For anyone with sticker shock at their local family vet, I do have to tell you that if you involve specialist vets the prices are astonishing. I could basically add a "0" to the end of any charge my family vet had when dealing with my previous dog's internal medicine specialist and cardiologist. We spent a huge amount during one of my dog's last year, but we gave her the best life we could and when her quality was gone, we sadly said goodbye. It did create some financial hardships, but we learned to do without unnecessary things (such as trips to Disney--shocking, I know). Our other older dog didn't have the tremendous expense, but his sudden illness and having to let go was just as painful.
For the folks getting heartworm preventatives from mail order, please do some research. The companies that make the heartworm preventatives stand by their products and will frequently pay the costs of heartworm treatment if the dog develops heartworm while on the preventative. This is only true if the preventative comes from a valid, reputable source--your vet. Annual blood tests are the way to check for heartworm and many vets will not give the heartworm preventative script, or allow you to get the medication from the clinic, without having the blood test. Giving heartworm preventative to a dog with a certain level of heartworm infestation can be deadly. Blood work is also important to test for developing illnesses and organ function. I am so grateful that I have a wonderful, compassionate vet. My dog gets the best care and I rarely feel I am overcharged for services.
Hi to OregonGirl from a fellow Scottie mom!