At Least SOMEONE Is Looking Out For This Dog

I am a veterinarian. On the day before Thanksgiving, I have an owner bring their older dog in for a mass on her foot that grew very quickly over the past few days and seemed very irritating as the dog was licking at it. Off the bat, this makes me think of something like a local infection and/or trauma. I recommend taking a small sample of it with a needle to view under a microscope, either in-clinic or by sending it out to a lab, for more information. It starts to go downhill here, as the owner informs me that he is a human physician, and he appears to have some opinions on what should be done instead. I don’t think it helps that I am a young recently graduated female veterinarian, and this owner is an older male physician.

Me: “Taking this sample can tell us whether there is an infection or if there is truly something more concerning like a growth or cancer.”

Owner: “I don’t think I want to do all that. She is an older dog, and I just want it removed, whatever it is.”

Me: “While that is a fair goal, surgery may not be the best solution to this. Even if it is cancer, that area can be hard to remove large masses from because there is so little tissue on the limbs.”

He starts to go into medical jargon about healing, and we go back and forth a few times. I support different owners with their goals and their right to make decisions for their pets so long as they are informed, but I don’t think jumping to surgical removal of this mass is in the dog’s best interest. He eventually concedes to us taking a sample, which I do, and I get a pus-like material that makes me even more suspicious of infection. When I go to explain this:

Owner: “Well, if it is an abscess, you can just take her in the back and drain it with a scalpel blade!”

This is also something I would not want to do immediately, especially in animals who do not sit still like humans and without appropriate pain control. Since our in-clinic materials for evaluating the sample were not working, I told him that I would send the sample out to a lab and that we would hear back with results in about three to five business days, possibly longer with a holiday tomorrow.

I sent the dog home with anti-inflammatories for comfort and a cone to keep her from traumatizing the area in the meantime. The owner was so fixated on having the mass “just removed” that on the way out, he scheduled a surgery for two weeks from then. The whole appointment left me exhausted, but the icing on the cake really came over the next two weeks.

I got the results back about three business days later — six calendar days — and called the only number we had on file for this owner. No one answered, so I left a message explaining that the results were consistent with an infection, that no cancer was seen, and that I was sending them an electronic prescription for an antibiotic. I also told them to call back and let us know how [Patient] was doing.

We heard nothing back about this dog until the next week when the owners got an automatic reminder for surgery drop-off the next day. The owner’s WIFE called us, upset, and asked why her dog had a surgery scheduled. When we reviewed the appointment and explained that it had been scheduled by her husband, the wife got irritated and told us to cancel it, because — shocker — the antibiotic got rid of the mass. She also snipped about how it took a week to get the results back.

In summary, he told me how to do my job (incorrectly), didn’t communicate to his spouse about the dog, didn’t update us about how the dog was doing or respond to a phone call, and complained about getting results back within the estimated timeframe during a holiday week. Well, at least the dog is better.