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8 year old - End of life decisions

Pippy Pig Pig

New Born Pup
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Hi All,


My sweet sheltie Pippy (Pip E Squeak) just turned 8 a few days ago, and unfortunately had lost a scary amount of weight in the couple days prior and well as no poos.

I stayed up all night Thursday doing Critical Care and made it to the vets first thing Friday morning, to see if it was arthritis pain that was causing motility/mobility issues or ? The xrays showed it was bad, but not as bad as the vet expected. We had already put him on dosages of Metacam and Gabapentin for pain management, but the gapa makes him really loopy and so I do minimums of both so it's not too harsh on his system. I had them do laser therapy on the joints, a tummy comfort med, fluids, and when we got back home, he spent the afternoon eating and napping again. I've kept him comfortable and tons of love, feeding, resting in a little beddie with his blankets.

From there he has degraded, and I'm sincerely surprised he is still here. I've been staying with him (he's too weak to stand on his own and does accept food at times, but otherwise has needed Critical Care syringe feeding). He's been lying on his side, twitching, barely responsive, not eating, not at all his usual curious and sparkly self...all the signs of passing I thought.

It's now days later and he seems to be wasting away. I feel awful if I've put him through suffering, and I thought he would have passed at this point. One option is to syringe feed a lot more critical care to see if he improves to the point of being able to recover, but even then I question his quality of life. He had been showing signs of mobility issues, even with CBD, metacam, exercise, etc and so I can't imagine it will ever be good again and he had already been eating much less days prior. The vet had initially said at the appointment that his arthritis and pain issues didn't warrant 'the talk', but it seems to have declined rapidly and I don't know if I'm just prolonging this.

Sorry for the long post, he's my little best friend :( Ive been crying a lot but I want to do what's best. Is it worth it to do critical care and pain management, to possibly relive this in a few months - year? Or help him pass? This very well could be organ failure but it's just hard to tell. Thank you so much.
 
Sadly this is often the case that we need to make a decision. I don't think there are many cases of what we seem "passing peacefully". I think that is some ideal humans invented to help us cope with bereavement better.

I always said that once they are unable to do normal guinea pig things then they don't have a life so would make the call, doesn't mean it's an easy decision to reach though. It is the hardest decision to reach but if you are making it with your piggys best interests at heart then you will never make the wrong decision and it can be the last kindness we show for our pets.

Definitely call your vet and see if you can get an urgent appointment to discuss again which might help guide you. Sadly piggies can go downhill very quickly once they start so while you didn't need that talk at the last appointment it doesn't mean it's not appropriate now
 
I'm so sorry you are facing this decision. For me, it comes down to quality of life and general prognosis. Are they able to do normal guinea pig things? If they get through the acute crisis, are they likely to be able to resume doing normal guinea pig things? If they're not able to do normal things and the likelihood is that recovery to a point of normal things is unlikely, it might be time. It's never easy to decide but I think at a certain point you know in your heart what's the best thing. ((HUGS)) and so sorry. He sounds like a lovely piggy and he is clearly much loved, I know whatever you choose will be what's best for him.
 
Sadly this is often the case that we need to make a decision. I don't think there are many cases of what we seem "passing peacefully". I think that is some ideal humans invented to help us cope with bereavement better.

I always said that once they are unable to do normal guinea pig things then they don't have a life so would make the call, doesn't mean it's an easy decision to reach though. It is the hardest decision to reach but if you are making it with your piggys best interests at heart then you will never make the wrong decision and it can be the last kindness we show for our pets.

Definitely call your vet and see if you can get an urgent appointment to discuss again which might help guide you. Sadly piggies can go downhill very quickly once they start so while you didn't need that talk at the last appointment it doesn't mean it's not appropriate now
Thank you for the kind feedback Lady Kelly. It's helpful and I agree about the quality of life being the main question.

I think one of the harder parts is seeing him WANT to do more Piggy things(even before we went downhill), but be limited, even with light pain meds. I thought it would be controlled better by pain meds, etc, but things just changed overnight. My vets office opens shortly, and I've also been calling around for options for pts so I am prepared.
 
This was my thoughts too. I was willing to give him round the clock care if he seemed responsive, showed signs of improvement, but if he's not able to accept as much critical care as he would need to put on a lot of weight and start to recover, it seems inhumane to not let him go. I guess because he was still here (I thought he would pass away), I was wrestling with his chance to be 'normal' again. But to your point, I'm not convinced now it would be much of anything like how he was used to and would want...and only to have to go through all this again in weeks to a year is heartbreaking.
I'm so sorry you are facing this decision. For me, it comes down to quality of life and general prognosis. Are they able to do normal guinea pig things? If they get through the acute crisis, are they likely to be able to resume doing normal guinea pig things? If they're not able to do normal things and the likelihood is that recovery to a point of normal things is unlikely, it might be time. It's never easy to decide but I think at a certain point you know in your heart what's the best thing. ((HUGS)) and so sorry. He sounds like a lovely piggy and he is clearly much loved, I know whatever you choose will be what's best for him.
 
Sorry to hear your boy is very poorly. He is a very good age so age-related decline wouldn't be surprising .
I have a 7.5 year old boar who is also declining somewhat in recent months, though rather slower than Pippy. He is on a max dose of dog metacam and gabapentin 3x daily for arthritis and dental pain. I've heard there are concerns about metacam and kidney problems, but I felt I'd rather he was comfortable for his remaining time even if it were shortened. If your vet thinks he could still regain his quality of life, it might be worth increasing his metacam dose at least. (The gabapentin doesn't seem to make my boy 'loopy' though, it definitely helps him)
 
Sorry to hear your boy is very poorly. He is a very good age so age-related decline wouldn't be surprising .
I have a 7.5 year old boar who is also declining somewhat in recent months, though rather slower than Pippy. He is on a max dose of dog metacam and gabapentin 3x daily for arthritis and dental pain. I've heard there are concerns about metacam and kidney problems, but I felt I'd rather he was comfortable for his remaining time even if it were shortened. If your vet thinks he could still regain his quality of life, it might be worth increasing his metacam dose at least. (The gabapentin doesn't seem to make my boy 'loopy' though, it definitely helps him)
Thank you for the feedback and I'm glad that helps your piggy a lot to have the 3x/day :) Pippy was on Metacam .25 - .3 twice a day along with CBD on joints and did well with it. My larger concern is that it would take months to get him back to a healthy weight now, which would require a lot of syringe feeding and he started to reject it even at his lowest energy. He had managed to get up a couple times and support himself long enough to have a strawberry top, and otherwise I obliged him with all his favorites while he could still enjoy and savor them while he was laying on his side. This sadly could be other factors like organ failure, so much of this seems like an ultimate quality of life predicament weighed against his current age. If it were up to me, they'd live forever!
 
Thank you for the kind feedback Lady Kelly. It's helpful and I agree about the quality of life being the main question.

I think one of the harder parts is seeing him WANT to do more Piggy things(even before we went downhill), but be limited, even with light pain meds. I thought it would be controlled better by pain meds, etc, but things just changed overnight. My vets office opens shortly, and I've also been calling around for options for pts so I am prepared.

It might be worth discussing alternative pain relief to see if that could help. I had an end of life piggy prescribed tramadol at one point but that's not to say it won't have the same affect as the gabapentin
 
Update: I have an appointment with my vets office tomorrow at 9am. They are exotic specialists so they're going to do a recheck and I also have it set up that if the discussion bears it, to pts within the same visit. I also have a closer vets office that can do the procedure with a minimal heads up, and they are one of the most trusted vets in the area, should things warrant it before then. So, I'll keep providing as much critical care and water as he'll accept and keep him comfy on pain meds. Hugs ((and I appreciate this community!))
 
Whatever happens tomorrow, it's clear to us and to Pippy how much you love him and care about him.
Whatever decision you make will be the right one.
So much love, prayers and best wishes to you and Pippy ❤️
 
Update: I didn't feel it was best to wait any longer. His condition continued to deteriorate and it felt irresponsible to have him wait until morning, especially since he was no longer able to accept much critical care or water. I took him to the exotic specialist (his normal vet), and they did an urgent care/quality of life assessment. She said after examining him, that there was no doubt he was past the point of hope for a good quality of life, and any recovery procedures, etc 'could' be done, but shouldn't, really. She was surprised he was still here, he was really hanging on, I think for me :(

I was with him the entire time they did the procedure, I have given him a lot of pain meds even before we went and they were very gracious. I did ask if anything could have been done differently, or if I did something wrong since the last appointment, she said all pets are different, but pretty much no, and like I had suspected, essentially the last visit just bought me/us some time together. Honestly, I am glad he did not suffer for weeks or months on end, as this was kindof emotionally torturous. Since the day I adopted him, he in some ways has been the center of my household and got the love, play, nommies and attention to live a very loved, pampered, and joy filled piggy life. The last few days I have been sleeping on the couch with him next to me on the ottomon so I could feed/check on/cuddle with him as he hung on and made sure he knew how thankful I was.

He'll be buried in the garden on my patio and I'm so grateful for the 8 years we got to have our little family. Thank you all, sincerely, for your quick and supportive responses. Please hug your piggies extra tight for me tonight.
 
I am so sorry you had to make that horribly difficult decision for Pippy but it was the kindest thing to do. Sending you my very best wishes at such a sad time.
 
So sorry about Pippy. You clearly gave him much love and care during his life and he returned that to you in his love and memories. Sleep tight little Pippy 🌈❤️
 
Update: I didn't feel it was best to wait any longer. His condition continued to deteriorate and it felt irresponsible to have him wait until morning, especially since he was no longer able to accept much critical care or water. I took him to the exotic specialist (his normal vet), and they did an urgent care/quality of life assessment. She said after examining him, that there was no doubt he was past the point of hope for a good quality of life, and any recovery procedures, etc 'could' be done, but shouldn't, really. She was surprised he was still here, he was really hanging on, I think for me :(

I was with him the entire time they did the procedure, I have given him a lot of pain meds even before we went and they were very gracious. I did ask if anything could have been done differently, or if I did something wrong since the last appointment, she said all pets are different, but pretty much no, and like I had suspected, essentially the last visit just bought me/us some time together. Honestly, I am glad he did not suffer for weeks or months on end, as this was kindof emotionally torturous. Since the day I adopted him, he in some ways has been the center of my household and got the love, play, nommies and attention to live a very loved, pampered, and joy filled piggy life. The last few days I have been sleeping on the couch with him next to me on the ottomon so I could feed/check on/cuddle with him as he hung on and made sure he knew how thankful I was.

He'll be buried in the garden on my patio and I'm so grateful for the 8 years we got to have our little family. Thank you all, sincerely, for your quick and supportive responses. Please hug your piggies extra tight for me tonight.

Hi

BIG HUGS

I am very sorry.

When piggies get to such a grand age - a testament to your loving care - then the end will usually come very quickly in my own experience once the fragile balance has tipped and one of the organs is packing in. :(
You have absolutely made the right decision at the right time. About half of my own oldies need emergency pts when the end doesn't come smoothly or when it becomes clear that there won't be a recovery/significant improvement, if that is any consolation to you. In some ways, the moment you realise that there may not be a comeback is the most difficult because facing it and finding the right time when you are not quite there and emotionally definitely not yet prepared is so tough.

Please be kind with yourself and give yourself the time and head space you need. The grieving process doesn't start with the moment of death but with the moment you realise that somebody you love is on the ticker and death is a reality. In your case, the two have been very close together so you haven't been able to absorb the shock before you are dealing with the pain of actual loss so that means a bigger load to deal with at once. You can't hurry it on. Try to take consolation that a quick deterioration and a gentle passing before the sharp end has been a blessing for your beloved boy. In the face of 8 years of a happy life, he hasn't suffered much or for long - just what you want. Drifting away in one's sleep is actually rather rare.

Also give yourself time to gradually adjust to only having him in your heart and your thoughts (forever) but no longer in your daily life after such a long time. That is in my own experience always the hardest and most heart-breaking part. It is all those unthinking little connections that remind you jarringly and usually unexpectedly that he is no longer tangible.

Death, Dying, Terminal Illness; Human Grieving and Bereaved Companions: Information and Support for Owners and Their Children
 
I’ve also just been through this, a (nearly) 8 year old pig who stopped eating, refused all feeding attempts and I took the decision to put her to sleep the following day.
She was my last and her death has made a much bigger impact than my other two, not because I loved them less, but because the routines and rituals have now stopped. It’s very strange and my thoughts are with you.
Be gentle with yourself.
 
I'm so sorry for your loss. At 8, he had a wonderful long life, and I can tell he was much loved. ((HUGS)) and be kind to yourself while you grieve.
 
Oh dear, I'm so sorry 😢 It sound like it was Pippy's time to go over the Rainbow Bridge 🌈❤️
You did so much for him, he'll be so grateful for the happy life you gave him I'm sure ❤️
 
So sorry for your loss.
8 is a grand age and a tribute to your love and care.
You made the difficult decision to let him go out of love.
Be gentle with yourself as you grieve
 
I’m so sorry to hear the sad news. I really believe you made the right decision at the right time. ❤️
He clearly was such a well loved pig with a wonderful long 8 years of amazing life.
Thinking of you xx
take care of yourself today x
Thank you Hannah, I appreciate that.
 
I’ve also just been through this, a (nearly) 8 year old pig who stopped eating, refused all feeding attempts and I took the decision to put her to sleep the following day.
She was my last and her death has made a much bigger impact than my other two, not because I loved them less, but because the routines and rituals have now stopped. It’s very strange and my thoughts are with you.
Be gentle with yourself.
I'm so sorry to hear of your loss. Yes, I totally understand and it is strange for sure, all the interactions, expecting them to be there, habits, to end abruptly. Sending you comfort during this time and thank you for sharing.
 
Hi

BIG HUGS

I am very sorry.

When piggies get to such a grand age - a testament to your loving care - then the end will usually come very quickly in my own experience once the fragile balance has tipped and one of the organs is packing in. :(
You have absolutely made the right decision at the right time. About half of my own oldies need emergency pts when the end doesn't come smoothly or when it becomes clear that there won't be a recovery/significant improvement, if that is any consolation to you. In some ways, the moment you realise that there may not be a comeback is the most difficult because facing it and finding the right time when you are not quite there and emotionally definitely not yet prepared is so tough.

Please be kind with yourself and give yourself the time and head space you need. The grieving process doesn't start with the moment of death but with the moment you realise that somebody you love is on the ticker and death is a reality. In your case, the two have been very close together so you haven't been able to absorb the shock before you are dealing with the pain of actual loss so that means a bigger load to deal with at once. You can't hurry it on. Try to take consolation that a quick deterioration and a gentle passing before the sharp end has been a blessing for your beloved boy. In the face of 8 years of a happy life, he hasn't suffered much or for long - just what you want. Drifting away in one's sleep is actually rather rare.

Also give yourself time to gradually adjust to only having him in your heart and your thoughts (forever) but no longer in your daily life after such a long time. That is in my own experience always the hardest and most heart-breaking part. It is all those unthinking little connections that remind you jarringly and usually unexpectedly that he is no longer tangible.

Death, Dying, Terminal Illness; Human Grieving and Bereaved Companions: Information and Support for Owners and Their Children
Thank you for taking the time to post this; the feedback and insight were actually incredibly comforting and helped clarify a bit for me.

I had read the syringe feeding and the practical guide to dying/PTS here as well and they were so helpful. I can honestly I can say I spent hours and hours on this website trying to make the best decision/s, but what you're saying really helps because yes, all this stockpiled in a very short amount of time and it makes sense about the delicate balance tipping. But also to your point, I'm glad it all happened rather quickly so he didn't suffer long. He had lost such an incredible amount of weight so shortly, it was horrible seeing him wasting away and still trying to interact. I want that to be a tiny blip against the thousands of other wonderful memories so thank you for confirming I made the right decision.

Lastly, I appreciate you commenting on the adjustment period. I'm self employed and work from home quite a bit, and he's been such an integral part of my life. It sounds like you know how confusing it is to be jarred from the expectation to reality from all the habits, rituals, interactions, noises. This is all still raw but my home just feels so empty. I'll try to get out a little more and connect with others that may need some attention and kindness.
 
Thank you for taking the time to post this; the feedback and insight were actually incredibly comforting and helped clarify a bit for me.

I had read the syringe feeding and the practical guide to dying/PTS here as well and they were so helpful. I can honestly I can say I spent hours and hours on this website trying to make the best decision/s, but what you're saying really helps because yes, all this stockpiled in a very short amount of time and it makes sense about the delicate balance tipping. But also to your point, I'm glad it all happened rather quickly so he didn't suffer long. He had lost such an incredible amount of weight so shortly, it was horrible seeing him wasting away and still trying to interact. I want that to be a tiny blip against the thousands of other wonderful memories so thank you for confirming I made the right decision.

Lastly, I appreciate you commenting on the adjustment period. I'm self employed and work from home quite a bit, and he's been such an integral part of my life. It sounds like you know how confusing it is to be jarred from the expectation to reality from all the habits, rituals, interactions, noises. This is all still raw but my home just feels so empty. I'll try to get out a little more and connect with others that may need some attention and kindness.

Thank you. I am glad that I can help you ease your heart and doubts a bit and put them into a bit more of a perspective in order to give you a first handle on the flood of overwhelming, often unexpected and contradictory emotions.

The getting used to a gap in your life part unfortunately never gets any easier; even more so when you - like me - work from home and have to basically retrain yourself in your daily life to no longer include a piggy in all the little automatic ways that connect you; it can feel heartless at timeseven though it is necessary.
I often struggle for weeks to adjust with the food prep/no longer needing to medicate/syringe feed after losing several piggies in very quick succession unless I fully concentrate. Never mind how many others I still have and how many I have lost over the decades, there is always a big hole in the room when one leaves and even more so after a stampede to the Rainbow Bridge since in larger numbers piggies tend to die in clumps and rarely nicely space out... The habits of eight years are not quite easy to change. The missing piggy soundtrack is strange and somehow rather deafening in its absence.

It is good that you are trying to counterbalance your loss. You do not grieve any less or less long because that is always determined by the nature and strength of your individual bond; but making sure that you keep having positive input in your life is important, especially if you are on your own a lot.

Whenever you feel ready or even if it helps you now try to think in which form you want to create a memorial to Pippy. He will always stay in your heart and your memories but it can help to have a bit more of a tangible reminder that feels absolutely right for you, for instance a bit of jewelry you can touch if you miss the physical contant really badly. There is a lot around and it doesn't cost the world. Or a picture/collage if you miss his face most...
Don't force it; just know that things are out there in a large variety whenever you need it and in whichever way feels perfect for you. It can sometimes help you bridge the transition phase and all the unforeseeable jars a little.

PS: You can always support rescues with fundraising or sponsor special piggies in rescue that need expensive medical care or are not adoptable. I have a few times sponsored rescue piggies in the name of an RIP piggy of mine as bit of a memorial - you can do that over a distance. Carrying on a legacy of happiness to others that are not there yet can come in many ways. But it must always feel right for you and for Pippy.
 
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