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<?xml-stylesheet type="text/xsl" href="https://www.vetsurgeon.org/utility/feedstylesheets/rss.xsl" media="screen"?><rss version="2.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:slash="http://purl.org/rss/1.0/modules/slash/" xmlns:wfw="http://wellformedweb.org/CommentAPI/"><channel><title>CM/SM grading</title><link>https://www.vetsurgeon.org/f/clinical-questions/16656/cm-sm-grading</link><description> I know I probably shouldn&amp;#39;t be asking this (and I think I know the answer) but a client has just been given FOC a young (DOB July 2011) Cavalier King Charles FE bitch who the breeder had intended to use but the KC testing scheme came back with C2, SM</description><dc:language>en-US</dc:language><generator>Telligent Community 10</generator><item><title>Re: CM/SM grading</title><link>https://www.vetsurgeon.org/thread/99128?ContentTypeID=1</link><pubDate>Fri, 18 Oct 2013 10:06:22 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:48a2dde7-c32f-45c4-a730-1cd396e92793</guid><dc:creator>James Laidlaw</dc:creator><description>&lt;p&gt;[quote user=&amp;quot;Anthony Dennison&amp;quot;]&lt;p&gt;I think you mean Clare Rusbridge, and she&amp;#39;s now at Fitzpatrick Referrals (I found this out the hard way when it took me about a month to get a reply from her)&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;[/quote]
Autocorrect fail...&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: CM/SM grading</title><link>https://www.vetsurgeon.org/thread/99125?ContentTypeID=1</link><pubDate>Fri, 18 Oct 2013 09:47:11 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:5c389b3c-10c0-4c04-96a4-cf945397f011</guid><dc:creator>Mark Lowrie</dc:creator><description>&lt;p&gt;&lt;p style="margin:0cm 0cm 10pt;" class="MsoNormal"&gt;&lt;span style="font-size:12pt;font-family:&amp;#39;Times New Roman&amp;#39;,&amp;#39;serif&amp;#39;;line-height:115%;"&gt;I think the important thing to remember here is that this scheme is a breeding scheme. It doesn&amp;rsquo;t give useful information regarding prognosis. We also know very little of the aetiology and genetics of this condition and so even with regards to breeding, the advice precipitated from performing this scheme &lt;b style="mso-bidi-font-weight:normal;"&gt;&lt;span style="text-decoration:underline;"&gt;may&lt;/span&gt;&lt;/b&gt; be flawed. This doesn&amp;rsquo;t mean I am not in favour of it, quite the contrary, it is just important to highlight that this scheme is based on the little scientific fact that we have about the disease and may later be found to be too simplistic.&lt;/span&gt;&lt;/p&gt;
&lt;p style="margin:0cm 0cm 10pt;" class="MsoNormal"&gt;&lt;span style="font-size:12pt;font-family:&amp;#39;Times New Roman&amp;#39;,&amp;#39;serif&amp;#39;;line-height:115%;"&gt;&amp;nbsp;&lt;/span&gt;&lt;/p&gt;
&lt;p style="margin:0cm 0cm 10pt;" class="MsoNormal"&gt;&lt;span style="font-size:12pt;font-family:&amp;#39;Times New Roman&amp;#39;,&amp;#39;serif&amp;#39;;line-height:115%;"&gt;The reason I say this, is it has long been known that the radiological signs of CM/SM are not proportional to the clinical signs of CM/SM. So a dog with a really bad looking MRI scan may be asymptomatic, whereas a dog with minimal radiological signs on MRI may be severely affected clinically. A recent study suggested the prevalence of radiological changes of CM/SM in asymptomatic dogs could be as high as 70%.&lt;/span&gt;&lt;/p&gt;
&lt;p style="margin:0cm 0cm 10pt;" class="MsoNormal"&gt;&lt;span style="font-size:12pt;font-family:&amp;#39;Times New Roman&amp;#39;,&amp;#39;serif&amp;#39;;line-height:115%;"&gt;&amp;nbsp;&lt;/span&gt;&lt;/p&gt;
&lt;p style="margin:0cm 0cm 10pt;" class="MsoNormal"&gt;&lt;span style="font-size:12pt;font-family:&amp;#39;Times New Roman&amp;#39;,&amp;#39;serif&amp;#39;;line-height:115%;"&gt;Therefore, with regards to the dog you mention, yes, radiologically this dog is bad. However, if it is asymptomatic then that is the most important thing to remember. The disease is thought to progress radiologically and clinically (in around 75% in the latter) with age but it is difficult to know how many asymptomatic dogs become symptomatic.&lt;/span&gt;&lt;/p&gt;
&lt;p style="margin:0cm 0cm 10pt;" class="MsoNormal"&gt;&lt;span style="font-size:12pt;font-family:&amp;#39;Times New Roman&amp;#39;,&amp;#39;serif&amp;#39;;line-height:115%;"&gt;&amp;nbsp;&lt;/span&gt;&lt;/p&gt;
&lt;p style="margin:0cm 0cm 10pt;" class="MsoNormal"&gt;&lt;span style="font-size:12pt;font-family:&amp;#39;Times New Roman&amp;#39;,&amp;#39;serif&amp;#39;;line-height:115%;"&gt;In summary, you are right to be concerned that this dog may develop symptoms of CM/SM but the risk is relatively high in the CKCS population in general and the majority of dogs with CM/SM are very easily managed with medication in my experience. So you are right to say it is &amp;lsquo;not a given&amp;rsquo; that this dog will develop signs. As a pet I think this dog will be fine. However, I would certainly agree with the breeder&amp;rsquo;s decision not to breed and I think it is correct to mention the risk (albeit we cannot quantify it) to the owners. I wouldn&amp;rsquo;t feel embarrassed for not understanding the scheme fully as you are in good company!&lt;/span&gt;&lt;/p&gt;&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: CM/SM grading</title><link>https://www.vetsurgeon.org/thread/99123?ContentTypeID=1</link><pubDate>Fri, 18 Oct 2013 09:39:07 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:593588b8-6c49-40a9-9a6c-df4ed9899335</guid><dc:creator>Karen Eggleton</dc:creator><description>&lt;p&gt;Yep, at Fitzpatrick. Have emailed. Thank you! Hoping I&amp;#39;m not the only one who struggles to understand this complaint&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: CM/SM grading</title><link>https://www.vetsurgeon.org/thread/99122?ContentTypeID=1</link><pubDate>Fri, 18 Oct 2013 09:30:19 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:3b15c395-3a1b-4488-98c8-b96d4d74e5db</guid><dc:creator>Anthony Dennison</dc:creator><description>&lt;p&gt;I think you mean Clare Rusbridge, and she&amp;#39;s now at Fitzpatrick Referrals (I found this out the hard way when it took me about a month to get a reply from her)&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: CM/SM grading</title><link>https://www.vetsurgeon.org/thread/99115?ContentTypeID=1</link><pubDate>Fri, 18 Oct 2013 08:34:14 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:bbf81271-d55f-4c4c-9c1b-f01ba7551237</guid><dc:creator>James Laidlaw</dc:creator><description>&lt;p&gt;Try and talk to Clare Tusbridge at Stone lion in Wimbledon. Think she is heavily involved in CM/SM investigations.&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item><item><title>Re: CM/SM grading</title><link>https://www.vetsurgeon.org/thread/99101?ContentTypeID=1</link><pubDate>Thu, 17 Oct 2013 23:04:43 GMT</pubDate><guid isPermaLink="false">146601cc-3922-4be7-9974-7e1d4e45a66b:e67b80cd-963b-451b-9cf3-f910f6e86798</guid><dc:creator>Karen Eggleton</dc:creator><description>&lt;p&gt;Forgot to add Syrinx transverse reading 2.8&lt;/p&gt;&lt;div style="clear:both;"&gt;&lt;/div&gt;</description></item></channel></rss>