Euthanasia and Guilt

Long story, please bear with me. I euthanized my retired 21 y/o OTTB a few weeks ago, after owning him for 14 years and caring for him almost every day. He was my best buddy, my heart and soul. I am now dealing with tremendous guilt that I may have given up too soon.

Going back a year ago, his behavior started to change. He became a lot more edgy, and no longer tolerated being stalled overnight for bad weather…he had to be aced, or he would work himself into a panic and be almost impossible to turn out. In fact, the barn owner refused to turn him out herself. I lived close by, so I would go and do it.

Fast forward to this past August, at a new barn (due to old barn being sold). All summer long, he struggled to keep weight on and lost a fair amount of topline. He started having episodes of stiffness/lameness where he didn’t want to walk from stall to paddock. Not every day, but some days. I had the vet out (new vet/new practice due to change in location). She assessed him at 3/5 lame that day, suspecting hock and hip arthritis. She prescribed Equioxx. I was concerned with giving a daily NSAID because he was very ulcer-prone, but she felt he would be fine.

He felt better right away…but then 3 weeks later, he colicked. He was so full of gas, I could hear his gut rumbling and churning. He responded to Banamine. Although the vet felt it was not the cause, I stopped the Equioxx.

Then, a few weeks later, he became stiff and painful again. I tried Equioxx at half the dose, to see if I could help his joints while saving his stomach. It wasn’t enough, so for 2 days, I bumped him back up to the full dose. He became very agitated, and wanted to bite me for brushing his shoulders/stomach.

At that point, I stopped the Equioxx and started agonizing over what to do. I called the vet as well. I could not afford any of the ulcer treatment/preventive regimes she suggested…(I have been out of work for almost a year with multiple autoimmune diseases)…and I knew it would only be a matter of time before his painful arthritis days returned. During the hot months, he was stalled during the day and turned out at night. He usually loosened up overnight, so our hope was that if we could hang on for cooler weather, and he could stay out, he might be more comfortable then.

I put him on low doses of Ulcergard for a week…starting with a full tube, then half, then a quarter, to see if it might help short-term. At first, it seemed to make a difference, then less so. I watched him closely. He seemed either edgy or tired. Then, one night I was brushing him, and he wanted to bite me again for getting near his shoulders & stomach. The gurgling, churning gut was back. A few days later, the barn owner texted me to say she’d brought him in as usual in the morning, but he spent 30 mins panicking and rearing in his stall for no reason she was aware of. Then, another day, he reared with me on the way to turnout. It was an unusual reaction.

Throughout all of this, he occasionally showed some odd neurological signs: When he would turn himself around, his hind legs would pivot until balance required him to lift and step. Sometimes, when walking, it seemed like his hind legs were a half-step behind, and he hiked them as high as he could. He had normal moments where he would roll, run, and look sound, but the odd moments left me scratching my head.

Faced with his deteriotating behavior, and the fact that I had two painful problems I couldn’t afford to solve (joints and ulcers), I made an appointment with the vets’ office. I tried to call her personally to discuss euthanasia, but she did not answer. It was a Friday. On Sunday, we were supposed to have a tropical storm come through. All I could envision was him being stalled for 2-3 days, stressing himself into the mother of all colics, and not being able to get a vet out in the bad weather.

So I called the emergency line on Sat morning. I got a different vet. I explained the situation, and he agreed to perform the euthanasia that day. The barn owner was in agreement, as was my horse’s farrier, who had known him for years.

At the time, I felt strongly that I was out of options, and that suffering was imminent if not already beginning to occur. Everything I did, and tried, made sense to me at the time. I always tried to do what was best for him, and to follow my gut and my heart. I knew he wasn’t right, and it was like an internal voice screaming at me that things were going very, very wrong.

But now, looking back, I wish I had done more. I wish, at the first sign of ulcers, that I had found some way to pay for a month of Ulcergard/Gastrogard. I wish I had tried a calming supplement in case he was magnesium deficient. I wish I had been able to afford diagnostics to find out what all was wrong, and try to fix it. I wish I had even given him a full week on full Gastrogard to see if it would help. I wish I’d been able to work with one vet throughout, who was committed to his case. I wish the vets had offered more guidance, although I understand it’s not their decision to make.

I just can’t shake the feeling that I let him go when there was more I could have or should have done. I loved him with every fiber of my being, and I cry for him most every day.

Has anybody else been through a situation where you felt you had to make a decision when things weren’t 100% clear-cut? If so, how did you cope?

Thank you in advance.

I think you need to cut yourself a break. It sounds like the horse WAS deteriorating and didn’t have good quality of life. Being a good horseperson doesn’t mean you have to bankrupt yourself to undergo extensive diagnostics; it just means you do what’s within your power to do to give the horse good quality of life and recognize when it’s no longer working. You gave him a good life and a good death, those are the important things. Please don’t shoulda/coulda/woulda.

BTW, having had to make this painful decision before, it’s rarely 100% clearcut. The ones that are 100% clearcut are major trauma or major illness; with an older horse that’s dwindling it’s always an agonizing decision where you revisit the data, second guess yourself and wish you had done more. If you wait with a older. arthritic horse until it’s a 100% clear, you’ve waited too long and the horse has suffered. Forgive yourself, mourn your sweet old horse and know that you did the right thing.

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I wouldn’t have done it, but it is a personal choice, and he’s at peace now.

Yes. With a horse not even half his age, who looked fat and shiny and beautiful but was a mental wreck and had multiple issue physically that were never going to get better, only worse. You can find multiple threads about her on these boards. You can also PM me if you’d like.

The only time it’s clear cut is if the horse A) passes in their own (can’t argue with mother nature) or B) is so ill that they can’t rise, won’t eat, won’t drink, etc. Very few of us will ever get a case that “clear cut”.

You did nothing wrong. Repeat that to yourself over and over again. You did nothing wrong. Horses don’t view death the way we do: a peaceful end is not punishment, it’s not sad, it’s not anything other than a peaceful end. Horses live in the now: the future is not something they think about, which is why a quiet death is so much better than suffering through pain. I would dare say most of us who’ve put down a beloved horse have thought “I could have done more, I could have tried this or that” but over time we come to the reality that either A) we really couldn’t have, as we know rationally it was not a viable option, or B) we could have, but it would have been a complete drain on us emotionally and financially, and may have been unfair to put the horse through.

You will eventually find peace. I cried 6 months after I put my mare down when I thought of her. I’m coming up on the 1 year anniversary and I’m sure I’ll cry then. But I don’t doubt what I did was right.

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I think any time we decide to euthanize it is tough and there are a lot of doubts in our decision. I am going through this now. I have an old guy. 32 years old. Happy go lucky, no change in his love of life, but his ability to get nourishment out of hay has significantly declined and I can’t seem to feed him enough cubes and grains to keep any weight on him. I have made the decision that it is his time as I can’t imagine him as anything other than his happy self. However as the date draws near I also have doubts about whether there is anything more we can do.

The rationale side of me says that no this is his time. The emotional side of me still isn’t ready to lose him, even though it is the best for him.

There is always something we can look at in hindsight and wished we had done differently. At the time you made your decision, it was the best you could do given how he was currently acting and the resources on hand. You don’t know how he would have handled the storm or anything else.

Be kind to yourself.

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(hugs) my family and i just went through this all (minus behavior issues) this summer with my childhood horse. he was only 22. neuro from cervical arthritis, very hard to shoe, EOTRH, just all around rapid senescence that neither medication or vets could control…

it is not easy. often times we think “but we can try just one more thing”, “but we can do this, or that” but i can tell you that a day early is better than a day too late. i knew when i watched my gelding go down that it was the latter for him, and i feel so guilty for it. he was tired and it was his time to go.

the other side of your coin, those who have the finances to pursue every avenue of treatment, they still can and do come face to face with the cold reality that they prolonged the misery of their horse rather than end it.

the other thing is, as devoid of emotion and callous as it seems, you do need to protect yourself financially. once they are neuro from CA, IMHO they are not coming back and you can throw all the money at them you want but it won’t fix them, it’ll only supplement them a few years longer… it is better to preserve your finances smartly than emotionally spend thousands of dollars just prolonging the inevitable. there is this stigma about deciding for euthanasia based on factors of care cost/medication and the people who will chide you for making a decision based on your finances are the childish ones, not you. you need to be real with your capabilities, and if you don’t have the finances to indulge in bone $cans and in-vogue treatment that does not make you a bad person or a bad caretaker - it makes you realistic with your limitations.

major hugs to you. i am so sorry for your loss and heartbreak. you did the right thing, you did not do wrong by him.

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I’m not sure how this is supposed to be helpful…?
I’m not asking what others would have done. Others can’t know what they would have done, because they weren’t there and did not know the horse. What I’m asking is how others have dealt with their OWN less-than-100%-clear euthanasia decisions…not how they would have dealt with mine. Mine is, sadly, water under the bridge.

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Just accept your guilt and then let it go. Guilt is part of the grieving process. Just don’t dwell on it or feed it. So you get a wash of guilt. Just say I feel guilty. Ok. Let’s sit with that for a moment. Then let it go.

The more reasons you come up with that support your guilt the more you will feed the guilt and the bigger part of your life it will become.

Guilt in this way is a form of anxiety. Your horse has been a source of anxiety for so long and now he isn’t there so the unused anxiety is coming out in obsessing about the past. It’s a way of grieving but not a helpful one. It’s a way of keeping him present in your mind and emotions.

Maybe you need a private ceremony to give closure in some way?

also imagine how bad you’d feel if he colicked in the middle of a hurricane, spent three days suffering a twisted gut, thrashed around a broke his neck, then died of peritonitis?

I would feel worse about that than a timely euth that all your care providers agreed on.

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I’ve had a lot of senior horses, and I 100% believe in putting them down a day too early rather than a day too late. We had a lovely Appendix QH with advancing navicular issues. I’ve seen plenty less sound than him when I chose to put him down, but the clincher for me was that he had always been the herd leader, but the others had started to turn on him and bully him. We put him down on a lovely fall day and after it was done I knew it was the right thing.

Two months ago we put down my daughter’s beloved Welsh pony, Flame. He was with us for 14 years, and had so much life packed into that tiny 12.2 hand body. But he was Cushing’s and IR, and I wasn’t able to keep him comfortable on 2 g. of bute a day (plus Prascend, plus Remission, plus chasteberry…), so I made the decision. That was a tough one; I miss his tiny pricked ears every day, and I’m tearing up typing this, but he was not going to get better, only worse.

Losing our Buckskin QH, Doc, was horrible. He colicked, and didn’t respond to treatment by my local vet, so I took him to the equine hospital. They found a mass in his intestine (a tumor, not an impaction). I wanted him put down at home, so I trailered him back with an IV in place and we hung the IV his stall (the vet clinic convinced me to give him overnight before I decided). Well I will always regret that decision because he passed away overnight and it was during the hour or two I tried to get some sleep. I’ll never forgive myself for not being there for him.

So don’t beat yourself up… it’s hard at the time, but in time you’ll realize that you did the best and bravest thing for your horse.

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From what you wrote, you made the right call. Others who knew the horse agreed with your decision too.

I recently euthanized my dog, and we had an amazing vet come to the house to do it. She told me I will feel guilt, everyone does. But that I was making the most loving and humane decision I could. You did too. If he was unable to walk short distances, as a prey animal that was probably very distressing. Anxiety can be worse than pain as far as the impact it has on quality of life for animals.

You probably know he wasnt enjoying life at the end, and there would be no rebound back to good health. But in our grief we bargain and overthink and blame. You did the right thing <3

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I am really sorry you are going through this OP! You have no reason to feel guilty over letting him go… It was the right call for him

We had to let one of our dogs go earlier this year, and even though it was 100% the right call, it still hurts. I teared up thinking about him this morning. I still miss him. I don’t even get to feel guilty because it was absolutely what needed to happen; I could have made him be around for a few more weeks, but that would have been incredibly selfish on my part. You saved you horse from suffering, try to take comfort in that.

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Almost all of us who have made that choice have felt some degree of guilt . It seems natural to second guess. Be kind to yourself. Think of all the bad scenarios that you prevented. Even if he got no worse, from your description he was hurting and unhappy. Your needs also matter.
I suspect you will have bouts of guilt for a while as part of grieving. It will get better as long as you remember the valid reasons for that last act of kindness.

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I always feel guilty when one of my animals must be put down or dies. It’s natural for me. I don’t envy those who blame everyone else when bad things happen. I blame myself in varying degrees for the deaths of my animals. But at least they had good lives and are buried, not sent to slaughter or auction, and they all died with me holding them.

Do not feel bad. The best way to honor your horse is to get another, not as a replacement, but to shower love upon for however long you have the horse. BTDT.

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In my humble opinion, it is ok, normal, to feel guilty. No matter what, I always 2nd guess my decision.

First, my old mare, w/ no teeth. I put her down in the fall because she was getting thinner and thinner. It is absolutely miserable to be always cold - winter is hard and long and bitter. some would say perhaps I was cowardly, but I couldn’t bear the thought of her going down in a cold snowbank and suffering until I got there. Then I felt guilty after having it done.

The following year, the ancient pony was starting to drop weight - but he was the kids pony. I knew deep down that the end was approaching but I thought - well, maybe one more winter… So, 4 days before Christmas, he stopped eating. I had the vet out - we did everything we could, including dental. I stood out there, holding a bucket of warm pellet mash in front of him and could only get him to pick at his food. Christmas eve morning - pony did not want to get up… and well, we all know how that ended. I wish I hadn’t made him suffer… And, yes, I feel guilty about that too.

There is no good time. It sucks. You feel guilty. But it is the price we pay for having them in our lives.

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No matter the circumstance, we all feel guilty when we have to put an animal to sleep.
Unless you are one of those awful people who keep their animals alive (and suffering, badly) just to benefit themselves (and they are doing to for THEM as the animals don’t like to feel helpless/trapped/in pain etc).

I felt guilty when I euth’d my horse and guilty when I euth’d my dog. But you know what, they both weren’t going to get any better and I sure as hell wasn’t going to wait until they were in so much pain that they died on their own. I don’t agree with letting an animal suffer. It is our job as their guardians to make sure they go a day too soon rather than a second too late.

Accept that you feel guilt. You did the right thing. All of those behaviors you mention sounds like tumor/something pressing on the spinal column and causing scary behavior/immense pain. Imagine being a horse and not understanding WHY you feel so scared/sore. You have to see through their eyes, and to him life was stressful and painful, you saved him from an end that could have been so much worse.

Hugs

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When I told my then BOs that October was my QH’s last month boarding and that I was going to euthanize him they were both surprised. “But he looks really good,” one said. I explained that he had lost so much strength in his hind end I couldn’t risk him going down one winter night and be incapable of getting up.

But still, imagine if you euthanized your horse and those around you were wondering why. Did you try this? Or what about doing that? Or maybe this other thing might help?

I second guessed myself. It’s human nature. But it was his time to go. I wrote a blog during his last days and for a time afterwards. I have shared it on CotH before, but here’s the link for you.

http://endgame-journeys-end.blogspot.ca/2011/02/when-do-you-know-its-time-toughest.html?m=0

Read as much as you want, but that last post, and the first post are most relevant to your situation.

(((Hugs)))

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I absolutely understand your guilt, but I think you should give yourself permission not to feel it. As others have said on this thread, I am a firm believer that it is better to make this choice a year too early than a moment too late. I recently euthanized my once-in-a-lifetime and first horse, and I think my thread about him is still on the first page of this sub-forum, if you want to read it.

You gave your horse a kind ending. That is NEVER wrong. Many people, whether they be horse owners or pet owners, put their animals through months or years of pain and suffering because the owner can’t bear to say goodbye or is looking for a miracle. While I absolutely understand the sentiment, I feel that such behavior is tantamount to animal cruelty.

As caretakers of these animals, we owe them as dignified and pain-free an ending as possible. My horse COULD have lived for years - maybe even a decade or more - with careful attention and medication…and without the ability to EVER trot (or canter/gallop) without pain again. What kind of life is that?

You did the right thing for your horse. Don’t let anyone try to convince you otherwise.

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You did the right thing. Better a day too soon than a moment too late.

I doubt that the vet would have come out and performed the euthanasia if s/he felt that there was a chance they were euthing a horse in good straits.

Second guessing is part of the journey, I think.
I had to make the call for my mare who was colicking and was not a surgical candidate. It was pretty clear that she was suffering badly and that she had a 0.000009% chance of getting better. That being said, I still second guess myself. Going back over the facts helps. “She was not a surgical candidate. She was old. She was in extreme pain. Recovery in the winter would have been hell.”

You did the kind thing for your old man. He was clearly unhappy and feeling bad.

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I am a veterinarian. When I was given my diploma, they failed to give me the crystal ball that so many of us wish we had. I too have walked in your shoes. It’s very personal and I don’t believe anyone has a right to judge another’s decision without having walked in the exact same shoes and being forced to take the exact same steps. One question I often ask myself, is…if everything had been presented to me in the exact same fashion, exact same amount of information/conditions/'facts"/etc would I have done the same thing? If the answer is honestly yes, then I know I can let the guilt go. Given my position, I run into new research and different circumstances that often cause me to say, “What if?” when I’m reflecting on my personal decisions. I would drive myself crazy and become dysfunctional if I couldn’t put it in perspective. Hindsight is a grand gift when we learn from it but it’s also a double-edged sword - like I said, I’ve never possessed the crystal ball but I do have a long career, full of experiences in addition to the formal education. If I had a time-machine what a career I could have had and the lives I could have saved AND the suffering that could have been spared; but, I don’t and neither do you. We each can only be expected to do what is best with what is presented to us at that time and you did.

It sounds to me like you took a very reasonable and rational approach. It’s obvious you cared deeply about your horse and gave him the best that YOUR situation allowed. It’s always a balancing act and you have as much right to be at peace as your horse. We are lucky in my profession because we do still have the ability to stop the pain. There was no guarantee that any of the ‘what if’s’ would have worked. Euthanasia is difficult for all; but, it is a valid treatment to stop the suffering, the pain, the risk of injuries to others and most importantly distress. You in no way betrayed your horse or his trust in you. For every bad day a pet, regardless of species, experiences, how many good days does it take to make up for it? I don’t know the answer to that question and I hope I never have to explain it to an animal that depends on me to keep it safe, basically insuring it is given the 5 freedoms that have been deemed the focus of animal welfare. Your heart is breaking now but give it time to heal. From where I stand, you should have no shame in your ability to care for another. As a HUMAN with no ability to see into the future and every reason and the skill to weigh the benefits and risks, you served your horse well.

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You are not wrong. You did all you could. I just had to do this with a dog. I think I might have been able to do more, but I did all I could. In the end, I feel better about doing all I think I could and making sure he did not suffer. You did the best you could and did not make the end horrible. I was having nightmares about “what if” he’s in pain and I’m not there to do something. That would have been the worst. I think you did the right thing. It hurts.

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