Monster

My sweet Monster crossed the Rainbow Bridge in January of 2023. One thing that gave me comfort was that she truly had a wonderful, long life. At 22 years old, she was with me for almost half of my life. Monster was a fan of hugs. When I’d come in the room, she’d put her paws out for me to pick her up. I still miss that! Monster was also a fan of sneaking into my closet and stealing a glove or a sock and bringing it to me. She would meow so loud that I used to think she was hurt, but I believe she thought she was bringing me a gift. Dr. Holland let Monster take one of my socks with her. I’m so grateful to Dr. Holland for the kindness and compassion she showed when Monster passed away.

Thank you,

Suzie M.

Are In-Home services more expensive?

 

Regularly I am asked this question so I wanted to address it on my blog knowing that it is a sensitive topic. I have practiced at both an animal hospital and my mobile service that provides home euthanasia for dogs and cats in the Triangle and surrounding areas.  I feel that both of my unique professional experiences gives me good insight on this issue.

My house call visits typically last on average around 2 hours. This can vary depending on how much the pet parents and I talk, and the overall experience that the family is wanting. I am trained in pet loss guidance and I like to spend the first part of the visit just talking and getting to know the pet and the pet parents as well as going over the procedure in detail and answering any questions. My goal is to have the family feel as comfortable as possible. With my mobile veterinary service I never overbook myself. When I show up to help a family I am 100% focused on their needs and the needs of the pet. If the family chooses to, I also take care of all the aftercare arrangements including meeting with the crematorium provider after the in-home appointment.

Hospitals are often loud and busy places.  Typically the clinician is handling multiple fur babies and has much less time to meet with the families and discuss the procedure or offer pet loss guidance. I know from speaking with families who decided to say goodbye to their beloved pet in hospitals that they often felt rushed to say goodbye and wished they had chosen a more intimate setting.  I know from the experience of working in both practices that in-home euthanasia is not for everyone, just as saying goodbye within a hospital setting is not for everyone. Cost does play a role in whether some families decide to say goodbye to their pets at home.  I’m proud to offer a compassionate alternative to pet parents so they have more choices when it  is time to say goodbye.

Loss and Grief with Dr. Holland

The loss of your dog or cat is one of the hardest things that a pet parent has to navigate.  Throughout this journey of the final life stage, there are an array of emotions that can come up.  I have had to say goodbye to beloved fur babies and the grief has been intense.  Here are some things that have come up in me as I have traveled along the path of grief and loss and to finally finding happiness again.

Is it crazy for this to hurt so much?

No. The grief that I have felt for a beloved pet passing surpasses anything that I have felt for another human in their passing.  Pets are often the center of the home and the focus of our love and attention.  They comfort us and they know us fully, including our habits and secrets.  They are often our “mini-me’s”  and it’s only natural that with a relationship that strong and meaningful that we could have a powerful amount of grief.

Here are the 6 stages of grief and how they may show up in the process of losing a pet: 

  1. Shock and disbelief-  the first responses to the loss of a beloved pet.  This can last anywhere from a few hours to several days.
  2. Anger, alienation and distancing- anger can come up in many forms.  Often there is anger about the disease that took your baby, or at the Dr. that wasn’t able to save them.  Anger when carried to an extreme level can keep you from moving through the healing process and fully experiencing grief.
  3. Denial- having trouble accepting that your fur baby is really gone.  Typically this stage is very quick and is rooted in fantasy.
  4. Guilt- the more that you loved your baby, the more likely you are to experience guilt.  Experiencing guilt on some level is very natural as we rethink the final life stage of your fur baby and the decisions made for care at the end.
  5. Depression- It is normal to feel depression with intense mourning. With the loss of all my babies and in particular my kitty Mantis, the depression was pretty marked.  I would wake up in the morning and ask myself, “Will I ever be happy again?”.  I was already in therapy at the time Mantis passed and I used sessions to process this incredible loss. *If the depression becomes too intense or prolonged than one should seek help from a trained professional
  6. Resolution- a time for spiritual healing.  In this final stage, we move through the grief and are able to hold onto the memories and the love of our beloved while moving forward with life’s activities.

How can I process my feelings?

The most therapeutic thing we can do is lean into our emotions and pain.  In order to get through the other side of grief, we have to feel deeply and sit with the heartbreak and anguish of the loss. Bottling it up and pretending we are ok will only delay the healing process.  I have found it especially helpful to speak with my trusted therapist or friends that are pet people.  Getting the feelings out is the most important part of the healing process.  Crying is one of the most cleansing and cathartic things that we can do for the soul.  Other ways to process and move grief through your body:  exercise, dance, meditation, journaling, etc. Express yourself and try not to hold it in.

I have been lucky to be surrounded by other pet people during my grieving process.  If you don’t have pet people in your inner circle, seek them out.  This type of understanding can be so very helpful in your healing journey.

Some practical suggestions:

Find other sympathetic and supportive people to lean on to get your feelings out in a safe environment.

Allow emotions to flow, don’t bottle them up.

It’s never too late to say something to your beloved deceased pet. Write a letter to them sharing how much you love recounting the special memories that you have.

Dedicate or donate something in your pet’s name.  Knowing that they are helping other fur babies is a way for them to continue on.

Establish new routines at home. Pets, more than anything in our lives, are rooted in our living patterns. Don’t be scared to shake things up!

Hold some sort of private service or memorial for your pet.  This can be as simple or as involved as you wish.

Attend a pet loss or bereavement support group.  Allow yourself to share fully and experience the grief in a safe space.

If/When you are ready to bring a new fur baby into your life, tell them stories of your beloved one who passed.

My pet has been given a terminal diagnosis, what now?

The process that a family goes through to reach the decision of euthanasia for a beloved family pet can be one of the toughest things they ever have to go through. What can make the decision even harder is knowing your pet has a terminal diagnosis and seeing that he or she seems fine – today. Depending on the diagnosis, many pets can quickly end up in an emergency situation that may be painful or extremely stressful on the pet and pet parent. Having your veterinarian provide you with as much information as possible about the diagnosis and what to expect in a timeline format can help families prepare for the ultimate loving decision of euthanasia.

So how do families decide what to do? This decision is personal and every individual approaches and deals with death differently. I always recommend to pet parents to envision how they want to say goodbye. I’ve come to people’s homes where the pet is still doing fairly well and the family was able to take the pet on a final walk, take some pictures, and feed a special meal. In these situations the families saw the appointment as a celebration of life and they wanted saying goodbye to be on a very uplifting experience. Other families that I have helped wait until there is a change in the quality of life of their pet such as the pet not eating or walking. There is not a wrong answer, just what feels right in your heart.  I am honored to help pets and families with these difficult choices. My mobile practice covers the Triangle. In my experience as a veterinarian, home euthanasia offers a very loving alternative to brining your pet into a hospital. It also offers a more private and stress free environment for the pet and pet parent.

Azure

When is hospice right for my pet?

I get asked about pet hospice when I meet with families so I hope to help explain a little more.  Pet hospice is often thought of in the same way we think of human hospice, that is, to provide comfort during the final phases of life.  When I help families with pet hospice the Triangle, I am meeting with them and their pet and assessing the current care needs to provide comfort.   Some families are not ready to say good bye yet or wish for the pet to pass over the rainbow bridge naturally.  I will provide a short term care plan that may include fluids or nutrition, etc.  I spend time with the family and instruct them on what to expect during this time and the different ways they can make their pet more comfortable.  Pet hospice is also about education so that my families will understand the process and what they can do at home.

Azure

Why Home Euthanasia for Your Pet?

I’ve found in brick and mortar practices, that euthanasia appointments can feel very impersonal and often take place in cold sterile exam rooms. Families are also forced to start the grieving process in a public setting. In a regular hospital setting, the Doctor often cannot devote 100% of their attention to the pet or the family with rarely time to offer any bereavement guidance. I’ve seen pets come to the hospital for euthanasia who have just endured a terrifying car ride and are now faced with being in a hospital where stress or painful procedures may have happened in the past. Hospitals are busy places with other patients coming in and out and many other people waiting and busy staff. My experience has shown me there is a much better way to honor and say goodbye to the family members who have been so loyal and loving to us.

When I go to a home, I am completely focused on the pet and the family. I do everything I can to make this very hard situation just a little bit easier for the pet and it’s loved ones. I spend time with the pet and also focus on the pet parents and what they are going through. The whole process is very gentle. The pet gets to be at home surrounded by familiarity and love. Sometimes owners will give treats before the sedation, or have a special toy there to comfort their beloved pet. I try to tailor each experience for the pet and family. Some families choose to say goodbye under a tree outside, some families invite their friends over to send their pet off with good wishes, and still others choose to curl up with their pet on the sofa and spend the last few minutes together as they have spent most of their lives. I feel honored to have been there for my clients who have let me into their families and if I can be of any assistance to you, please reach out.

Azure

Dr. Azure Holland has been appointed by NC Governor Roy Cooper to be a new board member of the NC Veterinary Medical Board.

Raleigh, NC – On July 1, 2018 Dr. Azure Holland, owner of Azure Holland Mobile Veterinary Service was appointed by North Carolina Governor, Roy Cooper to the North Carolina Veterinary Medical Board.

The North Carolina Veterinary Medical Board (NCVMB), a state regulatory and consumer protection agency, was created in 1903 by an act of the State Legislature. Their mission is to safeguard the health, safety and welfare of the people and animals of North Carolina.

The Board is responsible for governing the practice of veterinary medicine. Its primary responsibilities are examination of applicants, issuing and renewing licenses/registrations, formal complaints, practice name approvals, and inspections of all veterinary practices throughout the State.

The Board consists of eight (8) members; these members are appointed by the Governor, the Speaker of the House, President Pro Tempore, and the Commissioner of Agriculture.

“It is such an honor to be appointed and I look forward to serving the people and animals of North Carolina.” Dr. Azure Holland

About Dr. Azure Holland
Dr. Azure Holland is from Bailey – a small town in Eastern North Carolina. She graduated from North Carolina State University with a B.S. in Animal Science and attended the University of Tennessee Veterinary School, graduating in 2007. Dr. Holland has been in private practice in the Triangle area since that time.

About Azure Holland Mobile Veterinary Service
Azure Holland Mobile Veterinary Service focuses only on in home pet euthanasia and veterinary hospice. We believe this is the most compassionate option for pets because it offers the comfort and familiarity of home for dogs or cats as well as privacy for families. Because comfort, familiarity, and family mean everything. Once you have made the difficult decision to let your pet pass on peacefully, our doctors can provide the kindest and most compassionate way to say goodbye.

Pecan Pie’s Tips for Surviving the Holidays. Literally.

This time of the year more than most I hear a lot of my friends having to make unnecessary trips to the Vet’s office which is not a fun place most of the time, however, since my Mom works there, I don’t mind visiting.

The tree is a lot of fun and many friends have had trouble with those light cords. I have asked my mom and Dad to unplug the cord just to be safe while they are out.

My Mom tells me that during the holidays she sees more ingested items such as ornaments, parts of presents and other decorations which can lead to expensive surgeries, so get your pet parents to look out for small items like this and put the breakable smaller ornaments up higher on the tree.

I love this time of the year the most for new food items to sample, but I am told they are not good for me and that I need to stick to my cat food.  Human food can be high in sugar and carbohydrates that are bad for me and can lead to long term health conditions that are no fun.

So stay safe out there, and resist all efforts to be put in a costume!  As you can see I have not been successful.

By Pecan Pie (with assistance from Dr. Holland)

Join us for SPCA K-9 – 3K Dog Walk this Saturday April 2nd!

Azure Holland Mobile Veterinary Service is excited to be participating in this year’s SPCA K9-3K Dog Walk and post-race festival on Saturday, April 2 at Koka Booth Amphitheatre in Cary. The K9-3K Dog Walk is a benefit walk event to help homeless pets, plus a day of family-friendly, dog-friendly festivities. The event consists of a 1.8 mile (3 km) walk plus festivities that draw over 4,000 people and 1,000 dogs each year. More than 60 vendors and sponsors offer pet-related products, and participants enjoy food, music, demonstrations and contests. It’s fun for people of all ages, and dogs love the opportunity to socialize, to sniff and be sniffed. In its 17th year, this annual event is held rain or shine. Make sure to come by our booth in the vendor village from 9 a.m. to 2 p.m. We’ll have fun goodies and treats for you and your family – including your fur babies too! It will be a great party for all! For more information, please visit: http://spcawake.org/events/the-k9-3k-dog-walk/. If you are looking for something a little different that day but just as fun, we are also excited to be a sponsoring a water station at the NC Veterinarian School’s IronDog 5K also on Saturday, April 2nd. The 5K is at 10 a.m. at NC State Centennial Campus. NC State IRONDOG is a charity that raises money for animals whose owners cannot aff ord their medical care. IRONDOG members raise pledges for completion of endurance athletic events. For more information, please visit: http://www.ncstatevets.org/irondog/.

Tucker’s Story

The Smith family contacted me recently because they needed some help with their pet, Tucker, who was showing signs of advanced aging. Tucker was having issues with arthritis and it was starting to affect his quality of life. He was having trouble getting around, including going out to use the bathroom, and he was seemingly more restless at night.

I visited the family for a palliative care consultation. During this appointment, I spent a great deal of time with the family listening to their concerns as well as watching Tucker move around the home and yard. We even took him on a leash walk to see how he was walking on asphalt surfaces. These home visits are invaluable for identifying the pet’s main problem areas and addressing small things that can make a huge difference for the pet. In Tucker’s case, pain control and improvement with mobility were my priority.

I was able to leave Tucker’s family with a clear treatment plan and some goals that they could work on with Tucker. The family is still using their referring veterinarian for medication refills, lab work and additional wellness and preventative medicine that are needed. Tucker was doing great on his recheck last week and had even built some additional muscle mass with the walking he has been doing.

I thought I would share Tucker’s story with you to show some of the other services we offer other than home euthanasia.

Please don’t hesitate to call or text if you have questions or would like to schedule a time for me to meet with you.  I provide at home evaluations and euthanasias in Durham, Raleigh and Chapel Hill.