Heart Broken but Gratitude Expressed

Veterinarians have hard jobs. They have high rates of suicide. The shitty behavior of so many human clients takes a toll on their mental health.

I know all this.

And that is why I sent this letter to the administrative team of the veterinary Specialty clinic — because I wanted to offer a counter balance to the awful. I included a copy of the letter in the thank you cards I gave to two of the veterinarians. I told one of them to make sure and share the letter with her parents, and thank them for raising such a good human. I also brought bagels.

You can never say “thank you” enough.

I hope reading this will inspire you to take the time to send gratitude to your veterinary team.

Also, I really miss my sweet girls 💔💔

“Dear Administrative Team:

 The purpose of this letter is to share my recent experiences at WestVet Boise and specifically, with Drs. Walters, Leonard, Arndt, and Bayles. Yes, records will show that I have been a frequent flyer at WestVet Boise over the past few months and it is that depth of experience that informs this letter.

 I moved to Boise last fall from Montana, but I did not leave my dogs’ longtime veterinarian, Dr. Shoni Card. Since I work remotely for the University of Montana and need to be on campus 2 – 3 times each semester, it works for me to have Dr. Card remain as a member of our veterinary team. This reality is relevant to the care I received at WestVet.

 My 11+ year old Bernese Mountain Dog, Sparkle, was initially diagnosed with a ruptured CCL. As her symptoms progressed, it became clear that it was something else and we presented at WestVet through emergency.

 Sparkle had a work-up through Dr. Leonard. My favorite part of that whole experience was when Dr. Leonard shared that she and the radiologist had looked at Sparkle’s images and did not agree about what was going on. I am completely serious – I was so impressed and grateful because that kind of transparency and collaboration facilitates excellent care and engenders trust.

 Sparkle had a CT with biopsies and was diagnosed with osteosarcoma. Through it all, Dr. Leonard was kind, collaborative, personable, and knowledgeable. I asked that samples be sent to a different lab than WestVet typically uses – that was no problem at all. My dog received excellent care from Dr. Leonard and her team, and so did I.

The diagnosis sent us to Dr. Walters – or as I think of her, Dr. Sparkles, for her sparkling Dansko clogs. When an oncologist walks into an appointment with a dog named Sparkle wearing sparkling clogs you cannot help but to think the Universe has sent the right person at the right time for your beloved dog. That is what I thought, and I was right.

But in the middle of all that with Sparkle, my 13+ year old Berner, Harper, bloated one evening. I recognized the symptoms immediately and raced to WestVet; this was my first interaction with Dr. Bayles.

Harper was immediately taken to the back while I waited in a treatment room. It was not a surprise when Dr. Bayles came in and told me what was going on, and that Harper had also experienced torsion.

Dr. Bayles sat patiently with me while I called Dr. Card at her home in Montana. I explained what was happening and Dr. Bayles joined the conversation. I knew my options and knew I was the one who had to decide but I also know health care is best done with a team, and that is what happened that night. Dr. Card, who knows me and my dogs well, and Dr. Bayles, someone I had just met, let me talk through the hard decision. They provided appropriate and valuable input and support as I made the difficult decision not to put such an elderly dog through a surgery with a poor prognosis; Harper was euthanized that night.

I quite literally teach a class at the University of Montana titled, “Loss, Grief, Dying, and Death” multiple times each year. My professional experience also includes being part of a team that started a pediatric palliative care service, and I developed and implemented the bereavement program for the same large, regional children’s hospital. I have combined my professional expertise and my understanding of the human-animal bond in multiple book chapters, including one titled, “Final gifts. Lessons children can learn from dogs about end-of-life, loss, and grief.”  

I mention all this so that you have context – I am informed and experienced in end-of-life care for people and animals. Dr. Bayles was a textbook example of how to do it well. I have thought a lot about this since Harper died because I knew I wanted to write this letter; what I did not know when I started formulating my thoughts was that Dr. Bayles would also be important in Sparkle’s ending.

Dr. Card did the amputation of Sparkle’s leg in Montana and Dr. Walters handled the aftercare. Dr. Walters (aka Dr. Sparkles) is knowledgeable, collaborative, and flexible. She is also an excellent communicator, responsive and thorough via email. I trusted Dr. Walters and the information she shared with me, and maybe most telling to anyone who knows me – I trusted her with my dog, leaving Sparkle with Dr. Walters on multiple Tuesdays when I was teaching a class at Boise State. 

Sparkle was also a patient of Dr. Arndt because of arrythmias that developed following the amputation. He is another excellent communicator of complicated information, and clearly so skilled and knowledgeable in his field. I appreciated his understanding that my treatment goals for Sparkle were palliative, and he worked with Dr. Walters in a collaborative way that helped me balanced that difficult benefit/burden equation for Sparkle.

Sparkle received excellent collaborative care because of the professionals involved, and I am so grateful for their willingness to work together on behalf of my dog. Additionally, I want to express my gratitude and respect for their understanding that Dr. Card remained an important member of Sparkle’s team, and for their recognition that I was the throughline for Sparkle’s care. WestVet did client-centered, collaborative care for Sparkle exceptionally well, and for that I am so grateful to everyone involved.

Sadly, Sparkle did not get the time we all hoped and once again, I found myself in WestVet’s little room where I am sure one million tears have been shed. Dr. Bayles was there that day, and truly – that seemed like such a gift. Sparkle left the earth skillfully and peacefully, wrapped in love and kindness.

I did not expect to have two examples from which to draw upon as I share with you what Dr. Bayles did so well, but life – and death – do not usually go according to plan. I know from teaching university students how to interact effectively with hurting humans that some have natural gifts in that regard; Dr. Bayles is such a person.

Dr. Bayles easily and naturally reflects what we call the core conditions: warmth, genuineness, and empathy. These qualities are essential in successful relationships with other humans, and in a crisis, there is not time to get it wrong. Dr. Bayles’s strong relational skills and abilities, which are most certainly inherent in who she is as a human being, have clearly been enhanced through excellent education and training. She is confident without ego, collaborative, curious, compassionate, and an excellent communicator. These are amazing qualities in a professional so early in her career.

I was also struck by Dr. Bayles’s patience as I sorted through options and complicated feelings when Harper needed to leave. Her willingness to engage with a senior veterinarian from Montana that night when Harper bloated reflected both humility and a collaborative spirit that will allow Dr. Bayles to achieve great things in her career; it is those students and early career professionals that think they have all the answers I most worry about (and do not trust!).

Dr. Bayles listened while I told her about my special girls. She validated in appropriate ways, did not offer platitudes, stayed at my pace in the process, and in all ways handled my grief as if she had taken my university course in the subject! I seriously do not have enough words to tell you how impressed I am with Dr. Bayles and how grateful I am to her for allowing my beloved girls to leave in the way they both deserved.

When Harper died, I received inappropriate emails from the cremation company – Dr. Bayles made sure that did not happen when Sparkle died. I so appreciate her advocacy on my behalf; those emails were unfortunate.

I would be remiss if I did not also mention the technicians whose kindness and skill were also so apparent. Unfortunately, I do not have names (except Shannon) but the oncology tech who was also working when Sparkle died was wonderful, and Dr. Leonard’s tech was also noteworthy.

WestVet Boise has put together an exceptional team and I now know this very well. Thank you for being a community asset for those of us who value excellence, and who are committed to providing quality care for our animals throughout their lives. If there is any way I can give back to WestVet Boise, please do not hesitate to ask.”

Happenings

Moonshadow Obi is enjoying some time at the ocean.

FUN!!

Thanks to his humans for giving Obi such a fun life 💙

Here in Boise we continue to get ready for the Big Adventure.

Capella modeling the new location of Puppy Central

Yesterday the kids and I unrolled the Marmoleum, which was no small feat, and got it situated in the right place so it can rest into a flat position — hence the weights on it.

The kids are so excited about the puppies. They want to name them so we have LOTS of discussions about puppy names.

Two decisions have been a source of angst for me.

First, do I get an x-ray done for a relatively accurate count of the puppies? Knowing this number aids in Angst Decision #2 — do we do an election c-section?

Too few puppies can mean labor has a tough time starting/progressing, and (related) also risks oversized puppies. If there are three or less puppies, a c-section makes sense.

A c-section increases puppy survival rates but is an increased risk to the mom. It also means the puppy gut microbiome (part of the immune system) is different than vaginally-delivered puppies, and while certainly not the end of the world, vaginally-delivered puppies have more optimal gut microbiomes.

C-sections are also fast, and can be done during the daytime so nobody has to pull an all-nighter anxiously waiting for puppies.

I don’t want to lose a puppy. I don’t want to put Capella through an unneeded surgery. Vaginally-delivered is optimal. I don’t want to expose puppies to an x-ray. But…

Repeat. Repeat. Repeat. That is my brain on Dog Pregnancy.

I could change my mind but at this point I am not planning on an x-ray. The ultrasound suggested 4 - 5 puppies, and she is not super-sized so that supports the number. I will weigh Capella next week to see if her weight gain also supports that continued assumption. She should be able to safely deliver that number of puppies.

An x-ray also helps one know when whelping is done. I am going to trust myself on that. I think I will know. And if there is a question, we can always get an x-ray after puppies are born.

The repro vet clinic has a great service where you can pay for their team to be on-call for an emergency, including a c-section; I have already set that up.

Pozy’s tail and Capella ❤️🩷

We cannot know if we have made the “best” decision until we also know the outcome. All any of us can do is consider things carefully and thoughtfully, and make our best and most-informed choice, given the available data.

I acknowledge I am anxious and angsty about the right courses of action AND I try hard not let that part of me make important decisions.

I don’t pretend those feelings aren’t there!

They are.

But anxiety and angst are really not the best decision-makers on our cognitive/emotional team.

Have a wonderful Monday ❤️

All the Fun Stuff

Do you remember that glorious feeling when you were a kid and the school year was over and summer vacation stretched out in front of you? That is me right now. It is wonderful.

I miss my Montana deer but do not miss their destructive munching of just about anything pretty. Without them, I finally get to have my long planned memorial rose garden.

I am so enjoying making my perfect yard even more perfect.

And speaking of perfect, this is Jordan from the Sparklers (Major x Sparkle). She is eight and enjoying her perfect life. Thank you, Dianne!

Sparkler Jordan 🩷

And this is Jordan’s nephew, Bright Star Zuber (Ferguson x Claire), with the moose that he found in his well-stuffed Specialty Triathlete bag.

Bright Star Zuber 💜

Congratulations again to Team Zuber on a really incredible — and exhausting — Specialty!

And this is Zuber’s brother, Atlas, sitting on my feet yesterday 💙

Atlas was supervising the amazing crew of Heintzbergers and (related) Cranfords who have added “we build whelping boxes” to their already impressive resumes.

Check it out!

Yes, I decided we needed a new whelping box. It is fancy, non-toxic hardwood — the rails are hickory and the sides are sapele. It will be sealed with this food grade product.

And I scored on the whelping box flooring yesterday. I knew I wanted a Marmoleum floor, also for the eco friendly properties. I found a place with a remnant that is the perfect size — and they only charged me $50 for it. This somewhat balanced out the price of the hardwood 😬😂🤷🏼‍♀️

The whelping box will sit on the Marmoleum flooring, which will cover the hardwood floor of my living room.

Puppies in sixteen days?! How is that even possible?!!!

I.can’t.wait.

Happy Saturday, friend 🩷