C10032461 / invoice 10000

Appointment Notes: ear infection. kbConsult: female O History:Currently on Phenomax- Dose:100mg BIDKeppra for around seizures Previous ear infectionsNot real maintenance regimeToday R> LLaboraotry:SmearR ear- cocci +++ and yeast +L ear yeast ++Treatment:Instilled momentomax into both earsAttempted to clip feathers and nails- thought with the phenobarb on board ,may have been possible however Sam said no Plan: Monday 16/3- admit at 2pm- O will walk downHome bwteen 4.30-7pm when son can bring the carPlan- sedate, clip nails and feet feathers, maybe any mats around ears and hair at entry to canals***NO EAR CLEANING plse**Assess R ear- may need a course pf prednisoloneTake home Epiotic bottle to use on both ears 1-2 x weekly and after swimming only once this infections fully resolve ie after 35days    Vital Signs