C10000730 / invoice 10000

Reason: RecheckAppointment Notes: Special payment terms exist, Overdue remindersNo yeastWipers out with ear cleaner    Vital Signs    

Reason: RecheckAppointment Notes: Special payment terms exist, Overdue remindersHx:    Vital Signs    Weight: 6.63;       

Reason: Followup on ear appointment to ensure treatment isAppointment Notes: Hagrid (Cat) - Nora Waugh - 0408322063 - Consultation Standard (one concern and rechecks) [Clinician : Dr. Lauren Drummer(No Preference)] - Follow up on ear appointment to ensure treatment is complete.  - Long time customer.Web BookingClient name: Nora WaughContact number: 0408322063Email address: nwaugh@ymail.comPatient name: HagridHx: mths shaking head before treatment in December. Treating ears since December. Not drinking more than usual. No urinary issues. Trying to eat more on pred.  Mostly inside. Does go outside.Diet: same food. Access to dry dental biscuits, night tuna wet. Meds: last few days no pred was on 0.5mls orally. Has been on pred for the last mth. Dermotic 7 days ago last applied. PE: BAR, euhydrated, BCS 3/5, weight stable. Vitals ok, temp.- EENT:mild tartarDifficult to look in ears- he has really strong ear muscles. No obvious erythema. Mild wax AU. Tiny black cerumin producing lumps around left ear canal oepning. Integ: okLns: okCardio: nadResp: nadAbdomen: nadNo lamenessNormal mentation Cytology: 3-4/hpf AUAssessment: previous weight loss now stableOtitis externa- secondary to atopy, lumsp, polyps. Tx; cleaned ears in consult with otoflush Plan: may need dental later date not priority today.Dermotic SID 10 days. Showed how to use. Candidate for cleaning/ elocon ongoing. INB may need referral or otoscope camera here/ mirror to look for polyps. No estimate.Keep tabs on weight.    Vital Signs    Weight: 6.56;