A geriatric Chihuahua presents with heart disease, azotemia, elevated liver enzymes, arthritis–and now, severe periodontal disease requiring a dental cleaning and possible extractions.

His owner is terrified. She previously lost a pet to an anesthetic complication and is understandably hesitant to proceed. 

Your team shares her concern. With multiple comorbidities and an anxious client, this is not a routine anesthetic case. Referral seems like the safest option–but the next available appointment is months away.

The patient needs treatment. The client wants your help. Your team wants to provide the best care–without taking unnecessary risks.

Now what?