Just a cautionary tale here. Carl got nailed by another dog on the top of his head, at the same time his nail was pulled completely out. The ER vet really messed up what should have been at the most, 6 stitches and never so much as cleaned the paw/nail bed. He ended up going to a different ER about 12 hours later when he was brought home (I was on vacation in Hawaii at the time) his head was massively swollen and he looked like a lab. He spent 5 days in the hospital. Again, torn toenail was never attended to because they were so worried about the head. Later, he began limping, they thought it was osteo, until it wasn't. He died horribly at home of sepsis - needlessly, I couldn't get him to the emergency vet fast enough. I had taken him to really great vets because of the botched stitches, when I asked about the toenail, everyone poo-pooed it. Moving forward, I always make sure when they rip out a toenail that it gets cleaned and they go on antibiotics.