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make. Given the dire circumstances, should one pursue treatment or consider euthanasia?
Buster did leave the hospital, and again lead himself out of the exam room. In the coming months he gained his strength back and became "the old Buster." He maintained a good quality of life. With monthly physical exams and blood work, we were able to significantly slow his physical digression. Buster's mom faithfully administered appropriate medications and nutritional support. Miraculously, Buster was never re-hospitalized until the day he passed away. Buster managed to cheat his certain fate for seven months. On a calendar that may not seem like a lot of time, but it was like a whole new lifetime for everyone who loved and interacted with Buster.
Volumes of information have been written on the subject of euthanasia. Although the decision to euthanize ultimately lies with the pet owner, the options are delivered by the veterinarian. The ultimate role of the veterinarian is that of a pet advocate. Our overwhelming desire is to do what is in the best interest of the patient. In Buster's case, conventional logic certainly justified euthanasia. However, the prospect of maintaining a good quality of life, without pain, opened the door of opportunity for continued life.
It is extremely important that pet lovers recognize quality of life issues. It is commonly expected that older pets may not move around as well as in their younger days, that they may have diminished hearing or eyesight, they may sleep more often and more deeply, and possibly show signs of dementia (increased barking, inappropriate elimination, etc.). Old age, however, does not cause death. In actuality, death is caused by organ failure, which may be totally unrelated to age.
Buster certainly demonstrated that even with a terminal illness it is possible to maintain a good quality of life. When appropriate, chemotherapy and/or surgery is indicated to attack the source of specific cancers. Organ failure (heart, liver, kidney) can be supported for variable periods of time with appropriate treatment regimens. Home care capabilities have been vastly expanded. Cutting edge medicine of a decade ago is now common place. Nutritional advances also enhance longevity and health, even through terminal disease courses. Pain medications, antibiotics and anti-inflammatory drugs may be utilized long term, as indicated, to maintain a good quality of life for your pet.
Pet owners must balance many factors when considering options for their loved ones. Always feel free to communicate your questions and concerns to your veterinarian. Buster reminded me of a lesson already learned. It is not how one dies that is most important, rather it is how one lives.
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