#difficult clients

Lady comes in with her 11yr old Bassett in respiratory distress, we place dog in oxygen, dog becomes more comfortable. The dog was in for heartworm treatment earlier, had a dose of ivermectin (owner wanted the ivermectin) as well as a steroid shot. Not initial X-rays were done, but given how difficult the client was, I doubt the client would let them. The client wanted something to ease the dogs breathing so she could bring the dog to her reg vet. Diagnosis was either heart failure vs heartworm treatment reaction, but we needed an X-ray to figure out which one it was. The client declined, and still said she wanted something to ease her dogs breathing. We offered to keep the dog in xray since she was more comfortable until her reg vet opened. Client declined, saying her dog was going to die anyways and she didn't want to die here. Client still asked for something to ease the dogs breathing. Explained could not do that without diagnostics if the wrong drug was given it could make the dog worse. Owner elected to take the dog own AMA. Offered euthanasia, owner declined stating she wanted us to treat her dog. :/