06/07/2024
Last night, I dreamt about a little dog I haven’t seen in around 25 years. I didn’t know him personally- he was a patient at the vet clinic where I worked as a vet assistant. His name was Timmy, and he was a 21 year old Bichon mix, and weighed only about 2 or 3lbs. His owners were diligent about vet care for all of their dogs, but Timmy especially spent a lot of time in our clinic. You see, he had lost all control of his bowels and urine, and wore a 24/7 diaper (which caused him a lot of skin issues in that area, as this had gone on for years). He was totally blind and deaf by this point, had no teeth left, had no hind end mobility at all, and most of his organs were failing. He was also in significant pain due to arthritis and a spine injury. Whether at home or in the clinic, Timmy spent most of his life on an IV, and he had to stay where you placed him down because he wasn’t strong enough to pull himself around. He just spent all his time on a bed, in darkness and silence, unable to move, and in pain. He was alive only due to the miracle of modern medicine.
The vet and I spoke with our client many times about humane euthanasia for Timmy, but she felt that if she just put enough money into his care, then he could go on forever. It was heartbreaking - Timmy had no quality of life whatsoever, but his owner loved him too much to let him go. Or, you could say, she could not set aside her own feelings enough to put love first, and peacefully let him pass.
At that time, we really didn’t use things like Quality of Life scales in vet clinics. Thankfully, over the years, these have become a valuable tool for owners to see their dog’s condition objectively, and a basis upon which a vet can have a conversation with an owner about End of Life Care, the dying process, and humane euthanasia. This is also something that I help clients with as an End of Life Doula. I have my own Quality of Life scale, but I also really like the one provided by Lap of Love (a palliative and end of life veterinary service in the US). Today, I also discovered that they have an interactive tool on their website that generates a broad assessment of your dog’s condition, and provides information on each of the disease processes your dog may encounter. If you’re in this situation, I’m so sorry to hear that, and encourage you to start with a tool like this, followed by the checklist.
And Timmy, wherever you are, I hope that you are feeling young, full of life, and pain free. ❤️🪽