C10029580 / invoice 10000

Reason: Beransa Due But Discuss QOLAppointment Notes: Special payment terms exist, Overdue reminders  ------- Sms reply: Yes   ------- Sms reply: YesPresenting Complaint:Hx: stumbles a lot, ha cataracts and is deaf and o thinks is getting dementia. Repetetive behaviours - in and out dog door over and over ( noisu - annoying). Squatting can be difficult for him, still occ nugget left on carpet. Thirst unchanged, appetite for food is increased.Current Meds:advocate only. Has melox at home. O pain assessment is that he's going well without melox) Sleeps well and a lot, gets sardines alt nights.Doesnt sound too much like cognitive decline. If shut dog door he does settle down.PE:    Daisy sounds like she has quite significant separation distress/anxiety - is destructive, chews things up ( shoes, fire lighters, glass, books etc|) and have strongly encouraged her to consider meds for DAISY. Did have a period of approx 4 weeks where he smelt terrible.But seems better    Mouth:    CVS:    Resp:    Abdo:    MSK: pacing around consult room    Neuro:    EENT:    LN:    Skin:    UroGen:    Rectal:Problem List: DDx:Tx/Plan: Beransa 15 mg 813176 08/26Dx:Beransa booster and check up.Client Communications:Follow-up:    Vital Signs    Weight: 21.5;