Response from the owner - 2 months ago
I’m sorry that we weren’t able to meet to discuss your dissatisfaction. I hope the following addresses some open concerns. Regardless, feel free to contact our hospital with any follow-up.
On the evening you are referring to, your dog was brought to our clinic by your son’s friend, who had accidentally hit the dog with his car resulting in moderate trauma. The young man was rightfully concerned for the dog and brought her into our hospital for assessment. She was quickly determined to be in shock from the trauma requiring immediate treatment. Your son’s friend could not authorize treatment, but your son and two other friends arrived within a short period of time. When your son arrived it was explained to him by the Emergency Veterinarian the dog was in shock. We told him that there were concerns about internal bleeding and the large open wound on the right hind leg, both of which required a more in-depth assessment.
Our policy, as is that of any veterinary emergency room, is to present the guardian(s) with an initial treatment plan and associated costs after doctor assessment. The Emergency Veterinary Nurse presented this plan to your son within minutes of him arriving at our hospital. This initial treatment plan requested authorization for initial treatment up to $500. All treatment was declined, including an injection of pain medication (~$40). When asked why, we were told that regardless of your dog suffering from major trauma and pain, we could not give her medication because of the contribution it would make to pharmaceutical companies and the belief that they are evil.
The Emergency Veterinarian explained in multiple conversations and ways that your dog was in shock, what the concerns were from physical exam findings, why x-rays and blood work were needed. All of these fall under appropriate protocol with any trauma patient. Unfortunately, we were not able to gain agreement regarding our assessment or recommendations and were not authorized for any form of treatment, thereby delaying care for your ailing dog.
Although we are a business we do make every attempt to help our furry friends that come to us even when their owners cannot. So, given the impression that there were financial constraints, various treatment plans were presented that would allow your dog to get basic care without resulting in financial stress to your family. Authorization to us for the basic treatment of pain medication and IV fluid therapy (below the initial treatment plan of $500) was not given.
After hours of trying to work with your son on different treatment options, explaining the dog was suffering and in pain, there was no agreement to even the most basic treatment. At that point, it was determined we had exhausted all remedies in our attempts to accommodate your dog’s (and son’s) situation. Therefore our Hospital’s only option was to recommend he sign an Against Medical Advice form and take the dog home. The large open wound on your dog’s hind leg was eventually bandaged (although not the appropriate therapy for this wound) at no cost to your son. All he was required to pay for was the emergency exam fee.
As for the police involvement, they were called due to personal and public safety concerns surrounding this particular group of young men who appeared to be under the influence of drugs and or alcohol, since they were going to eventually be on the roads. After the police arrived they talked with all four young men and determined that one of the four was sober and capable of driving allowing them to leave. We did attempt to follow-up the next day out of concern for your dog, but received no response.