C10029477 / invoice 10000

Reviewer

Species:CANINE

Breed:Miniature Dachshund - Smooth Haired

Age (years):6

Diagnosis or signs:follow up IVDD

Consult notes

13/03/2026 Previous Complaint/Diagnosis - follow up from IVDD - 6 weeks
         Loyalty Reward Program - Y/N
History - improving, walking better on her paws, still crated,
         How has disease progressed? - 
         Medicine Hx  - gaba
         Appetite   - normal
         Toileting  - normal

mobility getting better
changes direction quickly aka when finding good toilet spot  then gets abit wobbly  but otherwise o very happy with her progress 

walking around well .  

leg not knuckling when urinating anymore 

crate resting and dog is doing well  

not squealing out in pain ever 

Examination -
         Attitude -   BAR 
         Temperature -   not indicated 
         Heart -   HR. Murmur -  none heard 
         RR -   24 
         Other key findings =  still delayed proprioception L hind but drastic improvement .  walking fairly well just slight ataxic hind end falling to L side slightly. 

Assessment   - clinically improved IVDD 
Problem List   - still L hind mildly effected but much improved   - fortunately seems sx wont be required this time 
Discussed        -  hopefully will get 100% improvement but not always.   been licking bottom abit - offered to check AG ,  o will add some sweet potato to diet and revisit if concerned .  may need use gaba here and there in future if needed if dog were to tweak back etc and rest dog ASAP  in future if notice slightly 'grumpy' or sore 
Treatment Plan -  Continue another ~2-4weeks  crate rest  and gaba .  essentially continue 2wks after dog is near 100% 
Prescriptions(on-going) -  gaba 6 months 
Next Visit            -  as required

Animal clinical history (3 most recent)

2026-02-13T00:00:00Z 16:25:21

Previous Complaint/Diagnosis - IVDD recheck 
History -
- Improved a lot, able to walk and support herself now but back legs still occasionally give way 
- Owner has been following strict cage rest, carries her out to the toilet only 
- Has been trying to jump
- EDUD fine
- No V+/D+
         How has disease progressed? - Markedly improved 
         Medicine Hx  - Meloxicam SID, Gabapentin 1/2 capsule BID
         Appetite   - Good 
         Toileting  - Normally 

Examination -
         Attitude - BAR 
         Temperature - Not indicated 
         Heart -   HR. Murmur - No murmur or arrythmia audible 
         RR - Normal rate and effort 
         Other key findings = No pain on palpation of spine, able to walk in consult but still delayed proprioception both hindlimbs (L worse than R), anal tone present

Assessment - IVDD markedly improved, now grade 2 
DDx                 - Type 1 vs type 2
Discussed      - Happy with improvement but need to continue with strict cage rest for AT LEAST another 4 weeks, otherwise can end up back at square one. Continue with meloxicam for another 2 weeks given no V+/D+ and gabapentin ongoing. If any concerns or decline let us know. 
Treatment Plan - 
- Strict cage rest at least another 4 weeks, then recheck 
- Meloxicam SID
- Gabapentin BID
Prescriptions(on-going) - Gabapentin (O had another 20 capsules left, told him he can pick up more if he runs out)
Next Visit            - 4 weeks unless concern sooner

Previous claim history (1)

Date	Claim #	Diagnosis
2026-01-30	C09829831	PAIN - MUSCULOSKELETAL - PRESENTING COMPLAINT

Line items(lines with upstream diagnosis are skipped by the model)

Line	tstarc	Amount	Date	Upstream diagnosis
10000	tstarc_consultation-revisit	80.40	2026-03-13	—

UPM+

DG02401INTERVERTEBRAL DISC DISORDERDSTP_spine_-_intervertebral_disc_disease

Variant (sleepy_king)

INTERVERTEBRAL DISC DISORDER

DSTP_spine_-_intervertebral_disc_disease

Conf: 0.820

Threshold: 0.90

Above: ✗

Correct?

Yes No