The Long Months At Sea

I haven't told you about the crafty side of going to sea. 

The ship from the launch boat

What would you do if you were stuck in the middle of the great, big, giant, ominous, boring sea all day every day, day after day? For me, in my twenties it was a dilemma I faced routinely. I was one of those rare merchant seapersons who was on a ship in the middle of the ocean laying fiber optic submarine cable (so you all can make a phone call or peruse the internet, (no it isn't mainly via satellite)). We would set out from shore to spend 30-60-90 days (or more) at sea slowly laying cable the size of your garden hose on the bottom of the ocean. It is slow and boring 99% of the time. Most of the time you are traveling at about old lady jogging pace. All of the time there is no sign of life. No happy seagulls. No whales, or dolphins, or anything. Just you, the horizon of more nothingness, and the ocean churning around you. Most of the time it is gloomy, grey and chilly. The North Atlantic swallows ships for fun. It has done this for millenia. She is always hungry to remind you that you are but a speck of dust in her skirt.

That's the outside of your house. The house you live in is grey. An endless right angle of steel covered in steel grey. Grey is the color of failed red blood cells. The color that life leaves behind when everything around the being has bailed. Surrendered. Given up. Dead. You will hardly ever see me in two colors; grey and khaki. There has been too much of my life already in them. I can even assign a face to the particular color of khaki that is the plebe short and shirt of arrival at KP. That color is puke bile on canvas. That color is forbidden. The warm grey of cashmere is a completely different hue than steel grey. The shade of WW's and wartime. The 40's era of a nation setting itself to right the wrongs abroad. Yeah, I struggle to embrace that murky black meets white too.

Everything screams early 1990's in this one.
At the dock Baltimore, MD, full on 80's attire.

The world of going to sea is so bleek you find reasons to go on within it. For some it is the escape of being away. No family drama. No to-do lists to be done by a spouse overworked with family. You are away. So far away you get to be a whole other person. If you want to. (Many do). But, the 12 hour days of working stop. You have to fill the 12 remaining. That's where the hobbies come in.

There is a whole ship load of hobbies happening in staterooms, on bunkbeds, in common areas/rec rooms. Some use the gym. Others watch endless movies. A small few have side hustles. 

I collect old whale waste from sailors idle hands. A busk collection to rival the whaling museum in Massachusetts. The art of sailors is a whole topic onto itself. For me, at sea, I would carefully select a topic to fill my four months. One trip I learned all of the scientific names of the native flowers of North America. Another I read the entire volume of Internal Medicine, Mercks guide (not the one I should have read in prep for vet school). Another trip was watercolor 101. 

Some of the busks.

For the Captain and Medical Officer on one ship it was braided rugs. Now, when I talk about a hobby to bring to see just think about the amount of stuff you need to carry aboard when you choose wool-braided-rugs. 

The material for these was carried aboard via an elevator in garbage bags. They would spend an afternoon in Maine, near the place where the cable factory was, picking out the fabric to make their rugs. They brought these huge (so heavy) bolts of wool in every color (except a pastel). They started by washing all of the material. Laid it out to dry. Then they would lay it out full length in the Captains office. Cover the floor like a fashion designer with healthy knees, and cut strips about 2 inches wide. Then roll the strips up in coils and hold it with rubber bands. Piles of ribbon wool strips were then sorted to make the patterns of the rugs.

They would spend all day braiding the coils. Piling them like pet snakes. Weeks later the rugs would be started. Every size, shape, color, pattern. It was a marvel to behold. 

I bought a few of them for my mom. She was enamored with the idea. A romantic trip traveling the globe and the sailors art to show for the time that passed. 

When my mom passed away I took them all back to my house. 30 years has passed and although I still refuse to wear that particular color of khaki or grey I can  now feel the warmth of that wool under my L.L.Bean slippers and reminisce about a life and a time that only belongs in a story.

The Introduction. Old Grad Seeking New Grad for long term commitment.

We, Jarrettsville Vet, sponsored the pre-expo meet and greet with the vet students at Virginia-Maryland Vet school, my alma mater, in Blacksburg Va. I was given the chance to deliver the opening message. This is what I started the weekend activities with. 

The introductory note was expected to be a chance to highlight the clinic. Use the podium as a pitch to attract the students. As I put it, be the bowerbird. The bird that flashes the pretty objects in front of potential partners. All razzle-dazzle "I'm so pretty you can't resist me."

But why would I make this about me.. this is about them. Isn't medicine always supposed to be about them?

Here it is; 

I want to start with a big thank you to everyone who made this possible. I'm not being specific to this event, (although of course I am grateful to be here with all of you), but, a bigger thank you+ to all of the clinicians, technicians, assistants, faculty, staff and benefactors who made this moment what it is. This is a celebration of a collective of dreams. I will be forever indebted and grateful to have been a part of this magical place. I always proclaim that I am the proudest and humblest of any graduate of the Virginia Maryland Regional College of Veterinary Medicine. So if you haven't heard me proclaim it before I am here again to say Thank You!

Let's take a moment to give a big round of applause to those of you who are living the dream and have guided those along the way in theirs. You all should hear a big congratulations!

There are soo many things that I want to say to you, the next generation of veterinarians.. A million pearls and minutias of advice. I want to imbibe a pep talk to last the decades you have ahead. Sprinkle snippets like; hold this excitement close to your heart. Remember the purpose you came to this place with. Summon the courage it took to come here. The determination of commitment wrapped in empathy. But, this isn't your starting place, that seed was germinating a long time ago. But, it is your launching pad. The magic this vet school holds, the power it bestows will carry you for decades.

For those of you who don't know I came here because the James Herriott books influenced me so compellingly I couldn't imagine being anything else. I loved those stories so much I read them over and over. I wanted to grow up to be that face of kindness, within a small hometown community and live the stories like he did. Such a noble profession centered around the most meaningful acts of compassion. That was who I set out to be some many years ago. 

You all are already writing your own stories. You too have already decided who you want to be. 

So I am going to start here. This time and place is a reflection of who you already are. The magic of this place is the heroine you are within your own story. The story that has its best chapters yet to be lived. Yet to be written.. For the first time in your life you get to write all of the rest of the chapters. You get to decide all of the characters. The plot. The endings. What could be more magical than that?

Let's remind ourselves that the most cherished part of this story is who you are within it. Not who you hope to be when they get to your next destination. But, who you are right now. You see this person, the one right here, right now, is the culmination of a dream. The manifestation of your hopes. The cure to your hard work and dedication. Medicine is just the scientific concoction that is a problem in search of an answer. The host, the being that medicine applies itself to improve starts with a soul. The rest is accoutrements to the singular being that was always perfect. The road of life just got in the way. How can each of us grow, learn, acquire, live without the influences trying to change us? Why would we willingly allow this?

Medicine is the recipe book for so much about life. Its the way we fabricate answers when life poses us problems we cannot intuitively insulate ourselves from. 

Medicine is the guidebook for self care. We learn to articulate a problem. Accept a challenge. Question every aspect of it. Acquiesce to a series of weighted treatment options knowing full well that the tried, true and tested options might be null, void, or, even detrimental. We acknowledge that a new, innovative option might blossom tomorrow. We accept without question that all efforts will fail at some point and death is a part of life.

50 years ago I knew I was meant to be here. My life had to include being a veterinarian. It took me 20 years and a whole other career to get here. Get my feet into that white coat ceremony. Bask in the barrels that is anatomy MDL (do they still call it that?). Sheer, utter, defiant determination built this expert within. I will never be able to repay the debt I owe to those who believed in me enough to grant safe passage here. Graduation was a benchmark but never an end point. The days that came after, the ones so richly packed with cases and challenges only proved what I knew at 6 years old. This is the most noble of professions held in tightly clenched fists of humble pride. Medicine isnt ever about power it is about grace and generosity. It is about kindness wrapped in vulnerable empathy. There is magic in its power. There is a life of infinite bliss here if you can just keep one foot in front of the other, a pocket full of hope, and promises to yourself as a love letter to remind you that you are, always have been everything you ever needed.

Find your place based on what you want your lifes story to read as. Be protective and selective. Never let anyone define or constrain you. This magical story is yours live and you should hope that it includes all of the ups and downs of a tragedy, a mystery and a love story. All of the tears, fears, doubts, and miracles with all of the obligatory highs and lows. The puppies waggles and kisses and yes the euthanasia goodbyes that remind you that you too are living your own James Herriott story. There is a beginning and an end to everything this amazing life delivers. Be as excited, proud, tired and blissful at the last day of your white coat ceremony as you were when you first put it on. The first time they called you "doctor" should be, will be, as magical as the last time you say it to yourself.

Best of luck to all of you. 

Go write your stories. Live your dreams and cherish every beautiful, teary-eyed, peed on, pooped on, anal gland in your hair, fecal under your fingernails moment. No one could ever write this story better than you can!

The Question

I think that I might have over extended?

If you asked me if I was willing to sacrifice every second of my own life for my pets I would, without hesitation, say yes. If you asked me to multiply that by our current veterinary clinic caseload I would ask for a few minutes to do the math so I could get a better idea of the scope of this question, and say,, (increasingly tentatively),,, umm,,, maybe? 

I cancelled my summer vacation this year. I cancelled last summers vacation this same time last year. I now live and work in a groundhog day recycling of 5 days on and 2 days off. The first of these days off is spent either cleaning litter boxes or sleeping. Typically sleeping then litter boxes. I have to do both, and I cannot muster the strength to do anything else. Never a wish for plans that would include me to be at my best and/or ready to slay another obstacle. It seems impossible to meet the demands of other peoples pet needs and take time off. Which, yes, I do recognize is the self-fulfilling recipe to my own demise. Please don’t tell me you told me so, or, rub my nose in it. 

In an appointment yesterday a client reminded me that he has been coming here for 20 years. He asked me if I was still working the same schedule? When I replied yes he reminded me that I couldn’t manage it back then either. I’m not sure if he was finding comfort in my consistency. A way to hold time still when the rest of the world, and the life we live within it, is rushing by. Or, if it was a gentle reminder that life is rushing by and I am not evolving, or, participating in witnessing it.

Dasa. Reminding me to take a minute and inspect before you open your mouth.

The question has its own problem. If I recognize how important and influential my pets are in my own life how do I ignore this in someone else’s life? How do I dismiss the blocked cat with $200 for the care it needs. The same cat who has never had veterinary care and a young girl crying beside it? I was once that young girl. Thank goodness my little small town vet had mercy on both our souls. He never made my families pets about our families failures,, and we had a lot of them. 

Did I ever tell you about our border collies and the porcupines? The number of times they would run off and return with a face full of quills? How my dad would insist they go to the vet at 10 pm so he wouldn’t have to deal with their crying all night? The pregnancies, twice, because we were too cheap to spay? And the dogs that ran away never to be seen again. Maybe all of this overworking now is to an effort to compensate for our prior offenses? Deal with the trauma of being an utter failure at basic pet care in my childhood.

Before you get all, “I’ve got all the answers for you uppity there’s absolutely no where else for these people, this cat, to go. Further, all of these (yes, damn it I am using the word ALL), are treatable. These cats, last stop missions, are my purpose. I just wish I didn’t feel so alone within them. (Tired, I should also add tired). 

Dr Barsanti and Dr Applefeld were my mentors. Old guys who were in vet school in the 70’s and both old school. They built a practice in a community they spent their entire career in. Their success was only possible because their community valued and trusted them. I learned more about running a business based on ethics and long term dedication from them. When I was in vet school I worked at a very busy, very profitable practice in southern Maryland. The owner had just bought the practice from his mentor. He was stressed and fiscally focused. A cat was found in need of medical help. The finder brought the cat in for help but could not afford the care it needed. He took it and told her he would take care of her. The staff was so excited to be able to help this kitten. They made her a super adorable bedded cage and snuggled her all day. At the end of the day he euthanized her without telling anyone. It was a cruel power play of insecurity and deceit. I left the next morning. He is still a miserable miser and everyone knows that he only cares about money. He and I will die within the walls of our clinics but I will carry the lessons all of these mentors taught me to my own exit having never seeing a patient as a burden.

Cookie.. who I would absolutely do anything for.

Maybe the question isn’t what I am doing wrong now, but how I see myself as still doing good whilst doing something else? Can I ever remove one part of this person from the other? The one that has 1 day to do and be anything else and still just sits at home petting my cats.

Fripp who encourages me to sleep in a little longer.

The Widows Walk

 Most days i feel like i am suffocating under the weight of this.

This dream of ownership that is the steel cage around my drowning body. The iron coffin pulling you into the depths of darkness where no one hears your screams. Alone. The other insulation of inexplicable despair.

I have made a pledge to not abandon my ship, even when I am the one sabotaging its own sea-worthiness. The widowed bride on the widows walk searching for a shadow on the horizon we secretly know will never manifest. The hope for a tomorrow brighter than today keeps our feet circling the nest night after night. I have no exit. No place to leave this ship that is a safe port. I can abandon her and let the pirates strip her for piece parts. Peel away her purpose in tiny mouse nibbles. The death of the whale at sea. The matriarch who wears herself so thin she cannot find a place to die peacefully or with grace. Recycled in carbon molecules invisible to any being that still possesses intentions.

I know why people walk away. Shutter the windows and doors. Exhausted and mute. 

At least my hair is clean today. It won’t look so obvious=. I wont have to try so hard to hide it. 

How does this dream become your nightmare? Like every other nightmare, you cannot wake up from it to shake it back into the recesses or replace it with a dream to begin in its place.

The Dilemma Of A Bite

What do you do when you get bitten by a dog?

I get this question about once a year. 

Today the question came from a friend via a phone call. He explained that he was just out walking by himself, minding his own business. He walked by a dog on a leash and the dog jumped at him and bit him on the leg. He did nothing to provoke it. He didn't pause, or turn, or make any gestures. He wasn’t talking to the dog or the owner. The dog was on a leash. He was just walking by.  After the dog bit him another person who witnessed the incident came up to him and told him that the dog had previously also bitten that same dog. 

He called me shortly after. " I don't know what to do?"

Every bite has a cause. A dog is as complicated and unique as any of us. They bite for a whole host of reasons. The secret is to unpack whatever is causing them to think that a defensive action is the appropriate response to a stimuli. The question is why do some of us react to a stressful, or fearful experience and decide to act upon it with a dangerous response?

The question is what do you do when you are bitten by a dog and what does the person responsible for that dog need to consider?

When I am talking to a client about a bite every veterinarian is always going worry about rabies because rabies is 100% fatal. So if a client comes to me and says I got bit by a dog or you know. My first piece of advice is to treat it as you would a car accident. 

1. Make sure everyone is ok. Call the police if there is an injury that might be considered severe, or life threatening. If you do not think it is life threatening seek medical care as soon as able. Be warned every animal bite will be mandatory for the medical provider to report it.

2. Collect information from everyone involved. You should get a picture of their id. Exchange each others information. Should this be something require legal action you will need that information for insurance, etc.

Most of the bite cases that I hear about come to see me typically because their dog got in a dog fight with another dog/animal and then the owner jumped in the middle and they were bitten inadvertently.

The difficulty is that once the police get involved lots of things can happen that people are not prepared for. One of them is that if this dog has any previous bite histories then the law can step in. I have been given a court order before to euthanize a dog for excessive bite history. The pet parent had fought in court to try to save her dog. She fought hard. She lost. Her dog had to be put down. I struggled with the decision. The reality was that this dog was going to be put down regardless of how much it crushes me to euthanize a healthy animal. If I didn't do it the shelter would. His mom couldn't be with him there. He would be scared and they would not handle him the same way we could. We sedated him calmly and peacefully and we all sat around him on a big blanket in the back field where he was peaceful. It was awful but,, well,,,, it was the least awful I could make it. This has played out 3 times in my career. There are times where I want to surrender my euthanasia license to save a piece of my soul that struggles so hard.

I believe that there are no "bad dogs" there are dogs who are desperately uncomfortable and do not know how to react appropriately when they are stressed. This case, like all of them, had warning signs. The worst cases of bites are when pet parents try to manage the situations by blaming others, or changing the environment to try to avoid a trigger. The problem is that the triggers change and evolve, and a dog who will react with aggression will likely do that for other scenarios and situations you cannot foresee. The other issue is that not every bite is going to happen on an adult in an area that is not visible. I have seen people have their faces bitten. Their nose or mouth removed. Requiring years of surgeries. I have also know of  examples where children and adults did not survive.

I always talk to people about that. I have to ask; what are you prepared to do? Sometimes my own dog has been on the leash and growled at another dog passing by and then the other dog responded with the same kind of tough-guy attitude. Then I get myself in the middle of it by reminding him to not be such a jerk. He is always on a short leash right beside me, and, I am always watching him. If there was a dog off-leash who acted like he does, came over to us with the same big-dog-sassy attitude, I am sure I would end up in the middle of a dog fight. He is just an insecure moron about some other dogs. I will never fully trust him and he is never allowed off leash because of this. I am his mom and I have to face the fact that in his head he thinks it is appropriate to be defensive and protective.  But in your case, you weren’t doing anything and a dog bit you. There was something that happened in that dogs' head but the problem is you didn’t illicit it. You weren’t one of those obnoxious people that walks up to a dog and sticks your you know, hands and face in their face and kind of violates their privacy just assuming that every dog is happy to meet a total stranger who oversteps their presumed welcome. You were just walking along. So the difficulty for me with your scenario is that if this was completely unprovoked and you already know somebody else has been injured then you probably have a responsibility as a citizen to report it because although you didn’t get hurt, you’re also a big strong, healthy guy and you’re not a child who you know might’ve really had significant injuries. I always kind of start with what’s the worst case scenario how would I feel if I didn’t address the worst case scenario? We all also have a civic responsibility to other people in the community.

"I know who this person is," he said.

.... wait what? 

"You know the person you know the person with the dog?" He did. They are a friend of a friend.

Then I would say the best case scenario is to start with the olive branch right like this visit at the end of the day is a dog who’s struggling with something right and if this is a responsible owner and I really am happy to talk to her. She needs to understand that her dog is struggling with something and she’s ultimately responsible for it and if she doesn’t address it, the court is going to step in and she will have to literally flee the state she will she will she will be given a court order to have that dog euthanized. They probably won’t cross state lines, but that’s what she’s gonna have to do and that’s what people have done and I’m not saying that’s what you should do but that’s what has to happen. She needs to understand that her dog is struggling with something and doesn’t know how to deal with it and is redirecting that aggression on somebody else if that means that she medicate her dog while she goes into training and that dog never leaves the house without a muzzle on. She should also have a vest put on it that says "do not approach, in training." Something that gives a visible warning. Then that dog is never let outside without a muzzle on. She can get a basket muzzle, which is not difficult or prohibitive with their ability to pant, eat and drink, but she needs to do something or she is one going to have to put her dog down. That will go on her record and she may not ever be able to adopt a dog again.

"Thank you."

People get defensive,, but there is a problem. And it will repeat and someone will be hurt. 

Disclaimer time. I am not a lawyer or behaviorist. This is my opinion based on decades of vetmed.

Photos above are the dogs of the Ukraine. I still think about them, and that place, every single day.

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: ________________________________________