We nearly lost Emma to AIHA (10% chance of survival) and just as in the case of your lab, the medical exemption in our county (Washoe in Nevada) prevented her from having a booster that would most likely kill her. Niles is afflicted with a genetic disorder where we nearly lost him each time he was given a rabies vaccination. He also uses the exemption and has lived 8 years past his expiration date. It is crucial that veterinarians can perscribe a medical exemption for dogs such as these who risk death.
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