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Hello I am Dr. Joey. Thanks for trusting me to help you and your pet today. I am a licensed veterinarian with over 16 years of experience. I look forward to working with you.
I am so sorry to hear Ruby's cough is not going away. The question is if this is associated with the heartworms or not. What testing has been done by your vet so far (radiographs, tracheal wash, bronchoscopy, echocardiogram, lab work, etc)? This information can help us to narrow down what is going on and let me know what has been done. It can help me lend an opinion.
As well I need clarification on the "cleared of heart worms." Generally we do the treatment which is immiticide and then we cannot have a "clear test" until 5-6 months after this time, maybe 4 months at the earliest. So, was she clear on this retest? Or did she literally just have treatment within the past 8-12 weeks?