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Music is: Bad Vets
Bad vets, bad vets, whatcha gonna do? Whatcha gonna do when they come for you? Bad Vets!

VIOLATIONS CHRONOLOGICALLY AND INDIVIDUALLY

1. RECORD KEEPING – 9/03 – 10/03 Failure to maintain complete and accurate patient records (records from other veterinarian were provided AND contained his prior stone history, despite Dr. Thomas’ claim otherwise).
2. RECORD KEEPING – 9/03 – 9/05 Failure to record dispensing prescription diet. (multiple)
3. RECORD KEEPING – 11/1/03 Failure to notate crucial information in patient records.
4. STANDARD OF CARE – 11/03 – 9/05 Prescribed wrong prescription diet and never made any adjustments to prescription diet after 11/03.
5. STANDARD OF CARE – 11/3/03 Failure to take postoperative radiographs to verify removal of all stones.
6. STANDARD OF CARE – 11/03 – 9/05 Failure to provide or recommend medical management, dietary modification, and constant monitoring, and a follow-up urinalysis is needed every 3 months, which are all necessary objectives of postoperative care for this patient’s condition.
7. HONESTY, INTEGRITY, FAIR DEALING – 11/3/03 Falsified and/or altered patient’s records.
8. STANDARD OF CARE – 11/14/03 Failure to make adjustments to patient’s prescription diet despite the presence of Calcium Oxalate crystals in urinalysis.
9. STANDARD OF CARE – 2/16/04 Despite patient’s prior history, Dr. Thomas failed to perform a urinalysis or radiograph.
10. STANDARD OF CARE – 8/10/04 Despite patient’s prior history, Dr. Thomas failed to perform a follow-up urinalysis or radiograph or make adjustments to patient’s diet.
11. STANDARD OF CARE – 11/16/04 Despite patient’s prior history, Dr. Thomas failed to perform a follow-up urinalysis or radiograph or make adjustments to patient’s diet.
12. STANDARD OF CARE – 3/12/05 Failure to conduct sufficient and timely diagnostics, such as a radiograph, despite patient’s prior history, and despite the fact that stones can be present without concomitant crystalluria in the urinalysis. She did not follow her own protocol, established on 11/1/03.
13. HONESTY, INTEGRITY, FAIR DEALING – 3/12/05 – 3/14/05 Falsified and/or altered patient’s records.
14. HONESTY, INTEGRITY, FAIR DEALING – 3/14/05 Failure to show client radiograph to verify her claim that the stone had disappeared.
15. STANDARD OF CARE – 9/10/05 Failure to conduct sufficient and timely diagnostics, such as a radiograph, despite patient’s prior history, and despite the fact that stones can be present without concomitant crystalluria in the urinalysis. She did not follow her own protocol, established on 11/1/03.
16. STANDARD OF CARE – 9/24/05 Failure to conduct sufficient and timely diagnostics, such as a radiograph and a urinalysis, despite patient’s prior history. Dr. Thomas claims they could not get a urine sample, yet patient was sent home with a catheter in place. She did not follow her own protocol, established on 11/1/03.
17. UNAUTHORIZED TREATMENT – 9/27/05 Failure to obtain client’s permission to perform a Perineal Urethrostomy. We are not positive that this is the procedure she performed…but it is what is noted in his records. According to the medical definition of a Urethrostomy, this is NOT the procedure Dr. Thomas performed, nor was it a Cystotomy.
18. STANDARD OF CARE – 9/27/05 Depriving the client of the option not to proceed so that client could seek a second opinion.
19. HONESTY, INTEGRITY, FAIR DEALING – 9/27/05 Failure to follow client instructions and breach of verbal agreement.
20. HONESTY, INTEGRITY, FAIR DEALING – 9/27/05 Falsified patient’s records in recounting the events of this day.
21. STANDARD OF CARE – 9/27/05 Failure to take postoperative radiographs to verify removal of all stones.
22. STANDARD OF CARE – 9/28/05 Failure to adequately examine patient at client’s request when informed of patient’s extreme discomfort.
23. HONESTY, INTEGRITY, FAIR DEALING – 9/28/05 Falsified patient’s records in recounting the events on this day.
24. STANDARD OF CARE – 9/29/05 Failure to adequately examine patient, twice on this day, at client’s request when informed of patient’s extreme discomfort.
25. STANDARD OF CARE – 9/29/05 Failure to properly advise client of the potential dangers of Acepromazine when prescribed for the patient. This was the FOURTH different medication in THREE days that Dr. Thomas had put the patient on.
26. STANDARD OF CARE – 9/29/05 Prescribed Acepromazine to patient despite being informed by client on 11/1/03 of patient’s two prior seizures.
27. STANDARD OF CARE – 9/29/05 Knew or should have known of a notation that should have been in patient’s records from 11/1/03.
28. STANDARD OF CARE – 9/29/05 Denied client’s request for a third visit on this day, even though client informed Dr. Thomas’ office on the phone at 5pm of patient’s deteriorating condition. Patient passed away the next morning, 9/30/05.
29. HONESTY, INTEGRITY, FAIR DEALING – 9/29/05 Falsified patient’s records in recounting the events on this day.
30. STANDARD OF CARE – 9/30/05 Dr. Thomas did not give or offer an explanation, or even venture a guess, as to the patient’s cause of death.
31. HONESTY, INTEGRITY, FAIR DEALING – 9/30/05 Falsified patient’s records in recounting the events on this day.
32. HONESTY, INTEGRITY, FAIR DEALING – 10/13/05 Dr. Thomas refused to provide client with a copy of patient’s records. Dr. Thomas stated that a subpoena would be required to obtain the records. Client left Dr. Thomas’ office without the patient’s records.

NOTE: There may be more violations that have yet to be uncovered. We trust that the Texas State Board of Veterinary Medical Examiners will thoroughly investigate all aspects of this complaint and bring to light any additional violations. ---Greg and Cindy Munson.