ToTo Satori

ToTo is a 10 year old Yorkshire Terrier from New York, NY.  ToTo had a totally clean bill of health until a low grade murmur was detected in July of 2016. X-rays and echocardiogram at the time did not conclude treatment, just a follow up one year later. During pre-check for teeth cleaning three weeks ago, March 2017, blood work came back with slightly elevated enzymes in the liver; and x-ray showed a much more enlarged heart than last summer. The vet was not comfortable with putting him under until another echo was done, which concluded he had progressed to a grade 4. The vet prescribed Denosyl to protect his liver as well as Enalap