The kitchen staff isn't doing anything above and beyond the cost of the product in my opinion. I'm buying sushi I'm expecting to pay x amount for x product of y quality. The only way for them to go above and beyond is to give me free stuff on the plate but that just feels like buying more food with extra steps
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My brother just had a similar bill for his dog... A mysterious infection that made her leg swell and took multiple rounds of antibiotics and IV/overnight stays to clear up. Then they realized the cause of the infection was a torn tendon on her leg which they had to repair through surgery. Incidentally through all these tests they were doing for the infection they discovered a highly treatable cancer which resulted in further surgery to remove a softball sized tumour. Dog is 8 so she's likely to still have a few years in her if all goes well...