C10008334 / invoice 10000

Reason: RecheckBandage came off after last visit and owner rebandage also came off Has been lickk and left tip inflamed and bit ulcerated. 2 stitches missing at left tipHas broken e colelr so just using blow up coller Resupply new buster collerClean and redress. Little sensitive Aloven and soffban vetwrap and elastoplast. Also tie in bit surrounding hairReally cannot afford be able to get to cause any more damage so ecolelr and bandage at all timesStill on abioticsRecheck ears Less sensitiveStill fair amount yellow sticky exudate Diff smears show less neuts-decrease easy 50%Cocci numbers similar esp left ear but reasonable reduction rods by prob 50-60% on last visitPlan cont dermotic for now First priority is getting rid of pseudomonas if possible then the potentially lesser bugsMay well need go to genta but would like ga+suctionb clean from any biofilms to do first aplicationRecheck 5d if no issues  w bandage    Vital Signs