C09978231 / invoice 10000

Presented for repeat bloods for liver monitoring.
Appetite good. 
No V+. Hasn't had any ondansetron for over a month
O has no concerns. 

Current Meds: hepatoadvance supplement, rose hip, probiotics, omega 3 oil

Tx in clinic: 
L jug bloods taken for liver panel monitoring. 

Plan: 
CJM to call w results tomorrow. -

Presented for blood draw to check liver values continuing to fall as per plan
OR doing v well, appetite much improved
ON ondansetron currently, no V+ seen

BAR
EYes/nose clear
MMs P+M, CRT <2s
Abdo palp NAD
BCS 5/9

Blood taken from jugular for liver panel

Await results to determine next steps.  FC

Results back:
ALT 637 (prev 1166 then 972)
ALP 221 (Prev 357 then 293)

Consistent trend of improvement
HAppy to rpt bloods in 2-3 months as positive trajectory and clinically well
O would like to book to discuss with Cameron when back for ongoing plan

PC: ST Tammie - discussed results. Both enzymes continuing to come down. Recheck bloods again next week - already booked in. 

Results now 27/1: 

ALT: 972 U/L (19-107)
ALP: 293 U/L (21-270)

22/1:
ALT: 1166
ALP 357