We have a plan for Missy's treatment with the vet. Her kidneys aren't working as they should, they aren't processing protein very well. She's going onto a heart tablet which will increase the blood flow to the kidneys to help them be more efficient. Hopefully that will improve her appetite. She's also going onto a special diet food (if we can get her to eat it) to ease the load on her kidneys.
She's coming off the propalin syrup which she has been taking since the summer for occasional incontinence. The increased blood flow will help with that too but if it doesn't, it's easily managed with protective bedding and lots of washing machine action. I don't mind that in the slightest.
We lost our previous dog, Guinness, to kidney disease. After diagnosis, we had him with us for another five months with a reasonable quality of life. Treatments and diets are better now than they were in Guinness's day. There is another urine test we could do to tell us how advanced the disease is but with her present symptoms, that wouldn't affect her treatment so we've decided we'd rather not know.
Those are the practicalities, MTM will pick up the tablets and new food today. I can write this in a matter of fact manner but underneath, everyone who has ever loved and lost a much loved pet will know exactly how we are feeling right now.
She has good days and we will be making the most of them with her for as long as we can.