COMET'S STORY
April 9, 1986 - August 16, 2002

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Mission: My goal with writing this is to broaden the horizons of EPM knowledge in the horse world, share timelines with others treating the disease and maybe receive some new knowledge myself. My best friend's horse had EPM and I always listened to her stories but really didn't register the details because - Comet was fine and not a likely candidate.
  • Biography Comet and I posing
  • Accident
  • Move
  • Riding
  • Diagnosis
  • Ohio State
  • Medication
  • Unheeded Warnings
  • SYMPTOMS TIMELINE
  • Childrens Hunters at Bloomfield Open Hunt in 1995Biography: Haley's Comet is a 16 year old, 16.2 hand, Thoroughbred gelding. I received him for Christmas 7 years ago when I was in high school We competed in Children's Adult Jumpers and blazed around many courses. He did have a strong stop in him so that inhibited some performances, but he was quite fast. He has led a healthy life with his biggest maintenance being getting his stifle injected during show season. Comet traveled back and forth with me to and from Notre Dame. We found a great family farm that he had great buddies at and he was able to be a horse and play in the hills. He was my greatest friend in college giving me an opportunity to get away from all the books and computers. Well it was time to move on and we were heading to Columbus.
    Accident: I went out to the barn to get him ready and washed his legs to wrap him. As I was turning the corner to get into his stall he slipped in the aisle and fell with his legs cast up against the front of another stall. He scrambled... couldn't do anything so he laid there. I pet his head and hugged his neck thinking what panic he must be in to not instinctively flee. He got up eventually by swimming another 10 feet on the concrete to get to a drop down point that he could put his feet down.
    Move: We moved for the next two days and I noticed how he was limping. Many horse have shown symptoms of EPM after stressful trailer rides. This was two 3hr trips.

    I figured it was obviously from the fall.

    Riding: Well I did try to ride him 3 times for about 20,15 then 10 min. I hate riding lame horses, but I didn't have a vet yet and so often they say 'Ride 'em till they are dead lame to better figure it out.' Well over a week there was no change, but I knew it wasn't good.Unfortunately I hadn't ridden him much all summer since I wasn't always

    Comet with Dressage trainer at MacDonald Farm in 2001
    living at school so it is hard to know how sudden the change occurred. This picture is taken with a dressage trainer on his back about a month before he had EPM.

    DIAGNOSIS: Comet was diagnosed with a high likelihood EPM on August 10, 2001. At that time I was referred to Dr. Reed at the Ohio State University Veterinarian Clinic.

    OSU: I have had as positive of experiences as I could have at this facility. Two vets examined him. Dr. Reed did the neurological exam watching him walk 'straight', up and down hills, step over blocks, circle and walk with his head up. Another vet looked at his stifle to evaluate it's condition since that was the most obvious problem area.

    X-rays of stifles were taken to ensure no hindrances were there. Also at least 4 x-rays of his spine were taken. These did show a point at which his sagital ratio(area for the spinal cord to pass) was 1% smaller than it should be. This would result in CSM/wobbler, but was unlikely due to his age.

    Spinal Tap was taken and he tested positive for Western Blotting.

    MEDICATIONS

    Until the result of the western blot came back he was on Tucoprim and daraprim.

    Next we did Marquis and Vitamin E

    The nice thing about the marquis in my understanding is that it is the only medicine that actually kills off the parasite and it is only a 30 day treatment. It ends up costing about the same as the other alternatives, but it is more per day since you give it for less time. Also Marquis doesn't have to be given on an empty stomach.

     

    UNHEEDED WARNINGS: I now believe Comet had his first symptoms of EPM on 10/26/00. This was the date of his fall inoculations and after his shots we noticed he was dragging his back right leg. He got about a week off and it was okay. We thought it was a one in a million chance that he got hit on a nerve.

    January 2001- Comet was just feeling older. Not moving quite as well so I started him on a supplement.(CortaFlx) He was also loosing muscle along his top line.

    March 2001- When I was jumping in the grass field he slipped two strides out and slid right through the jump. He did a similar thing one month later. I thought it was just long slippery wet grass.

    July 2001- Comet was not gaining any weight and we just kept upping his feed. We also switched him to a senior feed thinking that was the problem, but really he was loosing some muscle along his top line and being an older thoroughbred.

     

    Symptoms Timeline

    2001
    August September October November December

    2002
    January February March April - - July August

    8/10/01

    OSU evaluation- muscle atrophy on right side, right hind worst

    Walking slightly crooked, not as responsive, but walks unusually fast

    Small paddock turnout and indoor hand walking recommended. I turned him out free and let him do as he felt he would like for a bit too.

    8/16/01 Fell Down outside while on a walk. Spooked and lost his hind end under himself.
    8/17/01 Begins treatment on Marquis a nice $750 swipe on the plastic
    8/18/01 T-Peed StanceStanding T-peed as shown here. I started taking pictures to look for muscle atrophy, but after seeing the instability here I kept it up. He is at an all time low about now sometimes tripping, walking crooked and just being clumsy.
    8/20/01 unstable- walking crooked, leaning really far over, still comfortable enough to lay down and get up
    8/21/01 Amazingly during his free turn out he chooses to canter on his own
    8/22/01 He has been really sweaty compared to the other horses in the barn so he got a fan to help keep him comfortable. Has anyone else seen this as a side effect? Perhaps because of the effort to stand balanced?
    8/23/01 Shoes pulled- opps farrier did him way too short so he is sore and doesn't want to walk
    8/24/01 Doesn't want to walk especially on cement or gravel
    8/25/01 Losing mane? not sure if this is a medical side effect or not
    8/29/01 Trot 1 lap
    8/30/01 Begin Vitamin E supplement at 9000IU's a day *highly recommended by vet- not sure why we waited till I felt he wasn't doing any better. It cost me about $80
    9/6/01 Canters during turnout
    9/8/01 Falls in indoor cantering around corner. Cast against wall again, but gets up on own
    9/14/01

    Tracks left freely for the first time in indoor

    Last dose of Marquis given.

    9/15/01 Stiff coming out of his stall and sensitive on back right(fell on again), but remains so for future weeks
    9/23/01

    Returns to OSU- evaluated as 'Little Improvement'
    Plan to increase exercise as rehabilitation for 20 minutes once a day working up to twice a day trotting on lounge line

    9/25/01 Turned out in large pasture with the herd. Wasn't recommended by vet in case of stampede or excessive running, but he is so much happier with ample grass, buddies and room to explore.
    10/1/01 Worked full 20 min lounging outside. Cuts in to the right, but moves pretty freely tracking left.
    10/3/01 Cut short today because he was hard to keep going and seemed uncomfortable. I think he is getting exercise outside too with the boys.
    10/4/01 Tried indoor ring to see if footing helped any, but I didn't see any difference. Getting better to the right though making a consistent circle.
    10/5/01 Increased lounging to 25 minutes. Circle is consistent, but still not round to the right.
    10/6/01 In our boredom of lounging I jumped on bareback to see how he felt. I trotted one lap each way. He felt much worse to the right and even cut in with me on him. He didn't seem bothered by the weight and ironically started spooking even though he has been in the ring everyday for the last two months. I guess it's different with someone on your back.
    10/7/01 Saddle Up! I couldn't resist the urge to get on with a saddle today. I was on about 15 min and worked him both directions. He is not in great shape, but I thought he did fine with it. It's not a super enjoyable ride, but I miss it enough that it I hope it is a great boost for both of us.

     

    10/8/01

    Well Comet proved today that he can feel good! When going to get him from the pasture he led the crew like the old days on a romp from end to end. They did continue on for twenty min and he would watch some laps and catch up on others. This is the first time I have seen him cantering freely.

     

    10/9/01

    Today we went back outside and worked on the rolling hills. He was really good going up the slope and was able to get under himself, but looked like he was just using gravity to come down the hill. Worked 20 min.
    10/10/01 I had Comet out for 45 min, 30 working. I challenged him today with small circles and greater forward movement. He was able to extend the trot, but never looked like he thought about cantering. He was able to make smaller circles to the right, but does that on the long line too. To the left he tries to pull out and doesn't round around the circle.

    10/11/01

     

    35 min out - 20 working, forward but nothing too demanding. I walked him over a lot of poles, some elevated, and he didn't seem to have trouble. At some points he didn't look to be stepping up as much.
    10/12/01 Day off
    10/13/01 35 min lunge
    10/14/01 Today we lunged for 15 min in the am and then I rode him for about 15 walking and trotting. He sometimes looses his hind end in transitions and at the walk, but was consistent (but off) at the trot.
    10/15/01 Canter! Today I lunged in our outdoor and I was able to see his tracking hoof prints since no one has been out there. The footing is a bit hard, but it had just rained so there was some grip. He cantered both directions, much better on the right lead. Worked another 15 min on small hills trotting for a total of 30 mins
    10/16/01 40 minutes working today running free in the indoor. Comet was able to canter several longsides
    10/17/01 Today we worked 20 min free in the indoor and then in the pm he was a rascal about coming in from the pasture and played great galloping games out in the pasture. I took this as a good sign that he was willing enough to run away from me. Needless to say I counted that as the rest of his daily workout
    10/18/01 25 min indoor Walk, Trot, Canter
    10/19/01 35 minute trotting ride. Falling in and cutting corners hard to the right.
    10/20/01 20 min lunge
    10/21/01 15 min free trot in am, 20 min ride in pm. Our ride today consisted mainly of walking. I was motivated by watching dressage lessons over the weekend to work on bending, circling, rounding etc. My idea behind these exercises is to increase muscle and hope to bring back nerves faster.
    10/22/01 Today we only lunged 20 min. The ring was crazy and he wasn't looking as good. He started dropping his right hip like he used to do 2 weeks ago
    10/23/01 Only 20 min again today. Up till these past two days almost everyday had been an improvement since we started 'rehab'. I know that the work did bring him this far so it's a toss up whether to work him just as hard or not. He was a lot harder to keep going and his circle was pretty bad. He was like this for about 2 weeks after treatment commenced, but since then every day has been a better day pretty much.
    10/25/01 Free lunge for 25 min. Work on stop and change of directions on lunge line. Just keeping up our lunge training and manners while we are at it.
    10/26/01 Walk 5 min and trot 5 laps(barn show that day)
    10/27/01 Free Run for 10 min AM and 20 min PM - Cantering today
     
    Well atleast you know I am not trying to show off by putting pictures of him up:( He is throwing is front legs up and hitching his hocks. He also seems to rotate in on his hocks pretty hard, kinda twisting his toe out when he puts his foot on the ground.
    10/28/01 10 min lunge and 25 min walk bareback for better steering in crowded ring. Trot two laps on him
    10/29/01 20 min AM slow trot, 15 min PM mainly trot- moving pretty good
    10/30/01 30 min lunge, really weak to the right, left ok to fair. Cantered on Left lead in pasture
    10/31/01 Free lunge OVER POLE. Cantered. Only 20 min, but was pretty worked up
    11/1/01 Same as yesterday- work 40 min- looks worse on lunge than free
    11/2/01 RODE 40 min. 3 laps canter 20 min trot
    11/3-11/8 I was out of town. He was turned out daily and lunged a couple times
    11/9/01 15 min AM W/T/C free
    15 min PM lunge W/T and transitions
    11/10/01 15-20 min lunge on outdoor rolling hills. W/T and some transitions. He did trip twice today...
    11/11/01 RODE for an hour- trot two ten minute intervals. Still quirky and worse to the right, but moving freely
    11/12/01 Outdoor lunge for 20 min. Added transitions in our routine. Cantered a lap or two on right lead looking good and responding to cues to change gait.
    11/13/01 Weak and having a hard time with transitions from trot to walk on lunge. Didn't want to go so cut it short at 15 min lunge outside
    11/14/01 Hard time with transitions again. Outdoor walk/ride. Lunge 5 min trot on him 5 min. He kinda falls into a walk and tries to plant his feet to slow the momentum, but then keeps on going.
    11/16 Noticeably off, but moving freely. W/T (no canter slippery)
    11/17 FALL- Comet was moving way too fast for his own good and lost his footing and did quite a tumble in the indoor. He raced a lot at all gaits in the beginning too. I don't know if he doesn't realize how fast he is going?
    11/18-19 Bute and time off from the fall
    11/20 15 min trot- still off and swinging his back right leg out
    11/21-24 Very easy time, turn out with minimal work testing to see if he jogs better after a break
    11/25 STRUGGLING. Bute test. Today Comet was at an all time low since his first week of Marquis. He was off both ways, leaning both legs to the left when standing, very unmotivated, little depressed, and ouchy looking. Gave him 3 grams bute to see if this helps
    11/26 Neuro tests. Am- 3 grams bute. Walks with shoulder out with back rt and front lft on a track. Halt hitched, rolled ankle once when misplanted his back foot. Walk and trot over a pole test: track left was ok- walked the first few times to negotiate it, right- landed directly on pole after stopping to negotiate it. Trot- planted both back legs in between and pushed off...tight circle to the right crosses hind legs, not to the left. Backs same- crooked and weak
    11/28 OSU TRIP 3: Comet was reevaluated today at OSU. It was established that he has learned to compensate for his problems which may cause other lameness issues. Also he was evaluated as his left hind leg being the weaker one. This is contrary to what I had thought all along. I think this started about 3 weeks ago when he started having problems stopping and I noticed this leg also stuck. Otherwise no improvement. Actually on this day he was probably worse in some ways. Treat with bute 1g am and PM for two weeks. hives
    12/1 Trotting noticeably sideways. No gait improvement. Picking left leg up higher
    12/2 20 min walk trot two laps
    12/3 appears he went down on his right side in pasture by mud up to his knees and hock on one side.
    12/4 Farrier- unable to get back legs up to trim. Turning left hock unusually far in as pushes off- gave me the creeps to see. Seeing he is so bad I was going to double his dose of bute or take him off to see if he was better/worse. Since I don't have unlimited bute I tried taking him off first....and
    12/5 Better- 10 min trot. Gait appears straighter and less stressful(crazy how this works)
    12/6 No turnout today. Went out in indoor with his buddy. Trotted around pretty well for good 10 min. Slightly stressed by his buddy herding him and turning sharp(ok so it stressed me out watching).
    12/7 10 min trot. still some random hives on him
    12/17 Turnout indoor with Scout. He got pushed around a bit, but didn't look like he was enjoying himself much
    12/18 Off
    12/19 20 Min workout. 10 min free lunge to the right and 10 on lunge to the left
    12/22 25 min trotting and cantering free and over a pole on the ground. Mainly working to the right(his choice). Got on bareback trying to see if I could make him WALK STRAIGHT. This wasn't so successful and I think he was pretty frustrated at my commands. He walks in a permanent shoulder out to the right (whether he is traveling left or right). This hadn't bothered me because I figured it would go away or I would be able to tell him how to walk straight, but it was easier said than done.
    12/23 20 Min lunge
    12/24-12/27 Out of Town
    Turned Out Daily
    12/28 10 minute lunge including 10 small circles to the left
    12/29 25 minute lunge including 15 small circles to the left
    12/30-31 20 minutes including Cantering mainly to the right and trotting on the lunge to the left
    1/1 Way to start the New Year but with a day off- I think it was my holiday more than his
    1/2 40 min. Today was a big halt lesson day. He had gotten kinda lax that he could stop for a second and the do as he pleased. I also added RAILS on the ground which he had great difficulty with. As he approached he would walk many times(no big deal), but other times he would throw his head up trying to jump it or something and then he would slide to a stop and looked rather confused. This often happened at a lazy trot. When he trotted more forward he could find his step better. Sometime he would throw both legs over - guess you call it jumping, but it wasn't very natural looking in conjunction with a head toss. Cantered both directions
    1/3 30 minutes only on lunge line at the trot
    1/4 30 min W/T/C and over a pole. Forced him to canter left off the lunge line and he got pretty worked up about it. He doesn't use his back end properly while doing this. He still pushes off with both legs at the same time a bit.
    1/5 25 minutes on lunge to the left trotting, added over 1 pole, cantered. Free to the right trotting and cantering. Today Comet jumped a CROSS POLE... I know I shouldn't do it, but I justified it by the fact that I was alongside him and started to run and he followed me over it without any pressure... 3 times. What a good boy. He jumped it fairly normal actually. I was surprised.
    1/6 He came in with an odd cut so I spent my time with him babying it.
    1/7 Comet in the SnowWell today I had my friend re-eval him and she pretty much agreed with me that he was no better than he was back in Oct when I was riding, but better than he got the end of November.
    1/8 GOT ON today to try and straighten his gait out. His back end felt a lot weaker than I expected
    1/9 Bareback ride today to try to straighten his gait again. We only walked for 20 min mainly tracking left and bending left. Then he ran free to the right trotting only today and lunged to the left. He was unusually out of breath with the lunging.
    1/15 Comet has seemed a little ouchy on his front right. Not even beginning to guess if it is EPM related or if he did something outside.
    1/17 Wormed with Panacur paste. No side affects seen
    1/19 Equine Massage. Didn't find this useful. Comet enjoyed it and I was jealous, but all of the feedback I got was he wasn't sore because he isn't girthed, working in a frame, tugged on etc. I was surprised he noticed no difference in his hind quarters, but I see no need to do this again just to make Comet happy for an hour.
    February During the month of February Comet continued going out in the pasture daily. Some days he was alone and seemed to hang by the gait a bit more. I randomly would lunge him and turn him out in the indoor for more exercise. Usually at least 3 times a week. On the random sunny days we would go for walks and jog around a bit too. He seemed to loose his impulsion on the lunge line and would appear to walk to avoid the work. I usually let him thinking it must be difficult for him. If no one was around I would turn him free. He still lunged better to the left, but was showing a bit of an offness in the front. It is probably a compensation off, but it was more noticeable. To the right he didn't seem to know where his back end was as well. I began turning him out a couple times with a little pony, Flyer. Flyer would run around a lot and it would encourage Comet to run too. He picked on Comet a bit, but nothing that endangered his stability. The height advantage was good and all and all I think they had fun together.
    3/10/02 One very windy night Comet was found laying stuck under his stall guard. He was centered (not on his side) at this point. They removed the stall guard and he was able to get to his feet. On his way up his slammed into the side of the doorway and brought the front of the stall forward almost a foot. Through all of this he only had two small scrapes where he hit the wall. He didn't appear to be more lame from this incident either. I had been out there about 2/3 hours earlier and most of his hay was gone so we think he wasn't down very long when he was found. He usually eats or hangs out his stall and the wind blew down a door so presumably that spooked him and his foot slipped and he went down. Amazing that he was smart enough to wait for help and not break a leg getting up. He no longer has a stall guard :(
    3/22/02 I took Comet out into a different pasture today to see how he was with an electric fence. There is a small stream in there though and he was very courageous to cross it with me. He jumped over it, but did so pretty well. The back right seemed to land in it most of the times, but that is the leg he has the most problems controlling. He was acting like a proud young colt on the other side. It was uplifting to see him so happy.
    3/24/02 Got ON today. Comet was able to take the weight and walked away before I was totally on him just as carefree as before. He was however incredibly unstable, crooked and weak. I let him pick the path and was on him for 5 min walking. It was mainly a check since I hadn't been on in 3 months.
    3/26/02 Vaccinated for all shots including West Nile
    April Well Comet didn't get the new home he thought he might so we are still on the hunt.
    May Comet with HivesComet had an ugly outbreak of hives. The cause is unknown. He got them somewhat gradually. Previously he had small ones once in awhile and they just went away, but these needed some veterinary assistance. What more does he need :(
    June Comet isn't finding the summer as much fun as I was hoping. He does love the fresh grass and often doesn't even bat an eye for the dinner whistle. He is out at night and during the day if it's not miserable. It's made stall cleaning easy though!
      SWEATING: Comet has developed an unusual sweating issue. He sweats on his left side, a lot and only on that side. He does appreciate the fan when he is indoors!
      Comet Drinking HappilyFLYS: Yes he hates the flys. I have him on Freedom, but I don't know if it is to make me feel better or him. He also acquired fly leg wraps since he wasn't batting the flys away on his back right very effectively. One theory is he doesn't feel them and the other is he doesn't know how to get rid of them- poor guy.
    July 25 Today was one of those bad days. The summer campers didn't lock the pasture gate and all the horses got out. Comet frolicked into the barn too fast and fell down in the aisle and couldn't get up. He was down for over a half hour and finally got himself up. He stayed calm laying down being fed treats until we unloaded stalls full of shavings around him. He got up with a victorious neigh to let his buddies know he was ok, but he was hurting. His gait was a greater degree sideways and he even took a few steps without his back right leg. He got bute for several days and had to stay inside and work his way back up to the big pasture again. He had cuts all over, but no punctures which I was thankful for. They are healing fast, but some may leave a scar. I invested in an additional rubber mat in front of his stall to prevent slipping on that turn and it can also be moved to another area if he falls again.
    + + + + Well I have only been including the trouble spots recently, but thought it was time to celebrate some positive things. Comet has been doing carrot stretches and increasing his range of motion for the treats, he is well trained to come to the gait for ease in my catching him, he gets great baths when it rains and he has stayed pretty white for being an outdoor boy,he is fat and happy, he hasn't had to have his feet trimmed in a year now and he nickers for dinner.
    August 15 Today when I went to get Comet he was standing a ways from the gate so I pulled out my handy whistle to watch him run to me. Well it didn't happen. He tossed his head in acknowledgment of my presence, but made it clear to me in an instant that he wasn't coming to me. I ran out to him and fortunately had my cell phone on me to call OSU immediately. Comet was unable to take a balanced step and was much worse than he had ever been. I ran into the barn and when I came back he had moved about half way to the gate. We stood in that spot for about two hours waiting for the vet. Many friends came to help us bringing treats, food, water, fly spray, and support. He was at this point unable to even stand without nearly falling. He pivoted in a circle to the left continuously as he would begin to lean/fall and then replant his foot. His stance denied physics. His back feet were planted off to the right while his hind end leaned far left and he would lean on you with great force to rest. He amazingly didn't not go down throughout this entire ordeal and it was only heart that kept him up. The vet arrived and gave him 4/5liters of fluids(he was dehydrated since he hadn't made it to the trough)dmso and banamine. This was all done in the pasture and for most of it the horses left us alone. It was also noticed that he didn't want to bear weight on his right front hoof like usual. He was pawing with it a bit and showing it off. The vet investigated this foot for too long in my opinion because it caused Comet great distress. I did not find him very sympathetic to his weakened condition and felt like he was testing his balance entirely too much. His diagnosis was unclear and he just said I'll come back Monday. He did not find an abscess, but thought maybe that was an issue or he might be relapsing neither of which there was too much we could do.
    I stayed with Comet all night and he continued to do a circle until 2am. At that point he was standing in one position and eating hay. He was unable to sleep because each time he fell asleep he woke himself up nearly falling. I let him lean on me as much as I could, but he's a big boy. Anyway his spirits remained fairly high in that he did eat and held his head up, but I could see in his eye that he wasn't the same. I think he was hurting now and aware that he didn't have as much control over his body.
    August 16 Well I guess all last night was august 16th too, but at the start of the business day I reached Doctor Welker first thing and he said he would come out to see Comet right after a surgery. He was very kind to Comet as he had seen him all along and didn't find it necessary to poke or pick up feet. Of course this did mean that Dr. Welker felt that Comet's quality of life had deteriorated. He helped me make the decision that I felt was right and decided to trailer Comet down to OSU to be put down. We were fortunate that Comet had improved slightly so that he was able to make trip and avoid a worse situation where he was found down in the field. OSU was also very very understanding about Comet and allowed him to unload in a field so he wouldn't fall in the cement aisle and they put him down out eating grass. The ladies were very kind and made me feel comfortable leaving him with them so I had good memories of him. She promised to pet him and talk to him the whole time.
    THANKS I would like to thank many people that have made a difference for Comet over the last year including: Nikki and Dawn for being his morning mom, Emily and Karen for sharing EPM knowledge, Carlsons for taking his needs into consideration at your facility and trailering him, Dr. Welker, Dr. Reed, Dr. Naut for treating him with your expertise and all other friends and family for visiting him, asking about him, and listening to me. He has required extra patience, but you guys were as loving to him and I appreciate it. Thanks.
    Necropsy Report

    Well this did prove some shocking information. About two weeks after Comet passed they got some of his results back. He tested positive for West Nile. After further analysis this wasn't his only problem, but a combination of the two was too much. Here is the Dr. Reed's summary:

    "The post-mortem examination did not reveal any obvious signs of spinal trauma. Rabies testing was negative. West Nile virus testing revealed a low positive result. Microscopic examination of the spinal cord revealed inflammatory lesions of varying ages most consistent with chronic EPM infection. The spinal cord had no evidence of West Nile virus infection so it is likely that the positive test result represented exposure only without active infection."

    Final Hours Here are Comet's final good-bye pictures. Some do show his instability. He has had all his IV's almost 24 hours ago now, but I'd like to think he looks like he does somewhat because of drugs. Overall I do not find them very pleasing- he just looks so unhappy, unhealthy, and weak, but that's why we made the decision we did.
    Click Here to View

     

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