Convenience Euthanasia: Hot Topic du Jour

JAN 13, 2010

It should be an oxymoron but unfortunately it’s not. Not, at least, in the reality of today’s veterinary medicine. "Convenience euthanasia" is the term we use to describe the euthanasia of a healthy pet whose owner wishes to have him euthanized for personal reasons.


Convenience euthanasia applies primarily to those cases where an owner presents himself/herself at your practice and gives a flimsy excuse for wanting their pet euthanized. The most common lines?

  1. I'm moving and I can’t take her with me.
  2. He's too big so my wife no longer wants him.
  3. We have new furniture.
  4. I lost my job and I can’t afford to keep him.
  5. It's my pet and I have a right to have it euthanized, right?

While some of these reasons might be related to the pet’s behavior (such as furniture clawing), they’re all pretty weak excuses, especially should they meet the second criteria for qualifying as an obvious convenience euthanasia: no attempt made to place said pet in another home.

To be sure, there are times when the emotional state of the owner and the nature of the situation combine in such a way that it seems likely that euthanasia is anything but convenient for the person. Still, if I do not have a pre-existing relationship with the individual I will almost always deny the request.

This may seem cruel (especially when someone is crying in front of you), but how do I know this person is truly both owner and only responsible party? Even if it’s a credible story (my mom died and left them and it’s been four months and I haven’t been able to find them homes …) when it comes down to making a life or death decision for an apparently healthy animal I can’t take any chances. I need proof. Death certificate, anyone? It’s a very special circumstance that would compel me to euthanize a healthy animal.

The issue of convenience euthanasia has recently been raising hackles among vets across the U.S. (something we read about in trade publications’ editorials and letters to the editor). The issue pits those staunchly unwilling to perform convenience euthanasia under any circumstances against those who believe if it’s legal then it’s our duty and if we don’t then the next guy down the street will. Most of us fall squarely in between these two.

It seems obvious to me why this issue is only now making noise in our profession. Until recently (the past ten or twenty years or so), no term differentiated one type of euthanasia from another. Euthanasia always came down to one final thing and it was not considered our place to judge our clients or look into their motivations (If Mr. Smith wants to put down his old hound dog who am I to tell him otherwise?).

Because the role of pets in our lives has shifted from property to family (if not legally then at least in terms of how we care for them), coupled with the increasing influence of mainstream animal rights in our profession, more vets are taking a strong stand against what we perceive to be inhumane or unethical treatment.

Predictably, this dispute comes down to yet another battle between the conservative, old guard, practice-owning vets against the younger, less powerful, more idealistic types among us. The war is waged on many fronts, among which convenience euthanasia is merely the newest nexus for conflict.

I know what you’re thinking, my dear readers. What could possibly qualify as a defensible reason for euthanizing a healthy pet? How could anyone (least of all, a vet!) defend killing healthy animals for the sake of expediency?

The only answer I would accept (from another vet) is: 1)that the animal would be very difficult to place due to its age, need for special care, etc. and no one in the hospital (staff, techs, etc.) knows of a potential placement, along with 2)the owner is hell-bent on having this pet out of his hands today, even if it means going down the line to every vet in the city. If the vet thinks: better me than to have this pet sit in a crate or follow his owner from hospital to hospital for the whole day then, so be it. I will accept this vet’s attitude as long as it’s clear that some thought and feeling went into the decision.

Personally, I still (almost always) refuse. While I would prefer for these people to be forced to remand their pets to humane services so they could uncomfortably confront the reality of their decision, I would never wish this alternative on a pet. It’s always better to be euthanized by a private staff of caring people than en masse in a shelter environment. Aye — there’s the rub with the firm refusal. The pet’s ultimate fate is one I’m not willing to recognize as a proper alternative to my own, gentle version of euthanasia. So what is a vet to do?

When the underlying problem is one of ignorance, selfishness, and often sheer idiocy, what weapons, beyond denying your services, does a vet have at his disposal? How does one combat these ubiquitous foes? After all, it’s still legal to euthanize your pet at will — and it’ll never be illegal to be an idiot.

Having absorbed the traded barbs and occasional solid arguments in the recent flare-up of inter-vet tensions related to this topic, I think I have finally found a new solution to my dilemma. While I will still refuse the procedure, I will now take the opportunity to provide a little lecture. While, by nature, I’m not confrontational, I can be when pushed. I now consider each of these cases a great opportunity to practice control over my inner rage for a great cause. And while this may not help the pet in front of me, it might well improve things for the next pet this person takes on (or, hopefully, declines).

A year or two ago I received a phone call from a nearby vet warning me that one of these cases was on its way over. She had refused the client but wanted to make sure I understood the situation, in case the person adjusted tactics to meet his goals at the next hospital. I smiled to myself as I told her not to worry. I had the situation well under control.

 

Dr. Patty Khuly

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14 COMMENTS
1
euthansia
by MLS on 01/13/2010 09:59am

Euthansia is never cut and dried, even if it is voluntary (convenience) euthansia.

I have 2 macaws (33 yo and 17 yo), both were rescue birds and both have a chronic disease from which they will eventually die. Cardiomyopathy and pumonary fibrosis. My medical cost for them on an annual basis runs about $5,000.

For discussions sake, say tomorrow the Dr. tells me that I have 6 months to live. Knowing what you do about the birds and how iffy the rehoming of birds is, would conveience euthansia be acceptable?

2
Convenience euthanasia
by MH on 01/13/2010 10:08am

Before the Great Recession, I would have been indignant about job loss as a reason for euthanasia. No it hasn't happened to me. Not yet. But I fear every day that if I lost my job and became homeless I would have to surrender my three cats to a shelter where at best one might find a home. No chance for the other two (one is black and you know how popular they are). There is a picture in a recent Newsweek of a woman living in a tent cradling her cat. She's not camping, she's homeless. And so is her kitty. Do they have any food? Is the cat safe from predators? I bet the answer to both questions is no. This picture broke my heart. If it were me, I would wonder if the last act of love I could show for my herd was to deliver them to a better place. Sorry for the melancholy but these are scary time for pet parents.

3
Convenience Euthanasia
by Michael Sodos on 01/13/2010 11:17am

I do not think any animal should be euthanized, except in case of illness that cannot be treated.

4
by Amanda in DC on 01/13/2010 01:17pm

I view my pets as family, and as a lifelong (theirs) commitment. If someone lost their job, would they euthanize members of their family if it were legal to do so? Put their kids up for adoption? I don't view euthanizing an animal as a "last act of kindness" unless there is absolutely zero other alternatives or if they are ill and cannot be treated or are in pain. Period.
Thank you for being one of the vets who are willing to stand up for this belief.

5
Convenience Euthanasia
by Patricia on 01/13/2010 03:11pm

Dr. Kuhly: "While I would prefer for these people to be forced to remand their pets to humane services so they could uncomfortably confront the reality of their decision, I would never wish this alternative on a pet."

There are also other alternatives for the pet which could be worse if you send the owner away with an animal who is unwanted. Becoming stray is one. Maybe there is a way vets could serve as an "owner relinquishment" site for an unwanted pet. There are legal ways to turn in infants in most states because experience has shown that sometimes terrible things happen to them if there are no legal ways to insure their safety. Perhaps there need to be legal ways for an owner to give up a pet at a vet's office.

Wanting to shame the owner neglects the reality the pet is vulnerable and perhaps likely to be killed in an inhumane way or released unwanted into the community. Please work with community officials to be able to take in pets legally who will then be transferred to a shelter.

6
IMPORTANT
by zarpama on 01/13/2010 03:50pm

I know this blog is for another subject, but I have an important question, first the story: I have a malinois with a history of a pretty bad leg ingury (JUNE 2009) with bone exposition w/o fracture, she was doing great with her wound totally closed, perfect gait until about a month ago when she started to have episodic lameness, her dr. is thinking osteomyelitis vs degenerative changes, an xray has already been done but further tests are needed. QUESTION: Can TC99m (for a bone scan - nuclear medicine) be administered without risk in dogs. THANYOU.

7
euthanasia
by MLS on 01/13/2010 05:03pm

There are far worse conditions than death, but the young don't realize that.

8
zaparma
by Dolittler on 01/13/2010 06:01pm

Nothing is 100% safe. There's anesthesia, there's risk with radioactivity, there's the possibility of a reaction to the material. As I like to say, anything strong enough to help you is strong enough to hurt you. Ask your specialist for a statistical assessment of the risk. That should help you out. I honestly don't know the stats on that particular procedure.

9
A response..and a question
by Dolittler on 01/13/2010 06:09pm

It seems that some of you (Michael, Amanda, for example) believe that euthanasia should NEVER be undertaken for financial reasons. It's often the case, however, that injuries and diseases CAN be treated...but the price is untenable. So here's where I play devil's advocate and ask you this: Is it wrong to euthanize an animal that could be saved with $15,000 in veterinary bills...but since you don't have the money you can't? Is it wrong to euthanize the pet with the brain tumor because you can't pay $10,000 for radiation therapy? For some people, paying $500 a year in food is just as untenable.

One thing is "convenience" euthanasia and another is making a rational decision based on what's best for an animal given your limitations. As long as owners have gone to great lengths to deal with the pet-keeping problem they face (consistent with their responsibility to any living being), euthanasia sometimes IS the best option, IMHO.

10
convenience killing
by Di on 01/13/2010 07:48pm

Good for you, Dr. Khuly! I believe you--and all veterinarians--should take this stand and advocate for companion animals. I wonder if these people had a car that they could no longer afford to keep, what would they do then? I'm SURE they would go to great lengths to try to sell the car and wouldn't just abandon it or drive it off a cliff! Well, people should go thru just as much...if not MORE...when they decide they can no longer afford to keep their healthy pet. They took on the responsibility for that animal's life and therefore it should be up to them to find alternate living arrangements for the animal. So many people look for the easy way out, though, so their first thought is to have the animal killed. It's disgraceful. I hope you can offer rescue information to these owners: if the animal is a dog and the dog's a purebred, there will be a national rescue group you can point the owner towards at www.akc.org If you get any Welsh Corgis who find themselves in this awful predicament, please refer the owner directly to:
www.pembrokecorgirescue.webs.com and someone will step up to take their INCONVENIENT dog from them to avoid death or to circumvent them dumping the dog in a stressful shelter environment. Also, if it is a dog they originally adopted from a rescue group or from a no-kill shelter, you can tell them that they need to RETURN the dog to the rescue group that he/she came from: it is probably stated in black & white in their Adoption Contract that they signed when they got the dog. Thank you for refusing to kill healthy animals.
Di
Little Legs Rescue in CT

11
It's hard to say...
by KateH on 01/13/2010 09:55pm

...but I think that if the owner insists and will likely do something less humane (like just turning the animal out or causing other harm to it), then you should make them stay and hold their animal as it dies, so they are faced with ending that life. Of course, if they don't stay, then you could do whatever you could to place the animal in another, hopefully better, situation. I would make them pay the full euthansia fee - to use to rehome/place the animal - but then, I'm mean that way.

12
by kabbage on 01/18/2010 08:49am

I have a 14yo dog with a few temperament and health issues. For the last 3 or 4 years, when I have traveled I have left a signed directive with the friends who've kept her with me that if something happens to me while I travel, she is to be euthanized. I know the dog better than any vet or any stranger can. I know my (and her) close friends' situations better than the vet or a stranger can, and they don't have room for her (the number of pets they own, incompatible pets, various reasons). I prefer that she travel with me on my next journey, and I don't think it's the vet's place to take on separating us.

My young dog is more flexible, and she is to be rehomed.

13
Re: deceptive practices
by TLK on 01/19/2010 01:25am

I'm not so sure I would consider it ethical to accept an animal on the premise that it was to be euthanized and then turn around and rehome it (as proposed above). I would also guess that there could be negative legal ramifications, particularly if the owner is paying for the euth.

The decision of when to euthanize is a very personal thing, and while I see no problem with a veterinarian refusing to perform the procedure- whatever their reasons- I do have a problem with deception.

I would be horrified to find that an animal I had brought in to be euthanized on the premise that they were suffering had been adopted out instead, sans consent. Granted, this isn't really a 'convenience euthanasia' situation, but I could see it being framed as such if the veterinary staff disapproved of my decision. Perhaps I am electing to euthanize a pet with a chronic condition because effectively managing said condition has proven inordinately stressful for him and is significantly diminishing his quality of life. I would not be happy to find that he had been condemned, against my wishes, to spend the rest of his life languishing in someone else's home. (I place a very strong premium on quality over quantity. Not everyone agrees.)

What if the owner brings an animal in for euthanasia on the premise that they feel he is dangerous? He appears friendly in the office, so the staff cries "convenience euth" or "clueless owner" and decides to secretly adopt him out instead. A week later, the undesirable behavior the previous owner was concerned about makes itself known, resulting in severe injury to one of said pet's new family members. Not good.

Making the option to relinquish available is a wonderful thing... but if the owner refuses to do so, I really think there is only one acceptable option if the staff aren't willing to perform the procedure- turn the client away.

14
euthanasia
by db on 01/19/2010 08:53am

Yesterday I had to make the awful decision to euthanize a young feral cat I've been caring for. I found a rescue that would take him and relocate him on a large farm in a managed colony. Unfortunately, when he was trapped and vetted, he tested positive for FeLeuk and FIV, although he wasn't showing serious symptoms of either at this time. I know this is different from inside pets, but it's a wrenching decision and one in which I wish I'd had another option. Just because he was feral doesn't mean that I don't love him and want a long, healthy, happy life for him.
On the other hand, I once sent a beautiful Samoyed to her death before her time, and I so wish that the vet had refused to euthanize her. (I was dealing with the sudden death of a parent, the disintegration of my marriage and I couldn't cope with the medical issues the dog was having) I have regretted that decision every day of my life.

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Photo of Patty Khuly

Patty Khuly

VMD, MBA

...is a small animal veterinarian in Miami, Florida, where she practices medicine at Sunset Animal Clinic and serves on the board of the South Florida Veterinary Medical Association. She is a graduate of Wellesley College, the University of Pennsylvania School of Veterinary Medicine, and The Wharton School of Business.

As a significant sideline, she writes...a lot. Apart from her daily blogging here at PetMD's FullyVetted, she authors weekly pet health columns for USA Today and The Miami Herald. She also writes a popular monthly column for Veterinary Practice News and serves as regular contributor to Veterinary Economics, The Bark, and the Veterinary News Network.

Dr. Khuly lives in South Miami with her brood of hens, goats, dogs, cats...and humans.

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