A cat won't eat, turns yellow, and possibly has hepatitis but gets a drug contraindicated in liver disease

Complaint: Complaint 18-108
Respondent: Margaret Sorenson
Premises: Main Animal Hospital

The complainant says that his old cat passed away, so he adopted another cat from a humane society. He said that for the next few months the cat did well but started to refuse to eat and lost a lot of weight. He never needed a vet before, so he was given a list of vets and took his cat to see Sorensen. She allegedly said the cat's teeth were grossly neglected and had elevated AST levels on blood work. The cat declined and he went back to the vet. He says that while there another client came out and said that his dog died just like the previous five dogs treated at the vet's office. Sorensen examined the cat and said that the teeth were still a problem and that the cat wasn't eating because it had been vomiting. The complainant said that the cat hadn't been vomiting and had been able to chew on hard objects. It sounds like Sorensen allegedly told him that he doesn't know what it looks like when a cat throws up. He also said that at this point the cat was turning yellow. Sorensen gave the cat Cerenia. The cat began dry heaving on the way home and vomited bile at home. He says the cat had trouble walking and had a vacant look. The cat died the day after. The complainant was concerned that the cat actually had a liver problem. He also has concerns that Cerenia has a warning that it should not be given to cats with suspected liver problems.

Sorensen's reply emphasizes that the cat hadn't eaten for several weeks by the time she saw the cat. She also accuses the complainant of being "surly and belligerent." Contrary to the complainant she says that the cat acted painful when she examined the mouth, which made her suspect dental problems. She says that she had concerns about metabolic diseases including liver disease, but that the limited bloodwork the complainant approved made her less concerned about liver disease. She says that her clinic is small and if she doesn't hear from a client that a pet is doing poorly, they assume the pet is doing well. She then says that after the second visit she had strong concerns for hepatitis, fatty liver disease, or diabetes. She only mentions Cerenia in the context of stating that she uses it in animals with liver disease and has had no ill effects.

The Investigative Committee does not discuss the elevated liver tests, the Cerenia warning, or the cat becoming yellow. They also do not discuss any potential concern with a cat with suspected liver disease turning yellow and then being given a drug that's contraindicated in cats with liver disease. They said that it would have been nice for Sorensen to have better record keeping but that the complainant was actually at fault for not agreeing to more tests on the cat.

Motions

Investigative Motion: Dismiss with no violation

Source: September 9, 2018 AM Investigative Committee Meeting
People:
Margaret Sorenson Respondent
W Reed Campbell Respondent Attorney
Roll Call:
Carolyn Ratajack Aye
Christina Tran Aye
Mary Williams Aye
Robert Kritsberg Aye
Ryan Ainsworth Aye
Result: Passed

Board Motion: Schedule informal interview

Source: October 10, 2018 Board Meeting
Proposed By: Sarah Heinrich
Seconded By: Julie Young
Roll Call:
Christina Bertch-Mumaw Aye
Darren Wright Aye
J Greg Byrne Absent
Jessica Creager Aye
Jim Loughead Aye
Julie Young Aye
Nikki Frost Aye
Robyn Jaynes Aye
Sarah Heinrich Aye
Result: Passed

Board Motion: Rescend motion to schedule informal interview

Source: December 12, 2018 Board Meeting
Proposed By: Sarah Heinrich
Seconded By: Christina Bertch-Mumaw
Roll Call:
Christina Bertch-Mumaw Aye
Darren Wright Aye
J Greg Byrne Aye
Jane Soloman Aye
Jessica Creager Aye
Jim Loughead Aye
Nikki Frost Aye
Robyn Jaynes Absent
Sarah Heinrich Aye
Result: Passed

Board Motion: Dismiss with no violation and issue letter of concern

Source: December 12, 2018 Board Meeting
Proposed By: Sarah Heinrich
Seconded By: Darren Wright
Roll Call:
Christina Bertch-Mumaw Aye
Darren Wright Aye
J Greg Byrne Aye
Jane Soloman Aye
Jessica Creager Aye
Jim Loughead Aye
Nikki Frost Aye
Robyn Jaynes Absent
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.