The Cone of Shame Veterinary Podcast

Latest Episodes:

COS - 157 - Pulmonic Stenosis In The Bulldog (HDYTT) Sep 01, 2022

Show notes

Veterinary cardiologist Dr. Anna Mac joins us to discuss the case of Baguette, a 2 year-old english bulldog with brachycephalic airway disease and pulmonic stenosis. Dr. Mac covers the diagnostic workup, treatment options and likely outcomes. This is a common condition in a common breed... and you won't want to miss this episode!

LINKS: Purdue University College of Veterinary Medicine: https://vet.purdue.edu

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).

COS - 156 - Imposter Syndrome And Finding Our Place In Vet Medicine Aug 25, 2022

Show notes

Dr. Cherie Buisson joins the podcast to discuss the idea that, deep down, none of us think we belong here. We think we're not moving fast enough, that we're not smart enough, and that we're not accomplishing what we should be accomplishing (or what others are accomplishing). Why do we have these thoughts, and more importantly, what do we do about them?

LINKS: A Happy Vet: https://ahappyvet.com/ Helping Hands Pet Hospice: https://helpinghandspethospice.com

ABOUT OUR GUEST: Dr. Buisson wasn’t (and isn’t!) always A Happy Vet. In fact, for many years, she was An Unhappy Vet. Despite working in wonderful practices with compassionate mentors, she always felt she didn’t fit in. She found private practice draining and felt like a failure for her inability to be “a real vet”. She learned the hard way for two decades, and her mission is to provide veterinary professionals with the tools to find their happiness and to help them be comfortable if they take a nontraditional approach. She believes it’s never too late to find your place, but there’s nothing wrong with starting early!

COS - 155 - Causes And Treatments For Hypoglycemia In Dogs (HDYTT) Aug 18, 2022

Show notes

Hypogylcemia trips veterinarians up in a number of ways. It has a variety of causes and some can be more challenging to pinpoint than others. In this episode, Veterinary Medical Internist Dr. Andrew Woolcock joins Dr. Andy Roark to discuss the case of a young hypoglycemic yorkie, before expanding the conversation to discuss hypoglycemia in general. This discussion covers causes of hypoglycemia, appropriate diagnostic workups, and practical treatment approaches.

LINKS https://www.vet.purdue.edu GSD Shorthanded Virtual Conference: https://unchartedvet.com/gsd-shorthanded

ABOUT OUR GUEST: Dr. 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).

COS - 154 - The Ethics Of Behavioral, Convenience And Economic Euthanasia Aug 11, 2022

Show notes

Dr. Mary Gardner is on the podcast to discuss the ethics of behavioral and economic euthanasia. We talk about what makes some euthanasia cases more ethically difficult than others, and the 4 types of euthanasia generally seen in practice: 1) Imminent Euthanasia 2) Non-Imminent Euthanasia 3) Non-Medical Euthanasia 4) Convenience Euthanasia Dr. Gardner walks us through a series of challenging decisions and tells stories that bring her points to life. This is an outstanding episode that you will not want to miss!

LINKS: Lap of Love Pet Hospice: https://www.lapoflove.com/ GSD Shorthanded Virtual Conference: https://unchartedvet.com/gsd-shorthanded

ABOUT OUR GUEST: "There is nothing better to Dr. 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 300 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!"

COS - 153 - Big Cat With A Big Heart - Feline Cardiomyopathy (HDYTT) Aug 04, 2022

Show notes

Veterinary cardiologist Dr. Mac is back on the podcast! We are talking about an 8 year-old Maine Coon Cat named Jerry who came in for limping... and who happens to have a very large heart on radiographs. How concerned should we be? How much deeper should we investigate? What do we tell the owners? This and more coming up in this episode of the Cone of Shame!

LINKS: Purdue University College of Veterinary Medicine: https://vet.purdue.edu/ Believing We Can - Leading a Solution Oriented Team: https://unchartedvet.com/product/solution-oriented-team-workshop

COS - 152 - Cancer Screening & "Liquid Biopsy" - What You Need To Know Aug 01, 2022

Show notes

Dr. Andi Flory, an accomplished veterinary medical oncologist, joins Dr. Andy Roark to discuss the OncoK9 multi-cancer early detection test, a “liquid biopsy” capable of detecting 30 different types of canine cancer. She explains why this test is so different from traditional aspirate and biopsy approaches, what scenarios it might be used in, and how its utilization may increase longevity and quality of life for some cancer patients. She reviews the CANDiD Study and discusses sensitivity and specificity of the OncoK9 "liquid biopsy" test across various types of canine cancers.

LINKS: - PetDx: https://petdx.com/ - The CANDiD Study: https://assets.petdx.com/m/611713b73a939868/original/The-CANDiD-Study-Summary.pdf/?utm_source=PetDx.com&utm_campaign=OncoK9&utm_content=CANDiD&utm_medium=Link Clinical validation of a next-generation sequencing-based multi-cancer early detection “liquid biopsy” blood test in over 1,000 dogs using an independent testing set: The CANcer Detection in Dogs (CANDiD) study - OncoK9 Cancer SAFE Tool: https://cancersafe.petdx.com/?utm_source=PetDx.com&utm_campaign=Cancer-SAFE&utm_medium=Link The OncoK9 Cancer SAFE™ (Screening Age For Early detection) tool uses data from over 3,000 cancer-diagnosed dogs to determine the age at which it may be appropriate to start annual cancer screening for your dog. - Resources page: https://petdx.com/resources/ Browse supporting resources, including our clinical validation study, continuing education (CE) programs, research publications and posters, and product documentation.

ABOUT OUR GUEST: Dr. Andi Flory, DVM, DACVIM (Oncology) Chief Medical Officer, PetDX Dr. Flory is a specialist in medical oncology with nearly two decades of experience practicing and publishing in the areas of early cancer diagnosis, treatments, trials, and novel diagnostic test evaluation. A diplomate of the American College of Veterinary Internal Medicine in oncology, Dr. Flory graduated from the Ohio State University of College of Veterinary Medicine and completed additional training at Florida Veterinary Specialists and Cancer Treatment Center in Tampa, Florida, and Cornell University. In 2019, she treated a small dog named Poppy for pancreatic cancer. Poppy lost her battle with the disease, but left an indelible mark on Dr. Flory, leading her to a newfound passion for cancer genomics. Soon after, Dr. Grosu tapped Dr. Flory to launch PetDx and serve as its first chief medical officer. Prior to PetDx, most recently she co-directed the oncology internship and served as a medical oncologist at Veterinary Specialty Hospital in San Diego. Dr. Flory founded the medical oncology service at a sister hospital, Veterinary Specialty Hospital - North County. Prior to that she was a staff oncologist, resident advisor and co-chief of the oncology department at The Animal Medical Center in New York City. She has served as a principal investigator for national and international multi-site clinical investigational studies. Dr. Flory is constantly expanding her knowledge in cutting-edge areas of veterinary medicine. She holds a certificate in genomics from The Johns Hopkins University along with certificates in cancer genomics and precision oncology, and genetic testing and sequencing technologies from Harvard Medical School. In addition, Dr. Flory is a skilled lecturer. An avid snowboarder and passionate foodie, when not keeping up with two preschoolers, Dr. Flory loves to travel, spend time with her husband, sons, their cat Mochi, and dog Cheyenne.

COS - 151 - Can Bundling Diagnostics Make Your Practice Faster, Simpler And More Profitable? Jul 28, 2022

Show notes

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

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.

COS - 150 - Is It A Seizure, Heart Disease... Or IMHA? (HDYTT) Jul 21, 2022

Show notes

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

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).

COS - 149 - The Vet At Noah's Ark: Stories Of Survival From An Inner - City Animal Hospital Jul 14, 2022

Show notes

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

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.”

COS 148 Advice For and From The Next Generation Of Vet Medicine Jul 11, 2022

Show notes

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.

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