Will not be using All Creatures Great and Small for my Becky any longer. My first complaint was they switched doctors on her for surgery without telling me. I did not even know the doctor who just got out of school. Then I took her for her checkup and all was fine. The very next day she has a lump on her muscle near her hind leg. It was probably from her innoculations. Doctor Miccio aspirated it and sent it off for biopsy. It came back clean and when I said to the doctor it was probably from the innoculations, she said or she could have injured herself. Don't think so. Had the nerve to charge me $214 for a follow-up. I don't mind paying for the lab work but admit that you caused the problem. Another vet is in order. Sorry Dr. Lerman, they are screwing up your practice while you are home sick.