Dr. Fixler and his assistant are wonderful people and have one of the hardest jobs in the world. They are extremely caring and understanding in every way. It was one of the hardest decisions I've made in my life. I put my loving pitt bull of 14 years a sleep. His quality of life was not much after he went blind two years ago. He was friendly and sweet up until the end. Thank you Dr. for making it painless. I will miss him forever!!