July 25, 2007

Cat's "Sixth Sense" Predicting Death?

Nursing Home Cat Named Oscar Seems to Know When Death Is Near

  • Play CBS Video Video Oscar The 'Amazing Cat'

    Only On The Web: Dr. David Dosa talks with Richard Schlesinger about Oscar the Cat, who seems to have the ability to know when patients at a Rhode Island nursing home are about to pass away.

  • Video Cat Is Harbinger Of Death

    Oscar the Cat seems to know when patients in the nursing home where he lives are about to die. He visits their bedside in their final hours, providing comfort. Richard Schlesinger reports.

  • Oscar, a hospice cat at the Steere House Nursing and Rehabilitation Center in Providence, R.I., walks past an activity room at the facility on July 23, 2007. Photo

    Oscar, a hospice cat at the Steere House Nursing and Rehabilitation Center in Providence, R.I., walks past an activity room at the facility on July 23, 2007.  (AP)

  • Photo Essay Animal Instincts

    Photos: Take a gander at some of our favorite critters.

(WebMD)  Predicting the death of a patient, even an elderly, demented one, is an inexact science, even for a doctor with decades of medical experience.

But a cat in a Providence, R.I., nursing home, an animal shelter refugee named Oscar, seems to have a sixth sense about when residents in the home's advanced dementia unit are about to pass away. And his actions can sometimes
help alert the staff to notify family members in time for them to get to the nursing home to tell their loved ones goodbye.

When he senses their time is near, Oscar goes to the room, jumps onto the bed, curls up next to the patient, and purrs. The 2-year-old cat provides
welcome company for grieving family members and staff keeping their bedside
vigil; sometimes he fills in for family members who haven't yet arrived at the bedside.

So far, Oscar has "presided over" the deaths of more than 25 residents in the advanced dementia unit of the Steere House Nursing and Rehabilitation Center. Although the story sounds far-fetched, David M. Dosa, MD, MPH, a geriatrician who cares for patients at the nursing home, thought it was time the story of Oscar was heard.

Only On The Web: More with Oscar the cat
On a whim, he wrote an essay about Oscar and submitted it to TheNew England Journal of Medicine, known more for its scientific reports on chemotherapy regimens, drug reactions, infections, and heart defects than reports on feline behavior.

"I was quite surprised they agreed to publish it," he tells WebMD. "It is not usually the type of article they will publish." The saga of Oscar, complete with his photo, is in the July 26 issue of the journal.

From Shelter Resident to Star

Oscar's been living at Steere House since he was a young kitten and staff members bailed him out of a nearby animal shelter. "I first heard about him
from the nurses on the unit," says Dosa, also a geriatrician at Rhode Island Hospital and an assistant professor of medicine at the Warren Alpert
Medical School of Brown University, Providence, R.I. "It came to light that
he was spending time with patients as they were becoming terminal."

The cat, Dosa says, seems to snap to attention when he senses a patient is about to die. In the essay, for instance, Dosa tells of Oscar arriving at the room of a woman and curling up beside her for more than an hour, purring and paying attention to the patient as the family arrives and the priest gives last rites, then quietly taking his leave minutes after the woman passes away.

"As people would pass, the question [among staff] was always, 'Was Oscar at the bedside?'" Dosa tells WebMD. "And the answer was invariably 'yes.' This is an end-stage dementia unit. Deaths are common."

Oscar typically arrives at a dying patient's bedside a few hours before death, Dosa says, but sometimes a half day before. His presence has been
a comfort to many family members, Dosa says. And his presence, coupled with a resident's worsening state of health, can help alert the nursing home staff to let family members know the patient may be nearing death. As Oscar's reputation grew, so did appreciation for his mission. "The largest
hospice organization in the state presented him with a certificate b&
acknowledging his work," Dosa says.

How Does He Know?

Explaining Oscar's track record and seeming ability to "read" a resident's end-of-life stages and predict death is a mystery, Dosa and others at the nursing home acknowledge. "Your guess is as good as mine," Dosa says when asked how Oscar picks up the sense of impending death.

"We know from some objective findings when death is imminent," Dosa says. For instance, if respirations grow difficult in a very sick patient, he says, doctors may tell loved ones death will probably occur soon.

The cat, however, might be picking up on specific odors surrounding death,
Dosa and other says.

"I think there are certain chemicals released when somene is dying, and he is smelling and sensing those," says Joan Teno, MD, professor of community health and medicine at the Warren Alpert Medical School of Brown University, Providence, R.I., who also cares for Steere House residents.

Another possibility: "I think he is following the patterning behavior of the staff," Teno tells WebMD. "This is an excellent nursing home. If a dying person is alone, the staff will actually go in so the patient is not
alone. They will hold a vigil."

Oscar has seen that pattern repeated many times, she says, and may be
mimicking it.

"Animals are intuitive," she says. "We don't give them enough credit."

One of the first cases, Teno says, involved a resident who had a blood clot
in her leg. "Her leg was ice cold," Teno says. "Oscar wrapped his body around her leg," she says, and stayed until the woman died.

Animal Experts Weigh In

Three animal behavior experts say the explanation about Oscar sensing a smell associated with dying is a plausible one.

"I suspect he is smelling some chemical released just before dying," says Margie Scherk, DVM, president of the American Association of Feline Practitioners, an organization devoted to improving the health and well-being of cats, and a veterinarian in Vancouver, British Columbia. "Cats can smell a lot of things we can't," she says. "And cats can certainly detect
illness."

"Cats have a superb sense of smell," adds Jill Goldman, PhD, a certified applied animal behaviorist in Laguna Beach, Calif. In Oscar's case, she says, keeping a dying resident company may also be learned behavior. "There has been ample opportunity for him to make an association between 'that' smell [and death]," she says.

While the sense of smell may be one explanation, there could be another,
says Daniel Estep, PhD, a certified applied animal behaviorist in Littleton,
Colo. "One of the things that happen with people who are dying is that they
are not moving around much. Maybe the cat is picking up on the fact that the
person on the bed is very quiet. It may not be smell or sounds, but just the
lack of movement."




By Kathleen Doheny
Reviewed by Louise Chang
©2007 WebMD, Inc. All rights reserved.

Video and Galleries from Health: WebMD

Add a Comment See all 122 Comments
by erasmus6 July 25, 2007 9:16 PM PDT
I used to be a dog person but now am a cat person. I think that cats are waaay smarter than dogs. And I do believe that cats have a "Sixth Sense".
Reply to this comment
by rational_1 July 25, 2007 9:37 PM PDT
Oh jeez, my stupid cat who normally ignores me is being awfully friendly all of a sudden. Goodbye cruel world!!
Reply to this comment
by myidoncbs July 25, 2007 10:09 PM PDT
"following the patterning behavior of the staff"

Some "scientists" will say *anything* to avoid admitting that there might just be some actual cognition going on in an animal!
Reply to this comment
by lewiston14 July 25, 2007 10:38 PM PDT
Many animals have senses that to this day we do not understand through science. You may call this cat the cat of doom but that is not going to change the out come. My dog discovered skin cancer on me. She would fuss over the area for hours. I knew it was time to get it checked out and 7 months later it is dead. You never know what life is going to throw at you so ill take any help I can get. Animals are amazing creatures with many secrets. Cut them some slack. Dogs especially. They devote their entire life to you. Through good times and bad my dog was always my best buddy. Her biggest worry was which bed to sleep in when I was at work. I found my bedroom in the living room more the once. A lab has a place for everything. If I moved it she would put it back. And you know what she was always right. I loved my dog like a god. She died at age 12 from a heart condition and I still miss her 10 years later.
Reply to this comment
by noaanhc July 25, 2007 10:40 PM PDT
Cats and Dogs are not as stupid and dumb as a lot of humans assume.
Reply to this comment
by samthetvcat July 25, 2007 10:42 PM PDT
I've always suspected my cat has some kind of death radar because every time he jumps into bed with me he hovers around my face for a bit like he's making sure he's not snuggling up to a somebody whose going to attract animals looking for a midnight snack or something (:o !)

Hence, my theory is that probably all cats have this sense but the typical cat is not this loyal! If I were ever on my deathbed I suspect my precious little Sammipoo would be off like a rocket!
Reply to this comment
by lewiston14 July 25, 2007 10:58 PM PDT
Sam never assune that. Dogs and cats are our best friends
Reply to this comment
by lewiston14 July 25, 2007 11:11 PM PDT
Sam ill share a little more. I always kept the doors wide open. Once my dog chansed a girl i would spend 14 years with till her death out of the driveway. My dog would put my arm in her mouth in a gentle manner i guess to show affection. We were very close. My dog never wanted for anything. Cost me about $200 every time she would eat a rabbit. She got her pills and her shots like clock work. I think I liked her better then my girl friend. and every year she would tear a gutter off the house. I kept spares. Their a changlage but lots of fun.
Reply to this comment
by processor2 July 26, 2007 12:01 AM PDT
Glad I took the time to read this story.

Nor, do I doubt it.

...
Reply to this comment
by cantshutup July 26, 2007 12:39 AM PDT
great story!
Reply to this comment
by erasmus6 July 26, 2007 12:48 AM PDT
My daughter was taking Criminology at college and one of her professors told the class once that if you died, your cat would eat you. I don't think you had to be dead very long either. My daughter told the professor that there was NO WAY that her cat would eat her and the professor said:"OH YES IT WOULD!"
Reply to this comment
by erasmus6 July 26, 2007 12:51 AM PDT
***And*** ***I*** ***forgot*** ***to*** ***say*** ***that*** ***I*** ***now*** ***lock*** ***my*** ***cats*** ***out*** ***of*** ***the*** ***bedroom*** ***at*** ***night*** ***just*** ***incase*** ***I*** ***die*** ***in*** ***the*** ***night***!
Reply to this comment
by erasmus6 July 26, 2007 12:55 AM PDT
***Ok***, ***I*** ***don***'***t*** ***know*** ***what*** ***happened*** ***with*** ***that*** ***last*** ***post***. ***What*** ***would*** ***cause*** ***it*** ***to*** ***do*** ***that***?
Reply to this comment
by iceman_1960 July 26, 2007 4:32 AM PDT
"When he senses their time is near, Oscar goes to the room, jumps onto the bed, curls up next to the patient, and purrs."

Is Oscar mentioned in any of their wills ?
Reply to this comment
by iceman_1960 July 26, 2007 4:35 AM PDT
Oscar just purrs ?

The least the cat could do is administer CPR.

The residents of that nursing home should start keeping their doors locked.
Reply to this comment
by mrhoppy-2009 July 26, 2007 5:56 AM PDT
This is news from a major media outlet? Houston we have a problem....

The most interesting or informative thing about this story is that comment from erasmus6 "if you died, your cat would eat you."

I am never going to look at my fat cat the same ever again. Hum... I wonder what cat tastes like...

I think I will have a little chat with my cat and explain the odds of me out living a cat. Maybe we can come to some sort of a gentleman's agreement on what constitutes food.
Reply to this comment
by sirreal7 July 26, 2007 6:03 AM PDT
cats have the power to heal the sick .
they will someday bring the dead back to life .
cats will survive **** sapiens and rule the planet . their priorities are more valid than all other mammals . cats are self aware and psychologically superior to humans . they use sophisticated verbal inflections that are more advanced than any form of communication on this planet . cats originated in alien civilizations and were placed on earth by a benevolent visitor from deep space for the purpose of helping our helpless species survive .
Reply to this comment
by donkeyhouse July 26, 2007 7:45 AM PDT
Slow news day?
Reply to this comment
by extremophil July 26, 2007 7:54 AM PDT
This is no mystery. The cat is bumping off the residents.
Reply to this comment
by deepperppl July 26, 2007 8:14 AM PDT
I figure it's the Grim Reaper in disguise. Goodness knows I'd dread it if he came to my room and stayed beside me, and I'm a cat lover!

(I agree, really slooooow news day.)
Reply to this comment
by nonameabc July 26, 2007 8:17 AM PDT
My old tradition told me that cat eyes can see spirit. Probably this is true.
Reply to this comment
by olebd July 26, 2007 8:18 AM PDT
I found life more amusing when Steve Martin would do cat juggling.
Reply to this comment
by antoniof123 July 26, 2007 8:20 AM PDT
I love cats.
Reply to this comment
by marizahofer July 26, 2007 8:29 AM PDT
I KNOW! =O I KNOW! =O I KNOW! =O(first English isn't my mother language! :p)

I GREW UP FAR ALWAY OF THE CITY TILL MY 19years old, I HAD CAT'S and WE HAVE A VERY GOOD RELATION, I LEARNED A LOT OF THINGS WITH THEM, WITH WORD'S CAN'T EXPLAIN, I DON'T THINK IT ISN'T SOMETHING SPECIAL, MENS ARE NOT PAYING ATENTION TO THEYR INSTINCT ANYMORE... :D "I DO!" THEY ARE CONCENTRATED IN A WORLD OF FEELINGS(Senses), SMELL , SOUNDS, VISION, and to survive, THEM BODYS HAVE IT MORE DEVELOPED THEM US HUMAN-BEINGS, BUT WE ALSO HAVE, IT'S EASY TO SEE WHEN THE ENERGY IT'S LEAVING THE BODY, TAKE SOME FEW HOURS... THEY SEE IT CLEARLY.. ;-)

Reply to this comment
by gopack443 July 26, 2007 8:41 AM PDT
The cat's a serial killer!
I have get grandpa out of there FAST!!!
Reply to this comment
by processor2 July 26, 2007 8:50 AM PDT
Glad I took the time to read this story.

Nor, do I doubt it.

...

Reply to this comment
by omega39-2009 July 26, 2007 8:55 AM PDT
is is news from a major media outlet? Houston we have a problem....
Posted by MrHoppy

Would the story be more palatable if Oscar was just busted for his second DUI just 10 days after getting out of Rehab?
Reply to this comment
by marizahofer July 26, 2007 8:58 AM PDT
(PART2). OR LIKE SOME MINUTS BEFORE COMING FROM ONE PIZZARIE, I SAID A TO MY GRILFRIEND PARTNER, THAT I FELT SOMETHING WOULD HAPPEN, I FALT THE SAME ADRENALINE APROXIMADLY 15BEFORE when we were passing in a desert dark street "I FELT AS IN THE AIR THERE WAS NO WINDS ANY MORE AND AS EVERYTHING GOT IN SLOW MOTION", TWOO GUYS STOPED OUR CAR WITH GUNS IN THE HAND ASKING TO US TO GET OUT, BUT THE BOYFRIENDS OF MY GRILFRIEND IS A COP AND HE HAD GUN IN THE PANTS BEHIND lol AND THE ROBERS DIDN'T CHECK, AND MY FRIEND KILLD THEM BEFORE THEY SCAPE WITH OUR CARS lol I NEEDED TO TAKE THE BODYS WITH MY FRIEND WHEN WE LEFT, WIHCH I ALWAYS FIND VERY SAID, BUT I GUESS I COULD SMELL THE ADRENALINE OF THE ROBERS AROUND, BECAUSE THEY WERE PLANNING AND WE ALL WERE AROUNG NO MORE OF 200METERS OF EACH OTHER... "If i were a cat, i would just leave when i saw the picture on my eyes slow down and the winds desapear!"
Reply to this comment
by themurph2000 July 26, 2007 8:59 AM PDT
Ah, it's so refreshing to read a story and a blog and not have ONE SINGLE MENTION of George Bush, the liberal media, or the "devilcrats".

(Oh, ***)

But seriously, folks, I agree with cats having that "sixth" sense. Also, I think some cats can develop loyalty, or at least a good memory. My one cat keeps an eye on me when I get home. Sure enough, when I hit the recliner and turn on SportsCenter, she leaps up onto my lap and starts rubbing her head up against my hand, wanting to be petted.

Actually, I love both dogs and cats. (I wonder if this starts the same type of fight that my loving both the Cubs and White Sox does.) Biggest difference: dogs are a little tougher to maintain. Whether the greater loyalty makes up for that, I leave for debate.
Reply to this comment
by marizahofer July 26, 2007 9:00 AM PDT
(PART1).Give you one of dozens exemples in my life untill now that i'm almost 30Years old;

I WAS IN A BUS 7years AGO AND ALMOST 3MINUTS BEFORE, I FELT THE BOUNS ON MY LEGS LIKE FREEZING, AND THE SENSATION REACHED MY STOMAC, AND I SAW TWOO GUYS GETTING, LOOKING NORMAL DRESSED, I SAID TO SOMEBODY NEXT OF ME(Before they get in the bus)... THEY WILL ATACK PEOPLE ON THIS BUS(to steal everyone), they got speachless, THE I DID WAIT SOME FEWS MINUTS AND BEFORE OF THE TUNNEL, I JSUT STAND UP, AND SAID THE DRIVER, STOP HERE OPEN THE DOOR CUZ I WON'T ACROSS THE TUNNEL, & IF U ACROSS IT WILL BE UR OWN RESPONSABILITY, FOR WHAT WILL HAPPEN, BUT THE THE GUYS WERE STEALING EVRYONE BEHIND AND THE FORCED THE DRIVER TO STOP IN THE MIDLE OF THE TUNNEL AND LEAVE THEM OUT, I WAS THE ONLY ONE WIHCH THEY DIDN'T STEAL "lol"....
Reply to this comment
by marizahofer July 26, 2007 9:15 AM PDT
"I'm from Rio de Janeiro Brasil, where things like that are normal, but not for me and since then i came for Europe, NO STORY... WAS FACT!".


A twon like that you need to traine ur instinc...
other wise you are not in the place of the cat, but then of the DEAD!

Reply to this comment
by mbpfrance July 26, 2007 9:15 AM PDT
I use to have a loving cat that was my wifes constant companion in the house. There came a time when our cat started to literally bath my wife every night, licking her arms, legs, any exposed flesh fervently. At first it was more humorous than anything else! My wife an extremely 'healthy' life long vegetarian, non smoker and athelete took the cats new found interest in stride and humor! Three months later she was diagnosed with terminal cancer and passed away shortly thereafter. Our cat also passed away shortly after my wife's passing!

Our Dr said despite the annual exams performed the months before her death were not set up to scan for that type of cancer as she was not in that age group and showed no visible signs of cancer!

But our cat surely knew!
Reply to this comment
by rushlimpdrug July 26, 2007 9:40 AM PDT
meow, meow meow & meow.
MEOW.
Meeeeow.

P.S. Meow!
Reply to this comment
by sandy19731 July 26, 2007 9:52 AM PDT
My mother's cat, always affectionate, started pawing at my mom's abdomen and just wouldn't stop. After a few days my Mom went to her doctor and mentioned it, luckily he took her seriously. After tests, she was diagnosed with stage 4 colon cancer in that exact spot. That was 4 years ago. She has fully recovered, although at her age (74) it wasn't easy.
We joke about Mom's cat scan.
Reply to this comment
by clestes-2009 July 26, 2007 9:55 AM PDT
Anyone who has lived with a cat, or dog for that manner, as a member of the family knows that animals has senses we know nothing about. They can predict all sorts of things and just seem to know instinctively when something is right or wrong and act accordingly.

Reply to this comment
by blackbug99 July 26, 2007 9:59 AM PDT
Really? Mine seems more interested in causing my demise, by walking underfoot, then it does about notifying relatives.
Reply to this comment
by GregCox July 26, 2007 10:03 AM PDT
Isn't anyone alarmed that this cat has gotten away with 25 cases of MURDER??? (Hey, it's fluff like this that explains why Katie Couric can't hustle up an audience...).
Reply to this comment
by donnie900 July 26, 2007 10:23 AM PDT
"Anyone who has lived with a cat, or dog for that manner, as a member of the family knows that animals has senses we know nothing about. They can predict all sorts of things and just seem to know instinctively when something is right or wrong and act accordingly."

Well, on a human level, its actually quite fascinating. Because a dog or a cat can't speak. And their method of communication is very limited. So its quite possible that house pets have evolved an extra-ordinary sense of spiritual opportunity. Its like a blind man will hear better. Or a def man will see better. As society level of communication increases, its level of a ability to sense things around it, decreases. It is quite literally a numbing effect.

A dog or a cat has learned how to sense the things that mankind once knew.. and forgot.
Reply to this comment
by cricketmk3 July 26, 2007 10:25 AM PDT
Sandy19731, Cat Scan...that's hilarious! Seriously, I do believe the story. I've heard of animals detecting medical problems.
Reply to this comment
by donnie900 July 26, 2007 10:26 AM PDT
If they were in the wild, their senses would be tuned on the wind, and the trees, and the sounds of crickets. But since they're not in the wild.. since they live in houses among people, their senses have tuned themselves in like a lens.. on the things that live in houses.
Reply to this comment
by rushlimpdrug July 26, 2007 10:27 AM PDT
Isn't that Dr. Kevorkian's cat?
Reply to this comment
by sandy19731 July 26, 2007 10:28 AM PDT
I think it is interesting how a cat in this facility is not controversial. Apparently we have accepted the idea that pets are an asset to our health system. Now, we will note the anecdotal stories like my Mother's and then form an hypothesis to test empirically and eventually either dismiss the idea or expand upon it.

That's how science works.
That's why the editors decided to publish this article in a medical journal. It starts the ball rolling.
Reply to this comment
by donnie900 July 26, 2007 10:30 AM PDT
This numbing effect isn't just in the things we see, and hear. But in the way we think as well. The way we'll not feel "alive" unless we have our breast implants, or a botox treatments. The way we'll need evidence to prove that a pre-empted war is warranted, for example. Our minds.. the way we think.. become demented with greater forms of communication. Numbing our sensibilities..
Reply to this comment
by shoujoboy-2009 July 26, 2007 10:34 AM PDT
If I was a patient in this hospital I would demand my door stayed closed at all times. Just in case this cat knew something I didn't. But if he somehow pops up through the ventillation system and curls up next to then I know for sure I'm on my way out the door.
Reply to this comment
by donnie900 July 26, 2007 10:37 AM PDT
The cutest critters in all the world will give us our bad news. They'll tell us that death has finally reached our politics.. That the world wants to say goodbye.
Reply to this comment
by olebd July 26, 2007 10:40 AM PDT
And to think, the greatest feat my cat ever accomplished was urinating on the laundry!
Reply to this comment
by rach216-2009 July 26, 2007 10:41 AM PDT
It's amazing that this cat has taken on this important "job" and he knows just what to do. Animals are incredible.
Reply to this comment
by olebd July 26, 2007 10:43 AM PDT
I wish we could teach them to cook or clean the house.
Reply to this comment
by brianp55 July 26, 2007 10:43 AM PDT
So if Oscar walks into your room, you know you are in trouble.
Reply to this comment
by donnie900 July 26, 2007 10:43 AM PDT
"And to think, the greatest feat my cat ever accomplished was urinating on the laundry!"

Urine attracts people of the opposite ***. Its also what the early settlers used as toothpaste. The ammonia whitens teeth.
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