C09974008 / invoice 10000

Reason: VetmedinAppointment Notes: Overdue remindersFor ongoing treatment, saw michelle in jan 2026 Sent meesage to owner, that its ready to collect / MC    Vital Signs    Weight: 7.7;       

Reason: Post-op checkO reports Cali is refusing the liquid doxycycline, but willing to try with the tablet version instead.Post-op check all okay, lung fields sounding clearer on the increased frusemide dose.  Coughing not as bad except when excited or on a lead.Has accepted the vetmedin okay.Plan: Try with doxycycline tablets.Continue on frusemide and vetmedin long-term.Recheck in 1 month to check heart and lungs on the lower frusemide, or sooner if needed for the coughing.Add in steroids for the cough as needed.    Vital Signs    Weight: 7.7;