C09984504 / invoice 30000

Reason: Med Rpt: Fluoxetine Written ScriptAppointment Notes: hkFluoxetine 20mg tablets x 56Give 2 tablets once daily ongoingRepeats x 6been goodRX: Fluoxetine 20mg Tablets x56 6 repeats Please give 2 tablets ONCE daily ongoing. Do not stop suddenly.    Vital Signs    

Reason: Cartrophen InjectionAppointment Notes: hkHistory: Doing good at home Gets cartrophen courses 6-monthly - responds very well to those Used meloxicam that was dispensed previously twice, have not needed it since Gets fed a variety of supermarket biscuits, egg, table scraps Otherwise well, no further concerns Current Medication: - cartrophen 6-monthly- fluoxetine 40mg SID Examination: Demeanour: BAR, nice boy BCS: 4/5 - not lost any weight HR/PR: 100. No murmur or arrhythmia, pulses strong and synchronous RR/Chest: panting. Normal effort and BV sounds MM/CRT: pink, moist/1.5Oral/Teeth/Gums: stage 2-3 dental disease Temp: not taken Ears: external pinna clean Eyes: nad LNs: SM, PS, P wnl Abdo/GIT: soft and comfortable U/G: not assessed M/Skel: ambulatory but slow, CPs present but delayed both HLs - worse on L side. No ataxia Neuro: mentation appropriate, no obvious deficits Derm: good coat quality, no lesions noted Problem List:1. OA A: has responded well to cartrophen, can start this again. Excess weight will be exacerbating this - will be challenging to lose weight at home given he is fed so many different things. Recommend cutting out table scraps first - if still struggling with reducing diet at home, discussed Neo would be a great candidate for Hill's metabolic + mobility.P: cartrophen 0.7ml given SC. Next doses can be done with nurses. Try to continue reducing food at home2. Dental diseaseA: significant, needs dental. Estimate provided and advised of staging processP: O to consider dental    Vital Signs    Weight: 22.6;       

Reason: Vet Question: O Wants Course But To PrepayAppointment Notes: can you do the math for me? also would he need another consult? last seen in December. HKIdeally recheck as prev visit had some possible proprioceptive deficits Should recheck weight as well - was told to lose weight so not sure if current weight is accurate If still 22kgs then 0.74mls per inj, but would be cheaper if lost weight---- 25/02/2026 09:20:07 HK:Hk called to discuss with O - unable to leave voice mail- when o calls back please get payment and then book in with vet04.03.26 - John phoned - his father will book in for the appointment and please phone John at the end and he will pay over the phone for the full payment. JW left in case dose needs to be adjusted before taking payment. JW    Vital Signs