I know everyone is upset (I am too)...But, I hope everyone can understand though, that pups that have a Liver Shunt, and who are very, very small and tiny and are still very week, are NOT a good candidate for Liver Shunt surgery. It would be very, very wrong to jump right into LS surgery (IMO) with Melody. IMO she needs to be on the proper medication, and the proper diet (and the proper amount fed to her at least 5-6 times a day), she needs to get the Lactulose dose correct that she is pooping at least 3x a day and that it is like soft ice cream, and she has to gain a little weight and be a little stronger, otherwise she would probably die on the table.
I do think this pup should have started on the proper protocol when the LS symptoms first started to show. And alot of times general Vets do not know this proper protocol and they do refer you to a specialist. I live in NY and we have some of the best Vets here. When my Roxy's BAT came back sky high, my Vet was honest and said this is not his field, and he referred me to a specialist. So that could be the case here too, maybe her Vet did tell her to see a specialist and maybe she just never followed thru - IDK...
I hope things work out for the best though....
Rescue would be my first option if I couldn't provide the proper care