Independent Veterinary Consulting
Expert Veterinary Guidance When You Need a Second Perspective
A structured system for moving between Waking, Hypnagogic, and Dreaming states — built for high performers who want to train the mind the way athletes train the body.
I finally have someone who can help me understand what is happening — and what my options actually are.
When you need more clarity
Seeking another perspective is reasonable, and more common than most pet owners realize.
- Your pet has received a complicated diagnosis.
- Several treatment options have been recommended.
- You are unsure whether surgery or additional testing is necessary.
- You want another veterinarian to review the medical records.
- You need someone to explain laboratory results or specialist reports.
- You are facing a difficult medical decision.
Three ways to get clarity
Each service starts with the same thing: a careful, independent read of your pet’s records by Dr. Irwin himself.
01
Starting at $225
Plain-Language Record Review
Veterinary records, laboratory results, diagnostic reports, and treatment recommendations, reviewed and summarized in language you can actually use.
02
Starting at $395
Comprehensive Second Opinion
A detailed independent review of the case followed by personalized discussion regarding findings, treatment options, and questions to consider with the pet's veterinary team.
03
Starting at $595
Complex Second Opinion
A second opinion is not about contradicting your veterinarian. In most cases, the goal is to add perspective.
04
$450/hour
Retainer Required
Forensic Veterinary Record Review
Professional veterinary record review and medical analysis for attorneys and legal professionals.
How it works
A straightforward process, from your first message to a conversation you can act on.
Submit Your Request
Tell us about your concerns and provide the available veterinary records.
Medical Record Review
Dr. Irwin personally reviews the veterinary records, laboratory results, diagnostic imaging reports, pathology reports, and treatment history.
Written Summary
Clients receive a clear written summary of the findings and important considerations.
Consultation
When appropriate, the findings are discussed by phone or video so the client can ask questions and better understand the available options.
About Dr. Irwin
43 years of clinical judgment, in your corner.
Dr. Thomas M. Irwin (Dr. Tom) has spent more than four decades practicing veterinary medicine — including many years owning and running his own veterinary hospital, and currently serving as a Medical Director. Along the way, the part of the job he found most valuable wasn’t the procedures. It was the conversations: sitting down with a worried pet owner and making a complicated situation make sense.
TMI Veterinary Consulting exists to give pet owners and attorneys that same kind of attention — outside the time constraints of a normal appointment, and without replacing the relationship you already have with your treating veterinarian. It’s an additional, independent perspective when the path forward isn’t clear.
Testimonials
What clients say
"Dr. Irwin took the time to explain what the imaging actually showed. I finally understood what we were deciding between."
"He didn't just repeat the diagnosis back to me. He helped me understand which questions to ask my vet next."
"A thorough, clearly written review that held up to scrutiny. Exactly the clinical clarity our case needed."
Contact
Request a consultation
Share a bit about your pet and what’s going on. I will follow up to arrange next steps and, if needed, a secure way to send along the records.