As you've noticed in the previous post, our Sugar passed away late Monday night. It was a long, drawn out process to get where we were that night, in the exam room at the emergency vets office, and it passed in literally 4 days. This is long, so be prepared.
As you all know, on May 7, Sugar started bleeding. I suspected it was the same problem that Half Rat had, and I still believe I am right. We took her to the vet on May 8, and as happened with Halfs, the vet prescribed antibiotics for 7 days to make sure it wasn't an infection. We took her home, gave her the meds and waited.
In that week she became the rat I knew she would. She fully developed and gave us a glimpse at all the adorable ratness that she kept hidden for so long. We got to play with and appreciate her quirks for just a few days, which leaves me feeling terribly shortchanged.
On May 15, one week after our visit to the vet, I called and said the medication hadn't changed anything and asked for the vet's recommedation. He chose not to see her again, and instead just scheduled her for surgery on May 22, which was the earliest he would do it, despite my complaints that she really needed it sooner rather than later. Apparently, he only works part time, and his schedule is rigid.
I accepted that, and stopped giving Sugar her antibiotics that day. By the next morning, Friday, May 16, she was having very dark poos and a lot of them. Her appetite and demeanor were normal, so I just chalked it up to her body rebalancing after the medication. (As we all know, antibiotics wreak havoc on a rat's system.) By the end of the day the poos had turned bloody, though not horribly bad, and she still seemed in high spirits. I called the emergency clinic and they said the best they could do is stabalize her until the regular vet opened on Monday.
While I didn't like leaving her the way she was, I figured as long as she was still eating and drinking, she'd make it. By Saturday afternoon, her poos had changed again to a dark green and were more solid and better formed. She was still eating and drinking at this point, and still running around the cage, so I figured I'd still take her in on Monday but that the worst was over.
Wrong! I got up Sunday morning and her cage was full of very soft, very dark poos. She had lost control of her bowels during the night and her cage, which I had just cleaned the night before, was a mess. She was also having difficulty breathing and her sides were heaving.
Worst of all, she wouldn't take any food or drink. The last time I saw her voluntarily drink was on Saturday night.
I spent Sunday trying to get her to eat soft foods like yogurt and applesauce and baby food. She'd sniff it and push it away. I syringed her water, but I don't know how much she was getting, as she was doing the same rubbing of the chin on the bottom of her cage after I gave it to her, like she did when taking her medication. She also started having this dry, raspy cough. No regular vet was open that day and the emergency clinic didn't open until 5:30pm.
I just prayed she'd make it to Monday morning so I could take her in.
We got up early Monday morning, and it was obvious we had a very sick rat on our hands. She had again, lost control of her bowels all over the cage and was sleeping in her food dish, I assume because it was elevated off the floor and clean. Her fur was sticking straight out all over, her eyes had started leaking porphorine, she was breathing through her mouth, making this "clicking" noise with each inhale, wouldn't eat or drink and was still bleeding.
I took her in to the vet on an emergency basis to be seen asap. We went to the other exotics vet I had been debating about. Their staff was nicer, but it was the same bedside manner of the first vet. She was just a "thing" and not a suffering rattie.
He agreed she was very sick, and recommended that I spend $750 for a complete work up. I opted out of the parasite stool samples (2 of them), the blood tests (since she was already so stressed, blood tests could have thrown her over the edge), the geriatric exam, the "misc." and the overnight monitoring. I chose to have her hydrated and vitamined, and to have xray's taken.
Then I left for a couple hours, after having been there for 2.5 hours already, to get some lunch and let them work on her.
When I came back in the afternoon, the vet came out to talk with me. He didn't show me the xrays, which bothered me, but he said she didn't have any lesions on her lungs and everything looked ok.
His diagnosis was that she was having trouble with her uterus, which he said felt "tonic", "enlarged" and "hard". He agreed she needed to be spayed. However, she wasn't a good candidate for surgery until she was properly hydrated and eating again. She was too fragile at this point to do it. He then said the GI tract problems were probably from the antibiotics, and those two problems compounded and made her stressed, so she started having breathing problems, since there was nothing else to suggest why she was having trouble breathing.
He still wanted to do the other tests on her, but she was perked up a bit with a big bubble of fluid under her skin, which seemed to be helping her to feel better, so I decided to just bring her home for the night. Our plan was to get her on probiotics to bring her intestinal flora back to balance, something to get her poos firmed up and electrolytes for her water so she would get double effectiveness from the hydration. He prescribed this bunch of homeopathic medicines for her, which I bought, I paid my bill and we came home. The vet said I should see a change in 3-5 days, and to let them know in a couple days how she was progressing.
She was still having labored breathing, but it was not nearly as bad. She also had enough energy to hop into her cage by herself. I gave her the first dose of her new meds and left her to relax. It was about 3pm by this time.
I checked on her at 4pm and she still seemed to be doing about the same. She still wouldn't eat or drink, but I didn't worry much as she was recently hydrated.
I checked on her at 5pm and she had started to go downhill. She now had porphorine coming out of her nose, which was a first. She was breathing much more hard, but wasn't breathing out of her mouth yet. She had only taken 1 poo. But she was in her igloo and didn't want to come out, so I cleaned her face, pet her and let her be. Her fur wasn't poofing out yet, so I just let her rest.
At 6pm Jason was home and we went to dinner to discuss Sugar. I hadn't been able to tell him anything all day, because he was locked in a meeting, so I was just about bursting when he got home. I laid it all out there, and we both decided if she kept getting worse, we'd put her to sleep because there were so many problems and if she wasn't showing progress at this point, but regress, there was probably nothing more we could do. I felt better with his input, and we headed back home.
At 8pm Sugar was a mess. She had still only pooed once and hadn't had any more diarrhea that she had early that morning. She was also bleeding less. She wouldn't eat or drink and her fluid bubble was almost completely gone. The vet said it should last for 24 hours, but she had nearly depleted it in about 9. I was horribly worried, and she had porphorine all over her face.
I pulled her out, cleaned her up, and did with her what I did with Rat to ease her breathing. I elevated her head and just stroked her head and back. I sat with her over an hour this way, and her sides were just heaving and she was breathing out of her mouth and coughing. She was obviously in a lot of distress. I tried to alleviate it by steaming her, to see if it would open her airways or clear up any blockage. It did help, minimally, but the moment we went back into the rest of the house, her breathing got worse.
At this point it's 10pm and I know there's nothing else we can do. I can't let her suffer overnight; there's no way. So I call the emergency clinic and they agree to take a look at her, but don't promise anything.
We bundle up and head out. The ride must have excited her or something, because when we got there her breathing and coughing had calmed down a little. We sat around and sat around, and finally got to see the doctor.
*As a sidenote, this was the most incredible vet. He was just like our vet in Albuquerque. He was so nice and gentle with her, and he kept her head elevated so she could breathe a little better and he complimented her on what a sweet girl she was and was gentle with me too. He was wonderful, and unfortunately, only works nights at the emergency clinic. He doesn't have a day practice. Boo on that! I'd recommend him to everyone, because he was 1000% times kinder and more concerned with Sugar than the other two we saw.
After actually wanting to hear her history (when the other vets brushed me off, cut me off mid-sentence to ask a question I had already answered in my narrative and generally tuned me out) and listening to the tests and symptoms we had done, he said he didn't know how to put all the illnesses together. He couldn't give me a reason why she was as sick as she was. He suggested it was multiple system and organs failing, because there were so many involved. He said they could put her in an oxygen chamber for the night, but I'd have to pick her up by 8am the next morning, when they closed. What would I do then? There were no easy answers.
He looked at me and I looked at him. We both looked at Sugar.
I told him we were ready to put her to sleep, because we felt she was suffering too much and she was so frail (she had lost 80 grams in these 4 days) and we just weren't seeing any improvement that would warrant letting it drag on. He agreed.
It was nice to have the vet on my side saying it was ok to let her go, while the vet earlier that day had wanted to do everything to test her and go to heroic measures. Sometimes you just need the doctor to "give you permission" to put your pet to sleep. It's such a hard thing to do, and it's nice not to feel like you are cheating your pet.
The decision itself wasn't really that hard. If you could have seen her, you'd agree. She was just miserable and scared and struggling. She didn't seem to be in any pain, though, which was a blessing and a relief. She never squeaked; not once.
So, I spent some time with her, cuddled her, stroked her head and her lovely dumbo ears and told her how much I'd miss her and how I was sorry we only had 4 months together. I kissed her on the head, signed the papers and watched the doctor take her out of the room. If I had to choose anyone to help her over the bridge, it would be him. I am so thankful her last awareness were gentle hands and a sedative.
I was exhausted, mentally and financially, and by the time I got home, I realized I had spent $750 that day alone for her, and I feel like I didn't do her much good in the end.
The cage is still fairly clean from Monday afternoon, and I haven't had the heart to clean it yet. I still walk in looking for her to stick her head out of the igloo. When I was working yesterday, I swear I could hear her thumping around in the cage, but of course she wasn't there. Last night I came in to tell her good night and give her a treat, and was shocked to see the cage doors open and the rat gone.
It's amazing how attached I got to her, so quickly. I can't believe she's already gone.
Too much, I tell ya. Too much.