The title says it all...if you take your dog (esp. older) for annual check ups (physical exam, heartworm check, rabies vax, etc), what is the scope of the visit, and about how much does it cost?
Does your dog get a blood pressure profile? Blood work? Twice yearly de-worming (without signs of worms)?
I've been going to a new vet for about a year (b/c of a move), and at each of the two annual check ups we've been to, they've pushed a lot of preventive care that I don't think is necessary. They say my dog (12 y.o GSD) looks great for her age, her teeth are great, she acts younger than she is, they can't believe she's 12. They then proceed to tell me that there are so many things they can catch early if they do blood workup, blood pressure, etc. to the tune of several hundred more dollars. They can catch a crisis early before it's a crisis...but at 12, there's going to be something that ends her life. If/when she gets a fatal illness, I plan of course to make sure she's comfortable, but not extend her life by months just becuase we can. So a huge workup to see if anything is wrong, when she has no symptoms, seems useless, right?
Also, do you give your dog a preventive de-worming med twice a year if the dog has no signs of worms? My dog has never had worms in the 11 years I've had her, she's mostly inside or in our pretty sterile suburban fenced yard, with no other dogs. She's not at high risk for worms, why start treating something that's not there? When I tell the vet that, she looks at me like I have two heads and I can just imagine what she's thinking about why can't I just be a good complient little client.
I'm thinking of switching vets, but wanted a sense of what is reasonable. Am I on track here or just fussy becuase I miss our old vet?