Hi, thank you so much for your thoughtful reply.
I've continued to research and I've not let up in trying to help Sadie; I've just been offline most of this week, due to personal reasons... I don't mind sharing if you're not offended by the TMI thing...I just feel like it's important that you know that I'm taking this very, very seriously and my being offline was a rather extraordinary event. My Dad passed away last year at about this time {2 September} and his birthday would have been 24 October, just a few days ago. This was a very special week for my family; extended; and being available for family, who hardly ever see one another all as a group {nieces, nephews my way older half brothers' families, Stepmom in CT} and recently did, and reconnected...I just needed time. Thank you for understanding and not jumping to conclusions that I'm treating Sadie's ordeal with insouciance; I remain completely devoted.
I agree with you about the injury and so did my Vet; but he thought it went beyond that; and that, indeed, the reason her foot looked SO mangled was that she'd 'Turned in' or 'Curled in' her toes prior to the canid attack, and the assault worsened it; and that this is why after each splint we've tried, the toes have begun to curl again.
So, I'm thinking?
1. Assault: DEFINITE.... but a} could be ONLY problem, the rest is misdiagnosed I. Splint not on long enough OR
II. Splint itself caused problems that APPEARED gout-like {She was walking on her heel and then forearm with splint... I'm CONVINCED this could [but not definitively did] cause the swelling and joint that was used as criteria in diagnosing gout; she also has no spurs, and only one claw/leg is affected....
2. GOUT may/not be root cause or even an issue: I'm leaning towards NOT because a} symptoms don't seem to entirely fit
b} treatments thus far ineffective {rec. feed & Sodium bicarb in water. He did not recommend prednisone and honestly I'm GLAD; if given for the wrong condition? Can cause WORSE issues: interfere with bone strength; create immunity issues; I've been on it for my back (as a young chef, 24 y/o) and I developed some REAL side effects; many long term; I've had several rescue animals and past pets on it: Now? I WILL use it for animals, but ONLY as an emergent, last-chance, or hospice treatment or very senior animal treatment; otherwise I look for other choices, and have been adamant: I honestly think I was right each time when I insisted otherwise. AND? While I'm VERY ANXIOUS to address her pain, I also know prednisone can mask any number of pain-due-to-do inflammation and joint related issues as well as other conditions, including autoimmune; so in a big way? Prednisone would DELAY getting to the bottom of the real issue if NOT gout, and that, I believe ESPECIALLY in a very young animal? Is NOT in her best interest; indeed is contraindicated.I think being a medical detective? IS in her best interests, long term.
c}other conditions ALSO fit the 'constellation of symptoms' i.e. criteria including:
I: Straight up injury
II: Injury COMBINED with 'curly toe' or other condition precipitated by and/or aggravated by nutrient def.
BUT?
Now? I'm on a mission:
Her toes/claw is NEWLY WORSE again: last few hours.
I'm amazed at how quickly this seems to occur; her going from OK to bad.
I have photos, too, to 'prove' I'm not insane on this last count; almost each and every time.
I even? Have thought of: euthanasia... BUT I REALLY DO NOT WANT TO GO THERE.
Right now?
She IS In pain. But? NOT SUICIDAL. I think I can tell... honestly. I think she knows I'm on her side and trying to figure this out and that there's hope. If you've dealt with {and my guess is? YOU HAVE} humans OR animals in pain? We, who love them? Can tell when the lose their will or spirit. She has not lost this. She wants to live: she wants to get better, too.
But? I'm DESPERATE to help her.
I know what it's like to be in terrible pain, and I was for well over a year; twice. About 4-5 years in toto; of unendurable pain pre/post my two and only surgeries ever: back surgeries. The second time? I was only 29 and newly engaged but? I literally knew, just knew? If this second back surgery didn't work? I didn't want to live. I DO get it.
It's been ten years, but the first few were rough; now? I'm perfect. I can dance in high heels and run over a mile and do any exercise and get into positions like you wouldn't believe and garden and lift {I try not to do 50 because I have little vertebrae left in one area, but 30 even? NO Problem} and walk gracefully and haven't limped for years; not even {o gosh... don't want to jinx it} an episode of pain in several years. So? I KNOW these things can take time; way too much time. But in the long haul? WORTH IT. And I know, too, from my story AND animals I've loved?
Doctors don't always get it right. {Vets included}. Frack, since I'm telling you my life story? My ex was a doc, and so were many in our social circle: I KNOW there's a reason why they call it the medical arts and this is precisely why. Practicing medicine is as much art as Science: not everyone gets it right, no matter how great they are or what they know. Sometimes? It takes years to get a proper diagnosis and treatment; if ever. Sadie, I believe, doesn't have that long. {I ran away from this life; I can not turn to this erstwhile circle for help any longer, just so you know why I haven't tried. Distances of several sort separate us, now; including safety}.
The best advocate for any patient? Themselves or someone who loves them and refuses to give up.
I had my mother and myself.
Sadie has me.
I will go to the ends of the Earth for her.
I have helped other with their animals; I've gone to heaven and back for ones I knew were sincere; but either naive or unable to know or do everything for themselves; even friends I've just met online. I think some humans are like this: we have the inclination to help those willing to help themselves and their critters; sometimes? Just knowing how committed one is means the difference in finding people willing to guide and help and go to bat for you. Some people I help a little; I try; I give info; but I can tell when they're not really committed. Those that are and want my help? I gladly take under my wing; more: I've made friends who seem like family to me online; at least while they're in the business of trying to help animals.
I have my areas of 'expertise' and experience: sadly, this is not one of them.
I've learned a TON in the few weeks I've had Sadie, but honestly?
I KNOW I need help.
Chicken biology is unlike anything I've ever, ever dealt with. I can't even put my nutrition background to work for Sadie, because I'm so insecure that I do not have a handle on how her enzymes differ from those of most mammals; tho yes; surely, not being a complete dolt in the nutrition department helps.
Ex: even here, on BYC, as I'm beginning to delve deeply into vitamin deficiencies as being at root of her issues? There's a thread which identifies B12 as Riboflavin, which it's not. It's cobalamin.
That's a crucial distinction.
So yes; I can work for her, but I KNOW I don't know enough to feel like I can 'Science the heck out of her core issue/s': and that is a skill that has served me and those animals I7ve cared for and loved well, in the past; I believe I've even helped save a few lives.
I WANT to be that person for Sadie, and reading textbooks and {peer reviewed} studies at a clip you wouldn't believe; but? I'm not there yet; I don't know if I'll ever be.
Birds are NOT mammals; chickens are uniquer still, and, sadly? Are less studied, at least in situ. Most studies are undertaken by the 'factory farming' contingent or the USDA, and in many of these cases, diagnostics are conducted post mortem as a matter of course: I may glean some info, but let's be real: Telling me what's wrong with my beloved after she's dead? NOT HELPFUL.
The whole point is NOT letting her BE dead. Or even hurting, one iota.
So? This is all terra incognita for me.
I need an advocate; someone who knows their chicknsh*t, so to speak ;p, to act as a guide and advisor.
I WOULD love those vets' names if you have time. I'd absolutely be willing to travel if I felt I was seeing an expert, and one who cared. I traveled you don't want to know where for my dog several years ago; and I'm glad I did; I wouldn't have had it any other way. This surgeon turned out to literally be one of the best in the country; and not only that? But one of the leasing ethical researchers; author of many published papers and a chief consultant for the pharmaceutical industry. For someone who can really HELP? I'd travel the Earth, as I said.
Too? I KNOW that In-person consults are the gold standard and necessary, but something tells me that if it were a far trip? For things like labs? I'm sure my vet would be willing to send her/him samples and/or labs and/or records: anything that can be done remotely.
Meanwhile?
I've started Sadie on Nutritional Yeast for B vitamins; I spoke to my pharmacist today, he says that he CANNOT special order from any reputable manufacturers vitamin drops: I'd asked for: Riboflavin, Cobalamin, Thiamine {there are a few forms of BI; we looked for
thiamine mononitrate and the phosphorylated forms: thiamin monophosphate (TMP), thiamin triphosphate (TTP), and
thiamine pyrophosphate (TPP), which is also known as thiamine diphosphate; NONE, which surprised me, because this is often prescribed to humans; Niacin (B3)
I've STOPPED offering baking soda in water; there's too much conflicting info on this, and? She really wasn't drinking it anyway. I offered it in addition to plain water.
She likes? The CAT'S water, best. NO idea what's behind this, but I wouldn't be surprised if there were some bacteria/microbiome issue at root.
Therefore, I DID offer chicken probiotics in water, but? There's only ONE in the packet I bought from the only feed store in town; B. subtilis. And she DOES often forage; I'd think probiotics or microbiome was not at root; but I'm going to investigate this more.
I've started giving spring water only; I have concerns about some water issues including, possibly, excess iron and/or cyanobacteria. I WAS doing this MOST of the time, but now; all of the time.
I'm looking into splint materials/forms and pain relief.
I have a meeting with my boss and friend, Dave Sellers, at 7:15. Please, if you're even in the Mad River Valley, I'd love to show you the Madsonian Museum, anytime. I'm part of the 'team'; tonight's meeting is about this; I'm meeting the new head doscent; she may move into a paid position but this is a tiny museum. I'd be THRILLED to offer you or you & your family/guests a private tour, any day of the week.
http://www.madsonian.org/. Or an architecture tour....
I've got to go make the chicken scratch; but I'll check in, hopefully, tonight.
Thank you again;
Of everyone I've met during my brief journey with Sadie so far? You've given me the most hope; and frankly, the most solid help and advice.
I'm very, very grateful; you have no idea.
My very best, and Sadie sade's, too,
~RA
PS:
She has gorgeous feathers and comb: signs of good health; but? She seems cold to me, sometimes. Is this normal? I thought: NO.
Obviously, I address it; thought it worth mentioning lest it be a 'signpost' of an ailment or deficiency, etc...
It's possible I'm just nuts. I swear I sense a transient tremble, at times.