A dog bleeds internally and dies after a spay and the board ignores its own investigators

Complaint: Complaint 18-33
Respondent: Kristen Hale
Premises: Pet Doctor Tucson

The complainant brought a one-year-old dog in to be spayed while it was in heat. She asked if there were any risks and was informed by the receptionist that it was fine. Hale performed the spay and the dog was brought home, but the dog seemed to not be doing well and had a hard time walking. The dog was very lethargic, but the complainant thought that was a result of the anesthesia from the spay. She brought the dog back the next day for a recheck and had to carry the dog because the dog was too weak. Hale asked to keep the dog for observation. Soon thereafter the complainant received a call that the dog was doing badly. She was not breathing well, that it was difficult to intubate the dog, and that the dog's heart was failing and possibly bleeding internally. The complainant's boyfriend also showed up and was apparently not treated very well. The dog went into arrest and died.

Hale's response states that she was assisted in the spay procedure by Nelson, another veterinarian at the clinic, because of the dog's size and her higher risk with being in heat. The next day Hale examined the dog and found the wound to be healing well but that the dog was excessively lethargic. The dog was monitored throughout the day and started vomiting a dark, blood-like substance late in the afternoon. She initially suspected a reaction to medication but discovered internal bleeding. Exploratory surgery was initiated and couldn't identify a source of bleeding but did find a tear near the right ovarian pedicle. The dog began to go into cardiac arrest, could not be revived, and died. The complainant's boyfriend had arrived but was not allowed to see the dog because she was still cut open on the operating table. He was later allowed to view his dog's corpse. Hale claims his brother showed up and the two of them became threatening, so they called the sheriff on both of them.

Surprisingly, the Investigative Committee did have at least some problems with Hale's handling of the case. The violations were overall relatively minor, failing to monitor the dog and noting a couple of medical records violations. The veterinary board had other ideas and dismissed the case with no violations.

Motions

Investigative Motion: Find violation

Source: February 2, 2018 PM Investigative Committee Meeting
People:
Kristen Hale Respondent
Roll Call:
Adam Almaraz Aye
Amrit Rai Aye
Christine Butkiewicz Aye
Donald Noah Aye
Tamara Murphy Aye
Violations:
ARS 32-2232 (21) as it relates to AAC R3-11-502 (H (1) failure to obtain signed authorization from the animal owner, or verbal authorization that is witnessed by one other individual, prior to surgery being performed on June 1, 2017.
ARS 32-2232 (21) as it relates to AAC R3-11-502 (L) (7) (b) failure to document the amount of atropine and ace promazine administered to the dog on May 31, 2017.
ARS 32-2232 (12) as it relates to AAC R3-11-501 (1) failure to provide professionally acceptable procedures for not monitoring the dog closely; the dog was moribund to the point that she was able to be intubated without sedation or induction on June 1, 2017.
Result: Passed

Board Motion: Schedule informal interview

Source: March 3, 2018 Board Meeting
People:
David Stoll Respondent Attorney
Kristin Hale Respondent
Proposed By: Robyn Jaynes
Seconded By: Jessica Creager
Roll Call:
Christina Bertch-Mumaw Absent
Darren Wright Aye
J Greg Byrne Aye
Jessica Creager Aye
Jim Loughead Nay
Julie Young Aye
Nikki Frost Aye
Robyn Jaynes Aye
Sarah Heinrich Aye
Result: Passed

Board Motion: Dismiss with no violation

Source: April 4, 2018 Board Meeting
People:
David Stoll Respondent Attorney
Kristen Hale Respondent
Proposed By: Jessica Creager
Seconded By: Christina Bertch-Mumaw
Roll Call:
Christina Bertch-Mumaw Aye
Darren Wright Aye
J Greg Byrne Aye
Jessica Creager Aye
Jim Loughead Aye
Julie Young Aye
Nikki Frost Absent
Robyn Jaynes 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.