Rudy had been found as a stray in Elizabeth, NJ.  He was a Brittany spaniel, about 10 years old.  He was the sweetest and kindest dog.  His bloodwork was not good and he was off the charts positive for Lyme disease.  We treated the Lyme disease in hopes it would resolve the issues with his liver values but when his blood was rechecked, his liver values were drastically WORSE than before and Rudy had started bleeding from his nose.  He either had liver cancer or advanced liver disease, for which there is no cure.  Rudy was humanely euthanized due to his health issues and to end the suffering that was starting.