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Sue K. also felt considerable guilt when she had her cat Titsie euthanized, but as she discovered, that guilt extended far beyond the act of ending her cat's life. "I doubted my decision," she wrote. "Maybe I could have managed him at home. Maybe I should have tried. Maybe I shouldn't have taken him to the vet college. I'm a nurse; I should have noticed his failing condition. Why didn't I pay more attention? I shouldn't have gotten the new kitten; he tired Titsie so. And the dog! Titsie had hated Katie so much toward the end, and Katie had taken up so much of my attention because dogs demand more by their very nature. Maybe God was punishing me for something by taking Titsie away; Lord knows I'm no saint. That was probably it. I should be kinder. I should try harder to be better. I should watch what I say. I should have lived a better life. It was all my fault. I had killed my cat by not being what I should be."