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Discussion on Bruise or abcess??? if not then what?
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Member:
liolii
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Posted on Monday, Oct 22, 2007 - 9:14 pm:
Wasn't sure where to put this so thought best to start a new thread. My wonderful little QH not built like your typical ones more like a WB that went in the dryer. Post horse trial pulled up 3 legged lame RF. Gave him some bute stall rested was fine 4 days later until he was mistakenly turned out. Found him next day 3 legged. Vet blocked him sound in the heel and took xrays. Xrays neg for any causial reason to be off. Teated as if it was an abscess soaking, poutlicing and stall rest. Almost 3 weeks no change. Farrier pares away finds nothing or any hint of an abscess. In consult with vet shoe for bruised heel, egg bar and degree pads. Horse is very sound at walk but still off at trot with 2 gms a bute a day. It has been 4 days since the shoeing and I am wondering if I just need to be patience or should I head for more diagonistic.
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Moderator:
DrO
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Posted on Tuesday, Oct 23, 2007 - 7:08 am:
Hello Gretchen,
With the only finding of a positive response on a PDN there are still many diagnostic possibilities and the question of further diagnostics depends on your goals and resources.
If you goal is to insure that everything possible is done to insure this horse gets well as quick as possible and your resources unlimited the answer will be different than if your resources are minimal and you have a dozen other horses that need riding. "Resources" is not simply a matter of money. For instance advanced diagnostics may be hundreds of miles away or you may be working 60 hours a week and have no spare time. There is at least one more factor, is the lameness continuing to improve? While a lameness is improving it is much easier to take a wait and see once it quits improving then the balance for many tips toward further diagnostics.
This would be a good time to collect information. First what further diagnostics might be helpful? Has all that can be done locally been done, if not how far away, and what is the costs? To help answer these questions I recommend starting in Diseases of Horses » Lameness » Diseases of the Hoof » Overview of Diagnosis and Diseases of the Foot.
For more on caring for your horse with a undiagnosed foot lameness see Diseases of Horses » Lameness » First Aid for the Lame Horse.
DrO
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Member:
liolii
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Posted on Thursday, Oct 25, 2007 - 8:29 am:
Thanks for your rapid response. My vet whose past includes a stint as surgeon at New Bolton as well as other east coast schools suggest at this point since I see improvement at the walk to taper off the bute and try to "work" him through it. The owner of the horse is willing and able to do what is necessary to see this through. I am just a bit stymied but the lack of conclusive diagnois. I just worry about continuing and possibly doing more damage in the long run and yet not wanting to head to New Bolton unecessarily.
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Member:
liolii
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Posted on Thursday, Jan 3, 2008 - 7:27 pm:
I thought it was time for an update in case it may be of some help to another in my situation. Now some 4 months of "conservative" therapy he is still slightly off more tracking to the left than right. And remains slightly positive to hoof testers on the inside of the Right front which has been that way since the beginning. We are in process of making and appointment to get to New Bolton. It is my hope that they will be able to give me some sort of diagnosis. I will keep you posted. All good thoughts greatly appreciated
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Member:
mysi
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Posted on Thursday, Jan 3, 2008 - 8:16 pm:
Good luck Gretchen. I hope you find out whats going on. Best Wishes.
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Moderator:
DrO
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Posted on Friday, Jan 4, 2008 - 6:48 am:
Thanks for the update Gretchen, do you know what the plan at New Bolton is?
DrO
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Member:
cspanhel
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Posted on Friday, Jan 4, 2008 - 7:55 am:
Hi, this sounds so familiar--my stallion has had this 'synDrOme' for months now...we know for sure that he has had recurring abscesses/gravels, and we now know for sure there was deep seated thrush which ultimately resulted in some separation of the hoof wall. We think we have all this cleared up, but he is still off at the trot and canter on the affected leg. It's possible there is still a gravel that can't drain, and it's also possible he tore a muscle being collected this fall.
Have you ruled out a soft tissue injury?
Good luck! cynthia
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Member:
cspanhel
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Posted on Friday, Jan 4, 2008 - 7:56 am:
Hi, this sounds so familiar--my stallion has had this 'synDrOme' for months now...we know for sure that he has had recurring abscesses/gravels, and we now know for sure there was deep seated thrush which ultimately resulted in some separation of the hoof wall. We think we have all this cleared up, but he is still off at the trot and canter on the affected leg. It's possible there is still a gravel that isn't draining (will have him back at the vet soon to check on this), and it's also possible he tore a muscle being collected this fall.
Have you ruled out a soft tissue injury?
Good luck! cynthia
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Member:
liolii
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Posted on Friday, Jan 4, 2008 - 8:40 am:
I love this site if only Dr O could do MRI via the net.. Cynthia we believe in going conservativly we have giving any reasonable soft tissue issue time to heal 4 months. So we are looking for more diagnostic ability when we go to New Bolton. At this point I believe we are looking to do at least an MRI. That's it in a nutshell. And as much as I prefer to not go there I had another customers horse there last year to have a keratoma removed. He was sound immediately after surgery and is doing great. That is a truly amazing place and Dr. Orsini is a great vet and amazing surgeon.
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Member:
cspanhel
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Posted on Saturday, Jan 5, 2008 - 12:09 am:
I'll be very interested in what you find out as it sounds so similar to what I'm dealing with in my horse. I'm pretty sure he had a muscle injury in addition to the hoof issues, but like in your case, there has been plenty of time for that to heal up (months...). I'm working with a vet who is a lameness specialist, and I think he has MRI, so that might be the next step for me, too. Best of luck with your guy... cynthia
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Member:
liolii
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Posted on Monday, Jan 7, 2008 - 5:26 pm:
I have confirmed my appointment for next Tuesday @ 9am with Dr. Midge Leitch and Dr. Elizabeth Davidson at New Bolton. Since the horse hasn't been seen in 4 months they will start with a work up to confirm the lameness location which will probably include digital x-rays and go from there to MRI if need be. I look forward to have the opportunity to have someone like Midge's expertise on the case as well as Dr. Davidson. I will share my results and let's hope it's manageable as I really believe in this horse and want him to go on. Plus he turns into acting like a 2yr old stud colt when he's not in work.
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Member:
liolii
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Posted on Wednesday, Jan 16, 2008 - 3:06 pm:
New Bolton update. Our appointment was for this Monday and there was to be a Nor'easter heading my way so I boogied out of New York at the end of my day of teaching Sunday. Got on the road by 7 and arrived about 1am through much rain. As the horse had not been seen in almost 4months we started at the beginning to try to pin point first the location and then the cause of the lameness. After trotting him out and doing flexition test they started by blocking only the heal area. He improved but was still not sound. He also goes better to the left than the right so they then blocked out the left side of the foot. This showed much improvement but still not sound. They then took digital x-rays which were read by Midge Leitch. She then went over the very perplexing results with great detail and excellent skill in explanation. He showed some changes on the opposite side than he blocked sound on????? Next step would be to block the coffin joint specifically. That was done today and it seems to be the problem area as he blocked sound. So tomorrow they will do a bone scan in an effort to get a clearer picture of what and exactly where the problem is with in the coffin joint area. Having been to New Bolton with another clients horse for a Keratoma it is truly and impressive place and the people are so helpful. And looking at the variety of horse flesh there is just amazing. Part two tomorrow
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Member:
dres
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Posted on Wednesday, Jan 16, 2008 - 4:18 pm:
Gretchen, nothing on the x rays?
On the first day God created horses, on the second day he painted them with spots.
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Member:
liolii
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Posted on Wednesday, Jan 16, 2008 - 5:45 pm:
Ann, nothing that made "sense" There is a mild bit of stuff but it is on the outside of the RF where he is clinically sound. It was perplexing at best. I am hoping the bone scan will further help pinpoint the where and what of things. Of course I've now read to much about the coffin joint and don't believe I have enough wine in the house to help me sleep... and he's not even mine. He is such a terrific animal and I thought he really had the scope and ability to do some great things.
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Moderator:
DrO
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Posted on Wednesday, Jan 16, 2008 - 7:20 pm:
Gretchen, for more on the significance of a coffin joint block see, Diseases of Horses » Lameness » Diseases of the Hoof » Overview of Diagnosis and Diseases of the Foot.
They are narrowing down the possibilities. A bone scan...I hate to buck the pros from New Bolton but wouldn't magnetic resonance imaging be a wiser choice for diagnosis and prognosis?
What was the rationale for going down this route when a positive finding will just lead to MRI? What are the comparative expenses?
DrO
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Member:
liolii
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Posted on Thursday, Jan 17, 2008 - 8:18 am:
Dr. O As I understand things they felt the bone scan information might be enough to answer the where and what of things. But if not they would then go to a MRI. It seems that with the MRI and the fact that the horse is under they aren't so keen to go to that first. That was the impression I got. Not sure cost on bone scan but the MRI is appox $1500. I so appreciate your guidance cause as well informed as I think I am it gets a bit overwhelming when your in the midst of the trauma. Gretchen
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Member:
liolii
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Posted on Tuesday, Feb 19, 2008 - 12:08 pm:
And the conclusion is.....please don't quote me exactly as I am still waiting on the final discharge papers. It was a bit crazy at the end as I was trying to get ready to go out of town and arrange for horse care, cat care etc... As I went to pick him up the day before I left and was 3/4's the way down the jersery turnpike and got a called from the vet he had spiked another fever 105......UGH!! Long story longer they had found a lesion on the deep flexor tendon at/near the attachment to the coffin bone....UGH!!! The hope is some day he may be a trail horse that is with a lot of optimism. Minimally at least pasture sound. The owners are commited to make one of those options work. I am looking for any guidance on dealing with his current protocol of stall rest for a horse who hates it.. And any good stories of miracles with horses in similar fates.
Thanks again for all your help,
gretchen
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Member:
dres
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Posted on Tuesday, Feb 19, 2008 - 12:33 pm:
its not easy doing the rehab thing and it takes a ton of time / patience and $$ but the outcome can be better then hoped for ... . . . sometimes..
On the first day God created horses, on the second day he painted them with spots.
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Member:
stevens
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Posted on Tuesday, Feb 19, 2008 - 6:10 pm:
Amen to Ann's comments. Rehab is far and away the most difficult horse thing I've dealt with.
What is the nature of the lesion?
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Member:
mrose
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Posted on Tuesday, Feb 19, 2008 - 8:04 pm:
Gretchen, if you read the saga of Libby you might find some useful information. She had a more serious problem, but she had infection that was very difficult to detect as it had migrated down to her seisamoid bones, way below her initial injury. Her rehab was long and tedious also, but well worth it in the end. If you do a search for "Libby" you will be directed to the posts on her. For rehab, lots of attention, lots of small feedings, and lots of hand walking.(the hand walking part is sometimes easier said than done!)
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Moderator:
DrO
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Posted on Wednesday, Feb 20, 2008 - 5:47 am:
Thanks for the update Gretchen,
Did they describe the lesion they found? Perhaps when you get the discharge papers we can review it.
DrO
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Member:
liolii
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Posted on Wednesday, Feb 27, 2008 - 3:26 pm:
Dr. O-
I'm going to attempt to upload the final discharge info. Hopefully you can give me a shed of optimism.
Sincerely,
gretchen
KILLIAN RED was placed under general anesthesia on January 29,2008 and an MRl of his right front foot was perfonned. His MRI showed abnonnal signal intensity in the lateral lobe of the deep digital flexor tendon, beginning at the proximal aspect of the second phalanx extending distal to the navicular bone. The findings were consistent with an extensive degenerative lesion of the lateral lobe ofthc...deep digital flexor tendon with adhesions to the collateral ligament of the pastemjoint, impar ligament, navicular bursa and third phalanx. There were also mildly enlarged synovial invaginations of the navicular bone, indicating degenerative injury and findings consistent with mild synovitis of the digital tendon sheath.
Due to the location and extent of the lesion his prognosis for future soundness is poor. A prolonged period of stall rest (two to three months) with an additional period of stall rest in combination with hand walking (five to six months) was recommended, but usuallv lameness persist in hQrses with insertional lesions of the DDFT. Application of a shoe with a mild heel wedge might improve his comfort~ - - - - -
-Thank you for sending KILLIAN RED to New Bolton Center. He is a lovely horse; unfortunately he has sustained a severe injury. Please do not hesitate to call if you have any questions or if I can be of service in any other regard.
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Member:
dres
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Posted on Wednesday, Feb 27, 2008 - 3:48 pm:
well Gretchen that reads grim..  But don't give up hope.. remember i am in month 16-17 of rehabing a completely severed DDFT low at the heel bulb.. prognoises was grave.. I just watched her on the mill , grant it is not under saddle but for a solid 30 mins of trotting she was sound .. !~
Follow the rehab to the letter and add some time to it as well..
Don't give up hope..
On the first day God created horses, on the second day he painted them with spots..
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Member:
liolii
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Posted on Wednesday, Feb 27, 2008 - 5:26 pm:
P.S.
The owners arranged for a body, reikki, cranial person. Key Burns....goggle her and you will get a better understanding than I just gave. She came and worked on him yesterday and she was very optimistic. Indeed it is a time thing but the owners are very committed at this point to see it through. I was so amazed at both her work with the horse and how insightful she was about him and his condition. In the main facility I teach out of we use Dr. Shoen a fair amount so I have seen these alternative modalities have great affect.
Here's hoping,
Gretchen
Ann- did you ever use HyDrOtherapy?
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Moderator:
DrO
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Posted on Wednesday, Feb 27, 2008 - 8:59 pm:
Gretchen considering the information you have, what are your current goals for this horse?
DrO
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Member:
liolii
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Posted on Thursday, Feb 28, 2008 - 7:56 am:
Optimistically to get him comfortable enough to at least be a trail hose type. He was on his way in a 3day career although just the start he showed lots of promise.
Gretchen
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Member:
dres
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Posted on Thursday, Feb 28, 2008 - 10:00 am:
Gretchen I did not use any of the extras with my filly.. all tho I did rent a therapeutic ultrasound machine in the 4th month and used it for a month daily.. I just followed the vets advice and made sure my mare stayed quiet.. THAT was never easy.. and actually still is not.. she is a SASSY PANTS..
Like you this filly HAD potential.. and I realize that all tho sound today.. I don't have expectations of her holding up to competition, maybe low level stuff.. never jumping .. That she is more then pasture sound I am elated..
Like I said .. tell the owners not to give up.. Horses have amazing healing powers.. and given the time and direction it can happen...
On the first day God created horses, on the second day he painted them with spots..
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Moderator:
DrO
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Posted on Friday, Feb 29, 2008 - 6:18 am:
Gretchen, I don't have any encouraging words to give. The prognosis might be a little better than poor for light trail riding but this injury has been very well defined by the MRI and as the report states often results in permanent lameness.
DrO
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Member:
liolii
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Posted on Friday, Sep 5, 2008 - 8:53 pm:
You all are never going to believe this although I'm not exhaling yet and probably never will I am more hopeful than I have been in a long time. So post coming home to stall rest. Killian became sound in April and I started the tedious task to getting him fit and quite enough to get turn out but midst hand walking he became unsound a month later...UGH But alas a month later was sound again...this time even more determined to be cautious I employed our good friend Acepromazine in generous amounts. And now some 3 months later he is as sound as can be and have added trotting to my under saddle reconditioning protocol and so far GREAT!!!! Again generous use of ace but have now turned to tablets as was afraid I was going to eventually collapse a vein or create an abscess. Turns out Killian is not a cheap date he takes his cocktails tall.... I so appreciate all your good thoughts and advice and had to share our good news. It is such a joy to be back on his back. }
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Member:
paul303
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Posted on Saturday, Sep 6, 2008 - 12:47 am:
Thanks for your upbeat update. Enjoyed reading of Killian's improvement. It's hard to stress how much we get out of the continuing reports like your's.
Wish you good luck and constant improvement....don't forget: "Slow and steady wins the race."
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Moderator:
DrO
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Posted on Saturday, Sep 6, 2008 - 8:16 am:
Delighted to hear you are bucking the odds Gretchen but take it careful as the permanent weakness of the DDF described in the report can flare up at any time.
DrO
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Member:
canter
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Posted on Saturday, Sep 6, 2008 - 9:12 am:
Very encouraging news, Gretchen. I hope for Killians continued soundness!
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Member:
liolii
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Posted on Saturday, Sep 6, 2008 - 6:42 pm:
Thanks again to the Horse Advice community for being such a great group and so supportive and informative. Dr. O I am most definitely going slow this time. But am trying to ease his displeasure in being in the stall I've being working with him almost daily although very slow stuff. Would you recommend every other day and slow or do you feel that daily is okay. I'm trying to find the balance between being very careful and trying to make Killian happier. Thanks again for all your input.
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Moderator:
DrO
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Posted on Sunday, Sep 7, 2008 - 7:47 am:
I will let the people who have examined the horse advise you there but I suggest whether you exercise daily or every other day, once every 10 days take two consecutive days off. Some of the repair of normal wear and tear requires longer than a day to accomplish.
DrO
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Member:
liolii
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Posted on Friday, Oct 17, 2008 - 12:22 pm:
And the beat goes on...more good news. Killian continues to be sound. I took him to see our vet to see what she felt and if we can add turnout to our program. He passed with flying colors. We had pulled his hind shoes as to save where we could. She did note that we should add the hind shoes back before we do turnout. And will probably help him carrying more weight on his hind end. So now a week into adding turnout with a nice cocktail and increase my riding efforts too. It was great to have my vet give me the thumbs up. She thought he looked remarkable sound and the hind shoes would make a big difference at this point. And it did. It is so nice to see him more horse like everyday. Although still needs to be managed with some pharmaceuticals the turn out is helping. Keep your fingers crossed. Thanks again for all your input and insights.
aloha,
Gretchen
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Moderator:
DrO
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Posted on Saturday, Oct 18, 2008 - 5:04 pm:
Thanks Gretchen and good news indeed.
DrO
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Member:
liolii
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Posted on Saturday, Nov 15, 2008 - 11:23 am:
The good new continues, now almost a month into adding turn out to our protocol he continues to be sound. I have even added a wee bit of canter to our riding efforts as well as some lateral movements. And yesterday we actually took a walk outside....how exciting. My vet says it bodes well if as I add to my program he continues to stay sound- I of course don't ever think I'll be able to exhale but it has been a nice breathe of fresh air continuing to see him stay sound. I continue to go very slow but so far everything is Great-
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Member:
vickiann
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Posted on Saturday, Nov 15, 2008 - 9:36 pm:
Great news, Gretchen. Hope that you will continue to have good results with Killian Red.
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Member:
frances
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Posted on Sunday, Nov 16, 2008 - 4:47 am:
That is wonderful Gretchen, and it's so encouraging for everyone to hear of cases like this where recovery is far better than the original prognosis.
Sending you powerful wishes that your horse will continue to go from strength to strength.
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Moderator:
DrO
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Posted on Sunday, Nov 16, 2008 - 7:43 am:
Thanks for the update Gretchen and great news.
DrO
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Member:
liolii
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Posted on Saturday, Apr 25, 2009 - 8:59 am:
Well Gang I dare say I am almost thinking I could exhale but only with a confirmation of sorts from Dr. O of course. So since last we visited the soap know as my Miracle on the Hudson aka Killian Reds recovery Since October he has been walk, trot and cantering sound with turn out. After our brutally cold winter I have added hill work, in addition to our ring work and he remains status qua. At this point my vet feels we need to tighten up his tendon and ligaments some more then ad a bit of cardio before we take a dip in the jumping pool. But until then I am going to venture to a dressage show or two. Work out all those getting on and off the trailer cob webs o - don't get me wrong he's good about this but it's been a while. Dr. O I would be curious to get you thoughts on this based on his initial prognosis.
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Member:
vickiann
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Posted on Saturday, Apr 25, 2009 - 4:38 pm:
Great news, Gretchen.
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Moderator:
DrO
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Posted on Sunday, Apr 26, 2009 - 5:50 pm:
Gretchen not having examined the horse I really don't have a feel for the prognosis but I am delighted to hear things are going well. You might pose this to the folks who gave you the initial poor prognosis to see if they feel differently. Maybe another look at those images and things might not look so bad considering the horses recovery.
DrO
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Member:
liolii
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Posted on Sunday, Apr 26, 2009 - 8:09 pm:
DrO,
I appreciate you haven't seen this horse but was looking more for your sage input than actual diagnosis as it were. I have been in touch with the doctor at New Bolton more on the basis of keeping her abreast of my progress. But my local vet who herself was once a surgeon at New Bolton has been more intimately involved in our protocol and she is very optimistic at this point. We are currently doing some more hill type work to tighten up his tendon and ligaments and then add a bit of cardio before we venture in the jumping pool. I shall keep you all posted. Thanks again for all the input and positive vibes.
gretchen
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Moderator:
DrO
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Posted on Monday, Apr 27, 2009 - 8:44 am:
Gretchen, that is my sage advice. I think I can serve you better by being clear on what I don't (and cannot) know rather than kidding you and myself.
Right now your best source, your only reliable source, of information on a prognosis in such a situation as detailed in your posts above will be those who can examine the horse. I am interested in their take with respect to the improvements you have seen.
DrO
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Member:
liolii
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Posted on Saturday, Jun 13, 2009 - 8:12 pm:
And the good news continues. I have attached our first venture to a dressage show. He was first at training level test 1 with a 63% and I attached the training level test 2 test which he won. I felt like entering him under the name miracle on the Hudson (part 2). As for those who have been following would have to agree it is a bit of a miracle. Although I still can't quite seem to exhale. I have kept the folks in New Bolton abreast and they too are very happy for our progress. My local vet continues to monitor our progress and we still have a ways to go fitness wise, tendons and cardio but clearly his movement hasn't suffered. I've always believed in this little Quarter horses movement to be special so it was a lots of fun to have it so richly rewarded. Apparently the dressage test were too big a file so I'm going to try send along separately.
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Member:
liolii
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Posted on Saturday, Jun 13, 2009 - 8:25 pm:
could seem do upload the test he got a 66% but really wanted you guys to see the remarks will have to work on this.
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Member:
scooter
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Posted on Saturday, Jun 13, 2009 - 8:53 pm:
Gretchen, congratulations to you and Killian!
These kind of stories can give us all hope, horses have amazing healing power!
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Member:
frances
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Posted on Sunday, Jun 14, 2009 - 10:30 am:
Gretchen, this is wonderful news!
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Member:
lilo
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Posted on Sunday, Jun 14, 2009 - 10:50 am:
So good to hear of excellent outcomes. Congratulations, and good luck for the future! Lilo
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Member:
liolii
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Posted on Wednesday, Nov 4, 2009 - 3:54 pm:
The good news continues..... we are coming off another "test" I took him on a Hunter Pace aka a glorified trail ride as I call them but there big around here in the fall. And just a bit under 2 hours trotting and cantering, still no jumping and he finished a bit tired but well and SOUND!!!!!! I went out with one of my students who has an older arthritic guy so it was a perfect match as far as both needed to walk where it was mucky etc...... My vet warned if he felt really fatigued to walk a lot as that can set this type of injury off as it were. Although I had been doing some of my 3day conditioning intervals with him he got a bit tired but seemed fine. It was very exciting to go to the barn Monday and find him as sound as I had left him the night before. Dr. O I have been keeping the folks at NBC apprised of his progress for their own information being the MRI stuff is still relatively new.
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Moderator:
DrO
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Posted on Thursday, Nov 5, 2009 - 7:48 am:
Delightful Melissa, I would love to see what the folks at NBC say about this. I would think they would try and get you back in with a complimentary MRI just to see what has changed.
I was reviewing the case presented above and see the key to your overcoming a poor prognosis being a firm diagnosis that absolutely required stall rest and very slow rehab to give Killian his best shot. You went through the description of the regimen you used quickly. Would you detail that a little bit more including what you did following the set back.
DrO
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Member:
liolii
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Posted on Tuesday, Dec 22, 2009 - 11:06 am:
Dr. O
Please accept the delay in responding to your inquiry. On his return from NBC in Feb '08 he was on complete stall rest with the regular visits from Key Burns see link https://www.keyburns.com/ she had recommended putting him on eucommia which is made from Chinese rubber plant tree and is suppose to be helpful with repair of soft tissue injuries. I was of course grooming him and manging his blankets etc on a regular basis. It was in April the I first notice him walking sound so I started what would be the slow road back of hand walking in the indoor with much help from the pharmaceuticals. Then on Mothers day weekend I noticed the head bob indicating lameness once again. So back to staying in the stall. He then came sound again in June '08 and basically hasn't looked back since. It was a very slow process of hand walking starting with 5 mins and gradually adding time. Can't remember exactly when I started undersaddle but it wasn't too long. He wasn't cleared for turnout and only in a small paddock until October'08. Key continued to see him until Sept'08. I believe I didn't start to canter him under saddle until Sept '08. Of course the winter of '08 was one of the coldest in recent memory so we lost a bit but I continued the best I could. And we went to our first dressage show in in May '09. The kid who owns him has been at college during most of this journey but we decided together that we are going to leave the jumping out of the picture for now. Although as my vet explains it that at lower levels the bio mechanics of a jump and a canter stride are very similar. I also spoke to my vet about the thought of NBC wanting to see him again and do an MRI but she said unfortunately the economics of it probably wouldn't be possible for them at this point. But I do keep the attending vet posted of our progress for her knowledge if nothing else.
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Member:
kpaint
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Posted on Tuesday, Dec 22, 2009 - 8:15 pm:
wow Gretchen! An amazing and happy journey for you and K.Reds! Congratulations.
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Moderator:
DrO
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Posted on Wednesday, Dec 23, 2009 - 7:28 am:
Thanks Gretchen,
for the follow up on the rehab schedule and we hope this gives others some idea of what is possible. We continue to look forward to updates in your remarkable journey.
I would have thought NBC would have jumped at looking at what has changed since the original diagnosis. With these new diagnostics follow up is the only way we are going to learn more about the significance of such findings.
DrO
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