Choosing a Good Vet

I guess I know what people usually say about choosing a good vet, but because I'm looking at getting my first "not childhood" dog in the next couple years, I figured I'd ask about this here and see what different people have to say.

How do you decide on a vet? What balance do you try to strike between "decent but also not that expensive" and "really really good but costs a small fortune"?

Some background: because the last dog I had was my childhood dog, my parents made all the financial decisions regarding her (and most of the veterinary ones, though because she was supposed to be my dog I did have a lot of input). For most of her life, we went to the same vet her breeder used--whom I've never had a complaint about, works with both pet people and performance event people, was good at knowing who the specialists in various things were, etc. but was quite expensive (because he drew a lot of the Ann Arbor dog crowd despite not being in Ann Arbor).

Which eventually my parents realized he was expensive, and they decided to switch to the vet that they still use for the cat. This one is okay--he's not completely inept or anything--but is very definitely focused mostly on keeping costs down. He's a mobile vet, which seems fine for vaccines and stuff--but he doesn't even do a real exam? He's extremely nice and he does talk about different options with you if you come in with an animal with a health problem, and he's very straightforward about how much different treatments are likely to cost... but they're often more a "you should do something about this, but I know you don't have the money so I'll do the best I can for your dog despite that" kind of advice. Which has its place, but I don't feel like should be a primary vet...?

So I don't think I would want to take my future dog to him, necessarily (unless I needed something very quick and straightforward, because he does walk-ins at various locations--so for quick problems where you need him to look at one thing he seems good?)... but I'm also not sure about the cost of the other one I've used before.

I might not even be in this same area when I do eventually get my future dog, but... I'm curious how people choose their vets regardless! Because it's a decision I will eventually have to make.

Sorry that this was a bit rambly.

Comments

  • I first look at how the people at the front desk treat me and my dogs. I ask about general costs and stuff like that. I then take into account the"bedside manner" of the vet. When we see the vet for something other than vaccines, i like to know all my options and a vet that doesn't give me all the options up front and makes me ask gives me the Willies. A discussion of cost for optional treatments is also a pretty big deal.
  • Check out reviews on Yelp and/or other review sites. Pay special attention to the negative reviews and filter out the emotions from the writer so you can assess the facts. If there is a consistency to the negative reviews, then you know it's not an isolated incident. But if there isn't any consistency, then just be aware of what was said so you can be prepared should you find yourself in a similar situation.
  • Regardless of the vet you choose, I recommend that you either start a health savings account or get pet insurance. That way you won't have to make health decisions based entirely on vet costs.

    My insurance monthly premium is $32 for 90% coverage and no payout limit. The only drawback is you have to pay up front for any procedure yourself and then get the coverage payout afterwards. If you have end up with multiple dogs, insurance can get pricey.
  • What I look for in a vet:

    Friendliness.
    How are the staff at the front counter? When I walk in, am I greeted right away? Are they helpful when I ask questions? I don't want to have to pester someone when I walk in, and I like it when the people manning the front are polite.
    Same with the techs and vets themselves.

    How they handle the dogs.
    Are they all "Oogy woogie puppy doo!" Are they rough? Both are things I don't like. I want a staff who will adjust how they act and handle each individual dog. Conker DOES NOT like going to the vet, and if they get up in his face with kisses and snuggles! they are libel to get bit. If they are calm and let him take a few minutes to adjust to their presence, he will be a million times better.
    Also, a huge one is keeping the dog in the room with me for regular stuff. Things that can only be done in the back room is fine, but for vaccinations and the like, NO, the dog stays with me. (Especially Conker.)

    Receptiveness to questions/conversation.
    I want a vet I can ask a bunch of questions to and get REAL answers, not some crap recited from an information card that is not informative at all. I want to be able to have an intelligent conversation with my vet about my dog's health, not be lectured at because I asked about diet, vaccines, or dewormers.

    Thorough explanations.
    I want to know why I should do X, Y, or Z, what will happen if I do, or don't, and what all the alternatives are. I don't want some cookie cutter nonsense and to be treated like a dumb pet owner who doesn't know anything. I am genuinely interested in this stuff, and if my vet can't take the time to explain what the issue is to me, they don't get my business.

    Cost.
    I can't afford a vet that costs a million dollars, no matter how amazing they are and how much I might like them. My vet bills needs to be reasonable (for my area).

  • @losech nailed it on the head for what I look for a vet as well. But it is hard to find all of that without several visits to get the "feel" of a place. I ended up getting a vet like she described by talking to my local "dog" people. I went to two locally owned specialty dog/pet boutiques and asked who they recommended. From there took in price, drive, and yelp review and ended on my vet for the first try (they are moderate and close to a 30 minute drive from my home--with many much closer--but are so worth it).
  • In addition to the above, I go to their websites and see what kind of personal pets/animals that they and their staff owns.

    I like staff to have among them at least one working/titled dog, purebred dog, large dog, or "difficult by reputation" dog. Owning livestock is a plus, too.
  • edited September 2013
    I asked some folks in my office who had rescued skittish, shy dogs who their vets were and how their dog was handled. I figured that a vet with the desire and patience to make these dogs comfortable would do well with nihon ken and likely be open minded enough to try alternative thngs. My vet was not the cheapest, nor the most expensive. They didn't sell food aside from prescription, and preferred not to prescribe if possible.

    They were ok with raw feeding, explained why they chose their vaccination schedule (and offered titers) without my asking, and whenever it was cheaper to get something elsewhere (like meds) they would tell me with no prompting or asking. But again, I think a vet that will handle shy, skittish rescues well probably pays a lot of attention in general and is fairly flexible and open minded.

    They were also the only vet that I've ever heard about that addressed the importance of socialization for the dog (as in my first visit they were asking me if I had started and mentioned that our area was low risk and that more dogs die from issues arising from under socialization than from catching diseases).

    Ymmv though. I generally find the reviews on Yelp to be thoroughly unhelpful.

    [edited to add]

    Just checked Yelp for the vet where I used to take the pups, and the ones I've used since moving states. There is almost no feedback (3 reviews each). Do most vets have a lot of feedback on sites like Yelp?
  • I am kind of in the same position, because the vet we had been going to closed down. They were taken over by another clinic, but I don't necessarily want to go with them (haven't decided).

    I look for a clinic that offers emergency services. It's true that in an emergency, I don't necessarily have to go to the clinic that we normally go to, but I would prefer to see a vet who knew me and my dogs in that kind of situation.

    Do they like animals? Seems like a silly question, but at the old, old clinic (the place we used to go to before the one we used to go to before it closed down), the vet quit and was replaced by this oddly hysterical woman who seemed to dislike dogs. She was great with cats, but she seemed to genuinely annoyed by dogs. Weird. She would yell at Rakka when she cried, so that was terrible.

    Cost. I just ask what they charge for a spay or for a set of vaccines. If it's some ridiculous amount, then I don't go there. I'm not ultra-cheap when it comes to vet care; I'd rather have a good vet than a cheap vet, but some vets charge twice as much for simple things than they have any right to. For instance, one vet quoted me $800 to neuter Sosuke because he was a cryptorchid. Okay, yes, it's more complicated than a regular neuter, but $800?! Their logic was, they had to charge me as if it were two surgeries because the testicles were in different places. Terrible logic. Most of the cost is in anesthesia and pre- and post-op care. They can tack on extra for the extra time spent in surgery, but to act like it's two operations is ridiculous. Oh yeah, that also meant that they normally charge $400 to neuter a dog, which is also ridiculous. It wasn't even laser surgery or anything special and didn't include the pre-op blood work. Anyway, long rant, point being, I don't go somewhere that's going to gouge me.

    After that, I just go and see if I like them.
  • @hondru - seriously? That is a crazy price! We lived in an expensive area (starter homes in the neighborhood are usually about 1 million) and Vi's spay was complicated. She went into heat very young and two days before she was due in (after we had postponed the spay for two months, as advised by vet and breeder) she went into a split heat and started bleeding again. We went ahead and did it anyway (after discussing with vet and breeder). We had a full pre-op work-up including the blood panel, and it turned out she had a baby tooth we missed so they pulled it while she was under. Because her spay was a little more complicated (and because they found what ended up being a passing murmur, they think induced by the stress since it was never heard before or since the spay) it cost us a bit more, mostly due to anesthesia. Altogether it was $550, and all the pets are monitored the entire post-op recovery time by vet techs (also to see if they need a cone, turns out only 10% do).

    I thought our spay was expensive, but justifiably so. That vet sounds insane! Do you live in an insanely expensive area too?
  • @violet_in_seville The number and reliability of Yelp reviews vary by region. SF Bay Area is heavily trafficked by Yelpers; most vets have a critical mass of reviews by which one can make a more informed opinion. Vet reviews are notoriously fickle though, perhaps because of the unfortunate combination of emotions and money (often MUCH more $$$ than the average pet owner expects). I don't take Yelp reviews as authoritative on their own, but if a practice has, you know, 50+ reviews, and they're still hovering around 4 or 5 stars, they've probably got a lot of good things going on.

    I don't have much else to add to everyone else's good advice here. Since my last disastrous VCA vet (from that horrendous summer of Bowdu's allergies in 2010), I have NOT been shy about interviewing potential vets. And the vet shouldn't be shy about being interviewed, either. They should be cool with answering your questions even if you're not an "official" client yet, *especially* the reception staff. They should be comfortable with letting you just sit in the lobby and watch their patients come in and out for a while, with or without pet. I understand if clinics are busy and they don't really have time to give you a tour of the back facilities, but it's okay to ask anyway.

    I explained to my current vet that I was looking to establish a long-term, stable relationship with a good vet, and so it was important to *me* to choose appropriately. This reminds them that their conduct will decide whether or not they get my business over the long run, which is what it's ultimately about. Presenting yourself as a knowledgeable, conscientious pet owner doesn't have to make you vulnerable to price-gouging (one of my biggest fear at vets). Ideally, it opens you up to being able to work cooperatively with a vet, which I think is my bottom line -- a balance of their expertise and my intimate knowledge of my pet's needs.
  • I am wary of online reviews... I took Mya to the vet for the first time since we moved and the vet that was so highly recommended online turned out to be a jerk face. We left before he could even finish the exam and found another vet that has treated my animals like gold.
  • I checked Yelp, and though most of the clinics in the area have reviews... there's usually only one or two, the most I've seen on any of them (so far) is four. Usually they're either 5 stars ("they saved my pet's life!") or 1 star ("my pet died even though I took it in!" or, in one case, something about a bird and the receptionist not weighing it properly?). With a few 4 star reviews here and there, usually if they were happy enough but thought it was too expensive.

    So it looks like, at least around here, I'm going to have to go quite a bit beyond Yelp to get much of an idea of what I'm looking at. I'll ask some of my dog owning friends as well, of course, though I know some of them just picked whichever clinic was closest to their house and never questioned anything about it. And a few just use the vaccine & spay/neuter clinics at the humane society instead of actually having a vet, which of course isn't what I want to do.

    Lots of good advice, though! I never would have thought to even check Yelp for anything other than restaurant reviews...
  • Yelp has basically no presence around here, except maybe for restaurants. It would be nice if it did.

    @violet_in_seville The vets around here are hugely varied. For instance, there's a livestock vet who sees pets two evenings a week for bargain basement prices, but I've never gone there. Sosuke's neuter ended up costing something like $150. I think the vet I went to just charged for a spay because she said it was comparable in complexity. Other than the misplaced testicle, nothing was unusual. Given this, I'm not sure why the super expensive vets are still in business.
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