True that, thanks. I also spoke with the dental clinic in Burnaby today and the appointment is complicated. While they want to do the echocardiogram and x-ray on the same day as the dental procedure, it requires all the specialists to be there at one time and then the dental is not guaranteed if they find a cardiac issue. Soooo, what that means is not getting an appointment until June (!!!) at the earliest. I can possibly get two appointments, though, which is what I'm looking into. That is, drive down for the echo and the x-ray sooner rather than later and if all is well book for the dental into June. It's just dumb that there are no specialists in all of the Okanagan.
Three lower mainland, one on the island. Dental vets you can go a bit closer, Chilliwack. 
There is a part time dental vet at Boundary Bay where the cardio vets are - she used to work at the Burnaby clinic but is now semi-retired. Not sure if that makes logistics any easier.
Chilliwack, Langley, etc. not really much easier as I have to stay overnight with these trips and at least in Van I can visit with people I know...Actually, no cardio vets north of Langley.
