This is for VCA veterinarians in the Austin, Texas area.
I had a dog given Graves' Disease by a now VCA-owned clinic, and he did not recover. That was a medication error.
Ten years later, the Graves' causing veterinarian was overbooked and sent me to another VCA veterinarian who couldn't recognize an emergency, didn't do most of an exam, and didn't do necessary labs. (Because they're not an urgent care clinic and don't have onsite labs—they just fraudulently advertise) Their vet told me to wait on unnecessary testing for treatment. My dog died, hours later, pretty awfully.
I'm certain that vet could not pass a basic veterinary triage exam. She never mentioned what actually killed my dog, and insisted on something else.
And, once again, my primary vet probably caused that emergency by pushing VCA branded supplements that interfered with medication.
These are wildly overpriced, awful veterinarians that can't do basic emergency triage and make medication errors that are fatal.
Avoid Austin area VCA. They're a bad corporate veterinarian in a city full of good private vets, and two other better veterinary chains. There's no reason to give them your business.