If you have a veterinary school within a reasonable driving distance, you might consider it. While high end imaging and diagnostics have become more widely available locally, the specialist veterinarians and facilities at a full research veterinary center are often at another level. They see things on a weekly basis that most local vets may see once a year, and a board-certified veterinary neurosurgeon can probably do things that most vets can't even imagine. If it comes to that, which I hope it won't.
Over the years, we have had a few occasions to bring our dogs to the vet school that is about a 1.5 hour drive for us. It's a bit of a pain, because vet students are also being trained, so they are involved in the process, which is time-consuming. And if the treatment goes on for an extended period of time, there can be multiple people involved (because students rotate through different specialities). But the quality of care our dogs have received has been very high, and the fees at the vet school clinic are in line with our local vet.
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