Dr. Garfinkel
Dr. Garfinkel is a graduate of the highly regarded College of Veterinary Medicine at North Carolina State University. She has been practicing in the East County area since 2000, and has built a reputation of providing high quality and compassionate care. 

832 Homeward Way
Alpine, CA91901
619-659-1180
New Mailing Address

832 Homeward Way
Alpine, CA 91901
Credit Card Policy

As U.S. inflation this year has risen to 7%, this continues to create real impact on our business. We decided, instead of raising prices across the board starting April 1, 2022, To cover the costs of credit card acceptance, we will pass on the 3.5% credit card fee. Debit Cards, Cash, Checks, and Venmo remain at no fee.
Sleep Deprivation & Narcolepsy

What is it?
Sleep deprivation occurs in horses that have not received the required daily 30 to 60 minutes of Rapid Eye Movement (REM) sleep for a week or more. When horses are not able to lie down and enter REM sleep to refresh themselves, they may experience "sleep attacks." That is, during quiet periods they enter the first two stages of sleep -deep restfulness and slow wave- before progressing to the REM stage and partially collapsing. In sleep deprivation, horses become drowsy before falling completely asleep, which may cause their legs to buckle.

What can be done about it?
There can be physical and psychological reasons for sleep deprivation in horses. Physical reasons include the inability to lie down which may be environment-related (eg stall size) but may also be due to pain or restricted movement. For example, an older horse with arthritis in his knees or ankles may not be able to get down or back up. Psychological reasons include feeling too insecure to lie down on the ground long enough to enter REM sleep because there is no herdmate on guard. The removal of a dominant, older mare from an established herd is an example of this cause of sleep deprivation.

What else do I need to know?
Narcolepsy is different than sleep deprivation. According to equine neurologist Steven Reed, DVM, ACVIM, narcolepsy can be defined as a rare and incurable sleep disorder of the central nervous system characterized by uncontrolled episodes of loss of muscle tone (cataplexy) and sleep. Any horse that appears drowsy, weak or collapses should be examined by Dr. Garfinkel for an accurate diagnosis since this type of medical condition can be dangerous to both the horse and his handler.
Dr. Garfinkel Incorporates The Parasight Fecal Egg Count Test

Fecal egg counts, including a deworming consult, are available through our Wellness Plans or as an individual service. Dr. Garfinkel incorporates the use of the Parasight system for efficient and accurate results. The Parasight is a 2.5 minute validated fecal egg counter that uses fluorescence-imaging technology and a automated counting algorithm to identify and number specific parasites present. The results are then stored permanently in your horses medical records and can be sent directly to you. Once parasite loads have been determined and evaluated, Dr. Garfinkel will get you set up with an appropriate deworming protocol to treat and then manage your horses condition.
Have You Ever Dreamed of Becoming a Equine Veterinarian?
Late last year I was contacted by Star Stable to be featured in an episode of their new YouTube series "Together". I wasn't entirely sure what I was getting into, but I had a great time with Karin, Matilda, Christian and Anne (the crew from Sweden). So, here it is!
Dr. Garfinkel Now Accepts Venmo Payments @Christi-Garfinkel
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