Showing posts with label nosebleeds. Show all posts
Showing posts with label nosebleeds. Show all posts

Saturday, September 14, 2013

Ebb and Flow... The Journey here on earth ends

AP here:
I have spent a great deal of my life in the water, waiting on waves or wind and they have their own rhythm, their own beat that they march to and it is known as -ebb and flow.
Then ebb is not so fun, peaceful but not so fun, but when wind or water is flowing and you stand up and ride it is an incredible feeling. Happiness!

life on land also follows the same
The situation that Tonka and I are in seems to exaggerate these downs and ups, the ebb and flow. The bad moments, the labored breathing, the nosebleeds and the eye that is being pushed slowly sideways these are the things that suck the tide back and make for a not so enjoyable day.
When things are good though and he is surrounded by his peeps, or enjoying his breakfast, or just loving the cooler weather sleeping on the porch with me, this is the flow. Happiness!

It was my wish that Tonka would get to the bridge in a very peaceful manner, not in a crisis and not when he was stressed. I had made plans to have him pass at the house and my gut kept telling me it was time. The problem was everyone stopping by to see him commented on how great he looked and he was doing and I second guessed my gut. I started to think we had a little more time and his last day was such a great day that I actually called in and refilled his prescriptions.



Tonka's last day was a truly great day, he and I slept outside on the porch from about 4am on and then "watched" the sun come up. I was home for the day and so I got to spend time with him. He had a good breakfast, a buffalo bully stick and some cheese.
I'm up
Back to sleep on Porch with Mom

Back up for Breakfast

Can I have a scone?

No Scone then I'm going back to bed

I like Buffalo

Chomp, Chomp
Caitlin and Noodle came by and that is always a fun time. Tonka and I love Caitlin dearly, she has been such an enormous help during the past year and is a truly amazing person.
Hi!

I like to drag Caitlin around the yard

It's my buddy Noodle

Love the Noodle
 Noodle is a such a good dog and he and Tonka had fun sniffing and playing with the brick puzzle.




Noddle and I took a nap
I said goodbye to Caitlin

After Caitlin and Noodle left I ran down the road to meet his Aunt Gina. She had picked up a Chinese herbal medicine for me that was supposed to help his nosebleeds. On the way back I also picked up a new refill of his piroxicam. He was doing so well and was so happy it seemed like we were going to have a little more time.

When I got back it looked like a storm was rolling in. Tonka and I love storms so we headed for the porch. 
Mom and I hung on the porch waiting for the storm

Still waiting

No Storm- I'm going to nap
It turned out to be a dud and blew over so when CM got home we took a little walk/roll down the street and back. We ran into some neighbors who of course fussed over him and told him what a good boy and an awesome dog he is so he was very full of himself when we wheeled back into the house.
No storm so took a little walk with AP and CM
He had a good dinner and took all his meds and finished off his nightly frozen PB Kong.

Peanut Butter Kong Time

This is the last picture of my boy.
After his Kong he settled into sleep and in a little bit I stood up to move to the floor to give him some love and noticed the spot of blood under his nose. I lifted his head to reposition the towel and see how bad it was,  he sat up and it just started pouring. CM and I went into full nosebleed stop mode with extra towels, paper towels, tissues and epinephrine but he kept sneezing.. the more he sneezed the worse it got until it was running out both sides and his mouth. The epi was not working, nothing was working so I bundled his head in a towel and while CM got the truck in position I got him belly walked out of the house and around the front. I got the ramp in place and I got him up in the truck and off we headed to the ER. Poor Cathy had to stay behind to clean up what looked like something out of a horror movie. I called his Uncle Mike to let him know where we were heading and I made a quick phone call to the ER to tell them I was coming. Tracy answered and I and I told her I would need help as I didn't have his wheels. At the first red light I send out a request for prayers although somewhere in my head I knew what was coming. At the next few stops I sent some texts to his support peeps to give them a heads up.
When I pulled in the circle at the ER and blew the horn they all came running with the gurney - I got him up and down the ramp and he was still bleeding everywhere. I helped lift him to the gurney and they rushed him in the back. Dr. Fleury who is a great Dr. and wonderful person came out while I was still putting the truck back together. She said something to the fact that she had looked at all his records and that she knew that we were nearing the end of things. She wanted to know if we should just let him go or try to stop the bleeding. I told her to try because this was not how I wanted him to leave I really wanted him at home and not in a crisis.
I parked the truck and entered the lobby where they told me I could wait in a room or not it was up to me. I wanted to be where I could see the ER doors open so I chose the lobby. Tracy gave me a bunch of wipes to clean off the blood that was all over my legs, arms and hands and then I waited. I did not have to wait long Dr. Fleury came out and explained it was a massive bleed and they had given him a sedative to drop his blood pressure and had gotten it slowed with strips soaked in epinephrine stuffed in his nose. The only thing that would stop it was an embolization procedure but that it would only keep re-occurring. The option was to leave him for the night get him stable and bring him home to let him pass at home on the porch or just let him pass over now.
It was with a very heavy heart and some anger that I decided to let him go. THIS WAS NOT WHAT I WANTED FOR HIM.I wanted him home at peace not in a crisis, not suffering in any way.

They put us in a private room and I tried to clean some of the blood off of his big beautiful face. His Aunt Gina sent a text that she was on the way so I lay there and sang to him. He was sedated so I am not sure how much he heard or knew about what was going on. He did pick his head up when she arrived but was not very responsive. I called CM and told her what was happening and since he was so out of it we decided she would finish cleaning the disaster area as she had already talked to him when he was coherent at home waiting for me to get the truck ramp out and together.
Gina and I spent some time with him and then Dr. Fleury came in and we let him go. I laid my head on his heart so I could listen to it beating until it beat no more. My beautiful, beautiful boy with the sweet smile and the heart of gold was gone. On Friday the 13th of September 2013 at 11:30pm the Journey of Tonka ended here on earth and I am sure a new one started for him at the bridge and when we meet again he can tell me all about it.

At this juncture I feel as if the flow is completely gone  there is only the endless pull as if the life has been sucked out of me. I know in time this will lessen but for now I am empty and alone in this.
Thank you for all your kind words, your thoughts, your gifts and your prayers. He was an amazing soul and I thank you for your love and support of him through the years.
Much Love
AP

Sunday, September 8, 2013

Time is not on our side....

AP here:
Almost every morning I sit on the porch and watch the sun rise. It is Tonka's favorite place to be, lying on his two big comfy beds pushed together and sniffing the breezes and "listening to the sounds of the day starting up. I drink a cup, or three of coffee and talk to him and he eventually settles and goes back to sleep for a bit. It is our quiet time together. There was even a time when nights were cooler he and I would sleep out there (the beds are big enough for two). He is a great snuggler and an great hugger, he likes to hold you or touch you with his paw.
The thing with knowing that we are on limited time is that it makes these routine moments become bittersweet. Everything becomes a "is this the last time" in your head and knocks the breath out of you for a moment. I try to not get upset around him and keep everything fun and exciting with my tone but I wonder if he hears the catch in my throat sometimes. Ordinary routine things become decisions based on guessing how much time is left, how much food to buy, should I really order a 100 count box of pee pads? You are probably thinking just do the normal and don't think that way but believe me you cant help it, you don't want to but logically its how your brain processes it or at least mine does. I can tell it to shut up but it doesn't work, trust me I tell it to shut up about a lot of things daily.
I am a big believer in the fact that memories are  all we really own in this world. I find that I am having a conversation with myself  everyday to remember everything about him - to never forget. His smell, the way his fur feels, the way his head looks bigger when he is just slightly wet from the rain or after a bath, the way his eyebrows dance up and down when he is thinking... a million little nuances that are the Tonka dog these are things I need to keep and hold tight.

It's hard to imagine a day without him in it. How can I go a day without his goofy grin, his giant paw grabbing me to keep petting or playing with him, his eyes that even blind always hold so much expression. As I have said before he is my heart and I will be lost without him. So I go about our day and try to take as many pictures as possible and post them on social media keeping it light but there are moments that are anything but. I scream a lot in the truck on the way to and from work about how unfair this is but it doesn't change anything. I sleep with him and listen mostly, not really sleeping for some sound or sign to let me know he is in distress. I watch him and gauge his willingness to eat or partake in his normal activities to see if I can tell it is time because yes the reality is this cancer will force me to call the end of the journey. Last night was not a good night, he has started with nosebleeds. I can feel the heavy hand of time pushing us towards nothingness. Time is the enemy and it is one that you just cant fight.