C10019886 / invoice 10000

Appointment Reason: Recheck, Appointment Notes: cmSeems more comfortable with ears - no shaking or scratchingDifficult to otoscope - proximal canals cleanSwab - brown debris rightCytology:Left - no bugsRight - debris and few Malassezia, but no cocci foundTx Another week PMP right ear onlyNo vomiting! with removal of kibble from dietA little hungrier, has lost 400gmIdeally another 6 weeks without kibble then all going well, introduce a different kibble slowly    Vital Signs    Weight: 28.4 (Patient Update);