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

Reflections Four Days After Departure

Updated: August 27th, 2019

This post will be a little different.

I put my own dear Ginsu down four nights ago due to cancer.  Ginsu was a loved cat, not the usual subject of the Dog Cancer Blog. Yet loss is loss, and as a provider of information that sometimes involves coping with loss, I would like to give you some reflections that might help you, when  forced to deal with loss of a loved one.  I’ve always found the best wisdom comes from the trenches, after all.

Ginsu, thankfully, beat the odds, and hung on long after a textbook might have suggested.  But his passing was no less brutal, and the brutality of death is something worth mentioning.  For a lucky few, the passage of someone in your heart can represent something beautiful.  Yet for most, its finality can be spirit-crushing, especially during the passing and for the days following.

Sure enough, just as written in the Guide, my mind was clouded and it was difficult to think and function. But I took the steps prescribed for guardians myself, and was able to get some clarity. I had to guard the guardian and experience the sadness.

I heard from a very smart man long ago that the way to move through something is by “experiencing it away”.  We have to be controlled in this, and so I’ve  took it bit by bit, stopping what I am doing for a couple of minutes to shed some tears, then moving on to what’s next. This provides the salve that helps us to function during grieving.

I saw a thought in myself during this time. There was something not okay about the whole experience.  In other words, this was something that I had not signed up for and that was simply not right, unjust.  These were what they call preconscious thoughts, not quite easy to pinpoint as they were kind of floating in the background of the mind.  But they were there, and I feel that this “wrong” sensation is common in those coping with final departure.

And when something feels wrong, the natural thing to do is to find its cause.  Next comes doing something about what’s wrong. And here is where things get a little weird (and again, I am speaking from self-observation here, so these ideas may not apply to everyone’s experience).

Inside all of the grief is this current of addressing the injustice in front of us, somehow helping to soften the wrong-ness of it all.  So I noticed myself searching for a release valve to help fix the unfair situation. In my case, it was  a little life form, my dear Ginsu, who did not deserve to have his jaw broken by an invading tumor. What in the world did he do to deserve this?  Where is the justice in it?

A few things happened from these thoughts.  One was guilt.  This as many know is common during guardian grieving. Also, anger. As I watched myself I realized that I was trying to find a release from the unfairness, and was turning it on myself (guilt) or the outside world (anger).

It seems these are connected. In other words, our pet is experiencing undeserved suffering, which feels unfair, which needs a resolution, which has no resolution, which gets turned to “someone’s gotta pay”, which travels to ourselves as guilt and outside ourselves as anger.

Once I realized this, it helped me cope with what was happening.  Some call this a “handle”, which means you identify what’s going on so you can deal with it (handle it).  A handle allows you to move at least one of your two feet out of the mess.

Once some of the feelings grew softer, all that was left was a deep sadness, just a wound. And as this did what wounds do (hurts), it dawned on me that that this is the price of the joys of life. There is a cost to life, and it is only my inappropriate feelings of entitlement that make death feel unjust.

Another way to look at it is that humans often believe we, and our loved ones, have a right to be here, like a big cash prize that we expect to be free. No repayment expected, no abrasions of life tolerated.  Yet this was my delusion, created by my own simple and silly human way of only looking at a small piece of a much larger picture.

For me, watching this simple and silly idea fall apart was the root of the guilt, anger, and even sadness.  It was not just Ginsu leaving- it was also my silly idea of what is “supposed” to be.  And I have carried this over the years, and encountered it with other guardians in my veterinary practice and life.  But for the first time I can actually see it.

I read a quite wise thing once.  It sounds a little grim but it actually is not- it can be joyful.  The short point was this:  if we live with the deliberately continued recognition that we may die at any time, it changes everything.

As I am passing through Ginsu’s departure, this is the gem I’ve gained. And I pray as the weeks, months and years travel by, that I remember this advise to myself.

By the way, a simple new tip: look at pictures and any videos.  Go do it. It helps a lot through the whole thing.

Best,

Dr D

 

 

 

 

Leave a Comment





  1. Jeannette Botza on August 9, 2012 at 12:24 pm

    I feel your pain. It has been 6 months since I lost my beautiful girl from a dreadful
    cancer, called Hemangiosarcoma. I still cry, and I talk to her everyday, and would do anything if I could have her back. Did everythng possible while she
    was ill, even had 2Xray phone sessions with you from California. I know what you are feeling, and there isn’t a pill in this world to take that pain away. I was
    so overjoyed when I spoke to you and told you after all of her chemo they saw
    nothing in her monthly ultrasounds, and then 3 months later, xmas eve, she
    fell ill, and it was everywhere. I felt the same as you. why did the tumor break
    your Ginsu’s jaw….why did my girls cancer comeback? WHY…Dr. there isn’t
    any answer. My heart goes out to you

  2. Bonny on August 9, 2012 at 12:20 pm

    For anyone whose ever lost a furry best friend-please read Cold Noses at the Pearly Gates by Gary Kurz. It’s an amazing book that will help you through the grief and fill you with the hope and joy of knowing your friend is alive and well and waiting for you!

  3. Liz Hancock on August 9, 2012 at 12:15 pm

    Demian, My heart goes out to you, it truly does. On Monday my beloved 10 year old Border Collie ‘Major’ seemed to be losing his battle agianst Lymphoma, just days after having received his 4th Chemo therapy treatment. Diagnosed just 5 weeks ago I had hoped and prayed that he would respond positively to his treatment and enter remission. Keen to do all I could for him I came across your Dog Cancer Diet and made slight adjustments to his already excellent diet, with the hope of providing him with the best possible nutrition. Unfortunatley he kept getting bouts of severe Diarrahoea – and on Sunday I noticed that he was passing considerable amounts of blood in his very watery motions. The vet saw him on Monday morning – gave him an injection and prescribed drugs and antibiotics – but for the first time he had lost all interest in food and seemed to be in discomfort – I asked the question, ‘Is it time?’ – but the day before he had still wanted to play and his eyes remained bright. I was tenderely cleaning him up with each motion passed – his rear was somwhat sore and inflamed – and on the vets advice I tried to soothe this with a mild antiseptic cream. With each passing hour he refused to eat, though still drank water, and he kept wanting to lie alone in the garden. At 10.45pm I was thrown into hysterics as I tended to his rear and spotted maggots in his fur. A frenzied call to the vets and by 12 midnight we were in the veterinary hospital – my vet shaved the fur from his rear and his tail – and though riddled by the little blighters, there was a sense of relief that we had spotted it just in time as they had not managed to penetrate the flesh. As a minister of religion I was angry with God ‘Why did this have to happen?’ I cried, ‘Isn’t he suffering enough?’. My vet advised that due to the diarrhoea, flies would have been attracted to him, as he lay in the garden, ‘Why had you not noticed this earlier’ I asked? And she explained that the hatch time from lay was around 8 hours, and so it had most probably happened after I had seen her earlier. She then advised hospitalisation and putting him on a drip for the next 24 -48 hours, and suggested I phoned in for an update after 10am the next morning. Throughout the night I was told that he suffered further bouts of diarrhoea but also vomitting – but by morning his condition had moderatley improved. Again I was filled with a sense of hope – but nothing could prepare me for the phone call I received later that afternoon, telling me that my poor Major had suffered a nosebleed and was now struggling to breathe. Living a good 30-40 minutes from the hospital I had to take the decision fot the vet to euthanase him without my being present – that was 3.30pm on Tuesday just 2 days ago, and I feel absolutely wretched. Did we leave him too long? Ought we had better read the signs? I guess I will always wrestle with these questions, but in a sense thank God for the maggots – without them, I would have been at home, alone with Major through the night, what if (not being on a drip) his condition had rapidly deteriorated and I’d woken to find him bleeding – to imagine that is just too horrible. I find myslef crying at the simplest of things – On Tuesday evening I stubbed my toe on his water bowl left on the kitchen floor and I cried, then spotted his empty bed on the bedroom floor and I sobbed. Yesterday I noticed a closed back door – whereas the last few days it had been left ajar, I awoke last night and leapt out of bed convinced that I’d heard him pawing the door to go out – and for about ten miuntes I lay back on the bed and wept uncontrollably, this morning I switched on the kettle – and automatically opened the back door for him to go out when he came downstairs, and realising what I was doing cried soem more. A short while ago I ran the hoover over the house and wept that no more will I be vaccuming up his dog hairs and I’m typing this now through tears. You are right though when you say that photographs help – and people are offering tributes in memory of him on my facebook page. Whilst he was one special boy and I know I could never replace him – another burden I bare is a stark realisation that practically, because of the nature of my work, and the prospect of a change in appointment just a couple of years away, I wont possibly be able to have another dog and that really is tough. God bless you – keep up the good work, may memories of Ginsu continue to comfort you and memories of Major be a source of comfort and blessing to me. Yours in Christ, Liz x

  4. Gloria on August 9, 2012 at 12:14 pm

    Condolences on you loss. Your email came a day after I had to part with my little dog Toro, 13 years, 5.5 months. His rear leg had suddenly swelled up in early May and it took a week to diagnose that it was, indeed, a mast cell tumor on his lymph node. He was nearly dead and required transfusions, but he stabilized. Although he had been lagging, I thought it was simply old age…until the tumor “erupted.” The vet could only offer me chemo hundreds of miles away, so I opted to go to the vet in town who practices Western and Chinese medicine. He rebounded miraculously with mushrooms, western immuno support, silymaryin for his liver, omega 3’s and other herbs. (Also, a reducing dose of prednisone, prevacid, sucralfate)
    He regained all his weight on a low protein diet and his liver improved. His abdominal ultrasound was clean.
    He lived his last few months as if he were a young dog. Until a few days ago he appeared to be a bit less energetic and the tumor was growing. On Tues night he took his walk but later started licking the leg. By morning, he could not walk on the leg and there was bruising, which later, the vet said was probably bleeding.
    I took him in on Wednesday (yesterday), happy and still very healthy, but with probably only a 2-3 weeks left. These would have been weeks of deterioration, and the vet agreed it was time. He went very peacefully after sedation which allowed me to pet him and love him, then he was put down.
    I read a prayer as he passed, an old Taos Pueblo poem….for yes, it was a good day to die because Toro had relived his remaining days feeling well and doing all the things he enjoyed.

  5. Julie Isidro on August 9, 2012 at 12:10 pm

    Dear Dr Dresser….I am so sorry for your loss. I have already started my grieving process as I wait for my dog Haley to tell me when it’s time to let her go. She has IMC and we’ve chosen to stop one of her chemo drugs due to the side effects. She is on pain meds now and her quality of life has improved a bit. But I am feeling the guilt of not being able to do more, and anger that she wasn’t spayed prior to being rescued as a three year old. I am trying to enjoy the time she has left and to be positive but I’ve been through this kind of losses before and I know it will be difficult.. fortunately I have friends.and family who are very supportive …I hope you do too.

  6. Diane C Nicholson on August 9, 2012 at 11:57 am

    So sorry to hear about Ginsu. It doesn’t matter how much we know about the subject, grief still hits us like a passing hurricane. And one of the first things we do, whether it’s the death of a human or other animal loved one, is look for guilt. Even if we know we did everything possible, we look for a bit.

    I made an appointment for my vet to come out yesterday and put down my girl, Suki. Now 17, Suki was diagnosed with a large splenic tumour 19 months ago. I did not want surgery so simply took her home.

    But the tumour has encapsulated or whatever, and after a few minor bleeds– all symptoms disappeared.

    She did not die of the tumour but now she is senile. This has been going on for about a year and over the weekend, she became extremely agitated and since she’s sundowning and therefore, so am I, I figured it was time.

    However, Suki had other ideas and started to wag her tail, walk to the right and in a straight line (first time in months!) and generally, convinced me that she wasn’t ready yet.

    It’s one thing when your dog, or cat, is in pain– the choice is usually clear. It’s different when it’s a brain issue.

    We’ll take it one day at a time but as long as she wants to stay, she’s welcome to do so.

    Again, so sorry about Ginsu….

  7. Linda Fisher on August 9, 2012 at 11:57 am

    My heart goes out to you at this time. This is something that is growing closer for me at this moment. My sweet, 11-1/2 yrs old Lab, Jake, was recently diagnosed with hemangiosarcoma following spleen removal. I am in the process of gathering together supplements and trying to determine what our plan will be. I just received your book this afternoon. I know all this trying to organize a treatment plan is partly my way of “doing something.” I tend to be a “fixer” and need to try everything to make things right. When I am taking a moment to be honest, I realize there will likely be no “fix.” We have had him three years longer than we thought we would; he has been seemingly cancer-free after being diagnosed with oral melanoma three years ago. And, now this, a cancer which has no miracle vaccine. But still, I can’t give up the hope that there is something. Gonna be hard to deal. I feel I’m already starting the grieving process and it sucks! I wish the best for you and your family in getting through the grief.

  8. Pat on August 9, 2012 at 11:45 am

    I’m deeply sorry about your loss. It’s devastating to have to cope with the absence of such lovely creatures. I don’t fear death itself, but the lack of presence is unbearable (maybe that’s why photos and videos help, although my experience was exactly the opposite, I deleted all photos/videos of my 2 months old puppy after a horrible suffering and death due to cinomosis). One of my Labrador Retrievers has cancer (hemangiosarcoma) and the other (his daughter) has an undiagnosed disease which comes and goes like a guillotine blade over my head. I’m trying to rationalize the inevitable, but what I get is just emotional breakdown. Maybe we should start teaching how to cope with death and absence in preschool, so we could know how to handle this in a more natural way. I hope your sadness can become wisdom and peace of mind.

  9. SSusan Decker on August 9, 2012 at 11:42 am

    So sorry about the loss of your cat. I know how precious each companion pet is to us, and it never gets easier no matter how many we have, or have lost, each one is special. As to your new revelation about about ‘dieing at any time’ …it is truly the ancient philosophy of Buddhism that respects this premise:
    “all life is transient, a part of us dies and is regenerated every instant we breath, we have only the present moment in which to live, live it to the fullest, what is past is over, there is never a guarantee of any future, cherrish each breath we take”
    It is only when we respect death, and accept it as being a part of our everyday life, that we can really appreciate the gift of living.

  10. Kris Graham on August 9, 2012 at 11:40 am

    Dr. D.,

    I have experienced the death of loved pets, and I also experienced the deaths of both my parents. In fact, the 19th anniversary of my dad’s death is today, and I thought of him and mentioned the anniversary to my husband. Time does not heal all wounds contrary to the old canard. Time merely dulls the sharp edges of the pain. You never forget your loved one whether it be a human or an animal, and you never really get accustomed to the loss. All of us must go through the pain of losing a loved one because that is the price of being born and living. One day we will all leave this earth whether we are human, canine, feline, whatever. We have to deal with that knowledge, and it’s tough. Human beings are so egocentric. We think the universe revolves around us. It doesn’t. We and all living beings on this earth are just tiny dots in the larger universe.

    I hope and in fact, I know that given time you will not feel so much pain at the loss of Ginsu. Let the emotions come and feel them and realize that what you feel is very normal. Hell, I can still cry when I think of my dad and mom and the fact that they aren’t around anymore. We’re human. We love, we feel, we get enraged, we have guilt. Our emotions run the gamut. Those emotions and our awareness of the precariousness and preciousness of life are what makes us human. Maybe other animals like dolphins and elephants realize this, too. Who knows? We should all try and love one another including our animal companions and make every day count as though it was our last day on this earth.

    By the way, I have my dog, Maddie on your Apocaps. I am hoping that she will beat her cancer with the Apocaps, the K9 Immunity Plus, a grain free diet with cruciferous veggies and fruit, cottage cheese and a whole lot of love, grit, determination and a healthy dose of luck. Send some healing energy our way here in Houston anyhow.

    Big hug to you. You’re gonna be okay.

    Kris in Houston

Scroll To Top