C10019919 / invoice 10000

OR currently managing pain with gaba and paracetamol but some days has very bad days. Struggling with forelimbs, looks so uncomfortable, reduced walking. Has been adjusting diet so weight increaseOn CE, discomfort in neck and forelimb and back, hindlimbs trembling, no obvious bony growthsDisc with o do not feel optimised managementDisc NSAIDs- has previously reacted to metacamSo plan - trail onsior. Given inj today to kick start 2mg/kgPlan to continue with oral tomorrow just over 1mg/kg.Disc with o 7 day trail, if no v/d back in 7 days for bloods to check liver and kidney parametersIf ok can continue long term with gaba and para - disc weight as wellPrevious bloods in september wnlsCheck heart at next consult too if continuing with long term onsior If v/d or changes in liver and kidney then disc with o beransa - o happy with plan Disc QOL but feel some space to change pain relief still at the moment    Vital Signs    Weight: 25.2;