Laminitis with no improvement

ycbm

Einstein would be proud of my Insanity...
Joined
30 January 2015
Messages
58,777
Visit site
Thank you I have never dealt with this before as my old boy was pts with the hunt last year however I don’t think they are operating anymore as they have closed the hunt group down.

I will have the conversation with my vet and farrier. I do think I’ve done everything I can now and this conversation keeps cropping up - it’s going round in circles when inevitably I know the answer


If you were happy with the hunt there will be other compassionate licensed slaughtermen (sorry!)

If you say whereabouts you are we can possibly give you a number. I know two who cover the east side of Cheshire, for example.

.
 

ester

Not slacking multitasking
Joined
31 December 2008
Messages
61,277
Location
Cambridge
Visit site
For info of anyone seeking laminitis rehab, Rockley don't rehab laminitis only navicular syndrome and foot balance issues.

Gawsworth Track Livery do though.

.

They definitely had a welshie withchronic lami issues a few years ago, I saw him at one of the meet ups, can't remember his name though or whether that was his only diagnosis.

PSW I'd not be at all happy with her from that photo :(
 

PSD

Well-Known Member
Joined
13 March 2020
Messages
1,619
Visit site
If you were happy with the hunt there will be other compassionate licensed slaughtermen (sorry!)

If you say whereabouts you are we can possibly give you a number. I know two who cover the east side of Cheshire, for example.

.

don’t be sorry! I had my old boy done by the hunt as the cost was too high for the vet and cremation as he wasn’t insured (that sounds awful when I read it back) however Tilly is insured so I would have the vet do it.

it’s so heartbreaking even having this conversation, had my first vet been competent I may be telling a different story right now. Time to face reality I think.
 

Equi

Well-Known Member
Joined
25 October 2010
Messages
14,405
Visit site
Don’t get hung up on what ifs, it’s possible it could have went this way anyway. What I will say though is make your decision and make it firmly. I’d be inclined to call and say she’s had a horrible night and you would like to have her put to sleep, not ask what advice they can give about what they would do, that opens the door for them to persuade you to do something else. It’s heartbreaking cause we do sometimes get invested in other people’s threads and I hate when things don’t go well for them :( big hugs op.
 

PSD

Well-Known Member
Joined
13 March 2020
Messages
1,619
Visit site
Don’t get hung up on what ifs, it’s possible it could have went this way anyway. What I will say though is make your decision and make it firmly. I’d be inclined to call and say she’s had a horrible night and you would like to have her put to sleep, not ask what advice they can give about what they would do, that opens the door for them to persuade you to do something else. It’s heartbreaking cause we do sometimes get invested in other people’s threads and I hate when things don’t go well for them :( big hugs op.

that’s what I’m afraid of, being persuaded to keep going because I don’t want to let her go obviously but it isn’t about what I want now.
 

ycbm

Einstein would be proud of my Insanity...
Joined
30 January 2015
Messages
58,777
Visit site
that’s what I’m afraid of, being persuaded to keep going because I don’t want to let her go obviously but it isn’t about what I want now.


The only way you could be persuaded would be if you were set on the insurance paying for it.

If the vet says no, call a slaughter man. It will cost about £250

This is hard PSD but you know in your heart what needs to be done. My thoughts are with you.

.
 

PSD

Well-Known Member
Joined
13 March 2020
Messages
1,619
Visit site
The only way you could be persuaded would be if you were set on the insurance paying for it.

If the vet says no, call a slaughter man. It will cost about £250

This is hard PSD but you know in your heart what needs to be done. My thoughts are with you.

.

my vet did mention if the sinking worsened then there wouldn’t be any other option but to PTS
 

splashgirl45

Lurcher lover
Joined
6 March 2010
Messages
16,038
Location
suffolk
Visit site
so sorry but i think its time. you just tell your vet what you want done, dont ask him because some vets will keep going much too long IMO....be strong for her and know you are doing the right thing. i have been through making the decision a few times and although it is not easy you have to think of the horse's quality of life, i have never regretted my decision even though i miss them terribly, i did what was right for them and i think you know in your heart what is right for your girl. hope you manage to get this sorted quickly, hugs xxx
 

chaps89

Well-Known Member
Joined
8 July 2009
Messages
8,520
Location
Surrey
Visit site
I've been reading this thread but not commented yet.
And I hate to be commenting now on a practical note - please check your insurance documents (as they aren't likely to be open on Easter Sunday for a call) about them covering the cost of pts.
To my knowledge I'm not aware of any insurers who cover that actual cost. Although if your vet says the horse meets the BEVA guidelines for euthanasia (essentially that nothing else can be done and it's inhumane to keep the horse alive any longer) then they may well pay out for the value of your horse and possibly something towards the disposal costs dependant upon your policy.
I'm sorry to be so black and white in such an awful situation, I just didn't want you to have a shock when the paperwork side of things is sorted.
I'm afraid to say I wouldn't be postponing making the final call either. Better for her to go whilst she still has a little sparkle left than when she reaches absolute agony when her pedal bone penetrates the sole, which doesn't sound far off.
The other thing I would consider is quality of life if she were to recover. Say she did pull through from this. It feels unlikely she'd be able to live a normal life out in the field.
So unless you are lucky enough to have a grass free track livery nearby, you'd potentially either have to send her away or accept she's likely to have to be stabled alot with an awful lot of micro-management going forwards to prevent a re-occurrence.
And that is hard work and expensive for you and not likely to be alot of fun for her.
I really feel for you, you've tried so hard and I'm sorry it's come to this.
 

PSD

Well-Known Member
Joined
13 March 2020
Messages
1,619
Visit site
Thank you all for your lovely comments and support. I am having discussions with the vet and farrier today.

here’s an up to date photo of her bad food, what do you make of it? It looks pretty poor to me but I don’t know what I’m looking at. What I’m trying to say is when it looks like this, is there any glimmer of hope for a recovery? Not that i think there is much point of hoping now because as I say I know in my heart the answer hence the discussions with vet and farrier. Does this look like a foot that is going to have sole penetration if I continue trying? Again I’m not saying I am going to continue, it’s more for information purposes that I ask. C49A6325-DA3F-46E3-99A0-703E823E8470.jpeg
 

Equi

Well-Known Member
Joined
25 October 2010
Messages
14,405
Visit site
There is nothing there anymore. I don’t know if it’s just the photo but there is a lot of wall there and that may just be because there is so little sole left. I’m afraid I’d be very worried about her entire hoof falling off.
 

be positive

Well-Known Member
Joined
9 July 2011
Messages
19,396
Visit site
I think the question you have to ask is what 'recovery', if it does happen, will mean for her, if it is months more box rest, a life with no turnout, no riding and continual worrying for you then you know the answer that is kindest for her and also yourself.

That foot does not look very stable to me but I am not a vet or farrier, the one thing that my NF had going for him was his soles were so thick and tough the pedal bone was stable, it went against him from the abscess point of view as the horn quality did not make it easy to get the abscess moved, it also allowed him to get out and back to a relatively normal life fairly quickly, he had about 4 months of full box rest but once recovered made very fast progress as his feet were so tough, for me he was a constant cause of concern for the rest of his life, when he finally went down with it again I called it a day rather than go through more months of box rest, it was a very hard decision, the vet thought he still looked very bright but when the injection went in he went very quickly and peacefully and we knew the time was right, it is never easy to make that call but knowing you have done everything you can does make it easier to live with.
 

Errin Paddywack

Well-Known Member
Joined
20 June 2019
Messages
6,821
Location
West Midlands
Visit site
You have a terrible decision to make but please don't put it off any longer. Your mare's face in that picture shows a horse in a lot of pain. Speaking as one who has left the decision much too late in the past and bitterly regretted it, get it done as soon as you can. It is one of the hardest decisions to make but also one of the best. Look after yourself, you have all my sympathy.
 

PSD

Well-Known Member
Joined
13 March 2020
Messages
1,619
Visit site
I’ve just had a chat with the vet and farrier together on a group call.

long story short, they have both agreed that the imprint shoes should at least be given a go. They said there’s nothing to lose by trying them and we will know in a very short period of time if they are going to help her or not. I feel fed up by it if I’m honest and as much as I want to put her out of pain, I also want to put my trust in the professionals who know what they’re dealing with, if these shoes don’t improve her condition then she will be pts. My farrier said even if the vet suggests something else after this he will advise against it as he doesn’t feel there is another other option now. He said the shoes are not going to put her in a more compromising position and he’s also said he’s not concerned at this point about sole penetration. I feel they’ve both been fantastic up to now and that I should perhaps try this one last effort.

my mind is a bit numb at the minute with it all, I fail to see how imprints will improve her at this point but at least I know I will have tried absolutely everything possible for her.
 
Last edited:

FFAQ

Well-Known Member
Joined
17 June 2015
Messages
612
Visit site
When I was training one of my case studies was a very bad laminitis case whose feet looked worse than that (but the laminitis may have gone on for longer). The vet had to nerve block for me to trim as the horse was in such pain that she couldn't pick her feet up. From the beginning we agreed a 2 week limit. If the horse wasn't more comfortable within 2 weeks of the first trim we would pts. She'd had glue-ons previously but in her case they made her less comfortable. We were expecting to see bone from the x-rays, and if that had been the case she would've been pts there and then. However, the bone hadn't come through and thankfully the horse was immediately more comfortable after the trim and was then put in hoof boots with therapeutic pads 24/7.
This mare was never sound enough to ride again but did live for another 4 or 5 years before an injury ended her life.
I am absolutely not saying either way what you should do OP. My case study was right on the edge of ethical in my opinion. Sometimes if there is solar penetration it can be recovered but the question is whether it is ethical to do so. I honestly don't know what I would do if it was one of mine. All I can say is my thoughts are with you and it is clear you would do anything for your beautiful horse. Whatever you decide you can definitely be sure you've done everything you can! Massive hugs to you xxx
 

Dusty 123

Well-Known Member
Joined
5 April 2020
Messages
109
Visit site
To be honest to me it sounds like the vet and farrier are trying to get money out of you . To be honest her foot looks very damaged to me I say imprints probably would not work.
 
Last edited:

PSD

Well-Known Member
Joined
13 March 2020
Messages
1,619
Visit site
To be honest to me it sounds like the vet and farrier are trying to get money out of you . To be honest her foot looks very damaged to me I say imprints probably would not work.

my farrier isn’t benefitting at all from carrying on as I’m paying for the cost of the imprint shoes and he’s even providing me with a receipt to show how much they are costing. As for the vet, they may well be “getting money out of me” but that’s what they would do regardless as they want to try everything. If that was the case, they wouldn’t be saying the imprint shoes are the last thing to try as there are other options but they aren’t willing to put her through it.

however I do agree that the imprints probably won’t work, but at this stage I have nothing to lose. The vet and farrier will know in a short space of time if they are going to work or not
 

Dusty 123

Well-Known Member
Joined
5 April 2020
Messages
109
Visit site
my farrier isn’t benefitting at all from carrying on as I’m paying for the cost of the imprint shoes and he’s even providing me with a receipt to show how much they are costing. As for the vet, they may well be “getting money out of me” but that’s what they would do regardless as they want to try everything. If that was the case, they wouldn’t be saying the imprint shoes are the last thing to try as there are other options but they aren’t willing to put her through it.

however I do agree that the imprints probably won’t work, but at this stage I have nothing to lose. The vet and farrier will know in a short space of time if they are going to work or not
Sorry for being rude I probably should have read over it before I posted it
 

PSD

Well-Known Member
Joined
13 March 2020
Messages
1,619
Visit site
Sorry for being rude I probably should have read over it before I posted it

you wasn’t being rude you just shared your opinion. It’s easy to see they could be making money and it’s a worry I have at the back of my mind but for now I do feel like that they are just wanting to try the imprints as there’s nothing to lose and it’s the last realistic thing we can try.

However I’m not at all hopeful they will make any difference at this point
 

be positive

Well-Known Member
Joined
9 July 2011
Messages
19,396
Visit site
I think this vet and farrier are possibly trying a bit harder because they were not involved at the start, they may be feeling you were let down badly by the other professional and want to ensure they are not missing out anything that can be done, there could be some personal reward but it will be more about trying to right the wrong than for financial gain, they should not be trying to prove the other vet was wrong but to show there are good vets out there who will do their absolute best.
 

PSD

Well-Known Member
Joined
13 March 2020
Messages
1,619
Visit site
I think this vet and farrier are possibly trying a bit harder because they were not involved at the start, they may be feeling you were let down badly by the other professional and want to ensure they are not missing out anything that can be done, there could be some personal reward but it will be more about trying to right the wrong than for financial gain, they should not be trying to prove the other vet was wrong but to show there are good vets out there who will do their absolute best.

I fully agree. My vet is one of the best in the area and he takes particularly keen interest in lameness and feet. They’ve both been fantastic up to now I cannot daily then which is why I’m trusting them and giving the imprints a go. My farrier reckons you see improvement immediately in a lot of cases
 

holeymoley

Well-Known Member
Joined
18 November 2012
Messages
4,595
Visit site
Looking back at the photos of the sole- the red marks are the seroma. This is where the pedal bone is pressing on the sole. There’s very few mm’s between that space and the bone. I also can’t decide whether or not her bars are too long- has she had a lot off the heel? This factor could improve her comfort levels. However, if you feel that the imprints won’t work I’d personally let her go while she still has some spark. The full body photo of her looks like she’s holding herself in pain. It’s a truely awful situation to be in and I wouldn’t wish it on anyone xx
 

PSD

Well-Known Member
Joined
13 March 2020
Messages
1,619
Visit site
Looking back at the photos of the sole- the red marks are the seroma. This is where the pedal bone is pressing on the sole. There’s very few mm’s between that space and the bone. I also can’t decide whether or not her bars are too long- has she had a lot off the heel? This factor could improve her comfort levels. However, if you feel that the imprints won’t work I’d personally let her go while she still has some spark. The full body photo of her looks like she’s holding herself in pain. It’s a truely awful situation to be in and I wouldn’t wish it on anyone xx

this foots due a trim this week so I’m not sure if it’s had significant growth but he did lower them last trim.

obviously I’m not expert so I don’t know if the shoes will work but I just can’t see it t this point. As you say the soles are so thin now so I fed this won’t be of benefit to her at all, but it’s worth a shot. Then I’ve done everything I possibly can and I can be at peace with that when she does go. She is in pain though for sure, her ulcers have probably returned too. Here you can see how tucked in she is (this was last week) bless her heart. A1AE9043-7F6B-4408-BA71-82444F6DB0F4.jpeg
 

Auslander

Well-Known Member
Joined
13 November 2010
Messages
12,710
Location
Berkshire
Visit site
It's a tricky one to respond to, as I don't want to give you false hope - but imprints made a world of difference to the EMS mare here that was nearly PTS a few years back as she had such severe laminitis. Fitting Imprints and Equipak CS made her loads more comfortable, so we could treat the EMS and sort out her weight without her being in agony
 
Top