C10012230 / invoice 10000

History:
-Have been walking Ace more frequently, trying to work on weight loss 
-Still has a small scab on his R ear, not currently bothering him 

Routine Health Care:
Have you checked the Microchip today? N 
Are the Vaccinations Up to Date? Y
Is Intestinal Worming Up to Date? Y
Is Heartworm Prevention Up to Date? Y
Is Flea Prevention Up to Date?

Physical Examination:
Temperature - n/e
Body Condition Score - 8/9 
Pulse: normal 
Respiration Rate: panting 
Blood Pressure: n/e

Eyes - nad 
Ears - small scab on the convace aspect of the R pinna- looks to be healing, slowly lifting from underlying skin 
Oral Cavity - nad
Dental Grade - clean 

Pain Score (/10) - 0

Assessment:
1. Zydax does help with mobility 
2. Discussed weight loss again today- reducing number of treats throughout the day 
Healthcare recommendations:

Plan:
Zydax 1.6mL sc 

Remind/Recall/Revisit:
Due Cytopoint in 7 days- O prefer to wait and see how he responds as last time benefited from a one off injection 
Repeat Zydax course in 6 months 

History:
- Doing well at home
- Lost more weight

Physical Examination: BAR
Temperature - Not taken
Body Condition Score - 8/9
Pulse: Panting - Normal heart and lung sounds
Respiration Rate: Panting
Blood Pressure: Not taken

Oral Cavity - Pink <1s
Dental Grade - 0

Pain Score (/10) - 0

Assessment:
Fit for zydax
Gave 1.5mls SC

Healthcare recommendations:
O had given him a bone some nights ago and noticed that he had made a choking noise. I said we don't usually recommend giving bones due to issues with bone fragments in the GI tract and to give something like Lamb's hearts for him to chew on to keep his teeth clean.

Remind/Recall/Revisit:
7 days - 4th zydax with vet - booked next Tuesday with ear recheck

No show for 6:00pm appt. Sent SMS, re-scheduled for Friday 28.11 SL