C09995485 / invoice 10000

Reason: Hernia RepairAppointment Notes: eed 2/3 do not shortenPerioperative fluids set upHas been well. No more wormsNo diarrhoeaVery gassy150mg trazadone pre-op - very stressedPre-med 0.69ml methadone + 0.16ml medetomidine IM.Induced with 7.9ml propofol.Buccal bleed test (von wilebrans) - cut on RHS gum - stopped bleeding in 2 minutes. Normal.Surgery:Cut from xiphoid process to umbilicus. Blunt dissected fat tissue away. Located rectus abdominus muscles and freshed edges with scissors. 2 small arterial vessels cranial end surgical site - cauterised. Swabbed abdomen to remove excess blood. Muscle layer closed with 2-0 absorbable suture in simple interrupted pattern. SC closed with 2-0 absorbable in simple continuous pattern. Skin closed with 2-0 non absorbable suture in cruciate pattern.*no linea alba* extra strip of muscle on RHS abdomen.0.9ml meloxicam SC on recovery. Tx:20kg Loxicom 1.5mg/ml dose PO SID from tomorrowOR3/4 paracetamol 500mg PO BID from tomorrowHad normal-soft then liquid brown diarrhoea post surgery after recovered (was quite stressed). Quite drowsy post surgery.D/CKeep Cone on when unsupervisedParacetamol from tomorrow night if diarrhoea persists otherwise use meloxicamStrict rest (crate) and leaded walks for toilet breakSO in 10-14 daysMonitor for bruising, discharge from wound, bleeding. Ensure does not lick.*Discounted to estimate cost + extras that we spoke about (full bloods instead of pre-ga + cone)    Vital Signs    Weight: 23.3;       

Reason: Admit For Hernia SxAppointment Notes: ram 24/10  ------- Sms reply: Yes thank you.Came in with owners; Travis and his young kids Teddy and AvaQutie a large herniaDiscussed von wildebrands diseaseDefecated in the runsLarge round worm within it. Appears deadCalled and spoke to Travis- Havent seen any worms before but did give him his first nexgard spectra last night (came from a less than ideal breeding situation by the sounds of it)l- Discussed whether to proceed with hernia surgery today. If GIT lining is compromised, post operative loxicom could exacerbate or even lead to intestinal ulcers.- Owner elected to delay procedure- Discussed intestinal wormers. Not covered for tapeworm. Can add in as wellReturn in 2 weeks time once the intestinal lining has had time to healFaecal float at same time to ensure no remaining eggs--- 02/03/2026 15:49:51 AGA:SPoke w O    Vital Signs    

Reason: Check Up, Purchased On FridayAppointment Notes: esf 20/2 new puppy, might have questionsHx:Obtained fridayEDDU normalNo c s v or dNot on flea and tickpreventionUnlikely to contact breeder - did not trustOnly had one vaccination in november. No other paperwork to say more have been givenPe:BAR, friendly, well manneredCS:NADTeeth: lower canines - adults coming through. Mild red around edges where teeth errupting3-4cm(?) reducable umbilica herniaBoth testicles palpated in scrotumTrimmed front first digits - tolerated wellTx: took very well with treatsBronchishield BuccalProtech C4 SC BSBNobivac Lepto 2 SC BSBDiscussed flea and tick prevention - NGS/ST monthly. Discussed dewormer - 3 monthly. Discussed heartworm.Discussed vaccinations and maternal antibodies. Advisable to have 2 rounds of vaccinations 4 weeks apart to ensure covered. Discussed leptospirosis. Os wishing to vaccinate even though do not have rats.Discussed testicles and desexing. Would desex after 12-18 months of age. Os unsure if will breed. Advised risk of congenital hernia passing onto pups - not advised.Next due C7 in 4 weeks.    Vital Signs    Weight: 21.4;