I have been taking my cat to Dr. Fisch since I first adopted him nine years ago. I have also tried other vets on the upper westside, because of recommendations from friends. But I keep going back to Dr. Fisch. While the other vets were o.k., they seemed to really want to sell products and procedures that were unnecessary and, in so doing, tried so hard to befriend me, rather than really examine my cat. In contrast, Dr. Fisch was very frank about what my beloved cat needed, was very gentle and focussed with him, prescribed the medications that worked, and didn't push me to do anything unnecessary. I want to add that he did the blood and other tests himself, in front of me, and didn't take him away to some vet tech in a separate room. I appreciated his honesty and his nice manners -- I also feel that he didn't overcharge at all, whereas the others charged a great deal, made me feel that my cat needed very extensive (and expensive) blood tests and procedures immediately (eg. dental cleaning, wherein they make a lot of dough, but there is a risk with anesthesia that they downplay -- if the teeth are not that bad, don't risk it). They didn't care that being too invasive was wrong: Dr. Fisch, on the other hand, was absolutely right. And my cat has been in perfect heath over all these years -- he's turning 10 this year -- and much of it thanks to him.