Stone Hill Pet Sitting Service

29/07/2023

29/07/2023

14/02/2023

PLACED WITH LAYLA'S HEART RANCH AND RESCUE AND HAS LEFT THE BUILDING - PLEASE HONOR YOUR PLEDGES OR DONATE https://www.laylasheartrandr.com/ OR https://www.paypal.com/donate?hosted_button_id=3TL6FECRDU7GN

Puppies are adorable, yes we agree! But we also agree that they're a responsibility, and if you're not going to give them the time to train them, then don't get one! If Shadow looks familiar, it's because he was here before. He was returned after a day due to them not being able to handle a puppy! Seriously, only a day! Now this handsome young boy's life is on the line! Shadow likes toys and being petted, but can get nervous. But remember, he's only been there for a day, so he wasn't given adequate time to adjust to his new environment! And instead of devoting the right amount of time to work with Shadow, they gave up on him and returned him the very next day! Shadow's life is now on the line again, and it's up to you if he lives or dies! Please save this 2 year old hunky boy!

It seems that Shadow was taken to a dog park the first day and that was too soon to be meeting other people etc.

A volunteer writes: We have been getting to know Shadow over the past few weeks, and each time we meet him its better than the last. He is as playful as they get, so we offer him a very special toy. An enormous stuffed dreidel - big even for 63lb Shadow! But as expected he is up for the challenge. He manages to pick it up and literally gallops around with it. I don't even know if he can see past it, but Shadow isn't worried at all, he is just happy to be out with us playing and being a dog!

SHADOW 159116 BROOKLYN ACC
Estimated to be 2 years old, 59 Lbs.
UNALTERED MALE, LARGE MIXED BREED
OWNER SURR (RETURN) FROM NY
MEDICAL BEHAVIOR EVALUATION: BLUE
BEHAVIOR RATING: NH ONLY
INTAKE DATE 01/15/2023

PET PROFILE
Shadow was adopted from Acc on 1/14 and returned on 1/15 due to his behavior and hyperactivity.

Bite history:: Shadow was surrendered back to BACC due to him over-escalating and biting the new owner's sister on the rear. The bite did not break skin, but the new owner tackled Shadow to get him off of her. Shadow's nail caught the owner's lip and left a welt behind. Shadow bit the owner's jacket and the jacket was shredded in the process.

Housetrained:: Yes

Other Notes:: Shadow's previous adopter stated he mounted her and was hyper

Previous intake notes:
Intake/Owner Notes:
This animal came from:
Friend

Basic Information:
Shadow is a black and white large male dog that was surrendered by his owner due to the fact she no longer has time to care for him. The owner stated that he is 2 years old and she has been caring for him for the past 4 months. The last time he was seen by a vet is unknown.

Previously lived with:
2 adults

How is this dog around strangers?
When around strangers he is friendly and outgoing. When playing with adults he is somewhat rough.

How is this dog around children?
He has not spent time in the home with children so it is unknown how he will react.

How is this dog around other dogs?
Shadow has spent time in the home with other dogs and he is relaxed and playful. When playing with ither dogs he is somewhat rough.

How is this dog around cats?
Shadow has not spent time in the home with cats so it is unknown how he will react.

Resource guarding:
Shadow is not bothered if someone was to touch his food treats and toys. He is also not bothered if someone unfamiliar approaches his house or family member.

Bite history:
Shadow does not have a bite history.

Housetrained:
Yes

Energy level/descriptors:
high

Other Notes:
Owner stated that overall Shadow behaves well. On the way to ACC in the car he was nervous. He is not bothered if he is bathed brushed or restrained. He is also not bother if he is pushed off the couch or disturbed while he sleeps. He has never had his nails trimmed before so it is unknown how he will react.

Medical Notes
No reported medical concerns.

For a New Family to Know
Owner described him as friendly playful and excitable. When at home he likes to be in the same room as his owner. He likes to play with balls stuffed squeaky and chew toys. He has been kept mostly indoors and will sleep on a dog bed next to his owner's bed. When left alone in the home he will destroy thing left on the floor, so he is crated when his owners are not home. He is used to walks on the leash. When on the leash he pulls hard when off leash he will wander but comes back when called.

Behavior Notes:
During intake he allowed the counselor to take his picture with no problems. When the counselor went to collar him, he became stiff and tucked his tail. No further handling was done.

upon intake: staff placed the slip leash on Shadow as the owner couldn't control him. Staff was able to remove his collar in admissions, when staff attempted to remove his sweater his body got stiff. He was walked back to his kennel.

Shadow was surrendered back to BACC due to him over-escalating and biting the new owner's sister. The bite did not break skin, but the new owner tackled Shadow to get him off of her. Shadow's nail caught the owner's lip and left a welt behind. Shadow bit the owner's jacket and the jacket was shredded in the process. Shadow has also been reported to be destructive in the home when left alone and be a strong puller on walks. He was initially fearful in the care center and has demonstrated a lack of basic manners and impulse control, mouthiness, and a low threshold for arousal. Due to these concerns, we recommend he be placed with an experienced foster or adopter through one of our New Hope partners.

Shadow was surrendered because his recent guardian of 4 months could no longer care for him. He is pure exuberant, and jumped to wiggle and greet staff that came out to meet him during his intake. While he was nervous his first few days, tucking his tail when having a collar put on him for example, these days he is happy to see someone show up at his kennel to take him out for a walk. Shadow has been observed to soften and loosen up when he sees another dog.

ASSESSMENT NOTES
Behavior Assessment Date:
11/28/2022

Date of intake:
23-Nov-2022
Means of surrender (length of time in previous home):
Owner Surrender (4 months)

Previously lived with:
2 adults

Behavior toward strangers:
social, outgoing, plays rough

Behavior toward children:
unknown

Behavior toward dogs:
relaxed, plays rough

Behavior toward cats:
Unknown

Resource guarding:
none reported

Bite history:
none reported

Housetrained:
Yes

Energy level/descriptors:
Shadow is reported to have a high energy level

Other Notes:
Shadow's previous owner reported that When on the leash he pulls hard and when left alone in the home, he will destroy items. His owner would place him in a crate when leaving him alone in the home.

ASSESSMENT NOTES
Date of assessment:: 11/28/2022

Summary:: 01/16/2023:
Leash Walking
Strength and pulling: Moderate
Reactivity to humans: Inconclusive (did not pass)
Reactivity to dogs: Inconclusive (did not pass)
Leash walking comments: None

Sociability
Loose in room (15-20 seconds): Distracted
Call over: Approaches with coaxing
Sociability comments: Intently searching room for food

Handling
Soft handling: Accepts contact
Exuberant handling: Accepts contact
Handling comments: nervous, lip licks, standstills

Arousal
Jog: Follows (loose, neutral)
Arousal comments: None

Knock: Greets (loose)
Knock Comments: None

Toy: Grips, moves away
Toy comments: None

11/28/2022:
Leash Walking
Strength and pulling: Hard pulling – pressure is maintained the entire time on leash
Reactivity to humans: None – ignores
Reactivity to dogs: None – ignores
Leash walking comments:

Sociability
Loose in room (15-20 seconds): Moderately social – checks in with handler; solicits attention but also explores room, repeatedly jumps on handler
Call over: Approaches
Sociability comments:

Handling
Soft handling: Accepts contact- nervous, lip licks, standstills
Exuberant handling: Accepts contact- nervous, lip licks, standstills, shakes off, jumps on handler
Handling comments:

Arousal
Jog: Follows handler , anxious, distracted
Arousal comments:

Knock:
Knock Comments: No response

Toy:
Toy comments: Grips, moves away

Summary:: According to his previous owner, Shadow has spent time in the home with other dogs and he is relaxed and playful. When playing with other dogs he can be somewhat rough.

11/16/22: Shadow is not collared at the time due to nervousness. While on-leash at the Care Center, Shadow is introduced to a novel female dog via gate greet. he approaches, initially nervous and then displays a loose body and wag, play bowing slightly and whining due to a prolonged greet.

Summary (3):: 1/27/23 When the handler approaches, shadows kennel, he is standing in front of the kennel barking and licking his kennel bars the handler offer some treats which he takes. The handle it opens up his kennel door and easily leashes him, and walk him out of the kennel room and into the hallway. Once hallway, shadow begins to jump on the handler and hard pulls down the hallway. Once outside shadow pulls towards the playyard door, handle it take shadow inside the play yard and attached the drag leash to his collar. When the handler tries to take off the rope shadow grabs onto the rope and runs around the play-yard with it. That begins to toss him treats and tennis balls which he then drops the rope and the handler picks up the rope and hides it from him. Shadow begins to jump on the handler and becomes mouthy and starts biting on the handlers jacket sleeve with slight pressure. The handler tosses him treats and have him perform cues to distract him which he begins to perform “sit” and “lay down “. The handler re-leashes him and he begins to jump on the handler then stops and hard pulls back into the center. Once in the hallway Shadow hard pulls towards the kennel rooms and is placed into his kennel without issue.-DF

1/26: on Shadows AM walk handler tried to take him out of the gate where he pulled the handler into the play yard and refused to be walked elsewhere pulling hard on the leash Shadow started jumping up and trying to bite the leash and Sweater of the handler.

Summary (4):: 1/26 in kennel: Shadow was observed to bounce off the kennel walls when the closest neighboring dog also becomes anxious. He begins bouncing off the door and the kennel walls while wailing. Both dogs simultaneously feed off each other's anxiety and stress. Shadow and the other dog become fixated on each other and begin barking at the corner of the kennel at each other.

12/11/22 When handler approaches kennel, Shadow is laying down. When Shadow hears the kennel door unlock, he gets up on all fours. The handler leashes Shadow and he calmly exits the kennel. The handler takes Shadow directly outside for a walk. While walking, Shadow takes beef treats gently and doesn't touch any of the chicken. Shadow is also given a toy to walk with because he kept jumping on the handler. When returning to the facility, Shadow jumps up again, this time wrapping both arms around the handler's leg, and hu***ng it. At first, Shadow wouldn't stop, not taking toys or treats, until taking a treat directly out of the handler's hand. After that, the handler immediately returns Shadow back to the facility, where he enters his kennel with no issue.

11/27/22: Handler approaches Shadow kennel where he standing at the front of his kennel vocalizing; he displays a loose body and wagging tail. Handler tosses treats where he accepts and allows handler to easily leash him. Outside kennel room he moderately pulls down hallway with tail tucked. Once outside of center shadow quickly relieves himself and remains in a calm loose leash. Shadow notices other dogs across from him and ignores them and continues on walk. Shadow begins to 'Sit' to solicit treats from handler. After sometime shadow is led back into center where he allows handler to collar and reclip his leash. He is taken to his kennel without issue.

11/26/22: Handler walks in front of Shadow kennel where he displays whale eyes and a tucked in tail. Handler offers treats which he accepts and comes to the front of his kennel; handler easily leashes him. Handler leads Shadow out of kennel room and into play yard. Once in play yard, he displays a curved nervous body with a tucked in tail and seeks exit. When Shadow notices another dog, he softens and displays a loose wiggly body and wagging tail. He becomes anxious and frustrated due to not being able to greet the dog on the other side of the fence and he whines but remains soft/wagging. Handler reclips his leash and he's taken back into his kennel without

Date of intake:: 1/15/2023

Summary:: slip lead as owner unable to handle, allowed collar removal, stiffened when abdomen touched

Date of initial:: 1/28/2023

Summary:: treat motivated, likes petting, wags tail, but sometimes stop and gives a nervous stare, lied down

ENERGY LEVEL:: His previous owners describe Shadow as a high-energy dog. In the care center he has been active and enthusiastic. He may have a low threshold for arousal and needs guidance to learn how to appropriately channel that energy when he becomes overstimulated. He will need daily mental and physical stimulation and exercise, and force-free, positive reinforcement-based training may help him to learn impulse control and to train desirable behaviors that can be rewarded.

IN SHELTER OBSERVATIONS:: 11/28: Shadow was observed to demand bark

BEHAVIOR DETERMINATION:: New Hope Only

Recommendations:: No children (under 13),Place with a New Hope partner

Recommendations comments:: No children: Due to Shadow's fearfulness, mouthiness, and low threshold for arousal, we recommend he be placed in an adult-only home.

New Hope Only: Due to Shadow's fearfulness, overarousal, and bite history, we recommend he be placed with an experienced foster or adopter through one of our New Hope partners.

Potential challenges: :
Fearful,
Bite history (human),
Mouthiness/poor bite inhibition,
Basic manners/poor impulse control,
Low threshold for arousal,
Destructive behavior,
Strength/leash pulling,
Separation anxiety

Potential challenges comments::

Destructive behavior: Shadow was noted to be destructive in the home when left alone. Shadow should receive enrichment while alone to help manage this behavior. Please see the handout on Destructive Behavior.

Basic manners/poor impulse control: Shadow jumps on familiar staff in a friendly manner. He should learn to sit and wait when meeting new people. Please see the handout on Basic manners/poor impulse control.

Mouthiness/ poor bite inhibition: Shadow has a hard mouth while taking treats. He should be encouraged to settle and relax before taking treats and praised when he does so politely. See handout on Mouthiness.

Fearful: During the handling portion of his assessment, Shadow was nervous. He should be given time to acclimate to new people and situations. Please see the handout on Decompression.

Bite history (human): Shadow has one bite on record. He was let off leash at a park by previous adopters and began to play with the adopter's sister. Shadow bit the owner's sister on the butt. The bite did not break skin, but the owner tackled Shadow to remove him. The owner's jacket was shredded and she received a welt on her lip in the process. See handout on Bite History and Potential for Future Aggression.

Separation anxiety: Shadow has been reported to be destructive when left alone in the home. We recommend that potential adopters feel comfortable with separation anxiety behaviors and prepared to manage and positively modify them should they appear in a home environment. He would do best in a home where a person is at home for a large part of the day or with a plan so he is not alone for long periods of time. See handout on Separation Anxiety.

Strength/leash pulling: Shadow is a strong dog with the capability to pull over an average adopter. His adopter must be prepared and able to handle a dog of this strength. It is recommended that he be walked on a front clip harness or head halter, which help diminish his strength through leverage, and that he be trained using positive reinforcement, reward based training to not pull on leash. Please see the handout on Leash Manners.

Low threshold for arousal: Shadow has demonstrated a low threshold for arousal and easily gets overexcited during play or other exciting events, jumping and mouthing. Positive reinforcement, force-free training should be used to teach shadow to remain calm when people and other exciting things are around. He should be rewarded with treats when calm. If he escalates to jumping or mouthing, people should immediately walk away from and separate themselves from Shadow. See handout on Arousal.

Due to the detailed behavior issues, this animal is only available for foster/adoption through one of ACC's New Hope Partners. If you are interested in adopting or fostering, please fill out the pre-screener form. This animal is not directly available for adoption through ACC and is only available by completing the pre-screener form. Adoption inquiries sent directly to ACC will not receive a response. Pre-Screener Form

Shadow is in need of emergency placement due to behavior concerns. Shadow was returned to the care centers due to a bite incident in the home that did not break the skin. In the care center, Shadow was observed to have a low threshold of arousal on walks. He jumps on staff, mounts them, nips, and grabs their clothes. Off-leash, Shadow was aroused and escalated to biting with moderate pressure but did not break the skin. Medically, Shadow is apparently healthy.

MEDICAL EXAM NOTES
11/28/2022
[DVM Intake]
DVM Intake Exam
Estimated age: 2 yr
Microchip noted on Intake? neg
History: o/s

Subjective: BARH

Observed Behavior - treat motivated, likes petting, wags tail, but sometimes stop and gives a nervous stare, lied down on back for belly rubs

Evidence of Cruelty seen - no
Evidence of Trauma seen - no

Objective
T =
P = 120
R =eup
BCS= 5/9
EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: mild tartar and staining of teeth
PLN: No enlargements noted
H/L: NSA, NMA, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: male 2 sst,
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat but slight thinning HC on ventral chest, no skin lesions/ dermatitis
CNS: Mentation appropriate - no signs of neurologic abnormalities
Re**al: externally clean
Wood's Lamp Exam:

Assessment
Apparently healthy 2 yo intact male large breed dog

Prognosis: Good

Plan:
Routine intake tasks

SURGERY:
Okay for surgery

11/30/2022
Start trazodone 200 mg (~7 mg/kg) PO q12 indefinitely for FAS

12/2/2022
Progress Exam – CIRDC signs noted on rounds

S/O: QAR, coughing, no s/v/d noted
EENT: Eyes clear, mild-mod mucoserous nasal discharge noted
H/L: Eupneic, normal respiratory rate/effort
ABD: No obvious distention
MSI: Ambulatory x 4, no notable lameness
CNS: Mentation appropriate

Assessment:
CIRDC

Plan:
Move to iso
Start baytril 10 mg/kg PO SID x 14 days
Start doxycycline 10 mg/kg PO SID x 14 days
Recheck CIRDC day 10
CTM while at BACC

12/12/2022
CIRDC day 10

No signs noted or reported. Eating well.

CIRDC resolved
CTM while at BACC

1/3/2023
Add gabapentin 12 mg/kg PO q12 indefinitely for FAS. Continue trazodone 7.5 mg/kg PO q12 indefinitely.

1/17/2023
[DVM Intake]
DVM Intake Exam

Estimated age: 2 years based on prior history, exam consistent

Microchip noted on Intake? Positive scan

History: Recent return. Hx APH on previous intake, then had CIRDC and recovered

Subjective:
Observed Behavior - Mildly tense, licked cheese off wall enthusiastically and did not react to exam

Evidence of Cruelty seen - N

Evidence of Trauma seen - N

Objective
BCS 4/9
EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: Brief exam, clean dentition
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: MN
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat
CNS: Mentation appropriate - no signs of neurologic abnormalities
Re**al: Externally normal
Wood's Lamp Exam: NA

Assessment
Apparently healthy

Prognosis:
Good

Plan:
Routine intake

SURGERY:
Already neutered

TO ADOPT DIRECTLY FROM THE SHELTER - please download the NYC ACC app from the App Store and fill out the adoption application there.

Dogs with NH ONLY rating cannot be adopted directly from the ACC, so please message our page for assistance .

TO ADOPT or FOSTER: If you cannot get to the shelter in person to adopt, or want to foster, please message our page (Must Love Dogs - Saving NYC) Must Love Dogs - Saving NYC Dogs)
OR email [email protected] for guidance and assistance.

PLEASE NOTE: To foster, you have to be within prescribed range of NYC ACC approved New Hope rescues you are applying with,
and to adopt you will have to be in the general NE US area; NY, NJ, CT, PA, DC, MD, DE, NH, RI, MA, VT & ME (some rescues will transport to VA).

Shelter contact information:
Phone number: 212-788-4000 (automated only)
Email: [email protected]

Manhattan Animal Care Center
326 East 110th Street
New York, NY 10029

Brooklyn Animal Care Center
2336 Linden Boulevard
Brooklyn, NY 11208

Staten Island Animal Care Center
3139 Veterans Road West
Staten Island, NY 10309

Adoption hours:
Monday through Friday: 12.00pm to 8.00pm
Saturday and Sunday: 10.00am to 6.00pm
(Closed on all Holidays and Training Days, as listed on their website www.nycacc.org)

Adoption fees depend on dog's age. Please email the ACC for more info. Fees include pre-adoption medical care and vaccines, deworming,
spay/neutering and one free follow-up visit to specific veterinarians.

---------------------------------
* NYC ACC RATING SYSTEM *
Level 1
Dogs with Level 1 determinations are suitable for the majority of homes.

Level 2
Dogs with Level 2 determinations will be suitable for adopters with some previous dog experience.

Level 3
Dogs with Level 3 determinations will need to go to homes with experienced adopters.

Level 4
Dogs with Level 4 determinations will need to go to homes with experienced adopters. The behavior challenges seen at Level 4 are seen at a much greater frequency and higher intensity than the other dogs in our care. See less

31/01/2023

PLACED WITH FURRY FLIGHTS OF FREEDOM. - PLEASE HONOR YOUR PLEDGES OR DONATE via PayPal: [email protected]
Venmo: FFF-Dog-Rescue
Zelle: [email protected]

Bella is surely a beautiful girl, but she was definitely not well cared for. She was emaciated and weak when coming into the ACC. She was neglected by her so-called caretakers. Now this poor girl is fighting for her life, due to the anemia she was diagnosed with. Bella scavenges for food, but wasn't aggressive. She is social and solicits attention from handlers. She will also come when called, and is highly social. Bella is timid, but allowed light petting. She is fearful though, especially of that ridiculous plastic hand when it went for her toy. But who wouldn't be afraid of something coming after their toy? Bella needs help, desperately. Life has not been good to her, and she needs a new start with someone who will show her what love is! Come save Bella before it's too late!

Bella is in need of placement ASAP for medical reasons. When she arrived she was in a weakened and emaciated state. Her initial blood work revealed moderate anemia that was attributed to her fragile state. Follow up blood work has shown that the anemia has worsened despite improved nutrition. She needs further care and diagnostics that we cannot provide!
Please give this sweet girl a chance!

BELLA 162935 MANHATTAN ACC
Estimated to be 4 years old, 34.5 Lbs.
UNALTERED FEMALE, MEDIUM MIXED BREED
STRAY FROM NY 10025 (found Nearest Cross Street: Central Park West/100th St.)
MEDICAL BEHAVIOR EVALUATION:
BEHAVIOR RATING: LEVEL 3
INTAKE DATE 01/22/2023

PET PROFILE
Stray, no known history.

Bella is on the emergency placement list for medical reasons. When she arrived she was in a weakened and emaciated state. Her initial blood work revealed moderate anemia that was attributed to her fragile state. Follow-up blood work has shown that the anemia has worsened despite improved nutrition. She needs further care and diagnostics that we cannot provide.ella is on the emergency placement list for medical reasons. When she arrived she was in a weakened and emaciated state. Her initial blood work revealed moderate anemia that was attributed to her fragile state. Follow-up blood work has shown that the anemia has worsened despite improved nutrition. She needs further care and diagnostics that we cannot provide.

ASSESSMENT NOTES
Date of assessment:: 1/23/2023

Summary:: Leash Walking
Strength and pulling: Light
Reactivity to humans: None
Reactivity to dogs: None
Leash walking comments: None

Sociability
Loose in room (15-20 seconds): Highly social
Call over: Approaches readily
Sociability comments: Tail tucked, body low, presses up against assessor

Soft handling: Fearful
Exuberant handling: Fearful
Comments: Body low and tense

Arousal
Jog: Follows (loose)
Arousal comments: None

Knock: Approaches (loose)
Knock comments: None

Toy: Freezes, snaps
Toy comments: Stands over to toy and snaps quickly towards hand

Summary:: 1/23/23: Bella sniffs a dog at the gate with a neutral body.

Summary (2):: 1/28/23: Bella is at the front of the kennel with a loose wiggly body. She is easily leashed and taken to the yard where she relieves herself. Bella is social with the handler and solicits attention. She is brought back inside and placed in her kennel without issue.

1/23/23: Bella is in the behavior room on a drag leash. She is timid but social and seeks attention. Bella allows light petting and remains social throughout the interaction. She is brought back to her kennel without issue.

ENERGY LEVEL:: At the care center, Bella displays a medium level of activity.

BEHAVIOR DETERMINATION:: Level 3

Recommendations:: No children (under 13)

Recommendations comments:: No children: Due to fearful behavior and potential resource guarding seen on her assessment, we recommend an adult only home.

Potential challenges: : Fearful,
Resource guarding

Potential challenges comments::

Resource guarding: Bella displayed resource guarding behaviors during her assessment, quickly snapping towards the hand when it approached the toy she was in possession of. Please see handout on Resource Guarding.

Fearful: Bella is fearful of the care center environment and will need a slow approach. Please see handout on Decompression Period.

Adoption Summary:

What my friends at ACC say about me:

My history is a mystery and my friends here do not know much about me yet!
I would appreciate slow introductions to new people and places to help me feel safe.
I would do best in a home with only adult humans.
I don't always like to share my food, toys or bedding with other animals.
I have medical needs that staff will address with you when you meet me.

Please check here for updated adoption hours.

MEDICAL EXAM NOTES
1/22/2023
DVM Intake
Estimated age: 9 months to 1 year
Microchip noted on Intake? no
History: agency

Subjective:
Observed Behavior - BAR, soft body with head high, scavenges for food but shows no food aggression, readily accepts petting
Evidence of Cruelty seen - no, suspect neglect due to stray
Evidence of Trauma seen - no

Objective
T = n/a
P = 140
R = 20
BCS 3/9, MCS 2/3
EENT: Eyes clear, ears waxy with excoriations on haired and non-haired pinna, AS external canal thickened, no nasal or ocular discharge noted
Oral Exam: MM pale and moist, clean adult dentition
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic
ABD: Non painful, no masses palpated
U/G: female, recessed v***a
MSI: Ambulatory x 4, skin free of parasites, no masses noted, dull hair coat with multifocal small (1-3cm) areas of alopecia on lateral hind limbs, multiple uncomplicated scabs on muzzle and ears
CNS: Mentation appropriate - no signs of neurologic abnormalities
Re**al: externally unremarkable
Wood's Lamp Exam: n/p

Assessment:
- thin to emaciated
- anemic
- few uncomplicated skin wounds

Prognosis:
- good

Plan:
- routine intake tasks
- CBC/Chem
- ear cleaning, chlorhexidine spray to skin lesions
- TID restricted feedings to avoid refeeding syndrome, reassess in 4 days
- monitor while in care

SURGERY:
Temporary waiver due to thin/anemic

1/22/2023
Non-regenerative anemia r/o chronic illness, nutritional, acute loss, other
Inflammatory leukogram, neutrophilia/monocytosis, no left-shift
mild hypoglycemia 72mg/dL, hypochloesterolemia 77 other liver function values WNL r/o nutritional, liver disease
elevated ALT r/o inflammatory, infectious, toxin
elevated BUN 59 r/o pre-renal (dietary, OP/GI bleeding), renal (Creat WNL but low MCS)

next steps: dewormed, monitor for signs of systemic illness (GI signs, PUPD, lethargy/malaise), consider resting cortisol to r/o atypical addisonian, recheck labs in 1-2 weeks

1/25/2023
S: Alert, wagging tail, relaxed for exam

O: BAR-H, BCS 3/9, MMs pink and moist, CRT