C10011941 / invoice 10000

Reason: Ear Swabs Dropped Off - Needs Omre TopigenAppointment Notes: Please call male o -0457 033 397Laboratory: Swabs both ears - R ear very dirty but occasional cocci. L ear Cocci ++. No rods. Discussion: Phone consult - o says that that Lily's ears are inflamed and painful. She was going well, then her ears flared up in the last 2 days. Getting very uncomfortable again. O has been cleaning the ears once weekly, wondering if she needs to do it more often. Told o that if the ears are very every time they are cleaned, then they need to clean them more often. Big discussion about long term care, this issue has never truly resolved. Cleaning, medications long term, currently on one protein - beef. Last couple days slice of cheese and eggs. Did this effect it? Topigen. Short course steroids. Cortavance. Talk to Tanya.Treatment: Topigen -    Vital Signs