Hello, My 9 year old Paso Fino mare started an acute laminitis episode 5 days ago. She is overweight by 200lbs. She currently weighs 1150 and she should be 950 at 14’2 hands. She has been on Levothyroxin for 2 years and limited pasture, muzzle - all the usual measures. Since Wednesday she has been in a stall on a mat and 8-10 inches of shavings. She is wearing easy boot clouds. She is on bute and gabapentin and just started Prescend today. She is EMS but I strongly suspect she is also PPID. Seems like bloodwork to confirm is pointless right now due to the pain response. Her rads show very little rotation and I have the farrier and vet booked tomorrow for corrective trim. But the pain just won’t stop. I’m a nurse and I just can’t deal with not getting her pain under control. Any help would be so appreciated. -- Shannon B in Ontario 2020