Well today she had more bloods taken - some are apparently going to an equine lab here in Ireland and some to Liphook - my vet (fortunately!) is a good buddy of an expert in this field at Liphook - and he (my vet) did some of his training there himself back in the day, so hopefully will give us an extra view point and opinion on what is going on with the Doll.
Since last visit a week ago she is now abnormally quiet - like falling to sleep over her feed when she comes in quiet - not good to be honest - it seems we have either one extreme or the other just now.
He is leaning more and more towards the opinion that she may be one of the rare cases that Cushings can present with very aggressive and unusual behaviour as well as the very quiet lethargic symptoms. She has never had laminitis since I have owned her - he thinks probably because I am very strict with her diet to try and alleviate her sweet itch as cushings/lammi diet is actually very similar to an ideal diet for a sweet itch horse. However due to the increased risk I can no longer risk giving her a Kenalog (steroid) jab when her SI becomes unmanageable as it did last year and the year before. He is hopeful that when she is on Prascend that might actually alleviate some of her SI symptoms - I truly hope so - has anyone any experience of this please?
if it doesn't he will cross that bridge when we come to it and will try some alternatives to help her other than steroids - (this poor old mare will literally throw herself writhing on the ground when the Si really gets too much too bare) I hope he can as I would PTS tomorrow if this possible cushings diagnosis interferes with the only relief I can give her when the SI is totally unbearable for her.
Pointless, slightly depressed post - more thinking out loud but please excuse me - I promise to revert to my usual sarcastic, opinionated, very dark and sometimes offensive sense of humour self ASAP.
Since last visit a week ago she is now abnormally quiet - like falling to sleep over her feed when she comes in quiet - not good to be honest - it seems we have either one extreme or the other just now.
He is leaning more and more towards the opinion that she may be one of the rare cases that Cushings can present with very aggressive and unusual behaviour as well as the very quiet lethargic symptoms. She has never had laminitis since I have owned her - he thinks probably because I am very strict with her diet to try and alleviate her sweet itch as cushings/lammi diet is actually very similar to an ideal diet for a sweet itch horse. However due to the increased risk I can no longer risk giving her a Kenalog (steroid) jab when her SI becomes unmanageable as it did last year and the year before. He is hopeful that when she is on Prascend that might actually alleviate some of her SI symptoms - I truly hope so - has anyone any experience of this please?
if it doesn't he will cross that bridge when we come to it and will try some alternatives to help her other than steroids - (this poor old mare will literally throw herself writhing on the ground when the Si really gets too much too bare) I hope he can as I would PTS tomorrow if this possible cushings diagnosis interferes with the only relief I can give her when the SI is totally unbearable for her.
Pointless, slightly depressed post - more thinking out loud but please excuse me - I promise to revert to my usual sarcastic, opinionated, very dark and sometimes offensive sense of humour self ASAP.