C09976366 / invoice 10000

Review  & medication dispensed

Has been much better since being on gabapentin. 
O feels that his ability to get and down is better. He is shaking less. 
NO coughing 
Panting on the hot day 
O has not counted SRR 

EDDU normally 

Does get tiren at end of the dys. 

E: 
eyes - lenticular opacilty, has vision 
HM stable 
Lumbar - lumbosacral pain 
Thickened stifles L more than right = chronic cruciate dz

P:
COntinue metacam, gaba and add in ketamine QG 
O feels that there was no change when he stopped monthly zydax 

Aim to do another 4 week course in June and then decide ongoing frequency - can boost earlie