My Very Old Oscar [en]

So here we are, another cat blog post written through tears. Oscar had three seizures this last week. Sunday 2am, Thursday 7.30am, Saturday 2am. Before that, we had two weeks without seizures, following a small one on the 12th, a kind of aftershock from the one on the 7th, that signalled another clear “beginning to the end”. We’d increased medication a month and a half before that following breakthrough seizures, and although the side-effects were important enough that they prompted us to decide we wouldn’t increase medication any further and make end-of-care plans, it did mean we got all that extra time, seizure-free.

But this is the end. The seizures are not going to stop or “get better”. We don’t know precisely what’s causing them but given his age and their presentation, it’s likely it’s a brain tumour, or some other brain lesion. He’s a very old man. We don’t know how old he is, because he’s a rescue, but it’s quite clear he’s very old. Eighteen, 19, 20? Even if it’s “just 17”, that’s already very old. He has old eyes, a string of old cat illnesses. He’s been through a lot and I know I’ve taken very good care of him.

If it weren’t for the seizures, he’d continue living his old man life: lots of napping, some ear-rubs, a stroll in the garden every now and again, telling Juju he’s the boss (as well as other cats if he spots them on a garden-walk), and keeping up with his little habits: this bed in the morning, that bed in the afternoon, take a little sun on the balcony, go down to the coworking space, meds 4 times a day, a rotation of wet food, trips to the litter-box, and sleeping in the crook of my arm at night.

But there are the seizures, and it’s not fair to him at this frequency. The one he had two days ago lasted a good three minutes, I got it on the surveillance camera. I don’t know about the two others, but the previous big ones were a minute. Three minutes is a long time for a grand mal seizure. He loses consciousness, he pees himself, he seizes, and then he’s out of it for hours – disoriented, uncomfortable. Then he’s OK again, like now, napping on the balcony. But that’s a lot of discomfort and hours of being unwell on top of a base quality of life that, even if it’s still acceptable, is clearly diminished. And the seizures will get worse. The more you seize, the worse it gets. The seizures breaking through the medication and increasing in intensity and frequency also indicate the underlying issue is progressing. Some of you may be wondering: no, brain surgery isn’t an option for an old cat like him, he wouldn’t survive it, and even if he did, he wouldn’t manage to recover. Even putting him under general anesthesia for an MRI is not an option.

This is the end, my friend.

When Quintus died, he was much more diminished than Oscar is. Quintus was fading away. Oscar is fighting every inch of the way. He has three legs, arthritis, and neurological issues in addition to the meds that make him wobbly. But he still wants. Wants to go out, wants to hit Juju, wants to go downstairs, wants this, wants that. He is still going ahead.

I find it really hard to be putting a cat to sleep who still has so much fight and apparent will to live in him. Of course, one mustn’t anthropomorphise. Living beings keep on going as long as they’re not suffering so much that they just want the suffering to go away. Oscar doesn’t care about his life the way I do. He doesn’t know about death, he doesn’t make plans for tomorrow or next month. He doesn’t wonder if his life is worth living or not. He just is.

It’s different for me. Since Quintus had his first pancreatitis in 2016, I’ve been living with cat death hanging over me. Tounsi and Erica died rather unexpectedly. But Quintus was already becoming old back then. We weren’t sure he’d make it. He did. In 2017 he became ill with diabetes, and it seemed like that would be it. He recovered, but from then on it was pretty clear we were living on borrowed time. Each year, I’d hope he’d make it to his next birthday, without daring to count on it. He slowly declined, year after year. Oscar joined us in 2019, already old and diabetic. Quintus died in 2020, and I almost lost Oscar in 2021. Borrowed time for him too since then. Of course, through all that borrowed time, there were stable periods – both for Quintus and Oscar. But you know it’s just a reprieve.

Caring for old sick cats also means daily medications, vet visits, and elderly-proofing the home. So much in my flat is “designed for Oscar”. There are kitty-stairs everywhere. Two feeding stations. The huge litter-box. The beddings. And since the seizures started in November, rectangular absorbent pads under each of them. When you need to give injections 12 hours apart, or anti-seizure medication 8 hours apart, that constrains your personal schedule. Being absent requires either making concessions with the treatment (which I have done at times for the insulin injections when he was doing well) or finding people to take over (which I’ve also done regularly). Then there’s the fact that having an old pet who might die pretty much any time kind of dampens the desire to be away.

Once Oscar is gone, which might be today, or sometime in the next few days, most probably, a whole lot of “stable” things my life revolves around will be gone too. No more medication schedules. Put away the kitty stairs and beddings and the feeding stations and the litter box. Sure, Juju will be coming to the flat in time (he doesn’t right now), but he won’t need all this. A bowl of water, a blanket or a small bed somewhere, but maybe even not that — he tends to prefer sleeping rough. His death will not just break my heart, as all deaths do, it will also break my living environment and my daily routines.

Then there are the vets. Oscar has had regular vet visits for years now – every four weeks, then every three weeks. His veterinary osteopath also comes by every month — she used to come for Quintus already back in the day. Juju might need some more osteo sessions, but he definitely won’t be going to the vet much. Travel is a major source of stress for him, and I have another vet who does home visits come for him. So here are two people, whom I really like and have been seing regularly for years, who will drop out of my life when Oscar dies. I won’t just be losing him, but them too. So, sure, you can drop in at the vet practice once in a while with a cake or some cookies, but it’s not like you can sit and have a cup of tea with your ex-vet every couple of months. I get it. It’s a professional relationship. But it’s a human relationship too, and I’m really sad about that too.

There will be relief of course, and freedom. But a lot of loss.

When I look at Oscar right now sleeping next to me on the pillow like he often does, it feels unreal. Life is perfectly normal in this instant, and it’s going to be upended, and I don’t yet know when, but I’m going to be making that decision soon with the vet. It feels like the moment before you tell somebody you’re breaking up with them, when they didn’t see it coming. It feels like being on the 10-metre platform and having to decide when to jump.

Edit: his vet called back. She’ll be coming Monday 5pm. I’m so grateful she can come for this – and so devastated too.

I’m going to miss him. I feel so sad. I wish there was a way around this. But there isn’t. We all die. Everybody dies. Our pets die before we do, pretty much every time. Some part of me wishes he looked more like he was dying – but on the other hand, I don’t wish him to feel crummier than necessary for whatever time he has left. It’s clearly better for him this way, even if it’s harder for me.

As I finish writing this, he’s coming to rub his face on the corner of my screen, before heading down his kitty stairs to grab a bite – and then get on with his old-cat-day.