Only take your dog here if you want your love for your animal to be exploited for monetary gain at the expense of your pet's well being. We took our beloved Sunni, 7.5 year old mountain feist, to the VCA owned TLC animal hospital in Leesburg 3 weeks ago with a urinary tract issue. She had been worked up at our local vets office on multiple occasions in the past 5 months for difficulty and frequency of urination and nothing showed in any labs or imaging. When Sunni had a particularly bad day we decided she needed prompt attention and our vet was busy and suggested TLC for a more thorough workup.
The vet at intake hid behind a huge mask as she laid out her case for a $10 thousand dollar care plan, covering some labs, x-rays redundant to what had just been performed at our local vet, ultrasound and observation over the next 36 hours. She discussed the likelihood that the symptoms our dog was suffering from were being caused by transitional cell carcinoma, a cancer of the urinary tract and that though there are procedures to buy time, that when dogs come in with the types of issues our Sunni was dealing with, typically the dog only has days to weeks left. She said that she would run a Braf test which would identify, with 95 percent certainty, that it was that particular cancer. The results can take a couple of days we were told.
Then the vet at intake switched gears. She leaned forward and asked, "has your vet ever told you that Sunni has a heart murmer?" She said "it is a 4/6 which is serious and so Sunni needs a cardiac workup and an echocardiogram tomorrow." When I asked if we were still in the same terminal cancer conversation and inquired as to whether the vets at this clinic are paid on commission (they are, VCA pays a base salary plus percentage of production), she locked up briefly. She then said well you can add years to your dogs like if you catch and treat these things. I had to remind her that the last 15 minutes were discussing the imminent death of our beloved pet, we are not jumping into an echocardiogram.
At that she left the room and the closer came in. This felt like the finance room in a car dealership. A woman with a contract for over $9K in investigational procedures and tests still including the cardiac workup and echocardiogram. We had them strike that, signed for $6200 and left our pup in the hands of these people. I had a sick feeling on my drive home that I fell for this sales scam and that I left my dog in the hands of people most concerned about profiting off my dog's condition. A call later revealed that an ultrasound found a thickening of the urethra, and that they still felt this was cancer.
Early that evening, the next shift came on and another, very pleasant vet called me to say it looked like Sunni was improving, she was getting out enough urine to not stress her kidneys and it was her feeling that Sunni could come home the next day. Early the next morning, the next shift arrived and I received a very different phone call. This vet said she knew we received a more positive report last evening but Sunni now can't pass any urine and is in medical emergency. She said she identified a mass, corroborated by a surgeon, between the dogs anus and vagina and this was obstructing any catheter from being placed. She offered 2 options, one was a $25K surgery to place a stent in Sunni's urethra, with $2K per day after care and then transfer to oncology which in her opinion would only buy us a month or two. Or two, use a cystoscope and surgery to remove part of the mass to place a catheter to drain the enlarged bladder (enlarged by the IV fluids they gave to a dog with urinary difficulty), to make the dog comfortable for transport home to be euthanized. She said the mass would be biopsied. We agreed.
Four hours after the procedure was meant to be performed this same vet called to say Sunni is in recovery, a little out of it and with some pain from the procedure. She described the procedure in which the cystoscope was used to place the catheter, that they didn't encounter a mass, but then the biopsy was more complex with the catheter already in place but they were able to remove some whitish tissue from the urethra for biopsy.
I asked, why if there wasn't a mass obstructing the placement of the catheter, would you go back into a dog and biopsy, putting the dog in pain from the procedure, when the dog is going home today to be euthanized. No answer. How long does the biopsy take to result I asked. 2 weeks she said. I asked if she thought this made any clinical sense whatsoever? No answer. I then asked when the results of the testing from the day before would be in. She admitted that it hadn't gone out until that morning, after the conversation took place with the conclusion that the dog should be euthanized within a day. Those results she also admitted would take 2 weeks! Why would you send those labs in after this mornings' conversation if you knew they read more