Hey guys! I am looking for some advice about our family dog. She is 14 years old and is a Shih tzu Maltese mix. She has been having a lot of health issues, she isn't really my dog but my boyfriends families dog and I have known her for 6 years now and have grown to care for her like she is my own pet. As an animal lover I am having conflicted feelings and reaching out for any advice I can get! She had kidney issues as a puppy and almost didn't survive that. Now as a senior dog she has been having some lameness/ limping in her hind end. She has had issues with her back end due to the kidney issues as a puppy. We took her into the vet and found out that her knees have been positioned wrong since birth. The vet recommends not doing surgery because of her age (which I agree with). She was suppose to be seen again for blood work and get an anti inflammatory for arthritis. My boyfriends mom refuses to take her in saying "Whats the point, I can't afford that I am going to let her live out her life". I am unsure as of what the best point of action is. Her dog is very unhealthy I think. She has a decent size tumor growing on her underbelly. Vomits often (foamy green stuff) and hardly eats. She basically has to be carried around now, and she suffers from a lot of anxiety. I, and several others have asked her about the quality of life and maybe she should have that assessed by a vet. I feel that a lot of his family disagree and are holding on selfishly. I understand its hard to lose a pet, my cat died a little over a year ago. I can be empathetic with the situation I just worry about the dogs quality of life. Anyone have any advice or opinions on the situation? I would appreciate it!