Find a vet who cares more about your pet than her pocket book. After 3 years I finally fired her after getting tired of dealing with her pettiness over her high fees and change in policy about giving a prescription for heartworm meds (even after paying her for a hearworm test). She doesn't like competing with pet supply companies who sell heartworm meds cheaper and instead of trusting my 30 year experience with this company and knowledge of the companies I do business with she claimed they sold bad products in an attempt to keep my business. Well, she finally lost it. Most of my friends fired her long ago but I hung in there but finally gave up and found a vet who is a wonderful diagnostician, cares about the animals and isn't all about the money.