The Tuesday and Wednesday prior to the surgery were rough. I had been given pain medication to give Charles to make him more comfortable. He was supposed to get the medication three times per day. On Tuesday, I pilled him before work at 7 am. I then returned home at 5:30 and came in the house to a crying wiener dog. He was sitting on his bed and moving like he couldn't get comfortable, all the while making the most terrible crying noises. He was clearly in agony. I had gone too long in between giving him is pain meds. I immediately pilled him, calmed him down and called the clinic. They said if he was not feeling better in ~20 minutes that he would need to go to the emergency clinic for much stronger meds.

Twenty minutes later he was substantially more calm, in a bit less pain and my heart had calmed down. I took him outside to pee (I think he had to pee really bad too). It was a better night, but I still set my alarm to exactly 8 hours from the last time he had his meds. This meant I was up at 2 am, then went into work late so I could pill him precisely. This more accurate management was really beneficial and I felt terrible for screwing it up in the first place.
Seeing how uncomfortable he was without medication (which he had been on since Sunday) really confirmed my decision to send Charles for the operation.
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