Glad you found a vet that you like.
A few thoughts:
Could be a UTI (hopefully because then you won't have to give Proin for life).
If it isn't a UTI, other things will need to be ruled out.
Probable UTIs should never wait several days to be looked at. They are extremely uncomfortable, can be painful, and are very unhealthy for the bladder. She needs to be seen tomorrow.
They may just do a quick urinalysis. If they are sending out urine for culture, I would hope they would do the cysto. Urine for culture isn't supposed to be taken free catch, technically. And it isn't hard at all...
U/S guided can be good for small bladders, but that usually isn't necessary. There is a slight risk with a cysto like any procedure, but it is minimal and helps get an accurate diagnosis.
Yes, it is best to avoid vaccines while they are fighting an infection (not really sure what vaccines an 8 month old could possibly need unless you waited on rabies). However, a lot of vets would probably do it anyway.
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