C10004684 / invoice 10000

Reason: Vet SynovanAppointment Notes: Special payment terms existYearly kennel cough History:No concernsOngoing intentional weight loss, another 400g lost since last month Mobility has been great. Runs around with Darla at home, is never lame or stiff. Jumps onto couch and into car with no issues. Gets teethbrushed every few days by Lisa and uses water additiveEDDU ok no V+ D+Indoor/outdoor - indoor Tick/flea prevention: Nexgard spectraWorming: Nexgard spectraDiet: homecooked meat and veggies, raw fruit (berries, mango, avacado in small amounts) Existing Medical Conditions: DJD, bilateral entropion surgery performed in 2022, OE Current Medications: synovan monthly, antinol 2 caps daily Examination:Temperament: BAR, a bit nervous but good for exam Oral exam: Scant tartar on upper canines along gingival margin, very mild gingivitis adjacent to tartar. Rest of teeth clean. Eyes/ears/nose: nadChest Auscultation: Clear/regular/no arrhythmiasAbdo palp: nad, comfortable Skin/coat: nadGait: nadMSK: nad, comfortable ROM in all limbs and normal muscle mass. No reaction to spinal palpation. LNs: nadAssessment:Fit for vaccination5% overweight - weight loss progressing well, approaching ideal weight of 38-40kg Treatment: Protech Pi2 SC - good for injection Batch #:5264018Expriy: 25.02.27Protech Bronchiceptica PO Batch #: 5245048BExpriy: 19.02.27Synovan 1.23ml SC Plan: Discussed avocado toxicity - small amounts of pulp can be ok, but can still cause GI signs, so recommend to avoid feeding. Discussed option to reduce injection frequency to every two or three months if doing well - owner prefers to continue monthly. Discussed weight goal of 40-41kg. Mobility survey to be completed by Lisa and returned.Next vet recheck in 6 months (September 2026)C5 due in 12 months--- 09/03/2026 10:16:26 MZ:Load questionairre emailed    Vital Signs    Weight: 41.14;       MMColour: Pink;       HeartRate: 100;       BodyScore: 6;       CRT: < 2 sec;