Yesterday, May 23, 2012, I answered a phone call. A lady wanted to speak to an experienced vet (Dr Sing) at Toa Payoh Vets. She had consulted another experienced vet (Vet 1) who had apparently diagnosed her Westie as having enlarged "lymph nodes" and prescribed antibiotics and medication. After that, the Westie puppy again had difficulty in opening her mouth.
"I know my Westie is suffering from an inherited disease called 'lion jaw'," she could not pronounced craniomandibular osteopathy and told me to surf the internet for 'Westie, lion jaw'. She was not happy with the breeder but would not return the puppy.
I identified myself and told her that I had not come across the disease in my 40 years of practice. "Singaporean breeders seldom breed Westies," I said. "This breed is not easy to breed for some reasons. This breed has a type of skin disease."
I advised her to go back to Vet 1 who is experienced and has X-rays facilities. Even experienced vets cannot be expected to know everything in every breed and in every system, but we are learning every day. The internet is a great help and many owners know more than the vets in specific disease conditions!
An image of a Westie with "lion jaw" is at: