Posts Tagged ‘Diabetes’

An aging pup…

Friday, May 13th, 2016

The past week has been a complete and total shit-show. On top of a few family members having heart issues, Bella is now having them as well. On Tuesday I accidentally kicked her and she cried in a way that I’d never heard before. Immediately after she peed in the carpet in the living room and had a bowel movement while she was laying down hiding in the corner. She was brought to vet because on all accounts nothing was normal about the situation. I felt horrible for kicking her, then to see the aftermath I knew her going to a doctors office was important.

During the exam the Vet noted that she heard some crackling in Bella’s lungs and wanted to do a chest X-Ray. Per the xray she claimed that the striations on the lungs confirm the sounds she heard and wanted to start her on medications for Congestive Heart Failure. I was given Lasix (Diuretic), Enalapril (ACE inhibitor), Vetmedin (for CHF) and then Metronidazole (an antibiotic) to address the stomach problems. $500+ later we were out the door and heading home with her. Being as it was fairly late in the evening, and I wanted to be sure I was fully awake for any possible side-effects to occur I waited until 12 hours after leaving the vet (Wednesday) to administer the first round of meds in addition to her daily Insulin routine. Within 1 hour of receiving the pills her water intake increased dramatically. I expected this with the Lasix but it was needed to remove the build up of fluid around her heart. A few extra wee-wee pads down in the house was just going to have to happen. Note: I’m very good about bringing her outside on a regular basis rain, snow or shine. We just put new floors down in a few areas of the house that have yet to be ‘water proofed’ so an increase of pee pads in case of an accident was a must.

Seeing her reaction to all of the pills I made the choice to only give them to her once daily instead of the recommended twice daily. This decision I believe, is ultimately the only reason she is still alive.

As of Thursday morning, 14 hours after receiving all three pills and having two accidents in the house and consuming approximately 64oz of water because of the Lasix, we started having issues with diarrhea. I assumed there would be some kind of issues there based on the introduction of new medications, even with an antibiotic she’s always had a GI reaction to something new going into her body.  But this was something different, this wasn’t just liquid bowel movements every few hours until the Pepto Bismol (2 units) worked its magic. This was borderline amoebic dysentery as she was going both in the house and in the yard every 45 minutes or so. There was absolutely no form to it, pure liquid. I knew I needed to call the vet but I was doing a late mothers-day dinner for Karen so we had dinner. During dinner, not thinking twice about it, I gave her the second round of pills because we were in that 24 hour mark. After the pills we drove Karen back home and then when we walked in the house we entered into a complete shit show. She was vomiting, pooping, gagging. I called the vet. While on the phone explaining all the symptoms she was in the den crapping pure blood. Before the vet even got the chance to say “Bring her in.. this is the emergency fee…” we had the key in the ignition and were on our way to their office.

She threw up a few more times in the car on the way over. I had her on a towel for the blood leaking from her back end and thankfully the towel had enough slack towards her front end for me to catch what was coming out of her mouth. We get to the office, they bring us into an exam room and she continues vomiting. I’m seeing every single one of the pills making an appearance and listing them as each one showed up. It was to the point that the vet tech asked if I was a tech myself (or just in the medical field in general) because I identified every pill by proper name. No, darlin’, this just isn’t my first rodeo and I know which 4 pills went into her, obviously I’ll know which are coming out of her.

They ran blood work, did another x-ray, took urine samples and then brought her back to us. While waiting for results she started back with the diarrhea, I purposely left one (of 7?) instances on the floor for the doctor to see because he wasn’t in the room at the time. It had a lot more blood than he’d thought it would have at this stage of the evening, and now we’re looking at blood clots which is 100% abnormal. He decided it would be an overnight stay for her and ran down the list of treatments to be provided. After 3 hours in the office Sean and I were on our way home, no doggie.

I didn’t sleep last night, I was too busy in tears wondering why this was going on and could I have caused everything with the kick on Tuesday. About 5:30 in the morning I called the office, the vet noted that she’s resting but stable and had her insulin to help her sugars. He noted I would hear from someone either this morning or this afternoon after the next shift of doctors came in and did their rounds for the day.

I don’t know how but I was able to finally catch a few hours of sleep to be woken up by a vet tech around 2:30pm. She noted that Bella is doing much better and actually trying to eat something (which is great) but since it’s dog food and not her usual human-food based diet she’s turned her nose up a few times. She’d basically called me to say “come and get her”, I declined.

I was not rushing over there to pick her up (as badly as I wanted to) because I’m really unhappy with how quickly they wanted to send her home when the issues have yet to be addressed. Why was she crapping blood? Why was she throwing up every five minutes? Why did one doctor put her on Lasix and Enalapril only to have the next one take her off of them because he didn’t hear the same crackling noises in her chest that that the first one did? I wanted a THIRD opinion there. Why is she still hooked onto the IV to help rehydrate her if I can just walk out the door with her? Why are her liver enzymes through the roof? Is it Cushings? It sure looks like it. Why (minus sickness) was her Glucose so high considering she’d only had her insulin a few hours before I brought her in. Does that need to be adjusted? Why did you go out of her way to tell me she has a high fat content in her blood and then not say anything further about it?

I appreciate that they ran every possible test that they could on her and ruled out countless things, but the “cause” of these issues is still up in the air. OK, I get it – she’s a senior dog with Diabetes and CDE/Blindness – but there’s absolutely no reason for any of the problems noted above to be there as they are not connected to her Insulin or Eye Drops. There’s more damn questions than there are answers right now and they just wanted to boot her out the door. The tech went as far as saying “If you’d prefer us to deal with the little bit of diarrhea she still has, that’s fine.” I wanted to scream that she was literally crapping all over me while we were talking to the doctor and I didn’t even budge – but I didn’t. Poop and Vomit don’t bother me, never have and never will. Sean got a little light headed but he can’t even handle a pimple being popped in front of him. No aspect of bodily function bothers me, I can deal with it – so don’t even try to throw that one in my face. I’m not leaving her in your office to wipe her ass, I want to know why these issues are there to begin with damn it.

I 100% believe that, while a few areas of bloodwork were something that’s been ongoing, the introduction of 4 medications this week is exactly why we are where we are, but not a single person will admit to it verbally. I could tell on the vets face last night that he thought the Lasix/Enalapril was the wrong call but he said absolutely nothing because it questions a colleagues decision.

Fast foward to 5:30 this afternoon (Friday). I receive a second call from the same tech and she kind of mumbled to me in a “You were right…” kind of tone about my decision to leave Bella under observation for just a little bit longer. Bella did eat dog food, which is a choice I don’t agree with but it’s the vets office they aren’t going to be sharing their lunches with her. The only way to get her to eat was by hand feeding her and she wasn’t overly thrilled about what she was consuming. She then received her insulin. Around 4-4:30 the diarrhea restarted. She then went on to note that the IVs will continue to keep her hydrated and Enalapril will never be given to her again. Lasix is something we may need to reconsider in the future but Enalapril is the cause of everything that’s happened in the last 24 hours so there is no reason for her to be on it. The Vetmedin is the heart medication she will remain on, and it has the least amount of GI interference. She will not be getting a dose of that until tomorrow afternoon though. They want her system to fully flush the Enalapril as it is now over 48 hours later still upsetting her system. We all could easily confirm via the contents of her vomit and the xray that no pills were left in her stomach last night so her only dose of the Enalapril is there from Wednesday, maybe a micro-dose before vomiting last night but the full dose from Wednesday is what’s working through her right now.

After a half hour conversation with the tech I’m feeling more confident that two nights will do the trick for her. Another 12-24 hours on an IV to fully flush her system out is what is necessary for her to move forward right now. I’m fine with giving her ONE heart pill per day if it helps with her quality of life. She’s already getting her insulin twice daily, and having her eyes treated twice daily as well so that won’t change. By tomorrow we’ll see where we are and hopefully I get to take her home.

There are still a lot of unanswered questions, based on bloodwork I’m pretty much convinced of Cushings based on her liver enzymes but that could also be connected to the Enalapril and would need to be something we revisit in the future. I also want to know if since they’re monitoring her glucose for the next 24 hours if that counts as a glucose curve exam for insulin adjustment at home. We’ll see what they say tomorrow when I’m standing face-to-face with the doctors.

Now: I know there’s at least one asshole out there who says “Just put the dog down”. I can assure you that’s not going to happen for not only my own selfish reasons of not wanting to lose her, but knowing full well that she has plenty of fight left in her and has yet to give me “The Look” that all pet parents know too well. Someone telling me “Just put her down” when I know it’s not time is the equivalent of someone throwing Grandma into the garbage instead of a nursing home because their care is an inconvenience for them. To that kind of person – all I can and will ever say is fuck you and fuck off.

I should be receiving an update either later this evening or tomorrow morning. In the meantime, I have a house to tidy up because I thankfully have nothing to work on today. I need to clear my head and the best way to do that is to blast some music and vacuum up the house. Gives the little patient a nice obstacle free zone for her to walk around in when she gets home anyway.

Fuck you Savannah Animal Hospital!

Wednesday, July 15th, 2015

Note: Grab a bottle of vodka and count the fucks, cause girlies on a rampage today.

I know I haven’t posted in a while, and frankly I don’t care – I have a life and a job and that’s where my focus is… so, oh fucking well.  Why am I posting now? Because I’m beyond fucking pissed the fuck off.

Bella’s veterinarian has decided that they will not provide me with a written prescription for Bella’s medication. Originally I had one in my hand, but they made it null and void when I requested a refill on her eye drops. It was given to me a few weeks ago, but based on schedules and deadlines I was unable to get it mailed out to 1-800-Pet-Meds to have it filled.  I had to make the choice (which I wasn’t thrilled about) of calling the vet today to request the immediate refill as she ran out last night.  The reason they revoked the prescription? They claim that 800PetMeds is not a ‘compounding pharmacy’ and the eye drops (1% Cyclosporine Ophthalmic Solution – Basically Restasis for dogs) received via 800PetMeds would need to be ‘diluted’ so it’s safer for her to get her drops.  Now, initially I though “OK, that’s a very weird reasoning to refuse affordable medication – lets look into it.” Because that’s exactly what my brain does – I question the fuck out of everything.  So, it was time to get on the phone.  After speaking with a rep from PetMeds they advised that the product I’d be receiving would be identical to the one that is provided via the vets office and the rep on the phone basically said “You’ve been misinformed as you’d be receiving the exact same product they’re overcharging for with no dilution required.  There’s also a good possibility that the prescription your vet is providing is coming from the exact same pharmaceutical company we received ours from.”

I appreciated the new information and now the gears are in overload. I went back to the listing for the medication on pet meds, read through the FAQ and it was confirmed a second time that the drops are in the correct strength LIQUID solution that I need.  So… that really only means one thing to me: It’s time to find a new vet.

I’ve praised this office over the years because of how nice the staff is, and how well of a job they did when I almost lost her a few years ago thanks to the fucking Milo’s Kitchen/DelMonte Foods debacle.  The one thing I was never thrilled about was just how much money I spend every single time I’ve had to go there – no matter what the reason.

Every time I walk into that damn office it costs me an arm and a leg. I’ve been to EMERGENCY vets in New York that didn’t cost me this much every month. I understand that having a special needs dog can take a toll on your bank account, but to be continuously ripped off because the vet would prefer their overprice prescriptions to be handled in house is highway robbery. It’s something I’m no longer going to stand for.

As of right now – I do have a one month supply that I had no choice but to pay for today since they voided the prescription from outside use. So now I’ll be spending the next month trying to figure out where else I can bring her and if some company SOMEWHERE IN THIS WORLD makes a baby-safe version of moisturizing eye drops that can be picked up over the counter.  Based on what I’ve been reading so-far, as an alternative I can get away with utilizing a simple saline solution in her eyes twice a day in replacement of the ‘medicated’ drops.  I know that no aspect of the prescription is doing anything for her at this point in time.  They aren’t going to magically bring back her vision, and considering the amount of gunk I’m cleaning out of them on a daily basis – the crap is clearly not even working anyway because for ‘moisturizing drops’ – her eyes are bone dry and bloodshot.

No one ever said that having a special needs dog was easy. This is something I’ve known for a while, I’m not naive, I’m not stupid. I’m someone whom loves her dog more than her dog (or this world) would ever know.  As a pet-parent, to a senior blind & diabetic pup, I’m watching her slow down more and more each and every single fucking day. She’s miserable when she gets her eyes cleaned out, she’s miserable with the two injections a day, she’s miserable when taking a walk around the block because she can’t freaking see anything and has to fully depend on me to make sure she’s not running into a ditch or about to bump into a curb. Her anxiety levels are through the freaking roof to the point I can’t even pee without her right under my feet, and forget me even going outside for two minutes to dump the trash – in her eye’s I’m leaving for a month long trip and she instantly starts with the temper tantrum because she’s not right on top of me.  She’s got growths all over her, one large one on her chest that’s in the same area as the massive tumor she’s previously had removed.

Minus the two diagnosis actually being medicated – I constantly bring up EVERYTHING ELSE to the doctors every single time she’s in the office and they just brush it off.  Why? I’m in here for HER health, not to worry about whether or not the other 10 dogs in the overcrowded waiting room get their 2 minutes of your time while your nurses do everything else. All I’m asking for is ten minutes of respect and the ability to have someone not only answer my questions, but tell me what’s wrong with my dog when I ask – or at least offer the tests to give me the answers.  If I’m concerned about a growth – run a damn test. If I tell you that the amount of water consumed every day has not gone down – even with the insulin – then run the test for Cushings that I’ve been demanding for the past 6 months.   If I’m constantly telling you about her shaking-in-the-corner-pissing-herself anxiety attacks – give me a pill OR even the recommendation on an over-the-counter sedative that’s safe to give her.  Why is it so difficult?

It’s not like I’m some junkie asking for drugs for me. My anxiety is easily fixed with a cup of coffee and a pack of cigs. If that doesn’t work, time to remodel the house cause mamma’s punching a god damn hole in the wall.  All I’m trying to do is make her last of the time she has left (no matter how long that is) more tolerable for her.  In no way shape or form do I want her to suffer through ANYTHING going on with her right now.  I’m refusing to put her down because she’s not suffering. When she’s ready to go, she’ll tell me.  If you’re even remotely close to your pets you know damn well when its their time (unless an outside source is involved).  Offices like these, who claim they take pride in their work and really care about their animals blow my god damn mind when they really just function completely on the fact that you would do anything for your pets even if it means taking out another mortgage on your house to cover their greed.

Why is it so wrong that someone whose barely keeping their head above water is interested in not only providing proper medical care for their pet but wanting to do it in a way that’s even remotely affordable? At this point I don’t have a single fucking credit card that isn’t completely maxed out because of medical bills or just daily life in general.  Every aspect of being an adult requires money, I’m not bitching over the fact that they also have ‘adulting’ to do in their own lives and they’re working to survive as well.  But being as they aren’t the ones whom actually MIX these solutions and then have the audacity to do a 300% up-charge because of “Supply & Demand” mentality – why do I have to just sit back and take it?

I work for a living too. I’m not some freeloader whose figured out a way to live off the system. I came from a blue collar family and know what doing 100+ hour weeks can do to ones psyche.  I don’t drive a brand new car and I’m living in a house that needs more work than I think I’ll ever be able to afford in my lifetime. I just need to be cut a little slack, and charging me more than double what something actually costs, on top of the $80 “Oh look, you walked through the door” fee is a freaking slap in the face.

So now, even though I’ve been ranting for the last 20 minutes I still need to not only finish a site that’s due this afternoon but locate and contact every single vets office within a 100 mile radius of me just to find out if there’s any possible way in hell of getting her medications for cheaper.  I’m so tempted to call her old vet in NY but I know damn well that a visit would be required and I have absolutely no money to even consider making that happen. I’m at my whits end. I 100% honestly have no idea what to do anymore.

Remodeling… Redecorating.. Medicating?

Monday, April 13th, 2015

The last few weeks have been pretty hectic.  We’ve started some big projects in the house that have, in turn, verified a few suspicions.

Our kitchen was pretty closed off from the rest of the world.  Even though there’s an addition on the house, nothing was really done to help with the flow (and lighting) for the original house.  So, after determining that the wall that was bugging me the most was load bearing, we took the steps to turn a section of it into a window by removing the drywall, adding a header to transfer the load, and then framing things out.  There’s some painting to do, but the window was finally trimmed out this past week by our friend Colin whom came down for Easter.  We used a wide windowsill for the bottom to give a bar top kind of a look and feel to it, and now even though there’s no flow in terms of walking, it helps to increase a little counter space in the kitchen and offers the ability for more light to come through.  There’s an unfortunate lack of overhead lighting in the living room, so the extra bump of light from the large window in the kitchen makes the difference.  With doing this construction, however, we had to move a few things around in the living room and this is where we found that our problems were a little bigger than the lack of lighting…

As I’ve previously said, Bella’s been having a difficult time for the past few months.  Her eyes have been gunky, she’s been drinking a lot of extra water, and her anxiety is pretty much through the roof.  After finally getting her to the vets office and having some tests run on her, the preliminary results brought back a diagnosis of Stage 1 Diabetes, and her vision loss is in the 75% range.  The vision was something that seems to have been brewing for a little while recently, but moving the furniture in the living room to do the construction on the wall proved that she was a lot further along on the blindness scale than originally anticipated.  The diabetes came as a complete shock to me, her glucose numbers were well into the high 700’s when they’re only supposed to be in the low to mid 100’s.  This unfortunately means 2 insulin injections daily. I would love to say that’s only until her numbers come down and then we can adjust things, but I think it may wind up being for the rest of her life and I can’t even begin to describe the anxiety she’s experiencing because of it.  The back of her neck is so sore from the injections and she’s lashing out like all holy hell if you get anywhere near her.  It’s a work in progress, but we’re trying our hardest to make her as comfortable as possible.

The gunk build up on her eye wasn’t completely due to an infection as we originally thought.  She does have a minor infection in the eye that houses the cataract, unfortunately this eye is the one where she’s lost complete vision.  She’s receiving antibiotic eyedrops twice daily for this. But the gunk build up, overall, is due to chronic dry eye. She’s receiving two more drops daily to keep her eyes lubricated.  The issue though.. I believe they cause either a slight dialysis or just blurred vision because her vision seems to have been getting worse since we implemented the drops into the daily routine.  She’s walking into walls more often than usual and I’ve noticed she has no interest in being outside while the sun is up because she can’t seem to get comfortable when there’s a brighter light shining into her eyes.  I’ve also noticed that they clearly sting a little because as soon as either of the drops go into her eyes she’s wanting to rub them out as quickly as possible.  I’ve made it a point to kind of rub around her eye to make sure the medication gets to the back of her eye were it’s needed in hopes that she doesn’t wind up completely rubbing it into the carpet as soon as she has the chance to rub her face after we’re done.

Everything combined, however, is a major stress factor for her life.  She’s getting the injections every 12 hours, and also the eye drops every 12 hours.  The injections is more of a stress factor than the drops, the drops just seem to be happening more often because she needs multiple drops within an hour of each other so ensure that one doesn’t cancel out the other. I’m also still using the saline eye wash to help keep the gunk from around her eye from getting hard so her eyes are as clear as they can possibly be.  She’s fine with the eye wash, but I’m sure that’s due to the fact that she’s not getting anything IN her eye, I’m only wiping the crust from around it.  As clear as her eyes appear, I know the vision just isn’t there anymore and unfortunately there’s nothing I can do about that.

Her drinking has subsided, but her bladder control is pretty much out the window. I’m doing everything I can to ensure she’s going out as regularly as possible to relieve herself, but there’s still been accidents in the house and even with everything else going on with her – that’s where MY anxiety levels have skyrocketed. I’ve been shampooing carpets regularly but she was clearly going in the house more often than I originally noticed so there’s heavily perfumed areas of urine in my carpet that I can’t get out with a regular home-based cleaner, to the point that I may need to have Stanley Steemer come in for the deep clean in hopes the steam and cleaning solutions penetrate down to the padding where the smells are being held.  On warmer/humid days the smell is overwhelming and as someone who takes pride in keeping a clean house, having pet odors to this degree is embarrassing as all hell for me.  Having a house guest for a week and needing to have candles going at all times just to mask the smells that I couldn’t get up with the cleaner wasn’t a pleasant experience. I know that he didn’t care, and he only said “ooh, I smell pee” once in the 7 days he was here but the fact that it was even the topic of conversation wasn’t something I was thrilled about.

I knew when we purchased this home that I’d eventually be removing all of the current ‘flooring’.  The floor in the living room/dining room is a weird tan tone that’s been on the floor for probably 30 years.  The carpeting in the hallway and three bedrooms is also 30 years old and a very traditional rose color for the late 70’s that is just ugly regardless of stains.  The den and my closet have a newer berber carpet, but even low piles hold smells and there were stains that I couldn’t removed with the cleaner last year that have only gotten worse over time. So, by default, I’ve been looking into wood flooring.  While it’s more expensive than just replacing carpet, it also gives me a solid floor to easily wipe up instead of having to worry about something soaking into padding.  I also feel it would help to increase the value of the house since it’s more ascetically pleasing in it’s own right. At this point I’d be content with having solid vinyl floors throughout the whole house just so there’s a barrier there for no liquid to penetration.  So, the best of both worlds, I’m looking into laminate hard woods through Lumber Liquidators. I’ve found a few that have the tone I want, and would look amazing with the color I plan on painting all the walls with (Sherwin Williams – Canvas Tan).  The issue is really just buying it and putting it down, cost for everything was about $1200. This covers the cost of wood the entire first floor (minus kitchen and bathrooms), the padding and tools.  Considering having a company come in to do this job would run me over $8000… it’s a pretty good deal.

This isn’t something that will happen in the near future though, finances don’t allow for that kind of modification being as we still have a roof in need of repair, a kitchen that requires the completion of a remodel and a basement to reconfigure to accommodate the possibility of having a few people move in within the next year or so.  That mixed with the fact that I now desperately need to completely fence in the back yard because of Bella’s lack of desire to take a proper walk at night… money’s tight.   We’re absolutely fine on paying bills, there’s no lack of food, we’re not going ‘without’ for anything. We’re comfortable month to month and putting money aside for what we need, but there’s no overflow where we can just pull out money and get things done at once. This house will continue to be a ‘work in progress’ for the next 30 years, but we do have our priorities.

It would be amazing if like $75,000 fell into my hands somehow.  I know our Mortgage still has over 200k on it, and we could easily pay down the principle with 75,000 to help in the long term, but when you factor in everything that needs to be done in and around the house – that bit of money could go a really long way. It would cover all debts (minus mortgage), the roof, a fence, tree removal, landscaping, new flooring, kitchen remodel, and the basement.  It could also cover getting a shed into the yard so I can gain use of my garage for more than a dumping ground and actually have the ability to park in there. It could go so, so far it just needs to appear. Will it? Probably not, but that’s because I don’t live in a dream world where it grows on trees and gets handed to you.

In any event, it’s time for someone’s eyes to get some drops and there’s plenty of work to get done around the house while my inbox is still empty.  Those dishes won’t do themselves… and trust me – I’ve been hoping for that too.

Wrapping my head around it….

Sunday, March 15th, 2015

The last year on Bella has been pretty rough.  We bought a house, so not only did she have a new floor plan (and two-level living) to get accustomed to, but she also had a new neighborhood to get used to as well.  Anytime she got into the car it was either a 10 minute ride to Sean’s mom’s house or a 4.5 hour drive up to NY to visit my family.  We’ve done everything we could to try to keep her as comfortable as possible, but lately things are taking a turn and I’m trying to keep myself together to figure out the best road possible.

For a little bit now Bella has been dealing with conjunctivitis.  I’ve been doing everything possible to keep her eye clean and remove all the gunky discharge and any crust around her eyes on a daily basis. It’s been a battle, because she’s not exactly keen on having anything near her eyes but it’s something that needs to be done and that’s that.  I’ve noticed over the last few weeks that she’s been having trouble getting around.  Going up and down stairs has been rough on her, and she’s refusing to walk at night.

To help a little bit I purchased new pet steps for the bedroom, this has helped her for the getting on the bed aspect of her night, but it doesn’t help her with getting off the bed as she just stumbles down.  I have two sets of stairs in the room, neither one is the right depth for her to manage them.  When she goes down the stairs now (for the house itself) she pulls herself to one side and kind of zig-zags down each step. So she’ll pull towards the right with her front paws and swing her legs down, then pull towards the left and repeat the process.  She isn’t able to do this with the bedroom stairs because they aren’t as wide, so the only thing I can think of is to just build a staircase in the room, but unfortunately the master is just not big enough to be able to pull that off.

Now, Sean and I have been hit with some serious deadlines over the past year so we’ve gotten ourselves on a schedule that is fairly chaotic but gives us the ability to get things done. While it’s only the two of us and there’s no distractions in the house we probably could get away with working at any time of the day but we choose to go with the overnight hours.  Why? I honestly don’t know. But I know I’m more content with finishing up for the day at 6am instead of 6pm.  It’s been like this for as long as I can remember and I think it’s based on the fact that up until a year ago we lived in homes with others so during the day it was harder to concentrate with all of the commotion. I think this trained us into thinking the overnight was better, and that’s just the way it is.

Having our schedule like this means that Bella’s had to adjust to ‘overnight’ life as well. So where most people would walk their dog at 9am, I’m walking her at 9pm.  That’s really the only major ‘adjustment’ she’s ever had to make.  She sleeps all day, and she’s done this since she was a puppy.  She eats 3 times a day, it’s not like her diet / appetite has changed in her 11 years of life. The one thing she’s been doing a lot more of lately is drinking water, but I’ve assumed that has to do with the fact that for quite some time the humidifier on our furnace was broken and EVERYONE was drinking a lot more since the air was so dry. I think I was going through about a tube of chap-stick every two weeks just to keep my lips from bleeding. So her having a little more water hasn’t phased me..

She’s a normal dog, living a normal life. Recently though, in an effort to help make her life a little easier, I’ve begun walking her while it’s still light out. I figured the darkness for a dog who can really only see shadows at this point was just cruel and maybe it being brighter out during the day would help so she could at least take a proper walk without her eyes playing a factor.  That’s not the case though…

I don’t know if there’s something outside that she just doesn’t like, or if she’s scared of something, or has less vision ability than I originally thought, but she downright refuses to walk. Daytime, nighttime, doesn’t matter.  She won’t stray far from the end of the driveway and I feel cruel dragging her up the block when she’s planted all four paws on the ground and refuses to budge.  She pulls herself back so hard that she wiggles out of her leash and then runs home as fast as she possibly can.  Today I brought her out the front door and then instead of going to the street I decided to just try and take her around the house.  There’s plenty of grass for her to relieve herself so she had ample opportunity to do whatever she needed to do.  I got her to go #1 a few times, but #2 is where she seems to draw the line.  Someone happened to close a car door while she was sniffing around so her attention went elsewhere.  By the time she realized where she was running she just went right to the front door. She wasn’t scared of the car door, she was her usual “Where’d that come from?” determined investigator. I kind of dragged her towards the other side of the house and thankfully she finally went #2, but she just was not willing to be outside at all. I could finally get her towards the back door of the house and she ran in, laid down, and hasn’t moved since.

At this point I’m pretty much at my whits end.  It’s not that I’m lacking the patience that is required when dealing with an older animal, that’s not the case at all.  I’m lacking the ability to wrap my head around what I can do for her to make her life easier.  If she was actually sick I would bring her to the vet and see what they recommend (meds  / diet wise) to give her a better quality of life.  Since the only thing physically wrong at this moment in time is the loss of eyesight and the anxiety, I’m not going to even bother wasting the money on going to the vet for them to tell me there’s nothing that can be done.

I’ve been through countless websites, I’ve put in all of her symptoms and everyone has something different.  One site says she’s a diabetic (and requires medication), another says she’s got Cushings (which requires chemo). Then they have a whole list of things for anxiety that all require some kind of medication.  I don’t like the idea of putting her on any meds, she’s gotten through life this long without them and I think that once you introduce medication her quality of life goes down (specifically if she does have Cushings and I introduce Chemotherapy).  There is no quality of life for a dog undergoing chemo, if anything it shortens her life because chemo has a way of not only removing the bad cells in the body, but taking the good ones and burning them off too.

I just don’t know what to do and I’m at a complete loss.  I know that smaller breed dogs live longer than larger breeds, and the oldest smaller breed dog I’ve been around was 17 when needing to be put down because she developed seizures later in life.  Bella’s only 11, part of me wants to believe that I can have another 6 years with her, but at this point in time, with how dramatically she’s slowed down, the lack of eyesight and the possibility of her having cancer that requires chemo, (not like the cancer she had when she was younger where the tumor was completely removed from her stomach),  the massive anxiety about ANYTHING going on, and the attachment issues of my not even being able to pee without her attached to my foot… it’s all just overwhelming.

I know that she’s not exactly having a field day either, I’m not trying to take anything away from her in that regard. The biggest difference between animals and humans is based heavily on the fact that they can’t communicate verbally when something is wrong. I know that when she pulls back she’s experiencing her bouts with anxiety, I know when she keeps bumping her head into things it’s because it’s not where it’s supposed to be and she wasn’t expecting it, this falls with her vision problems.  I’m just so frustrated with the fact that I physically can’t do anything to help her and have absolutely no control over the situation.

I’m also downright heartbroken because she’s my baby. She’s been the only constant in my life for the past 11 years.  I’ve lost so many people close to me that she was who I’d turn to for comfort and cuddles when I needed them the most.

After re-reading this post I realized it seems as though I’m considering putting her to sleep.  Please know that is the absolute farthest thing from my mind, I want to keep her for as long as she’ll allow me too.  I’ve always believed if an animal feels it’s their time to go (and there isn’t an outside factor involved) they will let you know. I know that at this point in time that’s not an option, and it’s just not the time.  I’m just stumped over what the next step is, what I need to do in order to give her a good quality of life before her time is actually up.

It’s just a tough road ahead.