C09989565 / invoice 20000

Reason: 6 Months Med CheckAppointment Notes: HS - wanting week worth of Gaba 300mg + Sniper ZactinHistory: O has been home the last 2-3 weeks and noticed significant decline in mobility. Lying down a lto and unable to stand for long periods of time.Also notices sometimes a bit wobbly when getting up.O suspects signs of dementia (staring at walls until O gets attention and then snaps out of it)>Examination: BAR - lovely. Likes patsEars, nose okEyes - bilateral nuclear sclerosisLNN NADSkin NADLungs clearPulses strong and regularAbdominal palpation NAD. ComfortableGeneralised reduced joint PROM/stiffnessNO spinal painAssessment: Declining ostearthritis +/- LS disease contributingShowing some signs of dementiaPlan: Continue all current medications (carprofen + gabapentin + amantadine).Recommended adding additional therpay for osteoarthritis (cartrophen injection course, antinol, beransa).Recommended cartrophen course first. Then can start antinol trial for 2 months.Can consider vivitonin for dementia.    Vital Signs    

Reason: 6 Months Med CheckAppointment Notes: HS - wanting week worth of Gaba 300mg + Sniper ZactinOwe 20x gaba    Vital Signs