about the differing standards of quality of care and alas, it is your rescue, remark.
i suppose my crazy time isn't quite done yet...oh well.
i have three dogs and several cats here that i am really worried about. i am trying to figure out their puzzles and not let them down. chyna is a no-brainer, she is only 2 yrs old. we had a specialist come out from the emergency clinic to endoscope her. by the time he got here, the mass of fabric in her esophagus had started to move thru the small bowel...so we wait to see if she obstructs further down before cutting her open to take it out...it might pass on its own. but we will go and get it if she runs into trouble again.
i had a long talk with the vet today regarding bridgette...she is good, doesn't seem the least bit ill with the new dose of lasix. on wednsday when we repeat the xrays, maybe we will know more..the pathology came back on the aspirate sample...no infection...maybe cardiac or hernia inflammatory response...maybe tumour based...inconclusive.
if a hernia, the vet said to leave it alone and not try to repair...she has compensated for it so don't rock the boat...if it is cancerous? the question becomes how well we can protect her from a sudden respiratory crises? i will have to have the answer for that one.
kai? such a very big worry. the abx's and pain meds are helping...he is more alert, more interactive, he holds his head up higher when he walks so now we can actually see his face. but he still has a long way to go before i consider his having a good quality of life. will we get the answers we need tomorrow when he has his assessment? will we finally be able to decide how to proceed in his plan of care because we have the basic information we need? hopefully.
toby is still toby but toby is getting so frail...20 years old is very old for a cat. ronnie is sick again, that last convenia injection only lasted for just over a month. is his time coming now too? has his FeLV progressed too far?
how are mom and babes faring at the vets? the 2 little girls, stella and sidney were fixed today. all of them are still lighting up the black light to some degree but the vet said their ringworm is very much improved, just a couple of more weeks of treatment and they should be clear. will spaying/neutering/vaccinating them set them back? or has their immune system recovered enough wellness to fend off this one last attack?
so i worry about all this stuff...who is not feeling well, what can we do about it? who is nearing the end of the road? who needs some extra help?
and folks think this is easy? that untangling thread upon thread of clue upon clue and trying to come up with the right answer is something i lightly do?
i freaking well hate it. i hate being responsible, i hate the buck stopping here. i hate being the one who has to decide...is it treatment or is it torture? is their suffering time limited or will it continue? if it is limited, how do i reduce that suffering to something minimal until the medications begin to work? do they still value their life and what can we do to make it even more enjoyable for them?
it is ALL about them, but shit, being all about them means that i have to find all of the right answers for them too.
so much easier and less stressful to just turn them off... too old? dead... too sick? dead...too much worry and work to care for? dead and dead again.
do you know what it means to see and feel pierce thru your heart, jewel scream and freeze in pain for more than 21 days? do you know of the desperation and the doubts and the fear that plagues you as you keep looking to find a way out? i so wanted to end it...but i couldn't because somehow i knew there was the right combo of meds for her...i have seen it too many times with my human patients, this struggle to find the right drugs.
and do you also know what it is like to see jewel today pushing her torpedo body thru 3 feet of snow, rolling around on her bed and groaning in pleasure, swimming in the pond, carrying her ball around, yelling to get what she wants? yelling to be first because she is the all important JEWEL?....do you think it feels good?...it does... but it is forever overshadowed by the knowledge that one day this combo of meds will no longer work and there just aren't any other roads to follow....on the day that jewel's pain comes back, it signals the end of this life that she embraces so fully.
palliative and end of life care is not something you do half assed. you give it every single thing that you have got. you put your fears and sorrows away, you shoulder your guilts for decisions gone wrong, you pull every single thing the animals ever say to you altogether and try to make sense out of it for them. they have suffered for a long, long time before they got here.
they suffered in silence surrounded by humans too busy, too selfish, too cheap, too squeamish or weak and lazy to really care. and for that suffering they endured the answer is not to bring them here and put an end to them and their suffering like turning off a light. poof...all gone, you are in a better place now....this is the nice way of saying, all gone, now you are dead.
saints means that we look for the answers if and when we can find them and if and when we do...we give them those answers as a gift of feeling well and happy again for awhile.
and if we can't, we let them go.
don't even get me started on how much it hurts to reach THAT final decision. but i reach it over and over again...how many times this year alone did i hold them and say, 'i am sorry, there is no other way" ...did i do it 30 times this year?...more???... has anyone else had to pick death over life 30 times for animals they loved in one single year?
don't talk to me about quality of life and standards of care...talk to our vets who have stood behind every single decision we have ever made about searching for answers and letting them go.
suffering at saints is different than suffering in other places because we have the medical care and expertise to minimize any actual suffering while we search.
it is me who suffers (and not all that silently.) there are no drugs to erase my pain, physical and emotional, as i take this roller coaster journey with them.
and at the bottom of all of this is the single thought that really pisses me off...i shouldn't have to be here for them. they shouldn't need me to advocate, struggle and give them a chance...they should not need me....they should not need me...they should not ever, ever have needed me. but they do.
life has not been fair or kind or respectful to them....until they came here.
it is all about them, and it is all about me too because sometimes i am all they have.