C10000908 / invoice 10000

Reason: Still Concerned About BreathingHistory: O feels has gone backwards with his behaviour - wont go into crate in the car, will sit on back seat and bark Yesterday at park, after big run with the ball, suddenly growled and lunged at a viszla off-leash, very unusual behaviour for him Seen at USYD a week ago for episode of rapid breathing. Bloods and imaging unremarkable. Since then has had repeat bouts variably, O unable to identify a pattern of timing. Current meds - Fluoxetine 30mg SIDGabapentin 300mg SIDApoquel 2 tabs SID Itraconazole BIW Examine: BARMM pink, refill <2sDG 0.5/4Eyes/ears/nose nsfPLNs wnlCV no murmurs/arrhythmias, ssfp, HR 80bpmResp clear bilatreal normal bronchovesicular sounds, panting, eupneic Abdo comfortable, nadInteg - Mild pink staining ventral mandible/neckRest of coat/skin looks good Assessment: intermittent hyperventilation? Ddx behavioural/anxiety vs other Plan: Increase gaba to 300-600mg BID and monitor response. Would like written scripts for gaba in future also please.    Vital Signs    Weight: 28;