The Little Pack

Dixie’s courage continues to impress me. But I should probably explain. After keeping Dixie at the vet on IV fluids all last week, the stone did not move at all. The worry, of course, is the the stone is either blocking the ureter, causing the kidney to shut down, or the kidney isn’t functioning and sending fluid through the ureter to push it through to the bladder. At the end of the week, we brought her home with the intent to manage her pain and see how it goes. Our vet consulted with several specialists and we brought her back for x-rays tonight. The plan if the stone did not move was to inject her blood with dye to better see what was going on with the kidney. This was the route we were prepared to take. However, the x-ray showed the stone moved about an inch, which was great news. The vet checked her kidney function levels, which were absolutely fine. So she is on an anti-inflammatory which they think may help push the stone through the ureter. She goes back for a follow up in a week and we will continue to monitor the stone’s progress.

After laying around all day Saturday, yesterday afternoon and all day today she has been absolutely wild, clearly feeling better, so I was not surprised to find out that the stone had moved. I am starting to call her my little Timex dog–she takes a licking and keeps on ticking. And as small as she is, her courage knows no bounds and her determination is resolute. I have learned to never count her out. She proves that being tough has absolutely nothing to do with one’s size. And I, for one, am inspired by that.

Tonight finds Dixie at our vet with a stone again. She has been there since yesterday morning and is expected to stay 2 to 3 days longer. We came home from vacation on Sunday night to find her in serious pain. She was lying on the floor, writhing in pain, whimpering. And seriously why does this stuff always happen after hours? I knew it was another stone. So we packed her up and brought her to the emergency vet. Four hours and $400 later, Dixie had been given fluids, a shot of morphine, x-rays taken, and we had determined that she did indeed have another stone. This time the stone is located between her kidney and bladder. We left dejected and exhausted and feeling quite honestly hopeless.

We took her to our regular vet first thing the next morning and found out that the stone itself is actually quite tiny—only 2 to 3 mm—and they completely expect her to pass the stone no problem once it gets to her bladder.  Her kidney function is fine and her electrolyte levels are normal. So they are giving her IV fluids to try and help flush the stone through. The stone has moved a little bit, but it is a slow process and right now, it looks like at least 2 to 3 days longer.

To review, Dixie has had 3 surgeries, and has been catheterized twice since last October—her bladder was flushed just two weeks ago and 8 small stones were removed at that time. She has calcium oxalate stones, which are notoriously hard to treat and often reoccur. Although uncommon in females, it is a known issue in Yorkshire terriers. And, as I understand it, in canines, the stones normally form in the bladder, so it is again unusual that this stone formed in the kidney. Information about these stones is readily available but beyond conflicting.

Trying to determine the correct course of action is worse. I feel as though I am negotiating an emotional landmine and there are no easy answers. Her quality of life is the most important consideration, but nearly impossible to sort out. This isn’t a life-threatening condition, just painful, and the condition can be easily managed through surgery… which is clearly not ideal. Unfortunately, I need to be realistic about the resources we have available and the health and needs of the rest of the pack. I have no idea how this will all turn out, but I do know that unbearable decisions lie ahead in the coming days and weeks.

This is classic IO, relaxing on the couch, content just to hang out. Now that she is getting older I have adopted the policy that IO can do whatever she feels likes doing. I figure she has earned the right to have it easy, to enjoy a sort of retirement. So far this new arrangement seems to suit her well and I am pretending that I don’t see all the gray replacing the brown on her little face.

Pure Joy

Love, love, love this picture.

Mornings are a special time in the Little Pack household, packed full of sweetness and celebration. IO very often greets me with nose nibbles and headrolls. These are clearly joyful acts. Once I start to stir, Jackson and IO will often begin to bark and carry on with celebration while Cheyenne races back and forth next to the bed, wiggling all the while. Archie waits at the bedroom door and purrs the moment he sees me.  Everyone races down the hallway. Baby Titten sits on the arm of the couch and burrupts as I walk by and I pat her on the head. Dixie speeds ahead into the kitchen and leaps and twirls around, woofing. She wants  a morning snack. Archie also gallops into the kitchen, bounds up onto the counter and waits by the sink for me to turn his water on. Meanwhile Jack rejoices that he found his favorite toy and asks me to throw it. Sometimes IO lingers in bed a little longer, catching a few more zzzzs before strolling out to the living room to wait for a few last bites of my breakfast.  All of this takes place while I am on autopilot, still in stupor. I am not a morning person, in fact, I can barely function when I first wake up. It occurs to me just how sweet these waking hours are, and how ironic that it all takes place while I am still too unconscious to fully treasure and savor each moment the way that I would like to.