The Last Halloween

One year ago today, we made the decision that it was time to let Dennis cross the Rainbow Bridge.

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We had known this was coming; in December of 2017 Dennis had been diagnosed with an inoperable pelvic osteosarcoma, opening yet another front in the running battle he had been fighting with a number of conditions over the previous few years. Having no surgical options available and with standalone chemotherapy being ineffective against osteosarcoma, we decided to treat his condition with palliative radiation. This proved to be highly effective at knocking out the pain from the cancer. For a while.

 

Not long after the radiation treatment was complete, Dennis was hit by a flare-up of his inflammatory bowel disease, which he had been battling for six or eight months, but which had previously been under fairly good control. This went on for several weeks, during which Dennis lost weight he couldn’t afford to lose, but eventually, through a combination of medication and diet, the IBD was wrestled into submission and Dennis was quite stable for six months or so. But then he started limping again.

 

At this point we were concerned that Dennis had run out of his borrowed time, but after discussing it with his oncologist, we decided to try the palliative radiation one more time. Once again it proved effective in alleviating the symptoms of the osteosarcoma, and Dennis was able to move around more easily. But unfortunately, his IBD soon flared a second time as well. At this point we were fairly confident that the IBD flare was a result of the palliative radiation, either related to the radiation itself affecting his gut bacteria, or just from the stress of the week-long treatment, which consisted of daily sessions at the specialty hospital. The staff were awesome with Dennis, who quickly became one of their favorite patients, and he grew to be quite comfortable with them, but he would still have rather spent the time on his orbit lounger under his pasha tent.

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This time we never really got the IBD back under control. It manifested itself mostly in a refusal to eat, because, quite simply, food made Dennis sick. We would try him on a new food, including home-cooked recipes, and he would eagerly eat it for a week, maybe two, and then he would start refusing it. The duration of time that he was willing to eat a new food steadily decreased until it got to the point that he would only last a couple of days on any particular diet. Sometimes we tried to go back to a food he had eaten previously, but he would remember that it had made him feel bad and only eat it once, if that.

IBD can have a number of causes, or, sometimes, no cause at all. Based on the timing of when Dennis first developed it, we suspect that in his case, the IBD was a side effect of the pimobendan he was taking for his Class V heart murmur and heart enlargement, but there’s no way to know for sure; we couldn’t stop the pimobendan without running an extreme risk of sudden heart failure. Awful as it was, the IBD was less of a threat than the heart murmur, until it wasn’t. That time arrived in October of 2018. In late September of 2018, his limp had started coming back; around that time, a cardiac recheck showed that his heart had started to enlarge again. The collapse of our ability to manage the IBD was final determinator, and we started making plans.

Dennis had a favorite vet; for years, he had been seeing her for regular acupuncture treatments, and was totally comfortable in her presence. Although she no longer worked at the practice, she agreed to come in to perform one last service for Dennis when he was ready. We realized we were getting close around the time when the vet would be out of town for a few weeks. We didn’t want Dennis to suffer the sudden trauma of a pelvic fracture brought on by the osteosarcoma (something our oncologist said was unlikely, but humans worry), or heart failure, or to get the point where he would just stop eating anything and start to starve; we didn’t want to have to take him in to the emergency vet in the middle of the night when he was scared and suffering. So on October 31, 2018, we made the appointment.

After setting a line in Dennis’s paw for later, the acupuncture got started, and as usual it made our boy very relaxed.

 

Dennis’s Last Acupuncture Session

After that, Dennis rested for a while. Throughout the process he was getting all the cheese, steak, and butter-baked chicken he could eat.

 

Butter-Baked Chicken is the Best!

Dennis had never had such a meal before, but he loved butter and he loved chicken so he thought butter-baked chicken was the most wonderful thing ever. This had actually been cooked as food for the humans, and under normal circumstances we would never have given Dennis something so rich that it would have been sure to knock his system for a loop. But this was about the least normal circumstance you could think of.

 

Make Your Last Meal the Most Delicious One You Ever Had

As we had hoped, Dennis was so relaxed that he didn’t even notice when the session transitioned from acupuncture to the real reason he was there. He finished up his chicken and crossed the Rainbow Bridge with a full belly, happy, and probably the most comfortable and peaceful he had been in a long time.

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Inflammatory bowel disease is a complex and very unpleasant disease to deal with. We have been subscribed to various health-related dog groups over the years and it’s really a toss-up which one was the saddest and populated with the most desperate owners, the IBD group or the osteosarcoma group. And of course Dennis had the misfortune to suffer from both. Just look at the size of his medical file:

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Although it was ultimately the IBD that beat us, it was really a confluence of things. If he hadn’t had the heart murmur, he wouldn’t have gone on the pimobendan, and maybe he wouldn’t have developed the IBD. If he hadn’t developed the pelvic osteosarcoma, then he wouldn’t have gotten the radiation, and maybe the IBD wouldn’t have escaped our control. If we had known earlier about the severe hip dysplasia and gotten him a hip replacement (it’s a thing for dogs), maybe he wouldn’t have developed the osteosarcoma. But as they say, we did the best we could with the information we had—and with the help of many excellent veterinarians and other caregivers. (Dennis was a favorite patient in many practices.) Realizing how hard it can be for the vets who work every day with animals with these conditions*, we wanted to make sure they knew how much we appreciated their efforts, so we ordered a batch of thank-you cards for them.

 

Elderly Dog and Friend

Even with all those cards, we were still short a few and had to make up more to ensure that everyone who helped us care for Dennis. I’m sure many of them will never forget him. I know we won’t.

 

Even the Hipsters try to make sure of it from time to time.

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“It’s a tribute to Dennis. Do you like it?”

And of course we have those 12 years of memories to look back on.

 

Keep running with Tucker and Trixie, Dennis, until we all meet again across the Rainbow Bridge.

* At least one of our specialty vets has committed suicide over the years, as did Dr. Sophia Yin, inventor of the Treat-n-Train that we used with Dennis. Here’s a telling anectdote: When our dog Tucker, who also suffered from IBD in his later years, was stricken with aspiration pneumonia, his internist at the emergency vet—who had been helping us treat Tucker’s IBD—was almost excited that, finally, here was Tucker presenting with a condition he could treat and cure. We were afraid we would have to put Tucker to sleep but the vet was confident that Tucker would recover, and he did: A nice little victory amid a string of defeats.

26 Comments on “The Last Halloween

  1. Our hearts go out to you. It’s so hard to make that decision and let your best friend go but in the end, you realize that you did what was right so that Dennis didn’t suffer. Hugs to you on this very difficult day♥

    Liked by 3 people

  2. Such a lovely, loving tribute to our buddy Dennis. What a wonderful life you gave him. We think of him often and will always smile at his memory. He was one of a kind.

    Love and hugs,
    Cupcake and Mom

    Liked by 3 people

  3. It is so hard to let them go, but it sounds as if you and Kelly let him go with love and compassion. Hope you are running free Dennis!!

    Liked by 2 people

  4. What a wonderful tribute to Dennis and all who helped him over the years. Those note cards are so beautiful. Dennis was lucky to have the Hipster Kitties to keep him company during his final days. We can tell they really loved him. We are sending warm hugs to you all.

    Liked by 3 people

  5. I’m so sorry about the loss of Dennis, I know how hard it is to lose an animal friend, and how much you miss them. Hugs and hopes that the good memories a comfort.

    Liked by 2 people

  6. Dennis fought long and hard to stay with all of you ! What agreat dog he was – and always will be.

    Like

  7. Not a Sunday goes by when I don’t miss Dennis…and wonder what adventures he, Trouble and Tucker are causing at the Bridge…and wonder if Trixie is still having to save them.

    Love and Hugs,
    Mama Beth
    Angels Dory and Bilbo along with our LLB Gang

    Liked by 2 people

  8. It must have been terribly hard getting through this post. It is so beautifully done, a real tribute to your wonderful boy Dennis. I remember most of this, and the extraordinary care you gave him, not letting a stone go unturned. Also, I had no idea specialty vets got that depressed that they would commit suicide. My heart goes out to you, especially today. Too many of us know what it’s like.

    Liked by 1 person

  9. What a moving & touching tribute to the BEST Vizsla ever! How can a year have passed so quickly???
    James & Kelly you did everything you could for Dennis. I give you TOTAL Respect! And Dennis knew how much you both loved him….
    The way you orchestrated dennis’ last day was beautiful…very beautiful. I wished I could have done something similar for Purrince Siddhartha Henry…..if wishes were horses. Anyway this post is about Dennis…I am crying as I type. Please know Dennis is missed & still loved.
    {{{hugs}}} Sherri-Ellen

    Liked by 1 person

  10. Such a beautiful post for Dennis. Sending you lots of pug hugs on this sad anniversary
    love
    Mabel & Hilda

    Liked by 1 person

  11. This is a beautiful tribute for your beautiful Dennis. I am so sorry, it made me tear up reading this. It’s something most people (or at least I) don’t tend to think about with IBD affecting dogs. Heart murmurs yes, IBD not so much. You really do keep Dennis’ memory alive and I’m glad he had such a warm, loving family with you. It’s so painful to lose a furbaby, sending hugs and lots of love to you all on this sad anniversary 🌹♥ xxxx

    Liked by 1 person

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