C09995471 / invoice 10000

Species:FELINE
Breed:Burmese Cross
Age (years):12
Diagnosis or signs:consult, meds
Consult notes
06/03/2026 Telehealth with Susan

Still pawing at mouth after solensia so we will start phenobabr

Discussed side effects and monitoring requirements, potential drug interations - will consider reducing the gabapentin if sedated. Start on a low dose of 7.5mg/kg bid
Touch base in a week, reduce the gaba if sedated and let me know

Other options discussed
- laser
- ketamine
- amitryptiline
- amantadine 
all with current plan for multimodal effect

Animal clinical history (3 most recent)

2026-03-06T00:00:00Z 10:09:45
Telehealth with Susan

Still pawing at mouth after solensia so we will start phenobabr

Discussed side effects and monitoring requirements, potential drug interations - will consider reducing the gabapentin if sedated. Start on a low dose of 7.5mg/kg bid
Touch base in a week, reduce the gaba if sedated and let me know

Other options discussed
- laser
- ketamine
- amitryptiline
- amantadine 
all with current plan for multimodal effect

Previous claim history (19)

DateClaim #Diagnosis
2026-03-03C09977532PRESCRIPTION DIETS
2026-03-03C09977532ARTHRITIS
2026-02-16C09910135DENTAL ILLNESS TREATMENT
2026-02-14C09910135ORAL (MOUTH) ABNORMALITY - OTHER - PRESENTING COMPLAINT
2026-02-11C09889439ORAL (MOUTH) ABNORMALITY - OTHER - PRESENTING COMPLAINT
2026-01-28C09823727VACCINATIONS OR HEALTH CHECKS
2026-01-28C09823727TOOTH FRACTURE
2023-04-03C5763379PAIN - ORAL (MOUTH) - PRESENTING COMPLAINT
2023-03-30C5742331DENTAL (TOOTH) DISORDER
2023-03-06C5702345VOMITING - OTHER - PRESENTING COMPLAINT
2023-03-06C5702345PRESCRIPTION DIETS
2023-02-15C5702340DENTAL ILLNESS TREATMENT
2023-02-15C5702340HAEMATEMESIS
2023-02-06C5561990EYE INFECTION
2023-02-06C5702338EYE INFECTION
2023-02-06C5702338TRAUMATIC EPISODE - PRESENTING COMPLAINT
2022-12-01C5341657HAEMATEMESIS
2021-03-09C3616409MISCELLANEOUS CONDITIONS
2021-03-09C3702976LETHARGY - PRESENTING COMPLAINT

Line items(lines with upstream diagnosis are skipped by the model)

LinetstarcAmountDateUpstream diagnosis
10000tstarc_anticonvulsant_medication_-_phenobarbitone41.162026-03-06
20000tstarc_anticonvulsant_medication_-_gabapentin34.542026-03-06
30000tstarc_consultation-phone/web82.002026-03-06

UPM+

  • DG00205ARTHRITISDSTP_osteoarthritis

Variant (sleepy_king)

SEIZURE DISORDER
DSTP_seizure_and_epilepsy
Conf: 0.110
Threshold: 0.19
Above:
Correct?
Acceptable?
Reason (not acceptable — misleading)
Diagnosis description