C09984592 / invoice 10000

Appointment Reason: Recheck , Appointment Notes: will fast incase needs sedation & ear flushHx: has been doing better, not tilting head anymore, getting meds in fineEx:Ear much better, no longer bleeding and friableAble to scope much more comfortableStill some discharge down bottom of canal, removed some hair that appeared like FB but all just hair clumped with discharge. Cytol shows squames and mainly yeast present stillPlan:Flushed with otoflush (nurses)Swap to dermotic 0.5ml BID 10d and recheck 2 weeks, sooner if concerned     Vital Signs    Weight: 11.1;