Hello,
Thanks for clarifying. I can’t really tell you what to do but I can explain the scenarios either way. The reason we test is to check Heartworm status of the patient. For new patients starting the medication we want to make sure they are negative before starting meds so we don’t miss a patient harboring adults in the heart. Over time Heartworms In The heart can be fatal. Your dogs were tested in feb (Sampson) and April (penny) and clear. We test yearly if they stay on meds year around. The advantage is that we will catch a dog in the earliest stages if we monitor yearly. This way we hopefully avoid the dangers of many adults in the heart. A missed dose is cause for retesting so we know they are always negative while always on prevention. If a pet on preventatives comes up positive AND if the test and prevention was bought at our clinic the hw rx manufacturer will pay for treatment which is about $1000. Realistically it is unlikely your dogs will test pos now as you just missed a dose. It takes 6 months for the test to show pos after exposure. I know that’s a lot of info. But to boil it down. There’s a low chance of infection in our area. A low chance they will test pos now. And they need to be on hw meds year around. So if your budget is tight just keep them on it. Give a dose now. And then another on Nov 1. And each first of the month there after. Retest in feb and April and go from there. If you want 100% peace of mind bring them in ASAP and have them tested. And retest in 6 months. There is not a cut and dry answer. Sorry. .

Hello,
These are the questions that are best decided by a phone call to your vet. I don’t know where you live and I don’t know the degree of Heartworm disease you have there. Here, in N Md late Sunner I would say to my clients to start now and work back toward the beginning of the month. Some vets will prefer to test and restart the pills from there. It’s definitely a question of exposure, environment and risk of disease. I hope this helps. Thank you for having your pets on Heartworm prevention. Take care.

Hello,
I’m sorry to hear about your pup. No one online can diagnose or prescribe a treatment plan for your dog. If you are asking if you “can” well, sure. You can do whichever plan you chose for your dog. Is it going to be as effective as surgery? No one really knows. We think that surgery offers a faster recovery and a better long term prognosis overall. But which is best for you is a decision to be made after a long talk with a vet you trust. In almost all cases my clients choose conservative care because they simply can not afford the mri and surgery. I also strongly (strongly!!) recommend strict cage rest for 8 weeks. If your pup isn’t on your lap or outside going potty they are in a cage. Period. No excuses or exceptions. I say this so the scenario that your describe is less likely to happen. I hope this helps. I have tons of info on my blog and YouTube channel. Also the book below is super helpful.

Hello,
I don’t know enough about your cats case to offer any real advice. I have seen horners take months to resolve. And I’m not sure what triggered your cats condition. My best advice is to see a feline specialist or neurologist to discuss diagnostics and options. I don’t think you will find anyone outside of then to discuss this procedure. I would also strongly recommend that you ask yourself why you are worried about it and what potential side effects you might see if you pursue treatment plans without confirming the underlying cause. I leave Horner s alone unless a pet parent wants to do a CT scan. And I refer them if so. If your cat is happy and eating and ambulatory well I would leave well enough alone. As long as infection does not look like the underlying cause. I also rule out polyps. As these are treatable easily. In my opinion.
Please let me know what happens. Good luck.