Category Archives: Euthanasia

Crumble.

Did I act in his best interest? Not according to Gregory M. Dennis and the AVMA.

It’s funny how you can just be going about your day and then something comes along and punches you in the gut. Not that I have been feeling particularly happy lately. Though my mood is not as relentlessly wretched, I have not quite recovered my equilibrium after that post. I have been feeling sad and melancholy of late, just missing him so much. But today I was at work reading an article on pet guardianship vs. ownership from the Journal of the American Veterinary Medical Association that had landed in my inbox when I got to this paragraph:

Guardianship is a fiduciary relationship—the highest civil relationship owed by one person to another—in which a guardian must always act in the best interest of the ward. If this relationship were applied to animals and their owners, Dennis says any number of legal dilemmas could unfold. In veterinary medicine, for instance, euthanasia could become far more problematic because how can ending an animal’s life be in its best interest? (emphasis added)

And then I started crying. “…because how can ending an animal’s life be in its [sic] best interest?” How? Indeed. The guy who said that is an attorney and not a veterinarian. I can’t imagine a veterinarian saying this; in fact my trusted veterinarian gently but emphatically stated many times that NOT ending Alec’s life would not only not have been in his best interests, but also would have crossed the line into the opposite territory, because he had begun to suffer. And he was never going to get better. OR feel better. Ever again. In all likelihood he would die a painful and frightening death if I did not help him transition (a gentle, spiritual way to put what feels like the worst thing you could ever do: kill your best friend [and even as I type this I know it is wrong. I did not kill him – the cancer did. I helped him die, a tragedy of unimaginable proportions that was happening with or without me]). So I can’t imagine a vet saying the above. Even my dad (not exactly a radical type) would disagree. He often says it is ridiculous that humans don’t have the same right (except in Oregon and Washington) to choose death with dignity.

So I know this, right? And I know it is stupid. But why did tears fill my eyes? Why did I feel as though I had been punched in the gut? I emailed Mike and he told me what I needed to hear. He was there, after all. He saw Alec. He saw him more clearly than me because I didn’t want to let go. I had so much trouble. Again words could never capture my agony in taking that final action (how forced I felt…out of options, out of time), which I only could have found the strength to do if I believed with all my heart it was the most compassionate choice – that there really was no other choice if I truly loved Alec. And I did. I do. So I had to. But for some reason, reading this crushed me. I told Mike I feel like there is always just a thin layer between me and crumbling. He said “there is a thin layer for all of us, especially when you care about another being so much.” I guess that’s true.

It’s funny too because while the decision was the hardest most gut wrenching thing I have ever had to do, it wasn’t something I really questioned. Oh I did beforehand, of course. But I never would have made it if it was not the right choice. No, no, no. I have regretted many things since that day – most of all being put in that position in the first place. But I did not make that choice lightly. I guess it will always haunt me even though it was the right thing. What haunts me is having to say good-bye. Of course I wish I hadn’t. But he was dying, with or without my help. And because it was hard on me was not a reason to not end his life. It was an act of compassion, the last one I could do for him. As I have told so many people in a similar position: a painless death is the last gift you can give them (it was so obvious when I said this to my friends; it’s harder to heed your own advice), but it tore my heart out. And there is still a gaping hole there. The wind blows right through.

So you know what? Screw you, Mr. Dennis, for saying that and making me crumble all over again. I know you said it because you have an agenda, which involves trying to scare people away from the term “guardian” with alarmist hypothetical scenarios (even though it has virtually no legal significance). But you should think before you speak. You are wrong and it is not true. How can ending an animal’s life be in his or her interest? Ask a veterinarian. You should be ashamed of yourself, and the AVMA should be ashamed to have you working for them. I am aware that many people euthanize pets prematurely (or put them to death for trivial reasons involving convenience) and this is a tragedy, but many animals also suffer when their guardians, owners, caretakers — whatever terminology we use — well-meaning though they may be, selfishly make their animal companions hold on because they are unable to let go. I am sure you are aware of this fact, but disregarded it in favor of making a dramatic point. Well, I think you are a jerk for making me cry at work.

You see, that’s why writing can be therapeutic. I just shifted from crumbled to righteous indignation in about ten minutes. I am not a big fan of anger, but at least I stopped crying. Until the next punch in the gut. But that’s the thing about grieving: it’s not easy. And sometimes your emotions will be ambushed from the most unexpected places.

For every decision, big and small, I ever had to make on Alec’s behalf throughout his life only one question guided me, and it had nothing to do with finances, convenience, or expediency: What was in his best interests? I don’t mean to imply this was ever easy, especially when he struggled with terminal cancer, and later when his body began to succumb to the disease. In fact these were the most difficult decisions I have ever in my life made (even more difficult than those I had to make after he became paralyzed a mere two years earlier). It is much harder to make life-or-death decisions on behalf of someone else, someone who cannot talk and is entirely dependent upon your judgment. This is a lot of responsibility and it requires setting aside incredibly strong emotions so you can balance your own need to never let go of someone you love so dearly, and the need to see what is in his best interests (and then to act on this knowledge, a separate but equally difficult task).

Alec didn’t like cameras much but I (obviously) overruled him on that; however, I always put his needs first when it counted. There were too many things that were out of my control, but I did the best I could. I think I did okay. I think he was happy most of the time. All I ever wanted was to give Alec a good life. When that was no longer an option, the only thing left for me to give him was a good death. I’m so sorry, Alec. I wish with all my heart I never had to make that decision. I never wanted to let you go. But it would have been wrong to let you suffer.

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Filed under Euthanasia, Grief and loss