Have read other reviews for the vet Michael Gast at Blue Ridge Vets in Purcellville, VA that are good. Unfortunately that has not been my experience with Dr Michael Gast. Perhaps Dr. Gast has more expertise with farm animals as that seems to be where his interests are. But, I cannot, recommend Dr. Gast as a vet for dogs. He misdiagnosed are dog Betty two times. And now she has cancer and if Dr. Gast had been a better vet—-we might have found out earlier before the cancer metastasized.