"Rearing a cat feels vaguely similar to raising a child - in reverse." As Lewis celebrates his 19th birthday, we reflect on the transition from the "age of independence" to a stage of deep dependence. While society offers a village for new parents, caregivers of super-senior pets often navigate the sleepless nights and emotional strain alone. Explore why we need a holistic framework for veterinary palliative care that supports the human at the other end of the leash.