Two visits, two times they pushed things on me in a mindless way. The first was a receptionist who said they don't recommend giving puppies rawhide chews, but I should try giving them this other treat instead (that she handed to me). She called it a ""dental chew"" from Purina. I asked what is was made of, and it was in fact, pressed cowhide. So apparently expensive, brand name raw hides are okay, just not cheap ones.
Then the vet recommended we put our dog on heartworm preventative year round. Having worked for a vet in the past and aware of the fact that they are spread through mosquitoes (not really prevalent in January at the time of my visit), I asked why. His reply was so hollow: people forget to start them again in the spring, you might take him on vacation to the beach during the winter, and it can prevent some parasites (in addition to heartworm). I can mark my calendar for when to start again; no beach vacations are in doggy's future; and I can watch for signs of problems with parasites - I'd rather do that then spend my money pumping my dog full of medication he doesn't need.
They are so convenient for me that I'd normally be willing to pay the premium they charge (they are pricey), but not when their primary concern seems to be blindly hawking products. I'll go somewhere a bit more thoughtful.
Pros: upscale, boutiquey-facility if you want that
Cons: they mindlessly push products
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