Lipoma Lumpy Things

When Mum was trying to groom me and trim away some icky hair between my back legs recently she noticed I had a lump under my skin. I let her examine it and then she went to her computer and read things for a while. Afterwards she told me she thought my lump was probably a lipoma and that it was nothing to worry about, but we should go to see my vet anyway.

So, this afternoon Mum put my car harness on me and took me outside to her car, where I was supposed to jump into the back. I still haven’t got the hang of jumping into the back of her new car …it’s too high and I’ve never been taught how to jump into things like that before. So, I just put my front legs in and lean on my elbows while Mum lifts my back legs up into the car. Well, that’s the way it’s supposed to work, except sometimes I have second thoughts about this process and I get down again before Mum can lift my butt in …she gets rather annoyed when I do this. I’m too big and heavy (38kg) for  her to lift on her own so I have to help …but I get confused sometimes about exactly what I’m supposed to do. Oh well, after much struggling she eventually got me into the car and we went to see my vet. My vet’s a nice man who gives me liver treats …I like going to the vet!

When we got there I was soooo excited that I wouldn’t even sit still so Mum could easily undo the clip on my harness that tied me safely inside the car. She eventually  got me out though and locked the car while I strained on the lead, eager to go inside. Then I dragged Mum up the front steps of the vet’s and tried to get through the glass door in a hurry because I could see a nice lady inside who I wanted to say hello to. The big world outside my yard is always so exciting! …soooo many things to see and sniff and people and other dogs to greet!

Once inside I had to sit and wait my turn which is always hard for me to do because I’m so exuberant! The floor is so slippery too and my feet go in all directions at once as I try to go one way but Mum wants me to go another. It was very exciting when a little Black Labrador pup came out of the vet’s room. The pup and I both just wanted to greet each other and sniff butts and noses but Mum and the pup’s lady held tight to our leashes as we both skittered and slipped across the floor as he was led outside and I was led into the vet’s room.

The vet got me to lay down on the floor as I’m too big for him to lift onto his examination table, then he examined me as well. After a lot of gentle poking and prodding the vet said he was 99% certain that the lumpy thing under my skin was a lipoma. Then he started talking to Mum about needles and biopsies — I had no idea what all that was. Then they both said something about sedation being needed because I don’t like people touching my nether regions when they have any kind of shiny implement in their hands. Mum said I’d be back again in November to get my injections and the vet said he’d have another look then. It was getting rather boring now and I lost interest at that point and started wondering when I’d get the liver treats I was looking forward to.

Finally, I got to sit on the big wobbly table thing on the floor, the vet looked at a little box above it and said “38.0” and then he gave me my treats! YUM!

On the way back out to the car I met an old Cocker Spaniel called Chester who was going to see the vet. Chester and I sniffed and circled, wagging our tails the whole time. We were both very polite and well behaved and Chester’s mum smiled and said it was the most exciting thing to happen to Chester all day. Then Mum took me to her car and it took a few attempts to get me into it as I was still excited about the whole vet visit and I’d forgotten what I was supposed to do to help Mum get me into the car …maybe I’ll get better with more practice.

P.S. Mum said I should put some information here about lipomas in dogs…

Fatty Tumours / Lipomas

Any and all lumps should be checked out by your veterinarian, regardless of how your pet is acting. Your vet will assess the location, duration, firmness, and size. A needle aspirate may also be taken to look at what type of cells make up the lump. A needle aspirate is when a sterile needle is inserted into the lump and the plunger withdrawn, providing suction to collect cells from the lump. This is not painful, and not usually even noticed by most pets. Your vet will then place the collected cells on a microscope slide, stain them, and take a look under the microscope.

A Lipoma is a benign fatty lump. They are very common in older, middle-aged dogs. Overweight female dogs are especially prone to developing Lipomas. Certain dog breeds may be at risk, including, but not limited to: Doberman Pinschers, Schnauzers (miniatures), Labrador Retrievers, and mixed breeds. They can also appear in cats and horses, but not as often.

Lipomas are usually just under the skin, but they can be locally invasive, meaning they are meshed with muscle or connective tissue. Lipomas can also have additional blood or connective tissue as part of the growth. These growths can appear anywhere on the body, but they are most frequently located on the belly (mid-chest and down) and upper legs.

Provided your veterinarian has performed a needle aspirate and is certain that it is indeed a Lipoma, most vets recommend a watch-and-wait approach. The lump should be checked at regular intervals, to make sure there haven’t been any cellular changes. Large lumps, especially those under a limb or in another location to interfere with movement or function, should be removed as soon as possible.

Dogs that form Lipomas are prone to forming more as time goes on. However…each new lump needs to be checked out by your veterinarian (and the “known” lumps rechecked at least annually), as there are other, more serious tumors that can feel like a Lipoma, such as a cutaneous mast cell tumor.

Although rare, there is a fatty tumor called a liposarcoma, and that is malignant. Metastasis is rare, but due to their nature (infiltrative) they are difficult to fully remove, and recurrence is common.


Update: 30/03/2014 – Mum discovered another similarly sized lump on top/slightly in front of my left hip.

Update: 05/05/2014 – Mum found another lumpy thing on my lower right ribcage area, just behind my right elbow. Again, it’s about the same size as the other two.

Update: 12/05/2014 – Mum found yet another tiny lumpy thing on my right hip, more or less opposite the one on my left hip but only about one quarter of the size of the others. 😦

Update: 09/06/2014 – Yet another one was discovered by Mum on my chest, near my left “arm pit”. This one’s smallish, like the one on my right hip.

Update: 03/12/2015 – Another one on my left side ribcage area.

Extra Reading

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Ask the Veterinarian/Lipoma on dog’s left side

Expert: – 2/18/2013


The holistic philosophy has taught me that there is an underlying vibrational imbalance that causes the lipomas and most other problems and the healing goal is to resolve that imbalance. I do agree with your conventional vet about surgery not needed unless it impedes motion. To better understand this perspective, read the first few chapters of Don Hamilton’s Homeopathic Care of Cats and Dogs or the few pages in my book, the Healthy Animal’s Journal (available at There you will see that the lipoma is caused by imbalances in the energy field and removing it could cause other problems, as the energy field has not been balanced.  Now that the multitude of holistic modalities is available, I can tell you to never give up. Try one after the other, and record the changes with each. As you will see from the 7 keys, it is BEST to feed fresh ingredients rather than cooked/processed/dead dog food and synthetic vitamins.

Please go to my web site and sign up for the newsletter – You will get a FREE REPORT on how to prevent fleas and ticks, naturally.  On the products page, there are many great supplements which may help your animals be healthier.
Also, CLASSES!!!! Vancover BC in May is the next one.
Blog talk RADIO SHOW archives and listen to all the past shows) monthly new shows now     –

You have 3 major approaches:
1.   Treat conventionally – offers only surgery
2.   Try some self healing treatments and diet and exercise changes. Lipomas are not caused by lack of exercise per se, exercise can build up the Qi, helping prevent growth.
3.   Begin now to work with an integrative veterinarian for the very best chance of health and long life. (See FIND A HEALER, below) This is important.

If you were trained in different healing modalities (see below – YOU BE THE HEALER) you could help by using Reiki, T-Touch, HTA, flower essences, supplements, homeopathy and more.
1. Even before you are trained in Reiki, you can ask for this energy healing that cannot hurt and may help (See REIKI, below, for web sites to request healing).
2. Mitomax is a super probiotic that can improve nutrient absorption, so helps with all problems. Unlike other probiotics, it is very stable and is ok at the low stomach pH. (Order at click on Pets max city – Be sure to give my name when you order to get a discount.)
3. Derma Strength may help nourish the skin and DMG aids the immune system ( – VetriScience) is a nutritional supplement that can be used long term.
4. Seek out great anti-oxidants (in fresh foods and supplements) as free radicals may be a major cause of lipomas.
5. Most importantly, change to a raw meaty bone diet as this helps all aging issues, including lumps and bumps, who come to my practice.
6. and work with an integrative vet.

If you are interested in better health in general, please read on.

1. Know the current level of health. Most health problems are the result of an underlying energy imbalance.  As we cure animals of “disease”, we find that other things we thought were normal go away, so we can use these clues to know that animals are not healthy yet.  Your goal is for your animal to have great energy, no doggy odor, no hairball vomiting, little shedding, a glowing coat and many more. Below is a complete list of these signs (Early Warning Signs of Illness). In young animals, these apparently “normal” problems may be the only indications to start exploring new options for lifestyle or treatment.  Buy the Healthy Animal’s Journal ( so you can see how these early warning symptoms and obvious ill symptoms change over time.

2. Feed the best. What are the best diets for people or animals — the most processed or the freshest, most organic?  A basic study has started to see the health effects of processed, cooked and raw diets – please add your dog’s information to this study – The best ingredients should be the most consciously raised – local, organic vegetables, free ranging protein sources. Dogs and cats have ripping and tearing teeth, bone crunching teeth, no digestive juices in the mouth, jaws that do not chew, a stomach full of acid where the food sits for 4-12 hours and a very short transit time in the intestines. Dogs and cats do not pull out a knife to de-bone their prey and do not pull out matches to light a fire to cook their meat and vegetables. Therefore the best diet for dogs and cats is raw meat including raw bones, pureed raw and cooked vegetables and a few supplements (Calcium if no bones are eaten is critical). Grains are not good for most animals, but if there are none of the early warning signs (see below) and no illnesses, you can feed some grains, preferably the higher protein ones. Start as young kittens and puppies or at whatever age you read this (, a cat sanctuary switches 16 years old and older cats to raw meat diet and some have lived to 27 and 30, and now one to 35). Second best is same quality, but cooked.  Even grocery store quality meat and vegetables are much better than most processed foods. Processed foods are an effort for the food industry to use up its waste products except for a few companies with great motives (and even they sometimes get bad or inferior ingredients). Processed foods are also a problem for the environment – they are not sustainable. Many dogs and cats need probiotics, especially if fed processed, dead foods. My current favorite is Mitomax. I have had many animals’ minor health problems clear up while using this. Unlike other probiotics, it is very stable and is ok at the low stomach pH. (Order at – click on Pets Max City)Every animal needs and wants a different combination of foods and supplements at different times in their lives depending on different stressors and health challenges, just as we do. With any food, observe each of your animals for the effect that food has on them and change if decreased energy or poor coat or other Early Warning Signs. NEVER feed DRY food to cats – even as treats. It causes most cats to drink more water resulting in stress to the kidneys and also can trigger bladder problems in cats. You can now buy many commercial raw meat diets. You must research them as well. Ask where the ingredients are raised? Are chemicals used? Are the chickens, beef, pork, etc raised in humane ways, out in the sun to get the Vitamin D in the meat, etc?

3. Vaccinate the least. In my opinion, vaccines have caused more harm to animals than anything else we have done. Do you get measles and mumps vaccines every year of your life? Researchers in conventional veterinary medicine agree that we vaccinate too often, in too many combinations, and that this level of vaccination, while preventing epidemics, is harmful to the health of susceptible animals.  On-going studies show that antibodies are high 10 and 16 years later for dog and cat distemper and dog Parvo so I recommend just a few baby shots and NO more. While Rabies is also a viral disease, you must follow the law and vaccinate every 3 years. You can help fund research to allow the vaccine to be given less frequently, which will help dogs and cats become healthier. Go to: THE RABIES CHALLENGE FUND

To help prevent damage from the Rabies vaccine, or any others that are accidentally given, do the following. First, learn Reiki (see Below) and hold the vaccine syringe in your hand until the “draw” is gone, then Reiki the injection site once you are in car, then Reiki the whole animal daily until they do not “draw”. If you have not yet learned Reiki, use the contacts below to have it done for your animal after the vaccine. For two weeks before and two weeks after, give the totally safe Vaccine Detox, a flower essence from Spirit Essences (get a discount at Give triple the dose of calcium (or add some calcium) for 3 days before and 5 days after the vaccines. Dr. Peck is finding a drop in calcium at vaccination time. Then use the Early Warning signs, below, to see if further holistic treatment is needed if any of them appear or worsen. A wonderful list serve on vaccines, their harm and alternatives is at yahoo groups. To register, go to A great web site is

The AVMA, veterinary colleges, AAHA, FPA and other leaders say 3 years is the best for all other vaccines, so certainly do not do yearly for anything (unless there is a Leptospirosis outbreak in your area, then email me for guidance). Please do not let the need to put your dog in a kennel force you to poison your dog with extra vaccines unless it is an emergency. The insert in vaccine packages says “Give only to healthy animals”, so if your animal is ill in any way, or undergoing treatment, they should not be vaccinated. Vaccinated animals often develop many chronic conditions including diabetes, cushings disease, addisons, allergies and even cancer.
If your animal has any type of reaction to vaccines, please report it to

4. Use the fewest chemicals, remembering that there are chemicals in vaccines. Each animal is an individual and will respond differently to heartworm, flea and tick preventatives. Some are very sensitive to chemicals used in the yard or the house and in vaccines – they will become profoundly ill. Others will be triggered by these chemicals to just not have full health.  Chemicals in foods can cause allergic type reactions, so again feeding a fresh diet from local ingredients will be best. Healthy yards have lots of weeds. House cleaners can be made from foods and microfibril cloths clean like a charm. Healthy animals never get fleas and ticks

5. Understand how animals become ill and how they heal. First there is an energetic imbalance (they are just not right), then functional (the dog is itchy), then inflamed (skin is red, infected, swollen and hot) and finally tissue changes (thick, black skin). Results of any treatment can be no change, amelioration (current symptoms disappear with no other improvements, then return), suppression (current symptoms disappear and they become more ill) or a cure (everything about the animal to begins to improve, especially the overall energy level.)
Keeping a journal is critical to determine what treatments are helping problems to become less frequent and less severe. You can stand firm with what you feel is working even if your professional disagrees and change approaches when needed. is a great one to use in print or e-version is available.

6. Learn different healing approaches. There are so many different ways to stimulate your healing that you never need to give up trying. Flower essences, essential oils, homeopathy, massage, Reiki and herbs are a few. Classes are found through your health food store, by phone or on-line. I teach many classes around the country and my web site lists classes taught by others as well.

7. Select the best healers for each animal’s health team. Most people want a veterinarian (preferably integrative) and an energy healer. You decide what needs to be tried next for your animal. When you realize the animal is not improving – seek different care. Use conventional veterinarians for diagnosis and emergency treatment, or if other methods are not working. Again, integrative veterinarians (see below) will be able to do both, and have the philosophical understanding of the vibrational causes of illness.

I strongly recommend finding an integrative veterinarian with whom to work. This is a person trained in many different approaches, including using conventional drugs only when absolutely needed. Working with one can increase the chance that your cherished companion can live a long and healthy life even if the lipoma cannot be “dissolved”. Lipomas do present a challenge to even holistic vets, but there is a good chance you can avoid surgery or at least recover more quickly. There are good ones and great ones, and a few homeopathic veterinarians will consult by phone or email. Read my comments at the end on working with and selecting a holistic veterinarian.

You can go to the web sites for each type of holistic practice and use their referral list to find one near to you: Jane Doyle in Berkeley Springs is excellent and can even consult with you by phone or email
1. Acupuncture and Chinese medicine: &
2. Homeopathic veterinarians (these can often help you by phone if no other holistic practitioners are nearby that you like): and To find homeopathic practitioners for yourself, and homeopathic products, go to;;
3. Chiropractor –
4. Wide range of other treatments:, American Holistic Veterinary Medical Association
If you wish to consult with me by telephone, go to my website and read about my practice.

There are also lots of practitioners and approaches that are used by trained people that you can find by searching the Internet.

I also strongly recommend getting some training in understanding the wide range of approaches to health so you can be in charge of what you choose for treatments for your animals. You can learn Reiki (which can take the “bad” out of vaccines and any needed drugs, or even make food healthier), massage, HTA, TTouch, acupressure, flower essence therapy, aromatherapy, all of which are 100% safe to use for any problems (see REIKI below). There are many more approaches you can do to help heal your animals with some training since they need to be used more carefully – homeopathy, herbal medicine, Chinese herbs. In addition to classes (see below), there are many very good list serves filled with people experienced with not vaccinating and feeding raw meat diets. Go to and look for “Novaxk9s” and “Raw Paws”. As with human health approaches, there are many different opinions, so you need to experiment and see what makes your animals more or less healthy. Keeping a journal can help you decide what is working and what is not working ( has a listing of courses taught by her and others that may help you. I am doing teleseminars and will expand to Webinars in the future. Every Thursday at 11 Am eastern is the blog talk radio and you can access replays at any time, then click on my picture with a hat. If you want to organize a webinar for me and get people in your area of the country to attend I would love to do that for you. You can do searches online for the many other classes and lectures available. Go to for classes every November as part of the annual conference.  People come from around the world for this.

Healthy Animal Update is an emailed newsletter that is occasionally sent out – to sign up – go to While there check out classes and products. Blogs on the site are frequent – sign up for the RSS feed.
Good Health and looking forward to seeing you/hearing you in some of my classes.
Dr. Chambreau

From the book, Healthy Animal’s Journal – “Reiki: Personally, I think every person who lives with or works with animals must know at least Level I Reiki. The practitioner places her hands upon the animal (or it can be done from a distance, even around the world) with the intent for healing to occur. The energy flows through the healer into the animal. This is based on directly applying Chi (energy) to rebalance the energy field so it no longer needs to produce the physical symptoms. It is a very good adjunct to any healing modality, especially to relieve pain and inflammation. I have seen cats who begin to eat again when their food has Reiki done on the food. It also “takes the bad out of” things. By doing Reiki on smelly water in restaurants I have been able to drink sweet tasting and smelling water. Use Reiki anytime that you must give injections, vaccines, drugs, flea or heartworm drugs, or other substances with potential toxicity. Do you work in a grooming salon, or kennel, or veterinary clinic, or barn or anywhere animals are being seen? Use your Reiki on any treatments to be given and to calm the animals. People have reported getting animals to eat by doing Reiki on their food.  .  is a great practitioner in Maryland who knows a lot about cats. Get a free treatment at Great information on Reiki – Kathleen Prasad is a wonderful teacher and works with my favorite sanctuary and holistic education center, BrightHaven She just had an article on Reiki in Feline Wellness. Kathleen leads a free monthly telechat for anyone trained in Reiki and using it with animals. If you cannot find a Reiki Class near you (same class for people and animals as it connects you through an “attunement” to the healing energy of the universe, making you a channel of healing), three groups offer long distance, free, attunements.
3. offers free Reiki attunements, classes and training on-line    and animal classes, too
Long distance healing and training is at
A client of mine is using Christine, Her name is Christine at, To receive free distance Reiki send her your first name only, city and state, and whether or not you have had any Reiki training.  She invites you to include your pets as well.  She uses a teddy bear and does a full body Reiki distance treatment for one hour each Sunday evening from 9 p.m. until 10 p.m. EST.

Another wonderful healer, Deena Spears works long distance with Sound Tuning. I have seen many animals and the people in a home be healed by her work.

From the folks that brought us Jstsayno2vaccs is a new site for raw feeding – excellent –  Here is what they say, “Lastly, we saw a need for a beginner’s raw feeding group. Many of the raw feeding groups have grown very large and often new people are lost in the shuffle. In addition, some raw feeding groups are specialized to one type of feeding only. We believe that feeding raw is the first step in whole health and have tried to create an environment of learning and support where there are no dumb questions and everyone gets individual attention. With that in mind Kathleen recently instituted a mentoring program where mentor’s sign up to help individuals, and new folks can opt into the program and receive private help in their journey. It has been a huge success. – the above groups breeding web site. Excellent. – Dr. Tom Lonsdale site – Australian lady, no vegetables, no fruits, good links and articles – very practical, meat only – DC food delivery of specialty meals. cat diet – Lisa Pierson, DVM – Jean Hofve, DVM – full of great information – sells raw meat products

I do not personally know all the rest, so use your common sense as you read.

And if you are really stuck on a specific issue

There is also a list of lists where other raw feeding lists can be found.  Many are breed specific, location specific or subject specific.


1. Is your companion really healthy?
2. Can you tell if the treatment you selected is deeply curing?
3. Can your companion be healthier than you realize?
YES – read on and evaluate your animal for true health.

Most health problems are the result of an underlying energy imbalance, made worse from poor diet and vaccination.  They are rarely acute diseases (except injuries). Therefore, you may find that the problem does not clear up as you expect or it recurs. If so, you are dealing with an underlying predisposition to illness, and these clues to underlying ill health will help you select a remedy and monitor the results.  As we cure animals of “disease”, we find that certain other “NORMAL” things go away, too.  Do not be satisfied until most of the following symptoms are gone.  In young, apparently healthy animals, these apparently “normal” problems may be the only indications to start treatment. This is only the beginning of a list – as more animals are cured we will find new levels of health. Tracking these is easy when you use the Healthy Animal’s Journal by Dr. Christina Chambreau (
SKIN: doggy smell; attracts fleas a lot; dry, oily, lack-luster coat;
excessive shedding; not grooming,    ear problems – waxy, oily, itchy, recurrent mites; eye discharge, tearing, or matter in corner of eyes; raised third eyelid; spots appearing on iris; “freckles” appearing on face; whiskers falling out; fragile, thickened, distorted claws that are painful or sensitive to trim.
BEHAVIOR: Fears(of loud noises, thunder, wind, people, animals, life); too timid; too rough or aggressive (even at play); too hard to train; barks too much and too long; suspicious nature; biting    when petted too long; hysteria when restrained; clumsy; indolent; licking or sucking things or people too much; not using litter box or not covering stool.
DIGESTIVE: Bad breath; tarter accumulation; loss of teeth; poor appetite; craving weird things(rubber    bands, plastic, dirt, cat litter, paper, dogs eating dog or cat stools, rocks, sticks…); sensitivity to milk;    thirst – a super healthy cat on non dry food will drink at most once a week; red gum line; vomiting often, even hairballs more than a few times a year; mucous on stools; tendency to diarrhea with least    change of diet; obesity;  anal gland problems; recurrent parasites.
STIFFNESS when getting up, early hip dysplasia; tires easily in hot or cold weather; can no longer jump up on counters, or go up or down steps.
TEMPERATURE: Low grade fevers – Normal for healthy cats and dogs is
AGE & REPRODUCTION: Should live a long life (Shepards 17 years, Danes 12, cats 24). should be able    conceive easily, deliver normally, and not pass on “genetic breed” problems.


Holistic medicine takes the perspective of treating the whole animal. Even if there is a current problem, for example diarrhea or itching, a good holistic veterinarian will ask questions about what problems there have been in the past, what changes in the household or the environment may have triggered the current complaint and if there is anything that makes the current complaints better or worse. They will also evaluate the overall energy level of the animal. Their goal is to make the animal healthier for life, not just to get rid of the current symptom. They will educate you and explain what they see when physically examining your animal.

Some of the modalities that integrative veterinarians may use in addition to conventional include acupuncture, herbs, flower essences, homeopathy, chiropractic, network chiropractic, nutrition, glandulars, Reiki, Tellington touch, healing touch, long distance healing modalities. Some of these have certification programs with a year or more of courses, exams and evaluation of clinical ability. Others are either self-taught or not regulated. Some individuals are wonderful with your animal — others great at explaining to you what is happening with your animals. A few are good in both areas. Few veterinarians are perfect, and we all have bad days. Your animal should at least be comfortable with your choice and you should be able to get your questions and concerns addressed.

Once you have done the internet work suggested above, how do you select one to start with and then how do you know if you are getting good service and what can you do to help them help your animals?

Ask the veterinarian you are interested in:
1. Ask what modalities are used?
2. What is their training?
3. Is their goal overall health or to merely treat the current complaint? This may be the most important question.
4. What organizations they belong to & how recently have they gone to conferences or taught?  (Just because they belong to AHVMA, or AVH, does not mean they are trained or capable in those modalities.)
As she treats your animal, a good holistic veterinarian will usually:
1. Ask about the history, overall energy, what might have caused the current problem, the environment and what makes the symptoms better or worse.
2. Their physical exam will be gentle, complete and they will show you (you may need to ask) what they mean by “gingivitis, big lymph nodes, heart murmur”, etc.
3. They will be willing to answer your questions and explain why they are recommending a particular treatment.
4. If they recommend conventional treatments (antibiotics, prednisone, etc.) they will explain to you why they choose this over holistic, and give you a chance to request the more holistic treatment.
5. They will not do anything (vaccinate, treat) without asking you first.
6. They will recommend fewer or no vaccinations and a raw meat or at least more holistic diet.
7. They will schedule follow up appointments until your animal is really healthy.
(See symptoms of chronic disease)
What you can do to help your holistic veterinarian
1. Keep a dated journal of any problems, even little ones. Please change your hold music/messages. While on hold I get tired of hearing the lovely lady’s voice repeating over and over and over every 30 seconds that she appreciates our business and someone will be back with me soon. Please change your hold music/messages. While on hold I get tired of hearing the lovely lady’s voice repeating over and over and over every 30 seconds that she appreciates our business and someone will be back with me soon.
2. Write down any treatments given.
3. Call if symptoms worsen, or they are less energetic and less happy, or you have concerns.

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