“Are you leaving us? Ah, you’re leaving us. Would you like a cup of tea? Would you like a biscuit? There are leftovers. I have Tupperware and tinfoil, sure we’ll put it in that. It’s no trouble. And a custard cream. We’ll put it in the bag, sure. No, we’ll put it in your pocket. Say nothing. And take this and this and this and this and this and this and this. And let me hold your coat. Is this your coat? Is this – or this – or this – or this – or this – or this your coat? Look-it, it’s raining. Stay until it stops raining. I am not letting you go and it’s raining...”
So, the CEG admits that their x-ray-only recommendation is not based upon the EPIC trial and is not based upon any other evidence! This is a stunning – even jaw-dropping – effort to water-down the recommendations of the EPIC trial’s report! In our opinion, the only saving grace of the EPIC trial is that it requires that two precise minimum echocardiographic measurements be met, in addition to the very troubling, species-wide VHS value of >, before prescribing pimobendan to MVD-affected dogs prior to heart failure.