Minor records violations are found when rescued horse dies badly of probably-not-botulism after a dental

Complaint: Complaint 21-108
Respondent: Dusti Prentice
Premises: Southern Arizona Equine

The complainant states that her horse died from veterinary negligence; she says that a poor standard of care was used when performing a dental, leading to a severe deterioration in health and subsequent euthanasia. We're told that she requested a veterinary visit as the horse's mouth had a horrible smell coming from it; both Prentice and her assistant are said to have found the odor none too pleasing as well. The horse's teeth were floated (sanded down) and extracted a tooth; Prentice allegedly commented that the tooth appeared damaged at the root area and potentially infected. The socket was filled and capped off to prevent packing with food. The horse didn't eat well after the procedure and neither did another horse whose teeth were floated at the same time. He eventually came around but began demonstrating issues with his neck and head movement, not wanting to move them or lower his head. The next day he began walking like a drunk and having a scary neck-jerking motion; Prentice come out but the horse was walking normally. Prentice allegedly said that the horse's new symptoms had nothing to do with the earlier vet appointment, then found a tooth root in the hole where the tooth used to be; she also started the horse on antibiotics. The horse started falling over and eventually could no longer move; Prentice said the issue was neurological and suspected botulism. The complainant notes that the explanation for botulism simply makes no sense; there was no sign of how the horse could have been infected and no other horses had a similar problem. Rather, she believes that the horse succumbed to an infection as antibiotics weren't prescribed until later; she wonders if the infection started growing inside the capped tooth socket. She tells us that the horse was very special to her, mentioning how his mother was marked for slaughter after discharge from a Premarin production facility in Canada but rescued. She blames herself for not thinking of this before and saving his life.

Prentice tells us that both the horse in question and another were examined and treated that day; she notes that the complainant is concerned about the one that later died. She says that she evaluated the horse, found he was healthy enough for sedation and dental care, and then went to work. She notes that the tooth socket was handled in accordance with her normal procedures; she also notes that on the recheck there was no evidence of infection but prescribed antibiotics. (The complainant, on the other hand, seems to suggest that the notes from the original tooth pull suggested that there could be a risk of infection.) She also notes that she went back a third time to examine the horse when he was paralyzed and could no longer walk; she gave the horse a grave prognosis and euthanized the horse. She regrets that a necropsy wasn't performed but believes botulism is the most likely diagnosis, but also discussed other possible infections via email.

The Investigative Committee said that the use of antibiotics is up to the treating veterinarian; they also say that the effectiveness of an antibiotic depends on where the infection is (inside a tooth or outside a tooth). They also said that they couldn't grasp why Prentice thought botulism was the most likely diagnosis; much like the complainant, they note that the horse shared its living area and its food with another horse, but only one came down with botulism. In the end, they voted to find Prentice in violation, but not for anything to do with the care of the horse; rather, they found some minor records violations about how she logged the treatment of the horse. (It's weird as their report says that "failure to examine the horse prior to surgery" is a "minor records violation." The Board also found a violation and made Prentice pay them $150.

Motions

Investigative Motion: Find violation

Source: August 8, 2021 PM Investigative Committee Meeting
People:
Dusti Prentice Respondent
Roll Call:
Adam Almaraz Aye
Amrit Rai Aye
Brian Sidaway Aye
Cameron Dow Aye
Violations:
ARS § 32-2233 (B) (3) Minor records violations that are routine entries into a medical record that do not affect the diagnosis or care of the animal; these included failure to examine the horse prior to surgery (extraction of a tooth); and not documenting in the medical record - the betadine flush, the nerve block, the flagyl placement, and penicillin concentration.
Result: Passed

Board Motion: Schedule informal interview

Source: September 9, 2021 Board Meeting
People:
David Stoll Respondent Attorney
Proposed By: Robyn Jaynes
Seconded By: Darren Wright
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 Absent
Result: Passed

Board Motion: Find violations and issue letter of concern

Source: October 10, 2021 Board Meeting
People:
David Stoll Respondent Attorney
Dusti Prentice Respondent
Proposed By: Robyn Jaynes
Seconded By: Jessica Creager
Roll Call:
Darren Wright Unknown
J Greg Byrne Absent
Jane Soloman Unknown
Jessica Creager Unknown
Jim Loughead Unknown
Nikki Frost Unknown
Robyn Jaynes Unknown
Sarah Heinrich Absent
Violations:
ARS 32-2233 (B) (3) Minor records violations
Result: Failed

Board Motion: Issue administrative order

Source: October 10, 2021 Board Meeting
People:
David Stoll Respondent Attorney
Dusti Prentice Respondent
Proposed By: Robyn Jaynes
Seconded By: Jessica Creager
Roll Call:
Darren Wright Nay
J Greg Byrne Absent
Jane Soloman Nay
Jessica Creager Aye
Jim Loughead Nay
Nikki Frost Aye
Robyn Jaynes Aye
Sarah Heinrich Absent
Result: Failed

Board Motion: Issue board order

Source: October 10, 2021 Board Meeting
People:
David Stoll Respondent Attorney
Dusti Prentice Respondent
Proposed By: Darren Wright
Seconded By: Jessica Creager
Roll Call:
Darren Wright Aye
J Greg Byrne Absent
Jane Soloman Nay
Jessica Creager Aye
Jim Loughead Aye
Nikki Frost Aye
Robyn Jaynes Nay
Sarah Heinrich Absent
Result: Passed

Board Order: Order 21108 DUSTI PRENTICE, DVM

Source: Order 21108 (November 11, 2021)
Violations:
A.R.S. § 32-2233 (B)(3) An administrative violation: Minor records violations that are routine entries into a medical record that do not affect the diagnosis or care of the animal: these included not documenting in the medical record — the betadine flush, the nerve block, the flagyl placement, and penicillin concentration.
Penalties:
Civil penalty ($150)

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.