Our first goal is always to try to prevent problems for your pets. But when trouble strikes, we use many different approaches to figure out how best to help your pet and your family. It all starts with history and information from you, a thorough physical exam from our doctors, and the use of tools like lab instruments, xray, telemedicine, and our reference lab (IDEXX) to find out is wrong with your pet. We can also access ultrasound and endoscopy services (http://capitalvets.net/our-services/ultrasound-endoscopy/ ) when we need additional information. We maintain excellent relationships with specialists in the area as well so we can always find the appropriate way to help your pet and your family.