Andi's Obituary
Andi died at 5:40 pm on August 21, 2009. She had been diagnosed with Cushings Disease, which we were having a difficult time trying to manage. She had lost a significant amount of weight over the past six months. When she began vomiting and having diarrhea several weeks ago, we thought that her medicine needed adjusting. We gave her fluids for several days. At the same time, we also started giving her prednisone to help her system bounce back. We had to get her stable enough that she could withstand two days without the prednisone prior to retesting her hormone levels (to determine how her Cushings medicine needed to be adjusted). We couldn't quite get her stabilized. Finally, Dr. Olsen told us to just stop the medicine and bring her in for the testing.
I brought her to Marietta on Thursday (August 20, 2009). Andi's beloved foster mother, Susan, brought her home for the evening. Andi crashed that night. Susan found bloody diarrhea after returning from an evening errand. Subsequently, Andi began vomiting. When she couldn't vomit anymore, the blood diarrhea began again - black liquid. She began having difficulty breathing. Susan called me at one in the morning, telling me the situation. I asked her to take Andi to an emergency vet. They put her on oxygen, which stabilized her breathing. I spoke for a while with the attending vet, giving her the highlights of Andi's medical treatment. I was in a panic because they would not know certain things that would matter in treating her - simple things like intubation aren't so simple with her (she had a collapsing trachea and partially frozen larynx). Mike was out of town, so I had to wait to feed the other dogs at 6:00 before heading to Atlanta.
When Andi's regular veterinarian's office opened at 7:30, I called to explain what had happened. (Andi's regular internal medicine veterinarian is Dr. Jory Olsen.) I wasn't sure if it would be safe to transport Andi, so I wanted their feedback. When I got to the emergency vet, they stonewalled me. I knew that they had run a bunch of tests, but couldn't get a doctor to tell me the results. They wouldn't let me see Andi outside of their visiting hours. When I asked the tech if it would be safe for us to take Andi off oxygen in order to transport her, the tech responded, "that's what I was about to ask you. The internal medicine specialist is about to see her, but there is a fee associated with that." Although I tried to explain the situation to her, it seemed that she was not going to give me any information on the safety of transporting Andi. I finally just demanded that she bring Andi to me. I asked the girl at the desk to make certain that they gave me all of the results of the tests they had done. I had told them of Andi's past aspiration and subsequent bout of pneumonia. So, I knew they had done chest x-rays. I had also asked the to run as much blood work as necessary. I knew they had done that.
While waiting for the paper work and Andi, I called Olsen's office again to explain what was happening. They told me they were turning on their oxygen tank and to get her there as quickly as possible. It was Dr. Olsen who read the x-rays and blood work results and gave me the information - not the emergency vet. Andi was having bouts of shaking, which could have been stress; however, she was not having difficulty breathing. She was weak, but she was kissing me and being her sweet self. What the results indicated was that her white blood cell count was high and she was anemic. I explained to Dr. Diana Olsen that I had requested that they take urine from her bladder to check for a bladder infection. Since they had not done as I requested, Dr. Diana said she would do that and would call Dr. Jory Olsen (Andi's regular internal medicine specialist) to see what he thought. Since I was facing an hour drive after being up all night, she offered me a conference room to rest. In the meantime, they also did an ultrasound on Andi. She saw two large masses in Andi's stomach -- on two different sides. One could have been on the pancreas and one could have been on lymph nodes. They would have had to do exploratory surgery to find out. If it was cancerous, it could have been a situation where it had already metastasized (hence the two different tumors). What she suspects happened is that there was some bleeding associated with the mass that found it's way into the GI tract, causing the vomiting and blood diarrhea and sent Andi into shock. When the blood clotted normally, Andi "recovered" and no longer resembled the dishrag that she was the prior evening. We will never know.
Andi was suffering from Cushings Disease. Her body just was not responding to the medicine. She had crippling arthritis associated with her back knees. She was a rescue and had spent years walking on legs with untreated luxating patellas. She had corrective surgery after we got her, but much of the damage had been done. Within the last year, her shoulder joints had also starting moving in and out of joint. She also had cataracts that were being monitored for corrective surgery. Her body was just breaking down, and her quality of life was going down with it. We weren't even certain that her body would heal properly if we did exploratory surgery. I spoke with Mike and Susan and several of Andi's vets. Based on those conversations, I decided that Andi wouldn't be put through anything else. She deserved to die peacefully. I did not want to take the chance that she would have another bout like she had just suffered, so I requested that we put her to sleep that day. Still in the conference room, I was allowed the entire day to hold Andi in my arms, receive and give kisses, and tell her how much I love her. When both Susan and Mike arrived, we spread a blanket on the floor and all got down there with her. Mike held her in his arms while I cradled her head. Susan sat where Andi could see her. They gave her a sedative which put her to sleep before giving her the medicine. She died surrounded by the people who loved and cared for her the most. She will always be in my heart. I will miss her sweet little voice and gerber-face. She was a little angel, and I am grateful to have shared the last six years of her life. I am thankful that United Yorkie Rescue and "Mommy Susan" selected us as Andi's family.
Dr. Diana Olsen arranged for Kevin from Dream Land Pet Memorial Center to come to their offices to meet with us. Kevin spoke with us for a long time and gave us information on grieving. Kevin placed Andi's body away in a small coffin and took her to their facilities for cremation. They will host a memorial page for Andi for a short period of time. When I get the pictures and information to them, I will give you all the link. Those of you who wish to do so can post notes on that page.
Thank you to all of you for your prayers and kind messages. It helps tremendously.
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