A diabetic dog has wild blood glucose swings and ends up dead: Part I

Complaint: Complaint 19-07
Respondent: Virginia Kern
Premises: East Mesa Animal Hospital
Related: 19-08

The complainants say they took their dog to Guminski for a routine glucose check and the level was around 70 (they give a normal range of 150 to 250). They were told to give honey and water every 15 minutes and give no insulin until morning. They gave lesser amounts of honey and water than directed and held off on the insulin but the next morning the dog was very sick. The dog needed out to urinate frequently all night long and the complainants were concerned of high blood sugar. The dog was not feeling well so they took the dog to Kern and the blood sugar was 500. The dog had to be hospitalized. At this point they began getting calls about a urinary tract infection, an intestinal infection, and so on, and were told that they would need to do hundreds of dollars in additional tests. They went to visit their dog and seeing the dog's condition they decided to euthanize their dog.

Kern's response largely tracks the complaint, also noting that the dog had diabetes, signs of a urinary tract infection, and also thyroid issues. It appears that between cycles of feeding and dosing insulin in hospital the dog's blood sugars would bounce between extreme high and low blood sugars: 307, 485, 47, 89, 156, 92, 53, 69, 602, 460, 135, and finally 282 before the complainants elected euthanasia. Kern suggests some of the episodes of hypoglycemia cannot be explained by the insulin she was dosing and suggests an underlying problem.

The Investigative Committee found two minor records violations but otherwise had no concerns. They said that a referral was not necessary because the clinic could provide 24-hour care. They also said that the dog either had brittle diabetes or the infection was causing the blood sugar problems. The board sentenced Kern to six hours of continuing education related to record keeping and to pay a $500 fine.

Motions

Investigative Motion: Find violation

Source: November 11, 2018 AM Investigative Committee Meeting
People:
David Stoll Respondent Attorney
Virginia Kern Respondent
Roll Call:
Carolyn Ratajack Aye
Christina Tran Absent
Mary Williams Absent
Robert Kritsberg Aye
Ryan Ainsworth Aye
Violations:
ARS § 32-2232 (21) as it relates to AAC R3-11-502 (L) (4) failure to document the dog's general condition in the medical record on May 4, 2018; and (7) (a) failure to document in the medical record the concentration of Amoxicillin and Baytril administered to the dog.
Result: Passed

Board Motion: Find violation

Source: December 12, 2018 Board Meeting
People:
David Stoll Respondent Attorney
Virginia Kern Respondent
Proposed By: Sarah Heinrich
Seconded By: Christina Bertch-Mumaw
Violations:
ARS 32-2232 (B) (3) Minor records violations
Result: Rescinded

Board Motion: Offer consent agreement

Source: December 12, 2018 Board Meeting
People:
David Stoll Respondent Attorney
Virginia Kern Respondent
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
Violations:
ARS 32-2232 (21) Failure to document in the medical record
ARS 32-2232 (21) Failure to document in the medical record
Result: Passed

Board Order: Order 19007 VIRGINIA KERN, D.V.M.

Source: Order 19007 (February 2, 2019)
Violations:
A.R.S. § 32-2232 (21) as it relates to A.A.C. R3-11-502 (L) (4) for not documenting in the medical record the results of exam, including general condition of the animal on May 4, 2018.
A.R.S. § 32-2232 (21) as it relates fo A.A.C. R3-11-502 (L) (7) (a) for not documenting in the medical record the concentration of Amoxicillin and Baytril administered to the dog.
Penalties:
Probation (1 year)
Continuing education (6 hours in medical record keeping)
Civil penalty ($500)

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.