C09982709 / invoice 10000

26/02/2026 having trouble getting brushed and groomed - gets anxious and stressed 

L side - open wound and hair loss. 
clipped open sinus with some SC thickening
expressed grass seed. 
cleaned with betadine - O to bath in salt water at home 
short course of abx due to comorbidities

night time breathing issues
laryngeal paralysis

takes gabapentin up to 200 bid 
meloxicam daily

having trouble toilets - back legs collapse when defecating. 
having urinary and fecal incont. urine leakage, occasionally puddle, may not be aware 
going out to urinate 2-3 times between 10pm and 7am 

urine dipstick monitored at home usually 1+ 
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Plan: 
UA
O to arrange to have coat clipped- is matted, getting seeds and getting hot and uncomfortable
Not enough time in todays cons to address all issues - will arrange telehealth to address more chronic problems,. 

26/02/2026 Urinalysis 
Collection method: free catch @12:30pm 
Colour: dark yellow 
USG : off the scale 
pH : 8.0 - 8.5
Protein : ++
Blood : neg
Glucose : ++++
Ketones : neg
Bilirubin : neg
Sediment : mod numbers of neutrophils, occasional cocci - not seen intracellular
Assessment: sample in jan - no cells so think this change is significant. Extend amoxil for 10 day course then recheck urine and assess response
Plan: complete abx then reassess urine - O to monitor urine gluc/ketones. consider gluc monitor if urine clear and still high gluc. 
Owner contacted with results: spoke with Nat
she has started clipping Lola
She did dipstick at home that had low levels of glucose - veyr different to our reading- so possibly home monitoring has not been accurate and given false sense of security. 
Plan assess after infections clear and if still glucosuria and other signs then glu monitoring.