Shockingly well. I am regularly seeing breath rates in the 12-16 breaths/minute range. Last year was 16-18, the year before was 18-24. His lungs have been āaudible breaths, crackles lowā (I am pretty sure the low crackles are scar tissue at this point) more often than not. Yes, 12-16 breaths per minute is significantly higher than the healthy horse 6-10 breaths per minute, but when 20 was the lowest I could get him to 2 years ago I am ecstatic to see 12 or 14, or even 16. He does get down to 6ā8 in the off season (aka winter).
I do hear more in his lungs on smokey days, and normally in spells of hot and humid weather, but heās recovering very quickly after smoke events, and when the overnight lows drop to cool temperatures.
He is on Prednisolone (320mg) and Hydroxyzine (2 capsules). Under advice from my vet I have been proactively increasing his doses during smoke events instead of using Ventipulmin.
I usually use exercise as a key part of heaves management, but a stifle injury has severely restricted his activity. Hand walking just doesnāt produce the same benefit. This makes his current state of breathing health even more impressive.
I have been using a Bemer regularly on him since the end of March 2022. The Bemer doesnāt produce an instant effect on his breathing. It does induce a parasympathetic response which puts the horseās body into the rest and recovery mode allowing healing/repaiir to take place. Over time regular use improves recovery from stresses of all sorts - showing, trailering, training, long rides. I saw some surprising recoveries and eagerness to do more last summer.
I do think itās had a positive effect on his breathing, as in the five years prior to the Bemer each year required more drugs and additional management to keep him breathing. His base breath rate was getting higher as well. The way things were going I was expecting 2023 to be his last summer. Now Iām hoping for a few more years, barring catastrophe of course. Yes, more time with him is absolutely worth spending $7K on a Bemer.