C10013571 / invoice 10000

FOLLOW UP CALL GIT SIGNSSummary of communication between Carenza and Dr Rachel Bush-King, BVSc (Hons) GPCertSAM on 26/02/2026 at 05:05:-   I checked in with the client regarding Dexter's ongoing gastrointestinal symptoms. She confirmed he is still having episodes where he appears uncomfortable and seeks her attention, which she interprets as him being in pain or feeling sick. This is occurring despite his recent fecal testing being negative.-   I explained that even with a negative test, parasites can be shed intermittently, and I recommended an empirical treatment trial with fenbendazole. This is a broad-spectrum antiparasitic used to rule out underlying causes like Giardia in cases of chronic gastrointestinal signs before proceeding to more invasive diagnostics.-   The plan is to dispense a liquid form of fenbendazole, to be given once a day for 3 to 5 days. I will confirm the exact duration and have it ready for pickup at the Springfield clinic.-   I also discussed the possibility of atypical Addison's disease as a Ddx if he does not respond to the fenbendazole. I explained that this form of the disease presents with normal electrolytes but low cortisol, causing non-specific gastrointestinal signs. A future diagnostic step could be a baseline cortisol screening test.-   We discussed pain management for his discomfort. He is currently taking gabapentin 100 mg BID. I suggested that a higher dose may be needed for visceral pain relief. I will calculate a safe increased dose, considering his history, and email the client with specific instructions. This may involve a higher dose at night to minimize sedation.-   I advised against restarting Pro-Kolin at this time to avoid confounding the results of the fenbendazole trial. We can reconsider it later if symptoms persist.-   The client agreed with the plan. She will collect the fenbendazole, and we will schedule a follow-up phone call in about a week to assess Dexter's progress.    Vital Signs