I have taken four different pets to TVRF and have spent literally thousands of dollars there, and my experiences have been mixed. I have truly liked the staff, and I think the quality of the care is ... Read More
I have taken four different pets to TVRF and have spent literally thousands of dollars there, and my experiences have been mixed. I have truly liked the staff, and I think the quality of the care is very good, but the practice is disorganized and inefficient. Last spring, my otherwise healthy dog was referred for suspected cancer. It took ten days to get her first appointment. I inquired about whether the delay was OK given her situation and the fact that she was losing her teeth, and was reassured that she was stable. I should have known better, but I took my cues about the level of urgency (or not) from the practice against my better judgment. She had a very aggressive oral melanoma, and a ten day delay was like a lifetime. Her tumor grew every day and she bled through her hose while we waited and waited for her appointment and had an emergency visit there in the interim (during which time, the ER vet told me she thought it was a tumor). Worse, after the first appointment with an internist, I was told she could not get in for an oncology consult for another ten days. I had to make a fuss to get her seen more quickly (and to their credit, they did get her in quickly...but only after I pressed them). Then, she was referred elsewhere for radiology treatment since they do not have the ability to perform radiation in-house, which caused even more delays. The cancer was fast-moving, and had she started treatment right away, she might have had a chance. I still experience a lot of guilt and an immense level of sadness that I didn't advocate more intensely for her so that she could be seen in a reasonable amount of time. I wish I had not taken my cues from their lack of urgency. The delays probably cost her her life. More recently, I brought my cat in because his breathing was labored. The staff was so kind and they brought him back right away, which was great because he's a cat who is very stressed by going to the vet, and I was very worried about the impact of stress on his condition. However, he then had to wait for over an hour for an infusion of subcutaneous fluids, which were a nice-to-have, but not a need-to-have, and which should have taken ten minutes. When I inquired after the first 45 minutes, I was told that they were busy and that they hadn't gotten to it and that it would be a "few more" minutes. Then, after another 15 minutes (with one trauma case coming in the door and another on the way), I told them to cancel the fluids and please give me the cat so we could leave, since I could already forsee another hour of stress for the cat, and benefit was outweighed by the stress. They told me they were busy, then, when I pressed the matter, he miraculously appeared, having had his infusion to a tune of $40 in addition to all of the other charges. When I protested the charge, since I had withdrawn my authorization for the procedure, I ended up in an argument with the receptionist. When I got home, I found he'd been sitting in his crate in his own vomit.Cynically, I think that he got the infusion more quickly because they perceived a lost revenue opportunity. However, the practice manager did call me after the fact and told me that she watched the video and the cat was being infused for the first 45 minutes of our visit. The fact that it took more than 4xs the time to give the infusion than normal is strange, but what baffles me is that the receptionist never said, "I checked and they are working on him. It took long because xyz." And if they had handled it that way, instead of being stressed and impatient, I would have gone to get a cup of coffee and would have been fine with everything. I just don't know why they decided not to tell me that the infusion was taking the whole 45 minutes. However, rather than continue to haggle with them, I paid for the fluids and have decided not to go back. It's too bad, because I do like the staff, but I believe they have some serious issues with efficiency and operations that could be ameliorated by better management. In short, my recommendation is that for referrals, you are better off going to NC State. For urgent, but not super-emergency visits, I would recommend going to your normal vet or to the referral hospital in Cary. If your pet is hit by a car or is having a stroke, by all means, go to TVRH. Read Less