendations to go for it with these things are 700 00:48:20,000 --> 00:48:25,520 using a bestability to to mic diagno or mic recamendations to 701 00:48:25,520 --> 00:48:28,480 a general population and then on the find out later of the 702 00:48:28,480 --> 00:48:31,440 similas recamendations we're really off based inso that 703 00:48:31,440 --> 00:48:35,600 happens on inventory madison two is that's how science works is 704 00:48:35,600 --> 00:48:39,400 we get a better evolution of a standing as we moo for we get 705 00:48:39,400 --> 00:48:43,360 more experience. And there's greater margers 706 00:48:43,360 --> 00:48:46,080 Skill Reserve things. I get it is. 707 00:48:46,320 --> 00:48:52,400 It's was for for every kind of peace of the mosaik like the 708 00:48:52,400 --> 00:48:59,040 groom, the trainer, the rida, the ona, the vet, the ferria all 709 00:48:59,120 --> 00:49:04,080 the have to work together and to build a beta education level. 710 00:49:04,400 --> 00:49:08,360 To a chief better outcomes, it's obviously clear be because 711 00:49:08,360 --> 00:49:13,600 everybody every person every part in this deal is haveing 712 00:49:13,600 --> 00:49:19,680 influence curt. Thank you thank you thank you 713 00:49:19,680 --> 00:49:24,000 for making such a complex field understandable for all of us. 714 00:49:24,560 --> 00:49:29,520 And for mining for reminding us that good imaging is an about 715 00:49:29,520 --> 00:49:33,840 machines, but about beta decisions for the horse for 716 00:49:33,840 --> 00:49:36,880 everyone listening the more we understand what's happening 717 00:49:36,880 --> 00:49:41,360 benees the surface the beta we can advocate for or horse is 718 00:49:41,360 --> 00:49:46,640 well being if this episode spark new questions that's a good sing 719 00:49:46,640 --> 00:49:51,520 learning when to look deeper is one of the most important skills 720 00:49:51,520 --> 00:50:00,240 or horse owner can develop. Danke, dass du dir heute Zeit 721 00:50:00,240 --> 00:50:04,320 genommen hast bei unserem Pkm Podcast dabei zu sein. 722 00:50:05,520 --> 00:50:09,040 Wenn dir die Folge gefallen hat und du unsere Arbeit in Zukunft 723 00:50:09,040 --> 00:50:13,560 unterstützen möchtest, würden wir uns riesig freuen, wenn du 724 00:50:13,560 --> 00:50:17,760 uns auf deiner Lieblings Streaming Plattform oder bei 725 00:50:17,760 --> 00:50:23,520 youtube abonnierst. Likest Hypest kommentierst oder 726 00:50:23,520 --> 00:50:28,400 Fragen stellst, damit können wir sicherstellen, dass du zukünftig 727 00:50:28,400 --> 00:50:34,960 keine Inhalte verpasst und du hilfst uns und wir erreichen 728 00:50:34,960 --> 00:50:38,080 auch noch mehr pferdebegeisterte Menschen in Zukunft. 729 00:50:38,560 --> 00:50:41,040 Vielen Dank dafür und bis bald.