C10018620 / invoice 10000

Appointment Notes: sb  called to confirm unable to leave message, sent ad hoc message slbPresenting Complaint: Norman Pinson presents for recheck of ear infection and healing assessmentPatient History:- Currently on behavioral medication tablets with good response - startling behavior has resolved- Recently moved homes, causing some behavioral adjustment- Lives with another dog (Schooners, a Staffordshire terrier) - currently kept separate during healing period- Completing ear infection treatment - finished antibiotics, currently using ear medication (pump)- Client reports patient tolerates ear medication administration but dislikes the process- Client has been avoiding bathing patient until healing completeDiagnostics:- Microscopic examination of ear: no yeast overgrowth observedTreatment Plan/Medications:- Discontinue current ear pump medication- Rx: Epi-Otic ear cleanser for ongoing maintenance- Use ear cleanser after baths to prevent water retention- Cleared for bathingClient Communication:- Explained ear canal anatomy predisposes to recurrent infections due to narrow canal and wax accumulation- Demonstrated proper ear cleaning technique: instill cleanser, massage ear, allow head shaking to expel debris- Advised ongoing ear maintenance with cleanser, especially after bathing- Next health check in 2 months - ensure otoscopic ear examination is performed- Patient cleared for bathing today    Vital Signs    Weight: 17.95 (Patient Update);