~ House Call Appointment ~
I will be happy to consult with you over the phone about your pets unique situation. I will guide you by providing information on the process of death, aftercare and memorializing your pet. As you make these decisions, you will receive my expertise, understanding and support. I also can provide an in home consultation on the day of your appointment.
Your pet deserves for their last moments to be as peaceful as possible. A sedative will be given to help minimize restraint and give your pet relief from pain and mental anxiety. This allows your pet to fall into a deep and gentle sleep in your presence.
After your pet is fully sedated and you are ready, a solution will be given that stops the heart within a few minutes. I will then listen to the heart to let you know when your best friend has passed way. Afterwards, you may continue to spend time with your pet without distractions.
An information packet on grief is given at each appointment.
If you desire, a clay paw print can be made during the appointment.
Loving paws provides transportation and cremation options through a top class crematory service that services your area. Please refer to the Aftercare page for further information.
Common Questions About the Appointment
On the day of your appointment you may feed your pet any amount or type of food, if the pet is still eating. Treats are fine as long as it does not upset your pet's stomach: Make your pet happy. Continue giving any medications that are making your pet comfortable. These medications will not interfere with the sedation. While Dr. Westbrook does bring puppy pads, you may also provide a towel and a waterproof barrier to help prevent soiling if your pet happens to urinate during the appointment.
A sedation is given first to allow your pet to drift off to sleep. It is an injection that is given under the skin, just like a vaccine. The sedation does not take effect instantly: Most dogs start to become noticeably sedated between 3-5 minutes and cats after 2 minutes. Most pets will become totally sedated between 5 and 15 minutes, with 10 minutes being average. Dr. Westbrook does not believe in the one size fits all mentality. The sedative has multiple medications in it that are tailored to each pet's symptoms and illness providing many mental and physical benefits.
Many pets will show obvious dream sequencing with sedation. Commons signs of dreaming include snoring, light twitches, REM eye movement, leg movement and smiling/grinning. Some of the cats have also shown nursing/suckle behavior.
Each pet reacts to sedation differently. Not all pets close their eyes. This makes sense if you think about it: We all have heard of people that can sleep with their eyes open, and pets can do that too. Some pets naturally sleep with their eyes open, while others develop this habit when they become sick. When given, the sedative may take effect before your pet thinks to close their eyes. Your pet may be in a sleep state, but have their eyes open or partially open. This is why Dr. Westbrook uses other ways to know that your pet is truly asleep. There is a natural reflex that every pet has, known as a "pull back" reflex. When your pet's foot is massaged they will naturally pull it back, even under light sedation. As your pet fully experiences sedation they will lose this natural reflex. When your pet loses this reflex Dr. Westbrook will then place a puppy pad under them. If your pet reacts with this movement, Dr. Westbrook will know your pet needs more time or extra medication. Before the final injection is given most pets will need a small amount of hair clipped over the vein. Most pets will react to this if not under complete sedation. This is the final signal Dr. Westbrook watches for when she is monitoring depth of sedation. Occasionally she will have "foolers" that give false indications of sedation. These are pets that just don't follow the rules. Nothing bad happens, however if she notices (as she is shifting them to get a better view of a vein) that they seem to not be fully asleep, she will stop and give them a little extra sedation.
About 80% of dogs and 50% of cats will not care that they are getting a shot. The others will often show a mild reaction to the injection. Many pets are just not expecting an injection at home. They tend to react like they are stung by a bee. They may yelp or hiss. A few will turn and look over their shoulder at the area where the shot was given and behind them looking for the "Bee". Typically they will settle right down once they realize the "Bee" is gone. One way to help bypass this reaction is to give a treat when giving the sedation (if your pet is still eating.) A mouth full of happiness goes a long way to make your pet comfortable.
If your pet is adverse to injections, or has extreme anxiety or aggression with strangers, Dr. Westbrook recommends giving an oral sedation before the appointment to help them relax. This is not required, but may be helpful for some pets. With an oral sedative your pet will still be able to move and will be aware of their surroundings, but with a reduced stress level. The goal during every appointment is to provide the best experience and last memories for your pet. If you think your pet would benefit from being given an oral sedative, Dr. Westbrook will be happy to give you a recommendation and guidance before the appointment.
The final injection is an anesthesia overdose. It is not one of the old products. It will not paralyze them or just stop the heart. This product works by going to the brain. The brain will then tell the body to shut down in stages. There is no "mental" awareness or pain when this happens. What you will notice is the breath will stop first and the heart will stop second. This injection is given in a vein, and is very fast. Most pets pass within 1-3 minutes.
During the sedation period, your pet needs to have someone who they are comfortable with present. Many of Dr. Westbrook’s clients chose not to be in the room for the final injection. That is a very personal decision. Your pet will be in a comfortable mental state, dreaming and unaware at this point. They will not know if you opt to leave the room.