I have taken Tramadol myself and for me personally i would never recommend it to anyone, it was the most awful stuff ever, good for the pain, but my head was in a different place, i could not even concentrate to pick up the phone and dial a number.

Good luck at the new vets, and just do whatever you think is best,what I and others may do may differ, you have to go with your own feelings about Max, I am thinking of you both and wishing for some positive news,just know we are all here for you through this very difficult time. HUGS