rabatsa
Confuddled
Hoping that Bertie had a good night and has turned a corner for the better.
Is there any chance of your vet prescribing Pergolide as a last resort, to see if it will break the cycle? Cushings laminitis produces pain which is very hard to control. It doesn't follow the normal laminitis rules. I had a horse with Cushings, and can share your despair. Hope you can find something that works for him.
Re blood letting, I have no personal experience but did read about it in one of the James Herriot books! It was a last resort but worked, to his surprise as it was an old, disregarded practice, alongside standing in a cold stream. As blood letting is not particularly painful via cannula, I would speak with the vet for your thoughts.
I have never seen it done, so can't comment on the practicalities but have certainly heard of bloodletting as a treatment for laminitis, also walking in cold flowing water - both very okd-fadhioned treatments but that's not necessarily a bad thingNot in English, unfortunately.
In a nutshell bloodletting makes the blood thinner and that reduces the pressure in the blood vessels and improves the blood circulation. It also makes the body produce new, healthier blood. All this reduces the inflammation in the hooves.
It's not as brutal as you might think, if you've never heard it before. A needle (probably a cannula?) is put into the jugular vein, basically like you'd prepare the horse for an infusion. I can't quite remember (it's been a while), maybe a second needle is then put into the cannula (or maybe not) to let the blood flow. The blood is collected in a measuring container so you (rather the vet) know when it's enough and still safe. The amount depends on the size/weight of the animal. When it's enough the needle comes out and the bleeding stops shortly afterwards. It can make the horse a bit sleepy but otherwise no unwanted side effects. If necessary, the horse can have an infusion right afterwards to make up for the lost blood, but that's for the vet to decide. My horse didn't get one.
My vets still recommend cold running water treatment for laminitis, the amount of pain relief it can bring is really impressive.You couldn't make it up! I shouldn't have uncrossed my fingers with little Jessie, extremely ill overnight, right down to chronic bloody diarrhea and vomiting. Long story short we are now back from hours at the vets, she is also back on all the meds she had earlier this year when they had her in the hospital. She is very quiet and exhausted now and sleeping, but at least they let her come home with us. She is to go back to the hospital immediately if she worsens over this weekend, if not back again Monday. Although tired she does seem more settled and less panting and dribbly, probably the steroid kicking in hopefully.
The vets actually now admit that despite all their tests earlier in the year they still are not 100 per cent what is wrong with her, her bloods are all over the place again and they still confirm probably some sort of auto immune issue amongst other things but quite stumped by her apparently. My poor little black piglet, trust her to be unique in her health problems.
Bertie still much the same today, he is also booked for vet Monday so somehow we have to juggle the logistics for both of them, but will muddle through it all somehow I guess. To answer a couple of helpful suggestions:
Yes we are going to request this on Monday. I agree about how hard this particular bout is to control so probably Cushings, I have dealt with lammi in a few different ones over the years and this is the most resistant one to any improvement I have had to deal with. I recall one old timer we did have to give up on with lammi due to Cushings, absolutely nothing would resolve the level of pain he was in and the decision was made sadly.
I read up on the blood letting last night and I will mention it to my vet but he is very progressive and I have a feeling he might resist that idea but we will see Monday. Strangely enough with the cold water in a cold stream, we do not have one near enough to get him to but in our area over the years we had communal use of a huge low metal tray with a hose attachment one end and a drain hole the other. I have used it about 15 years ago on the old horse mentioned above, a very big horse but the tray was quite big enough to stand him in with a hay net for a good hour or so whilst the cold water ran over his hooves.
It was recommended by my old vet and I maintain it did give a good deal of relief. I know the idea went out of fashion but I believe recent research has shown that there is some science behind it. We went searching for the foot bath yesterday, nobody has it and the old farmer who stored it in his barn is long dead now and the barn no longer exists so heaven knows what happened to the tray. I am not sure how Bertie would have reacted to walking into that though and the cold water but we would have managed somehow. Desperate measures and all that.
So flipping tired, isn't it so relentless when you have more than one ill at the same time. I am almost feeling immune to worrying now, sort of all worried out and what will be, will be. We just do our best don't we?![]()
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