8/17/2026 Came up to kennel door to greet handler, neutral body and low tail, took treats gently and licked handler through door, almond shaped eyes and relaxed face. Placing "green" due to kennel presence and intake notes. *See clinic notes.

8/15/2026 walks on leash, allows all handling and petting, less is more for vaccines, soft body, solicits attention

8/21/2026 08/21/26 13:17 Limited visual examination due to infectious disease concerns. S/O: GEN - BAR, BCS 4/9, active, solicits attention EENT - No ocular discharge. No nasal discharge. RESP - No stertor or stridor. No coughing. No sneezing. Normal respiratory rate and effort. A: - minimal to no signs of CIRDC noted at time of exam P: - monitor for CIRDC symptoms next two days

8/21/2026 08/21/26 10:43 Serous nasal discharge AP

8/19/2026 08/19/26 06:31 Mutiple large piles of blood in kennel, dried blood on wound of back 08/19/26 06:39 Dog is under treatment for this currently. jr

8/18/2026 08/18/26 14:37 Radiographs (sedated, lateral views only) - multiple, variably sized SQ masses along the dorsum, from caudal neck to base of tail; multiple, variably sized SQ masses along caudoventrum; cardiomegaly w/ dorsal elevation of the distal trachea; pulmonary venous enlargement; multiple regions of spondylosis (T4-T6, L1-L3). P: Dog is underweight with severe cardiac disease, multiple masses (r/o neoplasia) and other possible underlying systemic disease(s). Dog is at risk of humane euthanasia on 8/21/26 if no outlet is found by COB on 8/20/26, but may be humanely euthanized earlier if QOL declines. nhilde

8/18/2026 Sedated exam by:NH Pre-op tech:RED T:104.4°F HR:120bpm RR:40brpm General Appearance: BAR Respiratory: NSF Cardio: ABN; grade 4/6 left sided continuous heart murmur/grade 3/6 right sided heart murmur Repro/Urogenital: NSF Derm: ABN; multiple dermal masses (dorsum esp peri preputial) and proliferative draining mass along caudodorsum Ears: NSF Eyes: ABN; OU lenticular sclerosis Nervous: NSF M/S: NSF Dental: NSF GI: NSF L/N: NSF BCS: 3/9 - underweight Dental grade: 2/4 Observations during pre-op/procedure: N/A Treatments: Carprofen (50 mg/ml) 2.4ml SQ administered once pre-op. Microchip Implanted SQ, placement confirmed via microchip scanner. Please see Microchip Entry for number. HW4DX Snap: Heartworm (-), Ehrlichia (-), Anaplasma (-), Lyme (-) Radiographs taken, see doctors notes. Clipped and cleaned wounds. Induction & Prep Tech Initials: red/gr Anesthesia: Induced with TTDex (5 ml cake 100 mg/ml Telazol to 2.5 ml 10 mg/ml Butorphanol + 2.5 ml 0.50 mg/ml Dexmedetomidine) 0.6ml IM at 1152 Intubated at 1200 with 12 -size ET tube Maintained on Isoflurane and Oxygen. Anesthesia End Time: 1220 Anesthesia Tech Initials: ap Recovery Tech Initials: cd Monitoring: Time: __1200__ T__104.4__ °F; HR __70__ bpm; RR __10__ brpm Time: __1215__ T__104.4__ °F; HR __132__ bpm; RR __10__ brpm Time: __1230__ T__103.0__ °F; HR __130__ bpm; RR __10__ brpm End Recovery Time: __1239__ T__103.0__ °F; HR __140_ bpm; RR __20__ brpm Uneventful recovery. Surgery – Canine Orchiectomy (Neuter), performed by: ___nh___ Pre-scrotal incision made with no. 15 blade. Closed technique, single ligation of spermatic cords with strangle knots using __0__ Webmax. 2-layer closure: SQ layer closed with simple continuous sutures, continuing into continuous intradermal using __0__ Webmax. Green tattoo etched. Applied tissue adhesive over pre-scrotal incision and tattoo. Rx and/or Post-op recommendations: -- Recommend follow up with primary veterinarian regarding overall health, baseline bloodwork, and preventative care. Entering Tech Initials: __sw___

8/17/2026 Blood in kennel. When observing dog, dog actively bleeding from top of left hip near tail.

8/17/2026 08/17/26 13:51 BAR, BCS 3/9 HR 90 bpm, RR 30 brpm MM/CRT pink/ moist/ crt < 2 sec DENTAL: grade (2/4) OPHTHO: OU lenticular sclerosis AURAL: AU mild debris CARDIO: grade 3-4/6 L-sided heart murmur RESP: NSF – eupnic; no nasal discharge; normal bronchovesicular lung sounds ausculted in bilateral lung fields GI: NSF - soft, nonpainful abdomen DERM: dry, brittle haircoat w/ dried blood along caudodorsum/ base of tail region and small amount of active bleeding from wound over dorsal L hip region MUSC/ SKEL: long toenails; ambulatory x 4 limbs, no lameness noted NEURO: NSF - normal mentation UROGENITAL: intact male, 2 descended testicles L/N: N/E A: Underweight - ddx. undernourished, secondary to underlying systemic illness, etc; OU lenticular sclerosis- ddx. age-related change; heart murmur - ddx. valvular dysplasia, chronic congenital defect, heartworm disease, physiologic, etc; L hip wound - ddx. trauma P: 1. Perform in-house SNAP 4dx test. 2. Schedule to clip/clean wounds @ neuter sx. 3. Cephalexin (250mg capsule) - 3 capsules PO BID x 10 days. 4. Feed 2xs/day. 5. Recheck weight in 14 days. 6. Dog is medically suitable to PUFA if adopter is made fully aware of the dog's heart murmur and need to follow-up with family veterinarian re full workup, including comprehensive bloodwork, cardiac diagnostics (ie. EKG, echo, radiographs), etc. Dog is not suitable to foster. nhilde

8/15/2026 Testicles palpable with adult reproductive features, consistent with unaltered male. Confirmed by: _BJ___ Nobivac 3-Rabies, manufactured by Zoetis, Serial number: 871406, administered SQ, R lateral hip, by _LR__, supervising veterinarian ST. Nobivac Canine 1-DAPPv, manufactured by Merck, Serial number: 02121B42A administered SQ, R lateral shoulder by _LR__. Nobivac Intra-Trac3, manufactured by Merck, Serial number: 00541530C administered IN by _LR__. Bravecto (fluralaner) for dogs >44-88lb (1000mg) 1 tube of topical solution applied in multiple spots between shoulder blades and along back by __LR_. Reapply after three months. mylar placed on dog