Hi Cheryl

It's hard to say without more detail but skin issues and hair are often part of uncontrolled PPID.

Do you have  case history?  Hope you will update with new labs.

Meanwhile here's a link to ecirhorse and info about seasonal rise.

http://ecirhorse.org/index.php/cushing-s-disease/seasonal-rise

If you've been reading other posts then maybe you he seen the archived message on monitoring symptoms.  it might help you s you go forward.
--
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
ecirhorse.org

I tested Luxy on 8/3/16, Cornell Lab result her ACTH is 67.6 pg/mL the range is 9 - 35.  So, 8/24/15 her Cornell result was 98.2 & started her on 1 mg on 9/3/15.  By her looks & actions I raised the dose to 1.5 on 9/23/15 then to 2.0 on 10/7/15.  Retested on 11/6/15 her result was 28.1.  So she has been on the 2.0 mg ever since. 

Question:  should I up her dose by .5mg or 1.0 mg with her current result?

Haven't updated CH I just got home from picking up the report this minute.

Thank-you,

Julia & Luxy in PA

11/2011

https://ecir.groups.io/g/CaseHistory/files/Julia%20and%20Luxy

Carolyn Guttenfelder-IA

Member 2016

Because this is our first year dealing with this, as Tom was diagnosed in April 2016 I am wondering if this indicator of little hair tufts showing up

over his body is due to the seasonal rise that is discussed here.  We are planning on retesting him but this just came up so am wondering if there

is a connection?

Thanks

Cheryl in MN

Just wanted to report that Zippy is doing very well so far with his pergolide transition. I suspect the APF worked like magic! He has shown no signs of the pergolide veil this time, and in fact seems to be moving around a little more than usual, and having a little less puffiness around his sheath and eyes, and less eye drainage.

I have no idea if this is due to a beneficial effect from the APF I gave him, or from the pergolide itself. Either way, I am not complaining! Thanks for the help...

--
Lisa 2010-06

NE TX

Zippy (IR) https://ECIR.groups.io/g/CaseHistory/files/Lisa%20and%20Zippy%20-%20Bunny%20-%20Rita

Bunny, and Rita - IR

Lavinia,

Thanks so much for pointing out some of these cost factors.

My husband (a SA vet) does our testing, and I can confirm that our out-of-pocket costs for the tests listed would run 111.50 BEFORE we count syringes, needles, transfer tubes, box, packaging materials (we ship with ice) and fuel to drive to the drop off location. This of course does not factor in our time, which includes spinning the samples, transfer, freezing, packaging, filling out submission forms, driving to drop off the package, downloading results, reviewing the patient record--and then, in our case, the time I force hubby to spend debating endlessly with me about treatment options! And that's if all goes well, and doesn't factor in things like centrifuge problems, shipping issues, questions for the lab, etc. -- and of course overhead costs.

My husband usually does the testing for me uncomplaining, but assures me he would have to be charging at least $175 or so to personally 'make' anything off the testing. Not a bad markup when I compare it to my recent ER visit, where I was forced to pay $3800 for labs that we charge $122 for in our small animal clinic. The. Same. Labs.

-- 

Lisa 2010-06

NE TX

Zippy (IR) https://ECIR.groups.io/g/CaseHistory/files/Lisa%20and%20Zippy%20-%20Bunny%20-%20Rita

Bunny, and Rita - IR

I would also like to add that Triple Crown has changed distributors for their feed. I just ran into this

which is causing me issues. You are fine if you get it from Southern States. In my case, I was getting

it from a Nutrena dealer. Triple Crown and Nutrena have parted ways (not sure when exactly

this happened since I only buy a bag every few months). Triple Crown now using Kent Mills/Blue Seal.

What is making it difficult is Nutrena and Purina are the 2 dominant suppliers in my area, I don't know

of any that sells Kent Mills/Blue Seal without traveling a quite distance and still no guarantee they will

have it or will sell it. I'm working with TC now to see if they can help so I'm hoping I can get it worked out.

Thanks

Kathy in Ohio

Timeline Photos

For factual information about IR and PPID equines, go to ecirhorse.org and join our outreach group at https://ecir.groups.io/g/main.

https://ecir.groups.io/g/CaseHistory/files/LJ%20and%20Jesse 

I have increased Jesse comp pergolide to 8.0mg on 8/10.  My plan is to re-test ACTH 3 weeks later on or about 8/31.  While chasing the rise, might a longer wait  time than 3 weeks be preferred ? any advantages to wait another week or more? 

LJ Friedman San Diego Nov 2014

https://ecir.groups.io/g/CaseHistory/files/LJ%20and%20Jesse 

Sorry forgot the rest of my signature.

Kylie

Western Downs, QLD

Aust

Hi Lorna and Kathryn

At the moment in some parts of Australia - in Perth and Victoria in particular, low ESC/starch hay is scarce.  

Last year I cut 30 acres of oaten hay only to have Mother Nature dump three inches of rain on it - whilst it reduced our yield by 50% it also reduced ESC.  

Two weeks later I cut another 30 acres of oaten hay which had no rain damage.  Needless to say I wanted to test both crops to see what the difference would be on ESC and starch as well as other nutrients.

Mother Nature did a grand job in leaching out ESC because it tested around 7% eESC/Starch and our non weather damaged tested at 17% for the oaten hays. 

My question is when grass hay is scarce and difficult to find would you recommend cereal hays under the above circumstances? 

cheers

Kylie 

Western 

Thank you everyone.

Dawn & Roma
Middletown, Delaware
August 2011

Hi Karin,

I'd be really happy if that was all my vet charged for that set of testing.

The Cornell prices are what the vet must pay to Cornell to do the tests once they receive the blood. It doesn't include any of the costs on the vet's end - supplies (needles, syringes, blood collection tubes, shipping container, ice packs), time, general overhead (equipment, gas, heat/electricity at clinic, staff, insurance, etc) - that must be covered in part by every client. It also doesn't include the profit that they need to make to stay in business as that is where their paycheck comes in after all the other costs are tallied up.
--

Lavinia, Dante, George Too and Peanut

Jan 05, RI

EC Support Team

Hi Amy,

How is Kat doing?  It sounds like your vet has made up her mind and has her reasons, whether right or not.  Did Kat have gut issues when she was on antibiotics before?  Instead of giving up and in, figure out what support you can get from this vet while you look for someone who is willing to work with you.  You may find it helpful to chat with people at tack shops, feed mills or other horsey venues to see who they use.  You will still need to interview any prospective vet to see if they would be more helpful than the current one, but networking can be very useful.  The closest person in the members data base is in Oswego and you can contact her to see who she knows.

https://ecir.groups.io/g/main/files/9b%20Pulling%20it%20Together/ECIR%20Regional%20Members%20Database%20.pdf

Best regards,
Paula with Cory (IR) and Onyx (IR)

Bucks County, PA, USA

ECIR Primary Response

NRCplus 2011  ECIR 2014 

https://ecir.groups.io/g/CaseHistory/files/Paula%20and%20Cory

https://ecir.groups.io/g/CaseHistory/files/Paula%20and%20Onyx