We made it through the clinic just fine. Sydney never took a lame step, although he was on 2 grams of bute a day. By Tuesday, he was as lame as he had been before we pulled out the offending nail.
In case you missed the first part of this story, Sydney got a "hot nail" last Tuesday. My farrier found the "hot nail," pulled the shoe, and then replaced an older shoe to avoid using the same nail holes. Sydney was nearly sound by that afternoon and looked great on Saturday morning as I loaded up for the clinic.
By Tuesday, he was quite lame again. I called my vet and asked for his advice. Pull the shoe ASAP came the reply. All sorts of terrible things can happen to the delicate tissues of the hoof if left untreated. He didn't need to say more. I told him I'd be down at the vet hospital within 30 minutes.
I have a great vet hospital. Dr. Tolley was waiting for me with his team, and they got to work as soon as I had Sydney unloaded. Caution, for the very squeamish, there is a photo with some blood down below.
Very big sigh ...