Date   

Re: Best Time to Retest ACTH for Seasonal Rise, recent change in diet to TBC

Stacey Smith-Bohn
 

Thank you Doctor Kellon, I have some more questions.  By the second week of August I will need to find a way to reduce Terry to 3 feedings a day due to my work schedule.  Will be able to feed 5:00 am, about 3:30-4:00 pm plus before bedtime about 9:00pm.  I am thinking about replacing the lunch meal with a 5lb. Bag of soaked Timothy which he would have available after his breakfast when he is turned out in a dry lot until I get home???  As it is now, he has been chewing up his stall without a slow feed hay bag over night which is an 8-9 hour stretch between meals.  I just coated a lot of his stall with hot sauce and duct tape to try and stop the destruction.  Looking for suggestions on how to make it work.  His official start of the 1 month no hay trial started June 30th.
--
Stacey Smith-Bohn, New Jersey, 2021
https://ecir.groups.io/g/CaseHistory/files/Stacey%20and%20Terry
https://ecir.groups.io/g/CaseHistory/album?id=261301


Re: Need help quickly

LJ Friedman
 

what is the product you have had good luck with that has not been mentioned?
--
LJ Friedman  Nov 2014 Vista,   Northern  San Diego, CA

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

 


Re: New blood results for Riosa, feedback please

hdavis
 

Thanks Dr. Kellon as nice to hear you think her numbers are acceptable as well.  She has not been on Estradiol since she had her winter laminitis issue back in Feb 2020. She was only on it for a very brief period.

She is doing ok but has some other issues going on outside of her EMS but I was happy to see that her results were lower as means we are not dealing with an EMS flare up on top of everything.  


So thankful for this you Dr Kellong, this group and Invokana as without we would not be where we are today!


On Wed, Jul 6, 2022 at 09:51 AM, Eleanor Kellon, VMD wrote:

Her numbers look acceptable, Heather. How is she doing? Still on estradiol?
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


 On Wed, Jul 6, 2022 at 09:51 AM, Eleanor Kellon, VMD wrote:
Her numbers look acceptable, Heather. How is she doing? Still on estradiol?
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


 Thanks Dr. Kellon, that is a relief that you think her numbers look
--
Heather
August 5, 2017, Brandon, Manitoba, Canada

Riosa 
https://ecir.groups.io/g/CaseHistory/files/Heather%20and%20Riosa

https://ecir.groups.io/g/CaseHistory/album?id=8819 


Storm

Case History


 




Re: New labs in - advice on increasing Pergolide & arthritic pain relief

rozaniloc@...
 

Thank you Dr Kellon.

Yes, my vet is an acupuncturist, so I will see about scheduling a session. I believe his unsoundness is from deterioration age related to long term issues. When I started riding him, the vet who treated him then always mentioned the sacroiliac thing. He also had torn hamstrings in the past. Sunday was a stallion until his teens, when he was gelded after a testicular hernia. Then he was sold, although he did not pass the vet exam due to arthritic changes in left fore & I believe left hind. He came to live in this state, but when unsuitable for the new owner, could not be sold due to these issues. So he chose me as his new person. :) Lucky me! He has been such a blessing. He is walking out pretty sound, & also will canter & capriole :) - the lameness is most evident at the trot. I will try to get a short video to post this weekend. I may be able to supple up that sacrum area with some good ground work & lateral work at the walk - I just want him feeling as good as possible. Perhaps a short course of the firocoxib as we start his conditioning, seeing if it could be discontinued after a few weeks of suppling work. 

I will recheck his lab work in 3-4 weeks.

Thank you again!


--
Rozanne & Sunday
July 02 2019  Larimer County, Colorado
case history:  https://ecir.groups.io/g/CaseHistory/files/Rozanne%20&%20Sunday 
photos:  https://ecir.groups.io/g/CaseHistory/album?id=93586  


Re: New blood results for Riosa, feedback please

hdavis
 

Hello Sherry,

thanks for the refresher. For some reason I had the insulin conversion number as 7.1, not sure where I got that from?  Anyways I thought the insulin and glucose looked good too. Sadly I don’t have a ref range from guelph for the triglycerides and just compared it to her past tests and they dropped a bit so thought that was good?


--
Heather
August 5, 2017, Brandon, Manitoba, Canada

Riosa 
https://ecir.groups.io/g/CaseHistory/files/Heather%20and%20Riosa

https://ecir.groups.io/g/CaseHistory/album?id=8819 


Storm

Case History


 




Re: invokana/Etruglifloxin and Triglycerides Study

Dream Feather Griffiths
 

I gave my horse InvoKana this spring with remarkable results but not sure where this form is and was not sure of any request. Sorry I must be out of the loop some how.  I would be happy to fill it out if I knew where to access it. 
JudyGriffiths
Ontario Canada

On Jul 6, 2022, at 4:11 PM, Eleanor Kellon, VMD <drkellon@...> wrote:

We are getting down to a deadline for submission of an article on this for a special request by the publication Veterinary Sciences. I really need anyone who originally agreed to submit information for this article but have not done so yet to step up and give me your information.If you are having trouble with the report form, just let us know and we will help you with that. This is very important for horses with refractory laminitis and high insuliin. You can make a difference with your informationl
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001



--
Judy Griffiths


WAS: Hooves look terrible ?? Need asssistance NOW: How to decide what and when

Nancy C
 

Hi Karen

I am responding here and not to your private note because I honestly prefer these conversation to be kept on the group for the benefit of others. I am glad you posted here too. There are so many in exactly your situation, or just ahead, or just behind you on the same path.

Sometimes it is hard for members to remember, or to see, that each of us was brought here by a horse just like Apollo.  He in fact looks very much like my current EMS TWH gelding who is reaping the benefit of what my Morgan Beau taught me from 2003 to 2016. Beau was IR, PPID, iron over loaded and his insulin was never controlled. He was always in a smoldering laminitis, high-insulin state, about to tip into a founder event. We were able to keep him happy and in work for most of his life. It was very hard but very rewarding work. I am so very happy folks now have the choice to use Invokana. What a blessing.

Feeling exhausted is part of the program sometiems, I am afraid.  But there are moments when your horse just lifts you up in ways you never thought possible. Have a look at Freitag's video. https://www.youtube.com/watch?v=dXp4ez06yYw

When looking at Freitag, I always think of the folks who worked so hard to help him, and this quote from Dr Kellon:

“You know those credit card commercials that run through a bunch of things with price tags and end with a moment that's "priceless"? That is truly how I feel every time a new member comes here frazzled or wired and strung out after being told their horse, pony, donkey or mule should be euthanized and then later tells us about the light coming back in their eyes, those first voluntary steps out of a stall, the first spontaneous trot, buck or canter or when the feet start to concave and a hundred other positive signs of getting well. Most of all, it's about the animals.”  
 
Eleanor M Kellon, VMD
 
I know you know that, all of the folks who have stepped up to nominate Dr Kellon for the AAEP vet award (see posts just today) are but a small testament to the positive effects ECIR has had on their equines over the last 20+ years. More uplifting stories here https://www.ecirhorse.org/success-stories.php

None of us can really speak to the emotional foundation of your particular situation and what you can or cannot do as your horse's advocate. In the end the decisions of what to do, when to do it, or when to end doing it, of course, lies with individual caregivers. The ECIR Group is here to point the way to what is possible -- what has worked successfully for so many others -- and that is why I assume you started this thread. I read that you were looking for help from folks who have been on this path before you, so I chimed in.

I hope some of my experience and the links I shared are helpful.
--
Nancy C in NH
ECIR Moderator 2003
ECIR Group Inc. President/Treasurer  2021-2022



Re: invokana/Etruglifloxin and Triglycerides Study

Suzy Berkowitz
 

If you would like Scouts info I would be happy to help. 
--
Suzy in Fl 2020
Scout Case History: https://ecir.groups.io/g/CaseHistory/files/Suzy%20and%20Scout 
Scout Photos:  https://ecir.groups.io/g/CaseHistory/album?id=260915


Re: invokana/Etruglifloxin and Triglycerides Study

Carla Anderson Peters
 

Mine will be in by tonight. 

On Wed, Jul 6, 2022 at 3:12 PM Eleanor Kellon, VMD <drkellon@...> wrote:
We are getting down to a deadline for submission of an article on this for a special request by the publication Veterinary Sciences. I really need anyone who originally agreed to submit information for this article but have not done so yet to step up and give me your information.If you are having trouble with the report form, just let us know and we will help you with that. This is very important for horses with refractory laminitis and high insuliin. You can make a difference with your informationl
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001



Re: invokana/Etruglifloxin and Triglycerides Study

kylie evans
 

What was the original post? 

happy to share any information for the study 
--
K Evans 


Super high insulin results - will Metformin help?

Rhonda S
 

Hello, I've been following for a couple of years, this is my first post.

Just received results of recent bloodwork and I didn't know the numbers could go that high.

UofG
Insulin >1435 pmol/L (<300)
Glucose 7.0 mmol/L (3.7-6.7)

ACTH 3.6 pmol/L (2-10) 

Hay tested at under 10% ESC+starch
Balanced by Madbarn - Omneity, VitE/Selenium, Copper/Zinc, iodized salt, flax - she had only been getting flax and salt regularly for the few weeks before bloodwork
They recommended as optional Magnechrome and Jiaogulan which I haven't purchased so far.
No access to grass.

My case history needs to be updated, but the main details are:

Outdoor 24/7 with my other IR horse through winter 21/22 - they were overfed at night with long periods of no hay during day 8+ hours.
Sandy became sore in early March, had vet and farrier consult, X-rays, shoes pulled, trim according to xrays.
Remained sore walking on concrete or gravel.
Has been stalled at night on shavings over rubber mat, turned out in small paddock with sand during day.
Foam pads to walk across gravel and during turnout. Time spent walking in sand arena most mornings at liberty for 10-15 min. No forced movement.
Gradually felt much better until farrier trimmed again June 16 - immediately lame.
Had new X-rays June 20, LF is improved, RF is slightly worse. 
Ability to move is up and down. Stiff in mornings coming out of her stall. Comfortable as soon as pads put on her feet. 1" styrofoam. It's like she's a different horse. Some evenings she is slow and sore coming in, others she isn't. I am there every 12 hours or so.

Weight is currently 450kg by tape. Now that she is in stall overnight, she is getting 20lbs of hay (or less) per 24hr period. The number of flakes fed is really inconsistent per day, but she is not being overfed.  

I'm waiting for a call to talk to my vet. He has recommended levothyroxine and soaking hay.  She was already on levothyroxine in 2020/2021 but her hay wasn't fed by weight and the medication was not given daily.  I'm not confident the barn owner will properly soak hay. My boarding situation isn't ideal and I want to move my horses as soon as Sandy is up to the move.

Will Metformin help in this situation? Are those numbers so high they are likely a mistake? She wasn't fasted. 

--
Rhonda S

March 2020, Ontario

Case History: https://ecir.groups.io/g/CaseHistory/files/Rhonda%20and%20Sandy/Sandy%20Case%20History.pdf
Sandy's Photo Album: https://ecir.groups.io/g/CaseHistory/album?id=245195


Re: Hooves look terrible ?? Need asssistance with hoof trimming with hoof mark-ups

Deb Walker
 

Karen - I have been in your exact situation, and the stress is sometimes unbearable. We love our horses so much, and try to do everything right, and it gets very frustrating. At twice your horse's age, most people thought I should have put Scotty down in the fall/winter of 2017. There were many MANY days and nights I would come into the house crying, and beg God to please just take him gently. The pain of knowing they are suffering is horrible. The financial burden is also horrific. I am the ostrich...I hide my head in the sand and don't add up the costs, and just pray for provision for his needs.

5 years later, I am still learning, still experimenting, and Scotty is (I believe) doing as well as he can for a horse of his advanced age. He's happy, he can walk well in his boots, and we still have an incredible bond. I admit there was once I called the vet to put him down (and by the time he got here, the situation had changed) and a couple of times I have asked the vet if it is time. She undeniably says, "No!"

It's easy to say hang in there, when you are the one doing the hanging, by the skin of your teeth. I can assure you Apollo knows you are trying your best, and he is lucky to have you. I know how exhausting it can be, so don't forget to take good care of yourself when you can. As one of my vets used to say, if it's a choice between me getting medical attention or Scotty, he knows I choose Scotty. Pretty dumb on my part, but that is how much I love him. Any of us that undertake this journey are on similar paths and need the support of others.
--
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


Re: Need help quickly

Deb Walker
 

Shelly - If you aren't using boots get some right away. The difference might be night and day. I personally like Easy Care Clouds, but there are several others (I think I've tried half of them!!) Use whatever makes him comfortable. I currently use a different pad in my Clouds, because that is what my horse likes.

For arthritis, I have had very good results with a product that hadn't been mentioned here. But for your horse, right now, I would take one thing at a time...following the emergency plan, and not add anything else into the mix that isn't recommended for the emergency diet.
--
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


Charlie

Gonnie
 

First off all I want to thank you for all your help and info about my little Charlie the miniatuur horse. After struggle zo long time you have help me and Charlie to find the way for a healthy body for my charlie. We are not yet so far that here hooves are complete normal but we are on the way to get there. She is still on the diet and doing well on it inclusif the minerals. The hay we stil do analyse it and buy it than for a year so it stays stable.
I still follow everthing of the group so I still learning from everyone. But Thanks for everything you have done for us and you still do THANKS ! 

Charlie and Gonnie and the rest of my horses
--
Gonnie
NL , EU 2022
https://ecir.groups.io/g/CaseHistory/files/Gonnie%20and%20Charlie
https://ecir.groups.io/g/CaseHistory/album?id=274645 


Re: Nominating Dr Kellon and Re: How to say "thank-you". Please help.

skwilliams5@gmail.com
 

Now I have to find the ballot again….eeks, I’m losing it! LOL

sharon williams
central Oregon 2010




--
Sharon
Crooked River Ranch, Central Oregon
2008


Re: Best Time to Retest ACTH for Seasonal Rise, recent change in diet to TBC

Eleanor Kellon, VMD
 

Your timing sounds  good to me and retest him mid to late August.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Best Time to Retest ACTH for Seasonal Rise, recent change in diet to TBC

Stacey Smith-Bohn
 

Wondering when the best time to test to see if Prascend needs to be increased for seasonal rise?  Terry was last tested on May 13, 2022 with 17.3 pg/mL.  By his appearance alone, I don't currently have concerns that his medication needs adjusting.  Last year we tested July 13th and ACTH was 26.2 and this group advised me to increase dosage.  As per Dr. Kellon, we have just switched him to all Timothy Balance Cubes and have added Absorb All to his diet (sorry case history does not reflect this yet) for at least a month trial to try to increase absorption/processing of his food.  With this change, what time of day would be best to draw blood?  He is being feed 4 servings a day of Timothy Balance Cubes so I was thinking sometime after the second serving which is usually between 11:00 am and 12:00 pm so I was thinking after 1:00 pm may be good as long as I don't give him any beet pulp and supplements with the second serving of TBC????  Would it be alright to give him the Absorb All with the TBC for that serving? 
--
Stacey Smith-Bohn, New Jersey, 2021
https://ecir.groups.io/g/CaseHistory/files/Stacey%20and%20Terry
https://ecir.groups.io/g/CaseHistory/album?id=261301


Re: invokana/Etruglifloxin and Triglycerides Study

Nancy & Vinnie & Summer
 


Re: invokana/Etruglifloxin and Triglycerides Study

Eleanor Kellon, VMD
 

Nancy,

Yes, I want Vinnie. He was our index case! If you don't have a study form, drop me an e-mail.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: invokana/Etruglifloxin and Triglycerides Study

Eleanor Kellon, VMD
 

Shwan,

Yes, we did. Thank you.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001

6221 - 6240 of 282326