Thursday, November 22, 2007

Yumi's Life Lessons

If you have a dog lover on your list this holiday, avoid the crazy "black Friday" crowds and order this book. It's a very short, but inspirational book by Kay Hirai about her beloved Jack Russel Terrier and the lessons she learned from her. She's also donating 10% of the profits to Pasado's Safe Haven so it's sort of of double gift.

I finally had the time to read this book today while sitting on the sofa with Cordy.

Buy the book with the special wrapping here. You can also get the book via Amazon.

Wednesday, July 18, 2007

Made me think of Sara

I was watching Inside Edition when I found out one of Oprah's Golden Retrievers, Gracie, died when she choked on a toy ball. Then I read what she wrote about Gracie and it made me think of my Sara.

From Oprah, the magazine:

WHAT I KNOW FOR SURE
Weeks have passed. And the pain has not subsided.
Every time I think about it, my heart starts racing and I
feel like I just got stabbed in the chest. It's a jolt, still.
Gracie's death.

Gracie is the smallest of the golden retrievers
photographed with me on O, The Oprah Magazine's January '06 and '07 covers.
She had just turned 2 on May 21. I thought we'd grow old together.
She choked to death on a plastic ball she found in the grass (it belonged to
Sophie, my 12-year-old cocker spaniel). The goldens were not allowed to play
with those clear little balls that light up. I feared they'd chew them, or worse.

The worst happened on May 26. Gracie was out with her dog walker, on a walk I
often do myself after their evening meal. On this sunny Saturday, having just
returned from a late lunch with friends, I decided to let the caretaker do it—walk
all three.

I hugged them all goodbye, leaving a lipstick print on Gracie's furry white
forehead, where she loved getting kisses. Twenty minutes later, I got a call:
"She's down and isn't breathing."

I ran barefoot out of the house and found the dog walker and one of my security
guys pumping her chest. Just as I reached them, the security guy looked up and
said, "I'm sorry, ma'am. We tried everything. I'm sorry. She's gone."

Gone??!! I couldn't believe what I was hearing. Yes, I saw it. I saw the caretaker
rocking back and forth on the ground, his arms wrapped around himself, crying
hysterically. My brain took in the whole scene, but it wasn't tracking properly.
The first thing I remember saying is, "It's okay. It'll be okay. Tell me what
happened." Through his sobs I heard: "...choked on a ball."

And I knew, this was real. Gracie is gone, Gracie is gone, Gracie is gone kept
repeating in my head.

I stood there dazed, stunned, crying—and watched as they placed her in the back
of a golf cart, her still-warm body with the lipstick stain on her fur.

But even in my stunned state, I knew this was not what it appeared to be: a freak
accident with a clear plastic ball that lit up inside. I don't believe in accidents. I
know for sure that everything in life happens to help us live.

So through my tears and stabbing pain and disbelief and wonder and questions
about how and why this happened, I leaned over my sweet and wild and curious
and mind-of-her-own Gracie, and asked, "Dear Gracie, what were you here to
teach me that only your death could show me?" And this is the answer: This
lovely little runt whom I'd brought home sick—on his first visit with her, the vet
told me to return her and get my money back—did more living in two years than
most dogs do in 12. She never stopped moving. Was energy in motion. Chasing
squirrels, hop-leaping through the pond like a rabbit. Finding anything she could
to play with, chew, run with. Dashing, frolicking. Speeding across the lawn as
though she were in a rush for life. I was always saying, "Gracie, slow down." She
gulped her food. Gulped treats. Would let you hug her for a second, then race off
to—where? She was the only dog I was always looking for. Going out on the
porch calling, "Graaaacie! Gracie, come!"

The day after she died, I went to the spot where she took her last breath and
called again, "Graaaacie! Graaaacie!" I was hoping security wouldn't hear me
and think I needed medical—or psychological—attention. Of course I knew this
time she wouldn't come running through the brush. Out of the pond. Shaking her
wet fur and racing to my arms with a smile. She was always, always smiling.

Not until I knew there'd be no response did I realize how much pleasure I had
taken in calling for her. So I called and cried. Called and cried. "Graaaacie!"
Tears of sadness for the shocking loss. Tears of joy for the pure happiness she'd
given me for nearly two years. I have never seen a being, human or animal,
always so full of joy. This dog lived every moment as though it were her last.
Her life was a gift to me. Her death, a greater one.

Ten days before she died, I was getting a yearly physical, and to lower my blood
pressure I'd think of Gracie's smiling face.

Just days before the "freak accident," the head of my company came into my
office to have a serious talk about "taking some things off your schedule—you're
doing too much." Maya Angelou called me to say the same thing. "You're doing
too much. Don't make me come to Chicago," she chided. "I want you to slow
down."

I'd broken a cardinal rule: The whole month of May I'd had no day off, dashing
from one event to the next. But though I appreciated everyone's concern, I still
had to finish the season. Wrap up the year's shows. Have foundation meetings.
Meet with auditors. Review plans for a new building, and on and on. So many
people on my list. I literally forgot to put myself on the list for a follow-up
checkup.

When the doctor's office called, I confessed. I hadn't heeded what I know for sure.
I said, "Doctor, I'm sorry. I had so many meetings with different people, I forgot to
put myself on the list."

The next day, Gracie died.

Slow down, you're moving too fast. I got the message.

Thank you for being my saving Gracie. I now know for sure angels come in all
forms.

Saturday, December 23, 2006

Sara memorial video

There are backups of all of Sara and Emma's photos and videos, but you never know. I'm hooked on this YouTube thing and by putting clips up there, it's there forever.

Saturday, September 30, 2006

Bunnies


When we were out at Pasado's we were delighted to see the beautiful memorial for Sara. Before leaving we noticed a little garden bunny statue in the memorial garden. It was right across from the St. Francis statue memorial for Sara.

What's the big deal?

A few days after my father passed away, a bunny appeared in our driveway. It's pretty rare in Hawaii to see a loose bunny, especially one that simply sat there long enough for everyone to come out to see it. The same thing happened shortly after Sara passed away. My sister called me and said she came home from work to see a bunny sitting in the driveway just like when our father passed away. So when we saw the bunny statue across from Sara's memorial, we knew Sara was OK in heaven.

Sunday, September 24, 2006

Sara's Memorial at Pasado's Safe Haven

It's been a while since I last posted and the blog didn't work out the way I thought it would. But I think I'll start it up again with some thoughts about Sara and occassional add the details to her other conditions.

That's Emma, Sara's older step sister, sitting next to a memorial Saint Francis statue. We sponsored the statue at Pasado's Safe Haven, a local animal rescue and sanctuary organization. It's a beautiful memorial overlooking trees and mountains. Emma had fun that day, but boy was it hot.

Saturday, December 10, 2005

Canine Epilepsy

Epilepsy was the first major condition Sara developed. For those who have not seen a dog have a seizure before, it's one of the most disturbing things you'll ever witness in your dog. It's even worse when it happens in the dead of night and you have no idea what is happening. The seizures normally lasted anytime from 1-2 minutes to 3-4 minutes.

Diagnosis
At the first opportunity we took Sara in to our regular veterinarian, Dr. Leanne Byers at All Critters Animal Hospital in Sammamish, Wash. While it was difficult, we videotaped a few of Sara's subsequent seizures so we could ensure a proper diagnosis. Dr. Byers later told us that it was difficult for even her to watch the video and she didn't know how we had the sense of mind to tape it. After some bloodwork and a few other tests, she was fairly certain it was epilepsy.

We wanted a definitive diagnosis and we also wanted to rule out everything else, so next came a consultation with Dr. Michael Harrington, a veterinary neurologist. He initially concurred with Dr. Byers that, based on all her symptoms, Sara had epilepsy and that we may never really know what caused them. In an effort to further rule out any other possible conditions, Sara was scheduled for an MRI.

The MRI experience was interesting in that there aren't too many veterinary facilities with this capability. There was a place about 35 miles south in Tacoma, Wash. that had one exclusively for animals, but we opted to take her someplace closer. The facility, located in Kirkland, Wash., was actually primarily for people so we had to go after all human patients had been seen for the day. It almost felt like we were sneaking in because the appointment was after 9 p.m. While we were waiting I noticed that the walls of the waiting room were adorned with autographed photos of the Seattle Seahawks. Wow. Sara was at a facility good enough for NFL athletes! I think I was more excited about that than Sara was.

Dr. Byers joined us as she had never witnessed or participated in an animal MRI before. Sara was prepped by a vet tech for the procedure, which she would be anesthetized for, and once the last human patient was done she was wheeled into the MRI room. The actual scan did not take that long so, while she was a bit groggy, Sara was ready to go and get out of there a short time later.

After review by the radiologist and Dr. Harrington, neither found anything that would directly be causing her seizures. Therefore, it was everyone's final conclusion that Sara indeed did have idiopathic epilepsy. Meaning they didn't know why she had it, just that she had it.

Treatment
We learned that her epilepsy could be controlled with medication. She was initially prescribed phenobarbital, which needed to be administered every 12 hours. It took a while to determine the minimum dosage required to control the seizures. The minimum was important because phenobarbital taxed the liver functions. One grain twice a day seemed to be the right dosage so she was on that dosage for the next several years.

We were warned that because this was a narcotic, we may notice her staggering about until her body built up a tolerance to the phenobarbital. We had to keep a good eye on her for the first several weeks as she would stumble and have a hard time keeping herself upright when she went to potty.

At this point, I'd like to point out that while Sara was a very sweet dog, she was also a very active and alert dog as well. This meant she would get up to investigate the slightest noise such as the house creaking in winter as the furnace warmed it or the sound of a car door closing outside. She would sit up, growl "arrrrrrrrrrrrrrr" and jump down off of her sofa perch to check out what the disturbance was all about. After starting on phenobarbital she was still the same sweet dog, but she mellowed out quite a bit. Early on, it did appear as though she was drugged. We don't know if we just got used to her being that way or if Sara started to adjust better to the medication, but Sara seemed to be as normal as she could be.

It was at this time, I setup a dog cam so we could monitor Sara while we were at work. The dog cam updated every 30 seconds and created a time lapse movie that we could review when we returned. This proved to be very helpful for two reasons. One, it gave us a little peace of mind when we were not there and two, it allowed us to document and monitor and seizures she may have suffered.

The seizures did not stop outright. The key here is that you get to a point where you can minimize the seizures so they are not happening every day, but instead once a month or so. We started to note what happened during the day in which Sara suffered a seizure to see if there was a pattern or a specific incident that may have triggered it. The majority of her seizures took place very late at night or very early in the morning, often after she had been asleep for serveral hours. We were not 100% sure, but she did appear to have seizures after long, eventful days such as going to see a vet for a blood draw or having a lot of people visit the house. We also did notice that Sara had suffered a seizure after going to take Santa pictures at the mall two years in a row. We don't blame Santa, but that tradition was short lived because of that correlation.

Modifying Treatment
In the summer of 2004 when Sara was diagnosed with an oral fibrosarcoma (cancer in the mouth), we were referred to Dr. Alan Schreiner to see if we could lower Sara's dose of phenobarbital. There was concern about the load on her liver. By this time she also had lupus so she was taking a whole set of medications for that as well. In addition, she was undergoing chemotherapy. Dr. Schreiner evaluated Sara's current dose of phenobarbital and suggested we supplement it with Neurontin (Gabapentin). The goal was to lower the dose of phenobarbital to help lower the load on Sara's liver. Neurontin apparently did not tax the liver as much. With some trial and error (Sara had a period of having more seizures than usual) we found a mix that worked.

Lowering the dose of phenobarbital also had a nice side effect. A few months after Sara's dose was reduced, the old Sara seemed to be back. She seemed more alert and her trademark "arrrrrrrrrrrrrrr" growl was back with every little disturbance. While we found this a bit annoying in the past, it was a great sound this time around.

Conditions

Here is a list of the conditions Sara had over a period of nine years (in order of occurrence):

  1. Idiopathic Epilepsy (seizures)
  2. Discoid Lupus
  3. Lupus Profundus/Systemic Lupus Erythematous (The discoid lupus developed into this condition)
  4. Corneal Dystrophy
  5. Recurrent UTI (urinary tract infection)
  6. Oral Fibrosarcoma (high grade)
  7. Peripheral Neuropathy
  8. Nodular Hepatopathy
  9. Cutaneous Lymphoma

Friday, December 02, 2005

Sara


EmmaSara1_2
Originally uploaded by HenryYamamoto.
Meet Sara. This is a very special photo of her as it truly captures her spirit and personality. It was taken by Bev Sparks in Seattle, WA. I highly recommend her. And that's Sara's older sister Emma in the background.

Getting Started

I've been meaning to do this for quite some time and decided tonight was the right time. My hopes for this blog are to provide others with comfort, support and information if they have a dog with similar conditions. Over the nine short years Sara was with us, I've Googled many conditions, procedures and medications to learn about the many medical issues Sara suffered from. I often found others going through similar experiences and their words provided me with hope. My plan is to chronicle Sara's life and provide details on how her conditions were treated. If any bit of this information can help others, that's all I can hope for.

I'm not sure if I want to start at the end and work my way back from there or to start at the beginning. I'll decide before the weekend is up and start posting.