Medicare Secondary Payer. Medicare Secondary Payer (MSP) is the term generally used when the Medicare program does not have primary payment responsibility-that is, when another entity has the responsibility for paying before Medicare.
(AP/Guinness World Records) BOULDER, Colorado â Harbor has over two feet (60 centimeters) of ears. On Tuesday, the black-and-tan coonhound from Boulder, Colorado, gets the 2012 Guinness World Records title for longest ears on a living dog..
Aural hematoma looks terribly painful, and it is. The swelling of a dog's earflap is often caused by chronic allergies and ear infections. Often it does not heal without treatment, causing your dog to fling his or head head and further trauma to the ear.Hematomas in the earflaps (aural hematomas) causes swelling that is created by a broken blood vessel after bleeding has occurred inside a tissue.eaving it Alone. If left alone, the ear hematoma will cause your dog much pain and discomfort, and eventually heal, but the ear will not be cosmetically appealing afterwards (it becomes a permanent cauliflower ear). It can several month to heal, causing your pet suffering.