Date   

Re: Olaf Case History

 

That is odd, Celeste.  I’ve opened your folder several times with my iPad, beginning last night.  This morning I used the link in your signature without issue.  The device you are using to open a browser window shouldn’t really matter.  I would suggest closing all the apps on your devices, turning the device off and rebooting. I find that solves many problems I run into - and not just with computers!  Sometimes I see the suggestions of removing your browsing history or deleting cookies.  I usually don’t need to do that.
--
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


 
 


Re: Compounding Pharmacies - Avrio

Joy V
 

I just got a refill on Willie's CP pergolide and it increased by $50.  That was almost 60% more than the previous refill - although his dose was increased slightly.  I did speak to someone in order to pay, but wasn't quoted a price and no one told me there would be a price increase either.  This won't be a do-able unfortunately.  I'll have to have my vet call in the RX to another pharmacy.  Does anyone have any recommendations for other pharmacies?  TIA.


--
Joy and Willie (EC/IR)
Nevada County, CA - 2019

Case history:  https://ecir.groups.io/g/CaseHistory/files/Joy%20and%20Willie
Willie's photo album:  https://ecir.groups.io/g/CaseHistory/album?id=242526


Re: Olaf Case History

Bobbie Day
 

Cecile
I use a Apple iPhone and I don’t have a problem opening your folders. We would love to see some body shots of Olaf.
Your in good hands now !


--
Bobbie and Maggie
Desi (over the rainbow bridge 7/21)
Utah, Nov 2018
NRC Plus 2020, NAT, C&IR March 2021
ECIR Group Primary Response

https://ecir.groups.io/g/CaseHistory/files/Bobbie%20and%20Maggie
https://ecir.groups.io/g/CaseHistory/album?id=271156

https://ecir.groups.io/g/CaseHistory/files/Bobbie%20and%20Desi
https://ecir.groups.io/g/CaseHistory/album?id=78821


Re: Max, PPID, possible IR, ongoing diarrhea

Kirsten Rasmussen
 


Hi Lynda,

I don't think you can calculate pasture vs hay as there are so many variables.  Some horses can eat a lot of grass quickly, even muzzled. 

Have you tried soaking the hay?  That will soak out some sugars, which reduces the calories slightly, but adds a lot of water weight to the hay, which you'll notice when you lift the hay net, and that might give him the feeling of being full.

--
Kirsten and Shaku (IR + PPID) - 2019
Kitimat, BC, Canada
ECIR Group Moderator
 
Shaku's Case History
Shaku's Photo Album


Re: Lavinia please would you look at Lillie's latest Xray & front feet problem please

Carrie
 

Thank you for that information. I'll share that with vet.
He said he was concerned about the amount of bone loss happening.
I queried about the triangular shape, he said it may be an abcess but thought unlikely. How do you know if it is in a position like that Dr. Kellon. Due to thin soles you wouldn't want to use a wet poltice to try drawing it would you ? When the trim is right I could use Joagulin potentially.
The RF shows a vertical line down the front of the hoof inside- that looked scary too, as you dont mention it maybe its not as bad as it looks.
Thank you for the prompt reply & the support to you all. 
--
Carrie 
March 2021
UK


Re: Olaf Case History

Kirsten Rasmussen
 

Hi Cecile,

I can see your links on my android tablet.

Instructions for taking photos are here: https://ecir.groups.io/g/main/wiki#Photos-and-Hoof-Evaluation-Help
Make sure you place the camera or phone on the ground for the lateral and dorsal photos, and include the cannon bone in the pictures.

Also, it would be helpful if you could rename the xrays you have posted so that the date is listed first.  For example, this image should be labeled: 2021-02-23_LF Lateral Xray

Thanks!

--
Kirsten and Shaku (IR + PPID) - 2019
Kitimat, BC, Canada
ECIR Group Moderator
 
Shaku's Case History
Shaku's Photo Album


Re: Lavinia please would you look at Lillie's latest Xray & front feet problem please

Carrie
 

Hi Sherry,
No I've not this time as I'm unsure if the boots might cause an issue of compression  on the front of the hoof length- so decided to leave that.
Fitted a few different pads but had found they wouldn't stick well , coming off immediately. Also, with the pad, her toe slides off it because she's pushing the weight onto her toe so it moves as I'm trying to fix it. So in the end thought at least she was on rubber matting & deep bedding. 
at the moment she's staying inside & mostly on the bedding.
--
Carrie 
March 2021
UK


Re: Max, PPID, possible IR, ongoing diarrhea

Lynda, Max & Ginger
 

So much helpful informatio!

Thanks for the fecal test info. I 
just ordered the recommended dewormers for both my horses.  And sounds like I should f/ u with daily feed through dewormer few 2-3 months.  

Questions still regarding Max's diet  ...  
Max's body score is a 7 per my vet, and 1050 lbs is the most he should weigh.  Over the last year, on just 15 lbs hay (2 lbs less than 1.5% recommended)  he's gained at +/- 50 lbs.  The % protocols indicate he should have more, and based on his ravenous behavior so does his his stomach, and  I'm trying to come up with a solution that addresses both his weight gain on less than the recommended %, with the need for him to lose that extra weight, while also addressing his food stressed behavior (which I suspect might be a root cause of his GI issues).  I use slow feeders and feed 3 meals a day, and he has a large dry paddock to roam, but if he's not IR, could I return him to limited AM pasture time for his mental health and exercise?   If so, is there any rule of thumb calculation for X amount of pasture time =  X dry matter so I can adjust down his remaining feed to compensate.

Again thanks for the help.


--
Lynda Matlock
Northern CA
Jan 2022


Re: Lavinia please would you look at Lillie's latest Xray & front feet problem please

Eleanor Kellon, VMD
 

The toe is back far enough. It's the bevel/breakover that needs to move back. Yes on lowering heels. There is extensive bone loss in both feet  but worse on left. There is a triangular opacity against the bone, just above the toe, which may be an abscess.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Olaf Case History

Sherry Morse
 

Hi Cecile,

I will let one of our Apple users address the question about getting to your album on your phone or iPad as I don't use those devices.  How tall is Olaf? What does he actually weigh now?  How much is he actually eating (and what is he eating?) now?  Have you stopped the TC Balancer and Heiro? (I can guess who the vet in PA was who recommended that feeding plan and I'll just say that the main reason people find Heiro works is that they made other changes at the same time and then think that they can't change anything without something going wrong. Trust me - you can).

Has he had x-rays taken since the set you posted?  At the time those were taken he was basically standing on tin cans and his hind toes in particular were too long.  He also has bony changes and rotation in all 4 feet so it's no wonder his feet are an issue.

You should not stop Thyro-L without weaning off as it takes over for a horse's thyroid function.  Information on weaning off can be found here: https://ecir.groups.io/g/main/message/265797.  I take it that you haven't actually had Olaf tested for either insulin or ACTH yet?  If that's the case you need to get baselines on both of those sooner rather than later.  If his ACTH is elevated he'll need more Prascend (the same goes for your other pony).  

Laminitis has multiple causes - we deal with endocrinopathic laminitis (caused by elevated insulin) here.  To stop it from happening you need to remove the cause and we do that through proper diagnosis, then adjustments to the diet and trim and medication if necessary.  At this point you don't actually have an accurate diagnosis for Olaf so that needs to be your first step.  Then you need to treat him - which means getting his diet well controlled and getting his trim in order.

Do you have him in boots now? 

As far as stopping the Equioxx and swapping to a better pain management plan please see:

Please note that until his trim is well on it's way to being optimal we don't recommend jiaogulan as it will increase the rate of hoof growth and that will not be beneficial if the trim isn't optimized.







Re: Olaf Case History

Cecile Johnson
 

Thank you.  I was able to add Olaf's x-rays to the photo album but I can't seem to access the links via my iPhone or iPad, only on my Mac.  Has this happened to anyone else?  

I literally have no information on Olaf's age or history prior to us getting him.  His age is a guess based on his teeth.  The x-rays I added were taken last year.  You can see he is literally standing on his toes.  I will upload photos after his next trim as long as I can access the link with my iPhone or iPad.   

My journey with Olaf has been bittersweet.  Prior to getting him, I had little knowledge of horses and trusting solely on our vet and his recommendations.  Now having Olaf and Bandit (another pony with Cushings) I have learned so much but am frustrated.  The plan I have had Olaf on was from the recommendation of a vet in PA (through my local vet),  So he has been on Nutrena Top Line (until recently), been on Thyro-L (no testing, but recommended to get his thyroid in the upper range of normal), giving him HEIRO.  Last spring Olaf didn't shed his winter coat so my local vet suggested to give him 1/2 mg of Prascend (Bandit, is taking the other half for diagnosed Cushings).  He mentioned blood work had to be done during a certain time of the year to get somewhat accurate results.  

Fast forward to the end of December.  Olaf's thyroid was tested since he had hair loss and his thyroid was normal so our vet told us to take him off Thyro-L.  All of Olaf's problems seem to stem from his feet.  My goal has always been for Olaf's condition to stabilize and for him to be comfortable.  His laminitis has worsened over the time we've had him.  He still stands most of the time but he walks like he's club footed.  

I have had so many recommendations and suggestions over the years I don't know what to do at this point.  I am planning on getting our hay tested and would like to start him on the Timothy balanced cubes.  I would also like to stop the Equioxx.  He doesn't take much, usually a week or so after a trim.  I have seen the information on Phyto pellets and Jiagulan (sp).  

I appreciate all the information.  I have been reading as much as I can.  


--
Cecile J in OK 2022
Olaf Case History:  https://ecir.groups.io/g/CaseHistory/files/Cecile%20and%20Olaf
Olaf Photo Album:  https://ecir.groups.io/g/CaseHistory/album?id=272407


Re: Lavinia please would you look at Lillie's latest Xray & front feet problem please

Sherry Morse
 

Hi Carrie,

Are you keeping her in boots at this point in time?  Are you keeping her legs wrapped in case this is winter laminitis flaring up vs. an abscess issue.  




Re: Weight Tape

Sherry Morse
 

Not sure what you mean Linda - if you want pounds you just convert KG to LBS after you have the result.




Lavinia please would you look at Lillie's latest Xray & front feet problem please

Carrie
 

Lavinia, Lillie had been doing ok until November where she started to put her LF forward. December it got worse- monitored her on dry lot over December to pinpoint a cause. 

The day before farrier visit, went out in boots  to see if walking in small field area would be good for her. The last two weeks before farrier visit she started to stand better with her foot not so far forward or lifting her heel. Once in the field I went to check the other side , she decided she should follow & broke under a rail & proceeded to run around gleeful - so straight back into dry lot. She steadily got worse that week , by the weekend it was very painful to get up, using her nose to aid getting up or down. LF more of an issue but RF is taking a lot of the work & her rear end.  We're 2 weeks after the farrier visit now & although some improvement ,  measured by her wanting to go outside & stand with her foot resting on toe, she has potentially been knocked back from Xray appointment, as she's uncomfortable with a pad. She;s started lying down a lot in between feeds over the last 2 days.  She's on rubber matting & a deep bed of shavings alongside a rubber matted area for her to walk on in the stable if she wants to.
I booked to have her teeth checked & treated if necessary at the same Xray appointment. So after the Xray she had her teeth done as she was already sedated for the Xray anyway. This probably added insult to injury in retrospect. At the time I thought better to get it done, as they had never been looked at & its on my vets Health Plan agreement.

I have vet & farrier to confirm an appointment  for next week together- the vet mentioned toe back & heels down & contortion. 

I have posted an updated Case study, photos of hooves (poor quality for the standards required apologies) photo of body condition & stance, hay analysis , October blood results & latest Xrays

Hope you can help, thank you Carrie 



--
Carrie 
March 2021
UK


Re: Weight Tape

Starshine Ranch
 

But what if you're doing inches and pounds?  Is Erika's correct?
--
Linda in CA  2020  Midnight and Ostara
https://ecir.groups.io/g/CaseHistory/files/Linda%20Midnight%20OStara


Re: Ruby

Bobbie Day
 

For what it’s worth I would take those shoes off too, when my little mare came down with laminitis the farrier insisted on shoes too, they did help for a bit but it was way too hard on her. She had arthritis and we would have to sedate her over and over, looking back that was another mistake I made. We parted ways when my husband pulled them and we went to boots.
I’ve said this a hundred times but remember you are your horses advocate and most of us had to learn how to pick up a rasp.
But it’s doable!
Hang in there I know it’s been cold.


--
Bobbie and Maggie
Desi (over the rainbow bridge 7/21)
Utah, Nov 2018
NRC Plus 2020, NAT, C&IR March 2021
ECIR Group Primary Response

https://ecir.groups.io/g/CaseHistory/files/Bobbie%20and%20Maggie
https://ecir.groups.io/g/CaseHistory/album?id=271156

https://ecir.groups.io/g/CaseHistory/files/Bobbie%20and%20Desi
https://ecir.groups.io/g/CaseHistory/album?id=78821


Re: Joker Case History

Sherry Morse
 

Hi Anna,

I see you joined the Case History group and created a folder in the files but you need to upload the PDF of your case history for Joker to that folder and then add the link to your case history to your signature. The link to the Google drive document does not work unless you provide access to everyone.  

To add the file to your folder:

2 - click on the blue box that says "+New/Upload" and select the "Upload File" option.
3 - navigate to where the PDF file is saved on your device and select the PDF and follow the directions to upload it

Then you need to update your signature:

1) Go to this link to amend your auto-signature: https://ecir.groups.io/g/main/editsub
2) Look at the bottom of that page for the window where you have your signature. 
3) Copy the link to your case history into the line below your location.  You may need to add a space after it or click enter to make the link live (turn it blue)

4) IMPORTANT: Scroll to the bottom and hit SAVE!




Joker Case History

Anna.warzecha4@...
 

I think this is the link to my google drive case history on Joker. I have been having trouble figuring out how to get it uploaded. Can someone let me know if you can access this link. I would love to get feedback.
https://docs.google.com/document/d/15c1yq3WGkQKne0qON7uckoDoDD1w_fWB/edit?usp=drivesdk&ouid=113667777976828295525&rtpof=true&sd=true

Anna Warzecha, MI, 2022


Re: Weight Tape

Lavinia Fiscaletti
 

The formula is:

weight (kg) = heart girth x heart girth x length (all in centimeters) divided by 11,877

It's in the Wiki:

https://ecir.groups.io/g/main/wiki

Scroll down to Case History Help, then to Case History Tools.

--
Lavinia, George Too, Calvin (PPID) and Dinky (PPID/IR)
Nappi, George and Dante Over the Bridge
Jan 05, RI
Moderator ECIR


Re: Compounding Pharmacies - Avrio

Terri Quinn
 

I have three Rx prescriptions for compounded pergolide that I fill monthly with Avrio, the buyer of Pet Health.  I used PH for years and was pretty satisfied.  The other day I was refilling and rushed, not bothering to wait for them to provide detailed info on the price increase — thinking how much could the increase possible be?  The answer is 40%.  A forty percent increase!  Needless to say, I’m looking into transferring my prescriptions now. Hopefully this won’t be a widespread pattern across the various pharmacies and is a one-off opportunistic move.

Terri Quinn
CT  2009

8361 - 8380 of 278187