I was slow to notice the excess peeing. We have wee wee pads by the front door of the apartment, despite taking the dogs out four times a day, and over the summer we noticed that the wee wee pads were getting filled faster than usual. But I couldn’t determine which one of the dogs was peeing extra, and it didn’t really seem important, except for the cost of the wee wee pads adding up.
But then there were tiny puddles, not even puddles, just wet spots really, on the dog beds, on the couch, and Cricket was licking herself clean more often, and Mom was getting concerned. So we moved up Cricket’s yearly Vet appointment from December to November and had the doctor check her out. He did pee tests and blood tests and checked her ears (both ears were infected after so long without the hair being removed) and her teeth (a mess), and her spine (she’s had lower back issues in the past). But the Vet said she was in good health and most likely the problem was incontinence related to aging. He made an unfortunate comment about females tending toward incontinence in their older years, but at least he was awkward about it.
He prescribed a medication to help relieve the incontinence, and cleaned Cricket’s ears, and told us to schedule a dental cleaning, despite her advanced years (she’s thirteen and a half). He also told us to keep her away from the groomer for ten days, because of the medicine he’d put in her ears, even though a haircut was clearly overdue.
We started Cricket on the incontinence meds, twice a day, and watched for any improvements, but if anything the peeing issue got worse. We finally got her to the groomer a few weeks later and by then her hair had to be cut very short, but more than that, the groomer said that her pee smelled bad and the hair in that area was discolored and it seemed like an infection. We called the Vet and he told us to switch from the incontinence medication to an antibiotic for the next ten days.
But again, nothing improved. The pee puddles got bigger and more frequent. We were doing an enormous amount of laundry and found reusable dog diapers at Petco, but they didn’t work (the pee leaked through the hole left for her tail).
We called the Vet again and he suggested a urine culture, more sensitive than a regular pee test apparently, once she’d finished the antibiotics. We made an appointment for two days after the last dose of antibiotics, but then the snowstorm intervened and we got a last minute appointment on that Wednesday afternoon, right before the snow was supposed to start, with one of the other veterinarians in the practice.
Cricket was anxious in the car, as she always is before going to the Vet, and shaking, but when the Vet Tech came to get her through the car window, Cricket went without a fight. They only needed a pee sample, so we expected the visit to be pretty quick. I wandered over to the CVS next door to get some colored markers and butter cookies, to get me through the snow storm, and I was surprised that Cricket wasn’t back in the car before I was. Mom was starting to get a little bit worried about the delay, but not too worried, yet.
The substitute Vet came to my window a while later, after the snow had started to swirl. I didn’t recognize her with her mask on, even though we’d met her once or twice over the years. She wasn’t acting like herself, though. She was sort of hysterical. At first I thought she was telling me that Cricket was a difficult patient, which I knew very well, and that Cricket had been anxious during the procedure, but then the Vet said, “I thought she was going to die!” and everything changed. She said that Cricket had peed all over the place, including all over her, and there was blood in the urine, and then she seemed to go into shock (Cricket, not the Vet) and, the Vet repeated, “I was afraid she was going to die right there!”
I was having a very hard time following her narration, because it was out of order and unexpected, and it seemed like the Vet was angry or scared or something else I couldn’t pinpoint, and I couldn’t make sense of any of it given that Cricket had only gone in for a urine culture. She told us that they’d been sitting with Cricket in the office, monitoring her vitals, and she was going to give Cricket subcutaneous fluids, and medication for shock, and then she could let Cricket sit with us in the car, as long as we didn’t leave.
Cricket came out in the arms of the Vet Tech, looking listless and frail. She sat on my lap and seemed to weigh nothing at all. I kept talking to Cricket and petting her and trying to reassure myself that she was going to be okay, but I really wasn’t sure. I could feel the pocket of liquid under her skin from the fluids. Mom and I went over the things the Vet had said and shared our confusion. I was on the edge of tears, constantly rehearing “she’s going to die!” and Mom was trying to keep things together and stay calm, but it was rough.
Gradually, Cricket started to recover and look around. When she climbed behind my neck, readying herself for the drive home, I knew she was out of danger, but we still had to wait for an okay from the Vet before we could leave. She came outside as the snow was getting thicker and she checked Cricket’s gums, and looked in her eyes, and said we could take Cricket home as long as we promised to call in half an hour with an update, or else she (the Vet) wouldn’t be able to get to sleep that night.
It took most of a day for Cricket to recover from her urine culture, but she did recover. We ordered new diapers, measured to fit Cricket’s shape and not just her weight, but with the delays in shipping for Christmas we had to make do with spreading towels everywhere for a while. It took five days to get results from the urine culture – positive for two infections – and a prescription for a stronger antibiotic. There was no explanation for the episode at the Vet’s office, though. And it was still unclear if the incontinence was caused by the infections, or if the infections were caused by the incontinence.
I kept thinking about my friend Teddy, the black miniature poodle, who died over the summer at age fifteen from a sudden onset kidney disorder. He was a little bit older than Cricket, and had a little more blindness and deafness going on, but still, his death was unexpected. I’m not ready for Cricket to be an old dog. The way she allowed me to put the reusable diapers on her scared me – normal Cricket would have tried to rip my fingers off for trying such a thing. She even let us wash her, occasionally.
The new diaper arrived, a light pink with Velcro straps, and Cricket let us put that on her too, though she made it clear that it was not her preference. There was only one diaper in the package, instead of the three we expected, so there was still a lot of washing and drying to do, with one memorable night spent hurrying the process with a hair dryer.
About a week into the second course of antibiotics Cricket woke up shivering one morning, similar to the way she’d done during her Vet visit for the urine culture. We sat with her and massaged her back and whispered to her until she seemed to be okay, and then we called her regular Vet. He said to take a video if she had another episode, but he wasn’t too worried. He was more concerned with her continuing pee puddles and he wanted us to start the second incontinence medication right away. Mom drove to the Vet’s office that afternoon and we gave Cricket the first dose of DES, a synthetic estrogen meant to tighten the urethral sphincter, with her antibiotic and hamburger, that night.
Within twenty four hours of starting the DES Cricket’s puddling stopped. It’s possible that the antibiotic finally kicked in at the same time, but the correlation with the start of the DES was convincing. Cricket got through a whole night with a dry diaper, and then a whole day without a diaper and without any accidents. We put the diaper on her for the next two nights, just in case, but she had figured out how to take it off and she would leave it, still velcroed closed, on the edge of Mom’s bed while she went to pee on the wee wee pad.
She’s feeling much better, and she thinks she still deserves hamburgers every morning and very night, despite finishing the second course of antibiotics. She’s back to peeing only on the wee wee pad and outdoors with no accidents. But, this was not the answer I was hoping for. I wanted so badly for this to be a one-time infection, because incontinence, while treatable, is a sign that she is really aging now. I want to celebrate and feel the relief that she is back to normal, or normal for Cricket, but I’m worried about what might come next.
Ellie has found the whole situation confusing. On the one hand there have been many more treats to go along with Cricket’s medications (hamburgers, peanut butter, chicken livers, anything to get Cricket interested), and Ellie always gets her share, but there’s also been a lot of extra attention going to Cricket instead of to happy little Ellie. For example, Ellie was very jealous of the diaper. For a while there she reminded me a lot of Dobby the House Elf, from the Harry Potter Books, desperate for a piece of clothing of her own. But then our neighbor found out that the sweater she’d ordered as a Christmas present for her brother’s dog was too small for him, and she offered it to us. Cricket, feeling much better already, refused to put her paws through the armholes to try it on, but Ellie was thrilled! Finally, a present just for her! She wore it for a night and a day and had her picture taken and celebrated with some zoomies out on the lawn. The only problem with the sweater is that it covers all of the places where she wants to be scratched and petted, and she eventually decided that scratchies were more important than fashion. So the sweater has been put aside, awaiting the next snow day, when she can wear it out in public and run around in circles and get all of the attention she craves.
I’m sure Cricket will be fine with that. Maybe.
If you haven’t had a chance yet, please check out my Young Adult novel, Yeshiva Girl, on Amazon. And if you feel called to write a review of the book, on Amazon, or anywhere else, I’d be honored.
Yeshiva Girl is about a Jewish teenager on Long Island, named Isabel, though her father calls her Jezebel. Her father has been accused of inappropriate sexual behavior with one of his students, which he denies, but Izzy implicitly believes it’s true. As a result of his problems, her father sends her to a co-ed Orthodox yeshiva for tenth grade, out of the blue, and Izzy and her mother can’t figure out how to prevent it. At Yeshiva, though, Izzy finds that religious people are much more complicated than she had expected. Some, like her father, may use religion as a place to hide, but others search for and find comfort, and community, and even enlightenment. The question is, what will Izzy find?
rachelmankowitz 