The first visit is crucial.
This is advised to be done within the first 5 days (stated by contract). This visit is so important because it gives you an ease. Believe me, it really does. Knowing that your puppy is 100% healthy when you bring it home from your breeders vet, the breeder herself, and YOUR own vet, will make your life easier.
In your first exam, your vet will get to know you and your puppy. He will go over the previous vet paper work and access where he stands with your puppy at that time. He will go over the puppy himself to know what the general health of your puppy is. At that point, you will both know the current health and condition of your puppy.
This is so important because if anything were to happen within a week, or even a month, of having your puppy home, you and your vet will both know first hand its most recent vet checked condition. If anything serious happens, it will give the vet a great point of view to have some sort of guideline.
NUTRI CAL!

I will URGE you to make sure you have nutri-cal at all times. This is going to be your BEST friend! Nutri Cal is a high caloric suppliment that is vital for owning a teacup. Teacups tend to have SUGAR DROPS if they are not fed in proper timing, play too much, or go through a stressfull situation (such as changing homes, getting shots, or even a long car ride). The package is small enough to fit into your purse or coat pocket. If you are traveling and fear you will not make it home in time for puppys meal, feed her/him two to three fingertip-fulls of nutri cal. If your puppy appears to be calmer that normal after a trip, shots, or playing, give it one fingertip-full of nutri cal every 30 minutes for 2 hours or until s/he seems better. If you suspect a sugar drop, give your puppy a fingertip-full of nutri cal every 10 minutes for 2 hours. If you see no improvement, call your vet immediatley.
SIGNS OF A SUGAR DROP:
These are items that your puppy can have a SERIOUS, possibly DEADLY reaction to:
grapes
raisins
onions
macadamia nuts
avocados
chocolate
Tulip bulbs
antifreeze
alcohol
Pistachio nuts
IF your puppy has ingested ANY of these, carefully watch your puppy. If it seems as though it is having ANY reaction, call your vet IMMEDIATLEY!
Some dogs can carry parvo or other deadly viruses and seem perfectly healthy, which is why I always take the safer side. As mean as it may sound, it is important to set rules and boundries for you and your puppy to make sure nothing happens to your puppy. For example, my rules for myself are: If someone wants to touch your puppy (under 6 months), and you see they have already touched another dog, do not allow it. If a dog seems less that healthy, stay away. DO NOT touch any rescue/adoption day dogs. If your petstore is having adoption day, do not let anyone there touch your puppy. If your puppy has not had all of its shots, do not let strangers touch or hold it.
PARVO:
Parvo, I'm sure you've heard of it. Some vets can make mistakes and overlook some symptons, resulting in a wrong diagnosis that can end up with your puppy dying. That's why it's important to fully understand what is always going on with your puppy and to know the warning signs. Parvo can appear and KILL within 24 hours!
Parvo has this distinct smell, and I cannot explain it except for "parvo". If you have EVER experienced such a tradgedy, you know what I am talking about. If you EVER smell that smell on any dog (especially where there are rescue or adoption dogs) STAY AWAY!
WARNING SIGNS OF PARVO:
1. Complete loss of appetite
2. Depression
3. Inside out sneezing
4. Weight loss
5. Diarrhea will come out when the Parvo is at it's worst stage. Vomiting is also present at this time, but if you notice the warning signs BEFORE this occurs, you have a much greater chance at saving your dog. Diarrhea and vomiting is what will eventually kill the dog. Loss of electrolytes which will result in death in a fast manner. Blood appearing in vomit/diarrhea is also a warning sign, but normally once this happens it's too late. (GIVING SYRINGES OF PEDIALITE MAY HELP YOUR PUPPY)
6. Warm/dry nose
7.Fever
8. Refusal to eat or drink
9. Lethargic
IMPORTANT FACT:
If your dog contracts parvo, it has a 50/50 chance of surviving.
DISTEMPER:
Distemper may be misdiagnosed in its early stages because it begins as an upper respiratory infection resembling a cold., including fever of 103-105 degrees (normal for a dog is 100-102.5), loss of appetite, listlessness, and a watery discharge from eyes and nose. But dogs do not get colds like people do, so if these symptoms arise with a puppy, call the veterinary clinic immediately. Within a few days, the discharge turns yellow and becomes thick and sticky and the pup has a dry cough, and may have diarrhea and vomiting. Within the first two weeks of the disease, the symptoms fluctuate.
Some dogs shake off the disease after this stage, but others progress into pneumonia and neurological involvement. Seizures, encephalitis, partial paralysis, head-tilting, chorea (jerking or twitching) and other neurological signs can follow. Some dogs also experience a hardening of the nose leather and the footpads. Even if the initial disease has been mild, these symptoms can show up weeks later.
The virus can also persist in the system, attacking the spleen, thymus gland and lymph nodes of the immune system and creating immune deficiencies that allow bacterial infections to gain hold.