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When a veterinarian understands that a growl is a symptom, a hide is a cry for help, and a repetitive pace is a clinical sign, the standard of care rises exponentially. Whether you are treating a golden retriever, a barn cat, a thoroughbred racehorse, or a backyard chicken, the same rule applies: First, listen to the behavior. Then, let the science of medicine follow.
Only by combining behavioral observation with urinalysis, blood work, and radiographs can a diagnosis be made.