Showing posts with label Virginia Board of Veterinary Examiners. Show all posts
Showing posts with label Virginia Board of Veterinary Examiners. Show all posts

Saturday, June 26, 2010

Virginia Vet William Will Shows NO LOVE to Patient Kismet


It is a bit ironic that Virginia Veterinarian William Will works at a clinic called the “love” clinic. Because love is certainly the last thing he displayed to his patient, a frightened (as well he should have been) dog whose life he took, sometime after he yanked him out of a truck by his leash so roughly that the dog’s face hit the ground. Also disturbing is Will’s prior disciplinary history, which goes back to 1989.


In an order dated March 2, 2010, the Virginia Board of Veterinary Medicine found that:


“On March 31, 2009 [veterinarian William Will] . . . provided substandard care for ‘Kismet,’ a canine. “When Kismet was frightened and did not respond to urging that he enter the office, Dr. Will pulled said canine from his owner’s truck by leash resulting in Kismet hitting his face on the pavement.”


[And they term this “substandard care?” OK, the word I would use is “abuse!”]


“Following Kismet’s soiling of his clinic’s floor, Dr. Will shouted obscenities which greatly upset Kismet’s owner.”



“Dr. Will diagnosed “parvo” without performing any laboratory tests and suggested that Kismet be euthanized. Dr. Will acknowledged that he ‘chose not to treat the dog due to its demeanor.’”


DEMEANOR? The dog was (wisely) scared and didn’t want to come into his vet clinic, and then was so scared that it pooped on the floor, so Dr. Will decided to issue the dog a death sentence? And they call that “substandard care?” I call it sadism, and murder.


“Dr. Will failed to include pertinent medical data in the patient record of Kismet regarding his March 31, 2009, visit to his clinic. Dr. Will’s brief entry in the medical record referred only to Kismet’s euthanization.”


OK, so let me get this straight: The dog might not have had parvo, and although the vet led the client to believe that he was recommending the dog be euthanized because of parvo, the real truth – as the vet admitted – is that the vet wanted to kill the dog, and did kill the dog, because of the dog’s “demeanor?” Was he exacting retribution against the dog for being afraid of him, and for pooping on his floor?


The document goes on to say:


“A consent order of the Board, entered March 4, 2009 (“Board’s Order”), ordered that Dr. Will’s clinic uundergo an unannounced inspection within the subsequent six month period. On July 19, 2009 and inspector from the Department of Health Professions inspected Dr. Will’s clinic and found that he was out of compliance in two areas. A) Dr. Will’s surgical suite was unsanitary. B) Syringe’s were left on the counter tops of Dr. Will’s pharmacy and grooming areas.”


In it’s “Conclusions of Law” section ,the board cite’s violations by section of Virginia code only – which seems to be a neat little trick to avoid naming, in layman’s terms, the violations the vet was found to have committed. A member of the public would have to actually go through the trouble of looking up each cited code section to determine what violations were found. So we will do that here.



Unprofessional Conduct (violation of Virginia code 54.1-3807(5)) and VAC 150-20-140(6) and (7)

Recordkeeping Violations (violation of the above cited Virginia code section as well as Veterinary regulation 150-20-195)

Violation of Standards for Veterinary Establishments (violation of the above cited Virginia code section as well as Veterinary regulation 150-20-200 (A) (1))


So get this:

The Veterinary Board suspended his license for 2 years but STAYED all but 30 days of that suspension (and frankly, from the information available online, I wonder if they may have even stayed that 30 days, because the site shows a “stay” of suspension order).



They ordered him to take 15 hours worth of continuing education in customer relations, practice management, and “controlling controlled drugs.”



[Gee whiz – yanking a dog out of a car by its leash so that its face hits the ground, then killing it because you don’t like its demeanor – that’s just a ‘customer relations’ problem . . .????? What, no classes in ‘How not to be a psycho asshole?’]



They fined Will $5,000 and ordered that his clinic be subjected to unannounced inspections.


But wait . . .
Dr. Will already had failed an inspection by the board. In yet another consent order issued by the Veterinary Board, dated March 4, 2009, the Board found that:



“On November 4, 2008, an inspector from the Department of Health Professions performed an inspection of the Love Shop Veterinary Clinic, Halifax, Virginia, where Dr. Will is employed as veterinarian-in-charge. The following deficiencies were discovered in the course of said inspection:



a. The facility, including the surgery room, was not clean nor was it sanitary.

b. The facility lacked an animal identification system that would identify all animals kept on the premises.

c. There was no resuscitation bag on the premises.

d. There were no signed disclosure forms in the patient files.

e. Medications in pill and syringe form were unsecured, with open pill bottles in the pharmacy area and syringes left on counter tops in the surgery area and elsewhere.



They fined him $500 and reprimanded him, ordering that his practice also be subjected to an unannounced inspection within 6 months of the date of the order (March 4, 2009).



Why are they yet again including unannounced inspections as an action against this vet when already, he has failed to clean up his act after inspections have found his premises, including his surgical area which should be sterile, filthy, in addition to other violations? More importantly, notwithstanding their $5,000 fine (hefty by Vet Board standards) WHY ARE THEY ALLOWING THIS VET, WITH A LONG DISCIPLINARY HISTORY, TO PRACTICE AT ALL?



As stated above, Will’s first violation, according to Board records from 1989, occurred in 1987. It was over two years between the incident itself and the Board’s order. In that case, the board found that:



“ . . . Dr. Will treated Flash, a canine owned by Ms. Sherrie Talley, in a substandard manner by not performing an adequate preoperative evaluation in that he did not take a preoperative radiograph. That Dr. Will did not refer the patient to a specialist, but instead attempted treatment that he was not properly qualified to perform.” Then the Board document states “That as a result of the aforesaid substandard treatment, the fractures did not heal properly, and euthanasia of the canine occurred on or about June 16, 1987.”

In that case, the board merely fined Will $100.



The question that must be asked in cases such as this is:


Do State Veterinary Boards bear some responsibility for ongoing acts of negligence, substandard care, unprofessional behavior (including physical violence) of veterinarians when those veterinarians show a pattern going back years, with multiple violations, and yet the Vet Boards give the vets a mere slap on the wrist time after time – IF THAT?



Do the overseers of a regulated industry (in this case, veterinary medicine) become RESPONSIBLE for ongoing violations and the impact of those violations (up to and including death) when they clearly practice lax enforcement and issue laughably miniscule or clearly ineffective penalties time and time again, all the while allowing repeat violators to keep practicing their “business as usual?”



Certainly, this question has been asked repeatedly about the Minerals Management Service in the wake of the Gulf Oil “spill” (more like a volcano) – and I can’t help but think of our nation’s veterinary boards whenever the incident in the Gulf prompts discussion about regulators who fail to regulate, because they are “in bed with” the people they are supposed to enforce standards for and regulate. I do believe that those organizations become criminally responsible for the havoc that is caused by the repeat-offender professionals they refuse to adequately regulate.

Tuesday, August 19, 2008

Vet Margaret Metry of Virginia: A Cat Comes in for a Grooming, and Never Makes it out Alive

How would you feel if you took your beloved pet into the vets for just a grooming, and instead of picking up your well groomed pet, ended up picking up her lifeless mortal remains?

That is what happened to the pet owner who took her cat Ciara in to be groomed at the Colonial Heights Veterinary Hospital in Colonial Heights Virginia in March 2007 and placed her under the care of veterinarian Margaret Metry.

According to the Findings of Fact and Conclusions of Law issued by the Virginia Board of Veterinary Medicine:

". . . an individual brought 'Ciara,' a feline in for grooming. Dr. Metry informed the individual that the Ciara would have to be sedated for the procedure."

[umm, sedating a cat for grooming?????]

"Dr. Metry failed to ensure that Ciara was properly monitored after sedation as the cat was placed back in its carrier, which prevented proper monitoring of the animal's health."

That's all this document says. So how do I know Ciara died?

Because in the previous notice of informal conference, the Board says:

"You failed to ensure that Ciara was properly monitored after sedation resulting in no one noticing that Ciara had stopped breathing until she was removed from her cage. She could not be resuscitated."

Can you imagine how heartbroken her family must be?

The Board found that Metry had violated 54.1-3807(5) of the Virginia Code and 18 VAC 150-20-140(7), both of which relate to unprofessional conduct.

And to add insult to injury, all the Board did was give the vet a reprimand.

No fine.

No suspension.

Dead cat, totally needlessly as far as I can see.

And nothing more than a reprimand.

How terribly sad.

Links to disciplinary records:


Notice


Order

Tuesday, June 3, 2008

Spotlight on Virginia: Only 20% of Complaints Against Vets Result in Violation Findings

Given our focus on a Virginia case today, I thought it would be informative to post some information about the Virginia Veterinary Board.

According to minutes of the Board's 5/14/2008 meeting, from July 1, 2007 though April 2008 the Virginia Veterinary Board closed 183 cases, only 36 of which resulted in findings of violation. Another way to look at that is: 80% of all complaints filed against vets in the state of Virginia are dismissed.

Virginia Vet Mark Johnstone: HOW do you miss THIS?

This one from Virginia has me scratching my head, wondering: How do you MISS something like this? Perhaps by not doing a very good job of examining the patient? Ya think?

In 2006, Virginia Vet Mark Johnstone saw a dog named "Tiki." Tiki had blood coming from both his nose AND his mouth. "Tiki was also recumbent [lying down] and had a foul odor coming from his mouth," the board document says.

After seeing Dr. Johnstone, Tiki "failed to improve," so his owner took him to another veterinarian. The second veterinarian saw that Tiki had "a stick wedged in his hard palate, between the right and left upper molars. Once the stick was removed, there was an ulcer present and a hold in the oral nasal cavity."

Stating the obvious, the vet board added:

"Dr. Johnstone failed to locate the stick during his physical examination of Tiki."

The Board found that Dr. Johnstone had violated regulations against unprofessional conduct, specifically that he had violated VAC 150-20-140(6) and (7). In finding that he had violated the latter provision, the Board found that he had "[Practised] veterinary medicine . . . in such a manner as to endanger the health and welfare of his patients or the public, or being unable to practice veterinary medicine . . . with reasonable skill and safety."

They ordered him to go back to school to learn how to give physical exams -- but just a 3 hour class.

That's it.

I'm a little baffled at how you don't look around in a dog's mouth to find that thing when he is bleeding and stinking from the mouth. ????

How DO you miss that?

Click here to read the order.

Wednesday, May 21, 2008

Long List of Violations Results in Nothing More than a Reprimand and Probation for Virginia Vet, Mitzi Elliot

In March of 2008, the Virginia Board of Veterinary Medicine issued an order to Virginia Veterinarian Mitzi D. Elliot of "The Animal House Veterinary Clinic" in Laurel Fork, Virginia. In this document, the Board stated the following findings of fact (my commentary appears in brackets and italics).

1. A cat named "Kitty" was brought to Dr. Elliot for a routine spay. "To sedate Kitty, a "Push-Pole" was utilized, and Kitty was given an intramuscular injection." [Push pole??? Are they talking about those things they use on animal planet rescue shows called "catch poles?" Like this?? Or are they talking about these push pole things for pushing boats and catching fish?? Either way, a bit mideivel, don't you think?]

The day after Dr. Elliot did these things, ". . . Kitty could not walk on her right hind leg, and was returned to Dr. Elliot's office for an evaluation. Dr. Elliot diagnosed Kitty with a large right lymph node, and prescribed antibiotics. When Kitty failed to improve [Kitty's owner] sought a second opinion from another veterinarian who amputated Kitty's leg. Dr. Elliott failed to take proper precautions administering an intramuscular injection, resulting in damage to Kitty's sciatic nerve."

[OK, did you catch that part about the cat's leg being amputated? I am assuming that the need for this amputation RESULTED FROM the damage caused to Kitty's sciatic nerve as a result of Dr. Elliot's bad vettery. THIS POOR CAT LOST ITS LEG!]

3. "Dr. Elliott failed to document all pertinent medical data in Kitty's medical record. Specifically, Dr. Elliott failed to describe the surgery performed, the diagnosis and/or prognosis, post-operative instructions and treatment recommendations. Additionally . . . Dr. Elliott failed to document patient temperature during the course of treatment."

But Dr. Elliott's bad vettery wasn't restricted to the Kitty incident. The Board goes on:

"4. Dr. Elliott failed to maintain treatment records for the animals brought to her practice. By her own admission, Dr. Elliott sent [two other client's] original records to subsequent veterinarians and did not maintain copies." [Really? Or perhaps the records never existed, were never created, and that's just what she said to play it off as though she had created them in the first place and to explain why she didn't have them?] "Further, Dr. Elliott stated to the inspector for the Department of Health Professions, that she were [sic] not aware of the requirement to maintain records for three years."

5. ". . . [another client] presented with 'Sugar' and 'Daisy', both canines, following a routine spay performed at Dr. Elliott's practice. . . . Both dogs had chewed through their stitches. Dr. Elliott replaced the stitches with staples, but failed to document the type and amount of anesthesia used for placing the staples. Further the records for Daisy did not indicate if an antibiotic was administered and the amoung given."

[OK, the board would not know about this if a complaint had not been filed. Why would the owner file a complaint? SOMETHING must have gone wrong after the surgery. Given the reference to Elliott NOT documenting the kind or amount of anesthesia, I am betting something very bad happened with one or both of these dogs -- I suspect that one may even have died. You see, the Board's don't always tell you what happened to the animals, so you must ALWAYS ASSUME THE WORST.]

6. "Dr. Elliott failed to provide complete records for [yet another client's] canine 'Angel Baby.' Dr. Elliott's records did not include the date of Angel Baby's rabies innoculation and ex-rays taken."

[Geez, we are establishing quite a prolonged and consistent pattern of bad vettery here, aren't we?]

7. YET ANOTHER CLIENT: ". . . presented with 'Prince,' a canine, who had been in an altercatoin with another dog. Prince was admitted with multiple abdominal puncture wounds and shock. When Prince failed to improve . . . [the client] transferred Prince to another veterinarian who found several deep puncture wounds that were not treated; a deep necrotic tract extending dorsally through deep layers of tissue into the sub lumbar region in the retroperitoneal area; and a 3 cm abdominal tear."

[OK, don't worry -- I don't understand all of that either, so I googled some of the words. The "deep necrotic tract" business means that Prince had lots of dead tissue on his lower back going deep into his flesh, into the "peritoneum" which covers the abdominal cavity . . .]


"Further, the veterinarian opined that the Penrose drain that Dr. Elliott inserted may have been improperly placed, which allowed continued saturation of bacteria into the internal wounds. Dr. Elliott failed to properly evaluate, diagnose, and treat Prince's injuries."

[Again, the don't say what happened to Prince, but it sounds VERY grave. I am assuming he DIED.]

8. "Dr. Elliott failed to document all pertinent medical data in Prince's medical record. Specifically, Dr. Elliott failed to describe the surgery performed, the diagnosis and/or prognosis, and treatment recommendations."

[Gee, big surprise. What would that prognosis sound like? Maybe: "Well, I did a totally incompetent job and now this patient had infection deep into his body so -- whoopsie! Where's the pink juice?"]

Whew! After that LITANY of horrors what do we have?

The Board determined that Elliott had committed SEVEN violations of regulation VAC 150-20-140(6) and (7), which is the UNPROFESSIONAL CONDUCT section, including (emphasis mine): "Practising veterinary medicine in such a manner as to ENDANGER the health and welfare of his patients or the public, or being unable to practice veterinary medicine with reasonable skill and safety."

Also they found that she had committed FIVE violations of 18-VAC-150-20-195, which is the regulation pertaining to recordkeeping. (See what I mean when I say that when you see a record-keeping violation, it usually means that something much worse happened.)

After all that you would expect the Board to take pretty strong action, wouldn't you?

Well, guess what?

They reprimanded her.

They put her on "probation" for 18 months but the only terms of the probation were:

a) to take 3 hours of continuing education in record-keeping and 10 hours in patient communication and practice management. NOTHING in improving her skills in clinical care -- her basic veterinary skills. Nothing to improve her competence at actually doing procedures. As though what happened to these animals was all a result of communication problems? Um, did they forget the part about the leg amputation and the internal infection?


b) to have 3 inspections in which they will look at her records and pay the $200 cost of the inspections.

That's it, folks. They didn't give this vet a "time out." Not one day of work missed. No suspension. No big fines. Not even any classes that would improve her clinical skills -- just classes that in my view, are aimed at helping her learn to cover her butt when her lousy clinical skills hurt patients.

Links:

Board Disciplinary Action Against Mitzi Elliott