C09988363 / invoice 10000

Reason: Ear Pluck And CleanAppointment Notes: Overdue remindersSedation: Methadone 0.3mg/kg = 0.8ml IMDom 10mcg/kg = 0.25ml IM -- good mod sedationKetamine bolus, 0.13ml IVAlfax inductionWoke up wellLaboratory: Both ears V mild yeast infx - ~2-5hpf bilatTreatment: Large locks of matted and yeasty hair in both canalsHair plucked from external ear canal and most of what I could get from down the canal. Hair on all surfaces extending to TMsNo sig swellling or discharge.Flushed with otoflushOsurnia both earsPlan: Likely will not require another dose of osurnia but recheck in a weekCa have paraceamol 500mg BID as needed for pain/discomfort    Vital Signs    Weight: 26.3;