Preview
FILED: NASSAU COUNTY CLERK 03/09/2022 12:44 PM INDEX NO. 615766/2021
NYSCEF DOC. NO. 275 RECEIVED NYSCEF: 03/09/2022
EXHIBIT
N
FILED: NASSAU COUNTY CLERK 03/09/2022 12:44 PM INDEX NO. 615766/2021
NYSCEF DOC. NO. 275 RECEIVED NYSCEF: 03/09/2022
Exhibit N-1
FILED: NASSAU COUNTY CLERK 03/09/2022 12:44 PM INDEX NO. 615766/2021
NYSCEF DOC. NO. 275 RECEIVED NYSCEF: 03/09/2022
Patient Report: Yoshi - 9/13/2021
History
Clinic: Patient: Yoshi
West HillsAnimal Hospital& Emergency Center ID: 111003
800 W. JerichoTpke Tag: Chip:991001003579932
Huntington, NY 11743 Species:
Sex: male/intact
631-351-6116 Age: 1 yr& 8 mo, DOB: 1/1/2020
Client: Weight: 8.5 Lbs
Mr. Dominic Crowther Color: Blenheim
Last visit: 5/26/2020
Referred By:
Home Phone: Shake-A-Paw
ID:72345, File#: 23628 Tel:516-938-7877 / Fax:
Medical Record Entries:
5/26/2020 Shake-A-Paw Covered Services - L. Sikalas,
VMD)
(Tiffany
5/26/2020 Chloramphenicol Susp. 150mg/ml - (55)
**WEAR GLOVES WHEN ADMINISTERING**
Oil*** Give 1.3mL
**Contains Almond by mouth every8 hoursfor 14 days.Recheck just
beforefinished.
(TiffanyL. Sikalas,
VMD)
5/26/2020 Examination - (Katie
Parsley,
DVM)
Subjective/Complaints/History:
S: had been fine
after here 2m ago but started
last visit
coughing 2wks ago,10x/d per 0, o spoke w/ James at Shake a Paw on Saturday
& he said
forher to come in w/ Yoshi
& exam/ tx costs would
be covered,q o if has been to any vet
forcough last here, per o did go to rDVM
or vax since b/c Yoshidefecateda roundwonn
& she was givena pill
to giveq1m, did get
1 vaccination, RV
hasn't gotten yet,is EDUD
N, no SVD
O: BAR, 101.4, heart &
wt 8.51b, T lugs ause N, soft non
no nasal d/c, abd palp painful
A: URI - recurrent
vs new
P: Chloramphenicol
stressed recheck no better
asap if worse/ & if doing
well recheck just
beforeabX finished
cough
b/c if even slight remainswould ext
likely course
4/7/2020 Communications - SWO: P was given
doxycyline yesterdaymorning then switched
to
Azithromycinlast night
with food. This
morning vomited-
patient owner concernedfrom
recommend
antibiotic, blanddiet today, offon antibiotic
thisevening-resume
holding
tomorrow night.If patient
vomitsagain todaythen recommend he be seen (DianaPirolo,
DVM)
4/6/2020 Credelio 4.41bs-61bs 1 Month- Giveone tablet
once monthlywith food.To be given
year round. L.
(Tiffany Sikalas,
VMD)
4/6/2020 Sentinel<10lbs Tablet- Giveone tablet
once monthly withfood. To be givenyear
round.(TiffanyL.Sikalas,VMD)
4/6/2020 Shake-A-Paw Covered Services- (Tiffany
L. Sikalas,
VMD)
4/6/2020 Azithromycin 100mg/5ml 15ml - Give1mL by mouth once daily
(every24 hours)with
food.Antibiotic.(TiffanyL.Sikalas,VMD)
4/6/2020 Medical Progress Examination - (Tiffany
L.Sikalas,VMD)
Patient Report- 9/13/2021- Yoshi- Owner:Mr. Dominic Crowther - Page 1 of
2
History
FILED: NASSAU COUNTY CLERK 03/09/2022 12:44 PM INDEX NO. 615766/2021
NYSCEF DOC. NO. 275 RECEIVED NYSCEF: 03/09/2022
Subjective/Complaints/History:
S: Exam to rechec agh. Still
coughing. On
doxycycline,almost all over.
out. Itchy BAR, sweet
O: W= 5#
EENT- ClearOU/AU, mm pm
H/L- nsr, nma, clear/eup
abd- snp, nmp
integ/LN- npl
ghc, no parasites,
ms/n- bcs 5/9, amb x4, normal
mentation
UG- MI
A:
CIRDC. not resolving
Pruritus-
r/o normalpuppy/dryskin
P:
Switch to azithromycin
Filledpreventatives
3/26/2020 Shake-A-Paw Covered Services- L. Sikalas,
VMD)
(Tiffany
3/26/2020 Doxycycline Susp. 50mg/ml - (12)
Shake welland Refrigerate.
Give 0.4mL by mouth twicedailywithfood for14 days.
Recheck in 10-14 days (before
medication runs out)
(TiffanyL. Sikalas,
VMD)
3/26/2020 Examination - (TiffanyL. Sikalas,
VMD)
Subjective/Complaints/History:
S: New puppy exam. Has a cough,scoots butt
a lot,
ears
seem itchy.Just got pet yesterday.
BAR
O: W= 4.8#,t= 99.6F
EENT- ClearOU/AU, no cough
mm pm, nasal crusting, on tracheal
palpation
H/L- nsr, nma, clear/eup
abd- snp nmp
integ/LN-ghc, nps, npl,
dry/scalyskin
ms/n- bcs 5/9, amb x4, normal
mentation
UG- MI,2 testicles
A:
12 week oldM1 Cavapoo
CIRDC
Dry skin
P:
Rx doxycycline,discussedposs progression
to BP. recheck10-14 days or sooner
if
concerns
O to dropofffecal
Patient Report- 9/13/2021- Yoshi- Owner:Mr. Dominic Crowther - Page 2 of
2
History
FILED: NASSAU COUNTY CLERK 03/09/2022 12:44 PM INDEX NO. 615766/2021
RECEIVED 09/10/ 2020 06:43AM
NYSCEF 0DOC. NO.6:43
09/10/2020 275
AM 'ices + Diana Fong RECEIVED pg 1 of 2
NYSCEF: 03/09/2022
Faq
Ghe m"stew IDEXX Telemedicine Consultants
L A B O R ATO R I E S
radiologyI cardiology services
| specialty
Services Report (5883508-15/Radiographs -
Radiology Only Stat)
Completed 09/10/20 06:41 AM
Patient Name: Yoshi Fishelman (11820)
Requesting Doctor: Dr.Diana Fong Species: Canine Age: 0Yr 8Mo
Gender: Male Breed: Mixed small Weight: 12.25 Lb
breed,
PRESENTING COMPLAINT: post-antibiotic
recheck
HISTORY: History of suspectedkennel cough in April-Maywhich did notresolveon doxycycline butdid on azithromycin.
Intermittent
cough recurred in June.Finishedan approximately 1 month course of chloramphenicol in mid-August.No
coughing noted shortlyafter
startingthe chloramphenicot NSF on PE 9/9/20.
THORAX, (September 9, 2020):There are3 JPEG radiographs availableforreview. Images are compared toprior
radlographs dated July16, 2020 and June 28, 2020.
FINDINGS:
The size and shape of the cardiacsilhouette The
is similar. pulmonary vasculature is normal.
Similarto themost recent
priorexamination,the previous patchy of the
infiltrate left
caudai lungis nolonger evident.A bronchointerstitial
patternis
improved. There remains no evidence of a discrete
alveolarpattern,pulmonary nodules,pleuraleffusion,or intrathoracic
lymphadenopathy. The included tracheais normal and in the
no alterations carinaldiameterare identified.
Trace
esophageal gas is transient
and withinnormal limits.
Withinthe included cranial
abdomen, gas withinthe stomach may be associated withmild aerophagia.The visible
intestinesareunremarkable. Cranial peritonealserosalcontrastis adequate.The skeletal
structuresare withinnormal
limits.
CONCLUSIONS:
There is improvement of a previousbronchointerstitial
patternand priorinflammation is consideredmost likely.
No
additionalabnormalitiesofthe pulmonary parenchyma are There
identified. is no evidenceof carinal
collapse in the
currentimages.
RECOMMENDATIONS:
Given thatthe patientis both and
clinically radiographicallyimproved, ongoing monitoringmay be sufficient.
If clinical
signs recuror additional
assessment is desired,repeatradiographs and consultationwithan internist
may be beneficial.
Requested By: Do you have feedback on this report? We want to Report provided by:
Dr. Diana Fong hear1rom you. Visit IDEXX TelemedicineConsultants
island Rescue http://www.vetmodstat.com/survey. 1-800-726-1212
1500 North Clinton Avenue 9200 SE Sunnybrook Blvd., Suite 460
Bay Shore, NY 11706 Clackamas, OR 97015
P: 631-968-8700
F: 631-968-8448
F2: T:8P:8
re: Yoshi Fishelrnan (11820) 1 of 2
FILED: NASSAU COUNTY CLERK 03/09/2022 12:44 PM INDEX NO. 615766/2021
RECEIVED 09/10/2020 06:43AM
NYSCEF G 09/10/2020
DOC. NO.6:43 AM
275 Fax ices ’ Diana Fong RECEIVED pg 2 of 2
NYSCEF: 03/09/2022
(Continued)
Feedback or follow-up
on patientsis always appreciated!For NON-URGENT questions, pleasedo not hesitateto
contact me at
directly
kristina-simone@idexx.com and you should receivea response within24 hours when I am available.ForURGENT
questions,please call1-800-726-1212 and speak to the first
available if I am
radiologist not available.
This contact
informationis for
veterinarianuse only.Thank youl
KristinaSimone,VMD, DACVR
Radiologist
Requested By: Do you have feedback on this report? We want to Report provided by:
Dr. Diana Fong hear from you. Visit IDEXX TelemedicineConsultants
island Rescue http://www.vatmedstat.com/survey. 1-800-728-1212
1500 North Clinton Avenue 9200 SE SunnybrookBlvd., Suite 460
Bay Shore, NY 11706 Clackamas, OR 97015
P: 631-968-8700
F. s31-968-8448
F2: T·8P·8
re: Yoshi Fishelman (11820) 2 of 2
FILED: NASSAU COUNTY CLERK 03/09/2022 12:44 PM INDEX NO. 615766/2021
RECEIVED 09/10/2020 04:08AM
NYSCEF DOC.
09 NO. 275
/ 10/2020 1:08:41 0700 RECEIVED
PAGE 1 NYSCEF:
OF 1 03/09/2022
At(
'
ANTECH 800-872-1001
IslandRescue AccessionNo. NYAF17249035
ANTECH Acet No. 180077 Received09/09/2020
Reported09/10/2020 01:05 AM
Doctor DF
Owner Pet Name Species Breed Sex Pet Age Chart#
FISHELMAN YOSHI Canine M 8M 11820
Vet Screen Complete Blood Count
Tests Results Ref. Range Units Tests Results Ref. Range Units
Total Protein 5.5 5.0-7.4 g/dL WBC 11.4 4.0-15.5 103/µL
Albumin 3.1 2.7-4.4 g/dL RBC 5.8 4.8-9.3 106/µL
Globulin 2.4 1.6-3.6 g/dL Hemoglobin 13.0 12.1-20.3 g/dL
A/G Ratio 1.3 0.8-2.0 HCT 41 36-60 %
AST (SGOT) 34 15-66 IU/L MCV 70 58-79 ft
ALT (SGPT) 46 12-118 IU/L MCH 22.3 19-28 pg
Alk Phosphatase 85 5-131 IU/L MCHC 32 30-38 g/dL
Total Bilirubin 0.1 0.1-0.3 mg/dL PlateletCount 516 (HIGH) 170400 10*/µL
Urea Nitrogen 18 6-31 mg/dL Platelet
EST Increased
Creatinine 0.7 0.5-1.6 mg/dL Differential Absolute %
BUN/CreatinineRatio 26 4-27 Neutrophils 5472 48 2060-10600 /µL
Phosphorus 5.1 2.5-6.0 mg/dL Bands 0
Glucose 116 70-138 mg/dL Lymphocytes (HIGH) 4560 40 690-4500 /µL
Calcium 10.4 8.9-11.4 mg/dL Monocytes 570 5 0-840 /µL
CorrectedCalcium 10.8 Eosinophils 798 7 0-1200 /µL
Sodium 146 139-154 mEq/L Basophils 0 0 0-150 /µL
Potassium 4.2 3.6-5.5 mEq/L
Na/K Ratio 35 27-38
Chloride 110 102-120 mEq/L
Cholesterol 229 92-324 mg/dL
CPK 214 59-895 IU/L
Page 1 FINAL For online
lab results
please visit online.antechdiagnostics.com
FILED: NASSAU COUNTY CLERK 03/09/2022 12:44 PM INDEX NO. 615766/2021
NYSCEF DOC. NO. 275 RECEIVED 07/17/20 3: 53AM RECEIVED NYSCEF: 03/09/2022
O 07/17/2020 3:53 AM Fax ÈL ces ’Diana Fong pg 1 of 2
...___._........_...-.---.-..,.-...._.-..--.---.--.-..--.....-..-..------.......-..-....-.-.._.......-.-...---
Gm. a IDEXX Telemedicine Consultants
L A B OR ATOR I E S
radiology} cardiology services
} specialty
Report (5723954-15/Radiographs -
Radiology Only Stat)
Completed 07/17/20 03:52 AM
Patient Name: Yoshi Fishelman (11820)
Requesting Doctor: Dr.Diana Fong Species: Canine Age: 0Yr 6Mo
Gender: Male Breed: Mixed breed,small Weight 10.00 Lb
PRESENTING COMPLAINT: Coughing
HISTORY: Presented for recheckchest radstoday. but much
Still coughing lessfrequently.
Eupneic, no
murmurs/arrythmias, no coughingduring physicalexam. On chloramphenicolforthe last2 1/2 weeks.
THORAX, July16, 2020, 3 irnages.
Previous available from
radiographs, June 28, 2020,were reviewed for reference.
FINDINGS:
There is theimpressionof a mild interstitial
bronchial with
pattern, predominant distribution
withinthe caudal
and dorsal
lung with
field, fairly appearance
similar compared to the previous
study.There are no signsof consolidation
of the
pulmonary parenchyma on the present
identified study.The deep patchysofttissueopacification
identified
withinthe
ventraland cranialaspectof the left cranial
lunglobe or caudalaspectof the caudalsegment of theleft cranial
lunglobe
on the previousstudyis nolonger at
visible this stage.
The cardiovascularstructures
are considered possiblynormal
(alsobased on the fact
thatthereare no cardiovascular
abnormalitiesbased on thephysicalexamination findings
reportedin the notesof the It is suspected
patient). slightnarrowingof the tracheal
lumen at the level
of the carina
on the
leftlateral
projection
provided,which may reflect
partial The
collapse. pleural
and mediastinalspace are normal.The
cranialabdominal structuresand the skeletal
structures
includedin the field-of-view
are consideredwithinnormal limits.
CONCLUSIONS:
The mild pulmonary changes may reflect
mildlower airwaysdisease,such as of infectious
origin(e.g. parasitic
bacterial,
etiology).
Slightscarringof thebronchial
walls,associatedwith chronic is also
bronchitis possible.
A normal is
variant
considered lesslikely.
It is suspected
partial
trachealcollapseat the level
of the carina.
RECOMMENDATIONS:
Depending evolution
on clinical if further
of this case, investigation
of the caugh
is needed and if appropriate,
this may
includeairways cytology,endoscopy and fecalsedimentationtest(if not yet
performed).
Requested By: Do you have feedback on this report? We want to Report provided by:
Dr. Diana Fon9 hear from you. Visit IDEXXTelemedicineConsultants
island Rescue http://www.vetrnedstat.com/survey. 1-80c-726-1212
1500 NorthClinton Avenue 9200 sE SunnybrookBlvd., Suite 460
Bay Shore, NY 11706 Clackamas,OR 97c15
P: G31-988-870c
F: 831-968-8448
F2: T:8P:8
re: Yoshi Fishelman (11820) 1 of 2
FILED: NASSAU COUNTY CLERK 03/09/2022 12:44 PM INDEX NO. 615766/2021
NYSCEF DOC. NO. 275 RECEIVED 3: 53AM RECEIVED NYSCEF: 03/09/2022
07/17/20(
G 07/17/2020 3:53 AM Fax se, n +Diana Fong pg 2 of 2
(Contitiued)
Thank you for this
referral.
If you
have any questionsregardingthiscase, pleasecontactme directlyon tommaso-
gregori@idexx.com. As I am UK-based, theremay be a timedelay in replying
to anyemail.Feedback ori
or follow-up
patientsis alwaysappreciated!For URGENT please
questions, call1-800-726-1212 and speak to the first
available
radiologist not available.
if I am Thisinformationis for veterinarian
use onlyplease.
Tommaso Gregori,DVM, DipECVDI, MRCVS
Radiologist
Requested By: Do you have feedback on this report? We want to Report provided by:
Or, Diana Fong hear from you.Visit IDEXXTelemedicineConsultants
island Rescue http://www.vatmedstat.com/survey. 1-800-726-1212
1500 Northolinton Avenue 9200SE SunnybrookBNd., Suite460
BayShore, NY 11706 Clackamas,OR 97015
P: 631-968-8700
F: 631-968-8448 .W.
F2:
re: Yoshi Fishelman (11820) 2 of 2
FILED: NASSAU COUNTY CLERK 03/09/2022 12:44 PM INDEX NO. 615766/2021
NYSCEF DOC. NO. 275 RECEIVED 06/28/2% 16: 37PM
RECEIVED NYSCEF: 03/09/2022
O 06/28/2D20 6:37 PM Fax 4Kim Ng pg 1 of 2
b- C o
L A B O R ATO R I E S
IDEXX Telemedicine Consultants
radiology services
| specialty
| cardiology
Report (5668910-15/Radiographs -
Radiology Only Stat)
Completed 06/28/20 06:34 PM
Patient Name: Yoshi Fishelrnan (11820)
Requesting Doctor: Dr. Kim Species; Canine Age: 5Mo
Ng 0Yr
Gender: Male Breed: Mixed small Weight: 10.00 Lb
breed,
PRESENTING COMPLAINT: Coughing
HISTORY: Obtained from Shake a Paw, known for their
kennel cough,with saidcough, progressedto pneumonia. Went
thruDoxy and Azithromycin,and cough did resolve
for abouta month.Coughs on tracheal
palpationwithouta cough at
home, but thismorning,woke up coughingand owner startedChloramphenicol given by the vet associated
with pet
store.No heartmurmur, but is 3/4
Cav and 1/4 Poodle.
Has some gaspy breathingthathe hasn'thad sincethe first
episode of kennelcough, but is acting
normal and eating.
Nothing in throat
seen and no cough
actually, on trachpalptoday.Lungs sound clear.
Mucous membranes pink.
THORAX/ABDOMEN June 28, 2020: 3 viewsare provided(opposite and VD projections).
lateral Priorimages forthis
patientwere not included.
FINDINGS: There is a focal
regionof unstructured
interstitial in the
infiltrate left caudal
thorax,bestidentified
on the VD
view.There is no evidenceof lobarrnargination
or air
bronchogram formation.
There is no evidenceof pulmonarysoft
tissuenodules,intrathoracic
lymphadenopathy, or pleural
effusion.
There is mild
cardiomegaly withleft atrial
enlargement on both views
lateral thatis less
apparenton the VD projection.
Pulmonary vasculature is normal.
There is
mildelevationof theintrathoracic
tracheawithoutnarrowing or collapse.
There of pathologic
Is no evidence esophageal
distention.
There is no evidenceof ceNicalor mediastinal
mass effect.
Abdominal serosal is good.
detail The
gastrointestinal
and abdominal parenchymal structuresare within
normal limits.
Thereis no evidenceof boweldistention,
or
plication, radiopaque foreignrnaterial.
Thereis no evidenceof organomegaly or mass No osseous
effect.
abnormalitiesare detected No other abnormalities
significant areseen.
CONCLUSIONS:
1. Thereis suspectedmild or early
pneurnonia in the left caudal
lung Radiographic
field. changes associatedwith
bronchopneumonia can lag behindclinical
signs.
Preview
FILED: NASSAU COUNTY CLERK 03/09/2022 12:44 PM INDEX NO. 615766/2021 NYSCEF DOC. NO. 275 RECEIVED NYSCEF: 03/09/2022 EXHIBIT N FILED: NASSAU COUNTY CLERK 03/09/2022 12:44 PM INDEX NO. 615766/2021 NYSCEF DOC. NO. 275 RECEIVED NYSCEF: 03/09/2022 Exhibit N-1 FILED: NASSAU COUNTY CLERK 03/09/2022 12:44 PM INDEX NO. 615766/2021 NYSCEF DOC. NO. 275 RECEIVED NYSCEF: 03/09/2022 Patient Report: Yoshi - 9/13/2021 History Clinic: Patient: Yoshi West HillsAnimal Hospital& Emergency Center ID: 111003 800 W. JerichoTpke Tag: Chip:991001003579932 Huntington, NY 11743 Species: Sex: male/intact 631-351-6116 Age: 1 yr& 8 mo, DOB: 1/1/2020 Client: Weight: 8.5 Lbs Mr. Dominic Crowther Color: Blenheim Last visit: 5/26/2020 Referred By: Home Phone: Shake-A-Paw ID:72345, File#: 23628 Tel:516-938-7877 / Fax: Medical Record Entries: 5/26/2020 Shake-A-Paw Covered Services - L. Sikalas, VMD) (Tiffany 5/26/2020 Chloramphenicol Susp. 150mg/ml - (55) **WEAR GLOVES WHEN ADMINISTERING** Oil*** Give 1.3mL **Contains Almond by mouth every8 hoursfor 14 days.Recheck just beforefinished. (TiffanyL. Sikalas, VMD) 5/26/2020 Examination - (Katie Parsley, DVM) Subjective/Complaints/History: S: had been fine after here 2m ago but started last visit coughing 2wks ago,10x/d per 0, o spoke w/ James at Shake a Paw on Saturday & he said forher to come in w/ Yoshi & exam/ tx costs would be covered,q o if has been to any vet forcough last here, per o did go to rDVM or vax since b/c Yoshidefecateda roundwonn & she was givena pill to giveq1m, did get 1 vaccination, RV hasn't gotten yet,is EDUD N, no SVD O: BAR, 101.4, heart & wt 8.51b, T lugs ause N, soft non no nasal d/c, abd palp painful A: URI - recurrent vs new P: Chloramphenicol stressed recheck no better asap if worse/ & if doing well recheck just beforeabX finished cough b/c if even slight remainswould ext likely course 4/7/2020 Communications - SWO: P was given doxycyline yesterdaymorning then switched to Azithromycinlast night with food. This morning vomited- patient owner concernedfrom recommend antibiotic, blanddiet today, offon antibiotic thisevening-resume holding tomorrow night.If patient vomitsagain todaythen recommend he be seen (DianaPirolo, DVM) 4/6/2020 Credelio 4.41bs-61bs 1 Month- Giveone tablet once monthlywith food.To be given year round. L. (Tiffany Sikalas, VMD) 4/6/2020 Sentinel<10lbs Tablet- Giveone tablet once monthly withfood. To be givenyear round.(TiffanyL.Sikalas,VMD) 4/6/2020 Shake-A-Paw Covered Services- (Tiffany L. Sikalas, VMD) 4/6/2020 Azithromycin 100mg/5ml 15ml - Give1mL by mouth once daily (every24 hours)with food.Antibiotic.(TiffanyL.Sikalas,VMD) 4/6/2020 Medical Progress Examination - (Tiffany L.Sikalas,VMD) Patient Report- 9/13/2021- Yoshi- Owner:Mr. Dominic Crowther - Page 1 of 2 History FILED: NASSAU COUNTY CLERK 03/09/2022 12:44 PM INDEX NO. 615766/2021 NYSCEF DOC. NO. 275 RECEIVED NYSCEF: 03/09/2022 Subjective/Complaints/History: S: Exam to rechec agh. Still coughing. On doxycycline,almost all over. out. Itchy BAR, sweet O: W= 5# EENT- ClearOU/AU, mm pm H/L- nsr, nma, clear/eup abd- snp, nmp integ/LN- npl ghc, no parasites, ms/n- bcs 5/9, amb x4, normal mentation UG- MI A: CIRDC. not resolving Pruritus- r/o normalpuppy/dryskin P: Switch to azithromycin Filledpreventatives 3/26/2020 Shake-A-Paw Covered Services- L. Sikalas, VMD) (Tiffany 3/26/2020 Doxycycline Susp. 50mg/ml - (12) Shake welland Refrigerate. Give 0.4mL by mouth twicedailywithfood for14 days. Recheck in 10-14 days (before medication runs out) (TiffanyL. Sikalas, VMD) 3/26/2020 Examination - (TiffanyL. Sikalas, VMD) Subjective/Complaints/History: S: New puppy exam. Has a cough,scoots butt a lot, ears seem itchy.Just got pet yesterday. BAR O: W= 4.8#,t= 99.6F EENT- ClearOU/AU, no cough mm pm, nasal crusting, on tracheal palpation H/L- nsr, nma, clear/eup abd- snp nmp integ/LN-ghc, nps, npl, dry/scalyskin ms/n- bcs 5/9, amb x4, normal mentation UG- MI,2 testicles A: 12 week oldM1 Cavapoo CIRDC Dry skin P: Rx doxycycline,discussedposs progression to BP. recheck10-14 days or sooner if concerns O to dropofffecal Patient Report- 9/13/2021- Yoshi- Owner:Mr. Dominic Crowther - Page 2 of 2 History FILED: NASSAU COUNTY CLERK 03/09/2022 12:44 PM INDEX NO. 615766/2021 RECEIVED 09/10/ 2020 06:43AM NYSCEF 0DOC. NO.6:43 09/10/2020 275 AM 'ices + Diana Fong RECEIVED pg 1 of 2 NYSCEF: 03/09/2022 Faq Ghe m"stew IDEXX Telemedicine Consultants L A B O R ATO R I E S radiologyI cardiology services | specialty Services Report (5883508-15/Radiographs - Radiology Only Stat) Completed 09/10/20 06:41 AM Patient Name: Yoshi Fishelman (11820) Requesting Doctor: Dr.Diana Fong Species: Canine Age: 0Yr 8Mo Gender: Male Breed: Mixed small Weight: 12.25 Lb breed, PRESENTING COMPLAINT: post-antibiotic recheck HISTORY: History of suspectedkennel cough in April-Maywhich did notresolveon doxycycline butdid on azithromycin. Intermittent cough recurred in June.Finishedan approximately 1 month course of chloramphenicol in mid-August.No coughing noted shortlyafter startingthe chloramphenicot NSF on PE 9/9/20. THORAX, (September 9, 2020):There are3 JPEG radiographs availableforreview. Images are compared toprior radlographs dated July16, 2020 and June 28, 2020. FINDINGS: The size and shape of the cardiacsilhouette The is similar. pulmonary vasculature is normal. Similarto themost recent priorexamination,the previous patchy of the infiltrate left caudai lungis nolonger evident.A bronchointerstitial patternis improved. There remains no evidence of a discrete alveolarpattern,pulmonary nodules,pleuraleffusion,or intrathoracic lymphadenopathy. The included tracheais normal and in the no alterations carinaldiameterare identified. Trace esophageal gas is transient and withinnormal limits. Withinthe included cranial abdomen, gas withinthe stomach may be associated withmild aerophagia.The visible intestinesareunremarkable. Cranial peritonealserosalcontrastis adequate.The skeletal structuresare withinnormal limits. CONCLUSIONS: There is improvement of a previousbronchointerstitial patternand priorinflammation is consideredmost likely. No additionalabnormalitiesofthe pulmonary parenchyma are There identified. is no evidenceof carinal collapse in the currentimages. RECOMMENDATIONS: Given thatthe patientis both and clinically radiographicallyimproved, ongoing monitoringmay be sufficient. If clinical signs recuror additional assessment is desired,repeatradiographs and consultationwithan internist may be beneficial. Requested By: Do you have feedback on this report? We want to Report provided by: Dr. Diana Fong hear1rom you. Visit IDEXX TelemedicineConsultants island Rescue http://www.vetmodstat.com/survey. 1-800-726-1212 1500 North Clinton Avenue 9200 SE Sunnybrook Blvd., Suite 460 Bay Shore, NY 11706 Clackamas, OR 97015 P: 631-968-8700 F: 631-968-8448 F2: T:8P:8 re: Yoshi Fishelrnan (11820) 1 of 2 FILED: NASSAU COUNTY CLERK 03/09/2022 12:44 PM INDEX NO. 615766/2021 RECEIVED 09/10/2020 06:43AM NYSCEF G 09/10/2020 DOC. NO.6:43 AM 275 Fax ices ’ Diana Fong RECEIVED pg 2 of 2 NYSCEF: 03/09/2022 (Continued) Feedback or follow-up on patientsis always appreciated!For NON-URGENT questions, pleasedo not hesitateto contact me at directly kristina-simone@idexx.com and you should receivea response within24 hours when I am available.ForURGENT questions,please call1-800-726-1212 and speak to the first available if I am radiologist not available. This contact informationis for veterinarianuse only.Thank youl KristinaSimone,VMD, DACVR Radiologist Requested By: Do you have feedback on this report? We want to Report provided by: Dr. Diana Fong hear from you. Visit IDEXX TelemedicineConsultants island Rescue http://www.vatmedstat.com/survey. 1-800-728-1212 1500 North Clinton Avenue 9200 SE SunnybrookBlvd., Suite 460 Bay Shore, NY 11706 Clackamas, OR 97015 P: 631-968-8700 F. s31-968-8448 F2: T·8P·8 re: Yoshi Fishelman (11820) 2 of 2 FILED: NASSAU COUNTY CLERK 03/09/2022 12:44 PM INDEX NO. 615766/2021 RECEIVED 09/10/2020 04:08AM NYSCEF DOC. 09 NO. 275 / 10/2020 1:08:41 0700 RECEIVED PAGE 1 NYSCEF: OF 1 03/09/2022 At( ' ANTECH 800-872-1001 IslandRescue AccessionNo. NYAF17249035 ANTECH Acet No. 180077 Received09/09/2020 Reported09/10/2020 01:05 AM Doctor DF Owner Pet Name Species Breed Sex Pet Age Chart# FISHELMAN YOSHI Canine M 8M 11820 Vet Screen Complete Blood Count Tests Results Ref. Range Units Tests Results Ref. Range Units Total Protein 5.5 5.0-7.4 g/dL WBC 11.4 4.0-15.5 103/µL Albumin 3.1 2.7-4.4 g/dL RBC 5.8 4.8-9.3 106/µL Globulin 2.4 1.6-3.6 g/dL Hemoglobin 13.0 12.1-20.3 g/dL A/G Ratio 1.3 0.8-2.0 HCT 41 36-60 % AST (SGOT) 34 15-66 IU/L MCV 70 58-79 ft ALT (SGPT) 46 12-118 IU/L MCH 22.3 19-28 pg Alk Phosphatase 85 5-131 IU/L MCHC 32 30-38 g/dL Total Bilirubin 0.1 0.1-0.3 mg/dL PlateletCount 516 (HIGH) 170400 10*/µL Urea Nitrogen 18 6-31 mg/dL Platelet EST Increased Creatinine 0.7 0.5-1.6 mg/dL Differential Absolute % BUN/CreatinineRatio 26 4-27 Neutrophils 5472 48 2060-10600 /µL Phosphorus 5.1 2.5-6.0 mg/dL Bands 0 Glucose 116 70-138 mg/dL Lymphocytes (HIGH) 4560 40 690-4500 /µL Calcium 10.4 8.9-11.4 mg/dL Monocytes 570 5 0-840 /µL CorrectedCalcium 10.8 Eosinophils 798 7 0-1200 /µL Sodium 146 139-154 mEq/L Basophils 0 0 0-150 /µL Potassium 4.2 3.6-5.5 mEq/L Na/K Ratio 35 27-38 Chloride 110 102-120 mEq/L Cholesterol 229 92-324 mg/dL CPK 214 59-895 IU/L Page 1 FINAL For online lab results please visit online.antechdiagnostics.com FILED: NASSAU COUNTY CLERK 03/09/2022 12:44 PM INDEX NO. 615766/2021 NYSCEF DOC. NO. 275 RECEIVED 07/17/20 3: 53AM RECEIVED NYSCEF: 03/09/2022 O 07/17/2020 3:53 AM Fax ÈL ces ’Diana Fong pg 1 of 2 ...___._........_...-.---.-..,.-...._.-..--.---.--.-..--.....-..-..------.......-..-....-.-.._.......-.-...--- Gm. a IDEXX Telemedicine Consultants L A B OR ATOR I E S radiology} cardiology services } specialty Report (5723954-15/Radiographs - Radiology Only Stat) Completed 07/17/20 03:52 AM Patient Name: Yoshi Fishelman (11820) Requesting Doctor: Dr.Diana Fong Species: Canine Age: 0Yr 6Mo Gender: Male Breed: Mixed breed,small Weight 10.00 Lb PRESENTING COMPLAINT: Coughing HISTORY: Presented for recheckchest radstoday. but much Still coughing lessfrequently. Eupneic, no murmurs/arrythmias, no coughingduring physicalexam. On chloramphenicolforthe last2 1/2 weeks. THORAX, July16, 2020, 3 irnages. Previous available from radiographs, June 28, 2020,were reviewed for reference. FINDINGS: There is theimpressionof a mild interstitial bronchial with pattern, predominant distribution withinthe caudal and dorsal lung with field, fairly appearance similar compared to the previous study.There are no signsof consolidation of the pulmonary parenchyma on the present identified study.The deep patchysofttissueopacification identified withinthe ventraland cranialaspectof the left cranial lunglobe or caudalaspectof the caudalsegment of theleft cranial lunglobe on the previousstudyis nolonger at visible this stage. The cardiovascularstructures are considered possiblynormal (alsobased on the fact thatthereare no cardiovascular abnormalitiesbased on thephysicalexamination findings reportedin the notesof the It is suspected patient). slightnarrowingof the tracheal lumen at the level of the carina on the leftlateral projection provided,which may reflect partial The collapse. pleural and mediastinalspace are normal.The cranialabdominal structuresand the skeletal structures includedin the field-of-view are consideredwithinnormal limits. CONCLUSIONS: The mild pulmonary changes may reflect mildlower airwaysdisease,such as of infectious origin(e.g. parasitic bacterial, etiology). Slightscarringof thebronchial walls,associatedwith chronic is also bronchitis possible. A normal is variant considered lesslikely. It is suspected partial trachealcollapseat the level of the carina. RECOMMENDATIONS: Depending evolution on clinical if further of this case, investigation of the caugh is needed and if appropriate, this may includeairways cytology,endoscopy and fecalsedimentationtest(if not yet performed). Requested By: Do you have feedback on this report? We want to Report provided by: Dr. Diana Fon9 hear from you. Visit IDEXXTelemedicineConsultants island Rescue http://www.vetrnedstat.com/survey. 1-80c-726-1212 1500 NorthClinton Avenue 9200 sE SunnybrookBlvd., Suite 460 Bay Shore, NY 11706 Clackamas,OR 97c15 P: G31-988-870c F: 831-968-8448 F2: T:8P:8 re: Yoshi Fishelman (11820) 1 of 2 FILED: NASSAU COUNTY CLERK 03/09/2022 12:44 PM INDEX NO. 615766/2021 NYSCEF DOC. NO. 275 RECEIVED 3: 53AM RECEIVED NYSCEF: 03/09/2022 07/17/20( G 07/17/2020 3:53 AM Fax se, n +Diana Fong pg 2 of 2 (Contitiued) Thank you for this referral. If you have any questionsregardingthiscase, pleasecontactme directlyon tommaso- gregori@idexx.com. As I am UK-based, theremay be a timedelay in replying to anyemail.Feedback ori or follow-up patientsis alwaysappreciated!For URGENT please questions, call1-800-726-1212 and speak to the first available radiologist not available. if I am Thisinformationis for veterinarian use onlyplease. Tommaso Gregori,DVM, DipECVDI, MRCVS Radiologist Requested By: Do you have feedback on this report? We want to Report provided by: Or, Diana Fong hear from you.Visit IDEXXTelemedicineConsultants island Rescue http://www.vatmedstat.com/survey. 1-800-726-1212 1500 Northolinton Avenue 9200SE SunnybrookBNd., Suite460 BayShore, NY 11706 Clackamas,OR 97015 P: 631-968-8700 F: 631-968-8448 .W. F2: re: Yoshi Fishelman (11820) 2 of 2 FILED: NASSAU COUNTY CLERK 03/09/2022 12:44 PM INDEX NO. 615766/2021 NYSCEF DOC. NO. 275 RECEIVED 06/28/2% 16: 37PM RECEIVED NYSCEF: 03/09/2022 O 06/28/2D20 6:37 PM Fax 4Kim Ng pg 1 of 2 b- C o L A B O R ATO R I E S IDEXX Telemedicine Consultants radiology services | specialty | cardiology Report (5668910-15/Radiographs - Radiology Only Stat) Completed 06/28/20 06:34 PM Patient Name: Yoshi Fishelrnan (11820) Requesting Doctor: Dr. Kim Species; Canine Age: 5Mo Ng 0Yr Gender: Male Breed: Mixed small Weight: 10.00 Lb breed, PRESENTING COMPLAINT: Coughing HISTORY: Obtained from Shake a Paw, known for their kennel cough,with saidcough, progressedto pneumonia. Went thruDoxy and Azithromycin,and cough did resolve for abouta month.Coughs on tracheal palpationwithouta cough at home, but thismorning,woke up coughingand owner startedChloramphenicol given by the vet associated with pet store.No heartmurmur, but is 3/4 Cav and 1/4 Poodle. Has some gaspy breathingthathe hasn'thad sincethe first episode of kennelcough, but is acting normal and eating. Nothing in throat seen and no cough actually, on trachpalptoday.Lungs sound clear. Mucous membranes pink. THORAX/ABDOMEN June 28, 2020: 3 viewsare provided(opposite and VD projections). lateral Priorimages forthis patientwere not included. FINDINGS: There is a focal regionof unstructured interstitial in the infiltrate left caudal thorax,bestidentified on the VD view.There is no evidenceof lobarrnargination or air bronchogram formation. There is no evidenceof pulmonarysoft tissuenodules,intrathoracic lymphadenopathy, or pleural effusion. There is mild cardiomegaly withleft atrial enlargement on both views lateral thatis less apparenton the VD projection. Pulmonary vasculature is normal. There is mildelevationof theintrathoracic tracheawithoutnarrowing or collapse. There of pathologic Is no evidence esophageal distention. There is no evidenceof ceNicalor mediastinal mass effect. Abdominal serosal is good. detail The gastrointestinal and abdominal parenchymal structuresare within normal limits. Thereis no evidenceof boweldistention, or plication, radiopaque foreignrnaterial. Thereis no evidenceof organomegaly or mass No osseous effect. abnormalitiesare detected No other abnormalities significant areseen. CONCLUSIONS: 1. Thereis suspectedmild or early pneurnonia in the left caudal lung Radiographic field. changes associatedwith bronchopneumonia can lag behindclinical signs.