i don't mind answering questions at all. i needed someone when i was going thru it....and people were there for me. the least i can do is be there for someone else.
each time Dakota had a bleed we would always bring him into the vet's office. he never had to receive blood. he would usually stop bleeding on his own so there was no need for it. like Josi, he would rally in about 24 hours or so on his own.
we sort of knew what to expect because our vet told us what to expect when a bleed occurred. (lethargy, weakness, pale gums, etc)
when he was first dignosed, we discussed all the options (short & long term) with our vet and sort of decided what we were going to do at each stage way before the time came each time. we had decided we didn't want to start giving Dakota blood transfusions or start with heroic measures when he might need them because we felt that, at that point, we would have been prolonging the inevitable since it wasn't a "cure" and was only a temporary fix.
he did have several bleeds. i wouldn't say they increased in frequency though...they were really unpredictable. he'd be fine one minute and then exhausted the next. and then off to the vet for assessment.
his prognosis was about 6 months at time of diganosis but we helped him to the bridge at around the 3 1/2 month mark. his last bleed was pretty bad. at that point, the vet suspected that the cancer had spread to the heart since Dakota had some edema in his hind legs ("jelly-like" swelling). the vet believed that his heart wasn't functioning properly. also, his last bleed, there was blood visibly under the surface of the skin (like a bruise) from his groin area...all the way down his back legs. sort of like bruising you see on elderly people with thin skin (sorry...don't know how else to explain it)
we never had any further ultrasounds done because we felt that whatever was found...wouldn't change the course of treatment. we lived each day as it came and to the fullest...to the best of our ability. it was difficult not knowing exactly how much time we had together but somehow we dealt with it.
only you will know when it is time for Miss Josi. talk to your vet and the oncologist. ask all the "hard to ask" questions even though you might not want to hear the answer. we did it...and it made it much easier to deal with Dakota not being well because we sort of knew what direction we would take next depending on Dakota's status.
the last day with Dakota.......my husband left on a business trip just the night before. it was a trip he couldn't reschedule since it had been planned for over a year. That night I was up with Dakota ALL night with hubby on the phone. none of us slept and poor Dakota just kept looking at me like "I'm done, Ma.". I knew it was going to be mostly up to me to make the assessment and decision. before he went...Hubby made me promise that i wouldn't prolong Dakota's suffering while he was away on business. well....it was as if Dakota waited for hubby to be away. he went downhill that night and when i brought him to the vet early that morning....I asked "are we close?". and , the vet said, "pretty close". I said..."do you think he can make it another 5 days for hubby to come home?" the vet said "we can try". well..the way the vet said "we can try"....it was as if he said "we could try" but that we would only be "trying" more for me and hubby...not for Dakota's sake. i can't explain it. he was as kind as he always is and i know he would do anything i asked to help Dakota stay with us but i just knew. especially since Dakota was looking at me like "I can't go on"
that morning the vet gave Dakota some heavy duty meds to make him comfortable. and, I brought him home with me so i could call hubby to discuss options. by 1:30 that afternoon...I called the vet and asked if he could come to the house to help Dakota to the bridge. he had office hours until 8pm that night and so we made arrangements for him to come right over when he was finished seeing his patients. it gave me time to be with Dakota and that's exactly what i did. i laid on the floor with him, napped with him, talked to him, loved him and held him.
we helped Dakota to the bridge that night while he laid on his favorite bed...in front of his favorite window....at home. it was very peaceful and i am glad that it happened the way it did and at home.
we will never know if Dakota would have or could have recovered from that bleed but we knew in our hearts that is was time to say goodbye. poor hubby was miles away when it happened but...we both felt it was time.
thankfully, we had discussed what we wanted to do and what arrangements we wanted when "the time" came so our decision making process was minimal during such an emotional time.
hope some of this info helps.