C09991925 / invoice 10000

Reason: Follow up callJL> left message on simon mobile.Not too happy, he hasnt eat, running away, not drinking, no pain killer, cant give antibioticOwner call back;Bobby is not doing great, not eating, not drinking, running away from the owner, not himself and unable to get any medications into him. Spoke with LS. Opted to see a nurse for a temgesic injection, i not well tomorrow must see LS friday. HECame in, gave 15mcg of temg IM. He    Vital Signs    

Reason: Dental scale and polish with ExtractionsSubjective and History:208 slab fracture w loose buccal segment Other teeth okHeart ok. HR: 100Laboratory: Pre GA BW WNL Anaesthesia:Premedication: Medetomidine (5 mcg/kg) + Methadone (0.3 mg/kg) IM + additional Methadone 0.1mg/kg IV catheter placement: Cephalic vein.Induction: Alfaxan IV titrated to effect.Maintenance: Endotracheal intubation. 100% oxygen + isoflurane titrated to effect.Monitoring: Multiparameter monitoring, including HR, RR, SpO2, and anaesthetic depth, constantly monitored by a nurse.IV Fluids: Crystalloid fluids administered at 5-10 mL/kg IV. IV fluids reduced post-operatively.Dentistry:Full mouth scale and polish performedExtractions required: 1- 208- slab fracture with pulp cavity exposure and loose buccal segmentDental nerve block appliedExtracted routinely- both cranial lingual root and cd root fx on extraction as tooth was fractured vertically through roots- both roots extracted en toto w/o complication.  Closed gingiva with 5-0 Monocryl. These are dissolvable.Dental chart completed with before and after pictures.Treatment: 1. Carprofen 4mg/kg SQ2. Carprofen 2.1mg/kg PO SID 5 days tgh 3. Paracetamol 11mg/kg PO BID-TID as required for additional analgesia 4. Temgesic 10ug/kg IM Plan:POC 3-5 days or Tues with LS (6 days) is okay if no concerns Feed softened food for the next 14 days    Vital Signs    Weight: 22.9;       

Reason: Recheck Ear Appointment Notes: Bobby (Dog) - Carol Townley - 0475128338 - Consultation Standard (one concern and rechecks) [Clinician : Dr. Louise Schaffer (Preferred Clinician)] - Check ear infection has gone  - LocalWeb BookingClient name: Carol TownleyContact number: 0475128338Email address: carol.townley@gmail.comPatient name: BobbySubjective and history: Here 3 weeks ago- had neptra applied OU, still worried it smellsStretching his jaw a lot 6 mo ago had extraction 108 dt traumatic fracture Objective: BAR, sweet temperamentBCS 3/5, good coatMM pink, CRT <2sec, 208 slab fracture below gumline w loose buccal segment. 108 absent. All other teeth excellent, minimal tartar Ears: L ear nad, R ear: mod vol brown ceruminous dischargeLaboratory: Ear cytology: L ear: clear, R ear: 0-1 yeast POIFAssessment: 208 traumatic slab fracture Mild OE AD- resolvingTreatment: 1. Dermotic 0.7ml AD BID 7 daysPlan: Recc 208 extraction- scheduled for next week    Vital Signs