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WAUPACA SMALL ANIMAL HOSPITAL (715) 258-3343 www.waupacasmallanimal.com ADDITIONAL SERVICES AVAILABLE BY REQUEST FOR YOUR DOG… Prior to your pet’s surgery or dentistry, you will be offered the following services. Please review each recommendation to determine if you would like this service for your pet… Pre-anesthetic Blood Screening Anesthetics are often carried by proteins in the blood, and metabolized in the liver and/or kidneys. Prior to any surgery, it is advisable to screen the patient’s liver, kidneys, blood protein, and blood sugar, as well as screen for anemia. If the tests are normal, the lab results serve as a baseline for your pet, in case we need to perform lab tests in the future for any reason. If an abnormality is detected, the Doctor can make any necessary adjustments in the anesthesia, or recommend additional testing to further define the problem. Anesthetic related complications and fatalities are rare; however, these tests offer additional means to screen for problems prior to the anesthesia. Heartworm Test Heartworm disease is actually caused by a worm (or several worms) that lives in the heart and the blood vessels leading to the lungs. If a dog has heartworm disease, the risk of complications and death from anesthesia are much greater. If the test result is positive, the anesthetic procedure would be postponed until after the Heartworm Disease is treated. If your dog is 7 months of age or older and has not been tested for Heartworm Disease, this test is highly recommended. Home Again Microchip Recent technology has created a microchip that contains coded information which can be assigned specifically to your pet. The tiny chip is inserted under the skin of the patient. Once in place, the microchip is not painful for the patient. The coded information will stay with the pet for his/her entire life span, and can be updated if you move. Humane societies and veterinary clinics are able to use a scanner to identify the pet immediately. This service is ideal for pets that are unable to wear a collar, for pets that travel, and for pets that roam the neighborhood. Post Operative Pain Management It is reasonable to believe that anything that causes pain in humans would also cause pain in animals. However, animals tend to “hide” their pain, as this is a survival tactic in the wild. If a patient is slow moving, has a poor appetite, arches the back, licks the incision area, has the ears flattened, etc, the patient is responding to painful stimuli in his/her body. In humans and in animals, surgery is associated with pain. Each animal will react differently to this pain. Although pain medication is given prior to each procedure, this medication has limited effectiveness postoperatively. Therefore, we offer the option for additional postoperative pain medication. Initially, an injection is given after surgery that will allow the patient to rest comfortably for the afternoon. The patient is then started on oral pain medications for the next couple of days after the surgery, allowing the patient to remain comfortable at home Vaccinations and Deworming: If your pet is due for vaccinations, these may be given after the patient has recovered from the anesthesia. If your pet is young or if your pet is at risk for intestinal parasites, we can provide appropriate deworming medications. WAUPACA SMALL ANIMAL HOSPITAL (715) 258-3343 www.waupacasmallanimal.com ADDITIONAL SERVICES AVAILABLE BY REQUEST FOR YOUR CAT… Prior to your pet’s surgery or dentistry, you will be offered the following services. Please review each recommendation to determine if you would like this service for your pet… Pre-anesthetic Blood Screening Anesthetics are often carried by proteins in the blood, and metabolized in the liver and/or kidneys. Prior to any surgery, it is advisable to screen the patient’s liver, kidneys, blood protein, and blood sugar, as well as screen for anemia. If the tests are normal, the lab results serve as a baseline for your pet, in case we need to perform lab tests in the future for any reason. If an abnormality is detected, the Doctor can make any necessary adjustments in the anesthesia, or recommend additional testing to further define the problem. Anesthetic related complications and fatalities are rare; however, these tests offer additional means to screen for problems prior to the anesthesia. Feline Leukemia/Feline Immunodeficiency Virus Test These viruses may cause serious immune system suppression, cancer, anemia, and death in many cases. It is important to identify cats that have been exposed to these viruses before scheduling a surgical or dental procedure. Every cat should be tested for these viruses when they are young, or if the cat roams outside or has contact with other untested cats….If your cat is young, or at risk for exposure to these viruses, this test is highly recommended. Home Again Microchip Recent technology has created a microchip that contains coded information which can be assigned specifically to your pet. The tiny chip is inserted under the skin of the patient. Once in place, the microchip is not painful for the patient. The coded information will stay with the pet for his/her entire life span, and can be updated if you move. Humane societies and veterinary clinics are able to use a scanner to identify the pet immediately. This service is ideal for pets that are unable to wear a collar, for pets that travel, and for pets that roam the neighborhood. Post Operative Pain Management It is reasonable to believe that anything that causes pain in humans would also cause pain in animals. However, animals tend to “hide” their pain, as this is a survival tactic in the wild. If a patient is slow moving, has a poor appetite, arches the back, licks the incision area, has the ears flattened, etc, the patient is responding to painful stimuli in his/her body. In humans and in animals, surgery is associated with pain. Each animal will react differently to this pain. Although pain medication is given prior to each procedure, this medication has limited effectiveness postoperatively. Therefore, we offer the option for additional postoperative pain medication. Initially, an injection is given after surgery that will allow the patient to rest comfortably for the afternoon. The patient is then started on oral pain medications for the next couple of days after the surgery, allowing the patient to remain comfortable at home. Vaccinations and Deworming: If your pet is due for vaccinations, these may be given after the patient has recovered from the anesthesia. If your pet is young or if your pet is at risk for intestinal parasites, we can provide appropriate deworming medications. WAUPACA SMALL ANIMAL HOSPITAL (715) 258-3343 www.waupacasmallanimal.com Feline Spay (Ovariohysterectomy) A feline spay is the surgical removal of the ovaries and uterus from an intact female. The patient requires general anesthesia to prevent any perception of pain. In our practice, isoflurane inhalant anesthesia is utilized for the procedure. In addition, the patient receives an injection prior to the surgery that will minimize the anxiety of being away from home and aid in pain relief immediately after the surgery. It is preferred to hospitalize the patient overnight. The patient is generally able to go home the following day. Note: The surgery may be performed on cats that weigh at least 2 pounds, and may be performed if your cat is in heat. SURGICAL ESTIMATE FOR SPAY PACKAGE Pre-anesthetic sedative/analgesic General Anesthesia: Injection for Induction General Anesthesia: Isoflurane Inhalation Ovariohysterectomy (Spay) Surgical Supplies Constant Technician Monitoring during Surgery Pulse Oximetry Monitoring during Surgery Anesthetic Recovery Progress Update Hospitalization Overnight Surgical Discharge Appointment Nail Trim (if requested) Recheck evaluation within 2 weeks of surgery (if indicated) Intravenous Catheter (if indicated) Intravenous Fluids & Fluid Pump (if indicated) $ 100.80 ($ 159.60 for cats 5 years and older) Additional charges may apply for pregnant cats WAUPACA SMALL ANIMAL HOSPITAL (715) 258-3343 www.waupacasmallanimal.com Feline Spay (Ovariohysterectomy) & Declaw A feline spay is the surgical removal of the ovaries and uterus from an intact female. A declaw involves the surgical amputation of the portion of the digit that contains the nail and nail bed. The patient requires general anesthesia to prevent any perception of pain. In our practice, isoflurane inhalant anesthesia is utilized for the procedure. In addition, the patient receives an injection prior to the surgery that will minimize the anxiety of being away from home and aid in pain relief immediately after the surgery. The patient is hospitalized overnight. The patient is generally able to go home later the following day. Note: The surgery may be performed on cats that weigh at least 2 pounds, and may be performed if your cat is in heat. SURGICAL ESTIMATE FOR SPAY & DECLAW PACKAGE Pre-anesthetic sedative/analgesic General Anesthesia: Injection for Induction General Anesthesia: Isoflurane Inhalation Ovariohysterectomy (Spay) Laser Declaw – 2 Feet, with Local Anesthetic Administered Surgical Supplies Constant Technician Monitoring during Surgery Pulse Oximetry Monitoring during Surgery Anesthetic Recovery Post-operative Pain Prevention Medication Progress Update Hospitalization Overnight (1-2 nights) Surgical Discharge Appointment Nail Trim (if requested) Recheck evaluation within 2 weeks of surgery (if indicated) Intravenous Catheter (if indicated) Intravenous Fluids & Fluid Pump (if indicated) $ 243.18 for cats less than 5 years of age $ 296.84 for cats 5 years of age & and older Add $ 30.08 for all 4 feet declawed Additional charges may apply for pregnant cats WAUPACA SMALL ANIMAL HOSPITAL (715) 258-3343 www.waupacasmallanimal.com Feline Neuter & Declaw A feline neuter is the surgical removal of the testicles from an intact male. For a routine neuter, the scrotum is not removed. A declaw involves the surgical amputation of the portion of the digit that contains the nail and nail bed. The patient requires general anesthesia to prevent any perception of pain. In our practice, isoflurane inhalant anesthesia is utilized for the procedure. In addition, the patient receives an injection prior to the surgery that will minimize the anxiety of being away from home and aid in pain relief immediately after the surgery. The patient is hospitalized overnight. The patient is generally able to go home later the following day Note: The surgery may be performed on cats that weigh at least 2 pounds. SURGICAL ESTIMATE FOR NEUTER & DECLAW PACKAGE Pre-anesthetic sedative/analgesic General Anesthesia: Injection for Induction General Anesthesia: Isoflurane Inhalation Neuter Laser Declaw – 2 Feet, with Local Anesthetic Administered Surgical Supplies Constant Technician Monitoring during Surgery Pulse Oximetry Monitoring during Surgery Anesthetic Recovery Post-operative Pain Prevention Medication Progress Update Hospitalization Overnight (1-2 nights) Surgical Discharge Appointment Nail Trim (if requested) Recheck evaluation within 2 weeks of surgery (if indicated) Intravenous Catheter (if indicated) Intravenous Fluids & Fluid Pump (if indicated) $ 207.59 for cats less than 5 years of age $ 258.72 for cats 5 years of age & and older Add $ 30.08 for all 4 feet declawed Additional charges apply for males with undescended testicles WAUPACA SMALL ANIMAL HOSPITAL (715) 258-3343 www.waupacasmallanimal.com Feline Neuter A feline neuter is the surgical removal of the testicles from an intact male. For a routine neuter, the scrotum is not removed. The patient requires general anesthesia to prevent any perception of pain. In addition, the patient receives an injection prior to the surgery that will minimize the anxiety of being away from home and aid in pain relief immediately after the surgery. The patient may be able to go home later that same day, depending on his recovery. Note: The surgery may be performed on cats that weigh at least 2 pounds. SURGICAL ESTIMATE FOR NEUTER PACKAGE Pre-anesthetic sedative/analgesic General Anesthesia: Injection for Induction Neuter Surgical Supplies Constant Technician Monitoring during Surgery Anesthetic Recovery Progress Update Hospitalization: Partial Day or Overnight Surgical Discharge Appointment Nail Trim (if requested) Recheck evaluation within 2 weeks of surgery (if indicated) $ 65.20 for Feline Neuter Package Additional charges apply for males with undescended testicles WAUPACA SMALL ANIMAL HOSPITAL (715) 258-3343 www.waupacasmallanimal.com Feline Declaw A declaw involves the surgical amputation of the portion of the digit that contains the nail and nail bed. The patient requires general anesthesia to prevent any perception of pain. In addition, the patient receives an injection prior to the surgery that will minimize the anxiety of being away from home and aid in pain relief immediately after the surgery. The patient is hospitalized overnight. The patient is generally able to go home later the following day Note: The surgery may be performed on cats that weigh at least 2 pounds. SURGICAL ESTIMATE FOR DECLAW PACKAGE Pre-anesthetic sedative/analgesic General Anesthesia: Injection for Induction (Isoflurane as needed) Laser Declaw – 2 Feet, with Local Anesthetic Administered Surgical Supplies Constant Technician Monitoring during Surgery Anesthetic Recovery Post-operative Pain Prevention Medication Progress Update Hospitalization Overnight (1-2 nights) Surgical Discharge Appointment Nail Trim (if requested) Recheck evaluation within 2 weeks of surgery (if indicated) Intravenous Catheter (if indicated) Intravenous Fluids & Fluid Pump (if indicated) $ 142.28 for cats less than 5 years of age $ 195.93 for cats 5 years of age & and older Add $ 30.08 for all 4 feet declawed WAUPACA SMALL ANIMAL HOSPITAL (715) 258-3343 www.waupacasmallanimal.com Canine Spay (Ovariohysterectomy) A canine spay is the surgical removal of the ovaries and uterus from an intact female. The patient requires general anesthesia to prevent any perception of pain. In our practice, isoflurane inhalant anesthesia is utilized for the procedure. In addition, the patient receives an injection prior to the surgery that will minimize the anxiety of being away from home and aid in pain relief immediately after the surgery. The patient may be able to go home the same day, depending on her recovery. Note: The surgery should not be performed on dogs that were in heat within the past 4 weeks. SURGICAL ESTIMATE FOR SPAY PACKAGE Pre-anesthetic sedative/analgesic General Anesthesia: Injection for Induction General Anesthesia: Isoflurane Inhalation Ovariohysterectomy (Spay) Surgical Supplies Constant Technician Monitoring during Surgery Pulse Oximetry Monitoring during Surgery Anesthetic Recovery Progress Update Hospitalization: Partial Day or Overnight Surgical Discharge Appointment Nail Trim (if requested) Recheck evaluation within 2 weeks of surgery (if indicated) Intravenous Catheter (if indicated) Intravenous Fluids & Fluid Pump (if indicated) $ 139.00 to 150.83, based on patient’s size at the time of surgery ($ 192.57 to 204.54 for dogs 5 years and older) Additional charges may apply for pregnant dogs and dogs in heat WAUPACA SMALL ANIMAL HOSPITAL (715) 258-3343 www.waupacasmallanimal.com Canine Neuter A canine neuter is the surgical removal of the testicles from an intact male. For a neuter, the incision is made in front of the scrotum, and the scrotum is usually not removed. The patient requires general anesthesia to prevent any perception of pain. In our practice, isoflurane inhalant anesthesia is utilized for the procedure. In addition, the patient receives an injection prior to the surgery that will minimize the anxiety of being away from home and aid in pain relief immediately after the surgery. The patient may be able to go home the same day, depending on his recovery. SURGICAL ESTIMATE FOR NEUTER PACKAGE Pre-anesthetic sedative/analgesic General Anesthesia: Injection for Induction General Anesthesia: Isoflurane Inhalation Neuter Surgical Supplies Constant Technician Monitoring during Surgery Pulse Oximetry Monitoring during Surgery Anesthetic Recovery Progress Update Hospitalization: Partial Day or Overnight Surgical Discharge Appointment Nail Trim (if requested) Recheck evaluation within 2 weeks of surgery (if indicated) Intravenous Catheter (if indicated) Intravenous Fluids & Fluid Pump (if indicated) $ 109.20 to 117.81, based on patient’s size at the time of surgery ($ 164.00 to 172.62 for dogs 5 years and older) Additional charges may apply if the testicles are not descended into the scrotum