Tough decisions

Shamas lost a tooth this morning. I found Trixie playing with something, and identified it as a tooth...the crown of a back tooth. I've established it's from Shamas.

calling the vet.

Here's the issue:

Both times Shamas has gone under aenesthetic, there've been complications. I'm unclear on the complication on the first time as he was in the care of the shelter at the time. Only that there were complications and that we had to watch him carefully post-op. Then he developed infection at the site, and also a hernia.

Second time, he held his breath when they introduced aenesthetic, fought the medication, requiring more than was ideal, and had trouble warming back up again. And got infected at the site.

We swore we'd never put him under again.

There doesn't seem to be exposed pulp, so I'm hoping they can seal the tooth and buy us time.

Not counting the tooth...Shamas only scored 35 on the quality of life scale. He's in pain more than he's not. He's losing mobility. He's starting to have "senior moments" (blanking out for 30seconds to a minute before coming back to us as though he didn't just lose that time) He can't walk in the cold. He needs help up to the couch, and in and out of the car. He has to be driven places to walk. he's hardly going into the yard, and peeing on the porch now. He's wetting his bed(just noticed this when I moved it closer to my room) He's started cuddling Trixie instead of her cuddling him(new behavior-clingy) and clambering on the couch to sprawl on me when I read. Cartrophen is not helping the way it used to. His back legs are less stable. His panting when laying is more often.

we're going to do another appointment. Have him assessed. Maybe run his bloodwork. Maybe ultrasound if it'll help, check for fluid in his belly, which looks distended as his waistline gets smaller but belly doesn't. The vet will know if we can make him better for a while longer. Bring up his quality of life. Try a different pain med?

Hubby tells me I need to be ready to make tough desisions. I told him I'm not making them. I've put in too much. Dedicated too much. With Midnight I knew-he told me. Shamas didn't tell me yet. But I just don't know.....his score is 30pts lower than 3 months ago........


Maybe spring will make it better?
 
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Emily_Babbelhund

Mama Red HOT Pepper
I'm sorry you're having to face these questions for Shamas. Seeing our beloved babies get older is heartbreaking, no two ways about it. :hug:

My girl Mama Jodhi broke off many of her teeth including one of the massive ones in the back in a very unfortunate incident, and lived like that for many years afterwards with no dental surgery. So maybe the tooth may not turn out to be a huge issue, thinking good thoughts for that at least.
 
That's really reassuring! Shamas is still a happy boy when he's not hurting. Sometimes even when he is. Trixie's vet told me not to give her REumecam, and gave me Gabapenten, telling me it's better tolerated. I'm going to ask shamas' vet about that....If he's on daily pain meds again, I want something better tolerated than Reumecam. And apparently you can stack the two(random internet source) so I'll ask about that.

If he's running the line now for quality of life....then there's a good chance spring will make things improve. cold is terrible for him. always was. Last year his hips seizd up and I had to carry him back to the car
 
Well the good news is, the tooth doesn't seem to be bothering him too much--he's trying to steal Trixie's supper again. I bought him wet food to bide over till the vet sees it, and I gave him his dinner in water to make it easier. He even managed a walk, with the weather over 3degrees positive :heart:

We'll see what the vet says
 
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