C09987193 / invoice 10000

Appointment Reason: Vaccination & Ears & trazodone BOVA medsHistory:- ears alot of wax in L ear cleaned out did yhelp, been giving the drops daily, 2-3days ago noticed ear was downDiet:  dry supercoat + taste of the wild + chicken + carrots + Mydog wet + steak on fridays/ stirfry beef, fish SIW  + greek yoghurt + fried egg occasionally + walking treats of sausages/ frankfurt, roast chicken  Parasite: UTD flea + worming bravecto + endogardOral care: greenies + Nosh nylon bonesCurrent problems: Anxiety + intermittent hotspots + chronic OECurrent Medications: Fluoxetine 50mg SID + trazodone 200-400mg 2hours prior to stressfulevents + elocon lotion SIWExamination:BAR, lovely boy loves treatsears - cocci ++++++ L ear marked d/c in canal, intact TM, painful on scope, R NADoral - lovely teethAssessment:healthy to vaccinateL bacterial OEPlan:Vaccinated with C5 SC + HW injection SC, next due in 1 year. Dispensed aurizon SID for 12days + oral steroids for pain at 20mg SID tapering. r/v in 2 weeks to ensure infection cleared. blood taken from L cephalic for ongoing medication    Vital Signs    Weight: 52.6;