Having a puppy is exactly like having a baby. The only difference is that puppies are smarter in someways, mature way faster, and bite. Puppies are also very expensive, even if the puppy itself is free.
If you wouldn't have time for a baby, you wouldn't have time for a puppy.
I'm a big fan of dogs as therapy, but an adult dog with the right personality is a better for a therapy pet than a puppy. Consulting with a dog trainer who can help you select a shelter dog is the way to go.
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