A dog goes to the vet for a neuter and comes back drugged up and about to die

Complaint: Complaint 22-137
Respondent: Lorenzo Gonzales
Premises: Rim Country Veterinary Clinic

The complainant says they took their dog to Gonzales for a neuter procedure in the morning. The dog was discharged in mid-afternoon and didn't seem right at all; Gonzales said that it was just the anesthesia. The dog smelled of anesthesia and couldn't walk, so they wiped the dog down to try and get rid of the smell. We're told the dog died only a couple of hours after getting home. Gonzales attempted to blame the death on an undiagnosed heart condition, but the complainant relates the dog's breeder will attest that the dog was quite healthy with no heart problems.

Gonzales' response is rather to the point, stating that the dog was brought in and the procedure was performed uneventfully. He says that the recovery was also normal and the dog was no different than any other surgical patient. He received a call that evening saying that the dog had died; he expressed his sorrow and suggested that a heart problem or a clot could be the underlying cause.

The Investigative Committee came down rather hard on this one. They found violations regarding recording of medications, lack of discharge instructions, and the dog being discharged without being fully awake. They also said that the dog was under anesthesia for 40 minutes prior to surgery, that it's weird that a heart problem was suggested because the dog didn't have one when he listened to the dog, that no blood work was performed. Concerns were also raised about not offering a necropsy. They found several violations ranging from gross negligence to medical records omissions.

This case also stands out because many of the arguments made against Gonzales are often flipped in other cases to avoid finding a violation. Other pets have dropped dead due to alleged undiagnosed heart problems and investigators just say that you don't always know they have one. Pets have also been discharged in questionable conditions only to go home and drop dead, and oftentimes we're told that these things just happen. Read through our hundreds of complaints and you'll find that same reasoning in more than a few. Consider a recent case in 22-84 and 22-85 where a dog was kept under anesthesia for six hours for a dental and then died; nobody really cared. Why Gonzales stands out is an open question. In any event, the Board rounded it down and assigned him six hours of coursework.

Motions

Investigative Motion: Find violation

Source: November 11, 2022 AM Investigative Committee Meeting
People:
Lorenzo Gonzales Respondent
Roll Call:
Robert Kritsberg Aye
Christina Tran Aye
Carolyn Ratajack Aye
Jarrod Butler Aye
Steven Seiler Aye
Violations:
ARS § 32-2232 (11) Gross negligence; for discharging the dog in an unstable condition - the dog's surgery ended at 9:52am and the dog was discharged at 3:30pm - still not recovered from anesthesia, which contributed to the death of the dog at 6:00pm that evening
ARS § 32-2232 (12) as it relates to AAC R3-11-501 (1) failure to provide courteous verbal interchange with the pet owner by not offering a necropsy on the dog
ARS § 32-2232 (18) as it relates to AAC R3-11-502 (E) failure to provide complete discharge instructions of a surgical patient and not documenting in the medical record that discharge instructions were provided
ARS § 32-2232 (21) as it relates to AAC R3-11-502 (L) (7) (a) failure to document in the medical record the concentration of pen G, ketamine, butorphanol and xylazine that were administered to the dog.
Result: Passed

Board Motion: Schedule informal interview

Source: December 12, 2022 Board Meeting
Proposed By: Robyn Jaynes
Seconded By: Jane Soloman
Roll Call:
Craig Nausley Aye
Darren Wright Aye
J Greg Byrne Aye
Jane Soloman Aye
Jessica Creager Aye
Jim Loughead Aye
Melissa Thompson Aye
Nikki Frost Absent
Robyn Jaynes Aye
Result: Passed

Board Motion: Find violation

Source: January 1, 2023 Board Meeting
People:
Lorenzo Gonzalez Respondent
Georgia Debus Respondent Attorney
Proposed By: Darren Wright
Seconded By: Jessica Creager
Roll Call:
Craig Nausley Absent
Darren Wright Aye
J Greg Byrne Absent
Jane Soloman Aye
Jessica Creager Aye
Jim Loughead Nay
Melissa Thompson Nay
Nikki Frost Nay
Robyn Jaynes Nay
Violations:
A.R.S. § 32-2232 (11) Gross negligence; for discharging the dog in an unstable condition — the dog's surgery ended at 9:52am and fhe dog was discharged at 3:30pm — still not recovered from anesthesia, which contributed to the death of the dog at 6:00pm that evening.
Result: Failed

Board Motion: Find violation

Source: January 1, 2023 Board Meeting
People:
Lorenzo Gonzalez Respondent
Georgia Debus Respondent Attorney
Proposed By: Darren Wright
Seconded By: Robyn Jaynes
Roll Call:
Craig Nausley Absent
Darren Wright Aye
J Greg Byrne Absent
Jane Soloman Aye
Jessica Creager Aye
Jim Loughead Aye
Melissa Thompson Aye
Nikki Frost Aye
Robyn Jaynes Aye
Violations:
A.R.S. § 32-2232 (18) as it relates fo A.A.C. R3-11-502 (E) failure to provide complete discharge instructions of a surgical patient and not documenting in the medical record that discharge instructions were provided.
Result: Passed

Board Motion: Find violation

Source: January 1, 2023 Board Meeting
People:
Lorenzo Gonzalez Respondent
Georgia Debus Respondent Attorney
Proposed By: Darren Wright
Seconded By: Nikki Frost
Roll Call:
Craig Nausley Absent
Darren Wright Aye
J Greg Byrne Absent
Jane Soloman Aye
Jessica Creager Aye
Jim Loughead Aye
Melissa Thompson Aye
Nikki Frost Aye
Robyn Jaynes Aye
Violations:
A.R.S. § 32-2232 (21) as it relates to A.A.C. R3-11-502 (L) (7) (a) failure to document in the medical record the concentration of pen G, ketamine, butorphanol and xylazine that were administered to the dog.
Result: Passed

Board Motion: Issue board order

Source: January 1, 2023 Board Meeting
Proposed By: Darren Wright
Seconded By: Jane Soloman
Roll Call:
Craig Nausley Aye
Darren Wright Aye
J Greg Byrne Absent
Jane Soloman Aye
Jessica Creager Aye
Jim Loughead Aye
Melissa Thompson Aye
Nikki Frost Absent
Robyn Jaynes Aye
Result: Passed

Board Order: Order 22137 LORENZO GONZALES, DVM

Source: Order 22137 (February 2, 2023)
Violations:
A.R.S. § 32-2232 (18) as it relates to A.A.C. R3-11-502 (E) failure to provide complete discharge instructions of a surgical patient and not documenting in the medical record that discharge instructions were provided.
A.R.S. § 32-2232 (21) as it relates to A.A.C. R3-11-502 (L) (7) (a) failure to document in the medical record the concentration of pen G, ketamine, butorphanol and xylazine that were administered to the dog.
Penalties:
Probation (1 year)
Continuing education (3 hours in anesthesia)
Continuing education (3 hours in medical record keeping)

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.