Actually, he was a track vet for a while. So, yes, he is savvy - and I think that's why he didn't rule out surgery - but clearly wants him in a more clinical environment where there is a cardiologist. I have no problem travelling to NJ as someone mentioned - or the cost involved as taking him to Tufts up here would be a similar cost. My bigger concern was that when he had surgery in 2008, for a soft-tissue cancer and the dental where he lost 17 teeth, he did not have the murmer (same vet) - but he clearly hears it now. He did indicate that if the murmer becomes one that requires medication, then our window of safety for surgery shrinks. To those who suggested Petzlife, I just purchased some of that - and the vet had suggested peroxide.
It is such a hard decision - and after losing one so recently, I'm not so sure I'm objective - not to mention having to deal w/DH in this who doesn't want to face making such a call.