Date   

Re: Is this low grade laminitis?

melodie miller <mellow_miller@...>
 

Thank you so much for your offer to look at more pics of Amelia's hooves. 
The vet is coming tomorrow to take x-rays.  The IR results combined with the x-rays should give a good idea of what is *really* going on.

I posted pics I took today. My husband mislabled the hooves - he labeled the hooves backwards.. LF = "our" LF, Amelia's RF. Sorry, he barely knows which end eats and which end kicks.
Also, the one "confirmation" pic is from last year July.  The current trimmer began in November 2013. I included that picture as a baseline. BTW.. yes, she really is an OTTB, I know she is "built like a warmblood" but she came right off Penn racetrack.

I tapped the hoof and could not distinguish any "hollow" sound from a "solid" sound. Could be I'm not experienced enough but I could not discern a difference.

A bit of background.  Off the track her feet were a mess and she couldn't hold a shoe. She is also unbalanced (though less now) with her right hoof flared and larger and her left hoof smaller and more upright.  I have been working on that under saddle and she has come a long way. 

I pulled her shoes in August 2012 (5 months after purchasing her) to let her feet rest and never went back to shoes. She was doing well with a pasture trim but after doing some research decided she should be trimmed by a barefoot trimmer. Beginning November 2013, a trimmer (with rave reviews) began trimming Amelia, following the Pete Ramey style trimming. She was doing great until May (we even jumped barefoot) when Amelia abscessed on her right fore.  2 weeks after that abscess broke she abscessed on the left fore.  She was getting better (just a little ouchy) and she was trimmed and went totally sore on both fronts. That was 4 weeks ago.  My trimmer feels Amelia has laminitis and suggested this website.  Friday she was trimmed again and immediately went sore on both fronts again, though much less ouchy as after the trim 4 weeks ago. (the June pics).

My trimmer is not aggressive. She shows where the "toe wants to be" and it is quite far back and is getting there slowly. I'm wondering if the toe trim is making Amelia sore?  I know she doesn't touch the heels. Also, the toe callus on Amellia's LF just recently let loose and is gone!

I read that when the abscess breaks through the coronet it can cause the laminea to loosen. So.. is this laminitis due to the abscesses or are the abscesses due to laminitis? I guess that is the million $$ question.

Again,
Thank You for your support and understanding,  it really helps. Especially since Amelia is the only barefoot horse at the stable.

Melodie, Chesapeake City, MD. member since  July 2014
 


On Monday, July 14, 2014 12:55 PM, "shilohmom@... [EquineCushings]" wrote:


 
Hi Melodie,

This isn't your fault and Amelia is lucky to have you as such a caring owner so no more self-flagellation - OK :) . You have very good instincts, which is a huge plus for your girl. It is highly likely you "inherited" these issues as they are common in the TB racing world and also the broodmare scene. We see them here on an almost daily basis. What matters is that the issues have been identified and that you are working to clarify and correct them.

Lavinia, Dante, George Too and Peanut
Jan 05, RI
EC Support Team




---In EquineCushings@..., <mellow_miller@...> wrote :

Oh My,  this is very disturbing. I felt something was wrong this past trim (2 days ago) as this is the second time she is very sore AFTER the trim.  I feel terrible thinking I have hurt my poor horse, I love her so.... I took her off the track at just-turned-5 and have taken the "slow route" building her confidence and trust




Re: Requirements for ACTH Testing?

Lavinia Fiscaletti
 

Hi Ferne,


Sorry about that. Meant to post that to Elva  :(


Been arguing with Neo and lost my train of thought.


Lavinia, Dante, George Too and Peanut

Jan 05, RI

EC Support Team








Re: Requirements for ACTH Testing?

ferne fedeli
 

That was Elva's horse with the Leptin of 2, my Magic was 4.
Ferne Fedeli,
No. California
4/2010


On Mon, Jul 14, 2014 at 11:41 AM, shilohmom@... [EquineCushings] <EquineCushings@...> wrote:
 

Hi Ferne,


A leptin of 2 is a fantastic number - I'd be ecstatic over that. Normal is 1-4. Higher Leptin is not something you want to see.


Has he always been this picky, uninterested in food or is this something new?


Lavinia, Dante, George Too and Peanut

Jan 05, RI

EC Support Team





Re: Requirements for ACTH Testing?

ferne fedeli
 

His Leptin wasn't borderline low, it was borderline high.  the range is 1-4 and he was 4...
Ferne Fedeli
No. California
4/2010


On Mon, Jul 14, 2014 at 10:00 AM, ejm ejmico@... [EquineCushings] <EquineCushings@...> wrote:
 

On 7/14/2014 10:26 AM, Ferne Fedeli fedelif@... [EquineCushings]
wrote:


> Mercy! Good thing I'm skipping Glucose. I'm just doing ACTH,
> Insulin & Leptin... My guy has consistently higher insulin than he
> should, but the Leptin has been within limits the last couple of
> times (barely). Ferne Fedeli No. California 4/2010

Ferne, I think be glad his leptin isn't too low. Beau's is very low and
I guess he thinks he is full and I have serious problems getting him to
eat at all. I can't find his last reading, it's here somewhere but I
think his leptin level was 2.something....can't remember the numbers of
something, maybe like 72. Will try to find the last blood report.

Elva and angel Satin
2004/NM
Beau and Whiskey



Re: Help! Romifidine as sedative?

Nancy C
 

Hi Caryn

https://groups.yahoo.com/neo/groups/ECHistory7/files/Caryn-%20Washington/

It sure looks like a slightly different version of sedivet. One of the side effects is decrease in gastric emptying and possible mild colic. I don't know for sure if you should be panicked.  Did not see insulin/glucose values in your CH.

If this were my very IR gelding, I'd be thinking about the following:

Tighten Magnesium and Calcium ratio.

Make sure he's drinking well and pooping.  Probably add more salt.

If he's not been trimmed in the last week, call farrier/trimmer to have that done.  Pull the shoes if he's in them.  You want to give him no where to go if he does get laminitis.  Put him in boots and pads for the time being.

If his feet are HOT then ice him.

Hand walk him.

Try to keep breathing.

Nancy C in NH
ECIR Moderator 2003
Learn the facts about IR, PPID, equine nutrition, exercise and the foot.
www.ECIRhorse.org
Check out the FACTS on Facebook
https://www.facebook.com/ECIRGroup
Support the ECIR Group Inc., the nonprofit arm of the ECIR Group
http://ecirhorse.org/index.php/equine-cushing-s-and-insulin-resistance-group-inc




---In EquineCushings@..., <caryn.darmer@...> wrote :

My horse broke a canine and had to have it looked at, I researched and researched and told her the sedatives he could not have xylazine and sedivet but so she gave him romifidine.


Help! Romifidine as sedative?

Caryn Darmer
 

My horse broke a canine and had to have it looked at, I researched and researched and told her the sedatives he could not have xylazine and sedivet but so she gave him romifidine. I am hauling him home now... Should I be panicked about laminitis flare up? When I google romifidine, sedivet comes up. He is on 1 mg prascend. Cannot attach my file history since I am on cell phone but will once I get home. Caryn and narco Sept 2013 Washington


Re: Requirements for ACTH Testing?

Lavinia Fiscaletti
 

Hi Ferne,


A leptin of 2 is a fantastic number - I'd be ecstatic over that. Normal is 1-4. Higher Leptin is not something you want to see.


Has he always been this picky, uninterested in food or is this something new?


Lavinia, Dante, George Too and Peanut

Jan 05, RI

EC Support Team




Re: Bounce - blood test results

Lavinia Fiscaletti
 

Hi Ruth,


This is the second time I'm trying to reply  - hope Neo lets it post.


Agree completely with Eva on the possible issues with the samples being thawed and the time lapses between sending and receipt of the samples. This calls all the results into question as these are issues that could result in the actual numbers being higher than the tests would indicate.

The most recent testing shows all the values have gone up from when the tests were done in Feb, which is troubling. The Leptin stayed about the same. Both sets of numbers calculate that Bounce is technically not IR, which is great, but as there is some question about the handling of the samples it would make sense to be cautious. The Leptin  value says he is IR at baseline, which means that his work load and diet are the only things keeping him from becoming overtly IR and at risk for more laminitis. This is no surprise as he is a Lippitt Morgan.

The Brooks Un-Ti is not a suitable feed for him. It has an extremely high fat content of 10% (yikes!) that is of the wrong type and protein on the high side at 12%. Cannot seem to find an actual ingredient list for it, however. Better choices would be Ontario Dehy Balanced Timothy Cubes, soy hull pellets or r/s/r beet pulp as carriers for his supplements. He doesn't need 3.5lbs of a hard feed, esp of this type. Also needs at least 2 TBS of iodized salt daily and minerals properly balanced to the major portion of his diet - his hay.

The stretched lamina means that there has been an assault to the tissues that connect the hoof wall to the coffin bone. This connection point is probably wider than it should be. The new hoof wall growing in directly below the coronary band may be coming in at a steeper angle than the older growth down below. It would point to here having been some rotation/founder occurring. The trim needs to address this if it exists. Can't be more specific without seeing current hoof pics.

Lavinia, Dante, George Too and Peanut
Jan 05, RI
EC Support Team



Surpass recall update - Boehringer unresponsive

Joan and Dazzle
 


On June 26th, I posted the information below regarding the recall of Surpass.

My vet had informed me that he had received notification from his pharmaceutical supplier that there was this recall. There was no way to determine who received the Surpass from the lot that had an improper amount of phospholipid content.

I was one of those that had received the Surpass from this lot, as was another person from our barn.

My vet contacted his pharmaceutical supplier who originally notified him. They informed him that he would have to contact Boehringer directly. He called Boehringer, was transferred repeatedly, placed on hold, then after an hour, they hung up on him. He has since tried 3 more times to get in touch with Boehringer, but has been unsuccessful.

I am appalled that Boehringer has put my horse's welfare in danger, has never implemented a tracking system of who has received which lot numbers, and has made it impossible to contact them to correct their error. 

This is not the first time that they have had issues:

This is the same Boehringer that manufactures and markets Prascend (the brand name for their pergolide).

I just wanted to give everyone an update. I never thought that *I* would personally have a horse product that would be recalled. I must say that I am very disappointed in Boehringer and how this is being handled.

Buyer beware.

Joan and Dazzle
Anaheim, CA 2006




******************

Post from June 26th:
I received this announcement today:



"Boehringer Ingelheim Vetmedica, Inc. is initiating a recall of one lot
#130502 of Surpass Cream (124 gram tube). This recall is being initiated as
a result of an out of specification result related to phospholipid content
testing. Phospholipid is an excipient in the product formulation to enhance
the skin permeation of the active ingredient, diclofenac. This recall is
specific to Surpass Cream, lot 130502 *only* and has *no* effect on other
lots of this product.



Product: Surpass Cream (124 gram Tube)

Lot: 130502



This recall is being made with the knowledge of the United States Food and
Drug Administration. We appreciate your assistance in this recall and
apologize for any inconvenience."



If you have purchased Surpass Cream, please check your lot numbers. If you
find that you have cream from the affected lot, please contact the person
from whom you purchased it, or contact Boehringer directly.



Joan and Dazzle

GS
 


Re: Requirements for ACTH Testing?

Elva J Mico
 

On 7/14/2014 10:26 AM, Ferne Fedeli fedelif@... [EquineCushings]
wrote:
Mercy! Good thing I'm skipping Glucose. I'm just doing ACTH,
Insulin & Leptin... My guy has consistently higher insulin than he
should, but the Leptin has been within limits the last couple of
times (barely). Ferne Fedeli No. California 4/2010
Ferne, I think be glad his leptin isn't too low. Beau's is very low and I guess he thinks he is full and I have serious problems getting him to eat at all. I can't find his last reading, it's here somewhere but I think his leptin level was 2.something....can't remember the numbers of something, maybe like 72. Will try to find the last blood report.

Elva and angel Satin
2004/NM
Beau and Whiskey


Re: Is this low grade laminitis?

Lavinia Fiscaletti
 

Hi Melodie,


This isn't your fault and Amelia is lucky to have you as such a caring owner so no more self-flagellation - OK :) . You have very good instincts, which is a huge plus for your girl. It is highly likely you "inherited" these issues as they are common in the TB racing world and also the broodmare scene. We see them here on an almost daily basis. What matters is that the issues have been identified and that you are working to clarify and correct them.


Lavinia, Dante, George Too and Peanut

Jan 05, RI

EC Support Team





---In EquineCushings@..., <mellow_miller@...> wrote :

Oh My,  this is very disturbing. I felt something was wrong this past trim (2 days ago) as this is the second time she is very sore AFTER the trim.  I feel terrible thinking I have hurt my poor horse, I love her so.... I took her off the track at just-turned-5 and have taken the "slow route" building her confidence and trust


Re: Side Effects of Prascend (pill form of pergolide)

PapBallou@...
 

Marion -

I am sorry to hear your mare has had some issues.  

Must say that colic from pergolide is not a common occurrence, if at all.  Not to say your mare didn't have these problems.

I don't understand some vets' thinking about the introduction of a medication known to cause what we call the pergolide veil.  Why blast the horse with a full dose, and then if the horse has some issues, back off?.  I ws told to do this as well.  I did not and had not issues with my then two horses on pergolide.

A more reasonable approach is to start off at a lower dose for a few days, and then increase as the horse tolerates.  That is what is done with many human medications that may have some unwanted side effects.

IMO, I would think the colic is not necessarily due to the pergolide, but to the changes in her gut as she had food, and then long periods without out food...a common set up for colic in some horses.  Too bad that the literature or stats regarding colic/pergolide don't parse out the method of introduction of the medication.

If I were you, I would reintroduce the pergolide, say 1/4 dose for a number of days, and then increase to 1/2 for a number of days, etc, until you get to the prescribed dose.  Would also strongly suggest using an adaptogen called APF, from Auburn Labs.  It has a very strong track record of mitigating, if not eliminating, the initial side effects of pergolide.

Would also suggest you and your vet submit a report to the FDA about the possible colic/Prascend connection.  

Yahoo! Groups

 


Linda
EC Primary Response
West Coast
May 2004


Re: Requirements for ACTH Testing?

ferne fedeli
 

Mercy!  Good thing I'm skipping Glucose.  I'm just doing ACTH, Insulin & Leptin...  My guy has consistently higher insulin than he should, but the Leptin has been within limits the last couple of times (barely).
Ferne Fedeli
No. California
4/2010


On Sun, Jul 13, 2014 at 12:54 PM, gentpony@... [EquineCushings] <EquineCushings@...> wrote:
 

Hi Ferne,

 

Not sure if the following will apply.

If also doing glucose, and there will be a 1 hour delay in separating the cells, the vet needs to use a grey top tube, not a red top tube for the glucose sample.  Also keep it chilled with the lavender top tube to slow bacterial growth. The grey top tubes might need to be ordered so make this request to your vet well ahead of time. 

 

To avoid confusion, mark on the submission form that the grey top is for the glucose test.

The additives in the grey top tube can interfere with other tests, so use this one just for glucose. 

For labs that require serum for insulin, use a red top tube for that. 

(Cornell uses the lavender top plasma for both ACTH and insulin).

 

We have a plastic ice cream container with refrigerated water plus ice that goes out to the barn when the vet arrives for the blood draw.  After gentle inversion to mix, all the tubes go into the ice water bath immediately, then the whole container with lid is transported in a pre-cooled (refrigerated) cooler bag, even though the vet’s office is only a few minutes away.

 

The following posts are by Dr Kellon:

 

https://groups.yahoo.com/neo/groups/EquineCushings/conversations/messages/64951

“…sample should be kept cool (not frozen) and if they won't be able to process the blood within an hour (serum) or even sooner (plasma), should use a grey topped tube (fluoride) for the glucose test. This tube stops the red cells from eating up the glucose giving you a falsely low result.”

 

https://groups.yahoo.com/neo/groups/EquineCushings/conversations/messages/87294

“One big problem though is that glucose levels will tend to degrade for as long as the blood cells are in contact with the serum, and over time because blood is not collected sterilely and some bacteria inevitably get into the sample. If you get a low reading, first to do is probably repeat it. Either borrow a human glucometer if you can, or request a glucose be run using a grey top collection tube (oxalate - stops the red cells from "eating" the glucose).”

       [*my note for newcomers- need BOTH Glucose and Insulin from the SAME blood draw]

 

https://groups.yahoo.com/neo/groups/EquineCushings/conversations/messages/62888

“Just a quick note here on glucose testing. Unless you are doing a complete chemistry panel (which needs serum), ask your vet to take the sample for glucose into a grey top tube (oxalate). This will give you more accurate glucose readings.”

 

For Info on tubes:

http://www.mayomedicallaboratories.com/customer-service/faq/specimen/collection-tubes

 

On rates of glycolysis:

http://www.ncbi.nlm.nih.gov/books/NBK248/

“Both red cells and leukocytes contain glycolytic enzymes. Therefore glucose will be consumed and the concentration of glucose in a sample of whole blood will decline with time. The rate of loss is generally said to be approximately 5% per hour, but may be as rapid as 40% in 3 hours. Consumption of glucose in whole blood samples can be prevented by adding sodium fluoride to the specimen to inhibit the glycolytic enzymes.

 

Rapid separation of the sample or cooling will also prevent glycolysis and will allow the sample to be used for other determinations. Unhemolyzed samples that have been separated within 30 minutes of drawing are generally considered adequate. Rapid cooling of the sample followed by centrifugation is even more effective in preventing glycolysis. “

Eva

SW Ontario,  Mar 2005



Side Effects of Prascend (pill form of pergolide)

misyrabi
 

 On July 3 I started my mare on Prascend (sp?) at 1mg per day.  By day 6, she was showing signs of inappetence.  I chatted with my vet and we agreed to drop her down to 1 mg every 3rd day until she got used to the dose and then gradually increase it.

 

On Saturday evening (5pm), I gave her another dose after 2 days of no meds and she coliced pretty bad Sunday.  I gave her some bute to help settle her tummy. 

 

On Saturday morning I noticed she had diarhea and I noticed the same from Sunday morning.

 

From my reading and discussions with the emergency vet, that while rate, pergolide/prascend can cause diahrea and colic.

 

My question is this - Once a horse colics on the meds, if you continue to treat, will the horse continue to colic and will it get worse over time?

 

In my mind, I am thinking the risk of laminitis is not as bad as risking a bad bout of colic.

 

Anyone experience this?

 

Thanks in advance.

 

Marion Buntyn

Bennett, Colorado

May 2014


Re: Melada's pergolde

Pamela Bramell
 

Just my experience, my Frosty was having an ongoing uveitis attack and we couldn't get it under control.  The vet suggested taking him off the 2 mg of pergolide and putting him on 1 mg prascend.  Vet said he had seen wonderful results with it.  I went ahead and put  him on the prascend for about 5 months.  I am sorry I did because I saw a dramatic drop in muscle tone in his topline and the rest of his body.  I then went to put him back on the pergolide and it has been a battle with the pergolide veil to get him up to the 2 mgs he was on previously.  The uveitis cleared up, but I am sure it wasn't because of the prascend.

Pam in Va
Frosty cushings/Butters IR/Story IR/Shaqiraj (healthy yea)
12/10
Va


Re: Bounce - blood test results

gentpony
 

Hi Ruth,

Looking at your blood test results, I noticed that for both Feb and June, your samples arrived at Guelph already thawed—see top of the page, “Specimen(s) received:” 

 

https://groups.yahoo.com/neo/groups/echistory7/files/Ruth%20and%20Bounce%20Case%20History%20-%20Ontario%2C%20Canada/

 

     In the 8 years we have been sending frozen specimens for ACTH over a much longer distance, we have not had any such reports of thawed samples using the free Purolator courier.

Is your vet freezing the samples overnight and sending with frozen ice packs, with the whole bundle wrapped in newspaper? See Step 4 for preparing specimens for shipping:

http://www.guelphlabservices.com/AHL/SubmitSpecimens.aspx

 

Alton is very close to Guelph, and in my opinion, the June sample should not have taken 2 days to arrive.  Also odd for the overnight samples to thaw in February.

 

The thawed samples then needed to be sent on to Cornell.  I would have more questions about the sample handling: What day did Guelph forward the samples?  Did Guelph refreeze the sample, or just sent it chilled? What effect would this have on the Cornell results?

 

Thurs Feb 27 thawed sample arrives at Guelph-ACTH...Mon Mar 3 sample analyzed at Cornell –insulin, leptin

Fri June 13 thawed sample arrives Guelph…Thurs June 19 sample analyzed at Cornell – ACTH, insulin, leptin

 

When we have needed samples forwarded to another lab (KSU or Cornell), we have driven the frozen samples directly to Guelph (wrapped in ice packs and newspapers and placed in a cooler), to be certain they arrive in good condition.  This is over 6 hours of driving round trip for us.  With my vet’s agreement to save his time, I called Dr Jim Fairles in advance and made arrangements for our samples to be held in Guelph’s freezer for the weekend, then sent out on Monday.

 

Eva

SW Ontario

Mar 2005


Re: Is this low grade laminitis?

PapBallou@...
 




---In EquineCushings@..., <mellow_miller@...> wrote :

Oh My,  this is very disturbing. I felt something was wrong this past trim (2 days ago) as this is the second time she is very sore AFTER the trim.  I feel terrible thinking I have hurt my poor horse, I love her so.... I took her off the track at just-turned-5 and have taken the "slow route" building her confidence and trust.

Melodie -

As was previously mentioned, I think, OTTB can come with 'hidden' surprises that you're not expecting.  But catching these things with the feet when they can be addressed is the key, and that's what you have done here.

It's not unusual to see unexpected hoof issues with the running QHs when they come off the track.

The trim or trim technique probably had nothing to do with it, so don't feel bad, and don't allow your trimmer to feel bad.  We see these things so often and can help you both get it all organized. 

Linda
EC Primary Response
West Coast
May 2004 


Re: Is this low grade laminitis?

Lorna Cane
 

Hi Melodie,

It's all going to come together.Your girl is very lucky to have you,so you're not allowed to look back.You're both on your way now.

We ask everyone to sign their name,location,and date they joined the group,plus adding the link to their case history.If you can do that each time you post a message,it will be very useful to those helping you help your girl.

Also,we ask everyone to delete the old message from their post,so that people on Digest don't have to scroll and scroll through everything they have already read to get to a new message.
It also makes it much easier to do a search for information in the future.

It'll get easier,so just keep breathing.

Lorna in Ontario,Canada
ECIR Moderator 2002
*See What Works in Equine Nutrition*
http://www.ecirhorse.com/images/stories/Success_Story_3_-Ollies_Story__updated.pdf

https://www.facebook.com/ECIRGroup

Support the ECIR Group while you shop. It's easy.  

http://www.iGive.com/EquineCushingsandInsulinResistanceGroupInc



Re: Is this low grade laminitis?

melodie miller <mellow_miller@...>
 

Oh My,  this is very disturbing. I felt something was wrong this past trim (2 days ago) as this is the second time she is very sore AFTER the trim.  I feel terrible thinking I have hurt my poor horse, I love her so.... I took her off the track at just-turned-5 and have taken the "slow route" building her confidence and trust.

I have scheduled x-rays for this week, as soon as the vet can come out. I will certainly take the pics as you suggested. No problem at all. I am so very thankful for any help. 
I just feel terrible.  
BTW.. I  would never ride her sore. Ever.

I work daily so the pics won't be posted until tomorrow evening sometime. 

Again, thank you so much for your help.  
Yours'
Melodie


On Sunday, July 13, 2014 2:09 PM, "shilohmom@... [EquineCushings]" wrote:


 
Hi Melodie,

Thanks for adding the newer shots. There are definite issues with Amelia's trim, enough that they could be the sole source of her ongoing soreness and abscessing. I moved all of your photos into one album on ECHistory8:

Yahoo! Groups
Sorry, an error occurred while loading the content.
Preview by Yahoo

Is the pic labeled LF actually the RF(?). If there has been laminitis it may be mechanical rather than metabolic, which means that the hoof form is not correct and is causing a lot of tearing forces on the laminar connections each time Amelia takes a step. She definitely should not be worked/ridden until corrections are made to her trim and boots and pads are a priority to keep her comfortable and prevent further concussive damage.

I see the areas where the older abscesses are growing out on the dorsal(front) walls. If you tap on the hoof wall below this point do you get a hollow sound? If so, how far to each side? The dishing is likely a combination of the long toes, possible rotation/sinking and abscess tracts destabilizing the connections even more.

The sole appears to be fairly flat, with no concavity. Heel buttresses are too far forward and the bars are also run forward and rolling onto the sole. It is likely the sole is thin, at least on the flatter RF. Toe is definitely too long on both and heels will need to be backed and dropped WITHOUT removing sole depth. This will likely be trickier to accomplish on the RF as the coffin bone angle may already be ground parallel or even slightly negative plane. Xrays are a very good idea. Please take a look here, on our sister site ECHoof, for How to Get Good Xrays:


I know it's a bit of a pain but could you get pics of all the soles and lateral and dorsal shots as well? Need the camera to be on the ground 12-18 inches from the foo, good lighting or use the flash. Soles square in the center of the shot. A couple of body shots would also be helpful. Try to hold the foot steady when taking sole shots - maybe you can get a friend to hold the foot up for you? Once you get these, I can do some specific mark-ups and explanations for you to illustrate exactly what needs to be done. Can also do the same for the xrays once you have them.

Lavinia, Dante, George Too and Peanut
Jan 05, RI
EC Support Team





Re: Hay sampling

 

Thanks for all the advice Cass!

Beth & Flame
NV Oct 2013

Sent from my iPhone

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