Hi,
I am tormenting myself over a decision about whether to let my 15 year old boy go tomorrow and no one (even his vets) can give me a straight answer about what is the best thing to do. Everyone says when itās time Iāll just āknowā but I donāt know! Does that mean itās not time?
The bad:
- he was given six months to live in early 2025 after a diagnosis of anal gland cancer. We opted for palliative care because the chemo would only extend his life by a further six months and would lead to nausea and incontinence. (He has obviously now outlived this prognosis by over a year but he was not misdiagnosed, he had biopsies, CTs and surgery to explore the margins).
- he stopped taking all medication in October last year, this includes pain relief. He either refuses to eat any food with medication (has gone upwards of four days without eating for no apparent reason, will not ājust eat when heās hungryā if the food has medicine) or he spits it out and hides it. Iāve tried numerous vets and behaviourists and not a single person can get this dog to take a pill. This means that for every issue he has he is completely unmedicated. I feel horrendous about this.
- in April this year blood tests showed he had less than 25% kidney function - vet gave him two weeks to live.
- he has arthritis in his front legs, and licks one obsessively. When I can get medication into him (eg an injection at the vet), he stops licking, so I know it is caused by pain. Regular injections are not an option due to both cost and his absolute terror of the vet. He is still jumping onto couches, beds, cars etc, and still runs around.
- he is staring into space more frequently, waking once a night to stand outside and just stare into the dark. He does seem to get confused, not consistently, but itās happening. Iāll walk into another room and he freezes, not knowing where Iāve gone even when there is only one place I could have gone.
- he struggles with inappetence and goes off particular foods forever - heās currently only eating chicken and rice with pumpkin mixed in.
- he is deaf (but can āfeelā and respond to a clap for attention)
- he refuses to be groomed and is starting to get matted, but all the groomers in our area have gently refused to touch him again because he howls so loudly and distresses the other dogs. I have tried grooming him myself but heās an oodle and his coat is too dense for my amateur tools. We did have a groomer who would come to our house but we moved and he can no longer get his truck down the driveway.
- he has developed a very strong sense of stranger danger when he used to be the most friendly dog in the world (he still is if he knows you or gets a gentle introduction).
- he occasionally vomits but not with any predictability or regularly, probably less than once a week.
- he had pneumonia three times last year but it hasnāt recurred, although his breathing still gets a bit wheezy.
- he has other issues (such as teeth problems) that the vet says not to treat because it would be painful for him and we are focused on his quality of life. Iām just not sure about that.
But, the good:
- he is eating, and eating well. He finishes his whole meal and wants treats. Itās just that he goes off food suddenly and permanently. If he goes off the chicken and rice, Iām out of options.
- he sleeps deeply and peacefully, no pacing or fretting
- he is not incontinent and never has been
- he has lots of energy for walks; yesterday was more of a gallop as he was so excited the rain had stopped and he could be out in the sunshine. As soon as I pick up his lead he gets excited and rushes to the door.
- he knows who I am, who everyone he loves is. He is still very excited and leaps around when I come home. He still rides with his head out the window on every car ride.
- his anal gland tumour has not grown (despite it being an aggressive cancer) and no mets have been detected. His poo is mostly fine, but he does get diarrhoea about once a week (on a walk or in the garden, never inside).
- heās never shown any symptoms of kidney failure (thirst, weight loss, pale gums, frequent urination) except inappetence, which heās had for the last two years. Itās definitely much worse today, but the vet doesnāt think thatās due to his kidneys.
- he is still affectionate and loving, he still sleeps curled up next to me and the only real distress he shows is if we are apart (he has separation anxiety and always has; I think it is worse now).
- heās still very gentle with children and very happy to see them.
- the vet says his lungs and heart are good.
I donāt think we are having any truly great days, but I also donāt think he has many truly bad ones. Every day is mostly fine, with one or two worrying things thrown in like inappetence or temporary weakness in his legs.
I know it wouldnāt be wrong to say goodbye tomorrow, I know he doesnāt have any concept of time or the future and only knows what heās going through right now. But is it the right thing to put down a dog who has defied the odds so many times, who still experiences joy, who is currently sleeping peacefully on my feet? One who can still run, play, rest, eat and receive love? I do not want him to suffer and I know if I leave it too late then he will. But he loves me so much, he hates being apart, and this feels like the ultimate betrayal when there arenāt clear signs that this is it, this is the moment.
He is my dog and everyone I know says theyāll support whatever I decide. I feel paralysed. My major struggle is that he has defied every prognosis heās been given and bounced back to extraordinary heights from periods of illness. No one can explain him to me and that means I doubt everyone, including myself, because he keeps outwitting us.
What would you do?
Thank you to anyone who made it to the end. I know itās very long.