Date   

Re: Blood work results and confused!

Cheryl Oickle
 

Sorry i thought my case history had baseline glucose from last year. 
Initial insulin 16.3uIU/ml range 4.5 to20
Glucose 4.7. Mmol/L range 4.2-6.4mmol/L
These were fasting last Sept
My posted result today was NOTfasting
Pergolide dose is at 1.0 mg.What would you recommend as increase. My vet doesnt think so but your site I find is much more on board

Cheryl and Jewel
Port Alberni BC Canada

--
Cheryl and Jewel
Oct 2018

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

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


Re: Mare with severe founder and blood test shows Cuchings

Deb Walker
 

Beth - I just want to chime in here, as I too found acquainting myself with all of the knowledge and information available here difficult. The case history took me days to do, as did learning the proper etiquette for posting pics, etc. It's a lot to take in when you are worried sick about your horse. But, your vet's suggestion to put down such a young horse without first trying the things that work appalls me. But I will 100% agree with the vet that it is a huge undertaking, it is going to probably be expensive (more so than you can imagine) and a lot of frustration and crying yourself to sleep at night. In the end, only you can decide if your relationship with your horse is worth it.

When Scotty had only 1 ml RF sole and 7 ml LF sole and could barely hobble, 35+ years old, he still had that sparkle in his eye and he still was eating well, expressing affection, etc. I was beyond shocked to discover the severity of his situation, and the friend who trailered us the 60+ miles to a University Vet Hospital advised me to put him down...he is old, we were going into winter, and there were no guarantees anything would save him. After a full team of vets and farriers consulted, it was decided to leave him overnight and do a venogram the next day; this is probably what your vet was suggesting. This determines if there is blood flow. If there is not sufficient blood flow, your horse cannot grow a hoof. If there is, they can grow hoof. Because of the farrier schedule at the hospital, he had temporary devices put on his front feet as he had to stay Friday-Sunday until the farriers returned on Monday if the venogram was successful.

Long story short, he had sufficient blood flow, the farriers put on a product called Ultimates which is wrapped extensively with an almost cast like material to stay on the foot. http://www.nanric.com/catalog/all-products/nanric-ultimate-pair (Scotty's were black, but this is what I am talking about.) It wasn't easy, he wasn't sound, he laid down a LOT, BUT in 8 weeks he grew 17 ml of sole!!

Life since then has not been the same. It's hard. Some days you wonder if you are crazy. You don't add up the money you are spending because it would be devastating. Scotty went back to the same hospital last year for a check ligament surgery, and has also gone back a few more times for different trimming options. But he is alive, he's well, and I've finally hit the jackpot with a farrier who I believe can rehab him the rest of the way, and for whatever days this 35++ year old horse has left, I will do my best to keep him happy and healthy. All this to say, you could easily have another 20 years with your horse.
--
Deb and Scotty I/R, PPID
Pecatonica Illinois, 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: Blood work results and confused!

Lavinia Fiscaletti
 

Hi Cheryl,

Insulin: To convert the pmol/L results to uIU/mL: divide by 7.1. So 1422 pmol divded by 7.1 = 200.28uIU/mL

ACTH: To convert pmol/L to pg/ml: divide by .22. So 8.2pmol  divided by .22 = 37.27pg/ml

Because Jewel is a confirmed PPID horse, we have found that keeping the ACTH solidly within the low-to-middle of the range at all times works best over the long haul . As her ACTH is already above the normal range, and still climbing due to the seasonal rise influence, that indicates the pergolide dose needs to be adjusted upward to compensate. 

Insulin seems to have shot up considerably but doesn't seem to jive with Jewel's appearance. However, the previous insulins were done fasting, correct? That would give you falsely low results. Were these results also done fasting?

There are no glucose values listed in the case history - has Jewel's glucose ever been tested?

Would you please add your general location to your signature as that helps us to be more specific in answering your questions. Thanks for your help with this bit of administrative housekeeping.

--
Lavinia and George Too
Nappi, George and Dante Over the Bridge
Jan 05, RI
ECIR Support Team


Carrots ok to feed?

 

Could someone look at this article & give me your opinion on it? The numbers & analysis make it look like very small amounts of carrots are ok but it doesn’t “feel” right. My barn owner sent this to me but I still don’t agree. Here is the link to the article 
http://www.thelaminitissite.org/articles/who-said-stop-the-carrots
--
Beth & Flame

NV Oct 2013

Flame Case History

Flame Pictures


Blood work results and confused!

Cheryl Oickle
 

Jewel is doing fantastic! Riding over 100 miles a month her weight and demeanor amazing and the morgan crest soft and minimal.  Her diet has NOT changed per case history, although a new supply of tested hay she is now eating and will be retested, just in case.She remains dry lotted. I am struggling to update my case history so please bear with me. 
I just received blood work and although I am pleased with the ACTH but I am really surprised with her insulin levels rising. The BIG caveat here is that the lab values and lab has changed  and so have the measures of her previous insulin levels which was 36.4 uIU/ml range 4.5-20.0 at IDEXX LAB in March 2019
ACTH 8.2pmol/L  Aug to Oct  range 4.62-11.66pmol/L  Nov to July range 2.42-10.22 pmol/L   TRUE NORTH LAB
INSULIN 1422 pmol/L  range 28-330 pmol/L   TRUE NORTH LAB
I cannot measure her trends with the different labs and values, can someone help decipher this?
IF her hay test reconfirms low sugar which I anticipate it will as it is a reputable dealer <8 ESC +starch.
What else should I be doing? I'm very worried or should I be.?
--
Cheryl and Jewel
Oct 2018

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

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


Re: Mare with severe founder and blood test shows Cuchings

Kirsten Rasmussen
 

It's your decision Beth, but as Laura said you could always sell the Timothy if it tests too high, especially if otherwise it is nice hay.

--
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: Scotty - Laminitis/Hooves

Ronelle
 

Deb- You did hit the jackpot!  As with everyone else, I've been watching your and Scotty's progress and my heart was breaking for both of you.  I now have "happy" tears in my eyes!
--
Ronelle and Yoyo
2015 Bend, Or, US


Anyone need spirulina?

J Foust
 

Hope this isn’t inappropriate...

I ended up with SO MUCH spirulina.  I would love to trade for j-herb.  Email me at waterpainted@...

thanks!  Joella
--
Joella Foust 
Montana
2015
https://ecir.groups.io/g/CaseHistory/files/Joella%20and%20Bronwynn/Bronwynn/Bronwynn%20Case%20History.pdf

https://ecir.groups.io/g/CaseHistory/files/Joella%20and%20Bronwynn/Hay%20Analysis/Lewistown%20Hay%202018.pdf


Low SE & E

jgpigger
 

I am wondering if anyone else has come across this problem. the horse is being fed Uckele's E& Se , plus Lodi's Super E.But both my sel & E levels are low. They get netted grass hay 24/7 .electrollytes, Mg. I am doing something wrong. Also SEL -E 10 cc shots May, another 5 cc middle of july.

What could be the reason for the E and SE to continue to be low?  would too much iron do this? the hay was tested last year but new hay has not yet. thanks


Re: Scotty - Laminitis/Hooves

Eleanor Kellon, VMD
 

Deb's experience is a good reminder that some of the best trimmers out there are "old timers". Especially good for us are those that have done a lot of broodmares and foals. If you have any breeding farms within a reasonable distance to travel, ask them who they use.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Jesse sore

LJ Friedman
 

Agreed. I will be more involved next trim.  
--
LJ Friedman  Nov 2014 Vista,   Northern  San Diego, CA

Jesse and majestic ‘s Case History 
Jesse's Photos

 


Re: Jesse sore

LJ Friedman
 


--thanks. But no.   This 154 was before the invokana.  Most of the time its over 200. 154 not usual  
LJ Friedman  Nov 2014 Vista,   Northern  San Diego, CA

Jesse and majestic ‘s Case History 
Jesse's Photos

 


Volunteers Needed! - Wed, 08/28/2019 #cal-notice

main@ECIR.groups.io Calendar <noreply@...>
 

Volunteers Needed!

When:
Wednesday, 28 August 2019

Where:
At your computer

Description:

Everything you learn from the ECIR outreach groups is the result of many hardworking people from all backgrounds who share the passion for our special horses. The ECIR group is made up of veterinarians, farriers, nutritionists, and medical doctors. There are those of us who do not have scientific backgrounds, but are everyday horse owners who found our way to ECIR when we didn’t know where to turn.

ECIR Group is over 9,000 international members on Groups.io outreach alone.  By collecting histories and laboratory data from thousands of horses with PPID and IR, we have been able to carefully monitor responses to treatment and management changes, both good and bad. This is real life, in-the-barn, research at its best. It is also the largest field trial in the world.  No one else has what the ECIR Group has.

There is much more to come. This work can not be done without the help of a growing group of passionate volunteers, many of whom you have never seen. We are all educators who make our world a better place by sharing the knowledge we gain from our experiences and our skill sets. 


If you have the time and passion to give back to the ECIR Group,

we want to hear from you!

Please fill out the Volunteer Form


Time commitment will vary from ongoing projects and tasks to specific short-term needs. 



Re: Jesse sore

 

Just a few days after this post, you had his insulin result at 154.  Considerably lower than 'over 200'.  Think that is a step in the right direction :)


--
Ellen
Pal & Savvy
N. Alabama
Aug 2013
Case History


Re: Scotty - Laminitis/Hooves

Deb Walker
 

Thank you Nancy. I never thought I would get *this guy* to agree to be my farrier/trimmer. I am pretty much in awe after watching him with Scotty today. As I said, the BEST I have seen my boy for 2+ years!!!! He took it slow and I saw Scotty doing just a little bit of shuffling feet tonight, but not as bad as I have seen. I am prepared for him to  be a tiny bit ouchy as we get his feet back in line, and my neighbor is more than willing to take it slow. I think I hit the jackpot!!!
--
Deb and Scotty I/R, PPID
Pecatonica Illinois, 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: Jesse sore

Nancy C
 
Edited

Just for the record I’m not seeing this trim as going well. 

Big hugs to this wonderful, stoic gelding on his birthday. I had one at Jesse’s age. They are beyond special. 

--
Nancy C in NH
ECIR Moderator 2003
ECIR Group Inc. President/Treasurer  2019-2020
Join us at the 2020 NO Laminitis! Conference, October 22 - 25, Harrisburg, PA


Re: Scotty - Laminitis/Hooves

Nancy C
 

Holding on to this new info. 

IME — working on the Hinds first, helping get comfortable there, gives Scotty a place to go to let you work on the fores. 

Good for for your friend for recognizing this. 

In in the end — Scotty will tell you. 
--
Nancy C in NH
ECIR Moderator 2003
ECIR Group Inc. President/Treasurer  2019-2020
Join us at the 2020 NO Laminitis! Conference, October 22 - 25, Harrisburg, PA


Re: Star, slow healing corneal ulcer, suggestions?

Maxine McArthur
 

Hi Tina
My mare had a slow-healing ('indolent') corneal ulcer last year, right in our seasonal rise (March-April). Her ACTH tested under 30pg/mL but my vet suggested increasing pergolide anyway in case the seasonal rise was affecting the healing process. I think we bumped it up 1mg or maybe 1.5mg. It certainly didn't affect her appetite or give her other veil symptoms. 
It is a very frustrating condition, I hope you get some healing happening sooner rather than later. My mare was so good for the 4x daily eye cream/drops, I don't know what I would have done if she hadn't put up with it. She got treats after each time I touched her eye and lots of praise, scratches and grooming time. 

--
Maxine and Indy (PPID) and Dangles (PPID)

Canberra, Australia 2010

https://ecir.groups.io/g/CaseHistory/files/Maxine%20and%20Indy%20and%20Dangles 
https://ecir.groups.io/g/CaseHistory/album?id=933

 


Re: Jesse sore

Debra
 

LJ congrats on Jesse's milestone birthday. Glad the trim seems to have gone well.



--
Debra Doerfler
San Marcos (San Diego County), California
Lady Sierra Snarf n' Snort AKA "Sierra"
2009 TB rescue mare, adopted 2017
Member since March 2019
https://ecir.groups.io/g/CaseHistory/files/Debra%20and%20Sierra

https://ecir.groups.io/g/CaseHistory/album?id=91011


Re: Scotty - Laminitis/Hooves

Deb Walker
 

Just an FYI, I think I have correctly re-named all of Scotty's photos to date, and I have added some previous x-rays that show his journey.
--
Deb and Scotty I/R, PPID
Pecatonica Illinois, 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

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