My faithful dog and companion of 11 years started limping on one hind legs, went to the vet.. left and it cost me 500$ didn't find out much from them except after xray and examination he might have arthritis they gave meds for him, they also wanted to remove the tartar in his mouth.. $900 for that. Last year it cost me 1200$ for his pancreatic attack.. I really believe they really overcharge way too much and do unnecessary tests for extra $$, that being said, I feel this might be the beginning of the end for my pouch..