A dog's dental leads to a tracheal tear, lung discharge, nasal cavity penetration, thermal burns and more

Complaint: Complaint 21-06
Respondent: Amy Coy
Premises: AGAPE Animal Clinic

The complainant writes a well-worded complaint regarding what she believes to be gross negligence and intentional abuse; she is actually a veterinary technician. She begins by stating that her dog was overdue for a dental and was able to get him in at Agape Animal Clinic for an initial exam. She said the clinic seemed overwhelmed and unorganized but helpful. She waited for information for over an hour and called to find out more, at which point she learned she would need to drop the dog off for the day. She was later called to come pick up the dog and received no updates. She was then told the x-ray machine was down. Finally she says she was sent home with the dog and some antibiotics; she was told to expect a call. Days later she received an email from Coy stating that the office couldn't reach her because they had the wrong phone number on file; she says her phone number was correct on all the paperwork she got back from the clinic. She received a call from a technician, Chris, who said they would be short-staffed but could do the dental. She dropped the dog off for the dental and had a total of 10 extractions. She picked up her dog after the dental and he was totally limp and unresponsive with a cone around him. She said she had never seen her dog like this and noticed he had severe swelling and air under the skin; she drove him to AVECCC as an emergency case. Weinzierl, a veterinarian at AVECCC, found the dog to have a tracheal tear, trauma and penetration to his sinus cavity, nasty icky discharge in his lungs, and aspiration pneumonia. She also informed Chris about this and was told to expect a call back from Coy; she says she never got one. The dog also began to have painful leg issues and was later examined by Mosbacher, the dog's regular veterinarian; he allegedly said that he thought the dog's leg was either "brutally twisted" or burned and also noticed burn marks on the dog's ear.

Coy gives us some medical background on the dog and describes a relatively uneventful dental. She states that the tube she used seemed a little stiff. She also notes that her assistant, Lizzette, checked the warming bags before putting them around the dog. She concedes that it's possible one of her tools may have penetrated the dog's nasal cavity while removing a root, but she didn't see any blood at the time. A month later, Lizzette allegedly told her she had accidentally torn the dog's ear while plucking it during recovery; apparently the assistant panicked and applied some tissue glue to the ear. She also blames the complainant for the alleged burns as she says there was no mention of them on the original AVECCC report; she says the only thing they did was give the dog a complementary nail trim while he was knocked out, far from brutally twisting the leg. She's very sure they didn't happen in her office. She says that photos sent by Schaible (yet another specialist the dog had to see after this adventure) showed severe injuries suggesting the complainant wasn't taking very good care of the dog; she thinks perhaps the complainant put the dog on a heating pad and burned him at home.

The Investigative Committee said that they could ignore the poor communication problems but found it difficult to ignore "the dog's multiple injuries, including the tracheal tear, SQ emphysema, the nasal cavity penetration, the thermal burns and wound by the ear." They also state the staff was left unsupervised to recover the animal, the staff injured the animal and lied about it, and Coy didn't know that it even happened. They also think too much air was used to inflate the tube and led to a tracheal tear. They then point out that if fluid bags are heated in the microwave and placed on a sensitive part of your anatomy, you could get burned! They found violations of gross incompetence, gross negligence, and malpractice. The Board disagreed and only kept a single violation of malpractice. The penalty for what even a veterinary technician described as "intentional abuse," you wonder? Four hours of continuing education in anesthesia, four hours of continuing education in medicalrecord keeping, and a $500 civil penalty payable to the Board.

Motions

Investigative Motion: Find violation

Source: December 12, 2020 AM Investigative Committee Meeting
People:
Amy Coy Respondent
David Stoll Respondent Attorney
Roll Call:
Carolyn Ratajack Aye
Christina Tran Absent
Jarrod Butler Aye
Robert Kritsberg Aye
Steve Seiler Aye
Violations:
ARS § 32-2232 (11): Gross Incompetence; any professional misconduct or unreasonable lack of professional skill in the performance of professional practice - the dog was recovered by an unsupervised, unskilled staff member which resulted in injuries to the dog.
ARS § 32-2232 (11): Gross negligence; treatment of a patient or practice of veterinary medicine resulting in injury, unnecessary suffering or death that was caused by carelessness, negligence or the disregard of established principles or practices -the dogsustained multiple injuries while in Respondent's care (tracheal tear, thermal burn, and wound at the ear).
ARS § 32-2232 (11): Malpractice; treatment in a manner contrary to accepted practices and with injurious results with respect to endotracheal tube placement resulting in a tracheal tear and allowing an unskilled staff member recover the dog without supervision which resulted in injury to the dog.
Result: Passed

Board Motion: Schedule informal interview

Source: February 2, 2021 Board Meeting
People:
David Stoll Respondent Attorney
Proposed By: Darren Wright
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

Board Motion: Find violation

Source: March 3, 2021 Board Meeting
People:
Amy Coy Respondent
David Stoll Respondent Attorney
Proposed By: Robyn Jaynes
Seconded By: Unknown
Roll Call:
Darren Wright Absent
J Greg Byrne Aye
Jane Soloman Aye
Jessica Creager Aye
Jim Loughead Aye
Nikki Frost Aye
Robyn Jaynes Aye
Sarah Heinrich Absent
Violations:
ARS 32-2232 (11) Malpractice
Result: Passed

Board Motion: Issue board order

Source: April 4, 2021 Board Meeting
Proposed By: Robyn Jaynes
Seconded By: Sarah Heinrich
Roll Call:
Darren Wright Absent
J Greg Byrne Aye
Jane Soloman Aye
Jessica Creager Aye
Jim Loughead Aye
Nikki Frost Aye
Robyn Jaynes Aye
Sarah Heinrich Aye
Result: Passed

Board Order: Order 21006 AMY COY, DVM

Source: Order 21006 (May 5, 2021)
Violations:
A.R.S. § 32-2232 (11) Malpractice treatment in a manner contrary to accepted practices and with injurious results. Whether direct or indirect supervision occurred, Respondent was responsible to ensure the dog recovered from anesthesia as expected. The SQ emphysema was not noticed nor the extreme sedation the dog experienced. Additionally, the dog obtained thermal burns as a result of a warming device used under Respondent's care.
Penalties:
Probation (1 year)
Continuing education (4 hours in anesthesia)
Continuing education (4 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.