A veterinarian says he recommended radiographs but the investigators find that he didn't

Complaint: Complaint 19-96
Respondent: Monson Tryon
Premises: Desert Hills Animal Clinic

The complainant tells us she took her cat to Tryon because he had a weird cough and hard swallowing. She says Tryon ran blood work and said that the cat needed a dental. He allegedly told her the coughing was due to hairballs which the complainant doubted. She took the cat back several months later, at which point the condition had gotten worse. She brought video of the cat's coughing fits. She says Tryon didn't recommend any x-rays or repeat blood work but gave the cat a steroid shot. She had to take the cat to another emergency facility where the cat was diagnosed with congestive heart failure and fluid in his lungs. The complainant also alleges that the veterinarian at VetMed suggested the steroid shot could have made the situation worse. The complainant has had thousands of dollars in expenses along with the suffering of the cat and believes this could have been avoided if Tryon had done a better job.

Tryon says that he had examined the cat several times and that except for the last visit the complainant never mentioned any coughing or breathing problems. He also says that he never noticed any problems with the cat's respiratory or cardiovascular health during any of these other examinations. He says that after reviewing the video the complainant provided he recommended x-rays as well as blood work and steroids. He says the complainant turned down x-rays while waiting to see if the steroid worked.

The Investigative Committee found a violation on the grounds that Tryon didn't recommend radiographs during the last visit. Tryon specifically states that he did suggest them so we're left in the dark as to why the investigators concluded he didn't. One might expect a note saying that they weren't mentioned in the medical record. It would be even more interesting if they were mentioned in the medical record. The Board found Tryon guilty and made him take four hours in continuing education for congestive heart failure and thoracic diseases.

Motions

Investigative Motion: Find violation

Source: September 9, 2019 PM Investigative Committee Meeting
People:
Monson Tryon Respondent
Roll Call:
Adam Almaraz Aye
Amrit Rai Aye
Brian Sidaway Aye
Christine Butkiewicz Aye
William Hamilton Aye
Violations:
ARS 32-2232 (12) as it relates to AAC R3-11-501 (1) failure to provide professionally acceptable procedure by not recommending thoracic radiographs on June 15, 2019.
Result: Passed

Board Motion: Offer consent agreement

Source: October 10, 2019 Board Meeting
People:
David Stoll Respondent Attorney
Monson Tryon Respondent
Proposed By: Darren Wright
Seconded By: Jessica Creager
Roll Call:
Christina Bertch-Mumaw Absent
Darren Wright Aye
J Greg Byrne Absent
Jane Soloman Aye
Jessica Creager Aye
Jim Loughead Aye
Nikki Frost Aye
Robyn Jaynes Aye
Sarah Heinrich Aye
Violations:
ARS 32-2232 (12) Failure to provide professionally acceptable procedure
Result: Passed

Board Motion: Offer consent agreement

Source: October 10, 2019 Board Meeting
People:
David Stoll Respondent Attorney
Monson Tryon Respondent
Proposed By: Darren Wright
Seconded By: Jessica Creager
Roll Call:
Christina Bertch-Mumaw Absent
Darren Wright Aye
J Greg Byrne Absent
Jane Soloman Aye
Jessica Creager Aye
Jim Loughead Aye
Nikki Frost Aye
Robyn Jaynes Aye
Sarah Heinrich Aye
Result: Passed

Board Order: Order 19096 MONSON TRYON, DVM

Source: Order 19096 (October 10, 2019)
Violations:
A.R.S. ยง 32-2232 (12) as it relates to A.A.C. R3-11-501 (1) failure to provide professionally acceptable procedures by not recommending thoracic radiographs on June 15, 2019.
Penalties:
Probation (1 year)
Continuing education (4 hours in congestive heart failure/thoracic diseases)

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.