Re: Is it safe for Khan try prascend/pergolide (Dr. Kellon please weigh-in thank you)
Do I start that as a private thread for improved trimming and booting?
I have updated my case history and added some new photos as well, I did not add the new results since they have not been finalized. My thoughts: I'm completely deflated that prascend will not help her. -- Jessica and Khan N.D., 2021 https://ecir.groups.io/g/CaseHistory/files/Jessica%20and%20Khan CaseHistory@ECIR.groups.io | AlbumCaseHistory@ECIR.groups.io | Album
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Re: Is it safe for Khan try prascend/pergolide (Dr. Kellon please weigh-in thank you)
Non-fasting. But she is in more pain again - something is not right.
-- Jessica and Khan N.D., 2021 https://ecir.groups.io/g/CaseHistory/files/Jessica%20and%20Khan CaseHistory@ECIR.groups.io | AlbumCaseHistory@ECIR.groups.io | Album
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Re: Relevante Test Results Following Vet Visit - Question
Thanks Sherry. I'm going to have to figure out the work thing for him. Right now because of elder parent care etc., I'm only getting out to the barn every Saturday/Sunday. I've been trying to go mid-week but that's been hit or miss. I'm going to have to see if I can hire our caregiver and/or our barn owner's daughter [though she may not be thrilled about walking him in the cold]..he can't be free lunged in the indoor arena right now because it's also doubling as a shelter for the farm's overflow of hay and unless he's on a lead he insists on "gait by" snacking. We'll figure it out. Have too.
-- Lynn Beavercreek, Ohio March 2018 Relevante Case History Relevante Photo Album Ω
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Re: Unusual winter coat
Hi Katie,
His July insulin is typical for a well managed IR horse. Abnormal enough to confirm he's IR since he only had hay prior to testing, but well below the laminitic range. If he stays under 20 uIU/ml then he is doing great, and it's awesome you are being proactive and monitoring him now! Watch him as he matures and ages. He's still young to see problems with IR but after about 5 years old it can start to cause issues. -- Kirsten and Shaku (IR + PPID) - 2019 Kitimat, BC, Canada ECIR Group Moderator Shaku's Photo Album
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Re: Where to add info on hay analysis and how to find my case history to add in blood work results and a few more questions
Dancer's Mom
The hay analysis was done via wet chem. I’ll try to update Dancer’s case history with your suggestions. Thank you for that.
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Re: Relevante Test Results Following Vet Visit - Question
Sherry Morse
Hi Lynn, I wouldn't be terribly concerned with those numbers right now but I would want to get him back into work to help with the insulin numbers as well as the weight gain. I'd also want to recheck him next year prior to the rise (end of June/beginning of July) so if the ACTH is creeping up you can get ahead of it prior to the rise. This is of course assuming that everything else stays good between now and then.
Thanks, Sherry and Scutch (and Scarlet over the bridge) EC Primary Response PA 2014 https://ecir.groups.io/g/CaseHistory/files/Sherry%20and%20Scutch_Scarlet https://ecir.groups.io/g/CaseHistory/album?id=78891
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Re: Is it safe for Khan try prascend/pergolide (Dr. Kellon please weigh-in thank you)
Sherry Morse
Hi Jessica, Was the bloodwork done fasting or non-fasting? She's definitely showing early PPID response to the TRH stim test but I think that based on her earlier results and physical signs she is IR but it's under better control now.
Thanks, Sherry and Scutch (and Scarlet over the bridge) EC Primary Response PA 2014 https://ecir.groups.io/g/CaseHistory/files/Sherry%20and%20Scutch_Scarlet https://ecir.groups.io/g/CaseHistory/album?id=78891
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Re: Unusual winter coat
Katherine Bartlett
Thanks Maxine, I uploaded a photo. It's at https://ecir.groups.io/g/CaseHistory/album?id=270402
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Re: Giving Back -- Giving Tuesday, November 30, 2021
Hi Suzanne
The easiest way to donate is via Might Cause: https://support.mightycause.com/hc/en-us/articles/360015176772-How-to-Set-Up-and-Manage-Your-Recurring-Donation-on-Mightycause Purchasing the video recordings from the 2021 NO Laminitis! Conference will allow you to support the work of the group while significantly advancing your understanding of the issues for your equine(s): https://www.nolaminitis.org/conference-video-subscribe.php Other ways to support ECIR Group are here: https://www.ecirhorse.org/how-to-help-ECIR.php Thank-you for your support!! -- Nancy C in NH ECIR Moderator 2003 ECIR Group Inc. President/Treasurer 2020-2021 2021 NO Laminitis! Conference Video Recordings available to new subscribers 11.09.21 www.nolaminitis.org
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Re: Is it safe for Khan try prascend/pergolide (Dr. Kellon please weigh-in thank you)
I have a questions about varying levels of ACTH, can that also influence baseline insulin levels? If baseline ACTH is wnl, would that correspond with possible lower levels of Insulin? And when ACTH levels are higher, could that correspond with higher baseline insulin levels?
-- Mary and Halo (Heavenly Halo), Wellon (IR) and Tsjibbe (IR, PPID) and Lady Di (PPID, IR) West Fargo, ND, USA Joined April 2016
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Re: Giving Back -- Giving Tuesday, November 30, 2021
Hi Deb
Thanks for your support. Try this. https://support.mightycause.com/hc/en-us/articles/360015176772-How-to-Set-Up-and-Manage-Your-Recurring-Donation-on-Mightycause Thanks again. A million thanks. -- Nancy C in NH ECIR Moderator 2003 ECIR Group Inc. President/Treasurer 2020-2021 Recordings of the 2021 NO Laminitis! Conference released to attendees 09.03.21. Veterinary Professional CE certification hours submitted to AAVSB Race 09.08.21 2021 NO Laminitis! Conference Video Recordings available to new subscribers 11.09.21 www.nolaminitis.org
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Re: Giving Back -- Giving Tuesday, November 30, 2021
Hi Nancy,
Can you please give me some info on how I can donate to ECIR. I am awestruck by the goodwill and work ethic of the ECIR volunteers. So thankful! Suzanne Regnier-Tront -- Suzanne and Pilgrim Joined March 2019 Winnipeg, Manitoba Canada https://ecir.groups.io/g/CaseHistory/files/Suzanne%20and%20Pilgrim https://ecir.groups.io/g/CaseHistory/album?id=90935
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Re: Giving Back -- Giving Tuesday, November 30, 2021
Deb Walker
Hi Nancy - Can you please send me the link to change my credit card settings for my monthly donation? I've searched and can't find it. My credit card had a fraud alert and I need to change # to the new card. Thank you in advance... Deb Walker
On Tue, Nov 30, 2021 at 11:10 AM Nancy C <threecatfarm@...> wrote:
--
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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Relevante Test Results Following Vet Visit - Question
I got Relevante's test results back following the vet's visit. Dr. K had recommended waiting until the vet visit and subsequent test results [ and to see if his foot soreness resolved now that we are coming out of the seasonal rise]. My vet agreed his foot soreness appears to be gone at this point and he said I could ride/exercise him. He did however say that although the crest itself appears normal in profile, when he put his hands on either side of the crest he said he still felt some thickness. And somehow the boy managed to gain 15 lbs. [not sure how that's possible as he is practically an air plant now]. I assume it's due to his enforced downtime. The vet also said to continue soaking hay.
Here are his numbers through the rise concluding with those just taken... ACTH June 2021 - 19.4 pg/mL Nov 2021 - 24.4 pg/mL Insulin August 5, 2021 - 44.74 ulU/ml August 31, 2021 - 18.71 ulU/ml Nov 2021 - 28.25 ulU/ml Both ACTH and insulin have gone up. Since nothing has changed in his diet [as we are continuing to soak hay] is it plausible to think that because his ACTH is elevated [does this mean it is not controlled?] that it's driving the insulin up? And should I consider adding a 1/4 of Prascend tablet to his 2 mg compounded pergolide dose to see if that improves his numbers? And if so, when should I test again? Or do I just continue to monitor and get the exercise going again? His test results, record of vaccinations [he never has an adverse reaction to them] and his case history are loaded and up to date. -- Lynn Beavercreek, Ohio March 2018 Relevante Case History Relevante Photo Album Ω
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Re: Is it safe for Khan try prascend/pergolide (Dr. Kellon please weigh-in thank you)
Hi Jessica,
My first thought is that I guess that addresses the question you asked, many posts earlier. We’re interested in her ACTH because high ACTH can result in high insulin, which can cause laminitis. Elevated ACTH itself does not cause laminitis. My horse, Logo, had PPID which was difficult to control but never did he have elevated insulin, nor laminitis. If Khan’s insulin is not elevated because of your management, then good for you. It’s important to keep it that way, but giving pergolide will not do the job for you. My second thought is that your case history needs updating, not only with the new labs but with everything else that has happened in the last three months. I know I have asked about the omeprazole and bute she was getting and you’ve replied but that should be a signal that your case history needs an update. I honestly can’t remember your answer. My third thought would be that it’s time to start a new thread on improving Khan’s comfort through booting and improved trimming. If you can’t find a trimmer who is willing to follow Lavinia’s advice, you could do it yourself, as many others here have done. I feel a bit weird suggesting this as I’m not one of them but those who have seem to make good progress. And my fourth (and final for now) is wondering what your thoughts are. -- Martha in Vermont
ECIR Group Primary Response July 2012
Logo (dec. 7/20/19), Tobit(EC) and Pumpkin, Handy and Silver (EC/IR)
Martha and Logo
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Re: Is it safe for Khan try prascend/pergolide (Dr. Kellon please weigh-in thank you)
I uploaded Khans interm Cornell results, looks like Cushings to me, not high insulin. Thoughts?
beta1-vv (groups.io) -- Jessica and Khan N.D., 2021 https://ecir.groups.io/g/CaseHistory/files/Jessica%20and%20Khan CaseHistory@ECIR.groups.io | AlbumCaseHistory@ECIR.groups.io | Album
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Re: Hay analysis -needs to be soaked or not for a EMS horse please
Andrea, is this a ryegrass hay? The only time I’ve seen WSC that much higher than ESC was with ryegrass. Also, does the lab report say what method was used to test ESC? Some members have found that NIR testing may return lower ESC values than wet chem testing on the same hay—so if your ESC was done by NIR, it may actually be higher than 8.5%.
-- Maxine and Indy (PPID) and Dangles (PPID) Canberra, Australia 2010 https://ecir.groups.io/g/CaseHistory/files/Maxine%20and%20Indy%20and%20Dangles
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Re: Unusual winter coat
On Wed, Dec 1, 2021 at 02:46 AM, Katherine Bartlett wrote:
I can put a picture in the files but I can't figure out how.Hi Katie instructions for creating a photo album were sent to you when you joined, along with how to create a case history. There are also instructions in the Wiki here: https://ecir.groups.io/g/main/wiki/1474 Basically, you go to the ‘photos’ tab in the case history group and create a photo album then upload from your device in the same way you uploaded your case history. -- Maxine and Indy (PPID) and Dangles (PPID) Canberra, Australia 2010 https://ecir.groups.io/g/CaseHistory/files/Maxine%20and%20Indy%20and%20Dangles
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Re: Unusual winter coat
I actually saw the fluffy dapples today on Fergus after his morning workout, so I took a photo.
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Giving Back -- Giving Tuesday, November 30, 2021
Dear ECIR Group Members -- Everything you have learned from the ECIR Group Inc. is a direct result of the work of our hard-working volunteers. I’m blown away at the fact that the volunteers here on our free outreach group have handled an average of 1,122 messages PER MONTH this year! These messages come from and go to people in 33 countries seeking help for their horses, donkeys, ponies and mules. What might not be as evident is the work that goes on outside of this free outreach group. One of our largest projects this year was putting on the 2021 NO Laminitis! Conference. To those of you already donating monthly, we are most grateful. We’re also most grateful to those of you who make one-time donations, either end-of-year, in honor of a beloved equine, or because you feel moved to help. If you’re not currently donating to ECIR, I hope you’ll consider making a donation now. Whether it’s $5/month or $50/month, no amount is too small (or too large!). We’ve only retained 35% of the donors we had in the beginning of 2021, so we definitely have some catching up to do. Giving Tuesday is today, so there’s no time like the present to pledge your support to the ECIR Group Inc. Our ultimate goal is very personal to most of us here – the prevention of laminitis. Through hard work and education, we are making progress! If you’d like to make a tax-deductible donation, go here: https://bit.ly/2J5xhKo. To make your donation monthly, please click on the monthly option. On behalf of the ECIR Group Inc. Board of Directors, thank you so much for your consideration of this request. --Fran Metzger in Texas ECIR Group Inc. Board of Directors 7-2005 Tinker, Dancer, and Ford (over the bridge) Ford Case History https://ecir.groups.io/g/CaseHistory/files/Fran%20and%20Ford%20-Tinker/Ford Tinker Case History https://ecir.groups.io/g/CaseHistory/files/Fran%20and%20Ford%20-Tinker/Tinker Tinker Photos: CaseHistory@ECIR.groups.io | Album -- Nancy C in NH for Fran M ECIR Moderator 2003 ECIR Group Inc. President/Treasurer 2020-2021 2021 NO Laminitis! Conference Video Recordings available to new subscribers 11.09.21 www.nolaminitis.org
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