I was actually not referred to Dr. Nichols originally. My vet had recommended Dr. Janice (sp.?) Daigle, who is the other veterinary dermatologist in the Austin area. But because my pet's problems we... Read More
I was actually not referred to Dr. Nichols originally. My vet had recommended Dr. Janice (sp.?) Daigle, who is the other veterinary dermatologist in the Austin area. But because my pet's problems were so severe, and almost all of her office hours were at her Round Rock (BFE) location, after a few visits with her, I opted to go with Dr. Nichols. To shortcut my review, after getting no traction on my pet's problems, having a recommended treatment cause near-fatal side effects (while other safer options were available) and spending large amounts of time and money there with the aforementioned poor results, I returned to Dr. Daigle.As positives about his practice, it is in a central location near downtown, and in a very nicely renovated older house. About him personally, he is very articulate, a good explainer, and very knowledgeable. He is also a very thorough and detailed documenter. After each appointment, I would leave with a minimum page or two writeup describing the current state of my pet's issues in detailed medical jargon. As negatives: from a customer service standpoint, his appointments take forever (I think because of the documentation he writes up), and I found his assistants to be frequently cold and somewhat condescending whenever I asked questions or needed further assistance. I could live with that, if not for the major issues we wound up having... The final straw was when, after months and months of slowly worsening skin problems and ongoing visits and prescriptions, he said the only way to get any traction on the problem would be to get a biopsy on the lesions, with some out-patient surgery to be done in his office, and then an outside lab doing the analysis. Wanting to get traction, and being willing to basically spare no expense, I agreed to this. It cost around $800, but the results came back as completely _inconclusive_ because the lesions were too old and not viable for biopsy, according to the lab. So basically a very, very large waste of money there.Next, he prescribed a powerful drug to try to fix what had seemingly become an auto-immune problem, but after the first two doses, my pet suffered a near-fatal case of pancreatitis, requiring emergency hospitalization and about $1500 in additional vet bills, not to mention unbelievable stress not knowing if my pet would even survive.It happened that the emergency hospital in South Austin where we wound up was also where Dr. Daigle has office hours on occasion, and so we were able to reconnect with her there again. The hard-to-diagnose problem that led to the biopsy was diagnosed from her visual inspection of the lesions, something I confirmed myself later by doing google image searches. And she pointed out that while this powerful drug was one possible treatment, there were other options for this kind of disease, all of which were also effective and most importantly, safer. It could be that he simply works in a way that is very methodical, cautious and detailed (and costly -- certainly it was in my case), but we received such great care (and results) both before and after with Dr. Daigle without any of the aforementioned problems, that I just cannot recommend this practice. Read Less