C09999925 / invoice 10000

Reason: Recheck Ears Appointment Notes: Overdue remindersHistory: Rechecking ears making sure its No head shaking, ear rubbingEDUD nad Diet: Ivory coat puppy dry, pedigree/my dog wet Purina dashie dry Examine:BAR L and R ear - Laboratory: R ear - cocci +++ L ear - yeast ++  Assessment: Suspect underlying allergyPlan: Epitoic ear cleaner Apex pmp - has at home - to give .3ml BID x 10 days Recheck in 14 days    Vital Signs    Weight: 6.8;       

Reason:  Check And Allegy Discussion History:  skin much improvedNo scratching anywhere Examine:  skin excellent - no lesions- bth ears mild dark discharge- Assessment:  use ear cleaner once weekly and rech ear 2 weeks. Start allovean shampoo and conditioner Delay desexing until 12 months.    Vital Signs    

Appointment Notes: Plz contact owners and clarify regarding last few payments (supposedly covered by pettown) and this ongoing skin issue. Nurses know more about this case as well - THanks, Ivan Lp spoke to o; neocort and malseb combo- working better.Neck and groin area mainly-    Vital Signs