We adopted a young adult cat from the Delco SPCA and were told it had a cold, so the vet there gave it an amoxicillin shot before releasing it to us. We took him to our local vet when the ""cold"" didn't clear up, and after 4 week course of antibiotics that was ineffective, the vet suggested it might be a nasopharyngeal polyp that would require specialized surgery. He referred us to Dr. Kenneth Sadanaga, a soft tissue surgeon at the Veterinary Referral Center in Malvern.
I want to say at the outset that we have had many cats and dogs over our long lifetime, and certainly have been to see many vets, so that I feel comfortable about evaluating our cat's treatment and the parallel concern shown for us. It was, in a single word, outstanding.
Dr. Sadanaga sedated the cat and did an endoscopic exam which revealed not a polyp, but a heavy membrane that had grown across the opening and was severely limiting his ability to breathe. The doctor could not break down the membrane with the endoscope and, with our permission and after explaining the probable cost, had to do a much more elaborate surgical procedure. I won't waste space by going into the details here, but our cat wound up with two tiny catheters running from inside the tip of his nostrils back into the nasopharynx--the idea being that over a month's time scar tissue would heal around the catheters and form a good breathing hole.
And that is exactly what happened. In the interim, we had to make a visit for an adjustment to the catheters, had to have medicines switched from oral to dermal, and made a few calls for advice as well, all of which were handled by the staff with alacrity, courtesy and compassion.
We felt that the total cost was entirely in line with the time and skills involved.
This is a fine medical facility with an excellent staff and I recommend it very highly.