Tuesday, January 6, 2015

Dear Mam-maw

Dear Mam-maw,

I told myself to write this letter before now, but I thought I had more time (or at least I tricked myself into believing that). And sometimes it's hard to find all the right words at the right time. I'm not making excuses, just explaining myself and hoping you understand.

When I was three, we came to visit you in Oregon at Dot's house. For years I would bring up playing an organ in Oregon, and to this day I remember playing with the adding machine. I just loved the way the buttons clicked and the sounds it made while it printed out nonsensical figures. That's my first memory with you, but thankfully not the last.

I remember visiting you in Sun Prairie. In Wausau. All over Wisconsin. No matter where you lived, you had a room for me, and I remember picking toys to keep at your place so I'd always have something to do. Among the things I kept at your place was "The Giving Tree" - a book I liked at the time, but wouldn't grow to appreciate until I was older.

You traveled with us to Mississippi to see my uncle and cousins, and then Grandpa Chuck. I remember my parents explaining that you two loved each other very much, but you just couldn't be married. I was six, and while it didn't make sense at the time, I accepted it. You were an independent woman, and always encouraged me to be the same.

You confided in me more than once that you were afraid you hadn't been a good mother. And I know I always told you that of course you were. My dad loves you with all his heart, and you did an amazing job raising him on your own. But what I might have forgotten to say is that you were also an incredible grandmother. Were you always around? No. You moved a lot, and sometimes it would be a few years before I'd see you again. But I always knew you were out there, and if I had needed you, you would've been there for me.

You were always my biggest advocate. When I dropped out of college at 20, you told me that college wasn't for everyone! You insisted that I'd find my own path, and that I'd do great things. When I decided to go back to school, you told me how proud you were and that I could do whatever I set forth to do. And both times, you meant it. You weren't just pandering to me, telling me what I wanted to hear. You truly believed in me. When it felt like everyone else was disappointed or skeptical, you supported me. I probably never said so, but that meant more to me than just about anything else.

I have so many memories of you, and stories are flooding my mind so quickly I'm almost drowning in them. In a good way, though. They're warm and loving and beautiful. They feel like your hugs; a little too tight, as if you're holding on for fear of losing me, except I'm the one holding too tightly now. I want to settle into them, to find the comfort and support I always got from you. And I will. Just not right now. Right now, the only comfort I can find is that you've found peace.

Mom says you can breathe again. I hope she's right and that you're never tethered down again. You're too strong, too independent, too incredible to let anything keep you down.

I love you so very much.

Love Always,
Erika Elizabeth

P.S. Tell whoever's in charge they need to stock up on ice cream for you. Butter pecan. Cones, too.

 

Sunday, September 7, 2014

The Pepper Predicament - Part 5: Pepper Comes Home

My dad and I drove separately to the vet, since he had business to attend to when we were done, so I led the way. Thankfully, the drive there is super easy. You drive straight down one street for 60+ blocks, make a right, and then just a few blocks later you're there. Et voila!

We went in and I told the receptionist we were there to see Pepper. She called back and Dad and I waited in the lobby. This was the longest we'd had to wait yet, but there seemed to be a pretty good reason. Instead of us going back to see Pepper, they brought Pepper out to us.

When Hubby and I had visited the night before, we took Pepper outside on a walk. (OK, we just wandered around the lawn, but still.) He was fairly stable, but still a little wobbly, so I was pretty excited when the vet tech walked my little man out to us on a leash!

They had us go into a room with a big leather sofa and lots of boxes of tissues (I'm guessing it doubles as the bad news room, or maybe even the euthanasia room...). My biggest surprise of the day came when I sat on the couch and my little man jumped right up after me. What?! This dog couldn't even stand long enough to eat less than 48 hours ago, and now he's jumping up on the couch like it's nothing! Is this the right dog?

We waited for the vet for awhile. She popped her head in to let us know it would be another 5 minutes, and we waited some more. My dad never sat. He just stood there, ready to take on whatever or whomever he had to. I'm so thankful he was there.

Anywhoozles, the vet finally came in and started talking to us. If I had written this sooner, I could tell you more about the conversation, but here's what I remember.

She told us that since they had started him back on the thyroid medication the night before, he had had 2 doses and already she could see a difference in him. Why hadn't we seen it before? Possibly because of the heart meds he had been on at the time. According to this vet (who we'll call Dr. L), everyone was so worried about his heart disease and murmur that we kind of let the thyroid issue take a back seat. But in her opinion, the hypothyroidism is the more pressing of the two issues and should be the focus of our medical attention.

My other surprise of the day was when Dr. L asked what I wanted to do. Did I want to keep him there or take him home. She said if it was her dog, she'd be taking him home. My first reaction was to ask if he was in any pain. If he was in pain and needed more medical attention, then that would have been a factor in my decision. But she said no (YAY!), so I told her I wanted to take him home. She told us she'd have his IV taken out and he'd be cleaned up (hospital policy that all pets get a bath before leaving).

That's when my dad stepped in. As I said, he didn't sit the whole time we were there. He asked a few questions, made a few comments, but was mostly just this presence in the room that gave vibes of "don't mess with my daughter" (or maybe that was just my imagination). At this point he asked about the money, because the figured he had heard were "shocking" for a dog toward the end of his lifetime. Dr. L went to check, and as it turned out we were still within the original estimate. I don't know if the $2700 was a misunderstanding or what, but I was incredibly relieved to see a number under $2k.

The best part of that day was walking my little man to the car, having him hop into the backseat (by himself!), and driving him home. My family had been incomplete while he was gone. Even Maxine could feel it and wasn't 100% herself. Bringing him home made everything right again.

Tuesday, September 2, 2014

The Pepper Predicament - Part 4: Hang On Pepper, Pepper Hang On

I feel like this is a good time to do a recap of the timeline:
  • Monday night: 
    • Pepper gets into the garbage for the second time within a week.
  • Tuesday:
    • That morning he was acting slow and a little weak. He had to be spoon-fed his meals.
    • That evening, he was still slow, but seemed less lethargic.
  • Wednesday: 
    • That morning he seemed to be feeling better and moving quicker. He even made it down the steps himself.
    • In the evening, he was more unsteady than before. He couldn't stand long enough to eat from his bowl, and eventually he fell down while walking (and trying to pee). 
    • Around 7 we took him to the emergency vet. He spent most of the time lying on the exam table, and didn't even make a fuss when they took his temp. He was admitted that night.
  • Thursday: 
    • Hubby called the vet in the morning, doesn't get much from them. Called back later and learns that they want to do an ultrasound, but that the other tests have basically come up empty.
    • I headed over to the vet that afternoon to spend time with Pepper. I spent an hour talking to him and petting him. The most activity I saw from him was right after they drew some blood. He lifted his head, but didn't do much else.
    • That evening, Hubby and I visit. They had just started him back on the thyroid medication. We would check in the next morning.
OK, now we're caught up.

On Friday morning, Hubby called to check in on Pepper again. He spoke with the receptionist, who asked if they could raise our "limit" to $3,000. When Hubby asked what we were up to, she told him $2700. And she said they wanted to keep him another day.

When we first dropped him off Wednesday night, we were given an estimate between $1400 and $1950. We had to pay the low end up front, and were told we'd pay any difference when we left. So when we heard we were at $2700, Hubby freaked out. Hell, I freaked out. And when I freak out, I call my mom. I had already called her on Thursday to let her know what was going on, and I had spoken with both of my parents Thursday night to tell them how he was doing and what we knew. So I knew calling her was the best option for me at that moment because she already knew everything going on, but had a more outside perspective.

Mom and I talked through everything and came up with a plan, which I relayed to Hubby. We were going to meet up at the vet (while Hubby was on lunch; I had already called in again) and if they couldn't give us a good, solid reason why Pepper needed to stay another day, then we were going to take him home. I presented this to Hubby, and he agreed. 

Just then the receptionist called him back. He let her know just how unhappy we were with the whole situation. Her response was to suggest we come in and see how well he was doing and "not do anything drastic to hurt his progress." She then mentioned that they could move him to medical boarding for only $46 per night. Um, you're just telling us this NOW?! What. The. F*ck.

So I was doing my best, trying to stay calm (which is hard because normally Hubby is the calm to MY storm) and my dad called. He wanted to check in (not sure if he had spoken with my mom or what). I told him what was going on, and he said he was in the area and asked if it would help if he came by. Good god, yes. If there's anyone who can handle this situation, it's my father. Hubby couldn't get away from work anyhow, so Dad and I ended up going over to the vet instead.

I was on a mission to bring my little man home. Hang on, Pepper! Mama's coming for you!

To be continued...

Thursday, August 28, 2014

The Pepper Predicament - Part 3: Pepper's Terrible, Horrible, No Good, Very Bad Day

After calling our regular vet to confirm they were closed for the night, we hopped in the car and headed to the local 24-hour emergency vet (which, thankfully, is about a 10 minute drive from our house). We'd caught someone at our vet's office before they left for the day, so they were able to fax over Pepper's medical history while we were on our way.

It didn't take long before we were in an exam room. A vet tech came and took care of all the normal stuff: temperature, weight, all that jazz. My perception of time is all out of whack, but I don't think it was very long after that before the vet came in. He checked Pepper over, asked us to tell him what happened (which we had already told the receptionist and the vet tech, so we were pretty good at getting all the details out by then). By this point, Pepper was so lethargic and weak that he was simply lying on the exam table, barely lifting his head. It took everything in me not to start bawling.

We learned a few things right away. The first was that the vet believed Pepper's heart murmur was at a grade 4 or 5. Now, grading heart murmurs can be pretty subjective and it obviously varies by vet, but the last we knew he was at a 2 or 3 so that kind of hit me like a truck. The other thing we learned was that they were going to keep Pepper... for 2 or more days. I HATED the idea of him being away from us, but I also understood the importance of monitoring him and keeping him safe. 

One thing that kept resulting in perplexed looks and confusion was that Pepper hadn't been vomiting or had any nasty shits since getting into the garbage. We admitted that we had been surprised by that as well, and no one was sure if that was a good sign or a bad one. 

We were given a rundown of the tests he would undergo: x-rays and ultrasounds to check for blockages, an echo to see how his heart is doing, etc. He would be put on an IV right away to keep him hydrated, and they would be keeping him in an area that has someone on duty 24 hours a day. They offered to take us on a tour of the facility, which we gladly took them up on. They showed up where Pepper would get his testing done, where he would be sleeping, where the other animals would be... I was glad to see that he would have plenty of space (the crate he had there was bigger than the one he shares with Maxine) and that someone would be there to check in on him. After a lot of fussing and near breakdowns, we left our little man in their hands.

They told us we could call or come over to check on him whenever we wanted. We started taking advantage of that the next morning. I had a dentist appointment that morning (yay cavity) and was originally supposed to work before and after, but with my baby in the hospital, I wasn't able to concentrate on anything else. I got through my dentist appointment, got back home, and asked Hubby what he'd learned. The truth was that there wasn't much to know yet. They had done the echo and the x-rays, but hadn't found anything conclusive. They said he had been walking fine when they took him out around 3 that morning, and again around 8, but that when they walked him at 10 he had regressed, and was back to being unsteady and uncoordinated. They decided that the next step was an ultrasound, but after that they were pretty much out of ideas. They suggested we consider seeing a neurologist.

What Hubby said at that point about killed me. "Putting him down is starting to look like a real possibility."

I wasn't ready to accept that. I called my mom and talked to her for awhile. She helped calm me down and after talking about things, I decided to go the vet to visit. Now, anyone who knows me knows that I have reservations about driving in Milwaukee. Hubby drives me damn near everywhere I need to go, and driving in the city makes my anxiety jump through the roof. I'd already had to drive myself to the dentist that morning, and here I was about to drive to the vet. I wish Pepper could understand how much I love him. I was not just willing to drive to see him, I was determined to. You couldn't have stopped me. Because if putting him down was even an option, I was going to spend as MUCH time with him as possible.

I spent an hour with him that afternoon. They put a blanket on the floor for me to sit on, and they opened the crate so I could get close to him. I talked to him. I pet him. I kissed him and hugged him. He was still so lethargic, I could hardly believe he was my little man.


They stopped by to draw blood from him at one point. He was slightly more alert after that (probably because they had taken him from the comfort of his blankies), but not much. He perked up a bit when he heard another dog getting fed, and they told me that he had been eating while he was there, which is always a good sign. I left reluctantly (only because I knew we'd be back later), and managed not to cry until I got into my car.

Hubby and I came back that evening to talk to the vet. Little had changed, but we were going to try something new. We were going to put him back on the thyroid medication (the stuff we had tried in June for a couple of weeks), because it appeared clear to the vet that the thyroid issues were the predominant concern at the moment. After spending some more time with Pepper, we left, hoping the morning would bring some better news.

To be continued...

Tuesday, August 26, 2014

The Pepper Predicament - Part 2: We Have a Pepper Down

Most anyone who has or has had a dog knows that they love to get into things they shouldn't. Miss Maxine first got into the kitchen garbage within a week of adopting her (which is why we quickly changed to a lidded can) and ate some Arby's wrappers. She once stole some very expensive cheese - this stuff costs about $20/lb - while we were still in the room. She ate 90% of a bacon-wrapped filet before we caught her, has eaten June bugs (ewwwww), and has tried to eat several bees (but hasn't been successful). Sgt Pepper is much the same. In the 6 months we've had him, he has chewed up 3 pairs of shoes, chewed on Hubby's baseball glove, has gotten into the living room trash at least once (I think it was twice), and now the kitchen garbage twice. And those are just a handful of things he's gotten to, I'm sure.

So knowing this, and having experienced similar happenings in the past, when Pepper got into the trash, we expected some kind of... reaction. To put it bluntly, we figured he would puke and/or shit because of the things he had ingested. Especially with the beef trimmings being so fatty, we were sure some doggy diarrhea was in our future. So we waited. He might've had some digestive issues from the first time in the trash, I don't really remember. But the second time, there was nothing. It happened on a Monday evening, and all Monday night he was fine.

When he was a little slow on Tuesday morning, we figured maybe it was catching up with him. I woke Hubby up at about 6:30 to come see him moving slowly and awkwardly, concerned he had eaten something toxic. But he went outside nice enough, did his business (which was normal), and came back inside. No real problem.

Until we tried to feed him. He took a few bites and then went to bed. Now, that may not seem like a big deal. Maybe he was still full from his all-you-can-eat garbage buffet, right? Well, you haven't met this dog. Dogs are motivated by different things. Some are motivated by praise, and simply making you happy is enough to get them going. Some love treats and toys. Pepper is food-motivated. He is never more animated than when he's about to get fed. And once you drop that bowl, all bets are off. Your fingers better be out of there, lest he consume them in his haste.

I followed him back to his crate and watched him. I knew he needed his heart meds, which were mixed in with his food, so I brought it out to him and spoon fed him. I fed him his whole breakfast. He hadn't lost his appetite at all! He was just too lethargic to stand there and eat. Same thing happened with dinner. All day he was a little slow, a little off, but we figured things just had to run their course.

Wednesday morning he was doing better. He went up and down the steps by himself, ate some breakfast from his bowl, etc. Things were looking up! So Hubby and I planned to go to the State Fair that night after work and things were business as usual.

Until we were about to leave. We always try to take the pups out before we go anywhere because Pepper has such a hard time holding it. So out we went... except something was wrong. Pepper was walking like he was drunk, stumbling around and uneasy on his feet. Eventually he went to lift his leg to pee and down he went. He just fell over! Right then I decided the fair could wait; we were taking Pepper to the emergency vet NOW.

To be continued...