C10019575 / invoice 20000

History:Examination:  Assessment: Plan:    Vital Signs    

Appointment Notes: health check - ns - req jbHistory:Starting to get gingivitis and halitosis againLost weight - giving half a steroid SID currently Examination: Mild gingivitis and tartar reforming Assessment:CCUS most likely-  O aware may require full mouth extractionsPred at 1mg/kg SID/BID too many side effects - reached out to all animal denistry for opinion on alternative immunosuppressives Plan:JB to call O once heard back from specialistO to source hexarinse/chlorhexidine type oral washes    Vital Signs    Weight: 26.8;