November!? That's a far way off. I would tell you to go up to Boston...we see cardiology at Angell but it's a four hour drive for you and may be too far. They have a new location now in Waltham, MA in addition to their Boston hospital. They also have 3 FT cardiologists in the main hospital and one in Waltham. If Boston is doable, I think you should call and explain the situation to the client liaison and they may be able to get you in sooner. At least you could have the work up done and they could handle her spay even if she is high risk. Good luck.
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