Random Stuffs

[battie]

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Librela (acknowledge the risks/talk to your vet, this is controversial and not as well loved as Solensia)

@katiemcat I lost my Golden in April after she also developed NSAID induced ulcers. Would have had to discontinue using her meds and she physically couldn't walk without it.

I elected to not try Liberal due to the new-ish concerns for the ROA that orthopedists are seeing. I think the surgeon at Mizzou has started a study and is becoming more concerned with this new development. The ROA can happen in dogs with pre-existing dysplasia of any joint. She had severe hip dysplasia (failed surgery from puppy-hood) and elbow dysplasia. I didn't think the risk was worth it.

I did think Sadie did very well on acupuncture. Went in completely skeptical, but thought she had real measurable improvement in her strength/gait.

 

[pp9]

Thank you so much for your input! I am definitely extremely weary about putting him on any sort of NSAID again.

We have done 2 PRP injections but I will have to look into stem cell therapy.

For adequan we were loading it and then doing once a month, but I’m thinking we are going to need to increase the frequency.

PMing you because I got schooled on the correct use by the manufacturer when I spoke with their vet a few months back

 

[katiemcat]

@katiemcat I lost my Golden in April after she also developed NSAID induced ulcers. Would have had to discontinue using her meds and she physically couldn't walk without it.

I elected to not try Liberal due to the new-ish concerns for the ROA that orthopedists are seeing. I think the surgeon at Mizzou has started a study and is becoming more concerned with this new development. The ROA can happen in dogs with pre-existing dysplasia of any joint. She had severe hip dysplasia (failed surgery from puppy-hood) and elbow dysplasia. I didn't think the risk was worth it.

I did think Sadie did very well on acupuncture. Went in completely skeptical, but thought she had real measurable improvement in her strength/gait.

I’m so sorry for your loss.

He isn’t at the point where he can’t walk but he gets seriously lame on his left front after pretty much any real exercise since I stopped the carprofen.

I have elected to stay away from Librella for similar reasons.

He was seeing our integrative department pretty regularly for underwater treadmill therapy and doing well before I got caught up in NAVLE / holidays. I think it’s time for us to get back on that and maybe try some acupuncture as well!

Thank you for sharing.

 

[katiemcat]

PMing you because I got schooled on the correct use by the manufacturer when I spoke with their vet a few months back

Please do!

 

[_rae_]

I’m so sorry for your loss.

He isn’t at the point where he can’t walk but he gets seriously lame on his left front after pretty much any real exercise since I stopped the carprofen.

I have elected to stay away from Librella for similar reasons.

He was seeing our integrative department pretty regularly for underwater treadmill therapy and doing well before I got caught up in NAVLE / holidays. I think it’s time for us to get back on that and maybe try some acupuncture as well!

Thank you for sharing.

Seconding acupuncture. I’m a western medicine girlie like through and through, and have seen tangible benefits from acupuncture in animals and myself.

One thing that the doctors did at my hospital (that the adult doctors can weigh in on) is low dose subq ketamine. A lot of our painfully arthritic or osteosarcoma patients saw real benefit from it and it can be done every 2-4 weeks. Owners never complained about any sedating effect. These days I don’t remember the doses and wouldn’t say them on the internet anyway, but it’s definitely something worth looking into.

 

[battie]

Low dose subq ketamine

A ton of our staff doctors do this with their older dogs.

 

[SkiOtter]

Just adding in that my rep/their vet at a CE dinner (prob the same as pp9’s) said that once monthly Adequan actually doesn’t do **** since you’re not giving it as frequently as they rec but ymmv

 

[pp9]

Just adding in that my rep/their vet at a CE dinner (prob the same as pp9’s) said that once monthly Adequan actually doesn’t do **** since you’re not giving it as frequently as they rec but ymmv

Yeah this is basically the tldr of what she told me. The drug only lasts for 4-5ish days, the 7 doses q4d is not a 'loading period' and is actually just the 'treatment.'

Also I miss CE dinners. I rarely hear about them happening over here (even though I'm sure there are a ton) but I'm also not in any state/region based orgs right now.

One thing that the doctors did at my hospital (that the adult doctors can weigh in on) is low dose subq ketamine.

Thank you for reminding me that this is a thing. Might be worth exploring for some of our crunchy creatures at my zoo

 

[battie]

Thank you for reminding me that this is a thing. Might be worth exploring for some of our crunchy creatures at my zoo

This sounds like a case report for a journal to me 👀

 

[SkiOtter]

Also I miss CE dinners. I rarely hear about them happening over here (even though I'm sure there are a ton) but I'm also not in any state/region based orgs right now.

There’s not a ton of free stuff for the state VMA so don’t bother with that one (I only am a member bc my corp reimburses for state VMA dues and it doesn’t come out of my CE allotment but I think my region VMA might?) but the region one I’m in for the other side has a decent amount. Some of the ones I go to are straight from the reps emailing my clinic to let us know about it and it’s usually not associated with a VMA.