2024-003	Problems	Notes	Costs
Admission date 2024-02-21 Final date - Days in captivity 78 Species EASO - Eastern screech owl Age Adult Sex UNK Status Reh Band Blue L 003	Anisocoria Ectoparasite - Hippoboscid flies Epistaxis Neurologic - Ataxia Neurologic - Head tilt Neurologic - head tilt, L Ocular - cataract incipient, OS Ocular - Corneal Ulcer, OD Ocular - Detached Retina OD Ocular - Partial closure, OS Ocular - retinal degeneration, OD Ocular - visual deficit, OU Regurgitation Cause of injury: Collision - Vehicle, suspected	All meds PO Found in Wetumpka,AL Elmore county	Here is a summary of this patient's treatments and expenses: Desc Qty Cost Subtotal Examination 1 75.00 75.00 Daily rate 78 10.00 780.00 Radiographs 5 87.75 438.75 Complete blood count 1 58.00 58.00 Lab tests 1 Variable 40.00 Total     1391.75 DONATE Costs are estimates based on fees charged at a local avian specialist.

Radiographs and images
2024-03-12	2024-03-12	2024-03-12	2024-03-12

2024-05-05 13:50 BT

Group entry: 4 animals Food:30g M, Ch, Q(sm) per bird VitaHawk Friday Only: Sprinkle 1/16 teaspoon per bird on food.

2024-05-04 10:31 BT

Group entry: 4 animals Food:30g M, Ch, Q(sm) per bird VitaHawk Friday Only: Sprinkle 1/16 teaspoon per bird on food.

2024-05-03 16:05 BT

Group entry: 4 animals Food:30g M, Ch, Q(sm) per bird VitaHawk Friday Only: Sprinkle 1/16 teaspoon per bird on food.

2024-05-02 11:15 BT

Group entry: 5 animals Food:30g M, Ch, Q(sm) per bird VitaHawk Friday Only: Sprinkle 1/16 teaspoon per bird on food.

2024-05-01 15:41 AN

Group entry: 5 animals Food:30g M, Ch, Q(sm) per bird

2024-04-29 15:46 AN

Group entry: 5 animals Food:30g M, Ch, Q(sm) per bird

2024-04-28 09:49 AN

Group entry: 5 animals Food:30g M, Ch, Q(sm) per bird

2024-04-27 10:55 BT

Group entry: 5 animals Food:30g M, Ch, Q(sm) per bird VitaHawk Friday Only: Sprinkle 1/16 teaspoon per bird on food.

2024-04-26 16:38 BT

Group entry: 5 animals Food:30g M, Ch, Q(sm) per bird VitaHawk Friday Only: Sprinkle 1/16 teaspoon per bird on food.

2024-04-25 16:03 JB

Group entry: 5 animals Food:30g M, Ch, Q(sm) per bird

2024-04-24 16:08 BT

Group entry: 5 animals Food:30g M, Ch, Q(sm) per bird VitaHawk Friday Only: Sprinkle 1/16 teaspoon per bird on food.

2024-04-23 16:58 JB

Group entry: 5 animals Food:30g M, Ch, Q(sm) per bird

2024-04-22 17:01 SAK

Group entry: 5 animals Food:30g M, Ch, Q(sm) per bird VitaHawk Friday Only: Sprinkle 1/16 teaspoon per bird on food.

2024-04-21 10:23 BT

Group entry: 5 animals Food:30g M, Ch, Q(sm) per bird VitaHawk Friday Only: Sprinkle 1/16 teaspoon per bird on food.

2024-04-20 11:39 AN

Group entry: 5 animals Food:30g M, Ch, Q(sm) per bird

2024-04-19 16:46 AN

Group entry: 5 animals Food:30g M, Ch, Q(sm) per bird VitaHawk Friday Only: Sprinkle 1/16 teaspoon per bird on food.

2024-04-18 16:46 BT

Group entry: 4 animals Food:30g M, Ch, Q(sm) per bird VitaHawk Friday Only: Sprinkle 1/16 teaspoon per bird on food.

2024-04-17 16:55 SAK

Group entry: 4 animals Food:30g M, Ch, Q(sm) per bird VitaHawk Friday Only: Sprinkle 1/16 teaspoon per bird on food.

2024-04-16 16:53 re

Group entry: 4 animals Food:30g M, Ch, Q(sm) per bird

2024-04-16 15:29 MM

Patient seems to not be fully aware of exactly where they're flying/landing, flies with feet slightly forward to feel. Can land on perches just not very presisely every time.

2024-04-15 16:48 AMS

ALL MEDS PO ======= TREATMENT PLAN ======= Food: 16g M, Ch cut up (feed in PM) SID Meloxicam: 0.08 ml (1.5 mg/ml soln) BID PO Weigh: SID ==============================

2024-04-15 16:12 AN

Group entry: 4 animals Food:30g M, Ch, Q(sm) per bird

2024-04-15 13:54 AN

Band changed to: Blue L 003

2024-04-15 09:00 MM

Weight: 130 grams Patient will be placed out in Hex 2 and weighed weekly to monitor progression.

2024-04-15 08:20 MM

ALL MEDS PO ======= TREATMENT PLAN ====== Weigh: 130 g 003 will be placed back out in HEX 2 and will be pulled back on Friday to recheck their weight and reassess the plan moving forward. ==============================

2024-04-14 16:00 CG

Food: 16g M, Ch

2024-04-14 13:35 BT

Weight: 141 grams +25 g (22%) Looks like this bird was finding food without issue while in Hex 2. Pulled back to CCW for recheck but perhaps he can go back out??

2024-04-14 10:34 SH

Group entry: 4 animals Food:30g M, Ch, Q(sm) per bird VitaHawk Friday Only: Sprinkle 1/16 teaspoon per bird on food.

2024-04-13 10:31 AN

Group entry: 4 animals Food:30g M, Ch, Q(sm) per bird

2024-04-12 15:44 BT

Group entry: 4 animals Food:30g M, Ch, Q(sm) per bird VitaHawk Friday Only: Sprinkle 1/16 teaspoon per bird on food.

2024-04-12 15:07 BT

Weight: 116 grams + 3 g. (3%) Moved to Hex 2, gave last dose of Melox. (.08 ml)

2024-04-12 13:27 re

ALL MEDS PO Meloxicam: 0.08 ml (1.5 mg/ml soln) PO

2024-04-11 16:28 BT

ALL MEDS PO Food: 16g M, Ch cut up (feed in PM) Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Weigh:

2024-04-10 16:06 BE

Food: 16g M, Ch cut up (feed in PM) Meloxicam: 0.08 ml (1.5 mg/ml soln) BID PO

2024-04-10 10:28 re

Weight: 113 grams ALL MEDS PO Meloxicam: 0.08 ml (1.5 mg/ml soln) PO BAR, one pellet 6% weight loss

2024-04-09 17:10 SAK

ALL MEDS PO Food: 16g M, Ch cut up (feed in PM) Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Weigh:

2024-04-09 09:00 SAK

ALL MEDS PO Food: 16g M, Ch cut up (feed in PM) Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Weigh:

2024-04-08 16:31 AN

ALL MEDS PO Food: 16g M, Ch cut up (feed in PM) Meloxicam: 0.08 ml (1.5 mg/ml soln) PO

2024-04-08 14:50 SAK

ALL MEDS PO ======= TREATMENT PLAN ======= Food: 16g M, Ch cut up (feed in PM) SID Meloxicam: 0.08 ml (1.5 mg/ml soln) BID PO Weigh: SID ============================== Discontinue Cerenia

2024-04-08 10:23 SAK

ALL MEDS PO Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Maropitant (Cerenia): 0.01ml (Inj) SQ Left pellet

2024-04-07 15:57 CR

ALL MEDS PO Food: 16g M cut up (feed in PM) Meloxicam: 0.08 ml (1.5 mg/ml soln) PO

2024-04-07 10:13 CR

ALL MEDS PO Food: 16g M cut up (feed in PM) Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Maropitant (Cerenia): 0.01ml (Inj) SQ QAR, upright on hutch, normal mutes, one pellet

2024-04-06 15:50 CR

ALL MEDS PO Food: 16g M cut up (feed in PM) Meloxicam: 0.08 ml (1.5 mg/ml soln) PO

2024-04-06 10:47 CR

ALL MEDS PO Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Maropitant (Cerenia): 0.01ml (Inj) SQ QAR, upright on perch, normal mutes, no pellet, 3g left overs removed and thrown away.

2024-04-05 17:30 CR

P was left alone in aviary for an hour and did not move from spot in corner. When staff member went to catch p it flew up to a perch, missed slightly, but corrected and was able to land on perch. Was also able to fly to avoid people in the aviary trying to catch it. Flight eval Exam date - 2024-04-05 Examiner - CR Flight Sound Notes: Consistent with visual deficits, fluttering to the top of aviary, bumping into the ceiling. Not going toward perches at all. Fell down to the ground in back corner and then did not move. Turns head side to side likely tracking sounds.

2024-04-05 16:33 BT

ALL MEDS PO Food: 19g M, Ch cut up (feed in PM) Meloxicam: 0.08 ml (1.5 mg/ml soln) PO

2024-04-05 09:52 re

ALL MEDS PO Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Maropitant (Cerenia): 0.01ml (Inj) SQ BAR, one pellet, normal mutes

2024-04-05 08:07 SAK

ALL MEDS PO ======= TREATMENT PLAN ======= Food: 16g M, Ch cut up (feed in PM) SID Meloxicam: 0.08 ml (1.5 mg/ml soln) BID PO Maropitant (Cerenia): 0.01ml (Inj) SID SQ Weigh: SID ==============================

2024-04-04 16:42 CR

ALL MEDS PO Food: 20g clean meat cut up, M (feed in PM) Meloxicam: 0.08 ml (1.5 mg/ml soln) PO

2024-04-04 09:56 CR

ALL MEDS PO Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Maropitant (Cerenia): 0.01ml (Inj) SQ QAR, upright on perch, less swaying today, and less squinting today. Normal mutes, one pellet with a pink hue to it.

2024-04-03 16:50 CR

ALL MEDS PO Food: 16g clean meat cut up (feed in PM) Meloxicam: 0.08 ml (1.5 mg/ml soln) PO One small pellet with a hint of red in it. Monitor for reddness in future pellets.

2024-04-03 09:47 CR

Weight: 120 grams Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Maropitant (Cerenia): 0.01ml (Inj) SQ Weigh: 120g (3% gain in BW) BAR, upright on perch, normal mutes, one pellet, swaying, and some swuinting (consistent with other days, about the same). Plan to continue cerenia until eating on our own. Leave food this PM in cage. Switching to PM only feeding.

2024-04-03 08:22 SAK

ALL MEDS PO ======= TREATMENT PLAN ======= Food: 16g clean meat cut up (feed in PM) SID Meloxicam: 0.08 ml (1.5 mg/ml soln) BID PO Maropitant (Cerenia): 0.01ml (Inj) SID SQ Weigh: SID ============================== Switched off tweezer feed. Attempt to see if it will eat on own today/night.

2024-04-02 16:22 CR

Tweezer feed: 10g M clean meat cut up small pieces Meloxicam: 0.08 ml (1.5 mg/ml soln) PO

2024-04-02 09:37 CR

Tweezer feed: 8g clean meat cut up small pieces Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Maropitant (Cerenia): 0.01ml (Inj) SQ Normal mutes, one pellet, QAR, upright on perch, swaying.

2024-04-01 17:12 CR

Tweezer feed: 9g clean meat cut up small pieces Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Maropitant (Cerenia): 0.01ml (Inj) SQ

2024-04-01 10:24 CR

Tweezer feed: 10g M clean meat cut up small pieces Meloxicam: 0.08 ml (1.5 mg/ml soln) PO QAR, upright on perch, some swaying, left eye less squinty. Needs cerenia refill.

2024-03-31 15:55 Allison

Tweezer feed: 8g clean meat cut up small pieces Meloxicam: 0.08 ml (1.5 mg/ml soln) PO

2024-03-31 09:52 Allison

Weight: 117 grams Tweezer feed: 9g clean meat cut up small pieces Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Weigh: 117g (1% gain in BW) Better appetite this AM

2024-03-30 15:51 Allison

Tweezer feed: 8g clean meat cut up small pieces Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Lightly assist fed (opened mouth) to help eat last half of food

2024-03-30 10:21 Allison

Tweezer feed: 8g clean meat cut up small pieces Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Maropitant (Cerenia): 0.01ml (Inj) SQ No pellets, 1g not eaten from AM feeding

2024-03-29 17:47 CR

Neurology Consult: No CN deficits were appreciated. Based on appropriate mentation, neuro suspected problem is more likely peripheral (otitis interna or media). Other differentials include CN 7, 8 abnormality, trauma affecting the brain (infectious or inflammatory),or a brain lesion. We discussed pursuing CT with and without contrast and the pros/cons of each. Without contrast we are looking for a lytic lesion or a mass effect. With contrast we have the risk of the bird having an adverse reaction to the contrast and dying, there is also a worry about the bird staying warm during the CT. But that if want to see anything vascular we would need contrast. Overall major issue will be that the bird is so small that there will likely be reduced resolution and detail.

2024-03-29 16:14 BT

Tweezer feed: 7g clean meat cut up small pieces Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Maropitant (Cerenia): 0.01ml (Inj) SQ

2024-03-29 14:01 SAK

======= TREATMENT PLAN ======= Tweezer feed: 8g clean meat cut up small pieces BID Meloxicam: 0.08 ml (1.5 mg/ml soln) BID PO Maropitant (Cerenia): 0.01ml (Inj) SID SQ Weigh: SID ==============================

2024-03-29 14:00 CR

Food: 7g M tweezer fed Maropitant (Cerenia): 0.01ml (Inj) SQ

2024-03-29 09:46 AMS

======= TREATMENT PLAN ======= Food: 8g Clean Meat cut up SMALL pieces BID Meloxicam: 0.08 ml (1.5 mg/ml soln) BID PO Maropitant (Cerenia): 0.01ml (Inj) SID SQ ============================== added Maropitant

2024-03-29 09:26 AN

Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Did not eat

2024-03-28 16:11 AN

Food: 15g M, Ch FEED IN PM Meloxicam: 0.08 ml (1.5 mg/ml soln) PO

2024-03-28 10:36 BT

Meloxicam: 0.08 ml (1.5 mg/ml soln) PO

2024-03-28 09:49 AMS

Weight: 116 grams, BCS: 2.0 ------------- PHYSICAL EXAM FINDINGS ---------------- Attending Veterinarian: Dr. Amberly Sokoloff Observational examination Mentation: Q/BAR Posture: upright, left head tilt ~15 degrees Vital stats Heart rate: 350 Respiratory rate: 40 Auscultation: wnl Mucous membranes: p/m Dehydration: Euhydration Oral cavity: wnl Choana: clear Glottis: clear Beak: normal occlusion Cere/nares: clear Eyes: OS often partially closed Ears: wnl Crop: n/a Feather quality: good Wings: wnl Wings - Range of motion: wnl Wings - Patagium: wnl Legs/Feet: wnl Legs/Feet - Range of motion: wnl Legs/Feet - Plantar surface: wnl Legs/Feet- Talons: wnl Ceolom: empty, wnl BCS: 2 Vent: wnl Droppings: DNE Uropygial gland: DNE Neurological: upright posture, L head tilt ~15 degree at rest, does become normal when stressed CN: odor ?, menace neg OU, direct PLR + OU, no strabismus or nystagmus, + palpebral, OS blepharospasm vs ptosis, possibly asymmetric expression with plumicorns, + startle/balance, taste?, + gag and tongue grab Postural Reactions: CP wings and legs wnl, drop flap wnl, hopping neg, tactile placing +L -R, visual placing neg, good balance on glove and flat surface Spinal Reflexes: vent sphincter tone, limb withdrawal wnl Sensory Response: wnl Other observations: when placed back in cage p did hop from top of box to perch accurately, did seem to react to some movement but difficult to rule out reaction to sound, when stressed did have both eyes fully open and no head tilt, but then once stopped stimulation the head tilt and partial closing of L eye returned Problem list: - suspected central visual deficits OU - intermittent head tilt and partial closure of L eye - not eating well past few days, regurgitated last night Diagnosis: undetermined, suspect brain lesion secondary to trauma Plan: Could consider neuro consult, but unsure that examination alone is likely to lead to any changes in dx/tx. Could consider brain imaging, though with patient's small size we may not be able to get useful diagnostic images with CT. This also may not actually affect our treatment plan. Can give more time in care, though some parameters are changing for the worse. Prognosis: Extremely guarded to poor AMS Eye exam Exam date - 2024-03-28 Examiner - AMS RIGHT LEFT PLR Menace PLR Menace + NEG NEG NEG Stain   Stain   NEG   NEG   Right eye: normal palpebral reflex, normal movement of nictitans Left eye: normal palpebral reflex, normal movement of nictitans, holds eye partially closed - not convinced this is true blepharospasm vs ptosis

2024-03-27 16:42 BT

Food: 15g M(Assist fed 13g total, regurgitated 6g and left 2g) FEED IN PM Meloxicam: 0.08 ml (1.5 mg/ml soln) PO

2024-03-27 09:51 BT

Meloxicam: 0.08 ml (1.5 mg/ml soln) PO

2024-03-27 09:16 BT

Weight: 116 grams -23 g (17%)

2024-03-26 16:41 CR

Food: 18g M FEED IN PM Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Normal mutes. Uptight and BAR. Previously was assist feeing, left food in cage for tonight.

2024-03-26 09:56 CR

Meloxicam: 0.08 ml (1.5 mg/ml soln) PO One pellet, normal mutes, no left overs. Upright on perch, QAR.

2024-03-25 17:31 CR

Food: 15g M (assisted feed) FEED IN PM Meloxicam: 0.08 ml (1.5 mg/ml soln) PO

2024-03-25 09:14 re

Meloxicam: 0.08 ml (1.5 mg/ml soln) PO BAR, left 17g of food in cage

2024-03-24 16:01 Marissa

Food: 10g M, Ch FEED IN PM Meloxicam: 0.08 ml (1.5 mg/ml soln) PO (given orally since appetite has decreased)

2024-03-24 10:10 Marissa

Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Left 9 grams of food overnight. pellet in cage

2024-03-23 16:30 Bailynn Peeler

Food: 15g M, Ch FEED IN PM Meloxicam: 0.08 ml (1.5 mg/ml soln) PO

2024-03-23 10:16 Bailynn Peeler

Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Left 9 grams of food. Poop and urates in cage.

2024-03-22 15:47 Marissa

Food: 15g M, Ch FEED IN PM Meloxicam: 0.08 ml (1.5 mg/ml soln) PO

2024-03-22 09:30 AN

Meloxicam: 0.08 ml (1.5 mg/ml soln) PO pellet in cage

2024-03-22 09:27 Marissa

Ophthalmic examination was indicated for 003 after flight evaluation. On flight evaluation the patient seemed non-visual and would continuously fly up toward the top of the avairy. 003 Ophthalmic examination's main finding revealed an incompletre and slow PLR in the right eye.It is suspected that the right eye has a retinal tear/degeneration. The significant findigs of the left eye include an incipent cataract. OD in depth findings: 2-3+ mydriasis present, hazy view, blunted corpora nigra, large linear white streak doraslly with focal dipigmentation periphery of pecten. OS in depth findings: focal pinpooint white opacity axially, incipient anterior subcapsular axially. No recheck is needed for 003. Plan is to consider neurology consult for visual deficits. Eye exam Exam date - 2024-03-22 Examiner - Marissa RIGHT LEFT PLR Menace PLR Menace + DNE + DNE Stain   Stain   NEG   NEG   Right eye: PLR incomplete and slow, Palpebral ++, Dazzel ++. ** See Entry Left eye: PLR +, Palpebral ++, Dazzel ++. ** See Entry

2024-03-21 08:13 SAK

======= TREATMENT PLAN ======= Food: 15g M, Ch FEED IN PM SID Meloxicam: 0.08 ml (1.5 mg/ml soln) BID PO ============================== Reduced food intake

2024-03-21 08:11 Bailynn Peeler

Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Pellet in cage, left 12 grams of food in cage

2024-03-20 16:53 Marissa

Food: 20g M, Ch FEED IN PM Meloxicam: 0.08 ml (1.5 mg/ml soln) PO

2024-03-20 07:41 Marissa

Weight: 139 grams Meloxicam: 0.08 ml (1.5 mg/ml soln) PO pellet in cage Weight gain 10% BW

2024-03-19 15:48 Marissa

Food: 22g M, Ch FEED IN PM Meloxicam: 0.08 ml (1.5 mg/ml soln) PO (in food)

2024-03-19 07:30 Marissa

Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Pellet in cage.

2024-03-18 16:24 Marissa

Food: 24g M, Ch FEED IN PM Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Pellet in cage

2024-03-18 07:37 Marissa

Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Pellet in cage

2024-03-17 19:28 Marissa

Food: 20g M, Ch FEED IN PM Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Pellet in cage

2024-03-17 10:13 AN

Meloxicam: 0.08 ml (1.5 mg/ml soln) PO pellet in cage

2024-03-17 09:15 AN

Meloxicam: 0.08 ml (1.5 mg/ml soln) PO

2024-03-16 16:11 AN

Food: 21g M, Ch FEED IN PM Meloxicam: 0.08 ml (1.5 mg/ml soln) PO

2024-03-16 09:48 Bailynn Peeler

Meloxicam: 0.08 ml (1.5 mg/ml soln) PO

2024-03-15 15:25 Marissa

Food: 20g M, Ch FEED IN PM Meloxicam: 0.08 ml (1.5 mg/ml soln) PO (in food)

2024-03-15 08:21 SAK

======= TREATMENT PLAN ======= Food: 20g M, Ch FEED IN PM SID Meloxicam: 0.08 ml (1.5 mg/ml soln) BID PO ==============================

2024-03-14 16:58 Marissa

Food: 20g M, Ch FEED IN PM Meloxicam: 0.08 ml (1.5 mg/ml soln) PO; put medication in food

2024-03-14 16:47 SAK

Flight ability is good. Suspect this patient has significant visual defecits at this time. During flight it would stay at the top of the enclosure as if not sure of where it was going back and forth from side to side. Flight eval Exam date - 2024-03-14 Examiner - SAK Flight Sound Notes: Feather Condition 4, Endurance 4, Symmetry 4, Maneverability 4, Lift 4, Landing 4 = Total 24 Sound = no

2024-03-14 07:40 Marissa

BAR, stool in cage, ate overnight.

2024-03-13 17:06 Marissa

Food: 20g M, Ch FEED IN PM Meloxicam: 0.08 ml (1.5 mg/ml soln) PO Pellet and stool in cage.

2024-03-13 16:05 AN

Food: 22g M, FEED IN PM

2024-03-13 11:19 SAK

Meloxicam: 0.08 ml (1.5 mg/ml soln) PO

2024-03-13 10:31 Marissa

Weight: 126 grams Weight gain 5% BW

2024-03-13 08:41 SAK

======= TREATMENT PLAN ======= Food: 20g M, Ch FEED IN PM SID Meloxicam: 0.08 ml (1.5 mg/ml soln) SID PO ============================== Add Meloxicam back per Dr. S

2024-03-12 17:00 Marissa

Food: 20g M, Ch FEED IN PM

2024-03-12 15:51 Marissa

No significant osseous changes; focal perihepatic pneumocoelom. Could consider electromyography (EMG) to evaluate muscle and nerve response. Imagery report Date 2024-03-12 Type Radiograph Performed by Dr. Sokoloff Positioning WB VD, WB H view, RL Equipment Location Anesthesia ISO via mask Comments Gas pocket present dorsal to the liver and ventral to GI-suggests focal pneumocoelom. No osseous abnormalities. Observed transient nystagmus when restrained prior to anesthesia.

2024-03-12 09:00 Marissa

2 pellets in cage Stool looks normal patient BAR

2024-03-11 16:22 Marissa

Discontinued meloxicam due to physical improvement of neurological signs and patient is eating. Food: 19g M, Ch FEED IN PM

2024-03-11 11:30 re

Meloxicam: 0.07 ml (1.5 mg/ml soln) no pellet, normal mutes.

2024-03-11 09:12 re

ALL MEDS PO ======= TREATMENT PLAN ======= Food: 20g M, Ch FEED IN PM SID ============================== discontinued meloxicam

2024-03-11 08:32 SAK

ALL MEDS PO ======= TREATMENT PLAN ======= Food: 20g M, Ch FEED IN PM SID Meloxicam: 0.07 ml (1.5 mg/ml soln) BID PO ==============================

2024-03-10 16:07 BT

ALL MEDS PO Food: 20 g. m, ch, FEED IN PM Meloxicam: 0.07 ml (1.5 mg/ml soln) PO

2024-03-10 09:07 Kara Shacklette

ALL MEDS PO Meloxicam: 0.07 ml (1.5 mg/ml soln) PO BAR, normal feces/urates and a pellet present; Leftover food in cage (15g not eaten)

2024-03-09 15:37 BT

ALL MEDS PO Food: 20 g. m, ch, FEED IN PM Meloxicam: 0.07 ml (1.5 mg/ml soln) PO

2024-03-09 09:50 Amber A

ALL MEDS PO Meloxicam: 0.07 ml (1.5 mg/ml soln) PO

2024-03-08 16:12 Kara Shacklette

ALL MEDS PO Food: 20 g. m, ch, FEED IN PM Meloxicam: 0.07 ml (1.5 mg/ml soln) PO

2024-03-08 10:39 Kara Shacklette

ALL MEDS PO Meloxicam: 0.07 ml (1.5 mg/ml soln) PO

2024-03-08 10:21 BT

ALL MEDS PO ======= TREATMENT PLAN ======= Food: 20 g. m, ch, FEED IN PM SID Meloxicam: 0.07 ml (1.5 mg/ml soln) BID PO ==============================

2024-03-08 10:18 BT

Weight: 120 grams Moved back in to CCW as it appears this bird is not ready for an aviary life yet. Didn't want him to get soaked if grounded in a aviary over the rainy weekend. Wt. 120 -3 g. (2%)

2024-03-07 17:34 AMS

ALL MEDS PO ======= TREATMENT PLAN ======= Food: 20g M, Ch cut up small pieces (Feed in PM) --keep hole for hose in side of FA-1 covered! SID Meloxicam: 0.07 ml (1.5 mg/ml soln) BID PO ============================== d/c ofloxacin and EMS

2024-03-07 17:23 Kara Shacklette

ALL MEDS PO Food: 19g M, Ch cut up small pieces (Feed in PM) --keep hole for hose in side of FA-1 covered! Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Visited optho today and tested negative for an ulcer OU. Found slight incipient cataracts OS and a white speck on cornea OS. Treatment plan modified to remove all eye meds (EMS and Ofloxacin). Some anisocoria was still present (1-2+ miosis OS). Moved to FA1. Flying strength is poor, hoping he will regain strength over time. Eye exam Exam date - 2024-03-07 Examiner - Kara Shacklette RIGHT LEFT PLR Menace PLR Menace + DNE + DNE Stain   Stain   NEG   NEG   Right eye: IOP 24. Ulcer dx from 3/4 has healed. Mild pigment clumping at periphery of pectin Left eye: IOP 21. Focal pinpoint white opacity axially. Incipient anterior subcapsular cataracts axially

2024-03-07 17:03 BT

ALL MEDS PO ======= TREATMENT PLAN ======= Food: 20g M, Ch cut up small pieces (Feed in PM) --keep hole for hose in side of FA-1 covered! SID Meloxicam: 0.07 ml (1.5 mg/ml soln) BID PO Ofloxacin - OD TID - Optixcare - EMS: OD (Ocular) SID PO (Give one drop SID - EOD) ==============================

2024-03-07 17:00 BT

Moved to FA-1. Flight is not strong. Flutters, moth-like...but maybe when acclimated patient will move around more and gain strength

2024-03-07 07:55 Kara Shacklette

ALL MEDS PO Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Ofloxacin - OD - Meloxicam put in a small ~3g piece of food. BAR, eyelids still asymmetrical but OD more open than yesterday Will assess for any changes off Buprenorphine today

2024-03-06 15:36 Kara Shacklette

ALL MEDS PO Food: 31g M, Ch cut up small pieces (Feed in PM) Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Ofloxacin - OD - Holding eyelid more open OD compared to this morning

2024-03-06 12:00 Kara Shacklette

Blood drawn from R-jugular, hematoma formed afterwards Low levels of lead Irritation/redness on lateral canthus OD Ofloxacin - OD - BCS 3+ Blood lead Collection date 2024-03-06 Level 0.00

2024-03-06 09:16 SAK

ALL MEDS PO ======= TREATMENT PLAN ======= Food: 20g M, Ch cut up small pieces (Feed in PM) SID Meloxicam: 0.07 ml (1.5 mg/ml soln) BID PO Ofloxacin - OD TID - Optixcare - EMS: OD (Ocular) SID PO (Give one drop SID - EOD) ==============================

2024-03-06 09:15 Kara Shacklette

Weight: 123 grams ALL MEDS PO Buprenorphine 0.05 ml (0.18 mg/kg) SQ Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Ofloxacin - OD - EMS - OD - Optixcare plus - OD - BAR, normal feces/urates and a pellet, still circling, 12% gain in weight Removing the Buprenorphine from his TX plan, will assess for increases in pain and/or inflammation Noticed throughout morning increased squinting and eyelid more closed OD, will continue to monitor throughout day

2024-03-06 09:13 SAK

ALL MEDS PO ======= TREATMENT PLAN ======= Food: 20g M, Ch cut up small pieces (Feed in PM) SID Meloxicam: 0.07 ml (1.5 mg/ml soln) BID PO Ofloxacin - OD TID - ==============================

2024-03-05 15:44 Kara Shacklette

ALL MEDS PO Food: 20g M, Ch cut up small pieces (Feed in PM) Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Ofloxacin - OD - Optixcare Plus - OD - BAR, still circling to focus, eating great

2024-03-05 13:57 Kara Shacklette

Ofloxacin - OD - Optixcare Plus - OD -

2024-03-05 10:24 SAK

ALL MEDS PO ======= TREATMENT PLAN ======= Food: 20g M, Ch cut up small pieces (Feed in PM) SID Buprenorphine SR Owl: 0.05ml (1.8mg/ml) SID SQ ((diluted, dose is 0.1mg/kg)) Meloxicam: 0.07 ml (1.5 mg/ml soln) BID PO Ofloxacin - OD TID - Optixcare Plus - OD TID - ==============================

2024-03-05 08:13 Kara Shacklette

ALL MEDS PO Buprenorphine SR Owl: 0.05ml (1.8mg/ml) SQ Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Optixcare Plus - OD - Ofloxacin - OD -

2024-03-04 16:14 Kara Shacklette

ALL MEDS PO Food: 20g M, Ch cut up small pieces (Feed in PM) Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Optixcare Plus - OD - Ofloxacin - OD - Moved to CCW, BAR, eating extremely well, still circling to focus

2024-03-04 15:01 Kara Shacklette

Patient brought in for eye stain. BAR, blinking well, wings/wing motion looked good, 3rd eyelid now moving OD Results of ulcer OD have led to change in treatment plan: - EMS every other day (wait 48hrs and flush eye, start Wed) - Ofloxacin TID Eye exam Exam date - 2024-03-04 Examiner - Kara Shacklette RIGHT LEFT PLR Menace PLR Menace + DNE + DNE Stain   Stain   +   NEG   Right eye: Positive fluoroscein stain for superficial ulcer in center of eye; Blinking and moving 3rd eyelid well; cornea otherwise clear IOP: 26 Left eye: Negative stain; IOP: 14

2024-03-04 12:04 AN

Optixcare Plus - OD - Is still spinning but has started to use its third eye lid and now blinks to avid getting optix care

2024-03-04 09:21 AN

ALL MEDS PO Buprenorphine SR Owl: 0.05ml (1.8mg/ml) SQ Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Optixcare Plus - OD - Both eyes were closed when i opened the cage but opened both eyes as soon ans i went to handle him. Eyes remained opened and focused on me however i did notice that the right plr was not as large as the left. WHen applying optix care the right eye did blink but only after optix are was applied then remained opened. I did not observe any signs of spinning before handling or after returning to cage.

2024-03-03 15:29 MVH

ALL MEDS PO Food: 21g M, Ch cut up small pieces (Feed in PM) Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Optixcare Plus - OD - Is circling much more than this morning and seems to be struggling more to visualize

2024-03-03 11:36 BT

Optixcare Plus - OD -

2024-03-03 09:17 Kara Shacklette

ALL MEDS PO Buprenorphine SR Owl: 0.05ml (1.8mg/ml) SQ Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Optixcare Plus - OD - TID Facial features looking more symmetrical today. R-eye pupil dilating well. R-eye now blinking with palpebral and on its own.

2024-03-02 15:58 MVH

ALL MEDS PO Food: 20g M, Ch cut up small pieces (Feed in PM) Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Optixcare Plus - OD -

2024-03-02 09:27 MVH

ALL MEDS PO Buprenorphine SR Owl: 0.05ml (1.8mg/ml) SQ Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Optixcare Plus - OD -

2024-03-01 16:00 Kara Shacklette

ALL MEDS PO Food: 20g M, Ch cut up small pieces (Feed in PM) Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Optixcare Plus - OD - TID BAR. Only circled once to focus on food, still some wobbling but using both eyes to focus and looking straight ahead. Another pellet found in cage

2024-03-01 12:45 Kara Shacklette

Optixcare Plus - OD - TID

2024-03-01 09:30 Kara Shacklette

ALL MEDS PO Buprenorphine SR Owl: 0.05ml (1.8mg/ml) SQ Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Optixcare Plus - OD - TID Finished food well, still circling today before visually focusing, but is focusing/looking using both eyes. Both pupils are dilating. Normal feces/urates and pellet present

2024-02-29 16:41 JB

ALL MEDS PO Food: 20g M, cut up small pieces (Feed in PM) Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Slight wobbling, ear tufts asymmetrical, circled 3 times in order to visualize and hop on food

2024-02-29 09:14 Kara Shacklette

ALL MEDS PO Buprenorphine SR Owl: 0.05ml (1.8mg/ml) SQ Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Optixcare Plus - OD - BAR, still only using L-eye to assess surroundings, feather tufts/facial features seem more symmetrical, every now and then will show slight incoordination and wobble while standing

2024-02-28 16:05 BT

Weight: 110 grams ALL MEDS PO Food: 20g M, Ch cut up small pieces (Feed in PM) Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Optixcare Plus - OD -

2024-02-28 09:07 Kara Shacklette

ALL MEDS PO Buprenorphine SR Owl: 0.05ml (1.8mg/ml) SQ Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Optixcare Plus - OD - Weight: 110g; gave meds orally as we are going to switch to leaving his food out overnight. Feces and urates look normal and a pellet was present

2024-02-28 08:29 SAK

ALL MEDS PO ======= TREATMENT PLAN ======= Food: 20g M, Ch cut up small pieces (Feed in PM) SID Buprenorphine SR Owl: 0.05ml (1.8mg/ml) SID SQ Meloxicam: 0.07 ml (1.5 mg/ml soln) BID PO Optixcare Plus - OD TID - ============================== Changed food to SID and challenging to eat on own.

2024-02-27 16:12 Kara Shacklette

ALL MEDS PO Tweezer feed: 10g M, Ch cut up small pieces Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Optixcare Plus - OD - Eating very well, going to switch to leaving food out overnight in cage

2024-02-27 16:08 Kara Shacklette

*Recheck eye exam every 5 days or if presents with squinting Eye exam Exam date - 2024-02-27 Examiner - Kara Shacklette RIGHT LEFT PLR Menace PLR Menace + NEG + NEG Stain   Stain   NEG   NEG   Right eye: OD more open, negative palpebral response, negative dazzle, IOP 18, R-third eyelid not moving, placed eye lube, **Recheck stain for ulcer in 5 days, or if squinting Left eye: Head tilting to L-side, normal palpebral response, negative dazzle, IOP 17

2024-02-27 10:23 Kara Shacklette

ALL MEDS PO Assisted feed: 10g M, Ch cut up small pieces Buprenorphine SR Owl: 0.05ml (1.8mg/ml) SQ Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Optixcare Plus - OD - BAR, still having trouble blinking OD, otherwise mentation and neuro signs are improving and seem normal, took food/meds without issue this morning, normal feces, urates,and pellet present

2024-02-26 11:49 AN

ALL MEDS PO Assisted feed: 10g M, Ch cut up small pieces Buprenorphine SR Owl: 0.05ml (1.8mg/ml) SQ Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Optixcare Plus - OD -

2024-02-26 09:44 SAK

ALL MEDS PO ======= TREATMENT PLAN ======= Assisted feed: 10g M, Ch cut up small pieces BID Buprenorphine SR Owl: 0.05ml (1.8mg/ml) SID SQ Meloxicam: 0.07 ml (1.5 mg/ml soln) BID PO Optixcare Plus - OD TID - ==============================

2024-02-26 09:06 SAK

Left 10g from 2-25-24

2024-02-26 09:05 SAK

ALL MEDS PO ======= TREATMENT PLAN ======= Assisted feed: 10g M, Ch cut up small pieces BID Buprenorphine SR Owl: 0.01 ml (1.8mg/ml) SID SQ Meloxicam: 0.07 ml (1.5 mg/ml soln) BID PO Optixcare Plus - OD TID - ==============================

2024-02-25 16:07 BT

ALL MEDS PO Food: 10g M, Ch cut up small pieces Buprenorphine SR Owl: 0.01 ml (1.8mg/ml) SQ Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Optixcare Plus - OD -

2024-02-25 12:19 AN

Optixcare Plus - OD -

2024-02-25 09:58 BT

ALL MEDS PO Assisted feed: 10g M, Ch cut up small pieces Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Optixcare Plus - OD -

2024-02-24 16:40 AN

ALL MEDS PO Assisted feed: 10g M, Ch cut up small pieces Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Optixcare Plus - OD -

2024-02-24 15:14 RE

Updated medication doses based on a latest weight of 101 g

2024-02-24 10:33 JB

ALL MEDS PO Assisted feed: 10g M, Ch cut up small pieces Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Optixcare Plus - OD -

2024-02-23 17:19 SAK

ALL MEDS PO Assisted feed: 20g M, Ch cut up small pieces SQ fluids: LRS 2.5ml until 2024-02-24 Buprenorphine SR Owl: 0.006 ml (1.8mg/ml) SQ Meloxicam: 0.07 ml (1.5 mg/ml soln) PO Optixcare Plus - OD -

2024-02-23 13:20 SAK

ALL MEDS PO ======= TREATMENT PLAN ======= Assisted feed: 10g M, Ch cut up small pieces BID SQ fluids: LRS 2.5ml BID until 2024-02-24 Buprenorphine SR Owl: 0.006 ml (1.8mg/ml) SID SQ Meloxicam: 0.07 ml (1.5 mg/ml soln) BID PO Optixcare Plus - OD TID - ============================== Optixcare Plus OD added to Tx plan Switched food to BID Assist feed.

2024-02-23 12:45 SAK

Drew labwork to send to UM (R jugular, developed hematoma) - ONLY CBC Tx: Optixcare Plus OD to try to protect against formation of a corneal ulcer due to diminished palpebral reflex ALH/AMS CBC Collection date 2024-02-23 WBC count 10 Corrected count 10 Hets/Neut 79% - 7   Bands 0+   Toxics 0+ Lymphs 15% - 1 Eos 0% - 0 Mono 6% - 0 Baso 0% - 0 Thrombocytes PI 1 Hemoproteus NEG Leukocytozoon NEG Plasmodium NEG Read by UMiami Avian & Wildlife Lab Eye exam Exam date - 2024-02-23 Examiner - SAK RIGHT LEFT PLR Menace PLR Menace + DNE + DNE Stain   Stain   NEG   NEG   Right eye: Small amount of mucoid discharge and particulate debris flushed from eye, Negative palpebral reflex Left eye: Clear cornea, Positive palpebral reflex

2024-02-23 10:41 ALH

ALL MEDS PO SQ fluids: LRS 2.5ml until 2024-02-24 Meloxicam: 0.06mL PO Perched on own, head tilt improving, no anisocoria remaining, no obvious nystagmus

2024-02-23 09:01 AMS

======= TREATMENT PLAN ======= Food: SID Assisted feed: 20g M, Ch cut up small pieces BID SQ fluids: LRS 2.5ml BID until 2024-02-24 Buprenorphine SR Owl: 0.006 ml (1.8mg/ml) SID SQ Meloxicam: 0.02 ml (5 mg/ml (Injectable)) BID SQ ============================== changed SQF amount and duration - AMS

2024-02-22 17:15 ALH

ALL MEDS PO Food: Assisted feed: 15g M, Ch cut up small pieces SQ fluids: LRS 5ml until 2024-02-22 Buprenorphine SR Owl: 0.006 ml (1.8mg/ml) SQ Meloxicam: 0.02 ml (5 mg/ml (Injectable)) SQ Noted hippoboscid flies, applied frontline Brief exam: anisocoria, head tilt and nystagmus mildly improved

2024-02-22 09:50 SAK

ALL MEDS PO ======= TREATMENT PLAN ======= Food: SID Assisted feed: 20g M, Ch cut up small pieces BID Buprenorphine SR Owl: 0.006 ml (1.8mg/ml) SID SQ Meloxicam: 0.02 ml (5 mg/ml (Injectable)) BID SQ ==============================

2024-02-22 09:48 SAK

Left 20g of food. Was not in a container it could access food from. SQ fluids: LRS 5ml until 2024-02-22 Meloxicam: 0.02 ml (5 mg/ml (Injectable)) SQ

2024-02-21 16:30 SAK

======= TREATMENT PLAN ======= Food: 20g M, Ch cut up small pieces SID SQ fluids: LRS 5ml BID until 2024-02-22 Buprenorphine SR Owl: 0.006 ml (1.8mg/ml) SID SQ Meloxicam: 0.02 ml (5 mg/ml (Injectable)) BID SQ ==============================

2024-02-21 16:15 ALH

20g mouse cut up

2024-02-21 16:06 AMS

======= TREATMENT PLAN ======= SQ fluids: LRS 5ml BID until 2024-02-22 Buprenorphine SR Owl: 0.006 ml (1.8mg/ml) SID SQ Meloxicam: 0.02 ml (5 mg/ml (Injectable)) BID SQ ==============================

2024-02-21 15:22 SAK

Submitted AI swab to State Lab

2024-02-21 15:18 ALH

Weight: 101 grams, BCS: 2.0 ------------- PHYSICAL EXAM FINDINGS ---------------- Attending Veterinarian: Dr. Amberly Sokoloff Observational examination Mentation: Dull but responsive Posture: Standing, left sided head tilt Vital stats Heart rate: 200 Auscultation: WNL Mucous membranes: pink, stringy saliva Dehydration: 5-10% Comments: 5% dehydration - mildly delayed skin tent, mildly delayed ulnar vein refill Oral cavity: Small amount of blood at tip of tongue Cere/nares: Dried blood around left nare, right nare WNL Eyes: Anisocoria - miotic OS, mydriatic OD; possible ptosis OS; negative PLR; pectin and fundus WNL OU Ears: WNL Feather quality: Good Wings - Range of motion: WNL Wings - Patagium: WNL Legs/Feet - Range of motion: WNL Legs/Feet - Plantar surface: WNL Legs/Feet- Talons: WNL Ceolom: WNL, empty BCS: 2 Vent: WNL Droppings: WNL Uropygial gland: DNE Other: ataxic in PL when trying to walk or step on/off lower rim of perch, possible TL ataxia, but harder to interpret/observe since using wings to assist with balance Problem list: Dehydration Anisocoria Ataxia Evidence of blood in mouth/nose Underweight Diagnosis: Suspect TBI Dehydration Assessment: The vestibular signs and evidence of blood in the mouth/nose are suggestive of head trauma. Patient condition is not critical enough to warrant stress of IO catheter placement so oral/SQ medications are elected at this time. Meloxicam may reduce inflammation of the CNS and buprenorphine will help control pain. Plan: Meloxicam 1mg/kg q12h Buprenorphine 0.1mg/kg q24h SQ LRS q12h (Maintenance 5mL/day + dehydration 5mL) Prognosis: Guarded to Fair Treatments administered: Meloxicam 0.02mL SQ Buprenorphine (Simbadol) 0.006mL SQ 5mL SQ LRS fluids (maintenance + dehydration over 12 hours) Frontline spray applied topically ALH/AMS

2024-02-21 11:47 re

Sample Collection date 2024-02-21 Type choanal/cloacal swab Notes: Results: AI PCR : Negative

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