The Cone of Shame Veterinary Podcast

Dr. Tess House, DVM, MPH, dives into a topic that can spark strong opinions: commercial dog breeding kennels. If you've ever wondered what veterinarians can do to improve animal welfare in these facilities, or what standards, oversight, and welfare programs actually look like behind the scenes, this episode breaks it all down in a thoughtful and practical way. You'll learn about USDA licensing, programs of veterinary care, canine welfare assessments, and how veterinarians can help breeders and pet owners make better decisions for dogs. Gang, let's get into this episode!

Resources Mentioned

Vicky Ograin, RVT, VTS (Nutrition), MBA tackles a challenge every new veterinarian faces: how do you earn trust, build confidence, and collaborate effectively when the technicians around you have far more real-world experience than you do? Dr. Andy Roark and Vicky share practical advice for creating strong doctor-technician partnerships, giving and receiving feedback, and building a team culture that benefits patients, clients, and the entire veterinary team.

This episode is brought to you by Hill's Pet Nutrition!

Dr. Kate Boatwright, DVM, joins Dr. Andy Roark for a thoughtful (and surprisingly spicy) conversation about three phrases veterinarians say all the time: "If you can't afford the vet, don't get the pet," "You can't care more than the client does," and "That's below the standard of care." Together, they unpack the nuance behind these statements, explore judgment in veterinary medicine, discuss spectrum of care, client financial limitations, veterinary burnout, and what compassionate, contextualized care really looks like. If you've ever wrestled with balancing patient advocacy, client realities, and your own emotional wellbeing, this episode will leave you thinking...

Dr. Sarah Boston, DVM, DVSc, DACVS-SA, joins Dr. Andy Roark for a hilarious and surprisingly thoughtful conversation about the worst advice they've heard in veterinary medicine. From "if you love what you do, you'll never work a day in your life" to "just let them simmer" when clients are upset, they unpack the well-intentioned wisdom that can sometimes lead us astray, while exploring career development, work-life balance, veterinary culture, and what actually makes good professional advice. You'll laugh, nod in agreement, and probably rethink a few pieces of guidance you've accepted as truth. Gang, let's get into this episode!<...

Jon Ayers, former Chair and CEO of IDEXX, joins Dr. Andy Roark for a conversation that might completely change the way you think about veterinary PIMS, AI scribes, and the future of practice workflows. If you’ve ever felt frustrated by clunky software, disconnected systems, or the endless admin burden slowing your team down, this episode digs into why AI could dramatically reshape how veterinary teams interact with medical records, client communication, and even daily decision-making. From open APIs to AI-powered workflows, Jon breaks down what practice owners should be asking about their software now, and why the clinics th...

Dr. Gianluca Bini, DVM, DACVAA, is here to talk about one of the scariest parts of veterinary medicine: anesthesia, and why so many of us may be overcomplicating the wrong things while underestimating the stuff that actually keeps patients safe. Dr. Andy Roark and Luca dive into veterinary anesthesia safety, monitoring, equipment, technician training, and the myth of the “perfect protocol,” all while making anesthesia feel way more approachable and practical for GP teams. If you’ve ever felt intimidated by anesthesia, worried about complications, or wondered what actually matters most in keeping patients safe, this episode will leave you fe...

Dr. Flavia Vedova, DVM, MBA, DACVIM (Nutrition), jumps into one of the most confusing parts of pet nutrition, figuring out when to switch diets, what “all life stages” actually means, and whether your large breed dog really needs a large breed formula. If you’ve ever stared at a pet food bag wondering if you’re helping your patient thrive or just falling for clever marketing, this episode breaks down senior pet nutrition, large breed puppy growth, calcium and phosphorus balance, and the future of pet food labeling in a way that actually makes sense.

This episode is broug...

Dr. Lily Chen, DVM, joins Dr. Andy Roark to tackle one of the most frustrating cases in veterinary medicine: the chronic diarrhea dog that just keeps coming back for more metronidazole. From microbiome testing and dysbiosis to fecal transplants and the surprising behavioral changes pets can show after treatment, this episode dives into the growing world of microbiome therapy and what it might mean for chronic enteropathy cases in practice. If you’ve ever felt stuck managing recurring GI disease, this conversation might just give you a new tool for your veterinary toolbox. Gang, let’s get into this epis...

Dr. Andy Roark hosts Dr. Jules Benson, founder and principal of Titum Lucidum Consulting, to push the access-to-care conversation from advocacy into practical, feasible actions veterinary teams can take now. They frame access to care as a broad spectrum, noting growth in specialty access while affordability challenges are expanding even for middle-income households, and they stress veterinary medicine’s cash-based reality and the lack of a true safety net. Benson argues access solutions must be sustainable business models, citing data-driven opportunities and examples such as proactively normalizing financing options, focused care models like high-quality high-volume spay and neuter, dental an...

Dr. Josh Rosen (known online as D-O-G-T-O-R Josh) joins host Dr. Andy Roark to debate a provocative question: should veterinary operations leaders who come from outside medicine be required to complete a clinic-based onboarding before leading teams? They explore the tension between “medicine people” focused on individual patients and “operations people” focused on scale, and how lack of day-to-day context can lead to decisions (like shorter appointments, pricing changes, wellness plans, or staffing shifts) that fuel burnout, harm client relationships, and hurt retention. Rosen argues leaders do not need technical skills like drawing blood, but they do need repeated, ongoing...

Dr. Charli Dong, DACVD, joins the podcast to tackle one of the most frustrating and common cases in practice: the itchy dog that just will not get better. If you have ever had a client convinced it is “just a food allergy” while their dog continues to suffer, this episode is your playbook. Dr. Dong breaks down canine atopic dermatitis in a way that actually makes sense, from puppies presenting earlier than expected to the messy overlap between food allergies and environmental triggers. You will walk away with a clearer approach to multimodal management, including when to use diet tria...

Dr. Andy Roark welcomes Caitlin Palmer (aka “the desk winch”), a veterinary receptionist at Southern Vet Clinic and a member of the President’s Advisory Board for the North American Association of Veterinary Receptionists (NAVR), to talk about the state of the front desk. They discuss how changing communication preferences and tools like AI may increase the importance of front-desk staff as key client communicators, and why reception should be viewed as a long-term career path with better pay, recognition, and continuing education. Caitlin shares common pain points like disrespectful clients, vaccination hesitancy conversations, lack of appreciation, and the rift b...

Dr. Matthew Richardson, veterinary practice owner and director of the Veterinary Sustainability Alliance, joins Dr. Andy Roark to address a growing challenge in veterinary medicine: how clinics can reduce their environmental impact without sacrificing patient care or profitability. He breaks down healthcare’s carbon footprint and shares practical, real-world changes clinics can implement, from energy-efficient upgrades to reducing anesthetic gases. They also introduce the Green PAW Certification, a step-by-step program designed to help practices take measurable, sustainable action.

Links: https://veterinarysustainabilityalliance.org

Dr. Richardson holds a BA in Ecology and Evolutionary Bi...

Dr. Kat Sutherland (PhD), assistant professor at the Ontario Veterinary College, joins Dr. Andy Roark to tackle a question every new grad wrestles with, how do you speak up and create change without feeling like you’re overstepping? In this episode, they dive into change management for early career veterinarians, unpacking the real barriers like confidence dips, imposter syndrome, and unclear communication skills. You’ll hear practical strategies for getting buy-in from your team, navigating resistance, and advocating for yourself without burning bridges. They also explore the reality that not every idea lands, not every change happens quickly, and some...

Dr. Peter Weinstein, veterinarian and independent ownership advocate, joins Dr. Andy Roark to explore why more veterinarians are choosing to own their practices and step away from corporate structures. They break down the resurgence of independent veterinary practice ownership, including the financial realities, student debt concerns, and the desire for autonomy and purpose driving this shift. If you’ve ever wondered whether owning a veterinary practice is still possible or worth it, this episode will challenge your assumptions. Gang, let’s get into this episode.

Dr Peter Weinstein is a husband, father, pet parent, veterinarian and leader. He h...

Dr. Jules Benson, DVM, founder of Tapetum Lucidum Consulting and a data strategist, joins Dr. Andy Roark to tackle a frustrating truth in the access to care conversation, lots of well-meaning advice for vets is not practical in real clinics with limited time, fixed protocols, and real-world overhead. They dig into the “iron triangle” of cost, quality, and access (the good, fast, cheap problem), and why defining “quality” often gets tangled up with “most advanced care.” Along the way, they talk about client trust as a process issue, how most practice websites fail to differentiate who they are for, and why stra...

Dr. Nathan Peterson, DVM, DACVECC, takes us straight into one of the most uncomfortable questions in veterinary medicine: are we sometimes prolonging suffering, and what does that do to our teams? In this episode, Dr. Andy Roark and Dr. Peterson unpack medical futility, moral distress, and veterinary burnout in a way that feels both honest and actionable. They explore what happens when technicians feel stuck providing care that conflicts with their values, and why that tension matters more than we think. You’ll hear practical ideas like creating psychological safety, building a “pause button” for team concerns, and even introd...

Tasha McNerney, CVT, VTS (Anesthesia & Analgesia), tackles one of the most common clinical dilemmas, how do you safely sedate dogs and cats for quick procedures without committing them to a full day of anesthesia or risking complications. If you have ever hesitated before radiographs, wound repair, or diagnostics because you wanted fear-free handling but also needed efficiency, this episode delivers practical answers. Tasha walks through reversible sedation protocols, multimodal analgesia, and how to combine opioids, dexmedetomidine, and local blocks to maximize comfort while protecting the airway. She also shares feline sedation strategies, when to add ketamine, and how local...

Maria Pirita, CVPM, joins Dr. Andy Roark to tackle a frustrating reality many veterinary leaders are facing right now, your clinic feels slammed every day, yet the appointment book is quietly shrinking. In this Uncharted crossover episode, Maria and Andy unpack why declining veterinary visits can hide behind busy schedules filled with same day appointments, and why that pattern can create serious problems for clinic planning, revenue stability, and patient care. They explore practical leadership strategies for veterinary practice managers, including how to identify leading and lagging metrics, avoid “rollercoaster marketing,” reactivate existing clients, and build real team buy in w...

Dr. Peter Weinstein, DVM, is asking a question many veterinary professionals feel but rarely say out loud, is veterinary medicine slowly losing its soul? In this thought-provoking conversation, he breaks down the concept of the “enshittification cycle,” and how corporate pressures, rising costs, and unrealistic client expectations can pull focus away from patients, teams, and community. More importantly, he offers hope. From strengthening veterinary team utilization to improving veterinary client communication and exploring new practice models, Dr. Weinstein shares practical ways clinics can restore trust, affordability, and purpose. This episode will leave you thinking differently about leadership, affordability, and what...

Dr. Jules Benson, BVSc, MRCVS, founder of Tapetum Lucidum Consulting, tackles one of the biggest questions facing veterinary medicine right now, why trust in veterinarians feels more fragile than ever. Fresh off a conference, he and Dr. Andy Roark explore how corporate growth, changing client perceptions, and rising costs are reshaping veterinary client trust and the perceived value of care. They dig into relationship-centered care, the importance of authentic practice values, and how evidence-based veterinary medicine, including spectrum of care and real-world outcome data, can help teams communicate options clearly and confidently. You will walk away with a deeper...

Dr. Emily King, DVM, founder of All Star Veterinary Clinic and veterinary social media educator, joins Dr. Andy Roark to tackle a growing tension in veterinary medicine, the public narrative that vets, corporate groups, and private equity are driving up costs while telemedicine companies promise cheaper alternatives. After a high-profile interview featuring Dutch telehealth’s CEO stirred controversy, Dr. King shares what really happens inside veterinary clinics, how social media can build trust with pet owners before they ever walk through the door, and why transparency matters more than ever. They dig into veterinary telemedicine, private equity in veterinary me...

Dr. Emily Singler, VMD, jumps right in with a question every practice owner should be asking, are we truly supporting our people through pregnancy and parental leave, or just hoping it works out? In this episode, she and Dr. Andy Roark unpack how smart veterinary parental leave planning, thoughtful postpartum support, and clear communication help protect team morale, reduce resentment, and keep great people in veterinary medicine long term. You will walk away with practical ideas for accommodations, keeping in touch during leave, and making the return to work feel supportive for both new parents and the rest of...

Dr. Emily Singler, VMD, jumps right in with a question every practice owner should be asking, are we truly supporting our people through pregnancy and parental leave, or just hoping it works out? In this episode, she and Dr. Andy Roark unpack how smart veterinary parental leave planning, thoughtful postpartum support, and clear communication help protect team morale, reduce resentment, and keep great people in veterinary medicine long term. You will walk away with practical ideas for accommodations, keeping in touch during leave, and making the return to work feel supportive for both new parents and the rest of...

Bill Schroeder, owner of InTouch Practice Communications, jumps in to tackle a big question every clinic owner is starting to feel: if pet owners are asking AI instead of visiting websites, are veterinary clinic websites becoming obsolete? Dr. Andy Roark and Bill unpack how AI search and conversational search are changing veterinary website marketing, why strong veterinary SEO and original content still matter, and how clinics can position themselves so AI tools actually send clients their way. If you’ve been wondering whether your website is still pulling its weight, this episode gives practical reassurance and direction for the ro...

Simon F. Haeder, PhD is an associate professor of public health at The Ohio State University, and jumps in with a question every clinic feels right now, how easy is it really for pet owners to get veterinary care? Using a massive secret shopper study, Simon shares what thousands of calls to clinics reveal about preventive care appointments, rural versus urban access, and what wait times actually look like across the country. Dr. Andy Roark and Dr. Simon Haeder unpack what this means for practices, pet families, and the bigger picture of veterinary access to care, plus they explore...

Dr. Sarah Boston, DVM, DVSc, DACVS, boarded surgical oncologist, author, podcaster, and stand up comedian, joins Dr. Andy Roark for a candid, funny, and slightly unhinged conversation that started with a text message and turned into a full blown existential check on veterinary medicine. Ever feel like the system is just a little… off? From commission based pay and buried service fees to corporate pressures and the emotional tax of modern practice, Andy and Sarah dig into why so many vets feel icky about how medicine is monetized right now. You will hear honest reflections on compensation models, professional va...

Dr. Aaron Massecar, PhD, is back, and if you have ever wondered whether AI scribes are actually helping or quietly creating new problems, this episode is for you. Andy and Aaron dig into what the human medical literature really says about AI scribes, beyond the hype and sales pitches. They talk about reduced administrative burden, better medical records, improved client connection, and why burnout prevention may be the biggest win of all. This is a thoughtful, nerdy, big-idea conversation about how AI scribes could reshape veterinary medicine, for better or worse, and what veterinarians should be paying attention to...

Dr. Michael Jaffe, DVM, DACVS, associate professor of small animal surgery at Mississippi State University College of Veterinary Medicine, joins Dr. Andy Roark to tackle a problem hiding in plain sight, feline osteoarthritis. If you have ever thought cats just “slow down with age,” this episode will challenge that assumption fast. Andy gets candid about how often OA is missed in cats compared to dogs, and Michael breaks down why feline arthritis shows up as subtle behavior changes rather than obvious limping. They dig into what to ask cat owners, what to look for on physical exams, and how comm...

Matthew Salois, PhD is currently the President of the Veterinary Study Groups, Inc. (VSG), where he is responsible for enhancing the economic and cultural success of more than 1,800 veterinary member practices.

Most recently, Matt was the chief economist and head of the veterinary economics division at the AVMA between 2018 and 2022, where he applied his skills in economics, business, and communication to support the daily lives of veterinarians.

From 2014 to 2018, he served as director of global scientific affairs and policy at Elanco Animal Health, supervising a team of scientists in...

Matthew Salois, PhD is currently the President of the Veterinary Study Groups, Inc. (VSG), where he is responsible for enhancing the economic and cultural success of more than 1,800 veterinary member practices.

Most recently, Matt was the chief economist and head of the veterinary economics division at the AVMA between 2018 and 2022, where he applied his skills in economics, business, and communication to support the daily lives of veterinarians.

From 2014 to 2018, he served as director of global scientific affairs and policy at Elanco Animal Health, supervising a team of scientists in veterinary medicine, human...

Dr. Sheena Warman and Dr. Kristin Jankowski sit down with Dr. Andy Roark to confront a growing challenge in vet med. We are graduating veterinarians who can recite the gold standard, but many feel unprepared for the realities of practice where finances, time, and access shape what care is possible. If you have ever struggled to balance what the textbook recommends with what your client can actually do, this episode hits home. Andy digs into why Spectrum of Care is changing how vet schools teach clinical reasoning, how students can build confidence without leaning on specialists or high tech...

Ryan Leech, founder and host of The Bird Bath podcast and principal at First 100 Veterinary Growth Consulting, joins Dr. Andy Roark for their annual year end tradition, breaking down the biggest veterinary industry stories of 2025 and what they mean for 2026. Feeling whiplash from corporate consolidation, tightening budgets, AI everywhere, and practices wondering what comes next? You are not alone. Andy and Ryan unpack what they call “the great compression,” from private equity shifts and practice group shutdowns to leadership changes at major players, all while keeping it light, honest, and very real. They also dig into the rapid rise of A...

Dr. Andy Roark, DVM, MS tackles one of the trickiest leadership challenges out there, showing up strong when things do not go according to plan. Ever walked out of a meeting or presentation thinking, well that was rough? Kelsey Beth Carpenter joins us as Andy breaks down why those moments matter more than we think, how leaders build credibility through adaptability, and why owning ambiguity is a core leadership skill. This episode dives into executive presence, audience awareness, and the art of engaging people even when the format, timing, or tech falls apart. You will walk away feeling validated...

Dr. Beth Venit, Chief Veterinary Officer for the American Association of Veterinary State Boards, joins Andy to dig into one of the most nerve-wracking topics in vet med: avoiding board complaints by mastering informed consent. If you have ever wondered where the real line is between gold standard care and the minimum standard of care, or how to protect yourself when clients decline your recommendations, this episode will make your shoulders drop a little. Gang, let’s get into this episode!

Dr. Beth Venit on LinkedIn: https://www.linkedin.com/in/beth-venit-vmd-mph-dacvpm-7a840ab/

Dr. Stacy Anderson, Dean at Lincoln Memorial University College of Veterinary Medicine and President of COWBEL, joins Andy to dig into the rise of the distributive model for veterinary education. If you have ever wondered how students can get high quality clinical training without a traditional teaching hospital, or you have questions about capacity, specialty exposure, and whether practices actually enjoy taking students, this episode is for you. They also talk about what makes a rotation site truly great, why hands-on experience matters so much, and how practices can benefit from becoming teaching partners. Gang, let’s get into th...

Dr. Stacy Anderson, Dean at Lincoln Memorial University College of Veterinary Medicine and President of COWBEL, joins Andy to dig into the rise of the distributive model for veterinary education. If you have ever wondered how students can get high quality clinical training without a traditional teaching hospital, or you have questions about capacity, specialty exposure, and whether practices actually enjoy taking students, this episode is for you. They also talk about what makes a rotation site truly great, why hands-on experience matters so much, and how practices can benefit from becoming teaching partners. Gang, let’s get into th...

Dr. Kara Amstutz, DVM, CVPP, CCRT, CVA, joins Dr. Andy Roark for a one-of-a-kind conversation about balancing a thriving veterinary career with raising a world-famous daughter, musician Chappell Roan. From starting her own practice to becoming boarded in veterinary sports medicine and rehabilitation, Dr. Kara shares how she rebuilt her love for vet med through pain management, teaching, and lifelong learning. Andy and Kara talk about burnout, resilience, and what it’s like when fame suddenly lands in your family’s lap. You’ll hear how her clinic team and clients reacted, how she juggled motherhood and management, and why sh...

Dr. Rustin Moore, Dean of The Ohio State University College of Veterinary Medicine, joins Dr. Andy Roark to talk about his new book, Unleashing the Bond: Harnessing the Power of Human-Animal Interactions. This episode dives into why our relationships with animals are so profound, from therapy dogs and service animals to stories of resilience like Molly the Pony and Fiona the therapy dog. Dr. Moore shares what inspired him to write the book, the paradox of loving animals while working in veterinary medicine, and how understanding the human-animal bond can shape better care for both pets and people. You’ll...

Dr. Matthew MacLachlan, Assistant Professor of Veterinary Business and Economics at Cornell University, joins Dr. Andy Roark for a deep dive into one of the profession’s biggest debates: do we really need more veterinarians? With new vet schools popping up across the country, Andy and Matt unpack whether more graduates will actually solve the shortage in rural areas or simply flood urban markets. They dig into workforce economics, burnout, wages, and how retention may matter more than recruitment. Matt also shares what rising pet care costs, changing consumer behavior, and mid-level practitioner roles could mean for the future of...