James H. Tilley DVM

10/23/2023

In acknowledgement of veterinary technicians week I want to give a big shout out to Randie Dugger, the best equine veterinary technician in Arkansas. Randie’s clinical and critical thinking skills are off the charts but her wonderful personality and compassion are her truest treasures.
Randie does so many things within our practice outside of clinical medicine and surgery she practically does the work of two technicians.
Above everything, Randie is one of my dearest friends and we are very fortunate to have her in our practice and we look forward to many more years with her.

09/02/2021

Due to the out break of Equine Encephalitis James H. Tilley DVM and myself are hosting a vaccine event next Tuesday night. We recommend if your horse has not received a vaccine since May 1st of this year, a booster is advised. Please text me with your name and how many horses you will be bringing.
The prices listed below are only for this event! Also dinner will provided as well! Can’t wait to see you guys there!

08/05/2021

2 year old TB with a carpal chip fracture off of the distolateral aspect of the radius within the radiocarpal (RC) joint (upper joint of the knee).

This is a common carpal (knee) injury in racing Thoroughbreds and quarter horses.

Biomechanically the RC joint is quite interesting from the standpoint that it is not only a hinge joint but also has gliding properties.
The complex intercarpal ligaments keep the joint anatomically sustained yet allows this complex range of motion to occur.

The non displaced chip fracture is easily visualized in the pre operative radiograph and a post operative radiograph is also provided.

The still images and videos represent the normal progression of an arthroscopic procedure within a carpal joint. The joint is continuously distended throughout the procedure with sterile balanced fluids such as Lactated Ringers Solution. The desired pressure for joint distention is maintained by an automated fluid pump system.

12/03/2020

We are excited about Randie’s appearance in the Equinosis publication, Eye On Objectivity. Randie is featured for her accomplishment of achieving certification in objective lameness measurement using the Equinosis Q lameness locator.
Randie is the first and only technician in Arkansas to achieve this status. The certification program not only requires mastering the technical use of the instrument but also an in depth understanding of the biomechanics of equine lameness.
We’re proud of our girl!

Randie Dugger is a veterinary technician in Hot Springs, Arkansas, the state in which she is native to. Randie attended Henderson State University on a soft ball scholarship studying in Medical coding. After college she began her medical career as a certified dental assistant. Randie has always been...

10/31/2020

Dr. Tilley and I are excited to introduce our girl Randie Dugger !!! Randie is a member of the American Association of Equine Veterinary Technician and is working to complete her certification in that program. Randie has added another dimension to our practice, and we are extremely happy to have her on our team!!

09/25/2020

If You Can’t Measure It, You Can’t Manage It! Whether diagnosing subtle performance issues or guiding recovery to pre-injury baseline, lameness measurement provides data your eye can’t see.

08/23/2020

40 day old foal with bilateral varus angular limb deformity involving the front fetlocks.
Positional transphyseal bridging screws were placed laterally in each distal third metacarpus.
The last two photos were taken three weeks post op.

08/22/2019

3 year old Quarter Horse

Tooth root abscess at the apex of of the 306 (2nd lower left premolar) with a draining tract at the ventral aspect of the mandible.
Intraoral exam was unremarkable.
Radiographs show boney lysis involving the apical tooth roots of the 306.
It is also evident that the probe placed through the draining track in the left ventral mandible enters the distal root of the 306.

The diseased tooth was compromised to the point that endodontics (root canal) was not a viable alternative. Oral extraction of the tooth along with curettage of the draining tract through the mandible into the alveolus was the treatment of choice followed by packing of the upper third of the alveolus with dental impression material.

02/07/2019

Complete displaced lateral condylar fracture involving the distal metatarsus (hind cannon bone) of a racing Thoroughbred.
The arthroscopic and radiographic images are before and during reduction and stabilization of the fracture.

02/04/2019

A yearling TB c**t with avulsion 201, 202 and 203 (left upper incisors) along with the associated maxillary bone. Repaired with intraoral wiring.

10/29/2018

7 day blastocyst (embryo) flushed from a mare this weekend. The embryo was a product of artificial insemination, with frozen semen, 7 days previous to the flush.