When Your Senior Pet Stops Eating...

When a human being stops eating due to illness and decline towards the end of life, it usually indicates they are ready to give up the fight. When one is frail, disabled and infirmed, the only control one has is to clench their teeth and refuse the food. So many people who don't understand this. They force feed or think that the patient is being uncooperative or unreasonable. The patient is just communicating in the only way they know how. They are saying Enough Is Enough. 

Sometimes we just need to be diagnosed to find out if there is something physically wrong, but typically if we are older or if we have already struggled with various issues, us animals often do the same thing. This is one of the clues for you, of knowing when the time is coming to help us on our way.

Max Has Lymphoma. When Do We Decide to Let Him Cross Over?

Dear Friends at Rainbow Bridge, 

I need help. My Max was diagnosed with leukemia and stage 5 lymphoma. Doctors have given him 4 to 8 weeks. Today has been 3 weeks. He is happy and eating well, although he is on prednisone, which makes him hungry and thirsty. At this point we are feeding him anything his little heart wants(for the most part). He is going on walks and car rides and trips to McDonalds. We are spoiling him every minute of the day and we feel blessed to have these last days with him. 

The thing I am worried about is his weight loss. It is bad. He looks like he is starving, yet like I said every day he is happy and eating well. He is still jumping and playing like Boxers do; he looks like he feels good 95% of the time. The other 5% you can tell he is uncomfortable and not feeling well. We asked the doctor if he is in pain and he said, "No." He said it's similar to when we have the flu or some kind of bug - we just feel "blah"

My question is at what point do we decide to let him cross the rainbow bridge? It's heartbreaking to see him turn into a skeleton but I can't imagine letting him cross over with him still showing us he is happy. 

Signed,

Dazed and Confused

Max and Me

Dear Dazed, 

Hi, I'm Ella. I'm filling in for Jack who has been called out on angel assignment today. He specifically asked me to reply to you because he knows I know more about lymphoma than he does. I know about it because I have had it too. 

Every animal is different, I can only talk you through how it was for us. I am an Airedale Terrier and I lived a wonderful life on earth with my heart partner, Lynette. 

Our life changed the day I was diagnosed. Lynette was reading and studying everything she could about lymphoma. When life gets out of control like it did for us, it's important to gather as much information and awareness as possible so you can go into the situation with knowledge and realistic expectations. Even though she was learning a lot, she still spent a lot of time in tears. She didn't really know what to expect because, like I said, every animal is different. She could not be prepared for the fact that she would have me for only a month after diagnosis. 

What I can tell you is that when you love like this, you will know when it is the right time, and when that time comes and you have made that decision, there is a kind of peace that comes with it. You WILL know when the right time is, Max will tell you.

Below is our story as Lynette tells it. I want her to tell it because I'm still not very good with the medical vocabulary.

This is me when I was a little tyke 

Ella was my beloved Airedale; she had been with us from 12 weeks of age, attended our wedding, honeymoon, nannied our two boys, and just after her 12th birthday, I noticed her lymph nodes were enlarged on her back legs. After a biopsy result confirmed our fears, we decided against chemo, and went down the prednisone route. I asked our vet the same questions, and no she wasn't in any pain, but would have days of being tired and lethargic. The tablets increased her hunger and thirst, but I was told when they stopped working, there would be a rapid decline. Ella was arthritic but still enjoyed her walks, right up until two days before we lost her. She loved her food. In fact my last photo was taken the day before she died, waiting for her tea.

We knew the end was near that Friday morning. She usually ate her breakfast first thing. That morning, she didn't get up for the first couple of hours, she did eat some of her food, went outside to do her toilet and came back to her bed. She didn't move and dozed all afternoon. 

We phoned the vet late in the afternoon and made The Appointment for next day, thinking we had that last night with her. However, at about 10pm, she lost control of her bowels. I spent the night lying on the floor with her, telling her how much she was loved, recalling our adventures. Just before sunrise, we called the vet out, and she slipped peacefully away. We watched the most beautiful painted sunrise, which I believe was her way of telling me it was alright. I felt at peace at that moment. We buried her on the hill behind our house, looking down the loch. 

Would I do things differently? Only in that I would have called the vet out the evening before. The decline was so swift. I can only advise if Max is happy in himself, wagging his tail and still eating, let him enjoy himself. If he stops eating, shows no interest in his surroundings, or has prolonged panting (a sign of pain), then think about letting him go.

I miss my girl every day. It will be 5 months tomorrow. I read Kate's book with tears streaming down my face, but it was very cathartic. I am sitting here again with tears streaming down my face.

I wish you and Max a peaceful time together in the coming days. I know you will tell him how loved he is, and how he always will be. 

Love and hugs from Ella and me to you and Max.

I Love You Mom. You Did Everything Right For Us

The Gift of ONE MORE DAY

How many of us have watched someone we love suffer for too long? They have spent weeks, months, years, declining and then, right after we make the decision to let them go, they surprise us by having a really good day?! It can throw us for a loop.   

One night Grady pee-ed all over our bed.  Our bed was also our "den," and any dog knows you don't dirty your den. This is how sick she was, to not be able to honor that. She was 14.  She had been incontinent(and arthritic and going blind and deaf over the years). Kate said to her that night, "I can't keep doing this." Kate was so tired from cleaning up after her and carrying her everywhere. Nonetheless, she did it for another two years.  It was all because she was waiting for God to call for Grady because she didn't want to have to make The Decision. 

She ultimately contacted the vet and scheduled euthanization for Monday. Sunday night we all slept on the floor with Grady instead of bringing her up onto our bed like we always did. It was the first time in many nights that she didn't get up every hour. She slept the whole night through! She got up in the morning, went outside with me with a wag in her tail! She gave a playful little awkward jump when I teased her... and she ate all of her breakfast! We couldn't believe it. Our hearts were full. 

It would be easy to second-guess whether we were doing the right thing, to move forward with the plans for the day. Maybe if we just slept on the floor with her every night she'd sleep through the night.... maybe this, maybe that, maybe, maybe, maybe...

Fortunately, our experience working with people on hospice reassured Kate. We had seen it over and over again in our therapy work. Many times people linger on their deathbeds; their breath is slowing, their feet are turning blue... and then all of a sudden one day, they rally back! Where they were confused they are now lucid. Those who were lethargic are miraculously alert and clear for the first time in a long time. They give us the impression that they are not dying after all! Oh everyone is so excited! They are clearly turning a corner and they will be well again! Our prayers have indeed been answered! 

Then, in 12 or 24 or more hours, they pass peacefully. It is not this way for everyone, but this has happened often in Kate's thirty years of experience. It matters not the age or the condition or the setting. I think perhaps it is one final chance for the body to have its Swan Song. When we know we can never do something again that we've always done, we always want to do it one more time. Sometimes that's what the final day is for. It gives us a chance to have one more time around before we transform into something else.   

"One more day

One more time

One more sunset, maybe I'd be satisfied..." 

(Click Here to listen to the song by Diamond Rio) 

Dear Jack: How Do I Know When to Put My Pet to Sleep?

"Tomorrow I'm sending my dog to rainbow bridge. I'm so hurt, confused and guilty. Yesterday morning he could hardly walk. His arthritis is bad. Been on pain killers for years. He also has prostate cancer and a tumor on his adrenal gland...They gave him morphine at the vets. What a heart breaking evening and night. He cried so much. Confused from the morphine. But today he is great. Walking playing eating. He hasn't been this way in days. I know it's because he's not in pain but it'll wear off. Is it worth giving him more morphine and putting him through nights like last night again just to keep him around? I don't know what to do.... He's up every hour crying to go out to pee, difficulty pooing... Oh God I guess I'm looking for someone to say it's time that I'm doing the right thing. This is the hardest thing I've ever done in my life." 


Dear One: First of all, you can FEEL guilty, but YOU ARE NOT GUILTY. He has struggled for a very long time and weighing his quality of life with his pain and his condition is imperative. Do not hold him to you with your love because the love won't die when he does. You need to look at everything else that is going on. How would you feel if you were him?  

It is such a hard decision but the loving thing to do is let him go. Our Grady suffered for several years with chronic pain and was deaf and blind. We made the appointment to put her to sleep on a Monday, and Sunday night and Monday morning she was better than she had been in many months. We thought of it as a final gift for all of us. Later when it was over, we wished we had done it sooner for her. She was so at peace. You will see and you will know then that you did the right thing. Wishing you strength between here and there. <3 

Love, Jack