Quote:
Originally Posted by jencam
OP is not struggling with natural death vs PTS. OP is struggling with could they have done more? Were they wrong not to do the MRI? I say no they were not wrong. It's extremely unlikely the MRI (which would have cost 3-4K) would have led to an effective treatment for a dog of this age.
It's always extra super painful when money comes into the equation. We feel like crap for taking that into account, but it's reality for people who are not wealthy.
My cat would NOT have been able to get an MRI had I not had pet insurance. No way. I simply couldn't swing it. I think it wouldn't have made much of a difference. The Vet would have made an educated guess it was FIP and given the standard treatment, steroids, which in her case worked for as long as they could.
The MRI gave me PEACE OF MIND. To know for a FACT we were doing exactly right. It saved me and the Vet from trying this and that to hope it was anything except FIP that had a better prognosis, so it was worth it from that standpoint, but I would have had to live with some doubt lacking pet insurance.
And the pet insurance raised it's rates too high for me, so I will face this again probably, and we will do the best we can with what I have.
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I tried to give a 'rate this post positively' but...you know, forum rules say you can't within a certain amount of ratings, time, etc. so I'll just acknowledge it here instead.
I've struggled with the 'should I have done more' too, along with the 'did I decide too soon?' 'did I decide too late?'...all of the agonizing decisions that a pet owner ultimately faces. And that is what makes loving an animal so difficult. We love them as much (sometimes more than) our human family members and friends, but with humans, we usually don't have to decide when to end the person's life. With animals, we do, and it's painfully difficult, esp. when the vet - as they are obliged to do - gives options...more pain meds, more tests, more of whatever. When it becomes too expensive, or when there is a good chance that the expensive tests involved may wind up revealing a suspected non-treatable condition, and the animal won't live much longer no matter what we do, the decision on what route to travel now becomes exponentially more difficult. No matter how old our pets live to be, and no matter what they may be suffering from, there is almost always some form of guilt or 'should I have's' that will inevitably follow. Add to the mix a limited source of funds when treatments and tests are excruciatingly high, and we wind beating ourselves up relentlessly over feelings of guilt, a feeling of having betrayed our best friend.
As with pretty much everyone here, I've been down both roads. I had a dog who had an aggressive tumour on her leg...the tests alone (invasive surgery) to see if she would have qualified for treatment would have bankrupted me, and my heart broke to have to say goodbye to her. My only solace in her case was that she was elderly, and had lived a good long life...but it took me a very long time to get over the 'I should have done this...', even though I felt that the decision was the right one, at the right time.
I also had a rabbit - a gorgeous English lop with crippling arthritis and luxating patellas - who I cared for palliatively for several months. It was extremely difficult to give him proper care - having to bathe his lower half every other day, massaging his muscles and joints, giving him extra attention, cleaning both his ears (which he could no longer do on his own) and his lower end to keep him from developing sores. I had people who said he should be put to sleep because he could no longer walk...and I wrestled with that for quite a while. Yet he was still his enthusiastic, stubborn self, showing interest in life, interacting with the other animals in the household, and displaying huge interest in every meal (he had an epic appetite!) so I went the extra mile, so to speak, to keep him comfortable, able to interact with those around him, and happy despite his disabilities. It was only when his pain meds appeared to no longer be blocking the pain, and his appetite began to wane a bit, that I made the decision to let go. The vet had suggested that his pain meds could be upped, but I felt that he'd had enough...and giving him stronger medicine would only make him groggy, not really existing as he had. Was my initial decision to keep him going when he was first diagnosed, based upon what I felt were his indicators that he still was interested in living, wrong? Did I wait too long? There is no easy answer to this, and I will always run into those who will say it was cruel to not euthanize at the first sign of mobility issues. But every moment of every day, I asked myself if I was doing it for myself, or for him. And I do believe that he was able to enjoy his life until I made that decision.
Either way, decisions when it comes to our pets are highly personal, based upon what we observe from them, upon what our vets tell us when they assess them, and from what we believe in our hearts. I can only hope that for all of the animals who have lived with me, they were able to enjoy their lives, and did not wind up with either a life cut short, or a life drawn out.