It’s a good thing I got to bed early on Friday night. I’d had to. It had been a rough day of another round of rejections on a variety of projects (including the Vick piece for NPR, which was at least picked up by Veterinary Economics magazine, bless their good taste). I was dog-tired from the stress—and the appointment schedule for the following morning was booked to capacity in expectation of the usual long-weekend illnesses.
So when my Saturday began with a 6:16 wake-up call from a tearful client’s husband, I knew I was in for it. I was being asked to attend to a dying dog, oxygen cage-side, at the emergency hospital.
I had made a house-call the day before to check on Baxter when his soft stools turned bloody after a week of new treats. Not such a big deal for the average dog. But this big bulldog had serious upper respiratory issues. What’s worse, he was pushing the remarkable age of thirteen (for an English bully that’s rare). That’s when wife-client broke down and asked me: You’ll tell me when it’s time, Dr. K, won’t you? Looking at Baxter on Friday afternoon I’d had no cause to give her anything but blithe encouragement.
But now Baxter was on oxygen after he’d collapsed very early in the morning. His X-rays confirmed the advanced degree of respiratory disease he’d battled all his geriatric life. The fact that he required 100% oxygen to saturate his blood at a barely reasonable level was proof positive we’d reached the end.
I said all the helpful things I could—about how loved he was and how he needed to be given the chance to die as peacefully as possible. It was time, they agreed. I asked the emergency vet on duty (a good one I have an excellent rapport with) to place the largest, most secure IV catheter he could and to administer a whopping dose of a bronchodilator so he would survive the trip home to be euthanized near his brothers.
By eight AM (the time I was supposed to start seeing patients at the hospital) we were all at Baxter’s home-base bedside to say goodbye. We cried. We hugged one another. And then I gave the drugs…to no effect. The IV catheter had kinked and stalled—after half the required dose. Can you think of a worse nightmare? I can’t. It’s a stupid mistake worthy of a novice—I should have noticed the solution was going sub-Q.
So I sped back to the hospital for more drugs, knowing I’d risk not getting a complete dose into such a big dog without a whopping quantity at my disposal (I always bring a double dose but most of it had already gone under his skin before it became obvious that his catheter was useless.) At least Baxter was resting well with the sedation he’d already received.
Still, this was something of a crisis for me. I’d never been in this situation before and we’d all had tears streaming down our faces—prepared for imminent death—before it became obvious there’d been a hitch in our plans. Humans plan…God laughs. But I didn’t think there was anything funny about Baxter’s postponed demise—or the angry horde now waiting for me at work.
So I secured reinforcements before heading back to Baxter. Finally, it was done. But it wasn’t without all the stress, mess and tears of finding deep bulldog veins when most had already been sacrificed to the initial catheter’s probings.
It should’ve been all downhill from there, but the day got worse. That, however, is a story for another day. It’s much too much to have to recount it all in one post—much less, live it.
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We are all lucky to have you - and the other guys, too, of course. You're all so compassionate.
Diana September 2nd, 2007 10:30:00 AM
Thaqt is so sad,tears are coming to my eyes.bye
Sylvia September 2nd, 2007 10:42:00 AM
My vet has euthanized two of my dogs at my home, and I can't tell you how much that meant to me. (It also gave my surviving dog an opportunity to see the body in a familiar setting.) I hope your feelings of stress pass--and what abides is the comfort of knowing the importance of what you did for Baxte and his family.
Arlene September 2nd, 2007 12:35:00 PM
Awww Dr. K, what a sucky situation. You really went above and beyond for Baxter, and his family. And, then worked a busy saturday on top of it. Hang in there, I hope you can find some time for yourself over the next few days. Be well.
b.a. ray September 2nd, 2007 01:19:00 PM
I am the mother of Buster and I have to be greatful that you came to our rescue despite your work. I will forever will be grateful to you for your kindness and patience with me and my boys. Buster meant the world to me and he has left a void that nothing else will ever be able to fill. He wa smy first boy and a very special one as he really was atune to me (we were soul mates). I am sorry for the bad day you had but I will forever appreciate what you did for Buster and for us.
miltka September 2nd, 2007 05:11:00 PM
Yeah...I'm crying just thinking about how crap your day must have felt. Don't be so hard on yourself, what happened with Baxter's veins happens often enough, and there's a limit on how much one can prepare for every eventuality - taking twice the meds is plenty, however things happen, most times. More than anything else though, you were there for him and his family. You did everything that you could, and made the last few hours way more pleasant for him as well. I'm really sorry that you had a bad day after that, and I really hope that the rest of your weekend was as good for you as you deserve......extra extra good.
My boss at the rehab centre had to make the call yesterday (Sat) to euthanase the Jackal Buzzard that she and the vet have been doing physio on post-op for about 6 months. Just too much scar tissue on the wing membranes to allow her to fly the way she has to.
Even when you're doing the right stuff, things still don't work the way they should sometimes....
Big hugs from way south,
jcat
jcat September 2nd, 2007 05:36:00 PM
Miltka: I knew you wouldn't mind if I wrote about Buster (for the record, I always change names). I just hope I didn't reinforce the stress and heartache with this post. You are in my thoughts.
Dr. Patty Khuly September 3rd, 2007 10:19:00 AM
Wow, that's a tough one. Hang in there! All my best to Buster's mom, too. I know what she's going through.
Molly September 3rd, 2007 12:18:00 PM
Love to Buster's mom, and hugs to everyone all around.
Martha Garvey September 4th, 2007 09:32:00 AM
For a direct link to Patty's great opinion piece ...
http://www.vetecon.com/vetec/article/articleDetail...
Veterinary Economics April 22nd, 2008 05:19:00 PM
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