C09998077 / invoice 10000

Reason: Spey Recheck GN ONLYAppointment Notes: ------- Sms reply: yHistory: Post spey recheckCream keeps removing e-collar but O notes no licking at areaWants ears checked, acute head shaking never happened beforeExamination:Spey wound healing well No infection or inflammation, small amount of dehiscence mid-sx siteAssessment:1. Post op spey 2. Ear checkL and R ear cytology unremarkable Treatment:Flushed with iodine and saline, closed with tissue glue Supplied diluted iodine to dab on region twice dailyEars cleaned w saline and cotton balls Plan:Recheck 1 week for spey wound    Vital Signs    

Spey, microchip, vaccMedications:   PreOp -> Methadone 0.05mls, acp 0.025mls IMAnaesthesia:   Induction: Induction with alfaxan 4mg/kg IV to effect. Intubate using a size 3.5 cuffed ET tube  Maintenance: Inhalation - with isoflurane 1.5%. Intraoperative hartmans 3mls/kg/hrSurgery: Site- ventral midline incisionDetails-Routine Ovariohysterectomy- 3-0 monosyn to doubly ligate ovarian pedicles and  uterine bodyLinea closed with 3-0 monosyn  simple continuous,Closed subcut and intradermal  layers with 3-0 monosyn Microchip applied.F3 vacc given once recovered.Post-op metacam inj and home on sublingual buprenorphine 20ug/kg BID for 3 days--- 23/02/2026 18:27:49 GN:GN did discharge with husbandShowed buprenorphine administration technique @ 6.30 pm O happy w this, will continue twice daily starting tmr AM Recheck appt made with GN 10 d post opDiscussed any VD post op lasting more than a day to contact us Discussed drowsiness will last tonight and small meal tonightO bought his own pink flower cone (bless) - put it on, for 7-10 d No vigorous activity O happy w this    Vital Signs    Weight: 1.7;       

Reason: 1st VaccinationAppointment Notes: NM  ------- Sms reply: yHistory:Presented for first vaccination.BIOP 1 mo UTD flea/tick top-spot Examination:BCS: 5/9Eyes: Grossly normalEars: Grossly normalMouth: MM pink and moist, grade 0/4 dental, CRT <2sNose: Grossly normalIntegument: Grossly normalCV: NAD on ausc in regards to rate, rhythm or soundsResp: No crackles or wheezes ausc in any field. Grossly normalAbo palp: No pain on palpation, no masses palpatedNails/feet: Grossly normalMusculoskeletal: Grossly normalLNs: No LN enlargement palpatedUrogenital: Grossly normalNeuro: Grossly normalAssessment:1. First vaccination.Treatment:1. Felineguard (F3) vaccine administered SCPlan:1. Second vaccination due in 4 weeks.Owner keen to book for spey and microchip. Tentative appointment made for 4 weeks' time. Discussed estimate for procedure.Healthy Pet Program discussed, declined at this time.    Vital Signs    Weight: 1.3;