We just had a disappointing struggle with a puppy that got sick and we took to a local vet in Chinandega. The puppy didn't make it through the night and it's not the first dog that we had a poor outcome with this vet. After watching him work, I'm convinced he has little knowledge and I'd like to find someone that has more experience. Ideally it would be in Chinandega but it something within a couple hour drive might work as well. Any suggestions are appreciated! thank you. - Jerry