The midwife at the end of life

Like many of you, I’ve been mesmerized by the bravery of Brittany Maynard, a 29 year old woman who is dying of Stage IV brain cancer. After hearing the course of the disease progression from her doctors and considering what the end of her days were likely to be like, she made the incredibly difficult decision to move to Oregon, one of a handful of states in which assisted suicide is legal, and choose the day and manner in which she will die.

brittany

 

While her story is compelling and awful, it is not so surprising a concept. For veterinarians, taking part in these sorts of heavy decisions is an everyday occurrence, and to the Maynard family I say: I am so glad you have the ability to make that choice.

As I travel to Indianapolis for the annual meeting of the International Association of Animal Hospice and Palliative Care (the mouthful acronym of IAAHPC), I find myself struck by the two most common things clients say to me when I come to their home to euthanize a sick pet:

  1. This must be so hard.
  2. I wish we had this for people.

Though we all wish for ourselves, and our pets, to die peacefully and unaware in our sleep, the truth is, that doesn’t always happen. Sometimes death is peaceful, but sometimes it is horrible and painful and agonizing and drawn-out. To say that is a fate worse than death is not a metaphor in this case. Death can be a relief. We don’t always get to choose the way in which we die, but when we know it is coming and it is going to be unpleasant, I am very grateful this is an option we have for our pets, and for some people.

I suppose in many ways veterinarians are leading the charge in normalizing people’s attitudes about this possibility, right in there with hospice workers and other professionals who deal with these realities. None of us probably gave that much thought when we signed the dotted line on vet school admission forms, but it’s there nonetheless.

There is a small but important distinction I wish more people made when talking about Brittany’s situation: they say, “She is choosing to die.”

This is not true. She wants very much to live. She has no choice in the matter. She is dying.

The accurate statement is, “She is choosing how to die,” and that is a vital distinction. I’ve seen differing views on this, people who genuinely believe that there is beauty in every moment of life, even in suffering an agonizing death with a ravaged body, and to that I simply say: I respect your view on it and your right to choose that end. I also respect those who choose as Brittany is doing, and I find beauty in that as well.

There are limits, of course. I do not show up at people’s homes and simply provide euthanasia on demand for pets who do not have a terminal disease. For my own emotional well-being I have very specific requirements and lines I do not cross. There are situations (such as a dangerously aggressive pet) where the lines about what is ethically acceptable are fuzzy, but my personal limits are not. I feel very proud and honored to be able to do what I do.

This is how I continue to do this every day: by reminding myself and the grieving owners that we are not killing a pet; the disease is killing him or her. We are simply aiding the process and making it more comfortable. I wish for the Maynards the same I do for my patients: comfort, peace, as much as can be gathered in a stressful situation.

I am the midwife at the end of life.

And I am OK with that.

Pawcurious: With Pet Lifestyle Expert and Veterinarian Dr. V.

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Tool Ticks and Leeches

The song Ticks and Leeches by Tool Album: Lateralus track number 8 Lyrics Suck and suck. suckin up all you can suckin up all you can suck. Workin up under my…

A neglected dog was kept in the same infested spot for weeks. It’s covered in Rhipicephalus sanguineus, the brown dog tick. Each ear alone carries hundreds. …
Video Rating: 3 / 5

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“If We Win, He’s Buying Me a Puppy!”

Katie Castan, who was holding the now famous sign at the Wild Card Game last week — “IF WE WIN, HE’ S BUYING ME A PUPPY!” — and boyfriend Joe Onofrio adopted a 4-year-old Pembroke Welsh Corgi last weekend to seal the deal. The dog’s name is Lucy, but her middle name is Rally, as the way the Royals rallied to win the game and sweep the American League Division Series. After the game many…
The Poodle (and Dog) Blog

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THE PETCO FOUNDATION HOLIDAY WISHES ARE BACK!

HW_Banner1

The Petco Foundation in partnership with Halo, Purely for Pets, announced its second annual holiday grant campaign, Holiday Wishes, designed to help the most dedicated animal welfare organizations succeed in their mission to save pets’ lives – at the holidays, and year round.

Qualified organizations are invited to submit their most impactful success stories for a chance to receive the winning grant award of $ 100,000 or a series of finalist awards ranging from $ 5,000 to $ 50,000. All entries must be submitted by Oct. 30th.

The Holiday Wishes campaign is a way for us to make holiday wishes come true for some very deserving organizations. In addition, we hope to inspire entire communities to take action and save lives,” said Petco Foundation executive director Susanne Kogut. “Every animal should celebrate this holiday season with a family, and by sharing these stories, we hope to increase the number of animals spending this holiday season in new, loving homes.”

Read the full press release.

Halo

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How to Care For a Ferret : Pet Ferret Bathing & Flea Prevention

Watch an exotic animal health technician explain how to bathe a pet ferret, as well as how to prevent fleas, in this free online video. Expert: Sarah Tingle …

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What One Piece of Advice Would You Give Your Children?

If you all were here for my post last week, you will understand the whole thing with the 600 Brilliant Blog Post Ideas and where it came from, but if not, you can check it out here. If not, then read on.
#17 If you were only allowed to give your children one piece of advice, what would that be?

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LoveMy2Dogs

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Rudy Green’s

Karla, proprietor of Rudy Greens and chef extraordinaire to the dogs, just sent this hilarious video a few weeks back and it stars Teh-De a pit bull we met on our first walk and cancer survivor.  Check it out!

https://m.youtube.com/watch?v=Cffel7ly3Gg

Also, Karla has been nominated for Martha Stewarts American Made awards – please share on Facebook and Twitter http://www.marthastewart.com/americanmade/nominee/88599/food/rudy-green-incrudy-greens
THE JOURNEY CONTINUES

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The pup with the cropped ears

This pup lives in the Old Town of Bari in Puglia, Italy.  He would appear to have cropped ears, which I thought was illegal in Europe?

The last photo you see the little boy who owns him.

RIVIERA DOGS

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Safe in His Grace

Rain slowly poured down…the sound of thunder…the wind blowing…It had been a long week and an even longer weekend and I reflected on the following passage from 2 Corinthians 12:9(NASB), “9 And He has said to me, “My grace is sufficient for you, for power is perfected in weakness.” Most gladly, therefore, I will rather…



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Sunflower Faith

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