Date   

Re: Mouse's partial bloodwork

Kirsten Rasmussen
 

Hi Kimberly, 

You're almost there!

To upload your Case History, go to the folder you made here:
https://ecir.groups.io/g/CaseHistory/files/Kimberly%20and%20Mouse
Click on the blue "+New/Upload" button.  Choose "Upload File".  Then navigate to where the file is saved on your computer and select it.  I like to save things where I know I can easily find them, like on the desktop.  If you can change your Word file to a PDF that would be helpful, too, but since you're in a crisis just upload what you have for now.

I found your photo album, too.  It is here:
https://ecir.groups.io/g/CaseHistory/album?id=275222


Can you add the links to your Case History Folder and your Photo Album to your auto-signature?  Here are instructions on how to do that:

1) Go to this link to amend your auto-signature: https://ecir.groups.io/g/main/editsub

2) Scroll down to the window with your name etc in it, and paste the URL links to your Case History Folder and Photo Album below your name.  NOTE: When you are adding a link to your Case History or photos, make sure you make it "live". Adding a space after your link, or hitting enter on your keyboard will turn it blue.

3) Make sure you still have checks in the 2 boxes saying "Use Signature for Web Posting" and "Use Signature for Email Posting”.

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


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


Re: majestic trh

LJ Friedman
 

thanks for reply... I see cornell ref range for post trh is 2-100 and Majestic is at 141.00   . I did see a study( will locate and send here)  that showed post trh 100-300 as equivocal..  thinking 141 is low end .. I will try for a cp bump to increase up 1.0 mg to 2.15 and use .25 mg titration.. not sure if vet will allow.. but can always try..  thank you..  
--
LJ Friedman  Nov 2014 Vista,   Northern  San Diego, CA

Jesse( over the rainbow) and majestic ‘s Case History 
Jesse's Photos

 


Re: Attn Lavinia - Hoof markups request please

Joy V
 

Hi Dr. Kellon,

Yes, I've checked there.  No one comes to my area.  But I am thinking I'll email all of them again and ask them to let me know if they hear of anyone.  I will try the Gold Country Trails Council today - they will email every member for me and hopefully I'll get some good leads.

Thank you for the suggestion!

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

Case history:  Willie's Case History
Willie's photo album:  Willie's Photos


Mouse's partial bloodwork

Kimberly
 

I am still unable to figure out how to upload my Case History without losing it.  If someone could help me that would be very much appreciated.  I sent an update case history file to Kirsten.  Mouse's insulin is thru the roof.  We are still waiting on Leptin and T4.  His Glucose is 109, Lipemia is 7, Hemolysis 4, and Icterus 1, Cobas 2.  His ACTH baseline is 4.24, Insulin Baseline is 169.57.  We are waiting on Leptin and T4.  He is in a stall, with hoof support, soaked hay (although it tested safe), flax, magnesium,vitamin E, Stabul 1, soaked/rinse/soaked non-molasses beet pulp, weighs 950 is 14.2, ribby but has fat pockets at shoulders and tail head. was trimmed last week, putting heartbars on today, lame only on RF with bounding pulse, LF has intermittent medial pulse.  I uploaded x-rays from 2017 and last week yesterday to the photo file under Mouse's name.  Not sure I was supposed to do that but wanted them somewhere in the data base.  I am sorry I am not doing any of this very well but having trouble navigating the system on my old desk top.  I truly appreciate the support I am getting from all of you.  Kimberly and Mouse 
--
Kimberly joined 7.17.2018 Virginia


Re: Summer, Estrus Colic's and Ovarianectomy on PPID/IR horse

Nancy & Vinnie & Summer
 


Re: Summer, Estrus Colic's and Ovarianectomy on PPID/IR horse

Eleanor Kellon, VMD
 

No ideas really - I'd just move ahead with the surgery.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Summer, Estrus Colic's and Ovarianectomy on PPID/IR horse

Nancy & Vinnie & Summer
 

Thanks Dr K. She has horrible behavioral issues without some hormone help in addition to the colic. She pushed down the stall door pressing and does damage to her tail (bleeding sores) and will run in and out of her stallmwhen her neighbor leaves risking getting hurt.  All these things stopped when we added regumate, we are just left with the horrible colics.

Prior I used chastetree berry and raspberry leaf with small success but we stopped that due to interference with pergolide.  

Any other ideas in the meantime?
--
Nancy and Vinnie and Summer
Oakley, Ca
Joined Nov 2018
https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie 
https://ecir.groups.io/g/CaseHistory/album?id=245855

Summer
https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie/Summer 
https://ecir.groups.io/g/CaseHistory/album?id=249104


Re: majestic trh

Eleanor Kellon, VMD
 

Nancy,

Even normal horses have some response. I would stick with the lab's reference range for now although I suspect it is too high so if there are clear signs the horse is not controlled, increase the pergolide.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Gas colics

Eleanor Kellon, VMD
 

There is nothing in LaminOX to cause colic. How quickly did you make the change over in feeds? There are a few horses that don't do well on beet pulp but there is beet pulp in the LMF and if she was tolerating that well her microflora should have been good for handling beet pulp. Ovaries definitely a possibility. Keep track of dates of colic and being in season.

More radiographs is never a bad thing!
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: majestic trh

Nancy C
 

Dr Kellon, follow up question please.

So ideally we'd still like to see ACTH from TRH response still in the teens to know that the pergolide or carbergoline is sufficient? Or at least within lab reference range?

Thanks
--
Nancy C in NH
ECIR Moderator 2003
ECIR Group Inc. President/Treasurer  2021-2022



Re: Summer, Estrus Colic's and Ovarianectomy on PPID/IR horse

Eleanor Kellon, VMD
 

No special considerations. I would stop Regumate though. It isn't helping anything.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: L-Phenylalanine and L-Tyrosine

Eleanor Kellon, VMD
 

Just to add to Nancy's answer, a recent study showed that dopaminergic neurons from horses with PPID are exhausted of dopamine, which is reversed when horses are on pergolide. In other words, they are already dancing as fast as they can so these nonessential amino acid substrates won't help.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Attn Lavinia - Hoof markups request please

Eleanor Kellon, VMD
 

Have you looked here https://progressivehoofcare.org/directory/ ?
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Gas colics

Dancer's Mom
 

Sorry it’s been a while since I posted and updated things on Dancer.  Things are crazy…. But Dancer seems to slowly be getting better.  Thanks for your help and guidance. Dancer has had gas colic April 20 and just this past Sunday. The only thing I’ve changed, is that Dancer is on Lamin Ox and instead of LMF Low Carb Complete, I’ve replaced that with soaked pest pulp. Any thoughts on gas colic?  Maybe not, but I’m trying to figure out why, if I can. Vet things maybe heat cycle.  But it’s never happened with Dancer. 
also the last time Dancer’s hooves we’re x-rayed was 6 months ago.  Would it be helpful to get more x-rays, soon?  Would it show progress of laminae healing and to see if things are going the right direction?  I’ll also post newer blood work results, as soon as I can. Thanks again for all your help.  
--
Patti
Northern California 2021
https://ecir.groups.io/g/CaseHistory/files/Patti%20and%20Dancer


Re: majestic trh

Eleanor Kellon, VMD
 

LJ,

A study was recently released looking at the same thing we are - TRH  stim changes after pergolide. However, most of the horses in that study were on it for 100 days or less and there is no information on clinical signs or pergolide dose.They found most horses showed a smaller response to TRH but few had normal tests.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Jiaogulan and Devil's Claw for Sunny

Susan Carroll
 

Yes, I'm checking after syringing the metformin.  I follow it with the DC syringing.  I'm thinking that might work as a rinse.  Pink gums are certainly easier on a white leopard, except last night his nose was red from all the rubbing trying to graze thru his muzzle.  Should the pink be after administration, or stay that way?  He was pink on the muzzle and eyelids last night, but not at all this morning.  I'm up to 3/4 scoop 2x's day.  I'm guessing I'm needing the higher doses due to the DC?  Also, any recommendations on approved treats for the supplements?  He has quit eating the Stabul1.  He was eating his supplements until recently, now he won't touch anything they are on.  He isn't be deceived by light sprinkling.
--
Susan C from GA 2022
Sunny Case History: https://ecir.groups.io/g/CaseHistory/files/Susan%20and%20Sunny
Sunny Photos: https://ecir.groups.io/g/CaseHistory/album?id=274055


Re: Relevante latest mark-ups

Lynn
 

Thanks so much Lavinia. My farrier and I will study this closely together. After he trims a foot I take photos and we check the photo to see if any tweaks are needed. I totally agree with you on the "extra weight." Now that the trails are drying out, (at one point even the indoor arena was partially flooded] I really believe exercise will be the key for him. Our trails have lots of gentle hills and he seems to have no trouble gaiting up (and down) them.   He is practically an air plant so I'm thinking upping intensity and frequency of exercise should help.
--
Lynn
Beavercreek, Ohio
March 2018
Relevante Case History
Relevante Photo Album

Ω


Re: Equithrive?

millionairess1989
 

Hi Deb,

Were you using the joint formula of Equithrive when you saw an improvement in your horse's eye discharge or another form of Equithrive? I'd be curious to try it for Mill who has the same problem.  
--
Jennifer in Middle TN  2010
 Mill 32 yrs Arabian-PPID, IR & Pacemaker Dependent
Jack 22 yrs TN Walker- IR & RAO

https://ecir.groups.io/g/CaseHistory/files/Jennifer%20and%20Millionairess

https://ecir.groups.io/g/CaseHistory/album?id=831

https://ecir.groups.io/g/CaseHistory/files/Jennifer%20and%20Jack-TN%20Walker


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

Lesley Fraser
 

Yes - it’s increasing everywhere, with climate change helping it along. Lyme and other tick-borne infections have a tendency to be under-reported, so the real infection rate in any area is likely to be higher than the numbers published - they can be tricky to diagnose because the symptoms can be so varied and mimic lots of other things, and of course other things can be in the mix too. Unfortunately, blood tests for these infections are not 100% accurate yet, so negative test results aren't a cast iron guarantee of no infection. Because you’ve seen ticks on Katie and because of her symptoms, perhaps your vet might consider a course of antibiotics for her, even if she gets a negative result. Thank goodness she's got you fighting her corner to get to the root of what’s going on.



--
Lesley and over the bridge Omar,
11-2012, Sutherland, UK

Omar - Case History


Relevante latest mark-ups

Lavinia Fiscaletti
 

Hi Lynn,

I've added mark-ups to Relevante's album:

https://ecir.groups.io/g/CaseHistory/album?id=36909&p=Created%2C%2C%2C50%2C2%2C0%2C0

The boy is looking good - actually, a bit too good as he really could stand to lose a few pounds. Generally, toes are in a good place - just need to bevel them from underneath rather than just from the top . That way, the breakover falls a bit further back than where the toe actually ends. He's got some decent concavity present all around. Heels are still the biggest issue as they appear to be stubbornly resisting easing further back under him. That's causing a bit of an issue with the ground surface of the hoof capsule being smaller than it needs to be. Need to get after them to move back, while not lowering them too much for his needs and comfort. This means finagling more than one parameter to insist they comply. They are also remaining flared out, with the bars going along for the ride, so need to tighten up all of the pieces in the back half of the foot.  Shorten the amount of wall length that extends below the sole plane so that there is no more than 1/8"-1/4" beyond the sole. Where there is flaring, the walls should be level with the sole as they are already detached and using them for weight bearing only invites the bones inside to travel down to that same depth.

LF sole plane: Green line follows the tighter growth down to the ground, with the blue area being the flaring in the medial heel.

LF sole: Solid blue lines in both heels are where to bring the flared, detached wall in to., with the blue hashed areas being the damaged material that needs to be removed. In the toe, the blue hashes indicate to add the bevel to the bottom of the foot along that area. The lime lines are on the flared, peeling bar that can be removed. Ramp the bars up to their highest point in the buttress , then rocker the back of the buttresses. Clean up the frog tags along the backs of the heels as well.

RF lateral raised: Pink appears to be frog that's in need of some cleaning up. Green line follws the angle of the new growth down to the ground - there's a slight bit of a dish to the dorsal wall, so roll the toe under and bevel from the bottom as well. Orange is were to add the rocker to the heel buttresses. If the bars look like the other three feet, clean them up in the same way.

LH dorsal sole plane: Lime lines show where all the flaking off bar can be removed. Pink hashes are tags of frog that can be snipped off.

LH lateral raised: Blue area is heel and bar that are standing well beyond the rest of the foot, so rasp them down level. Orange is where to then rocker the back of the new buttress locations. Pink is what appears to be some frog that is in need of cleaning up.

LH sole: Again, Solid blue lines run along the perimeter of the sole plane. The wall outside of them is detached and standing well beyond the sole plane , so needs to be removed. Lime lines are the same as on the dorsal sole plane view. Pink hashes are frog tags to remove. Blue hashes around the toe indicate to add a bevel to the underside of the foot.

RH dorsal sole plane: Same idea as the LH, with the lime areas being the flaking bar material that needs to be removed. Solid blue lines run along the perimeter of the sole plane, with the blue hashed areas needing to be brought inward and out of ground contact.

RH sole: Follow the discussion for the other three feet. The collateral grooves are cavernous, with the bars leaning outward substantially - need to tighten everything up.

Flatten all the buttresses lightly to extend the rearward, then add the rockers to the backs of all of them to help encourage the heels to stand up. Keep in mind that you're working to maintain as much of the vertical height as you can while creeping the heels backward. Losing too much height definitely affects him negatively so be careful not to remove too much.

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

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