C10020728 / invoice 20000

Reason: 2nd ZydaxReason: Zydax Injection.Attending Nurse: SR TVNOwner(s) Present:NeilHistory: Injection given in stiff garden (very wriggly - have owner hold!)Neil mentioned her mobility has improved already.Treatment: Inj Zydax 1.3mLs sc. Plan: Next Zydax 7d.Insurance Form: Insurance claim submitted for dates :  5/3/26 - 12/3/26    Vital Signs    Weight: 37.6;       MMColour: pink;       BodyScore: 4;       RespirationRate: panting;       

Reason: 1st ZydaxAttending Nurse: Lisa King RVNOwner(s) Present: NeilHistory: Going well, no noticeable changes since last Zydax course. Enjoying summer with the warmer weather for her joints. Parasite Control O using: Nexgard spectra utd at home Vaccination and last given= KC 05/25Diet= hills metabolic biscuits Supplements= nil Medications= zydax Microchip checked = yesPet Insurance= bow wow meowExamination: (n=normal, dne=did not examine)12 System Check:1- General appearance - BAR2- Oral - calculus build up esp upper molars3- Eyes - n4- Ears - n5- Abdominal - n6- Glands - n7- Skin - n8- Genito-urinary - n9- Musculo-Skeletal - not tolerant of HL MSK exam. Elbows and carpi somewhat restricted.10- Neural - n11- Respiratory - n12- Circulatory - nProblem List: 1. Dental dz2. DJDTreatment: Inj Zydax 1.3mL SC. Client Advice: Discussed dental dz. Recommend SPA. Sent email with info and est to O.Discussed DJD management and adding adjuncts eg. NSAID if Zydax alone not maintianing mobility well enough.Plan: Next Zydax 7d.    Vital Signs    Weight: 37.65;       MMColour: pink;       Temperature: 382;       HeartRate: 80;       BodyScore: 3;       DentalGrade: 2;       RespirationRate: pant;       CRT: 1;