Dr. Sarah Harlow
Founder & Medical Director, DVM, DACVIM
The question I get more than any other — by text, by phone at midnight, in the parking lot before an appointment — is some version of: "Is this an emergency?" It is a genuinely hard question, and the fact that you are asking it usually means you already know something is wrong. Here is a practical guide to help you decide when to go now versus when to call us first thing in the morning.
Go immediately to an emergency veterinary clinic — not just our regular number, but a 24-hour emergency hospital — if your pet is: struggling to breathe or breathing with their mouth open (cats especially), pale or white gums, collapsed or unable to stand, having repeated seizures, bleeding from the nose, mouth, or rectum and it is not slowing down, distended or bloated in the belly and acting uncomfortable (this is GDX, a life-threatening emergency in large-breed dogs), or unconscious. These are the situations where minutes genuinely matter and where waiting until morning could mean the difference between a treatable condition and a fatal one.
Call us first — (619) 555-0122 — for situations that are clearly abnormal but are not immediately life-threatening: single vomiting episodes, mild limping that is not worsening, a wound that has stopped bleeding, a dog who ate something potentially toxic (but call Poison Control at 888-426-4435 simultaneously), diarrhea without blood, mild lethargy that is not accompanied by other symptoms. We often have same-day slots for these cases, and a 10-minute phone triage with one of our techs can help you decide whether you need to be seen urgently or can schedule a routine appointment.
For the 2am calls that fall into the gray zone — a cat who just seems "off," a dog who has been panting more than usual, a limping pet who otherwise seems comfortable — the honest answer is: when in doubt, call. Our emergency partner San Diego Emergency Vet at (619) 555-0199 triages by phone before you drive over, which can save you an unnecessary trip. We would always rather you call and be reassured than wait and regret it. The worst that happens is you learn that your pet is fine. That is not a waste of anyone's time.
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