{"id":2714,"date":"2018-09-07T19:21:10","date_gmt":"2018-09-08T00:21:10","guid":{"rendered":"http:\/\/dancingcavy.com\/mysterisa\/?p=2714"},"modified":"2018-09-07T19:24:39","modified_gmt":"2018-09-08T00:24:39","slug":"balancing-act","status":"publish","type":"post","link":"http:\/\/dancingcavy.com\/mysterisa\/2018\/09\/07\/balancing-act\/","title":{"rendered":"Balancing Act"},"content":{"rendered":"<div id=\"attachment_2715\" style=\"width: 310px\" class=\"wp-caption alignleft\"><a href=\"http:\/\/dancingcavy.com\/mysterisa\/2018\/09\/07\/balancing-act\/slyolgal-8-18-18\/\" rel=\"attachment wp-att-2715\"><img aria-describedby=\"caption-attachment-2715\" decoding=\"async\" loading=\"lazy\" src=\"http:\/\/dancingcavy.com\/mysterisa\/wp-content\/uploads\/2018\/09\/SlyOlGal-8-18-18-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" class=\"size-medium wp-image-2715\" srcset=\"http:\/\/dancingcavy.com\/mysterisa\/wp-content\/uploads\/2018\/09\/SlyOlGal-8-18-18-300x200.jpg 300w, http:\/\/dancingcavy.com\/mysterisa\/wp-content\/uploads\/2018\/09\/SlyOlGal-8-18-18-150x100.jpg 150w, http:\/\/dancingcavy.com\/mysterisa\/wp-content\/uploads\/2018\/09\/SlyOlGal-8-18-18.jpg 600w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><p id=\"caption-attachment-2715\" class=\"wp-caption-text\">Old age isn&#8217;t easy for any of us.<\/p><\/div>\n<p>I know I haven&#8217;t been keeping up on this blog as much as I used to.  Life gets in the way and Risa&#8217;s been struggling lately.  I&#8217;ve been struggling, too, with possible end of life decisions for her.  I don&#8217;t think we&#8217;re there yet but I can&#8217;t help but think about it.  Some days more than others.  Pre-grieving, I believe it&#8217;s called.  Risa&#8217;s been through and bounced back from so much but I know, some day, that will no longer be the case.  I&#8217;m always trying to keep her quality of life at the forefront of my mind.  I don&#8217;t want to lose her&#8211;EVER&#8211;but I won&#8217;t make her hold on for my sake.  I owe her more than that.  Deciding when the time could be, however, is always a challenge.<\/p>\n<p>It was weighing on my mind a lot the past month.  A lot.  Like not sleeping.  Worrying that I might be reaching the limits of what I can do to help her feel comfortable.  Her back injury is taking its toll.  The nerve damage is showing.  She stands wide, falls into a sit if she tries to make a tight turn, and she stood on her overturned right rear paw for at least 30 seconds the other day.  It&#8217;s rare that she stands still&#8211;moving is more comfortable&#8211;and she has trouble getting up.  She doesn&#8217;t even lie in her orthopedic bed anymore because I think she has trouble getting out of it.  She chooses the flatter beds instead.  Her right elbow is also acting up again which is troublesome when she places a lot of her weight on her front end because of her back end&#8217;s issues.  She&#8217;s on three pain meds at the moment (tramadol, amantadine, and Tylenol).  I stopped her gabapentin when it appeared that it&#8217;s use might be causing some of her issues.  I&#8217;m no longer sure if that&#8217;s the case though she appeared to improve after I stopped it.  She definitely had significantly worse neurological symptoms when I increased the dosage at my vet&#8217;s recommendation.  It&#8217;s been a challenging balancing act trying to alleviate her discomfort.<\/p>\n<p>She&#8217;s also had a chronic urinary tract infection for several months; possibly even from as long as she&#8217;s been on prednisone.  The pred definitely caused some urinary leakage (requiring washing of dog blankets at least weekly) and may have been the cause of her UTIs.  After a third urinalysis came back positive for bacteria, I had concerns the pred was the problem.  She&#8217;s on antibiotics again for at least 4 weeks to clear it up and I decided to discuss taking her off prednisone with our vet.  Our TCVM vet had prescribed it and agreed with weaning her down.  She gave me a schedule that would have her down to 1\/4 of the dosage in about a month&#8217;s time.  Unfortunately, Risa&#8217;s pain level has increased and the medications she&#8217;s on are insufficient to keep her comfortable.  I had a chat with her general vet about the prednisone wean and he recommended we expedite the process so we can start Risa on NSAIDs again.  It&#8217;s still a three week long wait but I think it&#8217;s truly her best option.  We could potentially eliminate the UTI problem (assuming, of course, there isn&#8217;t anything else going on to cause it) but, more importantly, make her less painful.  I find it funny that I was so against putting her on NSAIDs when she first injured her back and now that&#8217;s the thing I want to do for her most of all!<\/p>\n<div id=\"attachment_2716\" style=\"width: 210px\" class=\"wp-caption alignright\"><a href=\"http:\/\/dancingcavy.com\/mysterisa\/2018\/09\/07\/balancing-act\/bestdog-9-1-18\/\" rel=\"attachment wp-att-2716\"><img aria-describedby=\"caption-attachment-2716\" decoding=\"async\" loading=\"lazy\" src=\"http:\/\/dancingcavy.com\/mysterisa\/wp-content\/uploads\/2018\/09\/BestDog-9-1-18-200x300.jpg\" alt=\"\" width=\"200\" height=\"300\" class=\"size-medium wp-image-2716\" srcset=\"http:\/\/dancingcavy.com\/mysterisa\/wp-content\/uploads\/2018\/09\/BestDog-9-1-18-200x300.jpg 200w, http:\/\/dancingcavy.com\/mysterisa\/wp-content\/uploads\/2018\/09\/BestDog-9-1-18-100x150.jpg 100w, http:\/\/dancingcavy.com\/mysterisa\/wp-content\/uploads\/2018\/09\/BestDog-9-1-18.jpg 400w\" sizes=\"(max-width: 200px) 100vw, 200px\" \/><\/a><p id=\"caption-attachment-2716\" class=\"wp-caption-text\">Still trucking along and getting enjoyment out of life.  Even if her pace is slower.<\/p><\/div>\n<p>I still worry that she&#8217;s not going to make it through the year.  Winter is going to be hard on achy old bones.  And snow is difficult to navigate.  It&#8217;s hard to say how much longer she has.  With her health issues over the years, I&#8217;m happy to see her approaching 15 years of age.  I just hope that, whatever time she has left, it&#8217;s good time.  Because that&#8217;s my biggest concern with her right now: quality of life.  She still gets out for walks even if they&#8217;re short and slow.  I still take her for outings when I can because it&#8217;s important to keep her mind active.  We even got one last chance to dance together at this year&#8217;s local freestyle competition.  I don&#8217;t know how I held it together but I did.  And we truly enjoyed every moment together in the ring among our friends.  I know the journey is coming to an end.  I&#8217;m so thankful for it.  I&#8217;m so appreciative of everything this dog has done for me, taught me about, and lead me to.  She has been my rock. . .and I hers.<\/p>\n<p>Here&#8217;s to hoping the next 3ish weeks fly by and that the re-addition of Novox helps put some more pep back in her step.  <3\n<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I know I haven&#8217;t been keeping up on this blog as much as I used to. Life gets in the way and Risa&#8217;s been struggling lately. I&#8217;ve been struggling, too, with possible end of life decisions for her. I don&#8217;t &hellip; <a href=\"http:\/\/dancingcavy.com\/mysterisa\/2018\/09\/07\/balancing-act\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[63,50,11,52,49,53,17,36,35],"tags":[],"_links":{"self":[{"href":"http:\/\/dancingcavy.com\/mysterisa\/wp-json\/wp\/v2\/posts\/2714"}],"collection":[{"href":"http:\/\/dancingcavy.com\/mysterisa\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/dancingcavy.com\/mysterisa\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/dancingcavy.com\/mysterisa\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/dancingcavy.com\/mysterisa\/wp-json\/wp\/v2\/comments?post=2714"}],"version-history":[{"count":4,"href":"http:\/\/dancingcavy.com\/mysterisa\/wp-json\/wp\/v2\/posts\/2714\/revisions"}],"predecessor-version":[{"id":2720,"href":"http:\/\/dancingcavy.com\/mysterisa\/wp-json\/wp\/v2\/posts\/2714\/revisions\/2720"}],"wp:attachment":[{"href":"http:\/\/dancingcavy.com\/mysterisa\/wp-json\/wp\/v2\/media?parent=2714"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/dancingcavy.com\/mysterisa\/wp-json\/wp\/v2\/categories?post=2714"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/dancingcavy.com\/mysterisa\/wp-json\/wp\/v2\/tags?post=2714"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}