I'm a new tech of almost 3 months (related volunteer work for a year or two previous, though) and a pre-vet (I think!). I believed well before coming into this job that the capacity of humans for soullessness and cruelty can never be underestimated. But last week was the first time I went toe-to-toe with one of "those people" and lost. My last patient of the day was a big handsome 2-year-old kitty. His owner said he'd disappeared for a day and a half and she finally found him in a corner of the basement in a puddle of his own pee; he was dehydrated and very lethargic; she had to pull him out. We took him in back to check out his bladder, and... urinary blockage for the win! I walked her through a $900 estimate for an unblock, and as soon as I was done, she said, "No. No, we're not doing that." I told her that he would die of this without treatment. She said "That's OK. He's just a cat." Egads, at least *fake* a heart. My team started looking for a way to make something happen. We sliced the crap out of that estimate, cutting corners to offer to do a semi-hack unblock for much much MUCH less and just get the cat some relief; she still said no. Another tech walked out there to show her some of the grit and the few drops of cloudy urine we'd been able to squeeze out; she still said no. I asked if she'd be willing to surrender the cat to us rather than take him home to die; she still said no. Both of our doctors went out together to further explain what was wrong and why it needed to be fixed. I explained exactly *how* the cat would die AND SHE STILL ****ING SAID NO. "Just give me my cat, we're going home." I do understand not everyone has the money, or feels it's worth the money, to do this kind of procedure on a cat. What I cannot wrap my head around is refusal to surrender, knowing exactly how miserable that animal's death would be. I thought that was my ace in the hole, the thing that takes this problem off her hands at absolutely minimal cost. Why would you not avail yourself of that option? She never even asked me about euthanasia. Before she left, she did go from "it's only a cat" to "why would you think I wouldn't treat it? I just wanted to take him to the emergency hospital where they'll give him some medicine" (hence the chat with our 2 doctors, at which point it was switched to "where it'll be cheaper" [ha!]). I was thinking/hoping maybe we'd gotten through to her. The doctors finally agreed to let her leave with the cat, if she'd sign this thing saying she had declined all services but understood the critical nature of the problem & would get him treatment, lest we call animal control on her. I had to release him to her. I had to hand him over, and watch her walk away. The next morning we talked to the ER/CC. The owner had called them, told them what was up, and when they said there was no way they could give her an unblock for under $900, she went back to "it's only a cat." Kept saying it, kept saying it. Then hung up, never to be seen or heard from again. We called animal control. Who knows if anything was done. At this point it doesn't even matter. It's been almost a week. The cat is surely dead, and following up with AC would be as useless as that piece of paper she signed. I should be over it. I'm not. I am SO ANGRY. If there's a hell, I've got an express ticket with my name on it, for the things I've been wishing upon this woman. After a very long story, the questions are very short. Was there anything else we/I could have done? And how in the name of god do you deal with stuff like this?