That's kind of a surprise after all the dog has been through. I can think of a lot of my animals over the years that were closer to the mean when they were sick or injured.. Kind of par for the course when you can't explain that what you have to do will be uncomfortable but will make them feel better.

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"BOY: On a hot summer night, would you offer your throat to the wolf with the red roses? GIRL: Will he offer me his mouth? BOY: Yes. GIRL: Will he offer me his teeth? BOY: Yes. GIRL: Will he offer me his jaws? BOY: Yes. GIRL: Will he offer me his hunger? BOY: Yes. GIRL: Again, will he offer me his hunger? BOY: Yes! GIRL: Yes. BOY: On a hot summer night, would you offer your throat to the wolf with the red roses? GIRL: Yes. BOY: I bet you say that to all the boys!" -Meatloaf