Hudson started limping on Wednesday night, June 20th. As soon as I saw it, I knew we were in trouble. There are those who will say "Look on the bright side, he may have just pulled a muscle." Those people have not been living with him for the last two weeks.
Hudson has been tired. He sleeps most of the day. He still plays and has fun for short periods of time, but he tires quickly. He is still eating, but he isn't finishing. He won't even start without being tempted with a little something delicious being added to his bowl. I knew he hadn't been active enough to strain anything.
He already had an oncology appointment for the next afternoon, so I gave him a little extra Tramadol until then. Upon arrival, we weighed him and he had lost three pounds since our last visit. I talked to our oncology tech and gave her all the details of what we were seeing at home, and pointed out that all his subcutaneous lesions seemed larger and that the mass in his mouth had grown over his teeth. They were no longer visible. I also requested that they x-ray his front left leg, which seemed to be the one he was favoring.
They took him back and Dr. Glawe began measuring the changes in his sub-cu tumors. Before she even did the x-ray, she came out to talk to me and ask me "where my head was at." I told her I knew what the x-rays were going to show and that we were prepared to deal with the outcome. We had already selected a vet that could come to our house and allow Hudson to pass with his family around him. We were prepared to let him go on Friday night, if necessary, but that I needed her direction in that aspect. I didn't want to let him go too soon, but I didn't want him to suffer either.
Dr. Glawe shared that Hudson's blood count (both white and red cells) were in the normal range, precluding anemia and low white cell count as the reasons for his lethargy. The mass in his mouth had grown from 0 to 4 cm in diameter in three weeks. The subcutaneous nodules had both grown 20% larger as well. Clearly, his cancer is progressing. I confirmed that I wanted to have xrays done anyway, in spite of his obvious decline.
The x-rays showed a new bone lesion of the proximal humerous. Approximately 50% of the cortical coverage remained in place, so a pathologic break was not imminent, but Hudson was in pain and there was nothing, aside from radiation, that could be done. There was no guarantee that radiation would in any way extend his life, and it certainly wouldn't help him to feel better. We made the hard decision to let him go in the next 24-48 hours.
I had Friday off of work and spent the vast majority of the day with Hudson. We napped, we ate hamburgers and we played with his favorite toys.
I had to host a bridal shower on Saturday, so Tony got to spend a day with Hudson as well. They cuddled and napped together, ate lots of treats and played with toys. They lounged outside in the sun and laid in the grass together.
Dr. Magnusson was scheduled to come over at 8:00 PM, so we soaked up the time we had left with our boy.