UNHS Hooves & Hands Mobile Rural Health

UNHS Hooves & Hands Mobile Rural Health Two docs and a truck. Taking care of your hooved animal and human healthcare needs from Aneth to Oljato to Blanding.

All information here is for educational purposes and is NOT medical advice. Please contact us with questions about your own situation.

Whatever your hooved animal, there’s a pretty good chance they need a pedicure every once in a while!We trim sheep, goat...
05/27/2026

Whatever your hooved animal, there’s a pretty good chance they need a pedicure every once in a while!

We trim sheep, goats, pigs, and llamas for $10-20 if it's one animal and it gets cheaper per animal the more of them we do (or if we’re doing vaccines at the same time).

We do often need to sedate pigs (they are less interested in having their hooves trimmed) and usually recommend trimming male pigs’ tusks at the same time.

We do NOT trim horses' feet and instead recommend using a farrier. We can give you recommendations and phone numbers based on your location.

Please feel free to call us with any questions or to schedule an appointment: 435-320-0277. Have a great day!

Did you know that more than 1 in 5 US adults and 1 in 7 US children experience mental illness every year? Mental illness...
05/21/2026

Did you know that more than 1 in 5 US adults and 1 in 7 US children experience mental illness every year? Mental illness is incredibly common so if you're suffering, you are not alone!

By far, anxiety disorders (19.1%) and major depressive disorder (15.5%) are the most common mental illnesses in US adults annually, and these rates are even higher in people self-identifying as American Indian/Alaska Native (almost 26% overall).

Mental health care IS healthcare but just over 50% of adults and children seek care for their mental health. Self-care, therapy, and medication have made recovery a reality for most people experiencing mental illness.

Having a mental illness can make it challenging to live everyday life and maintain recovery. Beyond the individual, these challenges ripple out through our families, our communities, and our world. People with depression have a 40% higher risk of developing cardiac disease, hypertension, stroke, diabetes, metabolic syndrome, or obesity than the general population and globally, mental health disorders are the leading cause of years lived with disability.

Finally, it's okay to talk about su***de. Someone dies by su***de in America about every 11 minutes. Thoughts of su***de can be frightening but by reaching out for help or checking in with family and friends, we can avoid devastating outcomes.

Here are some things you can do to help yourself or a loved one struggling with mental illness:
- Connect with family, friends, and community resources
- Call or text 988 or go to 988lifeline.org
- If you want to learn how to help people in our community, there is a free online training on how to talk to people struggling with thoughts of su***de called "Being a Good Relative: A Training for Crisis Counselors Responding to Native Callers, Texters, and Chatters." I did this training and found it very helpful to start to understand what people are going through and how to listen and talk to them when they're having a tough time. Check it out at https://sprc.org/resources/being-a-good-relative-a-training-for-crisis-counselors-responding-to-native-callers-texters-and-chatters/
- Talk with a healthcare professional. We can help you find a medication that might be right for you or connect you with our excellent behavioral health department at UNHS.

Hello everyone! We just wanted to let you know a horse in neighboring Montezuma County, CO had a case of Vesicular Stoma...
05/14/2026

Hello everyone! We just wanted to let you know a horse in neighboring Montezuma County, CO had a case of Vesicular Stomatitis this month. This disease is very contagious and must be reported to the state veterinarian so please don’t hesitate to contact your local vet if you are at all concerned that your horses may be affected. Here are the key facts about this disease.

What are the signs? Ulcers (sores) on the mouth, lips, or tongue, or, less commonly, above the hoof or on the udder or prepuce of horses or livestock. Sometimes, you might see that your horse is having trouble chewing/eating because of discomfort from the sores.

How does it spread? Often by biting midges, sand flies, or black flies. It can also be transmitted by physical contact with other affected horses or using the same equipment on an unaffected horse after you've used it on an affected horse.

How is it treated? There is not a specific treatment, however, horses often recover with supportive care!

*** PEOPLE CAN GET THIS DISEASE. Wear gloves and other protective equipment; avoid handling infected animals if you are immunocompromised.***

Please don’t hesitate to contact your vet with any questions. We can be reached by phone at 435-320-0277. Happy Thursday!

Vaccines for Your Horse’s LifestyleIf you’re looking at the countless options for vaccinating your horses, consider thes...
05/01/2026

Vaccines for Your Horse’s Lifestyle

If you’re looking at the countless options for vaccinating your horses, consider these quick guidelines from the American Association of Equine Practitioners.

1. All horses should be vaccinated for Tetanus, Eastern Equine Encephalitis, Western Equine Encephalitis, and West Nile Virus
- This is often known as the “4-way Vaccine”
- EEE/WEE/WNV are spread by mosquitoes and can cause serious neurologic disease.
- Tetanus is a bacteria found in the ENVIRONMENT far can cause muscle spasms and death
- Vaccination is very effective!

2. All horses should be vaccinated for Rabies
- This disease is uncommon in our area but is guaranteed to kill any animal that gets it.
- Animals can also pass it to people through bites
- It can also be spread by wild skunks, raccoons, and bats
- This vaccine is especially recommend if kids or the public are exposed to your horse, such as on trail rides

3. If your horse encounters other horses (either through rodeo/racing or just wild horses) consider the Rhino/Flu vaccine.
- Rhinovirus can cause respiratory or neurologic disease
- Influenza can cause respiratory disease just like in people
- These can come in a single combined vaccine with the 4-way vaccine called the 5-way vaccine

4. There are many other vaccination options for unique needs including pregnancy, specific locations, or if Strangles (a post on its own) is common where your animal will be.

Please don’t hesitate to reach out to your local vet with additional questions (Dr. Magdi Niedermeyer at UNHS can be reached at 435-320-0277 to discuss which vaccines are ideal for your horse)

UNHS Hooves and Hands Prices for Horse Vaccines:
- Rabies Vaccine: $12
- 4-way Vaccine (EEE/WEE/West Nile/Tetanus): $50.99
- Rhino/Flu only Vaccine: $42.13
- 5-way Vaccine (EEE/WEE/West Nile/Tetanus/Rhino/Flu): $75.78

Adult Horse Vaccine Chart:
https://aaep.org/wp-content/uploads/2024/02/Adult_Horse_Vaccine_Chart_2023_SUB.pdf

Foal Vaccine Chart:
https://aaep.org/wp-content/uploads/2024/02/Foal_Vaccine_Chart_2023_SUB.pdf

This month at UNHS, we're focusing on healthy kids and families!The 5-2-1-0 Approach aims to help families lead healthy,...
04/23/2026

This month at UNHS, we're focusing on healthy kids and families!

The 5-2-1-0 Approach aims to help families lead healthy, active lives by setting the following goals for EVERY family member:
- 5 (or more!) fruits and vegetables a day
- 2 hours (or less!) of recreational screen time per day (or a healthy, balanced limit you've set in your family media plan)
- 1 hour (or more!) of physical activity a day
- 0 sugar-sweetened drinks

Hungry for more? Check out CHAT - an awesome Utah initiative helping parents strengthen communication, build trust, and create the kind of family relationships that lead to healthy futures for their kids.
We especially know that teens who feel supported during difficult times are more likely to succeed and that connection doesn't have to be perfect, you just have to try!
Learn more at https://dhhs.utah.gov/chat/

Want to CHAT with Dr. Reale about any of this information? Give him a call at 435-320-0511, he loves this stuff!

Just a reminder that the most important part of a horses diet is the hay/forage, and often this plus a loose mineral is ...
04/19/2026

Just a reminder that the most important part of a horses diet is the hay/forage, and often this plus a loose mineral is enough. Grain is usually extra :) If you have questions about when/how to feed grain, don't hesitate to give us a call at 435-320-0277.

If you believe that horses need grain in their diet to meet their nutritional needs, you are not alone. However, horses should get most of their nutrients from a good quality forage source such as grass, hay, hay pellets, or a complete feed.

Horses generally eat between 1.5-2% of their body weight each day, so an average size 1,000 lbs horse should eat 15- 20 lbs of hay daily. To help fill any nutrient gaps such as essential vitamins or minerals, a ration balancer may be beneficial. Depending on breed, body condition, and exercise level, concentrates may be added in to provide additional energy but are often not needed.

When deciding on what to feed your horse, it is best to invest in high quality forages as the foundation of your feeding plan. You can even have your hay tested to see exactly what nutrients it is providing.

Please consult with your veterinarian or an equine nutritionist about your horse's diet before making any major changes, and remember that any changes should be made gradually over time to avoid GI upset.

Thank you to the AAEP Horse Owner Education Committee for providing this information.

Come say hi to us today at the Montezuma Creek Clinic from 12-4 for the UNHS 25 Year Anniversary Celebration!
04/17/2026

Come say hi to us today at the Montezuma Creek Clinic from 12-4 for the UNHS 25 Year Anniversary Celebration!

This week we're talking all about colostrum for baby animals! We've got a lot of information to share so if you're short...
04/16/2026

This week we're talking all about colostrum for baby animals!

We've got a lot of information to share so if you're short on time, here are the take home points:
- Colostrum is the first milk that a mom has.
- It contains a bunch of antibodies to help prevent infection in baby animals, so it's important that they get it ASAP within 12 hours of birth.
- If the babies can't get the mom's colostrum, it’s worth giving a colostrum replacer (it MUST say “replacer”) before starting a regular milk replacer.

If you want to learn more, read on!

As spring and birthing season are really starting to get going, it seems like a good time to address colostrum and its seemingly magical properties. While many of you probably know that colostrum is one of the most important components of a newborn calf/lamb/kid/foal’s successful start to life, the practical management of colostrum intake is definitely more complex. Let's talk about why colostrum is so important and how to realistically make the best use of it on your ranch/farm.

While human newborns do get colostrum from breast milk in the first few days after birth, they get the majority of their early immune protection while still inside their moms (per Dr. Reale). On the other hand, newborn farm animals rely much more on that golden “first milk" because their moms' bodies are NOT designed to pass on the same level of protection during pregnancy. ALL of these animals NEED colostrum and they all have a limited window of time when their intestines can absorb the protective antibodies. Adequate and timely colostrum intake significantly decreases risk of illness and increases long-term production potential.

The newborn intestine will stop absorbing maternal antibodies between 24 and 48 hours after birth, and the absorption decreases over time, starting about 2-4 hours after birth. That's why it’s recommended to get colostrum into newborns as quickly as possible.
- In calves, optimal colostrum intake is “7.5-10% of calves’ body weight in the first 2 hours of life.” (Large Animal Internal Medicine)
- Foals “must receive colostrum within the first eight to 12 hours of life in order to absorb the antibodies.” (American Association of Equine Practitioners)
- For lambs and kids, “the newborn needs to receive 10-20% of its body weight in colostrum, preferably 3-12 hours after birth.” (Sheep, Goat, & Cervid Medicine)

But what do you do when it’s simply not happening?

If the issue is that the newborn is not suckling/nursing, and you are proficient with placing an esophageal feeder tube, that can be a great option. If you're not comfortable with this, you can always contact your veterinarian to help pass a tube and get the colostrum in quickly, as well as to assess what the problem is with the newborn's suckling.

What should you give newborns that can’t or won’t nurse?

If the mom is making enough colostrum and you can milk it out, THAT'S the best colostrum for the newborn. You can also milk out colostrum from other dams on the farm and use that in a pinch (the antibody protection will likely be similar because of the shared environment). Freezing extra colostrum is also an option; just make sure to only freeze and thaw ONCE or else the antibodies start to break down. Sometimes, producers can get colostrum from neighboring farms, and even across species, like using cow colostrum for kids or lambs. Be careful, though, as borrowing from a neighbor could accidentally introduce disease that your farm didn't have. If you do use this option, strongly consider heat-treating the colostrum to decrease the risk of disease transmission.

What if natural colostrum isn’t an option?

The options for replacing colostrum are extremely diverse, and an important distinction is the difference between colostrum "replacers'' and colostrum “supplements.” If you're shopping at the store (or online), the short answer is that you want the ones labeled “replacers.” The difference between these two products lies in the amount of antibodies, or IgG, found in the product. To be defined as a replacer, the product must contain at least 100 grams IgG (for cattle, I would recommend looking for the ones that contain 150 grams IgG if you can find them). Because they have higher amount of antibodies, replacers are likely more beneficial for your animals, even if they are slightly more expensive.

Finding a calf-specific product is fairly simple. There are a fair number of bovine-derived colostrum products on the market, and sticking to replacers (rather than supplements) will give you the best long-term results.

For sheep and goats, I surveyed the veterinarians of the American Association of Small Ruminant Veterinarians (AASRP) for their experience-based opinions on the best commercial replacers, since there are no commercially available colostrums derived from small ruminants. They recommended Land O’Lakes, Lifeline Rescue Lamb & Kid Complete Colostrum Replacer, and CL Ewe Replacer for sheep and goats if natural colostrum isn’t available. All of these products are derived from bovine colostrum, so the general consensus was that the best colostrum is still kid's/lamb’s dam’s colostrum.

No matter which method or colostrum product you use, the most important thing is safely administer it as soon as possible. If you miss the window right after birth, there ARE still beneficial effects to giving it when you can. In addition to its immune properties, colostrum also contains a hefty amount of nutrients, and research has suggested that colostrum continues to benefit the juvenile animals even after that early window of IgG absorption. While colostrum intake at 48 hours of life may not be quite the miracle elixir it would have been if it was given earlier, its nutrients will still pack a good punch, and are not to be underestimated!

If you have any questions, feel free to ask them here or give Dr. Niedermeyer a call at 435-320-0277!

Even though National Nutrition Month is about to end, making healthy food choices is a year-round activity! Dr. Reale is...
03/31/2026

Even though National Nutrition Month is about to end, making healthy food choices is a year-round activity!

Dr. Reale is a huge fan of helping people find the healthiest, most sustainable way to eat that makes sense for them because he believes a healthy lifestyle is THE foundation for a healthy and happy life. That's why he's a certified Precision Nutrition Coach -- both to help people figure out what to eat and how to make changes feel gradual and easy!

Healthy eating can be simple, affordable, and delicious! Check out this info-packed guide to get started and give Dr. Reale a call with any questions or to set up an appointment to collaborate on your situation at 435-320-0511.

***GRAPHIC PICTURE WARNING, especially if you hate bugs***For anyone who’s been hearing about New World Screwworm coming...
03/25/2026

***GRAPHIC PICTURE WARNING, especially if you hate bugs***

For anyone who’s been hearing about New World Screwworm coming to the US, here are four important facts to know:
1. Screwworm is NOT in the US at this time and its arrival here would be a national event.
2. If you’re worried about or suspicious of your animals having Screwworm, call your state veterinarian (or any veterinarian) right away.
3. Screwworm only feeds on LIVING tissue (unlike other maggots) and the wounds usually have an INCREDIBLY horrible smell.
4. There are treatments for Screwworm infestation but the first step is to notify a veterinarian for confirmation and so that the spread into the US can be contained :)

Here are two links with additional information: https://www.aphis.usda.gov/livestock-poultry-disease/stop-screwworm (contains actual photos of infested wounds)
https://extension.arizona.edu/publication/preparing-livestock-producers-new-world-screwworm-reemergence-united-states

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PO Box 176
Bluff, UT
84512

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