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Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

Dr. Bramlage: one vet single-handedly proves the need for thoroughbred racing reform

May 23, 2008 / (7) comments


I know there are individuals far more exemplary of thoroughbred racing’s dark side…but none (that I know of) are vets. And since Dolittler is a pet health blog authored by a veterinarian, Dr. Bramlage’s role in racing’s recent round of media prominence will be the subject of this post.

 

On-call veterinarian, veterinary surgeon and representative of the American Association of Equine Practitioners Dr. Larry Bramlage is often cited as a “noted equine veterinarian.”

 

And it’s true. He’s been the media’s go-to face for breaking veterinary news since Barbaro’s breakdown. He’s the serious expert, the representative of the veterinary profession and the guy the media look to for guidance on issues of injury and safety.

 

In his first major announcement after Eight Belles' death he remarked,  “One incident is not an epidemic,” thus earning himself the ire of legions of racing fans for so obviously downplaying the obvious safety issues inherent in the sport.

 

It wouldn’t be so oft-cited an utterance if it weren’t for the fact that the media believe Bramlage represents the science of racing. After all, he’s practiced on racehorses for decades. But something tells me those years are starting to show.

 

No, it’s not about age, mental acuity or anything like that. Rather, I’m referring to Bramlage’s embedded association with thoroughbred racing since…well…probably the sixties.

 

All his buddies? Muckety-muck racehorse owners, big-name trainers, track owners, industry sponsors and racing’s other higher-ups. How else do you get the plum job of on-call veterinarian for the Kentucky Derby?

 

So you know, I don’t disparage Dr. Bramlage for his connections. It’s a lifestyle choice and one very likely in keeping with his deeply held beliefs in thoroughbred racing’s worthiness and its traditions.

 

But veterinarians I know have been grumbling over the words Dr. Bramlage has been publicly pronouncing, protesting that they represent the racing industry rather than the veterinary profession: “If he’s going to speak as a veterinarian and as an expert in racehorse medicine I shouldn’t feel like I’m getting spun.”

 

To my mind and that of my Bramlage-dissenting colleagues, here’s where he errs:

 

“In my years in racing, I have never seen this happen at the end of the race or during the race…The difficult thing to explain with her is it’s so far after the wire, and she was easing down like you’d like to see a horse slow down by that point,” he said. “And then all of a sudden, it goes over the brink in both legs. I don’t have an explanation for it because I have no background to draw on.”

 

And yet he’s quick to counter his confessed ignorance with the following:

 

“I don't think that you can look at the injury on the racetrack and say that Polytrack could have prevented it…This is not like Eight Belles was deep in the middle of a stretch battle and hit a bad step, she was done with the race and was all the way through to the end, and I don't think the forces on her legs pulling up would be virtually any different on an artificial surface…She could have been on the grass or on the dirt.”

 

But how about the long-term stresses? How is it he can so easily discount these? Why should he defend dirt tracks? What's his stake here?

 

And then there’s the worst: The man of science seated at the illustrious round table of NBC’s Preakness pre-game show dissents on the concept of waiting until horses are older before racing them.

 

He states that none of the science shows that “precocious speed” is an issue for thoroughbreds. In fact, he references the existence of studies that show that the sooner you start exercising a horse the less injuries there are long-term.

 

I did my own research. That’s his interpretation. That’s not science. For example, just because you have more hyaline cartilage as one of the studies shows, that doesn’t mean that’s what’s best for the horse or what will most likely yield fewer future injuries.

 

Moreover, there’s no science I found to compare older horses with younger ones when it comes to injury rates. All are studies aimed at determining the right time to start training a two year-old competitor.

 

It’s this kind of industry protectionism that raises the hackles of the younger vet set. We can’t stand the political spin and slick use of science. We’re shocked to see a veterinarian defend his industry over the lives of animals we’ve taken an oath to protect. Where, exactly, do this man’s loyalties lie?

 

Granted, we’re veterinarians of another generation. We identify far more with animal welfare principles than with any animal sport. I truly see both points of view but I recognize them as approaching opposite ends of the spectrum of veterinary sensibility.

 

And it’s going to be a long time yet before the former generation cedes to the latter on these points. Why else would the AVMA shy away from racing reform as an agenda item? Too many racing industry veterinarians on the board? Possibly. More older generation vets than new? Indubitably. 

 

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COMMENTS (7)
1
by on 01/18/2010 08:05pm

Having worked with Dr. Bramlage and Dr. Nunamaker your view is extremely one sided.  Both vets have spent their lifetime trying to better veterinary medicine with innovative procedures and research.  Dr. Bramlage is the veterinary face of Triple Crown racing because he is what most people believe to be the best of the best in equine orthopedics.  While Eight Belles injury was catastrophic (and rare for both legs to breakdown), I think the point he was trying to make is these injuries overall are low in numbers.  Many studies have been done and are still being done on the effectiveness of polytracks vs. dirt tracks.  Breeding plays a large part in how a horse does overall.  Maybe we should start with the egg and work from there.  Horses in general, compared to the racehorses from the 40's, 50's and 60's are much more fragile.  Take a look at the number of times horses raced back then and look at them now and you'll see a tremendous difference.  No self respecting trainer today would dare race a thoroughbred every week. 


 


Horse racing is and will always be a contraversial sport.  Don't place the blame on the messenger.


2
by on 05/24/2008 02:04am

Good post.

I saw that panel discussion, it was very lopsided. 3 to 1

What really gets me is the combined use of steroids and pain killers. My layperson's mind suspects that this combo could induce horses to build up beyond what their frame can tolerate, and then fail to get pain signals of impending injury before it is too late. Its very immoral.

3
by on 05/24/2008 12:53am

"Anything that slows down the racing speed will save some lives." - Emily

Hmmm, starting to sound like NASCAR. Too bad we can't put speed governors (sp?) on race horses. ;-) <just kidding> I believe that NASCAR and the other car racing sports create rules that hold the speeds down. It's been a while since I paid attention to that, but I wonder if there are any lessons to be learned there.

Dr K, thanks for the thoughtful post.

4
by on 05/23/2008 04:39pm

The demographic studies put various things in including age of first high speed training and age of first racing and what comes out the other end is data salad at this point. I think it would be fair to say it doesn't clearly support either idea, including the idea that racing too young is the/a major factor in the catastrophic injury rate. If I was going to pick one thing that would help in the medium term, softer tracks would be on the list whether articial or just by watering the turf. Anything that slows down the racing speed will save some lives. Age and training are factors but I think many commentators are over-simplfying their role.

5
by on 05/23/2008 04:24pm

emily: My read of Dr. Nunamaker's studies (which most of the jockey Club article you referenced cites) is that it's about length of training before racing rather than the optimal age to race a horse. This article clearly concludes the opposite based on the same research. It does mention one British demographic study and one Davis study (which are not discussed in detail) and though I'll look at everything with an open mind, I wonder if their conclusions aren't as hasty as they were for Nunamaker's research.

6
by on 05/23/2008 03:43pm

You are soooooo not getting invited to the AAEP banquet.

Great stuff, as always. :)

7
by on 05/23/2008 03:32pm

There are some demographic studies that do seem to show age at commensing racing and age in general don't quite support the 'older is better' notion--or at least intensity of training is a far more influential factor. I am still tracking down 1st sources but the dissenting option is outlined in a sensible way here: Wenholz SD. Training: impression vs. research. Grayson-Jockey Club Res Today 2003;20:1-4 (available online). The experiments I have track down don't show a strong age of first race effect, and the overall age effect is that younger horse are at more risk in jumping races and older horses more at risk on the flat--e.g. Pinchbeck GL, Clegg PD, Proudman CJ et al. Horse injuries and racing practices in National Hunt racehorses in the UK: the results of a prospective cohort study. Vet J 2004;167:45-52.

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About fully vetted

Patty Khuly, VMD, MBA

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Dr. Khuly is a former petMD blogger and small animal veterinarian in Miami, Florida, where she practices medicine at Sunset Animal Clinic and serves on the board of the South Florida Veterinary Medical Association. She is a graduate of Wellesley College, the University of Pennsylvania School of Veterinary Medicine, and The Wharton School of Business.

As a significant sideline, she writes...a lot. She authors pet health columns for USA Today, The Miami Herald and Vetstreet. She also writes a popular monthly column for Veterinary Practice News and serves as regular contributor to Veterinary Economics, The Bark, and the Veterinary News Network.

Dr. Khuly lives in South Miami with her brood of hens, goats, dogs, cats...and humans.

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