C09983512 / invoice 10000

Reason: Lepto Booster + Cytopoint Appointment Notes: Overdue remindersHistory:For lepto booster and another cytopoint. In Sept worked really well. DS says this month it definitely has helped but not as much, still licking legs/paws a bit Smelly ears noted but Alison , though DS had not noted this. CLinical Signs:BAR, super enthusiastic as usual Skin overall looks ok, ears both minor redness and swab taken from both has small atms yellow wax and shows mild numbers of budding malassezia Treatment:Discussed and decided to try 20mg dose of cytopoint this month Cytopoint 20mg s/c Nobivac lepto 2 s.C Dermotic 0.4mL BID in ears for 10 days then recheck, and also at this time report response to cytopoint with respect to licking of paws/legs    Vital Signs    Weight: 9.6;