Dear Dr. Tobin,

Thank you for your reply. It is greatly appreciated. I agree with you whole heartedly when you say "not everything that can be done must be done". We have a holistic vet in our area that does hosecalls but unfortunately she is away until mid March. We plan to use her services in the future and hopefully for treatment once a diagnosis is made.

The vet is recommending the ultrasound to check the condition of his heart. She wants to get a good look at his teeth and gums etc., which would require anesthetic and hence the caution regarding his heart. We know his mouth is an issue (he's never had a cleaning or dental work done) and hate the thought of putting him through the stress but really don't see too much choice. We feel like we need at least find out what the problem is.

Today, thankfully, he is much brighter and happier although you can still tell his mouth is tender. He's eating but not a huge amount so hasn't had a b.m. yet today.

With regards to the ultrasound trip, is there anything you can recommend to give to help calm him?

Thank you again for taking the time to respond so promptly.

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