The thing with working in accounting, at least in some places, New Years is fiscal year end. I had sixteen hours of overtime on the paycheck that covered that time, not including holiday pay. It was a nice check that I needed as I recover emotionally from the expectations and disappointment of Christmas, and am relieved of the excess required spending that has left me more financially strained than usual. Most of that extra money will go to putting my oldest cat down on Monday, in home. It's Saturday morning right now and it seems like her ability to eat is almost gone. I probably should have done it yesterday but Dr. Death wasn't traveling due to the blizzard. Oh yes, the icing on the stress cake is this blizzard that just dumped another foot (at least) of snow that I need to attempt to remove from my driveway and deposit elsewhere on my property.
Delia is the biggest sadness right now. The priority. About a month ago she seemed to be getting picky about her food again, so I was trying different wet foods that she just walked away from. Sometimes licked the gravy. One day she yelled at me, like she does, and I saw her tongue was off center. Oh god, what a horrible mother I am, she must have a bad tooth, which explains how awful her breath has also been when we have bed time snuggles.
The vet was booking out two weeks but I got put on the wait list for cancellations. Through the magic of working from home on Fridays I was able to snag a last minute opening within a few days. By this point I was just hoping it was a bad tooth and not the same sort of mouth cancer that took her sister down four years ago. My less than compassionate male vet (who is probably on some sort of spectrum of jaded to aspbergers to just more of a dog guy) pried her mouth open and said "yep that looks like a [insert medical word that indicates tumor]" and my waterworks were on. He may have been trying to make me feel better by backtracking to saying it might be some sort of infection or a cut. A string that caught on her tongue and is pulling down from her stomach. Maybe a sewing needle? He's seen a sewing needle imbedded in a cat's tongue before. Let's do an x-ray. Nothing metal in her mouth. Let's give her a shot of antibiotics that will work over the course of two weeks. If we really want to know, she'll need to be put under anesthesia so we can really get a good look and do a biopsy. May be a feeding tube? Here's a list of numbers of specialists. And some painkillers to shoot in her mouth.
I waited for the antibiotics to work. I hemmed and hawed over the expense. She began to paw at her mouth with both front paws, acting like something was stuck. I was crossing my fingers and working a lot and trying to manage Christmas expectations. She was not a fan of the gabapentin that I tried to squirt in her mouth but I did find that she would lap it up in the cat gravy and fish shakes that were becoming the only thing she can eat. I went to Michigan to pick up some liquid marijuana and promptly misplaced it.
The day after Christmas I started calling the specialists. Yes, let's do a biopsy, at least see what's in there. I need to know if it is fixable or not. I need to know that I tried. But as I called and explained, each place passed me on to the next. "Oh we don't do dental, you need oncology," and oncology said "it sounds like you need dental". I finally made an appointment with one specialist vet that was three weeks away in Madison. "She'll probably be dead by then" I cried and they put me on a wait list. It was only for a consultation.
The next day I was working from home and changing laundry loads, as one does, and I look over to see her prancing around the basement, tail wagging, and paws ... bright red. It took my brain a second to flip through the possibilities, and I wondered if I had left a painting project wet somewhere or if there was a spill then I saw her mouth and realized it was from her wiping blood off her face. She looked like a little vampire but didn't really seem to be in pain.
I called my vet's office and the receptionist advised me to just go to the emergency vet but don't call ahead. If you call ahead they try to tell you to go elsewhere -- I learned that the other day. My vet was on vacation, so not even a possibility. I tried to call other local vets who didn't answer. Holidays probably. Overbooked probably. I had already hung up on the UW Madison ER receptionist who gave me attitude, so we drove off an hour in another direction. Sat in a crowded waiting room for an hour, Delia quiet in her carrier. Got put in an exam room, waited another hour or so. The bleeding had stopped by then of course, and I debated just packing her up and running. Well, at least we can get a second opinion as long as we are here.
This vet was a nice lady, she also couldn't get a super great look at the lesion (that's what we'd been calling it). I thought it had started healing, it went from less white to more red, but when I showed her the pic from the previous visit, she thought it seemed the same. She couldn't really say where the bleeding was coming from, but that it may continue intermittently. She asked if I wanted to do the biopsy there, it would be a few hours because we'd have to do labs first and I asked about the cost. She came back with $2200. They brought me the Care Credit application to do on my phone. I saw it was through Synchronicity bank and knew I wouldn't be approved. I was already on their shit list for an accidental missed payment and they were calling me every hour.
I said that I would try to get booked somewhere for a non-emergency biopsy. In my mind it should be under a thousand. Her sister Phoebe was diagnosed when she went in for a dental cleaning and they found the carcinoma under her tongue and did a biopsy right there. It was cheaper then dental cleaning would have been, probably $500 but that was four years ago and my old small town vet.
She gave me some stronger antibiotics, amoxicillin, the pink stuff that smells like bubble gum that I remember from childhood. She also said steroids might help shrink it, but she wouldn't give them if I was going to get a biospy because then the results wouldn't be accurate.
So twice a day I was trying to shove a syringe in her mouth and squirt pink goo down her throat. Delia was not a fan. The side with the lesion was getting more inflamed, so I'd try to go on the other side of her mouth, but her tongue was there. A few times I got it deep enough that she swallowed it all. Most of the time a lot of it oozed out the side of her mouth. She was starting to hate me, and in the meantime she was on to me sneaking the gabapentin in her food and wouldn't eat it if it was in there. So I was giving her two syringes twice a day.
We were getting to the end of the amoxicillin and it didn't seem like anything was improving. I called my vet's office to ask for the steroids as I had changed my mind about the biopsy. All a biopsy would do is say if she had cancer or not. Let's treat it like it's not and if it doesn't work, then it's cancer.
They gave me oral prednisone. Great, another syringe to try to give my cat who's whole problem is that her mouth hurts? Have you ever met a cat? I'd rather give her steroid injections.
Nevertheless, I tried. The other morning when she saw the syringe in my hand she whimpered. I'd never heard a cat whimper. It was day five and there hadn't really been an improvement yet. I conceded. She didn't want to be tortured anymore. I didn't want to be the torturer. My stepauntish had posted about doing in home euthanasia a few months ago when she had to let her sixteen year old cat go. I knew I didn't want to torture Delia with another car ride, and that I didn't want to wait for my vet to have an opening. And I didn't really want him to do it, because he's kind of a dick and there's a doggy daycare in the back so it's always all barky when I'm there. I googled through my tears, and found someone who will come to my house. I was joking when I said Dr. Death. We'll call her an Angel of Mercy.
At the time Friday seemed too soon and Monday seemed too long. Now that it's Saturday and she couldn't really eat this morning, I think we are in for a long two days. She went to her bed upstairs which she hasn't really been doing. I put a heating pad under it. Yesterday I remembered that I have some topical painkiller, diclofenac sodium, that I was given for my bum knee. I used it on my sore neck and put a tiny dab on the outside of her mouth. They warn about overdosing for humans, like I can't use the gel and take ibuprofen, and I'm supposed to measure it out based on above or below the waist. There is no guide for cats, but what's the worse that could happen? She dies?
I've been telling her that she can go if she wants, Olivia and I will be okay. That we tried everything, even witchcraft, that she's sixteen and we've had a long beautiful life together. I can feel her vertabrae and ribs when she used to be my fat chonker cat. It makes me sad to see her suffer. I honestly thought she'd pull through, there's been a few times I've thought she might die and she's come back. I thought she'd make it to 20, and outlive me. This part of having pets sucks. I understand when people say they just can't do it again.
I need to work on digging out now, but it feels good to have gotten the story down. I maybe had to prove to myself that I tried and that I am doing the right thing. Now I can work on thinking about our memories and how I can make her feel loved over the next 49 hours.
And if she still wants to go over the rainbow bridge on her own, she is more than welcome to save me $300.