Dr. Tina Neel joins Dr. Andy Roark to talk about the hard but essential rule she has lived by in her career: never, ever lie. From leading a 20-doctor hospital to surviving cancer three times, Dr. Neel shares how honesty, even in the most painful situations, builds trust, protects your reputation, and helps you sleep at night. She reflects on the lessons learned from decades in practice, the importance of mentoring young veterinarians to think independently, and what she wishes would change in the profession today. If you’ve ever wrestled with mistakes, ethics, or finding your footing as a leader in veterinary medicine, this conversation will leave you inspired to lead with courage and truth. Gang, let’s get into this episode!Rockstar Vets: https://tinaneel.com/about/ Dr. Tina Neel on LinkedIn: https://www.linkedin.com/in/tina-neel-dvm-ms-08297319/ Surviving Cancer Substack: https://substack.com/@drtinaneelDr. Know-It-All Card Game (https://drandyroark.com/product/dr-know-it-all-card-game/)Dr. Andy Roark Charming the Angry Client Team Training Course (https://drandyroark.com/charming-the-angry-client/)Dr. Andy Roark Swag: drandyroark.com/shop (http://drandyroark.com/shop)All Links: linktr.ee/DrAndyRoark (http://linktr.ee/DrAndyRoark)Dr. Tina Neel is a nationally recognized veterinarian, entrepreneur, and mentor with over four decades of experience in clinical practice and veterinary business leadership. She has founded, owned, and sold 11 successful veterinary hospitals and currently coaches veterinarians on how to build profitable, sustainable practices without burning out.Dr. Neel is also the co-founder and CEO of Angimal, Inc., a biotech startup advancing new cancer therapeutics for animals, and she serves on the board of Angiex, Inc., a clinical-stage company developing targeted therapies for human cancer.Known for her honest, practical approach, Dr. Neel has helped countless veterinarians improve their business skills, communicate more effectively, and find joy in practice again. Her passion lies in empowering the next generation of veterinary professionals to think like owners and lead with heart.When she’s not coaching or consulting, Dr. Neel publishes multiple newsletters on veterinary leadership, pet parent education, and cancer survival—drawing on her own journey as a two-time cancer survivor. She’s also a devoted grandmother, OSU fan, and herb-growing, quilt-making Oklahoma native.

Dr. Sandra Faeh, Chief Medical Officer for NVA General Practice and past president of the AVMA, joins Dr. Andy Roark to tackle a question many seasoned veterinarians face: what’s next after twenty years in practice? When your clinical skills are sharp and your days are full, it can be hard to imagine what growth looks like. Dr. Faeh shares how NVA is helping doctors at every stage of their careers stay curious and engaged through mentorship, leadership training, and hands-on programs at the new Pet One Veterinary Training Center. From orthopedic workshops and ultrasound support groups to bringing in-hospital training directly to teams, this episode is packed with ideas for keeping your spark alive in veterinary medicine. Whether you’re mentoring others, exploring leadership, or just want to fall back in love with learning, this conversation will remind you that growth never has to stop. Gang, let’s get into this episode!This episode is brought to you ad free by NVA General Practice!NVA General Practice Careers: careers.nva.com (http://careers.nva.com/)NVA on LinkedIn: https://www.linkedin.com/company/nva-general-practice/ (https://www.linkedin.com/company/nva-general-practice/)Dr. Sandra Faeh on Linked In: https://www.linkedin.com/in/sandra-faeh-dvm-5baaabb2/Dr. Know-It-All Card Game (https://drandyroark.com/product/dr-know-it-all-card-game/): https://drandyroark.com/product/dr-know-it-all-card-game/ (https://drandyroark.com/product/dr-know-it-all-card-game/)Dr. Andy Roark Charming the Angry Client Team Training Course (https://drandyroark.com/charming-the-angry-client/): https://drandyroark.com/charming-the-angry-client/Dr. Andy Roark Swag: drandyroark.com/shop (http://drandyroark.com/shop)All Links: linktr.ee/DrAndyRoark (http://linktr.ee/DrAndyRoark)Dr. Faeh serves as the first Chief Medical Officer at NVA General Practice as well as the Immediate Past President of the American Veterinary Medical Association (AVMA).With over 25 years of experience as a small animal practitioner in the Chicagoland area, she has a passion for organized veterinary medicine, mentorship, and equipping others with the tools for success. After earning her Doctor of Veterinary Medicine from the University of Illinois at Urbana- Champaign, she became the Managing Veterinarian and part-owner at Elmhurst Animal Care Center, along with three small animal hospitals in the Chicago suburbs. Dr. Faeh served as President of the Illinois State Veterinary Medical Association, President of the Chicago Veterinary Medical Association, and Vice President of the AVMA. In July 2023, she was elected by industry peers to serve as AVMA President-Elect for the 2023- 2024 term, followed by the AVMA President for the 2024-2025 term.At NVA General Practice, she also serves as the co-creator of their Mentorship Program. This hybrid program offers mentorship to new NVA General Practice veterinarians, providing hands-on and in-person surgical and dental support, as well as virtual medical and surgical lectures and case rounds. The program has helped over 500 new DVMs navigate the complexities of veterinary medicine and the struggles of healthy work-life balance.In her free time, she enjoys reading, running, spending time with her husband and three sons, walking her dogs, Tobe and Rigi, and riding her horse, Ace.

Dr. Marie Holowaychuk, board-certified emergency and critical care specialist, joins Dr. Andy Roark to talk about what it really means to be a veterinarian. In this heartfelt and honest conversation, Marie opens up about her own journey through burnout, perfectionism, and rediscovering joy in veterinary medicine. Her new book, A Compassionate Calling, explores the emotional highs and lows of the profession, from the drive to help animals to the toll it can take on mental health. Andy and Marie dig into why so many veterinarians struggle to stay fulfilled, how to set boundaries without guilt, and why self-compassion might just be the most underused skill in vet med. If you’ve ever wondered how to balance purpose and peace in your veterinary career, this episode will speak directly to your heart. Gang, let’s get into this episode!Reviving VetMed: https://revivingvetmed.com/ (https://revivingvetmed.com/)A Compassionate Calling: What It Really Means to Be a Veterinarian: https://www.barnesandnoble.com/w/a-compassionate-calling-marie-holowaychuk/1147036390?ean=9781032389035 (https://www.barnesandnoble.com/w/a-compassionate-calling-marie-holowaychuk/1147036390?ean=9781032389035)Marie on IG: https://www.instagram.com/marieholowaychuk (https://www.instagram.com/marieholowaychuk)Marie on LinkedIn: linkedin.com/in/marieholowaychuk (http://linkedin.com/in/marieholowaychuk)Uncharted Veterinary Conference 2026: https://learn.unchartedvet.com/pages/about-uncharted-veterinary-conference-2026 (https://learn.unchartedvet.com/pages/about-uncharted-veterinary-conference-2026)Dr. Know-It-All Card Game (https://drandyroark.com/product/dr-know-it-all-card-game/): https://drandyroark.com/product/dr-know-it-all-card-game/ (https://drandyroark.com/product/dr-know-it-all-card-game/)Dr. Andy Roark Charming the Angry Client Team Training Course (https://drandyroark.com/charming-the-angry-client/): https://drandyroark.com/charming-the-angry-client/Dr. Andy Roark Swag: drandyroark.com/shop (http://drandyroark.com/shop)All Links: linktr.ee/DrAndyRoark (http://linktr.ee/DrAndyRoark)Dr. Marie Holowaychuk brings a refreshing perspective to veterinary medicine, championing the wellbeing of veterinary teams with warmth and expertise. Based in Calgary, she’s a respected emergency and critical care specialist and a familiar name in the world of veterinary wellness.Alongside her ER work, Marie is a prolific writer, speaker, and researcher. You might catch her hosting the Reviving Vet Med podcast or sharing insights in her monthly blog and newsletter, all geared towards supporting mental health in the veterinary community.When she's not at the clinic, Marie is a dedicated yoga and meditation teacher and wellness coach. She leads workshops and retreats for vet clinics, sharing practical strategies for staying balanced in a demanding field. Plus, she works behind the scenes on revivingvetmed.com (http://revivingvetmed.com/), a go-to resource hub for veterinary professionals seeking support and guidance.Beyond her professional endeavors, Marie finds joy in spending time with her daughter and beloved Standard Poodle. She stays active with strength training and HIIT, embodying the holistic approach to wellbeing she advocates for in her work. Fun facts: I have played the violin, standing bass, oboe, and ukulele; I have never missed a season of Survivor; I am a huge Edmonton Oilers fan; I am an avid swimmer but am terrified of open water

Tabitha Kucera, RVT, VTS (Behavior), CCBC, joins Dr. Andy Roark to unpack one of the most stressful situations for cat owners: a new kitten wreaking havoc on the household harmony. When a lively young Bengal starts chasing the older Maine Coon around the house, Dr. Roark calls in the behavior expert to help navigate the chaos. They talk through the science and strategy behind proper cat introductions, why common advice like “let them work it out” often backfires, and how to use behavior modification, enrichment, and empathy to create a peaceful multi-cat home. This episode is packed with practical veterinary behavior tips, relatable analogies, and plenty of lightbulb moments around feline body language and environmental needs. Gang, let’s get into this episode!Chirrups and Chatter (https://chirrupsandchatter.com/)Tabitha Kucera on Instagram (https://www.instagram.com/chirrupsandchatter/?hl=en)Tails From A Vet Tech Podcast (https://tailsfromrvt.buzzsprout.com/)Dr. Know-It-All Card Game (https://drandyroark.com/product/dr-know-it-all-card-game/)Dr. Andy Roark Charming the Angry Client Team Training Course (https://drandyroark.com/charming-the-angry-client/)Dr. Andy Roark Swag: drandyroark.com/shop (http://drandyroark.com/shop)All Links: linktr.ee/DrAndyRoark (http://linktr.ee/DrAndyRoark)Tabitha Kucera is an Elite Fear Free Registered Veterinary Technician, Veterinary Technician Specialist (Behavior), Certified Cat Behavior Consultant, and Karen Pryor Academy Certified Training Partner. She owns Chirrups and Chatter Cat and Dog Behavior Consulting and Training and is the animal behavior technician at The Gentle Vet in Ohio. Tabitha lectures at both regional and national levels, enjoying the opportunity to help people better understand and connect with animals. Additionally, Tabitha is a Fear Free certified speaker and coach, a Fear Free Practice Certification and Implemention Consultant, and the host of the podcast, Tails from a Vet Tech. Tabitha offers organizational consulting and education for veterinary clinics and animal shelters, focusing on best practices that address both the emotional and physical needs of animals. She specializes in behavior and training programs and handling skills. Tabitha has contributed to the development of training and behavior programs for numerous veterinary hospitals and shelters and continues to provide ongoing support to these organizations through her consulting work.

Vicky Ograin, RVT, AVTS (Nutrition), MBA, joins Dr. Andy Roark for a Vet Tech Week special that’s full of heart and inspiration. As a lifelong learner, educator, and champion for veterinary technicians, Vicky shares how the profession has evolved, why advocacy and utilization still matter, and how technicians can build fulfilling, sustainable careers in veterinary medicine. Together, Andy and Vicky unpack everything from the return of Hill’s Veterinary Nutritional Advocate Program to the importance of lifelong learning, professional growth, and team collaboration. They also tackle common challenges like burnout and underutilization, reframing them with optimism and practical advice.Whether you’re a credentialed technician, an aspiring one, or a veterinarian who wants to better support your team, this conversation will leave you feeling proud, motivated, and ready to celebrate Vet Tech Week in style. Gang, let's get into this episode!This episode is brought to you by Hill's Pet Nutrition (http://hillsvet.com/)!Veterinary Nutritional Advocate (VNA) Certificate Program (https://na.hillsvna.com/en_US/vna/)Hill's Vet (http://hillsvet.com/)Hill's Veterinary Academy (https://na.hillsvna.com/en_US/dashboard)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 (http://drandyroark.com/shop)All Links (http://linktr.ee/DrAndyRoark)ABOUT OUR GUESTVicky Ograin, MBA, RVT, VTS (Nutrition) received her technician degree from Los Angeles Pierce College. She served in private practice for many years in California, and then 22 years ago began a career with Hill’s Pet Nutrition, where she is a Scientific Communication Senior Specialist, in the US Professional Veterinary Affairs department. She focuses on education for technicians and the health care team as well as strategy for veterinary technicians in tech schools and graduates. In 2007, she completed a Bachelor of Science and in 2008, she completed a Masters, both in Business Administration. Vicky obtained her Veterinary Technician Specialty (VTS) in nutrition in June 2013. Vicky speaks nationally and internationally and is a published author.

Dr. Michael Wong, DVM, DACVIM (Neurology) joins Dr. Andy Roark to tackle a question every vet has asked themselves at some point: is my neuro exam actually up to snuff? Together they dig into the art and science of the neurological examination, breaking down how to approach trauma cases, distinguish pain from neuro deficits, and avoid the most common mistakes veterinarians make when running through their checklists. Dr. Wong shares his systematic approach, why pattern recognition matters, and how practice makes all the difference in building confidence with neuro patients. You’ll walk away with practical pearls you can use in your next exam room, plus a fresh appreciation for the beauty of veterinary neurology.If neuro exams make you sweat or you just want a smarter way to structure them, this episode is your refresher course. Gang, let’s get into this episode!SEVneurology: https://www.sevneurology.com (https://www.sevneurology.com/)Advanced Neurodiagnostics Conference: https://sevneurology.com/adv-neurodiag-conf (https://sevneurology.com/adv-neurodiag-conf)SEVN IG: https://www.instagram.com/southeastveterinaryneurology/ (https://www.instagram.com/southeastveterinaryneurology/)Uncharted Veterinary Conference 2026: https://learn.unchartedvet.com/pages/about-uncharted-veterinary-conference-2026 (https://learn.unchartedvet.com/pages/about-uncharted-veterinary-conference-2026)Dr. Know-It-All Card Game (https://drandyroark.com/product/dr-know-it-all-card-game/): https://drandyroark.com/product/dr-know-it-all-card-game/ (https://drandyroark.com/product/dr-know-it-all-card-game/)Dr. Andy Roark Charming the Angry Client Team Training Course (https://drandyroark.com/charming-the-angry-client/): https://drandyroark.com/charming-the-angry-client/Dr. Andy Roark Swag: drandyroark.com/shop (http://drandyroark.com/shop)All Links: linktr.ee/DrAndyRoark (http://linktr.ee/DrAndyRoark)ABOUT OUR GUESTDr. Michael Wong is a board-certified veterinary neurologist based in southeast Florida and the founder of Southeast Veterinary Neurology (SEVN), which now includes four neurology-dedicated hospitals. A magna cum laude graduate of the University of Florida College of Veterinary Medicine, he also founded the UF Veterinary Business Management Association. He completed a medical and surgical internship at Red Bank Veterinary Hospital in New Jersey and a neurology residency at North Florida Neurology, becoming board-certified the same year. Dr. Wong was among the first to complete the Advanced Neurosurgical Certification and has lectured nationally, taught veterinary students at UF, and published on MRI and treatments for encephalitis and brain tumors. His professional interests include spinal surgery, seizure management, encephalitis, and MRI diagnostics. Outside of work, he enjoys spending time with his family and playing tennis.  

Dr. Natalie Marks, DVM, CVJ joins Dr. Andy Roark to tackle a topic that hits home for a lot of veterinary professionals: the fear of the unknown when it comes to career change. Have you ever thought, “I don’t know ...

Dr. Josh Gehrke, head of Veterinary Services at the AVMA Trust, joins Dr. Andy Roark for a conversation that might make every veterinarian sit up a little straighter. A recent New York court case awarded emotional damages after a dog was struck by a car, declaring the pet an immediate family member. If this precedent stands, what could it mean for veterinary liability insurance, client lawsuits, and the future of our profession? Andy and Josh unpack the case, explore how proximity and emotional distress factored into the ruling, and consider what ripple effects could land in veterinary medicine. From rising insurance costs to changes in how we deliver care, this episode tackles both the what-ifs and the practical pearls that vets need to keep in mind. If you’ve ever wondered how the evolving legal view of pets as family might impact your career, this is an episode you don’t want to miss. Gang, let’s get into this episode!Joshua Gehrke on LinkedIn: https://www.linkedin.com/in/joshua-gehrke-400211218 (https://www.linkedin.com/in/joshua-gehrke-400211218)AVMALife: https://avmalife.org/ (https://avmalife.org/)Dr. Know-It-All Card Game (https://drandyroark.com/product/dr-know-it-all-card-game/): https://drandyroark.com/product/dr-know-it-all-card-game/Dr. Andy Roark Charming the Angry Client Team Training Course (https://drandyroark.com/charming-the-angry-client/): https://drandyroark.com/charming-the-angry-client/Dr. Andy Roark Swag: drandyroark.com/shop (http://drandyroark.com/shop)All Links: linktr.ee/DrAndyRoark (http://linktr.ee/DrAndyRoark)Dr. Joshua E. Gehrke serves as Head of Veterinary Services for the AVMA Trust, where he works alongside the CEO, Lead Trust Veterinarian, and the Trust Team to provide support and resources for veterinary professionals. A graduate of Michigan State University with both his BS and DVM, he went on to complete a small animal internship in Los Angeles, followed by a Neurology and Neurosurgery residency at The Schwarzman Animal Medical Center in New York.His career includes roles with BluePearl and MedVet, as well as serving as an award-winning Assistant Professor and leader of the Neurology Service at Michigan State University. Later, as Chief Veterinary Officer for Veterinary United, Dr. Gehrke combined leadership, clinical practice, mentorship, and coaching to guide veterinary teams and strengthen medical care in the community. Today, he continues to champion the profession and support colleagues through his work with the AVMA Trust.

Dr. James Oldeschulte joins Dr. Andy Roark to talk about a topic you probably didn’t think you’d hear on your commute today: fecal transplants. Yep, we’re diving into poop and how it is changing the way we treat veterinary patients. If you’ve always thought fecal microbiota transplants were only for chronic diarrhea or parvo puppies, think again. Dr. Oldschulte breaks down why acute diarrhea cases are now a prime place to reach for this tool, how screening donor dogs works, and why capsules are making this treatment easier and more accessible than ever. You’ll learn how fecal transplants can help restore the gut microbiome quickly, why pet owners are often more open to it than you’d expect, and how this approach fits into the larger movement toward antibiotic stewardship in veterinary medicine.This episode is brought to you by Amend Pet. Poop donor to dose: FMT made easy.Consortium guidelines on FMT (Open Access): https://www.advancesinsmallanimalcare.com/article/S2666-450X(24)00006-3/fulltext (https://www.advancesinsmallanimalcare.com/article/S2666-450X(24)00006-3/fulltext)ENOVAT guidelines on the efficacy of antimicrobial and nutraceutical treatment for canine acute diarrhoea (Open Access):https://www.sciencedirect.com/science/article/pii/S1090023323001053?via%3Dihub (https://www.sciencedirect.com/science/article/pii/S1090023323001053?via%3Dihub)https://www.amendpet.com/ (https://www.amendpet.com/) Amend Pet has helped make fecal transplant easy and accessible for my patients.Dr. Know-It-All Card Game (https://drandyroark.com/product/dr-know-it-all-card-game/)Dr. Andy Roark Charming the Angry Client Team Training Course (https://drandyroark.com/charming-the-angry-client/)Dr. Andy Roark Swag: drandyroark.com/shop (http://drandyroark.com/shop)All Links: linktr.ee/DrAndyRoark (http://linktr.ee/DrAndyRoark)I'm an emergency veterinarian in Austin, Texas, and one of the directors of new ER doctor education at Veterinary Emergency Group. I'm passionate about evidence-based medicine, technology, and empowering others through education. I have a background in healthcare technology and have spent the first 5 years of my career collecting and sharing knowledge by creating web-based applications for veterinary professionals—such as DogsCatsMedicine.com. In my free time, I enjoy exploring my cross-industry interest in resilience engineering, mountain biking, and playing music.

Beckie Mossor, RVT, joins Dr. Andy Roark to dig into the surprising results of NAVTA’s 2024 demographic survey of veterinary technicians. Salaries are climbing, yet job satisfaction is dropping fast. How do we make sense of this? Beckie unpacks the data, from the overwhelming push for title protection and standardized credentialing, to the growing frustrations around underutilization in practice. This episode takes on tough but essential questions: Why do so many techs still need multiple jobs to get by, even with pay increases? What role does proper utilization play in career satisfaction? And how can practices do better at recognizing the full scope of a credentialed technician’s skills? If you’ve ever wondered what the future looks like for veterinary technicians, or how to keep your team engaged and fulfilled, this conversation is full of insights you can take back to your clinic. Gang, let’s get into this episode!Article Referenced: https://todaysveterinarynurse.com/personal-professional-development/navta-2024-demographic-survey-results/ (https://todaysveterinarynurse.com/personal-professional-development/navta-2024-demographic-survey-results/)Beckie Mossor on LinkedIn: https://www.linkedin.com/in/beckie-mossor-bis-mpa-rvt-37a55527/ (https://www.linkedin.com/in/beckie-mossor-bis-mpa-rvt-37a55527/)NAVTA: https://navta.net/ (https://navta.net/)Dr. Know-It-All Card Game (https://drandyroark.com/product/dr-know-it-all-card-game/): https://drandyroark.com/product/dr-know-it-all-card-game/ (https://drandyroark.com/product/dr-know-it-all-card-game/)Dr. Andy Roark Charming the Angry Client Team Training Course (https://drandyroark.com/charming-the-angry-client/): https://drandyroark.com/charming-the-angry-client/Dr. Andy Roark Swag: drandyroark.com/shop (http://drandyroark.com/shop)All Links: linktr.ee/DrAndyRoark (http://linktr.ee/DrAndyRoark)Beckie is the current President of the National Association of Veterinary Technicians in America, where she has contributed to national conversations on technician utilization, representation on veterinary medical boards, and equity in veterinary organizational structures. Her work has been published in professional outlets, and she regularly presents on the intersections of veterinary medicine, leadership, and advocacy.She is the founder of the Veterinary Industry Giving Tree, a nonprofit dedicated to helping veterinary professionals in need during the winter holidays. She is a co-host of the Veterinary Viewfinder Podcast, where she has demonstrated nearly a decade of bringing controversial conversations and fierce advocacy to the profession.

Dr. Chelsie Estey, Chief Veterinary Officer for Hill’s US, joins Dr. Andy Roark to unpack the brand-new 2025 State of Shelter Pet Adoption Report. If you think shelter trends are all about “too many pets, not enough adopters,” think again. This massive study digs into the real barriers behind pet adoption and relinquishment, from the rising costs of care and housing challenges to surprising generational differences in how people make adoption decisions.In this episode, Dr. Andy Roark and Dr. Chelsie Estey talk through what keeps pets in shelters longer, why affordability is shaping adoption choices, and how shelters are innovating with foster programs and community support. You’ll hear success stories from shelters tackling adoption hurdles in creative ways and learn how veterinary teams can play a critical role in keeping pets and families together. If you work in shelter medicine, general practice, or just want to understand where pet adoption trends are headed, this conversation is packed with insights you can use right away.This episode is brought to you ad-free by Hill's Pet Nutrition! (https://www.hillspet.com/)Hill's Pet Nutrition: https://www.hillspet.com/ (https://www.hillspet.com/)Hill's Food, Shelter and Love Program: https://www.hillspet.com/food-shelter-love/my-shelter (https://www.hillspet.com/food-shelter-love/my-shelterhttps://www.hillspet.com/food-shelter-love/my-shelter)2025 Hill’s Pet Nutrition State of Shelter Pet Adoption Report: https://www.hillspet.com/shelter-report?lightboxfired=true (https://www.hillspet.com/shelter-report?lightboxfired=true)Shelter Animals Count National Database: https://www.shelteranimalscount.org/ (https://www.shelteranimalscount.org/)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 (http://drandyroark.com/shop)All Links (http://linktr.ee/DrAndyRoark)Chelsie Estey, MSc, DVM, DACVIM (Neurology) was appointed U.S. chief veterinary officer of Hill’s Pet Nutrition in March 2025. Dr. Estey, a veterinary neurologist, has contributed to the field through scientific publications and book chapters. She holds a doctor of veterinary medicine degree from the Atlantic Veterinary College and completed a neurology and neurosurgery residency at Cornell University. She also has a master of science degree from the University of Ottawa and a bachelor of science degree from the University of New Brunswick.

Dr. Nathan Peterson, DVM, DACVECC, MA Bioethics joins Dr. Andy Roark to dive into one of the hardest questions in veterinary medicine: what happens when treatments feel futile? As an emergency and critical care specialist at Cornell with a master’s in bioethics from Harvard, Dr. Peterson has studied how veterinary teams wrestle with cases where the outcome may not change and the burden often falls on technicians carrying out the plan.In this conversation, Andy and Nathan unpack how veterinarians and technicians define medical futility, why perspectives often differ, and how the lack of agency can increase moral distress among support staff. They explore practical strategies to reduce burnout, strengthen team communication, and involve technicians in client discussions to create shared understanding. Gang, let’s get into this episode.Nathan Peterson on LinkedIn: www.linkedin.com/in/nathan-peterson-DVM-DACVECC (https://www.linkedin.com/in/nathan-peterson-dvm-dacvecc/)Dr. Know-It-All Card Game (https://drandyroark.com/product/dr-know-it-all-card-game/): https://drandyroark.com/product/dr-know-it-all-card-game/Dr. Andy Roark Charming the Angry Client Team Training Course (https://drandyroark.com/charming-the-angry-client/): https://drandyroark.com/charming-the-angry-client/Dr. Andy Roark Swag: drandyroark.com/shop (http://drandyroark.com/shop)All Links: linktr.ee/DrAndyRoark (http://linktr.ee/DrAndyRoark)Nathan Peterson, DVM, MBE, DACVECC is an Associate Clinical Professor at Cornell University. He received his DVM from The Ohio State University and completed his internship and residency training in Emergency and Critical Care medicine at Angell Animal Medical Center in Boston. Following board certification, he spent 12 years as the head of the Department of Emergency and Critical Care Medicine at a tertiary referral hospital in Los Angeles before taking his current position at Cornell. He completed a Master of Bioethics through the Harvard Medical School Center for Bioethics in 2023 and has published works exploring the impact of providing futile treatments in veterinary medicine.

Tabitha Kucera, RVT, VTS (Behavior) joins Dr. Andy Roark to tackle one of the most nerve-wracking clinic moments: the lunging, growling dog that makes everyone’s heart rate spike. What do you do when a giant breed charges into the exam room, the owner refuses muzzle training or pre-visit meds, and you’re left feeling like your only option is to “just get it done”? In this lively and practical conversation, Tabitha breaks down how to approach fearful and aggressive dogs with empathy and skill. She shares strategies to reduce fear, anxiety, and stress (FAS) through considerate handling, communication with pet owners, and team-wide planning. From lobby management to sedation protocols, she helps reframe these tough cases as opportunities to improve animal welfare, client trust, and staff safety. If you’ve ever struggled with patient handling, client education, or burnout tied to aggressive dogs, this episode is packed with insight you can use right away. Gang, let’s get into this episode!Chirrups and Chatter (https://chirrupsandchatter.com/)Tabitha Kucera on Instagram (https://www.instagram.com/chirrupsandchatter/?hl=en)Tails From A Vet Tech Podcast (https://tailsfromrvt.buzzsprout.com/)Dr. Know-It-All Card Game (https://drandyroark.com/product/dr-know-it-all-card-game/)Dr. Andy Roark Charming the Angry Client Team Training Course (https://drandyroark.com/charming-the-angry-client/)Dr. Andy Roark Swag: drandyroark.com/shop (http://drandyroark.com/shop)All Links: linktr.ee/DrAndyRoark (http://linktr.ee/DrAndyRoark)Tabitha Kucera is an Elite Fear Free Registered Veterinary Technician, Veterinary Technician Specialist (Behavior), Certified Cat Behavior Consultant, and Karen Pryor Academy Certified Training Partner. She owns Chirrups and Chatter Cat and Dog Behavior Consulting and Training and is the animal behavior technician at The Gentle Vet in Ohio. Tabitha lectures at both regional and national levels, enjoying the opportunity to help people better understand and connect with animals. Additionally, Tabitha is a Fear Free certified speaker and coach, a Fear Free Practice Certification and Implemention Consultant, and the host of the podcast, Tails from a Vet Tech. Tabitha offers organizational consulting and education for veterinary clinics and animal shelters, focusing on best practices that address both the emotional and physical needs of animals. She specializes in behavior and training programs and handling skills.  Tabitha has contributed to the development of training and behavior programs for numerous veterinary hospitals and shelters and continues to provide ongoing support to these organizations through her consulting work.

Matt Salois, PhD, joins Dr. Andy Roark to talk about why not every shiny new idea in veterinary medicine is a good idea. From the surge in new veterinary schools to the debate on mid-level practitioners and telemedicine, Matt raises the question: are we solving problems or just creating new ones? With his trademark humor and economist’s lens, he makes the case for smarter, not faster, change in vet med. In this episode, you’ll hear a fresh take on why retention may matter more than recruitment, how productivity really impacts our profession, and why veterinary medicine doesn’t have to copy the mistakes of human healthcare. If you’ve ever wondered how to balance innovation with caution, this conversation will get you thinking.Article Referenced: https://todaysveterinarybusiness.com/veterinary-lessons-viewpoint-0625/ (https://todaysveterinarybusiness.com/veterinary-lessons-viewpoint-0625/)Dr. Andy Roark Resources (http://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 (http://drandyroark.com/shop)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 medicine, animal welfare, economics and sustainability. His group devised and executed scientific engagement strategy, and built collaborative partnerships with universities, non-profit associations and scientific societies.Matt is also an adjunct professor of applied economics at the University of Florida, where he previously taught and advised graduate and undergraduate students. He earned his Ph.D. in Applied Economics from the University of Florida and holds an M.A. in Economics and a B.S. in Health Services Administration from the University of Central Florida.

Dr. Ginger Templeton, DVM, COO of HomewardVet and MOVES, joins Dr. Andy Roark to explore what the future of veterinary careers could look like and spoiler alert: it’s not one-size-fits-all. In this episode, Andy and Ginger dive into the concept of autonomy in veterinary medicine, especially as the profession continues to shift toward a more fragmented, customizable future. Ginger shares her journey from burnout in traditional general practice to launching a mobile house call business and eventually helping build two innovative companies that support both specialists and GPs in practicing on their terms. If you’ve ever daydreamed about setting your own schedule, working independently, or building a career that actually fits your life, this one’s for you. You’ll learn about the operational support structures behind mobile vet work, the different ways autonomy can show up across career stages, and how Ginger’s team is making house calls less lonely and more sustainable. Let’s get into this episode!This episode is brought to you ad-free by HomewardVet!LINKShttps://www.homewardvet.com/https://www.vetmoves.com/leadership/HomewardVet: https://www.linkedin.com/company/homewardvetWebsite: https://drandyroark.comHighlighted Links: https://linktr.ee/drandyroarkUncharted Vet: https://learn.unchartedvet.com/pages/homeFacebook: http://facebook.com/DrAndyRoarkInstagram: http://instagram.com/drandyroarkABOUT OUR GUESTDr. Ginger Templeton is the Chief Operating Officer of MOVES Mobile Veterinary Specialists and HomewardVet. She has over 15 years clinical experience in general practice, including five as the owner of a busy concierge house call practice in Raleigh, NC. Ginger brings a unique approach to the executive role thanks to her training as an executive coach. She has worked with a wide-variety of veterinary clinicians and industry executives and leaders, which informs her approach with the team at MOVES and HomewardVet. In addition to her professional responsibilities, Ginger is a proud and vocal supporter of LGBTQ+ rights and DEI initiatives within the profession and outside and is a proud member of PrideVMC. She is also mom to two delightful young adults who are dedicated to making a positive impact in this world in their own ways. She became a mom during vet school and her experiences as a young mom early in her career and a mom of a child with a serious illness have also informed her approach to empathy, boundaries, and wellbeing in the veterinary profession.

Dr. Brian Bourquin, president of Not One More Vet (NOMV), joins Dr. Andy Roark to unpack the current state of mental health and wellness in veterinary medicine. What started as a small Facebook group has grown into a powerhouse nonprofit providing grants, peer support, accreditation programs, and a safety net for veterinary professionals in crisis.In this candid conversation, Brian shares NOMV’s evolution, the impact of programs like Clear Blueprint and Lifeboat, and what he really thinks about the progress we’ve made in tackling veterinary burnout and mental health challenges. He also opens up about his own journey as a practice owner at Boston Veterinary Clinic, including the hard lessons he learned about leading with compassion and protecting his team. If you’ve ever wondered where veterinary wellness truly stands today, or how leaders can put real change into practice, this episode offers both hope and honest perspective.NOMV.org (https://www.nomv.org/)Race Around the World (https://runsignup.com/ratw23)NOMV CLEAR Blueprint (https://www.nomv.org/clearblueprint/)NOMV Advocates Program (https://www.nomv.org/advocates/)www.bostonveterinaryclinic.com (https://airtable.com/app2VyfZOLAiEj8H3/tblo9as6AdW0SgWsy/www.bostonveterinaryclinic.com)Brian Bourquin on LinkedIn: linkedin.com/in/brian-bourquin-3356a6 (http://linkedin.com/in/brian-bourquin-3356a6)Dr. Andy Roark Resources (http://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 (http://drandyroark.com/shop) Fueled by childhood dreams of being a keeper at his own zoo, Dr. Bourquin realized from a young age his path – a career in veterinary work. His journey began with graduation from Cornell University, the No. 1 school in the U.S. for veterinary medicine. After 13 years as a Boston veterinarian, he founded Boston Veterinary Clinic in 2012, placing an emphasis on trust, compassion, and top-level patient care. Embraced by the pet-loving community and with the aid of like-minded veterinary professionals, the practice has grown to 5 locations, each focusing on the best medicine possible with accreditations from AAHA, Fear Free, and Cat-Friendly Practices.

Dr. Simon Haeder joins Dr. Andy Roark to dig into a surprising question: if a parent is hesitant to vaccinate their child, are they also likely to be hesitant about vaccinating their pet? The answer is more complex than you might expect. Drawing from his research published in JAVMA, Dr. Haeder shares insights on the correlation between human and pet vaccine hesitancy, what drives those concerns, and how trust in a veterinarian can be a powerful factor in pet owners’ decisions. The conversation covers everything from social media misinformation to the shifting role of veterinarians in a changing industry, plus what the future of veterinary care could look like in a post-truth world. You will walk away with a fresh perspective on how building long-term relationships with clients can influence public health, patient safety, and the human–animal bond. Let’s get into this episode!Article Referenced: https://avmajournals.avma.org/view/journals/ajvr/86/2/ajvr.24.06.0163.xml (https://avmajournals.avma.org/view/journals/ajvr/86/2/ajvr.24.06.0163.xml)Dr. Know-It-All Card Game (https://drandyroark.com/product/dr-know-it-all-card-game/): https://drandyroark.com/product/dr-know-it-all-card-game/Dr. Andy Roark Charming the Angry Client Team Training Course (https://drandyroark.com/charming-the-angry-client/): https://drandyroark.com/charming-the-angry-client/Dr. Andy Roark Swag: drandyroark.com/shop (http://drandyroark.com/shop)All Links: linktr.ee/DrAndyRoark (http://linktr.ee/DrAndyRoark)Dr. Simon F. Haeder is an Associate Professor of Public Health at Texas A&M University’s School of Public Health, where he also serves as Health Policy Cognate Chair in the Department of Health Policy and Management. A nationally recognized scholar on health policy, access to care, and vaccine hesitancy, Dr. Haeder’s work bridges human and veterinary medicine, exploring how public perceptions and trust influence healthcare decisions. His research has been published in leading journals such as Health Affairs, Vaccine, and JAVMA, and he is a frequent contributor to national conversations on public health through outlets like The Washington Post, The Conversation, and Health Affairs Blog. With a career spanning academia, policy advising, and interdisciplinary research leadership, Dr. Haeder brings a unique perspective on how trust, science, and policy intersect in shaping the future of healthcare.

Cone of Shame 347 - When Care Can't Wait: Being Prepared for Critical CasesJulia Sosa, Chief Experience Officer at Pumpkin Pet Insurance, joins Dr. Andy Roark for a must-hear conversation on what happens when care can't wait. Ever had that moment in clinic when a pet’s situation is critical and the client is staring at an estimate, panicked and unsure what to do? This episode dives headfirst into the chaos of urgent cases and how we, as veterinary professionals, can better support clients in the middle of that emotional storm. Julia shares how Pumpkin’s new urgent-pay service, Pumpkin Now, is transforming how pet insurance works in those high-stakes moments, giving owners financial clarity within minutes and helping vet teams stay focused on care, not claims. Dr. Andy and Julia unpack why pet insurance is often misunderstood, what it really means to be “hospital-centric,” and how to streamline workflows without overburdening teams. Whether you’re skeptical of insurance or already a fan, this episode brings new insight into making emergency care more accessible. Gang, let’s get into this episode.PumpkinNow Expedited Payment Terms: Qualified customers with eligible claims for treatments $1k or more could be paid in 15 minutes after submitting a request if their bank accepts real-time payments. For full terms & conditions, visit www.pumpkin.care/pn-terms. For pet insurance terms and conditions, visit: https://www.pumpkin.care/sample-plan/. Products are underwritten by either Independence American Insurance Company (NAIC #26581), or United States Fire Insurance Company (NAIC #21113), and produced by Pumpkin Insurance Services Inc. (“Pumpkin”) (NPN #19084749; CA License #6001617).Pumpkin Care for Veterinarians: https://www.pumpkin.care/for-veterinarians/ (?sh=1bdf73131430%20%20%20%20https://www.avma.org/javma-news/2021-09-01/insured-pets-received-more-care-more-frequently%20%20%20%20Charming%20the%20Angry%20Client%20Course:%20https://drandyroark.com/charming-the-angry-client/%20%20%20%20Dr.%20Andy%20Roark%20Swag:%20https://drandyroark.com/store/%20%20%20%20All%20Links:%20linktr.ee/DrAndyRoark)Charming the Angry Client Course: https://drandyroark.com/charming-the-angry-client/ (https://drandyroark.com/charming-the-angry-client/)Dr. Andy Roark Swag (http://drandyroark.com/shop): https://drandyroark.com/store/ (https://drandyroark.com/store/)All Links: linktr.ee/DrAndyRoark (http://linktr.ee/DrAndyRoark)Julia Sosa is a Design Leader whose lifelong love of animals led to her passion and focus in the pet care and veterinary industries. As a founding member and Chief Experience Officer of Pumpkin, one of the fastest-growing pet insurance companies in the United States, Julia leads UX research, strategy, and product design for their member and veterinary experiences. In January 2024, she started coursework to become a Veterinary Technician and explore her dream of becoming a late-in-life veterinarian.Julia is an active member of the rescue and shelter community and a devoted foster and adoption counselor for the ACC. She is the proud pet mom to two small dogs, two large cats, three chickens, and over 112+ foster kittens (and counting).

Dr. Cory Woliver, DVM, emergency and critical care lecturer at the University of Florida, joins Dr. Andy Roark to discuss venomous snake bite management in veterinary practice. Ever wondered how many vials of anti-venom to give when a copperhead or rattlesnake strikes? This episode cuts through the guesswork on coagulation testing, anti-venom dosing strategies, pain control options, and when to hospitalize versus treat as an outpatient. Dr. Woliver explains why steroids, NSAIDs, and routine antibiotics often miss the mark and how early, aggressive anti-venom is your best defense against tissue necrosis. You’ll learn practical tips on evaluating bite severity, setting client expectations, and choosing between strong opioids like methadone or hydromorphone for pain relief. Whether you see one snake bite a season or dozens, this one-stop shop equips you with the science and experience to act confidently under pressure. Let’s get into this episode.National Snake Bite Support Website: https://www.nationalsnakebitesupport.org/ (https://www.nationalsnakebitesupport.org/)Facebook Group: https://www.facebook.com/groups/national.snakebite.support/ (https://www.facebook.com/groups/national.snakebite.support/)Snake Bite Foundation Website: https://www.snakebitefoundation.org/ (https://www.snakebitefoundation.org/https://www.snakebitefoundation.org/)Dr. Know-It-All Card Game (https://drandyroark.com/product/dr-know-it-all-card-game/): https://drandyroark.com/product/dr-know-it-all-card-game/Dr. Andy Roark Charming the Angry Client Team Training Course (https://drandyroark.com/charming-the-angry-client/): https://drandyroark.com/charming-the-angry-client/Dr. Andy Roark Swag: drandyroark.com/shop (http://drandyroark.com/shop)All Links: linktr.ee/DrAndyRoark (http://linktr.ee/DrAndyRoark)Cory Woliver is a veterinarian practicing as a Clinical Lecturer in Emergency and Critical Care at the University of Florida College of Veterinary Medicine. He earned his BS in biology at SUNY Stony Brook and his DVM at Ross University School of Veterinary Medicine. During his 18-month emergency and critical care-focused internship at Colorado State University, he treated a large number of snake envenomations. He has also earned a certificate in hemodialysis through the University of California – Davis.After his postgraduate training, Dr. Woliver spent several years in private practice in New York before coming to the University of Florida in 2019. His clinical interests include snakebites (especially coral snake envenomations), acute kidney injuries, and extracorporeal therapies. He is currently the PI for the clinical trial using Varespladib in coral snake envenomated patients.

What if improving your clinic’s communication could reduce turnover, boost job satisfaction, and enhance medical quality? Dr. Jason Coe is back on the podcast with brand-new research that shows how “relational coordination” (aka how roles within your team communicate and collaborate) impacts everything from psychological safety to employee retention. In this episode, Dr. Coe and Dr. Andy Roark dive into the findings from a cross-industry communication model now being applied to veterinary teams. They explore what high vs. low relational coordination looks like in real life, how communication systems like impactful rounds and EMR notes can move the needle, and why this data matters for improving not just morale but also patient outcomes. Whether you're a practice owner, a manager, or just someone who wants your team to function better, this episode offers both inspiration and real takeaways. Gang, let’s get into this episode!Linkedin: https://www.linkedin.com/company/relationship-centred-veterinary-medicine-at-the-ontario-veterinary-college (https://www.linkedin.com/company/relationship-centred-veterinary-medicine-at-the-ontario-veterinary-college)University of Guelph: https://rcvm.uoguelph.ca/ (https://rcvm.uoguelph.ca/)Dr. Know-It-All Card Game (https://drandyroark.com/product/dr-know-it-all-card-game/): https://drandyroark.com/product/dr-know-it-all-card-game/Dr. Andy Roark Charming the Angry Client Team Training Course (https://drandyroark.com/charming-the-angry-client/): https://drandyroark.com/charming-the-angry-client/Dr. Andy Roark Swag: drandyroark.com/shop (http://drandyroark.com/shop)All Links: linktr.ee/DrAndyRoark (http://linktr.ee/DrAndyRoark)Dr. Jason Coe is a Professor at the Ontario Veterinary College in Guelph, Ontario, Canada. After graduating from the College in 2001, he returned from mixed-animal practice to complete a PhD in the area of veterinary communications in 2008. In the same year, Jason joined the Ontario Veterinary College in the Department of Population Medicine where he has established an active research program examining the human-animal bond as well as the role of interpersonal communications on the outcomes of veterinary care.  In his current role at the College, he coordinates the clinical-communication curriculum across all 4 years of the veterinary program and is involved in teaching students about the relationships that exist between people and animals.Over the past two decades, Jason has established an international reputation for his leadership in veterinary communications, primary-care veterinary education and understanding the human-animal bond. He has published over 100 peer-reviewed journal articles, contributed to several book chapters, and is regularly invited to speak nationally and internationally at scientific and continuing-education conferences. Jason currently holds the VCA Canada Chair in Relationship-Centred Veterinary Medicine (2021-2026), at the Ontario Veterinary College, dedicated to research and education in communication and relationship-building to improve the outcomes of veterinary care. In 2021, Jason was honoured with the American Veterinary Medical Association’s Bustad Companion Animal Veterinarian of the Year Award for his notable contributions to the veterinary profession and in 2022, he founded the research program Relationship-Centred Veterinary Medicine at the Ontario Veterinary College (https://rcvm.uoguelph.ca/ (https://rcvm.uoguelph.ca/)).