Category Archives: The dying process

Tailwalking Buddy

Not that many years ago, a Border collie puppy named Buddy was born beneath a row of slacks that hung within my closet.

Alissa, our daughter in law, holding Buddy as a puppy

This puppy along with two other older Border collies would one day drive off a pack of marauding coyotes that, under cover of darkness, had stolen up behind Buddy’s human companions.This was the puppy who eventually would grow into an adept ranch dog capable of breaking up fights between huge bulls and of skillfully moving a cattle herd across our ranch.

A young Buddy

This was the patient dog who spent six weeks at my side while I, not so patiently, waited out a painful back injury. This was the puppy that would eventually grow into a wise old dog and who has now entered his dotage. In short, Buddy has now grown old.

Six months ago Buddy passed his 14th birthday. While his eyesight and hearing are not as keen as they once were, his major physical limitation relates to his mobility. You see, his rear end tends to give away, causing him to unceremoniously plop down. His collapse is usually followed by his soulful eyes pleading for a bit of help to regain his four footed stance. Trudy or I will then help him to his feet and allow him to get underway. We have found that by holding onto his tail and slightly elevating it, he is far more capable of walking without falling. This maneuver seems to aid Buddy’s balance and walking. We refer to this as tailwalking Buddy.

For a dog as independent-minded as a Border collie, it is surprising that Buddy accepts our tailwalking, but Buddy has a way of accepting gracefully his limitations that accompany his aging. I never thought acceptance would become one of his traits along with his intelligence, herding ability, and loyalty to his human companions.

Buddy also must now wear a belly band and incontinence pad. We suspect Buddy’s leakage also relates to his old spinal cord injury.

Notice the belly band around Buddy

Our method proves effective but requires us to buy large amounts of incontinence products at the grocery store and order his male belly belts online. Together this combination of items has saved spotting around the house. Again Buddy accepts the belly belt and pad without seeming to question. When he enters the house he waits patiently just inside the door for Trudy or me to fasten into place his padded doggie belt. (I worry as to what the store clerks must think about Trudy buying such large quantities of male incontinence pads! Fredericksburg is, after all, a fairly small town.)

Trudy and I have made other modifications around the house including elevating Buddy’s dog bowl to make it easier for him to eat, placing runners in our tiled bathroom to facilitate Buddy making it to his elevated dog bowl without falling down, and lifting Buddy into and out of the padded bed of my pickup.

We are unclear as to why Buddy shows progressive walking impairment. We do know that years ago Buddy suffered a spinal cord injury from a ruptured disc that briefly left him with paralyzed hind limbs. We suspect this is the likely cause, worsening now with his advancing age. With patience and rehab Buddy following his original injury gained a normal gait although never achieving full strength in his hind legs. Border collies also may develop hip dysplasia that could also be a contributing factor.

Trudy tailwalking Buddy

 

At times Buddy whimpers, yelps, and pants, all symptoms that suggest he is in pain. Learning this our veterinarian prescribed pain pills. These pills have helped. Nevertheless, nighttime is the worst time for Buddy. Trudy and I have spent many nights letting Buddy in and out of the house, requiring us to tailwalk him up and down the stairs to the yard, laying on the floor attempting to comfort him (he sleeps under the bed), and providing middle of the night snacks. Our list of interventions is short but repeatable. It is also exhausting.

A recent addition of a second pain medicine has provided further benefit. Nevertheless, on a daily basis we seem to see an overall worsening of Buddy’s mobility. His decline inevitably brings up the wracking question as to how long we should proceed with our Buddy routines in light of Buddy’s  discomfort. If Buddy stopped eating, lost his zeal to travel in the pickup, or no longer showed his love of life, the decision would become much easier. For now Trudy and I will help our aging Buddy dog to travel around the house and yard by holding his tail and dutifully trailing along behind him. Metaphorically speaking, is not this what Buddy has always done for us?

I’m here for you my human companions

Tom and Buddy

 

May The Force Be With You

The well known statement from “Star Wars” that serves as the title for this piece has of late developed special meaning for me. Perhaps I am still under the emotional overhang of my father’s recent passing, but the ease by which he passed has meaning for me. Dad died at the age of 96-years peacefully and in his sleep. His force to live diminished in his final months to a point where he was no longer walking, then no longer chewing, and then even refusing to swallow liquid supplements. His life force slowly ebbed away.

Dad (John Howard Hutton) when his life force was strong

In juxtaposition with Dad’s dying process has been my observation of an unfortunate, recently born calf on our ranch. Now I am in no way equating the value of the two lives, only making a comparison of their life forces.

Newest bottle calf being fed by Trudy with his good-for-nothing, calf-stomping mother looking on

The calf was refused milk by his mother for reasons unknown. Not only that but she kicked the calf nearly to unconsciousness when he tried to nurse. Later the mother calf became spooked and backed up, stomping her calf. Frankly I thought she had killed it.

Nevertheless, the following morning the previous “calf carcass” took a full bottle of milk. What a surprise! He’s not developed normally but is still making slow progress. He has a left front leg injury, one of the several spots where his mother stepped on him. Our newest bottle calf refused to die and continues to gain weight and hobbles about to a limited degree. I sometimes have to provide extra lift for the calf for him to get onto his four wobbly legs. As he grows, this may become a serious problem.

Given his miraculous survival, we refer to him as Phoenix. He rose off the pasture where he was near death and now greets Trudy and me with his long eyelashes for which Madonna would be envious, lovely dark eyes, and enthusiastic sucking at the milk bottle that sustains his life.

Mythological Phoenix

He still is not guaranteed survival. It seems his legs are too weak at times to get him up or possibly too painful. His walking is unsteady and wobbly and Phoenix tends to fall on uneven ground.

Nevertheless, Phoenix possesses a strong life force. I suppose this has to do with his young age and strong survival instincts. Regarding my Father, I cannot help but believe that after 96-years and having lived a full life that his life force had diminished down to nothing.

Grandson Graham earlier today feeding a somewhat older Phoenix

I recall the answer my grandmother gave when I asked her as a child what it was like to get old. She said, “Tommy, you just get tired.” I think she was right. Increasing fatigue accompanies age and illness. In my experience as a physician, folks just kind of give up at some point and are ready to die. Age seems to have a lot to do with it.

In my recently published book, Carrying The Black Bag: A Neurologist’s Bedside Tales I tell the story of a little girl with Reye’s Syndrome who by all accounts should have died. Despite an absolutely horrible prognosis she lived and thrived. I believe her young age had much to do with her survival. The force was with her.

To my readers, “May the force be with you,” by which I imply continued strong life forces and may you enjoy vital life in the years ahead.