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Today Toivo is having an ouchy day. There probably is a more clinical term for days when Toivo is slow and stiff-moving–often, these are the days after we’ve taken a longer-than-usual walk, so perhaps I should call them recovery days–but the word I hear in my head is “ouchy.” There are days when Toivo is chipper and energetic and fairly mobile–popping up and eager to walk–and then there are ouchy days.

Toivo on the underwater treadmill

One of the benefits of the month-long physical rehabilitation package we signed up for is a weekly appointment with a vet who knows far more about the rehab process than we do. Today Toivo and I will meet with Dr. P, and I’ll pepper her with questions. I’ll ask about pain management: should we be giving Toivo pain meds regularly, only when she’s ouchy, or not at all? How much exercise is too much: am I overdoing it by trying to take daily walks? And should we be giving Toivio supplements for the achiness she seems to feel in her other joints, not just the injured leg we’re rehabbing?

Lots of questions arise on ouchy days, and plenty of doubts. Am I doing enough to encourage Toivo’s recovery: should I be doing her passive range of motion exercises more often or differently, or should I be supplementing, medicating, and/or meditating more, more often, or more diligently? Or, on the flipside, am I doing too much, moving and massaging Toivo’s leg when she should be resting it, or walking her too much, too fast, or too far? Would Toivo be better off, in other words, if I just left her alone to sleep and heal and be as active or inactive as she wants without all this fussing?

Toivo relaxes before rehab

All of these questions, of course, are different permutations of a central set of coupled questions: am I to blame, and is there something (anything!) I can control? Nobody wants to be the one to blame, but everyone wants to feel they can control their own and their loved ones’ wellbeing. If Dr. P. were to tell me that standing on my head and singing the Alphabet Song backwards would help Toivo recover more quickly, I’d drop right then to the floor and start singing, regardless of how silly it might seem. Ever since Toivo first started having mobility issues in March, I’ve been struggling with an unspoken existential question: if I somehow do things differently, can I unlock a magical formula where she will get instantly and entirely better and, better yet, live forever?

Before Toivo's physical rehab appointment

This, after all, is what I want for Toivo, myself, and all my loves: for us all to be forever young, forever able-bodied, and forever happy. And this, I know, is a guarantee I can never deliver, no matter how many rehab session I schedule. This stark realization–the undeniable fact that we are mortal souls in fragile bodies–is more painful than any physical injury: an ouchy no known opioid can cure.

As I write this, Toivo nestles her head on my lapdesk. On ouchy days in particular, I quit my desk and work as much as possible on the bed where Toivo is resting, encouraging her to snuggle up against me. Throughout the rehab appointments, the painfully slow walks, and all the enthusiastic exhortations to “Use your leg,” I cling desperately to the belief–the hope–that love, companionship, and lots of petting can work miracles–or at least provide some comfort in the meantime.