Mark Zakariya
My beloved cat, Keylie, was referred to VERG by Bond Vet on suspicion of heart failure. VERG confirmed the diagnosis, and Keylie was seen by their cardiologist, Dr. Graham Rossi several times from June through October 2025. The staff at VERG were consistently compassionate and it's clear everyone there cares about animals. However, I do want to warn you that this is an ER, and is potentially a much more stressful place to be than your normal vet's office. At half of our visits there, we had to walk by people who had very obviously just said goodbye to their own pets, which was a bit jarring - especially knowing I'd likely be one of those crying pet parents at some point soon. At our initial visit in June, VERG completed a number of tests, including x-rays and ultrasounds. After confirming Keylie had fluid in her lungs and the sac surrounding her heart, they recommended an invasive (and costly) procedure to drain the fluid and help ease her breathing. I consented to the procedure, and their notes show they removed 2 mL of fluid from her pleural space, and 1 mL from the pericardial space. In hindsight, had I known the amounts would have been this small, I would have instead asked if medical management with diuretics (such as furosemide) were an option instead of this more invasive approach that involved shaving her chest and placing a needle into her chest cavity. Dr. Rossi was a consistently friendly presence and thoughtfully explained everything throughout several visits/re-checks. He seemed to understand I've done quite a bit of research and tailored his explanations with that in mind. ⚠️ There is a specific reason I've opted to leave a 4-star instead of a 5-star review. Throughout Keylie's treatment, I consistently made it clear I was very concerned about one disastrous complication of severe heart disease/failure: Feline Aortic Thromboembolism (FATE or Saddle Thrombus). This is an EXCRUCIATINGLY painful complication that can strike with little-to-no warning. Dr. Rossi was confident that Keylie wasn't at very "high risk" of this complication, and would not recommend proactively dispensing pain killers for Keylie. Keep in mind that VERG is a 45-65 minute drive away for us, depending on traffic, and if Keylie was stricken by FATE we'd have an hourlong journey where she'd be in obvious distress, and I'd have nothing to help her... ... which is precisely what happened just after midnight on November 8, mere minutes after my own birthday, and just a couple of weeks since we were last at VERG. Keylie lost use of both of her hind legs within minutes of eating dinner, and was hyperventilating and in obvious distress. She was dragging herself with her front paws and couldn't get comfortable in any position. I raced her to VERG and made the decision to euthanize her the moment they confirmed it was FATE, because I no longer felt that continuing down this path was the best choice for Keylie. After doing quite a bit of research/reading clinical studies, I've discovered that: - some of the things they were looking for to classify Keylie as v. "high risk" (such as spontaneous echo contrast/"smoke" or swirls in her enlarged left atrium, or presence of a clot) often signal "IMMINENT" risk, AND ~20% of cats who suffer from FATE will not have SEC beforehand - she had a severely enlarged left atrium, arrythmia, gallop sounds: all of which either increase likelihood of FATE or worsen outcomes if FATE occurs - some cats are resistant to clopidogrel, the antiplatelet therapy Keylie was on. I administered this to her religiously for the duration of her illness, taking great care to ensure the pills were swallowed. She never missed a single dose. Given her "severely" dilated left atrium, it may have been helpful to add on additional therapies. I know some of those therapies are very pricey, but Keylie had insurance and I made it clear money's not a concern! I appreciate all the help over several months. But for me to witness Keylie go through that nightmare after I specifically asked about this at EVERY visit ... 4-stars. 💔






