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September 10, 2012

A few weeks ago on Twitter, someone responded to one of our posts about Lilly’s vaccine-induced meningoencephalomyelitis by saying essentially this, “It’s the price we pay for having a low incidence of rabies in the U.S.” Oh, I get the realities and perils of population medicine. Yet, the comment got me thinking about money, suffering, and a potential higher purpose.

The financial panic over Lilly’s seemingly endless treatment costs here at Chez Champion of My Heart remains fresh. While the shock wears off, an uncomfortable acceptance emerges:

  • No matter what we try or do, this may not end well.
  • We must make some decisions, set some limits, and protect ourselves and Lilly from all manner of suffering.
  • Another major relapse likely marks the end of this journey.

The good news on the cost front is that our neurology team has agreed to do the 4-injection chemo / cytarabine cycles for $200 each, rather than $400 each.

Without giving you TMI about my marriage (smirk), I’ll just say that there is disagreement in our home over whether to do the chemo or not … and if so, for how long and where.

I’m still processing — in my heart and my head — the other answers and non-answers I got from our neuro team last week.

As I write this, I have not had a chance to hash through things with our family veterinary yet. I have, however, confabbed with other friends who are veterinarians or longtime dog families and service providers. Those conversations are helping me cope with this ongoing medical emergency inside Lilly’s noggin and its impact in my life — both emotionally and financially.

That brings us back to this idea of THE PRICE WE PAY.

My initial response to that comment was something like: True, but it sucks to be the ONE paying the price.

I don’t mean this as angry as it probably sounds, but let’s be clear on this:

WE (as a dog-loving society) are not paying this price. I am. Lilly is. Tom is. 

Since Lilly’s massive and almost-deadly adverse vaccine reaction relapse in August, I have:

  • Not done a single workout.
  • Eaten far too much sugar.
  • Not gotten a full night’s sleep.
  • Often not even had enough time / energy to shower.

People love to remind me to “take care of myself,” but that’s harder than it sounds — especially when you take into account the loss of Tom’s mom in May, Lilly’s illness that began in January, AND the fact that there is a good chance we’ll lose my mom soon too. (I spend part of 3 days each week with her.)

I snarked at my mom’s priest earlier this year when she trotted out the “Take care of yourself” message. Doing so, I told her, meant either working less or sleeping less — neither of which I can afford to do. She replied, “Then, you need to make the most of things you have to do anyway.”

Touche.

Others have suggested meditation. I’m terrible at sitting meditation, so since the mid-1990s or so, I’ve done yoga instead. For me, it’s like meditation, but I get to move. Still … I haven’t gotten on the mat in a VERY long time.

Think about what I’m already doing, then:

  • I’m already up at night taking care of Lilly and not being able to go back to sleep.
  • I’m already worrying / sobbing for at least an hour or two each day, but especially at night.
  • I’m already experiencing grief or preemptive grief on a near-constant basis.

There is a Buddhist meditation practice called TONGLEN. I began using it decades ago after a friend died of breast cancer and our shared yoga instructor gave me some recordings from Pema Chodron talking about “Meditations for Difficult Times.”

Forget the typical breath-in-the-good, breath-out-the-bad meditation.

TONGLEN says to do this instead:

  • Experience your pain in its full glory. Don’t push it away or resent it. Live it.
  • Remember that millions of other people are suffering in similar ways this very second.
  • Feel compassion for yourself and for them.
  • Find and release a sense of love, ease, and comfort for everyone.

So tonglen meditation has three levels of courage. The first is to say, “Other people feel this.” And that is enough. But if, in that particular moment of time, it feels genuine to say, “May this become a path for awakening the hearts of all of us,” do so. And the one that takes you to the deepest level of courage is: “Since I’m feeling this anyway, may I feel it so that others could be free of it.”

I’m trying really hard to go to that place, after having someone say, “This is the price we pay,” as if Lilly is acceptable collateral damage.

best dog blog, champion of my heart, border collie suffering adverse vaccine reaction

I don’t always succeed, but there are moments, dog-loving friends, when I am aware that Lilly and I are going through this … so that you don’t have to.

 

About the Author Roxanne Hawn

Trained as a traditional journalist and based in the Rocky Mountains of Colorado, USA, I'm a full-time freelance writer for magazines, websites, and private clients. My areas of specialty include everything in the lifestyles arena, including health and home, personal finance and other consumer interests, relationships and trends, people and business profiles ... and, of course, all things pet related.

I don't just love dogs. I need them in my life. Seriously.

  1. You know, all the well meant advice is all great, but unless one walked in those shoes, that just simply have no idea.

    I think that simply making it through a rough patch is an accomplishment enough.

  2. I’m sending healing energy, positive thoughts and prayers your way. Thanks a lot for a great info..

  3. I was nearly brought to tears in reading this post. I am so very sorry for you, Lily, and Tom. May God give you the strength to make it through these trials. <<>>

  4. You’ve had a really hard row to hoe this year. 🙁 I admire your courage and dedication. But if you need to draw a line and stop, it’s ok. It’s oh, so hard to do that when you’ve invest SO MUCH in Lily’s recovery — so much time, so much love, so much money.

    But when it’s time to stop, stop. Without guilt.

    Walk as far as you can see to walk
    in the light you are given,
    & when you have reached
    what you thought was the end,
    more light will shine on your path.

  5. Roxanne – Your writing has touched so many and we all feel your pain. You have an ability to see all sides of a story that is truly remarkable. I continue to send healing thoughts to Lilly and you and Tom. And I am so sorry that you are paying this price.

    I am sure it is overwhelming to try and do the things that you used to do to take care of yourself. An hour workout or yoga class may not be possible, but just a couple of minutes of a yoga stretch may be a way of taking care of yourself. Any little thing that supports your health right now may not be so little after all, and may give you more strength to continue to help Lilly.

    Sending you hugs of strength and comfort.

  6. When I looked into Lily’s eyes with her head between her paws yesterday, your story became so much clearer to me. She is still with us and yet, is suffering for us all as well. Thank you for sharing your story. She is most precious, indeed. A gift to us all.
    Yet how painful for you all to bear to share this lesson.
    Sadly our pets do so much for we two-leggeds in life.
    Know that your story is impacting many and will leave a legacy for the greater good.
    I have received an education from the wisdom of your story. You have touched my heart.

  7. Ugh, I can hardly believe, and too easily believe, that somebody would say something like that to you. I guess if they don’t want to read your Tweets on the topic, they can stop following you.

    Whether to do the chemo and how long is a conversation my fiance and I would be having, I’m sure. A very, very tough one.

    Grief is such a hard thing. It’s so individual for each person, and in that manner makes it that much worse and that much less easily understood by others. I’m sorry to hear about your mother as well…I guess her priest is right in saying, essentially, “do what you can.” It just seems sometimes that there isn’t anything.

  8. Rather than the price we pay, it seems more correct to me to know that this could easily be any one of us and it is only luck or the happenstance make-up of our dogs that makes it not us. All of us have limits to what “doing everything possible” for our dogs means, I think it’s just that most of us never have to face all of those limits as a result of any one event. In life, to me, there is no worse feeling than feeling helpless…been there with a dog with a chronic issue…sobbing was mostly where I ended up. Reality just sucks sometimes and I wish there were more to do beyond sympathizing with you.

  9. What a profoundly moving post. My heart goes out to you every time I read one of your updates about Lilly, and I’m sending healing energy, positive thoughts and prayers your way. I wish there was more I could do.

  10. Thanks for writing this, and all your other posts about what you and your family are going through. It helps others in so many ways–they can find solace in knowing they are not the only ones going through this, and it’s s informative. As for your own struggle, remember that we all support you through these tough times. We realize you can only do so much in terms of taking care of yourself when there are so many others you must take care of–but we mean well. Hugs.

  11. It is a difficult place you, Tom and Lilly are in. Trying to do what’s best for everyone is not an easy task. I imagine it must seem extremely over-whelming at times and it is really hard in the midst of all that is going on to do the nurturing things for yourself. It sounds like your Tonglen meditation has the right I idea.

    BTW, I think there would be disagreement regarding treatment in my home too. 🙂

  12. I think those that love deepest, hurt the most. I understand how you feel. I have been through something similar before with a dog that I loved deeply and she was my bestest of friends. Your Lilly is still young so that may make a difference. Jeni-B was diabetic and gettng old and starting to have seizures. I struggled for years with vet bills, special food, injection shots and tyring to continue to work while she was home alone. Each seizure was like a mini death to me and I cried off an on for years at the idea of losing her. I think I was put on this planet to take care of her. I don’t think anyone would have paid as much money, spent as much time or care for her as much as I did. I also struggled with the idea that I may not be able to afford all the vet bills that were mounting up and would have to put her to sleep because I just did not have enough money. It is a fear/pain that not many have felt. I don’t know you or Lilly but I do know the pain you feel. Just take it one day at a time and….. breathe. Praying for you and Lilly and wisdom for your Vets that are caring for her.

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