My First Foal Delivery

D. E. Larsen, DVM

“Doc, this is Sid, Stan’s brother,” Sid said into the phone. “I have to go to work, but I have a mare down in the middle of the field, just over the little creek. She has a foal stuck. I don’t know how long she has been at it, I just noticed her as I was leaving the house. I would sure be grateful if you could get out here and take care of her. My place is on Wiley Creek, the first driveway past Whiskey Butte. I don’t think you will have any problems with her since she is down. She is a gentle old gal. I will stop by your office when I get off this afternoon.”

I hated these 5:00 AM phone calls. I didn’t know Sid, but if he was Stan’s brother, he was probably okay.

“Okay, Sid, I will get out there shortly, so it doesn’t disrupt my day,” I said. “Some times, when a stranger comes, a down animal will get up and run. I am not going to chase her around a pasture if that happens.”

“That’s okay, Doc, I understand, just do what you can,” Sid said.

“Sometimes, when a mare is having some birthing problems, it is a major undertaking to get the foal out,” I said. “That could run up a large bill.”

“This is an old mare, I don’t want to have to sell the farm for her,” Sid said. “If it is going to be a big bill, you call Stan, and he can come out and shoot her.”

With that, I rolled out of bed and dressed quickly. I was hoping I could do this quick and get home for a shower before I had to be in the office. 

This is going to be the first time I have seen a mare in labor. I have been in practice for nearly 4 years. I had seen movies in school, but birthing difficulty (Dystocia) in the mare is rare. I had heard my share of war stories about disasters in the delivery of a foal. The mare’s contraction is so powerful there are stories of veterinarians breaking their arm when the mare contracted.

One night at a local veterinary meeting, I talked with one of the horse vets. I asked him what he did with a mare in difficulty.

“I call one of you cow doctors,” he said. “You guys are the ones who do a lot of delivery work.”

That gave me more confidence for this morning. I knew it would come one day. I just thought it would be for an audience. This morning will be like getting a hole in one when you are playing golf by yourself.

Sid’s place was not far from our house, one creek to the east. I knew the place, but I had not been on it before.

When I pulled up the driveway, I could see the mare out in the middle of the field.  Not even a fence post close to her.  And the ground was too wet for the truck, if she gets up, the call is over. She was a large, black mare. Probably a Percheron, just what I needed. This foal will be a big one.

I loaded everything I could think I might need in the bucket, added some water and picked up my calf jack, a Frank’s Fetal Extractor, and headed out to the mare. This was like doing a plumbing job, I will be two hundred yards from the truck, and there will be something I forgot.

Sid was correct about the mare. She raised her head to glance at me and then laid it back down. My guess was she had been pushing for some time and was exhausted.

I wrapped her tail with some VetWrap and scrubbed her rear end well. I could see a nose, and both hooves poking out of the vulva. The hooves were massive. This was a large foal.

I attached nylon OB straps on each hoof. My thinking was this guy had an elbow lock. The elbows get bunched up against the pelvic brim and prevent the mare from pushing the foal out. It is usually readily corrected. I pulled on one hoof and could feel the elbow pop up over the pelvic brim, and the leg was over a foot ahead of the other foot. I pulled the second hoof, and then we were ready to go. I hooked up the calf jack and started pulling the guy out of there. 

The head came out with no problem. I don’t know how long momma had been pushing on this guy. He was alive but not by much. A couple of more jacks on the handle and I was at the end of the bar. I don’t think I had ever been at the end of the bar when pulling a calf. And this foal has just popped his elbows out of the vulva. 

I moved the OB straps up to his elbows and started jacking again. This guy just kept coming. I was at the end of the bar again, and his hips were not through the pelvis yet. I was lucky that I had brought my long strap. I placed it around his chest and started again. Finally, his hips popped through the pelvis. 

I set the calf jack aside and pulled him the rest of the way out. What a foal, long, and as black as his mother. He was just as tired as his mother. He shook his head as I was trying to clear mucus from his nose. I would pick a calf up by their heels and swing them. There was no way I could do that with this foal. Not only was he too heavy for me to lift, but I would have to be on a stepladder to get his nose off the ground.

After treating his navel with iodine and giving him an E-Se injection, I turned my attention to the mare. I gave a soft tug on the fetal membranes, and they slipped out with no problem. They were intact, and there was no other trauma to the vulva and vagina. I gave her a dose of Oxytocin to get the uterus contracting and a dose of long-acting Penicillin. Then I removed the tail wrap.

She rolled herself up on her sternum and then jumped up. I think she was very relieved. This foal must have been a real weight to carry around. She immediately turns her attention to the foal. If I had a little help, I would try to get some milk out of her to give a mouthful to the foal. There was no way I was going to try that with a free-standing mare. 

I gathered my stuff up and headed for the shower, thinking this foal delivery stuff wasn’t so bad, after all.

At noon, I drove back to Sid’s place. The foal was up and chasing Mom around the pasture.


Photo credits to Jan Laugesen, https://www.pexels.com/@jan-laugesen-205071

The Banded Collie

D. E. Larsen, DVM

I stepped out of the garage to greet the station wagon that had just pulled into our driveway. We were trying to run a practice in the garage and with house calls and farm calls. The clinic was scheduled to be completed in August of 1976, but now it was looking more like December.

The back doors flew open as soon as the car came to a stop. Kids were pouring out of both sides, and then out jumped a large Rough Collie. Henry finally got out on the driver’s side.

“Hi, I’m Doctor Larsen,” I said as I extended my hand. “What are we looking at today?”

“Henry here, I was hoping you could get a look at Lassie,” Henry said.

“I wonder where you came up with that name?” I said.

“One of the girls insisted on it, I sure,” Henry said. “I couldn’t tell you which one.”

“What’s going on with Lassie?” I asked as I watched her, and the four little girls make a full circle in the yard. “She is acting fine.” 

“I don’t know what is wrong, but she has a bad smell about her,” Henry said.

“Let’s just bring her into the garage, and I will get a look at her,” I said. 

The August days were warm but not blistering like they had been in July. But we kept the garage door open. It was sort of an open-air clinic.

As I lifted Lassie onto the exam table, I got a whiff of a putrid odor from somewhere.

“Wow! I smelled something,” I said as I ran my hands over Lassie, trying to feel some abnormality. I was suspecting some necrotic tumor or wound under all this long hair.

Feeling nothing, it was time for the old nose to go to work. I ran my nose along her side while taking in a deep breath. Starting at her rump, it took me a couple of breathes to reach her head. Bam! There it was in the middle of her neck. A very rotten tissue smell. 

I carefully parted the thick hair coat, looking for a wound. Finally, right in the middle of her neck was a wound, most scabbed over, but open in a couple of spots. It looked like there were small areas where the wound had healed. I traced the wound as it ran up and down the right side of the neck. Then it ran under the neck and started up the other side. I finally realized that this wound was entirely around her neck.

“Do you have her tied up or something?” I asked. 

“No, she doesn’t even own a collar,” Henry said.

“This wound doesn’t seem to bother her,” I said. “I am going to clip some of this hair away so we can get a good look at this wound.”

I started clipping the hair away from the wound. There were areas where the skin had healed. This wound would have to be 2 or 3 weeks old. It did not seem to bother Lassie at all as I continued to clip the hair away. Finally, at the very top of the neck, I could see the bottom of the wound. And there it was, in the bottom of the wound, at the top of the neck, a rubber band. I snagged the rubber band with a forceps and clipped it with scissors. It snapped away from the spot, and the rubber band’s ends were buried in the granulation tissue.

“There has been a rubber band around her neck for probably 3 weeks,” I said. “I am going to have to get her under anesthesia and cut away all this dead and infected tissue and then suture this neck back together. I would guess that she is going to have some tubes sticking out of this wound for a few days.”

“One of the girls must of put it there and forgot about it,” Henry said. 

“Things happen with little kids,” I said. “Hopefully, this is going to be okay. I think this rubber band is buried deep enough that it is very close to damaging the jugular vein. Another week and you probably would have woke up to a dead dog in a pool of blood.”

“Are you going to need her overnight?” Henry asked.

“It is early enough in the day that I think we can do this and send her home this evening,” I said. “We are not set up very well for overnight patients. The clinic is just getting off the ground, and we were supposed to be in it by now.”

With a handshake, the deal was made. The state requires written authorization these days. I handshake to me has always been more binding than any piece of paper. It has maybe lost some understanding with the younger generations, but my handshake is my word, my honor. I would make almost any concession to make that deal correct.

I moved Lassie onto the surgery table and induced anesthesia with Pentathol. We hooked her up to the gas machine, with Metaphane gas. I clipped the entire neck to make sure there wasn’t another rubber band hidden in her hair. 

After a surgical scrub, I started cutting away the dead and infected tissues. When I was done, I had a trench all the way around her neck. This wound was almost an inch deep in some areas. The rubber band was in contact with the jugular veins on both sides of the neck. Another day or two and one of them would have ruptured.

I placed Penrose drains around the wound. The ends of the drains stuck out at the top and bottom of the neck and at both sides. Then I sutured the wound.

When we were done, it looked like Lassie had her head cut off and sewn back on. After an antibiotic injection, we woke her up. Recovery was smooth, and she acted like nothing was wrong.

Henry was back, by himself, at 5:00. Lassie was happy to see him and bounced out of the garage and into the car. Henry was impressed with the appearance of the wound.

“I had a long discussion with the girls about their responsibilities when playing with Lassie,” Henry said. 

“Don’t be too harsh them,” I said. “We got lucky this time. That allows them to learn a lesson without scarring them for life.”

After 4 days, we removed the drains from Lassie. The stitches were removed at 2 weeks. Her hair was growing so fast that I had trouble finding the sutures. 

“In another 2 or 3 weeks, you won’t be able to tell there was anything wrong with her,” I said as I handed the leash back to Henry and the girls.

“The girls are already impressed at how well she has healed up,” Henry said. “I don’t think it is going to happen again.”

Photo Credit: https://www.pexels.com/@anna-guerrero-788383

A Lesson Well Learned

D. E. Larsen, DVM

Floyd was waiting for me at his driveway on Liberty Road. Sitting in his old pickup, he woke with a start when I pulled in alongside his truck. Floyd was a big man, his hands spoke of a lifetime of hard work, and his gray hair told of his age.

“I am glad you could come this morning, Doc,” Floyd said. “I have a dead ewe in the upper pasture. She was fine last night.”

“You saw her last night?” I asked.

“Yes, I’m not up there every day, but last night I was up there bringing a feed rack back to the shop with the tractor. I figured I wouldn’t need it this spring and summer. The ewes were all there, and their lambs. This morning, she is lying near the gate, all blown up like she has been dead for several days.”

“That almost sounds like Blackleg or something,” I said. “I didn’t think we were supposed to have that stuff on this side of the mountains.”

“You can follow me up there,” Floyd said. “The road gets a little rough, but it looks like your truck can probably handle it okay.”

“Yes, you put 4-wheel drive on these trucks, and they go just about anywhere,” I said.

I followed Floyd up a well-graveled drive beside a cemetery. Floyd stopped and opened a gate to the dirt road to the upper pasture. I stopped and closed the gate as soon as I was through it.

“You can leave that open,” Floyd yelled back to me.

“Habit, Floyd,” I said. “My grandfather always said it was easier to close the gate than it is to wish you had closed it.”

“Smart man, your Grandfather,” Floyd said.

We continued up the badly rutted dirt road, finally crossing a cattle guard into the upper pasture. The ewe was right there beside the road. If Floyd had been up here last night, there is no way he would have missed seeing her.

This ewe was on her right side and blown up, not from rumen bloat, just blown up like a balloon. All four legs sticking straight out, there was some pinkish foam at her nostrils.

I got out of the truck and opened the vet box. After pulling on my coveralls and boots, I retrieved my necropsy knife, a bucket with some water, and a pair of gloves. As I approached the dead ewe, I noticed that she smelled like she had been dead for several days.

“You are sure she wasn’t here last night?” I asked Floyd.

“She was sort of a pet, you know,” Floyd said. “She was up butting me around when I was hooking up the feed rack. She was as normal as could be.”

With gloves on, I pressed my fingers into her skin over her back. She had a lot of air under the skin, subcutaneous emphysema. It felt and sounded like I was popping bubbles. The wool pulled out along with the outer layer of the skin. There was a blueish discoloration to both the skin on both rear legs and extending along her back. This was Blackleg.

“Floyd, I am not going to open her up at all,” I said. “This is probably Blackleg. It could be one of the other Clostridial diseases like Malignant Edema, but that is sort of academic. They are all diseases that cause sudden death; most are impossible to effectively medicate, even if you make the diagnosis early. Most of the time, you just find them dead. The vaccines are all combination vaccines that include the whole bunch in one shot.”

“I have not heard of Blackleg around here,” Floyd said.

“We saw a lot of it in Colorado,” I said. “Guys had to vaccinate for it, or they would have dead animals. I never saw a case in Enumclaw. I was always told it was rare on this side of the mountains. This might change my thinking on that aspect of the disease. I am going to aspirate a little fluid from under the skin. I can pretty much confirm the diagnosis when I get back to the clinic and get the sample under a microscope.”

“What should I do with her?” Floyd asked, pointing to the ewe.

“You should bury her deep if you have a backhoe or some grandkids,” I said. “Bury her right where she lays, don’t drag her anywhere. This disease is caused by spore-forming bacteria, and you would contaminate the pasture more. Or you could burn her if you have enough fuel. I don’t know if the rendering company would pick her up or not.”

“And what about the others?” Floyd asked.

“You need to get a vaccine into them,” I said. “I have both a 4-way and a 7-way vaccine at the office. You should do that yesterday, and they will need a booster vaccine this year, in 3 – 4 weeks. I would hedge on the short side, 3 weeks.”

“I can bury her with a backhoe,” Floyd said. “And I can get some guys to help me vaccinate the others, that might take a day or two.”

“I wouldn’t let it take too long, you might find some more like this one,” I said. “If you are going to work through the whole bunch, it might be a good time to worm them.”

“You are trying to make a sheep rancher out of me,” Floyd said.

Back at the clinic, I did a quick gram stain on a slide I made from the aspirate from the ewe. The slide was covered with large gram-positive rods that were characteristic of Clostridium organisms. That, coupled with the clinical signs of the ewe, was pretty much diagnostic for Blackleg.

I checked and made sure I had an adequate supply of vaccine for Floyd. 

The next morning I thought I should call a couple of other veterinarians in Lebanon and Albany. I wanted to check to see if they saw any of the Clostridial diseases in this area. As I was considering those calls, the telephone rings. 

“Doc, this is Walt up on Fern Ridge,” he said. “I went out this morning to look over the animals in the field. I check them morning and night. Everything was fine last night, this morning there are seven dead steers in the pasture. I sure hope you can tell what the heck is going on with that.”

“Give me a little time, Walt,” I said. “I can get up there in a little over an hour. Are they near the house?”

“No, they are down the road a ways,” Walt said. “I will be in my blue truck and will park at the gate. You should not have any problem, the field is right along the road.”

When I pulled up to the gate, I could see the seven dead steers scattered across the field. These steers were all at market weight. What a loss.

“I moved all the other stock out of this pasture,” Walt said. “What do you think is going on?”

“Let me get a look at them,” I said. “You said they were fine last night?”

“I was up here before dark last night,” Walt said. “They were all up and running around like nothing was wrong.”

All of these steers looked just like Floyd’s ewe. They lay on their sides, puffed up like a balloon, and all four legs were sticking out, straight and stiff. When I pushed on the skin, I could feel the air popping under the skin, not unlike pressing on some bubble wrap.

The carcasses were in an accelerated rate of decay, with a strong odor and hair easily slipped from the skin, especially in areas where the skin was discolored. These steers all died from Blackleg. I took a few aspirates and went to talk with Walt.

“Walt, this is Blackleg,” I said. “Everything fits, sudden death, rapid decay, subcutaneous emphysema, and discoloration of the skin and tissues. If you want a thorough diagnosis, you need to load one of these guys up and take them over the diagnostic lab at Oregon State.”

“What is the risk to the rest of the herd?” Walt asked.

“Clostridial organisms are spore-forming bacteria,” I explained. “Those spores last for many years. They have spores from soil collected in Kanas in the 1890s that are still infective. What causes an event like this is not really known. What is known is that vaccination is a very effective preventative. You need to vaccinate the rest of the herd yesterday.”

“Okay, I can get a crew together and do that chore this afternoon,” Walt said.

“If you have any animals that have not been vaccinated before, you need to booster the vaccine in 3 weeks,” I said.

“What do I do with these steers?” Walt asked.

“The rendering company can probably pick them up,” I said. “If not, you should bury them deep, right where they lay, no dragging them across the pasture.”

“Have you ever seen anything like this before, Doc?” Walt asked.

“In Colorado, the Clostridial diseases were common, and ranches who did not keep up on their vaccines always had problems,” I said. “There, I would see several animals at a time. In Enumclaw, I never saw a case. Had you talked to me last week, I would have recommended vaccinations for Blackleg, but I would not have worried too much if you failed to take my advice. After the last couple of days, vaccinations will be required in the herds I take care of regularly.”

“That sounds like you are a little strict, Doc,” Walt said.

“Better than checking seven dead steers in the pasture,” I said. “There are other veterinarians in the valley, people always have choices.”

Photo by Vicky Ng on Unsplash.