Patient History [Reus De La Nutria]

January 01, 2017 to November 30, 2018

Case #: 152987

13125 Southfields Road, Wellington, FL 33414 | (561) 914-0815 | [email protected]

Patient History [Reus De La Nutria]

Ownership: Malabar Management (100%) - (954) 552-1371

January 03, 2017

Administered Quantity

Barn Trip Charge - Wellington 1 Jorge Gomez, MVZ, MS, DACVS

JG Progress Lameness Exam 1 Jorge Gomez, MVZ, MS, DACVS

Note: Horse was sound.

January 07, 2017



January 09, 2017


JG Lameness Exam 1 1 Jorge Gomez, MVZ, MS, DACVS


January 16, 2017




January 18, 2017


JG Pre-Show Treatment (FEI Tent/Show) 1 Gomez/Allendorf

*Polyglycan 1 Vial Gomez/Allendorf

January 19, 2017




Vetrap 4" 3 Rolls Gomez/Allendorf

Naxcel inj 2 gms Gomez/Allendorf

Dispensed Quantity

SMZ Tabs 1 Bottle Gomez/Allendorf

January 21, 2017




January 23, 2017


Chiropractic Treatment 1 Gomez/Watt

of 29 Patient History [Reus De La Nutria]


Case #: 152987




Acupuncture Exam 1 Gomez/Watt

Acupuncture Treatment 1 Gomez/Watt

Acupuncture Needles 0.25 Boxes Gomez/Watt



January 28, 2017



Note: Horse was sound. Back sore to palpation.

January 29, 2017


JG Derm Exam 1 Gomez/Allendorf

Note: Desitin hind legs

January 30, 2017




January 31, 2017


Traumeel inj 1 Box Gomez/Allendorf

Zeel Injection 1 Box Gomez/Allendorf

February 01, 2017




February 05, 2017




February 06, 2017



JG Inject Lumbar Articular Facets 1 Jorge Gomez, MVZ, MS, DACVS

JG Additional Facets 13 Jorge Gomez, MVZ, MS, DACVS

JG Ultrasound Guided Injection of Cranial/Caudal SI Joints 1 Jorge Gomez, MVZ, MS, DACVS



Case #: 152987




JG Epaxial Muscle Injection 1 Gomez/Allendorf

*Dormosedan inj 0.5 mls Jorge Gomez, MVZ, MS, DACVS

Bute Injectable 10 mls Jorge Gomez, MVZ, MS, DACVS

Gentamicin Injectable 30 mls Jorge Gomez, MVZ, MS, DACVS

Ketofen Injectable 10 mls Jorge Gomez, MVZ, MS, DACVS

February 13, 2017



February 14, 2017


Shockwave Therapy 2,000 Gomez/Allendorf

Notes

Patient History Note: Invoice: 394481

Line Item: LMJT15 - Shockwave Therapy

2000 shots back

February 19, 2017






February 20, 2017


JG Dermatology Exam 1 Gomez/Allendorf

JG Bandage Application (doesnt include materials) 1 Gomez/Allendorf

Telfa Pads (3x4) 1 Pad Gomez/Allendorf

Elasticon 0.5 Rolls Gomez/Allendorf

Vetrap 4" 0.5 Rolls Gomez/Allendorf

Naxcel inj 2 gms Gomez/Allendorf


February 21, 2017


Shockwave Therapy 2,000 Gomez/Allendorf

Notes


Line Item: LMJT15 - Shockwave Therapy

BACK



Case #: 152987




February 22, 2017




Dispensed Quantity

*Regumate 1 Liter Bottle Gomez/Allendorf

February 24, 2017






February 26, 2017




February 27, 2017




March 05, 2017




March 25, 2017


JG Lameness Exam 1 1 Gomez/Allendorf

Shockwave Therapy Back 2,000 Gomez/Allendorf

Acupuncture Exam 1 Gomez/Allendorf

Acupuncture Treatment 1 Gomez/Allendorf

Acupuncture Needles 0.25 Boxes Gomez/Allendorf

GTQ (No Dexa) Injection 30 mls Gomez/Allendorf

March 27, 2017





Case #: 152987






March 28, 2017


Shockwave Therapy Back and Neck 3,000 Gomez/Allendorf

Notes


Line Item: LMJT15 - Shockwave Therapy Back and Neck

Neck 1000 Back 2000

March 29, 2017



GTQ (No Dexa) Injection 1 ml Gomez/Allendorf

March 30, 2017


Wound Preparation 1 Gomez/Allendorf

Wound Irrigation 1 Gomez/Allendorf





Tissue Glue 1 Tube Gomez/Allendorf

JG Physical Exam 1 Jorge Gomez, MVZ, MS, DACVS

Note: Heel grab lateral aspect of coronary band,





Acupuncture Exam 1 Gomez/Allendorf

Acupuncture Treatment 1 Gomez/Allendorf

Acupuncture Needles 0.25 Boxes Gomez/Allendorf

Dispensed Quantity

SMZ Tabs 1 Bottle Gomez/Allendorf

Telfa Pads (3x4) 2 Pads Gomez/Allendorf

Elasticon 1 Roll Gomez/Allendorf

March 31, 2017






Case #: 152987










April 01, 2017


Emergency - After Hours 1 Gomez/Allendorf

JG Colic Exam 1 Gomez/Allendorf

Flunixamine Flunixin 10 mls Gomez/Allendorf

IV Catheter Placement 1 Gomez/Allendorf

Gloves Sterile 1 Pair

Hi-Flo Extension Set MILA 1 Set

Short Term IV Catheter 1 Catheter

Suture - Ethilon 1 Suture

Spiral Set IV STAT stat la iwl 1 Set Gomez/Allendorf

LRS Injectable 2 Bags Gomez/Allendorf

JG Admin Fluids 1 Gomez/Allendorf

Nasogastric Intubation 1 Gomez/Allendorf

NG Water & Endolytes 1 Gomez/Allendorf

Endolyte Powder 2 oz's



Vitamin B12 Injectable 20 mls Gomez/Allendorf



April 02, 2017


JG Recheck Exam 1 Gomez/Allendorf

April 03, 2017




April 04, 2017


*Osphos IM Injectable 1 Vial Gomez/Allendorf

Influenza Intranasal Vaccine 1 Dose Gomez/Allendorf



Case #: 152987




April 08, 2017


BioRelease Altrenogest Injectable 1 Dose Gomez/Allendorf

Injection Fee 1 Gomez/Allendorf

April 09, 2017



April 11, 2017



JG Inject Lumbar Articular Facets 1 Jorge Gomez, MVZ, MS, DACVS


JG Inject Cervical Facets 1 Jorge Gomez, MVZ, MS, DACVS


JG Bilateral Front Coffin Joint Injection 1 Jorge Gomez, MVZ, MS, DACVS

*Dormosedan inj 0.5 mls Jorge Gomez, MVZ, MS, DACVS



CBC/TP/FIB 1 Jorge Gomez, MVZ, MS, DACVS

Chemistry 1 Jorge Gomez, MVZ, MS, DACVS

Catalyst Slides IDEXX 1 Unit

Muscle Enzymes 1 Jorge Gomez, MVZ, MS, DACVS




Muscle Enzymes 1 Jorge Gomez, MVZ, MS, DACVS




Chemistry 1 Jorge Gomez, MVZ, MS, DACVS


April 14, 2017


JG Physical Exam 1 Gomez/Allendorf


IV Catheterization 1 Gomez/Allendorf



Injection Cap 1 Unit





Case #: 152987




Hi-Flo Extension Set MILA 1 Set Gomez/Allendorf




Methocarbamol inj 20 mls Gomez/Allendorf

Medicine Consult 1 Peter Heidmann, DVM DACVIM

Others

ProCyte DX HematologyLab Results

Catalyst Dx ChemistryLab Results


April 15, 2017













Others




April 16, 2017





Muscle Enzymes 1 Gomez/Allendorf





Extension Set Sterile IV 1 Set







Case #: 152987




Attached Files

Discharge Report: Reus De La Nutria.Malabar.4.15.17.pdf

April 17, 2017


Vaccine - Equivac EHV 1/4 1 Dose Gomez/Allendorf

*EWT/WNV -WEWT blue/yellow 1 Dose Gomez/Allendorf









Others


April 18, 2017




















Others


April 19, 2017




Case #: 152987














Others


April 20, 2017


eCoggins 1 Gomez/Allendorf

April 21, 2017


JG Bilateral Inject Hocks (TMT-DIT) 1 Gomez/Allendorf

April 22, 2017

















Others


April 24, 2017




Case #: 152987








Others


April 26, 2017




April 28, 2017


International Health Certificate 1 Gomez/Allendorf

June 14, 2017


JG Lameness Exam 1 1 Jorge Gomez/Abroad

Note: The mare is sound. Sensitive all the thoracic, lumbar and SI region.

Lounge line for 2 days.

JG Ultrasound Guided Injection of Cranial/Caudal SI Joints 1 Jorge Gomez/Abroad

JG Inject Lumbar and Thoracic Facets 1 Jorge Gomez/Abroad

JG Additional Facets 11 Jorge Gomez/Abroad

Inject Transverse Processes 1 Jorge Gomez/Abroad

*Dormosedan Injectable 0.5 mls Jorge Gomez/Abroad

June 16, 2017

Attached Files

Coggins: Reus de la Nutria Coggins.pdf

July 12, 2017


JG Lameness Exam 1 1 Jorge Gomez/Abroad


Barn Trip Charge - Europe 1 Jorge Gomez/Abroad

August 26, 2017



September 04, 2017



Case #: 152987





JG Progress Lameness Exam 1 Gomez/Allendorf

September 06, 2017



*Polyglycan Injectable 1 Vial Gomez/Allendorf

Vitamin C Injectable 20 mls Gomez/Allendorf

JG Physical Exam 1 Gomez/Allendorf

Notes


Line Item: EDME37 - JG Physical Exam

Reus double clear in horrible footing. Palpation to determine if all ligaments are ok following. All within

normal limits.


Line Item: PRMS09 - JG Progress Lameness Exam

Jumped in terrible conditions day previously. Some swelling medial pastern developed overnight.

September 07, 2017



JG Ultrasound Left Front Pastern 1 Jorge Gomez, MVZ, MS, DACVS

Note: No findings.



Traumeel Injectable 1 Box Gomez/Allendorf

September 08, 2017




Vitamin C Injectable 20 mls Gomez/Allendorf



September 09, 2017









Case #: 152987




September 10, 2017


Update FEI Passport 1 Gomez/Allendorf

*Vetera Gold XP 1 Dose Gomez/Allendorf

September 20, 2017



Notes


Line Item: PRMS09 - JG Progress Lameness Exam

Failed the jog the first time around; sound.

September 21, 2017





Traumeel Injectable 5 Amps Gomez/Allendorf

Zeel Injection 5 Amps Gomez/Allendorf

September 22, 2017








September 28, 2017






October 01, 2017





Hi-Flo Extension Set MILA 8590 1 Set



Case #: 152987















October 14, 2017



October 20, 2017







October 27, 2017



Note: Pain to palpate lumbar back.

*Dormosedan Injectable 0.5 mls Jorge Gomez, MVZ, MS, DACVS



JG Bilateral Front Coffin Joint Injection 1 Jorge Gomez, MVZ, MS, DACVS

JG Bilateral Inject Stifles (Medial) 1 Jorge Gomez, MVZ, MS, DACVS

JG Ultrasound Guided Injection of Cranial/Caudal SI Joints 1 Jorge Gomez, MVZ, MS, DACVS

JG Inject Lumbar and Thoracic Articular Facets 1 Jorge Gomez, MVZ, MS, DACVS


October 30, 2017


eCoggins 1 Gomez/Hutton

Piroplasmosis CELISA (t equi + b caballus) 1 Gomez/Hutton

Shipping & Handling - NVSL - IA 1 Gomez/Hutton



Case #: 152987




October 31, 2017

Attached Files

Lab Result: MalabarReus20171031piropl.pdf

November 02, 2017

Attached Files


November 03, 2017






November 06, 2017


Dental Exam 1 Gomez/Watt

Note: Moderate singula on the buccal aspect of the maxillary arcade and the lingual aspect of the mandibular

arcade. 109 has a small sagittal fracture on the buccal aspect with a corresponding high 409. Sharp points were

reduced and bit seats placed, 409 was floated down to normal.

Dental - Power Float 1 Gomez/Watt

*Dormosedan Injectable 0.5 mls Gomez/Watt

Butorphanol Inj 0.5 mls Gomez/Watt

Notes


Line Item: PRDE02 - Dental Exam

Moderate singula on the buccal aspect of the maxillary arcade and the lingual aspect of the mandibular

arcade. 109 has a small sagittal fracture on the buccal aspect with a corresponding high 409. Sharp

points were reduced and bit seats placed, 409 was floated down to normal.

November 15, 2017


*Gastrogard Paste 1 Tube Gomez/Allendorf/Abroad

November 16, 2017



Traumeel Injectable 10 Amps Gomez/Allendorf/Abroad

Vitamin B12 Injectable 10 mls Gomez/Allendorf/Abroad

November 17, 2017




Case #: 152987





*Polyglycan Injectable 1 Vial Gomez/Allendorf/Abroad


Zeel Injection 10 Amps Gomez/Allendorf/Abroad

November 18, 2017




Vitamin B-Complex Injectable 30 mls Gomez/Allendorf/Abroad


November 19, 2017



November 20, 2017



LRS Injectable 2 Bags Gomez/Allendorf/Abroad

Spiral Set IV STAT stat la iwl 1 Set Gomez/Allendorf/Abroad



November 21, 2017



Vitamin B-Complex Injectable 30 mls Gomez/Allendorf/Abroad


November 22, 2017




December 03, 2017


Rabies Vaccination - Equine 1 Gomez/Allendorf

*Rabies IMRAB Large Animal 1 Dose

Dispensed Quantity

Panacur Power Pack 1 Pkg Gomez/Allendorf



Case #: 152987




December 14, 2017


*Osphos IM Injectable 1 Vial Gomez/Allendorf

December 23, 2017




January 05, 2018




January 06, 2018


Shockwave Therapy Back 2,000 Gomez/Allendorf



*Gastrogard Paste 1 Tube Gomez/Allendorf

Injection Fee 1 Gomez/Allendorf

January 12, 2018


JG Ultrasound Abdomen 1 Gomez/Allendorf

January 13, 2018


JG Ultrasound Left Front Tendon Sheath 1 Gomez/Allendorf


Note: Positive to LF flexion.

JG Block Tendon Sheath 1 Jorge Gomez, MVZ, MS, DACVS

Note: Improved 100%

January 15, 2018

Scheduled Appointments

Outpatient Procedures: 11:00 AM [5 Hours] - Malabar Management Booked By: Becky Muscarella

Attending: MREquine


MRI 1 MRI

Note: Left Fore Tendon Sheath Study (Fetlock and Pastern)





Case #: 152987





JG Tendon Sheath Injection LFL 1 Jorge Gomez, MVZ, MS, DACVS

Dispensed Quantity

SMZ Tabs 1 Bottle Jorge Gomez, MVZ, MS, DACVS

Notes

Technician Note: 1/15/2018

11:20a Placed IVC RJV. shoes already pulled -CG

11:30a Taken to MRI -KF

1:00pm Returned to stall -YA

1:30pm Taken to MRI -YA

2:45pm Returned to stall -YA

3:10pm Pulled cath and tied for 20 mins. Shivering so put on a cooler and her blanket. Dr. Connors

performed TPR. Talked to Dr. Allendorf, horse will go home at 6:30pm

Attached Files

MRI Report: Reus_De_La_Nutria,_Malabar_Management_2018_01_15.pdf

January 23, 2018


Sedation 1 Jorge Gomez, MVZ, MS, DACVS

Shockwave Therapy LFL 1,000 Jorge Gomez, MVZ, MS, DACVS

Notes


Line Item: LMJT15 - Shockwave Therapy LFL

LFL

January 30, 2018




Notes


Line Item: LMJT15 - Shockwave Therapy LFL

LFL

Done in Ocala by Dr. Lugo at Ocala Equine Hospital

February 06, 2018





Case #: 152987





February 15, 2018


JG Lameness Exam 1 1 Gomez/Allendorf

Notes


Line Item: EDLA19 - JG Lameness Exam 1

Performed in Ocala.

February 16, 2018


JG Autologous Serum IA Injection LF Tendon Sheath 1 Jorge Gomez, MVZ, MS, DACVS

Autologous Serum IA Injection Additional Kit LF Tendon

Sheath

1 Jorge Gomez, MVZ, MS, DACVS

Autologous Serum Processing Fee 1 Gomez/Allendorf

February 28, 2018






JG Ocala Barn Trip 1 Jorge Gomez, MVZ, MS, DACVS


Arthramid 2 Units Jorge Gomez, MVZ, MS, DACVS

March 12, 2018


*Vetera Gold XP 1 Dose Gomez/Allendorf

March 14, 2018



JG Ultrasound LF Deep Digital Flexor Tendon 1 Jorge Gomez, MVZ, MS, DACVS

March 16, 2018





JG Autologous Serum IA Injection RF Tendon Sheath 1 Jorge Gomez, MVZ, MS, DACVS



Case #: 152987




Autologous Serum Processing Fee 1 Gomez/Allendorf

March 30, 2018


BioRelease Altrenogest 30 day Injectable 1 Dose Gomez/Allendorf

April 03, 2018







April 09, 2018


eCoggins 1 Gomez/Allendorf

April 10, 2018


JG Wellington Barn Trip 1 Jorge Gomez, MVZ, MS, DACVS


April 17, 2018



April 18, 2018

Attached Files


April 22, 2018


TB1000 1 Vial Gomez/Allendorf

Notes


Line Item: DRMC63 - TB1000 (1.00 Vial)

First dose.

April 24, 2018




Case #: 152987





April 25, 2018


BioRelease Altrenogest 30 day Injectable 1 Dose Gomez/Allendorf

Dispensed Quantity

TB1000 Dispensed 5 Vials Gomez/Allendorf

May 08, 2018


Professional Services 1 Gomez/Allendorf

Notes


Line Item: EDME03 - Professional Services

Professional time to manage passports for Reus, Boy, Anastasia and Joli

May 16, 2018



May 24, 2018


Parid - Ivermectin Paste 1 Tube Jorge Gomez, MVZ, MS, DACVS

May 25, 2018


BioRelease Altrenogest 30 day Injectable 1 Dose Gomez/Hutton

May 29, 2018



June 25, 2018


JG Chicago Barn Trip 1 Jorge Gomez, MVZ, MS, DACVS


JG LF Tendon Sheath Injection 1 Jorge Gomez, MVZ, MS, DACVS




Dispensed Quantity



Case #: 152987




BioRelease Altrenogest 30 day Injectable 1 Dose Jorge Gomez, MVZ, MS, DACVS

July 20, 2018


Barn Trip Charge - Split 1 Katie Atwood, DVM

IV Catheterization 1 Katie Atwood, DVM





Spiral Set - Admin STAT IV Set 1 Set Katie Atwood, DVM

Plasmalyte / P-Lyte 2 Bags Katie Atwood, DVM

IV Catheter Administration Fee 1 Katie Atwood, DVM

July 23, 2018



JG Traumeel Injectable 2 Amps Gomez/Allendorf/Abroad

JG Zeel iInjectable 2 Amps Gomez/Allendorf/Abroad

Dispensed Quantity



July 24, 2018






Dispensed Quantity


July 25, 2018






July 26, 2018





Case #: 152987





GTQ (No Dexa) Injection 30 mls Gomez/Allendorf/Abroad

July 27, 2018





JG -Biodyll 20 mls Gomez/Allendorf/Abroad



Gentamicin Injectable 30 mls Gomez/Allendorf/Abroad

*Adequan IM Injectable 1 Vial Gomez/Allendorf/Abroad


Short Term IV Catheter 1 Catheter Gomez/Allendorf/Abroad

Spiral Set - Admin STAT IV Set 1 Set Gomez/Allendorf/Abroad

Plasmalyte / P-Lyte 2 Bags Gomez/Allendorf/Abroad

*Legend IV Injectable 5ml bottles 1 Vial Gomez/Allendorf/Abroad

July 28, 2018






Short Term IV Catheter 1 Catheter Gomez/Allendorf/Abroad

Spiral Set - Admin STAT IV Set 1 Set Gomez/Allendorf/Abroad

Plasmalyte / P-Lyte 2 Bags Gomez/Allendorf/Abroad

JG Admin Fluids 1 Gomez/Allendorf/Abroad



*Adequan IM Injectable 1 Vial Gomez/Allendorf/Abroad

*Legend IV Injectable 5ml bottles 1 Vial Gomez/Allendorf/Abroad



Gentamicin Injectable 30 mls Gomez/Allendorf/Abroad

July 29, 2018


Banamine Injectable 10 mls Gomez/Allendorf/Abroad

Telfa Pads (3"x4") 1 Pad Gomez/Allendorf/Abroad

Super Glue 1 Tube Gomez/Allendorf/Abroad

Vetrap 4" 0.5 Rolls Gomez/Allendorf/Abroad




Case #: 152987




Dispensed Quantity

Banamine Injectable 10 mls Gomez/Allendorf/Abroad

July 30, 2018


Dr Allendorf - Center American Equestrian Games

Veterinary Services pero Day 07/22 - 07/30/18

9 Gomez/Allendorf/Abroad

August 08, 2018


Outpatient Procedures: 08:30 AM [5 Hours] - Malabar Management Booked By: Becky Muscarella

Attending: MREquine


MRI Recheck 1 MRI

*Dormosedan Injectable 1.9 mls

*Torbugesic Injectable 1.9 mls

Elasticon 1 Roll


MILACATH - Extended Use IV Catheter 1 Catheter

Suture - Polyamid 1 Cassette

Xylazine Injection 1.5 mls

Note: Left Fore Tendon Sheath MRI Study

Attached Files

MRI Report: Reus_De_La_Nutria,_Malabar_Management_2018_08_08.pdf

Others

36 (Recorded at 6:00 AM)

Created By: Grace Espy, Performed By: Grace Espy, Doctor: Michael Myhre, DVM

Pulse

August 09, 2018


Stall Charge 1 PB Hospital Manager

Notes

Technician Note: 8/9

6am - TPR noted. Fed F/C Timothy, 1qt Complete. Reset wraps and took for handwalk. Horse BAR - SP

Others


Created By: Grace Espy, Performed By: Sarah Panico, Doctor: Michael Myhre, DVM

Pulse

August 10, 2018



Dispensed Quantity



Case #: 152987




EnviroEquine OmegaBalance 1 Bottle PB Hospital Manager

Notes


6:00am- TPR noted, fed horse f/c timothy and 1 qt complete feed, reset standing wraps and walked horse .

-CA

3:15p- QAR. Fed 3 fl timothy.-AG

Others

21395 [Clinicians Orders]: Gomez/Allendorf, Clinicians Orders Exam (#21395)


Created By: Catherine Avolese, Performed By: Catherine Avolese, Doctor: Michael Myhre, DVM

Pulse

August 11, 2018



Notes


12m- Fed F/C Timothy- TF

6am - TF fed 2 flakes timothy in hay bag and 1qt complete with 1oz omega balance in grain and was

eager to eat. TPR noted. Handwalked for 10 minutes and reset standing wraps on BFF. -KP

12pm - Added 1 flake timothy to hay bag and was eager to eat. -KP

Others


Created By: Tammy Felt, Performed By: Kristen Pierce, Doctor: Michael Myhre, DVM

Pulse

August 12, 2018



Notes


6am - TPR noted. TF Fed 2 flakes timothy and 1qt complete with 1oz omega balance in grain and was

eager to eat. Reset BFF standing wraps. Handwalked for 10 minutes. -KP

12pm - Fed 2 flakes timothy in hay bag and was eager to eat. -KP

Others


Created By: Tammy Felt, Performed By: Kristen Pierce, Doctor: Michael Myhre, DVM

Pulse

August 13, 2018




Case #: 152987





Notes


6am - TPR noted, reset wraps. Took for handwalk, BAR - SP

12pm - Horse has plenty of timothy. BAR - SP

5p- Fed 2 fl timothy, 1 qt complete w/ 1 oz omega balance, eager to eat. BAR.-AG

6pm- Reset BF standing wraps. -GE

Others


Created By: Sarah Perry, Performed By: Sarah Panico, Doctor: Michael Myhre, DVM

Pulse

August 14, 2018

Notes


12am- Refilled hay bag with timothy, was eager to eat. -GE

6am - Took for handwalk, horse very fresh. Reset wraps, applied SSD to rub on RF fetlock. - SP

10am - Horse running around stall, rearing, kicking walls. Let Dr. Myhre know. Directed to administer

1.5ml Xylazine IM - SP

10:45am - Gave horse bath - SP

12pm - Horse has plenty of hay - SP

9pm- Pulled feed for sx 8/15. -GE

August 15, 2018


Palm Beach Surgery Rm: 09:00 AM [2 Hours] - Malabar Management Booked By: Mark DeForest

Attending: Tyler Davis, BVetMed

Attending: Andres Rivera

Attending: Michael Myhre, DVM

Attending: Jorge Gomez, MVZ, MS,

DACVS


Tenoscopy 1 Jorge Gomez, MVZ, MS, DACVS

General Anesthesia - Elective 1 Tyler Davis, BVetMed

*Diazepam Injectable 6 mls

*Ketamine Injectable 12 mls

SevoFlo 0.2 mls

Xylazine Injection 8 mls



Case #: 152987




Arthroscopy 1 PB Surgery

Bute Injectable 10 mls PB Surgery

Plasmalyte / P-Lyte 2 Bags PB Surgery

Brown Gauze 6" 1 Roll PB Surgery

Sheet Cotton Roll 1 Roll PB Surgery

Vetrap 4" 1 Roll PB Surgery

Elasticon 1 Roll PB Surgery

Conform Bandage 1 Roll PB Surgery

Gloves Sterile 2 Pair PB Surgery


Surgery Gauze Vers 9024 Ster pkg 1 Pkg PB Surgery

Surgeon Gown 1 Gown PB Surgery

Scalpel Blade 1 Blade PB Surgery

Surgery Drape 1 Drape PB Surgery

Professional Services 2 OTC Sales

Surgery - Packs - Arthroscopy 1 PB Surgery

O.R. Fee - Elective 1 PB Surgery

Recovery Stall Fee 2 OTC Sales

IV Catheterization 1 PB Surgery




MILACATH - Extended Use IV Catheter 1 Catheter


Gentamicin Injectable 35 mls PB Surgery

FloSteady Tubing 1 Set PB Surgery

*Polyglycan Injectable 1 Vial PB Surgery

Sodium Chloride for Irrigation 1 Bottle PB Surgery

Surgeon Gown 2 Gowns PB Surgery


Surgery Drape 1 Drape PB Surgery

Suture - Sorbocryl 1 Suture PB Surgery

Professional Services 1 Robert W. Brusie, DVM, DACVS

Dexamethasone SP Injectable 3 mls PB Surgery

Notes


2:30am- Place IVC LJV. -GE

6am - TPR noted. Took for handwalk, reset wraps. Flushed IVC, QAR - SP

4:45pm - Has plenty of hay in net, fed 1qt complete with 1oz omega balance and was eager to eat.

Applied SSD to RF fetlock sore and reset bandages on BFF. -KP

Patient History Note: Applied bandage over the inner wrap. Inner wrap dry.

Others

21407 [Discharge - Arthroscopy 2012]: Jorge Gomez, MVZ, MS, DACVS, Discharge - Arthroscopy 2012 Exam (#21407)



Case #: 152987




21410 [Surgery Report - Blank]: Robert W. Brusie, DVM, DACVS, Surgery Report - Blank Exam (#21410)


Created By: Grace Espy, Performed By: Sarah Panico, Doctor: Michael Myhre, DVM

Pulse

August 16, 2018


Gentamicin Injectable 35 mls PB Hospital Manager

Bute Injectable 10 mls PB Hospital Manager

Notes


6am Preformed TPR exam, reset both standing bandages -HJ

8am Dr. Rivera A: 2gm Bute and 35ml Gent IV -HJ

3pm - Discharged horse with owner's halter, leadline, omega balance supplement, passport, HC, 4 pillow

wraps and 2 standing wraps and discharge orders/images. The other 2 standing wraps have gone missing

and could not be located. Will mail them out if found. -KP

Others


Created By: Holly Jacobs, Performed By: Holly Jacobs, Doctor: Michael Myhre, DVM

Pulse

August 20, 2018


Dr Allendorf Travel Expenses - Center American Equestrian

Games

1 Gomez/Allendorf/Abroad

August 28, 2018



JG Post Op Exam 1 Jorge Gomez, MVZ, MS, DACVS

JG Bandage Application (doesnt include materials) 1 Jorge Gomez, MVZ, MS, DACVS

Vetrap 4" 1 Roll Jorge Gomez, MVZ, MS, DACVS

Brown Gauze 6" 1 Roll Jorge Gomez, MVZ, MS, DACVS

Telfa Pads (3"x4") 2 Pads Jorge Gomez, MVZ, MS, DACVS

Elasticon 1 Roll Jorge Gomez, MVZ, MS, DACVS

Suture Removal 1 Jorge Gomez, MVZ, MS, DACVS

September 02, 2018


Barn Trip Charge - Wellington 1 Gomez /Lukens

BioRelease Altrenogest 30 day Injectable 1 Dose Gomez /Lukens

Notes



Case #: 152987





Line Item: CDHM05 - BioRelease Altrenogest 30 day Injectable (1.00 Dose)

Administered in right neck.

September 07, 2018

Dispensed Quantity

EnviroEquine OmegaBalance 1 Bottle Jorge Gomez, MVZ, MS, DACVS

September 11, 2018


JG Recheck Exam 1 Jorge Gomez, MVZ, MS, DACVS

Note: Removed bandage, left front leg looks good.

September 29, 2018


*Vetera Gold XP 1 Dose Gomez/Hutton

Rabies Vaccination - Equine 1 Gomez/Hutton

*Rabies IMRAB Large Animal 1 Dose

BioRelease Altrenogest 30 day Injectable 1 Dose Gomez/Hutton

November 06, 2018





Patient History [Reus De La Nutria]

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