A dog presents for either constipation or diarrhea, develops seizures, and dies

Complaint: Complaint 18-03
Respondent: John McWhirter
Premises: Casa Grande Animal Hospital

The complainant says that she brought her dog to McWhirter for vomiting, drooling, diarrhea, and an inability to walk. She says McWhirter told her it was just a pulled muscle. The dog declined, could no longer walk, started having seizures, and was euthanized. The complainant says that her dog died because of a misdiagnosis; a necropsy found granulomatous meningoencephalitis.

McWhirter says that he never saw the dog and leaves it at that. The official findings of fact state that two other veterinarians, Metcalf and Gamez, saw the dog several times and eventually suspected disc disease and suggested referral. Oddly, the official findings of fact repeatedly state that the dog had constipation rather than diarrhea.

The Investigative Committee found that McWhirter never treated the dog. They leave it at that.

Was the complainant correct that an earlier diagnosis might have saved her dog? Who knows. Granulomatous meningoencephalitis is one of the many diseases that's poorly understood at this time, though there are medical interventions; a cursory search yields a VIN article (Granulomatous Meningoencephalitis (GME) in Dogs and Cats by Wendy Brooks) stating that a protocol used at Cornell University often produced remission in 36 hours and a survival time measured in years. Whether that would have been applicable to this particular dog in the condition it presented in is something we'll never know, and whether a dog would get that kind of care in Arizona is also an open question.

Motions

Investigative Motion: Dismiss with no violation

Source: September 9, 2017 PM Investigative Committee Meeting
People:
John McWhirter Respondent
Roll Call:
Adam Almaraz Aye
Amrit Rai Aye
Donald Noah Absent
Robert Kritsberg Aye
Tamara Murphy Aye
Result: Passed

Board Motion: Dismiss with no violation

Source: October 10, 2017 Board Meeting
Proposed By: Sarah Heinrich
Seconded By: Jessica Creager
Roll Call:
Christina Bertch-Mumaw Aye
Darren Wright Aye
J Greg Byrne Absent
Jessica Creager Aye
Jim Loughead Aye
Julie Young Absent
Les Hatfield Aye
Nikki Frost Aye
Sarah Heinrich Aye
Result: Passed

The primary source for the above summary was obtained as a public record from the Arizona State Veterinary Medical Examining Board. You are welcome to review the original records and board meeting minutes by clicking the relevant links. While we endeavor to provide an accurate summary of the complaint, response, investigative reports and board actions, we encourage you to review the primary sources and come to your own conclusions. In some cases we have also been able to reach out to individuals with knowledge of specific complaints, and where possible that information will be included here.