We were very disappointed with communication during Remington's visit on August 9, 2018 as compared to his first surgery last year. It seemed as though every time someone spoke with us that they were unaware of our communication. For example, prior to his surgery, I sent an e-mail requested a nail trim while he was under anesthesia since he is a high anxiety breed. When we arrived, the nail trim was listed on the consent form and we signed, although it was not done. We informed one staff person that we did not need Tramadol since we had plenty left over from his last surgery. During the discharge process, with yet another staff person, she brought us a prescription for Tramadol. Dr. Leasure is amazing and I would highly recommend him to everyone! Our first experience with VOSM was top notch so hoping this is not the norm.