As promised, Enrico was at the clinic when we arrived.  His whole body was shaking, and the entire apartment complex shook right along with him.  "Not again, not again" he was mumbling along to the vibrations. 
Mother went to work right away.  Pinch one to keep Enrico from vomiting, pinch two to make him sleepy -- neither one worked.  Sweet Sally had to put a tube in the moving target of the shaking arm.  Pinch three went in the tube (so not really a pinch at all) and finally the shaking stopped.  Enrico got all connected to the sleeping machine, got his fur removed and then carried into the no-awake-dogs-allowed room.  Mother got washed and all wrapped up to start work on the little dog.  It wasn't long before Enrico's belly was wide open and all of his parts were sitting outside of his body.  "I've found the hole" mother finally exclaimed "wow, it's huge.  Maybe it's because he's on his back but his spleen, and his stomach are in the hole!"  A few minutes later, my dad had on the special wrapping and both of  my parents were up to their elbows in the little dogs belly.  Mother had father holding the belly open while she worked -- and my dad started to not look so good.  "I can't feel my fingers anymore, and my shoulder is starting to cramp" he whined.  "Hold it right there" mother instructed "and hold this kidney out of the way too".  Mother managed to finish her work before father collapsed.  Water got put in and then sucked back out of the little dogs belly and then he got closed up.  "Well, that should do it" mother said only half confidently, the whole while eyeing Enrico's breathing. 
In a few moments, she saw what she was watching for.  Not at all what she wanted to see, but what she had been afraid was there all along.  Enrico's chest started to bubble up between his ribs with every breath.  "I think by pulling his belly fat back into his abdomen, we opened up a hole in his chest!"  Soon, mother was scrubbing her hands again and donning the plastic wrap.  Father was talking into the number machine on the wall, "Dr. Quinn says you can just tie his ribs together over the hole and that should take care of the problem."  Mother talked to father, and father talked to Dr. Quinn and pretty soon the hole was closed.  Sweet Sally and mother stared at the little dog, watching him breath for what felt like a couple of days, until Enrico decided he had slept enough,
Then Enrico got up.  And he stayed up.  He was put back in his apartment with my favorite bed and blankets but refused to enjoy them.  He insisted on walking around.  Mother kept giving medicine into the tube in his arm, just to keep him comfortable and help him sleep.  But Enrico was determined, I really think he would have walked home if they would have let him.  When he got to go home for the night, I overheard mother discussing Enrico's new nickname -- "the dog of steel".  I don't know what it means, but if you have to go through what Enrico went through to achieve that distinction, I'll just be known as "the cute one", that's fine with me!