End of life care for my beloved pionus

jvpi

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Aug 21, 2015
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Hello,
I have an 11 year old pionus that I love dearly. My vet has told me that she is terminally ill, likely with ovarian cancer. We've spent the last few weeks in endless tests and vet visits since the few sneezes that were the first hint of something wrong. We thought it was asper in the beginning, but the combination of fluid in her abdomen, a lipid profile, zero response to anti-fungals, and her (positive) response to a lupron injection, the doc thinks we're dealing with cancer.

The doctors are very willing to throw everything at her to squeeze out a bit more time - tube feedings, injections, more drugs. I'm here questioning how far I should go, because as desperately as I want more time, I want that time to be full and happy for her.

She is very, very thin. She's been eating more than I've ever seen her eat, but no matter how we tempt and cajole and stuff her with fattening foods, she is losing weight day by day. The vet has told me I can bring her in for tube feedings, or learn the technique from a vet tech and do it myself. I will not bring her to the vet for feedings - the experience makes her miserable, and I do not want her last days filled with fear and discomfort and basically constant vet visits. I am torn about doing the feedings myself. I want her last days to be peaceful, and full of good memories. I want as much quality time as I can get with her. I could try to extend her life with Lupron shots (they make her more comfortable - on them she almost acts well) and force feedings, but I don't want her to lead a half-life while she slowly loses. It's not even clear to me if she will gain weight on the tube feedings - we might be too far along. I don't know.

Do any of you have experience tube feeding? Do you have recommendations, based on your experiences? If her prognosis was good, I would do it in a heartbeat, because it might mean the difference between life and death. But here, it might be the difference of a few weeks, or days, and might diminish the quality of those days. I might be making a bigger deal of the tube feeding than it really is, or I might not be appreciating just how wrenching and terrible it will be to do it to my poor girl. I'm hoping that someone here can help me to understand. Is it hard on them? Stressful? Risky? Will we spend those last weeks with her dreading me picking her up because she knows it's coming?

Thank you all. I've been a silent visitor here many times, and appreciate all the experience here.
 

SoCalWendy

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This is so sad... I am not experience in tube feeding, but I just wanted to say how sorry I am that you are going through this painful experience.
 

LeaKP

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Aug 11, 2014
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Im so sorry to hear this terrible news!

I suppose the question to answer is what is her quality of life? once she can't have a good quality of life, and you will know, then is perhaps the right time. it is so hard to see these babies suffer.

Thinking of you!
 

ToMang07

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Jul 14, 2015
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IMHO, at the end of the day, you have to think of the animal.

If the animal is suffering, I think it's time to let go.

So sorry to hear about your misfortune.
 
OP
J

jvpi

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Thank you all for your kind words.

She's not suffering now - she's actually quite content. She's being pampered and fed, is with me all the time, and I'm making an effort to do all of her favorite things that she's still well enough to do (sitting together and reading, for example). That's part of the problem - if she was suffering, I would let her go. But she's happy and bright. I'm trying to decide if I try to sustain that with tube feeding, or whether the tube feeding will bring suffering, or a longer period of suffering to her.
 

Allee

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Welcome to the forums. I'm so sorry about the circumstances but you've joined a group who understands. What is your bird's name? Have you had her for all of her eleven years?

Your title says a lot more than words can convey. End of life care, is heartbreaking for the caregiver but it's also a special time for the pet and the person who has the honor of caring for them. You've already made the commitment and you are doing everything right. This final awful decision is yours and when that moment comes, you'll know, she will tell you when it's time, until then, enjoy every bright, happy, content second.

Have you tried the tube feedings at home? I think it would depend on how well she tolerates the feedings, in her own home with someone she trusts, there's a chance it wouldn't be as awful as you think and it could give the two of you more time together.

I know this is breaking your heart, I wish there was something we could say to ease your pain and your girl's as well. My thoughts are with you.
 

Doublete

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RIP "pineapple" lovebird
I have no experience to give you answers to your questions but I will say I'm very sorry you are going through this.
You are absolutely doing everything right and you should continue to do what you inside know is right.
 

OOwl

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I, too, wanted to welcome you here, even if it's such sad circumstances. I've always admired how animals approach impending death. We could learn a lot from them. I recently lost a pet to old age, also due to cancer. He, also, got really thin. I fed him whatever he wanted, throwing out all caution of proper balanced nutrition. He had many good days. When he quit eating on his own, that was his way of saying he was done. It was an honor to end his suffering weeks before it would have happened on its own. Force-feeding him would have been for me, not for him. He already knew how to say goodbye. I'm sorry for what you're facing. I think I'd just enjoy the time you have left with your friend. If it was my bird and it hated tube feeding that much, I would have to say I would not put it through it, if it only bought a few weeks.

That said, had you thought about getting second opinion on that diagnosis? Since your bird responds so favorably to the shot, maybe another vet would have a good idea of some sort of treatment plan, maybe someone that specializes in that type of issue. Eleven doesn't sound all that terribly old but then I don't know much about Pionus parrots.

I'll be hoping for a turn-around for your girl. Miracles happen every day.
 

RavensGryf

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I am so sorry to hear of this situation with your beloved Pionus. It is never easy for the caregiver. I made the end of life decision for my Pionus hen 10 years ago, and I remember it well. It was terribly hard, but I knew when it was time. Take care.
 

henpecked

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I'm not sure where in the world you are. I do know of several AV s in my area who do treat cancer in parrots and might be worth consulting with. If you're interested contact the Moderators. They know my contact info. I feel for you. I have been though the same as you with a long time pet hen amazon. We battled cancer for 5yrs before we had to make that choice.
 
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Pinkbirdy

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I have lost birds to PDD . It came masked in different symptoms. But they all had the weight loss and could not gain any back. I hand fed [it helped]. I stayed with them till the end :(
 

RavensGryf

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I have lost birds to PDD . It came masked in different symptoms. But they all had the weight loss and could not gain any back. I hand fed [it helped]. I stayed with them till the end :(

That's how I lost Adrion too. Such a terrible disease and so common out there unfortunately.

Not saying it is this, and certainly not discounting such a serious disease as cancer, but is your vet just assuming at this point because of the lupron response that it is indeed cancer? At any rate, I feel for you. It is terribly hard no matter what the reason.

Edit: The only reason I'm asking is so that you can get the proper treatment, and make the right decisions based on a correct diagnosis. ;)
 
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OP
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jvpi

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Again, thank you all so much for your kindness. It really helps to hear from people who understand what it is to face this, and know how much it hurts to say goodbye.

Her name is Cosmo. She's been with me for 6 years, and has shared in everything in my life. She was there for me through many difficult times, through my mom's own cancer. She was "flower bird" at my wedding. She went on a cross-country road trip, and many others, with us. As long as she had her travel cage and us, she was happy. She would leap into that travel cage when she saw it come out.

There are other avian vets in my area, and one who seems to be an expert on reproductive diseases and microsurgeries. My vet knows him, and consults him when necessary. But, if it is her ovaries, the studies I've read (on his own website, even) say that her chance of survival is very, very low, since the ovary is attached to an important blood vessel, and they won't take all of it. Her radiographs show issues in her air sacs and bones, suggesting it may have spread. There are no gentle treatments, nothing non-invasive, and nothing that doesn't involve lots of time at the vet's. She had a few days of hospitalization earlier, when we thought this was curable, and spent the entire time there terrified, panting and hiding in a corner because they were grabbing her for tube feedings 4 times a day. They were convinced her respirations were constantly rapid because every time they looked at her she would panic.

I'm faced with the fact that regardless of what this really is, it is consuming massive amounts of energy that she can't replace fast enough. We will lose to it at some point, and all that's left to decide is how we reach that point.

I am leaning more toward letting her tell me when she's done, and foregoing the tube feedings. There's part of me that's desperate to do them, and feeling guilty because I might be robbing her of more time... but another part that feels, like one of you mentioned, that the tube feedings are for me, not for her.

I've written a lot. Thank you for letting me share my thoughts here, and for your thoughts in return. It's a comfort in a very painful time.
 
OP
J

jvpi

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Not saying it is this, and certainly not discounting such a serious disease as cancer, but is your vet just assuming at this point because of the lupron response that it is indeed cancer? At any rate, I feel for you. It is terribly hard no matter what the reason.

She is assuming, to some extent. Her lipid profile is consistent with some kind of reproductive disease. The vet was concerned about the look of her ovaries in the first radiograph; the second showed that her entire abdomen had filled with fluid. Her leg bones are pitted and show sign of inflammation and her air sacs have granulation. Short of scoping her, I'm not sure what else we can do to try to verify that the diagnosis is right. She is on medication to deal with the inflammation, and antibiotics to cover us if it's some kind of infection instead. She brightened a few days after the lupron shots, which should shut down her hormonal production and slow hormone-induced cancer growth.
 

RavensGryf

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She was your "flower bird" at your wedding :). I giggled because that is so precious. Sounds like you will have many wonderful memories of Cosmo that will last a lifetime.
 

henpecked

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You really should have your vet contact Helen Lightfoot at Blue Pearl Animal Hospital in Tampa. She deals with cancer in parrots every day.
 

Scott

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I am so sorry Cosmo has a difficult prognosis. Everything you have posted confirms you as a supremely compassionate parront, and your sound instincts and perceptions will guide you both.

If Cosmo was hand-fed, perhaps you may try giving highly concentrated food via a spoon? (curved as necessary to form a trough) It may prove less stressful than tube-feeding, and combined with Lupron injections might be the least invasive compromise.

I wish you and Cosmo well.
 

Mariar

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I'm crying now..I hope Cosmo and you have good news soon..I lost my doolie a YNA in May...I wanted to give him another chance at life ..and it didn't work out the way I wanted...but blue pearl is awesome...good luck and God speed
 

Terry57

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My heart is breaking for you and Cosmo as I read this thread. Cosmo is so incredibly lucky to have you, and you must bring such comfort to her.
I love that she took road trips with you and was your Flower Bird at your wedding, she has led a life filled with wonderful experiences.
Sending healing vibes your way, hoping you have more time with her.
 

Birdman666

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Hello,
I have an 11 year old pionus that I love dearly. My vet has told me that she is terminally ill, likely with ovarian cancer. We've spent the last few weeks in endless tests and vet visits since the few sneezes that were the first hint of something wrong. We thought it was asper in the beginning, but the combination of fluid in her abdomen, a lipid profile, zero response to anti-fungals, and her (positive) response to a lupron injection, the doc thinks we're dealing with cancer.

The doctors are very willing to throw everything at her to squeeze out a bit more time - tube feedings, injections, more drugs. I'm here questioning how far I should go, because as desperately as I want more time, I want that time to be full and happy for her.

She is very, very thin. She's been eating more than I've ever seen her eat, but no matter how we tempt and cajole and stuff her with fattening foods, she is losing weight day by day. The vet has told me I can bring her in for tube feedings, or learn the technique from a vet tech and do it myself. I will not bring her to the vet for feedings - the experience makes her miserable, and I do not want her last days filled with fear and discomfort and basically constant vet visits. I am torn about doing the feedings myself. I want her last days to be peaceful, and full of good memories. I want as much quality time as I can get with her. I could try to extend her life with Lupron shots (they make her more comfortable - on them she almost acts well) and force feedings, but I don't want her to lead a half-life while she slowly loses. It's not even clear to me if she will gain weight on the tube feedings - we might be too far along. I don't know.

Do any of you have experience tube feeding? Do you have recommendations, based on your experiences? If her prognosis was good, I would do it in a heartbeat, because it might mean the difference between life and death. But here, it might be the difference of a few weeks, or days, and might diminish the quality of those days. I might be making a bigger deal of the tube feeding than it really is, or I might not be appreciating just how wrenching and terrible it will be to do it to my poor girl. I'm hoping that someone here can help me to understand. Is it hard on them? Stressful? Risky? Will we spend those last weeks with her dreading me picking her up because she knows it's coming?

Thank you all. I've been a silent visitor here many times, and appreciate all the experience here.

I lost my most bonded bird ever, a 38 year old BFA to a tumor.

If it were me, I wouldn't go that route. I would spend one full day with her, just pampering the @#%* out of her outside, and then I would give her a shot that put her out of her misery...

And i would be there holding her when she closed her eyes, and went to sleep. Not a scarey stranger.

She's in pain and suffering. Tube feeding?! Is that any kind of a life for a happy go lucky bird?!
 

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