C10015187 / invoice 10000

Reason: Recheck With VSTAppointment Notes: Overdue remindersExtractions sites look good, sutures breaking down but skin healed nicelySign off from dentalWill email weight management diets and links to spacers for inhaler. O happy to get script today and look into this. Agree to retake bloods in 6-8 weeks to recheck liver parameters (may have been moderate elevation due to dental dx), if still/more elevated then ultrasound of abdo next stepScript:Medication: Flixotide inhaler (Fluticasone Propionate)Concentration: 125mcg Instructions: Administer 1 puff ONCE daily (hold spacer in front of nose for 10-15seconds or 2-3 breaths)Repeats: 1Emil to client:Dear Mr Bray,As per our recent consultations I have some dit recommendations for Millie an links to the spacers for Millie's new inhaler.Diets:Purina Pro Plan OM Obesity (wet/dry)Royal Canin Satiety weight managementHills r/d Weight LossInhaler links:AeroDawg (licensed 'official' spacer):https://www.amazon.com.au/AeroDawg-Canine-Aerosol-Chamber-Dogs/dp/B009KPIYA4/ref=asc_df_B009KPIYA4?mcid=4cfe3ba8d25b3ed9ba2bca36b3412e10&tag=googleshopdsk-22&linkCode=df0&hvadid=712359098072&hvpos=&hvnetw=g&hvrand=12830243252622285406&hvpone=&hvptwo=&hvqmt=&hvdev=c&hvdvcmdl=&hvlocint=&hvlocphy=9071644&hvtargid=pla-362084745990&gad_source=1&th=1'Dupe' inhaler:https://www.amazon.com.au/Aerosol-Chamber-Bronchitis-Tracheal-Collapse/dp/B07DGFTR35/ref=asc_df_B07DGFTR35?mcid=96c53c7c2b603acf9530feb616a3c53e&tag=googleshopdsk-22&linkCode=df0&hvadid=712358850929&hvpos=&hvnetw=g&hvrand=9070431383491204718&hvpone=&hvptwo=&hvqmt=&hvdev=c&hvdvcmdl=&hvlocint=&hvlocphy=9071644&hvtargid=pla-598906424282&psc=1&gad_source=1A inhaler guide can be found here: https://www.youtube.com/watch?v=A977DDqrlss We can plan to see Millie back in 6-8 weeks to retake her Liver blood parameters and check in with her bronchitis/weight loss progress. Please make an appointment that suits your schedule closer to the times.Kind regards,Dr  Vivienne    Vital Signs