Thursday, January 12, 2012

Meanwhile, Riley is outraged


We took Boscoe in for another day-long glucose test on Tuesday. I'd been hoping to avoid doing this again--he hates it so much he starts shaking the second we pull into the parking lot, and I really hate to think of him lying in a cage all day, being poked every hour on the hour. But he was feeling so punk and drinking so much water and not eating that I figured I had to.  One day of discomfort in exchange for many days of feeling better.

And that is exactly what happened. The vet did the glucose curve and adjusted his insulin, so hopefully he'll eat better and have a little more energy. And he drew blood and sent it out for testing.

Yesterday, he called with results. Boscoe's kidneys are failing. This explains the huge amount of water he's drinking--it's not diabetes related this time, but kidney related. So sad. But not a big surprise. His numbers were a little elevated last fall, and I had been worried that they had gotten worse. Knowing is hard, but it's better to know.

We can't fix his kidneys, but we can do a few things to make him feel better. So yesterday on my way home from work I stopped at Tim and Tom's Speedy Mart and spent $30 on fresh ground beef, Maalox, Tums and Pepcid. I know what you're thinking: Yum! The ground beef-Maalox-Pepcid casserole just like Mom used to make!

Well, it's part of the kidney diet for ailing dogs. I can't remember exactly what all these things do--the Maalox removes some of the phosphorous from his body (I think), and the Pepcid helps his stomach feel better, and the Tums have calcium, and the ground beef, well, that's his nourishment.

And last night I cooked up a pan of ground beef, egg, and bread, and oh my gosh Boscoe devoured about half of it. This morning he gobbled down the rest; I haven't seen him eat this enthusiastically in months.

But... Riley. Poor Riley. He stood off to the side, watching intently, whimpering softly. For months now he's watched as we fed Boscoe lovely smelly canned foods slathered in gravy and chunks of meat. He's watched as Boscoe has grown weaker and we began feeding him by hand, first while he was standing, more recently as he lies in his bed. Boscoe lounges against the pillows like a sultan and we hold out palmfuls of delicacies, which he sometimes deigns to eat and sometimes declines.

And Riley stands quietly off to the side, watching, suffering.

Dogs do have a sense of justice, you know. What you do for one you have to do for the other. And so I have always been careful to give Riley a tiny bit of chicken, a little dollop of canned food on his kibble, a sliver of cheese. But he can clearly see that the treatment is not equitable.

We try to make it up to him in other ways. He gets so many walks--Doug takes him at 5:30 a.m., and I take him again at 7:30 a.m., and the wonderful dog walker comes in the afternoon and takes him again, and I walk him at least around the block and often farther after I get home from work.

On the weekends, we load up our iPods with RTE documentaries and Radiolab shorts and walk him for hours through the neighborhood. We stop halfway at a coffeeshop and get coffee and milkbones.

But walks are not food, and he isn't thinking about those walks when he's watching me hand over warm, greasy blobs of lovely fried hamburger to the reclining Boscoe. No, he is thinking, life isn't fair! And life is supposed to be fair! And I ... want ... hamburger..... TOO.


Boscoe makes him nervous in other ways. This morning Boscoe pivoted in the kitchen and then fell, sitting down in the water dish; Riley did not like that at all. You think I'm gonna drink out of that now? he was clearly asking as he watched in fury. Huh? You think I'm gonna drink out of butt water?

When Boscoe falls, or staggers, or cleverly leans against something (a chair, my legs, the refrigerator) in order to stay upright, like Dean Martin, Riley is watching. When Boscoe has trouble standing up and needs to be hoisted, Riley is watching. When Boscoe has accidents in the kitchen or needs to be carried outside to do his business, Riley is watching.

Sometimes he flees upstairs, and we let him go, thinking he knows best--that he needs to remove himself from a troubling situation.

Still, I worry that we have one stressed-out little dog on our hands. And I'm not sure how to make it up to him, or how to make it easier.

At least they are still good pals. I think that helps. But in the end it might make it even harder.

17 comments:

Rudee said...

Poor Mr. Riley. You're right about their sense of inequity. He knows that Boscoe is getting the special attention right now and he is not.

I'm not prescribing here, but weighing in a bit. In humans, we avoid use of pepcid in cases of renal insufficiency, or we dose accordingly (like low dose pepcid, or intermittent dosing). I'm sure your vet advised you to use this drug, but just in case, in people with RF, for being available over the counter, it's not a benign drug. I'm not at all sure how it's given for canines with this special problem.

laurie said...

the vet prescribed 5 mg (which is half a pill) once a day. he thinks boscoe might have a little ulcer.

the way things are going with these dogs, i'm surprised it's not riley with the ulcer. or me.

JC said...

I am so sorry.

I watched my Sweet Bella get old and sick for years. Each time, I tried this surgery or that med. Only the last time, I couldn't do anything.

Maddy Jean has mourned her sister so much that I got her a new friend.

I have been in your shoes and know how this goes.

Take it day by day.

Far Side of Fifty said...

So sad for Riley too..he is a side line victim..and will really miss his old buddy..he probably already does. I am sure that Riley will cut you some slack..he sees how hard you are trying to keep his old friend comfy. Welcome to old dog Hospice Boscoe:(

Green Girl in Wisconsin said...

Oh, poor Riley. I guess I never considered what happens with Boscoe would affect him, too.

NanaNor's said...

Hi, Sending big hugs your way. I feel bad for Riley but more so for Boscoe because he is obviously growing more frail and weak. BTW, we were advised to give our old dog Sadie Pepcid and it helped her-so go by what your vet advised. Our old Reggie, 13, has had a few seizures and during the minor ones he gets really disoriented, weak, and leans or falls down. We also have given into feeding him dog food slathered in gravy etc. Make him as comfortable as possible. Riley will know instinctively what is happening and save some special treats for him.
Noreen & Reggie-dog

Babaloo said...

Ah, you poor guys! Give Riley a hug from me. And Boscoe, too.

BilboWaggins said...

Oh Laurie, you know so many of us have walked this road but it doesn't make the path any easier for you :{

My gut feeling would be don't worry about the Pepsid, but I'm not a vet or a doctor. When Ollie got really sick (with the vets agreement) we doubled his Metacam giving him two doses per day. The logic was that keeping him pain-free was more important and he wasn't going to be with us long enough to worry about other side effects.

As for the food, yeah, done that too! There comes a time when it doesn't matter what they eat, so long as they ARE eating, and enjoying it. I do feel sorry for Riley, but it sounds like you have more than enough love for both of them.

thinking of you, xx

Nora said...

Lots of love to Riley and Boscoe and really all of you. Just make it as comfortable and easy on everybody as you can, especially Boscoe. What can hurt him now, after all?

Maery Rose said...

My previous dog was diagnosed with kidney failure and I did many of the same things only I was told to put her on a low protein diet. That prescription stuff must taste awful. She wouldn't eat it. Then I tried making food myself with rice and hamburger. Worked for awhile but that must not have been very tasty either. I wish I would have said screw it and just fed her whatever she wanted as you're doing as the deprivation did neither of us any good.

Shammickite said...

Your story makes me think of our old WendyDog. Hugs and pats to Riley.

Two French Bulldogs said...

Oh my goodness, all our feets are crossed
Benny & Lily

sonia a. mascaro said...

Love reading your blog.
Give to Riley and to Boscoe a big hug from me.

Indigo Bunting said...

So hard.

Anonymous said...

I am so sorry you are all going through this. Is there any way you can remove Riley to another room when you feed boscoe... Maybe give him a special treat in the bedroom so he won't be confused about Boscoe's special treatment?

Best of luck... this is not easy, but important.

Devon

Carol said...

Not easy for any of the family!

*hugs*

C x

Brenda said...

Going back and reading some of the posts I missed. What a sweet photo of Riley and Boscoe touching noses.