Date   

Re: New old member with laminitis case

Lorna Cane
 

Hi Gayle,

Have you considered the possibility that the heat  was a red herring? It's a question that went through my mind while reading your post.

Also it's suspicious to me ..........." I decided something was wrong and by the next day I decided to get  the vet out. By the time he came she was lame" ,........ that she was lame almost overnight,although maybe he didn't get there the next day. We can see this with abscesses, as you know, but that doesn't *seem* to fit in this case. Just from reading your report my suspicions are that she was reacting to discomfort ( feet ?) back "after the rain started", as opposed to the weather. She just didn't want to say it. Horses are notorious for hiding discomfort, but I know you know this.

Anyway,just trying to help brainstorm. I'm just a horse owner,and not a vet.


Lovely that she is perkier today !



--

Lorna in Eastern Ontario,Canada
ECIR Moderator 2002


https://ecir.groups.io/g/main/files/PPID%20and%20IR%20Success%20Stories/Success%20Story%20%233%20-%20Lorna%20and%20Ollies%20Story.pdf



Re: New old member with laminitis case

 

Thanks for all the great suggestions! 

Karen thanks for the tick question. Yes we do have ticks and I did remove a tick from her last spring. I will run this by my vet.

Lorna, I keep a journal so I know pretty much what took place before this. We had a long dry and hot spell and she seemed great, Then in early July it started raining.  After the rain started, she started losing a bit of crumbly sole. I tried to not trim it out but just keep it smooth vs lumpy. This exposed a lot of bar material going all the way around her collateral grooves into the toe and covering the sole along the bar white line.  I did not attempt to remove it all but keep it smooth and level with the sole, I was trying to work on it gradually. She also had some thrush in the back of her frog. This is common for her, and I was treating it with Durasole and No Thrush, and also using Durasole on the sole.   

About 10 days before she started being obviously lame we went into a heat wave with heat advisories for 3-4 days at a time. I normally take her from her dry lot/barn to a turnout area twice a day for 1-1.5 hrs, and if there is grass she is muzzled. It was so hot during this time that she didn't seem to want to go out there since I had started muzzling her for  that outing. So I may have taken her out there a couple of times during that week. She got more lethargic, and then we had a break in the heat but she didn't perk up at all. That is when I decided something was wrong and by the next day I decided to get  the vet out. By the time he came she was lame, but I still thought it was just the wet and the loss of sole material. She was still eating normally so I did not think to take her temperature during that time.   

By the way, she is much perkier today. Temp is normal this morning and she has actually moved around after she got up, looks like she got up during the night as well. We are having another spell of heat and humidity.

Gayle


Re: New old member with laminitis case

Lorna Cane
 

On Thu, Aug 25, 2016 at 07:54 pm, Gayle Barnett wrote:
Kali has now been suffering from apparent  laminitis for over 3 weeks.

 Hi Gayle,

I'm sorry Kali is having such a rough time. I know you're tearing your hair out trying to get to the bottom of the problem.

I'm sure Dr. Kellon will check in shortly. In the meantime  can you send your mind back 3 weeks to the start of her lameness, and jot down any possible change, anything at all around that time?

I know you have done this already, so start with what you've already noted, and add to that list......................... just in case there is some detail that has escaped your attention so far, however tiny. Anything at all.

Fingers crossed for Kali.

--

Lorna in Eastern Ontario,Canada
ECIR Moderator 2002


https://ecir.groups.io/g/main/files/PPID%20and%20IR%20Success%20Stories/Success%20Story%20%233%20-%20Lorna%20and%20Ollies%20Story.pdf



ECIR Group - Equine Cushings and Insulin Resistance - Timeline Photos #FACTS

ECIR Integration <main@...>
 

Timeline Photos

By ECIR Group - Equine Cushings and Insulin Resistance

"Normal" insulin and glucose lab results don't always mean the equine is not Insulin Resistant. To be sure, we recommend plugging in lab results here: http://ecirhorse.org/index.php/insulin-resistance/ir-calculator-leptin


Re: WAS: Increase prascend during seasonal rise NOW: Hay analysis

Lars
 

Hej Mia,

I can help you with the diet but you’ll have to contact me privately.

Lars
Sweden, July 2008


Re: New old member with laminitis case

Karen
 

So sorry that your girl is sick.  Just wondering if you could have ticks in Alabama?  My Rocky IR gelding had gotten Erlichia and Lymes from ticks several times.  The last time he got laminitis,  the farrier noticed that he was hot when he was close to him during the trim.  The fevers spiked randomly  and I had not caught it before.  He ended up having Anaplasmosis that time. I think that the Anaplasmosis was the worst since the fevers were quite fickle and difficult to detect.   It was very hard on him.  If you do have ticks, you may want to check it out.  Dakota's metabolism always got messed up when he got the tick borne diseases even though his diet was very tight and put him into laminitis.  I hope  you can get it figured out.


Karen in WI


Sent from Outlook




From: main@ECIR.groups.io <main@ECIR.groups.io> on behalf of Gayle Barnett <gaylepbarnett@...>
Sent: Thursday, August 25, 2016 9:40 PM
To: main@ECIR.groups.io
Subject: [ECIR] New old member with laminitis case
 

Hello all,

I have been a lurking member for a long time and suddenly need your help.  Sorry this is lengthy, it’s been a confusing three weeks with so many things that might be important.


My mare Kali is a 12 year old Percheron-Paint, 16hh, 1300 lbs.  I got her as a yearling, and have known she was IR since she was about 4, cresty neck, fat pads, overweight. I have taken the classes, been on this list and been managing her as well as I thought possible for around 8 years.  Dry lot, muzzled, tested hay, balanced minerals, exercise when weather permits . She is barefoot. My trimmer taught me to trim her and I have been doing it myself for several years. She has had a few lameness issues over the years, one front or the other but always got over them without much problem.


Kali has now been suffering from apparent  laminitis for over 3 weeks. Vet came and sent blood to Cornell on 8/2. Although he did not get any pain reaction in her feet except in the lateral heel quarters, he diagnosed laminitis, x-rayed her feet and basically said they look good, it is mild and caught early. He wrapped her feet with the medium easy care pads, instructed me to: keep her stalled, Bute and banamine  twice a day for 3 days and then drop the banamine and keep her on bute until sound for 5 days before any turnout. At 3 days she was worse. I pulled the pads off because I felt like she didn’t like them. I could not stop the banamine. It seemed like the bute didn’t help, but the banamine did. Vet thought that was odd.


Bloodwork came back – Insulin 197.51 uiu/ml, reference 10-40. I really nearly fainted when I saw that!

TRH response ACTH   Pre- 28.0 pg/ml  reference 9-35

                             Post- 152 pg/ml reference 9-110

Serum T4 – 2.3 ug/dl  reference 1-3

I am not sure why he didn’t do leptin and glucose but we will when we re-check.


He x-rayed her again the second week, saw some slight changes, said there is obviously inflammation, but not bad enough to cause the amount of discomfort she is displaying. He wrapped her feet with some softer pads. She seemed to like them better.



He recommended starting on Prascend, which has been difficult. I started at ¼ tab/day, then went to ¼ twice a day, tried to go to ½ tab twice a day, had to back down again due to side effects. Her side effects were, lying down for 16 hours, acting like she wanted to get up but unable to even keep her head raised for very long, seemed disoriented, refusing to drink. This continued even after I dropped the dose to ¼ tab once a day. I started soaking her hay because of the not drinking problem. I got some APF finally and it did help with the drinking, and also the lengthy times spent down. So I am now giving her ½ tab every evening. She still lies down at about 7-9 pm  and is not up until after 8am. I can’t tell if it is  the Prascend or pain, but when she is up she barely moves, she will stand in  the same place all day. I moved her from a stall to a 12x24 barn aisle so she could lie down and get up more comfortably and still have room for water and hay and for me to be able to clean. The area has stall mats and shavings.  


She has never quit eating all this time, but she has lost about 50 lbs.


All this time I am still trying to figure out the trigger. I had a new load of hay with a test from my supplier and it looked good, lower esc/starch than our previous hay .  I pulled another sample myself and it came back fine (6.3/.5) The iron and  manganese are lower than last year’s hay so I will need to adjust my  copper and zinc  as soon as I have time.


I kept thinking that she is actually sick. I was taking her temp a few times a day and it would range from 99.7 to 101.8. Vet felt like the spikes were from pain.  The last few days  I tried backing off the banamine and bute  it was mostly 100.5 to 101.5. Yesterday morning it was 101.9. Vet was already scheduled and I was planning to discuss putting her down if we can’t  figure out  what is causing her issues. He agreed the temp is too high. He drew blood, gave her an iv dose of Baytril and banamine.  He also did a rectal exam and said her ovaries were both very large. Temp came down but this morning it went back up again, I called  and he told me to give her 1000 lb dose of banamine, it was 103 by the time I gave her the banamine, and it came back down again.

 

After he told me her ovaries are very large, I thought about Dr Kellon’s  study on the mare ovary connection. I talked to the vet about that and also the fact that Kali never shows signs of cycling except possibly in December and Feb-March. There have been a few occasions in December or March that I thought she was colicing, but my geldings thought she was in season.  I sent my vet the info from the ECIR Conference proceedings, and he called and talked to someone at BET labs and was sufficiently interested to come back today and ultrasound her ovaries. I don’t understand this well enough to say what all he told me but he said that both ovaries have follicles and one looks like it is about to ovulate.  He went ahead and drew a blood sample in case we decide to do this testing, but we need more specific info, because the BET representative was not familiar with Dr Kellon’s work. 


Kali’s CBC  was “normal” but the WBC was at the high end and a couple of things were also unusual like AST and glucose. He will email me the results. We are continuing the Baytril for 5 days and banamine as needed for the fever.


Since the pads have been on her feet for 2 weeks now I am concerned about thrush since she has that tendency. I am going to switch to boots since this seems like it might be a lengthy event.


Other meds/supplements are Aloe juice, mineral mix that I make up, ALCAR, 2 scoops Phyto Quench, Ration Plus, ground flax, salt and vitamin e gelcaps. I use RSR beet pulp as the carrier.


Kali has been pretty sick two times before, 3 years ago she became very ill 3 days after an EWTWNV vaccine. She did not develop laminitis. She has had no vaccines since  then. Her fecals are clean and I do Ivermectin followed by 30 days of daily wormer in the spring.


I will be working on my case history and getting xrays and bloodwork uploaded also.  And hoof pics when I pull the wraps off.


I am hoping that if we clear up the cause of the fever that she will feel much better and maybe her feet will also feel better.  


I would appreciate any input on the temperature, would this be common with laminitis or high insulin? Whether or not she really needs to be treated for Cushings based on the bloodwork, because I think the side effects are adding to the confusion about how she really is doing.


I am also interested in the test for the ovarian connection if I can find some specific instructions on doing that. If I need to get a private consult with Dr Kellon I can do that.  


Prior to this episode Kali was perky, high energy and sound.


Gayle Barnett

Alabama, USA

 


Re: Prascend dose question

Maxine McArthur
 

Thank you, Lavinia and Pauline

I'm glad we seem to be on the right track with continuing the current dose.

I may hold off the testing until January, then, unless we get symptoms. 

And that makes sense about the lab normals, thank you Lavinia. We have used the same lab every time and will continue to do so (Charles Sturt University, Wagga, if anyone else in NSW needs to know).

cheers
--

Maxine and Indy

Canberra, Australia 2010

https://ecir.groups.io/g/CaseHistory/files/Maxine%20and%20Indy

https://ecir.groups.io/g/CaseHistory/album?id=933



Re: New old member with laminitis case

 

Thanks Paula! 

I think she is sick because of her demeanor, her temperature spikes, the fact that she has gone downhill since the initial diagnosis despite doing everything it seems like we need to be doing, and maybe because I just want to find a reason that this happened so I can avoid it in the future if possible.


Gayle


Re: Prascend dose question

Pauline <takarri@...>
 

Hi Maxine,

I agree with Lavinias’ thoughts on keeping her at 1.5mg and wanted to add that - I’d almost be inclined to hold off on the December retest and maybe retest mid- end of January to see if she is stable- before we start to enter our seasonal rise which starts rising in Feb. That will then give you ample opportunity to increase her dose before we hit the full swing in March.

Alternatively, you can increase her dose in Feb and test in March to see if you have control. Personally, I prefer to test around the end of Jan and adjust the dose accordingly rather than trying to play catch up.

She’s a pretty girl.

--

Pauline

Geelong. Vic

Australia Aug 07

ECIR Mod/Primary Response

http://tinyurl.com/7qbdyas


Re: New old member with laminitis case

Paula Hancock
 

On Thu, Aug 25, 2016 at 07:54 pm, Gayle Barnett wrote:

Kali has now been suffering from apparent  laminitis for over 3 weeks. Vet came and sent blood to Cornell on 8/2. Although he did not get any pain reaction in her feet except in the lateral heel quarters, he diagnosed laminitis, x-rayed her feet and basically said they look good, it is mild and caught early. He wrapped her feet with the medium easy care pads, instructed me to: keep her stalled, Bute and banamine  twice a day for 3 days and then drop the banamine and keep her on bute until sound for 5 days before any turnout. At 3 days she was worse. I pulled the pads off because I felt like she didn’t like them. I could not stop the banamine. It seemed like the bute didn’t help, but the banamine did. Vet thought that was odd.


Bloodwork came back – Insulin 197.51 uiu/ml, reference 10-40. I really nearly fainted when I saw that!

TRH response ACTH   Pre- 28.0 pg/ml  reference 9-35

                             Post- 152 pg/ml reference 9-110

Serum T4 – 2.3 ug/dl  reference 1-3

 Hi Gayle,

Keep breathing.  It sounds like you and Kali are going through a tough time.  Hopefully one of the vets will jump in here to help with Kali's test results and symptoms.  

From your description, the diet should be okay.  Checking out the mare connection is good.  Why do you think Kali is actually sick?  If no vaccines in the last three years, could she have one of those diseases?

If you are interested in a private consult with Dr. Kellon, why not contact her and see if you get her help?  I would.

Hang in there!

--
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/album?id=1624

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


New old member with laminitis case

 

Hello all,

I have been a lurking member for a long time and suddenly need your help.  Sorry this is lengthy, it’s been a confusing three weeks with so many things that might be important.


My mare Kali is a 12 year old Percheron-Paint, 16hh, 1300 lbs.  I got her as a yearling, and have known she was IR since she was about 4, cresty neck, fat pads, overweight. I have taken the classes, been on this list and been managing her as well as I thought possible for around 8 years.  Dry lot, muzzled, tested hay, balanced minerals, exercise when weather permits . She is barefoot. My trimmer taught me to trim her and I have been doing it myself for several years. She has had a few lameness issues over the years, one front or the other but always got over them without much problem.


Kali has now been suffering from apparent  laminitis for over 3 weeks. Vet came and sent blood to Cornell on 8/2. Although he did not get any pain reaction in her feet except in the lateral heel quarters, he diagnosed laminitis, x-rayed her feet and basically said they look good, it is mild and caught early. He wrapped her feet with the medium easy care pads, instructed me to: keep her stalled, Bute and banamine  twice a day for 3 days and then drop the banamine and keep her on bute until sound for 5 days before any turnout. At 3 days she was worse. I pulled the pads off because I felt like she didn’t like them. I could not stop the banamine. It seemed like the bute didn’t help, but the banamine did. Vet thought that was odd.


Bloodwork came back – Insulin 197.51 uiu/ml, reference 10-40. I really nearly fainted when I saw that!

TRH response ACTH   Pre- 28.0 pg/ml  reference 9-35

                             Post- 152 pg/ml reference 9-110

Serum T4 – 2.3 ug/dl  reference 1-3

I am not sure why he didn’t do leptin and glucose but we will when we re-check.


He x-rayed her again the second week, saw some slight changes, said there is obviously inflammation, but not bad enough to cause the amount of discomfort she is displaying. He wrapped her feet with some softer pads. She seemed to like them better.



He recommended starting on Prascend, which has been difficult. I started at ¼ tab/day, then went to ¼ twice a day, tried to go to ½ tab twice a day, had to back down again due to side effects. Her side effects were, lying down for 16 hours, acting like she wanted to get up but unable to even keep her head raised for very long, seemed disoriented, refusing to drink. This continued even after I dropped the dose to ¼ tab once a day. I started soaking her hay because of the not drinking problem. I got some APF finally and it did help with the drinking, and also the lengthy times spent down. So I am now giving her ½ tab every evening. She still lies down at about 7-9 pm  and is not up until after 8am. I can’t tell if it is  the Prascend or pain, but when she is up she barely moves, she will stand in  the same place all day. I moved her from a stall to a 12x24 barn aisle so she could lie down and get up more comfortably and still have room for water and hay and for me to be able to clean. The area has stall mats and shavings.  


She has never quit eating all this time, but she has lost about 50 lbs.


All this time I am still trying to figure out the trigger. I had a new load of hay with a test from my supplier and it looked good, lower esc/starch than our previous hay .  I pulled another sample myself and it came back fine (6.3/.5) The iron and  manganese are lower than last year’s hay so I will need to adjust my  copper and zinc  as soon as I have time.


I kept thinking that she is actually sick. I was taking her temp a few times a day and it would range from 99.7 to 101.8. Vet felt like the spikes were from pain.  The last few days  I tried backing off the banamine and bute  it was mostly 100.5 to 101.5. Yesterday morning it was 101.9. Vet was already scheduled and I was planning to discuss putting her down if we can’t  figure out  what is causing her issues. He agreed the temp is too high. He drew blood, gave her an iv dose of Baytril and banamine.  He also did a rectal exam and said her ovaries were both very large. Temp came down but this morning it went back up again, I called  and he told me to give her 1000 lb dose of banamine, it was 103 by the time I gave her the banamine, and it came back down again.

 

After he told me her ovaries are very large, I thought about Dr Kellon’s  study on the mare ovary connection. I talked to the vet about that and also the fact that Kali never shows signs of cycling except possibly in December and Feb-March. There have been a few occasions in December or March that I thought she was colicing, but my geldings thought she was in season.  I sent my vet the info from the ECIR Conference proceedings, and he called and talked to someone at BET labs and was sufficiently interested to come back today and ultrasound her ovaries. I don’t understand this well enough to say what all he told me but he said that both ovaries have follicles and one looks like it is about to ovulate.  He went ahead and drew a blood sample in case we decide to do this testing, but we need more specific info, because the BET representative was not familiar with Dr Kellon’s work. 


Kali’s CBC  was “normal” but the WBC was at the high end and a couple of things were also unusual like AST and glucose. He will email me the results. We are continuing the Baytril for 5 days and banamine as needed for the fever.


Since the pads have been on her feet for 2 weeks now I am concerned about thrush since she has that tendency. I am going to switch to boots since this seems like it might be a lengthy event.


Other meds/supplements are Aloe juice, mineral mix that I make up, ALCAR, 2 scoops Phyto Quench, Ration Plus, ground flax, salt and vitamin e gelcaps. I use RSR beet pulp as the carrier.


Kali has been pretty sick two times before, 3 years ago she became very ill 3 days after an EWTWNV vaccine. She did not develop laminitis. She has had no vaccines since  then. Her fecals are clean and I do Ivermectin followed by 30 days of daily wormer in the spring.


I will be working on my case history and getting xrays and bloodwork uploaded also.  And hoof pics when I pull the wraps off.


I am hoping that if we clear up the cause of the fever that she will feel much better and maybe her feet will also feel better.  


I would appreciate any input on the temperature, would this be common with laminitis or high insulin? Whether or not she really needs to be treated for Cushings based on the bloodwork, because I think the side effects are adding to the confusion about how she really is doing.


I am also interested in the test for the ovarian connection if I can find some specific instructions on doing that. If I need to get a private consult with Dr Kellon I can do that.  


Prior to this episode Kali was perky, high energy and sound.


Gayle Barnett

Alabama, USA

 


Re: New X-rays posted and hoof shots for review please

 

Thanks Lavinia - will you still be doing the markups you noted below?  It would be nice to know so I can show my trimmer. TIA
--
Sharon P, Elsa  April 2016

Courtenay, BC Canada

Elsa, Case History, Photo Album

 





Re: Prascend dose question

Lavinia Fiscaletti
 

Hi Maxine,

She's looking good :)

You have a good grasp of what is going on and of the various possibilities. Your vet's plan sounds perfect to me.

If this was one of mine, I'd be inclined to stay where you are with the pergolide dose even tho she isn't shedding. Definitely would not lower the dose. Everything else points to good control and this is the time of year where ACTH shouldn't be rising in your hemisphere. Clip her if needed for temp control.

Different labs set their "normal ranges" based on what they see on a regular basis and will adjust those over time if they feel it is needed. We recommend trying to use the same lab for a particular individual over time so the results you are comparing have as few "confounding factors" as possible. Comparing different labs to one another to see how their reported results differ/ are similar allows you to see trends and be able to say "Lab A tends to have ranges that are much broader than is standard" or "Lab C's results tend to come in lower than would be expected given the symptoms". Make sense?

It appears that your lab's normal range runs a bit lower than most. From the numbers we see here regularly, I wouldn't feel the need to raise Indy's dose of pergolide unless she didn't appear to be quite right. Need to also keep in mind that what is a good number for one horse could have another in the throws of a major laminitic crisis - the individual tolerances are also a big part of the picture.
--
Lavinia, Dante and George Too

Nappi, George, Peanut over the Bridge

Jan 05, RI

EC Support Team


Re: New X-rays posted and hoof shots for review please

Lavinia Fiscaletti
 

Thanks, Sharon.

She is able to walk for an hour and have boots off for several hours so you know you've made progress.

Good work :)
--
Lavinia, Dante and George Too

Nappi, George, Peanut over the Bridge

Jan 05, RI

EC Support Team


Re: Help ASAP--new member

Lavinia Fiscaletti
 

Hi Tena,

https://ecir.groups.io/g/CaseHistory/album?id=1623

You are very right - definitely NOT the digital cushion. The digital cushion is in the back half of the foot, under the frog and heels. It may be an abscess getting ready to pop - does it feel a bit soft or squishy? Numotizine would be a good thing to slather it with then wrap in a diaper and boot/pad to keep it protected:

https://www.bigdweb.com/product/code/6034.do?gclid=CLOrkYfz3c4CFVFbhgodltUFBg

Available in many tack shops or on the web.

Minimal movement is fine right now. If this is a sub-solar abscess they are miserably painful but using any kind of NSAID will only slow down the maturation and draw out the length of time before it drains.

When you have a moment, could you please get some new full lateral pix - even if he's down - and add them to his album.

Hang in there, this will get better.
--
Lavinia, Dante and George Too

Nappi, George, Peanut over the Bridge

Jan 05, RI

EC Support Team


Re: Trailering

Paula Hancock
 

On Thu, Aug 25, 2016 at 02:58 pm, Animal Crackers wrote:
Our vet charges $60.00 to travel to our barn three miles away, so we are trying to decide whether or not to trailer her there. Would a few miles cause enough stress to affect her blood draw results? If so, we would rather lose $60.00 than $200.00 for a wasted blood draw.

 Hi Linda,

If it were me I wouldn't chance trailering.  Accurate test results are critical for accurate diagnosis.  

Hope that helps!
--
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


Re: Help ASAP--new member

Paula Hancock
 

On Thu, Aug 25, 2016 at 12:12 pm, Michael Melessa wrote:
Case study is up under Tena and Felix, with photo album link attached. My horse is not doing well and I'd appreciate any suggestions/comments. Bloodwork is in the process. 

My big question right now is about the bulging on his sole (see photo album). RF actually feels almost like a balloon. It's definitely not the bone, but I've had one opinion that it's the digital cushion protruding. Wouldn't that be farther back, not under the tip of the coffin bone? Is there anything I can do to make him more comfortable other than low NSC, balanced diet, and boots? He is still eating, drinking, and going to the bathroom, but movement is minimal. 

 Hi Tena,

Great job getting the case history up. Once you get your blood work results, you can add that.  The link you provided didn't direct me to your case history.  Please add this one to your signature.

https://ecir.groups.io/g/CaseHistory/files/Tena%20and%20Felix

and photo album:

https://ecir.groups.io/g/CaseHistory/photo/1623/5?p=Name,,,20,1,0,0

Felix is  a cutie!  Sorry he is not feeling well, but looking at his x-rays, it makes sense that he doesn't want to walk around.  I will leave it to our hoof guru to address your question, but it looks like he is walking on the tip of his coffin bone.  Removing the triggers for high insulin from the diet as outlined by Jaini is critical for him.  The other part is that his feet need to be trimmed and booted to correct the rotation.  It's best not to mask his pain too much because moving around on damaged feet could make it worse.  Good that he is eating, drinking and going to the bathroom.  Once you have the test results you will know if you need to also treat him for PPID.

Hang in there!


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


Re: To All Members - In search of photo examples

Saucier Kathy
 

Nancy,

I have some old 35mm photos that I had scanned to the computer from 2004-2005 when Magic was diagnosed with Cushing's and IR.  The 35mm photos are of his fat pads over the eyes and swollen sheath.  Not the best photos compared to today's digital but I can send them if you want them.  I also have coat photos, both in 35mm scanned and digital shots.  And some showing muscle loss.

Magic never had "good enough" control with the Pergolide.  We seemed to always be chasing it and upping the APF to counteract the side affects.  But he did go for 3 1/2 years and was rideable for 2 of them and was trained to drive a cart when we stopped riding.  Cute photo of him with clipped coat and hitched up.  Let me know what you want sent and how much you can receive in your box at a time. Each is 1-2+ MB each so I can reduce size or send as they are.

Kathy Saucier

Texas

2005

 

From: main@ECIR.groups.io [mailto:main@ECIR.groups.io] On Behalf Of Nancy C
Sent: Wednesday, August 24, 2016 1:03 PM
To: main@ECIR.groups.io
Subject: [ECIR] To All Members - In search of photo examples

 

Hi All

We are in need of new pics of member horses for web site and otehr pprojects.

We need inspirational - showing what is possible, where you were before, where you are and what your PPID/IR horse is now capable of as a result of using DDT+E.

We also need pics showing symptoms, muscle loss, cresty neck or other lumpy fat patches, eye fat, hay belly, skin sensitivities, weepy eyes.

If you have these in your file already or can send to me, or can get new ones, please drop me a note at threecatfarm "at" cyberpine "dot" net.

Many thanks for all your help.
--
Nancy C in NH
ECIR Moderator 2003
Learn the facts about IR, PPID, equine nutrition, exercise and the foot.
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Trailering

Animal Crackers
 

Our vet charges $60.00 to travel to our barn three miles away, so we are trying to decide whether or not to trailer her there. Would a few miles cause enough stress to affect her blood draw results? If so, we would rather lose $60.00 than $200.00 for a wasted blood draw.

Linda and Thistle
Oregon
February 2016
https://ecir.groups.io/g/CaseHistory/files/Linda%20and%20Thistle


Re: Quick cost question

Bonnie
 

Hello Carolyn,

It might be possible to have a vet from a small animal clinic come to do the blood draw for you. This is how I manage it. Because My 3-hours-distant horse vet only makes one trip here yearly, a small animal vet draws the blood if a test is need at other times. I then drive to the horse vet's clinic with the vial chilled , not frozen. The clinic staff then process the sample and send it to the lab. Once I even got the local (human) hospital's lab technician to spin the blood before I took it to the clinic.

I hope you are able to work with your vet to get the proper horse-type needle/vial/etc. and come up with a creative solution.

Bonnie Ivey, Ontario 2008

Lad, IR, PPID

75361 - 75380 of 273793