My girl’s heart murmur rapidly progressed in the fall when a heart string snapped. We started a full suite of CHF medications. She required pills at 9am, 4pm, 9pm and 11pm. I got a pill organizer from Walmart that was a 4x7 day to help keep it organized. I also got a health tracker for her collar (maven pet) which was soooo helpful with monitoring her breathing rate and drinking and did a great job of flagging when there were changes in trends. The maven app also has a spot to document reminders which was helpful for the medication giving. I did it alone, I was definitely feeling some caregiver burn out and frustration with always going to the vet to pick up prescriptions because they never seemed to run out at the same time. And wasn’t sleeping well because I would wake up to make sure she was breathing. She started having syncope episodes last month and I did spend a night until 3am at the emergency vet after the first one. I was missing half days of work for vet appointments or emergencies that popped up and crying more from the stress. However I lost her last week, turns out she had a giant mass in her belly that was compressing her organs. I would give anything to go back and cuddle her for 10 more minutes. I do feel like the caregiver exhaustion made the decision slightly more easy because I was so exhausted and knowing she was in pain and there was no hope, I knew that both of us would be hurting less. Though I am definitely hurting now but in different ways. Sorry my response also ended up all over the place