sorry if this is a rant, but it was an upsetting situation for me.
I have a good relationship with my vet (known her since I was younger) and she is no BS and gives me straight answers... if she says no its not this she gives me an explination why or why she thinks it is something. She doesnt over charge or rape my wallet for things and makes sures I know if something will get expensive in the long run.
The one thing with vets is to make sure they explain the costs before they charge you and make sure you know their experience. I like the ones that will give you a bill right then and there so if there is something that is to expensive for you, lets say meds you know you might be able to get cheaper somewhere else, you can tell them to take it off.
I used an emergency vet when my big horse fell ill I estimated what it would cost between her emergency visit, plus another farm call, meds and tests (due to my past experience) well I was wrong when it was all said and done, I got a bill a month later it and it was 1000 bucks and what she did never benefited the horse and never could explain her yes or no answers to me, just it was yes or no. Since I was not a normal customer and didnt have my information on file yet she would just bill me; big mistake. I think the bantamine and steriods were more expensive then the entire emergency visit.
In the emergency visit she was dead set on it was colic, but nothing pointed to the signs of that; heck the horse collapsed in the field and could barely stand. When she came back out a few days later (since my regular vet was still tied up) she was dead set on EPM and he had a bad failing heart. (even though I told her I had experience with EPM horses) In the end ALL the tests she did blood wise were negative. All she could say was there was nothing she could do more and he probably needed to be put down and there was the 1000 bill a month later.
When I finally was able to get my regular vet out, in 15 mins point blank she said, he didnt have a bad failing heart, it was obviously not EPM or any other neuro condition from his actions and he was most likely suffering from a back injury, either a fracture, swelling, pinched nerves etc without doing an x-ray (which we would have had to transport him to a hospital for that). So with 2 farm calls, meds etc I spent 200 bucks with her and 3 months later he was 100% better like nothing ever happened.
Just be careful with vets and their charges if you do not have a long standing relationship with them; farriers can be that way as well.