When Does Compassion Become Cruel?

 

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When Ozzy left me suddenly last June, I think he knew something I didn’t. I would need all my resources and energy to care for another ill fur family member. I believe Ozzy planned that time to go, somehow with the knowledge that one of his canine brothers would suffer ill health.

Red is our rescued Italian Greyhound, adopted into our family at the age of 1 or 2. We noticed recently that he “knuckled,” walking on the first bend of his paws, akin to human wrists. In fact, his paws bend all the way back, resembling flippers. He stumbled when he walked, which worsened quickly. To better accommodate him, we covered our kitchen floor with yoga mats for better mobility. We also moved a water dish into the family room, so he wouldn’t have to climb the two steps into the kitchen.

Our regular vet checked him and believed he suffered from a neurological problem. We consulted a specialist in Philadelphia, who believed Red’s issue was centered in his neck. This vet thought he had a herniated disc causing the problem. It was a better diagnosis than a brain tumor, but it was still disheartening.

There were two options to treat his condition. We could opt for medicinal help, using prednisone to see if that would give him any improvement in his mobility. We could try to keep him on the lowest dose possible. The other option was surgery. Red would need an MRI at the cost of $2,500 to see the exact cause of his problem. The specialist cautioned us that he would only operate on our dog if the problem were clear from the test and he thought surgery would help. Surgery would be an additional $3,000. Of course, he told us we had to decide if we wanted to put a 12, possibly 13 year old dog through that. We decided on the prednisone, reminding me of all the times I gave it to Ozzy. In fact, we still had some of his pills left to now give to Red.

We tried different dosages of the prednisone with varying degrees of success. One pill per day worked the best, but that wasn’t saying much. His conditioned worsened to outright falling over on his side. Back to our regular vet we went, where I asked how much prednisone he could tolerate. Two and a half pills per day would be the maximum, but it would cause muscle loss, his head eventually becoming misshapen. There was no way I could do that to him, I would see him euthanized first.

Although Red’s condition is shocking to anyone who sees him, other than this, he is healthy, and that is our dilemma. They say you know when it’s time to say goodbye, but I’m not getting that vibe from him. On one hand, he’s almost totally immobile at this point. His best times are when he first wakes up, he’s able to toddle around on his wrists. His back end isn’t much better, but it’s better than the front. He needs to be carried everywhere. When outside he sometimes needs to be steadied to relieve himself. He can stand most of the time to eat and drink, with a spotter nearby so he doesn’t fall over and choke.

We realize his best days are behind him and our time together grows short. Still, even though he has limited mobility, he has joy in his life. He loves to lay on our couch and snuggle with Moose, our 14 year old Italian Greyhound. He loves sleeping between us at night, secure that he won’t roll out of bed. He’s not missing out on walks (he never liked leaving his house), or running around anymore, as at his age he’s a couch potato. His appetite is as good as it was before he was on the prednisone.

The vet tells us he is not in pain. Every time we’re in the yard and he falls into a heap on the grass, I worry that the neighbors are calling the doggie version of DYFS. I feel judgmental eyes on me when I carry him into the vet’s office. We carry him everywhere he needs or wants to be; I’ve even Googled living with a paralyzed dog, although Red can feel and move all of his legs, he doesn’t know where they are, which is how our vet put it.

Two vets recommended against the surgery due to his age. Younger dogs have had the surgery and recovered, with another 10 years ahead of them. We know we don’t have that long with Red (although I had a friend whose dog lived to 21).

So it leaves me to wonder, when does compassion become cruel?

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Remembering Annie 1998-2015

IMG_20150218_064250413 When I wrote “To Annie, With Love,” in April, I expected her to live into her twenties. She was always a healthy cat, never having issues. I had no clue we would have to make a painful decision two months later. Annie hadn’t been eating very much, she weighed just over 7 pounds when she died, down from the 14 pounds she weighed as a young cat. In addition to the appetite reduction, we noticed she was no longer jumping into her bed on top of the fridge. That was her favorite place in the house. From that vantage point she was free from the harassment of two dogs and three other cats. She was the queen of the house and her throne was perched atop a white Whirlpool. Our girl appeared to have difficulty getting comfortable. I pet her head to hear purring. One thing about Annie was that you could pet her for only seconds before she tried to bite. This reaction was so different that I knew something was wrong. I assumed it was arthritis, and the vet would prescribe a med to make her feel better. I held onto that assumption as I pushed her into the carrier, telling her not to worry, she would be home soon. My husband drove her to the vet while I stayed home. He called to say she was spending the night, as she was dehydrated. He wasn’t back from the vet yet when the office called. They asked me if I wanted her put down. I was dumbstruck. What were they talking about? Annie’s belly was distended, filled with fluid. In their experience, in cats of the age of 17, it was either stomach cancer, or a heart or liver issue. More tests could be run to discover the cause, but the outcome would be the same. Once the fluid was drained, it would return in 24-48 hours to require more draining. It was five minutes before the office closed. I wasn’t going to let them kill her before I could talk to my husband. I managed to tell the vet to keep her comfortable, I would speak with another vet who was on in the morning about her prognosis. I hung up the phone and lost my mind, my worst fear realized. I gave my husband the diagnosis through sobs when he returned. We held out hope that somehow she was wrong, that a more seasoned vet on duty in the morning would have a different opinion. The second vet agreed with the first. Annie was not going to get better. We told our vet we would euthanize her, but we wanted to visit to say our goodbyes. Later that day we went to the veterinary office. Annie was brought out to us, her eyes dilated from the pain medicine. We took turns holding her, telling her how much we loved her, and if there was anything we could do to keep her with us, we would have done it. We took a lot of photos that afternoon. IMG_20150602_162546383_HDR I wished I were strong enough to stay with her until the end, to hold her as she left for the Rainbow Bridge. I couldn’t do it, I was a coward. I couldn’t let my last memory of Annie be her lying dead on a steel table. Maybe that’s why I don’t like viewings, I prefer to remember people alive. Handing her over to the vet tech for the last time was gut wrenching. I knew she would be surrounded by people we knew, and our favorite vet in the office promised to perform the procedure. She had been the third vet involved and came to speak with us. She agreed we were making the best decision for Annie. It’s a month today that our girl has been gone. Annie’s homecoming was bittersweet, I couldn’t wait for her to be home, even if it was not in the same form. The house didn’t feel right without her. Her urn sits in her bed above the fridge, returned to her rightful place. Her food dish, a straw, and foil ball surround her. IMG_20150615_213719511 This was the first time I ever had to go through this. Previous pets belonged to my parents, and they dealt with the end of life decisions. In a way I was relieved it happened the way it did, so fast, so unexpected. There was no lengthy illness, no period of time where we wondered what day we would give her peace. I love and miss you, Annie.