Date
1 - 20 of 23
Urgent Vinnies acute mild laminitis
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Quick update.. great news, this was not a laminitic episode as much as it was a mechanical issue. After my brilliant vet created a pad to attach to the lf boot to reduce torque on the laminae and aid in breakover with a special pad inside the boot and then we adjusted the breakover in the rf by beveling the sneaker he is feeling amazing again.
Check out this little video from today https://youtu.be/0Gwa33TuSzw Its the little details that make all the difference 🥰 Thanks for all your support again and again!! Nan -- Nancy and Vinnie and Summer Oakley, Ca Joined Nov 2018 https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie https://ecir.groups.io/g/CaseHistory/album?id=245855 Summer https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie/Summer https://ecir.groups.io/g/CaseHistory/album?id=249104 |
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I have decided to put him back on pain medication until I can get him sorted out on prascend, metformin and get my blood results back.
I think trying to change too many things at once is a bad idea with Vinnie. Because he was also pretty painful I don't know if he was off food because of a pain response or because the additional dose of prascend or because of starting metformin. Too many variables to consider -- Nancy and Vinnie and Summer Oakley, Ca Joined Nov 2018 https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie https://ecir.groups.io/g/CaseHistory/album?id=245855 Summer https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie/Summer https://ecir.groups.io/g/CaseHistory/album?id=249104 |
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He was on 10 mlls once per day that's what got me to half a pill. I update to 12ML once per day when I started the additional 0.25
-- Nancy and Vinnie and Summer Oakley, Ca Joined Nov 2018 https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie https://ecir.groups.io/g/CaseHistory/album?id=245855 Summer https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie/Summer https://ecir.groups.io/g/CaseHistory/album?id=249104 |
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On Wed, Dec 23, 2020 at 11:41 AM, Nancy & Vinnie & Summer wrote:
So I think I may have to regroup a little..maybe back down on the prascend...he has not gone off food from metformin before.Nancy, did you increase APF to twice daily at the maximum dose? -- Cass, Sonoma Co., CA 2012 ECIR Group Moderator Cayuse and Diamond Case History Folder Cayuse Photos Diamond Photos |
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So he jas gone off food, could be the increase in prascend, he is shifting more today so definitely not as comfortable and he didn't eat the DC, mov ease or pea last night.
So I think I may have to regroup a little..maybe back down on the prascend...he has not gone off food from metformin before. Help?? -- Nancy and Vinnie and Summer Oakley, Ca Joined Nov 2018 https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie https://ecir.groups.io/g/CaseHistory/album?id=245855 Summer https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie/Summer https://ecir.groups.io/g/CaseHistory/album?id=249104 |
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Thanks Lavinia!! 🥰🥰
-- Nancy and Vinnie and Summer Oakley, Ca Joined Nov 2018 https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie https://ecir.groups.io/g/CaseHistory/album?id=245855 Summer https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie/Summer https://ecir.groups.io/g/CaseHistory/album?id=249104 |
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Lavinia Fiscaletti
Hi Nancy,
I've uploaded a quick mark-up for the LF: https://ecir.groups.io/g/CaseHistory/photo/245855/0?p=Created,,,20,2,0,0 Yellow hashed line is where the bone would be. Really need to bring that medial quarter inward to remove excess pressure, as well as to keep the entire hoof capsule from twisting medially. Also need more off the toe. Coffin bone is ground parallel, which is adding to the stresses on the arthritis he has on P2, and to the tendons/ligaments along the back of his leg. -- Lavinia, George Too, Calvin (PPID) and Dinky (PPID/IR) Nappi, George and Dante Over the Bridge Jan 05, RI Moderator ECIR |
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Thank you so much Dr Kellon :)
-- Nancy and Vinnie and Summer Oakley, Ca Joined Nov 2018 https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie https://ecir.groups.io/g/CaseHistory/album?id=245855 Summer https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie/Summer https://ecir.groups.io/g/CaseHistory/album?id=249104 |
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P.S. Remember too he has extensive arthritis changes in P2 at the pastern joint which could certainly cause pain (although obviously not sole tenderness).
-- Eleanor in PA www.drkellon.com |
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If this is infection, Tildren won't help and is contraindicated. What I would do is retake the film with the sulci on either side of the frog packed with clay or Play-Doh to eliminate any artifacts. If the shadows are still present, get an opinion from a board certified radiologist.
-- Eleanor in PA www.drkellon.com |
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Sorry for the typos too, I am on my phone and I should be wearing glasses :)
-- Nancy and Vinnie and Summer Oakley, Ca Joined Nov 2018 https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie https://ecir.groups.io/g/CaseHistory/album?id=245855 Summer https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie/Summer https://ecir.groups.io/g/CaseHistory/album?id=249104 |
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The larger red area is literally the same cut out i have in the pad. Hmmmm!
-- Nancy and Vinnie and Summer Oakley, Ca Joined Nov 2018 https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie https://ecir.groups.io/g/CaseHistory/album?id=245855 Summer https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie/Summer https://ecir.groups.io/g/CaseHistory/album?id=249104 |
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Thanks Dr Kellon, j noticed the none loss myself and incidentally his last two acupuncture appts be hasn't had foor soreness reactivity, but largely reactive for bone ans this time was bone and tummy.
Would you think another tildren profusion would be beneficial? Of course after addressing what may be the source of the shadows? -- Nancy and Vinnie and Summer Oakley, Ca Joined Nov 2018 https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie https://ecir.groups.io/g/CaseHistory/album?id=245855 Summer https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie/Summer https://ecir.groups.io/g/CaseHistory/album?id=249104 |
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The abscess at the toe is much smaller on lateral view but on solar margin view he has more bone loss medially and there are two shadows of concern. I'll circle and post them.
-- Eleanor in PA www.drkellon.com |
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Thanks Dr Kellon. :) will continue to update here.
He was more comfortable than I expected bkm to be last night w/o banamine in board which was a plus. We will see how today goes. Knock wood :) Nancy and Vinnie and Summer Oakley, Ca Joined Nov 2018 https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie https://ecir.groups.io/g/CaseHistory/album?id=245855 Summer https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie/Summer https://ecir.groups.io/g/CaseHistory/album?id=249104 |
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Sounds fine to me, and hold off on Invokana unless insulin rises on the metformin.
-- Eleanor in PA www.drkellon.com |
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My latest rads are uploaded too.
-- Nancy and Vinnie and Summer Oakley, Ca Joined Nov 2018 https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie https://ecir.groups.io/g/CaseHistory/album?id=245855 Summer https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie/Summer https://ecir.groups.io/g/CaseHistory/album?id=249104 |
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Ok i have been thinking about my plan.....
1. Stopped banamine, he was getting 250# dose 1 time per day for a long time at least a year or more. As Dr Kellon quoted Einstein in a previous post, "doing the same thing over and over again and expecting a different result"... (is definitely not working for me) since he was getting a low dose i will monitor him to see if I need to wean off more slowly. 2. Tried pq, and Vinnie said no way.. so I am going to try the hemp joint from uckele as he will eat that but double the dose 2x per day for the DC. I have ordered cocosoya granules to see if that will be a game changer for PQ. 3. Added mov ease back and he ate that in his mash. 4. Adding pea 2500 mg 2x per day (starting tonight) 5. Increasing jherb by 1/4 tsp per feeding to pink gums. Since he is eating Glycocemic eq and laminox in his mashes I don't want to mess with good thing so I am leaving those alone. 6. Starting a course of ulcerguard tonight 2 hrs before any meds/herbs as he was very tummy reactive during our last acupuncture appt. On Saturday and recommended I treat for ulcers. 7. Try to figure out a better pad solution for the left front. I have purchased about 8 different boots with bunch of different pads that I can try different cut outs... i have also read that yoga mats worked for some so that is in my list to try(yah I am crazy...so..I may have some boots for sale or to loan out later :) ) 8. Red light therapy daily 9. Centurion mini pulse on 2hz daily starting in a week when I get a better idea of his pain tolerance off nsaids. 10. He is getting 10ml apf syringed in the am still and vit e in the pm, I dont want to syringe too much more...(he may boycott my presence:) I could add something to the vit e syringe if needed but I would prefer not it at all possible. Since I am trying to give jherb in food as well as pea and mov ease should I increase the dosage or should i really be syringing these? Still giving meds (metformin, prascend, thyrol)... Last but not least even though his insulin st time of testing has never been higher than 88 ans was last 42 should inbe considering invokana because of how high risk he seems to be? Dr Kellon and all, please let me know your thoughts on my plan and if you think anything sounds incorrect? Thx in advance Nan -- Nancy and Vinnie and Summer Oakley, Ca Joined Nov 2018 https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie https://ecir.groups.io/g/CaseHistory/album?id=245855 Summer https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie/Summer https://ecir.groups.io/g/CaseHistory/album?id=249104 |
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Gilly Edwards <gillyedwardsusa@...>
I was having great difficulty finding a pad my horse was comfortable in. I found using a thick sponge cut to the shape of the hoof attached with elastic on did the trick.
-- Gilly VA 2020 |
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My PEA shipment came today as well.
-- Nancy and Vinnie and Summer Oakley, Ca Joined Nov 2018 https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie https://ecir.groups.io/g/CaseHistory/album?id=245855 Summer https://ecir.groups.io/g/CaseHistory/files/Nancy%20and%20Vinnie/Summer https://ecir.groups.io/g/CaseHistory/album?id=249104 |
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