C09976813 / invoice 20000

Arthritis.Appointment Notes: meds review. AR 2/3History:Presenting for: Thea, a 13 year old dog, presented for routine follow-up regarding arthritis management.Historical Conditions: Arthritis with significant joint instability in the right stifle and muscle wastage in the right hipCurrent Meds: CBD oil and Metacam for arthritisOther: Owner reports intermittent stumbling on hind legs and difficulty with stairs, particularly going downstairs. Struggles with getting up and down. Pants occasionally but vital signs remain good.Examination:Mentation: BARTemperature=38.2, Pulse=92/min, Respiration=20/min, MM=pink, CRT<2sec. Musculoskeletal: Significant joint instability in the right stifle and muscle wastage in the right hip notedAssessment:Arthritis - well controlled on current Metacam therapy. Patient doing well for age.Plan:Changes to Existing Meds/Tx:- Continue Metacam- Trial discontinuation of CBD oil to assess efficacy - owner to monitor for any deterioration and restart if beneficialAdditional Discussion:- Recheck appointment scheduled for June for vaccinations- Owner to assess response to CBD oil discontinuation and determine if it provides meaningful benefit    Vital Signs    

Animal PrescriptionDate:	Monday, 02 March, 2026Owner’s Name:	Leesa & Peter MorrisOwner’s Address:	82 Dunloe Avenue  Mont Albert North, VIC, 3129Patient Name:	Thiea (English Staffordshire Bull Terrier)Please supply the above animal with the following medication.Medication:	CBD isolate oil chicken flavourDosage:	100mg/mlQuantity:	30mls Dosage Instructions:	Give 0.2-0.4mls morning and night with food THIS PRESCRIPTION IS FOR ANIMAL USE ONLYSignature:__________________________________________________________________________________Veterinarian: Dr Eden Clark***PLEASE DELIVER TO ELTHAM VETERINARY PRACTICE***    Vital Signs