A dog dies from bloat after waiting for hours at a referral center that didn't have a surgeon: Part I

Complaint: Complaint 20-73
Respondent: Kathryn McAdam
Premises: BluePearl Peoria
Related: 20-74, 20-75

The complainants (one of whom appears to have been a nurse) took their dog to BluePearl Peoria for a gastric torsion shortly before 8 PM. McAdam met with the complainants and hit them up for money no less than three times during the process. First she allegedly asked if they could even afford the $5000 it would take to do the surgery. She ran an x-ray to confirm the diagnosis of bloat. Rather than operate we're told she then suggested doing a chest x-ray in case the dog had cancer and wasn't worth the money. They agreed and paid even more money. No cancer was found and they decided to go with surgery, thus paying some more money, for a total of $6,611.28. McAdam said that she would not be doing the surgery but that another vet would be doing it. The complainants kissed their dog goodbye not knowing it would be the final time, assuming the dog was going into surgery. They were told they should go home and wait for a call. They never got a call so they phoned BluePearl and learned their dog had still not been taken into surgery four hours later. Almost an hour later they heard from McAdam who told them that the dog was in surgery but the dog's stomach had lost all blood flow. One of the complainants asked McAdam what she would have expected after waiting four hours to do surgery. McAdam allegedly hesitated and then said their procedures needed reviewing. The complainants elected to euthanize the dog. They later learned that no surgeon was on site and one had to be called in to do the surgery. They comment they could have taken the dog to Tucson faster than BluePearl could obtain a surgeon. They also say McAdam and Garza (a veterinary technician) lied to them and misrepresented the availability of a surgeon and the nature of the delay in an attempt to cover up the matter. They state the lack of a surgeon on site was confirmed by Astin Deem, the practice manager.

McAdam tells us that she performed a critical assessment of the dog for $550. She tells us that x-rays confirmed bloat as expected. She says that she then wanted to know if the dog had cancer (she didn't think the dog should go to surgery if there was cancer) and the complainants agreed to that as well. She found no evidence of cancer and the complainants wanted to do the surgery. She didn't have a surgeon available on site so she first called Linney (the subject of 20-44) but he wasn't available. She says she then started calling around to see if anyone could come in. Majoue (the subject of complaint 20-69) said she could come in and get there at about the same time McAdam could have suited up for surgery. She says the complainants had no concerns about Majoue doing the surgery (note that their complaint was about the wait, not the surgeon). She says that she poked her head in during surgery and learned the dog's stomach was already dead.

The Investigative Committee leads off by stating that they were also concerned about the time it took for the surgeon (Majoue) to start surgery, but that person was not named in the complaint. They stated that they had no concerns with any events prior to Majoue showing up, stating that there was evidence the credit card machines were set up for the wrong time zone. They also said that McAdam should have noticed the dog was basically doomed based on the lactate levels in the blood work (suggestive that the stomach was already dying off) and that she could have been more aggressive in therapy. Some of the discussion appears downright nonsensical at times, particularly about McAdam not saying there was not a surgeon in the building and that at that point she might have been the surgeon (despite the fact it appears she explicitly said she wouldn't be). The Committee found two violations, though Hamilton found it acceptable that McAdam didn't tell the complainants that no surgeon was on site. The Board threw it all out and only issued a letter of concern.

(Side note: It almost reads like McAdam was trying to rack up bills for testing yet find a reason not to operate on the dog. Perhaps that's because they had no surgeon or just didn't feel like bothering with this one.)

Motions

Investigative Motion: Find violation

Source: July 7, 2020 PM Investigative Committee Meeting
People:
David Stoll Respondent Attorney
Kathryn McAdam Respondent
Roll Call:
Adam Almaraz Aye
Amrit Rai Aye
Brian Sidaway Aye
Cameron Dow Aye
William Hamilton Aye
Violations:
ARS § 32-2232; (12) as it relates to AAC R3-11-501 (1) for failure to provide current professional and scientific knowledge in the care of the dog by not providing adequate fluid therapy for stabilization of a GDV patient.
Result: Passed

Investigative Motion: Find violation

Source: July 7, 2020 PM Investigative Committee Meeting
People:
David Stoll Respondent Attorney
Kathryn McAdam Respondent
Roll Call:
Adam Almaraz Aye
Amrit Rai Aye
Brian Sidaway Aye
Cameron Dow Aye
William Hamilton Nay
Violations:
ARS § 32-2232 (12) as it relates to AAC R3-11-501 (1) for failure to show respect to the pet owners for not being more informative with respect to the availability of a surgeon on site to perform the GDV surgery on the dog so the pet owners could make an informed decision regarding the care of their dog.
Result: Passed

Board Motion: Schedule informal interview

Source: August 8, 2020 Board Meeting
People:
David Stoll Respondent Attorney
Kathryn McAdam Respondent
Proposed By: Darren Wright
Seconded By: Jane Soloman
Roll Call:
Darren Wright Aye
J Greg Byrne Aye
Jane Soloman Aye
Jessica Creager Aye
Jim Loughead Aye
Nikki Frost Aye
Robyn Jaynes Absent
Sarah Heinrich Absent
Result: Passed

Board Motion: Dismiss with no violation

Source: September 9, 2020 Board Meeting
People:
David Stoll Respondent Attorney
Kathyryn McAdam Respondent
Proposed By: Darren Wright
Seconded By: Jane Soloman
Roll Call:
Darren Wright Aye
J Greg Byrne Nay
Jane Soloman Aye
Jessica Creager Nay
Jim Loughead Aye
Nikki Frost Nay
Robyn Jaynes Nay
Sarah Heinrich Absent
Result: Failed

Board Motion: Dismiss with no violation and issue letter of concern

Source: September 9, 2020 Board Meeting
People:
David Stoll Respondent Attorney
Kathyryn McAdam Respondent
Proposed By: Robyn Jaynes
Seconded By: Jessica Creager
Roll Call:
Darren Wright Nay
J Greg Byrne Aye
Jane Soloman Nay
Jessica Creager Aye
Jim Loughead Aye
Nikki Frost Aye
Robyn Jaynes Aye
Sarah Heinrich Absent
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.