1.
UNAUTHORIZED
TREATMENT – 9/27/05
Failure to obtain client’s permission to perform a Perineal
Urethrostomy. We
are positive that this is NOT the procedure she
performed…but it is what is
noted in his records that she performed. Also, as noted in his records,
he was
only scheduled for a Cystotomy. We had only authorized a Cystotomy,
nothing
else! According to the medical definition of a Urethrostomy, this is
NOT the
procedure Dr. Thomas performed, nor was it a Cystotomy. We believe she
did a
Urethrotomy and possibly tried to repair a urethral rupture she may
have caused
by forcing the catheter on 9/24/05. We have NEVER seen the radiograph!
We
demand to see the radiograph! The incision was around 9 cm, yet there
was no
new permanent opening made and Stempy remained intact. See Timeline and
Consider…for full details.
Violation?
Yes 0 No If
no, please explain
_________________________________________________
_________________________________________________
2.
573.52(c)
RECORD KEEPING – 10/13/05
Dr. Thomas refused to provide client with a copy of patient’s
records and
radiographs. Dr. Thomas stated that a subpoena would be required to
obtain the
records. Client left Dr. Thomas’ office without the
patient’s records. Written
records were faxed to client on
10/18/05. Radiographs have NEVER been released to client, nor has
client ever
been allowed to view radiographs. We demand to see the radiographs. We
also
demand to see the ORIGINAL records, not our faxed copy, as we believe
they have
been altered.
Violation?
Yes 0 No If
no, please explain
_________________________________________________
_________________________________________________
3.
573.23(c)
DUTY OF LICENSEE TO REFER A
CASE – 9/27/05 Dr. Thomas failed to
refer client to a specialist for the
Urethrotomy that was done. Hope, an employee of Dr. Thomas, stated to
client
that this was the FIRST time in Dr. Thomas’ 20 years of being
a vet that she
had to make a cut like she did that day on Stempy. The procedure was
UNAUTHORIZED.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
4.
573.22
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.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
5.
573.22 STANDARD OF CARE
–
9/29/05 DENIAL OF CARE - 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. Carmen, an employee of Dr. Thomas, told
client, “No!
Do NOT bring him back in. He will be in pain for 2 or 3 more
days.” Patient
passed away the next morning, 9/30/05. See Timeline for full details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
6.
573.26
HONESTY, INTEGRITY, FAIR
DEALING – 9/30/05 Falsified
patient’s records in recounting the events on
this day. See Timeline for full details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
7.
573.22
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 pain and discomfort. Dr.
Thomas did not even
look at patient on the second visit. Instead, she prescribed a
tranquilizer and
led client to believe it was another pain killer. See Timeline for full
details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
8.
573.40(a)(7)
LABELING OF MEDICATIONS
DISPENSED and/or
573.22 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. See Timeline for full details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
9.
573.22
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.
Acepromazine is contraindicated for patient with
seizure history. See
Timeline for full details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
10.
573.22
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. See Timeline for full details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
11.
573.26
HONESTY, INTEGRITY, FAIR DEALING
– 9/29/05 Falsified patient’s records in recounting
the events on this day. See
Timeline for full details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
12.
573.22
STANDARD OF CARE – 9/28/05
Failure to adequately examine patient at client’s request
when informed of
patient’s extreme pain and discomfort. See Timeline for full
details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
13.
573.26
HONESTY, INTEGRITY, FAIR DEALING
– 9/28/05 Falsified patient’s records in recounting
the events on this day. See
Timeline for full details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
14.
573.22
STANDARD OF CARE – 9/27/05
Depriving the client of the option not to proceed so that client could
seek a second
opinion. See Timeline for full details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
15.
573.26
HONESTY, INTEGRITY, FAIR DEALING –
9/27/05 Failure to follow client instructions and breach of verbal
agreement.
See Timeline for full details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
16.
573.26 HONESTY, INTEGRITY, FAIR
DEALING –
9/27/05 Falsified patient’s records in recounting the events
of this day. See
Timeline for full details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
17.
573.22
STANDARD OF CARE – 9/27/05
Failure to take postoperative radiographs to verify removal of all
stones. See
Timeline for full details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
18.
573.22
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. See Timeline for
full
details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
19.
573.22
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. See Timeline for full details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
20.
573.26
HONESTY, INTEGRITY, FAIR DEALING
– 3/14/05 Failure to show client radiograph to verify her
claim that the stone
had disappeared. See Timeline for full details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
21.
573.22
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. See Timeline for full details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
22.
573.26
HONESTY, INTEGRITY, FAIR DEALING –
3/12/05 – 3/14/05 Falsified and/or altered
patient’s records. See Timeline for
full details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
23.
573.22
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. See Timeline
for full details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
24.
573.22
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. See Timeline
for full details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
25.
573.22 STANDARD OF CARE
– 2/16/04 Despite
patient’s prior history, Dr. Thomas failed to perform a
urinalysis or
radiograph. See Timeline for full details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
26.
573.22
STANDARD OF CARE – 11/14/03
Failure to make adjustments to patient’s prescription diet
despite the presence
of Calcium Oxalate crystals in urinalysis. See Timeline for full
details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
27.
573.22
HONESTY, INTEGRITY, FAIR DEALING –
11/3/03 Falsified and/or altered patient’s records. See
Timeline for full
details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
28.
573.22
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. See Timeline for full details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
29.
573.22
STANDARD OF CARE – 11/03 –
9/05
Prescribed wrong prescription diet and never made any adjustments to
prescription diet after 11/03. See Timeline for full details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
30.
573.22
STANDARD OF CARE – 11/3/03
Failure to take postoperative radiographs to verify removal of all
stones. See
Timeline for full details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
31.
573.52
RECORD KEEPING – 11/1/03 Failure
to notate crucial information in patient records. See Timeline for full
details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
32.
573.52
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). See Timeline for full details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
33.
573.52
RECORD KEEPING – 9/03 – 9/05
Failure to record dispensing prescription diet. (multiple) See Timeline
for
full details.
Violation?
Yes
0 No
If no, please explain
_________________________________________________
_________________________________________________
WEBSITE VISITOR
NOTE:
We
sent this to all 6
veterinarian members of the State Board. NONE of them were returned to
us. We
have now taken the liberty of answering the questions ourselves. We
answer a
RESOUNDING yes to every single violation listed.