Monday, August 18, 2014

The Trouble with Long Goodbyes

This has been a hard year for us in the category of animal stewardship.  Last November, we lost Maudie the cat, and five months later, her companion spirit, our dog Lucy.  Maudie loved Lucy so much.  I think the Universe planned for her to walk on before Lucy did, because I honestly don’t think Maude could have borne a life without her dog. 

And now we are looking at the steady demise of another of our animal children.  Bart is seventeen years old.  Pretty old, for a cat.  And considering he has suffered from a chronic health issue for most of his life, he’s hung in way longer than I would have expected. 

Bart’s fade has presented me with many challenges and insights.  Coming about as it has almost directly on the heels of the veterinary/financial disaster that was Lucy’s final illness, I have looked at Bart’s travel toward the exit from a very different perspective than I have seen that same journey with past animal family members. 

Unfortunately, my insight has presented itself in the form of more questions—questions that never entered my mind before—than answers. 

Why do we fight so hard against death?  If we humans decide to fight that battle to the finish for ourselves and others of our kind, do we have the right to subject our companions of other species to that same grueling, desperate, often futile and frequently painful battle? That fight which always, always, ends in defeat?

I suspect that our first mistake is in framing the event in terms of battle:  Fight, win, lose, victory, defeat, surrender  Life is good.  Life is wonderful.  Life is a gift.  But it is finite, and always has been.  I understand the instinct to survive…but have we taken that to a point it was never meant to reach?  Are we meant to cling so desperately to life, no matter what its quality?  Are we meant to extend our final hours or days on this earthly plane into weeks or months of pain, suffering, uncertainty and vain hope?  I don’t know.  I don’t think so.  We have that choice; we can choose that battle if we so desire.  But is it morally or ethically right to choose it for those gentle animal spirits who have been entrusted into our care?

In the past few years, veterinary medicine has followed the track that human medicine took a couple of decades ago.  There is no such thing, anymore, as taking your animal to the vet and having it treated.  Anything more involved than simple check-ups and vaccines is referred to a “specialist.”  We have Veterinary Oncologists, Veterinary Orthopedists, Veterinary Internists.  Your local vet takes your money for an initial (and often errant) evaluation, then refers you to the appropriate specialist, in whom you will invest even more money, pony up for sophisticated tests like CT scans and ultrasounds.   And then you are presented with a multi-thousand-dollar treatment plan framed in such a way that you would feel like the most uncaring, penny-pinching miser, unworthy of the sacred responsibility of pet ownership, should you “opt out”—whether or not the reasoning behind your refusal is purely financial.

I regret more than anything the choice we made for Lucy.  A five thousand dollar surgery on an old dog…what were we thinking?  But when they tell you that without the surgery she will surely die, and paint the treatment scenario in the most hopeful possible light, how can you say, “No”?  I so wish we had been counseled that one of our options would be to take her home with a vial of something that would put her into her final sleep when her pain became too great.  I so wish that she could have died at home, surrounded by the things and people that she loved, rather than lying on the floor of a kennel at the vet hospital, attached to tubes and machines, hemorrhaging internally from a surgery to which we should never have subjected her. 

I hope she forgives us.

And so now, as Bart makes his way toward the rainbow bridge, I am vexed by questions of how much to interfere in the process.  How much interference is palliative…how much is in his best interest?  And how much is bowing to that 21st-century human imperative to extend life at any and all costs?

Beyond that, there are questions about that “final act of mercy.”  One thing I have learned about cats, having cohabitated with more than twenty feline souls in my years on this planet:  They are tough.  They don’t die easily.  The process often draws itself out for days or weeks.  I understand the desire to put an obviously dying cat “out of its misery.”  But is that what we are really doing when we euthanize a pet?  Or are we putting ourselves out of that misery?  Death is inconvenient.  Left to nature, like birth, it comes when it comes.  We have figured out a way to make birth happen in a way to conveniently fit our schedules.  Is euthanasia our way of fitting the deaths of our animal companions more neatly into our busy lives? 

And do we have the right to take away the final days or weeks of that soul’s earthly journey just because it will be easier for us?

There is a line, I know.  You don’t let an animal writhe in unbearable agony in the name of “letting nature take its course.”  But, neither, I think, do you stick a needle into the vein of an obviously still-viable animal because someone has given you the word that it only has days or weeks to live.  I think you let that soul inhabit that body until the body becomes too sick to support a bearable quality of life.  The trick is deciding, from the animal’s point of view, what measures should be taken to ease and prolong life.  And then recognizing the point at which that life becomes unbearable, and making the decision to help release the soul from a broken and useless body.

I don’t know exactly where that line is.  But I’m hoping to come closer to finding it this time around.  I think I owe it to Bartie, and to the rest of the animal spirits who have or will share their lives with us, until we ourselves leave broken, useless bodies behind and walk on.      


1 comment:

  1. Oh goodness. Yes, I so understand. Our sweet Roxie came to the end of her long life last summer. Now one of our cats, also 17 years old, is heading toward the end of hers. She's been a miserable cat, for me at least, most of her life. But these last few years she's become sweet natured and I have developed an affection for her I never imagined. It's so difficult to walk this end of life journey with our furry companions. Holding you in my thoughts.