C09995671 / invoice 10000

Reason: Synovan - ONE month BoosterAppointment Notes: EOSubjective: Has been OK over the last monthStill hopping a bitOnly tends to happen on fast walks, not when running or walking normally.Coping with couch and stairs OK.No obv stiffness etcEUDD all OK.Examine:BARMSK: FLs OK, spinal pinch OKMild MLP L side, displaces relatively easilyR hind severe MLP, displaces with mild limb movement.No obvious thickening or crepitus.Assessment: MLP - bilateral, R worse than LPlan: Os have already consulted with PCP etc - happy to continue supportive management for nowReview 3m; if we seem sore or uncomfy review sooner and consider SxTreatment: Synovan 1` month booster    Vital Signs    Weight: 7.6;