Last year, Equine ER brought you the story of Trouble, a stoic 22-year-old Quarter Horse whose owners discovered him rolling in pain in the middle of the night in the barn. Trouble was rushed from West Virginia to Lexington, Kentucky, where he had emergency surgery to remove a strangulating lipoma, which is an accumulation of noncancerous fatty tissue that was wrapped around Trouble’s small intestine, cutting off blood supply. (For the original story, click here.)

Trouble survived his surgery. Below is a picture of him leaving the hospital roughly two years ago: 

The other day Equine ER opened up our inbox to find an update on Trouble! Two years later, this resilient horse is thriving. His owner tells us Trouble is healthy and his same no-nonsense self. She says she trusts him completely to carry her kids safely over virtually any terrain, and that somehow, Trouble always senses what they need. At 24, Trouble is well