A veterinarian takes full responsibility for overlooking a computer-assisted report

Complaint: Complaint 22-80
Respondent: James Crawford
Premises: River Road Pet Clinic

The complainant states that Crawford received a computer-generated report using AI technology suggesting bone lesions, yet Crawford states that the bone structures generally appeared normal. She says that he should have taken the computerized warning more seriously as it delayed a diagnosis of bone tumors with lung metastases. Instead, it appears that he diagnosed a canine cruciate ligament tear. He also failed to follow up with the results of a heartworm test.

Crawford's response actually reads like that of a professional. He says that after he reviewed the radiology report, he could actually see spots of bone damage that he did not notice on the initial review. He says that he takes full responsibility for the error, has identified problems that led to the error, and says that these reasons "do not rise to the level of defensibility." He compares his work to his previous career in law enforcement, where he notes that he handled firearms and explosives; despite all best efforts, accidents do occur in that field, and in such situations it's important to have a full investigation and understanding of what went wrong.

The Investigative Committee found him guilty of gross negligence but also noted that the metastasis was likely present at the same time regardless. The board rounded down and made him take a four-hour course in bone disease.

Motions

Investigative Motion: Find violation

Source: June 6, 2022 PM Investigative Committee Meeting
People:
James Crawford Respondent
David Stoll Respondent Attorney
Roll Call:
Adam Almaraz Aye
Amrit Rai Aye
Gregg Maura Aye
Justin McCormick Absent
Steven Dow Aye
Violations:
ARS § 32-2232 (11) Gross negligence; failure to read the radiograph correctly which led to an inaccurate diagnosis and treatment instead of referring the dog to an oncologist.
Result: Passed

Board Motion: Find violation and offer consent agreement

Source: July 7, 2022 Board Meeting
People:
David Stoll Respondent Attorney
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
Violations:
ARS § 32-2232 (12) as if relates to AAC R3-11-501 (1) failure to read the radiograph correctly which led to an inaccurate diagnosis and treatment instead of referring the dog fo an oncologist which caused the pet to suffer.
Result: Passed

Board Motion: Offer consent agreement

Source: July 7, 2022 Board Meeting
People:
David Stoll Respondent Attorney
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 22080 JAMES CRAWFORD, DVM

Source: Order 22080 (August 8, 2022)
Violations:
A.R.S. § 32-2232 (12) as it relates to A.A.C. R3-11-501 (1) failure to read the radiograph correctly which led to an inaccurate diagnosis and treatment, instead of referring the dog to an oncologist, which caused the pet to suffer.
Penalties:
Probation (1 year)
Continuing education (4 hours in bone disease)

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.