Date   

Re: relieving arthritis pain

Trisha DePietro
 

Thank you! 
--
Trisha DePietro
Aug 2018
NH
Dolly and Hope's Case Histories
Dolly's Photos 
Hope's Photos 
Primary Responder


Re: Laminitis Spike

Robin
 

Is beet pulp required to be fed as part of the emergency diet? Or can I put salt, Vit E, Flax and Magnesium on top of the soaked hay? So, is there a specific benefit to beet pulp or is it just a carrier for the supplements?
--
Robin Aiken, SC 2022
https://ecir.groups.io/g/CaseHistory/files/Robin%20and%20Hogan 
https://ecir.groups.io/g/CaseHistory/album?id=275012


Re: New member Napoleon, his history and help for future success

Lavinia Fiscaletti
 

Hi Meghan,

Napoleon's case history says he's a 13.3h Mustang gelding. Is that correct? One set of his blood work says Mustang, the other Irish Hunter/Draft. Could you please clarify that for us.

You can definitely keep the 4yo Mustang on the same diet as it can only help him remain healthy.

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


Re: Laminitis Spike

Robin
 

He doesn't lick his salt block. That is why I feed electrolytes.
If I switch to iodized salt, how much do I feed?
--
Robin Aiken, SC 2022
https://ecir.groups.io/g/CaseHistory/files/Robin%20and%20Hogan 
https://ecir.groups.io/g/CaseHistory/album?id=275012


Re: Laminitis Spike

Robin
 

On Thu, May 12, 2022 at 02:10 PM, Lavinia Fiscaletti wrote:
The pads in his Soft Ride boots should have the frog support cut off and the pads themselves should be cut flat, rather than being a wedge.

If you implement the suggested trim, diet and med changes, Hogan should start to feel better within days.
Wow and Wow! Thank you so much! Very surprised to hear the pads in the soft rides should be flat and not have frog support!
 
--
Robin Aiken, SC 2022
https://ecir.groups.io/g/CaseHistory/files/Robin%20and%20Hogan 
https://ecir.groups.io/g/CaseHistory/album?id=275012


Re: Desperately Seeking Timothy Balance Cubes in Vermont and Vicinity

Donna Coughlin
 

I'm in Connecticut, and my local Agway store (feed, supplies, gardening stuff) has 120 bags of the TC Naturals Timothy Balance Cubes in stock. The store is in Danbury, CT (https://agwayct.com).They have two other CT stores in New Milford and Torrington; depending on where you are coming from, one of those might be closer. The Danbury store is right off Rte. #84.

Good luck! Duke used to love them....


--
Donna Coughlin, Robin Goodfellow and Ariel Max; Duke (5/21) and Obi (5/17) over the Rainbow Bridge

CT 2009

 

 


Re: Laminitis Spike

Robin
 

Thank you for the xray mock ups for the trim. Should we do this in one go or slowly over time?
--
Robin Aiken, SC 2022
https://ecir.groups.io/g/CaseHistory/files/Robin%20and%20Hogan 
https://ecir.groups.io/g/CaseHistory/album?id=275012


Re: Laminitis Spike

Robin
 


Peanut's Insulin up again #file-notice

Alice
 

Hi,
I recently had my mule Peanut retested for insulin level just to monitor. It had gone up over 10 points since last summer....from 46 to 58.  I am still on the same feeding regime as back then. Although the hay has changed. My current hay is slightly higher in sugar & starch but still under 10% total. I have updated my case file with her recent blood test results, updated hay analysis, and most recent feeding regime. She continues to be asymptomatic for any lameness problems. She still has a slight fat deposit on her neck...but it is soft. No deposits elsewhere.  But needless to say I am concerned. My vet has suggested more bloodwork for ACTH for possible early Cushings. She also suggested putting her on either Metformin or Insulinwise. Personally I think that she needs more exercise. Since I dryoltted her about 6 weeks ago...she's not getting the same level of exercise as she was last summer at the time of her previous bloodwork. Could this be the cause of her higher insulin level??  If not, what would you recommend for further action?? 

Thanks in advance!

--
Alice A
March 2021, Custer, SD 
Case history: 
https://ecir.groups.io/g/CaseHistory/files/Alice%20and%20Peanut   .
Peanut's photo album: 
https://ecir.groups.io/g/CaseHistory/album?id=262374  .


Re: Laminitis Spike

Robin
 

My vet thinks his pain is coming from the coffin bone. There is remodeling on the tip where it is flared up like a ski jump. Bearing this in mind, should I still take him off the NSAIDs?
--
Robin Aiken, SC 2022
https://ecir.groups.io/g/CaseHistory/files/Robin%20and%20Hogan 
https://ecir.groups.io/g/CaseHistory/album?id=275012


Re: Laminitis Spike

Robin
 

On Thu, May 12, 2022 at 12:25 PM, Sherry Morse wrote:
As far as the CH - do you know Hogan's current weight?  How much is he being fed now?  Is it being weighed so you know exactly how much he's eating? 
He is about 250 lbs. He gets 1/4 lb Triple Crown Lite twice daily, soaked hay (4x daily) - I fill a mini slow feed hay bag (don't weigh it). He's a hard keeper, always been lean, so I feed as much hay as he'll eat which isn't a lot.

 
--
Robin Aiken, SC 2022
https://ecir.groups.io/g/CaseHistory/files/Robin%20and%20Hogan


Invokana labs- 1 month

 

Flame has been on Invokana for 1 month. Labs prior to starting were done 4/5 (Idexx): BUN 19, creatinine 0.8, triglycerides 83. I sent labs to Cornell 5/9: urea nitrogen 24, creatinine 0.7 & triglycerides 555. Insulin @ Cornell 3/14 was > 200 & on 5/9 was 104.17 (Cornell also). 

I’m glad his insulin is half of what it was but I’m disappointed it’s not closer to normal range. I drew labs @ 8am & usually give Invokana around 8:15-8:30 am. Any advise or are we doing ok? Thanks!

--
Beth & Flame dx 2013 & Diana dx 2020

NV Oct 2013

Flame Case History

Flame Pictures

Diana Case History: https://ecir.groups.io/g/CaseHistory/files/Beth%20and%20Diana  




Re: Laminitis Spike

Lavinia Fiscaletti
 

Hi Robin,

Thanks for adding Hogan's radiographs. I've added mark-ups to help guide the trim for tomorrow:

https://ecir.groups.io/g/CaseHistory/album?id=275012

This can all be done at tomorrow's trim, then all you need to do is maintain it going forward.

Both feet have toes that are way too far forward, which has been a problem for some time as both also show demineralization and remodeling of the coffin bones (ski tips). Toes need to be backed up, esp. at ground level so that the breakover gets aligned with where the bony column needs it to be. The LF appears to have a slightly better breakover location already in place, with a bevel that may be lifting some of that excess toe out of ground contact. Still need to remove all that excess toe beyond that point, however. There are some shadows within both toes that may be abscess collections, or just gas pockets, that the trim will cut thru if it is aggressive enough in removing the unnecessary toe length. Although that may spew some seepage that could be startling, it's not a reason to stop trimming back to the appropriate place. Due to the length of time he has been on NSAIDs, there may also be hidden abscess collections waiting to exit and correcting the trim would mobilize them. That could affect his soundness until they have a chance to drain but do NOT be tempted to restart the NSAIDs at that time, as that will only prolong the problem. Soaking and poulticing with Numotizine would be a better choice if this issue arises.

There is significant sinking, which may or may not resolve to some degree over time if the laminitis is stopped, the trim is corrected and his diet is revamped and kept tight. Both fronts are laterally high to some degree, with a bit of wall flaring. Sole depth is now adequate - so NOTHING should be removed from the soles behind where the breakover gets set. There is a slight amount of bony column rotation, which means the heels need to be lowered while leaving the remainder of the bottom of the foot untouched.

LF DP: This is looking at the foot from front to back. Blue areas on both walls are where the flares need to be removed, more on the medial wall. Lateral wall also needs to be lowered a bit as it's too tall.Red arrows show where the joint spaces on the lateral side of the pastern bones are compressed due to the lateral wall being taller. Yellow line runs thru the centers of the foramen while the pink line shows how they should align- again, laterally slightly higher.

LF lateral: Pink line shows how the bony column should align, while the purple line show how it does. The slight bulging forward of the purple line indicates there is some bony rotation of the coffin bone. Pink line hits the ground where the breakover should be - there should be NO hoof capsule touching the ground beyond this point. Green line shows where the dorsal wall should be - this isn't a trim line, just a visual marker. Blue line is where the toe needs to brought back to, with the blue X being all the excess toe length that needs to be removed. Blue line from mid-foot back to the heels indicates where to lower ONLY the back half of the foot to correct the bony rotation. Red line from mid-foot forward indicates NOT to trim the bottom of the foot here at all. Yellow line #1 runs thru the coronary band, #2 points to the extensor process. The distance between them indicates the amount of sinking.

RF DP: Same general discussion as the for the LF.

RF lateral: Follow the guidelines for the LF.

It is likely his hind feet have many of the same issues. Pay particular attention to the medio-lateral balance as many minis have medially tall/flaring walls and toes that are miles too long on their hind feet.

The pads in his Soft Ride boots should have the frog support cut off and the pads themselves should be cut flat, rather than being a wedge.

If you implement the suggested trim, diet and med changes, Hogan should start to feel better within days.

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


Re: Ontario Dehy distributer in Midwest

ferne fedeli
 

Oops!  Hit Reply by mistake...  Anyway, I just wanted to say that I checked my last receipt (2 mos. old) and I paid over $40 a bag for ODTB cubes!!!  SO, $35 is a GOOD price!!!  Ha.  
--

Ferne Fedeli  Magic & Jack   2007

Point Arena, Mendocino County, California
Case History

 

 


Re: Ontario Dehy distributer in Midwest

ferne fedeli
 


--

Ferne Fedeli  Magic & Jack   2007

Point Arena, Mendocino County, California
Case History

 

 


locked Re: My vet let me go as a client

maed@...
 

Annette,

So sorry about that - it’s so frustrating when you just want and need help. 

And this Vet just seemed to want to work on the hooves.  It was like she just didn’t seem too interested in what else was going on with the rest of the body.  

--
Mary E in Wi 2021
https://ecir.groups.io/g/CaseHistory/files/Mary%20and%20Eli/


Re: Sleep deprivation, depression, decreased appetite...PPID related?

Stepht
 

Thanks Dr. Kellon.  I will see if we can move her into a new stall and (the other thought I had) add another bag of shavings.  Maybe she needs some extra cushion as a lot of us do when we reach her age. :) !
--
Stephanie Thomson August 2, 2016

 

Liberty, Missouri

Katie Case History

Katie Photo Album  https://ecir.groups.io/g/CaseHistory/album?id=6072

Katie Lab Values Folder  https://ecir.groups.io/g/CaseHistory/files/Stephanie%20and%20Katie 


Re: TRH stim test study

 

Kirsten suggested searching for the original post.  For some reason, I had a hard time finding it but eventually I must have put the proper collection of words into my search 
Here’s the link in case anyone has the same trouble and wants the link.


--
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


 
 


locked Re: My vet let me go as a client

Annette
 

Mary, 

You are not alone. This week, I changed vets after I received a text saying, "Maybe another veterinarian is a better fit for you," because I declined suggestions that I did not consider were appropriate, based on the science. And at a time of crisis when I needed someone working with me.  

I decided she was right, she was not a good fit! This time, I asked up front if the new vet would be alright with me going to science-based information on the web and asking questions before going ahead with treatment, and she responded that would be fine - she was always learning. I am hopeful we will get on well.

My philosophy is that whether it is with doctors, teachers or veterinarians, we have to be our own advocates, for ourselves, our kids and our pets. With the always increasing body of scientific knowledge, no professional can be expected to know it all about every specialized subject, and no one knows our own situation and the problems we are dealing with better than we do - and they are not the ones most impacted when things go wrong. This is was a tough concept for me to get my head around, since I grew up in an era where professionals were always considered right and not to be questioned - I learned the hard way, that was not the case. 

I'm sorry you had to go through this, but if you find a more cooperative vet, it may be the best thing that could have happened. You did the right thing - you were looking out for your horse.
--
Annette and Alley
October 2018, Moscow, Idaho
Case History:  https://ecir.groups.io/g/CaseHistory/files/Annette%20and%20Alley 
Album: https://ecir.groups.io/g/CaseHistory/album?id=78421  .


Re: Laminitis Spike

 

Hi Robin,
Your link did not take me to you case history.  Try this instead.  

 
You’ve set up a folder which opens to a case history but the link didn’t go there.  Also, I changed the link presently in your signature to make it active.  Be sure to press return and then save, if that’s an option, when your done.  It should become blue.

Also, reviewing your case history, as you probably know your insulin is quite high and may need medication to bring it down.  For discussion later as you can’t expect control from the meds without a tight diet..   Next time you do an insulin, ask your vet to let them know that the value may well be over 200 so please test appropriately to obtain a more accurate number.   The ACTH is too high so his Prascend needs to be increased.  We like to see ACTH in the upper teens to low 20’s.  The comparison values are a reference range and not meant to indicate what normal is.
--
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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