[Spay/Neuter Waiver – Medical Condition] Your newly adopted pet has been diagnosed with a back injury and the staff veterinarians are issuing a temporary waiver from the spay/neuter requirements of the City of NY. Follow up care at your regular veterinarian is recommended to ensure continued treatment. Your veterinarian will advise you if surgical sterilization is appropriate.

[DVM Intake] DVM Intake Exam Estimated age: Microchip noted on Intake? History : Subjective: Observed Behavior – Evidence of Cruelty seen – Evidence of Trauma seen – Objective T = P = R = BCS EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal: Assessment Prognosis: Plan: SURGERY: Okay for surgery Temporary waiver due to Permanent waiver due to

DVM Intake Exam Estimated age: 6 YR Microchip noted on Intake NONE History : OWNER SURRENDER Subjective: OWNER SURRENDER DUE TO MEDICAL CONDITION Observed Behavior – DOCILE. TIMID Evidence of Cruelty seen – NONE Evidence of Trauma seen -NONE Objective BARH P = WNL R = WNL BCS 5/9 EENT: Eyes clear, ears HYPEREMIC, MILD TAN EXUDATE no nasal or ocular discharge noted Oral Exam: ADULT DENTITION MILD GINGIVITIS, DENTAL STAINING PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: SCROTAL TESTES MSI: PARAPARETIC, DRAGS DORSAL ASPECT OF PELVIC LIMBS MOTOR INTACT DORSAL MM WASTING CAUDALLY AND HINDQUARTERS . CALLUSES DORSAL ASPECTS OF PELVIC PAWS, NAILS OVERGROWN,skin free of parasites, no masses noted PATCHY hair coat CNS: Mentation appropriate -PARAPARESIS, CP DEFICITS, MOTOR INTACT, ABSENT PANNICULUS MID THORACIC CAUDALLY Rectal: GOOD TONE Assessment T3-L3 SPINAL LESION, CHRONIC Prognosis: FAIR, RDVM ( IN DOCUMENTS) MEDICAL NOTES SHOW FAILURE ON MEDICAL MANAGEMENT, NEEDS SURGICAL CONSULT Plan: CLEANED EARS CLIPPED NAILS MONITOR URINATION, SKIN LESIONS SURGERY: Temporary waiver due to SPINAL INJURY

LEFFERTS ANIMAL HOSPITAL MR: 11/7/17 EXAM PARESIS TESTING: SUPERCHEM/CBC; ALB 3.7, ALT 193, NEUT 10043, HCT 46%, PLT 218 XR: RIGHT LAT WHOLE BODY NARROWED DISC T-L JUNCTION ASSESSMENT: IVDD AND FOCALIZED DERMATITIS – THIGHS TREATMENTS: CONVENIA, GABAPENTIN, OMEPRAZOLE, PREDNISONE ORAL POST DEXAMETHASONE INJ

[Progress Exam Template] S: Bar, friendly, trying to cover food O: IVDD T-L, paretic hind end, no to minimal response to medical management w/ steroids EENT: sl thickened, dry ear canans Oral Exam: mod tarter, pink H/L: no murmur/no arrhythmia Abd: no overt masses/megally/pain, mi x 2 MSI: decreased muscle mass hind Mentation:bar, mod rectal and tail tone, deep pain present and trying to move legs at hip, but doing more dragging, hair loss and lesions dorsal hinds from dragging/knuckling A: IVDD T-L P: PX guarded for return to function Ideally – further imaging w/ mri +/- sx and rehab upon placement monitor for elimination on own (nothing reported as of yesterday afternoon. ADDENDUM: urinating on his own this afternoon and defecated after coming in from the outside Is the Initial Medical Status being Changed? New Medical Status:n Is the Initial Behavior Status being Changed? New Behavior Color: n

Upon intake Ocean was very timid, shaking and crying while in the admission office. He allowed the counselor to take a photo and collar him.