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Preventive maintenance
Our doctors will help you decide on a vaccination schedule to fit the needs of your horse and its activity level.  We can go over nutrition, deworming programs, and even routine blood work to make sure you’re providing the proper care for your horse.  Dentistry is another important aspect of routine healthcare, and we have manual floats and powerfloats to help us do the best job possible.  Annual wellness examinations are a good way to insure there a no surprises as your horse gets older.
 
Emergencies
If we provide your routine care, one of our doctors is available 24 hrs a day year round.  Whether calling the office during the day or talking to the answering service after hours, someone will return your call.  Colics, lacerations, chokes, fevers, and eye problems are just a few of the common emergencies we deal with.  Some problems can be handled in the field, while others may require hauling in to our clinic, or even referral to NC State University College of Veterinary Medicine in Raleigh.  We encourage phone calls, because we would rather answer questions and therefore possibly avert a disaster in the making.
 
 Reproduction        
We offer a wide range of reproductive services for mares.  While we can do artificial insemination with cooled semen in the field situation, building a facility to bring the mares to us has allowed us to do it better, and now offer artificial insemination with frozen semen.  If you have a well trained stallion, we can help with collecting.   Lastly, and most importantly,we do foal examinations with immunoglobulin testing on the day of delivery to ensure that dam and foal are healthy and normal. 
 
Lameness
Horses can’t tell us where it hurts, so we have to perform a thorough examination watching the horse move on a straight line and a circle, as well as performing flexion tests and even nerve blocks to help localize the lameness.  Depending on what we find, further diagnostics including digital radiographs (x-rays) or ultrasound may be warranted.  While we can do these in the field, at the clinic we have a concrete pad and roundpen to make the exams easier.  
 
Pre-purchase examinations

No matter what the cost of your animal, a pre-purchase exam may save you a lot of grief in the future.  They can be as simple as a general exam and watching the horse move, to checking every inch of the horse, a moving exam and further diagnostics such as digital radiographs, ultrasound and bloodwork.  While horses don’t pass or fail these exams, they help to determine if the horse will be suitable for its intended use.  Once again, they can be performed in the field, although we also prefer to do these at the clinic.

 
Laboratory
While we send off many tests, we now have more in-house capabilities.  A hematology machine runs a complete blood count, which can help determine if your horse has an infection or is anemic.  A chemistry machine is used to check how the inner organs are functioning, so in an emergency situation we can evaluate your horse immediately.  Various microscopes, incubators, and other equipment help us to provide more immediate service.
 
Surgery
We offer basic surgical procedures such as field castrations and sarcoid removal.  More in depth procedures have been performed at our clinic by Dr. Mat Gerard, a board-certified Equine Surgeon from NC State University’s College of Veterinary Medicine.  Otherwise, we refer to other veterinary hospitals in the region.
 
Alternative Medicine
Dr. Ann-Marie has completed the International Veterinary Acupuncture Society’s course, and is now offering acupuncture as an adjunct to traditional western medicine.  She has also completed and received her Diplomate in Equine Osteopathy through the Vluggen Institute.  While she has moved on to another practice, she will be coming back to provide these services until Dr. Lauren has finished the osteopathy class.
 
 Endoscopy System
Video endoscopy is available at our clinic.  With the 1.5 meter scope, we are able to do upper airway examinations looking for any causes of nasal discharge, bleeding, or noises.  With the 3 meter scope we are able to see into the stomach to look for stomach ulcers.  Ulcers have become a more recognized problem in horses, especially those horses that are more nervous or those that go to shows.  Now we can definitively diagnose the problem and with the video monitor you can see for yourself how much of a problem it is.
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