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How does everyone feel about the Get back on or Hospital mentality?

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  • How does everyone feel about the Get back on or Hospital mentality?

    Hey everyone,
    I've been thinking about the Back on or hospital mentality that a lot of trainers seem to have.

    I think this mentality is both good and bad. Sometimes it is a good thing, in the sense of a fall when there are no injuries, and maybe a bit of nerves. But, this mentality can also lead an injured rider to get back on when they most likely shouldn't.

    Growing up riding with trainers who couldn't make the appropriate call on when to use this mentality has created lasting damage to my body. You grow up hearing these things, so you end up thinking you have to push through the pain, you don't want to be a quitter, don't want to waste lesson time, or disappoint your trainer. Hospitals might be different in other areas, but for my area a trip to the hospital will be at least 6 hours. So do you really want to waste that much time out of everyone's day when maybe its not that bad.

    Do any of you have this mentality? Do you use it all the time, or just in the appropriate situations? If you are a parent, how do you feel when a trainer tells this to your child?



  • #2
    If you are HURT, go to the hosp. If not, then get back on so the horse does not learn that getting you off is the easy way out. For your own mental health, get back on, but take it easy. ride slower. TELL your trainer you are not able to do much after the fall. that you need to regroup. If your trainer doesn't like that, maybe they are not the trainer for you.

    Comment


    • #3
      It’s not always a black and white decision IMO. Not everyone thinks they need to go to the hospital when really they should. I can think of one fall that in hindsight I should have been checked out (and I didn’t - so stupid). But I was in no shape to get back on and fix the problem. Luckily I had a trainer who got on and fixed the problem. If I had got back on it would have been way worse. I was shook up and was in no shape to fix the issue. Did it mentally screw me up? It sure did! But two steps back made no difference in the long run.

      I worry when coaches push the “hospital or on”. I think it’s short sighted.

      Comment


      • #4
        I think it's cavalier and irresponsible.

        unless the person saying it has x-ray/MRI/cat scan eyes, but even then....
        Yo/Yousolong April 23rd, 1985- April 15th, 2014

        http://notesfromadogwalker.com/2012/...m-a-sanctuary/

        Comment


        • #5
          My first trainer was not like this, she encouraged you to get on if you could and just walk your horse but if you couldn't there was no pushing you to. My father on the other hand was very much ER or saddle you pick. I had a fall that I did have to go to hospital for because I was kicked in the chest while I was on my pony by another horse, really freak accident and all I could think of is sh*t my dad will not be happy about this when he hears and I couldn't stop apologizing to my trainer for making so much issue for her. I was around 12 after that incident I've always in the back of my mind think just get back up get on and don't waste everyones time. I think also that sometimes people run to hospital for absolutely anything, and after a while people dont take them seriously. Have a friend and constantly he has to run to er, ( he goes at least 2 times a month and not always because he falls off) and everyone always makes a joke about it saying ah horse knocked the jump do you need to go er and I think should anything really serious happen few if any would take it seriously. There is also the other type who will only go if they are unconscious and someone else calls the ambulance also have one of those friends.

          Comment


          • #6
            Back in the day that was almost every trainer's attitude, because many of them were forged by military men with a "git 'er done!" no-nonsense way.
            This is not now, and never was, a sport in which competence is easily obtained by the motivationally weak.

            Most of us are capable of minimal self-triage: If you did not hit your head or black out and remember what happened, you're unlikely to be concussed. If you can stand and bear weight without stop-you-in-your-tracks pain, you're unlikely to have fractures or major soft tissue damage.

            Scared, wind knocked out of you, OMG what was THAT?! etc. are all reasons you MUST get back on that horse, and right now, because if you don't the odds go way up you'll lose your nerve and have problems going forward.

            Only YOU know if you think you're truly damaged, or just roughed up a litle. Do what YOU think feels right.

            Personally, I long for the days when grit was the expected norm . . .

            Comment


            • #7
              Last time I cowgirled up so to speak, I found out I had a cracked rib three days later. Reporting to the hospital immediately post fall would have saved me a lot of physical anguish and resulting anxiety.

              Comment


              • #8
                I’m a get back on kind of person. There were times that I didn’t, but that was because I was knocked out or broke some bones. My trainer let me do what I wanted, but after she found out that I got back on with broken bones, she was dismayed. My subsequent trainer would not allow me back on after hearing that story. Good thing, because my rib was broken in the fall I had with her. I rarely become unseated, but when I do, it’s bad. One refusal, and two bucking sprees. Now, if I feel one of my horses having a bad day, which is extremely rare, I hop off and do ground work.

                But yeah, I used to be a do it or die type of rider. I’ve matured now and try to give my horse and myself more credit and empathy.
                Banter whenever you want to banter....canter whenever you want to canter.

                Comment


                • #9
                  I tend not to go to the hospital mainly because it is so expensive even with my insurance! Dollar signs flow through my head. I sometimes end up having to deal with my cheapness a few days later, but even with a few broken bones, I have been lucky.
                  My hopeful road to the 2021 RRP TB Makeover: https://paradoxfarm.blog/

                  Comment


                  • #10
                    Originally posted by Crashing Boar View Post
                    Back in the day that was almost every trainer's attitude, because many of them were forged by military men with a "git 'er done!" no-nonsense way.
                    This is not now, and never was, a sport in which competence is easily obtained by the motivationally weak.

                    Most of us are capable of minimal self-triage: If you did not hit your head or black out and remember what happened, you're unlikely to be concussed. If you can stand and bear weight without stop-you-in-your-tracks pain, you're unlikely to have fractures or major soft tissue damage.

                    Scared, wind knocked out of you, OMG what was THAT?! etc. are all reasons you MUST get back on that horse, and right now, because if you don't the odds go way up you'll lose your nerve and have problems going forward.

                    Only YOU know if you think you're truly damaged, or just roughed up a litle. Do what YOU think feels right.

                    Personally, I long for the days when grit was the expected norm . . .
                    A couple of years ago my wife got dumped when her 20 year old mare spooked at some activities outside the arena (the mare was generally quite steady under saddle, was gun and saber broke, had ridden in parades, etc.). She's a retired M.D. and KNEW she had broken one, maybe two ribs. She did NOT get back on.

                    Not long afterwards I was working my younger gelding who was sometimes not as coordinated as he might have been. He lost control of his feet while cantering a 20M circle and went to his knees. I went down the left side of the neck into the dirt while he rolled to right. We both got up and wondered "WHISKEY, TANGO, FOXTROT???" My wife saw the whole thing and when I put the question to her she said, "He just lost his balance. You were straight and square and there were no obstacles. It was just a bad step and loss of balance." He had some road burn and I was sore. I walked him back to the mounting block after a check out and he was fine. We did two, maybe 10 yard straight canters and I said, "High point achieved, time to quit!" And we did. It never happened again.

                    If you're not Superman then don't act like. But Casper Milktoast never made it the equestrian arts. You have to use the "J" word (not "Jesus," but rather "judgement").

                    G.
                    Mangalarga Marchador: Uma Raa, Uma Paixo

                    Comment


                    • #11
                      Originally posted by Anna.m View Post
                      Hey everyone,
                      I've been thinking about the Back on or hospital mentality that a lot of trainers seem to have.

                      I think this mentality is both good and bad. Sometimes it is a good thing, in the sense of a fall when there are no injuries, and maybe a bit of nerves. But, this mentality can also lead an injured rider to get back on when they most likely shouldn't.

                      Growing up riding with trainers who couldn't make the appropriate call on when to use this mentality has created lasting damage to my body. You grow up hearing these things, so you end up thinking you have to push through the pain, you don't want to be a quitter, don't want to waste lesson time, or disappoint your trainer. Hospitals might be different in other areas, but for my area a trip to the hospital will be at least 6 hours. So do you really want to waste that much time out of everyone's day when maybe its not that bad.

                      Do any of you have this mentality? Do you use it all the time, or just in the appropriate situations? If you are a parent, how do you feel when a trainer tells this to your child?

                      Current research on concussions suggests this is a very bad attitude.

                      Comment


                      • #12
                        I teach older adults, that require basic soundness for work. I have had a few get serious anxiety after falling off as they thought I would shame them into remounting as that has been their previous experience.

                        I trust their judgement regarding getting back on or not....although there are times where they want to get back on, but I encourage them to wait until the initial shock/anxiety wears off so we can better assess damage.

                        There are ways to address the anxiety angle of falling off without getting back on.

                        There are many serious injuries that aren't immediately obvious, such as a slow bleed concussion and a fracture without displacement.
                        Freeing worms from cans everywhere!

                        Comment


                        • #13
                          With my self, i definitely have that attitude - i came off my mare, fractured a vertebrae , got back on and schooled her (in 2 point as i couldn't actually sit). All knowing something was very wrong, and got my OH to take me to emergency as soon as I'd finished. I have also gotten back on straight away after knocking myself out being thrown off. I know it's not the right thing to do, but for me, it's the lesser of two evils. I know with myself, that if i don't get back on straight away, i will over think the heck out of it and have much more trouble overcoming the fear later. I have anxiety and fear is something i have to continually battle with my riding. If i'm physically able to, i need to get back on straight away. Not a five minute breather, straight away.

                          I casually instruct a couple of kids, parents always present at lessons. If kiddo comes off, it's up to the parent as to whether they go to the hospital or not. I can advise if kiddo hit their head, or landed on wrists, but it's ultimately their parents call.

                          Comment


                          • #14
                            I think the "hospital or back on" mentality is irresponsible and toxic in general.

                            There are plenty of injuries that don't require a hospital visit, but make getting back on the horse and riding extremely painful and/or unsafe.
                            The majority of rider falls don't have ish to do with the horse "trying to get you off," therefore it's absurd to think that not getting back on is going to make that many horses flip the script like "Ooooh that got me out of work, let's do that again." There's a lot of really honest horses out there that this way of thinking gives zero credit too.
                            If you're riding under a trainer and are not comfortable getting back on immediately after a fall, why wouldn't you expect your trainer to do so? Why have a trainer, otherwise?
                            There are plenty of people that need to get back on right away to prove something to themselves and not let their anxiety increase. There's just as many people who need time to process and mentally prepare before getting back on. People should be allowed to deal with stressful situations how they need to, not how someone else thinks they should.

                            Comment


                            • #15
                              Antiquated and dangerous.
                              Janet

                              chief feeder and mucker for Music, Belle and Tiara. Someone else is now feeding and mucking for Chief and Brain (both foxhunting now). Spy is gone. April 15, 1982 to Jan 10, 2019.

                              Comment


                              • #16
                                And to point out, we all know by now, that one does not have to HIT their head on the ground to sustain injuries to the brain; the simple act of falling off and having your brain rattle around, can be enough for concussion.

                                Comment


                                • #17
                                  Toxic, dangerous, irresponsible, and arguably representative of a training culture that would rather ape at "military values" than make rational and intelligent decisions.

                                  Two years ago I got hit by a car while cycling. While hopped up on adrenaline I decided the best course of action was to get back on and ride home instead of calling literally anyone for help. Spoiler alert: that was the wrong decision.

                                  Your body can feed you a lot of false information in the few minutes after an accident. Makes for a lot of grey area between "Hey that kinda hurt" and being airlifted to the hospital.

                                  Comment


                                  • #18
                                    "Hospital or on" is a little extreme but I do operate under the idea that if you aren't hurt you should get back on. If there's any hint at a head/neck/back injury you should NOT get back on. Any other type of injury can go either way. I'm all for having some grit, you need it in this sport. I'm also all for not injuring yourself further.

                                    There's no reason anyone needs to make a decision about horse or hospital two minutes after they fell off. If you have a nondisplaced fracture (especially somewhere non-weight bearing) you're not going to know if it warrants a trip to the ER until you've given it a few hours. I don't want you riding with a broken hand but it also really doesn't warrant an ambulance ride. It's perfectly reasonable to decide to put your horse away and go home in this instance.

                                    Comment


                                    • #19
                                      I have never operated under the "get on or go to the hospital" mentality. I think it is ridiculous. We aren't in battle, we don't NEED to get on but you still have people praise Olympic level athletes for getting back on after a fall. Right here on this board, you have it. It's ridiculous, not even a gold medal is worth your safety or your horse's safety.

                                      I am no shrinking violet and my trainer has permanent injuries from the "on or to the hospital" mentality (from her junior days, which are far behind both of us). I do believe it is generally better to get right back on or the fear may set in but that is not an absolute and each individual is different. I have gone to the hospital twice and am still riding over one decade after the last hospital visit.

                                      Comment


                                      • #20
                                        Originally posted by Hoofbeat_Heartbeat View Post
                                        And to point out, we all know by now, that one does not have to HIT their head on the ground to sustain injuries to the brain; the simple act of falling off and having your brain rattle around, can be enough for concussion.
                                        Well, most of us do.
                                        Yo/Yousolong April 23rd, 1985- April 15th, 2014

                                        http://notesfromadogwalker.com/2012/...m-a-sanctuary/

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