C10012978 / invoice 10000

08/03/2026 09:35:49 IP: left vm, sent txt (f/u)O called back. EDU well. No v+ or d+. Meds given as require. Has lots more energy and happier in herself. Did urinate herself yesterday but o thinks its because the onesie was on and covering her bitsEt to check in tmr + how long to continue the meds for?--- 09/03/2026 09:42:32 ETA:Appetite back to normal Getting in meds - doesn't like gabapentin (spat out this morning)Defecation: Hasn't defecated since Friday One episode of waiting up this morning10/03/2026 20:03:33 GR: O brought 4 ml of urine sample (free catch). As per ET on the 5th, billed for urianalysis and C + S.    Vital Signs    

IDEXX ANZ Customer ServiceThu 5 Mar, 15:09 (23 hours ago)to meDear Isabella,Thank you for your time today regarding your submission number 4001132782 for "Tova Winton".As discussed, due to the complexity of your submission, we have upgraded it to HISO status, your new charge will be$367.30 ex GST.Please select the HISO code (Complex Tissues) if you are submitting any of the following: amputated limbs, digits, jaws, bone, brain, mammary chain, eye, gastrointestinal tract, heart, kidney, liver, lung lobes, spleen (whole or partial), or uterus.For a simple and easy to follow guide, please refer to page 43 in the IDEXX 2026 Directory of Products and Services or visit www.idexx.com.au/complexbiopsy for more detailed Complex Biopsy submission information and requirements.If you have any questions or need further assistance, please do not hesitate to reach out.Regards,Janis Grey | Customer Relations Representative    Vital Signs    

Reason: Not eatingHistory: Had a terrible night - not eating, crying seemed weak. Called SASH. Coincided with time that fentanyl will have run out. Panting and distressed. Better after did a large pooWon't eat this morningAb palp: Uncomfortable cranial abdomen and a bit nauseousAFAST: No free fluid in any sectionAte a full meal in consult - SPD (although went off this after a few pieces of chicken then roo, but would eat hard chicken and roo treats enthusiastically 11mg maropitant - 0.6ml IV, 0.5ml SC (as jumped)- home on 24mg SID PO GIven 0.02mg/kg buprenoprhine - half IM, half SC as jumped, then 100ug BID-QID PRN Cl quite stressed about medication and other family issues so have written down everyrhingPlan: To call on Sunday as Cl doesn't answer phone from Fri sundown-Sat sundown Client communication:MEDS: 1. Buprenorphine (Temgesic):  Please do NOT give the temgesic tablets until 6pm tonight as she's had an injection at midday today. You can give 4 times daily but she probably only needs 2-3 times daily - it depends on if she seems painful 2. Paracetamol: Try and get paracetamol into her but don't push too much if she's really against it3. Onsior (Robinacoxib): STOP until she's eating nomrally 4. Gabapentin: Like the eparacetamol - try but don't force 5. Amoxyclav: STOP 6. Zofran (Ondansetron): Keep up with this - can increase to every 8 hours from every 12 IF she's not eating7. Cerenia tablet: She's had an injection of this today - it's to help with nausea and abdominal pain as well. This is once every 24 hours    Vital Signs    Weight: 11;       Temperature: 38.3;