C10001352 / invoice 10000

Reason: Cytopoint - Out In The GardenAppointment Notes: Bobbi (Dog) - Emma Celik - 410690975 - Consultation Cytopoint Injection [Clinician : Dr. Lauren Drummer(No Preference)] - Cytopoint  - RevisitWeb BookingClient name: Emma CelikContact number: 410690975Email address: emmacelik1@gmail.comPatient name: BobbiItchy pawsSore earsCytopoint helps. Generally calm at home trying to mouth  owner sometimes if does something he does not like. Broached prozac. Gave trainers/ vbt numbers. PE: limited exam. Mild pink ventral and dorsal interdigital pawRest integ okEar mild wax AU. No otoscope examCytology: 2 yeast on slide au Tx; cytopoint 40mg SQPoloxamer duo 1 dose should be ok Seen outside with muzzle. Plan: continue cytopoint q4+ weeks    Vital Signs    

Reason: CytopointAppointment Notes: Bobbi (Dog) - Emma Celik - +61410690975 - Consultation Cytopoint Injection [Clinician : Dr. Louise Schaffer(No Preference)] - Cytopoint  - RegularWeb BookingHistory: NGS utdFound dead tick on eyelid last week Shaking head last 7dNot chewing at his feetPhysical exam: Moderate - marked amount of dark waxy discharge & moderate erythema in both earsMild pododermatitisRest of skin wnls Cytology: L ear - yeast +++, R ear - yeast ++++Assessment: Atopic dermatitisOE with secondary malassezia inf Treatment: CTP 40mg SC. Inj in consult with muzzle. Initially attempted to take Bobbi out back, stressed & vocalising, so brought back through to consultCleaned both ears with epioticNeptra 1ml into each ear (instilled with muzzle still on)Plan: Recheck ears in 2wEmma to give traz 200mg PO 2hrs prior to ear recheck    Vital Signs    

Reason: CytopointAppointment Notes: Bobbi (Dog) - Emma celik - 0410690975 - Consultation Cytopoint Injection [Clinician : Dr Anthony Spurrett (Preferred Clinician)] - Cytopoint  - My existing practiceWeb BookingClient name: Emma celikContact number: 0410690975Email address: emmacelik1@gmail.comPatient name: BobbiHistory:Itching at ears, becoming irritable Occasional loose stools Weight loss 2.5kg Good dose of chill meds Diet: lyka, dry UTD nexgard spectra Physical exam:Very nervous for injection. Better with muzzle and head taps. Taken out the back. Bilateral ear erythema Treatment:Cytopoint 40mg C3 trienniel    Vital Signs