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Puppy Love in the Time of COVID-19 – Adopting a Puppy during Social Distancing

Caledon-Vaughan Veterinary House Call Services

Getting a new puppy is always an exciting adventure. The excitement of a cute tiny being taking over your life and your home and what better time than during social distancing than when you are forced to stay home, right? Well….Let’s just say maybe.

First of all, it is important to remember that a puppy is a long term commitment and will be around a long time after things return to a more normal state. If you weren’t thinking of getting a puppy before you were home this might not be the right time either.

But what if you were planning to get one within the next year or so, isn’t this the perfect time to do it since you will be home to train, bond and play with the little ball of fur?

Training a puppy is definitely easier when you are home.  As far as it being a good time to get a puppy now, I would have to say “yes” and “no”, but probably not.

Pros to getting a puppy now is that you will have the opportunity to take the puppy out more frequently in order to house break him/her.  You will also have a lot of time to exercise, train and bond with a new puppy.  You will hopefully get through that very intense puppy stage before you return to work full time again.

A puppy can also act as a distraction and give you a sense of purpose in a time when things may not be quite so routine. Distraction, routine setting and unconditional love seem to be a puppy’s forte. Your mental health may be positively affected through the care and training of a new little friend.

On the other hand:  1. The most important thing at this time is respecting social distancing and only leaving the house for essential reasons. It is difficult to social distance to pick up your puppy from the breeder and traveling to the breeder also puts you and others at risk of accidents on your way to and from.

2. Dogs are social beings but they need to be exposed to a lot of situations, people and pets early on in life.  The more things that they are exposed to in a positive way when they are young, the better adjusted and less anxious they tend to be.  If you plan to take your dog to a lot of events, meet a lot of people etc. when they are older you would want to socialize them as a puppy.  This can be very difficult if not impossible with social distancing.  However, if you are a homebody or plan to leave your dog at home when you attend events this may not be as much of an issue.  

3.  Groomers are closed during this time and Veterinarians are only providing essential or urgent services, depending on your location so it will most likely be difficult to ensure that your puppy is healthy and dewormed. It may be impossible to get your puppy vaccinated which can leave your puppy vulnerable to infectious diseases. If you keep your puppy inside and are able to do some basic grooming yourself then this may not be an issue.

Can dogs carry the novel coronavirus?  There has not been any evidence that dogs can transmit the virus, however, just as your hands could spread the virus if they came in contact with it there is a risk that your pet’s fur could possibly do the same.  That is IF an INFECTED person coughed on, sneezed on, or petted your dog the virus particles could be on their fur and then could be transmitted to the next person who petted him/her.  At this time we are recommending social distancing for pets as well to prevent this from happening.  We also recommend that COVID-19 positive patients do not care for their own pets to prevent this.  

If you do decide to get a puppy at this time, I would recommend a video-conference with a veterinarian to help to answer your questions and be sure that you are keeping your puppy as healthy as possible until they can be examined by a veterinarian. Your veterinarian can help you choose a healthy diet and discuss preventative care you can do at home. They may also be able to help with parasite treatments and preventions which are especially important this time of year.

Since groomers are closed you will want to have some grooming products on hand such as a brush, comb, shampoo and nail trimmers and learn to do these things yourself. This will help to keep your pet healthy and train your puppy that these things can be fun and rewarding.

Other products that are important are bowls (stainless steel or ceramic are best as some dogs react to plastic). leashes (not retractable) and a comfortable collar or even better, a body harness.  

Indestructible toys are also important to redirect chewing.  Toys which you can line with a thin layer of peanut butter or cream cheese and treats can be put it in the freezer to extend the chewing time.  I don’t recommend anything that is very hard plastic or that has pieces, such as eyes that can be chewed off.  

It is also important to consider the costs involved with caring for a puppy, an adult dog and a senior dog. You can discuss these costs with your groomer and veterinarian for a better idea of what your new puppy will cost now and as he/she ages.

Pet Insurance is a good way to mitigate emergency and other unexpected veterinary costs. Premiums are different depending on breed, your location, the plan you choose and the company you choose.  They should each have a website and 1-800 phone number to help you decide which is best for you.  Some questions to ask include: 

  • 1. What do you cover? 
  • 2. What is the deductible? 
  • 3. When does the deductible reset?
  • 4. Is there a maximum coverage?  
  • 5. Is the maximum for an individual organ system or for the whole pet. 
  • 6. Does the Maximum ever reset?  
  • 7. Do I need pre-approval?
  • 8. Do you pay me or direct to vet?  
  • 9. Any other questions that are important to you.  

Some of the companies we see frequently are:  Trupanion, Pet Plan, Pets Plus Us (also available through Costco), Pet Secure.  

If you do choose to get a new puppy, we would love to see your pictures and hear about all of your furry adventures.

Take care and Stay Safe.  

Dr. Janet Henderson 

416-895-7164

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Veterinary Medicine as an Ontario Essential Business as of April 4, 2020

Caledon-Vaughan Veterinary House Call Services

We are missing our patients at this time of Social Distancing. We had made the difficult decision to stop house calls for the time being and yesterday our provincial government has asked that veterinary stop all in person services except for those which are urgent. Scheduling only urgent house calls is not realistic for us, but we are still available.

We want to make this clear. Although we are not making home visits Dr. Henderson is still available!  She is offering advice and support through video-conferencing.  (Download the VetNOW app)  This is allowable within the provincial essential business model.  

If you are not familiar or comfortable with video-conferencing she is also only a phone call away.   We will still ship or drop off your medications.  Pet food and supplies can be purchased and delivered to your door through our webstore as always. 

In the event that we can not help you through Video-conferencing we will direct you to an appropriate clinic that can help you.  Please be advised that the clinics we refer to are working on a locked door, curb side policy where you stay in your car and call the clinic from the parking lot.  Staff will then direct you of the next steps, which often involve a team member coming to get your pet while you stay in your car.  

An Important Note about Parasite Prevention

Unfortunately, ticks, fleas and other parasites will not be self-isolating during this time so if your pet is still going outside (even in the backyard) we recommend that they start on parasite prevention.  This is particularly important this year as obtaining treatment for parasite borne infections may be more difficult.  We encourage you to contact us to have your parasite prevention sent to you as soon as possible.  

An Important Note about Annual Exams and Vaccinations

If your pet is due or overdue for their annual examination or vaccinations please do not panic.  These vaccinations are meant to protect you and your pet but at this time it has been determined that the risk of COVID-19 is higher.  We do urge you to take precautions to decrease the risk of your pet contracting these diseases until we are able to perform vaccines again.  

  1. Keep your pet inside as much as possible.
  2. Do not allow your pet to go outside alone
  3. Avoid contact with other animals, including pets and wildlife
  4. Prevent your pet from eating and drinking things found outside. 
  5. Wipe your pets paws when you come in (AND THEN WASH YOUR HANDS)
  6. Do not allow others to pet your pet for the time being 
  7. Basically have your pet practice Social Distancing and Good Hygiene as well.

We are still able to do a virtual annual consult to address your concerns.  Just call us to book a time.  

We will keep track of everyone who is overdue and will contact you when we are once again available to provide preventative and routine care.  

An Important Note about the Webstore

Due to hoarding of food and supplies the webstore has had some delays in delivery.  We ask that you only order what you need but consider ordering a week or more in advance of when you need it.  

We miss you all and are thinking of you during this time.  Give your pets some extra love from us and reach out with any questions or concerns at all.  

Dr. Janet Henderson 

416-894-3871

416-895-7164

info@cvhousevet.com

PS  

We have a new website.  We’d love it if you checked it out and let us know what you think.  

cvhousevet.com

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Every Item Tells A Story, But What is the Lesson?

Caledon-Vaughan Veterinary House Call Services

What a week! On Friday, I woke up feeling that bone deep exhaustion. You know the kind where you can barely keep your eyes open and you feel like someone has kicked you in the stomach. That’s how I felt, but I had to get up, meet the team and go see more patients. I made it through the day but had to hide away and sleep immediately after dinner.

I love my job but sometimes it has the capacity to knock me down. At first, I blamed it on the fact that it was a full week back right after the holidays but I didn’t really stop over the break, so I don’t know if I can blame it on that. I wondered if there is something wrong with me. Why can’t I make it through a week? Then I emptied my pockets.

My pockets really aren’t that big. I have a light winter jacket with 2 pockets and a pouch in my scrub top. I rarely carry much in there besides my keys and my phone, so when I took out one item and then another and another, just like a magician’s hat, I knew that it must have been a crazy day. That’s what happened almost every day this week. I had syringes, and needles and gauze, oh my.

Every item in my pocket told a story of what my day had been. I looked at this collection of items and reflected on each day. I had gone on more appointments alone than usual. I had more sad cases and a disproportionate number of euthanasias. I had to do more physical work than usual and my mental energy had been drained from difficult cases, many of which I couldn’t make better. No wonder I was exhausted.

I realized that I had pushed my own boundaries. I had forgotten to take care of myself first.

Now, I will spend the weekend catching up. I will get to bed on time, drink lots of water, eat my vegetables, exercise and make time to catch up with friends. I will start to feel better, but only until next time, unless I learn the lesson that this week is trying to teach me. Rather, than catch up and care for myself after I have been depleted, I need to remember the lessons of self care each and every day. I need to listen to my body and the weight of my pockets before they become to heavy to carry.

I want to be there for everyone who needs me at every point, but that isn’t always possible. I need to remember that if I don’t take care of myself first, I won’t be able to take care of anyone else. This is the same for many of my clients. Often they are caring for very ill, often terminal pets. It can be a full time job making sure that a sick pet is well cared for. I remind them to take care of themselves as well. We encourage them to ask for help when they need it and take breaks and live a healthy lifestyle. Caring for the ill is about self-care just as much as it is about caring for others.

Each item in our pockets tells a story of our pet, our family, our friends but the lesson is about ourselves. It is a lesson of self-care and wellness. In order to care for our loved ones we need to first care for ourselves. Eat well, sleep, stay hydrated, exercise and set boundaries. If it seems like there is too much going on and that self-care is an impossible task, then it is more important than ever.

What is in your pockets? What are the things that are weighing you down? What are you doing to take care of yourself so that you can continue to care for those who need you? We want to know your favourite self-care ideas.

Author: Dr. Janet Henderson

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A New Year, A New Dog (Weight Loss Resolution)

Caledon-Vaughan Veterinary House Call Services

Have your pets made any Resolutions for the New Year? I think that Daisy’s is to get even more cuddles than last year, and Sprocket? Well, he hasn’t let me know but I’m hoping that it’s to eat less socks and other odd things.

It’s not unusual for resolutions to be about becoming healthier and we think that’s a great resolution for our pets as well. Obesity is a very real problem in our pets and so making a resolution to get them in shape can reap tons of benefits. Not to mention that it can double up to get us more active as well. Today’s blog is about just such a resolution that took place a couple of years ago.

During a routine examination, we met a couple of beautiful female Huskeys, Winter and Bianca belonging to Mark. He loved his dogs so much and wanted the very best for them. They loved being outside more than anything so they spent a lot of time outdoors summer, winter, spring and fall. Mark was under the impression that because they spent so much time outside in the winter they should have a little bit of extra fat covering their bones. He didn’t skimp on their food and liked to keep them a little chubby. However, when we examined the girls, Mark was shocked to learn that they were more than a little chubby and that we were concerned about their health.

As in humans, excess fat can accumulate around organs contributing to a variety of health concerns, including: 

  1. Heart disease
  2. Respiratory Disease
  3. Difficulty exercising
  4. Joint Disease
  5. Skin Problems
  6. Reduced ability to fight infections, 
  7. High Blood Pressure
  8. Diabetes
  9. Increased Risk during anesthesia
  10. Even Decreased Life Expectancy by 2 years.  

Mark was shocked!  “Wow, I had no idea!  Of course I don’t want any of those things for my girls.  I want them to live long healthy, happy lives.  I have noticed that they don’t like to go for walks as much as they used to, but I thought that was just because they are getting older.  Do you think that it could be to the extra weight they are carrying?  What can I do now?”   

We discussed calorie restriction and foods formulated specifically to aid in healthy weight loss.  We didn’t want them to lose the weight too quickly but it was important that they lose it.  We created a nutrition plan specific to each dog which included their daily meals as well as the exact calories in treats they were allowed to eat.  We didn’t want to deprive them of their special treats, just be cautious about how much they were eating.  

“They are always hungry, though.  How can I reduce their feeding size, they’ll starve?”   We discussed that although they may eat all of their food, it may not necessarily mean that they are actually hungry.  We also discussed how some prescription foods will help them to feel full with fewer calories.  

“Another important aspect of weight loss is enrichment” we explained to Mark.  “Sometimes pets will eat out of boredom or just because the food is available.  We will help you to set up an enrichment plan for the girls so that meal and treat time is more exciting for them.”  

We also developed an exercise program for the girls including specific exercises for home when the weather was too bad to make it for a walk and again to encourage enrichment in exercising, rather than the same thing every single day.  

In looking at the whole dog we were able to create a program that included the nutritional needs, exercise needs and mental health needs of each.    

Feeling lighter and more active
We can see a waist

As time went on, we were able to adapt our plans accordingly. Bianca was more stubborn and wasn’t interested in some of the exercises so we worked to find the ones that she did like and added and adapted those accordingly. Winter was more compliant and enjoyed all of the exercises. Mark was able to keep up with the plans we implemented and it wasn’t long before we were starting to notice a waist forming on each of them. Winter lost more quickly but with time Bianca caught up. After 2 years of sticking with their programs, both dogs have decreased their weight dramatically and are much healthier. They can not wait to go on their walks, are walking longer and are not begging for food at all. Mark was happy to announce that he feels fitter and healthier too with all of the walking he is doing with them. Win, win!

Mark does such a great job at taking care of his girls and we are so happy that we were able to contribute to this journey of health.

Has your pet ever had success with a resolution? We’d love to hear about it in the comments!

Author: Dr. Janet Henderson

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Palliative Resolutions in a New Decade

Caledon-Vaughan Veterinary House Call Services

As the new year begins, I am caught contemplating what it will mean for us as we continue to serve you, our clients and patients.  During the past decade my tiny one woman business has grown to a dedicated team which is very passionate about helping pets live their best lives right up until their final days.  I am so lucky to be surrounded by this team on a daily basis, they are all amazing people who truly care about people and animals alike.  All of us have all been working hard to improve our knowledge base and skills through continuing education courses and certifications in order to serve you better.  

My goal has always been to assist you in providing the very best care for your pets.  This year, I hope to be able to do that through an extension of our hours and services.  We have added an additional evening for appointments and in the coming months we hope to have our new tele-health service up and running so that we can help you provide the care your pets deserve, even if we can not make it to you right away.  

Personal and professional growth is very important to me.  Without continual learning and an open-mind we can not reach our true potential.  During recent years, I have been introduced to veterinary palliative medicine and it has become very important to me to assist clients and patients trough these final stages of their journey together.  It is my belief that we have a long way to go in educating people about the benefits of palliative medicine, so as we move forward into the coming decade I resolve to look for as many opportunities to educate as I can.  I will continue to write in this blog but I also welcome opportunities to speak on veterinary palliative medicine to pet lovers and veterinarians alike.  Palliative care has made a huge difference in the lives of many of our clients and patients and my goal is to ensure that everyone who feels the need for this service knows that it exits.  

I’d love to hear what resolutions you have made for the coming year or even decade.  Do any of them involve animals?  Please let us know in the comments.  

Author: Dr. Janet Henderson, Palliative Care Veterinarian

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Stella, the Superstar! *

Caledon-Vaughan Veterinary House Call Services

It was a crisp, cold night and the sky was already black when we received a call about a cat, Stella, who wasn’t doing so well. Her owner, Pam was worried that it was time to say goodbye so we re-directed our route through town.  Although, we were somber we couldn’t help but notice the sprinkling of early Christmas lights twinkling along the way.  

Pam greeted us with tears in her eyes.  She was visibly upset so we gave her some time and just held space.  

“Stella is everything to me”, Pam said.  “My husband passed away a year ago this week.  I’m not sure if I can let her go just now, but of course, I don’t want her to suffer.”

Stella had multiple concerns and had been hospitalized for a week.  She had seemed to recover some but when she came home she gradually went  downhill.  She was barely eating and drinking and wasn’t leaving her comfy bed for much more than to go to the litter box.  She was usually a very active cat, snuggling with Pam on the sofa, going for walks, watching the neighbours from the upstairs window seat and playing with her toys on the main floor.  One of her favourite things was to cuddle up in front of the fireplace but she wouldn’t even make the trek downstairs.  Her quality of life was very poor at this point and Pam knew she couldn’t continue to watch her as she was but she was worried that she was making a decision too soon.  “Maybe my judgement is being affected by the anniversary of my husband’s death, but maybe not, I’m just not sure. Is there anything I can try while I work on clearing my head?” 

We discussed palliative care as well as hospice care and how it wasn’t considered to be curative care. We discussed all of the options available to Pam and Stella and went over what the expectations and commitment would be for each option.

The options that we presented to Pam included

  1. Referral for potential curative care
  2. Medical care with us or her referring veterinarian including more diagnostics and treatments
  3. Palliative treatments at home to support Stella and treat her individual symptoms for a short time to see if it would improver her quality of life. 
  4. Hospice Care through natural death.  Supporting her and preventing pain and adverse symptoms until death occurred.  
  5. Euthanasia

Pam was adamant that she did not want hospice care with natural death for Stella, but she was hopeful that we could improve her life for a short time with symptomatic palliative care before saying goodbye.  

We left Stella to rest and the four of us sat down at the kitchen table to come up with a plan for Stella and her family.  We discussed Pam’s fears and expectations.  We talked about her limitations.  How much nursing care could she provide?  How difficult was it to get medications into Stella?  How much time and money could she provide to care for Stella?  Once we had the answers to all of these questions we formulated a plan that addressed all of Stella’s needs. 

The plan was extensive and included:

  • medications
  • supplements
  • a nutritional plan
  • a hygiene plan
  • environmental adjustments and enrichments
  • safety considerations
  • hydration
  • nursing care

Over the next few weeks we stayed in very close contact with Pam and we made some nursing calls to help her out.  Pam was an excellent caregiver and by the second week there was some improvement but not a lot and Pam decided that she did want us to perform some diagnostics after all.  We went to their home performed an ultrasound and drew some blood and were pleasantly surprised that her pancreatitis had resolved and some of her other values were also showing improvement.  We adjusted some medications and other treatments and Pam kept up her excellent care of Stella.  

Over the next month, Stella gradually improved.  She started eating enough food to actually gain some weight and she was becoming more active and playful.  By spring she was back on her walks with Pam and they had gone on a road trip or two. 

We made several adjustments to Stella’s treatment plan over the months and by the time that summer had rolled around, Stella was back to her old self.  Pam was so happy: “She is perky and playful and chasing the chipmunks in the backyard again!  I can’t believe how well she is doing.”  Her blood tests were checked again and although they confirmed that she had did have chronic disease conditions they were much improved from when we first met her. 

Now, one year since we first met her, Stella is still doing very well and planning her winter get away with Pam and some friends.  She is still on a palliative treatment plan and will remain on one with tweaks and adjustments here and there as her condition improves or declines.  We are so proud of Pam and the hard work she did to take care of Stella and to improve her quality of life.  They are both rock stars in our opinion!  

We are so grateful that we are able to guide Pam and Stella on their journey.  

“The greater the obstacle, the more glory in overcoming it.”

Molière

Author: Janet Henderson DVM, CHPV

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Mobile Veterinary Service, What’s That?

Caledon-Vaughan Veterinary House Call Services
Getting love from our patients.

Most people understand what a veterinary hospital or clinic is but when we tell people that we are a mobile veterinary service we often get a look of confusion. We have been asked if we do emergencies only or if we drive around in a trailer, with a mobile hospital. Although these types of services do exist, it’s not quite what we do. In fact we usually can not get to patients fast enough to deal with an emergency and we don’t treat animals in our minivan. Even clients who call us for our services have tons of questions.

Why do you practice veterinary medicine this way?

Each of us has worked in busy veterinary hospitals in the past and although we all loved our jobs we felt like something was missing for us. We knew that we were helping animals and caring for families but once we started mobile services it opened a whole new way of practicing. We feel better equipped to get to know our patients and how they actually respond to their environment and day to day stressors. We are able to spend more time in a more relaxed environment to gain more in depth assessments.

We also realized that this service benefited so many others. We are able to go to our patients and their families, rather than have them come to us. Busy families have been able to save time. People with mobility issues are better able to care for their pets’ medical needs and pets who are anxious do not need to get into a scary car or meet up with people or dogs in a strange environment that might make them fearful or aggressive. We find a sense of fulfillment in helping all of these pets and their families.

We offer a comfortable, private setting for difficult conversations and end of life including euthanasias. At home we have found that families are more comfortable and able to talk openly without fear of judgement. After difficult conversations or the loss of a pet there is no need for a distraught pet owner to drive home when safety could be a concern. This has always concerned us and so it is with relief and compassion that we feel blessed to be able to offer this service.

What services do you offer?

We offer a full range of services for our patients but in particular Dr. Henderson is certified in animal hospice and palliative care and has extra training in physical rehabilitation and pain management. This allows us to focus on geriatrics and end-of-life care in a more specialized manner. Below is a list of services we offer to our patients:

  • Geriatric Examinations and Consults
  • Palliative Examinations and Consults
  • Quality of Life Consultations
  • Decision Making Consults around End-of-Life
  • In-Home Euthanasia
  • Basic Grief Support and Referrals to Grief Support Professionals
  • Hospice Care including Hospice-assisted natural death
  • Animal Physical Rehabilitation at home including Laser Therapy and EMS
  • Annual Examinations
  • Vaccines
  • Preventative Care including Parasite Testing and Preventions.
  • Medical Examinations and Consultations (diagnosis and treatment)
  • Screening Abdominal Ultrasounds
  • Prescriptions
  • Nutritional Consults
  • Weight Management Consultation and Plans

We will make the appropriate referrals for surgery, x-rays, dental procedures and hospitalization.

How do we find you if you don’t have a building?

You can contact us whichever way is most comfortable to you. We accept phone calls, texts, e-mails, even social media messages. We will respond as soon as we are able and take the time to answer your questions.

So what do you do all day? How do you care for animals if you don’t have a building?

We’re so glad you asked. We book an appointment at a convenient time for you and come directly to your home! There is no need for you to drive, to pack the kids into the car or to worry about your pet anxiously pacing or vocalizing on the way. You can be preparing dinner while we examine your pet.

We travel as a team, veterinarian and assistant, meeting our patients and their families in their own homes. Once we are invited in we take some time to settle in, allowing the pet (and sometimes the family) to relax and calm down. While getting to know everyone, or catching up, we get a medical history and set up any supplies that we need. We bring many of the tools that you would see at a brick and mortar clinic.

At this point we are able to perform an exam on the pet which includes a full physical examination from head to toe. We get a weight on one of our scales. The doctor examines their mouth and looks in their eyes and ears with an ophthalmoscope and otoscope respectively. She checks their skin and listens to their heart and lungs, as well as palpating their belly. The pets muscles and nerve responses are checked and a temperature is taken. We can do this on the floor, a chair, or sofa, or sometimes on a table. If the pet requires lab samples we can collect them right there in the comfort of their home. If a screening ultrasound is required, we can do that too! We spend our day traveling from one home to the other, caring for pets in a gentle manner where they are most comfortable and in conjunction with family members we create individualized treatment plans to meet the needs of each pet and their family.

What do I need to prepare?

You don’t really need to prepare much, unless you think that your pet will hide from us or if you would like a special area, pet bed or blanket for your pet. If your cat tends to hide we recommend that you confine them to one room where it is difficult to hide such as a small bathroom before we come. If your dog may be fearful or aggressive you may want to have them on a leash until they calm down. Otherwise we bring everything that we need for your appointment.

How long will it take?

Our appointments are usually 1-2 hours depending on the type of appointment and your needs. We are not in a rush and take the time to build a relationship with you and your pet. We want your pet to experience as little stress as possible and we allow them to come and go with as many breaks as they need.

Where are you located and what area do you cover? Are their other services like yours?

We are located in Caledon, Ontario Canada. We offer services to the communities surrounding Caledon such as Kleinburg, Woodbridge, Brampton, Nobleton, Schomberg, Tottenham, Beeton, Maple and King City.

For those of you not in our area there is a good likelihood that there is someone close to you who also offers mobile veterinary services. If you think that this is something that would suit you and your family why not check it out. Each mobile practice works a little differently and offers different services but most of the mobile veterinarians that we know are eager to introduce themselves and let you know how they can help.

How long have you been doing this? I’ve never heard of it before.

At Caledon-Vaughan Veterinary House Call Services, each of us has been in the veterinary profession for many years but Dr. Henderson started this mobile practice in 2012 and has loved watching it grow as we support more and more families each year. We all truly love what we do and are grateful to get the time to build lasting relationships with each of our families.

If you’d like more information about our service please don’t hesitate to reach out. You can call or text us at 416-894-3871 or e-mail us at info@cvhousevet.com.

There is no greater gift you can give or receive than to honour your calling. It is why you born and how you become most truly alive.

Oprah Winfrey

Authors: Catherine Bryant and Dr. Janet Henderson