MEDICAL HISTORY

Yaletown Animal Hospital
893 Expo Blvd, Vancouver, BC V6B 1C4 | (604) 682-7389

19-Jul-2019 to 02-Jul-2026

Current medical overview: as of 10-Jul-2026

Service Reminders

Service Reminders Due Date
Physical Exam 06-Jul-2026
K9 Rabies 24-May-2028
K9 Distemper Combination Vaccine 07-Jul-2026
K9 Parvo 07-Jul-2026
K9 Leptospirosis 06-Jun-2027
K9 Bordetella 06-Jun-2027
K9 Influenza H3N8 Review
K9 Lyme Review
K9 Heartworm Test Review
Fecal Parasite Test Review
K9 Dental Cleaning 07-Mar-2025
K9 Heartworm RX Review
K9 Flea Prevention Review

Weight by Age

Weight by Age Wt. Record date
15y 5m 6.7 kg 14.77 lb 28-Jun-2026
15y 4m 7.8 kg 17.2 lb 06-Jun-2026
14y 11m 7.5 kg 16.53 lb 06-Jan-2026
14y 4m 7.6 kg 16.76 lb 24-May-2025
13y 8m 7.8 kg 17.2 lb 26-Sep-2024
13y 7m 7.9 kg 17.42 lb 12-Sep-2024
13y 5m 8 kg 17.64 lb 16-Jul-2024
13y 1m 8.4 kg 18.52 lb 07-Mar-2024
13y 7.9 kg 17.42 lb 15-Feb-2024
13y 8.1 kg 17.86 lb 08-Feb-2024

Active Concerns

Active Concerns Established
Lumps 28-Jun-2026
Periodontal disease 06-Jan-2026
Dry skin 06-Jan-2026
Yelping intermittently 06-Jan-2026
Coughing 06-Jan-2026
Heart murmur 24-May-2025
Otitis 12-Sep-2024
Keratoconjunctivitis sicca 16-Jul-2024
Myxomatous degeneration of mitral valve 16-Jul-2024
Wellness/Preventive care 16-Jul-2024

Inactive Concerns

Inactive Concerns Established
Blood Collection 06-Jun-2026

Resolved Concerns (since 19-Jul-2019)

Resolved Concerns Established Resolved
Mandibular jaw fracture 26-Mar-2024 24-May-2025
Licking penis 20-Sep-2024 24-May-2025
Anxiety 16-Jul-2024 24-May-2025
Pruritus 12-Sep-2024 24-May-2025

Medications (since 02-Jul-2025)

MetroNIDAZOLE (gen) 50mg Tab CMP DISP

Amount Disp. Date
9.00 tab 28-Jun-2026

Give 1 and a 1/2 tablets (one and a half tablets) by mouth every 12 hours for 3 days. This is an antibiotic. Best given with food.

Dispensed Location: In-House

Omeprazole (gen) 10mg/mL/mL OralS CMP DISP

Amount Disp. Date
10.00 mL 28-Jun-2026

Give 0.7 ml(s) by mouth every 24 hours as needed to help settle the tummy. This is an antacid.

Dispensed Location: In-House

Mirtazapine (Mirataz) Transdermal Oint 5g DISP

Amount Disp. Date
1.00 tube 28-Jun-2026

Wear gloves. Apply 1 1/2 inch of ointment gently rubbed onto the unhaired portion of the ear once daily to enhance appetite. Discard the glove after use. Discard ointment after 30 days.

Dispensed Location: In-House

Malaseb Medicated Shampoo 250mL DISP

Amount Disp. Date
1.00 btl 20-Jun-2026

Wash with this shampoo, allowing to sit on the skin for 10 minutes, then rinse with water. Use twice weekly for 4 weeks. Then once every 1-2 weeks ongoing.

Dispensed Location: In-House

Pimobendan (Vetmedin) 2.5mg Cap CHR

Amount Disp. Date
20.00 cap 20-Jun-2026

Give 1 capsule by mouth every 12 hours ongoing. Best given on an empty stomach, either at least an hour before or two hours after a meal.

Dispensed Location: In-House

Furosemide (gen) 20mg Tab DISP

Amount Disp. Date
14.00 tab 20-Jun-2026

Give HALF a tablet(s) by mouth every 12 hours ongoing. Diuretic. Will cause increased thirst and urination.

Dispensed Location: In-House

Fear Free Gabapentin (gen) 100mg Cap DISP

Amount Disp. Date
4.00 cap 06-Jun-2026

Give 1 capsule(s) by mouth 2-3 hours prior to veterinary visits. Give with trazodone.

Dispensed Location: In-House

MISC Prescription CMP DISP — (5g) Tacrolimus 1% Ophalmic Ointment

Amount Disp. Date
1.00 each 13-Jan-2026

Apply small amount to BOTH eyes every 12 hours ongoing.

Dispensed Location: In-House

Fluoxetine 10mg capsule

Amount Disp. Date
90 04-Jan-2026

Please give 1 capsule (10mg) by mouth every 24 hours (once daily) ongoing. Do not discontinue without consulting a veterinarian.

Dispensed Location: Written Prescription

EasOtic Suspension 10mL DISP

Amount Disp. Date
1.00 btl 24-May-2025

Instill 1 pump of solution to the RIGHT ear every 24 hours for 7 days.

Dispensed Location: In-House

Fluoxetine 10mg

Amount Disp. Date
60 18-Dec-2024

10mg orally every 24 hours ongoing. Do not discontinue abruptly.

Dispensed Location: Written Prescription

Fear Free TraZODone HCl (gen) 50mg Tab DISP

Amount Disp. Date
10.00 tab 02-Oct-2024

Give 1 tablet by mouth 3 hours before Bento's vet visits. Can be given with gabapentin.

Dispensed Location: In-House

Canaural Ear Drops 15mL DISP

Amount Disp. Date
1.00 btl 02-Oct-2024

Instill 5-6 drops of solution to the LEFT ear every 12 hours until seeing the dermatologist. If noted head tilt, circling walking, nausea, decreased appetite, please stop this medication and contact us.

Dispensed Location: In-House

Surolan Drops 15ml DISP

Amount Disp. Date
1.00 btl 26-Sep-2024

This is an ear medication. Instill 5-6 drop of solution to BOTH ears every 12 hours for 7 days. Shake well before use.

Dispensed Location: In-House

Otomax 7.5g DISP

Amount Disp. Date
1.00 tube 20-Sep-2024

This is an ear medication. Install 5-6 drops into the RIGHT ear every 12 hours for 2 days, install 5-6 drops into the LEFT ear every 12 hours for 5 days then recheck.

Dispensed Location: In-House

Chlorhexidine Solution (gen) 4%/mL DISP

Amount Disp. Date
30.00 mL 12-Sep-2024

This is an anti-bacterial shampoo. Use wet gauze and put couple drops of the shampoo on the gauze, gently rub the gauze to create foam, wipe the left hind limb lesion with the gauze and leave the foam on for 5-10 minutes, use another wet gauze to gently wipe off the foam, dry the skin well with dry towel or gauze. Clean the irritated paws once daily as needed.

Dispensed Location: In-House

*Trazodone 100mg Tablet

Amount Disp. Date
4.00 21-Jul-2019

02147645 - Please give 1/2 tablet orally the night before his procedure. Please give whole tablet 2 hours prior to coming in for dental.

Dispensed Location: Data Migration

Voltaren Optha 0.1% 5ml

Amount Disp. Date
1.00 03-Sep-2022

DIN01940414 - Administer 1 drop into BOTH eyes every 12 hours for 7 days. Recheck if no improvement.

Dispensed Location: Data Migration

Tobrex Ophthalmic 0.3% Solution 5ml

Amount Disp. Date
1.00 07-Sep-2022

DIN 00513962 - Administer 1-2 drops into BOTH eyes every 6-12 hours for 7 days.

Dispensed Location: Data Migration

Tobrex Ophthalmic 0.3% Solution 5ml

Amount Disp. Date
1.00 27-Aug-2022

DIN 00513962 - Administer 1-2 drops into BOTH eyes every 6-12 hours for 7 days. Recheck in 1 week.

Dispensed Location: Data Migration

Rheumocam 1.5mg/ml Oral

Amount Disp. Date
3.00 07-Mar-2024

02389932 - Give 1 syringe (0.55mls) by mouth once daily (every 24hrs) with food for 7 days. Discontinue immediately if GI upset occurs. Next dose due TOMORROW (March 7, 2024) @ 11am.

Dispensed Location: Data Migration

Rheumocam 1.5mg/ml Oral

Amount Disp. Date
2.00 27-Aug-2022

02389932 - Give 1 syringe (0.5mls) by mouth every 24 hours for 4 days. GIVE WITH FOOD. Discontinue immediately if GI upset occurs.

Dispensed Location: Data Migration

Rheumocam 1.5mg/ml Oral

Amount Disp. Date
2.00 01-Jun-2022

02389932 - Give 1 syringe (0.5mls) by mouth once daily (every 24hrs) with food for 4 days. Discontinue immediately if GI upset occurs. Next dose due tomorrow at 8am.

Dispensed Location: Data Migration

Rheumocam 1.5mg/ml Oral

Amount Disp. Date
4.00 30-Mar-2021

02389932 - Give 1 syringe (_0.6__mls) by mouth once daily (every 24hrs) with food for 7 days. Discontinue immediately if GI upset occurs.

Dispensed Location: Data Migration

Rheumocam 1.5mg/ml Oral

Amount Disp. Date
1.00 31-Jul-2019

02389932 - Give 0.6 mls orally with food once daily for 5 days. START TOMORROW AFTER 3 PM

Dispensed Location: Data Migration

Prednisone - Apo 5mg Tablets

Amount Disp. Date
5.00 08-Feb-2024

DIN 00312770 - Please give 1 tablet orally once daily (every 24 hours) for the next 5 days. Please allow fresh water access at all times.

Dispensed Location: Data Migration

Prednisone - Apo 5mg Tablets

Amount Disp. Date
10.00 07-Nov-2021

DIN 00312770 - Please give 1 tablet by mouth every 24 hours (once daily) for 7 days. Then give 1/2 of a tablet by mouth every 24 hours (once daily) until finished.

Dispensed Location: Data Migration

Easotic Canine Otic Suspension 10ml

Amount Disp. Date
10.00 29-Jul-2021

DIN 02424576 - Please apply 1 pump deep into right ear once daily for 4 days. First dose administered in hospital. Shake well before use and massage ear canal after application.

Dispensed Location: Data Migration

Mometamax Otic Suspension per ml

Amount Disp. Date
2.00 29-Dec-2019

02344688 - Instill 0.2 mls into each ear ONCE daily for 7 days. Recheck ears 8-9 days.

Dispensed Location: Data Migration

Mometamax Otic Suspension per ml

Amount Disp. Date
2.00 25-Aug-2019

02344688 - Instill 0.2 mls into each ear ONCE daily for 7 days.

Dispensed Location: Data Migration

Otomax Ointment

Amount Disp. Date
3.00 04-Apr-2021

00817112 - Instill 0.2 ml into each ear twice daily for 3 more days (to finish course)

Dispensed Location: Data Migration

Otomax Ointment

Amount Disp. Date
3.00 30-Mar-2021

00817112 - Instill 0.2 mls into each ear twice daily for 7 days.

Dispensed Location: Data Migration

Optixcare Eye Lube Plus Hyaluron 20g Purple

Amount Disp. Date
1.00 31-Jul-2019

Instill one drop into both eyes twice to three times daily.

Dispensed Location: Data Migration

Gabapentin Apo 100mg capsule

Amount Disp. Date
28.00 15-Feb-2024

02244304 - Please give 1 capsule orally twice daily (every 12 hours) for the next 14 days. This is a pain and calming medication.

Dispensed Location: Data Migration

Gabapentin 50mg Capsule

Amount Disp. Date
10.00 02-Aug-2019

Summit Compounded Drug Rx #5279784 - Give one capsule orally twice daily for 5 days.

Dispensed Location: Data Migration

Baytril 50mg Tablet

Amount Disp. Date
8.00 31-Jul-2019

DIN 02239525 - Give one tablet orally once daily for 8 days

Dispensed Location: Data Migration

Apoquel 16mg Tablet

Amount Disp. Date
30.00 07-Sep-2022

02427907 - Give 1/4 tablet by mouth every 24 hours.

Dispensed Location: Data Migration

Apoquel 16mg Tablet

Amount Disp. Date
45.00 08-Jul-2023

02427907 - Give 1/4 of a tablet once per day ongoing

Dispensed Location: Data Migration

Apoquel 16mg Tablet

Amount Disp. Date
30.00 07-May-2022

02427907 - Give 1/4 tablet by mouth every 24 hours to control itch.

Dispensed Location: Data Migration

Apoquel 16mg Tablet

Amount Disp. Date
45.00 02-Jun-2023

02427907 - Give 1/4 (one quarter) of a tablet by mouth once per day, ongoing.

Dispensed Location: Data Migration

Apoquel 16mg Tablet

Amount Disp. Date
90.00 05-Dec-2022

02427907 - Give orally 1/4 tab every 24 hours (once daily) ongoing for itch control.

Dispensed Location: Data Migration

Apoquel 16mg Tablet

Amount Disp. Date
20.00 02-Apr-2022

02427907 - Give 1/4 of a tablet by mouth every 12 hours (twice daily) for 10 days, then every 24 hours (once daily) ongoing. This is an anti-inflammatory and anti-itch medication for his skin.

Dispensed Location: Data Migration

MalAcetic Otic Cleanser 118ml

Amount Disp. Date
1.00 07-Jan-2020

02261464 - Instill small amount into both ears to clean twice weekly

Dispensed Location: Data Migration

Advantage Multi 1 dose Canine 20 1.0ml Teal 4.6-9k

Amount Disp. Date
1.00 04-Jun-2022

DIN 02263548 - Apply entire contents of one tube to skin on back of neck once every 30 days.

Dispensed Location: Data Migration

Medical History

Pages 4–170 (newest first)

Outpatient visit (28-Jun-2026 to 28-Jun-2026)

Appointment Type: Sick Provider: Dr. Sophie Kaufmanis Sex / age / weight: Male - Neutered / 15y 5m / 6.7 kg (28-Jun-2026)

Concerns

Active

28-Jun-2026 14:56 - Exam (Dr. Sophie Kaufmanis)

VITALS

Temp (C) HR (/min) RR (/min) SBP (mmHg) CRT (s) MM color Pain ([0-4]) BCS (/9) Wt (kg)
37.8 - ear 120 18 - eup -- < 2 Pink 1 5 6.7

PATIENT HISTORY

Presenting concerns: Anorexia - Hyporexia started 5 days after starting furosemide earlier this month, per o. Slowly

progressing since and now not interested in eating anything at all. Has not eaten in 48 hours. Energy is normal, urination and drinking are normal. BMs are soft and a bit runny, dark brown in colour. He has increased urgency and is defecating inappropriately indoors now. No diet change or dietary indiscretion that o is aware of. Not had any medication in almost 72 hours because o isn't able to get him to eat anything. Difficult to pill, liquid a bit easier. Supposed to be hydrocodone right now for tracheomalacia. Is supposed to be tapering then stopping furosemide and pimobendan. Also supposed to be on prozac daily. Per cardio report from last week, MMVD and TVD are mild and not affecting function, so furosemide and pimobendan are unlikely needed. CBC/CHEM checked 3 weeks ago prior to starting furosemide had very mild increase BUN. Rechecked last week and moderate increase BUN + CREA. This was on the furosemide.; Lumps - 2 lumps noted on ventral chest after ultrasound. Unsure if always been there and just noticeable now that he's shaved, or if new.

EXAM FINDINGS

General findings Dehydration - Tacky mm Whole body Attitude Aggressive - Will intermittently try to bite. Did PE and txs in tx area away from o. O put on brachycephalic muzzle for us, which worked well. Nose No discharge - Bilaterally. Head Cornea Corneal vascularization - Corneal grafts OU Eyes Conjunctiva Erythema - Mild, OU General findings Not able to examine - Had o show me gums - pink, tacky mm. Mouth Heart Murmur - Grade 3, left sided and G3 RHS heard also, pulses S+S Thorax Abdominal palpation No organomegaly; No pain on palpation; No palpable mass Abdomen Skin Pyoderma - Along dorsum crusting, epidermal collarettes. IH cytology Integument showed avg 1 cocci/HPF; Lumps - 2 lumps ventral chest. #1 - just right of midline. about 3cm diameter, 1cm elevation, soft, SQ, feels subjectively like fluid or lipoma or similar. Aspirated 2 x with 23 g needle - small amount of clear fluid, some blood tinged. #2 - just left of midline about 2cm diameter. SQ, feels like fibrous thickening or an empty cyst or something. Aspirated 1x with 23 g needle

ASSESSMENTS

Lumps Lumps as described. Hyporexia x 3 weeks, anorexia x 48 hours - ddx GI upset from furosemide, infectious, renal disease, pancreatitis, other metabolic TVD and MMVD B1, no meds currently indicated KCS ongoing management Atopic dermatitis and currently pyoderma

PLANS

Lumps LUMPS:

28-Jun-2026 - Order items

Outpatient visit (06-Jun-2026 to 06-Jun-2026)

Appointment Type: Urgent Provider: Dr. Livi Boxall Sex / age / weight: Male - Neutered / 15y 4m / 7.8 kg (06-Jun-2026)

Concerns

Active

Inactive

06-Jun-2026 11:22 - Exam (Dr. Livi Boxall)

VITALS

Temp (C) HR (/min) RR (/min) SBP (mmHg) CRT (s) MM color Pain ([0-4]) BCS (/9) Wt (kg)
37.0 - aural 140 24 -- < 2 Pink 0 5 7.8

PATIENT HISTORY

Presenting concerns: Coughing - Presenting Concerns:

Bento presented for a recheck of a cough that has significantly worsened over the past week. The cough is more frequent, occurs for longer durations of up to 10 minutes, and happens at night and during the day, often when lying down. The owner also requested due vaccines and an annual tear test. Historical Conditions:

Diagnosed with a heart condition in January and has been on medication. History of eye surgery in 2022. History of jaw surgery in 2024. History of recurrent ear infections involving yeast and bacteria. History of dry skin. V/D/C/S:

Coughing has increased in frequency and duration this week. Episodes last up to 10 minutes and occur during the day and night. The cough sounds "softer but longer" and he has to stand up to resolve the episode. No vomiting or diarrhea reported. Skin/Coat:

The owner reports a history of dry skin along the spine and considers him a "yeasty dog". Current Medications:

Pimobendan Daily eye drops Received Gabapentin and Trazodone prior to today's visit for anxiety. Lifestyle/Risk Factors:

Energy level is normally low. Does not interact with other dogs. Additional Information:

A cardiology referral appointment is scheduled for the end of July.

EXAM FINDINGS

Whole body Mentation Anxious Eyes Cornea Corneal vascularization - Corneal grafts OU External ear canal Debris; Hair accumulation Ears General findings MMs pink and moist Mouth Heart Murmur - Grade 3, left sided and G3 RHS heard also, pulses S+S Thorax All lung fields Normal bronchovesicular sounds - All four quadrants Abdominal palpation No organomegaly; No pain on palpation; No palpable mass Abdomen Attitude Cautious - Does not like face examined, especially oral cavity, but did Behavioral quite well overall with gabapentin and trazodone on board today along with his ongoing fluoxetine Integument Skin Dandruff - Dry skin throughout body trunk, most concentrated on dorsum; Mass - Soft, moveable, SQ mass, non painful, approx 1cm in diameter Peripheral lymph Normal - LNs symmetrical and non-enlarged Lymphatic system nodes

PLANS

Coughing, Heart murmur, Otitis, Keratoconjunctivitis sicca, Myxomatous degeneration of mitral valve, Wellness/Preventive care

Point-of-care thoracic ultrasound: No significant pleural or pericardial effusion noted. Progressive Cough, likely secondary to Congestive Heart Failure Assessment: The worsening cough, auscultation of a bilateral heart murmur, and positive tracheal sensitivity are highly

suspicious for progression of his underlying heart disease, likely to congestive heart failure. The cough may be due to pulmonary edema or bronchial compression from left atrial enlargement. DDx: Congestive heart failure, chronic bronchitis, collapsing trachea, infectious tracheobronchitis. Plan:

Started furosemide to manage potential pulmonary edema. Discussed risks including impact on kidney function and electrolytes. Collected baseline bloodwork today to assess kidney and electrolyte values prior to starting diuretic therapy. The cost for this is $200. Provided a urine collection kit for a first-morning sample to be returned for urinalysis. Continue Pimobendan as prescribed. Continue to monitor resting R at home. Proceed with cardiology referral. The clinic has requested an expedited appointment. Keratoconjunctivitis Sicca (KCS) Assessment: The Schirmer tear test value in the OD is borderline low (13 mm/min). This is not clinically alarming, particularly

as the daily eye medication was missed today. DDx: Immune-mediated KCS, neurogenic KCS, iatrogenic. Plan:

Continue current eye drop medication as directed. Recommended rechecking tear production in 1-2 months. Chronic Otitis Externa Assessment: Patient has a history of recurrent yeast otitis. Examination today revealed mild waxy debris and a yeasty odour without significant inflammation. DDx: Allergic skin disease (atopy, food allergy), conformational abnormalities, primary secretory otitis media. Plan:

Performed an in-clinic ear cleaning and plucked hair from the AD canal. No medicated drops dispensed at this time. Advised owner to monitor for increased itching or redness. Preventive Care Assessment: Patient was due for routine vaccinations.

Plan:

Administered Lepto sc scruff and Bordetella IN vaccines. Discussed the small risk of transient coughing from the Bordetella vaccine, and the owner consented to proceed. Dispensed 4 tablets of gabapentin 100 mg for future pre-visit sedation.

06-Jun-2026 11:23 - Progress note (VT Amy M.)

ASSESSMENTS

Blood Collection Blood collected for Baseline to TNVD. 1 holder on tx table with pt wearing own brachy muzzle. UL attempted L saphenous and L cephalic and AM jugular unsuccessfully - veins hard to find. Collected 3ml from R cephalic with 23g butterfly. Bandage applied and removed before returning to O. Was a little vocal for jugular poke but otherwise very good today. 06-Jun-2026 2:03 PM (VT Amy M.)

06-Jun-2026 11:57 - Schirmer Tear Test STT (Dr. Livi Boxall)

Source: In-house Diagnostics | Order item: Schirmer Tear Test STT [41.13] Sample collected: 11:56 06-Jun-2026 | Submitted: 06-Jun-2026 | Reported: 06-Jun-2026

Test Results Ref. range Unit Time/date OD 13 mm OS 17 mm

06-Jun-2026 - Order items

Communication logs

Source From To Created by/date CSR Maria Z./22-Jun-2026 22-Jun-2026 Email Faria, Leonardo CSR Maria Z. 09:15 MRE req - Cardio Hello, We have Leonardo Faria with "Bento" booked for a cardiology consultation this Wednesday. Could you please send us: Updated medical records from March 11, 2026 to present Echocardiogram Report form March 2024 Thank you so much! Cardiology Service 22-Jun-2026 9:15 AM (CSR Maria Z.)

Outpatient visit (20-Jan-2026 to 21-Jan-2026)

Appointment Type: Phone Consult Provider: Dr. Danica Watson Sex / age / weight: Male - Neutered / 15y / 7.8 kg (06-Jun-2026)

Concerns

Active

20-Jan-2026 - Order items

Outpatient visit (06-Jan-2026 to 06-Jan-2026)

Appointment Type: Online: Wellness Provider: Dr. Danica Watson Sex / age / weight: Male - Neutered / 14y 11m / 7.5 kg (06-Jan-2026)

Concerns

Active

06-Jan-2026 16:28 - Exam (Dr. Danica Watson)

VITALS

Temp (C) HR (/min) RR (/min) SBP (mmHg) CRT (s) MM color Pain ([0-4]) BCS (/9) Wt (kg)
-- 132 eup -- -- Pink 0 5 7.5

PATIENT HISTORY

Presenting concerns: Wellness exam - Bento presented for examination for a few health concerns that owners were

wanting to discuss:

EXAM FINDINGS

Whole body Attitude Alert; Bright; Cautious - Does not like face examined, especially oral cavity, but did quite well overall with gabapentin and trazodone on board today along with his ongoing fluoxetine Hydration Normal hydration Nose No discharge Head Cornea Corneal vascularization - Corneal grafts OU Eyes Conjunctiva No erythema - OU; No discharge - OU Sclera Normal OU Eyelids No significant findings (No significant abnormalities) External ear canal Debris - AU; Hair accumulation - AU; Stenosis - AU Ears Tympanic membrane Not visible - Unable to examine Teeth Calculus index 2 - On brief oral examination Mouth Gingiva Gingivitis index 2 - On brief oral examination Dental occlusion bite Class three malocclusion Heart Murmur - Grade 3, left sided Thorax All lung fields Normal bronchovesicular sounds - All four quadrants. Abdominal palpation Palpation non-diagnostic, tense patient Abdomen Skin Dandruff - Dry skin throughout body trunk, most concentrated on Integument dorsum; Pigmentation of normal variation - Along dorsum, multifocal Muscle condition Mild muscle loss - Pelvic limbs Musculoskeletal score Gait Stiff - Mild stiffness in pelvic limbs noted

ASSESSMENTS

Wellness/Preventive care, Keratoconjunctivitis sicca, Otitis, Heart murmur, Coughing, Yelping intermittently, Dry skin, Periodontal disease KCS appearing well managed with tacrolimus, no ocular irritation or discharge noted on distance exam today. Ear swab cytology shows 4+ yeast AD, 2+ yeast AS - bilateral otitis externa. Dry skin and dandruff noted along dorsum, some pigmentary changes to skin - old age vs skin barrier irritation? No pruritus or underlying inflammation/infection noted. Grade 3 heart murmur, lung fields clear, no sensitivity on tracheal palpation; suspect progressing heart disease cause of cough owner is reporting, but cannot be certain without echocardiogram and CXR. Grade 2-3 periodontal disease, hard to fully assess given patient temperament.

PLANS

Wellness/Preventive care, Dry skin, Yelping intermittently, Coughing, Heart murmur, Otitis, Keratoconjunctivitis sicca, Periodontal disease

Discussed problem list as above:

06-Jan-2026 - Order items

Outpatient visit (24-May-2025 to 24-May-2025)

Appointment Type: Sick / Medical Appointment Provider: Dr. Danica Watson Sex / age / weight: Male - Neutered / 14y 4m / 7.6 kg

(24-May-2025)

Concerns

Active

24-May-2025 11:28 - Exam (Dr. Danica Watson)

VITALS

Temp (C) HR (/min) RR (/min) SBP (mmHg) CRT (s) MM color Pain ([0-4]) BCS (/9) Wt (kg)
-- 124 eup -- -- Pink 0 5 7.6

PATIENT HISTORY

Presenting concerns: Wellness exam - Bento presented for AHE and vaccines, though also thinks he has another ear

infection and is also wanting to check tear production today after being on tacrolimus eye medication consistently for the past while. Hx of broken mandible due to dental disease and was fixed at WCVDS last year, doing well. At the time of dental procedure, noted intermittent heart murmur. Owner has not noticed any progression in coughing or exercise intolerance. Eating and drinking normally. Starting to slow down due to age, but nothing of concern. Gave gabapentin and trazodone dose prior to appt today. Activity and exercise history Normal energy level Appetite history Normal appetite Defecation history Stools normal and formed Urinary history Normal urination - No change in volume Water consumption Normal water consumption Diet history Hypoallergenic Respiratory history No coughing/sneezing Medication history Prescription medications - Tacrolimus Digestive No vomiting/regurgitation

EXAM FINDINGS

Attitude Alert; Aggressive - Mostly when examining around face, owners bring Whole body special muzzle which helps to facilitate exam other than oral cavity Nose No discharge Head Cornea Corneal vascularization - Corneal grafts OU Eyes Conjunctiva Erythema - Mild, OU External ear canal Debris - AD > AS; Erythema - AD > AS; Stenosis - AD Ears Mouth General findings Not able to examine Thorax Heart Murmur - Grade 2, left sided Abdomen Abdominal palpation Palpation non-diagnostic, tense patient Integument Skin Mass - Soft, moveable, SQ mass, non painful, approx 1cm in diameter Lymphatic system Peripheral lymph No lymphadenopathy nodes Musculoskeletal Gait Normal gait

ASSESSMENTS

Wellness/Preventive care, Keratoconjunctivitis sicca, Otitis, Myxomatous degeneration of mitral valve, Heart murmur Grade 2 heart murmur, has not seemed to overly progress since cardiac workup last year. Unable to assess oral cavity due to biting risk and muzzle. Tear production adequate in both eyes based on STT. Malassezia otitis infection of the R ear, L ear NSF.

PLANS

Wellness/Preventive care Administered lepto (scruff SQ), IN bord, and rabies (RH SQ). Discussed potential vaccine reaction symptoms and what to watch for at home. Relayed STT results, tacrolimus seems to be working well so continue on current dose, will look into ordering in tacrolimus gel so owner can pick up here rather than having to go to VAERC. Discussed ear cytology results, will dispense eas-otic for the R ear. Owner wondering if he can change diet since has been on strict hypoallergenic diet since October and still getting seasonal ear infections so told him it would be ok to try switching and see if any additional or worsened symptoms appear. Discussed heart murmur and symptoms to watch for that may signal progression of cardiac disease.

24-May-2025 12:19 - Schirmer Tear Test STT (Dr. Danica Watson)

Source: In-house Diagnostics | Order item: Schirmer Tear Test STT [41.13] Sample collected: 12:18 24-May-2025 | Submitted: 24-May-2025 | Reported: 24-May-2025

Test Results Ref. range Unit Time/date OD 16 mm at 1 min mark OS 15 mm over 15mm by 30 sec mark 24-May-2025 Cytology Ear IHLAB Dr. Danica Watson 12:23 Source: In-house Diagnostics | Order item: Cytology Ear IHLAB [101.160] Sample collected: 12:18 24-May-2025 | Submitted: 24-May-2025 | Reported: 24-May-2025

Test Results Ref. range Unit Time/date Sample description Ear swabs. Microscopic findings 3+ yeast AD, NSF AS. Comment Malassezia infection AD.

24-May-2025 - Order items

Outpatient visit (26-Sep-2024 to 26-Sep-2024)

Appointment Type: Recheck - Unwell Provider: Dr. Chiaming Chen Sex / age / weight: Male - Neutered / 13y 8m / 7.8 kg (26-Sep-2024)

Concerns

Active

26-Sep-2024 14:44 - Exam (Dr. Chiaming Chen)

VITALS

Temp (C) HR (/min) RR (/min) SBP (mmHg) CRT (s) MM color Pain ([0-4]) BCS (/9) Wt (kg)
-- -- -- -- -- -- -- -- 7.8

EXAM FINDINGS

External ear canal Hair accumulation - With light brown debris in left ear (noted slightly Ears thicken wall, "cobble stone appearance", signs of chronic inflammation), right ear didn't have much hair and wall was smooth. Both ear seemed slightly improved (?), not as erythematous

ASSESSMENTS

Otitis Suspecting developing resistance, AU the same

PLANS

Otitis Dx:

  1. cytology: AS: cocci 2-3+ AD: yeast 0-1+
  2. culture: AS, TNVD, pending Med:
  3. Surolan: AU BID until culture result available

26-Sep-2024 - Order items

  1. Exp: 31-Jan-2026.

Test Results Ref. range Unit Time/date Sample description Light brown swab from both ears Microscopic findings AS: 3+ cocci AD: 0-1+ yeast Comment AS: bacterial otitis AD: yeast otitis 01-Oct-2024 Routine Culture and Sensitivity TN216 TNVD Dr. Chiaming Chen 12:16 Source: OS Lab Diagnostics | Order item: Routine Culture and Sensitivity TN216 TNVD [121.679] Sample collected: 15:09 26-Sep-2024 | Submitted: 26-Sep-2024 | Reported: 01-Oct-2024

Test Results Ref. range Unit Time/date Results Rcvd: 26-Sep-2024 10:36 pm Rptd: Yaletown Pet Hospital labs@yaletownpethospital.com Fax: 893 Expo Boulevard Vancouver, BC V6B 1C4 2501 604-682-7389 29-Sep-2024 4:38 pm Phone: 1604-682-7395 Email: BENTO FARIA 13Y 8M Sex: M Species: Shih-Tzu Accession: L240926398 Vet: Final Test Results Ref. range Unit Time/date NO COMMENTS. Patient: Age: Canine Dr Chiaming Chen Hosp. ID#: Test Normal Out of Range Units Reference Range Neutered: Y Tests Ordered: Routine Culture 320-6325 204th Street Langley, BC V2Y 3B3 Tel: 604-539-5550 1-877-539-5550 Fax: 1-888-336-9408 Website: www.tnvd.ca Email:labinfo@truenorthvet.ca NGTUYFONQ9WT9SEDGG4U Microbiology 1 Source EAR, LEFT Gram stain Gram stain reveals gram positive cocci Organism Staphylococcus haemolyticus Quantity Light growth present Enrofloxacin Resistant Gentamicin Resistant Neomycin Resistant Polymyxin B Resistant Tobramycin Resistant Ciprofloxacin Resistant Florfenicol Sensitive Fusidic Acid Sensitive When minimum inhibitory concentration (MIC) is reported it is expressed in ug/ml Comments: Dr. Rina Nabeta Page 1 of 1 This report/result(s) relates only to the sample(s) as received and tested. This report is intended for the stated recipient(s). This report shall not be reproduced except in full without approval of the laboratory or intended recipient(s) to ensure that parts of a report are not taken out of context.

Outpatient visit (20-Sep-2024 to 20-Sep-2024)

Appointment Type: Recheck - Unwell Provider: Dr. Chiaming Chen Sex / age / weight: Male - Neutered / 13y 8m / 7.8 kg (26-Sep-2024)

Concerns

Active

20-Sep-2024 15:53 - Exam (Dr. Chiaming Chen)

PATIENT HISTORY

Presenting concerns: Ear infection recheck - Still scratching at ears, also started licking penis more often now(?).

Otherwise no concerns. Medication history Prescription medications - 1. tacrolimus 2. apoquel 3. prozac 4. Otomax AU BID

EXAM FINDINGS

Ears External ear canal Hair accumulation - With light brown debris in left ear (noted slightly thicken wall, "cobble stone appearance", signs of chronic inflammation), right ear didn't have much hair and wall was smooth Tympanic membrane Not visible - AU General findings Anxious - Muzzled by o, screaming when doing otoscope exam and Behavioral getting ear cytology, bit me when restraining for o to put muzzle on. Penis Discharge - Smegma noted at prepuce but no obvious inflammation Urinary (erythema) noted around the area, not swollen either

ASSESSMENTS

Otitis Slightly improved that yeast decreased in AU Licking penis Prepuce infection vs UTI vs others

PLANS

Licking penis, Otitis Dx:

  1. cytology: AS: 2-3+ cocci, potentially only 1 yeast on the whole screening AD: 0-1+ yeast Tx: clean opening of prepuce with 4% chlorhexidine and gently flush diluted betadine into prepuce with 22G IV catheter couple times, no obvious discharge, only small amount of smegma Meds:
  2. Otomax: AS BID until recheck, AD BID for 2d--->the next day, I called the o to change instruction to AU BID until recheck as I would like to clear the yeast in right ear as much as possible
  3. EpiOtic ear wash (o has it at home): clean AU EOD (focus on AS if p not tolerating) Recheck in 5-7d 20-Sep-2024 Cytology Ear Recheck IHLAB Dr. Chiaming Chen 16:50 Source: In-house Diagnostics | Order item: Cytology Ear Recheck IHLAB [101.161] Sample collected: 16:42 20-Sep-2024 | Submitted: 20-Sep-2024 | Reported: 20-Sep-2024

Test Results Ref. range Unit Time/date Sample description Light brown debris from both ears Microscopic findings AS: 2-3+ cocci, potentially only 1 yeast on the whole screening AD: 0-1+ yeast Comment Otitis (AS bacterial, AD yeast)

20-Sep-2024 - Order items

Outpatient visit (12-Sep-2024 to 12-Sep-2024)

Appointment Type: Online: Sick Pet or Hurt Provider: Dr. Chiaming Chen Sex / age / weight: Male - Neutered / 13y 7m / 7.9 kg

(12-Sep-2024)

Concerns

Active

12-Sep-2024 15:05 - Exam (Dr. Chiaming Chen)

VITALS

Temp (C) HR (/min) RR (/min) SBP (mmHg) CRT (s) MM color Pain ([0-4]) BCS (/9) Wt (kg)
-- 140 panting -- unable to Pink 0 5 7.9

get

PATIENT HISTORY

Presenting concerns: Ear infection - A week ago, scratch, more on the right ear (but likely both). O would like the

paws to be evaluated because previously when ear infection flares up, he will also have paw irritation as well though now he was not chewing on his paws. Otherwise E/D well, no V/D. Diet history Diet specify food - Go lamb; Treats specify - Go treats Medication history Prescription medications - 1. tacrolimus 2. apoquel 3. prozac; Flea and tick combined preventative - Not on any

EXAM FINDINGS

Whole body General findings Body condition score - 5.5/9 Eyes General findings No significant findings (No significant abnormalities) - Menace present, clear cornea, conjunctiva/sclera WNL, pupil symmetrical. Cornea Corneal vascularization - Corneal grafts OU Vision Visual impairment Ears Tympanic membrane Not visible - AU External ear canal Hair accumulation - With light brown debris in left ear (noted slightly thicken wall, signs of chronic inflammation), not able to look into right ear Pinna Normal General findings Not able to examine Mouth All lung fields Normal bronchovesicular sounds - All four quadrants. Thorax General findings Normal gait Thoracic limbs Thoracic limb paw Erythema - Interdigital skin of both front paws (not bothering him now) Abdominal palpation No organomegaly; No pain on palpation; No palpable mass Abdomen General findings Normal gait Pelvic limbs General findings No significant findings (No significant abnormalities) Tail General findings Anxious - Muzzled by the owners (muzzle was slightly loose that he can Behavioral takes off anytime), not able to look at his eyes closely or look into his teeth (will bite). Was able to do otoscope in the left ear (not able to do in the right ear), ear cytology, ear cleaning with owner (with muzzle on). Very food motivated, o prepared treats to distract him. Heart Murmur - Grade II systolic (echo done this year prior to his dental at Cardiovascular West Coast) Anus clean appearance Digestive Skin No ectoparasites appreciated; No pruritus Integument Hair coat Healthy hair coat Peripheral lymph No lymphadenopathy Lymphatic system nodes General findings No significant findings (No significant abnormalities) Musculoskeletal General findings No significant findings (No significant abnormalities) - Normal gait and Nervous system no obvious CN deficit, full neurologic exam not performed

ASSESSMENTS

Otitis Recurrent AS: yeast 2-3+ AD: yeast 4+ and 2-3+ cocci Myxomatous degeneration of mitral valve Stage B1, based on echo this year in March 2024. No meds needed now. Anxiety On prozac Keratoconjunctivitis sicca On tacrolimus Pruritus Ear, paws flare up periodically food vs flea vs environment on Apoquel (o felt not helping a lot?) Mandibular jaw fracture Jaw fracture repair and extractions at WCVDS this year

PLANS

Pruritus, Otitis Dx:

  1. ear cytology: AS: 3+ yeast AD: 4+ yeast, 2-3+ cocci
  2. paw cytology: not very cellular sample, not charged, both paws saw epithelial cells only Tx:
  3. cleaning both ears with EpiOtic Med:
  4. Otomax: 4 drops AU BID for 7d
  5. Chlorhexidine 4%: clean front paws IF he gets irritated

Test Results Ref. range Unit Time/date Sample description Light brown debris from both ears Microscopic findings AS: 4+ yeast, 2+ cocci AD: 2+ yeast, no cocci Comment Otitis AS: mixed AD: yeast

12-Sep-2024 - Order items

Outpatient visit (16-Jul-2024 to 16-Jul-2024)

Appointment Type: Online: Wellness Provider: Dr. Karley Little Sex / age / weight: Male - Neutered / 13y 5m / 8 kg (16-Jul-2024)

Concerns

Active

16-Jul-2024 15:16 - Exam (Dr. Karley Little)

PATIENT HISTORY

Presenting concerns: Wellness exam - - Check ears - twice a year has ear infection

EXAM FINDINGS

Mentation Anxious - Did well in exam room muzzled by O for exam/treatments Whole body Hydration Hydration normal - Normal skin turgor and moist mucous membranes. Attitude Bright, Alert & Responsive Nose No discharge - Bilaterally. Head Cornea Corneal vascularization - Corneal grafts OU Eyes Sclera Scleral injection - Hx of KCS Vision Visual impairment External ear canal Hair accumulation - M1 debris - wiped with ear cleaner, demo'd to O - Ears no obvious infection - no erythema, odor Pinna Normal Teeth No calculus - Hx of recent jaw fracture repair and extractions at WCVDS Mouth Heart Murmur - Gr II murmur - has been worked up prior to dental in Langley Thorax All lung fields Normal bronchovesicular sounds - All four quadrants. Abdominal palpation No organomegaly; No pain on palpation; No palpable mass Abdomen Hair coat Healthy hair coat Integument Skin No ectoparasites; No pruritus Peripheral lymph No lymphadenopathy Lymphatic system nodes Ambulation Normal gait - All four limbs Musculoskeletal Brief neurologic Normal - No gross neurologic abnormalities noted, a complete Nervous system assessment neurologic exam was not performed. Pain assessment 0/9 no pain appreciated External genitalia Normal Reproductive Respiratory effort Eupnea Respiratory

ASSESSMENTS

Wellness/Preventive care Healthy to vx Keratoconjunctivitis sicca Hx KCS and is under the care of Dr Pearce at VAER Heart murmur, grade 2 of 6 Gr II LS HM

PLANS

Wellness/Preventive care L4 SQ scruff BB IN O muzzled and held in exam room - did well. KL Keratoconjunctivitis sicca Going to follow up with Ophtho next week for STT, etc. Continue meds in meantime. KL Heart murmur, grade 2 of 6 Recent work up at Langley. KL

16-Jul-2024 - Order items

Non-visit note

Provider: Deb Archeck, DVM Sex / age / weight: Male - Neutered / 13y 3m / 8 kg (16-Jul-2024)

Concerns

Active

13-May-2024 00:00 - Progress note (Deb Archeck, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Assisted by: Datamigrationact

General findings Diagnosis 2024-05-13 12:00:00 AM - Migrated Diagnosis Date: 2022-06-01 12:00:00 AM Resource: Myers, DVM, Gavin Diagnosis: Dental Summary Tartar: heavy throughout Gingivitis: grade 2/4 Extractions: 105,106,107 MIssing: 210,110,411,311,306,403,402,401,301 Notes:103,203,302,305 all retained root fragments. Undergoing process of ankylosis did not attempt to extract Date: 2022-05-28 12:00:00 AM Resource: Kaufmanis, DVM, Sophie Diagnosis: Umbilical Hernia 5mm defect in abd wall. about 12mm diameter fat accumulation herniating through. Easily reducible. Never been noted before on any PE by DVM, and o never noticed it before. Date: 2022-05-28 12:00:00 AM Resource: Kaufmanis, DVM, Sophie Diagnosis: Diet Recommendation Date: 2019-07-31 12:00:00 AM Resource: Archeck, DVM, Deb Diagnosis: Dental Summary Tartar: Gingivitis: Extractions: MIssing: Notes: Date: 2019-07-31 12:00:00 AM Resource: Archeck, DVM, Deb Diagnosis: Keratoconjunctivitis Date: 2019-07-31 12:00:00 AM Resource: Archeck, DVM, Deb Diagnosis: Otitis Externa Bacterial

Non-visit note

Provider: Natassa Uehara Sex / age / weight: Male - Neutered / 13y 3m / 8 kg (16-Jul-2024)

Concerns

Active

27-Apr-2024 17:00 - Progress note (Natassa Uehara)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-04-27 5:00:28 PM - Records Summary - Previous

clinic: records received from WCVDS - nu

Non-visit note

Provider: Tirza van Dijk Sex / age / weight: Male - Neutered / 13y 2m / 8 kg (16-Jul-2024)

Concerns

Active

12-Apr-2024 16:57 - Progress note (Tirza van Dijk)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-04-12 4:57:53 PM - Records Summary - Previous

clinic: Records from WCVDS attached -tvd

Non-visit note

Provider: Dr. Robert Spooner Sex / age / weight: Male - Neutered / 13y 2m / 8 kg (16-Jul-2024)

Concerns

Active

30-Mar-2024 12:41 - Progress note (Dr. Robert Spooner)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-30 12:41:02 PM - Prescription scripted out to

Pharmacy: Called Costco Ph'y Still Creek (604) 296-5109 for Fluoxetine 10mg tablets x 60 tabs 1 tab PO daily + 3 repeats Requested pharmacy call O when Rx ready

Non-visit note

Provider: Natassa Uehara Sex / age / weight: Male - Neutered / 13y 2m / 8 kg (16-Jul-2024)

Concerns

Active

30-Mar-2024 12:33 - Progress note (Natassa Uehara)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-30 12:33:14 PM - Rx Request:

Communication: O called, wants script to costco pharmacy still creek Last Exam Date: 2/08/24 Medication requested: fluoxetine Strength of medication: 10mg Dose they are administering: 1 tab PO SID Amount requested: 60 with 3 refills Amount remaining: 2 tabs How is pet doing?: well Flea Meds-Travel outside Lower Mainland?: Best number to call: 604-339-5302 2nd Medication Requested: 2nd Strength of Medication: 2nd Dose they are administering: 2nd Amount requested: 2nd Amount remaining: 3rd Medication Requested: 3rd Dose they are administering: 3rd Strength of Medication: 3rd Amount requested: 3rd Amount remaining:

Non-visit note

Provider: Natassa Uehara Sex / age / weight: Male - Neutered / 13y 2m / 8 kg (16-Jul-2024)

Concerns

Active

28-Mar-2024 12:01 - Progress note (Natassa Uehara)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-28 12:01:00 PM - Records Summary - Previous

Assisted by: Datamigrationact

clinic: records received from WCVDS attached - nu

Non-visit note

Provider: Natassa Uehara Sex / age / weight: Male - Neutered / 13y 2m / 8 kg (16-Jul-2024)

Concerns

Active

22-Mar-2024 19:08 - Progress note (Natassa Uehara)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-22 7:08:18 PM - Case Notes: echo report from Dr.

Brown attached - nu

echo report sent to WCVDS - nu

Non-visit note

Provider: Danica Watson, DVM Sex / age / weight: Male - Neutered / 13y 2m / 8 kg (16-Jul-2024)

Concerns

Active

20-Mar-2024 14:05 - Progress note (Danica Watson, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Assisted by: Datamigrationact

Migrated Notes — General findings: Medical Note 2024-03-20 2:05:21 PM - Case Notes: Echo referral sent to

Dr. Brown via website.

Non-visit note

Provider: Tetiana Sorokina Sex / age / weight: Male - Neutered / 13y 2m / 8 kg (16-Jul-2024)

Concerns

Active

19-Mar-2024 10:46 - Progress note (Tetiana Sorokina)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-19 10:46:22 AM - Client Communication: o texted

us: 'I am working with the West Coast Veterinary Dental services and they mentioned they need an Echocardiogram prior to their procedure. Is this something you could do at the clinic? If so, what would be the estimated cost for it? Thank you' - could we make a txp for him? or would we need another exam prior? >>>msgs-any - MP

So we won't be able to facilitate an echo for the foreseeable future. Either they can proceed with an echocardiogram through WCVDS (im pretty sure its Janet that goes there to do it), or we can make a referral to VAERC to see the cardiologist

TET spoke to Nick at WCVDS - checked with them if they can do echo at their practice as we won't be able to for a couple of months. They advised WCVDS is booking echos for May and this Pt would benefit from having dental done sooner than that. They also referred Pt to VAERC cardio but O has some cost concerns especially because Pt doesn't really need full cardio work up and just an echo. If O declines VAERC referral and we cannot accommodate echo sooner - will have to book it with WCVDS for May and stay on the cancelation list for April. - TET {10:46 AM}

STO - asked if wants to have a referral to Dr. Brown - O advised yes, will book for next week most probably --->>> DW - TET {2024-03-20, 1:49 PM}

Non-visit note

Provider: Natassa Uehara Sex / age / weight: Male - Neutered / 13y 1m / 8 kg (16-Jul-2024)

Concerns

Active

15-Mar-2024 18:21 - Progress note (Natassa Uehara)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-15 6:21:01 PM - Case Notes: Hello,

Are you able to send us the jpegs? We aren't able to attach them to the file this way. Thank you, Angela RAPS Animal Hospital

Hi Angela, We have recently changed out computer system and are having some issues accessing the JEPG versions of the rads. We will send them over as soon as we can. Sorry for the inconvenience. Warm wags, Nat

Hi Angela, Please see the attached zip file which contains the JPEGS for Bento. Let us know if you need anything else! Warm wags, Nat

Non-visit note

Provider: Jocelyn Desabrais Sex / age / weight: Male - Neutered / 13y 1m / 8 kg (16-Jul-2024)

Concerns

Active

14-Mar-2024 11:04 - Progress note (Jocelyn Desabrais)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-14 11:04:20 AM - Case Notes: Sent MR, labs, and

x-rays to RAPS AH -jdd Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-14 11:04:46 AM - Case Notes: Re-sent x-rays from

March 2024 (23 + 3 images) to WCVDS -jdd Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-14 2:07:16 PM - Client Communication: O texted:

So I took Bento to the clinic you recommended and their doctor said you sent the wrong x-ray to them. I really would like to talk to someone about

this - Hi Leonardo, We're sorry to hear there were some issues with the radiographs sent to West Coast Veterinary Dental Services. We received their report, thankfully it looks like Dr. Canton was able to review the dental radiographs successfully in the end. To be safe, we have re-sent all of Bento's x-rays from this year to them. Please let us know if you have any further questions or concerns about this. YPH Reception -jdd Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-14 2:16:21 PM - Records Summary - Previous

clinic: Consultation report from WCVDS -jdd

Non-visit note

Provider: RVT Tanzy Sayadi Sex / age / weight: Male - Neutered / 13y 1m / 8 kg (16-Jul-2024)

Concerns

Active

08-Mar-2024 09:12 - Progress note (RVT Tanzy Sayadi)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-08 9:12:52 AM - Client Communication: How is

patient doing post op? Called and LMOM as pt is apparently not eating or doing well. - TS

Non-visit note

Provider: Mallu Pimenta Sex / age / weight: Male - Neutered / 13y 1m / 8 kg (16-Jul-2024)

Concerns

Active

08-Mar-2024 07:52 - Progress note (Mallu Pimenta)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-08 7:52:18 AM - Client Communication: o texted:

'Could I please get a call before 8:15 or after 9:05? Bento didn't eat or drink water since I got him back. Yesterday later the day he had some dried cof as if he had some in his throat. Then in the last 8 hours he would cof for one or two minutes and stop every single hour.' - sent in msgs-any - mp

Non-visit note

Provider: Tirza van Dijk Sex / age / weight: Male - Neutered / 13y 1m / 8.4 Kg (07-Mar-2024)

Concerns

Active

07-Mar-2024 12:37 - Progress note (Tirza van Dijk)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-07 12:37:17 PM - Case Notes: Sent mres, xrays,

referral form and BW to WCVDS. - tvd

Non-visit note

Provider: Danica Watson, DVM Sex / age / weight: Male - Neutered / 13y 1m / 8.4 Kg (07-Mar-2024)

Concerns

Active

07-Mar-2024 11:27 - Progress note (Danica Watson, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-07 11:27:25 AM - Case Notes: - no murmur

appreciated on auscultation today prior to premed or while under GA

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-07 11:37:37 AM - Hospital Kennel:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-07 11:37:39 AM - Dental Cleaning G3--Canine:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-07 11:37:39 AM - THANK YOU!:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-07 11:38:00 AM - Xray - 3 views: - no murmur

appreciated on auscultation today prior to premed or while under GA

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-07 11:38:01 AM - IV Fluids Initial Set-up for

anesthesia: (0.5) 20g LC. Unsuccessful attempt RC. Unable to find a vein to place IVC - bree Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-07 11:38:02 AM - Nursing staff care:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-07 11:38:03 AM - Anesthesia PreMed: See GA

chart- heart protocol so mild effect. Needed top up dexdomitor 1mcg/kg IV (no heart murmur heard today) - bree Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-07 11:38:04 AM - Anesthesia Induction: See GA

chart Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-07 11:38:05 AM - Cerenia INJ 10mg/ml: (0.84)

Assisted by: Datamigrationact

EXAM FINDINGS

Assisted by: Datamigrationact

Migrated Notes — General findings: Medical Note 2024-03-07 11:38:06 AM - Isoflurane and Monitoring per

minute: (60) Endotracheal Tube Size: 6.5mm - snug fit - bree Oxygen Rate: Isoflourane Rate: Blood Pressure Range: Heart Rate Range: Respiratory Rate Range: IVF Rate/Boluses: Temperature Range: Intra Op Medications Administered: Recovery: Smooth and uneventful recovery. Lungs clear, heart WNL - bree Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-07 11:38:08 AM - Dental X-ray Full Mouth:

mandibular jaw fx L side extending from caudal root of 308 Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-07 11:38:09 AM - Anesthesia-Local: See GA chart -

bree Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-07 11:38:10 AM - Rheumocam Injectable 5mg/ml :

(0.33) Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-07 11:38:11 AM - Laser Therapy Post Surgery Soft

Tissue per site : Site Treated: Mandible jaw fracture Weight-: 5-10kg Body Type: Average Coat Length: Short Skin Color: Light Coat Color: Light Condition: Fracture 12.5x12.5 Joules Administered: 1690J Joules Comments: Large noncontact under GA - bree Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-07 11:38:14 AM - Rheumocam 1.5mg/ml Oral:

(3.85) Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-07 11:38:14 AM - Nail Trim - Complimentary

($38.50): Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-07 11:58:23 AM - Client Communication: STO after

dental rads were completed

Non-visit note

Provider: Natassa Uehara Sex / age / weight: Male - Neutered / 13y 1m / 8.4 Kg (07-Mar-2024)

Concerns

Active

07-Mar-2024 09:52 - Progress note (Natassa Uehara)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-07 9:52:59 AM - Client Communication: Hi

Leonardo, We are just reaching out with an update on Bento. He is doing well! Dr. Watson would just like to check in before the procedure so if you are able to give us a call when you are next available that would be great! -nu

Non-visit note

Provider: Mallu Pimenta Sex / age / weight: Male - Neutered / 13y 1m / 8.4 Kg (07-Mar-2024)

Concerns

Active

06-Mar-2024 13:57 - Progress note (Mallu Pimenta)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-03-06 1:57:45 PM - Client Communication: o texted:

'Could I get a call to discuss his food?'

'Hi Leonardo, I will get one of our technicians to give you a call as soon as she's available. Did you have any specific questions you would like to go over?'

Non-visit note

Provider: Lindsay Piacek Sex / age / weight: Male - Neutered / 13y 1m / 8.4 Kg (07-Mar-2024)

Concerns

Active

27-Feb-2024 18:48 - Progress note (Lindsay Piacek)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-02-27 6:48:49 PM - Client Communication: Hello

Leonardo, We're emailing to let you know that with some construction delays we have been able to open up the first two weeks of March for procedures. Currently we have openings on March 6, 7, 8 and 12, and 14th. Please let us know if any of those days work for you and Bento! Warm wags, Lindsay

Non-visit note

Provider: Roisin O'Sullivan Sex / age / weight: Male - Neutered / 13y 1m / 8.4 Kg (07-Mar-2024)

Concerns

Active

27-Feb-2024 17:08 - Progress note (Roisin O'Sullivan)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-02-27 5:08:37 PM - Forms: dental auth form attached

Non-visit note

Provider: zNicole Yu, DVM Sex / age / weight: Male - Neutered / 13y 1m / 8.4 Kg (07-Mar-2024)

Concerns

Active

27-Feb-2024 09:38 - Progress note (zNicole Yu, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-02-27 9:38:28 AM - Client Communication: Hi

Leonardo, I just wanted to inform you that the renovations have been pushed back and we have dates available for Bento's dental. Does March 5 or 8th work for you at all? Best, Nicole Yu

Non-visit note

Provider: zNicole Yu, DVM Sex / age / weight: Male - Neutered / 13y / 8.4 Kg (07-Mar-2024)

Concerns

Active

16-Feb-2024 18:12 - Progress note (zNicole Yu, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-02-16 6:12:15 PM - Client Communication: Hi

Leonardo, Thank you for bringing Bento in the other day - I hope his ears are feeling a little bit better. I know we are planning a dental procedure for him, which I think is a great idea. I will summarize the blood and urine test results below: Blood Test Results Complete blood count increase in platelets (important for clotting); platelets can be increased with stress, excitement and chronic inflammation/infection, which is most likely due to the inflammation in the mouth. Chemistry Assisted by: Datamigrationact

Mild increase in urea; this is a kidney value that we can see increased with dehydration, since it is very mildly elevated, I am not concerned. Additionally, Bento is concentrating his urine well, which means his kidneys are functioning optimally! Mild decrease in chloride; chloride can decrease with gastrointestinal loss such as diarrhea or vomiting. It can also be decreased with fatty blood samples and I do believe this is the case. Mild increase in globulin; this is most likely due to dehydration Decrease in AST (liver enzyme); non-significant Increase in cholesterol; cholesterol can be increased due to having a meal just before blood draw. However, it can also be increased with a condition called hypothyroidism. When looking at Bento's total T4, it is low/normal and he is trending down at every blood pull. Total T4 within reference range, although, low/normal it would be good to keep an eye on this value, I am worried that Bento is on the cusp of trending towards being hypothyroid Urine Test Results USG 1.043; this is the urine specific gravity and allows us to assess how well patients are concentrating their urine. As I mentioned previously, he is concentrating his urine very well - the normal for dog's is 1.030 and above, and his is 1.043! Which is great pH 6.5; within reference range Urine protein 1+; this is normal with very concentrated urine, I am not concerned Trace amount of blood; this can be normal in free caught urine Bilirubin 1+; can be normal with very concentrated urine White blood cells 20-30 / HPF; this is quite a bit of white blood cells, which can indicate inflammation/infection in the bladder. There were no bacteria observed, but bacteria can lurk in urine samples. I recommend sending the urine off for a culture, however, if Bento is not showing any signs of straining or increased frequency of urination, we can hold off on this. Epithelial cells 1+; normal in free caught urine; Medical Note 2024-02-16 6:12:15 PM - Overall, Bento's blood and urine look fairly okay. I have no qualms with him going under general anesthesia for his dental. How is his pain and ears doing? I will attach the blood and urine tests for your records. Please let me know if you would like me to ask the lab to send off the urine for a culture, they will typically hold the urine for 4-5 business days. In terms of the dental plan, I have attached the treatment plan to this email. The procedure itself would involve a thorough dental exam, full mouth dental x-rays to assess the roots and surrounding bone, a thorough cleaning, and removal of any infected or otherwise compromised teeth. The range in price between low and high is mostly dependent on how many (if any) teeth require extraction. Based on the exam today, I believe we will come to the middle end, however, we will be able to assess better with dental radiographs and with probing his teeth. Let me know if you have any questions at all! Warmly,

Nicole Yu DVM -- Assisted by: Datamigrationact

Thanks for the detailed explanation. I don't think we need more lab work. His ears are better but he is still stretching, then he licks his paws. I noticed he started licking the carpet as well. Do you think he has a bad taste in his mouth and that is making him lick the carpet? What can I do? Can we book the dental work asap? I noticed that he is not very happy

when I touch his chin so I guess he needs the dental work soon. -- ? Leonardo leonardofaria@gmail.com ? No worries ??. Does he typically lick his paws at all? It could be a sign of pain for him. I would continue the gabapentin regularly, twice a day for the next 2 weeks. I know we are working out when we can get patients in for dental procedures in March and we will contact you as soon as possible. As I mentioned, we will most likely be performing procedures at VCA wellness on the weekends. Best,

Nicole Yu --

Non-visit note

Provider: zzzzYaletown Animal Hospital Sex / age / weight: Male - Neutered / 13y / 8.4 Kg (07-Mar-2024)

Concerns

Active

16-Feb-2024 07:22 - Progress note (zzzzYaletown Animal Hospital)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-02-16 7:22:38 AM - Lab Results - IDEXX: Assay Name

Value Ref. Range Units

HEMOLYSIS Normal - ICTERUS Normal - LIPEMIA ++ - TOTAL T4 15.4 13.0-53.0 nmol/L Dogs with no clinical signs of hypothyroidism and results within the reference interval are likely euthyroid. Occasionally, hypothyroid dogs can have a low normal T4 (13-25.7 nmol/L). Hypothyroidism may be further assessed in these dogs by adding a free T4 and canine TSH. For dogs on thyroid supplement, recommended therapeutic levels are 25.8-69.5 nmol/L. If this sample was drawn 4-6 hours post-pill in a dog on thyroid supplement, a low normal T4 suggests inadequate supplementation. GLUCOSE 4.5 3.5-6.3 mmol/L SDMA 12 0-14 ug/dL SDMA and creatinine are within the reference interval: impairment of GFR is unlikely. Recommended next step: evaluate complete urinalysis. CREATININE 76 44-133 umol/L UREA (BUN) 12.8 3.2-11.0 mmol/L UREA (BUN)/CREATININE RATIO 42 - PHOSPHOROUS 1.4 0.8-2.0 mmol/L CALCIUM 2.6 2.2-2.8 mmol/L SODIUM 145 142-152 mmol/L POTASSIUM 5.4 4.0-5.4 mmol/L SODIUM/POTASSIUM RATIO 27 28-37 CHLORIDE 102 108-119 mmol/L BICARBONATE 26 13-27 mmol/L ANION GAP 22 11-26 TOTAL CATIONS 150 - mmol/L TOTAL ANIONS 128 - mmol/L Assisted by: Datamigrationact

TOTAL PROTEIN 75 55-75 g/L ALBUMIN 32 27-39 g/L GLOBULIN 43 24-40 g/L ALBUMIN/GLOBULIN RATIO 0.7 0.7-1.5 ALANINE TRANSAMINASE 49 18-121 IU/L ASPARTATE TRANSAMINASE 9 16-55 IU/L ALKALINE PHOSPHATASE ; Medical Note 2024-02-16 7:22:38 AM - 102 5-160 IU/L GAMMA GT 6 0-13 IU/L BILIRUBIN (TOTAL) 1.9 0.0-5.2 umol/L CHOLESTEROL 13.3 3.4-8.9 mmol/L AMYLASE 604 337-1469 IU/L LIPASE 248 0-250 IU/L CREATINE KINASE 66 10-200 IU/L CALCULATED OSMOLALITY 297 250-310 mmol/kg RBC 7.0 5.4-8.7 x10E12/L HEMATOCRIT 0.44 0.38-0.57 L/L HEMOGLOBIN 156 134-207 g/L MCV 62.9 59.0-76.0 fL MCH 22.3 21.9-26.1 pg MCHC 354.5 326.0-392.0 g/L RDW 17.6 10.0-19.0 % RETICULOCYTE 1.0 - % RETICULOCYTE-ABSOLUTE 70.0 10.0-110.0 x10E3/uL RETIC - HGB 27.1 24.5-31.8 pg WBC 7.2 4.9-17.6 x10E9/L % NEUTROPHIL 70.5 - % % LYMPHOCYTE 23.1 - % % MONOCYTE 2.1 - % % EOSINOPHIL 4.2 - % % BASOPHIL 0.1 - % NEUTROPHIL 5.1 2.9-12.7 x10E9/L LYMPHOCYTE 1.7 1.1-5.0 x10E9/L MONOCYTE 0.2 0.0-1.2 x10E9/L EOSINOPHIL 0.3 0.0-1.5 x10E9/L BASOPHIL 0.0 0.0-0.1 x10E9/L PLATELET 660 143-448 x10E9/L PLATELET COMMENT - Platelets appear increased on the blood film. Mild platelet clumping observed CBC COMMENT - No abnormalities seen upon microscopic blood film review by technician. COLLECTION METHOD FREECATCH - COLOUR (URINE) Dark Yellow - CLARITY (URINE) Cloudy - SPECIFIC GRAVITY (URINE) ; Medical Note 2024-02-16 7:22:38 AM - 1.043 1.030- pH (URINE) 6.5 6.0-7.5 PROTEIN (URINE) 1+ (0.3 g/L) - GLUCOSE (URINE) Negative - KETONES (URINE) Negative - BLOOD (URINE) Trace-Lysed - BILIRUBIN (URINE) 1+ - UROBILINOGEN (URINE) Normal - WBC 20-30 /HPF - RBC 2-5 /HPF - BACTERIA None Seen - CRYSTALS None Seen - EPITHELIAL CELLS s (1-2 /HPF) - CYSTATIN B <50 0-99 ng/mL In a patient that presented unwell, a result that is <100 ng/mL suggests that active kidney injury is not present. If an insult that may have caused kidney injury is suspected, rechecking functional kidney markers and Assisted by: Datamigrationact

cystatin B in 24-48 hours is recommended. Additional diagnostics such as imaging, urine protein: creatinine ratio and urine culture with susceptibility may be helpful. Note: Dehydration, subclinical illness and certain medications (e.g., NSAIDS) may contribute to kidney injury. Consider the risk/benefit of such medications in the overall management of the patient. For more information on Cystatin B, visit www.idexx.com/cystatinB {7:22 AM}

Non-visit note

Provider: zNicole Yu, DVM Sex / age / weight: Male - Neutered / 13y / 7.9 Kg (15-Feb-2024)

Concerns

Active

15-Feb-2024 14:24 - Progress note (zNicole Yu, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-02-15 2:24:30 PM - Blood Collection Fee:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-02-15 2:24:49 PM - Comprehensive Panel with

Urinalysis (GERPUW): Hemolysis: pH: Protein: Glucose: Ketones: Urobilinogen: Blood: Color: Icterus: Lipemia: Urea: Creatinine: mg/dl BUN/CR RATIO: Sodium: Potassium: Na/K Ratio: Chloride: Bicarbonate: Anion Gap: Calcium: mg/dl Phosphorus: mg/dl Total Protien: Assisted by: Datamigrationact

Albumin: g/dl Globulin: Albumin/Globulin: Total bilirubin: mg/dl ALP: ALT: U/L GGT: CK: Amylase: U/L Lipase: Cholesterol: mg/dl Calc Osmolality: Comment: HEMATOLOGY: white cell count: RBC: /hpf Hemoglobin: g/dl Hematocrit: Mean Corp Vol: Mean Corp HGB: MCHC: g/dl RDW: % Platelets: /ul Mean Platelet Vol.: Hem Micro Comment: DIFFERENTIAL % abs.: Neutrophils: /ul Lymphocytes: /ul Monocytes: /ul Eosinophils: /ul Basophils: /ul T4: URINALYSIS: Specific Gravity: Leuk Est.: Nitrite: Bilirubin: Sediment: Clarity: Comments: Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-02-15 2:27:58 PM - THANK YOU!:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-02-15 2:37:36 PM - Gabapentin Apo 100mg capsule:

(28) 02244304 - Please give 1 capsule orally twice daily (every 12 hours) for the next 14 days. This is a pain and calming medication.

Non-visit note

Provider: zNicole Yu, DVM Sex / age / weight: Male - Neutered / 13y / 7.9 Kg (15-Feb-2024)

Concerns

Active

08-Feb-2024 16:13 - Progress note (zNicole Yu, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-02-08 4:13:33 PM - Examination/Consultation -

Comprehensive: pt started to scream in pain, O not sure where the pain would have been but noticed that pt's mouth seems to be not straight (????), O will bring a cone Started around noon today, O went to hug him and yelped. Usually yells when touching ears due to suspected allergies. Hugged again and yelled, O maybe thought around shoulders. Didn't eat this morning, tried to give him carrots and usually will eat. No V/D/C/S. BM/U WNL. Eating and drinking WNL Current medications:

Pain Scale: 3/9 - suspect oral and aural pain

Temperature: NE Cº

Pulse: ~92 BPM

Respiratory Rate: Eupneic, normal

28 brpm CRT: <2 sec

Mucous Membranes: Pink, moist

Hydration: Euhydrated

Attitude: Caution, will lunge and bite

Eyes: KCS AU

Ears: Very stenotic and erythemic ear canals AU with ceruminous debris

Yeasts TNTC AU Oro-Nasal: Gr 3 periodontal disease, suspect 207/08 and 307-309 need to

be extracted. Hard to fully assess as patient yelling and biting during oral exam Heart: Gr II/VI systolic HM

S.S. pulses Lungs: Clear bronchovesicular lung sounds

Abdomen: Comfortable on palpation

Urogenital: NAD

Musculoskeletal: Ambulatory x4

Integument: NAD

Lymph Nodes: WNL

Thyroid: WNL

Rectal : NE Neurologic: BAR

BCS: 5.5/9

Current Rxs:

Notes/Comments: Yelling when touching mouth/ears

Ddx: periodontal disease, ear infection (otitis externa), OTHER Treatment: Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-02-08 4:43:44 PM - Ear Cleaning :

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-02-08 4:43:51 PM - Osurnia Initial Dose per ml: (2)

applied into both ears today Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-02-08 4:44:56 PM - Prednisone - Apo 5mg Tablets: (5)

DIN 00312770 - Please give 1 tablet orally once daily (every 24 hours) for the next 5 days. Please allow fresh water access at all times. Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-02-08 4:45:29 PM - Ear Swab/Cytology IH: Yeasts

TNTC AU (L > R) Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-02-08 4:45:50 PM - Osurnia 2nd Dose per ml: (2)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2024-02-08 4:46:00 PM - THANK YOU!:

Non-visit note

Provider: Athena Wong Sex / age / weight: Male - Neutered / 12y 6m / 7.9 Kg (15-Feb-2024)

Concerns

Active

22-Jul-2023 11:12 - Progress note (Athena Wong)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2023-07-22 11:12:34 AM - Case Notes: script sent to still

creek costco-aw

Non-visit note

Provider: E. Henderson, DVM Sex / age / weight: Male - Neutered / 12y 6m / 7.9 Kg (15-Feb-2024)

Concerns

Active

19-Jul-2023 21:02 - Progress note (E. Henderson, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2023-07-19 9:02:20 PM - Prescription scripted out to

Pharmacy: Fluoxetine 10mg tab 60 tabs Directions for Use: 10mg PO SID ongoing. Do not discontinue abruptly. 3 refills.

Non-visit note

Provider: Karla Cortez Sex / age / weight: Male - Neutered / 12y 6m / 7.9 Kg (15-Feb-2024)

Concerns

Active

19-Jul-2023 17:17 - Progress note (Karla Cortez)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2023-07-19 5:17:01 PM - Rx Request:

Communication: p filled out online request form Last Exam Date: 7/8/23 Medication requested: Prozac Strength of medication: 10mg Dose they are administering: 1 pill a day Amount requested: 65? As much as you can do? I buy them in the Costco Still creek Dr (604 435 6695) and you submitted there before. Thanks Assisted by: Datamigrationact

Amount remaining: 7 How is pet doing?: Doing well, he was in the clinic a few days ago Flea Meds-Travel outside Lower Mainland?: No Best number to call: 6043395302 2nd Medication Requested: 2nd Strength of Medication: 2nd Dose they are administering: 2nd Amount requested: 2nd Amount remaining: 3rd Medication Requested: 3rd Dose they are administering: 3rd Strength of Medication: 3rd Amount requested: 3rd Amount remaining:

Non-visit note

Provider: Rani Kegels Sex / age / weight: Male - Neutered / 12y 5m / 7.9 Kg (15-Feb-2024)

Concerns

Active

09-Jul-2023 14:01 - Progress note (Rani Kegels)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2023-07-09 2:01:10 PM - Client Communication:

[Automatic - Post-Vaccine ""Recall"" Text] Thanks guys! Little boy is fine, sleepy as usual :) -RK

Non-visit note

Provider: Natassa Uehara Sex / age / weight: Male - Neutered / 12y 5m / 6.8 Kg (08-Jul-2023)

Concerns

Active

08-Jul-2023 17:00 - Progress note (Natassa Uehara)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2023-07-08 5:00:29 PM - Records Summary - Previous

clinic: Merrill 2:45 PM Bento Faria - please call VAERC to get his MR from the ophtho apts called VAERC and requested the above records, they said that it is a large file so it might take a while but they would send it over - nu

records received from VAERC - nu

Non-visit note

Provider: Merrill Simpson, DVM Sex / age / weight: Male - Neutered / 12y 5m / 6.8 Kg (08-Jul-2023)

Concerns

Active

08-Jul-2023 14:37 - Progress note (Merrill Simpson, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2023-07-08 2:37:52 PM - Examination/Consultation -

Wellness: WELLNESS Vaccines, want to do them all, no history of vaccine reaction Had a breakup with O, he may be eating a bit less due to this change of environment He is very picky now with his food , O thinks he may need to give him more No V/D except when he gets too much pumpkin seeds Diet: local brand, can of food, unsure the name of the food Meds: eye drops BID (Tacrolimus 1 %) , Prozac SID , no dose change, has been 10 mg forever, Apoquel Got Cytopoint injection from another veterinary clinic in April Food/Feeding:

Pain Scale:

Temperature: Cº

Pulse: 120 bpm BPM

Respiratory Rate: panting

CRT: ne

Mucous Membranes: ne

Hydration: ne

Attitude: BAR, has history of biting

Eyes:

Ears: Mild erythema and cerumen

Oro-Nasal: Gr 4 tartar on couple teeth I was able to see, full oral exam

not possible Heart: nsf

Lungs: nsf

Abdomen: nsf

Urogenital: nsf

Musculoskeletal: nsf

Integument: nsf

Lymph Nodes: nsf

Thyroid: ne

Rectal : ne Neurologic: bar, full neuro exam not performed

BCS: 4/9

Current Rxs:

Notes/Comments: problem list:

-weight loss -KCS -managed by ophtho -dental disease -erythematous pinna plan: -recommend ear cytology, O declined, will monitor -recommend COHAT, will email O rough estimate since I cannot evaluate his teeth IH today -rec Sr panel and UA for screening for weight loss- O declined, will increase amount he is feeding and see whether Bento gains weight -DA2P LHL SC-3 yr -Lepto Scruff Sc-1 yr -BB IN-1yr -Discussed post-vax reactions to monitor for -Informed him typically we try to do either Apoquel or cytopoint. Can combine them in more severe cases, Offered either option to O and he Assisted by: Datamigrationact

elects to stick with Apoquel. -Disp Apoquel 1/4 of 16 mg tab PO SID Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2023-07-08 2:57:01 PM - DA2P 3 Year Vaccine: Serial

Number: 90060104 Site Administered: rhl sc Name of Vaccine: Canine - DAPv Manufacturer: Nobivac Vial Expiry Date: 06dec23 Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2023-07-08 2:57:09 PM - Bordetella Intranasal Vaccine:

Serial Number: 04080296 Site Administered: Intranasal Name of Vaccine: Intra-trac KC Manufacturer: Intervet Inc Vial Expiry Date: 09/22/25 Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2023-07-08 2:57:24 PM - Leptospirosis Annual Vaccine:

Serial Number: 02171278 Site Administered: Scruff Name of Vaccine: Lepto4 Manufacturer: Nobivac Merck Vial Expiry Date: 12 JUL 24 Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2023-07-08 3:01:18 PM - Apoquel 16mg Tablet: (45)

02427907 - Give 1/4 of a tablet once per day ongoing Apoquel 16mg Tablet Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2023-07-08 3:01:36 PM - THANK YOU!:

Non-visit note

Provider: Natassa Uehara Sex / age / weight: Male - Neutered / 12y 4m / 6.8 Kg (08-Jul-2023)

Concerns

Active

03-Jun-2023 15:15 - Progress note (Natassa Uehara)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2023-06-03 3:15:52 PM - Client Communication: O came in

to p/u rx, O asked about vx that are coming up and pricing, let him know that all vx are $42 and price of exam without health concerns was $86, O asked if vx in aug could be done at the same time DA2P was due, said that would be up to dvm at the time of the exam to know if able to do all of them at once or if able to do the other two in within 6 weeks of exam with a tech, O booked in for 07/08 with MMS for DA2P vx - nu

STO; O counted pills and said he only had 40 pills and missing 5, advised O we will give him 5 more.-aw

Non-visit note

Provider: Seven Devery, DVM Sex / age / weight: Male - Neutered / 12y 4m / 6.8 Kg (08-Jul-2023)

Concerns

Active

02-Jun-2023 17:02 - Progress note (Seven Devery, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2023-06-02 5:02:01 PM - Apoquel 16mg Tablet: (45)

02427907 - Give 1/4 (one quarter) of a tablet by mouth once per day, ongoing. Apoquel 16mg Tablet Hi -=ClientFirstName=-, -=PatientName=-'s Apoquel 16mg tablets ( 45 ) are ready to be picked up! Kindly note, medications are returned to stock after 2 weeks. Thank you,GK

o p/u rx 06/03 - nu

advised O 5 missing tabs ready for p/u-aw Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2023-06-02 5:03:54 PM - Client Communication: Apoquel

script - O reports has 2 bottles and lost one during move, only been giving as per advice. As last few scripts were on time, elected to refil missing portion for O without recheck. Will need recheck prior to further Rx.

Non-visit note

Provider: Tirza van Dijk Sex / age / weight: Male - Neutered / 12y 4m / 6.8 Kg (08-Jul-2023)

Concerns

Active

02-Jun-2023 16:21 - Progress note (Tirza van Dijk)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2023-06-02 4:21:19 PM - Rx Request:

Communication: O called Last Exam Date: 9/7/22 Medication requested: Apoquel tabs Strength of medication: 16mg Dose they are administering: 1/4 tab PO SID Amount requested: 90 tabs Amount remaining: 4 left How is pet doing?: Well Flea Meds-Travel outside Lower Mainland?: Best number to call: 604-339-5302 2nd Medication Requested: 2nd Strength of Medication: 2nd Dose they are administering: 2nd Amount requested: 2nd Amount remaining: 3rd Medication Requested: 3rd Dose they are administering: 3rd Strength of Medication: 3rd Amount requested: 3rd Amount remaining:

Non-visit note

Provider: R. Vandermeer, DVM Sex / age / weight: Male - Neutered / 11y 10m / 6.8 Kg (08-Jul-2023)

Concerns

Active

05-Dec-2022 12:35 - Progress note (R. Vandermeer, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-12-05 12:35:41 PM - Apoquel 16mg Tablet: (90)

02427907 - Give orally 1/4 tab every 24 hours (once daily) ongoing for itch control. Apoquel 16mg Tablet Hi -=ClientFirstName=-, -=PatientName=-' Apoquel is ready to be picked up! Kindly note, medications are returned to stock after 2 weeks. Thank you,

P/u by mr. ar {12/6/2022, 7:06 PM}

Non-visit note

Provider: Taylor Brennan Sex / age / weight: Male - Neutered / 11y 10m / 6.8 Kg (08-Jul-2023)

Concerns

Active

02-Dec-2022 13:58 - Progress note (Taylor Brennan)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-12-02 1:58:12 PM - Rx Request:

Communication: O filled out online rx req form Last Exam Date: 09/07/22 Medication requested: Apoquel Strength of medication: 16mg Dose they are administering: 1/4 tab PO SID Amount requested: as much as possible Amount remaining: low How is pet doing?: Flea Meds-Travel outside Lower Mainland?: Best number to call: leonardofaria@gmail.com 2nd Medication Requested: 2nd Strength of Medication: 2nd Dose they are administering: 2nd Amount requested: 2nd Amount remaining: 3rd Medication Requested: 3rd Dose they are administering: 3rd Strength of Medication: 3rd Amount requested: 3rd Amount remaining: Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-12-02 2:00:41 PM - Client Communication: Hello

there, We are just working on Bento’s medication request refill and wanted to confirm you are looking to have a one year supply of the medication made up ideally? Warm wags Tay YPH Reception

Hi! Ideally as much as possible. Thanks -- Leonardo Faria leonardofaria.net A tea-Nah 10:26 AM Hi can someone look into this pls looks like it was missed ... I advised O 1 years supply would take time .. but he will take whatever we have as pt has only 1 left. slacked msgs any again.-aw {12/5/2022, 10:27 AM}

Non-visit note

Provider: Tirza van Dijk Sex / age / weight: Male - Neutered / 11y 9m / 6.8 Kg (08-Jul-2023)

Concerns

Active

08-Nov-2022 13:15 - Progress note (Tirza van Dijk)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-11-08 1:15:49 PM - Client Communication: Thank

you! Just to confirm, it was sent to Costco (4500 Still Creek Dr) right? Leonardo Faria

Hello Leonardo, It looks like on our previous email we had asked for you to confirm which pharmacy you wanted the prescription sent to. Unfortunately because we hadn’t heard back, it wasn’t sent anywhere. Now, however, that you have reached out with which pharmacy you want it sent to, we can most definitely do that for you! We will send it to them right away! Thank you for letting us know. Have a lovely day! Warm wags, Tirza Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-11-08 1:19:41 PM - Case Notes: Sent prescription on

file to Costco Pharmacy on 4500 Still Creek Dr, Burnaby FAX 604 296-5106 -tvd

Non-visit note

Provider: Tirza van Dijk Sex / age / weight: Male - Neutered / 11y 9m / 6.8 Kg (08-Jul-2023)

Concerns

Active

04-Nov-2022 18:47 - Progress note (Tirza van Dijk)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-11-04 6:47:08 PM - Client Communication: Hello

Leonardo, We have received your request online for medication and have Bento’s Fluoxetine prescription ready to send out! I was just looking to confirm which pharmacy you wanted us to forward it to. Please let us know when you can :) Have a lovely rest of your evening! -tvd

Non-visit note

Provider: Dr. Robert Spooner Sex / age / weight: Male - Neutered / 11y 9m / 6.8 Kg (08-Jul-2023)

Concerns

Active

04-Nov-2022 09:13 - Progress note (Dr. Robert Spooner)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-11-04 9:13:04 AM - Prescription scripted out to

Pharmacy: Written Rx for Fluoxetine 10mgtablets saved on file. Okayed only 8 month supply- should repeat blood tests in May since on long-term medication. Last blood panel was in May 2022

Non-visit note

Provider: Taylor Brennan Sex / age / weight: Male - Neutered / 11y 9m / 6.8 Kg (08-Jul-2023)

Concerns

Active

03-Nov-2022 20:33 - Progress note (Taylor Brennan)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-11-03 8:33:53 PM - Rx Request:

Communication: O filled out online rx req form Last Exam Date: 09/07/22 Medication requested: Prozac Strength of medication: 10mg Dose they are administering: 1 pill PO SID Amount requested: 365 Amount remaining: 7 days How is pet doing?: Flea Meds-Travel outside Lower Mainland?: Best number to call: leonardofaria@gmail.com 2nd Medication Requested: Assisted by: Datamigrationact

2nd Strength of Medication: 2nd Dose they are administering: 2nd Amount requested: 2nd Amount remaining: 3rd Medication Requested: 3rd Dose they are administering: 3rd Strength of Medication: 3rd Amount requested: 3rd Amount remaining:

Non-visit note

Provider: Karla Cortez Sex / age / weight: Male - Neutered / 11y 7m / 6.8 Kg (08-Jul-2023)

Concerns

Active

12-Sep-2022 14:50 - Progress note (Karla Cortez)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-09-12 2:50:48 PM - Client Communication: Okay we

will take him to another vet Could you please email me the exams or other reports you have about him? It will be helpful for another doctor

Thanks - Hi, Assisted by: Datamigrationact

No problem! I have attached the records below. Please let us know if there is anything else we can assist you with. Karla

Hi Leonardo, Please see attached records with the recent lab work results on page 9. -MO

Non-visit note

Provider: Tirza van Dijk Sex / age / weight: Male - Neutered / 11y 7m / 6.8 Kg (08-Jul-2023)

Concerns

Active

11-Sep-2022 13:46 - Progress note (Tirza van Dijk)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-09-11 1:46:33 PM - Client Communication: Hi

I’ve been treating Bento as prescribed but I noticed that Bento's left eye got worse. I am attaching right and left eyes photos here. Would be worth checking his left eye again? I don't think he had that spot in my last visit with him there. Thanks

Hello Leonardo, Thank you for your previous email and attaching the pictures for reference! We would definitely recommend bringing Bento back to check his left eye, as you have mentioned, seems to be getting worse. Our next available date would be Tuesday, September 13th. Please let us know if that day works for you and around what time! Warm wags,

Tirza - Hi I'm out of town, would you think based on the photo is that very urgent? I could try to ask my gf to take him on Tuesday but since he is a bit grumpy it would be difficult for her to give him eyedrops. I'll be back Wednesday night, would you have a spot on Thursday?

Thanks - Also we have 2 syringes of rheumocam (from his dental work). Is that worth giving to him for pain? (Not sure if he is in pain) Assisted by: Datamigrationact

--

Leonardo Faria - Hi Leonardo, It is highly recommended to be seen sooner rather than later for eye concerns. We unfortunately no longer have appointments available for tomorrow and are booking until Friday. If you are not seeing any improvements with Bento’s eye infection we would recommend to call around vets to get a sooner appointment. Otherwise, if you wish to schedule an appointment with us I can let you know what times we have available on Friday. Karla

Non-visit note

Provider: Danica Watson, DVM Sex / age / weight: Male - Neutered / 11y 7m / 8 Kg (07-Sep-2022)

Concerns

Active

07-Sep-2022 13:40 - Progress note (Danica Watson, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-09-07 1:40:40 PM - GF Examination/Consultation:

Bento presented for recheck examination of his eyes - see previous MREs

Pain Scale:

Temperature: Cº

Pulse: BPM

Respiratory Rate:

CRT:

Mucous Membranes:

Hydration:

Attitude: aggressive - will bite

Eyes: - blepharospasm and scleritis significantly improved

Oro-Nasal:

Heart:

Lungs:

Abdomen:

Urogenital:

Musculoskeletal:

Integument:

Lymph Nodes:

Thyroid:

Rectal : Neurologic:

BCS:

Current Rxs: tobrex + voltaren

Notes/Comments: A: improvement noted in both eyes today in

comparison to Sat; difficult to fluorosceine stain again today given agitation

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-09-07 1:41:10 PM - Tobrex Ophthalmic 0.3% Solution

5ml: DIN 00513962 - Administer 1-2 drops into BOTH eyes every 6-12 hours for 7 days. Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-09-07 1:41:27 PM - Tear Test-Quantitative: >20

mmHg OU Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-09-07 1:42:15 PM - Apoquel 16mg Tablet: 02427907 -

Give 1/4 tablet by mouth every 24 hours. Apoquel 16mg Tablet Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-09-07 1:44:35 PM - THANK YOU!:

Non-visit note

Provider: Danica Watson, DVM Sex / age / weight: Male - Neutered / 11y 7m / 8 Kg (07-Sep-2022)

Concerns

Active

03-Sep-2022 15:21 - Progress note (Danica Watson, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-09-03 3:21:55 PM - Fluorescein Corneal Stain: - no

obvious stain uptake OU, though difficult to fully assess as Bento was quite agitated today and would not allow as thorough of an ocular examination as he did last week

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-09-03 3:22:53 PM - Voltaren Optha 0.1% 5ml:

DIN01940414 - Administer 1 drop into BOTH eyes every 12 hours for 7 days. Recheck if no improvement. Assisted by: Datamigrationact

EXAM FINDINGS

Assisted by: Datamigrationact

Migrated Notes — General findings: Medical Note 2022-09-03 3:23:29 PM - THANK YOU!:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-09-03 3:26:53 PM - GF Examination/Consultation:

Bento presented for recheck examination of eyes

Pain Scale:

Temperature: Cº

Pulse: BPM

Respiratory Rate:

CRT:

Mucous Membranes:

Hydration:

Attitude: BAR - WILL BITE, very difficult to examine

Eyes: - bilateral blepharospasm and crusting around eyelids still present

OU

Oro-Nasal:

Heart:

Lungs:

Abdomen:

Urogenital:

Musculoskeletal:

Integument:

Lymph Nodes:

Thyroid:

Rectal : Neurologic:

BCS:

Current Rxs:

Notes/Comments: A:

Non-visit note

Provider: Danica Watson, DVM Sex / age / weight: Male - Neutered / 11y 7m / 8 Kg (07-Sep-2022)

Concerns

Active

27-Aug-2022 16:34 - Progress note (Danica Watson, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-08-27 4:34:07 PM - GF Examination/Consultation:

Bento presented for vaccines, but owner says Bento was on VI last weekend and now has noticed that he is squinting and having a lot of discharge from both eyes, especially in the R eye, for the past week.

Pain Scale: 2/9- eyes

Temperature: NT Cº

Pulse: 104 BPM

Respiratory Rate: panting

CRT: NE

Mucous Membranes: pink

Hydration: no skin tent

Attitude: BAR - will bite

Eyes: - 13mmHg OS

Oro-Nasal: NE - will bite, has to be muzzled

Heart: normal rate and rhythm

Lungs: clear

Abdomen: no pain or abnormalities on palpation

Urogenital: NE

Musculoskeletal: NE

Integument: WNL

Lymph Nodes: WNL

Thyroid: NE

Rectal : NE Neurologic: WNL

BCS: 6/9

Current Rxs: none

Notes/Comments: A:

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-08-27 4:35:36 PM - GF Bordetella Oral Vaccine : Serial

Number:02541139B Site Administered: Oral Name of Vaccine: Oral Bb Manufacturer: Nobivac Vial Expiry Date: 10/19/22 Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-08-27 4:35:47 PM - GF Leptospirosis Annual Vaccine :

Serial Number: 02571118 Site Administered: Scruff Name of Vaccine: Edge Lepto4 Manufacturer: Nobivac Merck Vial Expiry Date: 02/01/24 Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-08-27 4:36:20 PM - Tear Test-Quantitative: 13mmHg

OS 10mmHg OD Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-08-27 4:36:29 PM - Tobrex Ophthalmic 0.3% Solution

5ml: DIN 00513962 - Administer 1-2 drops into BOTH eyes every 6-12 hours for 7 days. Recheck in 1 week. Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-08-27 4:37:22 PM - Rheumocam 1.5mg/ml Oral: (2)

02389932 - Give 1 syringe (0.5mls) by mouth every 24 hours for 4 days. GIVE WITH FOOD. Discontinue immediately if GI upset occurs. Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-08-27 4:37:37 PM - THANK YOU!:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-08-27 4:38:28 PM - Fluorescein Corneal Stain: pos

Assisted by: Datamigrationact

stain uptake OD - pinpoint superficial ulceration neg stain uptake OS

Non-visit note

Provider: Karla Cortez Sex / age / weight: Male - Neutered / 11y 7m / 8 Kg (07-Sep-2022)

Concerns

Active

18-Aug-2022 11:46 - Progress note (Karla Cortez)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-08-18 11:46:24 AM - Capture or paste AllyDVM

requests: Requested At 08/17/2022 9:54 PM Client Id 31971 Client Name Leonardo Faria Patient Name Bento Request Type appointment Full Name Leonardo Faria Phone Number (604) 339-5302 Email Address leonardofaria@gmail.com Preferred Contact Method email Preferred Date 08/27/2022 Preferred Time 3:40 PM Appointment Type Vet Consult Column No Preference Comments Bento needs these vaccines: Annual Bordetella Vaccine

(Kennel Cough) (07/29/2022) Annual Leptospirosis Vaccine (07/29/2022) - Hi -=ClientFirstName=-, Your appointment has been created for -=PatientName=- on Saturday, August 27th at 3:50pm with Dr. Watson. We look forward to seeing you then! Thank you, Karla

Non-visit note

Provider: RVT Kiersten O'Hara Sex / age / weight: Male - Neutered / 11y 4m / 8.2 Kg (11-Jun-2022)

Concerns

Active

11-Jun-2022 12:58 - Progress note (RVT Kiersten O'Hara)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-11 12:58:52 PM - THANK YOU!:

Non-visit note

Provider: Danica Watson, DVM Sex / age / weight: Male - Neutered / 11y 4m / 8.2 Kg (11-Jun-2022)

Concerns

Active

11-Jun-2022 12:58 - Progress note (Danica Watson, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-11 12:58:47 PM - Dental Recheck:

Extraction site findings: extraction sites look healed, no suture material that I could see. Pt very reactive and actively trying to bite -kiki 1 Oral Exam: 1

Non-visit note

Provider: Danica Watson, DVM Sex / age / weight: Male - Neutered / 11y 4m / 7 Kg (04-Jun-2022)

Concerns

Active

04-Jun-2022 09:59 - Progress note (Danica Watson, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-04 9:59:12 AM - GF Examination/Consultation:

Bento presented for examination to check anus, as owners were concerned that he had a prolapsed rectum after straining and having diarrhea yesterday and this morning. Owners feel that he is 90% improved from what he was immediately following his dental, though Assisted by: Datamigrationact

appetite still seems to be a bit decreased. Diarrhea started yesterday as well. Stopped giving the rheumocam (have 2 doses left) as they felt he was not painful and wondered if it was affecting his appetite. No vomiting. Energy level has been good, almost back to normal now. This morning, owners felt that they noticed the inside of his rectum protruding out quite a bit. They bathed him in warm water and attempted to help it go back in but are still worried that it looks quite inflamed and prolapsed. Food/Feeding: dehydrated diet that they add water to? + canned food

Pain Scale: 1/9

Temperature: 38.1 (axilla) Cº

Pulse: 96 BPM

Respiratory Rate: 36

CRT: NE - aggressive

Mucous Membranes: NE - aggressive

Hydration: no skin tent

Attitude: BAR, caution - WILL bite, cannot exam face and wears ecollar

during exam Eyes: WNL on distance exam

Ears: NE - aggressive

Oro-Nasal: NE - aggressive

Heart: normal rate and rhythm

Lungs: clear

Abdomen: no pain or abnormalities on brief palpation

Urogenital: NE

Musculoskeletal: WNL

Integument: live flea in hair coat on dorsal aspect of neck, no flea dirt

noted on flea comb Lymph Nodes: NE

Thyroid: NE

Rectal : normal Neurologic: WNL

BCS: 5/9

Current Rxs: none

Notes/Comments: A: No rectal prolapse noted, the skin on the ventral

aspect of the anus does appear inflamed but rectal exam normal; no other significant findings on PE. P: Discussed PE with owner and that no evidence of prolapse but agree he does appear to have some inflammation around his anus. Recommended owners purchase penaten from pharmacy and can apply that to the area BID until improvement is seen. In terms of his diarrhea, would recommend probiotics - owner says she has some at home that she will used; also discussed adding in canned pumpkin and plain cooked rice to diet as well for added fibre to see if this helps. Owners will try this and let us know if diarrhea persists. Discussed pain control and owners do not believe he is painful; offered alternative to rheumocam just in case but owners declined. ; Medical Note 2022-06-04 9:59:12 AM - Also discussed finding live flea on Bento today on exam and recommended flea/tick prevention as he is currently not on anything. Owners consented to 1 dose of advantage multi for now, though discussed how want to treat at least 3 months (though we usually recommend year round in this area). Also discussed treating the cat in the home and cleaning the environment. Owners will let us know of any further concerns. Assisted by: Datamigrationact

EXAM FINDINGS

Assisted by: Datamigrationact

Migrated Notes — General findings: Medical Note 2022-06-04 10:00:16 AM - Advantage Multi 1 dose Canine

20 1.0ml Teal 4.6-9k: DIN 02263548 - Apply entire contents of one tube to skin on back of neck once every 30 days. Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-04 10:02:39 AM - THANK YOU!:

Non-visit note

Provider: Carter Dorsett Sex / age / weight: Male - Neutered / 11y 4m / 7 Kg (04-Jun-2022)

Concerns

Active

04-Jun-2022 09:18 - Progress note (Carter Dorsett)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-04 9:18:11 AM - Client Communication: O called

about pt experiencing constipation after Dental Sx + that pt is now experiencing diarrhea, and his anus has seemed to have prolapsed -- relayed info to DVMs and was advised to tell O to bring pt in as soon as she can for them to have a look (may be a day admit if need be) -- relayed info to O and she said she will be here soon - car

Non-visit note

Provider: Gavin Myers, DVM Sex / age / weight: Male - Neutered / 11y 4m / 7 Kg (04-Jun-2022)

Concerns

Active

02-Jun-2022 11:19 - Progress note (Gavin Myers, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-02 11:19:51 AM - Client Communication: How is

pet doing post op? O says he does not want to eat much, o will try and blend sausages that he gets and see if that changes, told o to not give him cat food - o will soak his dog dry food. Otherwise doing well - Tanzy

Non-visit note

Provider: Gavin Myers, DVM Sex / age / weight: Male - Neutered / 11y 4m / 7 Kg (04-Jun-2022)

Concerns

Active

01-Jun-2022 13:46 - Progress note (Gavin Myers, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-01 1:46:32 PM - Hospital Kennel:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-01 1:46:32 PM - Dental Cleaning G4--Canine:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-01 1:46:32 PM - IV Fluids Initial Set-up for

anesthesia: 20g RC - bree Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-01 1:46:32 PM - Nursing staff care:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-01 1:46:32 PM - Anesthesia PreMed: See GA

chartm - slight effect, but towel wrapped for restraint for IVC. Some growling, but otherwise a good boy - bree Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-01 1:46:32 PM - Anesthesia Induction: See GA

chart Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-01 1:46:32 PM - Cerenia INJ 10mg/ml: (0.84)mL IV

slow - bree Assisted by: Datamigrationact

EXAM FINDINGS

Assisted by: Datamigrationact

Migrated Notes — General findings: Medical Note 2022-06-01 1:46:33 PM - Isoflurane and Monitoring per

minute: (150) Endotracheal Tube Size: 5.5mm, good fit. Very small trachea - bree Oxygen Rate: Isoflourane Rate: Blood Pressure Range: Heart Rate Range: Respiratory Rate Range: IVF Rate/Boluses: Temperature Range: Intra Op Medications Administered: Recovery: Smooth and uneventful - bree Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-01 1:46:33 PM - Dental X-ray Full Mouth:

210,110,411,311,306,403,402,401,301 103,203,302,305 all retained root fragments. Undergoing process of ankylosis did not attempt to extract Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-01 1:46:33 PM - Dental Pack Fee:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-01 1:46:33 PM - Dental Scale and Polish G4:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-01 1:46:33 PM - Anesthesia-Local: See GA chart -

bree Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-01 1:46:34 PM - Extraction-Dental-major: (2) 106,

107 extracted surgically. Gingiva closed 5-0 monocryl SIP. flushed and curretted sockets. Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-01 1:46:35 PM - Extraction-Dental-minor: 105

Assisted by: Datamigrationact

surgically extracted gingiva closed 5-0 monocryl SIP Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-01 1:46:35 PM - Rheumocam Injectable 5mg/ml :

(0.16) Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-01 1:46:35 PM - Laser Therapy Post Surgery Soft

Tissue per site : {1:46 PM} Site Treated: Mouth Weight-: 0-10kg Body Type: Average Coat Length: Short Skin Color: Light Coat Color: Light Condition: Open mouth periodontal dz - bree Joules Administered: 186 Joules Comments: Small non-contact under GA - bree Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-01 1:46:37 PM - Nail Trim - Complimentary: Under

GA - bree Nail Trim: 1 Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-01 1:47:52 PM - Rheumocam 1.5mg/ml Oral: (2)

02389932 - Give 1 syringe (0.5mls) by mouth once daily (every 24hrs) with food for 4 days. Discontinue immediately if GI upset occurs. Next dose due tomorrow at 8am. Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-06-01 1:48:17 PM - THANK YOU!:

Non-visit note

Provider: Tirza van Dijk Sex / age / weight: Male - Neutered / 11y 4m / 7 Kg (04-Jun-2022)

Concerns

Active

31-May-2022 11:15 - Progress note (Tirza van Dijk)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-05-31 11:15:31 AM - Forms: Auth form sent to O via

allydvm email -tvd

Non-visit note

Provider: zzzzYaletown Animal Hospital Sex / age / weight: Male - Neutered / 11y 4m / 7 Kg (04-Jun-2022)

Concerns

Active

30-May-2022 17:08 - Progress note (zzzzYaletown Animal Hospital)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-05-30 5:08:57 PM - Lab Results - IDEXX: Assay Name

Value Ref. Range Units

COLLECTION METHOD FREECATCH - COLOUR (URINE) Dark Yellow - CLARITY (URINE) Cloudy - SPECIFIC GRAVITY (URINE) 1.039 - pH (URINE) 6.0 - PROTEIN (URINE) Trace - GLUCOSE (URINE) Negative - KETONES (URINE) Negative - BLOOD (URINE) Negative - BILIRUBIN (URINE) 1+ - UROBILINOGEN (URINE) Trace - WBC None Seen - RBC None Seen - BACTERIA None Seen - CRYSTALS (21-50 /HPF) - EPITHELIAL CELLS s (1-2 /HPF) - INFO NEEDED - A urine/fecal sample was submitted to complete a previously ordered profile. The urine/fecal sample has been assigned the appropriate, no-charge, completion test code. Please call Lab Customer Support at 1-800-667-3411, if you have any questions. {5:08 PM}

Non-visit note

Provider: Sophie Kaufmanis, DVM Sex / age / weight: Male - Neutered / 11y 4m / 7 Kg (04-Jun-2022)

Concerns

Active

30-May-2022 09:42 - Progress note (Sophie Kaufmanis, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-05-30 9:42:37 AM - Client Communication: RESULTS

AND PLAN FOR BENTO CBC: -mild platelet increase - inflamm CHEM: -mild Cl decrease -mild chol increase TT4: WNL UA: Ca oxalate crystals present. Discussed above findings with o. Advised all looks good to proceed with sx - no concerns. Asked to please bring in another urine sample morning of procedure for us to assess fresh slide to see if crystals still found, or whether that was artifact that formed on route to lab. O's happy with this. -sck {6/5/2022, 9:42 AM}

Non-visit note

Provider: zzzzYaletown Animal Hospital Sex / age / weight: Male - Neutered / 11y 4m / 7 Kg (04-Jun-2022)

Concerns

Active

29-May-2022 07:07 - Progress note (zzzzYaletown Animal Hospital)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-05-29 7:07:20 AM - Lab Results - IDEXX: Assay Name

Value Ref. Range Units

TOTAL T4 17.9 13.0-53.0 nmol/L Dogs with no clinical signs of hypothyroidism and results within the reference interval are likely euthyroid. Occasionally, hypothyroid dogs can have a low normal T4 (13-25.7 nmol/L). Hypothyroidism may be further assessed in these dogs by adding a free T4 and canine TSH. For dogs on thyroid supplement, recommended therapeutic levels are 25.8-69.5 nmol/L. If this sample was drawn 4-6 hours post-pill in a dog on thyroid supplement, a low normal T4 suggests inadequate supplementation. CHOLESTEROL 12.2 3.4-8.9 mmol/L AMYLASE 587 337-1469 IU/L LIPASE 126 0-250 IU/L Please note: the canine and feline reference intervals for lipase have been updated effective May 25, 2020, to reflect current IDEXX testing. GLUCOSE 4.2 3.5-6.3 mmol/L SDMA 7 0-14 ug/dL SDMA and creatinine are within the reference interval: impairment of GFR is unlikely. Recommended next step: evaluate complete urinalysis. CREATININE 78 44-133 umol/L UREA (BUN) 7.9 3.2-11.0 mmol/L UREA (BUN)/CREATININE RATIO 25 - PHOSPHOROUS 1.2 0.8-2.0 mmol/L Assisted by: Datamigrationact

CALCIUM 2.6 2.2-2.8 mmol/L SODIUM 144 142-152 mmol/L POTASSIUM 5.3 4.0-5.4 mmol/L SODIUM/POTASSIUM RATIO 27 28-37 CHLORIDE 105 108-119 mmol/L BICARBONATE 24 13-27 mmol/L ANION GAP 20 11-26 TOTAL CATIONS 149 - mmol/L TOTAL ANIONS 129 - mmol/L TOTAL PROTEIN 72 55-75 g/L ALBUMIN 36 27-39 g/L GLOBULIN 36 24-40 g/L ALBUMIN/GLOBULIN RATIO 1.0 0.7-1.5 ALANINE TRANSAMINASE; Medical Note 2022-05-29 7:07:20 AM - 26 18-121 IU/L ASPARTATE TRANSAMINASE 21 16-55 IU/L ALKALINE PHOSPHATASE 20 5-160 IU/L GAMMA GT 8 0-13 IU/L BILIRUBIN (TOTAL) 2.4 0.0-5.2 umol/L CREATINE KINASE 166 10-200 IU/L CALCULATED OSMOLALITY 290 250-310 mmol/kg HEMOLYSIS Normal - ICTERUS Normal - LIPEMIA + - RBC 8.1 5.4-8.7 x10E12/L HEMATOCRIT 0.52 0.38-0.57 L/L HEMOGLOBIN 181 134-207 g/L MCV 64.2 59.0-76.0 fL MCH 22.3 21.9-26.1 pg MCHC 348.1 326.0-392.0 g/L RDW 18.2 10.0-19.0 % RETICULOCYTE 1.3 - % RETICULOCYTE-ABSOLUTE 105.3 10.0-110.0 x10E3/uL RETIC - HGB 25.6 24.5-31.8 pg WBC 6.0 4.9-17.6 x10E9/L % NEUTROPHIL 57.0 - % % LYMPHOCYTE 33.5 - % % MONOCYTE 5.5 - % % EOSINOPHIL 3.8 - % % BASOPHIL 0.2 - % NEUTROPHIL 3.4 2.9-12.7 x10E9/L LYMPHOCYTE 2.0 1.1-5.0 x10E9/L MONOCYTE 0.3 0.0-1.2 x10E9/L EOSINOPHIL 0.2 0.0-1.5 x10E9/L BASOPHIL 0.0 0.0-0.1 x10E9/L PLATELET 517 143-448 x10E9/L PLATELET COMMENT - Platelet assessment Increased Mild platelet clumping observed CBC COMMENT - RBC, WBC, and platelet morphology normal {5/30/2022, 7:07 AM} Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-05-29 8:53:55 AM - Lab Results - IDEXX: Assay Name

Value Ref. Range Units

GLUCOSE 4.2 3.5-6.3 mmol/L SDMA 7 0-14 ug/dL SDMA and creatinine are within the reference interval: impairment of GFR Assisted by: Datamigrationact

is unlikely. Recommended next step: evaluate complete urinalysis. CREATININE 78 44-133 umol/L UREA (BUN) 7.9 3.2-11.0 mmol/L UREA (BUN)/CREATININE RATIO 25 - PHOSPHOROUS 1.2 0.8-2.0 mmol/L CALCIUM 2.6 2.2-2.8 mmol/L SODIUM 144 142-152 mmol/L POTASSIUM 5.3 4.0-5.4 mmol/L SODIUM/POTASSIUM RATIO 27 28-37 CHLORIDE 105 108-119 mmol/L BICARBONATE 24 13-27 mmol/L ANION GAP 20 11-26 TOTAL CATIONS 149 - mmol/L TOTAL ANIONS 129 - mmol/L TOTAL PROTEIN 72 55-75 g/L ALBUMIN 36 27-39 g/L GLOBULIN 36 24-40 g/L ALBUMIN/GLOBULIN RATIO 1.0 0.7-1.5 ALANINE TRANSAMINASE 26 18-121 IU/L ASPARTATE TRANSAMINASE 21 16-55 IU/L ALKALINE PHOSPHATASE 20 5-160 IU/L GAMMA GT 8 0-13 IU/L BILIRUBIN (TOTAL) 2.4 0.0-5.2 umol/L CREATINE KINASE 166 10-200 IU/L CALCULATED OSMOLALITY 290 250-310 mmol/kg HEMOLYSIS Normal - ICTERUS Normal - LIPEMIA + - RBC 8.1 5.4-8.7 x10E12/L HEMATOCRIT 0.52 0.38-0.57 L/L HEMOGLOBIN 181 134-207 g/L MCV 64.2 59.; Medical Note 2022-05-29 8:53:55 AM - 0-76.0 fL MCH 22.3 21.9-26.1 pg MCHC 348.1 326.0-392.0 g/L RDW 18.2 10.0-19.0 % RETICULOCYTE 1.3 - % RETICULOCYTE-ABSOLUTE 105.3 10.0-110.0 x10E3/uL RETIC - HGB 25.6 24.5-31.8 pg WBC 6.0 4.9-17.6 x10E9/L % NEUTROPHIL 57.0 - % % LYMPHOCYTE 33.5 - % % MONOCYTE 5.5 - % % EOSINOPHIL 3.8 - % % BASOPHIL 0.2 - % NEUTROPHIL 3.4 2.9-12.7 x10E9/L LYMPHOCYTE 2.0 1.1-5.0 x10E9/L MONOCYTE 0.3 0.0-1.2 x10E9/L EOSINOPHIL 0.2 0.0-1.5 x10E9/L BASOPHIL 0.0 0.0-0.1 x10E9/L PLATELET 517 143-448 x10E9/L PLATELET COMMENT - Platelet assessment Increased Mild platelet clumping observed CBC COMMENT - RBC, WBC, and platelet morphology normal {8:53 AM}

Non-visit note

Provider: Sophie Kaufmanis, DVM Sex / age / weight: Male - Neutered / 11y 4m / 7 Kg (04-Jun-2022)

Concerns

Active

28-May-2022 19:16 - Progress note (Sophie Kaufmanis, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-05-28 7:16:26 PM - Client Communication: email to o:

Hello Leonardo, It was lovely to see handsome Bento today. I have attached his dental estimate to this email. The procedure itself would involve a thorough dental exam, full mouth dental x-rays to assess the roots and surrounding bone, a thorough cleaning, and removal of any infected or otherwise compromised teeth. The range in price between low and high is mostly dependent on how many teeth (if any) require extraction. I have included a range on the estimate of between 0-8 teeth to account for the possibilities. Let us know if you have any questions or concerns with the treatment plan or the procedure itself. I will be in touch on Monday with his bloodwork results, and we can book him in after that provided everything looks good. Sincerely, Dr. Sophie

29-May-2022 16:09 - Progress note (Sophie Kaufmanis, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-05-29 4:09:53 PM - Case Notes: sample was sent to

the lab as a Gen Pan with no U/A, but requersted bw on file was for Comprehensive w/ U/A. called IDEXX to upgrade test to GERPUW, case # 44094986. added UAAC thru vetconnect with Lab ID #6200525586 -hm

Non-visit note

Provider: Sophie Kaufmanis, DVM Sex / age / weight: Male - Neutered / 11y 4m / 7 Kg (04-Jun-2022)

Concerns

Active

28-May-2022 14:14 - Progress note (Sophie Kaufmanis, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-05-28 2:14:47 PM - Examination/Consultation - dental

(less than 6 months) complimentary : pre-dental exam and RV Doing well. No specific concerns. Food/Feeding:

Pain Scale: 0/9

Temperature: NP Cº

Pulse: WNL BPM

Respiratory Rate: eup

CRT: NE

Mucous Membranes: pk

Hydration: WNL

Attitude: BAR, aggressive

Eyes: WNL

Ears: WNL

Oro-Nasal: NE

Heart: WNL

Lungs: WNL

Abdomen: WNL

Urogenital: WNL

Musculoskeletal: 1cm diameter reducible umbilical hernia. Never

mentioned before. Integument: WNL

Lymph Nodes: WNL

Thyroid: NP

Rectal : NP Neurologic: WNL

BCS: 6/9

Current Rxs:

Assisted by: Datamigrationact

Notes/Comments: Slightly overweight

Reducible 1cm umbilical hernia Plan:

-dental estimate to o -compr panel with UA to follow to idexx -declined 3 view CXRs -discussed sx correction of hernia at time of dental. Will also send estimate for this. Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-05-28 2:14:48 PM - *Anesthetic Protocol :

await bloodwork results. Procedure: Pre-Existing Conditions: Pre-Visit Sedation: Pre-Anesthetic Drugs: Anesthetic Induction: Post-Op Pain Medication: Attitude/Demeanour: Concerns: Additional Instructions: Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-05-28 2:16:44 PM - THANK YOU!:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-05-28 2:52:35 PM - GF Rabies 3 Year Vaccine: Serial

Number: 535286 Site Administered: SQ RH Name of Vaccine: Defensor 3 Manufacturer: Zoetis Vial Expiry Date: 6/13/23 {2:52 PM} Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-05-28 2:52:44 PM - GF Comprehensive Panel with

Urinalysis (GERPUW): Color: Clarity: Specific Gravity: pH: Urobilinogen: Blood: Bilirubin: Glucose: Ketones: Assisted by: Datamigrationact

Protein: Urine Sediment: RBC: /hpf WBC: /hpf Bacteria [F]: Comments: Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-05-28 2:53:03 PM - GF Blood Collection Fee:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-05-28 3:11:40 PM - GF Examination/Consultation:

Food/Feeding:

Pain Scale:

Temperature: Cº

Pulse: BPM

Respiratory Rate:

CRT:

Mucous Membranes:

Hydration:

Attitude:

Eyes:

Ears:

Oro-Nasal:

Heart:

Lungs:

Abdomen:

Urogenital:

Musculoskeletal:

Integument:

Lymph Nodes:

Thyroid:

Rectal : Neurologic:

BCS:

Current Rxs:

Notes/Comments:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-05-28 3:11:41 PM - PR Diet Canine T/D 2.26kg -

Promo:

Non-visit note

Provider: Sam Taylor Sex / age / weight: Male - Neutered / 11y 4m / 7 Kg (04-Jun-2022)

Concerns

Active

27-May-2022 13:01 - Progress note (Sam Taylor)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-05-27 1:01:54 PM - Client Communication: Hey,

I have one spot a little later at 2:10pm. If that doesn’t work for you I can move Bento’s appointment to another day. Let us know what works for you. Warm wags, Sam

Non-visit note

Provider: Athena Wong Sex / age / weight: Male - Neutered / 11y 4m / 7 Kg (04-Jun-2022)

Concerns

Active

25-May-2022 10:24 - Progress note (Athena Wong)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-05-25 10:24:57 AM - Client Communication: Hi

Leonardo, Assisted by: Datamigrationact

I have Bento booked in on May 28 at 1:30pm. Please let us know if this appointment does not work for you. Warm wags, Athena YPH Reception

Non-visit note

Provider: Athena Wong Sex / age / weight: Male - Neutered / 11y 4m / 7 Kg (04-Jun-2022)

Concerns

Active

23-May-2022 10:32 - Progress note (Athena Wong)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-05-23 10:32:36 AM - Client Communication: Yeah lets

Assisted by: Datamigrationact

do it I'd like to ask you to book this on Saturdays. Our schedules here are a bit

tough and Saturdays would be great. Thanks -- Hi Leonardo, I can definitely book in an examination of the mouth for Bento and have bloodwork/vaccines done if there are no additional health concerns. Please confirm that there are no additional health concerns for Bento and we will book Bento in. However for Dental work we do not have any appointments available on weekends and are only done on the weekdays. Please feel free to contact us if you have any additional questions or concerns. Warm wags, Athena YPH Reception

Non-visit note

Provider: Taylor Brennan Sex / age / weight: Male - Neutered / 11y 4m / 7 Kg (04-Jun-2022)

Concerns

Active

22-May-2022 11:20 - Progress note (Taylor Brennan)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-05-22 11:20:53 AM - Capture or paste AllyDVM

requests: Requested At 05/21/2022 5:30 PM Client Id 31971 Client Name Leonardo Faria Patient Name Bento Request Type appointment Full Name Leonardo Faria Coelho Phone Number (604) 339-5302 Email Address leonardofaria@gmail.com Preferred Contact Method email Preferred Date 06/26/2022 Preferred Time 9:50 AM Appointment Type Vet Consult Column Dr Sophie Kaufmanis Comments His Rabies 3 Year Vaccine is expiring. He also has some blood and dental work to do, could we do all at once? Feel free to email or call Assisted by: Datamigrationact

me this weekend. Thanks

Hello and thank you for submitting your appointment request with Yaletown Pet Hospital! I note that ideally you were looking at booking the dental procedure at the same time as the blood/vaccine. Generally speaking, we do not vaccine at the time of any surgical procedures, just to minimize the strain on the immune system. Prior to a dental, we would need to perform an examination of the mouth and take a blood sample (after which we can provide a cost estimate), we could certainly vaccinate at this time provided you did not have additional health concerns. Would you like me to go ahead and book the pre-dental appointment for you? Warm wags, Tay YPH Reception info@yaletownpethospital.com

Non-visit note

Provider: Seven Devery, DVM Sex / age / weight: Male - Neutered / 11y 3m / 8.4 Kg (07-May-2022)

Concerns

Active

07-May-2022 14:02 - Progress note (Seven Devery, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-05-07 2:02:05 PM - THANK YOU!: {2:02 PM}

Non-visit note

Provider: Dr. Jordan Schnarr Sex / age / weight: Male - Neutered / 11y 3m / 8.4 Kg (07-May-2022)

Concerns

Active

07-May-2022 13:35 - Progress note (Dr. Jordan Schnarr)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-05-07 1:35:10 PM - GF Examination/Consultation:

Presented today to recheck skin and ears Needs refill of Apoquel today Wondering if we can increase fluoxetine? Shaking more recently, seems more anxious Wondering about CBD Baths going okay as well Not licking feet very much any more Groomer noticed that ears and feet look much better Cloudy looking eyes Food/Feeding:

Pain Scale: 0/9

Temperature: Cº

Pulse: 130 BPM

Respiratory Rate: Eupneic

CRT:

Mucous Membranes: pink and moist

Hydration: Euhydrated

Attitude: BAR, naughty - growls and tries to bite

Eyes: cataracts OU (immature), grey discharge, breed-related

axophthalmos OU Ears: otoscopic exam NSF other than mild ceruminous debris in right ear

Oro-Nasal:

Heart: no murmur/arrhythmia

Lungs: lungs clear

Abdomen: no pain/visceromegaly, no palpable masses

Urogenital:

Musculoskeletal:

Integument: looks great! no collarettes/crusting/erythema

Assisted by: Datamigrationact

Lymph Nodes:

Thyroid:

Rectal : Neurologic:

BCS: 7/9

Current Rxs:

Notes/Comments: Dermatitis and otitis - resolved

Plan:

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-05-07 2:01:44 PM - Apoquel 16mg Tablet: (30)

02427907 - Give 1/4 tablet by mouth every 24 hours to control itch. Apoquel 16mg Tablet

Non-visit note

Provider: RVT Kiersten O'Hara Sex / age / weight: Male - Neutered / 11y 2m / 8.6 Kg (09-Apr-2022)

Concerns

Active

09-Apr-2022 17:44 - Progress note (RVT Kiersten O'Hara)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-04-09 5:44:40 PM - THANK YOU!:

Non-visit note

Provider: Seven Devery, DVM Sex / age / weight: Male - Neutered / 11y 2m / 8.6 Kg (09-Apr-2022)

Concerns

Active

09-Apr-2022 17:44 - Progress note (Seven Devery, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-04-09 5:44:15 PM - THANK YOU!:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-04-09 5:44:32 PM - Osurnia 2nd Dose per ml: (2)

Non-visit note

Provider: Taylor Brennan Sex / age / weight: Male - Neutered / 11y 2m / 8.6 Kg (09-Apr-2022)

Concerns

Active

03-Apr-2022 16:31 - Progress note (Taylor Brennan)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-04-03 4:31:10 PM - Capture or paste AllyDVM

requests: Requested At 04/03/2022 4:30 PM Client Id 31971 Client Name Leonardo Faria Patient Name Bento Request Type appointment Full Name Leonardo Faria Phone Number (604) 339-5302 Email Address leonardofaria@gmail.com Preferred Contact Method email Preferred Date 04/09/2022 Preferred Time 9:40 AM Appointment Type Vet Consult Column Dr Sophie Kaufmanis Comments This is a follow-up for the appointment from yesterday. Thanks

STO to book- TB

Non-visit note

Provider: Sophie Kaufmanis, DVM Sex / age / weight: Male - Neutered / 11y 2m / 8.6 Kg (09-Apr-2022)

Concerns

Active

02-Apr-2022 16:08 - Progress note (Sophie Kaufmanis, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-04-02 4:08:23 PM - Apoquel 16mg Tablet: (20)

02427907 - Give 1/4 of a tablet by mouth every 12 hours (twice daily) for 10 days, then every 24 hours (once daily) ongoing. This is an anti-inflammatory and anti-itch medication for his skin. Apoquel 16mg Tablet Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-04-02 4:09:19 PM - Ear Swab/Cytology IH:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-04-02 4:09:35 PM - GF Examination/Consultation: ear

seems infected again. Not itchy elsewhere. Interested in preventative therapy for allergies. Food/Feeding:

Pain Scale: 2/9 -ear

Temperature: NP Cº

Pulse: WNL BPM

Respiratory Rate: eup

CRT: NE

Mucous Membranes: NE

Hydration: WNL

Attitude: BAR, tried to bite

Eyes: NE

Ears: Bilat inflammation. Much worse RHS. Malassezia otitis AU on IH

cyto. Would not tolerate otoscopic exam Oro-Nasal: NE

Heart: WNL

Lungs: WNL

Abdomen: WNL

Urogenital: WNL

Musculoskeletal: WNL

Integument: crusting caudal dorsum looks suspiciously like epidermal

Assisted by: Datamigrationact

collarette but no bacteria on cytology of tape strip from area. Slight inflammation interdigitally Lymph Nodes: WNL

Thyroid: NP

Rectal : NP Neurologic: WNL

BCS: 5/9

Current Rxs: none

Notes/Comments: Bilat otitis externa

Suspected epidermal collarette caudal dorsum (but IH cyto showed no bacteria), interdigital dermatitis mild Plan:

-start apoquel -osurnia first dose today, repeat 7 days -bathe with medicated shampoo q 3 days x 2 weeks. 10 minute contact time. Recheck exam in 5 weeks with DVM Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-04-02 4:09:50 PM - THANK YOU!:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-04-02 4:10:30 PM - Osurnia Initial Dose per ml: (2)

Non-visit note

Provider: Tirza van Dijk Sex / age / weight: Male - Neutered / 11y 2m / 8.6 Kg (09-Apr-2022)

Concerns

Active

21-Mar-2022 11:42 - Progress note (Tirza van Dijk)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-03-21 11:42:10 AM - Capture or paste AllyDVM

requests: Requested At 03/20/2022 8:27 PM Client Id 31971 Client Name Leonardo Faria Patient Name Bento Request Type appointment Full Name Leonardo Faria Phone Number (604) 339-5302 Email Address leonardofaria@gmail.com Preferred Contact Method text Preferred Date 04/02/2022 Preferred Time 3:30 PM Appointment Type Vet Consult Column Dr Sophie Kaufmanis Comments Right hear is still bad, Bento keeps scratching

Email Address leonardofaria@gmail.com Preferred Contact Method text Preferred Date 03/29/2022 Preferred Time 8:10 AM Appointment Type Vet Consult Column No Preference Comments Sorry, I previously booked for Apr 2nd but I'd prefer an earlier date, this one or if possible even earlier. Thanks

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-03-21 11:46:24 AM - Client Communication: Hello

Leonardo, We have received your request to book an appointment for Bento. I noticed you mentioned anytime before April 2nd would work as well, and the soonest we can put you in for with Dr. Kaufmanis is Friday, April 1st at 11:30 AM. Please let us know as soon as you can if that date and time works for you, as I have Bento booked in for then :) Warm wags, Tirza

Hi Tirza Lets do Saturday April 2nd then Thanks

Hello Leonardo, No worries! I have moved Bento for Saturday, April 2nd at 3:30 PM as originally requested :) Please let us know if you any questions or concerns! Warm wags, Tirza

Non-visit note

Provider: Seven Devery, DVM Sex / age / weight: Male - Neutered / 11y / 8.5 Kg (01-Feb-2022)

Concerns

Active

01-Feb-2022 16:16 - Progress note (Seven Devery, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-02-01 4:16:06 PM - Prescription scripted out to

Pharmacy: Rx Drug Name and Concentration Quantity Fluoxetine 10mg x 30 + 6 refills Directions for Use: 10mg PO SID ongoing. Do not discontinue abruptly.

Non-visit note

Provider: Seven Devery, DVM Sex / age / weight: Male - Neutered / 11y / 8.5 Kg (01-Feb-2022)

Concerns

Active

01-Feb-2022 15:49 - Progress note (Seven Devery, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-02-01 3:49:56 PM - GF Examination/Consultation:

GF+ Recheck ears. Booked via AllyDVM - nlw

LMOM as per LAP to move appt- TB

STO, confirm move- TB

Going well at home, ears seem comfortable, occ scratching of ears (unsure of significance). Licking paws occasionally. 3 x ear ear infections in 2021. EDUD WNL. Energy levels WNL Current medications: lamb based dry food twice per day. No recent change in food. Current medications: fluoxitine. Food/Feeding:

Pain Scale:

Temperature: Periph WNL Cº

Pulse: 120 S&S BPM

Respiratory Rate: Subj WNL

CRT:

Mucous Membranes: pink

Hydration: WNL

Attitude: BAR, fractious, resents contact around head/face

Eyes: NAD

Ears: NAD on distance exam, swab NAD, unable to perform otoscopic

examination Oro-Nasal: Moderate dental disease, suspect grade 3 (consider to quote

as grade 4 to be safe) limited ability to examine, numerous missing teeth from previous extractions Heart: Sinus rhythm, nil murmur

Lungs: BV sounds WNL, nil murmur, fine detail limited by motion

Abdomen: Soft and comfortable, NSF

Urogenital: NAD

Musculoskeletal: NAD

Integument: NAD, healthy skin and coat, no evidence of pododermatitis

currently. Lymph Nodes: PLN WNL

Thyroid: NE, comfortable

Rectal : NAD, comfortabe Neurologic: BAR, nAD, complete exam not performed.

BCS: 5.5/9

Current Rxs: Fluoxitine 10mg SID

Notes/Comments: Assessment:

Assisted by: Datamigrationact

Non-visit note

Provider: Naomi Lisa Walsh Sex / age / weight: Male - Neutered / 10y 11m / 8.5 Kg (01-Feb-2022)

Concerns

Active

05-Jan-2022 17:53 - Progress note (Naomi Lisa Walsh)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2022-01-05 5:53:10 PM - Client Communication:

Requested At 01/05/2022 10:57 AM Client Id 31971 Client Name Leonardo Faria Patient Name Bento Request Type appointment Full Name Leonardo Phone Number (604) 339-5302 Email Address leonardofaria@gmail.com Preferred Contact Method call Preferred Date 02/01/2022 Preferred Time 6:20 PM Appointment Type Vet Consult Column Dr Sophie Kaufmanis Comments I was asked to book an appointment 45 days after his last one to apply something in his ears. Dr. Sophie was looking at him but I am not sure if she was the last one. Thanks - booked - nlw

Non-visit note

Provider: Seven Devery, DVM Sex / age / weight: Male - Neutered / 10y 11m / 8.5 Kg (01-Feb-2022)

Concerns

Active

19-Dec-2021 17:16 - Progress note (Seven Devery, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-12-19 5:16:59 PM - Osurnia 2nd Dose per ml: (2)

recheck/progress exam in 45 days rec'd by SK - hb SDV = ears look good on basic inspection, otoscopic exam not performed due to temperment. instill meds (2nd dose osurnia) OU today, then recheck in 1m as per SK plan on file.

Non-visit note

Provider: Naomi Lisa Walsh Sex / age / weight: Male - Neutered / 10y 10m / 8.8 Kg (12-Dec-2021)

Concerns

Active

12-Dec-2021 17:50 - Progress note (Naomi Lisa Walsh)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-12-12 5:50:36 PM - Client Communication: Emailed O:

Hi there, Thank you for your visit to YPH today with Bento! I have attached the invoice to this email for your reference. I have tentatively booked Bento in for a technician appointment for the second dose of Osurnia for his ears on Sunday December 19th at 5pm. Please let us know if this works well for you. Thank you! Hi Next Sunday At 5 pm works for Bento as a follow-up appt. Thank you Sent from my iPhone {12/13/2021, 6:29 PM}

Non-visit note

Provider: Sophie Kaufmanis, DVM Sex / age / weight: Male - Neutered / 10y 10m / 8.8 Kg (12-Dec-2021)

Concerns

Active

12-Dec-2021 17:24 - Progress note (Sophie Kaufmanis, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-12-12 5:24:07 PM - Examination/Consultation -

Progress: In today for progress exam. Seems to be doing well but still scratching his ear a lot. Brought in today by dogsitter. She reports that o's are interested in longterm allergy therapy for bento. Food/Feeding:

Pain Scale: 0/9

Temperature: Cº

Pulse: BPM

Respiratory Rate:

CRT:

Mucous Membranes:

Hydration:

Attitude: BAR, good boy today. Did everything in tx area.

Eyes:

Ears: Unable to perform otoscopic exam, but from exterior canals show

no signs inflammation. Seem comfortable. No discharge. IH cyto showed 0-2 cocci AD, and 0-1 malassezia AS. Oro-Nasal:

Heart:

Lungs:

Abdomen:

Urogenital:

Musculoskeletal:

Integument: WNL! paws completely healed. No sign of inflammation

anywhere on integument Lymph Nodes:

Thyroid:

Rectal : Neurologic:

BCS:

Current Rxs:

Notes/Comments: Inflamed skin resolved

Otitis externa incompletely resolved cytologically Plan:

-repeat osurnia course (o's unable to medicate at home). One dose today, repeat 7 days, then progress exam 30 d after second dose. Offered culture and explained that this would allow us to confirm whether the bacteria AD is susceptible to the antibiotic in the osurnia. Declined culture today Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-12-12 5:26:28 PM - Ear Swab/Cytology IH:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-12-12 5:26:28 PM - Osurnia Initial Dose per ml: (2)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-12-12 5:32:42 PM - THANK YOU!:

Non-visit note

Provider: Taylor Brennan Sex / age / weight: Male - Neutered / 10y 10m / 8.8 Kg (12-Dec-2021)

Concerns

Active

20-Nov-2021 13:03 - Progress note (Taylor Brennan)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-11-20 1:03:02 PM - Capture or paste AllyDVM

requests: Requested At 11/20/2021 11:38 AM Client Id 31971 Client Name Leonardo Faria Patient Name Bento Request Type appointment Full Name Leonardo Faria Coelho Assisted by: Datamigrationact

Phone Number (604) 339-5302 Email Address leonardofaria@gmail.com Preferred Contact Method call Preferred Date 12/12/2021 Preferred Time 11:10 AM Appointment Type Vet Consult Column Dr Sophie Kaufmanis Comments This is a 4-week follow-up regarding his yeast treatment. Could you please give me a call to confirm if this is a good time? Thanks

Thanks for booking your appointment with Yaletown Pet Hospital! Bento is scheduled in for an appointment on Sunday, December 12th at 11.10am. Any questions please feel free to email or call us at 604-682-7389. Parking in the neighbourhood can be challenging. There is generally street parking along Beatty Street between Nelson and Robson Streets, as well as on Expo Boulevard west of Smithe Street. Parking is also available in the Pivotal Building Parkade, and is accessible from Beatty Street just behind the 7-11, and from Expo Boulevard immediately east of the Immigration Services Offices. Thanks, Tay YPH Reception info@yaletownpethospital.com

Non-visit note

Provider: Sophie Kaufmanis, DVM Sex / age / weight: Male - Neutered / 10y 9m / 8.8 Kg (12-Dec-2021)

Concerns

Active

15-Nov-2021 13:50 - Progress note (Sophie Kaufmanis, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-11-15 1:50:45 PM - Osurnia 2nd Dose per ml: (2)

Assisted by: Datamigrationact

cleaned with epi otic both canals are pink and inflamed sensitive to swab, ++ budding yeast AU consider ketoconazole if not improved at recheck. checked feet, they look much better, still some erythema on the plantar aspect of LF, recommend cont bathing with malaseb shampoo. Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-11-15 1:50:56 PM - THANK YOU!:

Non-visit note

Provider: Naomi Lisa Walsh Sex / age / weight: Male - Neutered / 10y 9m / 8.8 Kg (12-Dec-2021)

Concerns

Active

09-Nov-2021 07:56 - Progress note (Naomi Lisa Walsh)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-11-09 7:56:55 AM - Client Communication: Client Id

31971 Client Name Leonardo Faria Patient Name Bento Request Type appointment Full Name Leonardo Faria Phone Number (604) 339-5302 Email Address leonardofaria@gmail.com Preferred Contact Method call Preferred Date 11/30/2021 Preferred Time 2:20 PM Appointment Type Vet Consult Column Dr Sophie Kaufmanis Comments Hi Bento needs a second appointment on Nov 14 with Dr. Sophie. I am not sure if she is available that day but she asked to come this Sunday thanks

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-11-09 8:10:15 AM - Client Communication: Hi

Leonardo, Thank you for filling out an online appointment request form for Bento. Before booking anything in, I just wanted to confirm with you the date and time you would like to book in for. The requested date and time on the form is 11/30/21 @ 2.20pm but in the comments it mentions this Sunday. Could you please advise on this? Once confirmed we can get Bento booked in for his vaccinations. Thank you! Yaletown Pet Hospital Vancouver BC V6B 1C4 Canada Warm wags, Naomi YPH Reception Assisted by: Datamigrationact

info@yaletownpethospital.com - NLW

Hi Could you please give me a call? I am calling you and it says you are closed (?)

Hi Leonardo, Sorry we missed your call but yes we are closed between 12:30-1:30pm every Tuesday for staff meeting/continuing education. We will give you a call as soon as we can. If you’d like to keep trying to call us you can also do this too :o) Thank you, have a great night. Warm wags, Em

Non-visit note

Provider: Sophie Kaufmanis, DVM Sex / age / weight: Male - Neutered / 10y 9m / 8.8 Kg (12-Dec-2021)

Concerns

Active

07-Nov-2021 16:47 - Progress note (Sophie Kaufmanis, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-11-07 4:47:55 PM - Malaseb Shampoo 250ml:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-11-07 4:48:01 PM - Ear Swab/Cytology IH: AU -

malassezia TMTC Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-11-07 4:48:09 PM - Cytology IH: tape strip of crusted

spot on dorsum: occasional yeast (<1/HPF) tape strip of interdigital space: yeast 1/HPF, occasional bacteria Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-11-07 4:49:51 PM - Prednisone - Apo 5mg Tablets:

(10) DIN 00312770 - Please give 1 tablet by mouth every 24 hours (once daily) for 7 days. Then give 1/2 of a tablet by mouth every 24 hours (once daily) until finished. Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-11-07 4:50:42 PM - Osurnia Initial Dose per ml: (2)1

vial AU Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-11-07 4:50:45 PM - THANK YOU!:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-11-07 7:11:09 PM - Client Communication: email to o:

Hello Leonardo, I hope you find the below summary of allergies in dogs helpful - it goes Assisted by: Datamigrationact

over the different ways we can try to manage allergies. I used parts of an article by Stittsville Animal Clinic in Ontario on their website (https://stittsvillesmallanimalclinic.ca/files/2018/11/The-Allergic-Dog.pdf), but then added some extra information. There is no right way really, just a lot of trial and error. Please let me know if any questions. Dogs can be allergic to 4 main things: food (approx.. 3/10 dogs), things in the environment such as trees or dust (Atopy), contact allergies to things that touch their bodies (shampoos, creams…), and fleas. Most dermatologists believe that some allergic dogs have some component of all four allergies, though most dogs have one main type. This combination of allergies can sometimes make management challenging. Atopy seems to be the most common, and is more prevalent in certain breeds (labs, boxers, wheaton terriers, golden retrievers…). Atopy can be seasonal or non-seasonal, depending on whether the things the dog is allergic to are outside (trees, grass, ragweed…) or indoors (dust, feathers, cats, moulds, and even people). Also, most dogs with allergies that begin as seasonal will become less seasonal (affect them for longer periods over the year) if not treated. Once you and your vet have determined which type of allergy is most likely in your dog, treatment can begin. Important things to remember are: Allergies are a multifactorial disease, involving factors such as the dog’s immune system, environment, any concurrent diseases, season, genetics, etc…. This combination of factors makes treatment challenging. Most allergies can emerge at any age and once there, they are often life long. Treatment of allergies involves many strategies that all need to be combined for best success. There is no one magic pill or ointment that will fix the problem alone. Few dogs are cured completely, so owners need to be aware that treatment is aimed at controlling and managing symptoms, often for long term. Here is some information on diet trials: Diet trials must be performed very strictly for a minimum of 6-8 weeks before we can say whether or not they are effective. This means no treats or extra rations from anywhere; Medical Note 2021-11-07 7:11:09 PM - Typically, it is the protein source in the food that dogs will be allergic to. So therapy is aimed at using novel proteins (proteins they would not have been exposed to before, for example kangaroo or rabbit meat), hydrolyzed proteins (proteins that have been broken down into small particles that the body does not recognize as protein any more), or vegetarian ingredients. The veterinary diets designed for allergy management are very strict on cross-contamination, so that is the reason we will typically recommend them to clients. Here are some of the main Drugs/Therapies Available: Cytopoint – it is an injectable antibody solution and helps block itch. It is generally thought to be quite a safe drug, with few reported side effects. It is something the pet comes into the clinic for. Effect lasts 2-7 weeks depending on the patient. Apoquel is a tablet that helps with itch by blocking certain itch receptors in the skin. It is generally safe and well-tolerated. It is a once-daily lifelong medication. If we were to start Bento on apoquel, we would want to check bloodwork yearly on him ($211) to monitor for any adverse effects. ; Medical Note 2021-11-07 7:11:09 PM - Allergy shots (hyposensitization immunotherapy protocols) - should be considered in ALL cases of atopy where dogs are affected for several months of the year OR symptoms are severe and refractory to other medications. A skin test (preferable, more accurate) or blood test needs to be performed to identify what environmental things that the dog is allergic to. A serum is then made up containing all of those allergens in small amounts. The dog is subsequently injected with those allergens at varying intervals over time. The goal is to make his or her immune system Assisted by: Datamigrationact

tolerant to the allergens so that it will start to “ignore” them. Studies show that about 70-80% of dogs show moderate to excellent improvement in allergy symptoms within 8-12 months of starting the injections. Most dogs require monthly injections for life to maintain the improvement. Allergy therapy is something that is done by the dermatologist, and a rough cost estimate would be $1000 - $2000 starting price, and then approximately every few months, you would need to refill the allergy injections, which costs approximately $200 - $300. The allergy desensitization therapy would need to be given every several days

Non-visit note

Provider: Sophie Kaufmanis, DVM Sex / age / weight: Male - Neutered / 10y 9m / 8.8 Kg (12-Dec-2021)

Concerns

Active

07-Nov-2021 15:58 - Progress note (Sophie Kaufmanis, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-11-07 3:58:54 PM - Examination/Consultation -

Comprehensive: Brought in by Leonardo's new girlfriend. Says she wants to get to the bottom of his skin issues and not just treating them when they get very bad. History of recurrent otitis externa. Has recently changed Bento onto lamb food. Food/Feeding:

Pain Scale: 5/9 - ears, skin

Temperature: NP Cº

Pulse: 132 BPM

Respiratory Rate: eupneic

CRT: NE

Mucous Membranes: NE

Hydration: WNL

Assisted by: Datamigrationact

Attitude: BAR, well-behaved today. No growling or aggression at any

point. Did all muzzled in tx area, o not present (although apparently usually is well-behaved with male o) Eyes: NE

Ears: Both severely inflamed, AS worse than AD. Cannot perform

otoscopic exam due to amount of swelling and pain Oro-Nasal: NE

Heart: WNL

Lungs: clear

Abdomen: WNL

Urogenital: WNL

Musculoskeletal: WNL

Integument: Interdigital dermatitis all 4 paws, worse on front paws

Several places on back have small areas of brown discolouration and crusting. Tape strip cytologies done IH show slight yeast overgrowth Lymph Nodes: WNL

Thyroid: NP

Rectal : NP Neurologic: WNL

BCS: 6/9

Current Rxs: none

Notes/Comments: Slight yeast overgrowth on skin

Severe malassezia otitis AU -osurnia AU, repeat 7 days, then progress exam 30 days after that -malaseb shampoo 2 x weekly bathing x 4 weeks -pred to decrease inflammation of paws and ear canals and aid in tx -will send email with all preventative options for canine allergies to o.

Non-visit note

Provider: Trina Laine Atchison Sex / age / weight: Male - Neutered / 10y 9m / 8.8 Kg (12-Dec-2021)

Concerns

Active

31-Oct-2021 13:33 - Progress note (Trina Laine Atchison)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-10-31 1:33:27 PM - Client Communication: O called

regarding Bento having a back yeast infection in ear. Groomer told O that back paws were also yeasty and it was being passed into the ear. Bento is Assisted by: Datamigrationact

uncomfortable. O wanted to see Dr. Roxy. But due to her schedule being full until end of November they decided to book in with dr. Kaifmanis for next weekend, I let them know that my own experience with Dr. Sophie has been top notch.-TLA

Non-visit note

Provider: Taylor Brennan Sex / age / weight: Male - Neutered / 10y 6m / 8.5 Kg (29-Jul-2021)

Concerns

Active

29-Jul-2021 13:12 - Progress note (Taylor Brennan)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-07-29 1:12:57 PM - Case Notes: Script for Fluoxetine

faxed to SDM Pharmacy Burnaby 604 296-5106 - TB

Non-visit note

Provider: R. Vandermeer, DVM Sex / age / weight: Male - Neutered / 10y 6m / 8.5 Kg (29-Jul-2021)

Concerns

Active

29-Jul-2021 10:57 - Progress note (R. Vandermeer, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Assisted by: Datamigrationact

Migrated Notes — General findings: Medical Note 2021-07-29 10:57:19 AM - Examination/Consultation -

Progress: Due for BV and Lepto activity level normal, march there was yeast AU

have cut out chicken Pain Scale: 2/9 likely some DJD

Temperature: Cº

Pulse: 120 BPM

Respiratory Rate: normal

CRT: 1 sec

Mucous Membranes: pink

Hydration: normal

Attitude: BAR

Eyes: NAF

Ears: NAF

Oro-Nasal: unable to examine, o reports minimal tartar, discussed what to

look for WRT tartar, gingivitis etc. Heart: NAF

Lungs: NAF

Abdomen: comfortable on palpation

Urogenital: NAF

Musculoskeletal: MLP's, difficult to examine, he doesn't like his legs/feet

touched Integument: RF plantas aspect of 2nd digit inter pad space -

pododermatitis, moist Lymph Nodes: NAF

Thyroid: NE

Rectal : NE Neurologic: NAF

BCS: 5.5/9

Current Rxs: fluoxetine 10mg PO SID

Notes/Comments: BV SQ

lepto SQ ear cleaning - surosolve ear cytology - AD yeast - easotic refill rx or fluoxetine - given to o. Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-07-29 11:21:08 AM - Ear Cleaning :

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-07-29 11:21:13 AM - Ear Swab/Cytology IH: R: +++

budding yeast L: WNL Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-07-29 11:21:18 AM - Leptospirosis Annual Vaccine:

Serial Number: 02171254 Site Administered: SQ LH Name of Vaccine: Lepto4 Manufacturer: Nobivac Vial Expiry Date: 05/18/23 Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-07-29 11:21:23 AM - Bordetella Subcutaneous Annual

Vaccine: Serial Number: 493454 Site Administered: SQ RH Name of Vaccine: Bronchicine Manufacturer: Zoetis Vial Expiry Date: 02/07/24 Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-07-29 11:28:37 AM - Easotic Canine Otic Suspension

10ml: DIN 02424576 - Please apply 1 pump deep into right ear once daily for 4 days. First dose administered in hospital. Shake well before use and massage ear canal after application. Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-07-29 11:31:01 AM - THANK YOU!:

Non-visit note

Provider: Lisa Grixti Sex / age / weight: Male - Neutered / 10y 4m / 8.5 Kg (29-Jul-2021)

Concerns

Active

08-Jun-2021 07:30 - Progress note (Lisa Grixti)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-06-08 7:30:25 AM - Client Communication: AllyDVM

appt request - lg Client Request Requested At 06/07/2021 8:52 PM Client Id 31971 Client Name Leonardo Faria Patient Name Bento Request Type appointment Full Name Leonardo Faria Phone Number (604) 339-5302 Email Address leonardofaria@gmail.com Preferred Contact Method email Preferred Date 07/12/2021 Preferred Time 8:10 AM Appointment Type Vet Consult Column Dr Roxanne Vandermeer Comments Please lets check his ears again and 2 pending vaccines: Assisted by: Datamigrationact

Annual Bordetella Intranasal Vaccine (Kennel Cough) (06/25/2021) Annual Leptospirosis Vaccine (06/25/2021)

Emailed O - lg Good morning Leonardo, Your appointment has been created for Bento on Monday, July 12th at 8:10 am with Dr Roxy Vandermeer for an exam, to check his ears and his bordetella and lepto vaccines. We look forward to seeing you then! Please note that our clinic is exercising precautionary measures to ensure the safety of our staff. Please follow provincial guidelines for COVID-19, wear a mask when bringing your pet to YPH, and stay home if you’re sick. To facilitate physical distancing we are not allowing clients into our building at this time; This allows for our in-clinic headcount to support being fully staffed so we may help as many pets as possible. For more details visit our COVID-19 Safety Plan page on our website. Warm wags,

Non-visit note

Provider: Emily Williams Sex / age / weight: Male - Neutered / 10y 2m / 8.5 Kg (29-Jul-2021)

Concerns

Active

05-Apr-2021 08:13 - Progress note (Emily Williams)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-04-05 8:13:30 AM - Client Communication -

PRIVATE/Non-printing: Mr O came to p/u meds. He complained about the price - $22 for 3 days worth of meds he, said he paid $21 for 7 days worth of meds last week, and then he had to call back because he did not have enough. I went back inside, checked file and invoice, saw that he called because he did not have enough to last 7 days, I removed dispensing fee from invoice as it sounds like we did not dispense enough. Went back out to relay to O, he was fine with this. After O paid he then said he wasted some medication from the bottle and that's why he had to call for more, he said the same happened last year. I said to O that's why we had to charge the dispensing fee, I had the understanding that we had not dispensed enough so removed the fee for him, but it now sounds like we had given enough. Advised O I would not Assisted by: Datamigrationact

put the fee back on today but to know for next time there is a dispensing fee and that it would need to be paid for if medication is wasted at home. O understood. EW

Non-visit note

Provider: E. Henderson, DVM Sex / age / weight: Male - Neutered / 10y 2m / 8.5 Kg (29-Jul-2021)

Concerns

Active

05-Apr-2021 08:05 - Progress note (E. Henderson, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-04-05 8:05:55 AM - Dispensing / Prescription Fee

Refund:

Non-visit note

Provider: SJ Valiquette Sex / age / weight: Male - Neutered / 10y 2m / 8.5 Kg (29-Jul-2021)

Concerns

Active

04-Apr-2021 18:17 - Progress note (SJ Valiquette)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-04-04 6:17:02 PM - Client Communication: O phoned

to request more otomax as there wasn't enough for the course of treatment they'd been given. Aplogized and said I'd put the request through and that we'd call them when meds were ready for pickup. -sjv

O LMOM near closing asking about otomax as they'd been hoping to hear back before close today. Called O back and apologized again, explained that there had been an emergency today and only two dvms in so it was a lot more hectic than we'd anticipated. Said that meds were ready now and that we couldn't take payment as we were technically closed but that she was welcome to come by before 6:30 to pick up meds and we could send them instructions to pay online. O very understanding, and said she'd come pick them up tomorrow -sjv

Non-visit note

Provider: E. Henderson, DVM Sex / age / weight: Male - Neutered / 10y 2m / 8.5 Kg (29-Jul-2021)

Concerns

Active

04-Apr-2021 13:15 - Progress note (E. Henderson, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-04-04 1:15:39 PM - Otomax Ointment : (3.3)

00817112 - Instill 0.2 ml into each ear twice daily for 3 more days (to finish course)

p/u em 4/5/21

Non-visit note

Provider: Taylor Brennan Sex / age / weight: Male - Neutered / 10y 2m / 8.5 Kg (29-Jul-2021)

Concerns

Active

03-Apr-2021 10:10 - Progress note (Taylor Brennan)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-04-03 10:10:01 AM - Client Communication: O called

asking to discuss CBD medication for dogs, was told by DJA to talk to ES.

Will pass through message- TB -- Hi Leonardo, Dr.Archeck informed me that you’re looking to try CBD for Bento. I think that is a great idea and I’ve seen many positive results form it. I figured I would send you an email, as explaining over the phone can be tough as it is a lot of information. I’ll provide a quick summary on CBD and how it works. Essentially, dogs, cats, and humans (and actually every living thing except insects) have a bodily system called the endocannabinoid system. This system (similar to how we have a circulatory system or a nervous system for example) functions to maintain a healthy balance in a wide variety of bodily functions. Our bodies naturally produce endocannabinoids to help keep our endocannabinoid system healthy and happy. Additionally, we can supplement our endocannabinoid system with phytocannabinoids. Phyto

body, and phytocannabinoids produced by plants, interact with these receptors to perform a wide variety of functions in the body; such as anxiety relief, stimulating appetite, pain relief, arthritis management, seizure control, etc. I'll send you a link to the CBD that I personally recommend. You're welcome to do your own research and choose a different company, but this is the company that I trust and that I'm comfortable advising. I prefer them because they are a Vancouver based company, supported by Veterinarians, and have a reputable quality control program in place. There is also the option of purchasing CBD oil from a human dispensary, but it has proven to be difficult to find a CBD oil without THC in it. https://www.cbdpet.ca/collections/mobility-joint-support/products/fortify-250m Please note, if you choose to start Bento on a different brand of CBD oil, this dosing chart will not be accurate. This is calculated specifically for the product linked above. If you would prefer to try another brand, please let me know which one you choose and I will calculate an appropriate dose for that strength of bottle.; Medical Note 2021-04-03 10:10:01 AM - Day 1: 1ml once daily (every 24 hours) Day 5: 1ml every 12 hours Day 10: 1ml in the morning, 1.5ml in the evening Day 14: 1.5ml twice daily CBD can take awhile for their bodies to adapt, so you may not notice a change initially. Alternatively, you may notice that Bento becomes super tired/lethargic right away. Every dog responds differently, so please don't be alarmed. If you feel that this dose is too high for Bento, we can tone it down. If you feel that it's not working at all, there is room to give more. We will just have to see how he responds to it in the first 2 weeks and go from there. CBD oil can be dropped on top of food or on top of a yummy snack. Or you can put it directly in his mouth but that might be a little tricky. Side effects of CBD oil usually include lethargy/tiredness. Gastrointestinal upset is also possible although I haven't personally seen that. Also please note that as a veterinary professional, we can't legally ""prescribe"" CBD, but it is our duty to provide you with all the information and safe ways to dose. Please let me know what you think and if you have any more questions. The website I linked has lots of information and references as well if you're interested in learning more. I would love to stay on this journey with you and Bento and learn about their progress. I look forward to an update! Talk soon, Emily S. RVT Team Lead emily.s.yph@gmail.com

Non-visit note

Provider: Deb Archeck, DVM Sex / age / weight: Male - Neutered / 10y 2m / 9.21 Kg (30-Mar-2021)

Concerns

Active

30-Mar-2021 08:15 - Progress note (Deb Archeck, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-03-30 8:15:19 AM - Examination/Consultation -

Comprehensive: Some paw licking possibly worse lately. R ear botheriing him a lot past 2 weeks. Shaking more in general - more reactive to noise. They are rain screening building so it is noisier. Out of nowhere he starts shaking. Whining to get up on couch. More difficulty getting up on couch. Got wood crate for stepstool. Food/Feeding:

Pain Scale: 2/9 ears especially AD

Temperature: N/T Cº

Pulse: 100 BPM

Respiratory Rate: N

CRT: < 2 sec

Mucous Membranes: pink

Hydration: N

Attitude: N

Eyes: OU KCS controlled

Assisted by: Datamigrationact

Ears: AU yeast otitis. Inflamed and painful ear canals. Some debris

Oro-Nasal: NE

Heart: NO murmur

Lungs: clear

Abdomen: N

Urogenital: N

Musculoskeletal: Some dorsolumbar discomfort, hips ROM pretty good

but MLP bilaterally Grade 4/4. Some muscle wasting hind legs Integument: N

Lymph Nodes: N

Thyroid: n

Rectal : n Neurologic: n

BCS: 5/9

Notes/Comments: Discussed arthritis and mgmt. Will do week trial of

Rheumocam to observe response. Will send info on CBD (Emily Segal). Also discussed b/w at some point as have not done this in a couple years. Shaking is a vague sign of a few things. Anxiety, pain. Hearing loss can contribute to not knowing source of sounds and can appear more anxious from this. Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-03-30 8:28:25 AM - Ear Swab/Cytology IH: 3+ yeast

AU Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-03-30 8:28:39 AM - Ear Cleaning :

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-03-30 8:51:47 AM - Otomax Ointment : (3.3)

00817112 - Instill 0.2 mls into each ear twice daily for 7 days. Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-03-30 8:52:21 AM - Rheumocam 1.5mg/ml Oral: (4.2)

02389932 - Give 1 syringe (_0.6__mls) by mouth once daily (every 24hrs) with food for 7 days. Discontinue immediately if GI upset occurs. Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-03-30 8:52:47 AM - THANK YOU!:

Non-visit note

Provider: Pamela Andee Sex / age / weight: Male - Neutered / 10y 2m / 9.21 Kg (30-Mar-2021)

Concerns

Active

21-Mar-2021 16:34 - Progress note (Pamela Andee)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2021-03-21 4:34:41 PM - Client Communication:

Requested At 03/21/2021 4:05 PM Client Id 31971 Client Name Leonardo Faria Patient Name Bento Request Type appointment Preferred Contact Method call Preferred Date 03/30/2021 Preferred Time 8:10 AM Appointment Type Vet Consult - leave details below Column Dr Deb Archeck Assisted by: Datamigrationact

Comments His right ear seems to be bothering him again. I am trying to use the liquid you prescribed last time but doesn’t seem to work. PAM

Non-visit note

Provider: Sam Taylor Sex / age / weight: Male - Neutered / 9y 5m / 9.21 Kg (30-Mar-2021)

Concerns

Active

26-Jun-2020 11:49 - Progress note (Sam Taylor)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-06-26 11:49:30 AM - Client Communication: STO -

Doing well post vaccines - sft

Non-visit note

Provider: R. Vandermeer, DVM Sex / age / weight: Male - Neutered / 9y 5m / 9.2 Kg (25-Jun-2020)

Concerns

Active

25-Jun-2020 09:49 - Progress note (R. Vandermeer, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-06-25 9:49:27 AM - Examination/Consultation -

Wellness/Recheck: 604-339-5302, due for BV, lept, + Da2p Assisted by: Datamigrationact

hxof otitis, how's it going? Presented for: Annual health exam

Pain Scale: 0/9 likely no pain

Temperature: 38.4 Cº

Pulse: 120 BPM

Respiratory Rate: normal

CRT: 1 sec

Mucous Membranes: pink

Hydration: normal

Attitude: trying to bite, naughty

Eyes: NAF

Ears: NAF

Oro-Nasal: unable to assess trying to bite

Heart: NAF

Lungs: NAF

Abdomen: comfortable with palpation, ""full"" feeling

Urogenital: NAF

Musculoskeletal: MLP 3/4 LH, 2-3/4 RH

Integument: NAF

Lymph Nodes: NAF

Thyroid: NE

Rectal : NE Neurologic: NAF

BCS: 6/9 overweight

Notes/Comments: BV IN

DA2P SQ Lhip Lepto SQ R hip overweight - recommend portion control. parasite prevention? recommend o clean ears with ear cleaner at home discussed possible vx rxns Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-06-25 9:51:10 AM - DA2P 3 Year Vaccine: Serial

Number:90060078 Site Administered: SQ L hip Name of Vaccine: Canine - DAPv Manufacturer: Nobivac Vial Expiry Date:04/29/2021 Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-06-25 9:51:16 AM - Bordetella Intranasal Vaccine:

Serial Number: 04080175 Site Administered: Intranasal Name of Vaccine: Intra-trac KC Manufacturer: Intervet Inc Assisted by: Datamigrationact

Vial Expiry Date: 03/09/2022 Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-06-25 9:51:27 AM - Leptospirosis Annual Vaccine:

Serial Number: 02571108 Site Administered: SQ R hip Name of Vaccine: Edge Lepto4 Manufacturer: Nobivac Vial Expiry Date: 5/14/21 Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-06-25 10:08:54 AM - THANK YOU!:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-06-25 10:11:28 AM - Prescription scripted out to

Pharmacy: fluoxetine 10mg: 10 mg PO SID x 30 + 6 refills - gave o rx. gets it filled at costco BBY.

Non-visit note

Provider: David Park Sex / age / weight: Male - Neutered / 9y 4m / 9.2 Kg (25-Jun-2020)

Concerns

Active

15-Jun-2020 09:14 - Progress note (David Park)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-06-15 9:14:44 AM - Client Communication: Email sent

to O - DP/NW Hi Leonardo, Thanks for booking your appointment with Yaletown Pet Hospital! Bento is scheduled in for an examination/appointment on Thursday, June 25th at 10:00a.m.. Please note that our clinic is still exercising precautionary measures to ensure the safety of our community, patrons and staff alike at this time. We are not allowing any clients into the clinic. Please call when you arrive at the hospital (our number is posted on the door). Our reception team will then confirm your phone number and payment method and a veterinarian will call you back to obtain a medical history over the phone and outline a plan. A staff member will meet you at the front door and bring your pet to the veterinarian for their physical examination. We use treats, love and stress-free measures to ensure your pet has a positive Assisted by: Datamigrationact

experience - let us know if your pet has special needs. Your veterinarian will create a diagnostic and treatment plan based on his/her findings and review an estimate and timeline with you over the phone. Your pet and any medications, supplements or prescription diets will meet you at the front door at the end of the appointment. Payment will be collected over the phone via credit card. If you could please call prior to drop-off to provide your card details to our receptionists. Parking in the neighbourhood can be challenging. There is generally street parking along Beatty Street between Nelson and Robson Streets, as well as on Expo Blvd west of Smithe St. Parking is also available in the Pivotal Building Parkade, and is accessible only from the Expo Boulevard entrance, immediately east of the Immigration Services Offices and YPH. If you have any questions or concerns let us know. Thank you for your kindness and understanding. Warm wags, David

Non-visit note

Provider: Taylor Brennan Sex / age / weight: Male - Neutered / 9y 3m / 9.2 Kg (25-Jun-2020)

Concerns

Active

29-Apr-2020 10:07 - Progress note (Taylor Brennan)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-04-29 10:07:10 AM - Client Communication: O LMOM

to cancel appointment as they have found a groomer who will provide a full grooming service- TB Assisted by: Datamigrationact

N/T. Nail curling up in to paw pad. Has not pierced yet though. COVID. Leo will call back with CC. kw

Non-visit note

Provider: R. Vandermeer, DVM Sex / age / weight: Male - Neutered / 9y 2m / 9.2 Kg (25-Jun-2020)

Concerns

Active

01-Apr-2020 09:52 - Progress note (R. Vandermeer, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-04-01 9:52:31 AM - Examination/Consultation -

Wellness/Recheck: seems less itchy O thinks treatments are working otherwise doing well examined without O: Covid protocol. Food/Feeding:

Pain Scale: 0/9 likey no pain

Temperature: Cº

Pulse: 130 BPM

Respiratory Rate: normal

CRT: unable to assess, trying to bite

Mucous Membranes: pink from a distance

Hydration: normal

Attitude: will bite

Eyes: NAF

Ears: both ears look much better, still mild erythema, swabs show very

low numbers of cocci/yeast Oro-Nasal: unable to assess

Heart: NAF

Lungs: NAF

Abdomen: comfortable with palpation

Urogenital: NAF

Musculoskeletal: NE

Integument: NAF

Lymph Nodes: NAF

Thyroid: NAF

Rectal : NE Neurologic: NE

BCS: 6.5/9 chubby

Notes/Comments: recheck ears - much better, only very low numbers of

cocci/yeast - instill 1/2 ml claro AU. recommend o start cleaning in 3-4 weeks with douxo weekly. expect flare ups, will monitor as they occur. due ofr vx in June, can check back in then, sooner if concerns. COVID protocol Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-04-01 10:16:02 AM - Ear Swab/Cytology IH: rare

cooci and rare yeast AU Assisted by: Datamigrationact

EXAM FINDINGS

Assisted by: Datamigrationact

Migrated Notes — General findings: Medical Note 2020-04-01 10:16:27 AM - Ear Cleaning : surosolve

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-04-01 10:16:38 AM - Claro Otic Solution 1ml:

0.5mls/ear Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-04-01 10:18:14 AM - THANK YOU!:

Non-visit note

Provider: Taylor Brennan Sex / age / weight: Male - Neutered / 9y 2m / 9.2 Kg (25-Jun-2020)

Concerns

Active

26-Mar-2020 09:20 - Progress note (Taylor Brennan)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-03-26 9:20:29 AM - Client Communication: Recheck

ears -tl Moved from RV, owner not advised. dm STO - confirmed, protocol, NTOOK. Advised O of payment methods. - sft O cancelled appointment and moved to later date to be with preferred Dr- TB

Non-visit note

Provider: R. Vandermeer, DVM Sex / age / weight: Male - Neutered / 9y 1m / 9.2 Kg (05-Mar-2020)

Concerns

Active

05-Mar-2020 11:18 - Progress note (R. Vandermeer, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-03-05 11:18:51 AM - Examination/Consultation -

Wellness/Recheck: Jan - since has been doing regular ear cleanings. he can bite sometimes. still scratching his ears and licking his paws. Giving prozac O tried to clean the paws as well - malacetic wipes - but he really gets aggressive with that. the rest he can do. also uses a eye drop sometimes. licks both top and bottom of feet. consider cytopoint. on a lamb based diet. Food/Feeding: lamb for 6-8 months, no other treats, sometimes he gets

some salmon. (used to be on chicken). Pain Scale: 0/9 likely no pain

Temperature: Cº

Pulse: 130 BPM

Respiratory Rate: normal

CRT: unable to assess, will bite

Mucous Membranes: pink

Hydration: normal

Attitude: BAR, will bite if you touch his feet

Eyes: hx of KCS

Ears: both ears al thickened and mild erythema R>L

recheck swab today Oro-Nasal: only able to look at incisors/k-9's, minimal tartar

Heart: NAF

Lungs: NAF

Abdomen: NAF, comfortable with palpation

Urogenital: NAF

Musculoskeletal: NAF

Integument: had a good look at his feet - they all look quite good, no

irritation/redness. to look at paws o will put on cone and hold on his back. Lymph Nodes: NAF

Thyroid: NE

Rectal : NE Neurologic: NAF

BCS: 6/9 sl chubby

Notes/Comments: itchy ears and feet - repeat ear swab today, o's have

been cleaning with malacetic/douxo consider cytopoint consider convenia consider claro AU get veg dogs to give the prozac. cleaned ears with surosolve O elected all3 tx's (claro AU, convenia, cytopoint). Recommend recheck in 3-4 weeks, o concerned a bit about $. Expressed empathy, allergies can be very frustrating and the costs can add up as treatments are often required throughout the year. If doing 1000% o can just call with an update in a few weeks. O wondering if there is always a recheck charge, I explained that there is, first time it's a comprehensive, follow up's are less. May need to consider a novel protein diet and perhaps the veg dogs are an issue, try canned version of diet instead? Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-03-05 11:37:48 AM - Ear Cleaning : surosolve AU

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-03-05 11:38:00 AM - Ear Swab/Cytology IH: AD: ++

cocci, rare yeast AS: ++ cocci, rare yeast Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-03-05 11:51:35 AM - Claro Otic Solution 1ml: (2) 1ml

AU Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-03-05 11:51:47 AM - Cytopoint 30mg Vial

(9.2-13.6kg): SQ R hip Serial Number: Expiry Date: Site Administered: Physical Observations: Next Dose Recommended: Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-03-05 11:52:12 AM - Convenia 80mg/ml: (0.9) 0.9mls

SQ L hip Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-03-05 11:53:06 AM - THANK YOU!:

Non-visit note

Provider: Deb Archeck, DVM Sex / age / weight: Male - Neutered / 9y 1m / 9.2 Kg (05-Mar-2020)

Concerns

Active

25-Feb-2020 18:13 - Progress note (Deb Archeck, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-02-25 6:13:41 PM - Douxo Care Auricular Solution

125 ml (4.2 oz):

Non-visit note

Provider: Diljot Sandhu Sex / age / weight: Male - Neutered / 8y 11m / 9.2 Kg (05-Mar-2020)

Concerns

Active

07-Jan-2020 11:18 - Progress note (Diljot Sandhu)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-01-07 11:18:48 AM - Client Communication: Email

from O: Hi Assisted by: Datamigrationact

I have a question: I took Bento last week for an examination and I asked today if I was going to be charged again with an ""Examination"". From what I understood, today would be a check-in based in the last appointment and free of charge. Could you please clarify? Thank you slacked msgs-deb as it was her appt - dil slack reply from DA: Oy, I don't think I said it would be free but that's fine. We can refund/credit to keep the peace. He's been a good client but he did take up a lot of time today. We won't charge for recheck but we will need to charge for ear swab.

Sent an email to O: Hi Leonardo, Dr. Archeck has informed me that we can add a credit to your account for today’s exam, although there will still be a charge for the ear swab, cleanser and solution! Does this work? Warm wags, Diljot

Hi Adding the credit works great! I will take him for a new appointment in a few weeks, thanks __ Hello, Sounds good! You have a credit of $72.45 now on your account. Let us know when you’re ready to book the next appointment! kind regards, Lexi

Non-visit note

Provider: Deb Archeck, DVM Sex / age / weight: Male - Neutered / 8y 11m / 9.2 Kg (05-Mar-2020)

Concerns

Active

07-Jan-2020 09:03 - Progress note (Deb Archeck, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-01-07 9:03:06 AM - Examination/Consultation -

Wellness/Recheck: Bento here for recheck ears and paws. Does not seem to be interested in paws much. Cleaning with Malacetic wipes daily but somewhat superficially at times. Food/Feeding:

Pain Scale:

Temperature: Cº

Pulse: BPM

Respiratory Rate:

CRT:

Mucous Membranes:

Hydration:

Attitude:

Eyes:

Ears: Both ear canals moderate hypertrophy but clear. Swab today to

assess status and make plan. Small load of yeast in both ears. Plan:

1.Clean daily with Douxo ear cleanser 2.Clean twice weekly with Malacetic otic (don't clean with Douxo on those days) 3.Recheck ears and swab one month to make sure we are on right course. Oro-Nasal:

Heart:

Lungs:

Abdomen:

Urogenital:

Musculoskeletal:

Integument: Plantar paws interdigital look ok. Can reduce cleaning and

see how he does Lymph Nodes:

Thyroid:

Rectal : Neurologic:

BCS:

Notes/Comments:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-01-07 9:08:57 AM - Ear Swab/Cytology IH: AS - 1+

yeast AD - 1+ yeast Assisted by: Datamigrationact

EXAM FINDINGS

Assisted by: Datamigrationact

Migrated Notes — General findings: Medical Note 2020-01-07 9:16:45 AM - Douxo Care Auricular Solution

125 ml (4.2 oz): Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-01-07 9:16:58 AM - MalAcetic Otic Cleanser 118ml:

02261464 - Instill small amount into both ears to clean twice weekly Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2020-01-07 9:17:32 AM - THANK YOU!:

Non-visit note

Provider: Katherine Waud Sex / age / weight: Male - Neutered / 8y 11m / 9.2 Kg (05-Mar-2020)

Concerns

Active

31-Dec-2019 10:29 - Progress note (Katherine Waud)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-12-31 10:29:43 AM - Client Communication: O came

in. Mometomax bottle empty after 3 days. Asked how mcuh he was using, hoe many times per day and O confirmed what label said. RLV approved 3 more ml's at no charge, just put in existing bottle but Stacey and I. kw

Non-visit note

Provider: Deb Archeck, DVM Sex / age / weight: Male - Neutered / 8y 11m / 9.2 Kg (05-Mar-2020)

Concerns

Active

30-Dec-2019 20:29 - Progress note (Deb Archeck, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-12-30 8:29:15 PM - Case Notes: Rx to Costco

604-622-5059, #2, #0 - for Fluoxetine 10 mg SID x up to 90 capsules up to a year of refills. dja

Non-visit note

Provider: Deb Archeck, DVM Sex / age / weight: Male - Neutered / 8y 11m / 8.9 Kg (29-Dec-2019)

Concerns

Active

29-Dec-2019 11:53 - Progress note (Deb Archeck, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-12-29 11:53:51 AM - Examination/Consultation -

Comprehensive: His ears are bothering him and he is licking at his paws. He is on Fluoxetine. Opens capsule and puts powder in sausage. Then he licks on ground a lot. Beef sausage, food is lamb. Possible allergy to Assisted by: Datamigrationact

chicken. Allergies vs anxiety. Rx for Fluoxetine to Costco for more up to year Burnaby costco Food/Feeding:

Pain Scale: 2/9 both ears

Temperature: N/T Cº

Pulse: 100 BPM

Respiratory Rate: N

CRT: < 2 sec

Mucous Membranes: pink

Hydration: N

Attitude: much better on Fluoxetine

Eyes: eyes look quiet - KCS temporary?

Ears: bilateral inflammation and stenotic canals AS > AD. Moderate

debris. Otitis cocci and yeast. Will treat with MOmetomax and recheck 8-9 days then will start with ear cleanser Oro-Nasal: NE

Heart: No murmur

Lungs: clear

Abdomen: N

Urogenital: n

Musculoskeletal: N

Integument: Forepaws plantar surface slightly pink but skin looks pretty

healthy. Possible OCD, irritant but advise to stick to lamb and eliminate all other proteins. Start with Malacetic wipes Lymph Nodes: N

Thyroid: n

Rectal : N Neurologic: N

BCS: 5+/9

Notes/Comments: Eliminate all other proteins except lamb. Clean paws

with malacetic wipes, recheck ears after finished momotemax. Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-12-29 12:37:23 PM - Ear Swab/Cytology IH: AU 3+

yeast and cocci Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-12-29 12:38:34 PM - Mometamax Otic Suspension

per ml : (2.8) 02344688 - Instill 0.2 mls into each ear ONCE daily for 7 days. Recheck ears 8-9 days. Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-12-29 12:39:18 PM - Malacetic Wet Wipes 25/pkg:

Assisted by: Datamigrationact

EXAM FINDINGS

Assisted by: Datamigrationact

Migrated Notes — General findings: Medical Note 2019-12-29 12:39:51 PM - Case Notes: Rx to Costco

Burnaby Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-12-29 12:39:56 PM - THANK YOU!:

Non-visit note

Provider: Sorcha Hennessy Silke Sex / age / weight: Male - Neutered / 8y 7m / 8.9 Kg (29-Dec-2019)

Concerns

Active

02-Sep-2019 12:57 - Progress note (Sorcha Hennessy Silke)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-09-02 12:57:49 PM - Client Communication: Recall:

Can start on Douxo ear cleanser once weekly when done with mometomax. - STO: Asked how pt doing? O reports good so far and thinks theres been an improvemnt but pt still rubbling on objects, has been monitoring closely. O wanted to know if this was a normal behaviour? Advised Q for Dr but please send in a video and we can have Dr review. O happy to do this, will email. Advised Dr had recomended to used Douxo once weekkly when finished with meds, can purchase this gentle cleanser in any vet clinic -shs

Non-visit note

Provider: Deb Archeck, DVM Sex / age / weight: Male - Neutered / 8y 7m / 8.9 Kg (25-Aug-2019)

Concerns

Active

25-Aug-2019 11:32 - Progress note (Deb Archeck, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-08-25 11:32:47 AM - Examination/Consultation -

Wellness/Recheck: On Fluoxetine. The capsules are big and it is hard to give him as he has to open them up and sprinkle them into a pillpocket. Optixcare eyedrops going well even without cone. He will rub his face along carpet. He seems to be doing very well in general Appearance: BAR

Food/Feeding:

Pain Scale: 0/9

Temperature: N/T Cº

Pulse: 100 BPM

Respiratory Rate: 40-50

CRT: NE

Mucous Membranes: pink

Hydration: N

Attitude: will bit when working around head. Will try to bit with muzzle

on Eyes: Cannot do STT but eyes look quiet, clear and well controlled

Ears: Both ears mildly inflamed with slight yellow discharge - swabbed

Oro-Nasal: Examined partially with Leo holding - looks good

Heart: N

Lungs: n

Abdomen: N

Urogenital: N

Musculoskeletal: BCS 5/9

Integument: N

Lymph Nodes: N

Thyroid: N

Rectal : N Neurologic: N

Assisted by: Datamigrationact

Notes/Comments: Discussed using Optixcare BID to TID, will do course of

Mometomax both ears. Candidate for ear cleanser. Options offered to Owner/Agent:

Options elected by Owner/Agent:

BCS:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-08-25 11:56:23 AM - Ear Swab/Cytology IH: AS - 2+

yeast AD - 2+ cocci Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-08-25 12:03:58 PM - Mometamax Otic Suspension

per ml : (2.8) 02344688 - Instill 0.2 mls into each ear ONCE daily for 7 days. Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-08-25 12:04:16 PM - THANK YOU!:

Non-visit note

Provider: VT Lisandre Acevedo Sex / age / weight: Male - Neutered / 8y 6m / 8.9 Kg (25-Aug-2019)

Concerns

Active

16-Aug-2019 11:20 - Progress note (VT Lisandre Acevedo)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-08-16 11:20:03 AM - Client Communication: STO ,

booked recheck appt, O reports things are ok received email from Dr. A -la

Non-visit note

Provider: Deb Archeck, DVM Sex / age / weight: Male - Neutered / 8y 6m / 8.9 Kg (25-Aug-2019)

Concerns

Active

14-Aug-2019 19:21 - Progress note (Deb Archeck, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-08-14 7:21:20 PM - Client Communication: Hi

Leonardo I saw the photo of Bento’s eye and it looks just like normal mucous buildup. I am not concerned. Does he seem comfortable? Are you Assisted by: Datamigrationact

getting the eye gel into them? I would wipe it away. Ideally it would be nice for him to be on the Optimmune ointment that treats dry eye but when we discussed this you didn’t think you would be able to do this so the eye gel is the next best thing but it may not be controlling the condition as well as we might want therefore there might be some discharge persisting. But it’s better then nothing. Take care Deb

Non-visit note

Provider: Sorcha Hennessy Silke Sex / age / weight: Male - Neutered / 8y 6m / 8.9 Kg (25-Aug-2019)

Concerns

Active

14-Aug-2019 12:59 - Progress note (Sorcha Hennessy Silke)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-08-14 12:59:13 PM - Client Communication: Recall

How pt doing? Book recheck - STO (ESL) O is still concerned about eyes, when O gives the eye drops he's concerned they're making pt's eyes Assisted by: Datamigrationact

'sensitve', it was a bit hard to understand why as ESL. O described them as looking' like when you wake up' so I asked if they were crusty and he said yes (had previously said no). O reports no redness. O will take a picture and email it to info@yaletownpethospital.com for Dr. review. O has started feeding regular kibble again as directed by JS, pt is happy and no issues there. O wanted to know if OK to sprinkle Fluoxetine on food, rather than in capsule. Advised as per SG/LC this is OK but to wet kibble to allow to stick and pharhaps a strong smelling liquid like chicken stock to help with smell of food. Advised recheck was recommended by JS (30 min with DVM) on 8/29 (21 days from org appt). Advised after Dr has reviewed eye photo we will see if appt can be booked. Delayed recall by 2 days PLEASE BOOK RECHECK IF NOT ALREADY DONE. -shs

Attached photo of Bento's eye from email 8/14/19. bf

Non-visit note

Provider: Michelle Huntley-White Sex / age / weight: Male - Neutered / 8y 6m / 8.9 Kg (25-Aug-2019)

Concerns

Active

11-Aug-2019 16:14 - Progress note (Michelle Huntley-White)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-08-11 4:14:21 PM - Client Communication: O lmom, a

bit concerned with Bento's eye. Still has discharge. was seen on 8/8/19 and is giving eye drops. I asked what colour - its translucent. I offered o to either book in for recheck just to have it seen if it is concerning for him or monitor and we can make a cb. I asked if it excessive, o didnt seem to think so. I told him if it changes in colour, if it becomes escessive (Constantly having to wipe eyes, or if if it looks red/swollen call us and we can book in for recheck. Recc recheck is for 20 days. Told o will place cb to check in. O elects to monitor -MAH {4:14 PM}

Non-visit note

Provider: Dr. Jordan Schnarr Sex / age / weight: Male - Neutered / 8y 6m / 8.5 Kg (08-Aug-2019)

Concerns

Active

08-Aug-2019 11:53 - Progress note (Dr. Jordan Schnarr)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-08-08 11:53:32 AM - Examination - dental (less than 6

months) complimentary : Was in 8 weeks ago for dental, was also started on ear and eye meds Baytil and Rheumocam to be given with food - but he was not eating Subsequently given gabapentin for pain management Would take with peanut butter, but then stopped taking Initially ate some canned food (OTC) and a bit of tuna Was unable to give all of the Baytil - tablets wasted as O was giving in food but he was not eating his food Tried pill pockets - worked for gabapentin, but not for Baytril Also started Fluoxetine (Sunday), haven't seen a difference at this time (but O recognizes this is early). Compounded at Pure. Wondering if there are any other options? O finds this cost restrictive Eating a bit, but not consistently - especially if medication involved. O wondering if we can go back to his regular food (kibble) Eye drops are going well - O puts a cone on him and is able to get them in Energy has been good since a day or two post-op, no V/D, normal elims Appearance: BCS = 5/9

Food/Feeding:

Pain Scale:

Temperature: Cº

Pulse: BPM

Respiratory Rate: Eupneic

CRT:

Mucous Membranes: pink and moist

Hydration:

Attitude: BAR, fractious - would not permit thorough exam

Eyes: clear and bright, normal clear discharge (likely eye lube)

Ears: No external erythema

Oro-Nasal: O able to hold up lips to show me incisors - healing really

well! No evidence of infection or dehiscence, most suture material has already resorbed, no erythema Heart:

Lungs:

Abdomen:

Urogenital:

Musculoskeletal:

Integument:

Lymph Nodes:

Thyroid:

Rectal : Neurologic:

Notes/Comments: Extraction sites healing well

Having some trouble administering medications Hyporexia Plan:

we need to taper him off of Fluoxetine

Options elected by Owner/Agent:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-08-08 12:13:18 PM - Prescription scripted out to

Pharmacy: Rx: Fluoxetine 10 mg PO SID #30, 5 refills Do not discontinue abruptly Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-08-08 12:13:31 PM - Recheck Recommended 30

minutes - in __ days : Recheck Recommended 30 minutes (ears) - in 21 days Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-08-08 12:13:42 PM - THANK YOU!:

Non-visit note

Provider: Deo Rodriguez Sex / age / weight: Male - Neutered / 8y 6m / 8.5 Kg (08-Aug-2019)

Concerns

Active

05-Aug-2019 08:54 - Progress note (Deo Rodriguez)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-08-05 8:54:42 AM - Authorization Forms:

Authorization forms for dental -deo

Non-visit note

Provider: Lisa Grixti Sex / age / weight: Male - Neutered / 8y 6m / 8.5 Kg (08-Aug-2019)

Concerns

Active

04-Aug-2019 09:40 - Progress note (Lisa Grixti)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-08-04 9:40:19 AM - Client Communication: O called

to ask if he was able to mix the fluoxetine liquid he received into the food, as it's impossible to give to Bento directly. Per TK he can mix it in a tiny amount of can food, make sure he eats it then he can feed him the remaining can food. Told O to let us know if he is still having anymore difficulties. - lg

Non-visit note

Provider: Deo Rodriguez Sex / age / weight: Male - Neutered / 8y 6m / 8.5 Kg (08-Aug-2019)

Concerns

Active

02-Aug-2019 18:39 - Progress note (Deo Rodriguez)

Assisted by: Datamigrationact

EXAM FINDINGS

Assisted by: Datamigrationact

Migrated Notes — General findings: Medical Note 2019-08-02 6:39:22 PM - Item(s) picked up : Gabapentin

picked up by O - deo

Non-visit note

Provider: Katherine Waud Sex / age / weight: Male - Neutered / 8y 6m / 8.5 Kg (08-Aug-2019)

Concerns

Active

02-Aug-2019 16:18 - Progress note (Katherine Waud)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-08-02 4:18:26 PM - Client Communication:

STO: Explained Gabapentin is ready fpr pickup and the use of Gabapentin is to help Bento to be out of pain so he will want to eat again. The point is to give him a pain medication that can be given without food as he is not eating, we do not want togive him the Rheumocam without food so stop trying to give the Rheumocam, try Gaba instead. I explained the Baytril needs to be given as it is an abx, but it also has to be given with food so we want to make sure he is eating so he can get the medication he needs. kw

Non-visit note

Provider: Deb Archeck, DVM Sex / age / weight: Male - Neutered / 8y 6m / 8.5 Kg (08-Aug-2019)

Concerns

Active

02-Aug-2019 15:58 - Progress note (Deb Archeck, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-08-02 3:58:02 PM - Gabapentin 50mg capsules: (10)

Summit Compounded Drug Rx #5279784 - Give one capsule orally twice daily for 5 days. Kat has advised Othis will be ready by end of day so did not call O -shs

Non-visit note

Provider: Marlene Jimenez Szymczak Sex / age / weight: Male - Neutered / 8y 6m / 8.5 Kg (08-Aug-2019)

Concerns

Active

02-Aug-2019 08:20 - Progress note (Marlene Jimenez Szymczak)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-08-02 8:20:59 AM - Client Communication: Slacked

#msg-any “Bento” Faria - O phoned in as Pt hasn’t eaten since yesterday at 1pm. Energy is good. drinking is ok-ish. Gave no rheumocam. O was very unclear of the other Rx as looks like he’s also using Baytril and was in yesterday for help with an Rx question for fluxetine. Says he thinks he gave Baytril at 1pm. Pt wasn’t excited for food at 1pm but not excited at dinner time @6. No vomit at 6pm last night or this Am. Was on walk with Pt during phone call and states Pt looks normal just concerned with eating. 604-339-5302

8:35am - Phoned Leonardo, owner reports Bento is almost back to his usual self (good energy, no further vomiting, last vomited at 6pm yesterday) but has not shown interest in food today. Has given 1 dose of Baytril yesterday at 12pm but has not given any Rheumocam yet as vomited yesterday and not eating today. Owner is offering lamb canned food. Suspect not eating as could be painful from extractions (no rheumocam has been given yet). Offered to prescribe Gabapentin which can be given with or without food. Owner will return home at 12pm during his lunch break to see if Bento will eat. If Bento eats, can give rheumocam. If Bento does not eat, then owner will call and we can prescribe Gabapentin 50mg PO BID x 5d. TK

STO: O called to say that Bento is still not eating. I advised I would tell the DVM and they will get back to him asap. Shared to TK and DA. kw

Non-visit note

Provider: Michelle Norkowski Sex / age / weight: Male - Neutered / 8y 6m / 8.5 Kg (08-Aug-2019)

Concerns

Active

01-Aug-2019 17:57 - Progress note (Michelle Norkowski)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-08-01 5:57:05 PM - Client Communication: O found

vomit when he got home, and then Bento vomited again in front of O. Gave him lunch at 1pm along with Baytril. O hasn't given him rheumocam yet. Energy is better. Ate lunch well. Advised give him a little food now, if he doesn't vomit in 2 hours, can given rheumocam. Tomorrow O has to go to work, he plans on giving Baytril in am. Told O if he comes home to vomit tomorrow, let us know and we'll discontinue Baytril and potentially rx something else. O understands plan and will follow up as needed man

Non-visit note

Provider: VT Lisandre Acevedo Sex / age / weight: Male - Neutered / 8y 6m / 8.5 Kg (08-Aug-2019)

Concerns

Active

01-Aug-2019 13:10 - Progress note (VT Lisandre Acevedo)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-08-01 1:10:27 PM - Client Communication: Recall:

Bento is still low energy and not eating yet post op, had a couple accidents in the house , advised o to try canned food, may not be into his kibble being wet , energy should be back to normal by tomorrow , clean spots in the house very well and monitor, assume he was groggy and not himself and call back if not backto normal by tomorrow -la

STO: O came in with Rx for Fluoxetine said Costco can't compound. Advised to go to Pure Pharmacy. O will go. kw

Non-visit note

Provider: Deb Archeck, DVM Sex / age / weight: Male - Neutered / 8y 6m / 9.1 Kg (31-Jul-2019)

Concerns

Active

30-Jul-2019 17:42 - Progress note (Deb Archeck, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-30 5:42:27 PM - Anesthetic Protocol:

Procedure: Dental, STT, fluoroscein stain Pre-Existing Conditions: Agression Pre-Visit Sedation: Trazodone Pre-Anesthetic Drugs: Dexdomitor 10 mcg/kg + Hydromorphone 0.05 mg/kg ( but see how he is on Trazodone) IM Anesthetic Induction: Alfaxan 0.75 mg/kg IV titrated Post-Op Pain Medication: Rheumocam 0.1 mg/kg Attitude/Demeanour: CAution Concerns: Additional Instructions:

31-Jul-2019 14:55 - Progress note (Deb Archeck, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 2:55:31 PM - Dental Cleaning G3--Canine:

Dental chart attached - deo {8/5/19, 8:56 AM} Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 2:55:31 PM - Dental Scale and Polish G3:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 2:55:32 PM - Anesthesia-Local:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 2:55:32 PM - Dental X-ray Full Mouth:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 2:55:32 PM - Extraction-Dental-minor: 110, 301,

302, 401, 402, 403, 503, 603 surgically extracted Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 2:55:33 PM - Cefazolin 100 mg/ml : Given slow

i.v high in the line.lc Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 2:55:33 PM - Hospital Kennel:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 2:55:33 PM - IV Fluids Initial Set-up for

anesthesia: Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 2:55:33 PM - Nurse/Staff Care per minute: (10)

This charge reflects time spent attending to a patient. 1 minute increments. Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 2:55:34 PM - Anesthesia PreMed: Clean poke .

lc Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 2:55:34 PM - Anesthesia Induction: Sedated but

quite reactive for ivc placement, taping. Definitely muzzled. Needed a lot of alfaxan , like 2.5 times the dose. Still had a yawning reflex but was able to intubate. lc Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 2:55:35 PM - Isoflurane and Monitoring per

minute: (90) Anesthetic chart attached- deo {8/5/19, 8:56 AM} Endotracheal Tube Size: Oxygen Rate: Isoflourane Rate: Blood Pressure Range: Heart Rate Range: Respiratory Rate Range: IVF Rate/Boluses: Temperature Range: Intra Op Medications Administered: Gave some alfaxan and dilute dexdomitor 1mcg/kg . Only used half of 1mcg/kg throughout entire procedure which helped settle him a little . lc Recovery: Recovered with a cone on so that we could easily remove the ivc so he cant bite. Smooth recovery no issues. lc Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 2:55:35 PM - Dental Pack Fee:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 2:55:35 PM - Rheumocam Injectable 5mg/ml :

(0.1) as per ga chart.lc Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 2:55:35 PM - Rheumocam 1.5mg/ml Oral:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 2:55:35 PM - Nail Trim - Complimentary:

Nail Trim: all nails trimmed.lc 1 Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 2:55:36 PM - Dental Recheck:

Assisted by: Datamigrationact

EXAM FINDINGS

Assisted by: Datamigrationact

Migrated Notes — General findings: Medical Note 2019-07-31 2:55:36 PM - Laser Therapy Post Surgery Soft

Tissue per site : Site Treated: gingivitis and periodontal disease. lc Weight-: 0-20lbs Body Type: average Coat Length: short Skin Color: dark Coat Color: dark Condition: gingivitis and periodontal disease Joules Administered: 186joules. lc Joules Comments: Patient tolerated? Progress Report? Changes made to treatment? Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 2:55:36 PM - Ear Swab/Cytology IH: AS - 3+

cocci, 3+ yeast AD - 3+ rods, 2+ yeast, 2+ cocci Claro x 2 plus Baytril to go home as cannot do ear meds successfully Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 2:55:36 PM - Ear Cleaning : Cleaned both ears

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 2:55:36 PM - Tear Test-Quantitative: OS - 8

OD - 10 Cannot do Optimmune at this time. Will try to do Optixcare eyelube plus Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 2:55:36 PM - Fluorescein Corneal Stain:

negative uptake both eyes Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 2:57:48 PM - Anal Gland Expression - Comp.

($30.00): ANAL SACS/PERINEUM: both full, normal contents, easily expressed Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 3:10:18 PM - Claro Otic Solution 1ml: Instilled

one dose into each ear Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 3:10:18 PM - Baytril 50mg Tablets: (8)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 3:30:54 PM - Optixcare Eye Lube Plus Hyaluron

20g: Instill one drop into both eyes twice to three times daily. Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 3:36:58 PM - Microchip ISO Implant with BC

Pet Registration Lifetime: Midscapular,midline. Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 3:36:58 PM - THANK YOU!:

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 4:06:18 PM - Client Communication: Spoke to

Leonardo about all that we did. Discussed extractions, eyes - has KCS but he will not be able to give Optimmune so will try Optixcare gel to drop in eyes, otitis with Claro and Baytril and behaviour with trial of Fluoxetine x 14 days. If going well, then will rx out for longer. L is fine with all of this. dja {4:06 PM} Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-31 4:06:51 PM - Prescription scripted out to

Pharmacy: Rx for Fluoxetine 5 mg SID x 3 days, then 10 mg SID x 14 days. May need to be compounded. dja Assisted by: Datamigrationact

EXAM FINDINGS

Assisted by: Datamigrationact

Migrated Notes — General findings: Medical Note 2019-07-31 4:06:59 PM - THANK YOU!:

Non-visit note

Provider: Aleks Jovanovic, DVM Sex / age / weight: Male - Neutered / 8y 6m / 9.1 Kg (31-Jul-2019)

Concerns

Active

21-Jul-2019 20:23 - Progress note (Aleks Jovanovic, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-21 8:23:49 PM - Case Notes: O emailed BW and

vaccine certificates - look into attachements

22-Jul-2019 13:03 - Progress note (Aleks Jovanovic, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-22 1:03:49 PM - Client Communication: Hi

Leonardo, It was lovely to meet you and Bento yesterday. I have attached their dental treatment plan to this email. The procedure itself would involve a thorough dental exam, full mouth dental x-rays to assess the roots and surrounding bone, a thorough cleaning, and removal of any infected or otherwise compromised teeth. The range in price between low and high is mostly dependent on how many (if any) teeth require extraction. I’ve looked at the bloodwork from the previous clinic and am happy with how it looks, we can proceed with the dental. I’ve also included some diagnostics for the eyes as well as the ears. Depending on his temperament on the Trazadone we will try doing the eye testing. The ears we can definitely examine when he is sedated and treat accordingly. I am also excited to share that we are launching our YPH loyalty program through our friends at GoFetch Health, which gives our client’s an opportunity to earn cash rewards that can be spent in our clinic at future appointments. The membership offers 24/7 access to a veterinarian (call or text) to help triage after hours emergencies or answer any questions you may have. You can have as many pets as you want on the same membership and they will each have a personalized check list for their wellness care, tailored to their age and species. The membership costs $5/month or $50 for the year and the dental reward credit is $75 (so it covers annual membership and then some, plus you will have additional opportunities for rewards from vaccines to parasite prevention and an annual spend bonus). We want everyone getting a dental procedure to have at least heard about this awesome opportunity. The GoFetch Health app is available in the Apple App Store and Google Play. If you want more information you can check out the website https://health.gofetch.ca/yaletown or email our plans department (plans@yaletownpethospital.com). Let me know if you have any questions or concerns with the treatment plan, loyalty program or the procedure itself. Cheers, Dr. Aleks

Assisted by: Datamigrationact

Hi Doctor Thanks for all your help. I have been using Gofetch since their beginning and they recommended your clinic. Sydney and I have a few questions regarding the estimation. It is my first time taking him for a cleaning so I didn't understand a few things:

{7/24/19, 8:37 AM} Hey Leonardo and Sydney, The goal of the x-rays is to look at the roots of the teeth. There is a lot going on under the surface of the tooth and we want to make a full assessment before we make any decisions on extractions. Just like when we go to our dentist, they take x-rays of our teeth to look for any defects that might not be seen just with the naked eye. I would expect Bento to have some extractions at this time given his age. The minor/major extraction more depends on how many roots the tooth has, which is related to the size. Teeth that have one root are relatively easier to take out compared to teeth that have two or three roots. The miscellaneous prescriptions are to account for any medications he would need for his ears or his eyes. Since we won’t get a good idea of what is going on with his tear production or if there is an infection in his ears until he is sedated we can’t say for sure if/what medications he would need. I hope that answers all your questions. If you need anything else clarified please let me know. Dr. Aleks

{7/24/19, 8:42 AM}

Non-visit note

Provider: Aleks Jovanovic, DVM Sex / age / weight: Male - Neutered / 8y 6m / 9.1 Kg (31-Jul-2019)

Concerns

Active

21-Jul-2019 13:09 - Progress note (Aleks Jovanovic, DVM)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-21 1:09:08 PM - Examination/Consultation -

Comprehensive: dental was recommended a few weeks ago at University Vet -BW was done there at that time -they could not see teeth due to aggression -has appt for dental July 31st has been scratching ears a lot and licking paws -thought he might have a food allergy -no ear infection was noted at prev vet eyes have a little bit of discharge -will shut one eye or both and looks like he is bothered by it -will rub his face pretty regularly on the ground -was given BNPH ointment but O cannot apply it due to temperament is aggressive - has bitten owners on multiple occasions -sometimes will bark before and other times will not -doing training with Bark Busters and is doing better at home but not when he is out Appearance: BCS 7/9

Food/Feeding: Lamb and rice kibble - has been on this food for 2 weeks

Pain Scale: 1/9

Temperature: Cº

Pulse: 100 BPM

Respiratory Rate: 20

CRT: <2

Mucous Membranes: pink

Hydration: good

Attitude: BAR - aggressive with any head examination - otherwise OK

Eyes: distance exam

OU - M1 thick yellow discharge -M1 conjunctival erythema OD - noted some pigmentation on the cornea Ears: could only get a brief look at the pinna

-have M2 crusting discharge Oro-Nasal: distance exam while trying to bite - M1 calculus and some

crowding Heart: naf

Lungs: naf

Abdomen: naf

Urogenital: naf

Musculoskeletal: naf

Integument: no discharge or erythema noted between toes

no flea dirt M3 dander Lymph Nodes: naf

Thyroid: naf

Rectal : naf Neurologic: naf

Notes/Comments: otitis externa strongly suspected

-possible atopy possible PDD corneal ulcer vs. KCS vs. atopy Assisted by: Datamigrationact

aggression Options offered to Owner/Agent: if there is an issue with the eyes O will

need to apply meds -needs behavioral medications for that if he will even bite O when trying -for now, stop BNPH - come back for dental on trazadone and we will sedate if needed to further assess the eyes keep going on new diet for another 4 weeks at least - see if it will help with scratching ears look like they may be infected - will take samples and get better look at dental too discussed fluoxetine - believe he would be a good candidate - lets get the records and the BW and then proceed after dental due to loading period and possible seratonin syndrome with Fluox and trazadone at the same time ; Medical Note 2019-07-21 1:09:08 PM - Options elected by Owner/Agent: O is OK with plan

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-21 1:28:57 PM - Trazodone - 100mg tablet: (4)

02147645 - Please give 1/2 tablet orally the night before his procedure. Please give whole tablet 2 hours prior to coming in for dental. Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-21 1:29:37 PM - THANK YOU!:

Non-visit note

Provider: Katherine Waud Sex / age / weight: Male - Neutered / 8y 6m / 9.1 Kg (31-Jul-2019)

Concerns

Active

19-Jul-2019 11:47 - Progress note (Katherine Waud)

Assisted by: Datamigrationact

EXAM FINDINGS

Migrated Notes — General findings: Medical Note 2019-07-19 11:47:22 AM - Records Summary - Previous

clinic: Req Records from University Vet Clinic. Not very personable. Will Email once the Vet has a look at them when he comes in at 3pm. (604) 224-7743. kw ST University Vet Clinic: Re-requested records for Bento. ""Just getting to it right now"". kw {7/22/19, 11:02 AM}