Client Services

Digital Radiography

East End Equine is the only practice in eastern Long Island that can offer you the benefits of digital radiography. Through the use of a portable x-ray machine, a specialized digital sensor plate, and a computer, a high resolution image can be produced and viewed in 4 seconds. The advantages of portable digital radiography include rapid, horse-side diagnosis, decreased exposure to x-rays, and eliminates the need for time consuming trips to the clinic to process films or return trips to the barn for retakes. The images obtained can be burned to a CD for your records, or e-mailed to a specialist for a consultation. Our images are also stored in a secure facility in California and with a webcode we provide, can be viewed over the internet from anywhere in the world.
Digital radiography is also environmentally sound because it eliminates the need for harmful chemicals to process the images.

Digital Ultrasound

The introduction of digital ultrasound has allowed East End Equine to produce high resolution images of the equine musculoskeletal system to accurately diagnose a multitude of conditions that may affect your horse. These images are stored digitally in our database for ease of retrieval and to ensure long lasting image quality.

Extracorporeal Shock Wave Therapy

Extracorporeal shock wave therapy (ESWT) is a non-invasive modality that utilizes high energy waves to treat a number of different chronic lamenesses that have been unresponsive to conventional therapies. ESWT is performed under light sedation at your facility.

Alternative Therapies

East End Equine also offers its clients a number of alternative therapies including acupuncture, chiropractic, and mesotherapy. When combined with conventional veterinary therapy, alternative medicine is used to treat and prevent many chronic conditions allowing your horse to perform at the best of their abilities.

MRI

East End Equine is now able to offer its patients high resolution MRI when they require more advanced diagnostics. Through a unique collaboration between East End Equine, Dunbarton Equine, New England Equine Practice, Pine Bush Equine, and Christopher Miller, DVM, LLC, Patterson Veterinary MRI was formed to ensure our patients access to the benefits of high quality MRI imaging at an affordable price. Unlike the standing MRI units that only allow imaging of the foot, our Vet Grande-MR unit allows us to accurately diagnose conditions affecting the head, neck, carpus, fetlock, and hock. All of our images are read by a board certified veterinary radiologist to ensure an accurate diagnosis.

Dentistry

East End Equine offers complete dental care for your horse with the Powerfloat. The Powerfloat is both faster and more efficient than hand floating, allowing us to do a superior job of floating your horse's teeth. The small, guarded head allows access to all areas of your horse's mouth without causing any damage to the soft tissues of the mouth and tongue.

IRAP

Interleukin-1
Receptor
Antagonist
Protein Processing System

The IRAP™ system consists of a syringe containing glass beads that maximize the surface area inside the syringe. Blood that has been incubated in this unique syringe can be separated to produce autologous serum useful at the point of treatment. Because the serum is derived from the animal's own blood, the possibility of adverse allergic or anaphylactic side effects is drastically reduced.

Features / Benefits
The IRAP device has been used safely and effectively in preparing autologous serum at the point of treatment. The serum produced using IRAP has been used worldwide by veterinary surgeons for over three years without negative reactions or side effects.

Blood processed using the IRAP device produces serum containing anti-inflammatory and anti-degenerative compounds.

The conditioned serum is completely autologous, and contains no drugs.

The Science behind the IRAP™ process

Defects in articular cartilage can induce osteoarthritis by causing molecular changes in the synovial fluid. Research in molecular biology discovered the major inducer of osteoarthritis was the general inflammatory cytokine Interleukin-1 (IL-1) which plays a key role in accelerating tissue destruction and the repair mechanisms.

In a healthy joint IL-1 and Interleukin-1 receptor antagonist (IL-1Ra) are in balanced concentrations. In cases of osteoarthritis, there is not sufficient IL-1Ra produced to block the destructive effects of the increased IL-1. The result is inflammation, joint pain, and finally cartilage destruction.

In the IRAP™ syringe white blood cells bind to the glass beads. The cells are then stimulated to produce regenerative and anti-inflammatory proteins without the addition of drugs. This process takes place over an incubation period of 24 hours.

Technique
During the IRAP process, 50 mL of blood is harvested using the special patented syringe.

The harvested blood is incubated for 24 hours to increase anti-inflammatory and regenerative protein concentration levels.

After incubation, the syringe is placed into a centrifuge to separate the serum from the blood.

The serum is extracted and may be placed into syringes or ampoules for immediate use or frozen for later use.

Pre-Purchase Examinations

Very few horses are 100 percent sound. Obtaining a prepurchase exam alerts the buyers to a horse's defects and allows them to make an informed decision on whether to buy the horse. We offer different levels of prepurchase exams based on your needs. A simple exam may include a thorough physical, with flexion tests or palpation of a pregnant mare. An extensive exam may include blood tests, ultrasound and X-rays. We do require the completion of a pre-purchase request form that can be downloaded here and faxed back to us at (631) 725-8600, or have at the time of our arrival to your facility.


References

1. H. Meijer, J. Reinecke, C. Becker, G. Tholen, P. Wehling.
2. The Production of Anti-Inflammatory Cytokines in Whole Blood by Phisico-chemical 52:404-407
3. M. Goldring.
4. Osteoarthritis and Cartilage: The Role of Cytokines. Current Rheumatology Reports
5. W. Arend, M. Malyak, C. Guthridge, C. Gabay.
6. Interleukin-1 Receptor Antagonist: Role in Biology. Annual Review of Immunology 1998; 16:27-55
7. Thomas Weinberger, Equine Clinic Burg Mueggenhausen.
8. Postoperative Intraarticular Treatment of Joint Disease in Horses with Autologous Biotechnical Approach
9. Thomas Weinberger, Equine Clinic Burg Mueggenhausen.
10. Intraarticular Treatment of Coffin-Joint Disease in Horses with Autologous IL-1

Other Services

Through referral, we also provide our patients access to a complete array of medical and surgical services including gastroscopy, video endoscopy, soft tissue and laser surgery, and colic surgery.

Please call the office to speak with one of our doctors if you have questions regarding any of the services that we offer.