Max, loving and brave, in kidney failure

Isabella

Forums Regular
Hello Sheltie Friends…
I haven’t been here for a long time. I had a neurotic and very much loved Sheltie, Lochiel, also called Lucky, who died in 2018.
My husband and I found we could not bear to live without a Sheltie! We tried to adopt one here in northern New England—we live in Vermont. Everyone was very helpful, but said we had to have a fenced in yard. We have quite a lot of land, but we don’t have that. And our house is on a hillside so it would’ve been difficult.
Fortunately, a friend in Pennsylvania found out about Max, age 8, who had been passed from owner to owner because his mom had gone into assisted living. He had rescued her twice when she fell,running out to bark for help like Lassie, and leading the Helpers back. The second time she went to assisted living . I won’t tell the whole story, but Max had lived with a series of people , who each gave him away because he didn’t suit their living situation. When I found out about him, he was being fostered by a very nice lady who also had 14 pitbulls! (She was a foster for a couple of different rescues.) She loved Max but felt that it would be better for him to be in a home where he was the main dog. We fell in love with him immediately when he came to us, and he immediately rolled over and let us pat his beautiful, big fat tummy. Somebody, I suppose, maybe his first mom, had fed him hugely. He has a thyroid condition. I was told that it was a bad idea to try to get him to lose weight I think because it would just be so hard for him. We decided, though, that he could have a happier life if he were thinner. So we took care of his thyroid medication, but we also cut his food down in accordance with what his vet had to say. In spite of his obesity, he bravely chased away a bear that was climbing on our balcony. It was scared, and it ran!
He did lose weight, although I gave him more treats then I was supposed to, I’m pretty bad about that.
He enjoyed being slimmer and could go on long walks for the first time in years.—Didn’t need a fenced in yard – – Max would follow our every footstep, and had no interest in running away.
So forward four years, now Max is 12 and his kidneys are very quickly declining in function. He seriously is not doing well. He’s very thin at this point& a foolish groomer cut off all his fur because they thought we wanted that. So he doesn’t even look like a Sheltie right now, but he’s still beautiful. His fluffiness is beginning to grow back in.
He is extremely thin… and at one point his leg fell out of its socket, and we had to have a series of operations to get it back in and then to sew up the wound, which he kept getting at in spite of his cone. We finally got a longer one. Anyway, now it’s unclear whether he has Cushing’s or not. My husband is inclined to test for that and test to see if he has a tumor on his adrenal gland.
Max has reached the point where he won’t eat very much and if he does, he throws it up again. He needs an infusion of water under the skin because he can’t drink enough.
still yesterday he went for a walk with my husband, much longer than I had thought he could. He has recovered from the operation and he enjoyed that very much. Still, he won’t eat , except for a small amount of chicken, and he is a food oriented dog. I think that he is too close to the end to do all that, pester him with tests and so on. I doubt that he could get any more time out of all this, but perhaps I’m wrong. I feel that he should be made to be as comfortable as possible, and then be let go, with all of our love. I will be with him till the very end, of course, and so will my husband. Does anyone think that Max could get more time out of an MRI and all that to see if he has a tumor on his adrenal gland? Max is a great dog, one of the best I’ve ever known,
Thank you everybody,

Isabella.
 
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This is the dreaded scenario where several things could be happening at once. One of my senior girls some years ago had both chronic pancreatitis and kidney failure. Having dealt with kidney failure in my Shelties more than once, I can tell you he is throwing up and not eating because the toxins are building up in his blood, making him nauseous. Giving fluids under the skin once or twice daily will help flush him out, as well as a strict kidney diet. But those things will only help for a while. What has your vet said about his kidney numbers? That would be my main concern.

How much you want to put him through is your call but I agree that extra tests may simply stress him out rather than yield any benefit.

It is incredibly hard to say goodbye to a much loved dog, all of us here completely understand. But honestly, quality of life is the most important measurement, and we owe it to them to make that call when it's time and not let them suffer.

So sorry your family is going through this. Reach out as much as you need, there is much support here.
 
We just finished a journey slightly different but similiar with Cushings. We did do the Cushings test because our Vet thought the Katy was strong enough to fight it but she sadly lost her battle. We were down to feeding her baby food at the end hoping the fluids the vet was giving her might be enough to get her past the hurdle but at 14 she only had so much fight to give. Knowing what I know about Katy and the situation I think the only advice I'd give to myself is to be honest about the end signs. It can be so hard to know when to stop. Katy finally made it clear she was done.

I believe quality of life is something to be strongly considered when deciding to test/treat. Bailey could have had more testing for cancer but do to his age and his aversion to being treated we opted for "hospice" when we realized even with treatment his add on time was limited and his fear of being treated would not make that time enjoyable for him. I've never regretted that decision. Losing him was heart breaking but I did learn from the experience to focus more on my time with Katy as a dog and not on the illness that was killing her.

I can say there was a certain point both dogs were in the fight and fighting hard and then there was a point where they started to go gently into that good night and while I think we did much better with allowing Katy to guide us this time around we still had a hard time letting her take the lead and decide she was done. It is so hard to accept all hope is gone when they sometimes give you mixed signs or you see what you want to see.
 
Isabella, I'm so sorry to read about your journey with Max. He sounds like a truly wonderful family member, and you are lucky to have had each other.

I couldn't say it better than Sharon and Bailey's mom. We've all been through these questions...when it time? A wise friend once gave me the best advice I've ever had on this: Better a day too early than a day too late. I've followed this mantra with my dogs. It's harder on you for sure, but kinder to them in the long run rather than risking their suffering, I think.

Trust in your instincts. Listen to Max, he will tell you when he's had enough. We are here for any help, support or comfort we can give. :hugs
 
Hello Sheltie Friends…
I haven’t been here for a long time. I had a neurotic and very much loved Sheltie, Lochiel, also called Lucky, who died in 2018.
My husband and I found we could not bear to live without a Sheltie! We tried to adopt one here in northern New England—we live in Vermont. Everyone was very helpful, but said we had to have a fenced in yard. We have quite a lot of land, but we don’t have that. And our house is on a hillside so it would’ve been difficult.
Fortunately, a friend in Pennsylvania found out about Max, age 8, who had been passed from owner to owner because his mom had gone into assisted living. He had rescued her twice when she fell,running out to bark for help like Lassie, and leading the Helpers back. The second time she went to assisted living . I won’t tell the whole story, but Max had lived with a series of people , who each gave him away because he didn’t suit their living situation. When I found out about him, he was being fostered by a very nice lady who also had 14 pitbulls! (She was a foster for a couple of different rescues.) She loved Max but felt that it would be better for him to be in a home where he was the main dog. We fell in love with him immediately when he came to us, and he immediately rolled over and let us pat his beautiful, big fat tummy. Somebody, I suppose, maybe his first mom, had fed him hugely. He has a thyroid condition. I was told that it was a bad idea to try to get him to lose weight I think because it would just be so hard for him. We decided, though, that he could have a happier life if he were thinner. So we took care of his thyroid medication, but we also cut his food down in accordance with what his vet had to say. In spite of his obesity, he bravely chased away a bear that was climbing on our balcony. It was scared, and it ran!
He did lose weight, although I gave him more treats then I was supposed to, I’m pretty bad about that.
He enjoyed being slimmer and could go on long walks for the first time in years.—Didn’t need a fenced in yard – – Max would follow our every footstep, and had no interest in running away.
So forward four years, now Max is 12 and his kidneys are very quickly declining in function. He seriously is not doing well. He’s very thin at this point& a foolish groomer cut off all his fur because they thought we wanted that. So he doesn’t even look like a Sheltie right now, but he’s still beautiful. His fluffiness is beginning to grow back in.
He is extremely thin… and at one point his leg fell out of its socket, and we had to have a series of operations to get it back in and then to sew up the wound, which he kept getting at in spite of his cone. We finally got a longer one. Anyway, now it’s unclear whether he has Cushing’s or not. My husband is inclined to test for that and test to see if he has a tumor on his adrenal gland.
Max has reached the point where he won’t eat very much and if he does, he throws it up again. He needs an infusion of water under the skin because he can’t drink enough.
still yesterday he went for a walk with my husband, much longer than I had thought he could. He has recovered from the operation and he enjoyed that very much. Still, he won’t eat , except for a small amount of chicken, and he is a food oriented dog. I think that he is too close to the end to do all that, pester him with tests and so on. I doubt that he could get any more time out of all this, but perhaps I’m wrong. I feel that he should be made to be as comfortable as possible, and then be let go, with all of our love. I will be with him till the very end, of course, and so will my husband. Does anyone think that Max could get more time out of an MRI and all that to see if he has a tumor on his adrenal gland? Max is a great dog, one of the best I’ve ever known,
Thank you everybody,

Isabella.
❤❤❤❤❤❤❤❤
 
Gavin is 17. A year ago he got sick (he was boarded for a week). he stopped eating for a few days during his illness and recovery. I was scared he wouldn't come back. But he did. It was a long nursing job, and he has some issues he didn't before (but hey, he's 17 so not too surprising). Gavin has always been a foodie as well, so him not eating was terrifying. Once I got him through the first week, he started eating if I hand fed him. He was too unstable to stand too eat; getting a more elevated food and water bowl helped (I would have food and water at both ground level and elevated, so he could eat/drink either standing and leaning against the wall or laying down). His existing elevated bowl was at the wrong height.

But I nursed him through this on the idea he could get better. And there were weeks when I was happy with just 1 or 2 good days as long as there weren't more than 1-2 bad days. I kept a journal (for 3-4 months or so) to track them so I could see if there was improvement (it was slow). how well he ate, how much he ate, bowel issues, how active he was, and silly quality of life things like 'Gavin walked to the bathroom to check on me in the shower'. It helps to make things a bit more objective cause we forget and misremember things.
 
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