C10027648 / invoice 10000

Reason: client coversationrealised was only est for single metacam inj, none to go home withalso missing theatre fee but left this goI called to advise approx $80-100 for additional analgesia to go home with (lignocaine/marcain in wound and oral meds)spoke wit Mr O - he said 2 large wounds he wanted dealt with tomorrow, AGD notes only 1O is happy to do vet admit to better est costs and confirm plan tomorrow with sx vetOn 2026-03-12, Mia Sexton underwent a general anesthesia for Scar Removal by Dr Dr. Courtney Wilson and Rebecca  Wittle. Anesthesia time 1h 30m.PRE-SURGERY:    Drugs: Acepromazine (ACP) injection | 0.500 | 0.020 mg/kg | IM, Methadone | 2.000 | 0.100 mg/kg | IM. SURGERY:    Drugs: Propofol | 15.000 | 2.000 mg/kg | IV, Meloxicam (Metacam) injection  (Dog) | 2 | 0.200 mg/kg | SC, Bupivacaine (Marcain) | 10.000 | 1.000 mg/kg | SC.    Comments: Monosyn 3/0 x2. PROCEDURE:    scar removal x4 0h 50m.   Heart worm test 0h 12m.BILLING CHECKLIST:    Acepromazine (ACP) injection | 0.500 | 0.020 mg/kg | IM   Methadone | 2.000 | 0.100 mg/kg | IM   Meloxicam (Metacam) injection  (Dog) | 2 | 0.200 mg/kg | SC   Bupivacaine (Marcain) | 10.000 | 1.000 mg/kg | SCView full Chart - GA Realtime at https://api.vetcheck.it/share/AU_801a0780-1af5-446d-90be-0907185148d6Objective: HR/PR: 70 RR: 30 Temp: ntMM: PM CRT: <2s Status: IILaboratory:  O declined PAS Treatment: Premed  ACP 0.5ml + methadone 2.0ml IM @ 933Induction propofol 15ml IV @ 10;01 am Intubated and maintained with iso 1.5-2% with ETT 11.0 cuffed with O2 IVFT started @ 290 ml/h Ears/Teeth/nails mild discharge/g0/4/short Surgery started 10:31 am Techniqueellitical incision around 4 folliculitis scars. All closed with simple cont pattern in s/c with 3/0 MOnosyn and skin closed with intradermal pattern with 3/0 monosyn. Surgery finished 1121Anaesthesia finished 1131Recovery good Pain reliefmeloxicam 2ml s/c @11;23Plan: F/U call tomorrow.Suture recheck in 10-14 days.recc collar on for this period     Vital Signs