My wife and I have been using AAH and Dr. Singh since it opened. Dr. Singh takes his time answering questions, is very sincere and dedicated to his practice. Sometimes he gets an emergency or has a animal patient that requires additional care, or has to do lab work or x-rays. So, your visit may take longer than you would like. Be patient, you and your pet will be treated with the same care and service that he gives to all. Regarding costs: Medical treatment, lab costs and pharmaceuticals are not cheap! Try to remember that when your pet is receiving care from his associates and staff. Do not second guess the doctors. If you are not happy with the suggested treatment offerred, get a second opinion, OR just search for infinformation on line and save your money, but remember it requires many years to become a knowledeable licensed practioner in any medical field. I highly recommend AAH & Dr. Singh to any and all pet parents.