The Cone of Shame Veterinary Podcast

Dr. Andy Roark

The Cone of Shame Podcast is the podcast all about life in Veterinary Medicine. Dr Andy Roark covers medical related topics with help from experts in the veterinary industry.

  1. 5d ago

    401 - Three Super-Judgy Things Vets Should Stop Saying (Maybe)

    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 long after it's over. Gang, let's get into this episode! Mentioned in this episode: Care Is Your Calling! Join Us for the Medical Director Summit! Sign up for the Early Career Newsletter here! Office Hours w/ Dr. Andy Roark Inside the Uncharted Veterinary Community, Dr. Andy Roark hosts Office Hours where veterinary leaders can bring real-world challenges and get practical guidance from someone who understands the realities of practice life. These sessions give veterinarians, practice managers, and team leaders a chance to ask questions, workshop difficult situations, and gain perspective on issues like team dynamics, communication, burnout, and clinic operations. Instead of navigating leadership challenges alone, members get direct access to Andy’s insight along with the support of a community of veterinary professionals working through many of the same challenges. Register for Office Hours here!

    48 min
  2. Jun 4

    400 - That's Bad Advice

    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! Mentioned in this episode: Join Us for the Medical Director Summit! Sign up for the Early Career Newsletter here! Office Hours w/ Dr. Andy Roark Inside the Uncharted Veterinary Community, Dr. Andy Roark hosts Office Hours where veterinary leaders can bring real-world challenges and get practical guidance from someone who understands the realities of practice life. These sessions give veterinarians, practice managers, and team leaders a chance to ask questions, workshop difficult situations, and gain perspective on issues like team dynamics, communication, burnout, and clinic operations. Instead of navigating leadership challenges alone, members get direct access to Andy’s insight along with the support of a community of veterinary professionals working through many of the same challenges. Register for Office Hours here! Care Is Your Calling!

    31 min
  3. May 28

    399 - ARE PIMS Still the Center of Your Practice?

    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 that adapt early may have a major advantage in the years ahead. Gang, let’s get into this episode. LINKS Jon Ayers on LinkedIn: https://www.linkedin.com/in/jon-ayers-a44b3/ https://catalystcouncil.org/ https://www.vetsoftwarehub.com/ Mentioned in this episode: Office Hours w/ Dr. Andy Roark Inside the Uncharted Veterinary Community, Dr. Andy Roark hosts Office Hours where veterinary leaders can bring real-world challenges and get practical guidance from someone who understands the realities of practice life. These sessions give veterinarians, practice managers, and team leaders a chance to ask questions, workshop difficult situations, and gain perspective on issues like team dynamics, communication, burnout, and clinic operations. Instead of navigating leadership challenges alone, members get direct access to Andy’s insight along with the support of a community of veterinary professionals working through many of the same challenges. Register for Office Hours here! Join Us for the Medical Director Summit! Sign up for the Early Career Newsletter here! Care Is Your Calling!

    27 min
  4. May 21

    398 - What We Get Wrong In Anesthesia

    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 feeling smarter, calmer, and a whole lot more confident. Gang, let’s get into this episode. LINKS American College of Anesthesia and Analgesia: https://acvaa.org/veterinarians/guidelines Safe Pet Anesthesia: https://www.safepetanesthesia.com/ Safe Pet Anesthesia Instagram: https://www.instagram.com/safepetanesthesia ABOUT OUR GUEST Dr. Gianluca Bini graduated from the University of Perugia, Italy. He then moved to the United Kingdom, where he completed two internships, one in anesthesia and one rotating, at Dick White Referrals, one of the largest referral centers in Europe. After completing his residency at North Carolina State University, he worked as an Assistant Professor of Anesthesiology and Pain Management at The Ohio State University. After realizing how limited the access to a board certified anesthesiologist was, he decided to found Safe Pet Anesthesia. Mentioned in this episode: Sign up for the Early Career Newsletter here! Care Is Your Calling! Join Us for the Medical Director Summit!

    34 min
  5. May 18

    397 - Life Stages and Large Breeds in Canine Nutrition

    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 brought to you by Hill's Pet Nutrition! LINKS https://wsava.org/global-guidelines/global-nutrition-guidelines/ https://vet.tufts.edu/foster-hospital-small-animals/specialty-services/nutrition https://balance.it/ Hill's Vet website: https://www.hillsvet.com Hill's Veterinary Academy: https://na.hillsvna.com/en_US/dashboard ABOUT OUR GUEST Dr. Flavia Vaduva is a 2016 graduate of the University of Florida College of Veterinary Medicine; she worked as a general practitioner and in various industry roles for 6 years prior to specializing in veterinary nutrition. She completed her veterinary clinical nutrition residency through Kansas State University and University of Tennessee in 2024. She also has an interest in business, specifically as it relates to the veterinary profession. She completed her MBA through West Texas A&M University in 2019 and was also a 2015 graduate of the Hough Graduate School of Business at the University of Florida where she obtained a Master of Science in Management in 2015. Currently, she is pursuing a PhD in Global Business Management through Northcentral University. She enjoys discussing nutrition and business topics with the veterinary profession. She shares her home with cats, dogs and a rabbit and has 2 horses that she enjoys spending time with outside of work.

    27 min
  6. May 14

    396 - HDYTT: Fecal Transfer for Chronic Diarrhea

    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 episode. ABOUT OUR GUEST Dr. Lily Chen, DVM, CVA, IVCCP is the founder of Integrative Pet Wellness Center in Los Angeles and The Unicorn Vet, an education platform helping veterinarians turn microbiome theory into clinical reality. Through her course, The Magic of Microbiome, Dr. Chen teaches vets how to make FMT and microbiome therapy practical, profitable, and implementable—because the science is solid, but most practitioners don't know where to start. She also hosts My Dog Is Better Than Your Dog podcast and believes the future of veterinary medicine is root-cause healing, not just symptom management. LINKS The Unicorn Vet: https://theunicorn.academy/ Dr. Lily Chen on Instagram: https://www.instagram.com/dr.lilychen/ Integrative Pet Wellness Center: integrativepet.com https://vetmed.tamu.edu/gilab/service/assays/canine-microbiota-dysbiosis-index/ Mentioned in this episode: Sign up for the Early Career Newsletter here! Join Us for the Medical Director Summit! Care Is Your Calling! Office Hours w/ Dr. Andy Roark Inside the Uncharted Veterinary Community, Dr. Andy Roark hosts Office Hours where veterinary leaders can bring real-world challenges and get practical guidance from someone who understands the realities of practice life. These sessions give veterinarians, practice managers, and team leaders a chance to ask questions, workshop difficult situations, and gain perspective on issues like team dynamics, communication, burnout, and clinic operations. Instead of navigating leadership challenges alone, members get direct access to Andy’s insight along with the support of a community of veterinary professionals working through many of the same challenges. Register for Office Hours here!

    26 min
  7. May 7

    395 - Where Are the Greatest Opportunities for Access to Care?

    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 and surgery centers, mobile specialists, and imaging centers. They discuss expectation-setting, community-of-care coordination, telemedicine uncertainty, and the competitive tensions between independent and corporate models. Mentioned in this episode: Join Us for the Medical Director Summit! Office Hours w/ Dr. Andy Roark Inside the Uncharted Veterinary Community, Dr. Andy Roark hosts Office Hours where veterinary leaders can bring real-world challenges and get practical guidance from someone who understands the realities of practice life. These sessions give veterinarians, practice managers, and team leaders a chance to ask questions, workshop difficult situations, and gain perspective on issues like team dynamics, communication, burnout, and clinic operations. Instead of navigating leadership challenges alone, members get direct access to Andy’s insight along with the support of a community of veterinary professionals working through many of the same challenges. Register for Office Hours here! Care Is Your Calling! Sign up for the Early Career Newsletter here!

    34 min
4.9
out of 5
174 Ratings

About

The Cone of Shame Podcast is the podcast all about life in Veterinary Medicine. Dr Andy Roark covers medical related topics with help from experts in the veterinary industry.

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