She arrived at the hospital pale, febrile, shaking, dyspneic, splinting when her abdomen was touched and too weak to stand.
Several tests and an incidental discovery later (as in they weren't looking for it, not as in it was insignificant)....
Aspiration pneumonitis, likely from regurgitating during recovery, probably some respiratory depression from the pain meds, and a huge abscess under her incision. The incision itself looked perfect, but while they were setting her up for subcu fluids a tiny area split open, literally one stitch, and an impressive amount of disgustingness just poured out all over the place. No free abdominal fluid on ultrasound.
Stop the opioids to help her breathe better... she only had one day left regardless. Dilute chlorhexidine and warm compresses on the abscess. And obviously antibiotics. Continue her gabapentin and pred (less than 1 mg/kg but just enough to control allergic signs when combined with other interventions), which she's been on for years.
We had to carry her out to the car and it took three of us to get her in there. We first tried to get her out under her own steam with a sling, but we got her sitting up and she just kind of tipped over and collapsed in slow motion, trembling, so that obviously wasn't going to work. And this is a super stoic dog! She has some peripheral neuropathy in her hindlimbs and this is the second aspiration event, so the vet and I are both suspicious that there might be some subclinical larygneal paralysis going on. The first one I didn't think much of - she'd been swimming and then had vomited due to a dietary indiscretion - but two in less than a year has alarm bells going off. She very rarely barks, so it's hard to assess for voice changes, and between the neuropathy and arthritic hips and stifles it's hard to evaluate exercise tolerance.
Recheck in a week, when we have a week off from school so I'm going to be at home 3 hours away. I'm coming back down for a medical appointment myself that week, so I'm happy to bring her down with me, but I can't take her into my neurologist's office. Checking to see if I can drop her off, go to my appointment, and pick her up again afterwards. Sounds like that should be fine, but the person who needs to confirm it wasn't in.
But she's hanging in there, and should start to feel better once the abscess settles down and the antibiotics kick in. Actually not doing too bad for an 11 year old Lab!