C09997781 / invoice 10000

Reason: Recheck Ears After Treatment Appointment Notes: Overdue remindersReason: History:Recheck post easoticHard to say how ears are going. Seems to be a bit better Shaking head less, but licking a bit more in the last couple of daysStill on zenrelia and this seems to be going well. O needs to collect some.Last medication dose into ears was TuesdayExamination: Both ears nice and open no inflammation or discharge visible and swabs came out with only dried ear medicationsLaboratory: Both ears: no infectious agents notedAssessment: resolved otitis extenaTreatment: Consent has been given by the client to proceed with this treatment  -  YesPlan:O wanting to trial 1/2 tablets to reduce cost- discussed that this will put slightly below therapeutic level, but happy to give it a god. If reduction in efficacy will change back to the 4.8mg tablets again.Discussed cleaning ears once monthly or if notice getting dirty, try not to overdue due to risk of wetting ears and worsening infections. If controlled on zenrelia nothing else to do. However if still having repeat ear infections then consider cortavance spray into ears weekly to fortnightly to try and reduce frequency    Vital Signs    Weight: 7.9;