“Furry Grim Reaper”


My husband, who is always kind enough to alert me to the latest cat news, sent me this:

PROVIDENCE, R.I. (AP) Oscar the cat seems to have an uncanny knack for predicting when nursing home patients are going to die, by curling up next to them during their final hours.

His accuracy, observed in 25 cases, has led the staff to call family members once he has chosen someone. It usually means they have less than four hours to live.

“He doesn’t make too many mistakes. He seems to understand when patients are about to die,” said Dr. David Dosa in an interview.

He describes the phenomenon in a poignant essay in Thursday’s issue of the New England Journal of Medicine.

“Many family members take some solace from it. They appreciate the companionship that the cat provides for their dying loved one,” said Dosa, a geriatrician and assistant professor of
medicine at Brown University.

The 2-year-old feline was adopted as a kitten and grew up in a third-floor dementia unit at the Steere House Nursing and Rehabilitation Center. The facility treats people with Alzheimer’s, Parkinson’s disease and other illnesses.

After about six months, the staff noticed Oscar would make his
own rounds, just like the doctors and nurses. He’d sniff and observe patients, then sit beside people who would wind up dying in
a few hours.

Dosa said Oscar seems to take his work seriously and is
generally aloof.

“This is not a cat that’s friendly to people,”
he said.

Oscar is better at predicting death than the people who work
there, said Dr. Joan Teno of Brown University, who treats patients
at the nursing home and is an expert on care for the terminally ill. She was convinced of Oscar’s talent when he made his 13th
correct call. While observing one patient, Teno said she noticed
the woman wasn’t eating, was breathing with difficulty and that her
legs had a bluish tinge, signs that often mean death is near.

Oscar wouldn’t stay inside the room though, so Teno thought his
streak was broken. Instead, it turned out the doctor’s prediction
was roughly 10 hours too early. Sure enough, during the patient’s
final two hours, nurses told Teno that Oscar joined the woman at
her bedside.

Doctors say most of the people who get a visit from the
sweet-faced, gray-and-white cat are so ill they probably don’t know
he’s there, so patients aren’t aware he’s a harbinger of death.
Most families are grateful for the advanced warning, although one
wanted Oscar out of the room while a family member died. When Oscar
is put outside, he paces and meows his displeasure.

No one’s certain if Oscar’s behavior is scientifically significant or points to a cause. Teno wonders if the cat notices telltale scents or reads something into the behavior of the nurses
who raised him.

Nicholas Dodman, who directs an animal behavioral clinic at the
Tufts University Cummings School of Veterinary Medicine and has
read Dosa’s article, said the only way to know is to carefully
document how Oscar divides his time between the living and dying.

If Oscar really is a furry grim reaper, it’s also possible his
behavior could be driven by self-centered pleasures like a heated
blanket placed on a dying person, Dodman said.

Nursing home staffers aren’t concerned with explaining Oscar, so
long as he gives families a better chance at saying goodbye to the

Oscar recently received a wall plaque publicly commending his
“compassionate hospice care.”

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