Date   

Re: Lavinia is there ever a right time for corrective shoes?

Lavinia Fiscaletti
 

It's certainly another option that you could experiment with. Just be prepared to remove whatever you put on asap if it makes the situation worse.

Biggest thing is that with the bony column rotation that is present, it's going to be very difficult to find a comfortable option. If she will stand on the foot as the heel is lowered, then that needs to be a priority in order to get the weight off the deteriorating tip of the coffin bone. Another question would be whether there is any infection in that coffin bone - if so, need to address that.

If she keeps rotating, need to find and eliminate the cause.

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


Re: Riosa Rads would like feedback please

Kirsten Rasmussen
 

Sorry Heather, I was confused by the message chain and had thought insulin could be affected by biotin to some degree, even though it's not mentioned in the links.  I'm glad Dr Kellon corrected that for both of us!

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


Re: Acute laminitis - unable to control pain

Pat
 

I used boots with thick pads inserted , 24-7 for a couple months (cleaned often, with foot powder to avoid fungus). I haven’t read back far enough to know if you’ve tried this, just throwing it out there. Six months in, with all clear on laminitis from vet, mine still needs boots on all the time for a few days after trim.

--
Pat
August 2020
Metro Vancouver BC Canada
Case: https://ecir.groups.io/g/CaseHistory/files/Pat%20and%20Willow
Photos: https://ecir.groups.io/g/CaseHistory/album?id=253325


Re: Case Hx folder is Empty

Kirsten Rasmussen
 

Thumbs up!

If you get a chance, you could go to your photo album link by clicking on it in the above message, and add the photos your hay analyses to it to get everything in one place.  I noticed they were put into a separate album.

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


Re: Tests are back - looking for feedback please

Judy and Bugsy
 

Just bumping this post up as I would like experienced eyes on his test results to see if the tests from Cornell are valid or not. 


Thanks in advance. 
--

 

Judy and Bugsy

Regina, Saskatchewan, Canada

Feb. 25, 2020

https://ecir.groups.io/g/CaseHistory/files/Judy%20and%20Bugsy
https://ecir.groups.io/g/CaseHistory/album?id=243358

 




Question about when to test ACTH

Allison
 

Keegan is on his last blister pack of Prascend, which I started without testing to see if his lameness was associated with seasonal rise. We are obviously past seasonal rise now, so I'm wondering when is the best time to test his ACTH levels... either when the Prascend is done, a month later, or wait till the spring?? Thanks for your help!
--
Allison in Ontario 2020

Sonseeahray Case History: https://ecir.groups.io/g/CaseHistory/files/Allison%20and%20Sonseeahray
Keegan Case History: https://ecir.groups.io/g/CaseHistory/files/Allison%20and%20Keegan
Keegan XRays and Hooves Photo Album: https://ecir.groups.io/g/CaseHistory/album?id=255699&p=Name,,,20,1,0,0


Re: Acute laminitis - unable to control pain

Lorna Cane
 

Hi Shannon,

It would be really good if you could take pictures,and post them for our hoof people to take a look at. Our frigid temps aren't going to help with doing that, but there may be trim issues that could be worked on,which are affecting pain levels right now.

--

Lorna  in Eastern  Ontario
2002
Check out FAQ : https://www.ecirhorse.org/FAQ.php


Re: Invokana side effects - how common are they?

Jennifer Murphy
 

Terri, I just may take you up on that! 
One thing that confuses me is the urine testing - how do you do that, and how often is it needed? 

Dr. Kellon, thank you so much for your input.  I'll forward that on to my vet and farrier.
--
Jennifer in NH
2020

CH - https://ecir.groups.io/g/CaseHistory/files/Jennifer%20and%20Flea

Photo album - https://ecir.groups.io/g/CaseHistory/album?id=251041&p=Name,,,20,1,0,0


Re: Acute laminitis - unable to control pain

Shannon and Postina
 

Thanks for the information.  I’ve had her on the emergency for over a week with no change in pain level.  Trimmed her today. She remains very painful. I’ve wrapped her legs and she is in a stall - so not too cold.  Started her on Prescend. Blood taken for insulin, glucose and ACTH.  I think I should try fentanyl patches.  Her rads show thin sole but no big rotation. I will work on my case history. 
--
Shannon B in Ontario 2020


Re: Invokana side effects - how common are they?

TERRI JENNINGS
 

We’ve had no side effects. Finn was in his boots 24/7 and no longer needed his boots after a few days on Invokana. I presented it to my vet as a last resort. I wasn’t going to keep putting Finn or Elliott thru this. A few months of feeling ok between longer periods of time in pain from laminitis was no way to live. I also told her I would sign anything she wanted to absolve her of being liable for the outcome. I took full responsibility.  Invokana means they get a chance at a long life.  If your vet wants to talk to my vet I’m sure we could arrange it. She’s thrilled about our outcome. 
--
Terri Jennings with Teeny, Finn and Elliott
Arcata, CA
https://ecir.groups.io/g/CaseHistory/files/Terri%20and%20Teeny
Joined 2019


Re: Senior Feed sugar starch levels

Sherry Morse
 

Hi Kandace,

With no history of laminitis and just PPID you have a bit more leeway in what you can feed but we still want to look at a lower ESC+starch level than many commercial feeds have.  If she's been maintaining weight on what you've been feeding and you don't feel that she's in need of weight loss then I wouldn't mess with the current regimen.



_._,_._,_


Re: Recommendations for next steps? Can Prascend cause this weigh loss? maybe needs to be reduced?

Sherry Morse
 

Hi Rhonda,

Could you please update your signature to include the photo album when you have a chance?  The link is: https://ecir.groups.io/g/CaseHistory/album?id=258159

If you need a refresher on how to do the signature link, just shout.

As far as Scooter goes, he looks like he's at a good weight to me as ideally you want to be able to feel ribs, but not see them.  What you do want to watch for is that as his level of work increases he's taking in enough calories, but in a safe way.  One of the suggestions Dr. Kellon has made is feeding a meal of 50/50 beet pulp and oats within an hour of work: https://ecir.groups.io/g/main/message/256655.





Re: Invokana side effects - how common are they?

Eleanor Kellon, VMD
 

This is probably from traction on the laminae as the toe grows out. The bevel would fix that. Lowering the heels would also decrease pressure on the rim of the coffin bone. If he doesn't want to weight his heels you can use a  pad with heel elevation inside boots, lowering the degree of elevation gradually.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Invokana side effects - how common are they?

Eleanor Kellon, VMD
 

 Agree with lowering the heels. The toe also needs a bevel to bring the breakover back.
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Invokana side effects - how common are they?

Jennifer Murphy
 

I just added the radiographs from his October trim.  The vet did xrays before the trim, during the trim, and post trim so we could see the difference.  She wants the heels lower but the farrier believes Flea has contracted tendons, and doesn't want to lower them too much at once.
--
Jennifer in NH
2020

CH - https://ecir.groups.io/g/CaseHistory/files/Jennifer%20and%20Flea

Photo album - https://ecir.groups.io/g/CaseHistory/album?id=251041&p=Name,,,20,1,0,0


Re: Invokana side effects - how common are they?

Jennifer Murphy
 

That is so good to know. 
She has the information you sent her before, but she's just reluctant to get on board.

Flea is always much better after a trim, then tends to get sore a week or so later.  My trimmer asked me the same thing, thinking it was the trim that was doing it, but it's the opposite.  We shortened his trim cycles to every 3 weeks from 5 to try to keep ahead of the issue, but he still fluctuates between trims, usually toward the end of the cycle just before his next trim.
--
Jennifer in NH
2020

CH - https://ecir.groups.io/g/CaseHistory/files/Jennifer%20and%20Flea

Photo album - https://ecir.groups.io/g/CaseHistory/album?id=251041&p=Name,,,20,1,0,0


Re: Invokana side effects - how common are they?

Eleanor Kellon, VMD
 

There have been no side effects.There is increased urine production in some horses but that is to be expected and not a side effect.  In terms of eliminating pain, there have been no failures. All horses had insulin tests drop to normal or near normal except one but that horse also had laminitis resolve, fat deposits reduce or disappear.

I have the draft of an article I can send her.

 How does the soreness relate to time of trims?
--
Eleanor in PA

www.drkellon.com 
EC Owner 2001


Re: Case Hx folder is Empty

shawn_bluedog@...
 

Hello Kristen, 
I believe I succeeded, see below. 
--
Shawn and Candy
Dec 2020, Santa Cruz, CA
Candy Case History:  https://ecir.groups.io/g/CaseHistory/files/Shawn%20and%20Candy
Candy Photo Album:  https://ecir.groups.io/g/CaseHistory/album?id=258140


Re: Senior Feed sugar starch levels

Kandace Krause
 

Hi Sherry,
Just took a glance back at CH for J.  She gets the 8 lbs of softened hay cubes, 22 oz BP RSR, and free choice of the two different hay types listed.  I reallt can't say how much she eats because a lot of it ends up on the ground chewed and choked out, she never finishes up her hay, I end up transfering it over to other horses paddock when it has kicked around for too long.  Meals are divided and she gets grain/supplements at each feed as well, as noted in CH.  If K eats all her medicated BP I let two wander about together so she could nibble on K's hay ration and visa versa, but they have not eaten up every stick of hay and K's hay is weighed off and on to make sure it's not being overdone too much.  We have had only a few cold nights so far, below -15*C, so every 5*C Iower I would add a bit more hay to K and a bit more cubes for J.

She has not been tested for IR, I was not told to expect that from my vet.  If her just taken and spring ACTH returned to normal or more normal I would not bother with the insulin.
You feel differently?
--
Kandace K Rocky Mountains, Alberta, Oct 2
https://ecir.groups.io/g/CaseHistory/files/Kandace%20J%20and%20K


Invokana side effects - how common are they?

Jennifer Murphy
 

I'm beginning to regret sticking with the Metformin and not switching to Invokana a few months ago.  Flea's insulin was down but still too high, so we opted to keep going with the Metformin.  I had radiographs done at his trim shortly after that so we could be sure we were on the right path to correct any issues.  Since that time, I've kept track of when Flea is footsore, and I'm seeing a pattern of about 8-10 days of good, then 5-7 days of being footsore.  Right now, he can barely lift his feet and is what I refer to as being essentially crippled.  I tried putting him in cloud pads, but he's even worse now.  (He's been in boots 24/7 for nearly 2 years now.)

I emailed my vet to ask if we could pull blood, look at his numbers, and possibly put him on the Invokana.  She was willing to this a few months ago and even ran a CBC panel, but now she isn't on board.  The expense, potential side effects, and not knowing if it will actually help or not are her concerns. 

So my question is, just how often does Invokana fail?  How prevalent are side effects?  Does his being a mule raise any concerns that might not be addressed with a horse?

As far as his seemingly cyclical soreness, is it possible it's not related to insulin, but something else?  Maybe something that could be addressed by a chiropractic adjustment?
--
Jennifer in NH
2020

CH - https://ecir.groups.io/g/CaseHistory/files/Jennifer%20and%20Flea

Photo album - https://ecir.groups.io/g/CaseHistory/album?id=251041&p=Name,,,20,1,0,0

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