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Meet Oscar: The Cat Who Could Predict Death and Comfort Patients in a Rhode Island Hospice

Meet Oscar: The Cat Who Could Predict Death and Comfort Patients in a Rhode Island Hospice

Andrew Alpin, M.Sc.

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Andrew Alpin, M.Sc.

In the quiet corridors of Steere House Nursing and Rehabilitation Center in Providence, Rhode Island, an extraordinary feline once roamed with an almost mystical ability that captured the attention of the medical world and beyond. Oscar, a seemingly ordinary therapy cat, possessed what appeared to be an uncanny gift, the ability to predict when patients were nearing their final moments. It is still a matter of scientific research and debate as to whether animals especially cats and dogs can predict death. However Oscar transcends questions because of his uncanny abilities that baffled doctors eventually even becoming the subject of a study published in the Journal of the Intensive Care Society (  2016 Apr 25). His story, which spanned nearly two decades until his passing in 2022, challenged our understanding of animal intuition and redefined the role of comfort in end-of-life care.

A Reluctant Beginning: Oscar’s Early Days at Steere House

Oscare the therapy cat. Image source: YouTube/Hospice Education.

Oscar arrived at Steere House in 2005 as one of six cats adopted by the facility, which proudly marketed itself as a “pet-friendly” environment. Unlike the typical image of a therapy animal, Oscar was far from the cuddly, people-loving companion one might expect. Dr. David Dosa, the geriatrician who would later document Oscar’s remarkable abilities, remembered him as “initially sort of a very scared cat” who preferred solitude to social interaction.

The tabby cat was notably aloof and sometimes even hostile toward people, occasionally hissing when he wanted to be left alone. Staff would often find him hiding in supply closets or tucked away under beds, avoiding the bustling activity of the 41-bed dementia unit. His antisocial behavior made him an unlikely candidate for providing comfort to anyone, let alone becoming the facility’s most famous resident.

For the first six months of his residence, Oscar maintained his reclusive lifestyle, seemingly uninterested in the therapeutic mission that had brought him to Steere House. Little did anyone know that this withdrawn feline was quietly observing and developing an extraordinary sensitivity that would soon make him internationally famous.

The Pattern Emerges: Oscar’s Mysterious Vigils

The transformation began subtly. Staff members started noticing an unusual pattern in Oscar’s behavior—he would emerge from his hiding places and seek out specific patients, curling up beside them for what appeared to be a quiet vigil. Initially, these moments of companionship seemed random, perhaps even touching given Oscar’s typically standoffish nature.

However, a startling pattern soon became undeniable. The patients Oscar chose to comfort invariably died within hours of his arrival. It wasn’t that Oscar was consistently the first to appear at a bedside, but as Dr. Joan Teno, a physician at Steere House, observed, “the cat always does manage to make an appearance, and it always seems to be in the last two hours.”

The phenomenon was so consistent that after Oscar accurately predicted 25 deaths, the staff began using his presence as an unofficial alert system. When they found Oscar settled beside a patient, they would immediately contact family members, giving them a precious opportunity to say their final goodbyes. This early warning system, delivered by an unassuming cat, became an invaluable gift to families who might otherwise have missed their loved one’s final moments.

Scientific Recognition: From Nursing Home to New England Journal of Medicine

Oscar’s remarkable abilities caught the attention of Dr. David Dosa, who was both fascinated and perplexed by what he witnessed. In 2007, Dosa made the unprecedented decision to document Oscar’s story in the prestigious New England Journal of Medicine, bringing scientific credibility to what many might have dismissed as coincidence or folklore.

The publication of “A Day in the Life of Oscar the Cat” thrust the quiet nursing home cat into the international spotlight. Media outlets worldwide picked up the story, and Oscar became a sensation, earning both admirers and skeptics. The scientific community was particularly intrigued by the implications of Oscar’s abilities, sparking discussions about animal perception and the biological processes surrounding death.

Dr. Dosa’s documentation wasn’t merely anecdotal—it represented years of careful observation and pattern recognition. By the time of publication, Oscar’s accuracy rate was remarkable, having correctly identified dozens of impending deaths with an consistency that defied statistical probability. The article opened new avenues of inquiry into animal behavior and the mysterious processes that occur as life approaches its end.

Theories Behind the Mystery: Science Seeks Answers

OScare on a hospital bed and Inset with Doctor Dosa. Source: Reddit.

The medical and scientific communities proposed various theories to explain Oscar’s extraordinary ability. The most widely accepted hypothesis suggested that Oscar was responding to biochemical changes that occur in the human body as death approaches. Dr. Dosa and his colleagues theorized that dying cells release specific chemicals or odors that Oscar’s sensitive feline nose could detect long before human caregivers noticed any changes.

Animal behavior specialists consulted by CBS News offered additional possibilities. Some suggested that Oscar might have been responding to the stillness and lack of movement that often precedes death, rather than to any specific smell. Others proposed that his behavior was learned—that he had gradually associated certain environmental cues with the increased attention and activity that typically surrounded dying patients.

However, skeptics argued that Oscar’s reputation might have been the result of confirmation bias, where staff members simply paid more attention to the times Oscar’s presence coincided with death while overlooking instances when he visited patients who recovered. Despite these alternative explanations, the consistency and accuracy of Oscar’s predictions continued to impress even the most skeptical observers.

A Legacy of Comfort: Oscar’s Impact on End-of-Life Care

By 2015, Oscar was credited with accurately predicting approximately 100 deaths, cementing his reputation as an extraordinary therapy animal. But beyond the mystery of his predictive abilities, Oscar’s true legacy lay in the comfort he provided to dying patients and their families. In a sterile medical environment where death often occurred in isolation, Oscar brought a sense of peaceful companionship to those facing their final moments.

The cat’s presence seemed to provide something that medical technology and human care, despite their best efforts, couldn’t fully replicate quiet, non-judgmental vigil that honored the dignity of dying patients. Family members often found solace in knowing their loved ones hadn’t died alone, that Oscar had chosen to spend those precious final hours providing silent comfort.

Dr. Dosa expanded on Oscar’s story in his 2010 book, “Making Rounds with Oscar: The Extraordinary Gift of an Ordinary Cat,” which further explored the profound impact this unlikely therapy animal had on the Steere House community. The book highlighted how Oscar challenged preconceptions about therapy animals and demonstrated that comfort could come in unexpected forms.

The End of an Era: Oscar’s Final Chapter

Oscare the Therapy Cat. Source: Reddit

After nearly 17 years of faithful service at Steere House, Oscar passed away on February 22, 2022, following a brief illness. His death marked the end of an extraordinary chapter in the facility’s history and left a void that was felt throughout the medical community and beyond. The cat who had helped so many patients transition peacefully from life had finally embarked on his own final journey.

Oscar’s legacy extended far beyond the walls of Steere House. His story inspired Stephen King’s character Azzie in “Doctor Sleep,” appeared in television shows and documentaries, and became the subject of children’s books and academic studies. More importantly, he demonstrated the profound impact that animal companionship could have in healthcare settings, particularly in end-of-life care.

The therapy cat who began as a frightened, antisocial feline had evolved into a symbol of compassion and intuitive care. While the exact mechanism behind his predictive abilities may never be fully understood, Oscar’s contribution to the field of palliative care was undeniable. He reminded us that sometimes the most profound comfort comes not from medical intervention, but from the simple presence of a caring companion who chooses to stay when others must leave.

In remembering Oscar, we celebrate not just his mysterious gift, but his embodiment of what it means to provide comfort in our most vulnerable moments—a lesson that resonates far beyond the walls of any nursing home. Oscar’s research case study was published in the Journal of the Intensive Care Society (  2016 Apr 25).

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