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Wrangler’s Donkey Diary: Sarcoid Treatment Again

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1-29-20

Wrangler had his first sarcoid removal on 7-20-18, but we found another one just a few weeks ago starting under his right side. It looked like he had been rubbing it as it was a bit crusty. I had a mule that did that to a sarcoid and it eventually disappeared as did the other two that were on his body. He apparently built immunity against the sarcoids. So, we opted to wait and see if this one on Wrangler would also just go away. It didn’t and it was now the size of a golf ball and would need to be removed. We treated Wrangler’s prior sarcoid with Xterra because of its location in a vascular area, but this one could safely be surgically removed.

Our veterinarian, Greg Farrand, shaved the area for the IV catheter.

We opted to do the surgery in our tack and groom area where things could be kept clean. Kim handed Greg the catheter while I kept Wrangler steady. He wasn’t exactly thrilled, but he was a good boy!

In order to make sure he landed on his left side so Greg could reach the sarcoid that was on the right side, Chad and Steve took their positions on each side and guided him to the floor.

I shaved off the long, thick shaggy hair from his barrel around the sarcoid with my #10 blade and then Greg came back over the area with his closer cut blade. We put a fleece saddle pad under his head and covered his eyes with a bath towel.

Kim prepped the area while Steve held the rope that was anchored around his hind leg to prevent any kicking if he began to wake up. Chad held the IV drip while I watched his head for unnatural breath and movement. But Wrangler just snored!

Greg carefully removed the sarcoid paying attention to getting it all. Wrangler just kept snoring!

After the sarcoid was removed, we opted not to do stitches and Greg used his Hyper Thermic machine that would trigger his immune system to fight any cells that might have not been removed. It could even cause the old sarcoid that was now dormant to drop off later if it worked to that extent. This treatment is one that replaced the old injections that used to be the follow-up treatment in sarcoid surgeries.

Kim cleaned the area afterwards and blotted the sponge onto the area to help the blood to clot.

The she removed the IV drip system from the catheter in his neck. It wasn’t long after before Wrangler began to wake up.

We kept him on his sternum and patiently waited until he was ready to try to get up. At first, he was a bit wobbly and stayed in a sitting position for a few seconds before rising to all four legs.

Once he was on all fours, we held the sponges up against his belly to further stop the blood until it could lot. Wrangler just “hung loose!”

When the blood finally clotted, we pulled the IV needle from his neck and then held sponges on that until it stopped bleeding. Wrangler was grateful to be awake again…well, sort of awake!

When he was showing some stability on his feet, we took a few circles around the room to get his circulation going again. We kept him walking intermittently around the room for about 30 minutes before putting him back in his stall and run. We removed all the bedding for a few days so it would not get stuck in the open wound that we would clean twice a day and treat once a day with Panalog until it is healed.

Wrangler didn’t have the where-with-all to be able to let out a full-fledged bray, but he did let out several grunts of appreciation to Dr. Greg as he left!

 

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Wrangler’s Donkey Diary: Sarcoid Treatment

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7-20-18

Wrangler has almost completely shed out and during my last weekly grooming, I discovered a small sarcoid on his left forearm and decided to consult with my veterinarian, Greg Farrand. Wrangler munched in the fanny pack while we talked.

Dr. Farrand Carefully inspected the sarcoid and determined that it was not a candidate for removal because of it’s precarious location. There was no way to grab loose skin around it like there was with prior sarcoids on other animals.

I shaved the area around the sarcoid so we could get a good look at it and so it would absorb the treatment the most efficiently.

In 2011, Rock had a sarcoid on his neck in front of the withers where there was a lot of fatty tissue and the skin was loose enough to pull the sarcoid away from the body. So, we shaved his neck and removed the sarcoid with surgery. We then had it biopsied to find it was not a serious sarcoid (Better to be safe than sorry!) and it eventually just went away. In the eighties, if we removed a sarcoid, it would have had a follow-up of injections to be completely rid of it. In the nineties, veterinarians discovered another way to treat sarcoids that involved taking a piece of the biopsied sarcoid and reintroducing it as an implant in the neck to prompt an immunity response. Before he could remove one of three sarcoids the from Lucky Three Eclipse, he rubbed one and tore it open. Before we had the chance to biopsy one of the sarcoids for an implant, as if a miracle, his immune system was stimulated by HIM, kicked in and all three sarcoids just disappeared…and no, they were not anything else.

Lucky Three Cyclonealso developed a sarcoid on his jaw which we successfully treated with surgery since it also was in a fatty area where we could pinch the skin around it easily. No follow up was necessary…just stitches removal.

Since Wrangler’s sarcoid was in such a delicate area, we opted to use a topical approach with Xterra, applied with a Q-Tip.

We will apply the Xterra once a day for a week, then stop for a week.

Then we will resume applying the Xterra for another week, stop after a week again and then see how it is progressing.

We will continue like this until it is gone. Xterra is surely a better way than the way we had to treat these in the eighties! Wrangler will be sure to keep you posted on his progress!

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