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Good Morning Pam and welcome! I am Dr. Loretta, a licensed veterinarian and I am happy to answer your question.
It really does not matter where you are, Pam, because this disease is the same any where. There does come a time when the medication cannot keep up with the severeity of the Congestive Heart Failure but I do not believe that your sweet girl is at this point. The one thing that is missing is a diuretic such as Lasix that will draw off the fluid that is being produced in the chest due to the heart disease. Ask your vet to add a diuretic to help your girl and ease her breathing issues. This can be very effective Pam and worth a try.
Does that make sense to you?
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