Veterinary Palliative Medicine

Saying Goodbye During COVID

Our pets play such an important role in our lives.  They are often there for us when no one else is.  They can be our best friend and companion or a connection to others with a shared experience.  Pets rely on us and offer us unconditional love.  Our daily routines are set around them.  Our pets give us a reason to get out of bed in the morning and they often remind us of this if we are late to feed them.  They remind us not to work too hard.  I know that if I sit at my desk for too long, my dogs are sure to remind me to play ball or go for a walk.  They make us laugh and sit with us when we cry.  

All of this and much more can make saying goodbye excruciating.  We understand that we are doing the best thing for our pet, by alleviating pain and suffering but it doesn’t really make it any easier on us.  Our team understands this and so we have been dedicated to assisting you particularly during this difficult time.  We have encouraged pet families to be as involved in the decisions surrounding end of life as possible.  We encourage a ceremony that best suits everyone involved.  Rituals and planning can aid in the healing process caused by the grief of loss.  

During the COVID 19 Pandemic many of our families have noticed that these rituals have become more challenging.  As with everything, there are new restrictions in place at veterinary hospitals to protect everyone’s safety.  We all agree that these restrictions are reasonable and necessary but some families are struggling with them all the same.  We recommend that each family contact their veterinarian to learn of their specific regulations to understand what will take place at their appointment time.  


We want you to know that we are here to continue to support our pet community. Our appointments might look a little different but our goals for a peaceful farewell are still the same. We have been getting a lot of questions about what an end-of life appointment will look like at this time so we wanted to take a minute to let you know what changes you might see from us.  

At the present time we are not entering homes so all meetings will be outside.  We will discuss as much as possible with you on the phone prior to your appointment and will meet you outside when we arrive .  A few people have been concerned about this but we can say that being outside surrounded by nature can have a calming effect on pets and their people, especially on a bright sunny day in the shade of a tree while the birds chirp above.  We continue to offer you the time you need with your pet and encourage you to include any rituals, such as music or prayer that make sense to you.  

We will visit you as a team of 2 so we ask that you do not have more than 8 family members present, allowing us to stay within public health guidelines.   We also ask you to respect social distancing rules.  We will come prepared with masks and gloves for ourselves, and we will ask you to step back a couple of times but otherwise we will stay distanced to ensure that you are with your pet as they slowly drift off to sleep.  If at any point you need more time we are able to accommodate that, just let us know.  

Although you can definitely follow us to the car we do ask that you allow us to carry your pet and place them into the comfy dog bed in our vehicle, to prevent cross contamination into or from the vehicle.  We will continue to treat your pet as lovingly as if s/he was our own.  The crematorium has on-line services so that you can choose any options you prefer from the comfort of your own home without outside contact.  Of course, we are only a phone call away to assist with anything that you may need during this process.  

Just as before the pandemic, in the time following any euthanasia will stay in touch to support you through your grief where needed.   We know that this isn’t easy.  We have been there ourselves and we want you to know that you are not alone, even when all of us are feeling the strain of social isolation.  

Dr. Janet Henderson

Public Health

COVID-19 (Coronavirus) and our Pets

COVID-19.  Novel 2019 Coronavirus.  

In December 2019 the world learned of the Novel Coronavirus COVID-19 and since then it has spread across the globe.  Although, at this time we are at a very minimal risk here in Canada, experts do think that it is only a matter of time before it becomes endemic here as well.  People are starting to take precautions and planning for illness and quarantines.  As a matter of fact it is impossible to find any hand sanitizer for sale in my small town as people stock up in the hopes of preventing infection.  

But what about our pets?  Can they contract this COVID-19?  Can they spread it?  Although this specific coronavirus is a new mutation, coronaviruses themselves have been around for quite some time.  As a veterinarian I am concerned about different coronaviruses in different species but the fact is that each of these viruses is species specific.   For example the feline coronavirus that results Feline Infectious Peritonitis is only found in cats and the canine coronavirus which results in diarrhea in dogs is only found in dogs.  These viruses do not cause disease in any other species, unless the virus mutates.   This is most likely the case with COVID-19 as well so it is unlikely to infect our pets.  

What about the dog that tested positive in Hong Kong on February 27, 2020?  To be fair, we don’t know what the true meaning of the test is at this point as investigations are ongoing, but at this point the dog in question has not shown any clinical symptoms of illness.  It is being cared for under quarantine and is continuing to be monitored and tested.  There is no evidence that pets can spread the COVID-19 virus, however it is always best to take precautionary measures during any illness.

Many of the precautions that we recommend include general precautions that should always be taken when handling pets and other animals. 

  • Wash your hands thoroughly after handling animals
  • Wash pet bedding regularly
  • Bathe your pet if he/she has been around sick people or animals
  • If possible, it is recommended that an alternative healthy person care for a pet if the primary caregiver is ill. 
  • If someone in your home is ill it may be a good idea to bathe your pet more frequently.  
  • Don’t forget to include your pets in your emergency planning.  We recommend that you keep a two weeks supply of food, medicine, kitty litter and other supplies on hand in the event that you become sick and can not get out to get these supplies for your pet.  

If you have specific concerns about your pet and COVID-19 contact your veterinarian for the most current advice specific to your location.  

Authror: Dr. Janet Henderson, veterinarian

Veterinary Palliative Medicine

The Case of the Missing Teeth

If you follow veterinary medicine at all you are probably aware that February is dental month.  A month where the veterinary profession focuses on educating pet owners about dental health in pets.  As our pets are living longer and as we make changes to their body composition through breeding we see more and more dental disease.  In fact, dental disease has become a very common health concern in most of our pets.  Prevention is an important part of keeping our pets’ mouths healthy.  The single most important thing is daily brushing, however even daily brushing doesn’t necessarily rid the teeth of all of the plaque and tartar that accumulates over time.  Even though we brush our own teeth every day we still need to visit the dentist routinely to clean what the toothbrush and dental floss just don’t get.  We are not able to provide dental care in your home but we do refer our patients to competent, professional veterinarians with a passion for excellent oral health.  

So in honour of Pet Dental Health month this story is about a little dog with unexpected dental concerns.  

Visible plaque and calculus on a dog’s teeth

Lela was a spunky 15 year old, little Chihuahua with a real zest for life.  She was a little diva who loved playing with her toys and cuddling on the sofa with her humans.  You would never guess her age just by looking at her.  Her owner, Belinda was totally in love with Lela and doted on her to no end, being diligent in her care and wanting only the very best for her.  As Lela entered her golden years she was relatively healthy until one day when she started sneezing.  

Initially, the sneezing wasn’t very consistent.  Lela would sneeze about once or twice a day maybe without any discharge so Belinda wasn’t really that concerned about it.  “maybe she has a virus” Belinda thought.   The sneezing didn’t get better, however and in fact Belinda was noticing that the sneezing was becoming more frequent and she wasn’t playing with her toys as much.  Instead of once or twice a day Lela was sneezing multiple times daily, every day and sometimes multiple times in an hour.  It was at this point that Belinda noted a drop of blood in the discharge that was now present when Lela sneezed.  Belinda immediately called us to come take a look.

Lela was still in good spirits when we arrived but we did note that she wasn’t as active or playful as she had been the last time we had seen her.  Dr. Henderson performed a full physical examination on Lela.  She did sneeze during the exam and she was painful when her face or mouth were touched.  Dr. Henderson examined Lela’s mouth and noted that her teeth looked to be clean but that some of them were loose and still others were missing.  No masses or other abnormalities were noted in the mouth.  

“Well, Belinda.”  Dr. Henderson started, “I see that Lela is missing some teeth. When did this occur?” 

“It was just recently,” Belinda answered.  “Lela stopped eating for a day a few weeks ago.  She lost one tooth and then another and then she started eating again, so I thought that she was fine.”  

Dr. Henderson explained that Lela was missing more than 2 teeth and that this was an indication of severe dental disease and was likely the cause of the sneezing.  Belinda was shocked!  “But I have been taking her to get her teeth cleaned regularly.  The groomer brushes her teeth every time that she goes there and when her breath starts to smell I take her to the person who cleans her teeth without anesthetic.  I didn’t want to risk the anesthetic at her age.  I really don’t think that it is dental disease that is causing the sneezing. What if it is something else?  I am afraid that she could have a tumour in her sinuses.”  

“I understand your concern for Lela.  I know how important she is to you and just like you I want what is best for her.”  Dr. Henderson explained.  “How would feel about scheduling an x-ray of her sinuses to rule out other causes of the sneezing and we can go from there.”  Belinda agreed that this was a good plan and x-rays were scheduled and taken of Lela’s sinuses.  

Special dental x-rays are best to identify dental disease and can pick up subtle changes much better than sinus x-rays, however even without the specialized dental x-rays, Lela’s images were able to pick up severe dental disease in all of Lela’s remaining teeth.  The disease was so bad that Lela’s jaw bones had started to disintegrate due to long term infection and inflammation.  There wasn’t any sign of a mass or other cancer present.

How did this happen?  Belinda was very careful about caring for Lela.  She knew that taking care of her teeth was important and she had enlisted the help of people she trusted to help her in this endeavour.   Did the dental disease really progress this quickly?  

Dr. Henderson explained what likely happened.  “Each tooth is like an iceberg, in that there is a visible portion in the mouth but there is an even larger portion under the gum-line which we can not see.  This is the part that contains the root or roots.  The roots are held to the jawbone with very strong ligaments and the gum tissue adheres to the whole thing to protect the bone and the roots.  If there is a defect in the gums bacteria can find its way to the bone, the ligaments and the root and this can cause the kind of decay that we are seeing in Lela.  The visible portion of the tooth may still appear healthy, even as the structures under the gums are breaking down.”  

“But how could I have prevented this?”  Belinda asks.  

“The best prevention is early detection and complete cleaning of the mouth, including a small portion of each tooth that we can reach under the gum line.  Anesthetic is required to do this for our pets.  When veterinarians perform a dental COHAT (comprehensive oral health assessment and treatment) it includes more than just cleaning the surface of the tooth.  Under anesthetic pets can be positioned appropriately to get good dental x-rays to look at each root and the bone surrounding them.  In this way they can determine if there is any early disease processes occurring here. Once the x-rays are taken, a full examination of the mouth and throat is performed to look for any sign of disease process there.  Every tooth is cleaned with professional dental tools including an ultrasonic scaler which is able to remove very fine particles of plaque and tartar.  This tool takes special training to be able to operate safely.  The teeth and gums are again examined by the veterinarian and without dental tartar in the way, the doctor is able to measure any pockets that may be present between the gums and the teeth.  Deep pockets found between the teeth and gums are a sign of disease and must be treated.  Any teeth that are found to be diseased are removed to prevent further disease in the jaw bone itself and to cure the pain that this causes.  Finally a high speed polisher is used on the remaining teeth to smooth out any microscopic ridges that have been created due to the cleaning.  Dental cleaning tools are metal and will result in small defects in the enamel of the tooth.  If these are not polished away they remain as an irregular surface perfect for plaque to attach.” 

To summarize a veterinary dental procedure under anesthetic includes the following: 

  1. Dental x-rays
  2. A full mouth examination by the doctor
  3. Measurements of gingival pockets
  4. A comprehensive cleaning with specialized equipment including subgingival scaling
  5. Assessment and treatment of oral disease
  6. High speed polishing of each tooth

Belinda was still worried about anesthetics but we explained the advancements in anesthesia over the years and that the risk for Lela was very low.  In fact, her risk for succumbing to her dental disease was much higher than her risk of anesthetic complications so Belinda took Lela to have a full dental COHAT and due to the severe disease that was present she had most of her teeth extracted.  She took a few days to recover but it wasn’t long before she was feeling better than she had in a very long time.  She started playing with her toys again, had more energy and a better appetite than she had for years.  

Comfortable Recovery

I hadn’t realized how sick she really was until I saw how well she did after the dental. I thought that she was just getting old, but it appears that she really wasn’t feeling well due to the degree of pain and inflammation in her mouth. I am so glad that I took her for this procedure.”

~Belinda

We are so grateful to have been a part of Lela’s recovery and we encourage you to speak to your own veterinarian about dental health and its importance to your pet.  

Happy Girl

Author: Janet Henderson DVM, CHPV

Uncategorized

Palliative Resolutions in a New Decade

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

Uncategorized

Stella, the Superstar! *

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

Veterinary Palliative Medicine

Your Pet has Cancer, Call Me When He Stops Eating

*Trigger Warning – This article deals with pet loss*

I knock on the door and am welcomed into a cozy comfortable home. I introduce myself while looking into the glistening eyes of the woman who invites me deeper into her home. She leads me to the living room where the rest of the family is seated by a glowing fire and an old white poodle curled up in his bed. He lifts his head to look at me but then places it gently back down on his front legs. He is weak and showing signs of pain. He looks as if he’s had enough.

I sit down on the floor beside my patient and converse with his family. I ask them what’s been going on.

“He has cancer.” They say. “He was diagnosed 3 months ago, and has been on a medication for pain control”. They are fuzzy on the details.

“Which kind of cancer?” I ask. “In his belly” is all that they know. “The vet told us to come back to them when he stopped eating” they state, “but we wanted him to pass at home, so we called you.”

These statements sadden me. There is so much more that could have been done for this patient between the diagnosis and this point. At first, I am angry at the veterinarian but then I take a step back. Do I think that this is what the veterinarian really said: “He has cancer, call me when he stops eating”? No, I have much more faith in my colleagues than that. Veterinarians care so much about their patients and what they do. Do I think that is what the family understood and was able to take in at that moment? Yes, I do. I believe that stressful news numbs our senses and makes it impossible to hear or remember all of the details.

As a hospice and palliative care veterinarian I have heard this statement or similar ones to this, more times than I can count. Through my experience and education, I have learned that families need much more support during this time than most veterinarians are able to extend in their busy schedules. It is not as if they do not care or do not want to help, it is just not always an option or something they can accommodate in their regular practice. This is where I come in.

The Diagnosis:

Let’s look at another patient. We’ll call him Buddy.

Buddy was a black lab who lived with his family which included a husband, wife and 2 children. Buddy grew up with the kids and was loved very much. He had always been very happy until one day he stopped eating. He went to his veterinarian and was diagnosed with an aggressive form of cancer on his spleen. The veterinarian had a long discussion with Mary, the wife, about Buddy’s condition and what to expect. He gave her different options ranging from a referral to a veterinary oncologist to euthanasia. There was a lot of information and Mary went home with a headache and without making a decision.

At home, Mary still felt overwhelmed. She tried to tell her husband, Scott, what the veterinarian had said but she could barely remember anything and emotionally, she wasn’t prepared. She kept thinking about life without Buddy. He had been with her through so much. She worried for herself and for the kids. They didn’t know a life without Buddy. How would they manage. Buddy was such an integral part of their lives.

Once the kids were put to bed, Mary pulled out the information her vet had given her and found my card. She briefly remembered her vet telling her about me. She wasn’t sure if she had the strength to call but she gave the card to Scott. He made the call and we set up an appointment to meet at their house.

The Palliative Appointment

It was one of those cold, windy days when the air seems to bite at your cheeks but it was warm and cozy inside Buddy’s home. Mary and Scott invited me into the living room where the kids were playing on the floor. I made myself comfortable on a chair and Buddy made himself comfortable on my feet. He was a very lovable guy. We all talked for quite some time about what the family understood was wrong with Buddy. We talked about their fears and their expectations. We also discussed what would help them feel better, more in control and what they were able to accomplish. I reviewed Buddy’s medical record and performed an examination on him. We tweaked some of his current medications and the family decided to pursue a referral to a specialist.

Further Care

We worked with the specialist to provide the best plan for Buddy. He received specialized care from the oncologist and his primary care veterinarian and I worked to ensure that Buddy’s quality of life was not suffering and that the family was able to continue along with the initial plan. We did adjust the plan a few times along the way and Buddy had a great quality of life for some time. However, the family knew that he would not continue on this way forever so they set up an appointment to discuss the final stages of Buddy’s life.

Memorialization

The family wasn’t exactly sure what they wanted but they knew that they wanted something special for Buddy. He had been an amazing dog and they wanted to acknowledge and memorialize him to the best of their ability.  It wasn’t time to say goodbye yet, but they wanted to be prepared. We had discussed different ideas for memorialization. They were surprised at many of the ideas we shared with them:

  • Professional Photographs
  • Portraits
  • Pawprint impressions, in ceramics, tattoos, garden rocks
  • Donations to charities
  • Printed Items, such as blankets, mugs, t-shirts
  • Renditions in felt, copper, etc
  • Leash and Collar crafts
  • Special urns for remains
  • Memorial Jewelry
  • Memorial services
  • and many more

Mary and Scott let the kids decide which type of memorialization felt right for them.

Planning for the End

Mary and Scott had each had pets as children but had never had to make the decisions that surround the end-of-life of a pet. They were understandably anxious about making these decisions for Buddy so we worked with them to determine what they felt was best for their family. Ideally, they wished that Buddy would pass away quietly in his sleep but unfortunately, this is not often the case;  we hoped for this,  but planned for other scenarios. We spent time with all of the family members learning about their expectations and their fears and addressed them all as best as we could. We discussed all of the options available to them and the consequences of each. The family created an optimal plan for them as well as plans B and C in case things didn’t go as expected. These plans were communicated with each of the team members including the primary veterinarian, the oncologist, and the family’s support system.

The End

In the end Buddy was euthanized at home. He passed very peacefully on his favourite bed with Mary, Scott and their oldest child surrounding him. He was sent off with nothing but love. Candles were lit and gentle music was playing in the background. The family was sad but at peace with the decisions they had made and the route that Buddy’s journey had taken.

Not Really the End

Of course this is not really the end. Some of the toughest times come after this final goodbye. There are constant reminders of the loss and anniversaries can heighten all of the grief, bringing emotions bubbling back up to the top. Our team kept in touch with each of the families mentioned above. We offered support through phone calls and e-mails but for each family there came a time when that wasn’t enough. We were able to refer them to appropriate grief counsellors who helped them work through their emotions and move forward. We know that grief never goes away but we help people manage it and move forward.

Knowing that a new pet can never replace an old one, Mary and Scott did eventually adopt the cutest new puppy when the whole family was ready.

We are so grateful to have been invited to support each family during such difficult times and are committed to continuing to improve the journey from diagnosis to passing.  

We can not change the outcome, but we can affect the journey.

— Ann Richardson

Author: Dr. Janet Henderson

Uncategorized

Mobile Veterinary Service, What’s That?

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