In response to Rebecca C. comment below, Dr Hatayama does everything possible to keep his costs down so he can pass these savings on to us, his customers. His love for the animals is much greater than any other vet I have ever been to! I appreciate the fact that he works hard, and pushes his staff hard in order to take in hurting animals daily, get them well, and not kill our bank accounts to do it! His staff is regularly sitting around, when things are slow, eating, drinking and having a relaxed time, not how you are saying, that is a very unusual thing you described. I have been going there for years, and I've never once seen him yell at anyone.
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