Owner brings in a dog this morning for limping, and, oh, by the way, she has this lump in her mouth. It takes me all of 10 seconds to recognize the dog has a torn cruciate in the hind leg, and oh, by the way, it has what looks like a malignant squamous cell carcinoma growing from its gumline. I break the bad news to the owner... oral surgery would be about $400 but would not be guaranteed to resolve the problem as SCC is highly recurrent. And the dog needs $2500 worth of knee surgery to boot.
And wouldn't you know it, sure enough, the owner, with tears in her eyes, looks at me and says, "Well, as long as she's here, can we get her vaccines?"
Grrrr............
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