A MOTHER'S COUP
D'ETAT
Picture narrative written in 2005
Narrative written as a case study: Aug 23, 2008
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
"It is best to
phone your daughter," I said to the parents who brought
the old aged handsome-looking Miniature Schnauzer in for euthanasia. "By
getting her pet put down without informing her will
cause much unhappiness."
"The breath is so bad that our groomer refused to
groom him nowadays," the mother said. "He is so
smelly and the house stinks."
"Is the Filipino maid doing a proper job of cleaning
him?"
"My maid does not do the bathing and cleaning," the
mother explained. "I bathe the dog myself. After 2 days,
the bad body odour and bad breath fills the house.
Belinda does not any grooming of her old dog. "
I said, "Your daughter works long hours and needs to
travel overseas to work. Perhaps she has no more energy
left to bathe the dog when she reaches home past
midnight."
The mother said, " I have to do all the grooming.
Friends come to the house and complain about the
smells."
"But this Schnauzer has grown up with your daughter
during her teenaged years, " I explained. "I can still
remember her wearing braces to straighten her teeth."
How fast children grow up. Their dogs age much faster as
one dog year is said to be equivalent to 7 years of
human life.
"Can this dog still eat, drink and walk?" I asked the
parents.
"Yes," the mother said softly.
"Many
modern Singapore daughters are well educated. And
sophisticated. But one common thread amongst these girls
of the internet age is that they will never agree to
putting their old dogs to sleep just because they are
suffering from bad breath."
"How about me spending so much time every 2 days or so
to bathe this dog to get rid of the bad body odour? I
have told Belinda that the old dog is suffering and
therefore ought to be put to sleep."
"Did she give her consent?"
"No," the mother said. "I have talked to her for many
weeks."
"There will be long-lasting tension in your
mother-daughter relationship if you just get the dog put
to sleep while she is at work and not aware." By not
informing her daughter and getting the dog to be
euthanised on a working weekday, the mother would have
made a mother's coup d'etat. When the daughter comes
home and presented with euthanasia of her old friend as
a fait accompli, it would be very unpleasant for the
mother.
"Belinda will not forgive you. I don't think she will
move out of your house as she is a very filial daughter.
But every strain in the mother-daughter relationship
just gets bottled up. One day she may abandon you."
No mother or most mothers will prefer their unmarried
daughters to stay in their house as grown up children
are always their "babies".
I said, "Now you show her that being an old canine
companion is a great liability and do not deserve
compassion. When you are old, just send you to an old
folk's home instead of being compassionate and caring
for you in your house?"
The father seldom talked much in most veterinary visits.
He would wait outside the surgery in his car reading his
PDA. He was the driver. So, much of the decision is made
by the wife.
"Why don't you phone Belinda?" I suggested.
The mum fished out her latest mobile phone and dialed.
"No euthanasia" was the expected and confirmed reply.
Belinda would have rushed down to the veterinary surgery
if she could and if she could not trust her parents not
to get the dog put down.
"What to do next?" the mother asked me.
"I would advise that the dog be given 2 days of
antibiotics and then get his mouth checked thoroughly
under general anaesthesia. His bad breath is due to a
severe periodontal disease and mouth ulcerations and
infections."
Usually I advise 10 days of antibiotics to kill all the
bacteria in the gums and teeth structures. But 10 days
may be not good for the dog. What if the mother presents
euthanasia as a fait accompli by taking this old
Schnauzer with cataracts to another veterinarian since I
had reservations about putting him to sleep in the first
place?
Anything can happen when mothers are under duress of
having to care for this 15-year-old Miniature Schnauzer
and three more others in the house. She has no spare
time for herself and she is now in her late fifties. A
time to smell the roses, not halitosis of the old
Schnauzer.
After 2 days of antibiotics and the initial antibiotic
injection, the old dog was given dental work. This time
Belinda was present.
"What are the risks of him dying?" she looked at me with
eyes that silent tears flowed.
"40% chances of dying under general anaesthesia," I
estimated after examining the dog's heart. There was no
pre-anaesthetic blood tests done. Would the test help if
the results showed that the dog was suffering from liver
and kidney failure of old age? The blood tests ought to
be done but not in this case.
Belinda adjusted the cap to see me properly and said,
"The risk is too high." In her military camouflaged
blouse in a trim figure, she looked good.
Now that she is an accountant, I presume that 40% is an
unfavourable outcome. If one stands a chance of 40% of
losing one's money in a business venture, she will
advise against the investment. So 40% of the dog dying
is too risky.
However, she must have considered her mother's feelings.
Her mother could not cope with the frequent bathing of
the dog to get rid of the body odour. She had no time to
do it. The groomer refused to do the bathing too. The
Filipino maid must have given up too. I don't know
whether she had consulted other veterinarians about the
bad body odour as I did not ask her and presumed she had
done so. I presumed that the veterinarian would have
advised her about the high risk of anaesthesia in a dog
who is equivalent to a human age of 105 years old.
I assumed that the baby-boomer generation of whom the
mother is in the category would think this
pragmatic way, "If the dog dies on the operating
table during dentistry under general anaesthesia, I
still have to pay for dental work done. Why not
just pay for the euthanasia?"
I doubt she will think this way as she can afford the
dentistry. But this is a common thinking of many in the
baby booming generation that had seen deprivation of
food and human hunger.
Back to the present, I asked Belinda, "What do you
propose?" Has she got any alternative? Antibiotics will
not be effective if given for a long time. She must
consider her mother's feelings.
Her mother looked at her and did not say anything. She
wavered. To take the risk or not? The dog is 15 years
old. He may live to 20 years old if he does not die
today under general anaesthesia. On the other hand,
today might be her last day with her dog.
"Let the dog get the rotten teeth taken out," I advised
Belinda. "You and mum go home first and wait till I
telephone you." I had seen this dog as a puppy
when he came in for his puppy vaccination. I lost touch
with the family over the years.
I put the dog under gas mask anaesthesia. The bad breath
was due to the loose teeth and a huge ulcerated gum
tumour of over 3 cm in diameter. Dogs and people with
poor oral hygiene do develop mouth tumours over time. I
extracted all the loose teeth, leaving two strong canine
teeth behind. I cut away the gum tumour as much as I
could.
There was another
old Miniature Schnauzer paralysed due to a slipped disc.
The poor mother had to clean up after the old dog peed
and pooped. She did a good job but it was tiring. Bed
sores developed at the hip area. Would she do a coup
d'etat?
Not this time. I asked her daughter whether she wanted
the dog put to be put to sleep as this old Schnauzer was
not having a good quality of life. He could not stand or
walk. But he could eat and drink based on my observation
of the dog warded for some 20 days. The bed sores in the
hip and elbow would not heal.
"No," was Belinda's inevitable and firm answer and she
got the dog home. Belinda took some time to care for the
dog's wound after work. It is definitely very difficult
to be a mother and an old dog caregiver nowadays. Some
daughters studying overseas raise hell and fire whenever
the mother decides on euthanasia.
It is best that the veterinarian makes sure that the
parent is advised to talk to the progeny to get consent.
Otherwise, there will be hidden and grave cracks in the
mother-child relationship in this time-pressed society.
Anger from the progeny may be directed against the
veterinarian sometimes.
In August 2008, I had a case where the parents got a
young dog put down due to chronic dermatitis but had not
asked consent from one daughter in her late 20s. She
came to the surgery in a fiery mood to ask for an
explanation and a veterinary report to be mailed to her.
I told her that I saw her father phoning some family
members and had their consent. I presumed the father had
not asked her. In any case, I obliged and did not charge
her for the veterinary report.
Maybe the veterinarian ought to have another euthanasia
consent form from all family members to state that they
have authority and have had consented to have the family
dog put to sleep. It is an impractical suggestion. But
presenting euthanasia as a fait accompli by a family
member is not uncommon and the veterinarian has to be
alert and careful. The price of family disharmony is too
high to pay if one family member is not informed. |