A dog with an eye problem deteriorates and drops dead after discharge from an emergency and referral center

Complaint: Complaint 22-57
Respondent: Ryan Bunce
Premises: 1st Pet Veterinary Centers Mesa

The complainants state that they took their dog to 1st Pet because of a bloody protruding eye; they state they were concerned about prolapse but the dog was otherwise doing well. They dropped the dog off and were told to go home and wait for updates. According to them the dog wasn't seen for several hours, with Bunce examining the dog but providing no treatment. They were called late that night to come pick up the dog, at which point the dog couldn't even walk; the do gwas also hyperventilating. Given the change in condition they demanded to see Bunce, who informed them the dog had always been like that. They finally got home afer midnight with the dog hyperventilating right up until she died. They also note that they received no discharge summary.

Bunce's response states that the dog was bitey and that the triage technician actually underestimated the dog's "Fear, Anxiety, and Stress" score. The dog was deemed stable and put in the queue while the complainants authorized up to $1000 in spending. The dog was put in a highly-visible kennel where Bunce later got the dog and began performing a "Fear Free" examination. He stated that the dog was so worked up that further exam would need to be done under sedation. He followed up with the complanants who suspected a cat scratch injury to the eye. After further workup the dog was discharged with medications and a recommendation to see an ophthalmologist, also noting that if the eye didn't get better it may need to be removed. He states that the complainants had no further questions at that time.

The Investigative Committee stated that the dog shouldn't have been discharged in an unstable condition; they also said that the dog may have had a bad reaction to the sedatives but that the outcome could have been the same. They mused that the dog may have had oxygen deprivation due to morbid obesity, but that without a necropsy we'll never know. Statements were provided saying the dog's respiration was the same as when the pet first came in. Steven Dow, the man who replaced his son on this Investigative Committee, moved to find gross negligence but there were no takers; instead the committee voted unanimously to dismiss. The board found a failure to provide professionally acceptable procedures and required Bunce to take four hours of continuing education in emergency ophthalmology.

Motions

Investigative Motion: Find violation

Source: April 4, 2022 PM Investigative Committee Meeting
People:
Ryan Bunce Respondent
Roll Call:
Violations:
Gross negligence for not ensuring the dog was stabilized prior to discharge: the dog died an hour after arriving home
Result: Failed (no second)

Investigative Motion: Dismiss with no violation

Source: April 4, 2022 PM Investigative Committee Meeting
People:
Ryan Bunce Respondent
Roll Call:
Adam Almaraz Aye
Amrit Rai Aye
Gregg Maura Aye
Justin McCormick Aye
Steven Dow Aye
Result: Passed

Board Motion: Schedule informal interview

Source: May 5, 2022 Board Meeting
Proposed By: Craig Nausley
Seconded By: Jane Soloman
Roll Call:
Craig Nausley Aye
Darren Wright Absent
J Greg Byrne Aye
Jane Soloman Aye
Jessica Creager Aye
Jim Loughead Aye
Melissa Thompson Aye
Nikki Frost Aye
Robyn Jaynes Aye
Result: Passed

Board Motion: Find violation

Source: June 6, 2022 Board Meeting
People:
Ryan Bunce Respondent
Proposed By: Craig Nausley
Seconded By: Jane Soloman
Roll Call:
Craig Nausley Aye
Darren Wright Nay
J Greg Byrne Absent
Jane Soloman Aye
Jessica Creager Nay
Jim Loughead Absent
Melissa Thompson Nay
Nikki Frost Nay
Robyn Jaynes Nay
Violations:
A.R.S. § 322232 (11) Gross negligence; failure to recognize the need for surgical intervention which resulted in a delay that led to major complications in the patient's care.
Result: Failed

Board Motion: Issue letter of concern

Source: June 6, 2022 Board Meeting
People:
Ryan Bunce Respondent
Proposed By: Craig Nausley
Result: Failed (no second)

Board Motion: Find violation

Source: June 6, 2022 Board Meeting
People:
Ryan Bunce Respondent
Proposed By: Robyn Jaynes
Seconded By: Nikki Frost
Roll Call:
Craig Nausley Aye
Darren Wright Aye
J Greg Byrne Absent
Jane Soloman Aye
Jessica Creager Aye
Jim Loughead Absent
Melissa Thompson Aye
Nikki Frost Aye
Robyn Jaynes Aye
Violations:
A.R.S. § 32-2232 (12) as it relates to A.A.C. R3-11-501 (1) failure to provide professionally acceptable procedures by not fully explaining the dog's diagnosis to the pet owners; that there could be other maladies occurring that were not identified and sending the dog home in an unstable/unknown condition
Result: Passed

Board Motion: Issue board order

Source: July 7, 2022 Board Meeting
Proposed By: Craig Nausley
Seconded By: Jane Soloman
Roll Call:
Craig Nausley Aye
Darren Wright Absent
J Greg Byrne Absent
Jane Soloman Aye
Jessica Creager Aye
Jim Loughead Aye
Melissa Thompson Aye
Nikki Frost Aye
Robyn Jaynes Absent
Result: Passed

Board Order: Order 22057 RYAN BUNCE, DVM

Source: Order 22057 (August 8, 2022)
Violations:
A.R.S. § 32-2232 (12) as it relates to A.A.C. R3-11-501 (1) failure to provide professionally acceptable procedures by not fully explaining the dog's diagnosis to the pet owners; that there could be other maladies occurring that were not identified and sending the dog home in an unstable/unknown condition
Penalties:
Probation (1 year)
Continuing education (4 hours in emergency ophthalmology)

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.