C09978687 / invoice 10000

Appointment Reason: Unwell, Appointment Notes: screaming in pain when O tries to pick up ESFor the past week when o goes to pick her up she starts cryingThis morning o was petting her on her shoulder and she cried and ran away- first time shes done this and hasnt done it since does have OA- for the past 2- 3 years has been on tumeric supplements to help w OA - seems to help a lot Very active for age, good appetite 2 hours ago o gave ood loxicom- according to her weight- this seems to have helped mammary masses continuing to grow and spread, o doesnt want to operate on thesece: bar, mm p+m, crt 1-2s, hr 100bpm, chest ausc clear, abdo palp comfy, pulses good, temp 38.8 plan: continue on loxicom sid starting tomorrow afternoon, keep rested for now, after a week to assess improvement    Vital Signs    Weight: 7.3;