It seems so easy when you're not in the middle of it. You have an old dog, a dog definitely at the end of his days, but currently healthy and happy. And you tell yourself if he gets really sick, you won't do anything big or invasive or heroic, you'll just let him go. No surgery, no chemo.
But he doesn't get "really sick." He gets just a little bit sick. He gets a foxtail, or a bladder infection, or some other problem that would be laughably easy and inexpensive to treat -- if your dog were two years old. But when your dog is old, things aren't always that simple.
Right now, my 10 and a half year old Scottish Deerhound, Rebel, has a bladder infection. That's nothing new; he had surgery a few years ago due to a genetic kidney defect and it left him susceptible to bladder infections. But the antibiotics are disagreeing with him violently, and I keep having to take him to the vet. And we made the long drive to the specialist the other day, even though in his old age he hates the car and the vet a thousand times more than he ever did. Just the drive stresses him out and takes a toll on him that last for days.
But what do you do? Euthanize a dog because he has a treatable UTI and an upset stomach?
I mean, I know what to do if a very old dog bloats or gets bone cancer: Keep him comfy as long as I can, then let him go. But I don't know what to do if he gets, say, a foxtail in his foot. (For those fortunate enough not to live in the land of the foxtail, it's a grass awn that here in California is the summertime scourge of all dogs.) Foxtails mean anesthesia in most cases, and a procedure a young dog would shake off in a day can be the last brick in the load of an oldtimer.
Theorizing aside, the fact is, I don't know what to do about Rebel right this minute. Despite a ton of pain and nausea meds, he's just freaking miserable.
I'm in my least favorite place to be, the middle ground, the gray zone. Science can't help me, and there's no research study that can help me figure it out. My vet can't help, and all the years I've owned dogs don't help, either. I never know what to do when facing what should be a small thing, a minor problem, that turns huge because even very simple procedures are so much harder on some old dogs than on that same dog at a younger age.
I need a crystal ball.
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