Equi Vet Serwis Dr Maciej Przewoźny

Services

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Diagnostics of lameness


The treatment of orthopaedic diseases is based on their proper diagnosis. In our clinic we observe the standards of conduct adopted in the world’s best orthopaedic diagnostic facilities for horses. Clinical examination, diagnostic anaesthetics and modern imaging techniques allow us to formulate a diagnosis and implement proper therapy.

Contact
Maciej Przewoźny DVM PhD phone +48 600 855 362
Bartosz Jankowiak DVM phone +48 784 094 394
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Sports medicine

A veterinary field where success can only be achieved if medical expertise in biochemistry, physiology and orthopaedics goes hand in hand with the involvement of the owner, trainer and rider. Thanks to that kind of cooperation, our clients can be very successful in sports arenas.

Contact:
Maciej Przewoźny DVM PhD phone: +48 600 855 362
Bartosz Jankowiak DVM phone: + 48 784 094 394

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Vet check

A thorough clinical examination along with a radiological and endoscopic examination make it possible to make an objective evaluation of the current state of health of the horse and to assess whether it might be an obstacle for the intended use.

Contact:
Maciej Przewoźny DVM PhD phone: +48 600 855 362
Bartosz Jankowiak DVM phone: +48 784 094 394


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Regenerative medicine


Every single organism has the ability to repair damaged tissues. By applying appropriate recovery therapy we are able to accelerate the process and improve the quality of newly created tissue. We encourage you to get familiar with the therapeutic methods used in our clinic or to contact us directly.

Contact:
Maciej Przewoźny DVM PhD phone: +48 600 855 362


Platelet-rich plasma Marrow pluripotent cells IRAP PRO STRIDE
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Platelet-rich plasma

Today, a therapy using platelet-rich plasma (PRP) is one of the most commonly used recovery therapies in the treatment of tendon injuries. The process of making the preparation includes taking the patient's blood, and then separating a small amount of plasma homogenate rich in endogenous growth factors (IGF-1, TGF, PDF and others) by the centrifugation processes. These factors accelerate the recovery of damaged fibres and increase cell proliferation and differentiation. Such preparation is injected directly into the damaged area and supported by ultrasound monitoring. The whole procedure takes no more than 90 minutes.


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Marrow pluripotent cells

Pluripotent mononuclear cells are characterised by an unlimited number of splits and the ability to differentiate into other specialised body cells, such as cells building ligaments and tendons - tenocytes. Thanks to an injection targeted at the damaged tissue, these cells form a storage of repair cells. The procedure is based on taking the bone marrow from the patient's sternum (the procedure is performed on a standing horse, subjected to sedation and local anaesthesia.) The collected material is centrifuged in a special machine, which separates individual fractions of cells creating a cell preparation. In our clinic we use a combination of the above described method with platelet-rich plasma. The prepared homogenate of autogenous platelet and myeloid cells is applied in a tendon, to the damaged area, with the support of ultrasound monitoring. Such a combination is the most effective method of accelerating the recovery process and improves the scar itself.

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IRAP


Orthokine®vet irap is an alternative method used to treat tendon injuries and inflammatory changes in the joints. The process involves the application of autologous serum proteins produced from the patient's own blood, which is subjected to the incubation process. These substances are meant to eliminate the process of ongoing inflammation and accelerate tissue recovery. The preparation-making process takes from 8 to 24 hours. The obtained material can be frozen and applied at a later time, as required. In case of degenerative changes in the joints, it is recommended to carry out a series of minimum 3 injections at seven-day intervals.

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PRO STRIDE

This is the latest therapy method aimed to eliminate pain and inflammation in the joint. This effect can be achieved by applying, on a spot, concentrated preparation containing cells, platelets, growth factors and anti-inflammatory proteins obtained from the patient’s blood in a short centrifugal process. One of the advantages of this method is a long-term effect thanks to a single application and the natural composition of the preparation, thus having no side effects like in the case of long-term application of steroidal drugs to the joints.

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MRI

Magnetic resonance imaging allows us to see areas that are not normally available for other imaging methods. This is best exemplified by the structures enclosed within the hoof box, which acts as a barrier to the sound waves, strongly limiting their use. Likewise, early changes in bone, cortical boneand articular cartilage are not visible in the radiographic imaging. This examination is performed in general anaesthesia after all horseshoes have been removed. If no further examination or treatment is required, the horse may leave the clinic the next day.

Contact:
Maciej Przewoźny DVM PhD phone: +48 600 855 362
Marta Zmiertka DVM phone: +48 604 343 802


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Scintigraphy

It is a modern and fully objective imaging method that enables early detection of existing pathological changes within the skeletal system, even before radiological changes occur.

Other recommendations for scintigraphy:
- suspicion of problems in an area that is difficult to visualise, such as the pelvis, spine or limbs;
- diagnosis of weaker athletic performance;
- weak lameness or that of more than one limb;
- in case of dangerous horses

This test is performed in sedation on a standing horse. After intravenous application of the radioactive isotope, it circulates through the body, settling in the bones, in places which have an increased metabolic rate. The horse is then scanned with a specially designed camera to detect where the radionuclide has accumulated.
The horse must remain in isolation for at least 72 hours after the isotope application. During this time the isotope is metabolised and completely removed from the body. This examination is completely painless and safe for the horse.

Contact:
Maciej Przewoźny DVM PhD phone: +48 600 855 362


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Radiology

Radiological examination is the most frequently used imaging technique used in veterinary medicine. It is used to visualise pathology within the bone tissue, which is important in forecasting future utilisation of the horse. The clinic is equipped with three modern digital X-ray systems of the highest quality, including two mobile ones, which enable full diagnostics also in the field.

Contact:
Maciej Przewoźny DVM PhD phone: +48 600 855 362
Bartosz Jankowiak DVM phone: +48 784 094 394

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Ultrasonography

Ultrasound diagnostics is invaluable for pathologies of soft tissues, mainly tendons and ligaments but also closed structures within the chest or abdominal cavity. Ultrasound diagnostics makes it possible to accurately locate the lesions and assess their extent, thus helping to select the appropriate treatment and monitor the remedial processes.

Contact:
Maciej Przewoźny DVM PhD phone: +48 600 855 362
Bartosz Jankowiak DVM phone: +48 784 094 394

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Arthroscopy

This is a low-intrusive procedure aimed at removing free fragments, also known as chips, from the joints. If no radiological documentation has been provided prior to the procedure, each patient has an X-ray taken for the joint operation. An ultrasound examination is also carried out in order to ensure a more precise location. If you decide to carry out an arthroscopy and do not have full radiological documentation, this is the best time to get the documentation complete and, if other free fragments are found, remove them in a single procedure.
Arthroscopy is performed under general anaesthesia. The risks associated with it are detailed in the General Anaesthesia tab. Two small skin incisions are made around the joint. A surgical tool is inserted into the joint through one of them, and a camera is inserted through the other one to observe the former. At the same time, the articular cartilage and, in the case of the knee, the ligament of the meniscus are evaluated, which is of prognostic importance to determine the future use of the horse for sports. After the removal of the free part, the inside of the joint is cleaned with Shaver and rinsed.
The patient stays in the clinic for at least 10 days after the procedure, when the skin seams are removed. As a rule, an X-ray scan is taken during the post-surgery period to confirm the correctness of the procedure. On the day of leave, the owner receives a set of documents of the horse together with a detailed plan for movement and recommendations for the coming months.

Contact:
Maciej Przewoźny DVM PhD phone: +48 600 855 362
Miłosz Grabski DVM phone: + 48 506 589 702

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General anaesthesia


Most surgical procedures require immobilisation of the patient and elimination of pain in order to be performed safely. This can be achieved by sedation and local or general anaesthesia. Like most veterinary procedures, it involves some risk, so before the owner signs the consent for the procedure to be carried out, they should get acquainted with all the most common complications.

Contact:
Marta Zmiertka DVM phone: +48 604 343 802

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Surgery

The clinic only performs scheduled surgeries for the skeletal system and soft tissues. Patients with colic symptoms qualifying for a surgery are referred to a clinic specialised in these types of procedures.

Contact:
Maciej Przewoźny DVM PhD phone: +48 600 855 362
Miłosz Grabski DVM phone: + 48 506 589 702


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Laboratory


Thanks to the equipment of our laboratory, we can continuously monitor the health of our patients through biochemical analysis and blood morphology. In addition, in case of respiratory diseases, there is a possibility to perform rapid cytological diagnostics and blood allergy tests. For more specialised tests we cooperate with laboratories from Poland and abroad.

Contact:
Marta Zmiertka DVM phone: +48 604 343 802

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Airway endoscopy

Endoscopic examination of the respiratory system allows for the imaging of pathological conditions in the nose, guttural pouches, throat, larynx, trachea and bronchi. Additionally, it is possible to take material for further laboratory or histopathological examination in case of proliferative changes.

Contact:
Marta Zmiertka DVM phone: +48 604 343 802

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Ophthalmology

We diagnose the most common ophthalmic diseases in horses. The specialist equipment used for this purpose enables us to visualise the details that are important in monitoring the effectiveness of the treatment undertaken.


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Gastroscopy

Anterior gastrointestinal mucosal ulcers are a common health problem in horses, regardless of age or use, and their diagnosis can only be made on the basis of gastroscopic examination. This examination is recommended for patients with recurrent colic, diarrhoea, poor physical condition and those horses that do not achieve the expected results in sport. The patient should consume nothing at least 12 hours and have limited access to water for the last 4 hours prior. To achieve such an effect, the horse is left for the night in a box with sawdust and the evening rest is avoided. If this is not possible at home, the patient should come to the clinic the day before the examination.

After the horse is sedated, a nasal-stomach probe is put in and the stomach is rinsed from the remains of the food. After the remains have been removed, a camera is introduced in the same way, which allows to view the condition of the oesophageal, gastric and duodenal mucosa. In the event proliferative lesions are present, it is possible to take material for histopathological examination. This examination may also be performed in the field with portable equipment.

Contact:
Marta Zmiertka DVM phone: +48 604 343 802

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Dentistry

In addition to visits by blacksmiths, vaccinations and deworming, dental care is an indispensable element of horse health prevention and results from anatomical conditions. By correcting the teeth, we enable the proper crumbling of the feed and thus the correct digestive processes and ensure comfort for riding. After the horse is pharmacologically sedated, a full oral examination is carried out and, if necessary, further diagnostic procedures such as radiological or endoscopic examination of the upper airways and/or sinus system.

Cheek teeth removal is performed on a standing horse in sedation and local anaesthesia. For complicated cases, teeth are removed under general anaesthesia. Please get familiar with the risks involved. Should problems with teeth result in paranasal sinusitis, the patient requires hospitalisation involving day-to-day washing of the infected structures and endoscopic sinus examinations. These examinations require trepanation of the head bones - depending on the symptoms, it may require an opening of 2cm in diameter or an exposure of a larger skull surface.

Contact:
Bartosz Jankowiak DVM phone: +48 784 094 394


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Internal medicine

We deal with the diagnostics and therapy of horse internal medicine. These are possible thanks to our top-quality veterinary equipment, such as an ultrasound scanner or endoscope, as well as our laboratory equipment.

Contact:
Marta Zmiertka DVM phone: +48 604 343 802

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Physical Therapy

We appreciate the value of physical therapy, which is why we often use various types of rehabilitation procedures to support the treatment of major orthopaedic diseases. Depending on the type and duration of the injury, the rehabilitation plan is prepared individually for each patient. In addition to physiotherapeutic procedures, horses are provided with a daily portion of movement in the carousel or longeing, as indicated.

Contact:
Maciej Przewoźny DVM PhD phone: +48 600 855 362


Laser therapy Shockwave therapy EQultrasound TENS Cold Therapy Water treadmill
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Laser therapy

High-Energy Laser therapy is used to treat tissues by means of cellular regeneration. Consistent, monochromatic laser light is used to strongly stimulate the healing and regeneration of the majority of biological tissues. The output power is approximately 30-50 times greater than that of conventional cold laser therapy and is characterised by a very deep penetration. Laser therapy reduces swelling and inflammation within the tissues, accelerates the healing of wounds and relieves pain. It makes the scar from tendon injuries more flexible and smooth.
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Shockwave therapy

Shock wave therapy is one of the best ways of treating chronic orthopaedic disorders of the horse, such as those of the upper intercostal muscle injury or tendonitis. Apart from accelerating the healing processes and improving the quality of the newly created tissue, it has a pain alleviating effect. Treatments are performed 3-4 times at 10-14 day intervals. The shockwave generator is a portable machine, thus offering a possibility to carry out the therapy in the stable. The great advantage of this method is its long-lasting results, lack of side effects and the possibility of using it in combination with traditional treatment methods.
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EQultrasound

This is a low-frequency ultrasound therapy. Amongst its advantages aredeep penetration, complete painlessness and the possibility of performing the treatment in acute conditions. Thanks to three different types of probes, there is a possibility to action multiple areas. The effect of deep heat and vibration is used in the rehabilitation of muscle injuries, while the acoustic effect promotes the recovery of both soft tissues and bone tissue. Please note that EQultrasound can be used as a substitute for the shockwave therapy or as a device supporting it. It is used to treat tendon damage, bone and joint inflammation and is used to lessen calcifications.
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TENS

Topical electrical nerve stimulation is mainly used to inhibit pain in Head Shaking disease.

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Cold Therapy

In the case of orthopaedic diseases, cold therapy is one of the most important elements immediately after they occur. We possess Ice Horse Cooling Machine by Zamar. In addition, since November 2017, we have been testing the effectiveness of the liquid nitrogen chamber, which allows us to cool down larger parts of the patient’s body at the same time.

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Water treadmill

We have a speed adjustable treadmill, which is filled with water to a desired height once a horse is inside. This therapy can be used for the rehabilitation of the horse after an orthopaedic procedure, damage to the tendon, putting the horse into training and as a method supporting exercise. In particular, it is recommended for horses that feel pain and discomfort in the spinal area. Hydrotherapy supports the general development of muscles, especially the back and neck areas, brings relief to muscles and joints after trainings and improves their blood supply and regeneration.
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Working in the field

We have three fully equipped ambulances that allow us to help patients outside of the clinic.

Contact:
Marta Zmiertka DVM phone: +48 604 343 802
Bartosz Jankowiak DVM phone: +48 784 094 394

Learn about the Equi Vet Clinic team

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Maciej Przewoźny DVM PhD

After graduating from the Faculty of Veterinary Medicine of the Agricultural University of Wrocław in 2001, he went to work in Tierklinik Lüsche Drs Koene, Swagemakers, Schwenzer, Wegert in Germany. At that time, in 2004, he completed his doctoral thesis “Use of some of the acute phase proteins in post-surgery monitoring of horses” thanks to conducting research on horses that underwent joint arthroscopy. While in Germany, he also completed an internship to obtain the title of Fachtierarzt fur Pferde and many further trainings, mostly in the field of orthopaedics. In 2005 he returned to Poland and established Equi Vet Serwis. On many occasions he was a doctor of the national show jumping team at the European Junior and Young Riders Championships: Schaffhausen 2005, Athens 2006, Avenches 2007, Prague 2008 and at the World Championships in Aachen 2006, the European Senior Jumping Championships in Mannheim 2007. He is specialized in orthopaedics and sports medicine. From 2007 to 2008 he completed a specialist training in veterinary chiropractic conducted by American and German specialists - IAVC / IVCA. In the recent years he took part in a number of trainings such as ISELP “The Pastern & Foot”, Lingehoeve Diergeneeskunde, Holland (2011), ISELP “Pelvis”, Bell Equine Clinic, United Kingdom (2012), ISELP “Neck & Back”, Hagyard Equine Clinic, USA (2012), ISELP “Fetlock, Metacarpus, Carpus” Clinica Cascina Gufa, Milan, Italy (2013), ISELP Stifle & Thight, Equine Clinic Lingehoeve, Holland (2013), ISELP “Shoulder & Elbow”, Equine Clinic of Grosbois, Paris, France (2014), CEISELP Ultrasound diagnostics of changes in the peripheral part of the horse's limb (hoof, pastern, pastern joint). J-M.Denoix. Jahranka, Poland (2018) and CEISELP Ultrasound diagnostics of lesions in the thoracic limb, from the shoulder joint tometacarpus. J-M.Denoix, Jahranka, Poland (2019). Every year he participates in industry-specific conferences such as BEVA Congress Birmingham (UK) and Proveto Veterinary Sport Horse Congress Full Program, Amsterdam (Holland). Since 2013, he has co-organized and actively participated in practical courses organized by VetPD. He gives lectures in surgery and orthopaedics for veterinary students, runs courses for veterinarians, physiotherapists and blacksmiths. In his free time, he enjoys travelling and diving together with his family.

Phone: +48 600 855 362

e-mail: m.przewozny@klinika-konie.com.pl

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Bartosz Jankowiak DVM

Bartosz comes from Środa Wielkopolska. He graduated from the Faculty of Veterinary Medicine at the University of Life Sciences in Lublin in 2011. During his studies, every year he undertook a holiday practice at the Equi Vet Serwis horse clinic, and after graduation he completed a 9-month internship. In 2012 he started working at Equi Vet Serwis. In April 2013 Bartosz completed a specialist training in veterinary chiropractic at the International Academy of Veterinary Chiropractic (IAVC) in Germany. After completing the course hepassed the international exam organized by the International Veterinary Chiropractic Association (IVCA). In addition, he is a licensed PZJ veterinarianand an FEI Permitted Treating Veterinarian. In 2016 he was a physician of the Polish junior and young riders team during the European dressage championships in Oliva Nova. Every year he participates in conferences and trainings in the field of dentistry and horse orthopaedics such asJumping Amsterdam Veterinary Sport Horse Congres, Amsterdam, Holland (2016), Meet The Specialist Sport Horse in Practice, Utrecht, Holland (2016), Pelvic Orthopaedic Examination, a course with Prof. Jean Marie Denoix (2017), Vet-PD: An Introduction to Advance Surgical Dental Extraction Techniques Munich, Germany (2018), CEICELP: Ultrasound diagnosis of changes in the peripheral part of the horse's limb, Poland (2018), CEICELP: Ultrasound diagnosis of changes in the thoracic extremity, from the shoulder to metacarpus, Poland (2019), CEICELP: Ultrasound diagnosis of pelvic leg lesions, from the hip to metatarsal joint, Poland (2019), Cheek Teeth Extraction Techniques Minimally Invasive Buccotomy and Screw Extraction, Hamburg, Germany (2019). At Equi Vet Serwis, he is mainly involved in orthopaedics and dentistry. In his free time he is interested in sports.

Phone: +48 784 094 394

e-mail: b.jankowiak@klinika-konie.com.pl
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Miłosz Grabski DVM

Miłosz Grabski graduated from the Faculty of Veterinary Medicine at the University of Edinburgh. After graduation he did a one-year clinical internship at Rood&Riddle Equine Hospital in the United States and then at Dierenkliniek De Bosdreef in Belgium. After several months of working at the local clinic, he completed a 3-year specialist training in surgery at the Horse Hospital at the University of Bristol, which resulted in becoming a member of the European College of Veterinary Surgeons and a certified specialist in surgery. Prior to joining Equi Vet Serwis, Dr. Miłosz Grabski worked for 4 years at the Department of Veterinary Medicine of the Uppsala Referral Hospital, Sweden. He has participated in many scientific and didactic symposia including Advanced Dentistry Course (2011), Regenerative Medicine Course (2011), VDS Prepurchase Examination Course (2011), AO Principles of Equine Fracture Repair (2012), European College of Veterinary Surgeons Summit (2012), Equine Laparoscopy Course (2012), Equine Upper Airway Symposium (2013), American College of Veterinary Surgeons Summit (2014), AO Advanced Equine Fracture Management Course (2015), European College of Veterinary Surgeons Summit (2017), Arthrex Advanced Arthroscopy Course (2019) and European College of Veterinary Surgeons Summit (2019). He is also the author of various publications on horse diseases. At Equi Vet Serwis Miłosz mainly deals with surgery and also takes care of patients on site. In his free time he travels with his family and strolls with his dogs every day.

Phone: +48 506 589 702

e-mail: m.grabski@klinika-konie.com.pl
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Marta Zmiertka DVM

Marta earned her veterinary degree at the Wrocław University of Life Sciences in 2014. After completing her internship at Equi Vet Serwis in April 2015, she started working in our team. She gained her professional experience during her internships in Poland and abroad: Donnington Grove Surgery, Equine Department, England, Veterinari Klinika Hermanuv Mestec, Czech Republic, Fachtierärztliche Praxis für Pferde Dr. Volker Niderachel, Florian Hormann, Germany, Hospital for Horses XL-Vet, Equi Vet Serwis Dr. Maciej Przewoźny. In the recent years, she completed numerous internships and trainings, mainly abroad, such as WEVA (2013), BEVA (2018) VET PD: Advanced orthopaedic therapies in horses (2018), Veterinary Sport Horse Congress Jumping Amsterdam (2019), VET PD: chest, abdomen and soft tissue ultrasound scans (2019).

At Equi Vet Serwis Marta works in the field, takes care of patients on site, as well as deals with anaesthesiology and MRI scans. Her veterinary interests include orthopaedics, sports medicine and anaesthesiology. She is a PZJ and FEI doctor.

Phone: +48 604 343 802

e-mail: m.zmiertka@klinika-konie.com.pl
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Aleksandra Bartylak DVM

Coming from Chełm, Aleksandra graduated from the Faculty of Veterinary Medicine at the University of Life Sciences in Lublin in 2019. During her studies she was actively involved in Equi Vet Serwis looking to join the team after graduation. She participated in many conferences and trainings such as BEVA (2019), VET PD: chest, abdomen and soft tissue ultrasound scans (2019) and VEPRA/ECVSMR (2019), concerning sports medicine and rehabilitation. Aleksandra is particularly interested in the field of orthopaedic diagnostics. In her free time she goes running and tries to find a moment to relax while watching an interesting film or series.

Phone: +48 664 170 017

e-mail: a.bartlak@klinika-konie.com.pl
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Viktoria Granacka DVM

Viktoria comes from Augustów. She graduated from the Warsaw University of Life Sciences, where she earned her veterinary degree in 2019. She joined theEqui Vet Serwis team in May 2019. Before that, she gained her experience during numerous placements and internships in Poland and abroad, including University Hospital of the School of Veterinary Medicine, University of Naples Federico II (Italy), Służewiec Horse Hospital, Centre for Horse Disease Diagnostics and Treatment, Equine Health Centre, Equine Clinic, University of Zurich (Switzerland), Royal Veterinary College Equine Referral Hospital, University of London (UK), Equine Clinic, University of Veterinary and Pharmaceutical Sciences Brno (Czech Republic), Swiss Institute of Equine Medicine, University of Bern (Switzerland), Philip Leverhulme Equine Hospital, University of Liverpool (UK) and Equine Moore Veterinary Centre, Calgary (Canada). She participated in many conferences and trainings such as BEVA (2018, 2019), VET PD: chest, abdomen and soft tissue ultrasounds scans (2019) and the conference about “Latest Discoveries in Internal Diseases” in Pawłowice (2017, 2019). Her professional interests are in the fields of internal diseases, especially cardiology, ophthalmology and gastrointestinal diseases, including colic. In her free time Viktoria enjoys trekking in the mountains and broadening her knowledge of the history of arts and literature.

Phone: +48 517 468 118

e-mail: v.granacka@klinika-konie.com.pl
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Hubert Urbaszek DVM

Coming from Opoczno, Hubert graduated from the Faculty of Veterinary Medicine at the University of Warmia and Mazury in Olsztyn in 2017. Thanks to his internship in Tierklinik Lüsche in Germany, after obtaining his diploma, he was qualified for a six-month internship there. He spent the next two years in the Mazury region working with horses and dairy cattle. Hubert wants to develop his professional career in the fields of orthopaedics and dentistry. He joined the Equi Vet Serwis team in December 2019, and is currently a doctor responsible for patients on site. In October 2019 he started a specialist course in Horse Diseases at the Olsztyn University. He relaxes while running, rock climbing and cooking.

Phone: +48 512 584 231

e-mail: h.urbaszek@klinika-konie.com.pl