C10008927 / invoice 10000

Reason: Medicate EarAppointment Notes: Overdue remindersCleaned with otoflush and applied medication into right earNot as much discharge and muck as last weekRevisit friday    Vital Signs    Weight: 33.2;       

Reason: MS ONLYAppointment Notes: Next application - 1mL of ear meds compounded in fridge, check if much wax before instilling it, let me know if you are worried about how it is looking.  mcs.Left ear all goodRight ear ahs started shaking and mucky last day or two.Alot of black biofilm debri in outer ear. Unable to look in with otoscope Cleaned using otoflush Applied her compounded medication into earChat with Michelle re plan for maybe adding cortisone and also bi weekly treating?    Vital Signs    Weight: 33.2;