C10000287 / invoice 10000

Appointment Notes: blood test RLno specific vet recommended - o wants to cover all bases and also see if there are any pathogens from the ticksReason for Revisit:Discuss further blood testings Update since last visit:Adrienne and mr here with Ringo Doing quite well Back to normal self essentially O is quite interested in investigating tick borne disease that could have triggered an autoimmnune disease that caused the bleed. O is aware the chances is very very minimal but want to take the chance and r/o absolutely everything before making big decisions about his condition We looked today and IDEXX does provide a comprehensive tick born disease PCR test (TIC) O keen to get this done Examine:Minimal exam Assessment:Heart base tumour - pericardial effusion stablised Plan:Home w/ tranexamic acid Start this and continue until oncologist     Vital Signs    Weight: 11.4;