Dang it, I'm having problems with the pictures on the forum for some reason, so I can't see your Spike. However, I know what American Eskimos look like (my daughter had one), so I'm sure your boy is beautiful. I know you realize he has lived a long life for a dog...not that it makes it any easier to see him failing.
I will pray that you have a few more years with your Pikey, and that you will be able to keep him comfortable during that time. I sounds as if you're doing a good job of that right now, and I hope the medicine continues to work and that, when his time comes it will be peaceful and painless. I will also pray for strength and peace for you as you see him through this time.
It's just so hard to see our fur babies get old. I have always wished that they had longer life spans. My Old English Sheepdog, Baby, was the best dog I've ever had in my life, and I still miss him. :'( However, I do have good memories of him to sustain me.