Pyometra Pricing Service List

I used chat GPT to find anyone who posts the price of a pyometra at their clinic.

The goal in medicine is to give our patients everything they need to get better. In a world of ever escalating prices I wanted to start a database of transparency. I also wanted to be able to have these resources at your fingertips so you can find affordable care in an instant should you need it.

Gizmo. One of our past pyometra surgery patients.

If anyone has any other clinics to add please message or email. Together we can direct people and their companions to places that save lives and offer affordable options, day or night.

The dog on the top has a normal sized reproductive tract.
The one on the bottom is a pyometra.
Two dogs of the same size and two very different reproductive tracts
(PS these dogs asleep and are recovering from their surgery)

This is the under $2,000 list;

1. Affordable Animal Surgery Las Vegas Nevada 3340 E Patrick Ln, LV, NV 89120  (702) 886-7774

• Pyometra surgery: approximately $600–$1,200.

• Provides emergency and advanced surgeries at transparent, lower-cost ranges than most emergency hospitals.

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2. Celina Pet Clinic & Surgical Center 1817 Light Farms Way, Celina, TX 75009, 

972-752-0057

info@celinapetclinic.com

• Pyometra surgery estimates: about $1,500–$1,900 (varies by species/condition).

• Offers a published list of surgical procedure prices that often fall under $2,000.

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3. Nashville Animal House Surgery Center 223 Largo Drive, Nashville, TN, 37211, 615-834-6441

• Pyometra spay surgery estimated around $1,700–$1,800.

• A surgery-focused practice providing lower-range surgical pricing than many traditional emergency hospitals.

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4. Nutmeg Spay/Neuter Clinic 626 Surf Avenue, Stratford, CT 06615

• Pyometra surgical add-on (~$800) plus basic spay cost.

• If pyometra is found during a spay procedure, they include the appropriate surgical charge.

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5. Loving Paws Animal Hospital 2695 Tamiami Trail, Units B/C, Port Charlotte, Florida, 941-766-8555

• Pyometra surgery pricing (approx):

  • Feline: ~$600

  • Canine under ~50 lbs: ~$800–$1,000

  • Larger canine: ~$1,200

• Offers clear surgical price ranges including pyometra.

6.  Plymouth Vet Clinic – 1201 E Jefferson St, Plymouth, Indiana 46563, 574-936-2266 

• publishes Pyometra/Spay starting at $1000 (varies by weight/emergency)

7. Faith Babirye Veterinary Surgery (Katy, TX) – 722 Katy Fort Bend Road, Suite 700, Katy, Texas, 77494 (281) 394-9484

• Pyometra surgery: $1,500–$3,000 under soft-tissue procedures.

8. Focus Veterinary Care – 307 South Main Street, Nicholasville, KY 40356, info@focusvetcare.com

            (859) 801 0700

• shows tiered pricing for pyometra based on size (e.g., $450+ to $1250+).

9. FairPet Surgery Center 115 Towne Center Parkway. Suite 111, Hoschton, GA 30548. 

            (706) 381- 0894  info@fairpetsurgery.com (Braselton, GA)

• Pyometra: $975 including hospitalization & IV meds.

10. Low-Cost Animal Hospital 6863 W Commercial Blvd, Tamarac, FL 33319 (728) 227-7754

•  Pyometra Surgery: $399–$599.

11. Veterinary Medical Center of Clayton 4798 Jonesboro Rd, Forest Park, GA (404) 366-4370

• Pyometra (infected uterus) $575+.

12. Four Paws Vet Clinic 4750 E Grant Rd, Tucson AZ (520) 321-0277 

•  Pyometra starting at $950.

13. Spay Now  8335 Guilford Rd, Columbia MD (301) 483-7080

• Feline – $400, Canine <40 lbs – $675, 41–70 lbs – $875, 71–100 lbs – $1,075, 101–150 lbs – $1,275

14. Shore Pet 125 Pullman Crossing Rd # 101, Grasonville, MD 21638, (410) 827-6464

• Feline $350, Canine $690- $920

Normal sized uterus

Pyometra uterus

This is the over $2,000 list;

1. Oakdale Veterinary Group  156 N Maag Ave, Oakdale, Cal (209) 847-2257

• lists Pyometra Surgery: $2,950–$3,500 on their surgery price sheet.

2. Animal Works 1002 W Drake Rd #101, Fort Collins, CO (970) 694-2625

•  Pyometra surgery: $2,400.

3. Jarrettsville Vet Center 3961 Norrisville Rd, Jarrettsville MD (410) 692-6171

• Canine and feline pyometra surgery estimates varying by size (feline $400-600, canine $800–$3200).

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🐱 Non-Profit / Low-Cost Programs With Potential Emergency Support

6. ASPCA Spay/Neuter Clinics (various cities)

• The ASPCA operates community clinics that have provided life-saving pyometra surgeries, sometimes fully funded or at significantly reduced cost for qualifying owners. Actual cost varies by location and program availability — contact the specific ASPCA veterinary clinic in your area (e.g., Los Angeles, New York, Miami, Oklahoma City) for pricing and intake guidelines.

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7. Planned Pethood International (Conifer, CO)

• Offers affordable emergency and routine surgical services for pets.

• While exact pyometra surgery pricing isn’t published online, the clinic emphasizes lower‐cost care and that single procedures are generally capped below more expensive emergency hospital rates. Call ahead for specifics.

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🐕 Regional Low-Cost Clinics (Examples From Around the US)

💡 Helping Hands Vet (Richmond, VA area)

• Offers pyometra spay estimates for pets under ~90 lbs from about $580–$995 (plus basic spay cost).

💡 H.E.A.R.T. Mobile Clinic (Anne Arundel County, MD)

• Mobile low-cost veterinary care with pyometra spays for felines ~ $200 and canines ~ $450 (clinic availability varies).

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🐾 Tips to Access Lower-Cost Pyometra Surgery

• Call multiple clinics — even full-service vets often have more affordable surgical pricing than emergency hospitals.

• Ask about payment plans or Care Credit / Scratchpay to spread out costs.

• Check local humane societies and spay/neuter programs — many offer vouchers or emergency surgical assistance.

• Non-profits often prioritize critical care cases when funding or programs are available.

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⚠️ Important: Pyometra is a medical emergency and delaying care can be life-threatening. Prices listed above are surgery estimates only — ancillary costs like diagnostics (bloodwork, imaging), IV fluids, hospitalization, and post-op care may add to the total bill. Always confirm total expected cost before scheduling. 

Clinic / Hospital	Foreign Body / Exploratory	Blocked Cat / Perineal Urethrostomy	Splenectomy	GDV / Bloat	Cystotomy (Bladder Stone)	Notes / Source
Celina Pet Clinic & Surgical Center	Endoscopic Foreign Body Removal: $1,600-$1,800	Perineal Urethrotomy: $2,500-$3,000	(not listed)	GDV: $3,000-$3,500	Cystotomy: $1,800-$2,500	Excludes other exploratory with R&A
Holly Vet Clinic	Gastrotomy: $3,500 + Enterotomy: $4,000	(not listed)	$3,000	GDV: $5,000	Cystotomy: $3,000	Pricing for major soft-tissue surgeries
Eno Animal Hospital (WA)	Laparotomy: $2,900-$3,900	Perineal Urethrostomy: $3,500-$3,900	$3,300-$3,700	Gastrop/ GDX (bloat) similar range	Cystotomy: $3,100-$3,500	Board-certified surgeon price list
Guardian Angel Veterinary Care (CO)	Abdominal explore/Foreign Body: $1,000-$1,500	Perineal Urethrostomy: $900-$1,100	Splenectomy: $700-$900	Gastropexy: $800-$1,000	Cystotomy: $800-$1,600	Lower-cost surgery pricing
Low-Cost Animal Hospital (Tamarac, FL)	Foreign Body: $499-$749	Scrotal Urethrostomy $599-$899 (PU often separate)	Splenectomy: $449-$699	GDV: $599-$899	Cystotomy: $499-$649	Affordable surgery price list
Oakdale Veterinary Group (PA)	(not listed specifically)	Perineal Urethrostomy: $3,000-$5,000	Splenectomy: $3,000-$4,000+	(not listed)	(not listed)	Referral price guide
Veterinary Medical Center of Clayton (GA)	Foreign Body: $800-$1,200	PU for cats & dogs: ~$925-$1,250	Splenectomy: $1,200	Stomach Tacking (bloat preventive): $525	Cystotomy: $800-$1,200	General surgery price list
All Pet Surgery Center (TX)	Foreign Body: $1,500+	Feline PU: $2,400-$2,900	Splenectomy: $2,000	(GDV not listed)	Cystotomy: $1,400-$1,600	General surgery pricing

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💡 How to Read This Table

• Foreign Body Surgery includes gastrotomy / enterotomy / exploratory for intestinal obstruction where available.

• Blocked Cat Surgery / Perineal Urethrostomy (PU) is listed where providers explicitly post that procedure.

• GDV / Bloat refers to surgery to correct gastric dilatation-volvulus (bloat) and related procedures.

• Splenectomy is removal of the spleen, often part of emergency abdominal surgery.

• Cystotomy is surgical removal of bladder stones or related urinary surgery.

PS I will keep making these posts,, building this database and saving every life I can.

PSS Please spay your dog when they are young and healthy. There are lots (and lots) of low cost spay and neuter clinics around the country.. Just ask ChatGPT for one near you!

Informed Consent Template, Pyometra

Based on the professional guidelines and clinical frameworks provided in the sources, an informed consent template for a veterinary clinic—particularly one practicing Spectrum of Care (SOC) or Incremental Veterinary Care (IVC)—should document the dialogue between the provider and the client regarding diagnostic and treatment options, associated risks, and financial obligations.

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Informed Consent for Veterinary Care

Patient Name: ____________________  Species/Breed: ____________________ Client/Authorized Agent Name: ____________________  Date: ____________________

1. Clinical Situation & Options

The veterinarian has explained the patient’s current medical condition, including a provisional diagnosis and the potential for that diagnosis to be revised as more information becomes available.

We have discussed a range of evidence-based care options tailored to my goals, resources, and my pet’s unique circumstances. These options include:

• Path A (High Resource/Gold Standard): Comprehensive diagnostics and intensive treatment. Patient will be transferred to a specialty hospital, and/or emergency facility for care. Cost of care is not expected to be beyond clients ability. Estimates can range from $4,000 to over $10,000.

• Path B (Incremental/Nonspecialized): Tiered diagnostic and therapeutic steps focused on the most pressing health issues and patient comfort. Care may be given here at Jarrettsville Veterinary Center, or your pet will be referred to another general care, or, procedure clinic. It is understood that there will not be 24 hour, or, overnight care provided.

• Path C (Stabilization/Palliative): Minimal intervention focused on pain control and quality of life. The patient will be provided subcutaneous fluids, antibiotics (injectable and oral) and analgesics (injectable and oral) and go home to be cared for. This may include transfer to another facility in the coming days. It is at the veterinarians discretion, and based on local/state/federal laws that this patient may be forwarded to appropriate animal control guidance for after care and follow up.

2. Risk Assessment & Uncertainty

I understand that:

• Every procedure, including anesthesia and surgery, carries inherent risks of complications or death.

• Choosing an incremental approach (Path B or C) may involve skipping certain diagnostic tests, which could result in a level of clinical uncertainty or a different outcome than the gold standard.

• The treatment plan is dynamic and may need to be revised based on my pet's response to therapy.

3. Financial Estimate

I have received a line-by-line itemized estimate of the charges for the chosen services. I understand I am responsible for these costs, including any recommended follow-up rechecks within 24–48 hours.

4. Emergency & Unexpected Procedures

In the event of an emergency or unexpected finding during a procedure:

• [ ] The veterinarian has my permission to perform life-saving measures up to $________.

• [ ] The veterinarian must call me at ____________________ before proceeding with any additional treatment.

5. Special Protocols (If Applicable)

• Community Cats: I authorize eartipping and the use of dissolvable sutures.

• Euthanasia: If a poor prognosis is confirmed during exploratory surgery or if the pet is suffering and no further care is possible, I authorize humane euthanasia.

6. Authorization

I confirm that the information provided has been explained in a manner I understand. I have had the opportunity to ask questions, and I consent to the recommended treatment plan.

Client Signature: ________________________________________ Veterinarian Signature: ________________________________________

Broken Windshield

I have a nice car. It feels nice, looks nice, and when Mothe Nature is throwing her best curved ball of weather it is unsurpassed in its squirreliness to claw us out of snowdrifts. The stereo system registers on the richter scale as the ground under its wheels vibrates the tectonic plates out of their millenia's rest. But, I have had to have the windshield replaced 4 times. Once in a while the car starts raining on the inside. The last it happened was last week when my husband had it inside the drive thru car wash to de-salt its black velvet coat. How do you stop the rain inside a car wash? Four times in and I am done. I am so frustrated by the lack of resolve from the dealership that I am dumping it and trying again with a new car. I loathe cars because I so loathe the buying experience. If I could reimagine the whole process I would buy into a monthly fee that makes me a member of a car replacement program. All of the cars are sold to members at cost. We get a new one every 5years or after considered a total loss by insurance. (See I do have all of the answers!). Oh, and its woman and minority only. Back to my point, I get so emotionally exhausted I bail.

Frippie and a new car on the same day.

Does this also bleed into other parts of my psyche? Yes, of course.

Yesterday it was the 8 year old doodle who has been to another vet multiple times, had a multitude of tests done and spent thousands. No answer. No resolution, and they are being told they need a specialist who will cost them $2,000 for the exam and tests and their dog might only have 3 months to live. 

Their dog started with one or two bumps, three months ago, and now has them everywhere, along with all of the lymph nodes being golf ball sized. They have followed all of the advice they have been given.Things are deteriorating and they no longer have faith in their vets ability to help them. 

She is emotionally, and now financially, exhausted. They need veterinary help as much as they need empathic hope. Maybe I cannot provide hope that their dog has a diagnosable and curable condition, but, I absolutely can give them hope that I won't abandon them or deny the grief that comes with acknowledgement that the good, healthy time is slipping away. They are losing their love. There is a big difference in how you deliver medical advice and how you see your ethical responsibility to a life that needs,,, well,, so much. 

This is what second opinions stem from. We all should be brave enough to find that someone, or someplace that you feel good about going downhill with, even as you hope and pray you won't have to.

I will forever bear the guilty burden of giving up on Jekyll and Savannah too early. They broke me mentally, physically and emotionally. I couldn't take another night of no sleep, no easing of their bodies painful beckoning. I, the veterinarian, their mom, gave up on them. I put them to sleep so I could finally get some rest of my own so I wouldn't make an exhaustion induced mistake on someone elses beloved pet. In a country that doesn't believe in humane euthanasia for its dying humans why  can't I provide thar for my companions? Why do I feel like I failed to let them die how nature chooses them to? Why do I always have to saddle the burden of their mortality as I am suffocating under the grief of losing them?

Jekyll

My hospital manager is facing the aging and loss of function (mobility and bathroom) in her older dog. We are at that place where we know we are losing our battle. We are at that place where we are throwing everything, and the kitchen sink at her in the hopes we can recover something that helps her feel better. Her diarrhea has been going on for weeks. Diarrhea, like vomiting, and not eating are crippling to deal with. They are all symptoms of a bigger disease, and there inlies the reason we call it medicine. They are clues given to us to try to uncover what the root cause is. What is causing this? If we cannot figure this out we are very unlikely to undo the inciting cause and rectify it. Having a pet who cannot get up and walk themselves outside to make a massive smelly mess of liquid diarrhea is exhausting. You cannot sleep because you want to be able to get them to a place that is easier to clean up than your bedroom floor. 

It is very important to remember that what we see in our few minutes in an exam room doesn't always allow us to know the burden that families carry at home. 

It is very important to acknowledge the impact of exhaustion.

Is it possible to have hope, empathy, and be exhausted? 

Is it possible to make good decisions we won't look back and beat ourselves up about after the fact and be exhausted?

I asked Jenn, my hospital manager to add her thoughts. 

The long goodbye.  It’s the slow decline of our beloved pet and feelings mixed with hope and defeat, a rollercoaster of emotions.  It’s a place I find myself with my beloved dog Hope.  Hope was rescued by Black Dogs & Company Rescue 12 years ago, a very pregnant stray on a dirt road in South Carolina.  She was being fed a handful of dry kibble once a day because that’s all the kind-hearted person who was helping her could afford.  The rescue intervened and tried to get her to Maryland before her puppies were born but Hope had her puppies under the safety of the wooden handicap ramp of a church.  Four little puppies entered the world in the dirt to a young emaciated mom.  Hope and the surviving three puppies made their way to Maryland when the puppies were three days old thanks to a volunteer pilot via Pilots N Paws.  Hope was our first momma and puppy foster, she was emaciated, filled with internal and external parasites, heartworm positive and pretty much feral.  It was a slow go to gain her trust but she loved my children quite literally from hello.  When her puppies were ten weeks old they all found homes, my children became her puppies.  It took a year before Hope was ready for adoption, she became our first "foster fail".  For twelve years Hope has watched my children grow.  Like a good mom you can literally see her ears that no longer hear much perk up and her cloudy eyes light up every time one of her children enters the room.  Her love for them has been unwavering.  She’s been a stoic stubborn old girl, I somehow always imagined the end would be something quick, symptoms hid.  Instead it’s been slow; arthritis that we have managed with monthly injections, then diarrhea.  Horrible, incurable, unstoppable, diarrhea.  It waxes and wanes from “soft serve” to bubbly, projectile water.  We’ve thrown every single medication at the diarrhea, tried countless foods and yet here we are.  Each day my old girl get a little more tired.  Phrases like "quality of life" and "letting them go on a good day" dance through my head on the sleepless nights.  I see the toll it takes on my family; my teen and young adult children tread lightly past her room, panicking when I’ve taken her to work with me thinking we made a decision without including them.    I see the toll it takes on my husband, his wife’s attention and thoughts on trying to get our dog through one more day of trying.  I see him bracing for the heartache that he fears will hit his household when we say goodbye, and I see a man who remembers a younger, fearful version of Hope, whom he spent so much time working through gaining her trust while I cared for her puppies.  We have an entire basket of medications, the treatment plan changes as we admidst defeat.  The wash machine runs constantly, we try to get a load or two of the family’s laundry in between.  I see the toll it takes on our other dogs. There’s Remi who was Hope’s best friend.  He had cancer removed a year and a half ago, he’s on borrowed time.  He lies with her some days.  I see how he looks at her, how he looks at me.  I see the younger dogs, their hesitation in walking past her room, how they give her great space when we walk her through the foyer to go outside….respect?  I look in the mirror and I see the toll it has taken on me, I can’t remember the last time I slept more than four and half consecutive hours.  And when I do?  Guilt jolts me from a deep slumber.  I jump up and run to the dining room that is cleared and now “Hope’s Room” afraid she needed me and I didn't hear her.  I see the bags under my eyes, my heart is caught somewhere between holding on to hope and giving up.  My body feels like I have been hit by a bus every single day, muscles hurt from lifting her in and out of my truck.  Caught in a place where I can’t plan life too beyond what lies immediately before me, that 25^th Anniversary trip? I’ve yet to buy my plane ticket.  And I see Hope, a dog that loves her children so deeply she’s caught between letting go and not wanting to let them down. 

While watching my mother die from brain cancer, I realized euthanasia is a gift we give our pets at the end, we ease their suffering.  We save them from the horrors of what lies in the final days of disease.  Each pet owner makes a very personal decision along with their vet based on what they can financially invest and physically manage to determine a time when it is appropriate to ease their pet’s suffering.  I find myself carefully watching for suffering, watching for signs that I am asking too much, watching for signs that my sweet old girl still wants to be here.  I learned that sometimes, when all we have is a single thread of hope that’s what buys us a miracle.  I’ve been there, at a place where most would euthanize to stumble upon a needle in a haystack that buys us quality time.  I found myself there when my Saleena was in kidney failure, she lived ten wonderful months.  When my shepherd mix Johnny Cash had a mystery intestinal illness that had his big 90lb body physically down for two weeks and found us seeking an oncology consult, and again when a large non-cancerous mass was crushing his lungs when he slept, we were given the gift of time as we teetered on letting go.  I found myself there with Bella, my dream come true golden girl who became suddenly very ill with a lung infection, we found a rare aggressive lesion on xray at the base of her lungs, again finding ourselves at oncology only to make a miraculous recovery.  It’s a fine line between hope and defeat.  I couldn’t imagine having given up on any of them and robbing them and us of quality years.  I’ve always known when all hope has been lost and when we are making a decision to end suffering at the end of a life well lived.  With Hope I teeter in this place, my heart torn. 

I am well aware that I am able to go to these great lengths for our pets because of the life I live.  Because I work in the veterinary field, I am able to bring my pets to work with me during these difficult times, I have access to brilliant veterinarians who see pets as part of our families.  I am sympathetic to pet owners who don’t live this life, who work long days, who have to make decisions based on what they can physically, financially and mentally manage.  My written feelings aren’t meant to make anyone feel guilty. We each make decisions for our pets based on our individual situation, and when it’s a decision made with a heart guided by love it’s never wrong.  

Is It The Delivery, Or, The Message?

It's beginning to feel like an island around here.

Dr Elizabeth Potter is challenging the insurance company system who denies care without following the law, or putting patients needs above profits.

Everyone is too afraid to be anything but A. A cheering squad, Or, B. The firing squad.

Then there's me, still here. Still squawking. I know I am here because I can physically, emotionally, and financially handle it. I know it's getting worse for those who have pets they love like family, and struggle to find care for. It is getting bleak and I know they also feel alone.

When you feel alone, afraid and alienated you seek companionship in the safest place you can; your pet. How ironic is that? Vetmed holds so much power. 

Do we forget that? 

Do we think that the shelters house so many extras that this one, this particular family pet, is replaceable? 

See the reaction from fellow veterinarians about this post here.

Here are some of the arguments I have heard vets provide as we justify the ever increasing cost of care.* 

• Our costs have increased.
• Our debt has increased.
• We want to practice better medicine and offer better treatment options. Think CT scanners, endoscope, big ticket/expensive equipment.

The reality is all of these, AND, there is a new player on the field; venture capital. They see limitless profits because there are almost no guardrails for pets, pet parents and the emotional bond is unparalleled. They have no emotional stake in the game. They never have to look into the eyes of the patients. parents, family. They have vets in gag orders. They are the fox in the henhouse. They are the evil in medicine. I mean that. I believe that. I see their consequences everyday. I have to look into the eyes of need, desperation, suffering and ask myself if I will be the only hand of mercy. I will hear everyday for the rest of my days a sneering, seething pessimists who want me to fail. They want the apple cart to land on my head and cause total system failure. That is the dilemma to being out here on this island, alone.

I feel like I have to explain myself over and over again. That is wearing thin. I suspect that people react to my message, but the intention, the audience, well that can get lost in the delivery. The passion comes through, but that elicits some stoking of the masses who finally feel heard and acknowledged from the source of their pain, AND, anger from my colleagues who (incorrectly) assume I am blaming them as the source of the problem.

None of this changes the (inarguable) fact that veterinary medicine is becoming out of reach to the majority. 

None of this changes the fact that all of us are deserving of love, compassion, hope and mercy.

None of this changes the collective responsibility to address the needs of our patients and pet parents. It is not ethical to simply shift the problem to the providers below you. (..and lets not dismiss the perception that specialty feels GP is below them. They don't have to make time, or compromise for patients who aren't their problem). How often am I reminded that "they simply cannot do it/whatever/for that price? When I want to reply, well, what can we do for this pet at an affordable price? (Please don't respond with "euthanasia").

I get so much, "you care, you figure it out." 

I get very little, "how can we do it together?"

I get back handed replies like; "she will die under the burden of trying."

The professional backlash feels like a deflection of some tapped into guilty conscious, some misplaced frustration. If it didn't strike a chord I would only fall on deaf ears. There would be no island, there would just be alone. Instead there is a purpose with a problem and a whole bunch of broken.

So, is it the delivery? Or, the message? ... and as long as treatable patients are dying so some billionaire can pay for his yacht docking fee on some tax-free sheltered island do I even care?

* "Over the past 2 decades, veterinary service inflation has surpassed general inflation rates by > 60% in the consumer price index, making it harder for pet owners to budget for their pets’ health care needs." Reference link here.

More about this on Instagram, Krista Magnifico

FaceBook, Jarrettsville Veterinary Center page here.

Pawbly.com, Ask questions for free. Share your pets vetcare experiences here.

Pet Good Samaritan Fund. The 501c3 we work with to help provide affordable care and support the other providers also providing life saving care to pets to avoid economic euthanasia.

The Shame Of Pro Bono

 A follower on our Jarrettsville Veterinary Center FaceBook page summed it up well;

"A lawyer doesn't get shamed for providing free services.. vets shouldn't shame other vets for offering low cost care."

...and yet these are some of the comments left about me after a post advocating for pet parents to find other options elsewhere if they meet overwhelming obstacles. There is a storm of change brewing and it will include transparency, options to seek care elsewhere, and low cost options targeted at avoiding economic euthanasia.

Here's the post I put up on Jarrettsville Vet Facebook.

Here's some of the comments from a veterinary group that took opposition to it.

Here's what medical doctors say about you when you offer others free care, low cost care, and advocate for the patients we all came here to care for.

"she's a holier than thou piece of shit."

"Disney villian movie wish."

"magnific-u-next-Tuesday."

"bless her vacant, soulless, narcissistic heart."

"she's an asshole."

For all of the arduous effort it has taken to actually start talking about offering a spectrum of care within veterinary medicine, we sure aren't helping those who are actually doing it.

I put up another post that talked about a pet who was given a $7-8,000 estimate for an exploratory surgery. The pet parent had $700. We found them a place a few hours away that did the surgery for $300. When I shared it a group of vets got pretty furious assuming I was bad mouthing the original ER. Sounded like a lot of guilty conscious redirected aggression to me.

On some of the posts I have put up there are vets who "wish me to go under as I give everything away."

Or, accuse me of poor pay, workplace standards and care, and presume I can only do this because I have "family money."

There are a million little reasons I am here. Broadcasting affordable care as a practice owner. Promoting the ethos that you can do good and do well. Sharing real-life examples in the faces of the angry mobs of doubting Thomases.

Pro Bono care is an option in every single scenario at our clinic. There are so many instances where our team members mental health supersedes the income generated from a good or service. Pro Bono euthanasia is the primary best case example. If a patient is suffering, has a grave prognosis and you feel it is in the best interest of all we donate a euthanasia. 

We also provide pro bono care for long time clients in need of assistance. Homeless pets, and almost daily a case that just needs a little extra help. Xrays are done if the vet feels it will help them sleep better at night and not worry. We remove obstacles so that everyone can feel better about the choices and care we give. Why? This is a hard job and if we can help make it easier, less stressful, and get to happier endings together than we do it as a team.

Any pet who is brought to us is given options. There are at least three. We practice what we preach. We have some significant advantages at our clinic. We have been here for over 80 years. We know almost all of our clients, and have known them for a very long time. We know what they can do, will want to do, and what they need from us. Some will always take a referral if needed. Some will never go. Some cannot afford to go. We offer, talk about options, and every decision is a discussion. There is almost never a discussion about Gold Standard, or any kind of incremental care. We listen, talk, and we trust each other. There are written report cards that summarize every exam. We write down the current patient plan and a next step plan. We give written estimates on any plan we propose. We list our prices on our website. I advocate for transparency in pricing and therefore I post them. I also list most of my surgeries on Pawbly.com Storylines section. Real-life cases with the complete itemized list of the procedures costs. 

The backlash of being a bit of a rebel for the best interest of our patients and their families has been dizzying. The profession is advocating openly (finally a decade after it became a viral video plea) and even promoting how this can be done in our December 2025 JAVMA (our professional journal), but, we are expected to do this quietly. Don't rat on your colleague who charges $7,000 for a pyometra even though they aren't a specialist, and know it is a third of the cost in 12 hours 5 miles away.

There is a storm brewing. It is a hailstorm of greed, shame, ugly insults, and denying care if it is not profitable for them. 

Why is there so much nastiness towards me, and why are so many others who also offer pro bono, low cost care so quiet? Well, just look at the names you get called if you are on the side of our patients.

Here's the video that started all of this hatred.

Here is the video I put up today. 

For any pet parent who needs help you can find it here;

Pawbly.com

Pet Good Samaritan Fund

Jarrettsville Veterinary Center website

All In

 After 20 years as a veterinarian and practice owner, I have come to realize that what my best clients want two things;

1. Be present with them.

2. Be all in.

Madelelaine March 2018

Sure, it's super helpful to have gone to a great veterinary college. Invested myself in learning, growing and challenging my skill set, but, above all of this, people need know/believe/feel that you are genuinely there for them in their greatest moments of need. 

It's what all of medicine needs.

Madelaine Sept 2018

Too often the medical relationship is intentionally, and almost always detrimentally, compartmentalized. The soul gets overlooked as the rest is dissected into its parts for inspection. We lose the whole organism as we focus on the individual pieces. While we can provide exemplary knowledge in the minutia, the organs, systems, the specialties called cardiology, respiratory, orthopedics, etc.. as you divvy them up people begin to feel denigrated to insignificant when weighed next to their parts. Medicine, the true art of it exists in its greatest beauty when the individual remains at its highest value when viewed from its inherent, individual, amorphous self; its soul. We each have our own. We are each our own being beyond the organs, flesh, and carbon connected bits.

March  2019

The beauty of being a general practitioner is being witness to the arc of each life. The spectrum that it displays. Appreciating the beauty and glory of the beginning as much as the end. Being present for all of it. That place where life is new, curious, and unmapped. The reason puppies and kittens are so compulsively adorable is to offset the lack of these established emotional bonds. The oxytocin infusion to the unknown being that depends so completely upon its new parents. To the final days where the emotional ties are so deep the roots won't allow the being to depart. There is so much power in the end that it leaves us changed. Forever missing a part of our lives that we cannot displace the hole. We, I would argue are ALWAYS better off knowing that these holes exist within us. They verify our existence as being genuine. You can attempt to love your spouse, your kids, your parents, your best friends fully and unconditionally, but none of them will truly exist simply for you. Your pet companions will. Your pet will be all in. All in for you and your life, even at the expense of their own. Who could we ever ask this of? Not another human.

May 2021

All in inherently requires that you be genuine. I believe that we all came into this field because we genuinely needed to be here. Somewhere along the road the death by a thousand paper cuts cost us our vulnerability, our mutual trust in other humans, and our deflective desire to be needed as much as we need our patients. I don't know how to untrain that, but, I will attest to being so protective of the naive vet I always dreamt of being has proven to be my greatest attribute.

July 2022

I will live and die within this profession and always be grateful for every tear it cost me. It is the purpose in every breath I own as mine. It is the reason I will post videos, blogs, stories and content that infuriates the rest of my profession as I advocate for the companions we are all here to be advocates for,,,, I am all in.

September 2023

July 2024

January 21, 2026

Madelaine passed away Friday January 23, 2026. Her mom, and grandmother loved her as much as anyone could ever be loved. She was with them every moment of her life. She was the luckiest, most beloved girl. I am so honored to have known her, and them, and been able to be a part of their lives. She is my WHY, just as much as she was theirs, She is everything vetmed could ever hope to be. 

I will miss her, never forget her, and never be able to live any other life than this one. 

Sending her family all of the love that sent us every day of her life.

January Dulldrums

Never go grocery shopping when you are hungry,

and,

never make executive decisions in January. 

Neither will end well.

Hazel

It took me too long to realize these. I am a slow learner. More trial by fire than contemplation. (Aren't all successful endeavors found through tripping and slipping than skipping?).

It's January. I am melancholy. Or depressed. Tomato/tomatoe. 

Willow

It is time for me to look back at the clinic, our progress. Our wins vs. losses. Figure out if the clean slate is a blessing or disguise. Resurrect the little kernel of caring that is the tinder in the passion-driven heart. That heart as too often been my compass. Perhaps it was supposed to be the machine just pushing oxygen and nutrients to the rest. Not the workhorse that was responsible for all that led and followed from it. Maybe I just placed too much expectation on one little organ? 

Biology was my favorite course. For all of the many ways people love math. The building an argument to arrive at a finite, firm, answer. Laws that are concrete. Rely on each other. One need met by many steps and a solution.

Raffles

The hardest part was always the separating myself from the equation. Feeling like I was the defining character needed to get to the solution. The camel with all of the straw. The law that cannot be omitted. Gravity. Decay. Death. Eventual loss. 

Tomato/tomatoe.

Its January. I will go cut out pink, red, blush hearts. Paint, glue, sequins and make Valentines. February cometh if I can get through today.

Left foot, Right foot. Try to see the good in all that is today. Tomorrow is never promised.

Maybe I am just hungry?

Maybe it's time to go to the grocery store?

Tomato?

.... or kittens?