Re: Finally - ACTH results back on what...

Eleanor Kellon, VMD

The Thyro-L is kinda at vet's and owner's discretion. Since she's
losing weight fine on her own, personally (as in personal opinion) I
probably wouldn't use it, although it might perk her up. Can't test
thyroid function while on bute.

Speaking of which, I'd stop the bute. The J and AAKG can't work with
bute on board. Also wouldn't automatically put her on the AAKG. Start
with J only.

Were her feet underrun to begin with? Soles flat? When you have
laminitis with rotation and a bulging sole it's very important to
push that hoof capsule back underneath them ASAP. If you don't, it
often ends up that their center of weightbearing is directly under
the rim of P3 - ouch! Also try a cutout in any padding to take the
pressure completely off spots that react to hoof testers.

If she hasn't abscessed and has been on bute all this time, good
chance she needs to go through an abscessing cycle before she's going
to improve. Owner should be made aware of that. Do NOT bute her if
she seems more uncomfortable. Hot soaks and warmed poltice packs can
make her more comfortable.

How long? Control of the metabolic component is usually the easiest
part. Healing of the feet takes a lot longer but will start as soon
as the metabolic problem is controlled, trim is correct and
abscess/fluid collections have mobilized.


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