Will follow-up lab work be needed on my dog?

It depends on what test we run. I was just laughing because you sounded very nervous about your follow-up blood work, but that's okay. I'm sure the dog was too. No, it depends on what we uncover on the initial blood work. Let’s say we're doing wellness blood work and your dog is, just as the name implies, well, and there is nothing doing, then no. There'll be no follow-up. Maybe next year we'll want to do it again just to make sure we're staying on top of things. But no, there wouldn't be any follow-up. Where follow-up blood work would come in is, say, you have an animal with elevated kidney numbers. Let's just pick kidneys for a second. You do that. You put them on a special diet. You might put them on Azodyl or some other supplement to help drop some of those numbers. Maybe we increase their fluids. Maybe we're giving them sub q fluids weekly or daily, something along those lines. And we'll want to follow up in either days or weeks to ensure that those values are going in the right direction. So that kind of follow-up, yeah, makes perfect sense. If there's no illness underlying and your dog's perfectly healthy, then, of course, no follow-up is necessary. So it just varies on what we're running and the condition of the patient.

If we find something that's abnormal, we will want to follow up with that. These lab tests are one moment in time, and so it might be a very short-term elevation or abnormality. And so we want to know in two weeks, or four weeks, what's going on with that value. Did it go back to normal, and we don't need to worry about it, or is it going up further, and we need to investigate the underlying cause? If we're treating something, we want to follow up—that would be another reason to see if that's working and what we need to do from there.

Good question. It depends on two things. Is your dog normal, is it sick, or is it getting better? Second of all, were there any abnormalities in that blood work? If there was, we'd probably want to recheck it after we do the appropriate treatment.

Follow-up lab work depends on what we find with the labs that we've done already. Sometimes, in perfectly healthy patients, as long as they're doing well, we'll recheck their lab work annually to make sure that everything still looks good at each annual wellness exam. There are some patients, however, where we might find new or ongoing illnesses that we might want to recheck every couple of months or every several weeks, if need be.