The Cone of Shame Veterinary Podcast

Latest Episodes:

COS 127 How Adobe Animal Hospital is Doing Work-From-Home & Virtual Vet Medicine Mar 24, 2022

Show notes

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

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.

COS 126 Battling Back Against Moral Distress Mar 17, 2022

Show notes

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

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.

COS 125 Chronic Diarrhea and Anxiety in a GSD (HDYTT) Mar 14, 2022

Show notes

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

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.

COS 124 Old Murmur & New Cough In A Small Dog (HDYTT) Mar 10, 2022

Show notes

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

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 123 Will Genetic Testing Change the World of Canine Wellness? Mar 07, 2022

Show notes

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

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.

COS 122: Is There Really a Black Market Cure for FIP? Mar 03, 2022

Show notes

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

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.

COS 121 Acute Canine Diarrhea on Emergency - Are Probiotics Enough? Feb 24, 2022

Show notes

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

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!

COS 120: The Economic Toll of Burnout in Veterinary Medicine Feb 17, 2022

Show notes

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

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: cln64@cornell.edu

COS 119 Minding Our Thoughts Feb 10, 2022

Show notes

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

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!

COS 118 - Do I Pull It? Do I Leave it? (HDYTT) Feb 03, 2022

Show notes

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

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!

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