Home Pet Euthanasia Guides

FAQ: Do you examine my pet?

Thu, 07 Feb 2019 00:00:00 +0000

Of course – if it is appropriate.

Sometimes, I can learn all I need by talking to you and watching your pet during the home euthanasia visit.

I generally advise against a full and proper vet examination at this stage. During examination, both dogs and cats quickly recognise there’s something strange going on – there’s a vet in the house!!

An examination may cause distress – and that is what I am trying to reduce.

FAQ: Do you only do pet euthanasia? Do you do normal treatments as well?

Fri, 08 Feb 2019 00:00:00 +0000

I only do home euthanasia for pets, dogs and cats now.

After over 30 years as a clinical vet, I have now left general practise. So no, I do not treat animals any more although I have a very broad and up to date knowledge of veterinary medicine through my professional Continuing Professional Development.

I now concentrate fully on end of life care – making it better for both you and your precious pets.

FAQ: During a visit to the vet, they said I must put my pet to sleep immediately. What do I do?

Sat, 09 Feb 2019 00:00:00 +0000

If your pet is in severe acute distress, then I would advise you follow your vet’s best advice.

This is in your pet’s best interest. If the problem has been slower to come on, then your vet actually might just be saying you need to start ‘thinking about’ putting your dog or cat to sleep.

Or some vets feel embarrassed to send you away to think about it because then they have to charge a consultation fee in addition to their euthanasia charge. If you have your pet put to sleep there and then, they feel less embarrassed about the money.

When a vet says consider euthanasia, they are saying the vet is unable to help them anymore, and they are recommending euthanasia for humane reasons.

If this is the case, then do take your pet home. Thinking clearly in the busy noisy practice situation is hard… Take some time to think about it. Make sure you agree with the vet.

Then think about how you want to have them put to sleep. If you choose Paul at Quietus Vet, he will come to your house and guide you through this process.

The 3-Stage Technique is without doubt absolutely the best way. It is is globally acknowledged as the gold-standard. This event is something you can’t afford to have any regrets about. There is no trying again…

FAQ: Is this service ethical? Shouldn’t my own vet have to do it?

Sun, 10 Feb 2019 00:00:00 +0000

Quietus Vet is totally ethical!

I am trying to improve the ethics of End of Life and that is why I am the Quietus Vet. No, your own vet doesn’t have to put your pet to sleep.

You can have it done by any qualified vet you choose – whenever and wherever you want.

It is your choice.

FAQ: Should I inform my own vet afterwards for their records?

Mon, 11 Feb 2019 00:00:00 +0000

If you have a regular vet, then I would recommend this – yes.

Or else you may receive unwanted reminders and phone calls etc.

If you wish, I can let them know for you – just tell me during my visit.

FAQ: What if I want to bury my pet at home?

Tue, 12 Feb 2019 00:00:00 +0000

That’s fine.

Quietus Vet wants you to make this process “your own”.

We want you to have access to all the aftercare choices including Burial.

FAQ: Why do you charge more for large dogs?

Wed, 13 Feb 2019 00:00:00 +0000

Large dogs need more of the expensive medicines we use in the 3-Stage Technique.

This charge is simply to cover some of those costs.

FAQ: Why is a Quietus Vet euthanasia visit any different?

Thu, 14 Feb 2019 00:00:00 +0000

This used to be the first question everyone asks me. People are now beginning to see the sense of it.

As a vet, the answer to this question is obvious to me, but I realise it is not so obvious to others.

Here are the 3 reasons that make Quietus Vet unique and stand out from what you used to know:

The 3-Stage Technique

This is Paul’s gold-standard method approach. It means that your pet has no idea that this day is any different from any other. Then in your company, their pain and distress slowly float away and you have all the time you need to say goodbye. Then they become deeply asleep and unconscious. They will have no sense at all of the final injection.

Tap to see The 3-Stage Technique and how it happens
Quietus Vet will visit your home.

With no arguments. No saying we could turn up at any time in the next few days. No making you feel uncomfortable or guilty.
We offer the best aftercare and cremation services.

We are honest and will answer any question. And we will return your pet’s ashes home personally – if you choose. Included in the price.

Through my career, I have been very aware of the shortcomings of putting someone’s pet to sleep at the vet clinic:

Many vets just don’t want to do home visits – especially for euthanasia.
In the clinic, the whole process is usually done at the vet’s convenience. It’s done quickly over a few minutes. I think it is too rushed. There’s too much noise. You have to stand in a busy waiting room. You may feel you’re not being listened too.
Modern vet practices have changed. It is now very difficult to get a vet to visit your home. The last thing you want at this time is to be arguing with the receptionist about a home visit.
Most vets use the old-fashioned 1-stage euthanasia approach: The vet may take your pet away from you to have a catheter inserted. There’s a good reason they take your pet away: it is because a conscious dog or cat will struggle and fight as the nurses hold them down. Then they give a 1-stage ‘final’ injection – your pet is conscious one moment – gone the next. You may see a look of surprise or confusion.

FAQ: Will my normal vet mind me calling you?

Fri, 15 Feb 2019 00:00:00 +0000

Not at all.

Many vets are relieved when I can perform this service for their clients.

They know it is better for you and your pet.

They would do the same in your position. Not many vets put their own animals to sleep without giving at least some sedation. They would definitely do it at home.

But if you are concerned, why not ask them? Give them a call and tell them you would like to use my service.

Help on How to Consider Your Pet’s Quality of Life and Whether Palliative Care may Help

Sat, 16 Feb 2019 00:00:00 +0000

“The end is built into the beginning”

By thinking about the decision to put to sleep your loved cat or dog before it becomes an emergency, you and your family can make the whole process less upsetting. You can be more in control. You will be surprised what a difference some planning can make..

Care Assessment and Quality of Life

It is so important you feel you are making the right choices.. It maybe that I can suggest an alternative approach to your pet’s problem – we call this palliative care and it is nearly always best done at home.Preparation is usually the best way to approach this event. If your pet is ill, being treated for a chronic condition or aging problems -and you are considering (even subconsciously) the possibility of ending your pet’s distress, then now is the time to prepare.Preparing for the event means you don’t have to make a decision yet. The decisions become clearer as you prepare. How long to keep going? I can help you decide. I have tools and techniques to help you judge the right time.

Being an experienced practising vet, I can answer most of your questions about treatments, illness and old age. I can give you a guide of what to expect, and roughly when to expect it. Also I can explain the impact of treatment on you and your pet’s quality of life.

I read a quote the other day from a vet who was discussing just this issue. She said “I would rather put a pet to sleep a month too soon than an hour too late”

How many times have I heard: “We wish had done it sooner”.

Pre-Euthanasia – or “Be Prepared”

In my job as a practising Vet, I realise that arriving at the decision to put your pet to sleep can be as hard as the event itself. Many people put off making this decision whilst realising something is needed. It is easy to understand why. When you do finally make the decision for euthanasia. and you decide how and when, then the relief can be enormous.

How to Assess Your Pet’s Quality of Life

Sun, 17 Feb 2019 00:00:00 +0000

These are the questions you are probably asking yourself:

Is your dog or cat in pain?
Are they suffering?
Should they be put to sleep?
Has the time come?

It isn’t always easy to assess your pet.

Most vets are highly trained at observing our pets and can help guide you if your pet is in pain or distress.

It’s a bit more difficult to do on your own, especially if you live with them at home. It is easy to miss slow decline in health, or subtle changes in behaviour.

You can download a PDF of this assessment to print off: Download PDF.

Quality of Life assessment. How to assess your pet.

A guide on what am I looking for?

Tick (or mark Yes or No).

When the text says “he”, please read “she” as well.

PAIN

Many animals do not complain in obvious, visible ways.

Many animals (especially cats) will hide their discomfort.

Consider the following:

____My pet hurts.

____My pet limps (if it didn’t hurt, he wouldn’t limp.)

____My pet pants frequently, even at rest.

____My pet’s respirations are forced, exaggerated, or otherwise not normal.

____My pet licks repeatedly at one site on her body or at a site of a cancer/tumour.

____My pet guards or protects and area of his body and may snap if that area is approached or touched.

____My animal’s posture is abnormal or different than normal.

____My pet shakes or trembles sometimes during rest.

____My pet is on pain medication and it doesn’t work.

APPETITE

Appetite is one of the most obvious signs of wellness. Most animals are normally vigorous eaters. Consider the following:

____My pet doesn’t eat his normal food anymore.

____My pet picks at her food now but never used to do this.

____My pet walks over to his food and looks at it but won’t eat or walks away from the food.

____My pet doesn’t even want good stuff (treats, human foods, snacks) anymore.

____My pet acts nauseas or vomits.

____My pet is losing weight.

HYDRATION

Hydration status is equally important as appetite. Dehydration can contribute to weakness and not feeling well. Consider the following:

____My pet doesn’t drink as much as she used to.

____My pet frequently has dry, sticky gums.

____My pet is vomiting or has diarrhoea.

HYGIENE

Animals that don’t feel well, especially cats, do not have the energy to maintain normal hair and skin. Consider the following:

____My cat doesn’t groom herself any more.

____My pets hair is matted, greasy, rough looking, dull, or foul smelling.

____My pet has stool pasted around his rectum or in his hair.

____My pet smells like urine or has skin irritation from urine.

____My pet has pressure sores/wounds that won’t heal.

ACTIVITY/MOBILITY

Changes in normal activity can be due to mobility problems, pain, illness, or aging (arthritis). Consider the following:

____My pet cannot get up without assistance.

____My pet had a hard time getting around and/or limps.

____My pet lays in one place all day long.

____My pet does not want to play ball, go for walks, or do the things he used to do.

____My pet falls frequently.

HAPPINESS/MENTAL STATUS

Another important area of consideration is your pet’s mental status and happiness. Consider the following:

____My pet does not express joy and interest in life.

____My pet does not respond to the people that he used to respond to.

____My pet does not want to play with toys or do other things that he used to enjoy.

____My pet seems dull, not alert, or depressed.

GENERAL BEHAVIOR PATTERNS

Changes in normal behavioural patterns are often a key indicator of how your pet is feeling. Consider the following:

____My pet is hiding or sleeping in odd places.

____My pet doesn’t greet me when I come home and he used to.

____My pet is overly clingy and is following me around and he never used to do this.

____My other pets are treating my pet differently and they are overly attentive or ignoring him completely.

____My pet doesn’t care about what is going on around him.

OWNER PERCEPTIONS

Many times you, the ‘parent’ or owner is aware that your pet is suffering but do not want to give up on them. Consider the following:

____I wouldn’t want to live if I were in a similar situation.

____I would be painful if I were in a similar situation.

____I have made appointments for euthanasia for this pet cancelled or didn’t show up.

____I am holding onto this pet for a sentimental (personal) reason.

____ My pet is having more bad days than good days.

Adapted from Quality of Life Scale, Veterinary Practice News, June 2006, pg. 24

Library of euthanize pet at home articles and fact sheet guides

Mon, 18 Feb 2019 00:00:00 +0000

These are documents that I am accumulating about euthanize pet at home and aftercare. Some are from sources in the USA, and so ignore telephone numbers that may appear on them

Helping Children Cope with the death of their pet: PDF download
Coping With Loss: PDF download
Do animals grieve?: PDF download
Euthanasia because of behavioural problems: PDF download
Grief, upset and bereavement: PDF download

Memories

Sometimes, just having your pet’s collar or lead is enough to help you remember the good times.
Or keeping their ashes near you, in a casket, picture frame or scattered on a favourite walk.
There is a talented artist in Nottingham who paints beautiful watercolour portraits from a favourite photograph of your pet – search facebook for “paulcookart”
Laura Gambino does some amazing portraits. I spotted her at the Bakewell Show this year.
The Ralph Site have a great Artist called Mel Saalfield here and the money goes towards the site.
A lock of hair. Ask me and I can collect this for you. Consider how you want to keep it safe. I do have some small boxes we can use until you decide.

Dignified Departures: “The Movement’s mission is to raise awareness of, and promote advances in end of life veterinary care and in home compassionate pet euthanasia”.

The Blue Cross Charity has a freephone number you can call. This is a popular initial support service. Contact: 0800 096 6606

The Ralph Site A good UK based resource of easily understood info and opinion and discussion

What’s wrong with Pain Relief in Dogs and Cats?

Tue, 19 Feb 2019 00:00:00 +0000

Definition – Analgesia = Pain relief / pain-killer / inability to feel pain
Definition – Chronic Pain = Persistent pain – lasting beyond the (acute) original injury.

Veterinary NSAID Analgesic Drugs

As you can imagine, in my role as a Home Euthanasia Vet, I see many animals who have been undergoing prolonged courses of pain-relief. Many of these animals are receiving the so-called NSAID type drugs – these are the medicines which are an animal version of our own head-ache tablets. Brand names you may recognise are Metacam (the liquid one), Previcox, Onsior and Rimadyl. Vets have been prescribing this category of drugs for ages, and their benefits can be huge. Like all drugs, they don’t always work in certain individuals, and they can have significant side effects – often causing upset stomachs, kidney problems, etc. These NSAID drugs are usually regarded as first-line pain-relief because they only provide moderate analgesia. And the analgesia can’t be safely scaled-up by increasing the dose.

Veterinary Opioid Analgesic Drugs

Recently, I have begun to see more ‘exotic’ drugs being used for dogs suffering from chronic pain. Tramadol is probably the commonest goto “second level” pain-killer at the moment. This is an opioid analgesic – in the same category as codeine, morphine, and fentanyl.

Opioid analgesics work on the brain and nerves rather than on the actual lesion causing the pain (unlike NSAIDS). There is disagreement about how good Tramadol’s real pain-relief action is. This is partly because Tramadol has marked side effects – notably dysphoria (unease, confusion, anxiety) and sedation. These side-effects make measuring the amount of analgesia present very difficult. The general consensus is that Tramadol’s analgesic effect is roughly equal to Codeine.

Gabapentin is the other analgesic I am seeing more of recently. I was first aware of Gabapentin use in animals in cats with seizures (fits). It apparently can help some patients with neurogenic (nerve) pain. There is little research evidence that it has much benefit in other acute or chronic pains. Its practical analgesic properties are still in debate. Like Tramadol, Gabapentin has sedative effects.

Tramadol and Gabapentin are the two “second level” drugs I see prescribed the most frequently when I am visiting pets to help their euthanasia (put to sleep).

Other Veterinary Analgesics

There are many other analgesics available for more pioneering vets to try out, but there is little evidence yet of their value in reliably reducing chronic pain. Other commonly applied approaches to chronic pain are acupuncture and electro-acupuncture.

Worries and Concerns

Why are Tramadol and Gabapentin being used more?

Vets are much better these days at recognising pain in pets and they want to help
Vets increasingly realise that the analgesia from NSAID use may need to be supplemented
Vets are frustrated at the (sometimes severe) side-effects of NSAID drugs.
Tramadol and Gabapentin are reasonably cheap and readily available.

More concerning for me is that I worry that more dogs and cats are being allowed to suffer pain for longer than was once acceptable. I fear that vets are now offering these drugs as a means to avoid having to recommend euthanasia to their owners. Additionally, many pet owners will willingly try anything to extend their pet’s life – sometimes without having all the information on their pet’s experience of pain and discomfort explained to them.

Welfare issues

Part of my motivation for doing euthanasia work is that I want to help people make the correct decision for their pets in good time. This is a welfare issue. A client suggested to me the other day that my work must be very rewarding – relieving all that suffering and pain…

It is for these reasons I want to highlight the short-comings of Tramadol, Gabapentin and the other analgesics that don’t have sufficient proof of action. I think it is too easy to feel we are reducing pain by giving our pets these drugs. But there is little or no evidence that that they actually do reduce pain. I have a horrible feeling that the sedation they produce in our pets is being mis-interpreted as comfort and ease: If a dog (or cat) is ‘at rest’, and doesn’t move when you touch their painful lesion, this does not mean they are not in pain. It may just mean the sedation is preventing them from moving!

Some advice:

When your vet recommends a change from NSAIDS to something “stronger”,

Ask them the true analgesic value of the new option.
Also, be strong, and ask them what is the long term outlook for your pet.

Suffering is suffering no matter how it is “dressed up”… If there is no good reason for it from the animal’s perspective then it should not be condoned, far less encouraged. “Periscope, 2017”

Death and dying. Are doctors and vets doing enough? Or too much?

Wed, 20 Feb 2019 00:00:00 +0000

I have been trying to formulate ideas about over-treatment of animals for a while now. I’ve just read an opinion-article written by “Periscope” in one of the vet papers. The writer (Periscope) managed to clear some things up for me which I’ll try to summary:

Human Medicine – Friendly Doctors are now a service provider

He began by talking about human medicine. In particular the idea that medical professionals now saw themselves as service providers. And driving that service is what is known as “evidence-based medicine (EBM)”. This is the current approach to medicine which involves getting as much data on a person’s case as possible, and then relating it to accepted research data. It is because of EBM that when your doctor is explaining your symptoms and possible treatments, he now gives you percentages rather than opinions. EBM is also part of the reason why so many tests and investigations are being carried out.

Seamus O’Mahoney, a medic writing on this subject uses the term “information paradox” to detail the situation in which there is so much data and information being accumulated for each patient, that the patient’s care is suffering. Doctors who are struggling from “information overload” are being distracted from what should be their prime role which is to relieve suffering. He suggests doctors are failing to consider when “enough is enough”. Doctors are now customer-friendly and many only tell people what they want to hear.

An insatiable appetite for medicine: for scans, for drugs, for tests, for screening.

Atul Gawande, writes that in America, dying patients are routinely subjected to futile and painful medical treatments while their doctors fail to discuss with them the reality that they are dying. Because they see themselves as providers of a service, they are more likely to offer another test or surgery rather than having the hard conversation about the surety of death.

Animals are a different case

“Periscope”, in his article says this is particularly important with animals nearing the end of their lives. Morally, there can be no excuse not to have the hard discussion with the animal’s owners. He wonders whether there could be any information on just how many procedures animals have to go through in the immediate weeks and days before they die? I have met many many dogs and cats during my Quietus Vet – Caring Pet Euthanasia home visits who have had just that experience:

Bobby was a 15 year old collie cross. He hadn’t been to the vet for anything much in the last 4 years. His owners had been aware that he was “ageing” – losing weight, sleeping more and wanting to exercise less. His owners began to consider his quality of life, and wanting guidance they turned to the vet. Nine hundred pounds, 4 vet visits and a bunch of tests later, they were told Bobby may have cancer, or may have organ failure.

I understand that many people need to hear the “cancer” word, or the “terminal illness” term before they can accept having their pet put to sleep. But as I see it, like Periscope, these owners are not really looking for x-rays and blood tests. They are looking for a discussion on what would be best for Bobby. Unfortunately, as service providers, many vets now take the easy route and just offer more tests or procedures rather than help and support.

It is all about timing and reassurance

Periscope reminds me that owners want reassurance that their timing is correct. Yes a diagnosis can help with people’s thinking, but much more important to me in my welfare euthanasia work is what Bobby is actually experiencing. It doesn’t matter if he has cancer, or a terminal illness. What matters is that he is suffering, and that there is nothing to be done:

“I don’t believe that two days or a week’s hence has any meaning to an animal… there can be no benefit to [the animal] in postponing the inevitable if there is suffering involved” (Periscope). Every extra day of life is for the owner’s sake, not the animal’s.

Consider Rocky, the 6 year old Doberman with osteosarcoma (a particularly painful bone cancer). I received a call six months ago from his owner. She was struggling. She knew she would have to have Rocky put to sleep, but just didn’t know when. Rocky’s vet prescribed pain-relief. Increasingly vets also offer Tramadol (see my future blog post) which disassociated Rocky from the pain (rather than decreasing it). Rocky was still limping and slept a lot. But his owner told me he had a sparkle in his eye and still eat pretty well. Q. Do you think he was suffering?

Suffering – How very important it is to recognize

Periscope finishes his article with:

Suffering is suffering no matter how it is “dressed up”, and if there is no good reason for it from the animal’s perspective then it should not be condoned, far less encouraged.

Paul Stevens – Quietus Vet – Caring Pet Euthanasia Derbyshire, Nottinghamshire, South Yorkshire.

Veterinary Practice October 2017 “Periscope” Confronting Death: When is enough enough?
“Being Mortal” Atul Gwande 2014
“Medicine has become a service industry, and it’s making doctors unable to confront death.” Seamus O’Mahoney :- https://www.linkedin.com/pulse/medicine-has-become-service-industry-its-making-doctors-o-mahony?trk=mp-reader-card

Emotions can be useful in driving you to be Logical and Rational

Thu, 21 Feb 2019 00:00:00 +0000

Daniel found his dog Shadow at a rescue centre 11 years ago. Shadow and Daniel have had a great life together – spending much of their time travelling across the country together – by car train and plane.

The problem with Shadow

At the age of 13, Shadow developed a urinary problem and the vet diagnosed a bladder tumour using ultra sound. The cancer specialist oncologist that Daniel found suggested finding out if the cancer was malignant by an operation which would visualize and biopsy the lump. Daniel’s own vet urged caution as a general anaesthetic has a high risk.

“[even without the investigation]…the doctors were still pretty certain that this was bladder cancer, known as transitional cell carcinoma (TCC). On average, dogs live only six months following this diagnosis.”

” My wife and I…felt utterly helpless. We didn’t know if he was in pain, and if so, how much more he was facing, either from the treatment or from the disease. His care was entirely in our hands.”

Daniel is logical and rational by profession and he recognised any decision can’t just be emotionally based.

” You can think critically even when the decision is emotional. Even when it’s your dog.”

“This is a typical medical scenario for people or pets: two doctors, two different opinions, many questions. What are the risks of surgery? What are the risks of the biopsy? How long is Shadow likely to live if we give him the operation and how long is he likely to live if we don’t?”

Daniel recognised that pathology (the reading of biopsy samples – amongst other things) is not a precise science. Like most of medicine, there can be different opinions and even mistakes made. There can be no certainties.

“Patients and pet owners almost never ask about the risk of biopsy. For humans, these statistics are well known, but they are less well tracked in veterinary medicine”

Daniel’s own Vet suggested an alternative to the Oncologist’s approach would be to do a FNA – which uses a small needle through the body wall. His vet suggested the risks of this procedure as 5% chance of infection and 10% chance of the needle spreading the tumour into other tissues. There is also a small risk of scarring making follow up surgery less successful.

The diagnosis and treatment options

Daniel now had 6 options:

FNA biopsy through the abdominal wall,
Diagnostic catheterization (using a basic catheter to traumatize a portion of the mass, allowing cells to exfoliate and then be examined),
Biopsy using the same cystoscopic camera the oncologist wanted to use,
Major surgery right now to view the mass directly, and remove it if possible, The problem with this is that most bladder cancers return within twelve months because the surgeons are unable to remove every cancerous cell
Do nothing.
Put Shadow to sleep right now, in recognition of the fact that it most probably is bladder cancer, and he doesn’t have long to live anyway.

This is the finding out what it is stage. But Daniel, being careful and thoughtful, then asked,

“Once we have found out what it is, what are the next steps?”

Too often, patients focus on the immediate, upcoming procedure without regard for what the next steps might be.

His vet told him they could only talk in generalities as they don’t know until they confirm the diagnosis – but the chances were that as most bladder tumours ultimately block the tubes into or out of the bladder, then Shadow would suffer acute kidney failure at some point. So not very useful for Daniel’s decision making.

Daniel’s decision making

Daniel went back to his 6 options. He knew he had to use rational decision making or otherwise the huge amount of information would just make him freeze. He ruled out putting Shadow to sleep and doing nothing (Numbers 5 and 6).

Number 4) – The oncologist, being a specialist, was pushing for major surgery which is the gold-standard for such cases. There was a 20 percent chance that the surgery would end badly, killing Shadow right away. So Daniel ruled out the major surgery because they weren’t even sure yet if the mass was malignant yet.

The Vet profession doesn’t keep statistics for risks and survival times for most procedures, so Daniel was unable to use these to help his decision between the final 3 options: Numbers 1, 2 and 3.

Daniel recognised that many owners put their dog to sleep early on in the process of their bladder disease based on concerns about their dog’s and their own quality of life. (Incontinence, extreme pain, blood, etc are all developments of the cancer).

He discovered that even with treatment, the chances were Shadows life would last:-

“three months if we do nothing, three months if we give him chemo, three months if we give him surgery.”

Sounds like nothing helps, but in fact these results are skewed because many owners were typically ending their dogs’ lives before the cancer did, and this makes the statistics unreliable.

Dr Google comes to the rescue

Daniel went to Dr Google and he found out that there was a 30 percent chance Shadow could improve simply by taking a drug called Piroxicam. This is an anti-inflammatory drug. It can have significant side effects if not used properly. Daniel’s vet agreed to try it.

“From the Purdue University website we were able to obtain the following survival statistics: Median survival with major surgery = 109 days. Median survival with chemotherapy = 130 days. Median survival with Piroxicam = 195 days”

“The range of survival times in all of these studies, however, varied tremendously from dog to dog. Some dogs died after only a few days, while others lived more than two years”.

Daniel recognised that Shadow was not a statistic, and that although 195 days sounds better than 130, Shadow could get very ill at any time.

Daniel and his wife decided to go with Pirixicam and also to have the cystoscopy (a camera examination of the inside of the bladder – Number 3) on his original list.

Treatment and procedures

Two weeks later, Shadow had the procedure and they found the cancer was inoperable. The oncologist was not able to collect a biopsy either. So Daniel still didn’t know if it was malignant or not!

He decided to continue with Piroxicam and he hoped Shadow was one of the 30% who improved on it.

“We wouldn’t have to subject him to the discomforts of surgery or chemo, and we could just enjoy our time together at home.”

“There are many instances, with both pets and humans, that a treatment doesn’t statistically improve your life expectancy. Taking a statin if you are not in a high-risk group or surgically removing the prostate for cancer if you do not have malignant prostate cancer are both treatments with negligible impact on life expectancy. It sounds counterintuitive, but it’s true: Not all treatments actually help.”

Daniel assembled all his information and opinion

“It’s clear that Shadow would be better off without the surgery (so that we could avoid the 20 percent chance it would kill him) and the chemo wouldn’t buy him any time [either], statistically.”

Shadow luckily did well on the Piroxicam. He looked and behaved a lot better within a few days.

161 days later

And then, after 4-5 months, his kidneys began to fail. He had lots of tests and had treatments for kidney failure. None of the vets or specialists seemed to know what was happening to Shadow.

[It seems to me that here Daniel lost his rationality somewhat. It seems that he forgot (or ignored) the bladder cancer, and assumed the kidney failure was an unrelated disease – where as in fact it had been mentioned back when the cancer was first diagnosed. Also Piroxicam can cause kidney failure, but Daniel seemed to ignore this information too. Not sure why – perhaps he is more emotional than he gives himself credit for and just wanted to increase the number of days Shadow lived at whatever cost.]

Poor old Shadow stopped eating and he was hospitalized away from home with IV fluids and pain-relief for a week or so.

Daniel was pleased that Shadow had done so well and managed to avoid hospitals and hospitalisation for most of his illness. Daniel and his wife decided to put Shadow to sleep.

“He was in pain, and we felt that we had perhaps waited one or two days too long.

“It was awful to see that large personality suddenly drift away and disappear.

“We found comfort knowing that we had considered every stage of his care and that he had as good a life as we were able to give him for as long as possible.

“Perhaps the most difficult emotion that people experience after a disease ends a life is regret over the choices made. We were able to say good-bye to Shadow with no regrets over our decisions. We let our critical thinking guide us.”

Quietus Vet – emotions can help with your logic

I have built this article from Daniels’ very readable book on Logic and Critical Thinking. Rather shamelessly I have cut large portions from his book because they are so good. It is because I am currently attending a course in Nottingham on Philosophy, Thinking and Truth, that I came across this revealing case study the other day. These are the questions and quandaries I hear every day as I visit homes in my role as Quietus Vet – Caring Pet Euthanasia. I know some people going through a similar process with their pets will benefit from knowing that you can be logical, rational and emotional at the same time. In fact we can use our emotions to force us to be rational and logical. At the end of the day, we love our pets and want what is best for them. Blaming our emotions for not fulfilling that promise will only come back to bite us afterwards.

Thank you WEA (East Midlands) and thanks to Daniel and his obviously much-loved dog Shadow.

Daniel J. Levitin. Weaponized Lies: How to Think Critically in the Post-Truth Era 2016 Penguin Publishing Group. Kindle Edition.

Quietus Vet helps you get through the whole thing intact…

Fri, 22 Feb 2019 00:00:00 +0000

I’m beginning to realise that probably the greatest service I can offer to people is helping guide them through the whole process of having their pet put to sleep.

Why I created Quietus Vet

I started Quietus Vet originally because I realised people wanted to have the choice of where they have their dog or cat’s euthanasia carried out. I had realised people were wanting to make their own decisions regarding their most treasured and precious family members.

My idea of Quietus Vet was to offer vet home visits and to always use my 3-Stage Technique. These two things create the almost perfect end to a valued life.

Rachel’s discovery

Recently, during one of my visits, Rachel – Mitz’s mum – said something really eye-opening to me. Rachel has had dogs all her life, and so has ‘lost’ a few over that time. This was the first time she had called me.

During my visit, she left the room at the second stage of the 3-Stage Technique. But then suddenly she was back 2 minutes later. She said,

“I’m normally bawling my eyes out by now. I struggled even to look at Mitz this morning [before you arrived], but this is all so calming… I feel a huge sense of relief. I love your 3-Stage system.”

Rachel had left the room because she thought she was used to not being there ‘at the end’. But having left, she realised that Quietus Vet somehow makes being there easier.

Paul’s discovery

Having thought about Rachel’s comments and observations, it has become clearer to me that not only does Quietus Vet give people a choice, but possibly more importantly, helps people through the whole process of having their dog and cat put to sleep at home.

I definitely don’t do this difficult work for the reward of people’s gratitude. But I am often overwhelmed by it anyway:- Read the reviews on our website or on Google. They are just a selection of the amazing feedback we receive.

Helping people through the euthanasia of their dogs and cats is so important to me. I have lost count of the number of times I have heard :

“This is the most difficult thing I have ever done”.

People dread the day coming – when their dog or cat has to be euthanized. They dread making the decision. They dread making the call and having to be at the vet surgery. They dread the thought of the whole process.

Thank you Rachel for making me see that Quietus Vet manages to help take people through the event – so that many who want to, can find the confidence and courage to stay with their loved pet through to the end.

Quietus Vet – helping people through the most difficult time.

My apologies if this sounds a bit preachy, but I do want the vet profession to recognise the value of the Quietus Vet service. I think it is really important that more people and their pets should benefit from our caring approach.

By showing normal vet practices what can be achieved, maybe they too can be persuaded to offer something similar themselves…

How to deal with euthanizing your dog

Sat, 23 Feb 2019 00:00:00 +0000

You’ve reached the decision that your loved pet has reached a point in their lives when the fairest thing you can do is elect to have them put to sleep.

So what do you do next?

The obvious answer is phone up your normal vet, and book your pet in to be euthanized. Job done.

But what if you don’t have a normal vet? Maybe your dog has never been to the vet. Or not for the last 7 years since its last jab. Perhaps you don’t like your vet that much. Or your cat doesn’t anyway! Maybe you have no vet that you have a relationship with. You don’t really know what to do next:

Google get a lot of searches from people who want to know how to deal with euthanizing their dog. It’s scary, but a common search is:

“How can I put my dog to sleep myself?”

Dr Google

So-called ‘Dr Google’ will help of course – that’s what it does best. Google shows you all the various crackpot ideas from the pet-forums and chat-rooms. But the methods that turn up are generally absolutely dreadful. Both from a humane point of view, and in terms of animal welfare too.

DIY

Why do people want to do it themselves? Money is the obvious answer that we all think of. But I’m pretty sure this is only a small proportion of these people. I think the rest are those people who are unable to make a connection with a normal vet for some reason or other.

They fear being judged, or being told off: They worry the vet will say they have been cruel to let their pet go so far. OR maybe the opposite – they think the vet will say they are too early. They worry the vet will say they must have more tests and treatments before the vet will consider euthanasia. And so their hard-won decision to put their dog to sleep is suddenly trounced by the vet’s own instruction. Owners can feel devalued.

Some people get the sense that vets are quick to assert their opinion. That vets can sometimes seem to have too little awareness of how difficult it was for the pet owner to reach a decision at all!

Trapped…

So the pet owner puts off calling the vet as their pet declines. And then suddenly it’s too late: Their pet is in an awful state and they worry the vet will report them for neglect.

Such people are left with no-one to turn to, so they ask Dr Google for a way out…

Sympathy

It may make me unpopular, but I feel for these people. Most of them love their pets, and don’t want to let them go. Then suddenly it’s too late, and because they think vets are so self-righteous or opinionated, they are left with a pet that is suffering. They can’t find any help anywhere…

Quietus Vet – Caring Pet Euthanasia

Yes I have been involved with cases like this in my Quietus Vet role. Not many thankfully. The majority of my people get the timing absolutely right – and that is not at all easy… But those that get it wrong? Who am I to criticise? I started Quietus Vet specifically to improve animal welfare. I created a reliable home visiting service because I know dogs and cats would rather be at home.

And the cases that have gone too far? Well then, I am able to relieve them of their pain and distress sooner. Which is a benefit to them. And if I can stop just one desperate owner from poisoning their pet, then it’s all been worthwhile.

Quietus Vet – Caring Pet Euthanasia. More choice.

Complementary and Alternative Medicine (CAM)

Sun, 24 Feb 2019 00:00:00 +0000

I realise this subject is a bit off message for a vet who concentrates on improving home pet euthanasia for both animal and owner. But alternative medicine is a subject close to my heart.

Complementary and Alternative Medicine (or CAM for short) refers to all those approaches to health that ‘western medicine’ doesn’t regard as being provable. Or at least, that is my definition… CAM includes many named approaches, but the main two are vet homeopathy and veterinary acupuncture.

Homeopathy and acupuncture

In human medicine in the UK, NICE (the National Institute for Clinical Excellence) have rejected homeopathy outright. Homeopathy will never be offered on the NHS. They do accept that acupuncture may be of benefit to some patients, and will allow its restricted usage on two specified diseases within the NHS (namely migraine and tension-headaches).

Over the last year, there has been a concerted effort within the vet profession to ban alternative medicines for animal treatment: A small group of influential vets have pursued a campaign which argues that animals receiving CAMs are suffering because they are not receiving western medicine. This group have been carrying out a somewhat hysterical crusade against homeopathy and vets who practice it. It should be noted that the vast majority of vets who do homeopathy also carry on normal vet medicine too. They often combine the two.

In the last month or so, the Royal College of Vet Surgeons – the organisation that controls what vets can and cannot do – has been formulating a plan to control the use of CAMs in animals.

The end for alternative medicine help for pets?

It looks like this small group of out-spoken, sectarian and conservative vets will win the day, and they will restrict the use of CAMs on animals. First to go will be homeopathy. It’s an easy target for scientists to derogate. The unfortunate result of stopping vets doing homeopathy will be that owners who want it will source their homeopathic ‘treatments’ online. They will then ‘medicate’ their animals without veterinary guidance. I don’t ‘believe’ in homeopathy myself, but even I can see a ban is not a good idea for our pet’s welfare. It’s only a small step from a pet owner giving their pet homeopathic treatments to giving them herbs and the like – which can be toxic and dangerous.

If you speak to people who have had their pets treated with acupuncture, a great many will say it works. Those vets that use it obviously think it works and these are highly trained veterinary professionals who often use ‘normal’ medicines and drugs too in their practice.

My fear is that if homeopathy is restricted or banned altogether, then a ban on acupuncture will quickly follow. And thousands of pets across the UK who currently benefit from its use will be left to suffer. Worse still, “underground” non-vets may begin to treat pets using acupuncture which is a disaster for their health and welfare.

My message to the vet profession is

“Watch out – don’t just sit around. Don’t let a few bullying people damage your hard-won right to treat animals how you think best. Go and tell the RCVS to leave CAMs alone – they do no harm (unlike many ‘normal’ treatments). And CAMs are administered by vets who always have the animal’s best interests at heart.”

Why am I (Quietus Vet) talking about this?

It’s because I feel pet owners should have as much choice as possible. They should be able to choose to have their pet treated without drugs if they wish. Or maybe have a CAM in addition to ‘normal treatments’. People are quite capable of making the right decisions for their pets and vets should remember this. I see this every day in my work – people are now choosing to have their pet spend their last hours at home. People call me to visit their home to help put to sleep their beloved dog or cat – many of whom would continue to suffer without our unique service.

Quietus Vet – Caring Pet Euthanasia – more choice.

Home visits for a caring and gentle putting to sleep and euthanasia for dogs and cats.

Most vets are not doing euthanasia properly

Mon, 25 Feb 2019 00:00:00 +0000

About 6 years ago, I had my first anaesthetic. I had just passed my 50th birthday, and I thought myself lucky not to have had one before. Personally, I had given hundreds if not thousands of general anaesthetics to animals by then. I was still worried at the thought of a ‘general’. In life. you’re never closer to death than when you’re under a GA. My worry came from giving away the responsibility for my life to a stranger. They are only human and even anaesthetists can have bad days.

The procedure was pretty minor, and so I didn’t receive any pre-med (sedative or pain-relief) before the op. I lay there on the table, various machines reading my vital signs. The anaesthetist introduced himself, and introduced a catheter into a vein on the back of my hand. Then boom. The most severe huge spreading pain in my arm. It felt like it had been run over by a lorry. I shouted out. The pain lasted no more than two seconds before the anaesthetic knocked me out… But I can still remember the pain – even now…

Needles and catheters

Vets have used a barbiturate anaesthetic to put pets to sleep for as long as I can remember. Once the euthanasia decision has been taken, a vet will inject the barbiturate and everything comes to a halt. When I started work in the 1980s, vets usually injected straight into a vein with a needle. But needles can come out of the vein and the drug may end up being injected into the wrong place. And unfortunately barbiturate is extremely irritant to tissues – it will cause immense pain for an animal when this happens.

The catheter problem: So now most good vets set up catheters to reduce the chance of this problem occurring. Catheters are tricky to introduce. It is a fiddly process. The majority of dogs and cats will feel it and they may struggle. So vet Nurses usually hold the pet for the catheter to be introduced. To save the owner’s distress at seeing their pet in discomfort and struggling, many vets now take the pet “out back” to be catheterised. They then bring him/her back to the owner for the ‘final injection’.

The final injection

This is the barbiturate injection. There is no evidence that this is painful if given properly into the vein. But on many occasions during my career, when the single injection method is used, I have witnessed dogs and cats showing a surprised reaction – they open their eyes wide, they tense up. Sometimes they vocalise. They may scrabble and appear to resist. Which is very similar to my experience during my first anaesthetic!

Quietus Vet 3-Stage Technique

99% of vets still use the single injection method to euthanase dogs and cats. Because of my personal experiences, I am very uncomfortable with it. So I now only ever use my Quietus Vet 3-Stage Technique.

The 3-Stage Technique is my (Quietus Vet) solution to the failings of the single and double injection methods: In the 3-Stage Technique, I give a mixture of sedation and pain relief first. A very simple tiny injection under the skin. Then we convert this sleepiness into a proper general anaesthetic – again with a small injection under the skin. When a pet is totally unconscious under the GA, then and only then, do I give the final injection. This way, there can be absolutely no way that the ‘final injection’ can cause pain or distress. It is the only approach that I feel is humane. These are a pet’s final moments and they should be the best possible.

Quietus Vet – Caring Pet Euthanasia at Home.
The 3-Stage Technique carried out at home.
07761 419 501
0114 433 3063
0115 784 3456

A note on intra-cardiac barbiturate euthanasia injections

Some vets – very few thankfully – will perform one injection euthanasia by injecting barbiturate straight into a pet’s heart with no sedatives, anaesthetics or even pain-relief. These few vets usually reserve this for smaller animals – cats, birds, and ‘small furrys’. It is extremely painful and is barbaric. It must be stopped. In the USA, it is enough to get a vet struck off from practising. Hopefully here too.

Vets are changing thank goodness

A few vets now use a 2 injection method – some will use sedation before giving the ‘final injection’. I feel this is a good thing and is a small step in the right direction. But the problem of introducing the catheter to a nervous anxious pet remains – the sedative is usually given that way because sedatives used in a 2 injection system may also sting if given any other way. So not perfect yet…

Quietus Vet – Caring Pet Euthanasia at Home

How is Quietus Vet so different from my normal vet?

Tue, 26 Feb 2019 00:00:00 +0000

It is a very sad thing to say, but the veterinary profession is changing very fast. In fact, it has already changed. Only 10-15 years ago, the vast majority of vet surgeries were in private hands. They were owned and run by vets and on the whole, their clients felt they had a good relationship with the practice. There was friendship and plenty of mutual respect.

The business of veterinary

Over the last decade, there has been an explosion of new practices – so called franchise vets – and you can see them everywhere on the high street and in the large pet supermarkets. These are owned by large American business corporations. In addition to these new practices, over half of the private practices in the UK are now also owned by America – notably venture capital companies – and they own hundreds of practices across the UK. These vet practices usually keep their original names in an attempt to keep clients loyal. The original owners and vets who worked there usually leave after a year or so. The business of veterinary surgery benefits from economies of scale and makes more money. But this money now goes to America. It no longer is used by the practice to improve wages or facilities.

Vet practices are now primarily a business – vets working within them are encouraged to think that way too. Whereas once upon a time vets just wanted to help animals get better, or have a better life, they are now told by their managers they must sell more blood tests, do more x-rays, give more tablets. Don’t get me wrong, vets are still amazing caring people, but it is almost impossible these days for them to find the time and energy to even be able to care:-

Vets are overworked

Most vets work very long hours – often 60 or 70 hours a week. They are expected to examine and treat between 25 and 30 animals a day. They are paid very little for this stressful work – especially considering how highly trained they are, and how much it has cost them to become vets in the first place: Their managers just need them to make money. Many of them feel unsupported and unappreciated in this new veterinary world. Which can lead to emotional exhaustion and burnout. Which is why it is so much more difficult to get to know your vet. And also why it is so difficult to get a vet to visit your home:

The vet doesn’t want the hassle of leaving the surgery for an hour or two – when they get back, they will still have to see the people they should have seen if they hadn’t left to do a home visit in the first place! There just aren’t enough vets to go around.

The manager doesn’t want a home visit because the vet can make more money in the surgery.

Vets don’t visit homes any more (unless you’re very lucky)

So that is why vets don’t visit homes anymore. And if they do, they are in a hurry because the manager wants them back as soon as possible.

As the Quietus Vet, I recognise this is a huge loss for loving and caring dog and cat owners. I realise that people need a vet to visit.

Fear and anxiety at the vet surgery

Secondly, there is the fear problem. There is no denying it, most dogs and cats don’t like going to the vet. Even those that get excited – barking and fussing everywhere – are actually just hiding their anxiety. Very few of our pets positively enjoy their visits. Sometimes we have to accept a bit of vet-surgery anxiety is worth it if we can make our dog or cat better, or protect them from disease. But I feel that at the end of their life, after years of loyalty and love, the very least we can do is make their last days and hours as stress-free and fear-free as we can.

If we really do have to put a pet to sleep, then it should be at home – among friends and family. And among familiar sights and smells.

Quietus Vet reviews

Only Quietus Vet – Caring Pet Euthanasia at Home can provide this special and unique service in our area.* Read my reviews and testimonials – you’ll see what a difference it can make.

www.quietusvet.co.uk/reviews/

* Derbyshire, Nottinghamshire and South Yorkshire including Derby, Nottingham, Sheffield, Rotherham, Mansfield, Sutton, Worksop.

Quietus Vet on handling Grief

Wed, 27 Feb 2019 00:00:00 +0000

Nick Cave’s son, Arthur, died in 2015. Nick is now discussing the loss of his son through various media channels. Here he is talking to The Guardian newspaper:

“A lot is said about grief, especially the conventional wisdom that you do it alone. I personally have found that not to be the case. The goodwill we received after Arthur’s death from people who I did not know, especially through social media, people who liked my music and kind of reached out, was extraordinary… The rush of emotion ( the film about Nick Cave “One more time with feeling” ) unleashed in people and the way they wrote about their own sadnesses and their own griefs was monumental and amazingly helpful for me and my family.

“Initially, I thought it would be impossible to do this in the public eye. The impulse was to hide. But it turns out that being forced to grieve openly basically saved us. Of course, there is something that feels almost heroic about suffering on your own, to be locked into a world of memory, almost a nobility, I understand this, but it is an illusion and a very dangerous, life-threatening situation to put yourself in. Susie (his wife) and I have grown to understand this. We are vigilant around each other, watchful that we don’t shut down.”

Grief is a very personal thing. We each have our own process of grieving and it is important to realise that there is no proper way to do it.

All the best, Paul

But she’s having a great day. Should I still have my pet put to sleep?

Thu, 28 Feb 2019 00:00:00 +0000

Believe it or not, one of the observations I hear most during my visits is

“He’s having a good day today. I’m not sure I should continue.”

The best way to think about this question is to realise that this it is simply a small part of this bigger question:

“Is now the right time?”

To put it simply, when one our pets is declining steadily over weeks or months, and there is nothing to be done, as owners, it gradually dawns on us that we will probably be required to make a decision to have them euthanased. At some point in the future. When we have recognised this fact, then we watch our dog or cat more closely to see if there are any signs to tell us when exactly to put them to sleep. If their decline is steady, then there will probably be very few sudden signs that tell us it should definitely be today. Or tomorrow. Or next week.

A balance of good and bad

What I recommend we do in this situation, is make a balance between “good” and “bad”. I suggest trying to work out in our minds how much of our pet’s life is good, and how much is bad. And this is not just their pain. Or their discomfort. Or their incontinence. Good and bad also must include us. Are we happy or unhappy in our life/relationship with our pet? Having a dog or cat is not just about them, it’s about us too. That is not selfish – in fact it’s the opposite – because our pets live for us – so if the relationship is suffering, then so are they.

So we create in our minds a balance between good and bad. And if there is more bad than good, then for me, the time for ‘calling it a day’ has arrived. But it’s still probably difficult to make the phone call to the vet. How about waiting one more day? What harm can it do?

I advise all my people to trust their hearts. You wake up one morning and you know that your beloved pet should be put to sleep. Listen to that thought, and then think ‘when’? Today? Tomorrow? Trust your heart – it won’t let you down.

Then I arrive at your house one afternoon. And suddenly as we are talking, you ask yourself again

“Is this the right time? He’s having such a good day today”.

Having a great day today

I will be honest, if I am visiting a very ill cat or dog who really seems to want to ‘call it a day’, then there is nothing better for me than to see them having a great day.

To have spent the morning in the sun, purring in mum’s lap, I can’t imagine any better day to end a life. I love it when an owner says, “yes but they’re having such a good day today”, and I say, “yes it’s great isn’t it? What better day to do this.”

Rather a life should end on a good comfortable day than leave it until their days are all pain filled and miserable. Euthanasia becomes less of a gift that way.

5 Things I wish you knew before euthanasia

Fri, 01 Mar 2019 00:00:00 +0000

Based on a really well written article By Kelsy Beth Carpenter - Animal Technician (Vet Nurse): kelseybethcarpenter.blogspot.com

Euthanasia. The word itself makes all our stomachs drop. It is a gift to our pets and a curse to owners – having the power to decide is something we are not comfortable with. However, when going through the euthanasia process with your own pets, you are in a position to make numerous decisions that can change the course of the overall process.

As a Veterinary Technician, I (Kelsy Beth) witness euthanasias on a daily basis. Let me share from personal experience the 5 things I wish every pet owner knew.

1.It’s ok to cry

People apologize to me all the time for crying over their pets. Whether it’s time to say goodbye, or you are simply having a hard time watching us draw blood on your dog, I wish you knew that I GET IT. Many of us who work in animal medicine (myself very much included) are totally neurotic, hypersensitive, and obsessive when it comes to our own pets. I may seem calm and collected while working with your cat, but that’s because it’s my job and I can’t afford to be any other way if I’m going to be good at it.

So, when you are crying over the pet that you have loved for years, I assure you, I have nothing but respect for you.

I respect how much you care.

I respect your ability to make such difficult decisions.

I respect your bravery.

2. Be there, if you can

I am lucky to work in a hospital where the vast majority of pet owners stay with their pets for the euthanasia process. However, this is not always the case. I urge you to stay with your pets, if you can, for multiple reasons.

First, for my sake. One of the absolute most difficult things I do as a Veterinary Technician is take on the role of comforting and loving a pet as they pass on when their human is not there to do so. It is an incredible weight to try to act on your behalf, and it is emotionally exhausting in a way that I cannot even begin to describe. When you stay with your fur-baby, I can focus on my own job, instead of doing both of ours.

Second, for your pet’s sake. The vet surgery can be a very scary place for animals – they don’t understand what all these noises and smells are, or why these strangers are poking and prodding them. Do you want them to experience that fear alone?

And have it be their very last memory?

Your pet doesn’t know what we are doing or why – they only know that you are there, that you said it’s ok, that you love them. I remember being a child, and how scary going to the doctor was, but how much more confident I felt with my mom there reassuring me. I imagine that is exactly how pets feel. If you can find the strength to be there, please do so. Please let your love, your touch, your presence be the last thing your pet experiences.

3. Keep the collar on

One of the saddest things I witness during the euthanasia process is when humans take their pet’s collar off when they are still awake. To many pets, taking their collar off can have negative associations. For example, I know my own dog panics when I remove her collar as she knows it’s bath time! I want your pet to be as comfortable as possible, and that means not making any major changes immediately prior to euthanasia.

Pets are much smarter than we give them credit for, and they pick up on the smallest of cues. The unknown is scary to your pet, so even if they don’t know what the cues mean, the idea that something is new and strange and out of the ordinary is enough to cause them some sense of anxiety. So, keep the collar on…

4. Make it a celebration

Give them a treat. Tell stories. Laugh and cry at the same time. Surround yourselves with all his/her favourite toys and beds and blankets. It’s ok to cry, and it’s also ok to celebrate!

I love when people tell me they took their dog to the beach or napped in the sun with their cat right before coming in to the hospital.

This is going to be one of the hardest days of your life, but it doesn’t have to be for your pet.

It is ok to cry in front of your pet, to tell them how much you will miss them, to let them see you be absolutely beside yourself.

But remember to celebrate, no matter how miserable you are. I promise it will make it easier for both you and your pet. What’s more, It will allow you to reflect on the euthanasia experience with positivity – you will remember that you celebrated and you will feel good about having done so.

5. Prepare

I want this moment to be entirely about you and your pet. In order for that to be the case, several things must happen.

First, you must understand the euthanasia process. If possible, talk to your Vet or Tech prior to coming into the hospital, or prior to starting the process – ask them to walk you through the steps of euthanasia so that you know exactly what to expect. Ask as many questions as you need to in order to feel comfortable with the process (or at least, as comfortable as you can be). Know what you’re walking into, so that your focus can be entirely on your pet. Look at Quietus Vet for more details on the 3-Stage Technique.

Second, take care of business ahead of time when possible. Sign any required paperwork. Pay the bill. Decide on aftercare. Even go so far as to prepare you next meal ahead of time, arrange a ride, rent a movie, invite friends over – whatever you think might help you cope when you return home from the hospital without your pet. The less you have to deal with during and after euthanasia, the better. I want you to be able to focus entirely on your pet during the euthanasia, and then entirely on yourself afterwards.

Every euthanasia is different. Some are planned, some are sudden. The best happen in your home, some in the hospital. Regardless, they are difficult – to prepare for, to cope with and to experience. I hope these 5 things will help you to plan ahead and to make the process as beautiful as it can be for both you and your pet. Kelsy Beth Carpenter.

From Dr Paul Stevens BVSc MRCVS The Quietus Vet I agree with Kelsy Beth’s thoughts. When the time is right, if you need help or when you have made some decisions, then call me at Quietus Vet – 07761 419 501 or send an email from the website – www.quietusvet.co.uk

I’ll try to make it as good as it can be for you and your pet:

The Quietus Vet 3 Stage Technique which has to be the only way
At Home
No rush. Relaxed. Surrounded by family. Sympathetic and careful.

But I’ve been with my own vet for ever…

Sat, 02 Mar 2019 00:00:00 +0000

When the difficult question of putting your pet to sleep (cat or dog euthanasia) arises, it’s only natural to ask for help and advice from the other people in your life.

If you already have a relationship with a vet then they are obviously the ones to talk to first for advice on how your pet may be ‘feeling’, and for advice on what investigations and treatments are available. A vet is particularly good for giving you an idea of whether those investigations and treatments would have any significant benefit for your dog or cat. When you are thinking of euthanasia, or your vet is hinting at you thinking about it, I think it’s important for you to consider your pet’s quality of life – which after all is the greatest gift we can give our pets.

When you have made the decision for euthanasia, then it is only natural you consider using your own vet. This is how it has always been – since James Herriot’s time.

Vets are changing

But the veterinary profession has changed. There are very few vets now who stay with a practice for more than a few years. So it’s much more difficult now to find a “family vet” who is always your friend and always available. When you go to most practices now, you see a different vet every time. Or if you’re lucky and you manage to see the same one, they’re usually so busy they don’t have time for a chat. This means most pet “owners” now make the choices for their pets that the vet used to make. “Owners” no longer accept whatever their practice offers – they decide if they want their vet’s service and if not they look elsewhere. The veterinary profession is fragmenting into smaller units – each one designed to offer a smaller area of expertise.

Specialist home visits by experienced vet

Quietus Vet is new. Paul has only been offering this specialist home euthanasia service for dogs and cats for the last year.

“I’ve always used MissVet, and she’s always been great.” Which is how it should be. But a great many vets absolutely hate having to put animals they have treated to sleep. Yes they will advise it because it is in the pet’s best interests, but the act of euthanasia causes them a lot of personal upset and distress.

Which is why vets don’t mind when their clients use Quietus Vet. In fact they are mostly grateful that they don’t “have” to do it. Many vets realise that they can’t offer a totally perfect service, and so they suggest someone who can. And your normal vet (“MrVet”) doesn’t mind a bit. He’s thinking it’s easier for you and your pet, and he’s maybe looking forward to meeting you again soon with one of your other animals.

“A perfect service”

Quietus Vet – the perfect service:

At home with no anxiety or stress. Surrounded by family and friends. The 3-Stage Technique – calm, quiet and gentle.

Bess “I was called the other day to help a middle-aged collie to sleep. Bess had been diagnosed with liver cancer and her owners wanted her to be at home. They didn’t want her to die at the surgery where she’d had all her treatments and investigations. I arrived, and we chatted for a few minutes. Bess came over and sat next to me with her head on my knee. I scratched her ears whilst we talked. She was very relaxed – obviously enjoying the attention. Her owner looked at us and said Bess hadn’t looked so happy for a good while. What a lovely way to end a great life…

Cats and Baskets – avoiding stress and anxiety

Sun, 03 Mar 2019 00:00:00 +0000

I’ve been a vet for over 30 years and have been treating cats for most of that time. I have seen thousands of cats arrive in my vet surgery – they arrive in many ways:-in wicker baskets; plastic clothes-baskets with plywood lids; in their owner’s arms (definitely not recommended!); plastic covered wire cat baskets; and the commonest form of transport which is the plastic box with a door at one end.

Cats are territorial

I have just read a great article by a vet explaining the best ways to approach cat-handling. Cats are felines – not canines or humans – and this means they think differently, and we recognise they need different things. This vet reminded me that cats are territorial. They spend almost every waking hour exploring and checking their territory. Cats are making sure “their patch” is secure – that no other cats are thinking of making a land-grab. So, whenever we remove a cat from its territory, it has to be stressful. The cat becomes fearful and anxious. They fear their territory will be taken over whilst they are away. Their biggest fear is being taken to another cat’s territory – which often means a fight is coming… This is why most cats I see in the surgery are cowering at the back of the basket, or are hiding under the blanket. They can smell the other strange cats, and believe it or not, cats will always try to avoid a fight if they can. Especially on another cat’s turf. So they make themselves small, and they hide. They are hoping for the threat to be taken away. Or they are hiding until they can be transported back home.

Not all cats are the same

This obviously doesn’t apply to every cat. I know cats that adore a visit to the vet or cattery, and they lap up the opportunity to be loved and cuddled by new people. Regard yourself lucky if your cat is like this. Not many are… There are many occasions when we have to take our cats to the vets. The vet surgery is the best place for thorough and rapid treatments and surgery. When we take our cats, we are balancing the stress of the visit against the benefit of good health.

Making cat travel easier

We can make a trip less stressful by keeping the basket in the house for a few weeks. On the day, after putting your cat in the basket, drape a blanket over it so your cat can hide better. They will feel less fear. Pheromone sprays can help a bit too (get them from the vets). But ideally, a cat is always happier in their own territory – they are more contented and feel safer in their own home.

Quietus Vet 3-Stage Technique for pet euthanasia at home

The Quietus Vet approach to helping a cat’s last moments be as happy and stress-free as possible uses the 3-Stage Technique. This is a sequence of three medicines which gently lead up to the final put to sleep – they avoid all fear, pain and stress. But just as important to me is the removal of travel-stress. Taking your cat on its final journey to a surgery full of strange smells and noises is totally unnecessary. If the decision has been made for euthanasia – however hard that may be – I think cats should be at home for this most important part of a their life.

I want pet euthanasia to be absolutely as good as it can be for cat and owner alike. So perhaps I should rename my Quietus Vet technique. Perhaps I should call it the 4-Stage approach – three medicines and one home?

For more information on our services, please contact us on 07761 419 501 or 0114 433 3063 or email with a more detailed query at your convenience – simply send us an email we will be back in touch with you as soon as we possibly can.

Thanks to Pamela Singleton FRCVS. Positive approach to cat handling. Vet Times. Jan 16 2017 Vol.47 No.2 Pg.18.

Can using Quietus Vet help you with your grief?

Mon, 04 Mar 2019 00:00:00 +0000

When a pet dies, we all usually feel grief to a certain extent. Some owners will only feel grief for a day or so. At the other end of the scale, some may experience it for a number of months. Worryingly, some people continue to experience grief from the loss of their pet for years, although hopefully at a low and mainly acceptable level.The way a pet dies has a large effect on grief. Often, the grief experienced when a pet dies suddenly is greater than when the death has been anticipated for a while.The greatest effect on grief for my clients is that they have to make the decision for their pet to die. (This doesn’t often happen with the death of a relation, or human-friend.)

Having to make the decision can add a whole new and painful layer of hurt to a pet owner’s experience – which is often accompanied by feelings of guilt and unsureness. This often leads to the risk that owners will leave it too late (for their pet). Some even avoid the decision altogether and try to get their vet to make the decision for them.There are several theories of how grieving works – you may have heard of some of them. But I am not a psychologist, or a trained counsellor, so the only thing I can do is tell you about my experiences with my own clients’ grief:-The idea for this blog entry came from an observation my partner made last night. We were both driving to Sheffield, and I took the opportunity to take the ashes of a lovely Labrador called Molly back to her home ( I helped with her end of life a week or so ago). My partner waited in the car whilst I returned Molly’s urn to Alex and her two children. Then back in the car, I told my partner how well Alex had seemed. She was able to talk about Molly freely. Alex talked again about how Molly was their first pet, and how Alex still got occasional waves of grief-upset – often when least expected.

She said the blue urn was perfect – blue is a favourite colour.I then realised that all the clients I have returned ashes to have been in a pretty ‘good place’. Yes they still experience tears and upset. They miss their pets hugely. But they seem to have their grief under their own control, rather than the other way round. I told my partner this, and she said,

Perhaps the way you do your euthanasia visits has an effect on their state of mind. Maybe you help them in some way.

As I have already said, I’m not a trained counsellor – I just said,

Maybe you’re right. I have no idea…

But then this morning I got an email. It was a client sending me a testimonial for my website. Some clients put reviews on Google, others email me directly. This is what she wrote:

Our German Shepherd cross, Xena was such a big part of our lives for sixteen years. When her health deteriorated we had to make that awful decision about ending her suffering. I found Quietusvet on the internet. It was difficult when that moment came to make the phone call but I knew ‘the time was right’. Once our decision was made, we just needed the process to take place as soon as possible. Paul came out the very next day. He was very compassionate, caring and patient. He talked us through the whole process and gave us all the time we needed. Xena’s end to life was pain free and peaceful. It was a comfort knowing that her life ended calmly, at home in her own bed. Many thanks to Paul for all his care and help in reducing the distress of Xena’s end to life.

I emailed back to say thanks, and she wrote back another short note which instantly confirmed that my decision to set up Quietus Vet pet euthanasia at home was the right one:-

It’s all very true Paul.

Xena’s end to life could have put us off ever having another pet but because of you that isn’t the case. We’ve resisted so far but I’m getting tempted and am about to enquire about a rescue dog.

All the best Paul and have a good Christmas & new year.

I can’t be sure (and this may be an outrageous claim), but it does seem that Quietus Vet can help you get through all those difficult feelings you experience after the loss of your loved pet. This was something I didn’t consider when I first started to concentrate on home euthanasia earlier this year. My priority was the dog and cats’ welfare. My next priority was their owner/parent’s wishes to have it done at home in as calm and gentle way as possible. A “natural euthanasia” for their pet as one of my clients put it.What I am now beginning to realise is that by performing it all properly and making it as good as it can be, pet-owners / pet-parents can also benefit in the weeks and months afterwards too.

Paul Stevens Veterinary Surgeon.
Mobile: 07761 419 501
Or landline: 0115 784 3456 or 0114 433 3063

Why Should I Choose Quietus Vets Rather than my Normal Vet?

Tue, 05 Mar 2019 00:00:00 +0000

No one likes having to take their pets to the vet, least of all the dog or cat involved – and while vet surgeries and staff are on the whole extremely talented and caring professionals, there are some circumstances when an owner may not feel too comfortable in a medical hospital environment. The same may well apply to the pet too – some pets simply do not feel safe or secure in a veterinary atmosphere, which can lead to anxiety and fear.Recognising these emotions is not always easy in our pets. We may think our dog is happy because he is fussing the people in the waiting room, and jumping up at the receptionist. Our cat may be sat quietly in their cat-carrier. These can equally be signs of comfort and also anxiety. It’s not always easy to tell. We certainly don’t want our pets to have to experience fear and anxiety – which is why we should consider the trip to the surgery seriously. When it comes to saying a final goodbye to a cat or dog, the stress for all involved are obviously even higher. The clinical environment found at vet surgeries may not provide for the comfortable atmosphere that both owner and pet need at such a critical time. Arguably, too, the pet euthanasia process in surgeries can feel somewhat cold and methodical, which we believe detracts from the emotional wellbeing of both the pet and their owners.Saying farewell to a beloved pet can be an extremely difficult time on an emotional level – our cats and dogs really are members of our family. At Quietus Vet we believe the process of end of life must focus upon the wellbeing and aftercare of the owner as well as ensuring their pet receives a calm and comfortable farewell in warm and familiar surroundings.

Bringing comfort to you

Quietus Vets was established to help bring comfort and guidance to owners and their pets when approaching euthanasia. We ensure that the process is discussed and approached in a respectful and calm manner and so help establish comfort and ease for everyone involved.

We ensure that owners can receive home visits so that any actions and discussions take place in familiar environments, thus lessening stress upon the owner and making sure that a pet’s final moments take place in an environment that is familiar, comfortable and unlikely to cause shock or fright.

Accommodating the needs of you and your pet

We place an emphasis on care and we endeavour to be as thoughtful and as respectful as possible for all owners and their pets. We are always happy to be flexible to accommodate any specific needs or requirements for both owner and animal. It is our duty to make sure that you are given the best possible support during an incredibly difficult time and we will therefore strive to make you and your cat or dog as comfortable as possible during the process.

What sets Quietus Vets apart from standard veterinarian services is our recognition of the need to support the owner as well as their pet. Most vet surgeries main focus is on the technicalities of ‘end of life’. At Quietus vet, we have the time and space to support the pet’s comfort as well as support their loving owners. And we feel this starts in a familiar environment – at home – and with as much preparation as possible. We are happy to help before, during and after euthanasia in any way we can.

For more information on our home visit service, please call us today on 0115 784 3456 or email us to make contact.

Should I feel grief after my pet passes away?

Wed, 06 Mar 2019 00:00:00 +0000

The loss of a pet is a sad time that can bring on a host of emotions in any owner – it’s not just the loss of a pet but of a family member – particularly if your cat or dog has been in your life for a considerable number of years. Many pet owners struggle to process the loss of their companion right away, and this is completely natural – the loss of a family member in any shape or form is a huge shock to the system and the grieving process will be as long as the person affected needs it to be.

How we can help

It is natural to feel grief after losing a pet – however it may occur. No one wants to say goodbye to their cat or dog and the processes through which animals are put to sleep can often feel rather cold or uncomfortable. Pet owners need time to remember their loved ones and to begin to adjust to life beyond their physical presence. Some people are not comfortable with the idea of grieving for the loss of their pet – it may be more helpful to think of it as being a process of adjustment. There are a number of ways in which the grieving process can be assisted. No owner should be forced to come to terms with the loss of their pet too quickly – grief is a process that takes as long as it takes, and quality aftercare for owners should be just as much a priority as a calm and peaceful handling of their dog or cat’s euthanasia.Here at Quietus Vets, we focus upon the needs of both the owner and the pet, ensuring that euthanasia takes place only as a last resort and in an environment and at a pace that both human and animal can feel at ease and stress-free. It is a series of moments that no one ever wants to go through, and we feel that these moments should be handled with the utmost sensitivity and respect for owner and pet alike. We too focus on ensuring that owners are cared for and are given space – a friendly face to talk to once they have said goodbye in their own time. We believe that no one should be forced to grieve alone, and it is a process that we often go into with little idea of when we will come through the other side.

You don’t have to do it alone

Grief for the loss of your pet should be treated with sensitivity and support, and in a manner which will allow you to remember your cat or dog in brighter spirits once you are ready to do so. The grieving process can feel long – but you never have to go it alone. We are here to help you and your pet by making you all feel comfortable from the start of the process of saying goodbye. We also help you feel safe and in understanding company as your cat or dog passes away.For more information on our services, please contact us on 0115 784 3456 or email with a more detailed query at your convenience – simply send us an email we will be back in touch with you as soon as we possibly can.

What are the reasons to have my dog or cat put to sleep?

Thu, 07 Mar 2019 00:00:00 +0000

Saying goodbye to a beloved pet is never a time which people look forward to, particularly if it follows a period of long illness or problems for their cat or dog. However, there are some circumstances when euthanasia for your pet will be the kindest option. This is never a scenario that should ever be taken too lightly – if you love your cat or dog, you will always do right by them, but it is also important to understand that giving them as much comfort as possible is a priority.

When should I do it?

It is extremely difficult to know exactly when the time is right to have a dog or cat put to sleep – it will largely be a decision made by the owner as to when the best opportunity will be. It is widely agreed and encouraged that a pet should not be forced to live in pain or under duress, particularly if they no longer enjoy the activities that they used to. Areas to keep a close eye on include a pet’s mobility, their weight, their food and water intake, their breathing, pain levels, incontinence, responsiveness and their ability to exercise. If you notice a considerable negative change in several of these areas, you should consider consulting with a professional for further advice – however, euthanasia should only ever be considered if it is clear that your pet no longer enjoys a quality of life that they used to, and if there is no clear avenue for respite.

Cats and dogs can generally live for around ten to fifteen years and sometimes happily for much longer. Each animal’s health is of course unique – but getting older can provide considerable strain on their health, as it can with humans. A healthy pet will never be put down unless they pose a particular threat or risk to themselves or to others – meaning that the euthanasia process will never be hurried along or carried out without your consent.

How we can make the process easier for you…

At Quietus Vet, it is our intention that this process stays this way. The euthanasia of a pet should never be rushed into or considered improperly – there are a wide range of factors and reasons as to why putting a cat or dog to sleep will be considered the kindest option – particularly as some pets may continue to live through excruciating pain without complaint. Ultimately, it is the decision of the owner as to when euthanasia should occur. We understand that this puts considerable pressure upon people and it is therefore always our aim to provide a comforting, relaxed and respectful atmosphere and process for pet owners from the very start of discussions through to the act of saying goodbye.

From home visits to further support and advice, Quietus Vet is here to support cat and dog lovers of all ages. If you need help, guidance or would like to arrange a consultation, please Contact us on 07761 419 501 and we will discuss any concerns you may have at your convenience.

What should I choose afterwards – burial or cremation?

Fri, 08 Mar 2019 00:00:00 +0000

Losing a pet can be incredibly hard. It is therefore understandable that owners need as much time as they require to be able to grieve and remember their loved one.

There are many things to consider upon the passing of a family pet, and while much time spent during such an event will be focused on adjusting and grieving for such a loss, practical arrangements will need to be made to ensure that a cat or dog is given a memorial that is both appropriate and practical for their owner.The cost of handling a pet’s passing can vary depending upon the type of service or memorial that you feel is most appropriate. While some pet owners will prefer to have their loved ones laid to rest, others will be keen to opt for cremation. Handling a pet’s passing is not an easy process – and it goes without saying that a grieving owner can well do without the additional stress of having to count the cost or effectiveness of their memorial. Pet owners choose cremation for various reasons. Many owners choose cremation so they may keep their pet’s ashes at home in a ceremonial urn or casket. Some wish to scatter the ashes along a favourite walk, or somewhere comforting and familiar in the garden.

Some owners want something simple and don’t need their pet’s ashes returned. This is known as a shared (communal) cremation. This is usually a very cost effective option, However, some owners feel uncomfortable with cremation, and prefer to honour their pet in an entirely different way.

What decision should I make?

Burials are still a popular choice for grieving pet owners as they will allow them to be able to attend a memorial for their loved one – this can allow them to grieve at their own pace. They can visit their pet when they feel emotionally and mentally able to do so. The choice between burial and cremation depends entirely upon the wishes of the owner – and while neither option is right nor wrong, we at Quietus Vet believe that you should never feel forced into making a decision regarding the honouring of your pet’s memory. We recommend being prepared long before your pet is put to sleep – think about what you want and need before your pet dies. This way, when the time comes to make the other decisions and choices that present themselves at this time, it will be that little bit easier.Quietus Vet ensures that you are provided with a range of options and services that are both reliable and cost-effective. During our talk we will ensure that your wants and needs are listened to and are taken fully into account upon your pet’s passing. As part of our service we always ensure that pet owners are given time, space and advice – meaning that while we can advise on options that are available to you and your pet, we will never be insistent. How you honour your loved one will always be up to you and we will help you do that at a pace that you are comfortable with.

For more information on Quietus Vet’s services, please Contact us with any queries have on 07761 419 501 or email at your convenience – and let us help you honour your pet in the way and manner that they deserve.

Will a fox dig up my cat’s body? No! Not if you do it right.

Sat, 09 Mar 2019 00:00:00 +0000

When a beloved pet dies, we have to consider what to do next. If your pet has been ill for a while, or perhaps they have been showing signs of extreme age, then their death comes as less of a shock. Certainly no less upsetting, but at least you have had time to consider their aftercare. If you haven’t talked about it with anyone else, you still may have subconsciously considered your pet’s aftercare options for when the time comes – You have thought about cremation and about burial.

First thoughts on burial of my pet

Burial may well be your first thought. Burial gives us the opportunity to make our pet’s passing into a kind of ceremony. A ceremony doesn’t have to be religious. Nobody has to make a speech. Just the act of everyone deciding on the exact spot, making the hole, and filling it in afterwards are all part of a ceremony that can help some of us to handle our loved pets’ passing better. Often common sense makes us think about the practicalities:-

What happens if we move house in the next few years?
Do we have a place where we are sure they won’t be disturbed by our new extension?
Who will dig the hole?
Should we plant a tree or bush over the grave?
How safe will my pet’s body be afterwards? We have foxes and stray-dogs around us and have heard foxes dig up bodies.

It is these concerns that make so many choose cremation – either shared, or individual cremation with ashes returned in a casket or urn. These allow ashes to be scattered along walks, or in areas of the garden. They allow those important memories of pets to be kept ‘material’ within the memorial of a permanent casket.

If you’ve definitely decided on burial…

If you have decided to use the burial option, then you may need some guidance:-

Do read our website page on burial
Do think hard about the site of the grave. It has to be within your garden and nowhere near a watercourse or ‘services’. Make sure there are no plans to disturb that area of the garden in the future.
Consider how you would like your pet to buried. A simple blanket is fine, but there are many other coffin options now available which should be made of materials that bio-degrade and are friendly to the environment. Plastic sheeting and other similar materials should be avoided.
How big a surface area? As big as your pet plus 25% all around. It’s hard to dig vertical sides to a deep hole, so you will probably need to start your hole wider and longer than you’d think.
How deep? I always tell my clients at least 3 feet (one metre) plus the size of your pet or coffin. I recently had a client bury her beloved German Shepherd called Bess. She was fairly thin, but the hole still had to be dug to a depth of 3 feet plus 1 foot = 4 feet (1 metre 30cm). Heavier soils such as clay can be slightly less.
If you want more peace of mind, then there other ways to safeguard your pet’s grave. The absolute worst thing is when a fox tries to dig into a grave:- After half refilling the hole with soil, some people will lay a sheet of chicken wire in the hole, and then continue to refill the hole with soil. Make sure the wire is not coated with plastic. Some people will lay flag stones over the top, but you may need to wait a year or so for the soil to settle before the flags are stable.

Whatever your choice, please free to contact us at Quietus Vet and we can help with any further advice on burial or cremation. Most important of all, make sure that you are happy with your choice. We want you to have as easy a journey through your pet’s passing as possible.

Is there a better way to put my dog to sleep?

Sun, 10 Mar 2019 00:00:00 +0000

So… You’ve been able to make the biggest decision a pet-owner ever has to make: By which I mean the decision to perform euthanasia – to put your pet to sleep. At Quietus Vet, we know that you care deeply about your pets. We know that you will have thought about your dog’s welfare long and hard – you will have considered the pain and distress they may be experiencing. You have thought about their “quality of life” and your shared “lives together”. You’ve probably considered all the good parts of your cat’s life, and then compared them to the bad parts. You’ve thought about treatment at the vets and would it help? You’ve asked yourselves questions like; “Who am I doing this for?” or “Am I being selfish by going on?”

What we’ve changed

Until Paul set up Quietus Vet, your only choice of where to perform the “end of life” was a normal vet practice. This is not always the easiest experience as you maybe upset. The surgery may be busy and noisy. You often have to stand in a full waiting room to sign forms and pay.If you are already at the surgery when your vet gives you the bad news, the vet will usually try to get you to do the euthanasia there and then.

Now you can choose to have it done at home with Quietus Vet.

If you are at home when you make the decision, before Quietus Vet, your only choice was to call the normal vet for an appointment and you’d have to take your pet in for the final consultation. Or you may try to get one of their vets to come out and do it at home. This is obviously the best way. You want your pet’s final moments to be spent exactly where they’ve spent all their life until now. Unfortunately, these days it can be very difficult to get a vet to visit. Often they will be unable to commit to a time or even day. Many clients tell us they have been left ‘hanging’ by the phone, or waiting by the door. Also, you probably won’t know who is coming…

We have even heard this recently (September): You’ve had to call 5 local vets to see if any will come out to your home. All just refused and told you to call elsewhere. (Yes, truly. We have heard this…) .

Our Solution to this

We at Quietus Vet realise that vets do a great job at being vets – vets who treat, medicate and do surgery. They are often very caring and want what’s best for your pets. But we realise they are unable to make your pet’s final moments of life good enough. They are busy people – they just don’t have the time. Quietus Vet was set up to help you both. You have made this decision because of your pet’s quality of life. We want to offer you a quality end-of-life. We can help with a much better way for dog and cat put to sleep:

In your home where you and your pet are relaxed and not anxious
At a time that suits you. It’s hard enough without having to wait ages once you’ve made the decision
Quietus Vet uses a bespoke 2/3 stage euthanasia shaped for your pet’s needs. This is a very gentle and gradual process. There’s no rush. We are respectful of your wishes
We can help you with your pet’s “Aftercare”. Considerate and dignified.

Do it right

You only get one chance to do this right. Quietus Vet may be the better way to help put your dog or cat to sleep.If you’re thinking about putting your beloved pet to sleep, then do it right and contact Quietus Vets today on 077761 419 501 and we’ll try our best to make this experience as easy as possible for both you and your pet.

What is old age?

Mon, 11 Mar 2019 00:00:00 +0000

Pets are generally considered geriatric when they have reached 80% of their expected lifespan. On average, cats live considerably longer than dogs. Small dogs live longer than large dogs.

The term “old age” is heard often by us at Quietus Vet. It is a description of what has been happening to a pet over the previous months or years before we meet. It is most often used when a pet’s behaviour begins to change, and there is nothing else to see – no lumps, no bumps, no coughs. The term “old age” is used when we recognise there is something wrong, but we don’t really know what it is.

In fact, as vets, we recognise that old age is not a single disease. It is a description of an ageing dog or cat who is struggling in their daily routine. As pets get older, their systems don’t work as well. Their muscles become weaker. The heart isn’t as strong. Their liver doesn’t work as well. Their digestion is less effective at coping with unusual or too much food. This is true “old age”.

This is the sort of old age where owners can help their pets by selecting the right foods, by moderating the amount of exercise, and by reducing stress.

Dogs and cats who are aging gracefully simply slow up. They are less active, and they sleep more.

The Difference Between Illness and Age

The problem for owners is how to tell the difference between slowing up and illness. As many people now recognise, cats and dogs hide their pain and illness well. They don’t moan and groan like humans. Instead they sit still in a quiet spot away from everyone if they can.

A cat that changes the way he eats – maybe he makes a mess around the bowl, or suddenly prefers dry food – may be suffering from dental problems. Bad or broken loose teeth perhaps.

Young cats sleep a lot, but when an old cat begins to sleep all day and only moves for food and toileting, then we should consider arthritis. A 13 year old dog maybe eating less and drinking more than usual, but it only becomes a problem when she starts to wet her bedding overnight. Is this her kidneys getting old, or maybe diabetes?

A natural next step is to go to the vet for an opinion. That’s all. Just get an opinion. It helps the owner with their decisions. If the vet says do some tests, then an owner can agree or not. If the vet suggests tablets or surgery, then the owner can agree or not. Most vets would rather see a dog or cat for a simple examination than imagining a pet at home suffering in silence.

Take a Chance to Think First

A common problem with the vet visit is that many owners are worried that if they take their pet to a vets, they will advise euthanasia. And many owners worry that they will be “bullied” into doing it there and then.

So if a vet recommends either treatment or euthanasia, then go home and think about it. You can then go back to the vet, or phone Quietus on 07761 419 501. You only get one chance to do this right! Quietus Vet was set up so that owners and their dogs and cats could experience a better and easier pet euthanasia. We are concerned about the welfare of both pet and owner and we know that being put to sleep should be done at home and in good time.

By offering a welcoming voice and a reliable (bookable) home visit when owners phone, He is making it easier for people to make the decision to put to sleep their pet.

Quietus Vet wants to help pets in pain and distress.

For more information on out services please contact us on 07761 419 501 or by web form at your convenience.

Putting your dog, cat or pet to sleep, when is the right time?

Tue, 12 Mar 2019 00:00:00 +0000

Losing a pet is incredibly hard for any owner that shares a close bond with their cat or dog – and it is often difficult to make certain arrangements following an animal’s passing on both emotional and psychological levels. Some owners may wish for their loved ones to be buried at a specific site of their choosing, or at home – while others prefer to opt for cremation, keeping their pet’s ashes for scattering or in an ornament to look over them. However, there can be pitfalls when working with crematoriums with regard to animals, and here at Quietus Vets, it is our aim to ensure that you are always kept at the heart of any arrangements that are made regarding your pet once they have passed on.

Your pets Cremation

Arranging for your pet to be cremated can be stressful and there is no normal guarantee that the process with a crematorium will be sensitive and receptive to your needs during a particularly difficult time. While all crematoriums aim to offer respectful service to anyone that may approach them, it is not unreasonable to expect or request as much information as you need to help say goodbye to your pet. In our experience, some businesses do not offer as much respect, space or assurance that pet owners need – which can cause more stress or even anguish.

Our aim at Quietus Vet is to help make your last moments with your pet as comfortable as you both need them to be by offering home-based euthanasia – and it is also our aim to ensure that any services or bodies that you may come across in this difficult time handle any questions or concerns you may have with their processes both respectfully and with as much time as you may need.

Making sure they are your pets ashes

A big concern for pet owners who opt for cremation surrounds the identity of the ashes that are provided once the cremation has taken place – Quietus Vet ensures that you receive a guarantee that your pet’s ashes will be returned to you as expected and in the manner in which you request them. We work closely with assured, reliable crematoriums to ensure that your pet’s cremation is everything you both need and expect it to be. Therefore, it is one less worry for you, giving you more time to grieve during this particularly sensitive time.

We understand that losing a pet can be extremely difficult and therefore aim to help make the put to sleep and any aftercare requests as painless and as respectful as possible for both you and your cat or dog. We set up our business to ensure that pets and their owners can say goodbye peacefully and in the comfort of their own environment, and be reassured that the process will be kept as stress-free as possible. For more information on our services, please call us on 07761 419 501 or email us via web form at your convenience.

Human-Pet Bond Article in Vet Times

Wed, 13 Mar 2019 00:00:00 +0000

A short comment piece in the Vet Times reminds me of the strength of the bond between owners and their pets. They quote:

Two out of five say they spend more time talking to their pets than their partners.
40% would rather confide their secrets to pets
65% said their dog was their best friend in the world
96% said their dog was part of the family
94% said their pet cheered them up
86% said their pet was always there for them
80% said they often felt better for having a good chat with their pet

New YouTube Channel

Thu, 14 Mar 2019 00:00:00 +0000

Video material to help explain how what we are doing is so much better than what we have all become used to.

How to cope with loss

Fri, 15 Mar 2019 00:00:00 +0000

When my clients lose a loved and treasured companion, they will often ask for some advice on how to cope.

What is the next step?

I will often answer that the most important first step is no step at all.

I suggest they simply sit down quietly, Turn the TV off. Grab a bit of paper, an old envelope, anything and scribble down their thoughts. Write it all down. No one else will see it. And if you don’t like writing, then draw a picture. Or record something onto your phone (voice memo).

Here’s a poem written by Ailsa’s loving owner / parent and shared on a local forum a few years ago:

I wrote this when we lost Ailsa, aka ‘Nellie-bear’ AILSA (29/09/01 – 22/08/11)

There’s a big empty space at the end of the bed
Where a Doberman once used to lay
And a worn patch of cloth on the black eiderdown
With the stitching beginning to fray
There’s her water bowl, collars and biscuits and treats
Her stuffed ‘kitten’ still on the floor
And the cats are subdued, treading softly about
Because Ailsa is with us no more
And this big empty space at the end of the bed
Is so hollow and lonely today
There is nothing on earth that could fill up the void
Where a Doberman once used to lay.

Sleep tight, Nellie Bear.

The Human Pet Bond

Sat, 16 Mar 2019 00:00:00 +0000

Part 5 – Rosie

When a pet grows old and infirm, making the decision to call the vet is logical, rational … and incredibly hard. By Marc Silver March 2013

Marc Silver is deputy director of text for National Geographic magazine This article is the fabulous original from which I have shamelessly lifted some of his points.

“I will confess that when friends and co-workers have told me that they “put their pet down,” I would think, “OK, how hard could that be?” Disease or old age begins to take a toll on your pet, and at some point you decide it’s time for Rover or Tabby to go.

Then I faced the dilemma myself.

Our cat, Rosie, born in 1992, had been having what I will delicately call “litter-box issues” for a couple of years. My wife, Marsha, and I had made many accommodations. We had installed an upstairs litter box for moments when she couldn’t make it to the basement box. We had experimented with boxes that were easier to enter, including an enclosed one with a ramp leading up to the litter area. We had bought a rubber pad to put under the box for spillage. We had even bought what I refer to as “doggie wee-wee pads”— extremely absorbent pads that are used to house-train dogs but turn out to be excellent at soaking up cat urine as well.

Anyway, as I noted, I thought it would be very easy to say, “I am tired of cleaning up cat urine, so let’s euthanize Rosie.” But somehow I couldn’t. Maybe it was because Rosie seemed to be enjoying life as best she could. She would yell at us each morning if her food supply was low, and as soon as I got home and plopped on the couch in front of the TV, she’d come right over, climb onto my chest, and lie contentedly — a 20-pound (9-kilogram) weight smothering me and shedding orange hair upon my wardrobe of black.

I’d make euthanasia jokes: “She sleeps 23 hours a day, so what’s one more hour?” But I found myself wondering: What gives me the right to bring her life to a close? Who knew that a house cat could trigger an existential dilemma?

My inability to make the call to the vet was especially surprising given my checkered relationship with Rosie. When our two now grown daughters were kids living at home, they were the alphas. Rosie gave them great affection but treated me like I had some kind of toxic plague. If I would sit next to her on the sofa, she’d bolt like a crazy, scared rabbit. Even if I had just filled her food bowl minutes before.

But now my wife and I were the alphas. Rosie didn’t quite shower us with love, but she did clearly crave our company. So we delayed calling the vet. And we kept cleaning up the litter box.

Then, a few days ago, Rosie stopped eating, And my wife and I knew it was time. We were actually grateful — it was as if she had given us permission to put her down.

We found a vet who would come to the home. That made it easier, because like many cats, Rosie was not a fan of being placed in a cardboard “carrying case” and schlepped to the vet by car.

And so I came home for a 4 p.m. appointment. Rosie was sitting on the sofa, where she has spent most of her time for the past months, curled in a ball. The vet told us that many cats “commit suicide” in a way — when they sense that their body is failing, they stop eating or drinking. Which is what Rosie was doing.

The vet injected Rosie with a sedative while I stroked her. She became unresponsive. At which point I became extremely responsive. To my utter amazement, I began sobbing uncontrollably. I couldn’t even talk on the phone when my wife called to say she was five minutes away. I apologized to the vet, and he said, “You’re doing well — most people are already blubbering when I get there.”

Marsha made it home in time to say goodbye. Then the very kind vet administered a dose of sodium pentothal. We sat there gently stroking Rosie’s head. Soon after, her heart stopped beating. Why is it so hard to send a cat to kitty heaven? It’s not like Rosie left in the prime of her life. She had 20 years — 20 good years. She was the daughter of a feral cat. We intended her to live an indoor life, but her instincts demanded that she bust out into the great outdoors. So she turned herself into an indoor-outdoor cat and took great pleasure in prowling our yard, terrorizing other cats, and sunning herself on the patio.

Over time, she became such a part of our family life that she was just Rosie Silver, our cat, with her own style and her own Facebook page. She was a devoted friend to our two daughters, even when they stretched her out like she was on a rack. She was also part of our family crises… I guess what I’m saying now is that I’m stunned by how deep the bond with an animal can be—even an animal that treated me like an ogre for over a decade. And how hard it is to say goodbye, even when you know it’s time.

So long, Rosie. You were a cool cat, and our house is empty without you. And I know this sounds hokey, but my heart is a bit emptier too.

The Human Pet Bond – The vet visit

Sun, 17 Mar 2019 00:00:00 +0000

Part 4 The Vet Visit

As vets we experience ‘owners’ passing responsibility to the vet much more easily. There is an expectation for the vet to fully decide what is best for the pet. We see a result of this on certain Vet TV shows: On these shows, we see loving owners allowing some ethically debatable procedure to be practiced on their pets. It’s not the owners fault. They only want what is best for their pet, and the vet is often very persuasive: “Because I can do it, then you should let me.” This cult of personality runs the risk of over-riding common sense when it comes to attaching a wheel to a poor dog’s leg.

The Human Pet Bond - The Family

Mon, 18 Mar 2019 00:00:00 +0000

Part 3 The family

A poll taken 25 years ago suggested that, on average, the parents of a family unit (the man and woman) generally placed their pets below children, grandparents, extended family and even friends in terms of their importance and priority.

The poll was repeated 5 years ago. The average position of pets was now at the level of, or slightly below children. Pets are now more important than extended family and friends.

In a few cases, parents claimed to prioritise their pets over and above their children.

The Human Pet Bond – Trends

Tue, 19 Mar 2019 00:00:00 +0000

Part 2 – Trends

This last point (in Part One of this Theme) – the changing landscape of pet ownership – refers to a recent trend in pet ownership: When I started off in the profession, pets were largely owned. Meaning the human would go out and get a pet. They would take responsibility for its feed, its health, its behaviour, and its housing. They would be the pet’s owner, and would make all the important decisions on its behalf. In this instance, you could say the human-pet bond was biased in favour of the pet. Over the last 10 or 15 years, this bias is shifting toward the human. Pets are increasingly seen as contributing something to the human’s life. Not just as a means of herding sheep, or as a guard dog. That was historically always the purpose of having a bonded animal. We now notice people are having pets for much more complex social and personal reasons.

The Human-Animal Bond - Terminology

Wed, 20 Mar 2019 00:00:00 +0000

Part 1 Terminology

The human-animal bond is a term that is applied to any interaction between humans and animal. At Quietus, I am particularly interested in pets, and so I’ll call it the Human-Pet bond.

There are some commentators who challenge the word ‘pet’. Some feel the term ‘pet’ loads undue responsibility onto the human and suggests ownership. Also, many feel the word ‘animal’ rejects the deep feelings some people have about ‘their’ animal. That all aside, I’m going to stick with ‘pet’ – we know what it means.

And what do we call the human side of the bond?

Human. Man. Woman. Parent. Carer?

Putting your dog, cat or pet to sleep, when is the right time?

Thu, 21 Mar 2019 00:00:00 +0000

We all love our pets – we are, after all, a nation of animal lovers, but it is also extremely sad that there will always come a day when we have to say goodbye to our furry, feathered and scaly friends. There are a number of reasons why we consider the the need to put a pet to sleep – and they are largely concerned with an animal’s quality of life. We have the ability to overcome any pain or illness that they may be suffering from. It is important to be aware of signs in an elderly pet’s life that indicate that putting to sleep may be the kindest option for them.

Consider your pet’s current state of health – are they suffering from a terminal illness, or one which provides pain and long-term symptoms that cannot be alleviated by medication or care? Does your pet struggle to eat, drink, or retain control of their bodily functions? While none of these reasons alone are enough to warrant the need to put a pet to sleep, a combination of long-term illness, old age and deterioration in their quality of life should all impact on a decision of whether or not to let them pass away peacefully. While many pets pass away naturally without such intervention, recognising their quality of life is by far the most humane act that a pet owner can exercise – especially in times of long-term illness and continuing pain that a cat or dog may be going through. It is important to understand what makes your pet’s life worth living for them. What do they enjoy doing? Do they like long walks, certain types of food, naps in warm or cool places? Do they enjoy the company of other dogs or people? It is crucial that any signs of your pet no longer being able to undertake or enjoy these qualities of life are taken into account far ahead of any euthanasia. You should never prolong a pet’s life or refuse to take the action to put a pet to sleep if you are doing so for your own benefit. Your pet should live comfortably, safely and without fear of prolonged pain.

Finding the right Vet for you

No one wants to put a pet to sleep – and some veterinary practices fail to offer owners the closure, comfort and space they need to say goodbye to their friends properly – and for many, it can be a procedure that feels rushed or unnecessary. This should never be the case. The decision to put a pet to sleep is extremely stressful for loving owners and it is a process that should neither be rushed, nor denied the dignity that both owner and animal deserve.

Letting go of your favourite cat or dog can be hard – but it is incredibly important to understand that the most humane option may be to alleviate their suffering. Quietus offer compassionate and empathetic support to anyone who feels that there may be a need to put a pet to sleep. We always consult within a pet’s home environment, where it is calm and familiar to the animal, making matters as peaceful and as straightforward for all involved. We feel that many veterinary procedures relating to euthanasia fail to offer compassion and empathy that pets and their owners need at such a critical time.

Please take a closer look at the services we offer to pets and their owners throughout our website – we hope to answer as many of your questions as possible ahead of you making any committed decisions. No one wants to put a pet to sleep – but in many circumstances, it is providing a dear friend with the peace they need. Please call us on 01773 404 063 when you are ready to make an appointment.

Where is the best place to have my dog or cat put to sleep?

Fri, 22 Mar 2019 00:00:00 +0000

No one wants to lose their pet – cat and dog owners the world over know only too well that there will always come a time when they will have to say goodbye – but they need not do so in a cold or unhelpful environment. At such a difficult time it is important for both owner and pet to be comfortable and free from any additional stress or anxiety – and oftentimes, it is largely down to the setting and the handling of this delicate event that can add to an owner’s grief.

Why choose your home?

There are a number of reasons why a veterinary surgery may not be the first port of call for many pet owners. For some, it can be a very cold and clinical place, lacking warmth and familiarity – features that are sorely needed by owners and their pets at this time. Euthanasia shouldn’t be a practice that is conducted in a clinical manner – as the owner and the cat or dog should always be put at the heart of the procedure.

Many owners may feel that the way in which they have said goodbye to their pets has not been appropriate to their shared relationship and this can add to their grief and hurt – meaning that a surgery or medical environment may not be the best option for owners who feel particularly close to their animals. While veterinary practices are well-versed in communicating with pet owners and handle euthanasia as sensitively and as professionally as they can, sometimes a more warm or private touch is more beneficial.

At Quietus Vet we believe that you shouldn’t have to take your pet to your local surgery or vet practice if you feel uncomfortable in doing so – it may even be a case of you being physically unable to make the trip, adding to additional anxiety at a sensitive time. We believe that home is always the best setting for a calm, peaceful and a natural goodbye between owner and animal, allowing for your pet to feel relaxed and in a familiar environment before they pass away.

The best environment in which an animal should be put to sleep should be one which is familiar and safe for both owner and pet alike – and while some veterinary surgeries neglect to offer reliable home visits, Quietus Vet offer a respectful home euthanasia service to ensure that you and your loved one are given the time and space that you need to be able to say goodbye with as much comfort as possible.

No one likes to say goodbye – and considering having a pet put to sleep can be an extremely difficult time with many decisions that you may not wish to rush into. For care, support and a home visit to ensure that you and your pet are able to part peacefully and comfortably, call us on 07761 419 501 or email via web form for more information. Quietus Vet offers a comfortable and respectful alternative to helping your pet pass away peacefully – a fresh and different choice to what most people are used to, or have come to expect.

Being prepared for your pet’s passing

Sat, 23 Mar 2019 00:00:00 +0000

It is becoming increasingly clear to those of us working in this field that helping pet owners and parents to prepare for their pet’s passing is hugely important.

It isn’t just about making the phone call to the vet. Not just about deciding what to do afterwards. Preparation is as much about mental acknowledgement of the issue. Recognising that “the end is built into the beginning” and as such is inevitable.

So why not make it as easy as possible for both the owner and pet? One way we recomend owner / parents to do this is to write about their pet. To put down on paper, or online, their memorys, experiences, concerns, worries. List the good times and write about the (probably rare) bad times.

The Blue Cross Charity

Sun, 24 Mar 2019 00:00:00 +0000

I was at the BSAVA Congress yesterday, and I met a lovely lady at the Blue Cross stand. I have a link on Quietus Vet to the Blue Cross Support freephone number, and I wanted to know what their service consisted of.

Diane told me the line is staffed by very well trained volunteers. Their remit is to “support and sign-post” – which is modern-speak for listening and suggesting other resources.

They don’t counsel. They listen. Which is half the battle in my book. And they are monitored closely so they don’t stray from their own rules. And they have a maximum of 45 minutes to spend on any one call – which should be enough I reckon. Callers can always call back again, but they will get a different person.

What is euthanasia? What is putting your dog or cat to sleep?

Mon, 25 Mar 2019 00:00:00 +0000

There is a responsibility:

Most people who take care of pets realise they have taken on a great responsibility. They realise that they have to provide food, shelter and care for their pet. It is the giving of this care that changes our relationship into one of respect, friendship, or even love.

There is one other responsibility that comes with caring for a pet – that is to make sure the end of their life is as comfortable as possible:- When a dog develops a serious disabling disease, or a cat suffers into old age with failing kidneys and thyroid issues, then their carers have a responsibility to make sure they suffer as little as possible. Carers (owners) can do this by making their pets’ as comfortable as possible; by getting veterinary treatment; and ultimately, if these things aren’t helping, then suffering will be relieved with euthanasia.

Euthanasia – what is it?

Euthanasia is the medical term for ending a life in a humane, peaceful, calm and compassionate way. Whilst vets use the term euthanasia, most people use other terms like “Put to sleep” or “Put down”. In the UK, euthanasia is mostly carried out by vets. Sometimes it is the vet who has been treating a dog or cat that administers the final act of euthanasia. This is because many owners rely on their vet to guide them towards the decision to put their pet to sleep. Vets are very good at knowing when treatment will no longer work, or when there are no options left to preserve a pet’s welfare and dignity. Sometimes, once an owner has made the decision to have their dog or cat put to sleep, they may another vet to provide caring end-of-life.

The final injection:

Most vets euthanase dogs and cats using a barbiturate medicine. This is in the final injection a vet gives and it is this medicine that causes life to stop. Usually within a few minutes of the injection, breathing stops followed by the heart stopping. These two events normally signify that death has occurred. Once these have been confirmed, there is no possibility of life returning.

Making the final injection easier:

There are ways to make the final injection easier for both pet and owner alike:

Make plans for the event so everything is as it should be. People report they feel shocked by the rapidity of having their pet put to sleep at the vets. The event may stay in their minds for too long and will delay their return to a more normal life.
Do it somewhere quiet and calm. Where there are no fear-smells or fear-sounds.
Make sure all the people present (owners and their family, vets, nurses) are as calm and relaxed as possible. Dogs and cats will pick up on their carers’ anxiety.
Pre-sedation. A few vets are beginning to administer sedation before giving the final injection. This is particularly when a pet is worried or difficult to handle.
This is an even more effective method than sedation alone for ensuring a pet’s final moments are without stress or discomfort.

After saying goodbye:

After you have said goodbye, then there are options for what to do next.

These are called aftercare and details can be found on the Quietus Vet cremation and burial pages.

Even later

Some carers (owners) continue to experience emotional pain after their dog or cat has been put to sleep. These experiences will be very damaging and it is vital that they consider seeking some help. Sometimes just talking to a trusted friend will help. Or there are organisations that can sign-post a person to where they may obtain more help. Be aware that this hurt (which can include feelings of guilt and grief) can sometimes be avoided by planning. Try to avoid having to make snap-decisions about euthanasia. It is best to think about it all and try to make sure it all goes as quietly and gently as you can. Talk to friends and family about your thoughts.

Quietus Vet – Caring Pet Euthanasia

Using the 3-Stage Technique makes it as good as it can be.

How much does it cost to put my dog or cat to sleep in 2023?

Tue, 26 Mar 2019 00:00:00 +0000

Quietus Vet service is not like any other vet.

When you look at the cost below, please remember:

We only visit homes. We come to you, you don’t come to us.
We specialize in making dog and cat put to sleep as good as possible. No nurses, no uniforms, no restraint.
During our visit, we only ever use the 3-Stage Technique which is a special process. This means we spend much longer with you and your beloved pet than normal vets will.

This a brief FAQ Answer: You will find more detail on our Services / Prices page.

We have made pricing easier for our clients by using a fixed-price system. This applies if you live within our area in Derbyshire, Nottinghamshire and South Yorkshire. If you live within our area (which you can see on the map of our area), then our Quietus euthanasia mobile visit to your home on a weekday is just

£335 – which includes our visit to your home : Cats and Dogs

The price you see on our Services page will not change during the visit. There will be no surprises.

The same goes for aftercare costs. They won’t change. AND aftercare prices include us bringing your pet’s ashes back to your home.

Paul will give you an accurate estimate when you make the appointment.

Also look at your aftercare choices.

Pet Quality of Life Checkers

Wed, 06 Feb 2019 00:00:00 +0000

The H5M2 Scale

Quality Of Life Worksheet.
Use a scale of 1-poor to 10-best.

Click Here for an alternative assessment method .

Over 35 points is considered an acceptable quality of life.
Under 35 points is unacceptable and medical care must be improved or euthanasia considered.

Score patients using a scale of 1 to 10 for each category. For example score
HURT 3.
HUNGER 2.
and so on for all 7 categories you see below:
Then add all seven numbers up at the end - over 35 usually suggests quality of life is acceptable.

HURT – Adequate pain control, including breathing ability, is first and foremost on the scale. Is the pet’s pain successfully managed? Is oxygen necessary?

HUNGER – Is the pet eating enough? Does hand feeding help? Does the patient require a feeding tube?

HYDRATION – Is the patient dehydrated? For patients not drinking enough, use subcutaneous fluids once or twice daily to supplement fluid intake.

HYGIENE – The patient should be brushed and cleaned, particularly after elmination. Avoid pressure sores and keep all wounds clean.

HAPPINESS – Does the pet express joy and interest? Is the pet responsive to things around him or her (family, toys, etc.)? Is the pet depressed, lonely, anxious, bored or afraid? Can the pet’s bed be close to the family activities and not be isolated?

MOBILITY – Can the patient get up without assistance? Does the pet need human or mechanical help (e.g. a cart)? Does the pet feel like going for a walk? Is the pet having seizures or stumbling?(Some caregivers feel euthanasia is preferable to amputation, yet an animal who has limited mobility but is still alert and responsive can have a good quality of life as long as caregivers are committed to helping the pet.)

MORE GOOD DAYS THAN BAD – This is my favourite because it is more of a feeling. This when bad days outnumber good days, quality of life might be compromised. When a healthy human-animal bond is no longer possible, the caregiver must be made aware the end is near. The decision needs to be made if the pet is suffering. If death comes peacefully and painlessly, that is okay.

TOTAL= A total more than 35 points is acceptable.

If this system doesn't work for you, try this SECOND METHOD of trying to work out quality of life

Adapted by Villalobos, A.E., Quality of Life Scale Helps Make Final Call, VPN,09/2004,for Canine and Feline Geriatric Oncology Honoring the Human-Animal Bond, by Blackwell Publishing, Table 10.1, released 2006.

When is the “Right Time” to have your dog or cat put to sleep?

Wed, 10 Mar 2021 00:00:00 +0000

When is the “Right Time” to have your dog or cat put to sleep? Part I

Today we are going to talk about the biggest question we pet owners have: when is the right time?

It’s so hard making this decision. The worst.

Families fall out over it. People have sleepless nights. They can experience guilt, have arguments and misunderstandings.

- Not to mention the question of whether we should even be considering euthanasia at all.

Assuming you recognize that euthanasia is a privilege that we have been given - so that we can improve our pet’s welfare towards the end of their days - then

the biggest risk as far as I am concerned is – leaving it too late:

Once it’s too late, then it’s impossible to turn back time. It’s too late. And you and your pet are going to feel awful.

So, we need to work out when is the right time?

If a dog or cat’s welfare is reduced – for any reason - then I think people have a responsibility to try and improve it. That’s why you take your pet to the vets and why you give them the best food and care.

But when your pet has an illness that cannot be improved. When there’s no light at the end of the tunnel. Or when they are failing due to age.

Then I think it’s important to think about death and how death should be:-

Grim and Dreadful – or Reassuring and Positive?

Death is part of life. It really is. Our pets don’t live their lives putting off death for as long as possible. They want to have joy and satisfaction – every waking minute of every day.

Collies want to have a job to do.
Jack Russels want to bark at something.
Labradors want to eat.
Cats want to tell you what to do.

But when it all goes wrong, and we no longer recognize our pets for what they once were – then if our pets HAVE to die, many of us may prefer them to die ‘in their sleep’. Whatever that means. ‘In their sleep’ probably means we would rather not be there when they die. We’d rather not know and rather not watch them as they die.

The truth of the matter is there is often a bunch of suffering before a ‘natural death’ – suffering that we often choose to ignore…

“Oh he’s still eating. He wagged his tail today. He still barks at the postman. She purred in my lap last night. She still loves her ears being stroked. She has a sparkle in her eye.”

I call that cherry picking. We grab what looks good to us to reassure us that we are doing the right thing.

But we might be ignoring the bad stuff.

A cat that sleeps 22 hours a day is not feeling normal.
A dog that can no longer walk to the shops and back. Who limps and can’t climb the stairs any more. A dog that coughs for minutes whenever they move.
A cat that has lost half their body weight and can’t stop eating and drinking.

These are all things that show your pet is experiencing reduced welfare.

We call it Quality of Life and we are going to talk about it in the next article: When is the “Right Time” to have your dog or cat put to sleep? Part II

When is the “Right Time” to have your dog or cat put to sleep? Part II

Wed, 10 Mar 2021 00:00:00 +0000

When is the “Right Time” to have your dog or cat put to sleep? Part II

Hi. I’m Paul and I have created Quietus Vet – a bespoke home vet euthanasia service for pets. Most dogs and cats wouldn’t want to go to a hospital for their final journey – or at least I wouldn’t if it were me. I’d want to be at home watching tele. Or sat in a chair in the garden.

So let’s talk a bit about dogs and their “Quality of Life”.

We are talking about quality of life – and when is the right time to call it a day.

Titan is a 11 year old Rottie. Handsome isn’t he.

Well he was. When he was younger. He’s a big boy and he’s been having problems with his back legs (and therefore, probably his spine) for the last 18 / 24 months.
He’s now spending much of his day laid in his bed. Or at the bottom of the stairs or by the back door on the decking when the sun’s out. His owners have to help him stand up sometimes - when he’s tired or in more pain than normal.
Still eating and drinking. Still got a “sparkle in his eye”. Still woofs at the postman. Still happy to see his owners in the morning. He’s had a few pee mistakes when he couldn’t get up or attract anyone’s attention. He fell down the other day.

Let’s assume we agree that we don’t want him to suffer. That MUST be our priority right?

Sounds easy but is almost impossible to get right.

Titan’s decline has taken 18 months. Each day his mobility has got worse – but only a tiny bit each day. Each day his pain has increased – but only a tiny bit.

So when did he start to suffer? Well, he started to suffer 18 months ago – just a bit. But to consider putting him to sleep then would have been absurd.

So what we have to do is try to create a balance. Some kind of moment when we judge that his suffering exceeds his joy. And dogs are all about joy. The joy of chasing a squirrel, or barking at the postman, or doing a job like catching a ball, or guarding the garden.

So we have a balance:

On the left is Titan’s pain and mobility / continence issues. On the right is joy and his ability to do his job of being Titan.

As each day goes past, the left goes up, the right goes down.

As far as I am concerned. the moment there’s more left than right – more bad than good – then I think the time is right.

There’s no light at the end of the tunnel for Titan – no miracle waiting around the corner.

But the big problem for Titan is that the bad only goes up a little bit each day. So it’s easy for his owners to ignore the fact that the balance has gone over.

Titan’s owners are waiting for one big event that will help them make the decision that the time has come:

Perhaps a major fall. Or he starts to growl when someone comes too close because of the pain. Or he starts to be sick. Or his legs give up altogether and he can’t support his weight. Or he becomes faecally incontinent.

These notable events make it much easier for Titan’s owners to make the phone call to the vet – “Titan needs to be put to sleep.”

But waiting for a crisis means Titan’s owners are making that phone call months too late.
Titan has been experiencing more bad than good for 4 or 5 months. Which isn't good.

What if we are too early? What if he’s not ready?

I read a quick and easy quote when I was setting up Quietus Vet. Can’t remember where – but it goes:

Better a month too early than an hour too late.

Simple.

If Titan’s owners had decided to have him put to sleep 3 months after the balance changed for the worse, then he would only have had 3 months suffering. If they chose a month earlier, that’s a month less unnecessary suffering. This is all good for Titan. His owners didn’t want him to suffer. As soon as the balance goes over to the bad side, then the time is right.

Next we are going to look at cats - now, they are difficult:

When is the “Right Time” to have your dog or cat put to sleep? Part III

Home Pet Euthanasia Guides

FAQ: Do you examine my pet?

FAQ: Do you only do pet euthanasia? Do you do normal treatments as well?

FAQ: During a visit to the vet, they said I must put my pet to sleep immediately. What do I do?

FAQ: Is this service ethical? Shouldn’t my own vet have to do it?

FAQ: Should I inform my own vet afterwards for their records?

FAQ: What if I want to bury my pet at home?

FAQ: Why do you charge more for large dogs?

FAQ: Why is a Quietus Vet euthanasia visit any different?

The 3-Stage Technique

Quietus Vet will visit your home.

We offer the best aftercare and cremation services.

FAQ: Will my normal vet mind me calling you?

Help on How to Consider Your Pet’s Quality of Life and Whether Palliative Care may Help

“The end is built into the beginning”

Care Assessment and Quality of Life

Pre-Euthanasia – or “Be Prepared”

How to Assess Your Pet’s Quality of Life

It isn’t always easy to assess your pet.

Quality of Life assessment. How to assess your pet.

PAIN

APPETITE

HYDRATION

HYGIENE

ACTIVITY/MOBILITY

HAPPINESS/MENTAL STATUS

GENERAL BEHAVIOR PATTERNS

OWNER PERCEPTIONS

Library of euthanize pet at home articles and fact sheet guides

Memories

What’s wrong with Pain Relief in Dogs and Cats?

Veterinary NSAID Analgesic Drugs

Veterinary Opioid Analgesic Drugs

Other Veterinary Analgesics

Worries and Concerns

Welfare issues

Some advice:

Death and dying. Are doctors and vets doing enough? Or too much?

Human Medicine – Friendly Doctors are now a service provider

An insatiable appetite for medicine: for scans, for drugs, for tests, for screening.

Animals are a different case

It is all about timing and reassurance

Suffering – How very important it is to recognize

Emotions can be useful in driving you to be Logical and Rational

The problem with Shadow

The diagnosis and treatment options

Daniel’s decision making

Dr Google comes to the rescue

Treatment and procedures

161 days later

Quietus Vet – emotions can help with your logic

Quietus Vet helps you get through the whole thing intact…

Why I created Quietus Vet

Rachel’s discovery

Paul’s discovery

Quietus Vet – helping people through the most difficult time.

How to deal with euthanizing your dog

Dr Google

DIY

Trapped…

Sympathy

Quietus Vet – Caring Pet Euthanasia

Complementary and Alternative Medicine (CAM)

Homeopathy and acupuncture

The end for alternative medicine help for pets?

My message to the vet profession is

Why am I (Quietus Vet) talking about this?

Most vets are not doing euthanasia properly

Needles and catheters

The final injection

Quietus Vet 3-Stage Technique

A note on intra-cardiac barbiturate euthanasia injections

Vets are changing thank goodness

How is Quietus Vet so different from my normal vet?

The business of veterinary

Vets are overworked

Vets don’t visit homes any more (unless you’re very lucky)

Fear and anxiety at the vet surgery

Quietus Vet reviews

Quietus Vet on handling Grief

Part 2 – Trends