Date   

Re: Water with high iron

Eleanor Kellon, VMD
 

Jean,

We don't know enough about iron intake and insulin to answer your question. My guess (only) is that it may have had an impact but I have no data to support that. Is Snowman's diet mineral balanced? If not, you should definitely get the KSU iron panel of iron, TIBC and ferritin, plus a hay analysis, to see if iron is an issue.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


locked Re: Equithrive?

Eleanor Kellon, VMD
 

The resveratrol is an antioxidant that can help with allergic issues.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Water with high iron

jean banville
 

Hello all,
Just prior to Snowman’s Laminetic episode our water softener failed and our water was saturated with enough iron to be visible in the water. This lasted 2 weeks. Should I have labs drawn to check Snowman’s (and my other 4 horses) for iron levels? Could this have been a contributing factor to his episode?
Best,
Jean B and Snowman


--
*Jean B from NH
joined 10/27/21*


Re: L-Phenylalanine and L-Tyrosine

Qhgirl
 

Thank you, Dr Kellon. I was hoping to find something Chicy can be on while nursing her foal. She is due any day and doing well at the moment. 
--
Janet and Chicy
Chester SC
09/17/2021
https://ecir.groups.io/g/CaseHistory/files/Janet%20and%20Chicy
https://ecir.groups.io/g/CaseHistory/album?id=268334


locked Re: Equithrive?

Deb Walker
 

Thanks everyone.

Jennifer & Cecile - I think the eye discharge is just a "who knows" situation as to why the joint supplement is affecting that. I wouldn't buy the product for eye conditions only and it isn't marketed for that. I have never used an Equithrive product in the past. The link to the one that is helping Scotty's joints is in my first post above. The website gets a little confusing as there are several products with similar names, but there is a LOT of information in how the product was developed. This is the one with Resverasyn & Hyalouronic Acid. There is a powder form but I chose pellets as they mix in perfectly with his Stabul and he eats them right up.

Martha - I was more than a little apprehensive when I took Scotty down to the maintenance dose on 5/15; been watching with eagle eyes to make sure he wasn't regressing. He's not. I happened to look out the window today as he was taking a stroll around his dry lot and he was moving out strong and solid; not a sign of tiny steps or joint or foot pain and he is turning on a dime. I feel like I've been given a miracle.
--
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


Latest labs, was Re: Cayuse's latest rads are uploaded

 

Latest Cornell results just came in from May 17, and I put them into the CH. With a 2mg increase in pergolide and Invokana dosed at 300 mg/day:
•Insulin dropped to 78 from 183 uiu/ml.
•ACTH only dropped to 27.6 from 29.7 and it's still up from March. 
•Glucose was 109, slightly down from 111mg/dl. She had Stabul1 with BP an hour before the blood draw because the visit was 6-7 hours earlier I expected. Her CH shows other morning results in the +100 range over the years.

 It looks like PPID has a big impact on Cayuse's insulin that Invokana doesn't completely mitigate. Or PPID combined with a mare issue?

I will discuss another pergolide increase with my vets. Is there anything else to look at?
--
Cass, Sonoma Co., CA 2012
ECIR Group Moderator
Cayuse and Diamond Case History Folder                
Cayuse Photos                Diamond Photos


Re: Cayuse's latest rads are uploaded

 

Thanks! I tried the angle grinder on a 2x4 and it was like sanding balsa wood compared to concrete aggregate. I’ll keep at it and try my Dremel. 

Today she’s either moving in slow motion or down in the stall. I expect we have NSAID rebound and/or abscessing because without boots she looks like she’s trying to stand on the outside of the RF.

I have a small wedge pad to try behind if I can bring back the breakover enough to get the boots back on. She stands with dirt or shavings banked up under her hinds, so I think a little wedge may be more comfortable. Lots to do!

--
Cass, Sonoma Co., CA 2012
ECIR Group Moderator
Cayuse and Diamond Case History Folder                
Cayuse Photos                Diamond Photos


Re: Flame’s diet

 

Thanks Dr. Kellon! Tomorrow I’ll give the full L carnitine dose & go to half hay & half cubes. 
--
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: Cayuse's latest rads are uploaded

Eleanor Kellon, VMD
 

My error. Looking at films from the wrong year.

Agree there is not much change but the interface between sensitive and nonsensitive laminae is clear now where it wasn't before.  Another indication of less edema.  Still think your toe length is backed up enough but you need a sharper bevel.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Flame’s diet

Eleanor Kellon, VMD
 

Surprisingly, most horses eat it right down with no problem so you can probably ramp up the amount quickly.

Don't decrease the BP. You can still do half and half hay and cubes.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Cayuse's latest rads are uploaded

Eleanor Kellon, VMD
 

The 5/22 films actually look better than 5/17! There may have been some resolution of edema in that interim because her horn-lamellar zone and apparent rotation (which was minimal anyway) are much better.

It helps sometimes to remember that laminitis flares are similar to banging your thumb with a hammer or catching it in a car door.  The initial pain is tremendous because there is nowhere for that swelling to go.

Toes are actually looking good. You could put more bevel on there, getting breakover back closer to the CB.  Also bevel the walls all around to help drive up the CB.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Cayuse's latest rads are uploaded

Lavinia Fiscaletti
 

Hi Cass,

I don't see any real changes either, except that she is standing much more normally on the RH, rather than having the dropped fetlock. Sole depth on hinds is good, thin on the fronts. Toes need to come back on all four - more at ground level than off the dorsal wall. Want to focus on setting the breakover back further, so if you can get a few swipes on the sole-side of the toe at a 45* angle, that will help.

Angle can grinders take some getting used to. Yes, the higher grit will move more smoothly than the more abrasive ones. Practice on a piece of 2x4 to get a feel for how to handle it and how it responds when you apply it at different angles. If you work with it on the wood while near her, she can get used to the sound near her. Be prepared to make light, quick passes initially so that it only touches the hoof briefly, then is lifted off. Gradually increase the time in contact with the hoof.

You could try a Dremel to add the underneath bevel - quieter, lighter, more maneuverable. Takes quite a bit longer, tho.

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


Re: Balanced Timothy Cubes in Ohio

Carla Caudill-Waechter
 

Happy to report that I picked up my 8 bags of TC Timothy Balanced Cubes today from the Knightstown (Indiana) Elevator and was told that I had just missed some other ladies from Ohio picking up theirs. So glad we got this all worked out! That said, Tanya stated that she is concerned about how complicated  their business is becoming with shipping delays, fuel costs, order minimum requirements, etc.  She said they are determined to get the product for us, but asks that we give them a 3 week lead time on future orders. If any of you want to coordinate ordering times so we can help them out and ensure a more reliable supply schedule for ourselves, please let me know—probably best to do this privately via emails so we don’t clog up the board here. 


--
Carla Caudill-Waechter
Skeeter and Ricky
September, 2017
Delaware County, Indiana
Case Histories


Flame’s diet

 

I started the L carnitine today. It’s pretty “fishy” smelling so I’m starting with small increments. 

Flame is currently eating 5# of my hay (analysis is in his case history folder) twice a day & 3 pounds of RSR beet pulp per Dr. Kellon because of his high triglycerides. My order of TC balanced Timothy cubes are finally in (it’s taken a month to get them). Should I incorporate them into his diet (he was getting 4# of my hay & 4# of cubes twice a day & 1.5 pounds of RSR beet pulp). I ordered 10 bags so they should last a while but I can’t be sure of when I can get them again due to the delay in shipping. It’s never been a problem before & hopefully resolves soon & the entire city has never been out before. Please advise on Flame’s diet & 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  




Cayuse's latest rads are uploaded

 

In general, we're seeing overall improvement. A good day seems to be followed by a bit of a backslide. She's still footsore in front, no surprise since no real changes have been made to the trim yet. She's not spending unusual amounts of time down in the stall, is returning to routines.

The laterals taken on May 17 are in Cayuse's Photo Album. I can't see much change from the rads 2 weeks earlier, but I'd really appreciate informed opinions. I haven't been able to shorten the toes more than a tiny bit in front because she's not especially cooperative and because her hoof walls are like granite. I'm working on desensitizing her to the angle grinder, slow going because I'm a klutz with it. It jerks around on her hard hoof walls. Hopefully finer grit discs won't grab as much. I'll work on hoof photos tomorrow with a helper.

Phyto Quench Pellets with Devil's Claw arrived and I'm doing a fast taper off banamine. I'll treat for ulcers too, since I suspect that may be behind her rejection of BP. If that's the issue, it should be clearer in 3 or 4 days.
--
Cass, Sonoma Co., CA 2012
ECIR Group Moderator
Cayuse and Diamond Case History Folder                
Cayuse Photos                Diamond Photos


Re: majestic trh

Eleanor Kellon, VMD
 

Again speaking of TRH stimulation, sedation also affects these results https://pubmed.ncbi.nlm.nih.gov/32871339/ .
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: majestic trh

Eleanor Kellon, VMD
 

Speaking of TRH stimulation, it's extremely important to get the blood drawn at precisely the right time. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8965261/#!po=38.2353
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Mouse's partial bloodwork

Lavinia Fiscaletti
 

Hi Kimberly,

Here is the link to your photo Album:

https://ecir.groups.io/g/CaseHistory/album?id=275222

Your ACTH is very good, so no need to change the pergolide dose. The insulin is way too high, which is not going to be helped by raising the pergolide dose. You need to get that insulin down so starting on Metformin, at least for the near future, would be recommended. Dosing is 30mg/kg, given twice daily. Here is a link to the file on Metformin:

https://ecir.groups.io/g/main/files/4%20Insulin%20Resistance/Metformin

The rads show that Mouse has thin soles, RF heels are too low, toes were somewhat further out ahead of where they should be but not drastically so. Shoes would NOT be advised with active laminitis as they are going to make it nearly impossible to tweak the trim as often as will be needed. They also suspend the horse from the very lamina that are already damaged by the laminitis. Boots and pads provide better support plus give you unlimited access to the feet for trimming and treatment.

Hang in there.

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


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

Stepht
 

Thank you for that compliment.  I do believe that symptoms have a cause and sometimes the cause has to be searched out.  Sometimes there is a treatment and sometimes there is not, but I want to know the options instead of just saying the symptom is due to "old age".   When Katie had such a hard summer in 2016, I remember seeing the expression on a few people's faces...."she is 24 years old and laminitic.  It's time to euthanize her..."   My research lead me to this group which has been a blessing.

Thanks for the heads up on the accuracy of the test too.  I did not know that!
--
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: 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

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