|
In
Puerto Rico, where I was born, if a woman co-habited with a man for
7 years she became his common law wife. And so it was with me and
Sabrina.
She was my guardian angel with a great tush. She was always
protective, slept with me and allowed me to kiss and pet her. And
when I got 'lucky', she rolled over for me.
During the days we spent together, she was sometimes opinionated
even while playful, but she never let me out of her sight. She
allowed me no privacy on the pot or in the shower and, if I moved
from room to room, she got up and followed me, waiting patiently for
my next move. If I asked her to "stay" she did, but only for a
limited time and then she would find me, barking her demand: "where
do you think you are going without me? Somebody has to take care of
you." I got used to it after 7 years.
* * * *
On April 5th, 2006, after a short
trip out of town, I came home to find that Sabrina, still in her
winter coat, had developed a lump in her chest just behind her right
leg. It fit in the palm of my hand. Carol had mentioned wasps and
the lump felt warm so was it a reaction to a bad bite? Well, it was
worth the thought so I decided to wait a day to see what happened.
There was no change by the next day so I opted for the vet where the
area was shaved revealing a mass the size of a small melon, mostly
blood, it was surmised. After some drainage and rummaging around,
cancer became the most likely suspect. She was bandaged and wrapped
to avoid any unsightly leakage.
The mass grew larger and Sabrina's right front and rear leg swelled.
The next ten or twelve days were
a serious, sad, sleepless blur -- traveling from vet to vet, hours
on the road, in waiting and examining rooms -- waking at all hours
of the night to the sound of whimpering, sleeping on the floor,
stroking Sabrina's muzzle until she calmed down and fell back to
sleep.
Poor girl looked, and probably felt, like a pin cushion, all four
legs shaved for easy needle insertion. Her chest and belly shaved
for ultrasound and biopsy sampling. But, for the most part, she
remained herself -- protective, of normal appetite, with normal
water intake and regular bathroom habits. Except for the lump, she
was normal I kept saying to myself. Was it cancer for sure? And if
so, what kind? Operable or inoperable?
The next morning, she was at a Veterinarian Cancer Clinic with four
Board Certified Oncologists -- each with their own area of expertise
including surgery. The radiologist read her x-rays but didn't see
any metastasis. Ultra sound and CTs were performed and nothing
seemed abnormal in her ribs, heart, stomach, intestine, bladder or
spleen. All good news.
Whenever she emerged from a veterinarian office, I held my arms out
to her (my signal to come -- remember Sabrina was mostly deaf) this
little wiggle butt, trotted to me with her habitual sniff,
sniff.....hmmmm.... sniff, sniff -- head up for a kiss. Same as
always.
From the ultrasound we could see
that the mass was totally encased and filled mostly with blood and
necrotic material but we hoped for a granular tumor and therefore an
operable tumor. However, there was little doubt that it was some
kind of cancer. But the lab reports came back inconclusive.
On the 12th Sabrina seemed a bit weaker to me and had some trouble
breathing so I asked to test her for anemia. It turned out her
levels were low, just at the edge of the danger zone, so she was
transfused with two units of blood.

On the 14th, the oncologist
sedated her, and with an ultrasound view to guide him, re-sampled a
portion of the mass that was tucked waaaaaaay up, deep into her arm
(leg) pit, and was a little darker in coloration. From there we
hoped to retrieve a bit of cancerous tissue for an accurate
pathology report which would then guide our decisions.
We expected the report on Mon or Tue, the 17th or 18th. Further
testing on Fri late and Sat indicated Sabrina was holding her own
blood wise.
But it was not to be. On Sunday, the 16th, I noticed she was acting
a bit peculiarly...almost as though she wanted to be alone. She
lacked some energy but otherwise was ok. We went outside and she
looked about, in retrospect it seemed to have been a bit wistfully
but, of course, that was probably my imagination working overtime.

As she barked at the neighbor's
puppy, I noticed a blot on the bottom of her bandage and it was damp
to the touch... more than before... so I called the Emergency Vet
Hospital and with a short description of the problem, took her
there.
I wanted the bandages removed to see what was going on and to
re-bind her so we could return to the cancer hospital the next day.
As the bandage was cut away an ugly mass of clotted blood and other
necrotic matter fell out of a 3 inch hole in her chest.
There was no way this ugly mess was going to be pushed back in so,
gingerly, the vet started to pull away the necrotic material, hoping
it wasn't connected to a ruptured blood vessel while, along with two
vet techs, I stood with Sabrina, stroking her muzzle and whispering
into her right ear (she had about 10% hearing in that ear). She lay
there quietly.
Her skin in the wound area had rotted and the hole widened to about
4" and she started to bleed out; the blood flow was heavy and
frightening. Quickly, the vet grabbed big, thick pads of gauze and
jammed them into the cavity with four fingers of his right hand and,
like the little boy with his finger in the dike, pushed down,
holding back the flood.
The problem was what to do next.
There was an infinitesimally slight chance for coagulation so
together, we decided to clean out as much necrotic material as
possible, to pack the cavity with gauze, applying a lot of pressure,
binding her up as tightly as a Japanese Geisha's feet and await the
outcome. Would this stem the blood flow?
Sabrina was injected with something to "take the edge off" as we
wheeled her to a large crate located in the main examining area
where she could rest. I removed my shirt and left it for her to
smell but I wasn't allowed to remain with her.
I gave the vet instructions that, in an emergency, he should
immediately take her to the operating room and do everything
possible to save her.
There was nothing left to do but wait so Carol and I decided to take
a short drive just to get some fresh air. I had a terrible
foreboding but all we could do was hope.
Strangely, we elected to do something we hadn't done in years: we
stopped at a Carvel for an ice cream. No sooner than we sat down in
the sunshine to eat our cones, my cell went off and I was informed
that Sabrina had bled and was rushed into surgery. Sort of numb and
dumb and running on emotional 'empty', we did the only "feel-good"
thing we could -- quickly finished our ice cream -- then raced back
to the Emergency Hospital.
I paced the waiting room while Carol sat quietly, controlling
herself. A fax came in from the cancer clinic with Sabrina's tests,
blood types, etc. And I paced some more. An hour went by and I asked
for a progress report. The receptionist left and returned to say the
doctor would be out to talk to us. She ushered us into a small,
private examining room. We knew what to expect and I prepared myself
as best I could.
The vet entered the room, his gloves still on, with a forlorn
expression to explain what we already knew: he wasn't able to find
the bleed source. He had cleaned the cavity but it was further
inside her body. Cutting her open to get there might result in
little and Sabrina's quality of life at the end would probably be
nil even if the leaking vessel(s) was/were located and cauterized or
clamped.
This cancer had left a hole in the side of her chest big enough to
put your fist into. With little choice I agreed to "put her to
sleep".
To his credit and with great sensitivity, the vet asked if we wanted
to see her. "Of course" and I told him I wanted to be with her when
she was euthanized.
So, together, just barely controlling our emotions, we trooped into
the operating room and gathered around Sabrina's unconscious body
with tubes and electrodes and beeping monitors and, for a few
minutes alone with her, we cried and stroked her and kissed her and
said our private good byes.
Then a vet tech entered the room and one by one the monitors were
extinguished, the switches switched, the power turned off.
And I told the vet to go ahead with her euthanasia.
Sabrina was put to sleep Easter Sunday April 16th, 4:20pm. She died
on the operating table at the Danbury Emergency Clinic in
Connecticut. She was 9 yrs, 7 months and 19 days young. Carol and I
were with her when her heart stopped beating.
We kissed her goodbye again -- for the final time -- and left the
vet's office via a side door, tears streaming down our faces. We sat
in the car and sobbed for a while. Then we took a couple of deep
breaths and drove home to Truman.
When we unlocked the house door, Truman came to say hello and to
check Sabrina for a have-you-been-anywhere-interesting? sniff. Not
seeing her and maybe sensing sadness in the air, he appeared a bit
confused and wandered around aimlessly.
As I write this, I'm still getting used to taking a shower alone.
Sabrina's bed is still in the corner, her leash hangs where it
always did and her food bowl is where it always was. We don't have
the heart to move them. Her ashes are coming in a few days and we
will put them somewhere appropriate outside in the gardens, after
I'm willing to part with them.
If I was a religious person, which I often wish I was these days, it
might add some meaning to the fact that she died on Easter Sunday
and that maybe she was on her way to a wonderful after life but,
unfortunately, I'm not a religious person and I'll just have to live
with the finality of her death.
I adopted Sabrina at age two but in the end, I'm heart broken
because I couldn't rescue her.

Dakasha's Lady Sabrina
DL657371/01
August 28, 1996 - Easter Sunday, April 16, 2006

Our deepest appreciation
to
Dr. Jeffrey Hubscher & Dr. Joan Kobalka for their primary care,
initial evaluation and recommendations
Dr. Victor Rendano & Dr. Rachel St-Vincent at the Advanced
Veterinary Center for their caring expertise
Dr.Tony Dellamonica at the Danbury Emergency Center for his valiant
efforts & sensitivity at a terrible time
and
to all the receptionists, vet nurses, techs & everyone else who
cared for & about Sabrina
and especially to Megan for her hugs at our lowest low.
Jan Rifkinson
April 2006
|