Featuring Demian Dressler, DVM and Susan Ettinger, DVM, Dip. ACVIM (Oncology), authors of The Dog Cancer Survival Guide

Was There Anything Else I Could Have Done?

Updated: October 18th, 2018


Was there anything else I could have done? This is an inevitable question we all face. And the answer is always the same.

As editor of The Dog Cancer Survival Guide, I’ve read thousands of emails like the one below. And they break my heart, each time. Over the last decade, I’ve done some deep thinking about the guilt that comes (Inevitably! For all of us!) when our dog passes away. So if you’re asking “was there anything I could have done for my dog?” … here’s my best answer.
Molly Jacobson, editor
Was There Anything Else I could Have Done? (details have been changed for privacy): 
Thank you for a wealth of information. I ordered your book via amazon but sadly it arrived the day after my precious girl was laid to rest, she was of course my world. I am struggling to come to terms with this right now as I wonder if there was more that could be done for her.
Belle, a springer spaniel entire female, just turned 9yrs was diagnosed with metastatic tumours in the brain and spine, no primary tumour could be found so a biopsy did not happen. She was referred to the specialist clinic after my vets were left unsure of what was wrong (I suspected a tumour somewhere) where she had the MRI and CT to confirm the above. They gave her approx 3 months to live and I basically was committed to try anything and everything for her so long as she remained pain free and happy. I really believed I could help save her if at least for a little while longer than the 3 months.
She was treated with conventional medicine and also natural medicine too. She was given Lomustine and then also had methotrexate injected into the spine. She was fed the dog food Canagen plus other meats (as fresh as I could get from the butcher) and veg such as broccoli which she liked to eat, I tried to feed her as best as I could. She was started on Cannabis oil, turmeric paste (made fresh myself), apricot kernels, magnesium chloride and colloidal silver too.
My family and I remained so positive I really believed we could make a difference and initially she did really well surprising the vets, regaining her mobility etc. She was given all our love and I took her outside as much as possible, she came with me literally everywhere I went to keep her stimulated and happiest as she always came with me, we played games with her and told her all the time how much I adored her (this is normal anyway) and she was my little world and so on
It seems that all this was not enough. Reading your book has been helpful and its nice to know that much of what we did out of instinct is written in your book but I am now questioning if your there was anything else I could have done? Have you ever had any success stories with dogs with brain tumours? I would appreciate any comments you might have as I desperately want to know that I did do the right thing by her. I felt I was given a little window to make a difference and I missed something or did something wrong by her.
I kept my promise to her and put her to sleep the day after she was really uncomfortable pushing her head out and up as much as she could (she had lost her mobility again) and cried throughout the night she seemed in pain and I could not ease it (I stayed up with her all night and previously would get up to see to her, when at night, as soon as i heard a little bark which before meant she wanted to go out for a pee) The vets told me they could give nothing to ease this pressure pain and that they felt the time had come for her. the worst words but I could not see her in pain.
Would be nice to hear any feedback. I will keep you book and recommend to others – really well written just wish I had heard of it earlier.
Our Answer:
Thank you for writing, and we’re so sorry to hear about your loss. Belle sounds like a wonderful, brave, warrior of a dog!

Now, as to your question: we’re going to put this as gently as we can without coming across as preachy. Imagine that we have just given you a big hug, and are looking at you with big, earnest eyes that are brimming with tears — because we’ve all been exactly where you are, and we really understand the urge to go over everything, over and over, and wonder if there was more you could have done.

We understand second-guessing everything about our dog’s cancer, treatments, and ultimate outcome.

Here’s our answer:

No. There was nothing more you could have done.

Cancer is clever, and crazy, and a mighty foe, and no matter what we wish, there is NO MAGIC BULLET for it. There are some health issues that can be managed away — a broken leg, or an ear infection. But cancer isn’t something that happens in a discrete, straightforward fashion. It zigs and zags and it darts around corners and it hides in dark places. Sometimes, we can manage it for so long that it feels like we WIN. Sometimes, if we’re lucky, we can cut it out and be DONE with it. But more often, particularly for harder to treat cancers, or for cancers that have metastasized, we can only do the best we can — and then wonder if there was more to do.

You’re right — there are things that can help, as you found out! But are using any of those treatments, supplements, lifestyle choices a guarantee that cancer won’t win in the end? No! Even if you HAD found the book sooner, there is no way at all to know now that you would have seen a different outcome or gotten more time. There just isn’t a way to know the answer to that question. As my grandfather once told me, asking yourself questions that only God can answer is a sure way to drive yourself crazy.

So stop asking that question. It will drive you crazy, because you will never, ever get a satisfying and definitive answer. No one can tell you for sure if there was something else you could have done.

You did the best for Belle that you could have done. You cared and made changes, and when it was time, you helped her to rest. I have no doubt that you did right by her.

It’s difficult to face, but the pain our dogs experience is not, in some ways, like our pain. When a dog is in pain, that’s all they are — in pain. As far as we can tell, they don’t have the thought “This will get better.” So when they fill ill, they just feel ill, and little else. If we see them in chronic, unremitting pain, we know that they’re in some ways more miserable than we would be. A human with brain cancer (I speak from a little experience, knowing a child with a brain tumor) can take a little comfort from knowing that something — some treatment, some drug — might help reduce the pain, at some point. It’s a little easier to bear the pain when you can look forward and imagine a time when it ceases.

But dogs just can’t do that. Their world is NOW. So sometimes, if we can’t hold out hope for a future without pain, we choose, as dog lovers, to ease their pain for them.

One of the things that helps me to understand my own desperate feelings for my dogs is something I read about how dogs trigger parental patterns in our primate brain. Primates, and particularly humans, give birth to helpless infants that we MUST protect at all costs so they can mature into adults who can take care of themselves. Our dogs and other pets, because they depend upon us so heavily, remind our primate brains of our own babies — and so we start to feel that same fierce protection toward them — and the same feeling of “I must keep this creature alive.”

These feelings are biological and evolutionary in origin, and there is nothing we can do about them.

The trick is that our dogs live far shorter lives than our primate brain expects. When our dog is ten, we think of him or her as a ten-year-old child. The death of a ten-year-old is unthinkable — it makes us queasy and upset and panicked. It is unnatural for our children to die so young.

But it’s not unnatural for our dogs to die “young.” Even in the longest-lived, we get only a couple of decades with them.

This extreme pain you’re in, and the second-guessing your doing, is completely normal and natural when you look at it from this evolutionary mindset. Belle triggered these parental feelings, now she’s gone, and you are beating your head against a wall trying to figure out if it’s your fault — because your child is NOT supposed to die so young.

Your job now is to be patient with yourself as your primate brain unwinds all of the events, traumas, and facts and goes over this territory again and again, for a while. Be relaxed and observant of your brain as it tries to make what’s wrong somehow right. This is normal and natural. … for a while. After a bit, you MUST stop this cycle of wondering.

For your own sanity, please, don’t beat yourself up. Get the support you need to grieve and talk this through, and then let it go as one of the great mysteries of life. Was there something more you could have done? No. Because even if there WERE … you didn’t know about it at the time … so you couldn’t have done it.

You are off the hook. You are free and clear of blame. You were Belle’s best friend — and she knew it. We guarantee that she would NOT want you to feel this bad and beat yourself up. She wants you happy and content and comforted.

Grieving sucks, and it comes in waves. Get yourself the support you need, and know that Belle has not been hurt by you. She loved every minute of her life with you.

Many, many blessings.
Molly Jacobson

Discover the Full Spectrum Approach to Dog Cancer

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  1. Quandomama on June 23, 2018 at 9:39 am

    Thank you for this; it helped me make the hardest decision I have ever had to make in my life. When my chowhound of a dog didn’t eat for six days, even with tempting restaurant meals, and had all the other signs on your list, I decided it was time to say goodbye in the best possible way I could. I still am not sure if I was relieving my own overwhelming pain and fear of finding him gone when I came home from work, but I also know that he was surrounded by love and peace on his last day. He was a rescue and I think his early life had been really hard. I wanted to make his last years and goodbye the best they could be. Your list helped me.