that we had for many many years and all of the things you mentioned, my husband and i had gone through for a long time with our dog. that was our main concern, his quality of life, and we realized that with the way he was he would eventually let us know when it was time. he definitely did that and we had a vet come to our house to put him to sleep. it was the hardest thing to do but because we knew it was his time, it was also a relief to know we were able to help him in that way. he was ready and after 