C10015942 / invoice 20000

Reason: Chemo ApptAppointment Notes: Happy to wait for bloods to come back. esHistory: Inappetant today Lethargic today Sneezing a lot as well Amoxyclav 500mg bid since friday but only once a day. Examine: QAR, CRT <2, pale pink and moist MMMild epiphora of both eyes Sneezed in consult BCS 4/9 (lost 700g)Temp 40Laboratory: Neut + monocyte count back up today. Mild ALP elevation but ALT wnl    Vital Signs    Weight: 20.1;       

Reason: Blood Test *GAP?*History: Further wt loss.Laboratory: Anaemia progressed. Sl improvement in WBCs.Plan: Continue chemo - prognosis guarded. Lomustine 54mg ordered for 7 days time.--- 04/03/2026 10:36:11 WS:Continuing to lose weight - CBC take by AH - GAP and payment over the phone - JM to call Judy with results OW--- 04/03/2026 16:13:02 JM:Called O to discuss. LMOM6pmClient comms: JB ST Judy to advise of blood test results, and advised chemo ordered for 7 days time. O thought chemo might be in 2 weeks time not 1? To check with JM when back in on Friday    Vital Signs    Weight: 20.8;