C10008247 / invoice 10000

Reason: Recheck, Blood Test ELAppointment Notes: Chilli (Cat) - Vet Recheck (within 2 weeks of previous visit for same condition) [Clinician : Dr Juliet Smithyman (Preferred Clinician)] - Recheck, blood test Medibank,MB23483131, 21/01/26Web BookingClient name: Kayvan AhmadiContact number: 0405938259Email address: Kayvan.a@gmail.comPatient name: ChilliHistory: O decreased pred to 1mg tab alternating with 0.5mg for 2 weeks, then decreased to 0.5mg SID approx 3w ago. Given worming tablet at around the same time.Since then, appetite has decreased. Still eating enough ( around 3 small tins per day), but isn't asking for food as often and is eating slower. A bit more lethargic also in past few weeks Current Medication: pred 0.5mg SIDExamine: QAR as usualMm perhaps sl paleAbdo palpn- od size abdo, large bladder, spleen readily palpable, margins sharp. Perhaps mild SI thickening, diffuse r/t discreet. HR 190bpm, regular, no murmurAssessment: need to monitor CBC and TP, also recommend full bloods but O unsure about full bloods Blood sample colletced for CBC/TP, and collected enough blood to run biochem tomorrow if indicatedPCV - 30TP - 82    Vital Signs    Weight: 4.4;       HeartRate: 190;       

Reason:  A blood test and possibly a vaccination <VMAppointment Notes: Chilli (Cat) - Vaccination/Health Check [Clinician : Dr Juliet Smithyman (Preferred Clinician)] - A blood test and possibly a vaccinationWeb BookingClient name: Kayvan AhmadiContact number: 0405938259Email address: Kayvan.a@gmail.comPatient name: ChilliHistory: doing well after last visit, all symptoms of IMHA resolved. No evidence recurrence of FIP. Discussed FIP and IMHA, unlucky coincidence that she has both, FIP appears resolved, IMHA unrelated (see prev history from other vet) Current Medication: Pred 1mg SIDExamine: Chest ausc NAD, abdo palpn NAD, eyes/ears NAD, examined mouth- dental grade 0Mod distended abdomen - no palpable fluid/mass , feels like fat. Mm pale pinkChest ausc NADLab Results: blood sample collected for CBC- HCT 35.7% = normalPCV/TP tube spun but serum very lipaemic so will falsely elevate TP on refractometer (reads as 96g/l but false result)Assessment: recommend starting to slowly wean down the pred- start with 0.5mg (1/2 a tab SID), rpt bloods in 2-3 weeks before adjusting dose further. Admin vaccFel-O-Vax 3Date: 04-02 VM> blood results emailed to O--- 4/02/2026 2:29:29 PM HF:Inhouse Pathology - Resolved - reported in consult    Vital Signs    Weight: 4.3;       BodyScore: 6/9;       

Full Hx sent to insurer - claims@pet.Budgetdirect.Com.Au    Vital Signs