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Well, for whatever it's worth, (he was a cat not a dog, and this is NOT a prediction for Charlie in any way):
Cato was diagnosed with a heart murmur and probable early (left? right? sorry, I forget) heart failure when he was 14. I had taken him in b/c he seemed to be breathing a bit faster than usual lately, although seemed fine otherwise. I did have u/s and ecg done to confirm the diagnosis (I'd look up what the papers said exactly but I currently have a baby asleep on my left arm and am stuck here
). I started him on lasix and some heart pill, forget what, but he did not tolerate daily pilling well and seemed to get much worse so I quit after 5 days or so and he went back to previous state of basically ok.
After I think about 2-3 months though I noticed he was only walking anymore and not trotting or running, and would stop and lay down in the midst of walking from one end of the house to the other. Occasional soft coughing. His breathing also became more obvious and labored, and I could feel his heartbeat
really strongly.
A week or two of that, and then Cato started hiding a lot, just curled up in a cardboard box half-asleep, and would not walk far at all without resting a long time. (Never did cough a lot, just sometimes, btw.). Seemed happy enough though.
After a few days of that, he just seemed too tired to move much at ALL and seemed like he was worried about how he was feeling, and there did not seem any realistic hope he'd get better even temporarily, so I took him to the vet and had him put to sleep (actually, a nighttime emergency call, went to vet;s house, b/c I had an unbreakable obligation all next day and did not want Cato to suffer.) I was very sad, esp. since the next day I found out I was pregnant and you know what hormones do to your emotions ;P
I think I did it pretty much right in this particular case, I think this gave him best quality of life. But it is still hard and a lot of no fun, having friends with shorter lifespans than we have. I miss my Cato-bear
Good luck and hugs,
Pat, whose current oldest cat, at just 10, has probably-thyroid-related heart problems, but she is SO terrified of vet visits it seems kindest not to hassle her with lots of attempts at diagnosis or treatment. Note that I have had other cats who I did treat extensively for chronic incurable problems, so it is not like I am a neglectful person, I just think you have to look at what suits each individual animal.