do not go to dr takayama. he is a negligent practitioner and should be AVOIDED at all costs. anyone with an OUNCE of common sense should know that if a dog has a limp, they should take comprehensive x rays and pin point the problem. NOT take a blood sample and ignore the leg!! we have visited this "doctor" for many months, only to end up finding out that our dog has cancer. who dr takayama did NOT detect. dr lau is amazing. he's smart and cares deeply for his patients. my dog is in very little pain (which could have completely prevented if it weren't for dr takayama!) and is much more content now that she's being treated by dr lau and his staff. again, DO NOT go to dr takayama.