[QUOTE=Blume Farm;7878920]
As a small animal vet some of these prices and comments just have me scratching my head.
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withholding pain meds to keep your animal quiet is just inhumane. Period. Yes, a male neuter may only need 2-3 days of pain meds, a female spay only 3-5 days, but they need pain meds. Just because they are happy and wagging their tail, even active, doesn’t mean they are not in some level of discomfort. To think a mouse in research is better regulated for pain management than a house pet shocks me.
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Even though a spay surgery is routine does not make it easy. Spaying an older/in heat/pregnant/larger dog may be one of the most complicated surgeries we do. Sometimes more complicated than a foreign body, bladder stone removal, growth removal, etc. Let alone that anesthesia alone is a complicated process.
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A dog getting spayed for under $300 (blood work, IV cath, most novel anesthetics, fluids, pain injection at time of surgery) your vet is losing money if they actually account for how much it cost them: their surgical time, tech surgical time, materials (drugs, suture, etc.) , time to clean surgical tools/ repack/ sterilize, cost to run electricity for surgical lights/ monitoring equipment/ etc, and all other overhead (property loans, health insurance, phone, water, etc.). Yes, when you run a business all that is part of cost. How else does all that get paid?
When you go to a low cost place (and I completely support them and am active within my own practice with low cost/ voucher options) there is no blood work, no IV catheter, no fluids, different anesthetics used, etc. Many things as mentioned above are via volunteers, donations, etc. Also, when a team is spaying/ neutering 25-30 pets in a day the level of monitoring pre-op and post-op is low…it is an assembly line of surgeries. I know as I have participated in spay/ neuter days as I feel they offer a huge service. Just wouldn’t do it with a pet I really care about if I could avoid it.
Regarding pre-anesthetic blood work on a young animal…do it. We have found apparently healthy dogs with congenital kidney disease, liver shunts, platelet disorders (common around here from tick disease, and not a good time to do surgery if your first line of defense for bleeding is not operating well).
Regarding when to spay…there are too many variables to say do it young, do it old. For some breeds there are benefits to waiting a little longer…but that is if the animal is behaviorally OK, not marking in the house, not showing dominance, has owners that will manage an intact sexually mature animal from breeding, etc. I am not going to tell a family with an 8 month old dog showing some dominance to wait to neuter him. The benefit of early neutering outweighs waiting. I am not going to tell the guy with a pit bull that lives outdoors to not spay her early. I am not going to tell the teenagers who rescued a dog to wait to spay their dog. A very responsible, knowledgeable pet owner with good control of their pet, yes I will recommend they wait.[/QUOTE]
I agree with you on all counts and I will always opt to do bloodwork before surgery, at any age.