C10014652 / invoice 10000

Appointment Notes: Overdue reminders  ------- Sms reply: YHistory: Has been doing okay at home the past 2 weeks. Quite unclear what O has been doing with the pred tablets - might not have been giving consistently? Starting to get a little itchy with feet again but overall a lot less itchy than before the last cytopoint injection 2 months ago. Was having a scratch at the R ear again the other day. Examination: BARMM: pk, mSkin generally good Both ears slightly erythemic with mild wax Laboratory: Ear swab cytology: Malassezia ++ a little worse on R side though has yeast on both Assessment: Ongoing allergy and otitis management Treatment: Cleaned both ears with otoflush Osurnia into both ears Repeat osurnia in a week Offered to repeat cytopoint today - O would prefer to wait longer If infections in the ears clear up then have suggested using cortavance for ongoing control--- 09/10/2025 09:45:37 AM BB8:Examinations - Resolved - txt sent    Vital Signs    Weight: 8;