We use 3 different vets here. An Equine Vet for the horses that makes farm calls (about 1/2 hr his drive away), a small-animal Country Vet for 4 out of 5 dogs and 1 barn cat (about 1/2 hr our drive away) and a small-animal City Vet for Marigold (due to her age and health issues, we continue to shuttle her about 1 hr away to one of her original vets). Over a 5 day span this week, we've seen all 3.
You already know about Louise's visit to Country Vet for her cut paw. Country Vet is good - I like the laid-back attitude and certain features like in-house, while-you-wait lab results for bloodwork and heartworm tests, etc. They're also pretty good about squeezing you in (like in Louise's "thorn-in-paw" scenario).
A few days before that I had to call Equine Vet for an emergency farm call to help Pearl - she had shown lameness in a back leg, then went down and couldn't get back up. Equine Vet thinks she had a small stroke or one of her melanomas in pressing on a nerve, hindering the use of that back leg (white [gray] horses are prone to melanomas - fortunately they're not as lethal as in humans; however, they can grow internally and press on spines, nerves, etc.) After getting her up, he administered massive anti-inflammatory drugs in hopes of bringing things back in line. Next night she was down again and a neighbor helped roll her and she got up. Since then, she's been up, is fine mentally, but still drags and has stress in that back leg. So I'm afraid it will be a day by day thing, and if she lies down, she won't be able to get up on her own.
A day after Louise's vet vist, Marigold went to City Vet to recheck her blood pressure and 3 tests for urine/kidney functions. BP was better after 2 weeks of meds, and we're waiting on the Lab labs to see about the proteins in her urine, etc. I consider the City Vet to be a "specialty" vet as they're more expensive than most, but are also sure to run all pertinent tests to rule out any abnormalities not seen w/ the naked eye and are happy to refer you to specialists when necessary.
So, although we're not financing a new wing on 1 vet facility, we're most certainly paying for a lot of bricks and sticks on 3 sites...