I work at another veterinary hospital in the area, I woke up the day before Christmas and my dog was vomiting blood and having bloody diarrhea and was dying. I rushed him to the closest vet to my house because he would not have made it to my vet, it happened to be Siena. They saved my dog, and I'm very grateful. They started him on IV fluids and warmed him up but they burnt his chest from the hot water bottles, I really suggest they keep an eye on that. They did a blood glucose check and ran his PCV and TP. They had me sign something to pay a $300 deposit even though I didn't know if we were going to continue with his care, euthanize or just get him stable for transportation. Thankfully he was stable enough to transport him to my vet where I could do a payment plan for his extensive care. But I hadn't racked up a $300 bill so they charged me an emergency exam fee to make up the difference. I was in such a panic with my pup that I didn't think about it but after I went back for an itemized receipt and brought it to their attention. They did refund $100 but seeing what they charge for these simple tests and fluids, they are the highest I've seen. I won't say what vet I work at, I'm not trying to advertise but there are a couple very good veterinary hospitals in the area and offer great care and reasonable prices. My dog has now fully recovered, he is a miracle boy and I'm very happy about that! His burns were what took the longest to heal. Now he has scarring and it breaks my heart. Accidents happen though and I understand, I just hope that they have a conversation about this and change their warming procedures! Sorry for the long review :)