Not only does he understand your pet, Dr. Lowenstein understands you. My cat never was happy about vet trips and over the years I grew less impressed with who had been a very good vet at one time. I felt I was not being heard and as a result, lack of addressing my concerns ended up adversely affecting my cat's health. Now with Dr. Lowenstein, I can have a real conversation about my cat and he does not treat anything slightly. Since seeing Dr. Lowenstein in early summer, I feel my 14-1/2 year old kitty is back on a better path without receiving a blanket diagnosis because one size truly does not fit all pets, and getting the right tests done to rule things out is helpful. The dr is available by text and phone and is always ready to help. He is really dedicated to animals and it shows. After having a few visits to my other vet this year, the cost is probably not all that much more (by Manhattan standards) and having a pet seen in the comfort of his/her home sans cabs or transportation can't be beat. Looking forward to our follow up appointment next month.