C09999924 / invoice 10000

Reason: Recheck Ear  KGAppointment Notes: kbHistory: had easotic course 5 days for right ear and malaseb for right lower lip fold, also started cytopoint 10mgs 2 weeks ago - how is itch/rubbing?O says feet much less licked/itchy since cytopooint - will still do it a little but stops so this is much improved, right ear has also improved but is still scratching it so not fully resolvedO feeds an spd diet and has rc gastrointetsinal on standby if ever has tummy nupset as this works well, is asking whether could stay on this long term if needed?Engaged a trainer and alreday findings just more walks seems to burn off lots of energy and helping Differential Diagnosis: Physical Examination: right ear nonerythematous, no exudate otoscopoically but hairs down ear canal look moist, tympanum intact and nad, moderately furry canal - other left ear not examined today, thickly closed with fur and nonerythematous externally, bilateral ;pinnae nad, feet interdigitally nadLaboratory: cytology right ear following easotic course:Plan: repeat cytopoint as 2nd inj with nurse in 2 weeks tim,e then can use this with nurse "as needed" provided no less thaN 4 WEEKS B/W INJS AND BEEN SEEN BY VET WITHIN 6 MTHS OF USE    Vital Signs    Weight: 6.8;