Internal Medicine

imageOur internal medicine specialist is experienced in the diagnosis and treatment of disorders of the respiratory, gastrointestinal, cardiovascular, nervous, urinary, immune, ocular and endocrine systems. Many diagnostic modalities are utilized to assess these body systems in critically ill patients and patients with chronic, complicated, or uncommon diseases.  Diagnostic tests include advanced collection and laboratory testing of tissue, fluid, and blood samples; biopsies of masses or internal organs; and diagnostic imaging including digital radiography, ultrasound, upper and lower respiratory tract endoscopy, lower urinary tract endoscopy, and gastroscopy.  Ultrasonography (ultrasound) is frequently utilized to aid in the diagnosis of diseases affecting the heart, lungs, gastrointestinal tract, liver, kidneys, and spleen. Although these diagnostic procedures are generally performed in our hospital, some diagnostics can be performed in the field.

For patients needing intensive care, our facility is equipped with oxygen ports to provide intranasal oxygen, and constant rate infusion pumps for the administration of IV fluids, intravenous nutrition, and/or blood products. Specially designed padded stalls equipped with a hydraulic lift allow for the care of neurologic patients. The isolation unit allows treatment of patients with infectious diseases while protecting the rest of the hospital population. Neonatal patients rest comfortably on specially designed, padded foal beds, and can be safely separated from their mares inside our roomy stalls. Our 24-hour professional staff and in-house laboratory allows extraordinarily attentive and comprehensive medical and nursing care of our patients.

In the spring, the medicine department’s focus is on critically ill neonatal foals and their dams. We receive and treat foals with a wide variety of problems, and our goal is to achieve the best outcome for each patient while staying within the budget of the owner. By frequently assessing the patients’ progress, our internist can help owners make appropriate decisions. We are proud of the many successful outcomes that our team achieves.

Dystocia (difficult birth) is a team effort at Rhinebeck Equine. Our dystocia team includes surgery, medicine, and anesthesia staff members, each with a well-defined role. Each case is immediately evaluated and handled quickly to maximize foal survival. The surgeon corrects the malposition, and then delivers the foal with the mare standing, under anesthesia, or via Caesarean section if necessary. The internal medicine specialist and neonatal team provide care for the foal during and following delivery as these foals often require intensive care to survive.

Referral to our internal medicine specialist may be appropriate if:

  • Your horse’s disease is uncommon, complicated, or undiagnosed after standard testing
  • The outcomes of the current treatments are not going well or as expected
  • Your horse requires a sophisticated procedure that is best performed by an experienced specialist

Referral from your primary veterinarian is recommended, as they are a vital part of your horse’s ongoing care.

Learn more about Board-certified Large Animal Internists


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Office Hours

Ambulatory and hospital emergency service is provided 24 hours a day.

Rhinebeck Equine


8:00 am-5:00 pm


8:00 am-5:00 pm


8:00 am-5:00 pm


8:00 am-5:00 pm


8:00 am-5:00 pm






Read What Our Clients Say

  • "Dr. Sotela is fantastic and has always been incredibly kind and patient with my mare, Mira. In May, Mira had to have surgery at the clinic for a soft tissue sequestrum. Dr Gus and the staff were wonderful to deal with."
    Danielle Meenan Heaney
  • "We love Rhinebeck Equine and their vets and staff. They've been our equine vets for about 30 years and we love working with them."
    Thorunn Kristjansdottir
  • "Amazing facility with awesome staff. My friend had a horse who needed surgery and they were awesome the entire time. We hung out in their waiting room. Staff was friendly and talkative, and let us play with their dog. Dr. Gus is a great surgeon!"
    Hanna Gavel