I'm not sure exactly where you are, but there is a vet school in FL. We are a referral based state here in MI too The way to get around that is to go to emergency in one of the hospitals with internists.
I would not leg this vet waste more of your money by doing ultrasounds. And before pushing that amount of fluids he better be darn sure the heart is ok.
I would go get your pup and go to an ER of a major specialty hospital.
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