A dog goes in for a dental and ends up in an oxygen tent with aspiration pneumonia

Complaint: Complaint 19-76
Respondent: Alexa Wilson
Premises: Vistancia Animal Hospital

The complainant says that she scheduled a dental with Wilson. They called a day before the dental saying the dog needed to come in for blood work, and as the complainant couldn't take him that day, she had to postpone for a week. The dog went in for the dental (having not eaten since the night before). The dog was also given a heartworm preventative and the complainant was concerned that the testing had either not been done or was in progress at the same time. When she went to get the dog there was a delay and it appeared to her that the dog had thrown up. The staff told her they were just cleaning the dog up but there was no vomiting. He was also breathing very heavily and the complainant noted her concern but was told the dog was just excited to see her. The breathing issue continued throughout the night until the dog could no longer hold his head up. She called the clinic's number and an automated message directed her to VetMed. She took the dog to VetMed and the dog was diagnosed with aspiration pneumonia, put in an oxygen tent, and given other treatments.

Wilson's response states that the dog came in for a dental. She also says she checked with the ProHeart representative who told her it was safe to go ahead and give the heartworm shot. It does appear based on the narrative that the shot was given after the blood was drawn. The dental itself sounds uneventful.

The Investigative Committee reminds us that aspiration pneumonia is a risk during any dental because they're putting water in the dog's mouth, but it could have happened any time. They also say that the complainant's concern about the dog does not appear to have been mentioned to Wilson. They found no issues with the heartworm treatment as the dog was tested for heartworm prior (perhaps they used some in-office snap test?). They did find some medical records violations regarding the anesthesia and tooth extraction but that was rounded down to a letter of concern by the Board.

Motions

Investigative Motion: Find violation

Source: July 7, 2019 PM Investigative Committee Meeting
People:
Alexa Wilson Respondent
Roll Call:
Adam Almaraz Aye
Amrit Rai Aye
Brian Sidaway Aye
Christine Butkiewicz Aye
William Hamilton Aye
Violations:
ARS § 32-2232 (21) as it relates to AAC R3-11-502 (H) (3) failure to document the animal's heart rate and respiration rate every 15 minutes while anesthesia is being administered; and (L) (6) failure to document in the medical record which incisors were extracted from the dog's mouth.
Result: Passed

Board Motion: Offer consent agreement

Source: August 8, 2019 Board Meeting
Proposed By: Nikki Frost
Seconded By: Jessica Creager
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 Motion: Offer consent agreement

Source: August 8, 2019 Board Meeting
Proposed By: Nikki Frost
Seconded By: Jane Soloman
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: Issue letter of concern

Source: August 8, 2019 Board Meeting
Proposed By: Nikki Frost
Seconded By: Jane Soloman
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 Order: Order 19076 ALEXA WILSON, D.V.M.

Source: Order 19076 (September 9, 2019)
Violations:
A.R.S. § 32-2232 (21) as it relates to A.A.C. R3-11-502 (H) (3) for failure to document the animal’s heart rate and respiration rate every 15 minutes while anesthesia is being administered.
A.R.S. § 32-2232 (21) as it relates to A.A.C. R3-11-502 (L) (6) for failure to document in the medical record which incisors were extracted from the dog’s mouth.
Penalties:
Probation (1 year)
Continuing education (4 hours in medical record keeping)

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.