Assignment Prompt & Instructions
– a year ago
**files (6)**
– ## Encounter2025-05-144.pdf
– ## Encounter2025-05-145.pdf
– ## Encounter2025-05-142.pdf
– ## Encounter2025-05-141.pdf
– skill2.png
– Encounter2025-05-14.pdf
**## Encounter2025-05-144.pdf**
DISCHARGE SUMMARY
Provider: Dr. Eliza O'Callaghan
Patient: Chessie
Date Generated: May 15, 2025 Small Door Gramercy
380 Second Ave New York, NY 10010
(212) 933-9044
OWNER
Samantha Hom
1-(347) 860-5635
samanthahom521@gmail.com
PATIENT
Chessie | 8.4 YO | Female (Spayed) | Domestic
Short Hair Dsh | 3.97 kg
Patient ID: 343814135 | Feline
DOB: Jan 01, 2017 | Color: Tabby
Microchip: 981020025046968
Allergies: None Recorded
EXAM with Dr. Eliza O'Callaghan
SMALL DOOR GRAMERCY March 27, 2025 at 8:45 am
DISCHARGE INSTRUCTIONS
Date: 03/27/2025
Procedure
Chessie presented for a professional dental cleaning and oral assessment, treatment, and plan (ATP).
Post-anesthesia Care
Because Chessie had general anesthesia today, she may be sleepy for the remainder of the day. Please take
special care to protect her from falling down stairs, running into things, and exposure to hot or cold weather.
Oral Surgery
Chessie had one tooth extracted today—her lower left molar (309). This tooth was removed due to tooth
resorption. There is a small tip of the tooth remaining in the bone of the mandible that could not be
removed, but we do not anticipate this causing any issues since it is already resorting.
It is normal to see blood-tinged saliva for the next few days. You may also notice some blood-tinged drool
when Chessie is resting, which is completely normal.
Nutrition
Please feed half of Chessie's usual intake tonight. Transient GI upset can occur after general anesthesia,
and it is not uncommon for patients to go a few days without a bowel movement after surgery. Please let
us know if she is straining to defecate.
Owner: Samantha Hom | Patient: Chessie | Species: Feline | Breed: Domestic Short Hair Dsh | Page: 1 of 2
Because Chessie had oral surgery today, her diet should be adjusted during the healing period. Please feed
a canned diet for at least the next 14 days while the tissues heal. Ideally, she will eat a canned diet until her
recheck visit.
Exercise
Please restrict Chessies activity for the next 1-2 days while she recovers from anesthesia. She may then
resume normal activity.
Pain Relief
Chessie received a long-acting pain relief injection (Simbadol) that can last up to 72 hours. Due to this
medication, she might seem unusually affectionate and extra smoochy. In rare cases, some cats may exhibit
aggressive behavior. If you notice any concerning changes in her behavior, please contact us immediately.
Medication to Go Home
1) Onsior: Give 1 tablet by mouth every 24 hours for the next 3 days. Give with food. START TOMORROW
EVENING. This is an anti-inflammatory medication.
Follow-up
Please schedule an appointment for a nurse visit for an oral examination in 14 days.
Thank you for entrusting the Small Door team with Chessies care. If you have any questions or concerns,
please do not hesitate to contact us.
Talk soon,
Dr. Eliza O'Callaghan & The Small Door Medical Team
Dr. Eliza O'Callaghan
Owner: Samantha Hom | Patient: Chessie | Species: Feline | Breed: Domestic Short Hair Dsh | Page: 2 of 2
**## Encounter2025-05-145.pdf**
DISCHARGE SUMMARY
Provider: Dr. Eliza O'Callaghan
Patient: Percy
Date Generated: May 15, 2025 Small Door Gramercy
380 Second Ave New York, NY 10010
(212) 933-9044
OWNER
Alexandra Oblak
1-(917) 620-2716
alexandraoblak@gmail.com
PATIENT
Percy | 1.1 YO | Male (Neutered) | Havanese |
6.23 kg
Patient ID: 275005718 | Canine
DOB: Mar 18, 2024 | Color: Red Sable
Microchip: 900235001332909
Allergies: None Recorded
EXAM with Dr. Eliza O'Callaghan
SMALL DOOR GRAMERCY April 3, 2025 at 10:29 am
DISCHARGE INSTRUCTIONS
Date: 04/03/2025
Procedure: Percy presented for a pre-scrotal castration (neuter).
Because Percy had general anesthesia today, he may be sleepy for the remainder of the day. Special care
must be taken to protect him from falling down stairs, running into things, and exposure to hot or cold
weather.
Incision Site Monitoring and Care:
• Percy has an incision on his groin. Absorbable sutures were used under the skin. Please monitor the
incision for any redness, bruising, discharge, or opening of the incision. If you are concerned, please do
not hesitate to contact us and send a picture of the incision to medical@smalldoorvet.com.
• The incision site does not require regular cleaning. If the incision becomes soiled or dirty, gently wipe the
area with saline solution or warm water and a clean cloth. Do not bathe Percy until the incision is healed.
• Percy must wear an e-collar or surgical suit at all times until the incision heals. If he can lick, bite, or scratch
at the incision, it may become infected, fail to heal, and require further surgical intervention.
• If Percy is wearing a surgical suit during recovery, please check the suit daily to ensure it has not become
soiled, which can contaminate the incision. Be sure to unbutton the suit at least once a day to visually
inspect the incision for any signs of bleeding, discharge, heat, or pulling apart at the edges.
Dental Procedure:
Owner: Alexandra Oblak | Patient: Percy | Species: Canine | Breed: Havanese | Page: 1 of 3
While under anesthesia, we also extracted four retained baby teeth: three incisors and one premolar. Small
sutures were placed at the gum line where these teeth were removed. These sutures will dissolve and fall
out on their own. No special care or change in food is needed for this area.
Nutrition:
Please feed half of Percys usual intake tonight. On occasion, transient GI upset will occur after general
anesthesia. It is not uncommon for patients not to have a bowel movement for a few days after surgery.
Please let me know if he is straining to defecate.
Exercise:
Please restrict Percys activity for the next 2 weeks while the incision heals. This means no running, jumping,
or rough-housing. When you are not home or at night, you may need to place Percy in a crate or small room.
Medications:
1) Carprofen 25mg tablets: Give ½ tablet (12.5mg) by mouth every 12 hours for 5 days. This is a non-steroidal
anti-inflammatory pain medication. Please give with food. The first dose is due tomorrow morning.
2) You can give the previously prescribed Trazodone, as needed to help keep him calm, starting tomorrow
morning.
3) You can give the previously prescribed Gabapentin, as needed for additional pain relief, starting at 8 pm
tonight.
Additional Procedures:
– We placed a microchip during todays visit.
– We also performed a nail trim.
Follow-up:
Please schedule an appointment for a nurse visit for an incision check in 10-14 days.
Thank you for entrusting the Small Door team with Percys care. If you have any questions or concerns,
please do not hesitate to contact us.
Talk soon,
Dr. Eliza O'Callaghan, DVM (she/her)
Managing Veterinarian | Small Door Veterinary – Gramercy & West Village
� West Village: (212) 300-9893 | � Gramercy: (212) 300-9891
www.smalldoorvet.com
If you need to schedule an appointment, please use the Small Door app or email hi@smalldoorvet.com. In an
emergency, contact us through the Small Door Urgent chat function on the app or reach out to your local
emergency hospital.
Dr. Eliza O'Callaghan
Owner: Alexandra Oblak | Patient: Percy | Species: Canine | Breed: Havanese | Page: 2 of 3
Owner: Alexandra Oblak | Patient: Percy | Species: Canine | Breed: Havanese | Page: 3 of 3
**## Encounter2025-05-142.pdf**
DISCHARGE SUMMARY
Provider: Dr. Eliza O'Callaghan
Patient: Riesling
Date Generated: May 15, 2025 Small Door Gramercy
380 Second Ave New York, NY 10010
(212) 933-9044
OWNER
Neil Corber
1-(646) 880-7589
ncorber@gmail.com
PATIENT
Riesling | 8 months old | Female (Spayed) |
Labradoodle | 12.2 kg
Patient ID: 323141146 | Canine
DOB: Aug 29, 2024 | Color: Caramel
Microchip: 981020057553364
Allergies: None Recorded
EXAM with Dr. Eliza O'Callaghan
SMALL DOOR GRAMERCY March 27, 2025 at 8:45 am
DISCHARGE INSTRUCTIONS
Date: 03/27/2025
Procedure:
Riesling presented for a surgical spay. She did excellently! You should be very proud of your girl!
Because Riesling had general anesthesia, she may be sleepy for the remainder of the day. Special care must
be taken to protect her from falling down stairs, running into things, and exposure to hot or cold weather.
There is a possibility of seeing a small amount of blood in the urine over the next few days. This is caused
by the surgery and should resolve within a few days.
Incision Site Monitoring and Care:
– Riesling has an incision on her abdomen. Absorbable sutures were used under the skin. Please monitor
the incision for any redness, bruising, discharge, or opening. If you are concerned, please do not hesitate
to contact us or send us a picture of the incision.
– For the next 3 days, you may ice the incision for 10 minutes 3-4 times per day. If Riesling does not tolerate
this, do not force her.
– The incision site does NOT require regular cleaning. If the incision or abdomen becomes soiled or dirty,
gently wipe the area with saline solution and a clean cloth. DO NOT bathe Riesling until the incision is
healed.
Owner: Neil Corber | Patient: Riesling | Species: Canine | Breed: Labradoodle | Page: 1 of 3
– Riesling MUST wear her surgical suit at ALL times until the incision heals. If Riesling is able to lick, bite, or
scratch at the incision, she may introduce infection, or the incision may fail to heal, necessitating further
surgical intervention.
– Riesling may need an e-collar if she is able to lick at the incision site despite wearing the surgical suit.
– Please be sure to check the surgical suit daily to make sure Riesling has not soiled it, which can contam-
inate the incision.
– Please be sure to unbutton the surgical suit at least once a day to check on the incision directly to ensure
it is healing appropriately with no signs of bleeding, discharge, heat, or pulling apart of the edges of the
incision.
Nutrition:
Please give Riesling half her usual diet this evening. You may resume normal feedings the day following
surgery. Occasionally, transient gastrointestinal upset occurs following general anesthesia. It is not uncom-
mon for patients not to have a bowel movement for a few days after surgery/anesthesia. Please let me know
if she is straining to defecate.
Exercise:
Please restrict Riesling’s activity for the next two weeks while the incision heals. This means no running,
jumping, or roughhousing. When you are not at home or at night, you may need to place Riesling in a crate
or small room.
Medications:
1) Carprofen 25mg Tablets: Give 1 tablet every 12 hours for 5 days. This is a non-steroidal anti-inflammatory
pain medication. Please give with food. The next dose is due tomorrow morning.
2) You can give the previously prescribed Trazodone, as needed to help keep her calm, starting tomorrow
morning.
3) You can give the previously prescribed Gabapentin, as needed for additional pain relief, starting at 8 pm
tonight.
Follow-up:
Please schedule an appointment for a nurse visit for an incision check in ~10-14 days.
Thank you for entrusting the Small Door team with Riesling's care. If you have any questions or concerns,
please do not hesitate to contact us.
Talk soon,
Dr. Eliza O'Callaghan, DVM (she/her)
Managing Veterinarian | Small Door Veterinary – Gramercy & West Village
LAB RESULTS – Ordered by Dr. Eliza O'Callaghan
SEROLOGY (as of Mar 28, 2025)
TEST RESULT REFERENCE RANGE/COMMENTS
Owner: Neil Corber | Patient: Riesling | Species: Canine | Breed: Labradoodle | Page: 2 of 3
Heartworm Antigen Negative –
This test is not suitable for export. If testing is required for export, please select test codes marked "export".
View your results in VetConnect PLUS for patient-specific interpretations that incorporate clinical signs.
Further information on the diagnosis and management of tick/vector-borne diseases can be found at
idexx.com/4DxGuide.
Ehrlichia spp. Negative –
This test is not suitable for export. If testing is required for export, please select test codes marked "export".
Lyme (Borrelia burgdorferi) Negative –
Anaplasma spp. Negative –
LAB RESULTS – Ordered by Dr. Eliza O'Callaghan
OTHER (as of Mar 28, 2025)
TEST RESULT REFERENCE RANGE/COMMENTS
More Information Needed Extra Lavender Top Tube received
with no testing requested. Sam-
ples will be held for 6 days from
the date of receipt. Note that due
to stability most hematology tests
can only be added on up to 72
hours from time of collection. Visit
vetconnectplus.com to add testing
to your sample.
–
Dr. Eliza O'Callaghan
Owner: Neil Corber | Patient: Riesling | Species: Canine | Breed: Labradoodle | Page: 3 of 3
**## Encounter2025-05-141.pdf**
DISCHARGE SUMMARY
Provider: Dr. Eliza O'Callaghan
Patient: Peanut
Date Generated: May 15, 2025 Small Door Gramercy
380 Second Ave New York, NY 10010
(212) 933-9044
OWNER
Chelsea Hart
1-(917) 603-2987
chelsea.eng.hart@gmail.com
PATIENT
Peanut | 6.9 YO | Male (Neutered) | Mixed Breed
| 8.2 kg
Patient ID: 137472789 | Canine
DOB: Jul 23, 2018 | Color: Tan
Microchip: 985141002005431
Allergies: None Recorded
EXAM with Dr. Eliza O'Callaghan
SMALL DOOR GRAMERCY March 27, 2025 at 8:46 am
DISCHARGE INSTRUCTIONS
Discharge Summary for Peanut
Procedure: Eyelid Mass Removal (Right Eye)
Date: March 27, 2025
Veterinarian: Dr. Eliza O'Callaghan
Peanut did great today during his procedure to remove a small mass from his upper right eyelid. He was
placed under anesthesia, and the mass was successfully removed. He woke up smoothly and has been
comfortable throughout his recovery.
The mass was sent for biopsy, and the results are expected in 7-10 days.
At-Home Care Instructions:
Activity & Incision Care:
• Peanut should wear an e-collar (cone) at all times until his follow-up visit to prevent him from scratching
the area.
• Keep him calm and limit activity for the next 10-14 days to allow proper healing. Avoid rough play or
rubbing his face on surfaces.
• Check the incision daily for redness, swelling, discharge, or signs of discomfort. If you notice any of these,
please contact us.
Medications:
Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 1 of 6
1) Carprofen (pain relief): Give half (1/2) a tablet by mouth every 12 hours for 5 days with food. If he
experiences vomiting, diarrhea, or dark stools, stop the medication and call us.
2) Ofloxacin Eye Drops: Administer 1-2 drops to the right eye every 12 hours for 7 days. Start tomorrow
morning.
3) You can give the previously prescribed Trazodone, as needed to help keep him calm, starting tomorrow
morning.
4) You can give the previously prescribed Gabapentin, as needed for additional pain relief, starting at 8 pm
tonight.
Diet:
Feed Peanut half of his regular dinner this evening and resume normal feeding tomorrow. It is not uncom-
mon for pets to experience transient GI upset or a reduced appetite after anesthesia. Let us know if he won’t
eat tomorrow, or if he is straining to defecate or has diarrhea. Some pets may not have a bowel movement
for a few days after surgery—this is normal and usually resolves without intervention.
Follow-Up:
• Please schedule a recheck appointment in 10-14 days for an incision check. This will be a nurse visit.
• We will reach out with the biopsy results as soon as we have them.
Talk soon,
Dr Eliza O'Callaghan, DVM (she/her)
Managing Veterinarian | Small Door Veterinary – Gramercy & West Village
� West Village: (212) 300-9893 | � Gramercy: (212) 300-9891
www.smalldoorvet.com
If you need to schedule an appointment, you may use the Small Door app or e-mail hi@smalldoorvet.com. In
the event of an emergency, please reach out to us through the Small Door Urgent chat function on our app or
to your local emergency practice.
LAB RESULTS – Ordered by Dr. Eliza O'Callaghan
PATHOLOGY (as of Mar 30, 2025)
TEST RESULT REFERENCE RANGE/COMMENTS
Biopsy Source: SKINSQ_MASS –
Biopsy Type: EXCISIONAL –
Clinical History: on medial portion of upper eyelid
OD 3mm patch of mildly erythema-
tous skin w/ slight hypotrichosis
–
Pathologist's Report INTERPRETATION:
Haired skin upper eyelid region:
Lymphohistiocytic nodule strongly
–
Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 2 of 6
favoring a regressing cutaneous
histiocytoma with rare foci of mild
lymphocytic epitheliotropism (see
comment)
Surgical margins: Completely ex-
cised
COMMENTS:
Histopathology of this mass re-
veals a dome-shaped nodule con-
sisting of admixed infiltrates of
small mature lymphocytes and
background populations of histi-
ocytes. The favored interpretation
for this lesion is a cutaneous his-
tiocytoma in the late stages of
regression. Extensive lymphocytic
infiltrate is a key feature of re-
gressing histiocytomas. There was
a mildly atypical feature of multifo-
cal lymphocytic epitheliotropism
for the hair follicles in this tu-
mor. Epitheliotropism can be a
feature of cutaneous lymphomas
however the epitheliotropism in
this case was an inconsistent and
relatively subtle finding. In com-
bination with the concurrent his-
tiocytic infiltrates the overall his-
toarchitecture of this lesion and
the minimal atypia or mitotic ac-
tivity of the constituent lympho-
cytes the likelihood of a cutaneous
lymphoma is considered very low.
Nonetheless if additional similar
skin lesions are noted to emerge or
this patient develops evidence of a
regional lymphadenopathy further
investigation into this differential
diagnosis should be considered.
Furthermore due to the admix-
ed with histiocytic nature of
Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 3 of 6
this lesion other differentials for
lymphohistiocytic inflammation of
sterile or infectious (e.g. fungal
infection mycobacterial infection)
etiology also cannot be definitively
excluded; however these etiologies
are considered significantly less
likely.
Canine cutaneous histiocytomas
are common and largely benign
skin neoplasms of dogs derived
from epidermal Langerhans den-
dritic cells. Histiocytomas typically
present as solitary lesions of young
dogs most often under 3 years of
age although older animals can
also be affected. Frequently af-
fected sites include the pinnae
muzzle extremities and scrotum.
Purebred dogs are predisposed
and boxers and dachshunds are
overrepresented. Multiple histio-
cytomas occur in less than 1% of
cases and are more common in the
shar pei breed.
Histiocytomas often grow rapidly
and epidermal ulceration is com-
mon. Lesions may regress sponta-
neously and complete surgical ex-
cision is typically curative. Local in-
vasion and lymph node metastasis
have been reported in rare cases
of single cutaneous histiocytomas.
Cutaneous histiocytomas in the ear
canal of dogs may represent a par-
ticularly aggressive variant with a
case study reporting locally inva-
sive behavior.
References: Fernandez M et al.
(2020) Vet Dermatol 31(4): 317-e80;
Moore PF (2014) Vet Pathol 51(1):
Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 4 of 6
167-184.
Internal Interpretation ID: IXD5.1
HISTOPATHOLOGIC DESCRIP-
TION:
Haired skin eyelid region: This
lesion is a focal moderately well
demarcated raised dome-shaped
mass of densely aggregated small
mature lymphocytes with admix-
ed superficial infiltrates of histio-
cytic cells. The overlying epidermis
is mildly hyperplastic and multi-
focally extends short slender rete
ridges into the underlying cellu-
lar infiltrate. Along the superficial
aspects of this mass with histio-
cytic cells are most densely clus-
tered there is frequent karyorrhec-
tic and pyknotic cell debris. Very
rarely dermis and epithelium dis-
plays evidence of mild infiltration
by small mature lymphocytes.
PATHOLOGIST:
Dr Cleide Sprӧhnle-Barrera DVM
DVClinSc
Diplomate American College of
Veterinary Pathologists
HOW TO CONTACT ME:
Email (preferred): cleide-sprohn-
le-barrera@idexx.com (veterinary
consultation only)
Phone (direct): ext. 80125 (veteri-
nary consultation only)
Veterinarians: To contact the
pathologist regarding this report
please either use email or call Cus-
tomer Support and dial the exten-
sion shown above. If the pathol-
Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 5 of 6
ogist is unavailable call Customer
Support and request to speak to
the Pathologist on Duty. Please ref-
erence patient accession number
2315732142.
Pet owners: Please contact your
veterinarian for advice to adhere to
the legal veterinary-client-patient
relationship.
This pathology report may not
be published via any distribution
channel (including social media)
without the pathologist's express
permission.
Dr. Eliza O'Callaghan
Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 6 of 6
**skill2.png**
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**Encounter2025-05-14.pdf**
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**Encounter2025-05-14.pdf**
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**## Encounter2025-05-144.pdf**
DISCHARGE SUMMARY
Provider: Dr. Eliza O'Callaghan
Patient: Chessie
Date Generated: May 15, 2025 Small Door Gramercy
380 Second Ave New York, NY 10010
(212) 933-9044
OWNER
Samantha Hom
1-(347) 860-5635
samanthahom521@gmail.com
PATIENT
Chessie | 8.4 YO | Female (Spayed) | Domestic
Short Hair Dsh | 3.97 kg
Patient ID: 343814135 | Feline
DOB: Jan 01, 2017 | Color: Tabby
Microchip: 981020025046968
Allergies: None Recorded
EXAM with Dr. Eliza O'Callaghan
SMALL DOOR GRAMERCY March 27, 2025 at 8:45 am
DISCHARGE INSTRUCTIONS
Date: 03/27/2025
Procedure
Chessie presented for a professional dental cleaning and oral assessment, treatment, and plan (ATP).
Post-anesthesia Care
Because Chessie had general anesthesia today, she may be sleepy for the remainder of the day. Please take
special care to protect her from falling down stairs, running into things, and exposure to hot or cold weather.
Oral Surgery
Chessie had one tooth extracted today—her lower left molar (309). This tooth was removed due to tooth
resorption. There is a small tip of the tooth remaining in the bone of the mandible that could not be
removed, but we do not anticipate this causing any issues since it is already resorting.
It is normal to see blood-tinged saliva for the next few days. You may also notice some blood-tinged drool
when Chessie is resting, which is completely normal.
Nutrition
Please feed half of Chessie's usual intake tonight. Transient GI upset can occur after general anesthesia,
and it is not uncommon for patients to go a few days without a bowel movement after surgery. Please let
us know if she is straining to defecate.
Owner: Samantha Hom | Patient: Chessie | Species: Feline | Breed: Domestic Short Hair Dsh | Page: 1 of 2
Because Chessie had oral surgery today, her diet should be adjusted during the healing period. Please feed
a canned diet for at least the next 14 days while the tissues heal. Ideally, she will eat a canned diet until her
recheck visit.
Exercise
Please restrict Chessies activity for the next 1-2 days while she recovers from anesthesia. She may then
resume normal activity.
Pain Relief
Chessie received a long-acting pain relief injection (Simbadol) that can last up to 72 hours. Due to this
medication, she might seem unusually affectionate and extra smoochy. In rare cases, some cats may exhibit
aggressive behavior. If you notice any concerning changes in her behavior, please contact us immediately.
Medication to Go Home
1) Onsior: Give 1 tablet by mouth every 24 hours for the next 3 days. Give with food. START TOMORROW
EVENING. This is an anti-inflammatory medication.
Follow-up
Please schedule an appointment for a nurse visit for an oral examination in 14 days.
Thank you for entrusting the Small Door team with Chessies care. If you have any questions or concerns,
please do not hesitate to contact us.
Talk soon,
Dr. Eliza O'Callaghan & The Small Door Medical Team
Dr. Eliza O'Callaghan
Owner: Samantha Hom | Patient: Chessie | Species: Feline | Breed: Domestic Short Hair Dsh | Page: 2 of 2
**## Encounter2025-05-145.pdf**
DISCHARGE SUMMARY
Provider: Dr. Eliza O'Callaghan
Patient: Percy
Date Generated: May 15, 2025 Small Door Gramercy
380 Second Ave New York, NY 10010
(212) 933-9044
OWNER
Alexandra Oblak
1-(917) 620-2716
alexandraoblak@gmail.com
PATIENT
Percy | 1.1 YO | Male (Neutered) | Havanese |
6.23 kg
Patient ID: 275005718 | Canine
DOB: Mar 18, 2024 | Color: Red Sable
Microchip: 900235001332909
Allergies: None Recorded
EXAM with Dr. Eliza O'Callaghan
SMALL DOOR GRAMERCY April 3, 2025 at 10:29 am
DISCHARGE INSTRUCTIONS
Date: 04/03/2025
Procedure: Percy presented for a pre-scrotal castration (neuter).
Because Percy had general anesthesia today, he may be sleepy for the remainder of the day. Special care
must be taken to protect him from falling down stairs, running into things, and exposure to hot or cold
weather.
Incision Site Monitoring and Care:
• Percy has an incision on his groin. Absorbable sutures were used under the skin. Please monitor the
incision for any redness, bruising, discharge, or opening of the incision. If you are concerned, please do
not hesitate to contact us and send a picture of the incision to medical@smalldoorvet.com.
• The incision site does not require regular cleaning. If the incision becomes soiled or dirty, gently wipe the
area with saline solution or warm water and a clean cloth. Do not bathe Percy until the incision is healed.
• Percy must wear an e-collar or surgical suit at all times until the incision heals. If he can lick, bite, or scratch
at the incision, it may become infected, fail to heal, and require further surgical intervention.
• If Percy is wearing a surgical suit during recovery, please check the suit daily to ensure it has not become
soiled, which can contaminate the incision. Be sure to unbutton the suit at least once a day to visually
inspect the incision for any signs of bleeding, discharge, heat, or pulling apart at the edges.
Dental Procedure:
Owner: Alexandra Oblak | Patient: Percy | Species: Canine | Breed: Havanese | Page: 1 of 3
While under anesthesia, we also extracted four retained baby teeth: three incisors and one premolar. Small
sutures were placed at the gum line where these teeth were removed. These sutures will dissolve and fall
out on their own. No special care or change in food is needed for this area.
Nutrition:
Please feed half of Percys usual intake tonight. On occasion, transient GI upset will occur after general
anesthesia. It is not uncommon for patients not to have a bowel movement for a few days after surgery.
Please let me know if he is straining to defecate.
Exercise:
Please restrict Percys activity for the next 2 weeks while the incision heals. This means no running, jumping,
or rough-housing. When you are not home or at night, you may need to place Percy in a crate or small room.
Medications:
1) Carprofen 25mg tablets: Give ½ tablet (12.5mg) by mouth every 12 hours for 5 days. This is a non-steroidal
anti-inflammatory pain medication. Please give with food. The first dose is due tomorrow morning.
2) You can give the previously prescribed Trazodone, as needed to help keep him calm, starting tomorrow
morning.
3) You can give the previously prescribed Gabapentin, as needed for additional pain relief, starting at 8 pm
tonight.
Additional Procedures:
– We placed a microchip during todays visit.
– We also performed a nail trim.
Follow-up:
Please schedule an appointment for a nurse visit for an incision check in 10-14 days.
Thank you for entrusting the Small Door team with Percys care. If you have any questions or concerns,
please do not hesitate to contact us.
Talk soon,
Dr. Eliza O'Callaghan, DVM (she/her)
Managing Veterinarian | Small Door Veterinary – Gramercy & West Village
� West Village: (212) 300-9893 | � Gramercy: (212) 300-9891
www.smalldoorvet.com
If you need to schedule an appointment, please use the Small Door app or email hi@smalldoorvet.com. In an
emergency, contact us through the Small Door Urgent chat function on the app or reach out to your local
emergency hospital.
Dr. Eliza O'Callaghan
Owner: Alexandra Oblak | Patient: Percy | Species: Canine | Breed: Havanese | Page: 2 of 3
Owner: Alexandra Oblak | Patient: Percy | Species: Canine | Breed: Havanese | Page: 3 of 3
**## Encounter2025-05-142.pdf**
DISCHARGE SUMMARY
Provider: Dr. Eliza O'Callaghan
Patient: Riesling
Date Generated: May 15, 2025 Small Door Gramercy
380 Second Ave New York, NY 10010
(212) 933-9044
OWNER
Neil Corber
1-(646) 880-7589
ncorber@gmail.com
PATIENT
Riesling | 8 months old | Female (Spayed) |
Labradoodle | 12.2 kg
Patient ID: 323141146 | Canine
DOB: Aug 29, 2024 | Color: Caramel
Microchip: 981020057553364
Allergies: None Recorded
EXAM with Dr. Eliza O'Callaghan
SMALL DOOR GRAMERCY March 27, 2025 at 8:45 am
DISCHARGE INSTRUCTIONS
Date: 03/27/2025
Procedure:
Riesling presented for a surgical spay. She did excellently! You should be very proud of your girl!
Because Riesling had general anesthesia, she may be sleepy for the remainder of the day. Special care must
be taken to protect her from falling down stairs, running into things, and exposure to hot or cold weather.
There is a possibility of seeing a small amount of blood in the urine over the next few days. This is caused
by the surgery and should resolve within a few days.
Incision Site Monitoring and Care:
– Riesling has an incision on her abdomen. Absorbable sutures were used under the skin. Please monitor
the incision for any redness, bruising, discharge, or opening. If you are concerned, please do not hesitate
to contact us or send us a picture of the incision.
– For the next 3 days, you may ice the incision for 10 minutes 3-4 times per day. If Riesling does not tolerate
this, do not force her.
– The incision site does NOT require regular cleaning. If the incision or abdomen becomes soiled or dirty,
gently wipe the area with saline solution and a clean cloth. DO NOT bathe Riesling until the incision is
healed.
Owner: Neil Corber | Patient: Riesling | Species: Canine | Breed: Labradoodle | Page: 1 of 3
– Riesling MUST wear her surgical suit at ALL times until the incision heals. If Riesling is able to lick, bite, or
scratch at the incision, she may introduce infection, or the incision may fail to heal, necessitating further
surgical intervention.
– Riesling may need an e-collar if she is able to lick at the incision site despite wearing the surgical suit.
– Please be sure to check the surgical suit daily to make sure Riesling has not soiled it, which can contam-
inate the incision.
– Please be sure to unbutton the surgical suit at least once a day to check on the incision directly to ensure
it is healing appropriately with no signs of bleeding, discharge, heat, or pulling apart of the edges of the
incision.
Nutrition:
Please give Riesling half her usual diet this evening. You may resume normal feedings the day following
surgery. Occasionally, transient gastrointestinal upset occurs following general anesthesia. It is not uncom-
mon for patients not to have a bowel movement for a few days after surgery/anesthesia. Please let me know
if she is straining to defecate.
Exercise:
Please restrict Riesling’s activity for the next two weeks while the incision heals. This means no running,
jumping, or roughhousing. When you are not at home or at night, you may need to place Riesling in a crate
or small room.
Medications:
1) Carprofen 25mg Tablets: Give 1 tablet every 12 hours for 5 days. This is a non-steroidal anti-inflammatory
pain medication. Please give with food. The next dose is due tomorrow morning.
2) You can give the previously prescribed Trazodone, as needed to help keep her calm, starting tomorrow
morning.
3) You can give the previously prescribed Gabapentin, as needed for additional pain relief, starting at 8 pm
tonight.
Follow-up:
Please schedule an appointment for a nurse visit for an incision check in ~10-14 days.
Thank you for entrusting the Small Door team with Riesling's care. If you have any questions or concerns,
please do not hesitate to contact us.
Talk soon,
Dr. Eliza O'Callaghan, DVM (she/her)
Managing Veterinarian | Small Door Veterinary – Gramercy & West Village
LAB RESULTS – Ordered by Dr. Eliza O'Callaghan
SEROLOGY (as of Mar 28, 2025)
TEST RESULT REFERENCE RANGE/COMMENTS
Owner: Neil Corber | Patient: Riesling | Species: Canine | Breed: Labradoodle | Page: 2 of 3
Heartworm Antigen Negative –
This test is not suitable for export. If testing is required for export, please select test codes marked "export".
View your results in VetConnect PLUS for patient-specific interpretations that incorporate clinical signs.
Further information on the diagnosis and management of tick/vector-borne diseases can be found at
idexx.com/4DxGuide.
Ehrlichia spp. Negative –
This test is not suitable for export. If testing is required for export, please select test codes marked "export".
Lyme (Borrelia burgdorferi) Negative –
Anaplasma spp. Negative –
LAB RESULTS – Ordered by Dr. Eliza O'Callaghan
OTHER (as of Mar 28, 2025)
TEST RESULT REFERENCE RANGE/COMMENTS
More Information Needed Extra Lavender Top Tube received
with no testing requested. Sam-
ples will be held for 6 days from
the date of receipt. Note that due
to stability most hematology tests
can only be added on up to 72
hours from time of collection. Visit
vetconnectplus.com to add testing
to your sample.
–
Dr. Eliza O'Callaghan
Owner: Neil Corber | Patient: Riesling | Species: Canine | Breed: Labradoodle | Page: 3 of 3
**## Encounter2025-05-141.pdf**
DISCHARGE SUMMARY
Provider: Dr. Eliza O'Callaghan
Patient: Peanut
Date Generated: May 15, 2025 Small Door Gramercy
380 Second Ave New York, NY 10010
(212) 933-9044
OWNER
Chelsea Hart
1-(917) 603-2987
chelsea.eng.hart@gmail.com
PATIENT
Peanut | 6.9 YO | Male (Neutered) | Mixed Breed
| 8.2 kg
Patient ID: 137472789 | Canine
DOB: Jul 23, 2018 | Color: Tan
Microchip: 985141002005431
Allergies: None Recorded
EXAM with Dr. Eliza O'Callaghan
SMALL DOOR GRAMERCY March 27, 2025 at 8:46 am
DISCHARGE INSTRUCTIONS
Discharge Summary for Peanut
Procedure: Eyelid Mass Removal (Right Eye)
Date: March 27, 2025
Veterinarian: Dr. Eliza O'Callaghan
Peanut did great today during his procedure to remove a small mass from his upper right eyelid. He was
placed under anesthesia, and the mass was successfully removed. He woke up smoothly and has been
comfortable throughout his recovery.
The mass was sent for biopsy, and the results are expected in 7-10 days.
At-Home Care Instructions:
Activity & Incision Care:
• Peanut should wear an e-collar (cone) at all times until his follow-up visit to prevent him from scratching
the area.
• Keep him calm and limit activity for the next 10-14 days to allow proper healing. Avoid rough play or
rubbing his face on surfaces.
• Check the incision daily for redness, swelling, discharge, or signs of discomfort. If you notice any of these,
please contact us.
Medications:
Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 1 of 6
1) Carprofen (pain relief): Give half (1/2) a tablet by mouth every 12 hours for 5 days with food. If he
experiences vomiting, diarrhea, or dark stools, stop the medication and call us.
2) Ofloxacin Eye Drops: Administer 1-2 drops to the right eye every 12 hours for 7 days. Start tomorrow
morning.
3) You can give the previously prescribed Trazodone, as needed to help keep him calm, starting tomorrow
morning.
4) You can give the previously prescribed Gabapentin, as needed for additional pain relief, starting at 8 pm
tonight.
Diet:
Feed Peanut half of his regular dinner this evening and resume normal feeding tomorrow. It is not uncom-
mon for pets to experience transient GI upset or a reduced appetite after anesthesia. Let us know if he won’t
eat tomorrow, or if he is straining to defecate or has diarrhea. Some pets may not have a bowel movement
for a few days after surgery—this is normal and usually resolves without intervention.
Follow-Up:
• Please schedule a recheck appointment in 10-14 days for an incision check. This will be a nurse visit.
• We will reach out with the biopsy results as soon as we have them.
Talk soon,
Dr Eliza O'Callaghan, DVM (she/her)
Managing Veterinarian | Small Door Veterinary – Gramercy & West Village
� West Village: (212) 300-9893 | � Gramercy: (212) 300-9891
www.smalldoorvet.com
If you need to schedule an appointment, you may use the Small Door app or e-mail hi@smalldoorvet.com. In
the event of an emergency, please reach out to us through the Small Door Urgent chat function on our app or
to your local emergency practice.
LAB RESULTS – Ordered by Dr. Eliza O'Callaghan
PATHOLOGY (as of Mar 30, 2025)
TEST RESULT REFERENCE RANGE/COMMENTS
Biopsy Source: SKINSQ_MASS –
Biopsy Type: EXCISIONAL –
Clinical History: on medial portion of upper eyelid
OD 3mm patch of mildly erythema-
tous skin w/ slight hypotrichosis
–
Pathologist's Report INTERPRETATION:
Haired skin upper eyelid region:
Lymphohistiocytic nodule strongly
–
Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 2 of 6
favoring a regressing cutaneous
histiocytoma with rare foci of mild
lymphocytic epitheliotropism (see
comment)
Surgical margins: Completely ex-
cised
COMMENTS:
Histopathology of this mass re-
veals a dome-shaped nodule con-
sisting of admixed infiltrates of
small mature lymphocytes and
background populations of histi-
ocytes. The favored interpretation
for this lesion is a cutaneous his-
tiocytoma in the late stages of
regression. Extensive lymphocytic
infiltrate is a key feature of re-
gressing histiocytomas. There was
a mildly atypical feature of multifo-
cal lymphocytic epitheliotropism
for the hair follicles in this tu-
mor. Epitheliotropism can be a
feature of cutaneous lymphomas
however the epitheliotropism in
this case was an inconsistent and
relatively subtle finding. In com-
bination with the concurrent his-
tiocytic infiltrates the overall his-
toarchitecture of this lesion and
the minimal atypia or mitotic ac-
tivity of the constituent lympho-
cytes the likelihood of a cutaneous
lymphoma is considered very low.
Nonetheless if additional similar
skin lesions are noted to emerge or
this patient develops evidence of a
regional lymphadenopathy further
investigation into this differential
diagnosis should be considered.
Furthermore due to the admix-
ed with histiocytic nature of
Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 3 of 6
this lesion other differentials for
lymphohistiocytic inflammation of
sterile or infectious (e.g. fungal
infection mycobacterial infection)
etiology also cannot be definitively
excluded; however these etiologies
are considered significantly less
likely.
Canine cutaneous histiocytomas
are common and largely benign
skin neoplasms of dogs derived
from epidermal Langerhans den-
dritic cells. Histiocytomas typically
present as solitary lesions of young
dogs most often under 3 years of
age although older animals can
also be affected. Frequently af-
fected sites include the pinnae
muzzle extremities and scrotum.
Purebred dogs are predisposed
and boxers and dachshunds are
overrepresented. Multiple histio-
cytomas occur in less than 1% of
cases and are more common in the
shar pei breed.
Histiocytomas often grow rapidly
and epidermal ulceration is com-
mon. Lesions may regress sponta-
neously and complete surgical ex-
cision is typically curative. Local in-
vasion and lymph node metastasis
have been reported in rare cases
of single cutaneous histiocytomas.
Cutaneous histiocytomas in the ear
canal of dogs may represent a par-
ticularly aggressive variant with a
case study reporting locally inva-
sive behavior.
References: Fernandez M et al.
(2020) Vet Dermatol 31(4): 317-e80;
Moore PF (2014) Vet Pathol 51(1):
Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 4 of 6
167-184.
Internal Interpretation ID: IXD5.1
HISTOPATHOLOGIC DESCRIP-
TION:
Haired skin eyelid region: This
lesion is a focal moderately well
demarcated raised dome-shaped
mass of densely aggregated small
mature lymphocytes with admix-
ed superficial infiltrates of histio-
cytic cells. The overlying epidermis
is mildly hyperplastic and multi-
focally extends short slender rete
ridges into the underlying cellu-
lar infiltrate. Along the superficial
aspects of this mass with histio-
cytic cells are most densely clus-
tered there is frequent karyorrhec-
tic and pyknotic cell debris. Very
rarely dermis and epithelium dis-
plays evidence of mild infiltration
by small mature lymphocytes.
PATHOLOGIST:
Dr Cleide Sprӧhnle-Barrera DVM
DVClinSc
Diplomate American College of
Veterinary Pathologists
HOW TO CONTACT ME:
Email (preferred): cleide-sprohn-
le-barrera@idexx.com (veterinary
consultation only)
Phone (direct): ext. 80125 (veteri-
nary consultation only)
Veterinarians: To contact the
pathologist regarding this report
please either use email or call Cus-
tomer Support and dial the exten-
sion shown above. If the pathol-
Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 5 of 6
ogist is unavailable call Customer
Support and request to speak to
the Pathologist on Duty. Please ref-
erence patient accession number
2315732142.
Pet owners: Please contact your
veterinarian for advice to adhere to
the legal veterinary-client-patient
relationship.
This pathology report may not
be published via any distribution
channel (including social media)
without the pathologist's express
permission.
Dr. Eliza O'Callaghan
Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 6 of 6
**skill2.png**
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**Encounter2025-05-14.pdf**
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**## Encounter2025-05-144.pdf**
DISCHARGE SUMMARY
Provider: Dr. Eliza O'Callaghan
Patient: Chessie
Date Generated: May 15, 2025 Small Door Gramercy
380 Second Ave New York, NY 10010
(212) 933-9044
OWNER
Samantha Hom
1-(347) 860-5635
samanthahom521@gmail.com
PATIENT
Chessie | 8.4 YO | Female (Spayed) | Domestic
Short Hair Dsh | 3.97 kg
Patient ID: 343814135 | Feline
DOB: Jan 01, 2017 | Color: Tabby
Microchip: 981020025046968
Allergies: None Recorded
EXAM with Dr. Eliza O'Callaghan
SMALL DOOR GRAMERCY March 27, 2025 at 8:45 am
DISCHARGE INSTRUCTIONS
Date: 03/27/2025
Procedure
Chessie presented for a professional dental cleaning and oral assessment, treatment, and plan (ATP).
Post-anesthesia Care
Because Chessie had general anesthesia today, she may be sleepy for the remainder of the day. Please take
special care to protect her from falling down stairs, running into things, and exposure to hot or cold weather.
Oral Surgery
Chessie had one tooth extracted today—her lower left molar (309). This tooth was removed due to tooth
resorption. There is a small tip of the tooth remaining in the bone of the mandible that could not be
removed, but we do not anticipate this causing any issues since it is already resorting.
It is normal to see blood-tinged saliva for the next few days. You may also notice some blood-tinged drool
when Chessie is resting, which is completely normal.
Nutrition
Please feed half of Chessie's usual intake tonight. Transient GI upset can occur after general anesthesia,
and it is not uncommon for patients to go a few days without a bowel movement after surgery. Please let
us know if she is straining to defecate.
Owner: Samantha Hom | Patient: Chessie | Species: Feline | Breed: Domestic Short Hair Dsh | Page: 1 of 2
Because Chessie had oral surgery today, her diet should be adjusted during the healing period. Please feed
a canned diet for at least the next 14 days while the tissues heal. Ideally, she will eat a canned diet until her
recheck visit.
Exercise
Please restrict Chessies activity for the next 1-2 days while she recovers from anesthesia. She may then
resume normal activity.
Pain Relief
Chessie received a long-acting pain relief injection (Simbadol) that can last up to 72 hours. Due to this
medication, she might seem unusually affectionate and extra smoochy. In rare cases, some cats may exhibit
aggressive behavior. If you notice any concerning changes in her behavior, please contact us immediately.
Medication to Go Home
1) Onsior: Give 1 tablet by mouth every 24 hours for the next 3 days. Give with food. START TOMORROW
EVENING. This is an anti-inflammatory medication.
Follow-up
Please schedule an appointment for a nurse visit for an oral examination in 14 days.
Thank you for entrusting the Small Door team with Chessies care. If you have any questions or concerns,
please do not hesitate to contact us.
Talk soon,
Dr. Eliza O'Callaghan & The Small Door Medical Team
Dr. Eliza O'Callaghan
Owner: Samantha Hom | Patient: Chessie | Species: Feline | Breed: Domestic Short Hair Dsh | Page: 2 of 2
**## Encounter2025-05-145.pdf**
DISCHARGE SUMMARY
Provider: Dr. Eliza O'Callaghan
Patient: Percy
Date Generated: May 15, 2025 Small Door Gramercy
380 Second Ave New York, NY 10010
(212) 933-9044
OWNER
Alexandra Oblak
1-(917) 620-2716
alexandraoblak@gmail.com
PATIENT
Percy | 1.1 YO | Male (Neutered) | Havanese |
6.23 kg
Patient ID: 275005718 | Canine
DOB: Mar 18, 2024 | Color: Red Sable
Microchip: 900235001332909
Allergies: None Recorded
EXAM with Dr. Eliza O'Callaghan
SMALL DOOR GRAMERCY April 3, 2025 at 10:29 am
DISCHARGE INSTRUCTIONS
Date: 04/03/2025
Procedure: Percy presented for a pre-scrotal castration (neuter).
Because Percy had general anesthesia today, he may be sleepy for the remainder of the day. Special care
must be taken to protect him from falling down stairs, running into things, and exposure to hot or cold
weather.
Incision Site Monitoring and Care:
• Percy has an incision on his groin. Absorbable sutures were used under the skin. Please monitor the
incision for any redness, bruising, discharge, or opening of the incision. If you are concerned, please do
not hesitate to contact us and send a picture of the incision to medical@smalldoorvet.com.
• The incision site does not require regular cleaning. If the incision becomes soiled or dirty, gently wipe the
area with saline solution or warm water and a clean cloth. Do not bathe Percy until the incision is healed.
• Percy must wear an e-collar or surgical suit at all times until the incision heals. If he can lick, bite, or scratch
at the incision, it may become infected, fail to heal, and require further surgical intervention.
• If Percy is wearing a surgical suit during recovery, please check the suit daily to ensure it has not become
soiled, which can contaminate the incision. Be sure to unbutton the suit at least once a day to visually
inspect the incision for any signs of bleeding, discharge, heat, or pulling apart at the edges.
Dental Procedure:
Owner: Alexandra Oblak | Patient: Percy | Species: Canine | Breed: Havanese | Page: 1 of 3
While under anesthesia, we also extracted four retained baby teeth: three incisors and one premolar. Small
sutures were placed at the gum line where these teeth were removed. These sutures will dissolve and fall
out on their own. No special care or change in food is needed for this area.
Nutrition:
Please feed half of Percys usual intake tonight. On occasion, transient GI upset will occur after general
anesthesia. It is not uncommon for patients not to have a bowel movement for a few days after surgery.
Please let me know if he is straining to defecate.
Exercise:
Please restrict Percys activity for the next 2 weeks while the incision heals. This means no running, jumping,
or rough-housing. When you are not home or at night, you may need to place Percy in a crate or small room.
Medications:
1) Carprofen 25mg tablets: Give ½ tablet (12.5mg) by mouth every 12 hours for 5 days. This is a non-steroidal
anti-inflammatory pain medication. Please give with food. The first dose is due tomorrow morning.
2) You can give the previously prescribed Trazodone, as needed to help keep him calm, starting tomorrow
morning.
3) You can give the previously prescribed Gabapentin, as needed for additional pain relief, starting at 8 pm
tonight.
Additional Procedures:
– We placed a microchip during todays visit.
– We also performed a nail trim.
Follow-up:
Please schedule an appointment for a nurse visit for an incision check in 10-14 days.
Thank you for entrusting the Small Door team with Percys care. If you have any questions or concerns,
please do not hesitate to contact us.
Talk soon,
Dr. Eliza O'Callaghan, DVM (she/her)
Managing Veterinarian | Small Door Veterinary – Gramercy & West Village
� West Village: (212) 300-9893 | � Gramercy: (212) 300-9891
www.smalldoorvet.com
If you need to schedule an appointment, please use the Small Door app or email hi@smalldoorvet.com. In an
emergency, contact us through the Small Door Urgent chat function on the app or reach out to your local
emergency hospital.
Dr. Eliza O'Callaghan
Owner: Alexandra Oblak | Patient: Percy | Species: Canine | Breed: Havanese | Page: 2 of 3
Owner: Alexandra Oblak | Patient: Percy | Species: Canine | Breed: Havanese | Page: 3 of 3
**## Encounter2025-05-142.pdf**
DISCHARGE SUMMARY
Provider: Dr. Eliza O'Callaghan
Patient: Riesling
Date Generated: May 15, 2025 Small Door Gramercy
380 Second Ave New York, NY 10010
(212) 933-9044
OWNER
Neil Corber
1-(646) 880-7589
ncorber@gmail.com
PATIENT
Riesling | 8 months old | Female (Spayed) |
Labradoodle | 12.2 kg
Patient ID: 323141146 | Canine
DOB: Aug 29, 2024 | Color: Caramel
Microchip: 981020057553364
Allergies: None Recorded
EXAM with Dr. Eliza O'Callaghan
SMALL DOOR GRAMERCY March 27, 2025 at 8:45 am
DISCHARGE INSTRUCTIONS
Date: 03/27/2025
Procedure:
Riesling presented for a surgical spay. She did excellently! You should be very proud of your girl!
Because Riesling had general anesthesia, she may be sleepy for the remainder of the day. Special care must
be taken to protect her from falling down stairs, running into things, and exposure to hot or cold weather.
There is a possibility of seeing a small amount of blood in the urine over the next few days. This is caused
by the surgery and should resolve within a few days.
Incision Site Monitoring and Care:
– Riesling has an incision on her abdomen. Absorbable sutures were used under the skin. Please monitor
the incision for any redness, bruising, discharge, or opening. If you are concerned, please do not hesitate
to contact us or send us a picture of the incision.
– For the next 3 days, you may ice the incision for 10 minutes 3-4 times per day. If Riesling does not tolerate
this, do not force her.
– The incision site does NOT require regular cleaning. If the incision or abdomen becomes soiled or dirty,
gently wipe the area with saline solution and a clean cloth. DO NOT bathe Riesling until the incision is
healed.
Owner: Neil Corber | Patient: Riesling | Species: Canine | Breed: Labradoodle | Page: 1 of 3
– Riesling MUST wear her surgical suit at ALL times until the incision heals. If Riesling is able to lick, bite, or
scratch at the incision, she may introduce infection, or the incision may fail to heal, necessitating further
surgical intervention.
– Riesling may need an e-collar if she is able to lick at the incision site despite wearing the surgical suit.
– Please be sure to check the surgical suit daily to make sure Riesling has not soiled it, which can contam-
inate the incision.
– Please be sure to unbutton the surgical suit at least once a day to check on the incision directly to ensure
it is healing appropriately with no signs of bleeding, discharge, heat, or pulling apart of the edges of the
incision.
Nutrition:
Please give Riesling half her usual diet this evening. You may resume normal feedings the day following
surgery. Occasionally, transient gastrointestinal upset occurs following general anesthesia. It is not uncom-
mon for patients not to have a bowel movement for a few days after surgery/anesthesia. Please let me know
if she is straining to defecate.
Exercise:
Please restrict Riesling’s activity for the next two weeks while the incision heals. This means no running,
jumping, or roughhousing. When you are not at home or at night, you may need to place Riesling in a crate
or small room.
Medications:
1) Carprofen 25mg Tablets: Give 1 tablet every 12 hours for 5 days. This is a non-steroidal anti-inflammatory
pain medication. Please give with food. The next dose is due tomorrow morning.
2) You can give the previously prescribed Trazodone, as needed to help keep her calm, starting tomorrow
morning.
3) You can give the previously prescribed Gabapentin, as needed for additional pain relief, starting at 8 pm
tonight.
Follow-up:
Please schedule an appointment for a nurse visit for an incision check in ~10-14 days.
Thank you for entrusting the Small Door team with Riesling's care. If you have any questions or concerns,
please do not hesitate to contact us.
Talk soon,
Dr. Eliza O'Callaghan, DVM (she/her)
Managing Veterinarian | Small Door Veterinary – Gramercy & West Village
LAB RESULTS – Ordered by Dr. Eliza O'Callaghan
SEROLOGY (as of Mar 28, 2025)
TEST RESULT REFERENCE RANGE/COMMENTS
Owner: Neil Corber | Patient: Riesling | Species: Canine | Breed: Labradoodle | Page: 2 of 3
Heartworm Antigen Negative –
This test is not suitable for export. If testing is required for export, please select test codes marked "export".
View your results in VetConnect PLUS for patient-specific interpretations that incorporate clinical signs.
Further information on the diagnosis and management of tick/vector-borne diseases can be found at
idexx.com/4DxGuide.
Ehrlichia spp. Negative –
This test is not suitable for export. If testing is required for export, please select test codes marked "export".
Lyme (Borrelia burgdorferi) Negative –
Anaplasma spp. Negative –
LAB RESULTS – Ordered by Dr. Eliza O'Callaghan
OTHER (as of Mar 28, 2025)
TEST RESULT REFERENCE RANGE/COMMENTS
More Information Needed Extra Lavender Top Tube received
with no testing requested. Sam-
ples will be held for 6 days from
the date of receipt. Note that due
to stability most hematology tests
can only be added on up to 72
hours from time of collection. Visit
vetconnectplus.com to add testing
to your sample.
–
Dr. Eliza O'Callaghan
Owner: Neil Corber | Patient: Riesling | Species: Canine | Breed: Labradoodle | Page: 3 of 3
**## Encounter2025-05-141.pdf**
DISCHARGE SUMMARY
Provider: Dr. Eliza O'Callaghan
Patient: Peanut
Date Generated: May 15, 2025 Small Door Gramercy
380 Second Ave New York, NY 10010
(212) 933-9044
OWNER
Chelsea Hart
1-(917) 603-2987
chelsea.eng.hart@gmail.com
PATIENT
Peanut | 6.9 YO | Male (Neutered) | Mixed Breed
| 8.2 kg
Patient ID: 137472789 | Canine
DOB: Jul 23, 2018 | Color: Tan
Microchip: 985141002005431
Allergies: None Recorded
EXAM with Dr. Eliza O'Callaghan
SMALL DOOR GRAMERCY March 27, 2025 at 8:46 am
DISCHARGE INSTRUCTIONS
Discharge Summary for Peanut
Procedure: Eyelid Mass Removal (Right Eye)
Date: March 27, 2025
Veterinarian: Dr. Eliza O'Callaghan
Peanut did great today during his procedure to remove a small mass from his upper right eyelid. He was
placed under anesthesia, and the mass was successfully removed. He woke up smoothly and has been
comfortable throughout his recovery.
The mass was sent for biopsy, and the results are expected in 7-10 days.
At-Home Care Instructions:
Activity & Incision Care:
• Peanut should wear an e-collar (cone) at all times until his follow-up visit to prevent him from scratching
the area.
• Keep him calm and limit activity for the next 10-14 days to allow proper healing. Avoid rough play or
rubbing his face on surfaces.
• Check the incision daily for redness, swelling, discharge, or signs of discomfort. If you notice any of these,
please contact us.
Medications:
Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 1 of 6
1) Carprofen (pain relief): Give half (1/2) a tablet by mouth every 12 hours for 5 days with food. If he
experiences vomiting, diarrhea, or dark stools, stop the medication and call us.
2) Ofloxacin Eye Drops: Administer 1-2 drops to the right eye every 12 hours for 7 days. Start tomorrow
morning.
3) You can give the previously prescribed Trazodone, as needed to help keep him calm, starting tomorrow
morning.
4) You can give the previously prescribed Gabapentin, as needed for additional pain relief, starting at 8 pm
tonight.
Diet:
Feed Peanut half of his regular dinner this evening and resume normal feeding tomorrow. It is not uncom-
mon for pets to experience transient GI upset or a reduced appetite after anesthesia. Let us know if he won’t
eat tomorrow, or if he is straining to defecate or has diarrhea. Some pets may not have a bowel movement
for a few days after surgery—this is normal and usually resolves without intervention.
Follow-Up:
• Please schedule a recheck appointment in 10-14 days for an incision check. This will be a nurse visit.
• We will reach out with the biopsy results as soon as we have them.
Talk soon,
Dr Eliza O'Callaghan, DVM (she/her)
Managing Veterinarian | Small Door Veterinary – Gramercy & West Village
� West Village: (212) 300-9893 | � Gramercy: (212) 300-9891
www.smalldoorvet.com
If you need to schedule an appointment, you may use the Small Door app or e-mail hi@smalldoorvet.com. In
the event of an emergency, please reach out to us through the Small Door Urgent chat function on our app or
to your local emergency practice.
LAB RESULTS – Ordered by Dr. Eliza O'Callaghan
PATHOLOGY (as of Mar 30, 2025)
TEST RESULT REFERENCE RANGE/COMMENTS
Biopsy Source: SKINSQ_MASS –
Biopsy Type: EXCISIONAL –
Clinical History: on medial portion of upper eyelid
OD 3mm patch of mildly erythema-
tous skin w/ slight hypotrichosis
–
Pathologist's Report INTERPRETATION:
Haired skin upper eyelid region:
Lymphohistiocytic nodule strongly
–
Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 2 of 6
favoring a regressing cutaneous
histiocytoma with rare foci of mild
lymphocytic epitheliotropism (see
comment)
Surgical margins: Completely ex-
cised
COMMENTS:
Histopathology of this mass re-
veals a dome-shaped nodule con-
sisting of admixed infiltrates of
small mature lymphocytes and
background populations of histi-
ocytes. The favored interpretation
for this lesion is a cutaneous his-
tiocytoma in the late stages of
regression. Extensive lymphocytic
infiltrate is a key feature of re-
gressing histiocytomas. There was
a mildly atypical feature of multifo-
cal lymphocytic epitheliotropism
for the hair follicles in this tu-
mor. Epitheliotropism can be a
feature of cutaneous lymphomas
however the epitheliotropism in
this case was an inconsistent and
relatively subtle finding. In com-
bination with the concurrent his-
tiocytic infiltrates the overall his-
toarchitecture of this lesion and
the minimal atypia or mitotic ac-
tivity of the constituent lympho-
cytes the likelihood of a cutaneous
lymphoma is considered very low.
Nonetheless if additional similar
skin lesions are noted to emerge or
this patient develops evidence of a
regional lymphadenopathy further
investigation into this differential
diagnosis should be considered.
Furthermore due to the admix-
ed with histiocytic nature of
Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 3 of 6
this lesion other differentials for
lymphohistiocytic inflammation of
sterile or infectious (e.g. fungal
infection mycobacterial infection)
etiology also cannot be definitively
excluded; however these etiologies
are considered significantly less
likely.
Canine cutaneous histiocytomas
are common and largely benign
skin neoplasms of dogs derived
from epidermal Langerhans den-
dritic cells. Histiocytomas typically
present as solitary lesions of young
dogs most often under 3 years of
age although older animals can
also be affected. Frequently af-
fected sites include the pinnae
muzzle extremities and scrotum.
Purebred dogs are predisposed
and boxers and dachshunds are
overrepresented. Multiple histio-
cytomas occur in less than 1% of
cases and are more common in the
shar pei breed.
Histiocytomas often grow rapidly
and epidermal ulceration is com-
mon. Lesions may regress sponta-
neously and complete surgical ex-
cision is typically curative. Local in-
vasion and lymph node metastasis
have been reported in rare cases
of single cutaneous histiocytomas.
Cutaneous histiocytomas in the ear
canal of dogs may represent a par-
ticularly aggressive variant with a
case study reporting locally inva-
sive behavior.
References: Fernandez M et al.
(2020) Vet Dermatol 31(4): 317-e80;
Moore PF (2014) Vet Pathol 51(1):
Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 4 of 6
167-184.
Internal Interpretation ID: IXD5.1
HISTOPATHOLOGIC DESCRIP-
TION:
Haired skin eyelid region: This
lesion is a focal moderately well
demarcated raised dome-shaped
mass of densely aggregated small
mature lymphocytes with admix-
ed superficial infiltrates of histio-
cytic cells. The overlying epidermis
is mildly hyperplastic and multi-
focally extends short slender rete
ridges into the underlying cellu-
lar infiltrate. Along the superficial
aspects of this mass with histio-
cytic cells are most densely clus-
tered there is frequent karyorrhec-
tic and pyknotic cell debris. Very
rarely dermis and epithelium dis-
plays evidence of mild infiltration
by small mature lymphocytes.
PATHOLOGIST:
Dr Cleide Sprӧhnle-Barrera DVM
DVClinSc
Diplomate American College of
Veterinary Pathologists
HOW TO CONTACT ME:
Email (preferred): cleide-sprohn-
le-barrera@idexx.com (veterinary
consultation only)
Phone (direct): ext. 80125 (veteri-
nary consultation only)
Veterinarians: To contact the
pathologist regarding this report
please either use email or call Cus-
tomer Support and dial the exten-
sion shown above. If the pathol-
Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 5 of 6
ogist is unavailable call Customer
Support and request to speak to
the Pathologist on Duty. Please ref-
erence patient accession number
2315732142.
Pet owners: Please contact your
veterinarian for advice to adhere to
the legal veterinary-client-patient
relationship.
This pathology report may not
be published via any distribution
channel (including social media)
without the pathologist's express
permission.
Dr. Eliza O'Callaghan
Owner: Chelsea Hart | Patient: Peanut | Species: Canine | Breed: Mixed Breed | Page: 6 of 6
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