Our beloved 10 year old female German Shepherd Binky passed away four weeks ago on 11/16/2009. She was doing just fine and happy not one week earlier. Then she threw up a couple times, looked more tired. She kept sniffing her rear so I thought she needed an anal gland expression even though she had one not 12 weeks earlier.
She had anal gland issues prior and after an abscess and surgery for one side which resulted in open fistulas for 2008 along with painful treatment. We were determined to always take care of her so it would not happen again. We were diligent about getting her expressed on the remaining anal gland.
So we took her to the vets office who took her in the back for an expression. Time passed and I finally said “gee it has been a long time…”.
Finally the vet came out and told us that our beautiful baby had at least a golf ball sized tumor where her gland had once been. We were referred to the surgical center. The next morning her entire underside of her tail had swollen (probably from the tumor being so manipulated)and defecating was painful and when she could it was diarrhea.
We got her to the surgical center for examination. The news was not good. They said the mass inside was large and extended in farther than the ultrasound could even show and that it wrapped from 8pm to 2pm around her colon. The surgeon said it was one of the worst he had seen along with the inflammation.
They said that it was anal sac adenocarcinoma and that due to the size it was impossible to remove the tumor. The only thing they could offer was surgery to do a bigger biopsy to try and figure out what chemo could be done but that the chemo would only be palliative. After I pleaded with the possibility that it could be just another inflamed or impacted gland, they told us that it really could not be anything else but ASA due to its size location, my dogs age, etc. But she would have to have full surgery to be 100% sure rather than 99% sure.
Since surgery was out (her surgical wounds become non healing fistulas) and we did not want to inflict chemo on her with no hope for remission, they could offer palliative treatments of pain killers and anti-inflamattories.
We took her home crying. She had battled so much in the past including a years recovery from a normal anal saculectomy. We knew that because of the thinness of her rectal skin that we could not even risk any more surgery.
By that night, she ran in fear from medication when we tried to administer it. She bucked in our arms when we tried to put cream on her rear because it hurt to touch it and the skin under the tail inflammation started to tear open and began bleeding. I never ever ever wanted my dog to fear me or relate me to causing her any pain.
Because of all the inflammation and swelling, you could see it hurt to bark and she spent the night trying to lick the blood from the tear. we continued to change the towels and wash them as the blood got on them.
With torn out hearts we decided to stop. Stop trying to force medicine down her. Stop trying to get inflammatory cream on her anal area. Stop trying to use the liquid drugs also.
She was grateful for this and it was easy to see.
We knew though also that if we tried to keep her, the pain would just keep increasing, the wound that was now 1 inch long under the tail inflammation swelling would not heal and the dog we so loved like a child would be in constant pain as we dealt with the cancer and non healing wounds again.
So on Monday morning, we gave her her favorite treat in the world, took her to the park for a walk, gave her a ride in the car and then went to the surgical center. She wagged and kissed my face, which killed me to my very core. She probably thought it was another surgical visit and we would go home and she would get better.
After the vet administered the drugs, she passed away held deeply in my arms with her head in the crook of my elbow as I sobbed uncontrollably onto her head and held for after for a very long time. My baby was gone.
The weeks that have followed I have questioned everything. Did the first vet inflame the condition causing the swelling and tearing? Should we have kept her home until the pain became too bad? Should I have continued to try to force medications into her to try to improve the conditions even though she fought? Should we have waited until she was truly suffering? Were the surgeons right? Was I too early? Did I not ask enough of the right questions about her condition?
I am so angry at myself now and feel guilty that I did not take her home and work harder with the medications to see if we could get things better. Things went so fast over a total of 4 days. Everyone tells me that the cancer was there. It was not going anywhere and it only would have gotten worse. I just keep feeling like I did not try hard enough to keep her here longer and that I failed her. I keep thinking that if I had to do it again, I would have walked out that vets door when she wanted to go home on the day we put her to sleep.
I keep thinking that she will not forgive me for not trying and she will feel like I gave up on her. I see so many owners talk about how they fought and fought and fought until their dog could not longer walk, stand or eat and I did not do that. I did that with my lab 5 years ago and she was barely a shell who could not walk in the end and the decision was made for me. We kept her too long in the end. Now I had to make the decision based on a probable future and feel I keep wondering if I went too early with my baby trying to prevent the suffering she would have. How do I forgive myself?
Over 10 years she was our baby and we gave her the best of everything. She had a life any dog would have envied (including probably over 200 toys) and when she could not kennel at the age of 6 or stay elsewhere (stomach issues), we stopped going on any vacation unless we could take her. We dealt with her irritable bowel disease, her pannus, her hip displaysia, her anal sac abscess followed by a years recovery from that (non healing surgical site that had to heal open from the inside out) and then she was gone in 7 days..........all I did was take in her for an expression. I almost wished I had never gone in the first place.
Everyone tells me we did the right thing.
God I miss her. I wish I had her back.