[107barney]

You are in NYC - you have some of the best medical care and vet care available to you. I see you are or were in Westbury, NY - there is a specialist hospital right there and they probably have an internist on site. Our dog Daisy has MVD and we see a liver specialist right here in RI. I grew up in NY and could have gone to Cornell, but the reality is that it makes sense for me to have a Dr close by. I think either way you need to find someone nearby to manage your dog's long term care, whether or not you go the UT route

It's a damn shame your vet did not refer you to a specialist. I am SICK AND TIRED of these vets who want to keep cases that should be referred out. Talk about arrogance... But that's for another thread.