So my Best Freind was showing signs of senior arthritis, and so we go to this place, and she is put on Rimadyl. the Doctor says there are some risk with high doses for long times, but we put her on half of the lowest dose available, and said we would monitor her progress. They never called to check how she was doing, did not schedule rechecks or suggest periodic blood work. So the pills are $120.00 a month and 7 months into the treatment, she is uncomfortable, not eating or drinking, the second day of these signs we go in, and $260.00 later, they send us home with prescription canned dog food. She wont eat! the next day we go back, $203.00 and still no explanation, not once did they say STOP the Rimadyl. And she was still not eating or drinking, day 3, time for a second opinion, we find out from the new vet, her liver enzymes are 479 (normal 5 to 100) and STOP the rimadyl, she may now have liver damage. Not only is Mukilteo Vet Hospital way expensive, they take your pet in the back and present you with the bill for payment before bringing your pet to you! You pay high dollar prices for lab tests and all you get to see are handwritten scribbles on note book paper...Dont go there!!!!