Dr. Natalie Marks joins the podcast to discuss how invoice bundling (the bundling together of diagnostics, specifically) can help inexperienced doctors develop, leverage technicians more effectively, increase profitability, make cases simpler for practitioners, and speed up our treatment of sick pets. She and Dr. Andy Roark also discuss advice for getting veterinarians on board with diagnostic bundling, what bundles make the most sense, and what common mistakes to avoid when introducing the concept to your clinic. LINKS Veterinary Angel Network (VANE): https://www.vane.vet/ Dr. Natalie Marks' Website: https://marksdvmconsulting.com/ LinkedIn: https://www.linkedin.com/in/natalie-marks-dvm-cvj-54b0429a/ Dr. Andy Roark Exam Room Communication Tool Box Course: https://drandyroark.com/store/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Dr. Natalie Marks obtained her bachelor's degree with High Honors in Animal Science from the University of Illinois in 1998, and then proceeded to obtain a Masters in Veterinary Medicine and Doctorate of Veterinary Medicine degree with High Honors from the University of Illinois College of Veterinary Medicine. She became a Certified Veterinary Journalist in 2018. She has been a veterinarian at Blum Animal Hospital since 2006, co-owner until 2018 and current associate. Prior to 2006, Dr. Marks worked at Allatoona Animal Hospital just north of Atlanta, GA. Her media experience began in print when she created several monthly veterinary columns in multiple community magazines and was a frequent guest speaker for the German Shepherd and Bernese Mountain Dog clubs of Atlanta. Dr. Marks has received many prestigious awards in her career. She was awarded the Dr. Erwin Small First Decade Award, presented to a veterinarian that has contributed the most to organized veterinary medicine in his or her first decade of practice. In 2012, Dr. Marks was awarded Petplan's nationally-recognized Veterinarian of the Year. In 2015, she was awarded America’s Favorite Veterinarian by the American Veterinary Medical Foundation. And, most recently in 2017, she was awarded Nobivac’s Veterinarian of the Year for her work on canine Influenza. Dr. Marks is a regular columnist in Today’s Veterinary Business, Healthy Pet magazine, and Pet Vet, and has been published in Veterinary Medicine magazine, DVM magazine, Dogster, and Vetted. She is on the Advisory Board for Health Magazine and also was the host of numerous veterinary broadcasts for the Viticus Group (formerly WVC). She is a desired national and international lecturer for many of the same companies at VMX, WVC, AVMA and regional conferences, and most recently was a featured speaker at Ceva Sweden’s Derm Day and the Royal Canin Global Symposium. Dr. Marks finds the ideal combination of teaching/mentoring and improving the emotional health of pets in the Fear Free movement. She sat on the Fear Free Executive Council and is a national educator helping other private practitioners develop these techniques. She also led her practice to become the 7th nationally and first practice in Illinois to become a Fear Free Certified Hospital. She is an Elite Fear Free Certified Professional. Finally, Dr. Marks is a serial entrepreneur, angel investor and consultant, and one of the newer members of VANE, the Veterinary Angel Network.

Veterinary Internist Dr. Andrew Woolcock joins the podcast to discuss a 6 year-old Cocker Spaniel with an acute onset of lethargy, inappetance and depression. She also had a single collapsing episode that might or might not have been a seizure. Could this actually be IMHA? Dr. Woolcock talks through his diagnostic workup of choice and a variety of treatment options. LINKS ACVIM consensus statement on the treatment of immune-mediated hemolytic anemia in dogs - https://pubmed.ncbi.nlm.nih.gov/30847984/ ACVIM consensus statement on the diagnosis of immune-mediated hemolytic anemia in dogs and cats - https://pubmed.ncbi.nlm.nih.gov/30806491/ Purdue College of Veterinary Medicine: https://www.vet.purdue.edu Dr. Andy Roark Exam Room Communication Tool Box Course: https://drandyroark.com/store/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Dr. Andrew Woolcock is a veterinary internist. He’s from the Midwest and did his schooling at Michigan State University, where he graduated with his DVM. After an internship at North Carolina State University, Dr. Woolcock completed a residency in small animal internal medicine at the University of Georgia. He joined the faculty at Purdue University in 2015, and is currently an Associate Professor of Small Animal Internal Medicine. Dr. Woolcock loves the complex puzzles that internal medicine patients present, and loves working with students as they put the pieces together. He loves all-things-medicine, because physiology is so fascinating, but he especially gravitates toward immune-mediated diseases and endocrinology. Dr. Woolcock enjoys his clinical practice, but also his research in oxidative stress, and the scholarship of teaching and learning. When he’s not at work, Dr. Woolcock is likely watching old movies with his husband and their dog, Auggie (not sure of what breed he is, so they invented one for him – a Miniature Fluftoffee).

Dr. Doug Mader joins Dr. Andy Roark to talk about his new book, The Vet at Noah's Ark: Stories of Survival from an Inner-City Animal Hospital. They discuss Dr. Mader's career in inner-city LA during and immediately after the Rodney King trial in the early 1990s, Dr. Mader's evolution as both writer and veterinarian, and Dr. Mader's view of where veterinary medicine is going in the future. From the publisher: From renowned veterinarian Dr. Doug Mader comes a stirring account of his fight to protect his animal patients and human staff amid the dangerous realities of inner-city life and the Los Angeles riots—and a celebration of the remarkable human-animal bond. The life of a veterinarian is challenging: keeping up with advances in medical care, making difficult decisions about people’s beloved companions, and, in Dr. Doug Mader’s case, navigating the social unrest in Los Angeles in the early 1990s. As one of the few exotic animal experts in California, he was just as likely to be treating a lion as a house cat. The Vet at Noah's Ark: Stories of Survival from an Inner-City Animal Hospital follows Dr. Mader and his staff over the course of a year at Noah’s Ark Veterinary Hospital, an inner-city LA area veterinary hospital where Dr. Mader treats not only dogs and cats, but also emus, skunks, snakes, foxes, monkeys, and a host of other exotic animals. This real life drama is set against the backdrop of the trial of four police officers in the Rodney King case, as well as the violent aftermath following their acquittal. LINKS: The Vet at Noah's Ark: https://www.amazon.com/Vet-Noahs-Ark-Survival-Inner-City/dp/1954641044/ Dr. Doug Mader's Wedsite: https://www.dougmader.com/ Dr. Doug Mader on Facebook: https://www.facebook.com/douglas.mader.9 NEW Dr. Andy Roark Exam Room Communication Tool Box Course: https://drandyroark.com/store/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Douglas R. Mader, MS, DVM, Diplomate ABVP (Canine/Feline), Diplomate, ABVP (Reptile/Amphibian), Diplomate, ECZM (Herpetology), Fellow, Royal Society of Medicine Dr. Mader received his DVM from the University of California, Davis in 1986. In addition, he completed a Residency in Primate and Zoo animal medicine. He is the consulting veterinarian for the Monroe County Sheriff's Zoo, the Key West Aquarium, Dynasty Marine, the Sea Turtle Hospital, the Everglades Alligator Farm and the Theater of the Sea. Previously Dr. Mader owned the Marathon Veterinary Hospital, a double AAHA accredited 24 hr emergency/referral hospital. Dr. Mader is an internationally acclaimed lecturer and is on the review boards of several scientific journals. He has published numerous articles in scientific and veterinary journals, national magazines, and, is the author/editor and co-editor of three textbooks on Reptile Medicine and Surgery.­­ Dr. Mader’s latest project is his new book “The Vet at Noah’s Ark - Stories of Survival from an Inner-city Animal Hospital.”

Dr. Peter Weinstein and his daughter Brooke Weinstein, a current veterinary student at Oregon State's College of Veterinary Medicine, join Dr. Andy Roark to talk about how veterinary medicine has changed over the last 20-30 years, and how it's going to change in the future. Our guests talk about how the education of veterinarians today differs from the past, and what these changes will mean for how the profession evolves going forward. This episode is presented ad free by Care Credit! LINKS: Learn more about CareCredit: https://www.carecredit.com/vetmed/ Shop the Dr. Andy Roark store for games and team training tools! https://drandyroark.com/store/ ABOUT OUR GUESTS: Dr. Peter Weinstein attended Cornell University undergraduate and the University of Illinois to receive his DVM. After graduation, he worked as an associate for three years before opening his practice. As he was running his practice, he identified the need for increased business acumen to make his practice successful. Thus, while managing and practicing full time, he attended University of Redlands to receive his MBA. As a result of the MBA, he was able to relocate, expand and sell his practice to a corporate consolidator. Politically, he served as President of the SouthernCalifornia Veterinary Medical Association and the California Veterinary MedicalAssociation and President for VetPartners, the national consultants association. He just completed three years as the Chair of the Veterinary EconomicStrategy Committee of the AVMA’s Veterinary Economics Division In the veterinary industry, he acted as Medical Director overseeing the Claims Department for Veterinary Pet Insurance. Dr. Weinstein has provided small business and corporate consulting via his company, PAW Consulting After 14 years, Dr. Weinstein retired from his role as theExecutive Director for the Southern California Veterinary Medical Association to pursue other interests including teaching at Western University. He was the 2018 Speaker of the Year for the Western VeterinaryConference Practice Management Section. And in 2021 for the VMX Practice Management section. He co-authored with Michael E Gerber, “The EMyth Veterinarian-Why Most Veterinary Practices Don’t Work and What to Do About It”. Dr. Weinstein has spoken and written extensively on practice management, team building, leadership, collegiality, marketing, and other topics focused on making the veterinary profession better for all those affiliated with it. Dr Weinstein lives in Orange County, California with his wife Sharon, two daughters (one a veterinary student at Oregon State), two dogs, and Bazinga, a Senegal parrot. Brooke Weinstein is finishing her third year of veterinary school at Oregon State University Carlson College of Veterinary Medicine. During her time there, she has loved working with her community through free wellness clinics for the houseless community as well as conducting research on tick-borne diseases in the underserved community. Outside of school , Brooke spends time hiking, snowboarding, and exploring Oregon.

What's it like to have your clinic torn apart online? When thousands of phone calls roll in telling you that you're awful, what impact does that have on the staff and how do you handle it? Do you respond? What if that just makes things worse? This week, Dr. Andy Roark is joined by Dr. Meghan Vaught and Sarah Mills from the Maine Veterinary Medical Center. Last month, their clinic found itself on news channels across the country and the front page of reddit. What followed was a harrowing experience no one should have to go through. Along with it, however, can an outpouring of support from clients and the veterinary community as a whole. Since the incident, Sarah and Dr. Vaught have dedicated their time and energy to raising awareness of the impact that public shaming and "cancel" events can have on veterinary teams, and to creating resources to help others who may end up defending themselves against online retribution. LINKS Not One More Vet: https://www.nomv.org/ AVMA Online Reputation Management and Cyberbullying: https://www.avma.org/resources-tools/practice-management/reputation WORKSHOP: Managing A Negative Team Member: https://unchartedvet.com/product/managing-a-negative-team-member/ NEW Dr. Andy Roark Exam Room Communication Tool Box Course: https://drandyroark.com/store/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUESTS: Dr. Meghan Vaught obtained her doctorate from St. George University in May 2013 after completing her clinical rotations at the University of Pennsylvania. In June 2014, she completed a small animal rotating internship at Tufts Veterinary Emergency Treatment and Specialties hospital. Dr. Vaught completed a three-year Emergency and Critical Care Residency at Cummings School of Veterinary Medicine at Tufts University in 2017. Later that year, she earned board certification as a Diplomate of the American College of Veterinary Emergency and Critical Care. Dr. Vaught’s clinical and research interests include but are not limited to respiratory disease/mechanical ventilation, sepsis, polytrauma and severe acid/base or electrolyte disorders. Dr Vaught’s priority is to provide the highest quality of care and medicine to each patient and their family. In her free time, Dr. Vaught enjoys spending time with her husband, their young daughter, and their cat. Sarah Mills has spent her career advocating for accessible wellness care. She is passionate about animal health and helping all pets live their best lives filled with treats, naps in the sun and zoomies. Sarah spent nearly a decade as one of the founding members of Vets First Choice (now Covetrus) before joining the FidoCure mission to bring personalized medicine to dogs with cancer. Her time has been spent in sales, marketing and serving veterinarians. Sarah holds a BS in psychology from Simmons University and was trained by the Disney Institute in Quality Service. She shares her little farmhouse in Cumberland Center, Maine, with 3 teenagers, a Goldendoodle named Ted, and a smallish bunny.

Dr. Doug Mader joins the podcast to discuss treatment of a wounded tortoise that won't come out of his shell. This 10 year-old Sulcata was attacked by a dog and needs care, but has pulled back tightly into his shell making treatment difficult. In this episode, we discuss tortoise sedation and analgesia, antibiotic therapy and feeding tube placement. LINKS: Dr. Mader's New Book: https://www.amazon.com/Vet-Noahs-Ark-Survival-Inner-City/dp/1954641044 Dr. Mader's Website: https://www.dougmader.com/ Dr. Mader's Facebook page: https://www.facebook.com/douglas.mader.9 NEW Dr. Andy Roark Exam Room Communication Tool Box Course: https://drandyroark.com/store/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Douglas R. Mader, MS, DVM, Diplomate ABVP (Canine/Feline), Diplomate, ABVP (Reptile/Amphibian), Diplomate, ECZM (Herpetology), Fellow, Royal Society of Medicine Dr. Mader received his DVM from the University of California, Davis in 1986. In addition, he completed a Residency in Primate and Zoo animal medicine. He is the consulting veterinarian for the Monroe County Sheriff's Zoo, the Key West Aquarium, Dynasty Marine, the Sea Turtle Hospital, the Everglades Alligator Farm and the Theater of the Sea. Previously Dr. Mader owned the Marathon Veterinary Hospital, a double AAHA accredited 24 hr emergency/referral hospital. Dr. Mader is an internationally acclaimed lecturer and is on the review boards of several scientific journals. He has published numerous articles in scientific and veterinary journals, national magazines, and, is the author/editor and co-editor of three textbooks on Reptile Medicine and Surgery.­­ Dr. Mader’s latest project is his new book “The Vet at Noah’s Ark - Stories of Survival from an Inner-city Animal Hospital.”

Have you started home delivery of therapeutic diets yet? In this episode, Dr. Matt Duemler tells the story of how and why Burnt Hills Veterinary Hospital took up home delivery. He talks about how he discussed it with the staff to get them on-board, and what his experience has been like so far. ** This episode is made possible ad-free by Purina Pro Plan Vet Direct LINKS Purina ProPlan VetDirect: https://www.proplanvetdirect.com/?utm_campaign=vdp-&utm_medium=cpc&utm_source=google&utm_content=&utm_term=purina%20pro%20plan%20veterinary%20diets&gclid=Cj0KCQjwhLKUBhDiARIsAMaTLnErIA9MJo0rkeY8EXA8RRqDCSptk_Lz7lQ3ykkCE_-GZ0xsKoDsjWsaAhQyEALw_wcB&gclsrc=aw.ds Purina Institute: https://www.purinainstitute.com/ ABOUT OUR GUEST: Dr. Matt Duemler - Burnt Hills Veterinary Hospital, Burnt Hills, NY. There are very few people in this world I would change lives with! I have had many blessings in my life but finding a career that not only provides me the ability to support my family but also gives me a purpose each and every day has been one of the best. The old saying is “Find a job you enjoy and you will never work a day in your life”. This is so true! Providing animal care has always been a part of my life, since growing up on my parent’s farm in Perth, NY. A graduate of Broadalbin-Perth, my college years were spent first at St. Lawrence University where I majored in Neuroscience and studied abroad in Denmark. I was then fortunate to be accepted to and attend veterinary school at the University of Tennessee. Throughout school, the complexities and capabilities of medicine left me in awe. I knew I wanted to spend my days helping people, and combined with my fondness for animals, veterinary medicine became a no brainer. Every day is different, and I love it! I especially enjoy the days I spend in surgery putting Humpty Dumpty back together again. I have challenged myself to learn advanced techniques allowing me to treat a variety of issues. I have completed multiple advanced training courses and received a variety of professional certifications. This training allows me to evaluate a patient from start to finish. I am able to perform the diagnostic test necessary such as diagnostic ultrasounds, repair multiple orthopedic issues including fractures, cruciate repairs and patella luxation, general surgical procedures such as removal of kidneys, spleens and gall bladders, as well as advanced certifications in regenerative medicine techniques such as Stem Cell and Platelet Rich Plasma therapies. There is no better moment than when a family is reunited for the first time after seeing a loved one battle through an illness. Our patients are resilient and very often inspiring. When not “working” on animals, I spend my days with my beautiful wife and 2 amazing children. We have built our forever home here in Burnt Hills, the same town in which my mother-in-law grew up. My children will be able to learn in the same classrooms she did. Family and community have always been important to me. This is one of the main reasons my wife and I agreed to take over the leadership of the hospital. We are very proud to lead the community's best veterinary hospital, while continuing its rich history of being a family run business. Unfortunately, in today’s veterinary community, being a family run business, centered on family values, is a rare commodity.

Dr. Bob Lester believes owning pets shouldn't be a luxury that few people can afford. The veterinary profession needs to think creatively about how to keep medicine accessible to pet owners across socioeconomic groups. In this episode, Dr. Lester joins Dr. Andy Roark to discuss his recent article which outlines 15 new business models our profession might approach to help pets get the care they need. LINKS: Tear Down the Wall (Original Article): https://todaysveterinarybusiness.com/veterinary-care-models/ Wellhaven Pet Health: https://wellhaven.com/ Uncharted Veterinary Podcast: https://unchartedvet.com/blog/ NEW Dr. Andy Roark Exam Room Communication Tool Box Course: https://drandyroark.com/store/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Dr. Bob Lester remains as passionate about the veterinary profession as the day he entered veterinary school (sometime last century). He is a firm believer in the veterinary profession's double bottom line proposition of doing well by doing good. Dr. Lester is a graduate of Oregon State and Washington State University’s College of Veterinary Medicine and completed the American Association of Veterinary Medical Colleges Leadership Academy. He spent his early career as a small-town mixed animal practice owner before joining the founding leadership team at Banfield Pet Hospitals. At Banfield, he held positions in medicine, operations, franchising, human resources, and professional relations. After a rewarding career at Banfield/Mars Inc., he left as Vice President of Professional Relations to help found the Lincoln Memorial University College of Veterinary Medicine where he served as Assistant Dean. Dr. Lester’s LMU-CVM team pioneered a novel community-based clinical education program and developed the professional skills curriculum including instruction in communication, leadership, teamwork, and practice management. Bob is now a co-founder, Chief Medical Officer, and member of the Board of Directors for WellHaven Pet Health, a family of companion animal practices that believes in caring for the caregivers so that they can care for others. WellHaven Pet Hospitals are both new build full-service AAHA/Fear Free hospitals, acquired and joint venture affiliate practices. Bob was a two-time gubernatorial appointee and Chair of the Oregon Veterinary Medical Examining Board. He was the state delegate to the American Association of Veterinary State Boards. He served as a site team member for the AVMA Council on Education, and on the Job Analysis Task Force for the International Council for Veterinary Assessment. Dr. Lester authors the column “Creative Disruption” for Today’s Veterinary Business. In addition to his board position at WellHaven Pet Health, he serves as a board member and Treasurer of Pet Peace of Mind a non-profit which keeps hospice patients together with their pets through the end of life. He also serves as Vice President of the board of the North American Veterinary Community, and on the advisory boards of easyvetclinic, Pet Desk, AirVet, and the LMU College of Veterinary Medicine. Dr. Lester’s interests include all things veterinary, writing, start-ups, speaking, business and leadership development, the human-animal bond, and giving back to the profession that has done so much for him and others. His family includes his wife Crystal, two amazing daughters McKenzie and Paige, and two rescue Yorkie’s Jessie and Woody.

Dr. Adam Little joins us to discuss what veterinary practices need to start doing and stop doing to adapt to a changing world. He and Dr. Andy Roark discuss everything from remote work to the challenges of recruiting and hiring in a super-tight labor market. If you like big ideas and inspiration for a bright future, this is the episode for you! LINKS: GoFetch: https://www.gofetch.ca/ NEW Dr. Andy Roark Exam Room Communication Tool Box Course: https://drandyroark.com/store/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Dr. Adam Little works at the intersection of accelerating technologies and veterinary medicine. His career has spanned areas of focus ranging from artificial intelligence to telemedicine to connected devices. He is the co-founder and Chief Medical Officer of GoFetch where his team is building a new subscription care model focused on making local vet care more accessible and affordable. Prior to co-founding GoFetch, he served as the first ever Director of Innovation & Entrepreneurship for Texas A&M College of Veterinary Medicine where he spearheaded such initiatives as the Veterinary Innovation Summit and the Veterinary Entrepreneurship Academy. Dr. Little holds a Doctor of Veterinary Medicine degree from the Ontario Veterinary College He is a past Board member of the Ontario Veterinary Medical Association, Veterinarians without Borders and the Vet Futures Commission

Dr. Tina Wismer, Senior Director of ASPCA Pet Poison Control Center joins Dr. Andy Roark to talk about a scary case. Vomiting, fever, muscle tremors, and a stiff gait.... what could be the cause?? Chlorfenapyr is a chemical used in some pest control sprays, and it can be a fatal toxin for pets. Dr. Wismer discusses the risks and how to treat these cases if/when we see them. LINKS: ASPCA Animal Poison Control: https://www.aspca.org/pet-care/animal-poison-control NEW Dr. Andy Roark Exam Room Communication Tool Box Course: https://drandyroark.com/store/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Tina Wismer, DVM, MS, DABVT, DABT, is the Senior Director of the ASPCA Animal Poison Control Center. She earned her undergraduate degree from Ohio’s University of Findlay and received her DVM from Purdue University. Dr. Wismer worked in both small animal and emergency practice before joining the ASPCA Animal Poison Control Center in 1998. Dr. Wismer is a Diplomate of the American Board of Toxicology and the American Board of Veterinary Toxicology. She is an adjunct instructor at the University of Illinois, a visiting professor at St. Matthews University (Grand Cayman), a consultant for VIN (Veterinary Information Network) and a Master Gardener.

Dr. Lance Roasa is on the podcast to discuss the soaring salaries of new veterinary graduates, the legend of the $100k signing bonus, and all the strings that can be attached. Lance and Dr. Andy Roark discuss how corporate consolidation and private equity money are pushing these trends and where it might all be going. LINKS: The Uncharted Veterinary Podcast https://unchartedvet.com/uncharted-veterinary-podcast/ Teamwork Mind Meld: Setting Expectations for Team Communication https://unchartedvet.com/product/team-communication-workshop/ Creating Content that Clients Crave https://unchartedvet.com/product/creating-content-that-clients-crave/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Dr. Lance Roasa is a 2008 graduate of Texas A&M who has practiced in small animal, mixed animal and emergency settings and has bought, operated and sold over a dozen veterinary practices. He has completed a law degree from the University of Nebraska, is the past president of the American Veterinary Medical Law Association. Dr. Roasa is a consultant for VIN and is a founder of Drip Learning Technologies, a veterinary continuing education provider. He also lectures in 13 veterinary colleges on the legal aspects of employment contracts, medical record keeping, veterinary malpractice and veterinary business as part of the curriculum. He serves as a national co-advisor to the Veterinary Business Management Association and regularly lectures to regional VBMA chapters and to the national association on the topics of growth, business metrics, and technology implementation. Dr. Roasa also owns Santa Rosa Ranch, home to the largest registered Brangus cow herd in the United States.

Dr. Mary Gardner's new book, It's Never Long Enough: A practical guide to caring for your geriatric dog, is a wonderful collection of stories, lessons learned, and practical approaches from a career serving pets at the ends of their lives. Dr. Gardner discusses the writing of the book, her next book on cats, the chapters she's most proud of, and some of the stories that she shares in her texts. Whether you are a pet owner with a geriatric dog, or a medical professional who wants to exponentially increase the number of tips and tricks you have to offer pet owners, this book is worth unpacking. LINKS Buy the Book: DrMaryGardner.com/books Dr. Mary Gardner on Facebook: https://www.facebook.com/drmarygardner The Uncharted Veterinary Podcast https://unchartedvet.com/uncharted-veterinary-podcast/ Retain Your Team: Languages of Appreciation in your Workplace https://unchartedvet.com/product/appreciation-languages-101/ Creating Content that Clients Crave https://unchartedvet.com/product/creating-content-that-clients-crave/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: There is nothing better to Dr. Mary Gardner than a dog with a grey muzzle or skinny old cat! Her professional goal is to increase awareness and medical care for the geriatric veterinary patient and to help make the final life stage to be as peaceful as possible, surrounded with dignity and support for all involved. A University of Florida graduate (AND ANDY’S CLASSMATE!), she discovered her niche in end of life care and is the co-founder and CIO of Lap of Love which has over 250 veterinarians around the country dedicated to veterinary hospice and euthanasia in the home. Dr. Gardner and Lap of Love have been featured in Entrepreneur Magazine, The New York Times, the Associated Press, The Doctors and numerous professional veterinary publications. She is co-author of the textbook “The Treatment and Care of the Veterinary Patient”, co-author of a children’s activity book focused on saying goodbye to a dog called “Forever Friend”, and the author of a book dedicated to pet owners “It’s Never Long Enough: A practical guide to caring for your geriatric dog”. Dr. Gardner also won VMX Small Animal Speaker of the year in 2020!

A new survey from Synchrony (Parent Company of CareCredit & Pets Best Pet Insurance) indicates that the lifetime cost of care ranges from $20K-$55K for dogs and $15K-$45K for cats! Also, most pet owners have no idea that this is the case. 4 our of 5 pet owners will face unexpected veterinary bills. What does this mean for veterinary professionals, who often bear the brunt of pet owner anger when financial limitations to care arise? In this episode, Dr. Andy Roark is joined by Jonathan Wainberg (Synchrony General Manager & Senior Vice President, Pet) to discuss the findings of the study, what is realistic when it comes to setting pet owner expectations for the cost of pet ownership, and how to have financial conversations that encourage financial planning on the part of pet owners. LINKS Synchrony Study Reveals Pet Owners Spend as Much as $55,000 during a Pet’s Lifetime: https://www.carecredit.com/pressrelease/lifetime-of-care-study/ Language of Veterinary Care (AVMA Membership Required): https://www.synchrony.com/groundbreaking-new-language-of-veterinary-care-research.html CareCredit: https://www.carecredit.com/providers/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Jonathan Wainberg (General Manager, Senior Vice President, Pet - Synchrony) brings over 15 years of financial services expertise, and a record of commercial ingenuity, market expansion and energetic leadership driving revenue growth to his role as CareCredit’s General Manager, Senior Vice President, Pet. In this newly established vertical, Jonathan will lead CareCredit’s expansion of the veterinarian credit business, pet insurance and additional market adjacencies. Prior to this, Jonathan served as SVP, General Manager GAP. He joined Synchrony following a 15-year tenure with GE Capital, where he was the Senior Managing Director, Global Sales for Industrial Finance in London. He was a key member of the senior leadership team building a new captive finance business for the reorganized and streamlined GE Capital. Jonathan developed the strategy and led the efforts that allowed GE to provide financing support to global customers in new markets, surpassing sales targets by more than 30%. With on-the-ground roles in the US, Europe and Asia, he’s managed teams around the world and delivered complex strategies in more than 50 countries. Earlier, Jonathan joined GE Capital in Corporate Finance in New York, ultimately becomingManaging Director, responsible for the Eastern US, Canada and private equity firms, in 2012. As Managing Director, Jonathan originated, structured and negotiated leveraged loans and highly structured financings for leveraged buyouts, re-financings, expansions and restructurings of middle market and large cap retail companies. He was a top individual sales contributor from 2007-2010. Jonathan has an MBA from Georgetown University and a BA in History with a concentration in Marketing from Concordia University in Montreal, Canada. He began his career in the executive training program at Macy’s in New York, where he also had various merchant/management roles. Jonathan is a native of Canada, with a dual US-Canada citizenship. He has traveled to over 85 counties, enjoys entertaining, wine and playing with his energetic 2-year-old son. While based in Costa Mesa, Jonathan currently resides in Bal Harbour, Florida with his wife and son, Jonathan will relocate to Southern California soon.

Dental procedures are expensive, and pain control is non-negotiable. How do we do right by our patients while working within the budgets of pet owners? The original anesthesia nerd Tasha McNerney is on the podcast today with FANTASTIC advice on how to do exceptional pain control without breaking the client bank! Let's get into this episode! LINKS: International Veterinary Academy of Pain Management: https://ivapm.org/ Book: Small Animal Regional Anesthesia https://www.amazon.com/Small-Animal-Regional-Anesthesia-Analgesia/dp/0813819946/ref=sr_1_1?keywords=small+animal+regional+anesthesia+and+analgesia&qid=1649161001&s=books&sprefix=small+animal+regional+anesthesia%2Cstripbooks%2C97&sr=1-1 What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Tasha McNerney obtained her CVT in 2005 and has worked clinically in the areas of anesthesia and surgery ever since. Tasha obtained her CVPP (certified veterinary pain practitioner) designation in 2013 and became a veterinary technician specialist in anesthesia in 2015. Tasha has been a featured speaker on various anesthesia and pain management topics at several international veterinary conferences. Tasha is the author of many articles and blogs on anesthesia and pain management related topics. In 2013 Tasha created the Facebook group Veterinary Anesthesia Nerds, which has over 65,000 members taking part in education and exchange of ideas from all over the world! Tasha is crazy and bought a 1920's fixer upper and is now obsessed with home improvement tutorials on YouTube. She lives in Philadelphia with her husband, son, one perfect cat, and one jerk cat. Trust me that cat is a jerk.

Dr. Anna McManamey joins the podcast to discuss heart murmurs in cats. Alabaster is a 4 year old MN domestic shorthair who is in for his first dental cleaning. On physical examination, Alabaster has a grade 2-3/6 systolic murmur. Dr. Mac breaks down what her concerns are, the risk factors and next steps to take. Let's get into it! LINKS: Retain Your Team: Speak the Languages of Appreciation in Your Workplace - May 21, 2022: https://unchartedvet.com/product/appreciation-languages-101/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Dr. McManamey (aka Dr. Mac) is a veterinary cardiologist. She received her degree of veterinary medicine from the University of Missouri. She then completed a rotating internship at the Ohio State University followed by an emergency and critical care internship at North Carolina State University. She finished her cardiology residency at North Carolina State University and became an ACVIM diplomate in 2021. Dr. Mac is currently an assistant clinical professor at Purdue University in Indiana. Cardiology is her favorite subject because it can be made as simple or as complex as needed. Furthermore, every animal has a heart and that means Dr. Mac gets to work with all kinds of species. Her areas of interest within cardiology are echocardiogram, congenital heart disease and interventional procedures, as well as emergency management of cardiac disease. She has a very supportive and patient husband along with three canine fur-children, one of which had a patent ductus arteriosus (of course).

Dr. Sheila Robertson is board certified in anesthesia and in animal welfare in the USA and Europe and serves as the senior medical director at Lap of Love Pet Hospice. Today, she joins Dr. Andy Roark to discuss a recent research publication on which she is an author: the 2022 ISFM Consensus Guidelines on the Management of Acute Pain in Cats. This is a great episode for anyone interested in getting our feline patients better pain control and generally better experiences in the veterinary clinic. LINKS: 2022 ISFM Consensus Guidelines on the Management of Acute Pain in Cats: https://journals.sagepub.com/doi/metrics/10.1177/1098612X211066268 Feline Grimace Scale (Website & App): https://www.felinegrimacescale.com/ AAFP Feline Friendly Handling Guidelines: https://catvets.com/guidelines/practice-guidelines/handling-guidelines Retain Your Team - Speak the Languages of Appreciation in Your Workplace: https://unchartedvet.com/product/appreciation-languages-101/ Creating Content Clients Crave: https://unchartedvet.com/product/creating-content-that-clients-crave/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Dr. Sheila Robertson graduated from the University of Glasgow in Scotland in 1980. After some time in mixed animal practice, she spent a year as a surgery intern followed by specialized training in anesthesia and analgesia at Bristol University (United Kingdom). While at Bristol she also completed her PhD investigating the physiologic effects of different anesthetic protocols in horses. She is board certified in anesthesia and in animal welfare in the USA and Europe and holds a certificate in small animal acupuncture. She has been a faculty member at the University of Saskatchewan, Michigan State University, and the University of Florida. Her research interests have focused on the recognition and alleviation of acute pain in cats, horses and even iguanas, topics she has published widely on. She spent 2 years as an assistant director in the division of Animal Welfare at the American Veterinary Medical Association. In 2014 she completed her graduate certificate in Shelter Medicine at the University of Florida. In 2019 she received her certification as a Traditional Chinese Veterinary Medicine Palliative and End-of-Life practitioner by the Chi Institute of Chinese Medicine. Currently she is the senior medical director of Lap of Love Veterinary Hospice, a large network of veterinarians dedicated to end-of-life care and in-home euthanasia throughout the USA. Dr Robertson is also a courtesy Professor in the Department of Small Animal Clinical Sciences, University of Florida, Gainesville, Florida. She continues to volunteer at community cat clinics and High-Volume High Quality Spay and Neuter Programs.

Charlie, the 2 year-old labrador has crept from 76 lbs to 84 lbs over the last 6 months. We need to do something about this, and Charlie’s owners don’t seem super motivated to intervene. They’re good people, and they will listen if we can just communicate the right message in the right way. Dr. Shelly Adrian, US Ambassador for the Purina Institute, joins Dr. Andy Roark to discuss this oh-so-common case and some resources that veterinary teams can use to have these conversations more effectively. Let’s get into this episode! This episode is brought to you ad-free by the Purina Institute. LINKS Purina Institute CentreSquare: https://www.purinainstitute.com/centresquare?utm_campaign=pin-centresquare2022&utm_medium=influencer&utm_source=podcast&utm_content=cr-apr_andy_roark_cone-of-shame_cs_episode135_pt-na&utm_term= Purina Institute: https://www.purinainstitute.com?utm_campaign=pin-centresquare2022&utm_medium=influencer&utm_source=podcast&utm_content=cr-apr_andy_roark_cone-of-shame__homepage_episode135_pt-na&utm_term= What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Dr Shelly Adrian received her DVM from Kansas State University College of Veterinary Medicine in 2007. She went on to a rigorous one-year private practice internship, mainly focused on Emergency Medicine, at the Pet Emergency & Specialty Center in San Diego, CA. Dr Adrian remained with that clinic for an additional 2 years as an emergency veterinarian. In 2010, she entered general practice in San Diego, and continues to practice in coastal San Diego. Shelly’s areas of interest include nutrition, internal medicine, and emergency medicine. In 2015, Shelly joined Nestle Purina Pet Care as a Veterinary Communications Manager and was named a Senior Veterinary Communications Manager in 2019. Her current responsibilities include supporting several veterinary schools as well as providing education on behalf of the veterinary sales team. Shelly also took on the role of US Ambassador for the Purina Institute in 2021 and works to further communication to the veterinary community regarding the science behind nutrition. Shelly resides with her physicist husband in San Diego and has three dogs: a 77-pound “greyhound-lookin’ thing” named Nutmeg, a young “Monkey” golden retriever mix, who she found on Petfinder.com, and their newest puppy “Walnut”.

What does it feel like to sell the veterinary practice that you love and poured your heart into for so many years? What decisions and considerations get made along the way? Dr. Saye Clement joins Dr. Andy Roark on this episode to tell her story of selling the practice she called home for 18 years. LINKS: Retain Your Team - Speak the Languages of Appreciation in Your Workplace: https://unchartedvet.com/product/appreciation-languages-101/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Dr. Saye Clement is a veterinarian with over 28 years of clinical experience. Aside from stints as an emergency veterinarian and self-employed locum, she has spent the majority of her career at Carling Animal Hospital (in Ottawa, Canada) as a Co-Owner, Medical Director and Clinician. In late 2021, she stepped down from her leadership role within the hospital and assumed a role as an associate veterinarian. Outside of practice, she was honored to serve as the Director for Learning for Vet Alliance (an organization which supports independent practices in Canada) and enjoys giving the occasional lecture or workshop. She is passionate about helping others to develop great clinic culture and operational processes, and strives to provide information that can be easily implemented by busy professionals.

A 6 month-old bearded dragon presents for shaking and not eating. Dr. Doug Mader walks us through the best way to approach this case and discusses why Metabolic Bone Disease (MBD) is a term we should think twice about using. LINKS: Dr. Mader's Website: https://www.dougmader.com/ Follow Dr. Mader on Facebook: https://www.facebook.com/groups/170060086888423/user/1416949546 Retain Your Team - Speak the Languages of Appreciation in Your Workplace: https://unchartedvet.com/product/appreciation-languages-101/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Douglas R. Mader, MS, DVM, Diplomate ABVP (Canine/Feline), Diplomate, ABVP (Reptile/Amphibian), Diplomate, ECZM (Herpetology), Fellow, Royal Society of Medicine Dr. Mader received his DVM from the University of California, Davis in 1986. In addition, he completed a Residency in Primate and Zoo animal medicine. He is the consulting veterinarian for the Monroe County Sheriff's Zoo, the Key West Aquarium, Dynasty Marine, the Sea Turtle Hospital, the Everglades Alligator Farm and the Theater of the Sea. Previously Dr. Mader owned the Marathon Veterinary Hospital, a double AAHA accredited 24 hr emergency/referral hospital. Dr. Mader is an internationally acclaimed lecturer and is on the review boards of several scientific journals. He has published numerous articles in scientific and veterinary journals, national magazines, and, is the author/editor and co-editor of three textbooks on Reptile Medicine and Surgery.­­ Dr. Mader’s latest project is his new book “The Vet at Noah’s Ark - Stories of Survival from an Inner-city Animal Hospital.”

Tasha McNerney CTV VTS CVPP joins us to discuss the case of Hercules Mulligan. a 4 yo MN Domestic Shorthair who cannot urinate. That's right... This poor guy has a urethral obstruction and will need anesthesia and pain control STAT! What are the top tips and tricks for handling these cases? What mistakes do doctors and technicians want to make sure to avoid? Let's find out! LINKS: Sacrococcygeal Block Demo: https://www.youtube.com/watch?v=KhAN4SavVzg Think Anesthesia: https://www.thinkanesthesia.education/ Retain Your Team - Speak the Languages of Appreciation in Your Workplace: https://unchartedvet.com/product/appreciation-languages-101/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Tasha McNerney obtained her CVT in 2005 and has worked clinically in the areas of anesthesia and surgery ever since. Tasha obtained her CVPP (certified veterinary pain practitioner) designation in 2013 and became a veterinary technician specialist in anesthesia in 2015. Tasha has been a featured speaker on various anesthesia and pain management topics at several international veterinary conferences. Tasha is the author of many articles and blogs on anesthesia and pain management related topics. In 2013 Tasha created the Facebook group Veterinary Anesthesia Nerds, which has over 65,000 members taking part in education and exchange of ideas from all over the world! Tasha is crazy and bought a 1920's fixer upper and is now obsessed with home improvement tutorials on YouTube. She lives in Philadelphia with her husband, son, one perfect cat, and one jerk cat. Trust me that cat is a jerk.

Dr. Jason Gagné, a Board-Certified Veterinary Nutritionist and Purina’s Director of Veterinary Technical Communications, is on to help Dr. Andy Roark sort out a tough case. Budrow is a 3 year-old mix breed dog with waxing-and-waning bouts of diarrhea and vomiting, and year-round allergies. His owners have tried all sorts of drugs and diets on this poor dog, and now we’re right back where we started. Let’s unpack what’s going on and get to the bottom of this! LINKS Purina ProPlan Veterinary Diets - https://www.purinaproplanvets.com/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST Dr. Jason Gagné is a Board-Certified Veterinary Nutritionist and is Purina’s Director of Veterinary Technical Communications where he leads scientific innovation and product development for the Purina Pro Plan Veterinary Diets Brand. Jason works closely with innovation and renovation of dietary formulations, developing clinical trials, and Sales and Marketing. Prior to, and throughout his residency at Cornell, he served as an Associate Veterinarian in a small animal practice in Syracuse, New York. Jason has authored several publications in veterinary journals and textbooks, given scientific presentations at the regional and national level, taught a series of courses at Cornell, and serves as a scientific reviewer for leading journals and the American Kennel Club Canine Health Foundation.

Guest: Dr. Addie Reinhard - It’s no surprise that both veterinarians and their support staff have high rates of burnout, but are these groups experiencing stress for the same reasons? What can individuals do to reduce these stresses? What can practices do to protect their people, and what role does personal autonomy play in all of this? New research, the Merck Animal Health Veterinary Wellbeing Study III, sheds light on not just the factors causing psychological stress in the veterinary profession, but also what we can do about it. LINKS: Merck Animal Health Veterinary Wellbeing Study III https://www.merck-animal-health-usa.com/about-us/veterinary-wellbeing-study Are They Ready? Trials, Tribulations, and Professional Skills Vital for New Veterinary Graduate Success https://www.frontiersin.org/articles/10.3389/fvets.2021.785844/full AVMA Wellbeing Resources https://www.avma.org/resources-tools/wellbeing QPR Training https://www.avma.org/resources-tools/wellbeing/qpr-suicide-prevention-training MentorVet Website www.mentorvet.net MentorVet Instagram https://www.instagram.com/mentorvet/ Uncharted Veterinary Podcast: https://unchartedvet.com/blog/ Uncharted Veterinary Conference: https://unchartedvet.com/uncharted-april-2022/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Dr. Addie Reinhard is a veterinary wellbeing researcher. Her research focuses on developing and evaluating innovative interventions to support mental health and wellbeing within the veterinary profession. She is the Founder and CEO of MentorVet, an evidence-based mentorship and professional development program for recent veterinary graduates. She is on the research team for the next phase of the Merck Animal Health Veterinary Wellbeing Study. In 2021, she completed a master’s degree in Community and Leadership Development and a Graduate Certificate in College Teaching and Learning from the University of Kentucky and holds a certificate in Veterinary Human Support from the University of Tennessee. She is also a certified QPR instructor.

Professor Biscuit has been having some blood in his urine, and Dr. Roark is seeing something that doesn’t look right in the poor guy’s bladder. Today we talk with Veterinary Oncologist Dr. Sandra Bechtel about Transitional Cell Carcinoma and how we can best approach it. Let’s get into it! LINKS: KRUUSE - Preferred partner to the Veterinary Industry since 1896 https://kruuse.com/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Sandra (Axiak) Bechtel is a Veterinary Medical Oncologist and Associate Professor at the University of Florida in Gainesville, FL. She graduated from Michigan State University’s College of Veterinary Medicine in 2004 followed by an internship at Mississippi State University and Medical Oncology residency at Gulf Coast Veterinary Specialists. She achieved board certification in Medical Oncology in 2008 and practiced as an Associate Oncologist at Veterinary Specialists of North Texas in Dallas and Assistant/Associate Professor at the University of Missouri prior to joining the University of Florida in 2017. She loves teaching veterinary students how to apply their didactic education to patient care and to understand the goals of cancer therapy in dogs and cats. Her research focuses on improving the lives of companion animals with naturally occurring cancer and providing translational models for research in cancer causation, progression, and treatment. Particular areas of interest include novel diagnostics and treatments in cancer therapy and immune system dysfunction and modulation in cancer. This focus provides advanced cancer treatment for companion animals and essential information for translation of novel treatments into people. She has lectured and published extensively on her research in translational oncology. She relishes outdoor activities with her husband Scott and daughter Ainsley, and enjoys taking her boisterous Cavalier King Charles Spaniel, Watson for long walks.

Gertrude is a 16lb obese cat who simply refuses to lose weight. She will not run, play, or exercise in any way. She refuses to eat anything but the food she wants. Her health is on the line and Dr. Andy Roark is out of ideas. Fortunately, Ingrid Johnson is here to talk about how she handles these cases. Let’s get into it! LINKS: Fundamentally Feline: https://www.fundamentallyfeline.com/ Put on Your PANTS! Hold Meeting that Matter: https://unchartedvet.com/product/put-on-your-pants-meetings/ Uncharted April Conference: https://unchartedvet.com/uncharted-april-2022/ Uncharted Podcast on iTunes: https://podcasts.apple.com/us/podcast/the-uncharted-veterinary-podcast/id1449897688 Charming the Angry Client On-Demand Staff Training: https://drandyroark.com/on-demand-staff-training/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Ingrid Johnson is a Certified Cat Behavior Consultant (CCBC) through The International Association of Animal Behavior Consultants (IAABC). Ingrid owns and operates Fundamentally Feline, providing in home consults for locals and virtual consultations worldwide for clients experiencing behavior challenges with their cat(s). In addition to behavior consults, Ingrid also offers medicating consultations to help clients overcome, or get ahead of, medicating challenges. Prevention and training, the best medicine! She makes her own line of feline foraging toys, scratching posts, vertical space, and litter boxes. She lectures nationwide on cat behavior at veterinary conferences such as AAFP, VMX, ACVC and the like. She is employed at Paws Whiskers and Claws, a feline only veterinary hospital, as a tech, groomer, and office manager and has been working exclusively with cats since 1999. In the Fall of 2016 a paper she co-authored, Food puzzles for cats: Feeding for physical and emotional well-being, was published in the JFMS (Journal of Feline Medicine and Surgery) and to compliment it she co-developed FoodPuzzlesforCats.com. To date it is the most popular and widely downloaded paper in the history of the journal! Ingrid’s home, cats, and environmental enrichment expertise has been featured on Animal Planet’s Cats101 show and featured in numerous publications including the website WebMD. She has created a series of educational How-To videos of her own, viewable on Fundamentally Feline’s website and YouTube channel. Ingrid regularly interviews and offers her expertise for various media outlets. She is Co-Director of Paw Project-Georgia, working towards ending the cruel practice of de-clawing cats. Cat Fancy magazine’s 2008 “Home Issue” showcased her feline friendly accommodations and the aesthetically pleasing ways you can provide for your cats innate basic needs while still having a home the humans can enjoy. Ingrid is a huge advocate for enrichment and is determined to thwart the belief that one’s home will look unsightly in efforts to provide it. Ingrid shares her home with husband Jake, five rescue cats, and Sebastian, a rescued Great Pyrenees Dog. Follow Fundamentally Feline on Facebook, Twitter, Instagram and You Tube!

Imagine a CSR working from home, checking a client out and booking appointments from his home, or a technician live-chatting with three different pet owners through the clinic webpage from her apartment, or a doctor doing telemedicine appointments from another state? This isn’t fantasy. There are practices actually making these things happen today. Christina Freeman and Summer Burke-Irmiter join Dr. Andy Roark to talk about how their clinic is breaking the mold to give employees (and clients) flexibility like never before. Let’s get into this episode! LINKS Podcast Blog w/ Photos from Adobe: https://drandyroark.com/virtual-vet-medicine/ Uncharted April Conference: https://unchartedvet.com/uncharted-april-2022/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUESTS Christina Freeman joined the Adobe family in 2015 and focused her first few years in the Veterinary Marketplace. She was excited to move to the remote team and work with our online chat services and telemedicine and help these new communication tools grow and evolve. Christina is a native of North Carolina where she currently lives with her family and a large collection of animals great and small. Christina has a retail background and degree in Animal Science from North Carolina State University along with a teaching certification in all things science. She spends her spare time chasing children, gardening, doing pottery and oil painting. Summer Burke-Irmiter, MBA, has worked in veterinary hospitals for over 25 years. At the Uncharted Conferences, you will find her proudly wearing her Founding Member button and excitedly talking about her two amazing hospitals with over 22 doctors, the Open Hospital design which allows clients to go wherever their pets go and pitching her latest outlandish ideas to anybody who will listen. She's earned the nickname of "Goddess of Innovation" in some circles (along with other nicknames we won't mention here) by helping to launch remote teams at Adobe over 9 years ago, pushing for video visits a year before the pandemic, and touting the benefits of online chat to her team. The recent development of Video Client Representatives is one of the many creative solutions Summer has to solve common issues in our industry. Summer runs away to the circus every chance she gets and trains in Cirque du Soleil type arts such as lyra, a spinning hoop 6-12 feet in the air.

Dr. Indu Mani is on the podcast today discussing moral distress in veterinary medicine. The pain we experience when we know the “right” thing to do but are unable to do it can take an ethical toll. For those of us practicing veterinary medicine, this toll may contribute to burnout, depression and other job stressors. So what do we do about it? How do we battle back against a condition that seems ubiquitous to our profession? Let’s get into this episode! LINKS Original Moral Distress Article: https://www.nydailynews.com/opinion/ny-oped-veterinary-suicide-20220109-bb6jja57yva3bb23tnwtq7zvsa-story.html Ethical conflict and moral distress in veterinary practice: A survey of North American veterinarians - https://pubmed.ncbi.nlm.nih.gov/30320478/ Uncharted Veterinary Podcast: https://unchartedvet.com/blog/ Uncharted Veterinary Conference: https://unchartedvet.com/uncharted-april-2022/ Put on Your PANTS! How to Hold Meetings that Matter: https://unchartedvet.com/product/put-on-your-pants-meetings/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Indu Mani, DVM, DSc, is the Chief Scientific Officer of Brief Media, editor of Clinician’s Brief journal, and associate veterinarian at VCA Brookline Animal Hospital. She is a Fellow in Bioethics at the Harvard Medical School and a Master of Science in Bioethics student at Albany Medical College. She received her Doctor of Veterinary Medicine degree from Colorado State University and her Doctor of Science degree from the Harvard School of Public Health. She is interested in all aspects of veterinary bioethics, particularly moral distress, and infectious disease bioethics. She was a Distinguished Practitioner/Fellow at the National Academies of Practice and is on the One Health Initiative Website Advisory Board.

This episode is made possible ad-free with the support of Purina Institute! We have a wonderful (but anxious) German Shepherd with chronic diarrhea that just isn’t going away. Her owners would like to handle this without medications if possible. Veterinary nutritionist Dr. Raj Naik is here to talk about the case, our options, and the importance of considering the microbiome as we treat GI disease. LINKS Purina Institute Microbiome Forum: https://www.purinainstitute.com/microbiome-forum Purina Institute: https://www.purinainstitute.com/ Charming the Angry Client On-Demand Staff Training: https://drandyroark.com/on-demand-staff-training/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Dr. Raj Naik developed a special interest in clinical nutrition while at the Virginia-Maryland College of Veterinary Medicine. After completing a rotating internship at a large specialty hospital in New Jersey, his love of nutrition brought him to the University of Tennessee to pursue specialty training in small animal clinical nutrition. Dr. Naik joined Nestle Purina shortly after completing his residency. As a Veterinary Communications Manager and one of several board-certified veterinary nutritionists at Purina, Dr. Naik serves as a liaison between Purina and the veterinary community. Outside of his day job, Dr. Naik recently served on the Board of Regents for the American College of Veterinary Nutrition. In his free time, you will find Raj attempting to entertain his son along with his wife, dog, and two cats.

Veterinary Cardiologist Dr. Anna McManamey (AKA Dr. Mac) is on the podcast today talking with Dr. Andy Roark about a 12 year-old Maltese named Higgins who has had a heart murmur for a long time, but just recently developed a cough. How concerned should we be? What do we want to make sure we investigate, and what pitfalls do we need to avoid? Dr. Mac takes us through it! LINKS Uncharted Veterinary Podcast: https://unchartedvet.com/blog/ Ninja Nerd: https://www.youtube.com/c/NinjaNerdScience Client Curation w/ Dr. Saye Clement: https://unchartedvet.com/product/client-curation-how-to-find-your-people/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Dr. McManamey (aka Dr. Mac) is a veterinary cardiologist. She received her degree of veterinary medicine from the University of Missouri. She then completed a rotating internship at the Ohio State University followed by an emergency and critical care internship at North Carolina State University. She finished her cardiology residency at North Carolina State University and became an ACVIM diplomate in 2021. Dr. Mac is currently an assistant clinical professor at Purdue University in Indiana. Cardiology is her favorite subject because it can be made as simple or as complex as needed. Furthermore, every animal has a heart and that means Dr. Mac gets to work with all kinds of species. Her areas of interest within cardiology are echocardiogram, congenital heart disease and interventional procedures, as well as emergency management of cardiac disease. She has a very supportive and patient husband along with three canine fur-children, one of which had a patent ductus arteriosus (of course).

Dr. Andy Roark and Dr. Adam Boyko discuss the rapid advances being made in canine genetic testing. They talk about what health conditions might be detected, what impact that could have on both medical management programs and breeding programs and how genetic screening could potentially add years to the lives of dogs in the future. LINKS Embark Veterinary: https://embarkvet.com/vets What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Dr. Adam Boyko is Chief Science Officer at Embark Veterinary and associate professor in Biomedical Sciences at the Cornell University College of Veterinary Medicine, focused on the genomic investigation of dogs. Adam’s research has addressed fundamental questions of dog evolution and history, disease and trait mapping, and advancing genomic tools for canine research. Adam has coauthored over 40 peer-reviewed scientific papers, including research in Nature, Science, and the Proceedings of the National Academy of Science and is a member of the Board of Trustees for the Morris Animal Foundation. He is a graduate of the University of Illinois, Urbana-Champaign and received an MS in Computer Science and a PhD in Biology from Purdue University before his postdoctoral work at Cornell and Stanford.

Is there really an effective treatment for FIP that’s illegal for veterinarians in the US to recommend, prescribe or even discuss? Is there a Facebook group saving the lives of FIP cats in a way that veterinary professionals aren’t able to? In this episode, Dr. Andy Roark sits down with Dr. Julie Levy to discuss the facts and fiction around GS-441. LINKS A Much-Hyped COVID-19 Drug Is Almost Identical to a Black-Market Cat Cure - https://www.theatlantic.com/science/archive/2020/05/remdesivir-cats/611341/ Maddie’s Shelter Medicine Program at the University of Florida: https://sheltermedicine.vetmed.ufl.edu/ Every Cat Foundation: https://everycat.org/ FIP Warriors Veterinarian FB Group: ​​https://www.facebook.com/groups/2422765211310743 UNCHARTED APRIL CONFERENCE: https://unchartedvet.com/uncharted-april-2022/ March 9 Strategic Planning #4 https://unchartedvet.com/planning4 March 13 Client Curation with Saye Clement: https://unchartedvet.com/client Charming the Angry Client On-Demand Staff Training: https://drandyroark.com/on-demand-staff-training/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Dr. Julie Levy is the Fran Marino Distinguished Professor of Shelter Medicine Education at the University of Florida, where she focuses on the health and welfare of animals in shelters, feline infectious diseases, and humane alternatives for cat population control. She founded Operation Catnip, a nonprofit university-based community cat trap-neuter-return program that has spayed, neutered, and vaccinated more than 70,000 cats in Gainesville since 1998. In 2008, she joined Dr. Cynda Crawford to found Maddie’s Shelter Medicine Program at the College of Veterinary Medicine, an educational and discovery initiative with a global impact on the care of homeless animals. In 2014, she joined Dr. Kate Hurley to launch the Million Cat Challenge, a shelter-based campaign that saved more than 3.5 million cats in shelters across North America. In 2022, she helped launch Maddie’s Million Pet Challenge to create transformative “communities of practice” that deliver access to care through humane, community-centric programming—inside and outside of the shelter—to achieve the right outcome for every pet.

Walter is a 2-year-old male-neutered labrador retriever who has presented on Saturday morning at the emergency clinic. He is having a little bit of vomiting and a LOT of diarrhea. Dr. Andy Roark wrestles with wanting to be aggressive enough to solve Walter’s problem quickly while also wanting to be a good steward for antimicrobials and to not throw more medications at the problem than it warrants. He’s looking for advice and turns to emergency veterinarian Dr. Callie Harris. Dr. Harris works with Purina ProPlan Professional Supplements and shares some fantastic tips, tricks and ways of thinking to help do what’s best for Walter and his owners. Let’s get into this episode! LINKS Purina Institute: www.purinainstitute.com/ Dr. Callie’s IG: @dr.callieh UNCHARTED APRIL CONFERENCE: https://unchartedvet.com/uncharted-april-2022/ Charming the Angry Client On-Demand Staff Training: https://drandyroark.com/on-demand-staff-training/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST Dr. Callie Harris is a 2008 graduate of Tuskegee University’s School of Veterinary Medicine. After graduation, she completed a one- year rotating small animal internship at the Veterinary Specialty Hospital of the Carolinas in Cary, NC. During her internship, she developed a love for emergency medicine and critical care and worked as an emergency veterinarian at Cobb and Cherokee Emergency Veterinary Clinics, which are fast-paced, high volume specialty practices in Metro-Atlanta since 2009. In December of 2016, Dr. Callie Harris joined Nestle Purina PetCare as a full-time veterinarian. In her role as Senior Veterinary Communications Manager, she provides support for veterinary teaching hospitals throughout the Southeast and technical education support for Purina’s veterinary sales division. She also works closely with Purina Brand and Public Relations by participating in various media platforms to connect with the veterinary and pet loving communities. Callie has a special interest in emergency medicine, ultrasound, and nutrition. She loves working with a variety of cases and meeting clients from all walks of life. She currently resides in Atlanta Georgia with her husband, toddler daughter, her hyper Bichon/Poodle mix and a senior citizen terrier mix. When Callie is not working, you can find her on the dance floor! She is a former part-time ballroom dance instructor in Buckhead. Most recently, she joined the cast of ABC’s Pooch Perfect as a co-judge of a creative grooming reality contest and to provide veterinary consultation. In her spare time, she loves to travel and read!

Description: Clinton Neill, PhD, assistant professor at Cornell University College of Veterinary Medicine’s Center for Veterinary Business and Entrepreneurship, joins Dr. Andy Roark to discuss the economic impact of burnout on the veterinary profession. LINKS: Burnout’s Economic Toll on Veterinarians Calculated (JAVMA): https://www.avma.org/javma-news/2021-12-15/burnouts-economic-toll-veterinarians-calculated?utm_source=delivra&utm_medium=email&utm_campaign=JAVMA%20News%20December%2015%202021&utm_id=3330547&utm_term=Read+more&dlv-emuid=c2921e9c-4321-4b95-ba17-70b6e899c404&dlv-mlid=3330547 Uncharted Podcast on iTunes: https://podcasts.apple.com/us/podcast/the-uncharted-veterinary-podcast/id1449897688 WORKSHOP - Loading the Bus w/ Dr. Andy Roark & Stephanie Goss: https://unchartedvet.com/strategic-planning/ UNCHARTED APRIL CONFERENCE: https://unchartedvet.com/uncharted-april-2022/ Charming the Angry Client On-Demand Staff Training: https://drandyroark.com/on-demand-staff-training/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Bio: Dr. Clinton Neill is currently an Assistant Professor in veterinary economics for the Cornell Center of Veterinary Business and Entrepreneurship. Dr. Neill’s research primarily focuses on the broad scope of issues that face the veterinary industry. He also has grant funded research projects in food policy, labeling, and the integration of producer and consumer decision making. Before coming to Cornell, Dr. Neill was an Assistant Professor in Food Systems Economics at Virginia Tech. Dr. Neill completed his bachelor’s and master’s degrees in Agricultural and Applied Economics at Texas Tech University, and received his Doctorate in Agricultural Economics from Oklahoma State University. In addition to his research Dr. Neill focuses on bringing his academic research to real solutions for the veterinary and food industries. Email: [email protected]

As veterinary medicine continues to wrestle with its burnout problem, an emphasis on engaged and positive workplace cultures is on the rise. In today’s episode, Jeff Thoren visits to discuss the power and importance of minding our thoughts. LINKS: Uncharted Podcast on iTunes: https://podcasts.apple.com/us/podcast/the-uncharted-veterinary-podcast/id1449897688 WORKSHOP - What Vet Med Can Learn From Improv: https://unchartedvet.com/product/what-vet-med-can-learn-from-improv/ WORKSHOP - Loading the Bus w/ Dr. Andy Roark & Stephanie Goss: https://unchartedvet.com/strategic-planning/ UNCHARTED APRIL CONFERENCE: https://unchartedvet.com/uncharted-april-2022/ Charming the Angry Client On-Demand Staff Training: https://drandyroark.com/on-demand-staff-training/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Jeff Thoren is a husband, father, cat parent, and avid road cyclist who values uniqueness and lightheartedness. His career highlights include: - Founder of Gifted Leaders, LLC an established executive and team coaching company. - Clinical Assistant Professor of Veterinary Communication at Midwestern University in Glendale, AZ - One of only five veterinarians in the world who also hold a credential from the International Coaching Federation (PCC) - Board Certified Coach specializing in leadership and team development - Over 300 hours of accredited, coach-specific training and continuing education - Extensive individual and team coaching experience - Founding member of the Extraordinary Teams Partnership - Co-Founder of the Enlightened Rebel Alliance - Co-Author of a featured column in Today's Veterinary Business Jeff is committed to helping build engaging, innovative, and humane workplace cultures characterized by collective leadership, self-directed teams, and a spirit of partnership. He has experience in private & corporate veterinary practice, industry, operating his own coaching/consulting business, and, most recently, academia!

Dr. Donnell Hansen, veterinary dentist, sits down with Dr. Andy Roark to advise on the case of a 12 year old yorkie with mild kidney disease who may or may not need multiple extractions. Chanel has approximately 30% horizontal bone loss across the maxillary premolars, and the teeth feel stable on palpation. What do we do? Do we pull them? Or do we leave them? How do we decide? LINKS: Four Legged Tooth Fairy: https://fourleggedtoothfairy.com/ Uncharted Podcast on iTunes: https://podcasts.apple.com/us/podcast/the-uncharted-veterinary-podcast/id1449897688 WORKSHOP - What Vet Med Can Learn From Improv: https://unchartedvet.com/product/what-vet-med-can-learn-from-improv/ WORKSHOP - Loading the Bus w/ Dr. Andy Roark & Stephanie Goss: https://unchartedvet.com/strategic-planning/ UNCHARTED APRIL CONFERENCE: https://unchartedvet.com/uncharted-april-2022/ Charming the Angry Client On-Demand Staff Training: https://drandyroark.com/on-demand-staff-training/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Dr. Donnell Hansen, a Minnesota native, and a small group of friends joined together to form the Moxie Center (which was the first hospital to be now known as BluePearl) in Minnesota’s twin cities of Minneapolis/Saint Paul. Although her daily life is spent in specialty care, in 2011, her and her husband, also a veterinarian, opened Rice Creek Animal Hospital which provides a little balance and perspective about life in family practice. In 2019, Donnell developed Four Legged Tooth Fairy, an interactive small group conference center for the veterinary community to enhance their patient health, practice health, and mental health through veterinary dentistry. Dr. Hansen’s special interest in maxillofacial surgery, however the truth is, she loves the whole darn gig… especially when she gets to share the fun of veterinary dentistry with others!

This episode is made possible ad-free by the sponsorship of Hill’s Pet Nutrition! Dr. Andy Roark has a 4yo FS Labrador that is 6-7/9 body condition score. He’s wondering why he struggles to motivate clients to make changes that will get this dog back to an ideal condition. Dr. Mike Robbins is in to discuss what vets get wrong in these conversations, how vets and technicians can make better recommendations to motivate these clients, and the missed opportunities we all have in doing nutritional assessments. LINKS: Hill's Quick Reco Tool for personalized feeding fecommendations made easy: https://quickreco.com/ Hill's Veterinary Resources for Patient Weight Loss: https://www.hillsvet.com/pet-solutions/weight-management-pet-food American College of Veterinary Nutrition specialty website: https://acvn.org/ WASAVA for Diet History Form: Full Form: https://wsava.org/wp-content/uploads/2020/01/Nutritional-Assessment-Checklist.pdf Shortened Form: https://wsava.org/wp-content/uploads/2020/01/Diet-History-Form.pdf Veterinary Technician Nutrition Specialty Program/Info: https://nutritiontechs.com/ Veterinary Healthcare Team site: www.endpetobesity.com/vet Pet Parent Friendly site: www.endpetobesity.com Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Michael T. Robbins, DVM, Dipl. ACVN received his veterinary medical degree in 2015 from the University of Tennessee and completed a rotating internship at the BluePearl Veterinary Hospital in Louisville, KY. This was followed by a residency in small animal clinical nutrition at North Carolina State University College of Veterinary Medicine. He then stayed on with the Clinical Nutrition Service for 7 months following his residency to further hone his skills prior to accepting the position of Scientific Communications Specialist with Hill’s Pet Nutrition. During his time at NC State, Dr. Robbins was involved with developing specifically tailored assisted feeding tube diet blends, outlining feeding plans for all ICU patients, creating appropriate homemade diets for those patients with specific and complex nutritional needs (as well as extremely particular taste preferences), while also providing nutritional advice to referring veterinarians. He also assisted with teaching responsibilities of third and fourth year veterinary students as well as rotating interns. In 2021, Dr. Robbins received his diplomate status with the American College of Veterinary Nutrition which has recently been altered to American College of Veterinary Internal Medicine (Nutrition). His current responsibilities with Hill’s are to deliver education to veterinary staff, students, and those involved with Hill’s tours; provide technical support to Hill’s Veterinary Consultation Service; assist with review of technical documents; support the execution and development of digital education and social media strategy; and build relationships with Key Thought Leaders.

Dr. Sam Morello is on the podcast to discuss her recent publication in JAVMA, Comparison of resident and intern salaries with the current living wage as a quantitative estimate of financial strain among postgraduate veterinary trainees. Dr. Morello makes the case that early career pay plays a role in our ability to increase diversity in the profession, support women and families, reduce the frequency of burnout and increase doctor retention in the clinical space. LINKS: Original Article: https://avmajournals.avma.org/view/journals/javma/aop/javma.21-07-0336/javma.21-07-0336.xml Uncharted Podcast on iTunes: https://podcasts.apple.com/us/podcast/the-uncharted-veterinary-podcast/id1449897688 Charming the Angry Client On-Demand Staff Training: https://drandyroark.com/on-demand-staff-training/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Sam Morello received her BS and DVM from Cornell University and completed a large animal surgical residency at the University of Pennsylvania’s New Bolton Center. She spent over a decade in academia as an Associate Professor Surgery focused on musculoskeletal and upper airway diseases. In addition to her clinical research on those topics, Dr. Morello has extensive experience investigating and speaking on professional sustainability, economic, and personal life issues in veterinary medicine with a particular focus on gender. She has been an invited speaker nationally and internationally and at veterinary schools across the country. Projects have focused on women and other underrepresented groups in veterinary surgery and human orthopedics, on work-life issues for veterinarians, residency-selection and compensation, and how gender stereotypes affect perceptions of veterinary medicine to those outside. Her goals are to provide data to improve mentorship, inform career decisions, and to guide those in management and leadership roles to shape the policies that best serve the profession. She serves as the Assistant Director for Continuing Education for the American College of Veterinary Surgeons, a member of the AOVet North America Faculty where she serves on the Education Committee and leads a task force on Faculty and Leader Development for the internationally run AO Access program, a program she helped to design and launch dedicated to improving diversity, opportunity, and mentorship among global community of human and veterinary orthopedic surgeons. She also serves on the board for the Women’s Veterinary Leadership Development Initiative. Sam is now self employed as a consultant, based in Madison, Wisconsin, and recently joined the Cornell Center for Veterinary Business and Entrepreneurship as a Courtesy Associate Professor.

Description: This episode of the Cone of Shame Veterinary Podcast is made possible by Cubex - Protect your people, practice and profits. Dr. Carrie Jurney, President of Not One More Vet (NOMV) is visiting today to talk about the changes we have seen in the veterinary mental health space during the COVID pandemic. In the last 2 years NOMV has grown radically, and has become one of the most recognizable groups working to improve wellness and mental health in our industry. Carrie and Dr. Andy Roark discuss where mental health initiatives are going, and how they will look very different in years to come. LINKS: Uncharted Podcast on iTunes: https://podcasts.apple.com/us/podcast/the-uncharted-veterinary-podcast/id1449897688 Charming the Angry Client On-Demand Staff Training: https://drandyroark.com/on-demand-staff-training/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Dr. Carrie Jurney is a veterinary neurologist in the San Francisco Bay Area and owner of Jurney Veterinary Neurology. When she's not in the clinic, she's the president of Not One More Vet, a global mental health support group and charity for veterinary professionals. In her spare time, she is a metal artist, Burning Man Camp lead, and podcaster on the Veterinary Superfriends Podcast.

“Eliminating problems is not the answer to mental health and wellness challenges.” If you spend 100% of your time weeding a garden, and 0% of your time planting it, ultimately you will have a frustrating and barren garden. This is the basic premise that Josh Vaisman brings to the podcast as he and Dr. Andy Roark discuss how we cannot remove challenges until we are happy, and what other approaches we should consider. LINKS: Zack Mercurio Homepage: https://www.zachmercurio.com/ Strategic Planning Workshop Series: https://unchartedvet.com/upcoming-events/ Uncharted Veterinary Conference April 21-23, 2022: https://unchartedvet.com/uncharted-april-2022/ Uncharted Podcast on iTunes: https://podcasts.apple.com/us/podcast/the-uncharted-veterinary-podcast/id1449897688 Charming the Angry Client On-Demand Staff Training: https://drandyroark.com/on-demand-staff-training/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Josh believes all veterinary professionals deserve to feel fulfilled by their work, each and every day. Through his company, Flourish Veterinary Consulting, he combines more than 20 years of veterinary experience, a master’s in applied Positive Psychology & Coaching Psychology, and education in Positive Leadership and Positive Organizational Scholarship and a passion for guiding leaders to cultivate work environments in which people can thrive. Fun fact – Josh is also an avid beekeeper who teaches beginning beekeepers how to tend to their buzzing buddies."

From Angell Memorial Animal Hospital in Boston to the Los Angeles Zoo, Dr. Mark Goldstein has had a fascinating career. Today he joins Dr. Andy Roark to reflect on his life as a veterinary professional, his fight against pancreatic cancer, and the lessons he has learned from people and pets. ***TW: There is a brief but graphic mention of suicide in this podcast.*** LINKS: Lions and Tigers and Hamsters: What Animals Large and Small Taught Me About Life, Love, and Humanity (Amazon.com): https://www.amazon.com/Lions-Tigers-Hamsters-Animals-Humanity/dp/0757321860/ref=sr_1_1?crid=HJ6JGQDKF5F0&keywords=mark+goldstein&qid=1640620179&s=books&sprefix=mark+goldst%2Cstripbooks%2C252&sr=1-1 Strategic Planning Workshop Series: https://unchartedvet.com/upcoming-events/ Uncharted Veterinary Conference April 21-23, 2022: https://unchartedvet.com/uncharted-april-2022/ Uncharted Podcast on iTunes: https://podcasts.apple.com/us/podcast/the-uncharted-veterinary-podcast/id1449897688 Charming the Angry Client On-Demand Staff Training: https://drandyroark.com/on-demand-staff-training/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Mark Goldstein, DVM, has spent over 40 years caring, advocating, and fighting for the welfare of animals. The institutions he worked at are all recognized leaders in their respective fields and the variety of animals he worked with and the varied responsibilities he has had are unique. He was a senior staff clinician in the medicine department at Angell Memorial Animal Hospital in Boston. After being hired to head the Boston Zoos, he led a turnaround for the failing inner city Franklin Park Zoo. “Dr. Mark” then moved west with his wife Kristine and their two daughters when he was appointed to lead the Los Angeles Zoo. During his tenure at the Los Angeles Zoo he was involved with one of the most successful release programs, the reintroduction of the California Condor back into the wild. He vividly remembers watching the first bird being re-released into the Los Padres National Forest soar free one misty beautiful morning. He followed his heart to shine a light on the importance of the human-animal bond and took the helm at the San Diego Humane Society and SPCA where he oversaw the design, development, and completion of the “San Diego Campus for Animal Care.” Many aspects of the campus, its programs and its unique partnership with the municipal animal care department have been copied numerous times both nationally and internationally. He has a BS in Animal Science and a DVM degree from Cornell University. Health Communications Inc. (HCI) recently published his book “Lions and Tigers and Hamsters” What large and small animals taught me about life, love and humanity. Dr. Mark enjoys giving presentations that are both educational and entertaining. His talks not only draw upon stories from his book “Lions and Tigers and Hamsters” but also from his 40 years of experience caring for animals and their welfare along with supporting the people who care for them. He has vast experience talking to a variety of groups from book clubs, service organizations, and at professional conferences as the keynote speaker. He was also the UCSD OSHER visiting author during the 2020 spring semester. He imparts to his audience the importance of the human-animal bond and how it helps create the fabric of a healthy community. He calls upon his experiences to share with colleagues how he feels honored to have been able to serve in what he sees as a sacred profession, the practice of veterinary medicine. He enjoys making his presentations interactive and encourages Q/A when the program allows.

Ann Wortinger BIS, LVT, VTS (ECC) (SAIM) (Nutrition) joins Dr. Andy Roark to discuss the four relationship types pet owners have with their pets (Anthropomorphic, Integrated, Chattel, and Mixed), how these relationships present in the exam room, and how veterinary professionals can adjust their messaging to interface successfully. LINKS: Uncharted Veterinary Conference April 21-23, 2022: https://unchartedvet.com/uncharted-april-2022/ Uncharted Podcast on iTunes: https://podcasts.apple.com/us/podcast/the-uncharted-veterinary-podcast/id1449897688 Charming the Angry Client On-Demand Staff Training: https://drandyroark.com/on-demand-staff-training/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Ann Wortinger BIS, LVT, VTS (ECC) (SAIM) (Nutrition), Elite FFCP Ann is a 1983 graduate of Michigan State University and got her specialty certification in Emergency/ Critical Care in 2000, in Small Animal Internal Medicine in 2008 and in Nutrition in 2013. In 2020 she attained her Elite Fear Free certification. She has worked in general, emergency, specialty practice, education and management. Ann is active in her state, national and specialty organizations, and served on the organizing committees for Internal Medicine and Nutrition. She has mentored over 20 fellow VTSs and has worked on a variety of committees and positions. She is currently an instructor and Academic Advisor for Ashworth College’s Veterinary Technology Program, as well as an active speaker and writer. Ann has over 50 published articles in various professional magazines as well as book chapters and a book, Nutrition and Disease Management for Veterinary Technicians and Nurses in its second edition in 2016 coauthored with Kara Burns. Ann received the 2009 Service Award for her state association (MAVT), the 2010 Achievement Award for the Academy of Internal Medicine for Veterinary Technicians (AIMVT), and in 2012 received the Jack L. Mara Memorial Lecture Award presented at NAVC. Her fur/feather/fin family consists of 4 resident cats, multiple foster kittens, chickens and a pond full of goldfis

Dr. Jen Brandt sits down with Dr. Andy Roark to discuss the challenges of talking productively about mental health and suicide. They talk about what is productive when discussing mental health and what is not, the truth about the narrative that veterinary medicine is “the worst” industry for mental health and suciide, and how we might correct this narrative. Dr. Brandt discusses internal vs. external loci of control, negativity bias, and toxic positivity. They end the discussion talking about how to challenge damaging communications and venting vs emotional dumping. LINKS: Uncharted Veterinary Conference April 21-23, 2022: https://unchartedvet.com/uncharted-april-2022/ Uncharted Podcast on iTunes: https://podcasts.apple.com/us/podcast/the-uncharted-veterinary-podcast/id1449897688 Charming the Angry Client On-Demand Staff Training: https://drandyroark.com/on-demand-staff-training/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Dr. Jen Brandt, AVMA’s Director of Wellbeing, Diversity, and Inclusion Initiatives, is a licensed independent social worker, certified crisis worker, certified anti-oppression informed practitioner, and senior trainer for the Institute for Healthcare Communication. In 2000, Dr. Brandt co-founded The Ohio State University College of Veterinary Medicine’s Honoring the Bond services, one of the first programs in the nation aimed at recognizing and supporting the human-animal bond by providing education and resources to animal owners and animal care professionals. Dr. Brandt helped launch the AVMA’s Workplace Wellbeing Certificate Program to support veterinary professionals in developing the knowledge and skills needed to create healthy work systems and AVMA’s Brave Space Certificate Program which explores the impact of stereotyping, unconscious bias, and workplace harassment. In 2020, Dr. Brandt was elected as a Distinguished Fellow of the National Academies of Practice in Social Work. She received her Ph.D. and Master of Social Work from The Ohio State University and holds a Bachelor of Arts in Social Work and Sociology with a Minor in Spanish from the University of Indianapolis.

Dr. Margie Sherk is on this Hall of Fame podcast to talk about those easily forgotten holiday dangers that we (and cat owners) need to keep in mind. LINKS: It’s All Fun and Games – How to Play, Engage with and Reward Your Team: https://unchartedvet.com/product/its-all-fun-and-games/ Uncharted Podcast on iTunes: https://podcasts.apple.com/us/podcast/the-uncharted-veterinary-podcast/id1449897688 Charming the Angry Client On-Demand Staff Training: https://drandyroark.com/on-demand-staff-training/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Two weeks before graduating from OVC in 1982, Margie Scherk packed all of her worldly belongings into her rusty, yellow Honda Civic named Jaundice and drove west to take her last two weeks of school at WCVM. Moving to a place she could see the mountains and ocean every day, she opened Cats Only Veterinary Clinic in 1982, at that time the second feline specific clinic in Canada. The first time they became available to sit, she sat and passed ABVP Feline boards in 1995. Since 2008 she has been teaching, writing and editing exclusively. This takes her around the world where, like a locum, she gets to see how other people practice, only in this case, under some very different circumstances and in different cultures. She is the North American editor of the Journal of Feline Medicine and Surgery, serves on a whole bunch of committees on national, international and feline projects. As a break, she loves to cook.

Description: Josh Vaisman, cofounder of Flourish Veterinary Consulting, and Dr. Andy Roark discuss what it means to have a positive workplace, where most veterinary practices go wrong and what we can actually do to make our practices more enjoyable places to work. LINKS: Uncharted Podcast on iTunes: https://podcasts.apple.com/us/podcast/the-uncharted-veterinary-podcast/id1449897688 Charming the Angry Client On-Demand Staff Training: https://drandyroark.com/on-demand-staff-training/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Josh Vaisman believes all veterinary professionals deserve to feel fulfilled by their work, each and every day. Through his company, Flourish Veterinary Consulting, he combines more than 20 years of veterinary experience, a master’s in applied Positive Psychology & Coaching Psychology, and education in Positive Leadership and Positive Organizational Scholarship and a passion for guiding leaders to cultivate work environments in which people can thrive. Fun fact – Josh is also an avid beekeeper who teaches beginning beekeepers how to tend to their buzzing buddies.

Description: Dr. Andy Roark has a tough case! A rambunctious 3 month old tabby kitten won’t stop attacking his owner! He stalks her, pounces on her ankles from under the bed and rabbit kicks her hand when he gets the chance. It may sound funny, but his owner is fragile and can’t have this keep happening. Luckly, Ingrid Johnson, a feline behavior expert, is here to talk through the case and how she would tackle it. LINKS: WORKSHOP: It’s All Fun and Games – How to Play, Engage with and Reward Your Team https://unchartedvet.com/product/its-all-fun-and-games/ Fundamentally Feline: https://www.fundamentallyfeline.com/ Uncharted Podcast on iTunes: https://podcasts.apple.com/us/podcast/the-uncharted-veterinary-podcast/id1449897688 Charming the Angry Client On-Demand Staff Training: https://drandyroark.com/on-demand-staff-training/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Ingrid Johnson is a Certified Cat Behavior Consultant (CCBC) through The International Association of Animal Behavior Consultants (IAABC). Ingrid owns and operates Fundamentally Feline, providing in home consults for locals and virtual consultations worldwide for clients experiencing behavior challenges with their cat(s). In addition to behavior consults, Ingrid also offers medicating consultations to help clients overcome, or get ahead of, medicating challenges. Prevention and training, the best medicine! She makes her own line of feline foraging toys, scratching posts, vertical space, and litter boxes. She lectures nationwide on cat behavior at veterinary conferences such as AAFP, VMX, ACVC and the like. She is employed at Paws Whiskers and Claws, a feline only veterinary hospital, as a tech, groomer, and office manager and has been working exclusively with cats since 1999. In the Fall of 2016 a paper she co-authored, Food puzzles for cats: Feeding for physical and emotional well-being, was published in the JFMS (Journal of Feline Medicine and Surgery) and to compliment it she co-developed FoodPuzzlesforCats.com. To date it is the most popular and widely downloaded paper in the history of the journal! Ingrid’s home, cats, and environmental enrichment expertise has been featured on Animal Planet’s Cats101 show and featured in numerous publications including the website WebMD. She has created a series of educational How-To videos of her own, viewable on Fundamentally Feline’s website and YouTube channel. Ingrid regularly interviews and offers her expertise for various media outlets. She is Co-Director of Paw Project-Georgia, working towards ending the cruel practice of de-clawing cats. Cat Fancy magazine’s 2008 “Home Issue” showcased her feline friendly accommodations and the aesthetically pleasing ways you can provide for your cats innate basic needs while still having a home the humans can enjoy. Ingrid is a huge advocate for enrichment and is determined to thwart the belief that one’s home will look unsightly in efforts to provide it. Ingrid shares her home with husband Jake, five rescue cats, and Sebastian, a rescued Great Pyrenees Dog. Follow Fundamentally Feline on Facebook, Twitter, Instagram and You Tube!

In this episode, Dr. Andy Roark talks to the VetGirl herself, Dr. Justine Lee about how SHE treats pancreatitis. We’ve got a tiny dog who ate half a heavenly ham. How do YOU treat that? HELPFUL LINKS: Uncharted Podcast on iTunes: podcasts.apple.com/us/podcast/the-…st/id1449897688 Charming the Angry Client On-Demand Staff Training: drandyroark.com/on-demand-staff-training/ What’s on my Scrubs?! Card Game: drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark VetGirl: vetgirlontherun.com/ ABOUT OUR GUEST: Dr. Justine Lee DVM, DACVECC, DABT lectures throughout the world on emergency, critical care, and toxicology, and was honored to receive the Speaker of the Year Award at the North American Veterinary Conference (2016, 2015, 2011) and Association des Médecines Vétérinaires du Québec (2012). Dr. Lee was the co-host veterinary analyst on Nat Geo Wild‘s Animal ER LIVE, and was the former contributor/blogger to Prevention magazine, PetMD: The Daily Vet, Pet Health Network and Voyce. She has been featured on NBC Weekend Today, Rachael Ray, WCCO, MPR, and various other TV and radio engagements. Dr. Lee is a part-time criticalist at Animal Emergency & Referral Center, a specialty referral hospital in the Twin Cities, MN. VETgirl was the brainchild of Dr. Justine Lee. Years ago, while frantically studying for her board examination(s), she decided to take some time out to relieve some stress (aka “panic) by running. While pounding the pavement, she thought, “Why can’t I listen to this stuff on my Walkman while I exercise?” (She is old, and this was pre-Ipod days). Since sleeping on top of her textbooks didn’t appear to osmotically work, she decided that this “listen and learn” modality would truly be the best way to “take it all” in while frantically multi-tasking. And that’s when she teamed up with techno-saavy Dr. Pachtinger to create VETgirl.

This week on the Cone of Shame Veterinary Podcast, Dr. Andy Roark talks with his dear friend, the dynamic and shining star that is veterinary nutritionist Dr. Jackie Parr. They discuss that young dog diarrhea that just. wont. resolve. How do YOU treat that??? LINKS: PRACTICE OWNER SUMMIT: www.unchartedvet.com/pos2021 It’s All Fun & Games Workshop: https://unchartedvet.com/upcoming-events/ Uncharted Podcast on iTunes: https://podcasts.apple.com/us/podcast/the-uncharted-veterinary-podcast/id1449897688 Charming the Angry Client On-Demand Staff Training: https://drandyroark.com/on-demand-staff-training/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Dr. Jackie Parr BScH, DVM, MSc, Dip ACVN When Bruno the chocolate lab was found after 27 days in the bottom of an abandoned well, Dr. Jackie Parr was one of the people he desperately needed. Refeeding syndrome, muscle loss, dangerously fluctuating electrolyte levels and more were all part of a language Dr. Parr intimately understood. After 14 years of specialized veterinary nutritional study, Bruno was exactly the kind of patient she had been preparing for. And that’s how it’s always been for Dr. Jackie Parr: complete emersion in the science of veterinary nutrition as a means to an important end – for all the Bruno’s of the world. A Board Certified Veterinary Nutritionist TM, and festooned with veterinary and academic designations that speak to a passion for science and animal care that borders on obsession, Dr. Parr is among the elite where animal nutrition is concerned. A natural educator, Dr. Parr is widely sought after in professional veterinarian circles as both a public speaker, and as a specialist for consults on the most unique and emergent nutritional cases. She is a passionate nutrition advocate and an accessible expert with feet planted firmly in both the academic and practical worlds of specialized nutritional medicine. For more information: www.kibblequeen.com

Dr. Tina Wismer (Senior Director of the ASPCA Animal Poison Control Center) and Dr. Andy Roark discuss the rising rates of Maijuana toxicity in dogs, the cause, and the staples of effective treatment. LINKS: PRACTICE OWNER SUMMIT: www.unchartedvet.com/pos2021 Uncharted Podcast on iTunes: https://podcasts.apple.com/us/podcast/the-uncharted-veterinary-podcast/id1449897688 Charming the Angry Client On-Demand Staff Training: https://drandyroark.com/on-demand-staff-training/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Tina Wismer, DVM, MS, DABVT, DABT, is the Senior Director of the ASPCA Animal Poison Control Center. She earned her undergraduate degree from Ohio’s University of Findlay and received her DVM from Purdue University. Dr. Wismer worked in both small animal and emergency practice before joining the ASPCA Animal Poison Control Center in 1998. Dr. Wismer is a Diplomate of the American Board of Toxicology and the American Board of Veterinary Toxicology. She is an adjunct instructor at the University of Illinois, a visiting professor at St. Matthews University (Grand Cayman), a consultant for VIN (Veterinary Information Network) and a Master Gardener.

Dr. Peter Weinstein and Dr. Andy Roark discuss the emotional and physical fatigue of veterinary medicine. The discuss mental and physical preparation for practice, why doctors and staff aren’t building the habits they need, and what can be done to change this. They talk about controlling appointment schedules, setting boundaries and learning to say “no.” LINKS: Uncharted Practice Owner Summit LIVE: https://unchartedvet.com/uncharted-practice-owner-summit-2021/ Uncharted Podcast on iTunes: https://podcasts.apple.com/us/podcast/the-uncharted-veterinary-podcast/id1449897688 Workshop: Communication Foundations w/ Stephanie Goss: https://unchartedvet.com/product/communication-foundations/ Workshop: Content Calendars That Will Cure Your Creative Burnout https://unchartedvet.com/product/content-calendar-planning/ Charming the Angry Client On-Demand Staff Training: https://drandyroark.com/on-demand-staff-training/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Dr. Peter Weinstein attended Cornell Universityundergraduate and the University of Illinois to receive his DVM. After graduation, he worked as an associatefor three years before opening his practice. As he was running his practice, he identified the need for increasedbusiness acumen to make his practice successful. Thus, while managing andpracticing full time, he attended University of Redlands to receive his MBA. As a result of the MBA, he was able to relocate, expand andsell his practice to a corporate consolidator. Politically, he served as President of the SouthernCalifornia Veterinary Medical Association and the California Veterinary MedicalAssociation and President for VetPartners, the national consultants association. He just completed three years as the Chair of the Veterinary EconomicStrategy Committee of the AVMA’s Veterinary Economics Division In the veterinary industry, he acted as Medical Directoroverseeing the Claims Department for Veterinary Pet Insurance. Dr. Weinstein has provided small business and corporate consulting via his company, PAW Consulting After 14 years, Dr. Weinstein retired from his role as theExecutive Director for the Southern California Veterinary Medical Associationto pursue other interests including teaching at Western University. He was the 2018 Speaker of the Year for the Western VeterinaryConference Practice Management Section. Andin 2021 for the VMX Practice Management section. He co-authored with Michael E Gerber, “The EMyth Veterinarian-Why Most Veterinary Practices Don’t Work and What to Do About It”. Dr. Weinstein has spoken and written extensively on practice management, team building, leadership, collegiality, marketing, and other topics focused on making the veterinary profession better for all those affiliated with it. Dr Weinstein lives in Orange County, California with his wife Sharon, two daughters (one a veterinary student at Oregon State), two dogs,and Bazinga, a Senegal parrot.