Not all hematomas need to be removed, but Remi needed help, stat, according to Mockler. "If it's a full hematoma, full surgery is recommended because you get cauliflower ear and it becomes wrinkled and scarred," Mockler told The Dodo. "That means down the road you can't clean it efficiently and you could end up with a dog with an infection that won't heal properly."
"If they shake their heads really, really hard they can burst a small vessel. It's basically a blood bubble in their ear," Mockler said. "I don't usually see them in a dog this young, and certainly not in both ears. The shaking is what caused it. The most important thing is to get the itch taken care of."
A surgery date was scheduled, but Childres worried about Remi, especially how she was going to keep a lab puppy calm post-op.