5/12/2026

[Spay/Neuter Waiver - Age] It is the policy of ACC not to perform surgery on any animal over the age of 8-10 years due to the higher risks incurred in a shelter setting. The veterinarian is hereby issuing a permanent spay/neuter waiver, from the spay/neuter requirements of the City of NY due to the estimated age of this animal. ACC does recommend you consult with your veterinarian to determine if surgical sterilization is appropriate.

5/12/2026

[DVM Intake] DVM Intake Exam Estimated age: approx. 13yrs based on dentition/conformation Microchip noted on intake? scans negative History: Stray Subjective: BAR Observed Behavior - tolerated basic handling and was treat-motivated, tried to bite when head was touched- muzzled for remainder of exam and tasks Is there evidence of suspected cruelty? no Objective: P = 130 R = 24 BCS 6/9 EENT: Eyes bilateral blepharospasm with OS large central corneal rupture and purulent discharge, does not menace consistently, OD injected sclera with exposure keratitis, clouded cornea and buphthalmia, ears clean, no nasal discharge noted Oral Exam: thick calculus covering remaining teeth with thickened and inflamed gingiva PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: slightly distended, non painful, no masses palpated U/G: MI; 2 testicles descended MSI: Ambulatory x 4, skin free of parasites, no masses noted, dry hair coat, bilateral stifle crepitus, slightly overgrown nails CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally normal Wood's Lamp Exam: not performed Assessment: Geriatric MI canine OS ruptured globe with end-stage changes OD buphthalmia with exposure keratitis, scleral injection and clouded cornea (r/o underlying KCS vs glaucoma vs mass vs other) Severe dental disease Slightly distended abdomen (r/o overweight vs organomegaly vs mass) Prognosis: good with additional diagnostics/treatment Plan: intake tasks CBC/Chem/T4 Start gabapentin 15mg/kg PO BID indefinitely Place in medical with signage to alert staff that he has limited vision Applied 1 dose ofloxacin OU- difficult to medicate due to pain DVM recheck tomorrow and review labs Start topical Ofloxacin OU BID x 10 days (if he will tolerate handling with pain meds on board) Rec add-on additional pain medications including oral NSAID if labwork is WNL Rec enucleation OS as soon as possible after stray hold and if no other contraindications to surgery; may also need enucleation OD pending further work-up including tonometry once his pain is managed SURGERY: Permanent waiver due to age

5/13/2026

DVM Recheck Exam - Bloodwork and Eyes S/O: -Arrived on 5/12/26 with significant ocular disease and a slightly distended abdomen. -BAR EENT: OS ruptured globe. OD end-stage changes including buphthalmia, exposure keratitis, scleral injection, and corneal clouding. Today, OS was crusted closed and with observed squinting. H/L: Appears eupneic U/G: MI MSI: Ambulatory x 4 CNS: Mentation appropriate Assessment: -*Ocular Disease, severe, chronic*: OS ruptured globe; OD end-stage changes. Differentials include keratoconjunctivitis sicca, glaucoma, intraocular neoplasia. -*Inflammatory Leukogram* -*Thrombocytosis*: Likely reactive to inflammation. -*Mildly Elevated ALP*: Non-specific; may be age-related or secondary to other conditions. Prognosis: Good, with continued ocular diagnostics and treatment Plan: -Bloodwork results assessment: -CBC: WBC 18.6 (H), Neutrophils 13.838 (H), Monocytes 1.4 (H), Platelets 699 (H). -Chemistry: Chloride 107 (L), ALP 183 (H). -T4: 1.4 (WNL). -Eyes cleaned with sterile ophthalmic saline solution. -NeoPolyBac ophthalmic ointment: Apply a small strip to both eyes (OU) twice daily (BID) for 10 days. First dose administered. Clean eyes first as needed. -Carprofen 37.5 mg (1/2 of a 75 mg tablet) by mouth (PO) once daily (SID) for 5 days. -Continue Gabapentin 15 mg/kg PO BID indefinitely. -Recheck examination in 5 days. -Post-placement recommendations include continued eye care, further ocular workup, and consideration for enucleation.

5/18/2026

Recheck ocular disease BAR, headshy and reported will snap with handling of eyes/face Eating well, no c/s/v/d reported EENT: OS ruptured, mild to moderate periocular crusting with serous discharge, no blepharospasm. OD cornea clouded, mild to moderate periocular crusting, no ocular discharge, no blepharospasm. Allowed gentle palpation around eyes with tongue depressor. No nasal discharge. H/L: No murmur ausculted, coughed once during exam, eupneic Plan: Carprofen finishes today, continue gabapetin, continue neopolybac as previously prescribed Recheck eyes at end of neopolybac course so can pair with ocular diagnostics (may need sedation) CTM eyes, comfort

5/20/2026

Recheck senior dog with comorbidities S/O: QAR-BAR, timid but warms and seeks contact, decreased appetite but eats sausages with coaxing, occasional cough noted, diarrhea FS 6 with mild hematochezia, no s/v EENT: OS buphthalmic with central circular corneal lesion, neovascularization, corneal edema/opacity; OD cloudy cornea; OU dark crusted discharge LUNGS: Eupneic MSI: Unkempt and soiled haircoat, overconditioned CNS: Appropriate mentation A: Suspect emerging CIRDC vs other cause for cough (collapsing trachea, etc) Senior dog Ocular disease - ro healing ulcer vs rupture vs other. Appears improved and more comfortable from previous exams. P: Start medical feedings BID Start doxycycline 10 mg/kg PO SID x 10 days SQ LRS 200 ml once today Cerenia 1 mg/kg SQ once today Move to iso and monitoring log placed Recheck CIRDC day 10 CTM closely on rounds

5/21/2026

Recheck senior with comorbidities, diagnosed with CIRDC yesterday S/O: BAR, comes forward, not eating food in kennel but eats sausages with coaxing, no c/s/v/d noted EENT: Eyes as previous, no nasal discharge LUNGS: Eupneic CNS: Appropriate mentation A: CIRDC, ocular disease, dental disease, geriatric, etc P: CTM closely on rounds, continue current treatments

5/23/2026

Progress exam S/O: AS1/3 for last 3 days. Quiet, slightly dull appearance in kennel, turning away when approached. OS buphthalmic with central dark corneal lesion, neovascularization, corneal edema/opacity OD - no blepharospasm or conjunctivitis, eye lesions are quiet with no discharge. No active nasal discharge, no coughing or sneezing. A: CIRDC - moderate Senior Ocular disease OU Dental disease P: Start supportive care and switch to injectables -LRS 200ml q24h SQ x 4 days -Cerenia 0.9ml q24h SQ x 4 days -Vitamin B12 0.5ml SQ once -Enrofloxacin 0.9ml q24h x 5 days, then continue with orals once eating -Move into Med ISO for closer monitoring and quieter space *Continue with gabapentin as prescribed *Add to ARL, if declines should proceed with EHR as concern for QOL and comorbidities *Monitor daily on rounds, recheck in 2 days to ensure comfortable and eating

Upon intake Swayze was friendly and tolerant with staff, he allowed all handling.