C09998172 / invoice 10000

Reason: Tumour removal (ventral/prescapular region between Millie's FLs) *****CANCELLED****

Mentation: BAR- Anxious but sweet dog 
Body condition score: 5/5   
MM/CRT: Pink <2seconds 
HR: bpm          RR: Panting 
LN:   NAD         Temperature: Not taken 
Admit notes: Admitted with both O's:  Would like GAP claim. O's approved histo and bloods. O has asked if we can check her heart/lungs when sedated as has always been fast 
Surgery nurse:  Kate R
***O has consented emergency treatment and CPR if required

Current medications: None

Laboratory: PreGa: See attached 

Anaesthesia:
Premed: Medetomidine (0.21mls)/Methadone 10mg/ml (1.25mls)   Route: IM
Premed: Acepromazine (0.30mls)   Route: IV 
Induction: Alfaxan 10mg/ml   (5mls)              Route: IV
Maintenance: Isofluorane/Oxygen.
ET tube size: 9.5        Circuit: Circle 

Procedure cancelled due to patient overheated prior to inducing into GA, temperature of over 40 degrees, placed on active cooling 

Post-op temp: : 37.6: placed on adequate heating 
Intra-op complication: Uneventful 
Recovery: Uneventful 

21/2/2026: 10:15am: Kate R
Pre-approval done for mass removal booked for 6/3.
Re did estimate as the 10+ cm mass removal as has not been assessed since November 2025 and may have grown.
O aware 

21/2: Kate R: Response from GAP
The expected gap amount to be paid by the client (based on the estimate submitted) is: $611.41.

Left message to advise O