It rained all day, so when we got to Julie's I tied up Lance in the arena to tack up. After removing his turnout sheet, I snapped a photo on impulse:
The footing in the arena is new – and chunky. As we walked around to warm up, I worried a bit. Lance tripped and fell with me once in Kate's arena with similar wood chip footing – and Lance was stronger and more energetic then.
When Julie arrived on scene, she immediately commented on Lance's condition. She felt he had lost the weight he'd regained between our last two visits, and she wasn't comfortable with asking him to work. Given my concern about the footing, the decision to cancel the lesson was actually a relief. We chatted awhile; she had an event horse with COPD so I asked how she had managed him. I shared my nagging worry that we haven't gotten to the bottom of Lance's decline; we brainstormed a little but couldn't come up with any new possibilities.
On my way home I called Rick's secretary to ask her for the contact info of a veterinarian Rick knows who is board certified in Internal Medicine. Rick has run Lance's problems by her; I wanted to pick her brain myself. I sent her an email as soon as I got home, sharing his history, test results, treatment regimen, and continued, concerning muscle loss.
By late afternoon she responded, asking for some video clips of his at-rest breathing and an ultrasound of his lungs. I shot the videos and texted them to her; Rick is going to do the ultrasound in the morning. The suspect near the top of her list: EMPF – equine multinodular pulmonary fibrosis. We may know tomorrow; my stomach is in knots.