I just got my dog from the Arizona Humane Society and they suggested VCA. I was very happy with the care they gave Coco, and the time they spent with her. Someone who has had a dog for quite some time suggested that maybe they were trying to suggest too many tests and meds for me to "buy" that weren't necessary but I don't know that to be the case. She's new to me and I don't know her history so I think it's better safe than sorry. The medicine they gave me for her ear infection perked her up immediately. I'm going to take her back there for sure.