Our Sandy Dog

It looks as if our dog Sandy is coming to the end of her life. The vets tell us she is in heart failure, and she is on a series of medications to help her heart work and to help keep fluid out of her lungs. Sigh.

Obviously this is on our minds all the time. Day by day her breathing is more work for her. I wake sometimes at night hearing her change her position, and as she curls up close to my head, I hear her ragged breath. But each morning she bound downstairs for breakfast, and greets us as we come home from work with great enthusiasm. She has a passion for dinner, and still follows us up the stairs even if we are just carrying loads of laundry back and forth.

I am deep in a quagmire of the most difficult ethical decisions I've ever had to make. It was so easy to say, back when she was healthy "we don't want any major interventions to lengthen her life." We had declined to follow up on procedures the vet recommended with cost estimates in hundreds and thousands of dollars. Longevity, we thought, is not the most important factor.

Now that she is truly engaged with the medical problem that will end her life, I look in my heart and am glad that we kept aside some savings for this final emergency, rather than paying for, for example, the dental cleaning that would have wiped out our savings. (the rub comes in knowing that sometimes the bacteria found on infected teeth can cause heart trouble).

But whereas I so easily could decide that 14 years was a good long life when she was healthy, the choices we are making now about whether her last day will come today, this week or next month are just excruciating. Vet bills and prescriptions are coming in each week at $100 or more (some weeks a lot more), but that seems crass to even notice the cost of keeping her comfortable. We saved money for an emergency, right? And isn't this an emergency? It all comes down to her quality of life, but even that is so mixed from moment to moment. Do we allow her to endure a night where breathing is not always easy in exchange for her joy as we put down her home cooked chicken and rice dinner or snuggle her on the couch? How much breathing difficulty is too much?

In minister school they say never to preach on a topic before you have really worked through the issues and come out the other side. But this is a blog, not a sermon. And I am deep in the middle of this journey. Tonight is not her night though. Tonight we are still glad for every moment we have her, for every time I get to hold my face next to her furry face and scratch behind her ears.