Date   

Re: Foundering !!! Need help !!!

Successnow4you@...
 

Hi Lorna,
     We have had 2 different vets now and the one I believe thinks he should be put down and the other one wants to cut his tendons or have him out down. Its my 83 yo dads heart horse . He was diagnosed with Laminitis ?founders. Im waiting for the 2 vets ti email me the blood work and the xrays so I can share them with the group. We are starting him on the emergency diet today
 My name is Theresa  from NY. 


Re: Foundering !!! Need help !!!

brycie
 

what area in NY   Ontario county  Kelly Neale - Bolton vet clinic has website   I believe she goes into Yates county - she has been helpful with my guy     My farrier is Wayne / Ontario county only but there is a great barefoot trimmer that travels and specializes in these issues    Shelly Walker  585 880 9240
--
Brycie and Henry
Shortsville, NY
12/05/2017

https://ecir.groups.io/g/CaseHistory/files/Brycie%20and%20Henry


Re: Please send feed back on this hay analysis

Kirsten Rasmussen
 

Tanna and Jewel, are you aware of of Wrayton Transport? They bring tested low sugar hay from Alberta and interior BC to the lower mainland.


--
Kirsten Rasmussen
Kitimat, BC, Canada
January 2019

Shaku's Case History: https://ecir.groups.io/g/CaseHistory/files/Kirsten%20and%20Shaku  
 

Shaku's Photo Album:  https://ecir.groups.io/g/CaseHistory/album?id=82559&p=Name,,,20,1,0,0   


Re: Need help interpreting Logo’s rising ACTH levels. Dr. Kellon

 

On Wed, Jun 19, 2019 at 06:45 AM, Eleanor Kellon, VMD wrote:
Basic possibilities are:

- dose still too low
- he's not getting the whole dose
- drug is not full potency
- he responds poorly to pergolide (need to consider bromocriptine or cabergoline)
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


 Thanks for your reply, Dr. Kellon.  Now I’m wondering how to proceed.

To address thought  #1.  
On 11/27/18, his ACTH was 20.9.  I did not increase his pergolide
On 3/12/19, ACTH was 30.8. I increased his pergolide by 2 mg (capsules PHP)
On 5/1/19, ACTH was 56.6. I increased his pergolide by 4 mg (capsules PHP)
On 5/20/19, ACTH was 31.2. No pergolide increase made
On 6/3/19, ACTH was 42.5. I increased his pergolide by 4 mg (capsules PHP)
On 6/26/19, ACTH was 65.6

His seasonal rise is usually quite extended.  Is it possible that I’m already seeing the beginning of next winter’s seasonal rise?

I purchase pergolide every two months, most recently the beginning of June.  His dose is high enough that I can increase it by 4 mg without issues.  I don’t want to alarm anyone with his pergolide dose, the reason I have not updated his case history.

#2
He eats his pergolide from a feed bag with a handful of Cavalor at breakfast.  I’m confident he’s getting the entire dose.

#3
I have run into liquid losing potency before it’s expiration date but I’ve not been aware of that with capsules as I purchase them every 60 days.  I can do a trial, using an equivalent amount of another horse’s capsules.  Has anyone experienced this as a pharmacy issue before?

#4 
I have considered trying cabergoline (or bromocriptine?) before but I don’t know where to start.  I was delaying it until the seasonal ‘ebb’ so this may be the time.  I mentioned that to my ‘new’ vet last fall.  He wasn’t familiar with it but was willing to research it for me.  My household has a a lot of researching capabilities so I’m willing to give it a start.  My big question is whether I can transition gradually from one to the other

Somewhere I thought I saw mention recently of an inactive form of ACTH.  It’s levels are included in testing but not affected by pergolide.  Is this a real thing?  I ask this because the symptoms I usually see at this level of ACTH (scratches, primarily, to begin with) are not obvious. 

Thanks for any and all help you can offer. 

Martha



--
Martha in Vermont
Logo, Tobit(EC) and Pumpkin, Handy and Silver (EC/IR)
July 2012

Logo's Case History: 
 


Re: Really, really subtle symptoms?

jmc
 

Dr. Kellon - thank you. I didn't realize that ALCAR will loose it's efficiency over time. I am, indeed, at the "bottom" of the current bag, it's probably two months old, I think.  I'll look into the N-acetyl-cysteine as well.
--
Jodi
June 2018
NW Wyoming

Yankee Case History: https://ecir.groups.io/g/CaseHistory/files/Jodi%20and%20Yankee

Photo Album: https://ecir.groups.io/g/CaseHistory/album?id=54386


Re: Blood test result - low blood glucose?

marie allen
 

Thank you for your reassurance!

I've obtained the actual results from my vet today. I've also included the ACTH results and also some previous test results (following a suspected tying up incident - this was at my insistence, the vet wasn't convinced she had tied up at all, although he's been unable to explain the raised CK result) from bloods taken in October 2018 as there appear to be some anomalies in those - this may be entirely irrelevant but I thought best to give anyone looking at this a complete picture...I've got to be honest none of this makes a lot of sense to me....

I know the glucose challenge test following fasting isn't the ECIR recommended route but it's all that my vet would offer me (although I didn't take away hay at the time I was told to - I just left her with a haynet and allowed her to inhale at her own rate, which could have been before or after the cut off point)!!

Results below - thanks in advance.

 

Results following suspected tying up incident:

 

2.10.18

 

Lab result

Minimum

Value

Maximum

AST IU/L

200

276

400

CK IU/L

20

499

350

GGT IUL

5

 

50

Urea mm/l

3.5

 

8.9

Protein g/L

53

 

76

Albumin g/L

30

 

40

Creatinine umol/l

10

 

176

Bile acids

0

 

15

 

 

9.10.18         (bit puzzled by this as no new bloods were taken - I can only assume they re-tested the sample again?)  

 

 

Lab result

Minimum

Value

Maximum

AST IU/L

200

362

400

CK IU/L

20

172

350

GGT IUL

5

12

50

Urea mm/l

3.5

2.2

8.9

Protein g/L

53

68.9

76

Albumin g/L

30

38

40

Creatinine umol/l

10

109

176

 

9.10.18

 

 

Lab result

Minimum

Value

Maximum

HCT %

32

34.15

53

RBC M/uL

6.8

6.96

12.9

HGB g/dL

11

11.9

19

MCV fL

37

49

59

MCH pg

12.3

17.1

19.7

MCHC g/dL

31

34.8

39

PLT K/uL

100

68

400

WBC K/uL

4.9

9.03

10

Neuts %

22

90.4

80

Lymphs %

17

6.4

68

Eosin %

1

0.1

8

 

 

ACTH Results (bloods taken 24.05.19)

 

Lab result

Minimum

Value

Maximum

ACTH pg/ml (November – July)

0

8.1

29

 

Insulin Glucose Report (bloods taken 13.06.19 after fasting over night and glucose in feed 2 hours before bloods taken)

 

Lab result

Value

Equine ‘normal’ reference range

Glucose

4.9 mmol/l

4.3-5.5 mmol/l

Insulin

19.5 uIU/ml

Less than 20 uIU/ml

Comment made by lab: Insulin concentration is within the normal range for an oral glucose challenge test. However, glucose concentration is not significantly increased which means that glucose absorption or consumption may have been reduced?

 
 
Marie
 

--
Marie and 15 hh TBXConnemara
May 2019


Re: Really, really subtle symptoms?

Eleanor Kellon, VMD
 

 His crest is most obvious in the 10-8 picture. The crest is in the same location just not as prominent.

I don't this the PSSM flare would cause laminitis but pain may temporarily worsen IR a bit. Try making his ALCar twice a day and increase it to 1.5 tbsp if it has been open a while and gotten "fluffy". Also try adding 10 g/day of N-acetyl-cysteine https://www.bulksupplements.com/n-acetyl-l-cysteine.html . OK to split that dose. Recent research has identified reduction in cysteine antioxidants in MFM https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6337024/

--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Blood test result - low blood glucose?

Eleanor Kellon, VMD
 

We need all the results plus a case history.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Need help interpreting Logo’s rising ACTH levels. Dr. Kellon

Eleanor Kellon, VMD
 

Basic possibilities are:

- dose still too low
- he's not getting the whole dose
- drug is not full potency
- he responds poorly to pergolide (need to consider bromocriptine or cabergoline)
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Product advice

Eleanor Kellon, VMD
 

Clarissa,

That looks fine.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Updated Case History - Help Please

gypsylassie
 

Hi Deb, I'm sorry your sweet boy is having trouble with his boots.  I've been thinking about him, can you remind me of why he got the check ligament surgery?   I'm not very familiar with that surgery.  
Laura K Chappie & Beau over the bridge
2011 N IL


On Jun 18, 2019, at 7:05 PM, Deb Walker <Goldilocks1210@...> wrote:

Thank you for the suggestions all. I have an email out to customer service, but if I don't hear back will definitely call Soft Ride. Meanwhile, he is back in his Clouds with the Soft Ride gel inserts instead of the Cloud inserts.

At one point I did try 2 different pads, but it made the boot not fit right...the UW farriers were very thorough in explaining where the back of the boot should fit above the hoof. I have stuffed the sponge material in the toe and in the sides to no avail.
--
Deb and Scotty
Northern Ilinois, May 13, 2019
Case History:
 https://ecir.groups.io/g/CaseHistory/files/Deb%20and%20Scotty
Photos:
https://ecir.groups.io/g/CaseHistory/album?id=90619


Re: repost a message

Deb Walker
 

You can just do a reply (to your message) and say that you are bumping it up to the top because you have not gotten a response.
--
Deb and Scotty
Northern Ilinois, May 13, 2019
Case History:
 https://ecir.groups.io/g/CaseHistory/files/Deb%20and%20Scotty
Photos:
https://ecir.groups.io/g/CaseHistory/album?id=90619


repost a message

Daisy Shepherd
 

if a post message does not get an answer , is there a way to repost without rewriting the message, thanks, daisy and tiko
--
-- 
Daisy, Tiko and Whisper
CO, April 2019
Case History:  https://ecir.groups.io/g/CaseHistory/files/Daisy%20and%20Tiko 
Photo Album: https://ecir.groups.io/g/CaseHistory/album?id=90099&p=Name,,,20,2,0,0


Severe laminitis.

Successnow4you@...
 

I'm trying to find help for my dad's horse. I've read articles where some horses have been helped with shoes.  One vet says they can't help another said cute the tendons or put down


Re: Please send feed back on this hay analysis

Tanna
 

I think it's tough to find good safe hay here on west coast. Hopefully you can find something from the interior or something from mid Washington of if can find it. 

I found your Case History loosey goosey in the main Files section of the Case History group. Hope you don't mind that I put a copy in your individual folder! Should be able to see it now. 

--
Tanna 

April 2019, (Yahoo Group member 2008)

Langley, BC, Canada

Tula Case History 
Hay Analysis I Hay Worksheet


Re: Please send feed back on this hay analysis

Lorna Cane
 

Hi Cheryl,

I don't see a case history,either.

--

Lorna  in Kingston, Ontario, Canada
ECIR Moderator
2002
https://ecir.gro
ups.io/g/main/files/PPID%20and%20IR%20Success%20Stories/Success%20Story%20%233%20-%20Lorna%20and%20Ollies%20Story.pdf


 


Re: Please send feed back on this hay analysis

Cheryl Oickle
 

I thought so....not too good with my numbers...a no go again
Not sure why you can’t see my case history....perhaps under Jewel and Cheryl?? Or vice versa.
--

--
Cheryl and Jewel
Oct 2018

https://ecir.groups.io/g/CaseHistory/files/Cheryl%20and%20Jewel

https://ecir.groups.io/g/CaseHistory/album?id=81063


Feeding after weight loss achieved

Banesbit@...
 

Hi all, 
i cant find a good way to search this question, so I’m just going to ask.  I have been feeding my horse 1.5% of his body weight and he has achieved some great weight loss, with minor setbacks.  Once he achieves his goal weight/body condition, what is the suggested rate of feeding?  Less than a non-Ir/Cushings horse? 
Vet said he was a 5.5 body conditiontwo weeks ago and would like him around a 4. He is probably a solid 5 now, as I can start to see a little ribs and his wither becoming more prominent.  Will the inappropriate  fat pads ever go away?  
Thanks
--
Brittany Nesbit
Madison, WI
June 2019

https://ecir.groups.io/g/CaseHistory/files/Brittany%20and%20Little%20Bill/Little%20Bill%20Case%20History.pdf

https://ecir.groups.io/g/CaseHistory/album?id=91216


Re: Equi-Analytical

Banesbit@...
 

On Tue, Jun 18, 2019 at 05:50 PM, <bootsnbridles@...> wrote:
Sharing info- if you sent a sample to be tested last week it will be delayed. Their mineral analyzer had issues last week and they weren't able to fully analyze samples.

-Chris
May, 2019  Big Bear Lake, California
https://ecir.groups.io/g/CaseHistory/files/Chris%20and%20Monte  .

 Thank you for the information!  Any idea how delayed? I’m anxiously awaiting results as my boys is on no hay right now til I get results.  

Brittany Nesbit
Madison, WI
June 2019

https://ecir.groups.io/g/CaseHistory/files/Brittany%20and%20Little%20Bill/Little%20Bill%20Case%20History.pdf

https://ecir.groups.io/g/CaseHistory/album?id=91216


Equi-Analytical

Chris Pennbo
 

Sharing info- if you sent a sample to be tested last week it will be delayed. Their mineral analyzer had issues last week and they weren't able to fully analyze samples.

-Chris
May, 2019  Big Bear Lake, California
https://ecir.groups.io/g/CaseHistory/files/Chris%20and%20Monte  .

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