First, Doctor Rossman, Oncologist, saw my dog after a referral from Banfield, White Marsh. Even…read morethough I spoke to Banfield about radiation, I considered the lung lobectomy to remove a tumor. They wrote mlld stable heart and kidney disease, even though afterwards I found out they had the neurologists' reports that said she wasn't even healthy enough for an MRI. The post-surgical pneumothorax she had is a major risk in 25- 50 % of healthy dogs, which neither he nor doctor Rossman told me about before the surgery. It was not informefd consent. I I saw recorded in her record afterwards her heart and kidney disease were not stable. Dr. Rossman knew this when her blood pressure dropped so dangerously low after the CATSCAN just a week before, and he had to keep her longer and wrap her in a bear blanket. The records they sent to me showed Blue Pearl assessed a Grade III heart murmur, not a Grade II as CVETS, SC, cardiologist diagnosed since 2023. This is progressive and severe. After the surgery, I read a record from Banfield SC that it was Grade IV/VI 6 days before she had horrible heart attack after gasping for air from collapsing lungs, one of multiple heart attacks. (I found out after her death). She was in heart failure and kidney failure, endstage, not mild heart and kidney disease. CVETS wrote in a record I got after her death the 2.1 Creatinine was a false low from the high BUN. I couldn't see the surgeon, Dr. Kunkle. until the day of surgery, right before, without time to consider what he did say, which wasn't any explanation or risks. I mentioned to the surgeon that considering her age (17 and 10 months), the surgery would be too hard on her. He said, "I don't consider age a disease." Well. maybe he should have, and she wouldn't have suffered so badly. He acknowledged, "Certain diseases come with age." He knew with her age, heart and kidney disease. When she had leakage of air from her lungs the day of discharge, I brought her back to the emergency room. In the waiting area, I complained about thr ER Dr., who said, "This is not an appointment, I've got other patients," when I asked him a question and told him I wanted the surgeon to call me. I told the nurse, "For the money I paid, he needed to, Get a better beside manner. He said he texted the surgeon, but Dr. Kunkel didn't call me about her pneumothorax. When she was discharged the next day, she was yelping in distress. and although a pneumothorax can resolve on its own within 7 days, hers didn't. The small leak became bigger and her lungs collapsed first before she died. At discharge I asked why she was yelping and even the front desk said, "I don't know, she's been doing that all morning." The ER doctor said it was "disorientation." No, it was air leaking, irregular blood pressure, and lungs that eventually collapsed, multiple heart attacks and severe kidney diseas . I asked to speak to the surgeon at discharge, and the front desk said he was in surgery. But then he came up behind me and didn't say a word. Right then I knew he didn't care. I said, "I am rushing her to CVETS in SC near our apartment." The nice hotel manager canceled my reservation, as I was staying in the hotel near Blue Pearl until she recovered. But they didn't want to support her after the surgery. I am reading an x ray doesn't always show a small leak and it can recur. Dr. Rossman, who seemed to care more, called with good advice, remove buspirone and tramadol. Dr. Kunkel raised by Christine, his assistant 's phone call. to 1/2 or 25 3 times a day, and it was constipating. We had already removed the 2nd fentanyl patch and let the ketamine go out of her system that CVETS gave her. She finally defecated this black bloody, hard poop after 7 days. I sent a photo. Dr. Rossman said the labs showed carcinoma, and she would get 2 years more to live after removal. But she died. What a terrible end to a long life! Euthanasia would have given her a better death, but I wasn't given any pamphlet about this terrible outcome, just promises to improve quality of life, as no dog at 17 and 11 months is going to live 2 more years. Instead, Blue Pearl worsened her quality of life. I was kept in the dark about her respiratory distress, her heart Grade III and IV. She died the day we were preparing to leave for the hotel in Georgia. Every since Dr. Rossman counseled me to remove the constipating medications and she started relieving herself, she was quiet and resting. But, what I thought was "turning the corner," was her final days. I begged for sooner than the 30th, but the front desk refused, saying the doctor said no--2 weeks from the 2nd discharge not 2 weeks from the surgery as I was initially informed. They wanted to remove a second tumor in her stomach near the cardia simultaneously, but I said no she'll die in surgery. Dr. last note, "attack" the second tumor, which I now know was benign.