twelve year old shih tzu with grade three periodontal disease and a grade two over six cardiac murmur with stage B1 MMVD on echo, our vet is recommending a full COHAT under anesthesia within the next two months and i am wrestling with the risk benefit in a way that the published material is not helping me think through cleanly, looking for the version of this calculation from owners and vets who have specifically navigated dental work in a senior small breed with a known cardiac finding
Daisy is twelve and a half and she is my first dog so the senior medicine piece is all new territory for me. We have been brushing her teeth a few times a week since she was three, our vet had warned...