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April 05, 2005

How do you know it's time

WE HAVE AN INFIRM Pomeranian on our hands in Kilkenny and it's a traumatising event. Chuckie the polite and deferential male Pom that we adopted nearly a year ago is acting like an 84-year old person who can no longer walk a few strides at a time. A local vet says Chuckie is around 10 years old. A stethoscope says Chuckie has a weak heart. Creaky joints say Chuckie has arthritis. All together, these conditions have reduced a once lively fluffy dog into a snoring piece of fluff on the middle of our sitting room floor. Perhaps it's time. "How do you know when it's time?" asks Hilary Brown, Owner, VetPet Partners veterinary e-list .

I don't subscribe to the idea that dogs "will let us know when it's time", at least not in any conscious sense on their part. For one thing, I've found in my years of counseling folks who have ill pets and often accompanying them through the euthanasia process, that this notion is often interpreted in a way that puts a lot of pressure on people when they're already stressed and grief-stricken.

"What if I miss the signs? He looked miserable yesterday but not today. What if I act too soon or not soon enough? How could he ever let on that he wants it to end? But maybe I'm deluding myself that he feels better than he does."

Dogs are not people. We lovingly anthropomorphize our dogs during our time together and there's no harm in that, even quite a bit of reward for both them and us. But the bottom line is that they are not people and they don't think in the way people think. (Many of us would argue that that speaks to the superiority of dogs.) These amazing beings love us and trust us implicitly. It just isn't part of their awareness that they should need to telegraph anything to us in order for their needs to be met or their well-being ensured. They are quite sure that we, as their pack leaders, operate only in their best interest at all times.

Emotional selfishness is not a concept in dogdom and they don't know how hard we sometimes have to fight against it ourselves. Dogs also have no mindset for emotional surrender or giving up. They have no awareness of the inevitability of death as we do and they have no fear of it. It is fear that so often influences and aggravates our perceptions when we are sick or dying and it becomes impossible to separate the fear out from the actual illness after a while. But that's not the case with dogs.

Whatever we observe to be wrong with our sick dogs, it's all illness. And we don't even see the full impact of that until it's at a very advanced point, because it's a dog's nature to endure and to sustain the norm at all costs. If that includes pain, then that's the way it is. Unlike us, they have never learned that letting pain show, or reporting on it, may generate relief or aid. So they endure, assuming in their deepest doggy subconscious that whatever we abide for them is what is to be abided.

If there is a "look in the eye", or an indication of giving up, that we think we see from our beloved dogs, it isn't a conscious attitude on their part or a decision to communicate something to us. It's just an indication of how tired and depleted they are. But they don't know there's any option other than struggling on, so that's what they do. We must assume that the discomfort we see is much less than the discomfort they really feel. And we do know of other options and it is entirely our obligation to always offer them the best option for that moment, be it further intervention, or none, or the gift of rest.

From the moment we embrace these animals when they first grace our lives, every day is one day closer to the day they must abandon their very temporary and faulty bodies and return to the state of total perfection and rapture they have always deserved. We march along one day at a time, watching and weighing and continuing to embrace and respect each stage as it comes. Today is a good day. Perhaps tomorrow will be, too, and perhaps next week and the weeks or months after.

But there will eventually be a winding down. And we must not let that part of the cycle become our enemy. When I am faced with the ultimate decision about how I can best serve the animal I love so much, I try to set aside all the complications and rationales of what I may or may not understand medically and I try to clear my mind of any of the confusions and ups and downs that are so much a part of caring for a terminally ill pet. This is hard to do, because for months and often years we have been in this mode of weighing hard data, labs, food, how many ounces did he drink, should he have his rabies shot or not, etc.

But at some point it's time to put all of that in the academic folder and open the spiritual folder instead. At that point we are wise to ask ourselves the question: "Does he want to be here today, to experience this day in this way, as much as I want him to?"

Remember, dogs are not afraid, they are not carrying anxiety and fear of the unknown. So for them it's only about whether this day holds enough companionship and ease and routine so that they would choose to have those things more than anything else and that they are able to focus on those things beyond any discomfort or pain or frustration they may feel. How great is his burden of illness this day, and does he want/need to live through this day with this burden of illness as much as I want/need him to? If I honestly believe that his condition is such, his pleasures sufficient, that he would choose to persevere, then that's the answer and we press on.

If, on the other hand, I can look honestly and bravely at the situation and admit that he, with none of the fear or sadness that cripples me, would choose instead to rest, then my obligation is clear.

Because he needs to know in his giant heart, beyond any doubt, that I will have the courage to make the hard decisions on his behalf, that I will always put his peace before my own, and that I am able to love him as unselfishly as he has loved me. After many years, and so very many loved ones now living on joyously in their forever home in my heart, this is the view I take.

As my veterinarian, who is a good and loving friend, injects my precious one with that freedom elixir, I always place my hand on top of his hand that holds the syringe. He has chosen a life of healing animals and I know how terribly hard it is for him to give up on one. So I want to shoulder that burden with him so he's not alone. The law of my state says the veterinarian is the one licensed to administer the shot, not me.

But a much higher law says this is my ultimate gift to my dog and the responsibility that I undertook on the day I welcomed that dog into my life forever.

Update 12 hours later: Chuckie is refusing all solid food. He labours to breathe even when lying down. Wil Wheaon's experience ("Let go.") comes to mind. (via Chris below).

Hilary Brown -- "How Do You Know When It's Time?" via  Karlin Lillington on the Irish Animals discussion board.
Pope John Paul II on suffering -- "Salvifici Doloris" (February 1984) via Eamonn Fitzgerald.

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» Pope's Dog from IrishEyes
Chuckie, the 12-year old Pomeranian, was PTS (put to sleep) following a serious of old age maladies. [Read More]

» 01:02:03 04.05.06 from IrishEyes
E MEASURE TIME so that we can freeze events. When this post hits my weblog at two minutes and three seconds after 1AM on Wednesday the fifth of April 2006, the time and date will be 01:02:03 04/05/06 on American date-keeping systems. This time-date mar... [Read More]

» Five Years Ago We Knew It Was Time from Inside View from Ireland
FIVE YEARS AGO, we had a very sick puppy on our hands in Kilkenny. For two weeks, we listened to him labour to breathe. He would sit at the top of the steps--barely able to drag himself up--and watch the world in a fog below. It was a traumatising even... [Read More]


Wil Wheaton has a fair amount to say on this topic at http://www.wilwheaton.net/mt/archives/001831.php#001831.

Good luck to you. I went through the same thing a year ago. My dog was suffering from a disease that we thought might be curable with drugs but after a long fight she passed away. It effected me more than I thought it would. In retrospect I think I should have been stronger and put her to sleep much earlier. Often treatment for older dogs only lasts a short time anyway and often isnt worth the suffering. Every case is different though, good luck with Chuckie.

Sorry to hear your dog is sick Bernie. I'm very much a dog person so I know how it feels.

Hi Bernie, I'm terribly sorry to hear about the decision facing you and your family. Dogs are such amazing companions. It's so difficult to say goodbye. Best of luck.

i had to let my dog go yesterday. its been very hard. last oct. he started coughing. after my wonderful vet. tried many things and an operation that proved nothing he seemed better. after a while his front paws started to get lame. we couldnt let go. i guess we expected some kind of disease that would tell us its time. he was eating and drinking but not walking. he still knew us and barked to tell us when he needed to go out. this past monday i just knew it was time.i am heart broken. i know he was 14 and probably should of let go sooner.
reading above has helped me realize that i did need to be the strong one. we were waiting for him to give us a sign. that didnt happen but after being away this weekend when we returned he licked us each and then his breathing was very lite. i knew it was time. my vet came to give him peace.we will miss him everyday from this day on. he gave us everything always.
teddy we love you.

After the event I hope to be able to give you some idea as to how often I revisited this post.

Thanks Bernie


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