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The most urgent situation is always the one at hand, or in sight, right there and then.  We have to attend to emergency situations, whether if that is an acute lameness, injury, wound, health ailment or even colic situation.  They are dire, in most situations, and must be dealt with accordingly, however, once through that crisis situation, we need to step back and really look at the big picture, hopefully isolating or honing in on the cause of why things happened or developed.  This often entails looking past the obvious problems at hand, whether if that be a lameness or even a health situation, looking deeper and hopefully arriving at insight and wisdom.  Can we do this?  As easy at is sounds, it is not generally well accepted to look beyond the obvious problem at hand. Certainly a challenge for many horse owners, people themselves or even veterinarians.

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EIPH or exercise induced pulmonary hemorrhage is unfortunately a common condition in equine athletes, affecting upwards of 40% of race horses and an estimated 62% of QH's involved in racing, including other disciplines such as barrel racing.2  It is one of the main causes of decreased performance and also one of the more common respiratory problems found in competitive equine athletes, especially when involving epistaxis or nasal bleeding.  EIPH can be very frustrating for some trainers, due to the fact that a specific cause in each case is often not determined and response to therapies can decrease over time.  In many instances, the equine athletes are able to maintain higher levels of performance, while other are forced to retire.  As with many equine health conditions, with a better understanding, sometimes we can implement therapy options to improve the outcomes, helping to keep performance to a high level.

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