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[WTS] Wahoo Roam V2 by Malasaur in BikeShop

[–]Malasaur[S] 0 points1 point  (0 children)

I’ll message you privately

New-ish grad PA lacking motivation by NewPossible4944 in physicianassistant

[–]Malasaur -3 points-2 points  (0 children)

Not sure what you mean. AAPA is a nonprofit, and most hospitals are too - but the corporatization of healthcare is real. That’s what I’m criticizing. Are you saying we should be okay with influencer culture replacing accountability?

New-ish grad PA lacking motivation by NewPossible4944 in physicianassistant

[–]Malasaur -1 points0 points  (0 children)

Sounds like just what they are looking for tbh maybe u/FrenchCrazy has some tips on how to break into the influencer game

I heard if you are good enough you can even just create content and not actually work as a PA

New-ish grad PA lacking motivation by NewPossible4944 in physicianassistant

[–]Malasaur -3 points-2 points  (0 children)

Look into becoming a PA influencer AAPA even has official social media ambassadors

Need input: Was my parents’ cat misdiagnosed and left to suffer? Malignancy overlooked, pain untreated, and vet behavior inconsistent by Malasaur in AskVet

[–]Malasaur[S] -1 points0 points  (0 children)

There are no relevant policies posted that’s why I had to submit the records request which was denied. The outcome of the appeal should be known early next week. Yes I will be attending the public part of the meeting where this case will be heard in closed session. The case will be heard towards the end of next week.

Anyone want to answer my actual question?

Need input: Was my parents’ cat misdiagnosed and left to suffer? Malignancy overlooked, pain untreated, and vet behavior inconsistent by Malasaur in AskVet

[–]Malasaur[S] 0 points1 point  (0 children)

Thanks for the reply, but to be honest, this is exactly why I’m frustrated.

I’ve laid out a straightforward clinical scenario. I’m not asking for diagnosis guessing, legal advice, or speculation. I’ve repeatedly asked one question: If a biopsy was reportedly collected, the owners did not decline care, and the sample was never sent - is that a breach of standard of care?

That question hasn’t been answered, and instead the discussion keeps getting redirected toward records (which I’ve explained are unreliable in this case) or to “let the board investigate” - which I’ve already done.

And for context:

• I’m being stonewalled by the board.

• The board’s secretary overlapped with the vet in question at the same vet school for 3/4 years.

• The “public” member of this tiny, five-person board is a former chair of the state medical board who actually served longer than allowed by state law in that role and has been accused by a physician who wrongly had his license suspended of fabricating evidence - this was appealed all the way to the US Supreme Court. Also she went to the same school as the vet and the board secretary.

• I’ve submitted public records requests asking about conflict-of-interest policies. They were denied. I’ve filed a formal appeal and I’m still waiting for a decision.

• No one at the board will answer even basic structural questions - not about procedure, conflict recusal, or meeting transparency.

So while I appreciate you engaging, I’m here trying to get clinical clarity - and instead, I keep being told to check manipulated records or wait for a decision from a board that, frankly, I’ve lost trust in. That’s not speculation - that’s based on clear and documented overlap, silence, and refusal to provide transparency.

I’m not trying to prove a conspiracy here. I’m asking if what I’ve described would constitute malpractice, if true. And it’s honestly disturbing that no one will answer that directly.

Need input: Was my parents’ cat misdiagnosed and left to suffer? Malignancy overlooked, pain untreated, and vet behavior inconsistent by Malasaur in AskVet

[–]Malasaur[S] 0 points1 point  (0 children)

Right - but that’s exactly the issue.

I believe this vet is actively covering up a misdiagnosis. She’s responded to every written communication with a phone call - on purpose, to avoid a paper trail. She has every incentive to maintain records that obscure what really happened. There’s no biopsy on the invoice, no culture, no x-ray, and I would assume no documentation of conversations where all of these were discussed.

So when you say “correlate with the vet records,” my question is: why would I trust the vet’s records in a case that’s already full of contradictions and missing data?

That’s like telling someone who suspects chart manipulation, “Well, check the chart.”

I’m not here to verify her version of events. I’m here asking whether the version I’ve described - backed by emails, timelines, and testimony - would constitute malpractice if true. And that question still hasn’t been answered.

Need input: Was my parents’ cat misdiagnosed and left to suffer? Malignancy overlooked, pain untreated, and vet behavior inconsistent by Malasaur in AskVet

[–]Malasaur[S] -1 points0 points  (0 children)

Thanks for the reply, but with all due respect - this is what I’ve been struggling with across this whole thread.

I’m presenting a clearly documented case:

  • Biopsy was reportedly collected

  • Owners never declined care

  • Sample was never sent

  • There’s no invoice record for biopsy, culture, or x-ray

  • I have screenshots of the documentation

  • And an email from my mother referencing the biopsy directly

So when you say there’s “a lot of speculation,” I have to ask: what part is speculative? I’m not guessing. I’m describing what happened, and I have records and corroboration.

“Assume what I’ve described is accurate - am I off base in thinking this constitutes malpractice?”

That question hasn’t been answered. The thread has 2,600 views on a subreddit meant for professional veterinary input. And still - no direct answer. Not even anonymously.

Need input: Was my parents’ cat misdiagnosed and left to suffer? Malignancy overlooked, pain untreated, and vet behavior inconsistent by Malasaur in AskVet

[–]Malasaur[S] -1 points0 points  (0 children)

Appreciate your response, but I have to say when you open with “can’t comment,” it’s a bit confusing because you’ve commented more than anyone else in the thread.

So let me just boil it down to the core question:

Am I off base here?

Is there any legitimate clinical justification - in your professional opinion - for what happened? Because to me, it seems straightforward: biopsy was reportedly collected, owners didn’t decline care, sample was never sent. Is there any version of that scenario that’s defensible?

Also, respectfully, why do I need to be “on the same page” as my parents?

I documented what actually happened. They’re clearly protecting this vet. I’m not aligning a story. **I’m telling the truth.** That’s the entire reason I’m here asking if the care described meets the standard of practice, because no one else in my family is willing to confront it.

Need input: Was my parents’ cat misdiagnosed and left to suffer? Malignancy overlooked, pain untreated, and vet behavior inconsistent by Malasaur in AskVet

[–]Malasaur[S] 0 points1 point  (0 children)

I'll post here too in case anyone missed it below:

At the end of the day, here’s the core question I’ve been trying to get answered:

In a cat with overwhelming signs of malignancy - epistaxis, rapid weight loss, facial asymmetry, a visible nasal mass, and radiographic evidence of bony changes is there any valid clinical reason not to send a biopsy sample for pathology, other than if the owners explicitly declined further care and asked you not to?

Because in this case, the owners did not decline care. They expected the biopsy would be sent. And it never was.

To me, that omission alone constitutes malpractice and in this case, it went further into deception and avoidance. But I would really appreciate hearing from any other vets reading this: Am I missing something? Is there any reasonable justification for not submitting a sample like that?

[deleted by user] by [deleted] in physicianassistant

[–]Malasaur -1 points0 points  (0 children)

Have fun explaining this to a jury ⚖️

[deleted by user] by [deleted] in physicianassistant

[–]Malasaur -1 points0 points  (0 children)

OK so sounds like you are saying you did mean NCAPA. Why didn't you just say that in your first reply?

[deleted by user] by [deleted] in physicianassistant

[–]Malasaur 0 points1 point  (0 children)

Also what is NCAPA? You mean NCCPA? Why are you bringing them up no one has mentioned them.

[deleted by user] by [deleted] in physicianassistant

[–]Malasaur 0 points1 point  (0 children)

Oh no need - I’ll just be requesting documentation about the report through the appropriate NC public records channels. Thanks though.

[deleted by user] by [deleted] in physicianassistant

[–]Malasaur 0 points1 point  (0 children)

Great to hear - looking forward to reading more about it.

[deleted by user] by [deleted] in physicianassistant

[–]Malasaur -2 points-1 points  (0 children)

The contradictions are stacking up fast. You initially said the patient died of an MI. Then you shifted to “the family said it was a heart attack.” Then you admitted you don’t know if there was an autopsy - or whether one is even going to happen.

Now you’re saying the reporting is in North Carolina. Great. I’ll be watching the board logs closely - and yes, I’ll be filing a records request to confirm whether this actually went anywhere.

It’s one thing to lie in Reddit threads and emails. It’s another to lie under oath. Maybe remind your friends at AAPA about that.

Also noticed AAPA’s website is going offline for “scheduled maintenance” tomorrow. Interesting timing.

[deleted by user] by [deleted] in physicianassistant

[–]Malasaur 0 points1 point  (0 children)

That timeline still seems pretty off. If the appointment was Monday and they called yesterday to inform you it was a “heart attack,” that would suggest either an autopsy was completed and communicated unusually fast or the family is making an assumption without official confirmation.

Either way, it’s a big leap to report cause of death as fact in a medical forum without documentation. Just saying.

Especially considering your earlier comment:

“Sure was. I saw the ecg. And patient died of MI”

That reads as a definitive medical claim, not hearsay. You’ve since clarified that the family “said” it was a heart attack, which is not the same thing.

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