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Filled with Guilt

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cindys - 13 Feb 2008 23:11 GMT
I'm posting this for the sole purpose of providing information to other
people (that I wish I had had a year and a half ago).

In October 2006, I brought my beautiful cat Molly to the vet to be
euthanized. She was 17 years old, very sick, and in the final stages of CRF.
She fought bravely for two years, but inevitably lost the battle. When I
took her to the vet, they took her in the back to insert an IV catheter into
her rear leg, just as they had done with our dog the previous year. The
procedure is that they take the animal out of the room to insert the
catheter (i.e. not in front of the owner), bring the cat or dog back out to
the owner, push a solution into the catheter to make the animal fall asleep
and then push the drug that will take the animal's life (pentobarbital, I
think). The whole thing is over in a matter of seconds. In the case of
Molly, when they brought her out from the back, she looked wild-eyed and
terrified. They explained that animals get agitated during the catheter
insertion (no kidding), and this was normal, and she was fine. The rest of
the procedure went smoothly. She calmed down as I held her, and she was gone
almost instantly after they pushed the pentobarbital.

Today, I was having a discussion with a former vet tech about all of this,
and she told me that it is much easier for the animal just to have the
straight injection, that the insertion of the catheter is very traumatic,
particularly if the animal is old and sick and his/her veins are brittle.
She said that the reason vet hospitals use an IV catheter is to make the
whole thing go quicker for the sake of the owner. When they use a straight
injection, it doesn't always work the first try (depending on how sick the
animal is) and/or five or ten minutes may pass before the cat or dog dies.
However, this is much less traumatic for the animal.

I was absolutely mortified. I wasn't in any rush with Molly (or Alvin). I
would have gladly held her on my lap for five or ten minutes and allowed her
to go peacefully and spared her the trauma of the IV cath and the back room.
I had finally overcome my guilt regarding did I euthanize her too soon ? too
late? and now this....

So, today, I had another good cry. Another good reason for having an animal
euthanized in your own home, if possible, when the time comes.

FTR, we go to a different practice now that uses straight injection (a
butterfly cath) and does not use IV caths because as they put it "we're more
concerned with the feelings of the animal than the owner."
Best regards,
---Cindy S.
mc - 14 Feb 2008 00:46 GMT
Don't be so hard on yourself.

You did the right thing. You did the most with the information you had
at the time.

Your kitty loved you and appreciated you being with her at her final
moments. Many cats die with no one at their side.

Please do not feel sad. Try to remember the good times you had with
her.

I totally sympathise with you. Losing a pet is hard. But just try to
remember the good moments you had with here.

Take care, my heart goes out to you.
MaryL - 14 Feb 2008 01:42 GMT
> I'm posting this for the sole purpose of providing information to other
> people (that I wish I had had a year and a half ago).
[quoted text clipped - 40 lines]
> Best regards,
> ---Cindy S.

Don't blame yourself.  You did what you thought was best for Molly by taking
your vet's advice, and now you know better.  You have also performed a
much-needed service by passing this information on to others.

I have had to have two beloved cats euthanized (one at the age of 20 and the
age of 16).  In each case, I held my cats and the procedure was by direct
injection.  They were never out of my sight -- in fact, they were on my lap
the whole time.  The entire procedure was quick, painless, and neither cat
was stressed or disturbed.  The injection was in the leg and did not seem to
cause any pain at all.  I have had friends ask how I could "bear" to hold
them while they were being euthanized.  My reaction is that it was my final
gift of love to dear companions who had been with me for many years, and the
pain I felt was in losing them.  I am glad you were also with Molly at the
end.

MaryL
Paul M. Cook - 14 Feb 2008 05:32 GMT
> I'm posting this for the sole purpose of providing information to other
> people (that I wish I had had a year and a half ago).
[quoted text clipped - 38 lines]
> butterfly cath) and does not use IV caths because as they put it "we're
> more concerned with the feelings of the animal than the owner."

Your former vet tech acquaintance should get a solid punch in the face.
That's what I think of him.  He's a bastard for talking to you as he did, it
is entirely unprofessional.

There are *no* perfect procedures, no perfect solutions, no perfect
anything.  You are tormenting yourself for no good reason.  The worst you
kitty felt was a little poke in its leg.  They always overreact when in
situations that they are not comfortable with i.e. a vet office.

My sister *insists* on the IV and she is about as dedicated an animal lover
as you can possibly imagine.  She feels the straight injection causes
intense burning sensations at the injection site.  The IV she says relieves
this.

So please, you did the right thing.  You did not fail your cat.  Your cat id
not suffer in the end.  She is at peace.  Now it is your turn to be at
peace.

Paul
Matthew - 14 Feb 2008 05:50 GMT
>> I'm posting this for the sole purpose of providing information to other
>> people (that I wish I had had a year and a half ago).
[quoted text clipped - 58 lines]
>
> Paul
Cindy I agree with Paul 100%.  That vet tech would have been looking up from
the ground picking up his or her jaw from the opposite side of the room.  If
it was guy his balls would have been handed to him

You have no reason to feel guilty.  All that POS did was get his rocks off
telling you this   no one could be that stupid.

Now I am trying to get over my guilt.  I begged spirit's forgiveness at the
end.  I could not let my poor baby suffer.  I have to live with the guilt
till I can find peace.  I started crying again tonight.  I walked in the
house and called out his name before I could stop my self.  I miss my
furball so much.  I talk to him every night it seems to help.
CatNipped - 14 Feb 2008 15:02 GMT
>>> I'm posting this for the sole purpose of providing information to other
>>> people (that I wish I had had a year and a half ago).
[quoted text clipped - 71 lines]
> the house and called out his name before I could stop my self.  I miss my
> furball so much.  I talk to him every night it seems to help.

Yeah, you're both right, it wasn't very nice to tell Cindy something like
that after the fact when she couldn't change what happened.  We all deal
with the guilt, but that's just the price we pay for our pets' lifetime
devotion and love - and it's a small price to pay in comparison to what they
give us.

I still forget and call Sammy "Bandit" by mistake sometimes (Sammy looks a
lot like Bandit did in her prime).  It brings a tear to my eye every time
that happens.

Hugs,

CatNipped
cindys - 24 Feb 2008 04:09 GMT
snip

> Now I am trying to get over my guilt.  I begged spirit's forgiveness at
> the end.  I could not let my poor baby suffer.  I have to live with the
> guilt till I can find peace.  I started crying again tonight.  I walked in
> the house and called out his name before I could stop my self.  I miss my
> furball so much.  I talk to him every night it seems to help.
----------
Oh, Matt --- It hurts so much. But it does get better with time. For me, six
weeks has always been the turning point at which I can start feeling a
little bit better. My son told me I was totally depressed for two months
after Molly. It's been about a year and a half since Molly, and I still miss
her, but the intensity is much less. Time is a great healer, and you could
not let Spirit suffer.
Best regards,
---Cindy S.
Matthew - 24 Feb 2008 05:42 GMT
> snip
>>
[quoted text clipped - 12 lines]
> Best regards,
> ---Cindy S.
Thanks Cindy  If i did not have my firends out here I would have lost it
awhile ago.  It hurts but I put one foot in front of the other  to honor my
dear friend
timbrel2 - 14 Feb 2008 12:04 GMT
I totally agree with Paul. Advice after the fact is unconscionable.
Get advice when you need it, not when its wasted and hurtful. Years
and years ago I had a dog euthanized and stayed with him. They must
have been doing a straight injection because they kept missing his
vein and it was going on and on. I couldn't stand it because this was
a new vet that I brought the dog to in hopes of some new cure when in
fact he probably should have been euthanized two years before. I felt
so guilty because maybe this vet wasn't good etc. and so forth. Then I
brought in my cat, who had been adopted on the same day 15 years
before, and he had to be euthanized because, unbeknownst to me, he was
blind in addition to his other serious ailments. So they both were put
down on the same day. I have had three cats put down since, and a
horse, the last one this past December 11th. Each time I did the best
I could and the last was the easiest for both of us because it was
done at home. But it was certainly done with the catheter. I heard the
little squawk when the catheter was inserted and the rest went easily
for both of us. I loved those animals dearly every moment they were
alive as you apparently did with your cat. In the moment of the cat's
passing you did the best you knew, and you undoubtedly did the best
you could when the cat was alive. Love the memory and don't waste your
time on unnecessary advice.

bliss

> "cindys" <cste...@rochester.rr.com> wrote in message
>
[quoted text clipped - 3 lines]
> is entirely unprofessional.
> <SNIPPED>
22brix - 14 Feb 2008 06:24 GMT
Cindy,

Please don't be so hard on yourself--you gave Molly the kindest gift a
caring person can give.  She is at peace and is not suffering.  It's not
your fault that it didn't go as smoothly as it can and should be.  You made
the best decision for her that you possibly could.

I had to have two dearly loved pets euthanized last year--one was my sweet
Molly, also a CRF kitty.  I felt (and feel) that I probably didn't have her
PTS early enough--she was so weak by the end.  And I still feel guilty about
waiting as long as I did.  And then there was my wonderful old, old dog
Kellie--she was a fabulous mutt of dubious heritage but such a loving,
giving dog.  I wonder if I made the decision too early and I grieve and feel
guilty.  It truly is an awful decision to have to make.  It's the worst part
of being a pet owner/slave.

I hope you can start to heal--I know it's tough and it takes time--I'm still
grieving big time.  It's also tougher when you have other sick pets to care
for and be worried about.

Take care of yourself--you are so obviously a caring, good cat mom.

Bonnie
cybercat - 14 Feb 2008 07:03 GMT
> Cindy,
>
[quoted text clipped - 19 lines]
>
> Bonnie

Absolutely, Cindy.
CatNipped - 14 Feb 2008 14:36 GMT
> I'm posting this for the sole purpose of providing information to other
> people (that I wish I had had a year and a half ago).
[quoted text clipped - 40 lines]
> Best regards,
> ---Cindy S.

{{{{{{{{{{Cindy}}}}}}}}}}

I agree about the in-home euthanasia.  A lot of vets will do it but you
usually have to ask since most don't volunteer that information.  I was
prepared to pay a great deal for it to be done at home for Bandit, but it
was only $80 - well worth the cost to have her go to sleep on my bed with me
petting her.  I also asked about a tranquilizer before the final injection,
I didn't know if that was standard procedure and didn't want to take the
chance it wasn't.  All this I knew to ask about from reading this group and
another.

Cindy, thank you for bringing up this issue to educate others like I was
educated about available vet practices.  Molly has long since forgiven all
and is waiting at the Bridge for you, so don't dwell on your guilt, just
know you've helped others and other cats may have a calmer, more peaceful
passing because of it.

Hugs,

CatNipped
Phil P. - 14 Feb 2008 16:25 GMT
> Today, I was having a discussion with a former vet tech about all of this,
> and she told me that it is much easier for the animal just to have the
> straight injection,

With no sedation?????????????  That's downright criminal animal abuse  Many
a.sholes who call themselves "vet techs" aren't LVTs or RVTs- they're just
hired help that work in a vet's office who think they're authorities and
have credibility just because they work in a vet's office. They piss me off
so much that I've come very close to bouncing a few of them off the walls-
especially when it comes to ferals.  This bimbo sounds like one of them.
The mere fact that she said this proves she's an ignorant, insensitive,
callous, inconsiderate low-life that shouldn't be allowed anywhere near
animals.

The cat's brain survives for about 4 minutes after her heart stops- so
without any sedation or being in a deep plane of anesthesia, she's *fully
aware* of everything that is happening to her.  No cat deserves that.

Cindy, I hope you know me well enough to know that my *first* priority is
*always* the cat regardless of who the owner is.  So I truly hope you
believe me when I say you did the right thing and have absolutely *nothing*
to feel guilty about.

Phil
cybercat - 14 Feb 2008 17:38 GMT
> Cindy, I hope you know me well enough to know that my *first* priority is
> *always* the cat regardless of who the owner is.

I can vouch for this, from reading you for years.

>So I truly hope you
> believe me when I say you did the right thing and have absolutely
> *nothing*
> to feel guilty about.

I'm glad you posted this information, Phil. My vet came to my house and gave
my
sweet old cat a sedative, then the injection. It was peaceful, she did not
suffer. It
was still hard, but would be horrible if I knew she died aware of dying.
Phil P. - 15 Feb 2008 17:46 GMT
> > Cindy, I hope you know me well enough to know that my *first* priority is
> > *always* the cat regardless of who the owner is.
[quoted text clipped - 11 lines]
> suffer. It
> was still hard, but would be horrible if I knew she died aware of dying.

I would never allow any cat in my care to be euthanized without being
sedated and anesthetized first. I've had many very heated arguments with
self-proclaimed "vet techs" and even some vets about I wanted suffering and
injured ferals and rescues euthanized.  For some unfathomable reason, some
vets don't feel shelter cats and ferals deserve the same compassion, respect
and dignity as our own cats.

Some vets add sedation and anesthesia to their euthanasia fee but don't use
them if the owner isn't present. So, I strongly advise everyone to be
present when the time comes.

Phil
cybercat - 15 Feb 2008 18:17 GMT
> I would never allow any cat in my care to be euthanized without being
> sedated and anesthetized first. I've had many very heated arguments with
[quoted text clipped - 4 lines]
> respect
> and dignity as our own cats.

So horrible.

> Some vets add sedation and anesthesia to their euthanasia fee but don't
> use
> them if the owner isn't present. So, I strongly advise everyone to be
> present when the time comes.

Unbelieveable.
CatNipped - 14 Feb 2008 22:43 GMT
>> Today, I was having a discussion with a former vet tech about all of
>> this,
[quoted text clipped - 3 lines]
> With no sedation?????????????  That's downright criminal animal abuse
> Many

Oh, see, I must have read that wrong.  I thought the tech was talking about
just the injection of *sedative* instead of an IV to "push" the sedative -
not a single injection of the euth agent.  That's a whole 'nother issue
then - any ethical vet *MUST* give a sedative first and wait for it to take
effect or is *is* animal abuse just as Phil said.

If that was what the "tech" was trying to say then, yes, ignore the idiot!

Hugs,

CatNipped

> a.sholes who call themselves "vet techs" aren't LVTs or RVTs- they're just
> hired help that work in a vet's office who think they're authorities and
[quoted text clipped - 17 lines]
>
> Phil
MaryL - 15 Feb 2008 00:41 GMT
>> Today, I was having a discussion with a former vet tech about all of
>> this,
[quoted text clipped - 24 lines]
>
> Phil

My two cats were euthanized by what I described as "straight injection."
However, they were sedated first -- but there was no catheter.  I held them
on my lap the entire time.  It was very fast and I believe it was painless.

MaryL
mc - 15 Feb 2008 01:30 GMT
In my mind, we are all learning. That is why we have groups like this.
We are LEARNING!!!

Some vet techs probably shouldn't be where they are (they are probably
only there for the paycheck). Other vet techs make honest mistakes.
Few vet techs are "guilty". The vet tech may very well have said the
wrong thing! Very much so. I TOTALLY agree that the one mentioned
above in Cindys case should probably have not said anything at all,
except to educate. I think to make an issue out of a past issue is
wrong. Knowledge, on the other hand should never be wasted.

With a grain of luck, the Vet tech learns something about common
courtesy and respect for a beloved pet and that pets life long
friend.

You also have to remember that some of these vet techs are in their
very early twenties hoping to become vets someday themselves.

What is the point of establishing blame? The question is... Can we
move forward to gain some knowledge and peace from the situation?

What good does it do to issue blame?

We just have to deal with our loss... The loss is that a beloved pet
is now missing from our lives. All we can do is go on and try to heal.
Blaming is not the honest solution to the dilema.

Believe, blame may work for awhile... but the effects are not lasting.

Hope this isn't taken wrong...

Melissa
Phil P. - 15 Feb 2008 17:47 GMT
> > The cat's brain survives for about 4 minutes after her heart stops- so
> > without any sedation or being in a deep plane of anesthesia, she's *fully
[quoted text clipped - 9 lines]
>
> My two cats were euthanized by what I described as "straight injection."

"Straight injection" usually means the fatal injection with no sedation or
an "intracardiac injection".

> However, they were sedated first -- but there was no catheter.

I wouldn't call that a "straight injection".

I held them
> on my lap the entire time.  It was very fast and I believe it was painless.

You did the right thing.

Phil
Paul M. Cook - 15 Feb 2008 18:46 GMT
>> > The cat's brain survives for about 4 minutes after her heart stops- so
>> > without any sedation or being in a deep plane of anesthesia, she's
[quoted text clipped - 18 lines]
>
> I wouldn't call that a "straight injection".

Phil, is not the injection itself a fatal overdose of a sedative?  When Jade
had to be put down, that is what my vet said it was and why she did not
pre-sedate her.

Paul
Phil P. - 15 Feb 2008 20:10 GMT
> Phil, is not the injection itself a fatal overdose of a sedative?

Sedative or anesthetic.

When Jade
> had to be put down, that is what my vet said it was and why she did not
> pre-sedate her.

An IM sedative makes the cat unaware of the venipuncture for the fatal IV
injection.  Venipunctures in cats can be difficult and painful - especially
if the cat struggles or is dehydrated.
Twp1976@gmail.com - 15 Feb 2008 20:28 GMT
> > Phil, is not the injection itself a fatal overdose of a sedative?
>
[quoted text clipped - 8 lines]
> injection.  Venipunctures in cats can be difficult and painful - especially
> if the cat struggles or is dehydrated.

We had a dog live to be 19, and had to be put down.  They did a
sedative, but had some trouble with the I.V.  I will be honest I was
so distraught I don't remember what happened in what order
necessarily, but the problem was as somebody said before, she was so
old that many veins had collapsed or become brittle.  They did take
her out of the room for just a minute then brought her back in, which
sounds like the first scenareo.  This was a vet that we totally loved
and trusted, and he sent us a PLAQUE with her picture on it as a token
of sympathy, and with her age she was his longest running patient.  We
were so touched.  I *think* they had the problem with the direct
injection first, because of the bad veins, and he said they didn't
want to draw it out any longer than possible, so they did it the other
way.  It was over in a few minutes after that, I don't think drawing
it out any longer would benefit the pet or the owner.  I sat with her
all morning before that, and thanked her for everything.  Call me
corny but I felt like she knew what I meant.  Not a pleasant thing,
EVER to do, but we were blown away by the vet's compassion and how he
handled a VERY difficult situation for a pet owner.
cindys - 24 Feb 2008 04:05 GMT
On Feb 15, 3:10 pm, "Phil P." <p...@maxshouse.com> wrote:
> "Paul M. Cook" <pmc...@gte.net> wrote in
> messagenews:v6ltj.1533$0%3.170@trnddc06...
[quoted text clipped - 11 lines]
> injection. Venipunctures in cats can be difficult and painful - especially
> if the cat struggles or is dehydrated.

>We had a dog live to be 19, and had to be put down.  They did a
sedative, but had some trouble with the I.V.  I will be honest I was
so distraught I don't remember what happened in what order
necessarily, but the problem was as somebody said before, she was so
old that many veins had collapsed or become brittle.

That's what was told to me as the reason my current vet does not use a
catheter - because the insertion of such is difficult and painful in an
older/sick animal whose veins have become collapsed or brittle.

>They did take
her out of the room for just a minute then brought her back in, which
sounds like the first scenario.

Exactly. My current vet does not take animals out of the room unless they
need more room to maneuver in which case the door between the exam room and
the back room is always left open so the owner can see everything that is
going on.

>This was a vet that we totally loved
and trusted, and he sent us a PLAQUE with her picture on it as a token
of sympathy, and with her age she was his longest running patient.  We
were so touched.  I *think* they had the problem with the direct
injection first, because of the bad veins, and he said they didn't
want to draw it out any longer than possible, so they did it the other
way.

I'm confused. The bad veins make it difficult to insert the catheter, which
is why someone might look to direct injection, not the other way around. Or
am I not understanding what you're saying?

> It was over in a few minutes after that, I don't think drawing
it out any longer would benefit the pet or the owner.  I sat with her
all morning before that, and thanked her for everything.  Call me
corny but I felt like she knew what I meant.

It's not corny at all. After Molly was gone, the vet asked me if I wanted to
be alone with her for a while. I said "No, whatever I had to say to her, I
told her when she was alive." And it was true. I thank my animals every day
for being such good friends.
Best regards,
---Cindy S.

Not a pleasant thing,
EVER to do, but we were blown away by the vet's compassion and how he
handled a VERY difficult situation for a pet owner.
MaryL - 16 Feb 2008 03:28 GMT
>> > The cat's brain survives for about 4 minutes after her heart stops- so
>> > without any sedation or being in a deep plane of anesthesia, she's
[quoted text clipped - 26 lines]
>
> Phil

Okay, thanks.  I obviously used the wrong terminology.

MaryL
hopitus - 16 Feb 2008 21:18 GMT
On Feb 15, 8:28 pm, "MaryL" <stanco...@yahoo.comTAKE-OUT-THE-LITTER>
wrote:

> >> > The cat's brain survives for about 4 minutes after her heart stops- so
> >> > without any sedation or being in a deep plane of anesthesia, she's
[quoted text clipped - 30 lines]
>
> MaryL

For the originator of this topic:
Some people don't have the common sense to realize
when to MYOB and KYMS and your "former vet tech"
conversationalist fits this profile, IMHO. Kinda like
discussing various ways to remove life support from
your hoomin terminal or brain-dead patient......
eeeeeeeeww. Posted as a former long-term hoomin
'medical worker who urges you not to dwell on this,
the opinion of one not-even-a-vet person! As in: my
former profession does not qualify me to give medical
advice like a doctor......harsh but true. Please relieve
your anguish and frustration by creating a memorial
tribute to your old kitty on an appropriate website like
Petloss.com.
cindys - 24 Feb 2008 04:07 GMT
>> > The cat's brain survives for about 4 minutes after her heart stops- so
>> > without any sedation or being in a deep plane of anesthesia, she's
[quoted text clipped - 18 lines]
>
> I wouldn't call that a "straight injection".
--------
That was a misunderstanding on my part. I used the wrong terminology. I'm
100% certain my current vets sedate first.
Best regards,
---Cindy S.

> I held them
>> on my lap the entire time.  It was very fast and I believe it was
[quoted text clipped - 3 lines]
>
> Phil
cindys - 24 Feb 2008 03:59 GMT
>> Today, I was having a discussion with a former vet tech about all of
>> this,
>> and she told me that it is much easier for the animal just to have the
>> straight injection,

First, I want to apologize to everyone. I was away for a week and did not
realize how active this thread had become.

> With no sedation?????????????  That's downright criminal animal abuse

There was sedation, just not a catheter. My understanding is that first the
cat is sedated with an injection. Then, the cat is euthanized with a
separate injection. She said that sometimes more than one euthanizing
injection is required.

>Many
> a.sholes who call themselves "vet techs" aren't LVTs or RVTs-

This one really is licensed.

>they're just
> hired help that work in a vet's office who think they're authorities and
[quoted text clipped - 9 lines]
> without any sedation or being in a deep plane of anesthesia, she's *fully
> aware* of everything that is happening to her.  No cat deserves that.

I'm 100% certain my current vets use sedation. The focus of the conversation
was about the method for administration of drugs (be they sedatives or
euthanizing) via a catheter versus injection, not whether or not they use
sedation.

> Cindy, I hope you know me well enough to know that my *first* priority is
> *always* the cat regardless of who the owner is.

Absolutely.

>So I truly hope you
> believe me when I say you did the right thing and have absolutely
> *nothing*
> to feel guilty about.

Yes, I do, and thank you. And thank you to everyone who responded. I feel
much better.
Best regards,
---Cindy S.
 
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