Disingenuous entry made in Champ’s medical record by Dr. Bonin.
Date: 9-5-2014
Time: 9am
Dr. Glen Bonin
Called and SWO [spoke with owner]. Gave a detailed update – Champ overall did well overnight and appeared stable for surgery this morning. I updated the O [owner] in detail on Champ’s current condition and also went over the ICU treatment sheet with him including Champ’s vital signs, bloodwork results, eating habits, urinations, and ability to rise and ambulate with assistance among other specifics. I went over the surgical plan in detail with him – that we were planning to perform another wound care session and possibly close Champ’s wound and place a drain. I also went over the procedure with O in detail. I also SWO about surgical risks and all possible peri-, intra-, and post-op complications including (but not limited to) anesthesia related complications including death, bleeding, newly emerging infection(s), nerve damage, peri- or post-operative GI issues (i.e. -regurgitation) and possible related complications (i.e. – aspiration pneumonia), cardiac arrhythmias, and additional non-healing related issues due to his condition and DM, etc .. O understood all pre-operative information and agreed for CVS to continue to render surgical care for Champ. He did ask about the DKA and DM management. I gave him a generalized update on the progress and let him know that the plan was to transition Champ off the insulin CRI and onto his normal SQ intermittent insulin. I also let him know that the final C/S results were still pending. He spoke for a while about how upset he continued to be over the Matthews CVS surgeon not informing him of the risks associated with an amputation procedure on a DM dog and that he was never informed of the possibility of OSA and the limited ST associated with the diagnosis. He stated he would not have performed the surgery if he knew the limited time Champ had left. I listened to him and basically allowed him to vent his frustrations, then apologized for his dilemma, but also let him know that I was unable to comment on the specifics regarding those issues since I was not there at the time. He understood and seemed to settle down a bit. I let know that I would call right after the surgery to let him know how it went.
Dr. Glen Bonin, DVM, DACVS
[RECORDING OF ACTUAL CONVERSATION]