In the early part of today Saoirse was a bit more comfortable. She actually wanted to be on the sofa and had a nice nap in her little bedouin tent. She enjoyed her meals. By the time we got to the hospital this afternoon Saoirse's eye was terribly swollen.
The opthalmology specialist is fantastic. She took a full history, was very appreciative of all the clinical history and observational data that I provided. She is confident without any trace of arrogance. She is caring and considerate while being completely truthful and realistic. She listened to me and both respected and took on board my input.
After her examination the opthalmologist confirmed that it is glaucoma. The pressure in it is enormous and therefore very painful. She thinks there was already a problem in Saoirse's right eye and perhaps a blood pressure surge may have triggered the bleeding. Her left eye does have dark spots but the opthalmologist thinks they're stable and from a very long time in the past.
As we all know, Saoirse's current predicament is untenable. The specialist presented me with three choices:
1. Try medication with no realistic hope of successful treatment and a lot of distress for Saoirse in the meantime. (It would not occur to me to entertain such an option.)
2. Take the view that Saoirse has had a 'good innings' and let her go now.
3. Give the opthalmologist a chance to remove the eye with the risk that, given Saoirse's age, she may not make it through the operation, or the post-op recovery - but also with a real chance of returning Saoirse to her previously stable status and giving her more time to live an enjoyable and contented life.
We discussed Saoirse's blood work and the specialist said it is good - especially considering Saoirse's issues - and she said I have done very well for my girl. In particular she commented on Saoirse's renal markers and said that CKD-wise she was happy with the results. She does not think CKD-related issues caused this. She thinks there was an underlying problem in the right eye but the left eye is not a worry (intraocular pressure well within normal limits and nothing else of worry). She asked about Saoirse's treatment regimen and looked to accommodate her exact needs. I brought in some of Saoirse's food so that she will be able to eat OK tonight and tomorrow.
We fully discussed the options. I have chosen to give Saoirse the chance. She is a little miracle and there will only ever be one of her; her life is very precious.
In making my decision I was able to take into account how really well she has been doing and that she has been in such good form - happy and enjoying being alive - prior to the eye problem. I also told the opthalmologist that if it had been the case where Saoirse had, say, late stage renal issues I would have made a different decision. The opthalmologist agrees with my reasoning and supports my choice. I know she would have told me point blank if she thought there was no hope at all that she might be able to help Saoirse. I am very glad that I got the referral to her. If there is a chance for Saoirse then I am completely confident that she is in the care of the woman who can give her that chance. She really cares and wants to do all she can to help my girl. Her roster was already full for tomorrow but she is going to work
extra hours to treat Saoirse. I am
profoundly grateful to her. (And I have a niggling suspicion that our main vet worked a bit of magic for us.)
I requested that they admit Saoirse tonight so that they can do everything possible to make her comfortable and to give her the best possible chance tomorrow. The facilities are first-rate. The staff are kind, friendly and really instil confidence in you. Much as it is hard not to be there with her I know Saoirse is in the best place for her right now. Saoirse is in very good and caring hands and they are looking after her well. They are able to give her the help I desperately wanted her to have last night but was unable to give. It hurt so much last night that I could not give her some bupe because I did not know whether or not it would be safe.
I got a call from the duty vet a short while ago to discuss Saoirse's insulin requirements. It was great to be consulted, not dictated to as the specialist at another referral centre did last year. They will be able to monitor Saoirse's blood pressure properly overnight and tomorrow. They have given Saoirse fluids and pain relief and she is resting comfortably. I am very relieved about this. She has my T-shirt to snuggle up to so she knows that I love her and that she is not alone. I brought some of Saoirse's food with me to the hospital. They are going to feed Saoirse the same way I would at home (times, amounts). I even got to explain that she can't smell food at the moment but if they let her lick a little bit off their fingers she will eat fine after that, and they're going to do that for her. They have been very kind to me, too.
Tomorrow, I am going to stay in a hotel nearby the hospital to be close to Saoirse. The owner of the local taxi firm that helps me by picking up my messages round the town is going to drive me again tomorrow so I'll have someone with me who knows and understands about my anxiety issues. (He did his best to help me not to get too agitated about the travelling today and he was very kind to me on the way back from the hospital.)
So now I wait. And I pray. I love you, Saoirse.
Mogs
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