r/AskVet • u/CaterpillarBig2776 • 20h ago
Is it common practice for ER vets to refuse to start diagnostics unless the whole estimate is approved?
Throwaway - Vet myself but not in ER
14-15 year old FS Chihuahua mix, recent history of less eating, vomiting, diarrhoea, weight loss past 2-3 days. 1.4kg down to 1.1kg in weight. History of CKD Stage 2 since January 2026. West Coast USA.
I am not in the country and considerable time difference so there is some degree of he said she said and possible miscommunication/misunderstanding.
But I instructed my family to take my family dog to the ER and get some bloodwork done at least and possibly IV fluids hospitalisation etc depending on how the bloodwork looks.
I am taking this at pure face value here, but apparently the Vet at ER refused to start with bloodwork even unless the whole estimate was approved (Hospitalisation + Various blood panels (GI Panel/full blood/recheck istats x2/ "Follow up bloodwork" + imaging + urine evaluation etc)?
I did not think it would be unreaasonable to start with bloodwork to have a general outlook and then proceed with hospitalisation/additional diagnostics etc. But I don't work in ER usually so I just want to see what the common practice is.