C10011727 / invoice 50000

Reason: B12 + Check In Appointment Notes: JR leave 20 mins plsGoing well at home - O thinks stopping tylan powder has helped and that it was upsetting himGiven sc - behaviour excellent today, didn't even growl with needle, or bark at me once. Just an avoidant BC Back in a month if can last that long - otherwise O says might bring him in for another in 2 weeks. At this point can look at oral supps as GIT should be working    Vital Signs    

Reason: IN ROOM2 -  B12  Plus QuestionsAppointment Notes: Have told Owner to call from car LMHistory:Stools seem to improve, then go soft again. Having 3x creon am and pm at the moment + the antibiotic Is constantly looking for food still. Weight a lot betterMale O thinks behaviour is a lot betterGoing to do 6 weekly b12 injections then one a month later. Can then give as neededStopping tylosin tomorrow - will see what difference this makes.Back in a week    Vital Signs    

Reason: B12 Plus QuestionsAppointment Notes: Special payment terms exist, Overdue remindersHistory:Treatment: Vitamin b12 1ml sc -------------------------------------------INSURANCE HXInitial Assessment >Suspected cause > Date of first clinical signs >Any other conditions? / treatments? >    Vital Signs