Uriel's Story submitted by Rusella S. (Uriel's Mom)
March 21, 2007
It is dusk as I write this, and there is a brisk wind blowing rain and cool air outside. Uriel sits a few feet away from me on a warm carpet, chewing on a treat happily and peacefully. She pauses now and then to lick the flavor from it and rest from the work. Almost 12 years old now, it takes her longer to munch what she used to devour in a few easy minutes. The unsettling tumor on the top of her skull does not help.
It feels like both long and just yesterday that I heard my husband, Raul, casually mention that he had "got us a dog" a female black Labrador puppy for us from a friend who had already adopted the puppy's sister. The most meaningful events in our lives can come from the most mundane circumstances; little did we know at the time how much that brief exchange would change our lives, how much happiness and love a dog could generate.
From the moment we saw her, Uriel became a part of our family. She was and still is as much a part of us as the very breaths we take. She was our first "child" together, and she taught us all the virtues that parents cultivate with human children: patience, persistence, tolerance, and love. After Uriel chewed several pairs of shoes, various hardcover books, and other sundry items, I implored our vet, at that time in Tempe, Arizona, "Can't I do anything about this? Is this normal?!?" The vet's singsong words still ring in my ears today, "Well, she's a lab, she's a lab!" I distinctly remember that I couldn't even get close enough to Uriel's face to give her a kiss because I'd get clobbered by an exuberant paw, a wildly bobbing head, a flapping tongue - all at once. She was a blur of movement in those days. Everything excited her, and a completely new world opened up to me, seen from her eyes. I was perpetually exhausted. I was in love.
Uriel was our companion on numerous trips to and from Arizona, where we lived, and New Mexico, where both of our families were from. She swam with us, ran by my side for countless happy miles, comforted me through many family deaths, witnessed the birth of our two children at home, and took care of them as if they were her own. And they basically were.
Uriel has a special energy. Everyone who meets her, however briefly, takes note of it. She is gentle and vulnerable, sweet and eager to please. She loves hugs and displays of affection as much as I love giving them to her. So, it was peculiar when, several months ago, Uriel began to avoid being patted on the head. She would duck or dodge the well meaning hand, and when I would forget her sensitivity and pet her anyway, her head felt hot to the touch. The strange symptoms continued occasionally throughout the following months: trembling shivers throughout her body, an increased uncertainty while navigating familiar territory, scrambling for footing on our smooth floors, and sudden starts during sleep that would awaken her and make her bob her head up and down like a buoy in water. All these were transient, and when I took her for a check-up and shots, our vet said he could see nothing wrong with her. Still, I was troubled.
Some of the symptoms continued and some abated. A new one appeared: a slight swelling, an almost imperceptible bulge on the left top of her head. I took her back to the vet, who took X-rays of her legs to look for a cause to her lack of coordination, and laboratory tests of her blood, which indicated an elevated white blood cell count. He insisted that there was "no bump" on her head. Throughout the next four weeks, the bulge grew rather quickly, and some of her other symptoms vanished. I tried unsuccessfully to ignore it, clinging halfheartedly to the vet's words that Uriel seemed all right. But something was very wrong, and Uriel told me herself by following me everywhere, looking up at me searchingly. It was obvious that she did not want to be left alone. Finally, three weeks after the previous appointment, Uriel went back to the vet, and this time, he immediately noticed the bulge. He took a small cytology sample and told me he would call me with the results in a few days. Unable to wait, I telephoned within two days, and he informed me that Uriel had a malignant form of cancer, an osteosarcoma, that was producing a new bone formation on and possibly within her skull I was devastated as I heard words like "terminal", "aggressive", "unaffordable". In that tone I have come to recognize with dread, he implied that the best thing to do would be to put her to sleep. I listened silently and then asked questions. At that point, he referred me to an oncologist in Santa Fe who could give me a more informed explanation and discuss treatment options, if there were any . Uriel had her first seizure a day later.
I first took Uriel to Veterinary Cancer Care on March 1, 2007. She was apprehensive, as usual, as was I. We both knew she was quite sick. When I entered the office, I was surprised to see a comfortable, home-like waiting area unlike the sterile, clinical atmospheres of typical veterinary practices. There were soft couches with oversized cushions, animal decorations throughout, a porcelain dog bowl with water on the floor, and a sense of serenity. All of the staff was soft-spoken, accommodating, and warm. Uriel sniffed around for a few moments and promptly went into a seizure. The staff quickly acted to keep her safe. Dr. Marie Mullins, who had introduced herself to me moments before, administered Valium to break the seizure. Once Uriel was resting comfortably on soft blankets, Dr. Mullins proceeded to spend time with me carefully explaining, answering questions, and covering every possible treatment option. Her demeanor was professional, encouraging, and kind. It was clear that her foremost goal was to make Uriel as comfortable as possible and maintain her high quality of life. I left the office that day with hope, with an appointment the following week for treatment, medications to help Uriel, and with a commitment to her well-being that Dr. Mullins and her staff fully supported and shared.
Dr. Jeannette Kelly gave Uriel an intralesional injection seven days later. It consisted of a cancer-fighting drug, carefully inserted in and around her tumor site. I had been worried about Uriel's reaction to clinical interventions. Early on in her life, perhaps as a result of her hospitalizations with parvovirus and a detached retina caused by the overly aggressive play of our other dog, her companion, Missy, Uriel developed a learned fear of veterinary clinics. She would howl ceaselessly throughout the night, needing extra reassurance. So, I was quite surprised when the staff informed me that Uriel was quite comfortable, relaxed, and had accepted the IL injection very well. That had never happened before. Uriel's sense of calm indicated that the staff at VCC was very special.
Quite a few times over the next few weeks, I thought I would have to put Uriel to sleep because she would develop new and troubling symptoms. I came to dread the telltale sounds that heralded a seizure, but eventually, grew accustomed to them enough to remain calm and focused on keeping Uriel safe. Dr. Mullins even explained to me a simple technique for reducing the severity and duration of the seizures. Dr. Kelly made herself so available to me and always worked with me towards making Uriel feel better despite her illness. I would telephone Dr. Kelly with developments; she would listen carefully and then prescribe a course of action that had Uriel feeling better within a day. Uriel truly rallied many times with this type of nurturing. I was not ready to lose her yet, and she was not ready to leave, either. Our family exceptionally grateful because each additional day with Uriel was a gift. Drs. Kelly and Mullins, and their wonderful staff gave Uriel a temporary reprieve from the ravages of her cancer and granted us the priceless blessing of several more weeks of precious time with her - time I will treasure forever. More importantly, Uriel's final days were gentler and sweeter than they would have been without treatment, without the tender care that she deserved. Her suffering was alleviated, and her quality of life was preserved as long as humanly possible. It was a very special time.
April 3, 2007
Uriel died peacefully at home today in my arms, surrounded by her family and the love she had always known. She required no sedative because she was already calm, perhaps ready. She succumbed within three seconds to what I hope was paradise for her. The afternoon was warm and light, and the breeze picked up when my daughter spoke of her conviction that Uriel was ready and happy to go. At that point, the front gate slammed shut. A member of our family was gone. We buried her next to Missy, her companion of nine years, who died seven months ago. We told her to say hello to Missy and Dante and all the others for us. I told Uriel to be there to greet me when I left this world, too. Their resting place is next to a grove of trees and overlooks our home, and I can see it every day I go outside to feed the dogs.
Letting Uriel go was one of the hardest decisions of my life. I miss her so much. I miss stroking her soft fur and looking into her beautiful eyes. I miss the love I always felt between us. The only solace I have is the hope that we freed her to be as happy as she was when she was healthy and running or swimming with us...perhaps even happier than that. |