We brought our sick cat here. It's tough to adequately evaluate this place since they said that they were short on staff the afternoon we came in but I did want to share my experience. First, the front staff were not exactly compassionate. They seemed indifferent, made almost no eye contact, and gave us very little information regarding our wait time. When I asked how much longer it would be, again - absolutely no eye contact was made, and their general demeanor was one of boredom and the desire to be left alone. We ended up waiting for 4 1/2 hours with very little information. Also, the place is absolutely freezing. Everyone in the large waiting area was commenting on the fact that the heat did either not seem to be working or that the staff would not turn up the temperature in order to save money (still don't know why but when you have to sit there for potentially hours and you are already upset because your animal is ill, having to deal with the cold is especially unpleasant). When we did see the doctor, she spoke very quickly about all of the procedures and potential outcomes (in her defense, she may have been in a rush because of low staff that night, and she did try to be pleasant and answered all our questions) and in the end, I think much to her surprise, convinced us to take our cat home instead of submitting him to procedures (some of them sounding rather long-lasting and painful, especially for an elderly cat) that might not result in anything more than "hmm... well he seems to have this but we have no idea why and might never know what the root cause is since these things are so hard to diagnose, so let's do more tests and then try to extend this potentially low-quality-of life existance that will cost you thousands and thousands of dollars". Of course, the doctor did not say this but we tried to read between the lines and this was our interpretation. In fact, our conclusion was that we should put our cat down, which we really grieved about since we have had him for so many years and he was such a part of our lives (I could go on and on about this cat and what he meant to us, but those of you who have animals can surely relate). We brought our furry beloved friend home and called our vet. After consulting with my husband about the feedback from the VSH doctor, she agreed that it was time. This is the deal: you are probably not going to get the compassion that you would get from your vet (our vet was absolutely wonderful and has known and beautifully cared for our cat for the past 10 years - he is 17) since these folks do not know you or your pet, and the people you speak with may be a bit tired since they have been dealing with some unfortunate cases all day and all night. Also, like so much of modern medicine, they are going to try to problem solve which often means doing everything they can to extend the life even if it means a potentially low quality of life for your elderly cat, and the fact that you will be paying thousands of dollars (and I don't mean just a few thousand) for the initial diagnostic procedures, follow ups, and meds. Unless your animal is truly in crisis mode, in pain, and has something that can be addressed (like if your pet was just in an accident, and is suffering from something that can be fixed, like a broken limb) , I suggest that you give yourself time (an hour, a day - whatever it takes) to think about what you want to do, what the quality of life would be like, and also understand that you might be embarking on a journey that will be incredibly expensive and result in pain and only a few extra weeks or months for your animal.