An emergency veterinarian neglects to dispense antibiotics and the dog goes septic

Complaint: Complaint 20-103
Respondent: Hanna Wachtel
Premises: 1st Pet Veterinary Centers Phoenix

The complainant says her dog was attacked by another dog and taken to 1st Pet. The dog was seriously injured and kept overnight. Lunt performed surgery and said he was happy with the outcome. Wachtel discharged the dog and sent him home with tramadol and gabapentin but no antibiotics. The complainant relates how she took turns with her husband caring for the dog as he improved. She took the dog back to 1st Pet three days later for drain removal but was instead sent home with antibiotics; she believes 1st Pet knew they forgot to include antibiotics the first time. She says the dog quickly deteriorated with what appeared to be sepsis and was euthanized. She also says she later learned the dog had no antibiotics at all and attempted to contact Lunt to complain. Lunt allegedly responded after a few days and said that it was a mistake to send the dog home without any antibiotics and refunded her all her money ($4167.00).

Wachtel's response contains a lot of medical history. Some key points are that she seems to suggest Lunt would be the one to blame as he did not prescribe any antibiotics when doing surgery. She tells us that under 1st Pet's protocols the veterinarian who does the surgery is responsible for the prescriptions, not the veterinarian handling the discharge. She then says that they had "extraordinary" patient volume during this case and attempts to chalk much of the problem up to coronavirus-induced communications problems. She concludes that 1st Pet took responsibility by giving the complainant a refund, then states the dog could have died even if they had sent the dog home with the antibiotics. We're also told 1st Pet has gone on a hiring spree to make sure this doesn't happen again.

The Investigative Committee said they had concerns with the hospital's protocol regarding prescriptions. They also state that neither Wachtel nor other staff reviewed the discharge instructions to note that no antibiotics were sent home with the dog. They think this omission likely contributed to the death of the dog. Some Committee members also appeared to think that blame rested with Lunt for the oversight. The Committee found Wachtel guilty of gross negligence and the Board disagreed, sending her only a letter of concern.

Motions

Investigative Motion: Find violation

Source: October 10, 2020 AM Investigative Committee Meeting
People:
David Stoll Respondent Attorney
Hanna Wachtel Respondent
Roll Call:
Carolyn Ratajack Aye
Christina Tran Aye
Jarrod Butler Aye
Robert Kritsberg Aye
Steve Seiler Aye
Violations:
ARS 32-2232 (11) gross negligence; treatment of a patient or practice in veterinary medicine resulting in injury, unnecessary suffering or death that was caused by carelessness, negligence, or the disregard of established principles or practices for not dispensing antibiotics to the dog at discharge.
Result: Passed

Board Motion: Disagree and dismiss with no violation and issue letter of concern

Source: November 11, 2020 Board Meeting
People:
David Stoll Respondent Attorney
Hanna Wachtel Respondent
Proposed By: Robyn Jaynes
Seconded By: Sarah Heinrich
Roll Call:
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

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.