by Dean W. Richardson, D.V.M.
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In my experience, the unique feature to Barbaro's case is that we have managed to at least get this far despite two simultaneous problems. Each of them alone often has been cause for euthanasia. I think it is a fair statement to say that our management challenges concerning Barbaro's care and treatment have been more difficult than the specific intraoperative surgical challenges.
Another aspect of Barbaro's case that has been different is that there have been literally no bounds as to what we could try to keep him comfortable as we attempted to save his life. Owners Roy and Gretchen Jackson always have been willing to do whatever it would take, as long as the horse stayed comfortable. I hope the public at large has come to realize that there are horse owners out there like the Jacksons who are truly interested in doing the right thing for their horses.
A third important component of Barbaro's care has been the meticulous feeding program we have had him on from the outset. One of the most important considerations in a horse convalescing from a major injury is to get enough nutrition into him. Many hospitalized horses do not eat enough, and those that have suffered severe weight loss are not willing to eat as well as they need to eat.
So we have been meticulous in trying to make sure that he eats a very high-calorie, high-protein diet with appropriate supplements. We have paid close attention to that because, as any racehorse trainer will tell you, there is little chance to make a really good athlete out of a horse that does not eat well.
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Dr. Richardson makes some very interesting comments on his experiences with Barbaro's care...not viewing his own surgical accomplishments as all that unusual for the field, not seeing Barbaro's case as making that much impact as a teaching case. Nevertheless, he does not minimize the challenge and emphasizes the importance of the team--veterinarians, the Jacksons and the horse himself--as well as the rest of the folks involved in Barbaro's care.