A mobile veterinarian disappears on a complainant who has a sick cat with a missed tumor

Complaint: Complaint 21-129
Respondent: Jeffrey Arthur
Premises: The Doorstep Vet

The complainant relates that her cat wasn't eating and rapidly losing weight; she called Arthur who came by and examined the cat. She says he also drew bloodwork and gave the cat a shot of antibiotics but found no masses. Her cat continued to deterioriate and she called Arthur several to get the lab results, which were said to be normal; she was allegedly told to expect an estimate for a dental. The cat got so sick that he couldn't even hold his head up and the complainant was unable to get in touch with Arthur; she says that she called and left messages begging for a response. She ended up taking her cat to 1st Pet where he was examined by Wachtel (herself the subject of at least four veterinary board complaints) and diagnosed with several tumors and a poor prognosis. The complainant decided to euthanize the cat.

Arthur says that he examined the cat and found the cat had dental issues and was painful. He says that he related there could be many causes in an older cat, ranging from tooth problems, organ disease, or cancer. He says the owner agreed to a Convenia shot and some bloodwork. He was closed for New Year's but called her with the lab results after the holiday; there were abnormalities including elevated SDMA levels. He says that he also offered ultrasound and other workups in addition to doing a dental to see if that would help, suggesting that having an estimate might help the complainant decide. He then learned that a deceased relative's ashes had arrived so he canceled all appointments for the next couple of days; he later learned of the cat's euthanasia but said he was out due to surgery as the death in the family was a personal matter. He also notes that he didn't feel a mass when he examined the cat.

The Investigative Committee said that when you're a sole practitioner you're held to a higher standard than if you're part of a practice; his lack of response caused the complainant stress and caused the cat to suffer. However, they did say that it's not unreasonable to have not found a mass on the initial exam and then found one nine days later at 1st Pet. They found violations for gross negligence for lack of communication as well as not providing emergency referral information on his voicemail; the Board overruled but sent a letter of concern.

(In fairness, being ghosted by Arthur wasn't any different than what a lot of brick-and-mortar premises operators have done in other complaints. The Letter of Concern only pertained to not having an emergency clinic number available, not anything to do with vanishing on the complainant and her cat.)

Motions

Investigative Motion: Find violation

Source: October 10, 2021 AM Investigative Committee Meeting
People:
Jeffrey Arthur Respondent
Roll Call:
Carolyn Ratajack Aye
Christina Tran Absent
Jarrod Butler Aye
Robert Kritsberg Aye
Steve Seiler Aye
Result: Passed

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

Source: November 11, 2021 Board Meeting
People:
Jeffrey Arthur Respondent
Proposed By: J Greg Byrne
Seconded By: Darren Wright
Roll Call:
Craig Nausley Aye
Darren Wright Aye
J Greg Byrne Aye
Jane Soloman Abstained
Jessica Creager Aye
Jim Loughead Aye
Nikki Frost Absent
Robyn Jaynes 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.