The pharmacy shipped my compounded pergolide  capsules by ground transport and it took 5 days to reach me from N.Y. to Fla. Could they have been compromised because of this? Not knowing how hot the trucks get? Thank you
--
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

Here is a good article of winter grazing. Hope its ok to share. 
https://www.safergrass.org/s/dead-grass-safe.pdf

--
Chatycady in the Midwest 2022

CaseHistory@ECIR.groups.io | Files

If this were my horse I would have the vet check her for RAO/COPD as well as checking her ACTH level. As we're in the midst of the rise she may need more pergolide at this time of year.
--

Thanks,
Sherry and Scutch (and Scarlet over the bridge)
EC Primary Response

PA 2014

https://ecir.groups.io/g/CaseHistory/files/Sherry%20and%20Scutch_Scarlet/Scutch%20Case%20History.pdf

https://ecir.groups.io/g/CaseHistory/album?id=78891

Steaming does not reduce ESC like soaking does. Lepto and Lyme are both blood tests and if you want to rule them out you should have those tests run as well.
--

Thanks,
Sherry and Scutch (and Scarlet over the bridge)
EC Primary Response

PA 2014

https://ecir.groups.io/g/CaseHistory/files/Sherry%20and%20Scutch_Scarlet/Scutch%20Case%20History.pdf

https://ecir.groups.io/g/CaseHistory/album?id=78891

Yes, Costco is the way to go, for sure.  I get 500, 1000mg tablets for about $22.  Got some at Rite Aid once for $120!!!  Yikes!
--

Ferne Fedeli  Magic & Jack   2007

Point Arena, Mendocino County, California
Case History

 

 

Midnight has been experiencing very heavy breathing after minimal excursion.  It has been hotter this year/more days in a row than even last year.  But yesterday I took her out when it was still in the 70's and it was only low 80's when we finished our ride that lasted about an hour (around the neighborhood) with a combination of walk, trot and gait.  After, she was breathing the way she did when we did major rides only then, she would recover pretty quickly.  Yesterday she never recovered until evening when it cooled down.  I hosed her twice with cold water and she drank a lot.  I'm sure the heat is a big factor but is her PPID/IR coming into play?  This did not happen last year or even a few months ago.  I would be concerned about airway obstruction except she is fine when it is cool.  She is eating, drinking, peeing and pooping just like normal.  And her energy when we were riding was great!
We have a week of 90's and 100's coming with temps only going into the mid-low 70's at night and I am going to hate seeing this for all that time.  Fortunately, we have no significant humidity.
Has anyone else seen this or do any of you have suggestions for me?
--
Linda in Grass Valley, CA  2020  Midnight and Ostara
https://ecir.groups.io/g/CaseHistory/files/Linda%20Midnight%20OStara

"Grasses that have not been mowed, have matured, gone to seed and dropped their seed are likely to be the safest but adverse environmental conditions like  drought can change that"

Thanks Dr. Kellon, this was helpful to me. Every case is so unique.
--
Chatycady in the Midwest 2022

CaseHistory@ECIR.groups.io | Files

One other thing that I forgot to put in my original post.  She also was diagnosed as having EPM in the fall 2021.  Since doing the treatments for EPM last fall, she has not exhibited any of the symptoms she had before (she was weak in the back end).
--
Beverly King & Angel (PPID diagnosed 2021)
Edmond OK
Joined 2022

Hello Dr Kellon!

Thank you so much for the information!!  I will be asking my vet about it tomorrow (possibly this afternoon if I can catch him doing his rounds at the hospital).  You are so correct!  Just had a lightbulb moment when I realized that recurrent ulcers were most likely trying to warn us a year earlier that she had PPID.  She is getting the antifungal and antibiotic treatment 4 times a day currently.  Do you think that is adequate?  

I will ask my vet about adding antiviral like topical ganciclovir.   So would it take care of the possibility of Leptospira, Borellia (Lyme) and also Herpes?  I am also going to ask him to rerun bloodwork for ACTH & IR.  Anything else I should have him check?  

Last, what do you think about steaming hay?  I have looked at getting one of the steamers from Haygain.  Would love your thoughts if that is beneficial?

I so appreciate you taking the time to reply to my original post!  I'm desperate to get this left eye healed up and her healthy and under control.

--
Beverly King & Angel (PPID diagnosed 2021)
Edmond OK
Joined 2022

Hi Ronelle!

Thanks so much for the feedback on the Recovery Vizor!  I have one tinted and one clear ordered that should be here by Tuesday.  Very excited to hopefully have found a solution to her rubbing the eye and/or getting new injuries and ulcers.  

Now just praying I can get this left eye clear of the stomal abcess.

Thanks again!!
--
Beverly King & Angel
Edmond OK
Joined 2022

Hello Maxine!  Angel is on 1 mg tablet a day of pergolide.  I will ask the vet to run another blood test on Monday to test her ACTH level and get him to look up what it was in March/April when we ran it.  I know it was under 50 but I don't remember the exact number.  Is there anything else specifically I should be asking my vet to test while running the blood work?

I'm not familiar with ERU.  Is that a blood test as well?  I'm guessing that makes her more susceptible for the ulcers/abcesses not healing?  

I am sure my vet would consult with a specialist opthamologist.  Is there someone in particular you know and recommend?

I appreciate the advise for my girl!
 
--
Beverly King & Angel
Edmond OK
Joined 2022

Hi Beverly,

You have gotten good advice from other members who have gone through this. I want to comment on the medical end. Recurrent ulcers can be an early sign of PPID, as you probably now appreciate. In addition to the antifungal and antibiotic treatments, I would consider adding an antiviral like topical ganciclovir. The uveitis is likely due to organisms already in the horse's body and activated when the PPID damages the immune system. Possibilities include Leptospira, Borellia (Lyme) and also Herpes. The Renovo can't possibly work until the underlying cause is eliminated. You could also consider adding DMSO topically. Finally, it is best to keep ACTH no higher than the low 20s when you have issues like this.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001
The first step to wisdom is "I don't know."

Laura,

You haven't done anything wrong, but something can still go wrong.  The timing of this is typical for seasonal ACTH rise, which may mean his pergolide dose was too low. It's difficult to manage a horse that is only positive by TRH stimulation. However, horses with EMS can also react to the seasonal rise with abscesses or laminitis. Another possibility here is that while your hay is below 10%, it's not low enough. That, or your hay is not homogeneous and your sampling was not truly representative.

How are you balancing your diet? I know you are a NRC Plus grad but what is your Fe:Cu ratio? Have you ever tested his iron status?

I agree with stopping Previcox - and starting hay soaking.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001
The first step to wisdom is "I don't know."

Lynn
My sincere condolences on your loss.
ai hope she’s running free and eating lots of green grass.

--

Bobbie and Maggie 
Desi (over the rainbow bridge 7/21) 
Utah, Nov 2018
ECIR Group Primary Response 

https://ecir.groups.io/g/CaseHistory/files/Bobbie%20and%20Maggie
https://ecir.groups.io/g/CaseHistory/album?id=271156

https://ecir.groups.io/g/CaseHistory/files/Bobbie%20and%20Desi 
https://ecir.groups.io/g/CaseHistory/album?id=78821

Hi Maxine,   My horse would not eat her supplements if I added Devils Claw but then I got a big 60ml syringe and started giving it to her that way and she now reaches for the syringe.  I give her a Beet e Bite after and I haven't had any problems.  I tried smaller syringes but only the 60ml is big enough to take the 3 tsps of powder without getting it everywhere ... and it's just so messy and sticky if it spills.  Amazon has 5 of these big syringes WITH CAPS for $7.99.  Here is the link https://www.amazon.com/Catheter-Syringe-Cover-Pieces-Brandzig/dp/B07NF6ZGMX?pd_rd_w=ygJqn&content-id=amzn1.sym.bc622850-a717-4d94-96c3-7cc183488298&pf_rd_p=bc622850-a717-4d94-96c3-7cc183488298&pf_rd_r=5KQKVHYT8YN24X0YY39F&pd_rd_wg=ZfeXx&pd_rd_r=20947b89-faa2-4e15-8b14-bbaa2a65a6e0&pd_rd_i=B07NF6ZGMX&psc=1&ref_=pd_bap_d_rp_2_t

--
Linda in Grass Valley, CA  2020  Midnight and Ostara
https://ecir.groups.io/g/CaseHistory/files/Linda%20Midnight%20OStara

We tested blood several times a year, at a minimum spring and fall. Often again in early winter. His insulin never went below 50 and was often 100. I started to test glucose in the barn when we realized he was moving to diabetic. I may have already stated this was pre-Invokana. He would have been a perfect candidate.
--
Nancy C in NH
ECIR Moderator 2003
ECIR Group Inc. President/Treasurer  2021-2022

Try Costco. I believe I was getting a 1000 count bottle of 1000 mg tablets for about $45. 
--
- Anthie

Northern California
August 2015

Erin's case history: 
https://ecir.groups.io/g/CaseHistory/files/Anthie%20and%20Erin/

https://ecir.groups.io/g/CaseHistory/album?id=269097

I am so very sorry, Lynn. Thank you for your kind offer in honor of Mica. I know it will be well-use.

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