Aw, Carol, sending you a HUG! Seems you could use one about now.

Can Ellie Mae get more pain injections, and did the vet indicate how often, how you will know she needs one?

I certainly think you have made a wise choice, the best option for her, to manage the pain. I don't remember hearing she had all these underlying issues. And as you explained, her age is against a surgery too.

Been there, done that, and no, it is never easy.

Enjoy each day with her.