C10009687 / invoice 10000

Reason: ReviewAppointment Notes: Barney (Dog) - Janelle Laidlaw - 0418436127 - Consultation Standard (one concern and rechecks) [Clinician : Dr. Kate Clair (Preferred Clinician)] - Review  - Been patient 14 yearsWeb BookingClient name: Janelle LaidlawContact number: 0418436127Email address: janelledorothylaidlaw@gmail.comPatient name: BarneySubjective and History:QarDiarrhoea was much improved after prokolin paste and diet change. Has some RC mature dry food left and has been giving a bit of this food as well to use it up. Has been giving chicken breast (not thighs as used to)No vomitingAppetite: a little reduced.Diarrhoea happening again. Semi soft. Some straining. No blood or mucus. Objective:Mm pinkEyes okEars okAbdominal palpaiton wnlT 38.1oCBAR in consult Assessment:Ddx: diarrhoea/colitis: 2o to pancreatitis still vs dysbiosis, infectious, other Treatment:Prokolin paste 3mls q12h x 30mlsThen start sybiotic capsule once daily for a monthStop RC mature dry food (is about 15% fat)Continue with RC gastro low fat food long term. No chicken thighs long term.Discussed next step repeat qpl make sure has gone down/ not too high. Faecal pcr/ff to rule out parasites, possible abdo us then may need vitamin b12 supplementation or testing.    Vital Signs    

Reason: Email From OwnerAppointment Notes: Overdue reminders Jv returned owners call 3.14pm.Faeces still slightly semiformed but has improved. Owner had trouble with the prokolin dispenser and has broken it. Advised to come down and let us have a look. If it is not usable anymore then we can change to synbiotic.    Vital Signs    

I cannot work this probiotics pump and have accidentally broken it. Could you please ask Jane if there is an alternative medication for this?Janelle Laidlaw    Vital Signs