C09973637 / invoice 10000

Appointment Notes: VETSTORIA - Mac (Cat) - Consultation - Unwell Pet [Veterinarian : Dr Ghim Teh(No Preference)] - Not eating for 2 days. - Web BookingClient name: Lynne PurdueContact number: 0405470882Email address: lyndypurr@gmail.comPatient name: Mac Original Appointment Type: Consultation - Unwell PetFrom last Thursday, has not eaten muchTspn of wet food on FridayNothing on SaturdayAnother teaspoon of wet food on SundayHas eaten 1/2 can of dine size todayDrinkingHas been defecating every 2nd day, last defecated on Saturday - well formed pale coloured faecesCurrent med: cisapride 0.1ml transdermal on ear SID, osmolax powder 1/4 tspn per day onto foodNo vomitingMay be quieter than usual but not by muchStill purringHas gabapentin 100mg SID PO - daily, last dose last night. Does helpWas not given gabapentin on Friday night, was "singing" throughout the day.PE:QARmm p+m,crt1sDental dz grade 2Heart rate 180bpm, no murmurs, no arrythmiasSeemed uncomfortable on cranial abdo palpationNo large faeces within colon palpable, small formed bladder presentNormothermic - 38Has lost small amount of weight but is still overweightAssessment:Hyporexia/anorexia - pancreatitis/triaditis vs GIT dz?Offered IDEXX TAHP vs IDEXX fTHP - declined both today due to financial constraintsTx:-0.64ml maropitant SC - got grumpy after this injection -10ug/kg buprenorphine SCPlan:Recheck INI, recommend PVM with gabapentin 100mg to be able to perform bloods etcGiven printed estimate for bloods to owner    Vital Signs    Weight: 6.42;       Temperature: 38;       

Communication with Lynne:Hi Lynne, Mac is being such a good boy. No hissing or swiping this time. The gabapentin makes a big difference for him and for us. Unfortunately he will be running out of the gabapentin you supplied as he is needing one full capsule twice a day. Are you happy for us to dispense some more for him to last till he goes home? He needs 26 capsules for the rest of his stay, this would come to $38.10.Kind regards Phillippa Reply from LynneThat’s fine, please give him whatever he needs. Lynne    Vital Signs    

28 nights boarding 11/10-8/11Bravecto plus spot on treatment applied 11/10/25 as does not worm/flea/tick treat as says is 100% indoor. Explained to O that still need worm/flea/tick treatment even if only indoor. PH    Vital Signs