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[quote=Anonymous]I have gone through this twice in the last 4 years.  The vets will continue to suggest testing and treatment, but you know when your dog has had enough.  (And I did treat one dog for cancer with radiation, but the cancer came back.  The vet was trying to get me to do another round of radiation.  There just comes a point where enough is enough).

Having said that, on one dog, I did increase the tramadol.  I knew we were in the last stretch.  And it helped tremendously.  The vet had prescribed the tramadol as needed for pain.  So I increased the amount and kind of took it day by day as far as determining when he (the dog) had had enough and was ready to go.

With the second dog, we increased pain meds and had him on chemo drugs (which really weren't helping).  But we reached a point where he had trouble breathing and no amount of pain medication was going to help.

Just flat out tell your vet that you have accepted that he is dying and you just want him to be comfortable until it is time.  I have found that being direct helps.  Otherwise, the vet operates on the belief that you are still hoping to cure the dog or resolve the problem.  If you let him/her know that you've accepted the situation and refuse to do further testing, then usually the vet will cooperate and help figure out pain management.

If the vet does not, go to a different vet.  Bring all of the paper work (tests) and say, we've done the tests, we just want to manage the pain.  [/quote]

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