As the "mother" of two elderly dogs (13 and 12), I'm always on the prowl for a good vet. Having just moved to SD, and with one of my pups having a history of health problems, I needed a solid vet. I started with PAH, simply because it was less than a mile from home. I couldn't be happier. Dr Metcalf is wonderful. She always calls to check in on my little guy after a visit, and when he had an emergency situation, she immediately referred us to the critical care hospital, and called them to tell them to expect us. The entire staff is wonderful, and they TRULY care about your pet!