The Cone of Shame Veterinary Podcast

Latest Episodes:

COS - 217 - Structuring Associate DVM Pay To Compete Aug 10, 2023

Show notes

Dr. Karen Felsted DVM, CPA joins Dr. Andy Roark to talk about how practices can structure veterinarian compensation to better compete for new hires. They discuss salaries, production, split rate production, new graduate compensation and what the future of pay for veterinarians may look like.

LINKS: PantheraT Management Consulting: https://www.pantherat.com

ABOUT OUR GUEST: Dr. Karen Felsted is a CPA as well as a veterinarian and has spent the last 20 years working as a financial and operational consultant to veterinary practices and the animal health industry. She is active in multiple veterinary organizations, has written an extensive number of articles for a wide range of veterinary publications and speaks regularly at national and international veterinary meetings. In 2011 and 2017, she was awarded the Western Veterinary Conference Practice Management Continuing Educator of the Year and in 2014, the VetPartners Distinguished Life Member Award.

COS - 216 - Heart Murmur and Cough in a Senior Dental Dog (HDYTT) Aug 07, 2023

Show notes

Dr. Andrea Eriksson De Rezende, veterinary cardiologist, joins Dr. Andy Roark to discuss a cardiology case. Dr. Roark has an 11yo FS chihuahua with a grade V/VI systolic heart murmur that needs a dental cleaning. The patient is reportedly starting to cough at home. Dr. Roark wonders if this patient is safe for anesthesia and what sort of diagnostic workup and treatment plan would be appropriate. Dr. Eriksson lends her expertise! This episode is brought to you by CEVA Animal Health

LINKS: Explore Free CE from Ceva: https://www.cevaconnect.com/ce/?utm_source=TheConeOfShame&utm_medium=podcast&utm_campaign=Susanne_cardio Cardalis Info: https://www.cevaconnect.com/cardiology/products/ Skyline Veterinary Specialists: https://skylinevetspecialists.com/ Email: andreaeriksson@skylinevetspecialists.com 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: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark 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. Andrea Eriksson De Rezende is a native of Eugene, Oregon and completed her undergraduate studies at Willamette University in Salem, Oregon. She received her veterinary degree from Oregon State University in 2005, which was followed by a one-year rotating small animal and surgical internship at Oregon State University. She then completed a three-year residency in cardiology at North Carolina State University. Dr. Eriksson De Rezende became a Diplomate of the American College of Veterinary Internal Medicine (Cardiology) in 2009. Until mid 2011, Andrea was an assistant professor of cardiology at Virginia-Maryland Regional College of Veterinary Medicine. Andrea then moved to Brooklyn, NY to join the Veterinary Emergency and Referral group. Currently, Andrea is managing partner at Skyline Veterinary Specialists in Matthews, NC. Her research interests include management of congestive heart failure with particular interest in the renin-angiotensin-aldosterone system as well as cardiac imaging. Personal interests include cooking, travel & singing.

COS - 215 - Hall Of Fame: Venomous Snake Bite To The Lip! (HDYTT) Aug 03, 2023

Show notes

In this Hall of Fame Episode: Join Dr. Roark and the wizard, the legend "Uncle Mickey Schaer" as they talk about that case that terrifies us all - the venomous snake bite!

LINKS: Uncharted Practice Leader Summit: https://unchartedvet.com/practice-leaders-summit-2023

ABOUT OUR GUEST: Dr. Michael Schaer received his D.V.M. degree from the University of Illinois in 1970. He then went to the Animal Medical Center (AMC) in New York City where he served as an intern and then as a medicine resident between1970-73. After the residency, he remained at the AMC as a staff member in the Department of Medicine until 1977. He then joined a private small animal practice in New Jersey until late 1978 at which time he joined the faculty at the University of Florida, College of Veterinary Medicine where he has remained until the present time. He has published several papers and book chapters and he has lectured nationally and internationally. Dr Schaer is also the author of five textbooks: Clinical Medicine of the Dog and Cat – 1st, 2nd, and 3rd editions and Clinical Signs in Small Animal Medicine, 1st and 2nd editions. At the U of F, Dr. Schaer functions mainly as a clinician and a teacher. His previous UF professional duties included: Professor and Associate Chairman-Department of Small Animal Clinical Sciences, Associate Chief of Staff-Small Animal Hospital, and Service Chief-Small Animal Medicine. Dr. Schaer served as Interim Chair, Department of Comparative, Diagnostic, and Population Medicine from February 2017-September 2018. He is currently Professor Emeritus and Adjunct Professor in Emergency and Critical Care Medicine, while still doing active teaching in the classroom and in the critical care unit. Dr. Schaer is board certified in internal medicine (ACVIM) and emergency and critical care (ACVECC).

COS - 214 - Lessons We Wish We Had Learned Before Managing:leading People Part 1 Jul 27, 2023

Show notes

Crossover Episode!! In this episode, originally published on the Uncharted Veterinary Podcast, Dr. Andy Roark and Practice Management Goddess Stephanie Goss talk about the lessons they wish they'd known BEFORE they started managing people and leading teams! If you like this episode, you can check out part 2 over at the Uncharted Veterinary Podcast!

LINKS: Uncharted Events: https://unchartedvet.com/upcoming-events

ABOUT OUR GUEST: Stephanie Goss started in the veterinary field quite by accident but fell in love with the experience of being able to serve people and their pets. With over 15 years of experience both on the floor and in the office, Stephanie is passionate about staff education, team culture, management and training. Stephanie loves helping managers and owners control their inventory and leverage their profits by maximizing their home delivery using online pharmacies. She is a vet med nerd who loves to geek out about technology, especially Practice Management Software. She has experience as a practice manager in both private and corporate practices, ranging in size from one to seven doctors. She has experience as a consultant and trainer with AVImark software, paperlite/paperless transitions, practice management and staff. Stephanie is the Director of Community Development for the Uncharted Veterinary Conference. More notably she’s the co-host of the Uncharted Veterinary Podcast where her laughter highlights the start of every episode and her knowledge bombs reign down like massive chunks of enlightenment from on high.

COS - 213 - Name That Nephrotoxin: A Quick Review Jul 20, 2023

Show notes

Dr. Tim Evans, a diplomate of the American College of Theriogenologists and of the The American Board of Veterinary Toxicology, joins Dr. Andy Roark to talk toxins! Dr. Evans tells stories from practice as a toxicologist as he walks through the most common nephrotoxins we see in veterinary medicine today. This episode is not to be missed! This episode is brought to you by Hill's Pet Nutrition and the Hill's Veterinary Academy

LINKS: The Hill's Veterinary Academy is a one site solution for educating the entire veterinary team. On the HVA, you can find FREE RACE CE from leading specialists and experts, patient-centric education beyond nutrition and flexible, on-demand content that fits your schedule. Hill's Veterinary Academy: https://na.hillsvna.com/ To learn more about the nutritional management of pets with kidney disease, check out the Chronic Kidney Disease Inside Scoop video on Hill's Veterinary Academy. This video shows you how Hill's new Prescription Diet k/d ActivBiome+Kidney Defense uses the gut-kidney axis to help pets with kidney disease. Chronic Kidney Disease Inside Scoop video: https://na.hillsvna.com/en_US/resources-2/view/87 ASPCA Pet Poison Control Pet Poison Helpline

ABOUT OUR GUEST: Dr. Tim Evans is a diplomate of the American College of Theriogenologists and of the The American Board of Veterinary Toxicology. Dr. Evans was the Toxicology Section Head in the Veterinary Medical Diagnostic Laboratory at the University of Missouri for almost twenty years, until November 1, 2022, and he now wears several new hats at the University of Missouri, including Associate Professor in the Department of Biomedical Sciences, MU College of Veterinary Medicine Public Engagement & Continuing Education Coordinator, and MU Extension Specialist in Animal Health & Veterinary Toxicology. Dr. Evans received his DVM from the University of California, Davis in 1982, and he earned both his MS (1996) and PhD (2002) from MIZZOU. He has been described as “intimidatingly enthusiastic,” especially when it comes to teaching veterinary professional students, and he was recognized as the April 2009 Nerd of MIZZOU and Nerd of the Year in 2010. Dr. Evans was also recognized as a William T. Kemper Fellow for Excellence in Teaching in 2013 and was MIZZOU’s 2015-2016 recipient of the Governor’s Award for Teaching Excellence. Dr. Evans also has a superhero alter ego, THE ANTIDOTE, the enemy of ALL things toxic, who periodically makes appearances in the classroom. Tim has been married to his extremely patient wife, Debbie, for 41 years, and they have two adult children, Andreya and William.

COS - 212 - Vomiting And Diarrhea In Dogs And Cats (HDYTT) Jul 17, 2023

Show notes

This week, veterinary internal medicine specialist Dr. Alison Manchester joins the podcast to break down diagnostic and treatment approaches for your vomiting and diarrhea cases. Drs. Manchester and Roark discuss both dogs and cats, and review best practices for working these cases up and managing them efficiently and effectively. This is a fantastic refresher episode packed full of pearls of wisdom! This episode is made possible ad-free by The Purina Institute!

LINKS Purina Institute Handbook of Canine and Feline Nutrition: https://www.purinainstitute.com/sign-up?utm_campaign=pin-acquisition2023&utm_medium=influencer&utm_source=cone_of_shame_podcast_manchester&utm_content=cr-clinical_nutrition_handbook_sign_up_pt-na&utm_term= CentreSquare: https://www.purinainstitute.com/centresquare Purina Institute: https://www.purinainstitute.com/

ABOUT OUR GUEST: Alison Manchester grew up in Rochester, NY and studied art history at Tufts University before veterinary school at Cornell. After an internship at the University of Wisconsin, she completed her Internal Medicine training at Colorado State University. Dr. Manchester became board-certified by the ACVIM in 2018. She is currently a post-doctoral fellow CSU, serving time on clinics and working on a PhD focused on immune dysregulation in dogs with chronic intestinal inflammation. Her studies involve utilizing novel platforms and non-invasive samples to expand understanding of the gastrointestinal tract in health and disease. When not in the lab or the clinic, she enjoys hiking, cooking, reading fiction, listening to music, and spending time with loved ones in Downeast Maine.

COS - 211 - Back To Reality - The Limits Of What We Can Control Jul 13, 2023

Show notes

Jamie Holms RVT joins the podcast to interview Andy about one of his recent articles. The struggle to take ownership of what we can while knowing when to accept things that are out of our control is never easy. In this episode, Jamie and Andy talk through where those distinctions become challenging in veterinary medicine and what to do when its hard to tell the difference.

LINKS: Article - Back to Reality: https://todaysveterinarybusiness.com/back-to-reality-discharge-notes-0223

ABOUT OUR GUEST: Jamie Holms RVT is a new chicken mom and the Administrative Manager for Dr. Andy Roark, 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. Fun Fact: Jamie’s a Slytherin

COS - 210 - Nutrition Conversations that Change Behaviors Jul 10, 2023

Show notes

Board-Certified Veterinary Nutritionist Dr. Jackie Parr joins Dr. Andy Roark to talk about her chapter in the new Purina Institute Handbook of Canine and Feline Nutrition! Dr. Parr talks about her objectives going into the exam room to take a nutrition history, how to use the interaction to build trust with pet owners, and ultimately how to convert these conversations into better clinical outcomes. She also talks about her fondness for leveraging telehealth to engage pet owners, and the most common pitfalls practices fall into when it comes to nutritional assessments. This episode is brought to you ad-free by The Purina Institute!

LINKS: Purina Institute Handbook of Canine and Feline Nutrition: https://www.purinainstitute.com/sign-up?utm_campaign=pin-acquisition2023&utm_medium=influencer&utm_source=cone_of_shame_podcast_parr&utm_content=cr-clinical_nutrition_handbook_sign_up_pt-na&utm_term= Purina Institute: https://www.purinainstitute.com/ American College of Veterinary Internal Medicine (Nutrition) Diet History Form: https://bit.ly/Nutrition-diet-form Purina Institute CentreSquare Diet History Form: https://www.purinainstitute.com/sites/default/files/2021-04/screening-evaluation.pdf World Small Animal Veterinary Association Global Nutrition Committee Nutrition Diet History Form: https://wsava.org/wp-content/uploads/2020/01/Diet-History-Form.pdf American College of Veterinary Internal Medicine: https://www.acvim.org/home Canadian Academy of Veterinary Nutrition: https://canvetnutrition.com/ American Academy of Veterinary Nutrition: https://aavnutrition.org/ Academy of Veterinary Nutrition Technicians: https://nutritiontechs.com/homepage/about/

ABOUT OUR GUEST: Dr. Jackie Parr (aka The Kibble QueenTM), a Board-Certified Veterinary Nutritionist® and one of under 100 Diplomates of the American College of Veterinary Internal Medicine (Nutrition), is a proud Canadian who currently resides in Athens, Georgia, USA with her beloved Boston Terrier. Festooned with veterinary and academic designations that speak to a passion for science and veterinary medicine that borders on obsession, Dr. Parr is among the elite where pet nutrition is concerned. A natural educator, Dr. Parr is widely sought after in professional 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. She is a proud Founding Member and the Inaugural President of the Canadian Academy of Veterinary Nutrition (CAVN) and was delighted to join the University of Georgia’s College of Veterinary Medicine in 2020 as the Nestlé Purina Petcare Clinical Assistant Professor of Nutrition. She leads the small but mighty Clinical Nutrition Service which has grown to include of two ACVIM (Nutrition) Residents and two Registered Veterinary Technicians (RVTs) since 2021.

COS - 209 - Your Next Exam Room Superpower: Harnessing the Skill of Clinical Empathy Jul 06, 2023

Show notes

Dr. Emily Tincher, Senior Director of Pet Health at Nationwide, joins the podcast to discuss the "Skill of Clinical Empathy." She and Dr. Roark talk about spectrum of care and define the term "Clinical Empathy". They compare notes on how good healthcare providers are measured, and Emily walks through the components of Clinical Empathy and how they can be applied in the veterinary exam room. This episode is sponsored and made possible ad-free by Nationwide!

LINKS: Nationwide spectrum of care: spectrum-of-care.com Evidence-based medicine for pyometra: https://avmajournals.avma.org/view/journals/javma/260/S2/javma.20.12.0713.xml Veterinary Leadership Institute’s Trek: https://veterinaryleadershipinstitute.org/vli-trek/ Review article of clinical empathy in human medicine: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4294163/ Family Quality of Life article for spectrum of care, Brown et al.: https://avmajournals.avma.org/view/journals/javma/aop/javma.23.01.0016/javma.23.01.0016.xml?tab_body=supplementary-materials

ABOUT OUR GUEST: Dr. Emily Tincher is a collaborative and data-driven leader who advocates for a pet-parent centered approach to communication and medicine through spectrum of care approaches. She is a second-generation veterinarian and a 2016 Auburn University’s College of Veterinary Medicine graduate. Emily has practiced clinically in small animal emergency and general practice. As the Senior Director of Pet Health at Nationwide, she oversees operations and strategy in the veterinary space, including industry relationships and outreach to veterinary students, veterinarians, and veterinary teams. Emily serves on the AVMA Early Career Development Committee and is President of the Board of Directors for the Veterinary Leadership Institute. Outside of veterinary medicine, Emily enjoys traveling with her husband Kyle, competing with her horse (Blue) in the sport of Eventing, and endlessly spoiling her two perfect dogs (Tuxedo and Cricket) and rotten orange tabby (Exploding Poptart).

COS - 208 - Hall Of Fame - Firework Phobia Over The Phone Jun 29, 2023

Show notes

This week on the Cone..... We have a Hall of Fame episode for you! Dr. Andy Roark talks to Dr. Lisa Radosta about firework phobia and what we can do when clients call right before the bangs start. Let's get into it!

ABOUT OUR GUEST: Dr. Lisa Radosta graduated from the University of Florida College of Veterinary Medicine in 2000. She completed a residency in Behavioral Medicine at the University of Pennsylvania. During her residency, she was awarded the American College of Veterinary Behaviorists Resident research award two years in a row. Dr. Radosta is the owner of Florida Veterinary Behavior Service, a specialty behavior practice in southeast Florida and co-owns Dog Nerds, an online educational resource for owners whose pets have behavior disorders. She is a sought after speaker nationally and internationally. She is a coauthor of several books including: Behavior Problems of the Dog and Cat, 4th edition and From Fearful to Fear Free. She is a contributing author for Blackwell’s Five Minute Veterinary Consult, Blackwell's Five-Minute Veterinary Consult Clinical Companion: Canine and Feline Behavior, Decoding your Cat, Canine and Feline Behavior for Veterinary Technicians and Nurses and Feline and Small Animal Pediatrics. Her new textbook, Handbook of Behavior Problems of the Dog and Cat, 4th Edition is due out May, 2023. She has published research articles in the Journal of Applied Animal Behavior Science, Journal of Veterinary Behavior and The Veterinary Journal and written review articles for Advances in Small Animal Medicine and Surgery, Compendium, NAVC, Veterinary Team Brief, Clinician’s Brief and AAHA Newstat. She has served on the Fear Free Executive Council and the AAHA Behavior Management Task Force. She has been interviewed for many publications including Cat Fancy, Dog Fancy, Palm Beach Post, NAVC Clinician’s Brief, Sun Sentinel, WebMD, AAHA trends, Real Simple, Good News for Pets, Catster, DVM 360 and AAHA News Stat. She has appeared on Lifetime television, Laurie Live, local news in southeast Florida, Mitch Wilder's Amazing Pet Discoveries, Nat Geo Wild, Animal Planet, Steve Dale's Pet Talk and Dogs, CNBC and Cats and Scapegoats.

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