thank you sherry. daisy, tiko, whisper
--
-- 
Daisy, Tiko and Whisper
CO, April 2019
Case History:  https://ecir.groups.io/g/CaseHistory/files/Daisy%20and%20Tiko 
Photo Album: https://ecir.groups.io/g/CaseHistory/album?id=90099&p=Name,,,20,2,0,0

Daisy,
Here is the photo album:
https://ecir.groups.io/g/main/album?id=277531 
The link to Lorna's photos is in the first message in this thread. 
--
Cass, Sonoma Co., CA 2012
ECIR Group Moderator
Cayuse and Diamond Case History Folder                
Cayuse Photos                Diamond Photos

Just an FYI  --  I saw the post about Precision Pharmacy so I called them yesterday to see if they would compound liquid Pergolide for me and to check to see if it might be less pricey than Avrio.  I spoke to the pharmacist and she couldn't give me exact pricing but she did say she thought it would definitely be less than the $500 I now pay for 2 bottles, 90 ml each, compounded at 5mg/ml.  The bottles last less than 2 months which comes out to about $3500/year and I could sure use any kind of a break.  I also asked her if, in the future I needed 7 1/2 or 10 mg/ml (if their ACTH gets worse) would she compound that for me and she said yes.  I also asked if there was a big difference between the capsules of powdered Pergolide and the liquid (in oil stable at room temp) that I now use and she said she didn't see any real difference... which is good because the liquid is so much easier.  They will also make a liquid Pergolide that needs to be refrigerated and she said both are stable and as good as the powder.  I just got a refill from Avrio so it will be awhile before I order but I am looking forward to seeing what the difference in price will be.
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Linda in Grass Valley, CA  2020  Midnight and Ostara
https://ecir.groups.io/g/CaseHistory/files/Linda%20Midnight%20OStara

Hi, Ani.
I want to respond to your question, but first I want to read your case history.

Would you please upload your Case History again? I cannot open the one in your folder, and I tried two different ways.

When you export the PDF from your Word document, be sure to rename the new PDF. The PDF cannot have two suffixes at the end separated by periods. IOW, it cannot be named Diamond Case History.doc.pdf.  It must be Diamond Case History.pdf.

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

Thank you, Sherry and Kirsten,
The reason I got concerned was because Kirsten wrote this - " The shoes cause most of the horse's weight to be supported from the hoof wall" and it made me think I might be putting too much pressure on the wall... but you have settled my fears because her IR was low enough and now she is on a much better hay.  I plan to retest right after the rise.  When she stumbled, her toes were not very long and she mostly did it when stepping over rock.  I am hoping the boots will make it easier on rock and gravel... some of the trails can get pretty rocky and I always ask her to walk, which is when she stumbles the most.  I'll try to get some pics of her hooves uploaded to my file.
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Linda in Grass Valley, CA  2020  Midnight and Ostara
https://ecir.groups.io/g/CaseHistory/files/Linda%20Midnight%20OStara

LJ,

You're actually both right. Requesting 24 hours to get to a prescription refill with the current shortage of large animal veterinarians, not to mention busiest season, is not unreasonable.

As for Avrio, the vet was wrong. They are licensed and also accredited https://www.achc.org/find-a-provider/ .
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001

Hi Linda,

A few more comments:

An insulin of 41 is in the sub-clinical laminitis range.  She likely has stretched lamina/whiteline, but we'd have yo see hoof photos to know.

Although stumbling can have lots of causes, long toes is a pretty common one.  I'd check that first.

IR is horses is more similar to pre-diabetes in humans.   Very few IR/EMS horses progress to actual diabetes, which is elevated blood sugar (glucose). 

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

That's great to hear!  I can see the improvement, and it makes sense to spread the changes out a bit because a big change in hoof mechanics can definitely make them sore.  Just don't get into the trap of maintaining without actually advancing and reaching the final trim goal, which can happen if there's too much time between trims or too little is removed each time.  Soreness a few days later could be from overdoing things on his new trim, or even abscesses mobilizing.  My only concern with the trim is it appears sole on the bottom of the hoof was rasped off, but perhaps Lavinia can comment on whether or not that was ok.

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

Oh, okay!! Thank you Lavina

---

--
Lesley Bludworth 
Phoenix, AZ
Sophie Case History 7/2022
https://ecir.groups.io/g/CaseHistory/files/SophieB%20Case%20History

With these and the radiographs, it's safe to say this isn't endocrinopathic laminitis, at least not EMS related. The best thing for her soles is described here https://hoofrehab.com/DistalDescent.htm .

It's possible she has either bouts of IR that accompany trying to ovulate or a systemic inflammatory response at that time. I don't know what blood testing is available to you but I would definitely have her ovaries ultrasounded to check for cysts when she's painful and consider having them removed. Otherwise, I sent you a link to a Chasteberry/Vitex product available in AU in an earlier post.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001

Martha is the expert on i-devices but to get you started now, first, make sure you have the Pages app installed on your phone.  Second, somewhere in the app is an option to switch from read-only to editing and you need to turn that on.  Then you should be ok to go.  I can't imagine filling out the form on a phone though, although many of our members do.  A tablet or computer if you have access to one would be a lot easier for you.

Was that bloodwork done fasting?  If not, what and when did she eat prior to it?

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

Amy, as a last resort, you can email me for my vet's contact. I spoke with her yesterday about this ongoing issue for so many horse owners and she said she would be willing to do a phone consult and try to connect you with a vet in your area who prescribes CP. I couldn't remember what state you were in when I was talking with her so I don't know if she can help you but it might be worth a try. Let me know if you want my email.
--
Jill, Khari & Jetty in Idaho

 

NRC 2010

https://ecir.groups.io/g/CaseHistory/files/Jill%20and%20Khari 

 

Hi Eli,

I'll add your mark-ups to Alaska's photo album and put the discussion up in a message here on the main group. I usually try to remember to send you a private note to tell you they ahve been uploaded.

Would you please give me the actual date that the trim is scheduled for so I can put that on my calendar. Thanks.

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

Why are you responding to Vets  being busy? You should be responding to her statement that this medication is fraudulent and dangerous to horses.
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LJ Friedman  Nov 2014 Vista,   Northern  San Diego, CA

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

 

thanks for the reply. The only issue with Avrio., Is they didn’t have my prescription on the auto faxing where  10 days before the prescription expired they would fax the vet. If they had done that ,we would not have this issue. I told them to put me on that system but they didn’t. Now they have, so things will probably get better
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LJ Friedman  Nov 2014 Vista,   Northern  San Diego, CA

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

 

Hi
I’ve followed the links
Read the how to take photos ect album
But I can find how to actually start my case history
I found the form, downloaded it to my iPhone but can’t edit it
🙈


--
*K Evans
Uk 2022*

Lorna! You are right - the images are difficult to look at, but what an incredible story. You are a champion and deserve a medal!  And you are a beacon of hope for the rest of us and an incredible resource for knowledge/experience in that area. I can't even begin to imagine what that was like for you and your boys. You were a warrior for them! 

Same goes for you and Vinny Nancy!

Thanks for sharing. 
--
Lynn
Beavercreek, Ohio
March 2018
Relevante Case History
Relevante Photo Album

Ω

Hi Kristen, 

once markups are done where will I find the information?
I am hoping to have them by her next trim (about 2 weeks) :)

I am sure Lavinia is a very busy lady! I just don't want to miss the info if it has been done and I'm not looking in the right spot!:)
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Eli
South Australia 2022
https://ecir.groups.io/g/CaseHistory/files/Eli%20and%20Alaska
https://ecir.groups.io/g/CaseHistory/album?id=277144