Jagged edges…

Well, the initial shock has mostly worn off and the enormity of how big a change a missing 17 pounds can be has begun setting in. 

I’ve moved on from one yawning pit of generalized loss to noticing the small changes – like closing my bedroom door all the way instead of using the contraption that keeps it propped open enough for a slightly chunky cat to enter and exit at will through the night. Remembering not to set out fresh breakfast and dinner or clean out the litter box has also presented a challenge.

The house is still strewn, of course, with toys, climbing towers, scratching posts, and all manner of other items now sitting idle. I haven’t had the heart to do anything at all with those. Since Maggie’s crate is still fully assembled in the laundry room, I don’t imagine clearing out any of this will be something I get after any time soon. File that under “too hard / do not want.”

Maybe the more challenging idea to get my head wrapped around is that Hershel was the living link back to Maggie and Winston – the youngster of the house while they grew into old age. Just by being, he connected me back to long ago days with my first pack when we were all so much younger.

Intellectually, I know each tomorrow will look just a bit better than the preceding day. Time will round over the jagged edges. Just now, though, those edges remain awfully raw… and if I’m honest, I’m in no way prepared for them to be smoothed. 

My sweet, tabby boy…

Hershel came to live with me on October 29th, 2016. A tiny spit of a thing, he showed absolutely no fear in the face of either a bulldog or a chocolate lab. In fact, from the beginning, Hershel mostly thought he was one of the dogs. There’s a backstory there, of course. 

Our Hershel, you see, was the sole survivor of a litter dropped off in the dead of night at my then veterinarian’s office. The office manager there took him in and got him fixed up. There’s where I came into the picture. I mean I couldn’t really have that kind of fighter just dropped off at shelter, could I?

So, home he came and within the week, he was running both dogs and firmly ensconced as leader of my motley pack. Every day from then to now, he was the best cat a boy could ask for. After dinner, every single night, he tucked into his spot on my lap, purring happily while I read or grumbled at the television. After more than six years, you could have kept time with our routine. 

Sometime in the last 24 hours, Hershel suffered a blockage of his bladder or urinary tract. I found him sprawled on the floor, barely conscious when I got home this morning from a weekend trip. Thirty-five minutes later, after breaking most of the traffic laws in two states, we were rushed through to triage at the local emergency vet’s office. His kidneys were shut down, bloodwork was off the charts, and his temperature was described politely as “incompatible with life.” He was obviously in pain and there was virtually no chance of recovering. 

Letting him go and ending his suffering was the last kindness I could offer this magnificent member of the family. Even to the last, he took endless chin scratches and ear rubs as if they were simply his due. Under other circumstances, he would have almost looked happy. It’s certainly how I’d like to remember him, but mostly I’ll remember not being here last night when he was sick, and scared, and needed me most. I’ll carry that guilt every day from now until my own end.

I miss my sweet, tabby boy. I just walked around with the assumption that we’d have so much more time and I’m whatever it is that exists beyond broken. 

Expecting the unexpected…

About once every six weeks or so I start thinking that hey, maybe it’s time I add another dog to the menagerie. Two always felt like the right number of dogs in my mind, though I’m not sure if that was a function or Winston and Maggie being so well paired, or if there’s any actual data to back up my wild assertions. 

It doesn’t take long between having that thought and finding myself scouring Petfinder, local Facebook groups, and checking in on some reputable breeder’s pages. Before you know it, I’m hours down a rabbit hole looking at available dogs 300 miles away.

After a bit of that, though, I remember the times when there were puppies in the house. Young Winston gnawed through the rails of my kitchen chairs like a psychotic beaver. I’d arrive home from a day’s work to find young Maggie covered from tip to tail in poo that she seemed to take great pleasure in rolling in. Jorah, though not really a pup when he came along, relegated us all to six months of living in the easy-to-bleach confines of the kitchen because of his determined inability to grasp the basics of going outside to pee.

The fact is, life is significantly easier (and less expensive) with one dog instead of two. Even if it weren’t easier, I’m not in any way sure Jorah will be particularly welcoming to a new canine friend. His track record with meeting and interacting with unfamiliar animals isn’t great. When confronted with a new dog, he swings between attempting to hide under the nearest piece of furniture or growling like he’s been training to go to the fighting pits.

Every time the idea of bringing home another one takes hold, I seem to come up with a bunch of perfectly valid reasons why that’s a perfectly dumb idea. I haven’t ruled anything out, of course. Over the years I seem to have come by most of my animals some kind of accidentally, so at this point I’m just letting nature take its course and expecting the next fuzzball to show up more or less unexpectedly.

That was predictable…

Back at the beginning of the Great Plague many animal shelters and rescues couldn’t meet the demand of people wanting to bring a dog, cart, or other small animal into their homes. That’s a great problem to have if you’re in the business of trying to get animals off the street or out of hoarding situations. Even as it was happening, I imagined what the inevitable downstream consequences would look like. Based on a couple of online reports I’ve read, we have now arrived “downstream.”

The animals adopted en mass over the last few years are now being abandoned to shelters at growing rate. It was perfectly predictable if you operate from the assumption that human beings are the literal worst. Sure, people will want to blame going back to their in-person jobs and not having time. Others will blame inflation. Others will dream up whatever excuse allows them to sleep better at night after abandoning a creature that was entirely dependent on them for food, shelter, and protection.

Look, no one knows better than I do that situations change. Eleven years ago, I was hurtling towards Maryland one day ahead of my belongings with two dogs in the back seat and no housing locked in because most landlords didn’t want to rent to someone with pets. It was damned stressful, but putting Maggie and Winston out on the side of the road was never going to be an option. If that meant I had to drive further or pay more, that was just the price of doing business. 

I’m damned if I’m going to be lectured by anyone about vet bills being expensive. More than once I had to take out a loan to pay for treatment I couldn’t afford out of pocket. Conservatively, I’d estimate I’ve paid out $30,000 in vet bills and medication over the last decade. That’s before even figuring in the day-to-day costs like food, toys, and treats. I didn’t always pay the bill with a song in my heart, but I found a way to get it done even if that mean sacrificing other things I wanted or needed. 

I struggle mightily to think of a situation where I’d hand over one of these animals or where I wouldn’t go without or change my living situation if that’s what it took to make sure I was able to look after them. Hell, if I drop dead tomorrow there are provisions in place to make sure Jorah, Hershel, and George can live out their days in comfort and get whatever care they need for the rest of their natural lives. That’s the unspoken compact I made with them when I brought them home.

If you’re the kind of person who would just dump them off on the local shelter or rescue, hope someone else will do the hard work for you, and then wash your hands of the whole sorry state of affairs, well then Jesus… I don’t even want to know you.

Chonky…

Hershel had his annual checkup and got his rabies booster today. He wasn’t thrilled with the experience. He doesn’t like to leave the house. I guess despite the difference in species, the apple hasn’t fallen far from the tree.

Still, the techs all made over him. Thanks to the thin walls, I could hear everyone in the procedure room fawning over “the good looking chonky boy.” I know I’m biased, but he is a good looking cat.

Other than needing to cut a little weight and a bit of dry skin, he seems to be in fine shape. He won’t love it when I start cutting back at mealtime. God knows I’d think it was a terrible idea if someone did it to me.

It was actually kind of nice to go to a vet appointment for “normal” issues for a change. Given my track record with animals I won’t let myself get used to it, but it was an appreciated change of pace.

Another vetting…

Yesterday Maggie and I swung by the vet so they could pull another urine sample. I’m expecting the culture to tell us one of two things: 1) Maggie’s UTI has cleared and the infection wasn’t what has been causing her wildly increased drinking and peeing or 2) Six weeks of progressively more aggressive antibiotics have failed to overcome the infection.

If it’s the former, the consulting internal medicine doc we saw last month has already proposed a preliminary course of action based on treatment to roll back a worsening of Cushing’s symptoms that isn’t indicated by the basic test of cortisol levels. I expect at least another trip to Malvern if that’s the result. If it’s the latter, well, we’ll have to see what’s left in the options box if this particular infection is truly uncontrollable with antibiotics.

I’m in the rather odd position of actively hoping that her Cushing’s has gotten worse. It’s at least the enemy I know – one that we’ve had good success wrestling into an uneasy truce if not submission over the last couple of years. It’s at least a fighting chance for some improvement. The same doesn’t seem to be true if we’re dealing with an unchecked infection.

There’s not much to do now until we see what we’re dealing with. It’s one of those rare times when I wish I was just a little more low strung and zen.

Because common treatments just won’t do…

Good news: After almost three months of flailing around trying to sort out why a certain elderly chocolate lab is drinking approximately 87 gallons of water a day, we have a preliminary diagnosis and presumed way ahead. Her most recent culture came back from the boffins and they confirmed that she was dealing with a bladder infection (although that diagnosis doesn’t completely rule out needing to eventually reevaluate how we’re treating her for Cushing’s). 

Bad news: According to the vet, the strain of bacteria we’re after is “extremely resistant” to almost all antibiotics. 

So, in the finest tradition of every dog I’ve ever had, we’re tipping into the more exotic options because the common treatments just won’t do. The antibiotic the doc thinks she’ll respond to is no longer on the market – or at least not produced in quantity for human consumption. Apparently when used in humans it has a bit of an unfortunate side effect of screwing with our bone marrow. The vet encouragingly warned that I should “definitely wear rubber gloves when handling that stuff.” That’s comforting.

Since the drug we need isn’t mass produced, Maggie’s vet very helpfully called the prescription into a local compounding pharmacy so they can whip up the 84 pill, two-week course of treatment. As troubled a medical history as I saw living with a bulldog, this is the first time I’ve ever needed to hire our own pharmacy. You’ll forgive me if I still question the reason of people who like having new experiences. Like this, they often feel like opportunities I’d be perfectly happy to avoid. 

I did talk to the pharmacy yesterday afternoon. They wisely wanted payment before they start mixing up whatever witches brew they’re working on. I suspect their business is one people appreciate up front, but blanch at patronizing when the bill comes due. Better for everyone this way.

I begrudge these animals nothing, but there are many days when I can’t help but consider how lucky we are in this household that there are no college funds to raise, daughters who will eventually want to get married, or anyone buying designer clothes.

Breaking up… sort of…

I did it. I told our current vet that although I’ve been happy with their service, I’m leaving to pursue less expensive basic medical care for two of the three furry little hooligans who share my house. Maggie will be staying put for the time being. With her thickening medical record and established relationship with the primary doc and specialists, I don’t want to rock that particular boat by reading someone new into the project at this late stage. George, of course, gets his own once a year trip to the local exotic vet practice.

Jorah is due for his annual checkup and vaccinations in a few weeks, so there wasn’t much room to put off decisions any longer. Thanks to the internet, I think I have our new vet (or vets, plural, since they’re a multi-person practice) picked out. It’s still a twenty-five-minute drive (but what isn’t when you decide to live in the middle of nowhere). Their online reviews seem impressive enough. They have on-site hydrotherapy, which is nice if I ever need to go that route again. They also have offer self-contained boarding, day care and grooming. I’m not altogether a fan of boarding, and it’s been a rare enough event that I’ve ever had to leave a critter behind, but I appreciate having the option bolted on to the medical facility.

If I’m 100% honest, I’m not sure this place will be much cheaper than where we’re leaving. They’ve got a whole lot of infrastructure that needs to be paid for and kept up. It’s definitely not the old-fashioned country vet I thought I wanted for them. What it does have, beyond the obvious, is the virtue of being open for 12 hours on weekdays and 10 hours on both Saturday and Sunday.  That’s the kind of thing that could save a guy at least a couple of emergency vet visits over the course of an average pet lifetime. I’m probably willing to pay a little bit of a premium for that… so we’re going to give this outfit a test run starting in July and see how it goes.

Schlepping across Pennsylvania…

Almost two months ago I noticed that Maggie had started drinking approximately an Olympic sized swimming pool’s volume of water every day. I assumed it was a return of some of the symptoms that led us to her Cushing’s diagnosis. Several rounds of testing more or less proved that wasn’t the case. Her Cushing’s remains controlled, but there was bacterial growth in her urine sample – diagnosis: urinary tract or kidney infection.

After the first week of antibiotics there wasn’t much improvement, so they changed up the prescription to something a little more powerful. Two weeks of that showed some vague signs of at least getting her seemingly endless thirst under control. We’re almost through the second two-week round of antibiotics – for a total of five weeks under treatment.

Overall, she seems far better than she was two months ago. She’s not draining off a gallon of water every time I refill the bowl. She’s not struggling to get her feet under her to stand up and her back legs aren’t apt to fall out from under her every time she tries making a turn on an even remotely slick floor.

When we were in the worst of it, I scheduled an appointment with an internal medicine specialist – basically what I expected was a hail Mary play to find out if there was anything that the rest of us had missed and provide a fresh set of eyes to look over an increasingly thick medical record.

Having a dog that drinks non-stop in and of itself isn’t a huge deal when I’m mostly working from home. All that water has to end up somewhere, but it’s not hard to open the door every hour or two or even to get up in the middle of the night for a trip outside. Starting back to work in the office on a more regular basis created a bit of an issue. As much of a dog lover as I am, living with a critter that can’t help but pee all over the house or whatever room you’ve tried to waterproof isn’t a realistic option… and have you even looked at what getting a dog walked two or three times a day would cost?

I kept the appointment with internal medicine – knowing that if I cancelled and there was any backsliding, it would take a month or longer to get another appointment. I still want a set of fresh eyes to give her the once over and either confirm that we’re getting after the right problem or find out if there’s anything that can reasonably be done to coax a little more quality of life out of the situation. Maybe it’s overkill for a 13-year-old lab, but it’s why I went schlepping across Pennsylvania today.

A rare moment of indecisiveness…

I’ll admit that a decade ago I picked the vet whose office location was the most convenient. I was just back to Maryland with a bulldog who at least once a month seemed to need to go to the vet immediately. Their office being between five and seven minutes from the house was a much appreciated convenience.

That office closed a few years ago and folded many of their clients, myself included, into their sister facility twenty-five minutes away. We’ve gotten good service there and I like my regular vet and the staff, but their fees tend towards eyewatering territory on a pretty regular basis.

I’m leaning towards transitioning the two youngest members of the household over to a different vet – one that’s still locally owned and operated (and presumably with lower costs for basic veterinary care). With Maggie’s long and complex history over the last several years, though, I expect to keep her with people who know the full back story until we’ve played that hand all the way through.

Part of the reason I liked the big corporate chain vet in the first place was having ready access to emergency and specialists “in the family.” With a host of them now sprung up within reasonable driving distance, I’m not sure that’s the selling point it was then. It feels likely that nothing more than the inertia of dealing with a known quantity is what really kept us where we’ve been this long.

Or not. I’m currently feeling mightily indecisive… and since a decision isn’t needed right the hell now, I’ll probably continue to dither for a bit yet.