Madison is a Senior canine, which leaves way for aging-type ailments, however, when she developed large side-by-side lumps on her throat And went off of her food as well as an increased sleeping what seemed like all night and all day, I knew it was time to have her seen by her Vet. Blood work was drawn and the nodes were aspirated to also send off to the lab. She was placed on antibiotics until the results came back. As soon as they did, I received a call and the results of all lab work was discussed with me. I appreciated River Oaks thoroughness and professionalism.