A lung wash is the method used to get a culture of the bacteria causing the RI so the most effective antibiotics can be found. I would recommend the culture but I would also recommend a new vet. Failing to take the time to explain a procedure and why to you the client is not acceptable. The vet experienced or not should be forth coming with information a good vet works WITH you not just make decisions and asking you to pay for it with little to no explanation.
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