https://bvajournals.onlinelibrary.wiley.com/doi/10.1002/vrc2.975?fbclid=IwVERDUATtkFVwZG9mBWZkaWQWUMjmeoiJ1srNZAneAtUISKlWQpzq4GV4dG4DYWVtAjExAHNydGMGYXBwX2lkCjY2Mjg1NjgzNzkAAR5aqZmVqQky8dF34LsFIM2FMsfB5GQNqH0DvYI9pWV6Ak7r2TIwQNk3EuI6qw\_aem\_DhBd9vORenFo6NvcDEFgVA

My neck is extremely hypermobile specifically forward, backwards, and leaning towards my right shoulder. It is a little tight leaning towards my left shoulder. For years, I have had a severe pain in two specific spots on my left side about 2 inches below the base of my neck and about one inch to the left of my spine (it won’t allow me to post a photo) and they cause me constant pain. It feels a lot better when I do posture work but my head naturally takes a lot of effort to maintain correct posture so I can’t do that all day. I’ve also been doing scapula flossing at the recommendation of a PT. Any ideas that may also help?

Myofacial release massage feels incredible and helps for about one day, sometimes three, but the pain always returns.

I have been in my current teaching position at the same independent school since graduating college (9 years). I am starting to consider a change into a leadership position, as I have my M.Ed in Education policy and leadership and will be completing my doctorate in the next two years. Ideally I would like to move into a Head of Upper School position with the ultimate goal of getting a Head of School position down the road.
This is not possible at my current school because our Head of Upper School will likely stay the same for the next 10+ years.

The issue I’m running into is that while I am qualified according to the requirements on division head job positions, they all ask for 1-3 references on the application. I cannot ask my division head or any other senior leader because I don’t want them to know I’m looking for a job in case I don’t get one for another 2-3 school years. Our school has a strict policy about coworkers providing references for their peers, and the schools really only want references from former managers/principals/school leaders.

I’m not sure what to do because this makes me feel like I’ll be stuck in this position bc I’ve always been loyal to one organization instead of working for multiple schools and having options.

I have a male lab who is 1 year and two months old. Since he was a puppy he has had chronic diarrhea that we have not been able to solve, and our current vet has put him on several rounds on proviable (paste and pills) and done multiple fecal tests and blood work. She thinks the next course of action will be to try a hydolyzed diet for 8-12 weeks which we are willing to do but we are also looking for any other possible opinions as that is a pretty expensive option.

1. He has had seven fecal tests done since we got him at 10 weeks old. When we first got him, he had ciccocia which tested positive on his very first fecal test. He took the medication and his retest one month later was negative. The following five fecal tests were done all around 2 months apart and all tests negative across the board. We were really hoping it was giardia because that would at least give us an answer, but that test was negative too.
2. He's had bloodwork three times- all clear
3. He was originally on purina pro plan puppy chicken and rice from 10 weeks old to about 4 months old. At 4 months old, we switched him to pro plan puppy sensitive stomach lamb and oatmeal. The sensitive stomach line really did not help at all with his digestion, although it did make his coat very soft. Recently, we switched him to the new pro plan advantege digestive support adult food (salmon) after his first birthday. This food has helped significantly in that he does not have to go to the bathroom in the middle of the night since starting it, but his poop is still a pudding-like consistency.
4. Per the recommendation of his doctor, he is also on forti-flora. He has been on the forti-flora since 6 months old and I really have not noticed an improvement in any areas from this but he still takes it with his breakfast.
5. Three weeks ago, we started giving him Bernies Perfect Poop as an additional supplement with his dinner. This helped *significantly*. A few days after starting it he had an actual solid poop, and his other poops within 1-2 weeks of starting were all at least formed although still soft. Three days ago, the Bernies Poop stopped working as well as it was and he is back to his regular diarrhea.

One of the things we were thinking it could be is that he has a chicken allergy. His food no longer has any chicken or chicken byproduct, and we check all of his treats to ensure they are chicken free. The Bernies supplement does have Chicken Fat but it didn't seem to affect him for the first 2.5 weeks as he started having solid poop so we really don't know.

So far, we've tried:

• Only one meal a day, at night.
• Stopping meals for 24 hours.
• Feeding multiple, smaller meals throughout the day.
• Restricting access to treats and chews.

My main concern with the hydrolyzed diet is that the only protein he's had consistently in his life is Salmon. Apart from the lamb sensitive skin and stomach food he hasn't had lamb, and we've removed chicken completely for almost his entire life. We only buy single or two ingredient treats and most of them are fish-based, so it seems like the fish is the only consistent protein but there does not seem to be a lot available regarding a fish allergy for dogs. I just don't want to put him through having to eat a new food, not being able to have any treats for 2-3 months if a protein intolerance may not actually be the issue.

Thoughts?

I have a male lab who is 1 year and two months old. Since he was a puppy he has had chronic diarrhea that we have not been able to solve, and our current vet has put him on several rounds on proviable (paste and pills) and done multiple fecal tests and blood work. She thinks the next course of action will be to try a hydolyzed diet for 8-12 weeks which we are willing to do but we are also looking for any other possible opinions as that is a pretty expensive option.

1. He has had seven fecal tests done since we got him at 10 weeks old. When we first got him, he had ciccocia which tested positive on his very first fecal test. He took the medication and his retest one month later was negative. The following five fecal tests were done all around 2 months apart and all tests negative across the board. We were really hoping it was giardia because that would at least give us an answer, but that test was negative too.
2. He's had bloodwork three times - I'm including the results of the most recent one in the comments below.
3. He was originally on purina pro plan puppy chicken and rice from 10 weeks old to about 4 months old. At 4 months old, we switched him to pro plan puppy sensitive stomach lamb and oatmeal. The sensitive stomach line really did not help at all with his digestion, although it did make his coat very soft. Recently, we switched him to the new pro plan advantege digestive support adult food (salmon) after his first birthday. This food has helped significantly in that he does not have to go to the bathroom in the middle of the night since starting it, but his poop is still a pudding-like consistency.
4. Per the recommendation of his doctor, he is also on forti-flora. He has been on the forti-flora since 6 months old and I really have not noticed an improvement in any areas from this but he still takes it with his breakfast.
5. Three weeks ago, we started giving him Bernies Perfect Poop as an additional supplement with his dinner. This helped *significantly*. A few days after starting it he had an actual solid poop, and his other poops within 1-2 weeks of starting were all at least formed although still soft. Three days ago, the Bernies Poop stopped working as well as it was and he is back to his regular diarrhea.

One of the things we were thinking it could be is that he has a chicken allergy. His food no longer has any chicken or chicken byproduct, and we check all of his treats to ensure they are chicken free. The Bernies supplement does have Chicken Fat but it didn't seem to affect him for the first 2.5 weeks as he started having solid poop so we really don't know.

So far, we've tried:

• Only one meal a day, at night.
• Stopping meals for 24 hours.
• Feeding multiple, smaller meals throughout the day.
• Restricting access to treats and chews.

My main concern with the hydrolyzed diet is that the only protein he's had consistently in his life is Salmon. Apart from the lamb sensitive skin and stomach food he hasn't had lamb, and we've removed chicken completely for almost his entire life. We only buy single or two ingredient treats and most of them are fish-based, so it seems like the fish is the only consistent protein but there does not seem to be a lot available regarding a fish allergy for dogs. I just don't want to put him through having to eat a new food, not being able to have any treats for 2-3 months if a protein intolerance may not actually be the issue.

Thoughts?

Hematology

• RBC = 6.73 M/µL
• Hematocrit = 44.8%
• Hemoglobin = 15.2 g/dL
• MCV = 67 fL
• MCH = 22.6 pg
• MCHC = 33.9 g/dL
• RDW = 13.7%
• Reticulocytes (%) = 1.1%
• Reticulocytes (absolute) = 74 K/µL
• Reticulocyte Hemoglobin = 24.3 pg
• WBC = 15.0 K/µL

White Blood Cell Differential

• Neutrophils (%) = 57.7%
• Lymphocytes (%) = 22.5%
• Monocytes (%) = 7.0%
• Eosinophils (%) = 12.0%
• Basophils (%) = 0.8%

Absolute White Blood Cell Counts

• Neutrophils = 8.655 K/µL
• Lymphocytes = 3.375 K/µL
• Monocytes = 1.05 K/µL (High)
• Eosinophils = 1.8 K/µL
• Basophils = 0.12 K/µL (High)

Platelets

• Platelets = 313 K/µL

Chemistry

• Glucose = 98 mg/dL
• IDEXX SDMA = 12 µg/dL
• Creatinine = 1.3 mg/dL
• BUN = 32 mg/dL (High)
• BUN:Creatinine Ratio = 24.6
• Total Protein = 6.0 g/dL
• Albumin = 3.0 g/dL
• Globulin = 3.0 g/dL
• Albumin:Globulin Ratio = 1.0
• ALT = 39 u/L
• ALP = 66 u/L

I have a male lab who is 1 year and two months old. Since he was a puppy he has had chronic diarrhea that we have not been able to solve, and our current vet has put him on several rounds on proviable (paste and pills) and done multiple fecal tests and blood work. She thinks the next course of action will be to try a hydolyzed diet for 8-12 weeks which we are willing to do but we are also looking for any other possible opinions as that is a pretty expensive option.

1. He has had seven fecal tests done since we got him at 10 weeks old. When we first got him, he had ciccocia which tested positive on his very first fecal test. He took the medication and his retest one month later was negative. The following five fecal tests were done all around 2 months apart and all tests negative across the board. We were really hoping it was giardia because that would at least give us an answer, but that test was negative too.
2. He's had bloodwork three times - I'm including the results of the most recent one in the comments below.
3. He was originally on purina pro plan puppy chicken and rice from 10 weeks old to about 4 months old. At 4 months old, we switched him to pro plan puppy sensitive stomach lamb and oatmeal. The sensitive stomach line really did not help at all with his digestion, although it did make his coat very soft. Recently, we switched him to the new pro plan advantege digestive support adult food (salmon) after his first birthday. This food has helped significantly in that he does not have to go to the bathroom in the middle of the night since starting it, but his poop is still a pudding-like consistency.
4. Per the recommendation of his doctor, he is also on forti-flora. He has been on the forti-flora since 6 months old and I really have not noticed an improvement in any areas from this but he still takes it with his breakfast.
5. Three weeks ago, we started giving him Bernies Perfect Poop as an additional supplement with his dinner. This helped *significantly*. A few days after starting it he had an actual solid poop, and his other poops within 1-2 weeks of starting were all at least formed although still soft. Three days ago, the Bernies Poop stopped working as well as it was and he is back to his regular diarrhea.

One of the things we were thinking it could be is that he has a chicken allergy. His food no longer has any chicken or chicken byproduct, and we check all of his treats to ensure they are chicken free. The Bernies supplement does have Chicken Fat but it didn't seem to affect him for the first 2.5 weeks as he started having solid poop so we really don't know.

So far, we've tried:

• Only one meal a day, at night.
• Stopping meals for 24 hours.
• Feeding multiple, smaller meals throughout the day.
• Restricting access to treats and chews.

My main concern with the hydrolyzed diet is that the only protein he's had consistently in his life is Salmon. Apart from the lamb sensitive skin and stomach food he hasn't had lamb, and we've removed chicken completely for almost his entire life. We only buy single or two ingredient treats and most of them are fish-based, so it seems like the fish is the only consistent protein but there does not seem to be a lot available regarding a fish allergy for dogs. I just don't want to put him through having to eat a new food, not being able to have any treats for 2-3 months if a protein intolerance may not actually be the issue.

Thoughts?

Hematology

• RBC = 6.73 M/µL
• Hematocrit = 44.8%
• Hemoglobin = 15.2 g/dL
• MCV = 67 fL
• MCH = 22.6 pg
• MCHC = 33.9 g/dL
• RDW = 13.7%
• Reticulocytes (%) = 1.1%
• Reticulocytes (absolute) = 74 K/µL
• Reticulocyte Hemoglobin = 24.3 pg
• WBC = 15.0 K/µL

White Blood Cell Differential

• Neutrophils (%) = 57.7%
• Lymphocytes (%) = 22.5%
• Monocytes (%) = 7.0%
• Eosinophils (%) = 12.0%
• Basophils (%) = 0.8%

Absolute White Blood Cell Counts

• Neutrophils = 8.655 K/µL
• Lymphocytes = 3.375 K/µL
• Monocytes = 1.05 K/µL (High)
• Eosinophils = 1.8 K/µL
• Basophils = 0.12 K/µL (High)

Platelets

• Platelets = 313 K/µL

Chemistry

• Glucose = 98 mg/dL
• IDEXX SDMA = 12 µg/dL
• Creatinine = 1.3 mg/dL
• BUN = 32 mg/dL (High)
• BUN:Creatinine Ratio = 24.6
• Total Protein = 6.0 g/dL
• Albumin = 3.0 g/dL
• Globulin = 3.0 g/dL
• Albumin:Globulin Ratio = 1.0
• ALT = 39 u/L
• ALP = 66 u/L