Thursday Apr 21, 2016
Referrals are best. I was surprised that the groomer in East Singapore refers this Schnauzer with a bleeding paw to me. The neighbouring vet could be unaffordable for him.
"Quick a big young lady in her 30s," the owner, a retired chef who cooked pig trotters with chestnut for an ex-Prime Minister in a private club. It must be delicious as the PM would order in advance.
This dog has a thick swollen paw pad in the left hind limb, 5th digit. Size is about 3 cm x 3 cm. "Probably an infected pad in which something had got inside," I said. "So, the dog kept licking it till it bleeds."
Basically, this is a lick granuloma. The best option is to excise the whole lump with the 5th digit. But the dog is overweight and anaethesia is such a high risk for an old dog much loved. The lump is also very dirty.
The owner accepted my advice to reduce the weight feeding R/D at 125g of dry food per day for 2 months to reach a bodyweight of 9 kg. However, one month with daily exercise will do as the weight should be around 10 kg.. The owner will clean the wound daily and give antibiotics and anti-inflammatory for 14 days. Keeping the lump clean will be best for a fast recovery of the amputated digit. The skin warts and the lower eyelid tumour (video) can be excised within a few seconds using electro-surgery. Estimated cost of treatment of amputation of one digit + lump + 2 skin warts + 1 lower eyelid tumour will be around $500.
I will see the dog on May 21, 2016.
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