- Joined
- Nov 7, 2014
- Messages
- 6
- Purraise
- 6
Thursday Nov. 6th around 2:20 AM EST I gave the Vet attending my beautiful Elizabeth permission to euthanize.
10 mins later I was cupping the head of my lifeless cat in my hand, heartbroken, but thinking I had done the best for her, relieved she did not have to suffer any longer and grateful to the clinic staff for being available in the middle of the night.
Elizabeth was adopted from the Jacksonville, FL Humane Society in 2000. She came as part of a Y2K special bundle that included a kitten, identification tattoo on belly, spaying/neutering and feline leukemia. She had been my best friend over the past 15+ years, for long stretches my only friend and I miss her now more than I ever thought I could.
The last chapter of Elizabeth's story began in late October...
Friday Oct. 24th (2 Weeks Prior) - Initial Vet Visit
For several weeks prior to the Oct. 24th visit to Elizabeth's local vet she had been throwing up more than normal, occurrence would usually be once a day in the early morning hours. I also noted a decrease in the amounts she was eating and a noticeable loss in body weight. Her belly area remained a good size and this I (incorrectly) thought was a positive.
At the Vet, after getting her weight (had lost 2+ lbs) and vitals (normal), I related all her recent behaviors that were concerning me and he preceded with a physical examination. It was during this examination he was able to detect and palpate a large mass he believed to be a tumor in her abdomen, likely cancerous, with few options for treatment. He did give an option of exploratory surgery but given her age and the size of the tumor it would be a one shot deal, if they opened her up and it looked bad she would not revived. I did not consider this option an acceptable risk, the Vet and I agreed that her quality of life (until the end she loved to hide out and pounce on our 2nd cat, a 3 yr old) still being good that I would take her home, try a liquid diet to improve consumption and dose her twice daily with prednisone to help with pain, inflammation and increase appetite.
That same day, immediately after the Vet visit, we packed up our van and left on a trip up to NC for the weekend to visit my parents in the mountains. It was during this trip I made up my mind to unearth off the internet any promising alternative treatments of cancer and tumors in cats + find the best options available for her unique dietary needs and with these develop a daily routine for Elizabeth to best improve the longevity & quality of her life. Amazon was my friend, receiving the bulk of my order of items for Elizabeth's care that weekend. I supplemented the Amazon order w/visits to two PetSmart stores on the trip back, mainly to get liquid and high caloric dietary requirements I could start Elizabeth on immediately when we arrived home.
Sunday Oct. 26th - Home Treatment Begins
I stumbled out of the gate with Elizabeth's treatment on the Sunday we returned, pouring the liquid diet (looked like watery milk) in a bowl for her and squeezing the high calorie chicken paste out on a paper plate. 1 hour later, nothing touched. 4 hours later, nope. 6 hours later, I throw in the towel and gave both to our outdoor cat whose appetite is voracious, he gave it one sniff and walked away. Bad start and Elizabeth displayed little interest in her regular Fancy Feast in gravy food except for licking up the gravy and taking a few nips off the top.
Thankfully over the next week the Amazon order started to trickle in and with these new options I increased, refined and constantly reworked Elizabeth's daily regime. Her appetite increased in small amounts day to day, also thanks to some online blog posts I soon discovered the wonders of homemade chicken broth and how the smell of it would find its way into every corner of our house. With Elizabeth's increase of appetite for regular foods, I switched the liquid diet food to a supplement only, using it to wash down the 4 - 6 pills she needed to take daily. The high calorie chicken paste was introduced into her diet by loading it into a large syringe, often mixing in a powered or liquid herbal requirement, and administered in the afternoon/evening hours.
From the start Elizabeth was amazing, the constant pilling, squirting this liquid or that paste into her mouth, dealing with the constant pain of arthritis & now the tumor with only predisone to manage it; through it all she stayed strong, a fighter, giving what affection she could and never once showing signs of giving up through the daily ordeal of that first week as I made many mistakes in attempting to create an effective daily routine.
Monday Nov. 3rd - Routine locked in/Advanced Pain Management
A couple days into the 2nd week I believed I had developed a working, manageable daily schedule for Elizabeth. Her appetite continued to increase day over day, she was very fickle as I often had to give her 2 or 3 food options simultaneous to her daily staple of homemade chicken broth, but she was eating much more. She had also taken immediately to a scratcher bed I had gotten for her in the first Amazon bulk order, spending most of her down time stretched across it or curled up. Another positive I noted was she had not thrown up in the morning for first time I could remember. I was optimistic something we were doing was working, maybe even long term, but one thing I knew needed immediate attention was pain management. I could see it her eyes, the way she would not react in her normal fashion to external stimulus, something needed to be done to address this and I felt it might be the final key in our fight for her health. I typed up her daily routine on Monday at work, printed it off and took it by her Vet's office at closing requesting he review the routine to see if anything may be harmful or add suggestions. This is a cut and paste of what I gave the Vet...
Monday night was special, especially looking back now. I won't go into every detail but she and I spent 6 hours together with Elizabeth being the center of attention. Built a fire for her, multiple deshedding sessions had her shiny and relaxed, a sponge bath she enjoyed exactly as much as any cat can and the comfort of having her resting beside me, curled up on the couch, seemingly at peace & content. Optimistic about the new pain prescription I would pickup Tuesday & Elizabeth's recent progress on the whole, that night I also made her a non-work/kid safe Windows wallpaper expressing her defiant attitude towards tumors & cancer.
Tuesday I called the Vet to get an update and was told Elizabeth had a prescription of Tramadal waiting. I quickly read up about Tramadal on the internet, lots of positive comments and I was anxious to give her a first dose. I left work early, picked up the prescription and went to the house. The next 5 mins was not fun for either of us, Tramadal is bitter, like bitter bitter, even a tiny quarter of a pill was an epic battle to get down. When it was all said and done, we got it down, I had a mangled finger and she was a frothing, unhappy cat but we got it down (her next dose I would successfully hide inside a 4Life capsule). I had to go to the grocery store afterwards to pick up new options of cat food she might eat and stop by work to finish out a few things, on returning home 2 hours later Elizabeth was happy (probably high), pupils dilated, a reduction in pain obvious. The Tramadal was working.
I changed out Elizabeth's food options, followed by the evening pill routine, gave her a full body wipe down with some cat cleaning clothes I had picked up at the store and I went to bed with Elizabeth perched next to me on top of the couch, the last memory I had before sleep is reaching out and resting my hand across her body.
Wednesday Nov. 5th - Elizabeth's Fight Ends
Wednesday morning I woke to find Elizabeth stretched across my chest, paws extended out to my face, ready to engage if her silent but clear message was not acted on. My cat was hungry and she was not in a patient mood. My response of "You hungry? Let's go get some food!" sent her jumping off my chest on a beeline to the kitchen. When I collected her food bowls from the the previous night the Fancy Feast kitten formula I just bought her was eaten almost down to the bowl & her chicken broth had disappeared.
Over the past three days Elizabeth had had only one minor episode where she vomited up food. That coupled with her increased appetite, what I would almost call a normal appetite, caused me to skip the high calorie chicken paste feeding the previous night. She hated these feedings and with her eating good amounts on her own, I did not want to bring her any additional stress when it was not absolutely necessary. With my job I often work & wake up at odd hours so Elizabeth did not receive her morning pill routine including the 2nd dose of Tramadal until 12 noon right before I left to start my day at work.
I stayed too late at work that day. A busted pipe had recently taken out the hot water in our home, in the course of the plumbers investigated that issue a large amount of mold was discovered on the underside of the house. No hot water + mold had prompted my fiancée to gather up the kids and temporarily move out to a friend's house on the lake for the week. I stayed behind, not wanting to stress Elizabeth out with a sudden change of environment. The entire week when I was at work the house's only occupants were Elizabeth and our other indoor cat Spree.
I'll say it again, I stayed too late at work. I arrived home only shortly before midnight, what would have been the outside range of the Tramadal's 8 - 12 hours being effective in blocking Elizabeth's pain. I remember several times that day into the night at work wanting to go home before I did and spend time with Elizabeth, a happy, playful Elizabeth not haunted by the constant pain of arthritis & tumors. I can tell you not one thing I did at work that day was so important that it could not have waited, been completed another day, allowing me to go home and enjoy time with and provide comfort to my best friend.
When I arrived home and went to open the door I had a clear vision of Elizabeth hearing the key opening the lock and positioning herself at the kitchen entrance, ready to stalk my every movement until new food selections were laid out for her dining pleasure. I believed I would see a continued improvement in her overall appearance & health & expected empty bowls from the food I had laid out before I left for work. None of these thoughts & hopes I had were close to the reality I found when I opened the door. Door opens... No Elizabeth... walk into den, move to walk around couch, Food Barely Touched... another step, Elizabeth.
I found Elizabeth that night laying on her side across the cat scratcher bed with a look of obvious pain and a pool of clear maybe yellow tinged vomit directly in front of the scratcher bed. Those two things with her food being almost untouched sent me into a panic state. I attempted to pick her up but she moved from the scratcher bed and shuffled into our bedroom, I repeated variations of "What's wrong baby?" & "I'm sorry sweetie, I'm so sorry" over and over. Elizabeth would move to a spot and stop but every time I tried to approach her she would quickly skirt away from my touch, everything about her body language said she was in intense pain and it was then I noticed the abdomen area where her tumor was located seemed almost double the size it had been and her breathing seemed rapid or shallow. There were spots of feces on the bedroom floor that had not been there when I followed her in. I knew my cat was dying, dying a slow painful death internally with me helpless to stop it and that is when true panic visited me.
I called Elizabeth's Vet, Voicemail... Googled phone number of another Vet in town that I thought may have after hours service, Voicemail... at the end of the VM they gave the number for two area clinics that had overnight emergency service. I called back to write down the clinic phone numbers, my cell died, battery drained. Put phone in charger, checked on Elizabeth, she was back in scratcher bed laying on her side like I had found her when I walked in, this time I did not approach her and went back to my laptop. Google searches for emergency pet services in surrounding cities, nothing. My phone had charged enough to start back up, I call Elizabeth's Vet again, at the end of Voicemail he recommended the same two emergency service clinics as other Vet. I call back again and write number down for clinic that was first on both Vet's VM, plug the number in Google and get the address for emergency clinic. Did MapQuest directions and sent them to my cell. I find a car charger for my phone and go outside to put towels on all the seats and plug phone in, I call Elizabeth's Vet one last time and leave him a VM stating Elizabeth had taken a bad turn, it did not look good, I was going to contact the emergency clinic then wait 10 mins for him to call me back, at 10 mins if I had not heard from him I said I would leave to the emergency clinic, Elizabeth needed to see a Vet as soon as possible. I hangup with Elizabeth's Vet and call the emergency clinic, a female voice comes on after 2 or 3 rings and I tell her my cat is in bad shape, I think I may have to put her to sleep and I would be leaving from about an hour away. She gives me the cost to euthanize and tells me to drive safe. I go back inside, Elizabeth is leaving her water bowl after a drink and goes back to lay down on her scratcher bed. I grab the bed with Elizabeth on it, talking to her the whole time, trying to reassure her while I was a nervous wreck inside. And we were off.
The drive to the clinic still seems like a dream. Elizabeth crawled into the back seat from the front early on and laid on her side never making a sound the entire trip, she is usually a screamer even on a short ride, her silence being further evidence of the pain she was enduring. I tried to talk to her often, tried to put strength and comfort in my tone that she could pick up on, but emotions had started to boil over at that point and I doubt my tone was reassuring. This whole time my mind was running a million miles an hour trying to think how or why this had happened to Elizabeth, Was it something I did? Why so quickly? Had her body just shut down? Organ failure? Rupture? Was there any hope this was only temporary and she could recover? I racked my brain all the way to the clinic and came up with very little to cling to that would result in Elizabeth making it through the night. I was minutes away from having to make a decision no pet owner ever wants to make. When I turned on to the last long stretch of highway that ended at the emergency clinic I came up behind a Semi-trailer with its hazard lights flashing, it was going fast, faster than I would have dared in the dead of night, afraid of the delay that would occur getting pulled over for speeding. I followed close behind the Semi the entire distance to the clinic, I had the thought as we sped along the dark highway that this truck with its hazard lights on leading the way was an angel come to speed Elizabeth to a release from her pain.
I felt great relief as we pulled into the clinic parking lot, the people inside would help Elizabeth and answer the questions that needed to be answered, guide me on the difficult decisions that were soon to be made. Despite this relief, my emotions at the time I would best describe as "ragged". A young lady was exiting the clinic door to meet me after she saw I was coming towards the building, I tried to tell her Elizabeth was in the car, but my words were choked off, allowing me only to turn and point.
Fade to black...
Less then one hour later my sweet Elizabeth had passed, the decision was every bit the torture I had feared, but clear it was the decision that needed to be made. In the end I guess it was never really a question, would any pet owner put there 15 yr companion in obvious pain, despondent to all attempts of comfort, throwing up, diarrhea, dehydration, back into a car and drive an hour home with no clear idea what horrible internal conditions were plaguing them?
Elizabeth was gone, but Elizabeth was free.
The trip back was a tear-filled one, I don't remember much else. After arriving home the next 2 1/2 hours would be spent moving out all items in Elizabeth's area of the house, vacuuming, mopping and cleansing until no part of her remained. I would later find out this behavior fell under denial or stage 2 of the grief process.
Shortly after cleaning I left for work, what would follow over the next 10 hours was a powerful chain of emotions from relief to shock to despair to anger and back again.
Thursday Nov. 6th - Discovering the Truth & My Betrayal
This final section of Elizabeth's story is told purely through chats & texts sent to my fiancée and family in the hours following her death.
So that's it. Elizabeth is gone and never coming back. I'm sure I shed more tears in the 24hrs after her passing than I had in the previous 24 yrs. I carry a huge amount of culpability & regret not only for the cascade of mistakes that, like dominoes, fell perfectly in an unbroken chain, ending in her untimely death but also for not getting her treated sooner, especially for the pain that accompanied her ailments. I know the last two weeks with me kicking everything into overdrive, that was overcompensation to assuage the guilt I felt waiting so long to act.
Concerning my anger at the emergency clinic, with some separation now, 5 days since that awful night, I am able to be a bit more objective and I do realize I am hitting all the classic stages of grief. So yes, my feelings & thoughts towards the attending Vet & Vet assistant have mellowed slightly, losing some of their vitriol. I no longer believe their actions were dictated by dollars & greed, purely looking to profit on my pet's demise, I can't think trained caretakers like that exist. I have yet to find an acceptable answer as to why I would be kept in the dark, denied an accurate diagnosis of Elizabeth's condition but I have had thoughts the Vet harbored a misguided notion maybe she knew better for Elizabeth than me. With such a limited view of Elizabeth's medical history & current state, only having what I had told her directly and information from a brief physical examination, I don't see how any Vet could decide to withhold a diagnosis, influencing an owner to euthanize, but that's the best answer I have right now.
I do want to end on some positive notes, first with a warning to other pet owners if you find yourself in a similar situation to mine, Do Not Panic. Don't do what I did, be strong for your pet, calmly note all their symptoms and take 60 seconds to plug that into a search engine, educate yourself in case the Vet chooses not to. Don't take a Vet's diagnosis or lack of as the gospel word, especially in an emergency situation, if you are given a diagnosis you disagree with have them explain their reasoning in detail. If you believe a diagnosis may fit your pet's condition and the Vet dismisses it, don't let them off the hook, have them explain every symptom & every reason that excludes your diagnosis. And if it is a life or death situation like mine, exhaust the possibilities, question everything and if you don't get the answers you need, take your pet and find a Vet that can give you those answers. Even if it's 2:20 in the morning.
And the last thing, the most important by far, I want someone besides only me to know the true grit and courage displayed by my little tiger tabby over her last two weeks. Elizabeth fought through pain, force feedings, a constant stream of pills , car rides, vet visits and a mistake prone owner who made one too many. Through it all she faced every challenge, overcame it and moved on to the next. Elizabeth did not stop fighting until her last breath, it was the humans who threw in the towel, who failed her. Elizabeth never failed anyone. I love you sweetie, goodbye for now.
10 mins later I was cupping the head of my lifeless cat in my hand, heartbroken, but thinking I had done the best for her, relieved she did not have to suffer any longer and grateful to the clinic staff for being available in the middle of the night.
Elizabeth was adopted from the Jacksonville, FL Humane Society in 2000. She came as part of a Y2K special bundle that included a kitten, identification tattoo on belly, spaying/neutering and feline leukemia. She had been my best friend over the past 15+ years, for long stretches my only friend and I miss her now more than I ever thought I could.
The last chapter of Elizabeth's story began in late October...
Friday Oct. 24th (2 Weeks Prior) - Initial Vet Visit
For several weeks prior to the Oct. 24th visit to Elizabeth's local vet she had been throwing up more than normal, occurrence would usually be once a day in the early morning hours. I also noted a decrease in the amounts she was eating and a noticeable loss in body weight. Her belly area remained a good size and this I (incorrectly) thought was a positive.
At the Vet, after getting her weight (had lost 2+ lbs) and vitals (normal), I related all her recent behaviors that were concerning me and he preceded with a physical examination. It was during this examination he was able to detect and palpate a large mass he believed to be a tumor in her abdomen, likely cancerous, with few options for treatment. He did give an option of exploratory surgery but given her age and the size of the tumor it would be a one shot deal, if they opened her up and it looked bad she would not revived. I did not consider this option an acceptable risk, the Vet and I agreed that her quality of life (until the end she loved to hide out and pounce on our 2nd cat, a 3 yr old) still being good that I would take her home, try a liquid diet to improve consumption and dose her twice daily with prednisone to help with pain, inflammation and increase appetite.
That same day, immediately after the Vet visit, we packed up our van and left on a trip up to NC for the weekend to visit my parents in the mountains. It was during this trip I made up my mind to unearth off the internet any promising alternative treatments of cancer and tumors in cats + find the best options available for her unique dietary needs and with these develop a daily routine for Elizabeth to best improve the longevity & quality of her life. Amazon was my friend, receiving the bulk of my order of items for Elizabeth's care that weekend. I supplemented the Amazon order w/visits to two PetSmart stores on the trip back, mainly to get liquid and high caloric dietary requirements I could start Elizabeth on immediately when we arrived home.
Sunday Oct. 26th - Home Treatment Begins
I stumbled out of the gate with Elizabeth's treatment on the Sunday we returned, pouring the liquid diet (looked like watery milk) in a bowl for her and squeezing the high calorie chicken paste out on a paper plate. 1 hour later, nothing touched. 4 hours later, nope. 6 hours later, I throw in the towel and gave both to our outdoor cat whose appetite is voracious, he gave it one sniff and walked away. Bad start and Elizabeth displayed little interest in her regular Fancy Feast in gravy food except for licking up the gravy and taking a few nips off the top.
Thankfully over the next week the Amazon order started to trickle in and with these new options I increased, refined and constantly reworked Elizabeth's daily regime. Her appetite increased in small amounts day to day, also thanks to some online blog posts I soon discovered the wonders of homemade chicken broth and how the smell of it would find its way into every corner of our house. With Elizabeth's increase of appetite for regular foods, I switched the liquid diet food to a supplement only, using it to wash down the 4 - 6 pills she needed to take daily. The high calorie chicken paste was introduced into her diet by loading it into a large syringe, often mixing in a powered or liquid herbal requirement, and administered in the afternoon/evening hours.
From the start Elizabeth was amazing, the constant pilling, squirting this liquid or that paste into her mouth, dealing with the constant pain of arthritis & now the tumor with only predisone to manage it; through it all she stayed strong, a fighter, giving what affection she could and never once showing signs of giving up through the daily ordeal of that first week as I made many mistakes in attempting to create an effective daily routine.
Monday Nov. 3rd - Routine locked in/Advanced Pain Management
A couple days into the 2nd week I believed I had developed a working, manageable daily schedule for Elizabeth. Her appetite continued to increase day over day, she was very fickle as I often had to give her 2 or 3 food options simultaneous to her daily staple of homemade chicken broth, but she was eating much more. She had also taken immediately to a scratcher bed I had gotten for her in the first Amazon bulk order, spending most of her down time stretched across it or curled up. Another positive I noted was she had not thrown up in the morning for first time I could remember. I was optimistic something we were doing was working, maybe even long term, but one thing I knew needed immediate attention was pain management. I could see it her eyes, the way she would not react in her normal fashion to external stimulus, something needed to be done to address this and I felt it might be the final key in our fight for her health. I typed up her daily routine on Monday at work, printed it off and took it by her Vet's office at closing requesting he review the routine to see if anything may be harmful or add suggestions. This is a cut and paste of what I gave the Vet...
Elizabeth Daily Routine
Morning:
Check for any vomiting episodes from night/early morning time, that is normally the only time she will vomit. This morning (11/3) was first time with no evidence of vomiting that I can remember in weeks.
(1) Prednisone washed down w/ GNC Pets Nourishcat Senior Cat Formula delivered from syringe
(1) 4Life Transfer Factor Tri-Factor Formula Gelcap washed down w/ GNC Pets Nourishcat Senior Cat Formula delivered from syringe (one key ingredient is Bovine Colostrum containing Lactoferrin thought to have numerous health benefits including ant-cancer)
Finish pilling by emptying remaining GNC Pets Nourishcat Senior Cat Formula
Lay out two to three options for food in shallow stainless steel bowls, most options are heavy gravy based or homemade chicken/bone broth. Favors the homemade chicken/bone broth over all other options.
Water replaced every morning with fresh bottled spring water in shallow stainless steel dish.
Brush with deshedding brush for @ least 5 mins.
Afternoon:
Change out uneaten food late afternoon, clean litter and sweep up small area she stays 95% of day, open sliding glass door during afternoons leaving screen door closed to give her fresh air and some external stimulus.
After changing out food in afternoon feed Elizabeth ¼ large syringe filled with GNC Pets High Calorie Booster Cat Gel mixed in to that is 5 drops of Pet Wellbeing - Life Gold - Herbal Supplement (many ingredients in this formula are identical to ingredients found in Essaic Tea thought by some to help against various forms of cancer). During this feeding mix squirts of GNC Pets Nourishcat Senior Cat Formula to keep food moving good and cleanse palate. The high calorie chicken gel packs a wallop on the taste buds if the smell is any judge.
Brush with deshedding brush for @ least 5 mins.
Evening:
Feed Elizabeth another ¼ large syringe filled with GNC Pets High Calorie Booster Cat Gel mixed in to that is 5 drops of Pet Wellbeing - Life Gold - Herbal Supplement + every other day mix in powdered single dose of Natura Petz Get Well Soon Adjunctive Tumor and Cancer Support (this is pure Graviola thought to have numerous health benefits and has shown promise fighting cancer and arresting tumor growth in lab studiesw/animals). During this feeding mix squirts of GNC Pets Nourishcat Senior Cat Formula to keep food moving good and cleanse palate.
1) Prednisone washed down w/ GNC Pets Nourishcat Senior Cat Formula delivered from syringe
(1) 4Life Transfer Factor Tri-Factor Formula Gelcap washed down w/ GNC Pets Nourishcat Senior Cat Formula delivered from syringe (one key ingredient is Bovine Colostrum containing Lactoferrin
Finish pilling by emptying remaining GNC Pets Nourishcat Senior Cat Formula
Brush with deshedding brush for @ least 5 mins.
Along with that request I insisted Elizabeth needed a pain medication prescribed in addition to the prednisone. Monday night was special, especially looking back now. I won't go into every detail but she and I spent 6 hours together with Elizabeth being the center of attention. Built a fire for her, multiple deshedding sessions had her shiny and relaxed, a sponge bath she enjoyed exactly as much as any cat can and the comfort of having her resting beside me, curled up on the couch, seemingly at peace & content. Optimistic about the new pain prescription I would pickup Tuesday & Elizabeth's recent progress on the whole, that night I also made her a non-work/kid safe Windows wallpaper expressing her defiant attitude towards tumors & cancer.
Tuesday I called the Vet to get an update and was told Elizabeth had a prescription of Tramadal waiting. I quickly read up about Tramadal on the internet, lots of positive comments and I was anxious to give her a first dose. I left work early, picked up the prescription and went to the house. The next 5 mins was not fun for either of us, Tramadal is bitter, like bitter bitter, even a tiny quarter of a pill was an epic battle to get down. When it was all said and done, we got it down, I had a mangled finger and she was a frothing, unhappy cat but we got it down (her next dose I would successfully hide inside a 4Life capsule). I had to go to the grocery store afterwards to pick up new options of cat food she might eat and stop by work to finish out a few things, on returning home 2 hours later Elizabeth was happy (probably high), pupils dilated, a reduction in pain obvious. The Tramadal was working.
I changed out Elizabeth's food options, followed by the evening pill routine, gave her a full body wipe down with some cat cleaning clothes I had picked up at the store and I went to bed with Elizabeth perched next to me on top of the couch, the last memory I had before sleep is reaching out and resting my hand across her body.
Wednesday Nov. 5th - Elizabeth's Fight Ends
Wednesday morning I woke to find Elizabeth stretched across my chest, paws extended out to my face, ready to engage if her silent but clear message was not acted on. My cat was hungry and she was not in a patient mood. My response of "You hungry? Let's go get some food!" sent her jumping off my chest on a beeline to the kitchen. When I collected her food bowls from the the previous night the Fancy Feast kitten formula I just bought her was eaten almost down to the bowl & her chicken broth had disappeared.
Over the past three days Elizabeth had had only one minor episode where she vomited up food. That coupled with her increased appetite, what I would almost call a normal appetite, caused me to skip the high calorie chicken paste feeding the previous night. She hated these feedings and with her eating good amounts on her own, I did not want to bring her any additional stress when it was not absolutely necessary. With my job I often work & wake up at odd hours so Elizabeth did not receive her morning pill routine including the 2nd dose of Tramadal until 12 noon right before I left to start my day at work.
I stayed too late at work that day. A busted pipe had recently taken out the hot water in our home, in the course of the plumbers investigated that issue a large amount of mold was discovered on the underside of the house. No hot water + mold had prompted my fiancée to gather up the kids and temporarily move out to a friend's house on the lake for the week. I stayed behind, not wanting to stress Elizabeth out with a sudden change of environment. The entire week when I was at work the house's only occupants were Elizabeth and our other indoor cat Spree.
I'll say it again, I stayed too late at work. I arrived home only shortly before midnight, what would have been the outside range of the Tramadal's 8 - 12 hours being effective in blocking Elizabeth's pain. I remember several times that day into the night at work wanting to go home before I did and spend time with Elizabeth, a happy, playful Elizabeth not haunted by the constant pain of arthritis & tumors. I can tell you not one thing I did at work that day was so important that it could not have waited, been completed another day, allowing me to go home and enjoy time with and provide comfort to my best friend.
When I arrived home and went to open the door I had a clear vision of Elizabeth hearing the key opening the lock and positioning herself at the kitchen entrance, ready to stalk my every movement until new food selections were laid out for her dining pleasure. I believed I would see a continued improvement in her overall appearance & health & expected empty bowls from the food I had laid out before I left for work. None of these thoughts & hopes I had were close to the reality I found when I opened the door. Door opens... No Elizabeth... walk into den, move to walk around couch, Food Barely Touched... another step, Elizabeth.
I found Elizabeth that night laying on her side across the cat scratcher bed with a look of obvious pain and a pool of clear maybe yellow tinged vomit directly in front of the scratcher bed. Those two things with her food being almost untouched sent me into a panic state. I attempted to pick her up but she moved from the scratcher bed and shuffled into our bedroom, I repeated variations of "What's wrong baby?" & "I'm sorry sweetie, I'm so sorry" over and over. Elizabeth would move to a spot and stop but every time I tried to approach her she would quickly skirt away from my touch, everything about her body language said she was in intense pain and it was then I noticed the abdomen area where her tumor was located seemed almost double the size it had been and her breathing seemed rapid or shallow. There were spots of feces on the bedroom floor that had not been there when I followed her in. I knew my cat was dying, dying a slow painful death internally with me helpless to stop it and that is when true panic visited me.
I called Elizabeth's Vet, Voicemail... Googled phone number of another Vet in town that I thought may have after hours service, Voicemail... at the end of the VM they gave the number for two area clinics that had overnight emergency service. I called back to write down the clinic phone numbers, my cell died, battery drained. Put phone in charger, checked on Elizabeth, she was back in scratcher bed laying on her side like I had found her when I walked in, this time I did not approach her and went back to my laptop. Google searches for emergency pet services in surrounding cities, nothing. My phone had charged enough to start back up, I call Elizabeth's Vet again, at the end of Voicemail he recommended the same two emergency service clinics as other Vet. I call back again and write number down for clinic that was first on both Vet's VM, plug the number in Google and get the address for emergency clinic. Did MapQuest directions and sent them to my cell. I find a car charger for my phone and go outside to put towels on all the seats and plug phone in, I call Elizabeth's Vet one last time and leave him a VM stating Elizabeth had taken a bad turn, it did not look good, I was going to contact the emergency clinic then wait 10 mins for him to call me back, at 10 mins if I had not heard from him I said I would leave to the emergency clinic, Elizabeth needed to see a Vet as soon as possible. I hangup with Elizabeth's Vet and call the emergency clinic, a female voice comes on after 2 or 3 rings and I tell her my cat is in bad shape, I think I may have to put her to sleep and I would be leaving from about an hour away. She gives me the cost to euthanize and tells me to drive safe. I go back inside, Elizabeth is leaving her water bowl after a drink and goes back to lay down on her scratcher bed. I grab the bed with Elizabeth on it, talking to her the whole time, trying to reassure her while I was a nervous wreck inside. And we were off.
The drive to the clinic still seems like a dream. Elizabeth crawled into the back seat from the front early on and laid on her side never making a sound the entire trip, she is usually a screamer even on a short ride, her silence being further evidence of the pain she was enduring. I tried to talk to her often, tried to put strength and comfort in my tone that she could pick up on, but emotions had started to boil over at that point and I doubt my tone was reassuring. This whole time my mind was running a million miles an hour trying to think how or why this had happened to Elizabeth, Was it something I did? Why so quickly? Had her body just shut down? Organ failure? Rupture? Was there any hope this was only temporary and she could recover? I racked my brain all the way to the clinic and came up with very little to cling to that would result in Elizabeth making it through the night. I was minutes away from having to make a decision no pet owner ever wants to make. When I turned on to the last long stretch of highway that ended at the emergency clinic I came up behind a Semi-trailer with its hazard lights flashing, it was going fast, faster than I would have dared in the dead of night, afraid of the delay that would occur getting pulled over for speeding. I followed close behind the Semi the entire distance to the clinic, I had the thought as we sped along the dark highway that this truck with its hazard lights on leading the way was an angel come to speed Elizabeth to a release from her pain.
I felt great relief as we pulled into the clinic parking lot, the people inside would help Elizabeth and answer the questions that needed to be answered, guide me on the difficult decisions that were soon to be made. Despite this relief, my emotions at the time I would best describe as "ragged". A young lady was exiting the clinic door to meet me after she saw I was coming towards the building, I tried to tell her Elizabeth was in the car, but my words were choked off, allowing me only to turn and point.
Fade to black...
Less then one hour later my sweet Elizabeth had passed, the decision was every bit the torture I had feared, but clear it was the decision that needed to be made. In the end I guess it was never really a question, would any pet owner put there 15 yr companion in obvious pain, despondent to all attempts of comfort, throwing up, diarrhea, dehydration, back into a car and drive an hour home with no clear idea what horrible internal conditions were plaguing them?
Elizabeth was gone, but Elizabeth was free.
The trip back was a tear-filled one, I don't remember much else. After arriving home the next 2 1/2 hours would be spent moving out all items in Elizabeth's area of the house, vacuuming, mopping and cleansing until no part of her remained. I would later find out this behavior fell under denial or stage 2 of the grief process.
Shortly after cleaning I left for work, what would follow over the next 10 hours was a powerful chain of emotions from relief to shock to despair to anger and back again.
Thursday Nov. 6th - Discovering the Truth & My Betrayal
This final section of Elizabeth's story is told purely through chats & texts sent to my fiancée and family in the hours following her death.
11/6, 9:25AM - Chat to Fiancée
I stayed to late last night, didn't get home till midnite. Elizabeth had taken a bad turn, was having trouble breathing, using bathroom outside litter box and throwing up all before i got home. She was motionless on her scratchboard bed I had gotten her until I tried to see what was wrong with her and she jumped up and went into bedroom, I followed but everytime she saw me she would scoot away. Called her vet, he had a recording about an all night emergency service vet. I called them, got her in the car and went there, around 2:30 she was put to sleep, I was in the room holding her head petting her when they did it, I think it only took about 10 - 15 secs after the injection before she found no heartbeat. Seemed painless and she was in a lot of pain even with the pain killer I had given her. Don't tell anyone else please, Im not keen on talking about it with anyone today and work will help me focus on other things.
11/6, 10:58AM - Text to Parents
Elizabeth passed around 2:30 this morning, I worked late and when I got home she had taken a bad turn. I took her to an emergency vet about an hour away, they did an exam and made the decision to euthanize after talking to the vet about her condition. I was there with her, holding her head and petting her. It was very fast and she needed a release from her pain.
11/6, 4:52PM - Chat to Fiancée
Im shopping for something for Elizabeth, probably 30 mins. Going to crash, havent even thought about sleep for 30 hours, was sprinting from the time I walked in the door and saw her till I came into work at 7 this morning.
11/6, 4:55PM - Chat to Fiancée
Right before I opened the door last night I knew she would be right at the kitchen entrance crying for food bcs I was so late coming home, when I saw her food from what I laid out at noon she had barely touched it. It must have been soon after I left that something went bad internally... bleeding, something. At least I had dosed with the pain killer, it would have been horrible without that.
11/6, 4:57PM - Chat to Fiancée
No. Im getting better through the day. I was a basketcase at the vet last night. Try to say something and my words would just fade out, they did a good job. Even got me a paw print to keep of her, baked that first thing when I got home before Spree could do something devious.
11/6, 6:27PM - Text to Fiancée & Parents
So on the way to the vet last night I was running through my head what might have caused such a sudden turn, the only thing I came up with was I had fed Elizabeth the kitten formula of Fancy Feast that the label said included milk, I thought it might be moister for her, but since I knew she would never drink milk as a kitten when I offered it to her I told the vet when I arrived that that was my only glimmer of hope, lactose intolerance from the milk I gave her. I had rushed out of the house so fast in a panic I never googled the Symptoms, they are bloated stomach, diarrhea, vomiting and dehydration. It passes and is almost never life threatening. Basically a stomach ache. Those were the exact same 4 symptoms I told the vet Elizabeth had, I even put a bow on it by telling her about the milk and putting a name to it. She had been doing so good, she had put up with so much, the pills, the feedings, the pain. I had finally gotten her the pain pills I should have gotten from the start and she had been full of energy that morning, I had real hope. The Vet totally discounted the lactose intolerance, one of the last things I told the vet is Elizabeth had gotten up to drink water before we left, this is another common symptom because of dehydration. So 5 symptoms of a single relatively minor allergic reaction to milk, all given to the vet, the dehydration even explains the weight loss. I made the comment several times that she looked much better since we got to the clinic to the vet, Elizabeth had a stomach ache and was recovering. I gave her the bad food, I caused the stomach ache, and when the decision was most critical, when she needed an advocate to fight for her like she was fighting everyday for me, I was the one who took everything from her. This was my worst fear. I'm only telling you bcs I need someone to understand what is going on inside me, this horrible empty feeling. In the end, the very moment she needed me most, I panicked and failed her in the worst possible way.
11/6, 6:30PM - Text to Fiancée
If I would have just called you the first thing I would have asked was for you to google lactose intolerance. So many mistakes.
11/6, 6:44PM - Text to Fiancée & Parents
When I first got there I told the vet assistant I wanted the vet to check her out, and her comment was "Are you here for an exam or euthanasia?" I told her I had to know it wasn't something she could recover from before I made a decision like that and she said of course but that will add I think she said 46 dollars to my bill. Euthanasia cost $150+, I pray to god this was not a money thing to them, but how could a true vet so quickly discount every single classic symptom of such a common ailment. At the very least offer it as a possibility and tell me they would monitor overnight and take other actions if she turned for the worst? I miss my cat so bad right now, I want her to be standing there wanting her food bowl when I open the door. And she would be, should be right now. She would still be fighting. For me.
11/6, 6:58PM - Text to Fiancée & Parents
I'm taking a shower now and going home to sleep. Thank you for listening to this. I'm in shock, have been since I read the symptom list, I will make something positive out of this. For her, somehow. That's the absolute least I owe her. Miss my cat.
11/6, 8:11PM - Text to Fiancée & Parents
One last thing I remembered guys, what had originally sent me into a panic spiral with Elizabeth was not the diarrhea or throw up, that's pretty normal stuff in a house of three cats. It was when I saw her stomach or gut and it seemed to be twice the size from when I left. My only thought was a cancer mass had outgrown an organ and the organ ruptured, causing the bloated belly and all the other symptoms I observed. In my head she was going to die a slow painful death with me helpless by her side unless I got her to a vet somehow @ 1AM in the morning. And that's exactly what I did. Specifically what I remember from the end of my conversation with the Vet when the final decision was being made on Elizabeth, life or death, I told the vet my biggest concern was the bloating in the stomach area and what could that possibly be. Her quick and only possibility given me by her was "internal bleeding" , not gas, the first and most common side effect of lactose intolerance, just "internal bleeding". That answer after I had just told her my cat who had eaten food with milk in it for the first time in the 15+ I had owned her, all she gives me to process as Elizabeth's life hangs in the balance is "internal bleeding". If that were true based off the size of Elizabeth's gut she would have died from blood loss hours before I got home. If she would have even whispered Lactose intolerance as a possible cause, I'm packing up my cat and headed back South, feeling foolish but fortunate. No my cat was killed, murdered, for $120 extra on the vet bill and probably a small kickback from one of the two pet funeral homes the gave me contact info for immediately after taking her lifeless limp body from my hands.
Monday Nov. 10th - EpilogueSo that's it. Elizabeth is gone and never coming back. I'm sure I shed more tears in the 24hrs after her passing than I had in the previous 24 yrs. I carry a huge amount of culpability & regret not only for the cascade of mistakes that, like dominoes, fell perfectly in an unbroken chain, ending in her untimely death but also for not getting her treated sooner, especially for the pain that accompanied her ailments. I know the last two weeks with me kicking everything into overdrive, that was overcompensation to assuage the guilt I felt waiting so long to act.
Concerning my anger at the emergency clinic, with some separation now, 5 days since that awful night, I am able to be a bit more objective and I do realize I am hitting all the classic stages of grief. So yes, my feelings & thoughts towards the attending Vet & Vet assistant have mellowed slightly, losing some of their vitriol. I no longer believe their actions were dictated by dollars & greed, purely looking to profit on my pet's demise, I can't think trained caretakers like that exist. I have yet to find an acceptable answer as to why I would be kept in the dark, denied an accurate diagnosis of Elizabeth's condition but I have had thoughts the Vet harbored a misguided notion maybe she knew better for Elizabeth than me. With such a limited view of Elizabeth's medical history & current state, only having what I had told her directly and information from a brief physical examination, I don't see how any Vet could decide to withhold a diagnosis, influencing an owner to euthanize, but that's the best answer I have right now.
I do want to end on some positive notes, first with a warning to other pet owners if you find yourself in a similar situation to mine, Do Not Panic. Don't do what I did, be strong for your pet, calmly note all their symptoms and take 60 seconds to plug that into a search engine, educate yourself in case the Vet chooses not to. Don't take a Vet's diagnosis or lack of as the gospel word, especially in an emergency situation, if you are given a diagnosis you disagree with have them explain their reasoning in detail. If you believe a diagnosis may fit your pet's condition and the Vet dismisses it, don't let them off the hook, have them explain every symptom & every reason that excludes your diagnosis. And if it is a life or death situation like mine, exhaust the possibilities, question everything and if you don't get the answers you need, take your pet and find a Vet that can give you those answers. Even if it's 2:20 in the morning.
And the last thing, the most important by far, I want someone besides only me to know the true grit and courage displayed by my little tiger tabby over her last two weeks. Elizabeth fought through pain, force feedings, a constant stream of pills , car rides, vet visits and a mistake prone owner who made one too many. Through it all she faced every challenge, overcame it and moved on to the next. Elizabeth did not stop fighting until her last breath, it was the humans who threw in the towel, who failed her. Elizabeth never failed anyone. I love you sweetie, goodbye for now.
Elizabeth Cason
"Cancer Fighter"
2000 - 2015
Last edited by a moderator: