The Cone of Shame Veterinary Podcast

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COS - 247 - Don't Rush The Recommendation Jan 04, 2024

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Dr. Jason Coe joins Dr. Andy Roark on the podcast to discuss effective veterinarian-client communication, specifically addressing sensitive topics like pet obesity. He highlights the importance of understanding the client's viewpoint, avoiding rushed recommendations, and advocating for a collaborative approach. Dr. Coe recommends resources such as the AAHA nutrition guidelines, communication skill books, and training programs for further learning in veterinary communication. This episode is made possible by Purina Institute!

LINKS: Purina Institute CentreSquare: https://www.purinainstitute.com/centresquare REFERENCES: 1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10339898/pdf/animals-13-02150.pdf MacMartin C, Wheat H, Coe JB. Conversation Analysis of Clients’ Active Resistance to Veterinarians’ Proposals for Long-Term Dietary Change in Companion Animal Practice in Ontario, Canada. Animals. 2023; 13(13):2150. https://doi.org/10.3390/ani13132150 2.https://bvajournals.onlinelibrary.wiley.com/doi/epdf/10.1002/vetr.1979 Sutherland, KA, Coe, JB, O'Sullivan, TL. Assessing owners' readiness to change their behaviour to address their companion animal's obesity. Vet Rec. 2022;e1979. https://doi.org/10.1002/vetr.1979 3.https://avmajournals.avma.org/view/journals/javma/260/9/javma.22.01.0043.xml Sutherland KA, Coe JB, Janke N, O'Sullivan TL, Parr JM. Veterinary professionals' weight-related communication when discussing an overweight or obese pet with a client. J Am Vet Med Assoc. 2022 Apr 15;260(9):1076-1085. doi: 10.2460/javma.22.01.0043. PMID: 35429375. 4. https://www.aaha.org/globalassets/02-guidelines/2021-nutrition-and-weight-management/resourcepdfs/new-2021-aaha-nutrition-and-weight-management-guidelines-with-ref.pdf Cline MG, Burns KM, Coe JB, Downing R, Durzi T, Murphy M, Parker V. 2021 AAHA Nutrition and Weight Management Guidelines for Dogs and Cats. J Am Anim Hosp Assoc. 2021 Jul 1;57(4):153-178. doi: 10.5326/JAAHA-MS-7232. PMID: 34228790. 5.https://avmajournals.avma.org/view/journals/javma/260/15/javma.22.08.0380.xml Janke, Natasha, et al. “Veterinary technicians contribute to shared decision-making during companion animal veterinary appointments.” Journal of the American Veterinary Medical Association, vol. 260, no. 15, 2022, pp. 1993–2000, https://doi.org/10.2460/javma.22.08.0380. 6.Adams and Kurtz book - Skills for communicating in veterinary medicine: https://www.amazon.ca/Skills-Communicating-Veterinary-Medicine-Cindy/dp/0997767901/ref=asc_df_0997767901/?tag=googleshopc0c-20&linkCode=df0&hvadid=292985358383&hvpos=&hvnetw=g&hvrand=15280529321757071277&hvpone=&hvptwo=&hvqmt=&hvdev=c&hvdvcmdl=&hvlocint=&hvlocphy=9001010&hvtargid=pla-493746778047&psc=1 7. Colorado State University College of Veterinary Medicine - FRANK Training: https://vetmedbiosci.colostate.edu/vcpe/continuing-education/ 8. RCVM@ OVC research team's website - https://rcvm.uoguelph.ca/ 9. RCVM@OVC research team's LinkedIn - https://www.linkedin.com/company/90231247/admin/feed/posts/

ABOUT OUR GUEST: Dr. Jason Coe, a Professor at Ontario Veterinary College in Canada, embodies a career bridging veterinary practice and academia. After earning his DVM and returning from mixed-animal practice, he completed a PhD in veterinary communications. Currently leading the clinical-communication curriculum, he's internationally renowned for his work on the human-animal bond and veterinary education. With over 100 peer-reviewed publications, numerous speaking engagements, and holding the VCA Canada Chair in Relationship-Centred Veterinary Medicine, Jason's dedication to improving veterinary care through communication is recognized globally. He's the recipient of prestigious awards, including the AVMA's Bustad Companion Animal Veterinarian of the Year.

CoS HoF - 246 - HOF: The Art Of Pricing Veterinary Medicine (Best Of 2023) Dec 28, 2023

Show notes

We are dusting off our most listened episode of 2023 in which Fritz Wood, a renowned animal health consultant and advisor, joins Dr. Andy Roark to talk about pricing in veterinary medicine. Are increasing prices justified by inflationary pressures and rising costs of living? Do pet owners agree and/or accept this? What are the potential benefits and pitfalls of veterinary clinics raising prices? Should they do fewer large raises or more frequent smaller raises? The discussion ends with a conversation about the impact of corporate medicine and the coming future of telemedicine.

LINKS: Fritz Wood Website: https://www.fritzwood.com

ABOUT OUR GUEST: Fritz Wood owns and operates an animal health consulting practice in Kansas City. He’s focused on the business of veterinary medicine for more than 30 years, conducting important research on veterinary productivity and attributes of high-performing practices. Fritz is an author, speaker, business consultant, and key opinion leader. He was on the Editorial Advisory Board of Veterinary Economics, Veterinary Team Brief, and Today’s Veterinary Business. He’s authored scores of articles related to the business of veterinary medicine and personal finance. He often presents at local, state, regional, national and international veterinary conferences. Fritz holds Bachelor of Science degrees in Accounting and Business Administration from the University of Kansas (1986). For decades, he was actively licensed as a Certified Public Accountant and Certified Financial Planner. Fritz is also affiliated with a personal financial planning, investment management, and 401(k) practice, where they help people reach their lifetime goals. His pre-vet experience included nine years as a management consultant with a top global consultancy.

COS - 245 - Year End Reflections Dec 21, 2023

Show notes

Dr. Andy Roark and Jamie Holms reflect on personal growth and professional goals for 2024. Andy grapples with patience and avoiding internalizing others' emotions, while Jamie aims to declutter her mind and improve her communication. Both stress the need for balance in veterinary medicine, emphasizing individual needs.

ABOUT OUR GUEST: Jamie Holms is a chicken mom and the Administrative Manager for Dr. Andy Roark, and Uncharted Veterinary Conferences. Jamie is passionate about helping the people who are helping pets and is a firm believer that the future of the veterinary profession is bright. Jamie is obsessed with baby goats, axolotls, hedgehogs, tea, plants (especially hoyas), kindle books, food, and sleep - not necessarily in that order.

COS - 244 - Understanding the Role of Nutrition and the Microbiome in Overall Pet Health Dec 18, 2023

Show notes

Dr. Caroline Mansfield, registered specialist in internal medicine and honorary research professorial fellow at the University of Queensland and clinician at James Cook University, joins Dr. Andy Roark to discuss the role of the gut microbiome in the health and disease of dogs and cats. Caroline provides an overview of the importance of the microbiome in general pet health, the impact of antimicrobials, and her thoughts on what future research in this area might find. This episode is made possible by Purina Institute!

LINKS: Purina Institute CentreSquare: https://www.purinainstitute.com/centresquare Microbiome Forum: https://www.purinainstitute.com/microbiome-forum WSAVA Nutrition Toolkit: https://wsava.org/wp-content/uploads/2021/04/WSAVA-Global-Nutrition-Toolkit-English.pdf JCU Vet: https://jcuvet.com.au/ Dr. Andy Roark Resources: https://linktr.ee/DrAndyRoark Dr. Andy Roark Exam Room Communication Tool Box Team Training Course: https://drandyroark.com/on-demand-staff-training/ Dr. Andy Roark Charming the Angry Client Team Training Course: https://drandyroark.com/charming-the-angry-client/ Dr. Andy Roark Swag: https://drandyroark.com/store/

ABOUT OUR GUEST: Professor Caroline Mansfield is a registered specialist in small animal medicine and is recognized as an international leader in veterinary internal medicine, as evidenced by frequent invitations to present at international conferences, requests to provide expert opinions and current and previous roles in the profession. She is a past Board member and President of the Australian and New Zealand College of Veterinary Scientists and has been a member of the Board of Examiners for the National Veterinary Examination. Her expertise is recognized outside of the sphere of clinical veterinary medicine by participating in the peer review process for Australian Research Council Discovery Early Career Researcher awards (DECRA) and Discovery projects from 2015 to present. She is currently Chief Editor for the Australian Veterinary Practitioner, on the Editorial Board for Animals, a member of the Purina Institute advisory group and received the 2019 Award for Scientific Excellence from the Australian Small Animal Veterinarians. She is currently an honorary research professorial fellow at the University of Queensland and clinician at James Cook University, located in tropical far north Queensland. Her research is focused on the interaction of the gut microbiome in the health and disease of dogs and cats, and the role diet and environment play in this. She also researches in areas of clinical gastroenterology that can result in tangible improvement in the health and welfare of our pets. She has published over 90 peer-reviewed papers plus multiple textbook chapters and conference presentations. To date, she has supervised over 30 post-graduate students and clinical residents to successful completion.

COS - 243 - The 4 Gifts Of Veterinary Medicine - Rotate Your Dogs Dec 14, 2023

Show notes

In this episode, Dr. Andy Roark and Jamie Holms revisit an old article on balancing happiness, stability, and giving in vet medicine. They reflect on changes in perspectives over the years, discussing the evolution of these core principles while exploring the intricate facets of happiness, intentional giving, and the dynamics of optimism and realism in the veterinary field.

LINKS: The 4 Gifts of Veterinary Medicine Article: https://drandyroark.com/the-4-gifts-of-veterinary-medicine/ Dr. Andy Roark Resources: https://linktr.ee/DrAndyRoark

ABOUT OUR GUEST: Jamie Holms is a chicken mom and the Administrative Manager for Dr. Andy Roark, and the Uncharted Veterinary Conferences. Jamie is passionate about helping the people who are helping pets and is a firm believer that the future of the veterinary profession is bright. Jamie is obsessed with baby goats, axolotls, hedgehogs, tea, plants (especially hoyas), kindle books, food, and sleep - not necessarily in that order.

CoS HoF - 242 - HOF: Anesthesia Crash Cart Course Dec 07, 2023

Show notes

CoS HoF - 242 - HOF: Anesthesia Crash Cart Course by Dr. Andy Roark

COS - 241 - A Spectrum Of Care Approach To Neurology Dec 04, 2023

Show notes

Dr. Simon Platt and Dr. Andy Roark dive into neurology's challenges, emphasizing individualized care and accessible diagnostics. Dr. Platt introduces a forthcoming neurology resource aimed at providing comprehensive information for neurology enthusiasts, all in the pursuit of demystifying neurology and prioritizing accessible patient care. This episode is brought to you by Nationwide Pet Insurance!

LINKS: Spectrum Of Care: www.spectrum-of-care.com Nationwide's Pet HealthZone: www.thepethealthzone.com Web-Vet Neurology : https://www.web-vetneurology.com Dr. Simon Platt on LinkedIn: https://www.linkedin.com/in/simon-platt-19906863/ Upcoming Webinar: https://drandyroark.com/headcases Dr. Andy Roark Resources: https://linktr.ee/DrAndyRoark Dr. Andy Roark Swag: https://drandyroark.com/store

ABOUT THE GUEST: Dr. Simon Platt, a distinguished European and American veterinary neurologist with 23 years of academic expertise, embodies a passion for teaching, research, and clinical excellence. His extensive contributions encompass over 240 published scientific papers, including 70 chapters in renowned veterinary publications. Notably, Dr. Platt has co-authored five authoritative textbooks in veterinary neurology, showcasing his commitment to advancing the field's knowledge base. A trailblazer in academia, Dr. Platt has secured over $3 million in grant funding, led NIH translational research teams, and held pivotal roles within committees for ECVN and ACVIM. For over two decades, he has mentored neurology residents globally, while his dedication to education extends through the management of educational websites, notably featuring a pioneering 3D virtual-reality dog model for practical neurological examination teaching. Additionally, as the founder of SEVEN, a not-for-profit group, he established an annual southeastern regional clinical neurology conference, fostering collaboration and knowledge exchange within the field.

COS - 240 - Veterinary Diagnostics And Screening Move Into The Home Nov 30, 2023

Show notes

Aaron Massecar, Executive director of the Veterinary Innovation Council, joins Dr. Andy Roark to discuss a recent article on technology turning pet owner homes into the first touchpoint for diagnostics and screening of veterinary cases.

LINKS: Aaron Massecar on LinkedIn: Article: Home is the Emerging Care Site: https://todaysveterinarybusiness.com/technology-innovation-station-0823/ Veterinary Innovation Council: https://veterinaryinnovationcouncil.com My Dog Is A Robot: https://www.mydogisarobot.com Healthcare and Information Management Systems Society: https://www.himss.org Consumer Electronics Show

ABOUT OUR GUEST: Aaron Massecar, currently serving as the Executive Director of the Veterinary Innovation Council, brings a diverse expertise to this episode. Previously, he held roles as the Vice President of Education at VEG, Assistant Director of Continuing Education at Colorado State University, and served as an Adjunct Instructor at Texas A&M. Aaron played a pivotal role in establishing the Veterinary Innovation Summit and Veterinary Entrepreneurship Academy, leaving a lasting mark in the field. Outside his professional commitments, Aaron thrives on physical challenges. Recently completing a demanding 127-mile gravel bike race in Iceland, he continues to embrace new feats. Notably, he tackled a 200-mile gravel race from Moab UT to Fruita CO, showcasing his enduring passion for adventure.

COS - 239 - Veterinary Cardiology Myths, Legends And Fears Nov 27, 2023

Show notes

Veterinary cardiologist extraordinaire Dr. Kristin MacDonald teams up with Dr. Andy Roark to debunk the myths and unravel the legends swirling around cardiology. From heart attacks in dogs to the controversies surrounding grain-free diets, they dissect it all. Tune in as they sift through the maze of modern ideas floating on the internet, separating fact from fiction, and shedding light on what holds true in the world of pet heart health. This episode is brought to you by CEVA Animal Health!

LINKS: Cardalis Resources and App: https://www.cevaconnect.com/cardiology/clinic-tools/ CEVA Connect: https://www.cevaconnect.com Upcoming Webinar (Free RACE CE): https://drandyroark.com/CanineCardiology Dr. Andy Roark Resources: https://linktr.ee/DrAndyRoark Dr. Andy Roark Exam Room Communication Tool Box Team Training Course: https://drandyroark.com/on-demand-staff-training/ Dr. Andy Roark Charming the Angry Client Team Training Course: https://drandyroark.com/charming-the-angry-client/ Dr. Andy Roark Swag: https://drandyroark.com/store/ Cardalis: Important Safety Information: Do not administer in conjunction with non-steroidal anti-inflammatory drugs (NSAIDs) in dogs with renal insufficiency. Do not use in dogs with hypoadrenocorticism (Addison's disease), hyperkalemia or hyponatremia. Do not use in dogs with known hypersensitivity to ACE inhibitors or spironolactone. The safety and effectiveness of concurrent therapy of Cardalis™ with pimobendan has not been evaluated. The safety of Cardalis™ has not been evaluated in pregnant, lactating, breeding, or growing dogs. Cardalis™ administration should begin after pulmonary edema is stabilized. Regular monitoring of renal function and serum potassium levels is recommended. Common side effects from a field study include anorexia, vomiting, lethargy, diarrhea and renal insufficiency.

ABOUT OUR GUEST: Dr. Kristin MacDonald earned her doctorate of veterinary medicine in 1998 from Auburn University, and then completed an internship in small animal medicine and surgery at Michigan State University in 1999. She finished a residency in veterinary cardiology at University of California, Davis in 2001 and became a board certified veterinary cardiologist in the American College of Veterinary Internal Medicine in 2002. She continued her education by earning a PhD at UC Davis Comparative Pathology graduate group in September 2005 on hypertrophic cardiomyopathy in Maine Coon cats, and the effects of ACE inhibitors. Dr. MacDonald taught on faculty at UC Davis for a year, and then became the clinical cardiologist at the VCA Animal Care Center of Sonoma County in Rohnert Park, CA, where she continues to have a busy cardiology practice. She has been an active author of book chapters for highly respected textbooks, served as section editor for Handbook of Small Animal Practice, published a multitude of original research papers, and is coauthor of The Textbook of Feline Cardiology, the only text of its kind available. Dr. MacDonald has participated in clinical trials involving treatment of canine congestive heart failure, and enjoys being the lecturer for the VCA Cardiology Series in the United States. Living in Sonoma County, she enjoys spending time outdoors hiking, skiing, and being mom of two daughters, two Tonkinese cats and a Labrador Retriever.

COS - 238 - Anesthesia On A Full Belly (HDYTT) Nov 23, 2023

Show notes

Veterinary Anesthesia Nerd Tasha McNerney joins Dr. Andy Roark on the podcast to unravel the intricacies of anesthesia on a full stomach. They explore navigating emergencies when surgeries can't be postponed, highlight crucial factors in devising meticulous anesthetic plans, and dissect the risks tied to regurgitation during anesthesia.

LINKS: Veterinary Anesthesia Nerds: https://www.veterinaryanesthesianerds.com Veterinary Anesthesia Nerds Symposium 2024: https://www.veterinaryanesthesianerds.com/cal/vans2024 Veterinary Anesthesia Nerds Facebook: https://www.facebook.com/groups/veterinaryanesthesianerds/ Canine Cardiology Webinar (Free RACE CE): https://drandyroark.com/CanineCardiology

REFERENCES: AD Galatos, D Raptopoulos. Gastro-oesophageal reflux during anesthesia in the dog: the effect of age, positioning and type of surgical procedure. Vet Record, 137, 1995: 513-516 DV Wilson, AT Evans, WA Mauer. Influence of metoclopramide on gastroesophageal reflux in anesthetized dogs. AJVR, 67, 2006:26-31 AC Zacuto, et al. The influence of esomeprazole and cisapride on gastroesophageal reflux during anesthesia in dogs. J Vet Intern Med, 26, 2012:518-525

ABOUT THE GUEST: Tasha McNerney is a Certified Veterinary Technician from Pennsylvania where she works as a educational consultant and relief anesthesia technician. Tasha is the founder of the Veterinary Anesthesia Nerds, while also a Certified Veterinary Pain Practitioner and board member of the International Veterinary Academy of Pain Management (IVAPM) to educate the public about animal pain awareness. In fact, Tasha was the thought leader behind the now celebrated “Animal Pain Awareness Month” within the veterinary industry. Tasha became a veterinary technician specialist in anesthesia in 2015. Tasha loves to lecture on various anesthesia and pain management topics around the globe and was recently named the VMX 2020 speaker of the Year.

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