"Dr. Kee helped us show our love for our much-beloved little Spike by helping us think about the guidelines for his quality of life and by helping him gently out of his discomfort. I think it was the most loving and respectful choice we could make to help him...Spike never liked being at the vet's office and he made that especially clear when he became irreversibly ill. We rather suddenly had to shift into "what would Spike want" mode. He wanted comfort...He wanted to be and stay in his own home. With Spike's comfort as the priority, Dr. Kee eased Spike into his next life. We got Spike's ashes. It feels right to have some in our/his yard. And as Spike enjoyed daily walks we took some ashes and sprinkled some at his favorite spots. Do what feels right for you and your companion pet. If you are going through this, we send our sympathy and understanding~~~" - Cindy Lueder, Webster Groves


Alice Villalobos, DVM, DPNAP, a renowned veterinary oncologist, developed this scoring system to help family members and veterinary teams assess a pet’s life quality.