I figured this was the easiest way to get the word out, sorry I haven't been able to reply to everyone yet. It's been crazy here.
Dot's blood work came back and she has won the title of the absolute worst numbers the vet has ever seen on a dog still alive. The levels are absolutely insane. That said, she said Dot didn't match the numbers as she shouldn't be functioning, much less alive. So on that note we decided together to give her another 24 hours to see if she could be stabilized. She rec'd a liter of SubQ fluids and a huge dose of strong anti-nausea meds. She is also on two Pepcid AC a day to try to control the acid/ulcers so she'll maybe want to eat.
After about 11:30 tonight the nausea meds should be in full effect, if she continues to vomit then it's a sign that she is not going to stabilize. Same with diarrhea. Dr. Becky will be back over here around 3 tomorrow to reevaluate her and again we will make a decision to either stop treatment or continue until Thursday. (Unless I wake up tomorrow and she's crashed already) If she does not show signs of significant change by Thursday then I'm going to let her go. I don't know what else to do, I can't continue to drag it on for her if she's not improving and feeling horrible. This entire situation is terrible.
If she DOES start to improve and show signs that the treatment is helping then we'll go into a daily routine of the Pepcid, anti-nausea meds and I will inject a liter of fluids on a daily basis for essentially as long as she lives. If during this she slides back downhill then essentially her kidneys are past the point and there will be nothing else to do. Another problem we will have if we can get her stabilized is that she won't be able to be on her arthritis meds so it's going to be a fine line of quality of life.
Everything she ate this morning (a piece of lunch meat and a treat) she vomited up this afternoon. After she rec'd the fluids tonight I got her to eat a piece of bologna and half a piece of cheese. It's still down an hour later so I have hopes it will stay down all night.
I'm in a terrible place right now, she's in very bad shape but still shows signs that she could be better. It's not like she's down and staying down all the time which would make the decision clear. If someone comes in she still gets up, wags and looks for attention. If the other dogs bark she's interested and maybe barks too. On the other hand I catch her six inches from the wall just staring like she doesn't know where she is. I really don't know what to do at this point and I have no crystal clear sign. I don't want her to suffer, I don't want to drag it on for her if she's not going to recover but where's the line that enough is enough and let her go? I don't know. We set the Wednesday and Thursday deadlines and I'm relying heavily on Dr Becky's experience and expertise, I trust her opinion. To be honest, I thought tonight was going to be the night and it was her idea to give her another day to look for change so I feel that's justified, that I'm not dragging it out just for myself.
My instinct is telling me she's at the end, the heart says to try something else and my mind just wants to shut down and make me run away. On top of that I haven't even started to address losing Millie in my head and I feel horribly guilty like her dying has been discounted or not as important. I can't deal with actually dealing with losing her when I'm on the verge of losing Dot too. I guess that makes no sense, I can't think anymore.
Thank you to everyone. You guys are the best. I will update in the morning. Sorry for these impersonal posts but I can't figure out another way of doing it.