Whenever we get a new patient, we ask our client for "an account in your own words of your pet's condition and history."
Here is an excellent example of a pet health history. Note that it gives the current state, the history in chronological
order, and is concise (it is one page only!). I life summary like this makes it much easier for
me to see the whole picture and to be more efficient and more successful. That means the patient gets better faster.
Want the best results for your pet? Do the same with your report for your pet!
Brie: Red/white Basset Hound, appx 12 years, spayed, last weight 11/29 52 lbs
Medical
issue: almost constant gas highly increased after meals. Can press her like a bellows. Legs,
feet and ears get very cold during this. Holding my hands on her stomach lightly helps. While she
has always been gassy, this has been going on for about 2-3 months and seems to be increasing in duration and discomfort.
- Steps
taken: Increased Percortin and pred as of 10/24/2007 - Addison's . Vet tech noticed cold feet and ears during this visit.
- Switched food back from kibble/canned to raw as of 11/30
- Add Pepcid AC 10 mg to each meal as of 11/30
- Give
1-2 Gas-X pills to combat symptons as of 11/15
Current meds: Percortin, 2 ml administered
every 25 days, due 12/7. Prednisolone, 5 mg daily as of 12/4 decreased to 2/5 mg. Chinese herbs: Heart Assist,
2 pills each meal; Hip Guard, 2 pills each meal.
History:
Joined Sherwin family 11/11/1998
appx 3 ½ years old from BROOD rescue (Basset Rescue of Old Dominion)
Very active escape artist and counter cruiser
with chronic ear infections which probably pre-date us
Diagnosed 4/30/2001 (appx 6 years old) with Addison's disease
after two different bloat episodes; has been treated with monthly Percortin shots and daily prednisolone. 2004-2005
added Dr. Wen's Addison's Disease herbal meds. Reduced her Percortin dosage from 2 ml monthly to 1 ml monthly.
Also reduced her pred from 5 mg daily to 1.25 mg. During recent move, began giving her ½ ml Percortin July, Aug,
Sept due to error in calculation. As of 10/24 increased Percortin to 2 ml and Pred to 5 mg and am beginning to reduce
pred to 2.5 daily.
Continuing ear infections led to total ablations in both ears 2002, AMC NY and Hampton Veterinary,
Dr. Jiu Jia Wen
Heart murmur detected 2002-2004; on Heart Assist
Hip pain detected around then; on Hip Guard
Dry
eyes detected 2006; gets triple antibiotic squiggle generally daily
Shots: since dx with Addison's
has not received vaccines
Monthly heartworm pills (Interceptor) and occasional flea/tick when absolutely necessary (Advantage)
Since
8/2000 has been on raw food diet with ground meat and bone and homemade veggie/fruit mix with supplements
Also gets
unlimited cookies (Mother Hubbard, mix of upscale, dried liver treats), fruit, carrots, whatever we are eating for breakfast
or supper.
Overall activity: until recently has been very active. Romps with other
dogs, up till June walked 1-2 miles per day, June-August walked ½ mile per day mostly hill climbing; since then mostly
yard exercise but occasional 1 mile walks.
Local Conventional Vet:
Dr. Rick XXX, XXX
Animal Hospital, Southampton, NY XXX68, XXX-XXX-0611
Other family members: Bob (spouse); Basset
Hounds: Toby, 13 yo; Molly, 11 yo; Maggie, appx 7 yo; Baby Ruth, 3 yo Beagle Mell, appx 8 yo; Australian Terrier Corkie,
7 yo.