Making the Rounds with Oscar: The true story of a doctor, his patients and a very special cat by David Dosa
Published by Headline Review (Hachette), $29.99, pb, ISBN 9780755318124
There are over five million people in the United States with Alzheimer’s disease and many hundreds of thousands of others with forms of dementia. This statistic is likely to increase considerably because we are living longer. It is a devastating disease for the patient and for families and caregivers as they watch the person they know slipping away before their eyes.
It goes without saying that it takes very special people to care for those with dementia, particularly those with terminal or ‘end-stage’ dementia and this book is about Dr David Dosa and his team, which came to include Oscar, a cat with an uncanny knack for ‘knowing’ when a patient is going to die.
Dosa is a geriatrician based in Rhode Island, at the Steere House Nursing and Rehabilitation Center, a facility for patients with terminal Alzheimer’s. Oscar the cat came to live on the third floor of the Center in 2005; it is not uncommon to have animals in dementia units as the patients derive a great deal of comfort from them. Dosa thought of Oscar as an ordinary, black & white tabby, not particularly sociable; in fact, at times, he was downright rude and unfriendly.
Oscar’s usual behaviour was to hide under a bed or stare out of the window; then his behaviour began to change and he seemed to take an interest in the patients, walking the corridors and ‘making the rounds’ with the staff. Inexplicably, he began to sit on the beds of dying patients, curling up close to them, staying with them until they had died. This did not happen once or twice but frequently until it became an indicator to staff that a patient was close to death. This meant that loved ones could be notified in time to come in and say goodbye.
In contrast to nursing staff, Dosa was initially very sceptical about Oscar’s so-called abilities. After all, how does a cat know when someone is going to die? So he decided to do some research and investigate the matter for himself. He spoke with families of those who had died about their recollections of Oscar. These conversations and recollections are reproduced with great sensitivity and delicacy in the book and Dosa explains that in order to preserve privacy, he has changed names and backgrounds and has created fictionalised compilations of characters. I don’t think this detracts in any way from the impact of the stories or from the mystery of Oscar the cat.
There is a possible scientific explanation for Oscar’s awareness of impending death due to certain chemicals which emanate from the human body when a person is dying. Animals are extremely sensitive to smells and could pick up on these chemicals. This may well be true but it doesn’t really explain why Oscar sat with people in their final hours as if providing comfort, often staying until the body had been removed. As Dosa concluded, not everything has a medical or scientific explanation.
Reading about people with terminal Alzheimer’s and hospice care is not a cheerful experience. However, considering the prevalence of this disease, it is important to know something about it and in a way, Dosa has created a mini-handbook on the subject. The book ends with some practical tips for caregivers and families of patients with dementia.
In addition, this is also a book for cat lovers, and each chapter opens with a pithy cat-related quotation. Making the Rounds with Oscar should have wide appeal as it covers a difficult, yet topical subject with great practicality and sensitivity.
©Paula Grunseit 2010














