The Cone of Shame Veterinary Podcast

Dr. Andy Roark

The Cone of Shame Podcast is the podcast all abou…

  • 16 minutes 26 seconds
    314 - HOF: Causes and Treatments for Hypoglycemia in Dogs (HDYTT)

    Dr. Andrew Woolcock, internist at Purdue University’s College of Veterinary Medicine, returns to the Cone of Shame podcast to discuss the metabolic phenomenon of hypoglycemia in dogs. In this insightful Hall of Fame episode, Dr. Woolcock and Dr. Andy Roark break down the common causes of hypoglycemia, diagnostic approaches, and effective treatment strategies for both young and older dogs. This episode also highlights emergency stabilization protocols, including when and how to administer dextrose supplementation effectively, as well as the role of nutritional management in preventing recurrent episodes. Dr. Woolcock’s expertise offers actionable insights to help veterinary teams confidently manage hypoglycemia in canine patients. Let’s get into this episode!


    LINKS:

    Freestyle Libre Continuous Glucose Monitor


    Critical Care Textbooks for Veterinarians


    Nutritional Management Resources


    Dr. Know-It-All Card Game


    Dr. Andy Roark Charming the Angry Client Team Training Course


    Dr. Andy Roark Swag: drandyroark.com/shop


    All Links: linktr.ee/DrAndyRoark


    ABOUT OUR GUEST

    Dr. Woolcock is a veterinary internist. He’s from the Midwest and did his schooling at Michigan State University, where he graduated with his DVM. After an internship at North Carolina State University, Dr. Woolcock completed a residency in small animal internal medicine at the University of Georgia. He joined the faculty at Purdue University in 2015, and is currently an Associate Professor of Small Animal Internal Medicine. Dr. Woolcock loves the complex puzzles that internal medicine patients present, and loves working with students as they put the pieces together. He loves all-things-medicine, because physiology is so fascinating, but he especially gravitates toward immune-mediated diseases and endocrinology. Dr. Woolcock enjoys his clinical practice, but also his research in oxidative stress, and the scholarship of teaching and learning. When he’s not at work, Dr. Woolcock is likely watching old movies with his husband and their dog, Auggie (not sure of what breed he is, so they invented one for him – a Miniature Fluftoffee).

    6 February 2025, 5:01 am
  • 23 minutes 38 seconds
    313 - Time To Use More Locals and Less Opioids

    Tasha McNerney, CVT, VTS (Anesthesia & Analgesia), aka the original Anesthesia Nerd, joins Dr. Andy Roark to dive into the cutting edge of pain management in veterinary surgery. In this episode, Tasha discusses how to reduce opioid use while improving patient outcomes through multimodal analgesia and local anesthetic blocks. She breaks down the ERAS (Enhanced Recovery After Surgery) protocol, adapted from human medicine, and how it can revolutionize the way veterinary teams manage surgical pain.

    Dr. Roark and Tasha explore practical strategies for implementing local blocks in a variety of procedures, from spays and neuters to advanced orthopedic surgeries, and discuss how adjunctive analgesics like ketamine and dexmedetomidine can enhance outcomes. Tasha also shares her vision for the future of veterinary surgery, emphasizing the importance of technician training, low-stress handling, and better pre-visit pharmaceutical protocols. Get ready to elevate your pain management game. Let’s get into this episode!


    LINKS

    Pre-order Pain Management for Vet Techs and Nurses on Amazon


    Veterinary Anesthesia Nerds website


    Feline Grimace Scale app


    Dr. Know-It-All Card Game


    Dr. Andy Roark Charming the Angry Client Team Training Course


    Dr. Andy Roark Swag: drandyroark.com/shop


    All Links: linktr.ee/DrAndyRoark


    ABOUT OUR GUEST

    Tasha McNerney, CVT, obtained her certification in 2005 and has worked clinically in anesthesia and surgery ever since. She earned her CVPP (Certified Veterinary Pain Practitioner) designation in 2013 and became a Veterinary Technician Specialist (Anesthesia & Analgesia) in 2015. Tasha is a sought-after speaker on anesthesia and pain management topics, presenting at numerous international veterinary conferences. She is also the author of multiple articles and blogs dedicated to advancing knowledge in these fields.

    In 2013, Tasha founded the Facebook group Veterinary Anesthesia Nerds, which has grown to over 65,000 members worldwide, fostering education and the exchange of ideas among veterinary professionals.

    When not in the clinic or educating others, Tasha enjoys working on her 1920s fixer-upper home in Philadelphia, inspired by endless home improvement tutorials on YouTube. She lives with her husband, son, one wonderful cat, and another who keeps life interesting with its mischievous personality.

    30 January 2025, 5:01 am
  • 18 minutes 20 seconds
    312 - HOF: New Heart Murmur in a Cat Scheduled for a Dental (HDYTT)

    Dr. Anna McManamey, Professor of Cardiology at Purdue's College of Veterinary Medicine, joins Dr. Andy Roark to discuss a common yet challenging case: a new heart murmur in a cat scheduled for a dental procedure. In this Hall of Fame episode, Dr. Mack unpacks the potential causes of heart murmurs in cats, with a focus on hypertrophic cardiomyopathy (HCM) and other conditions that could impact anesthesia safety and long-term health. She highlights the diagnostic tools available, including the limitations of chest x-rays, the value of BNP testing as a "poor man's echocardiogram," and when to consider additional tests like blood pressure or thyroid screening.


    Dr. Mack also provides practical advice on managing heart disease in cats, emphasizing the importance of preventive measures like blood thinners and the challenges of owner compliance with medications. For emergency settings, she shares tips on using SNAP BNP tests for quick assessments. Throughout the conversation, Dr. Mack’s expertise shines as she equips veterinary professionals with actionable insights to confidently address feline cardiology cases. Let’s get into this episode!

    23 January 2025, 5:01 am
  • 26 minutes 6 seconds
    311 - New Guidelines Aim to Improve Employee Well-Being

    In this episode, Dr. Andy Roark welcomes Dr. Phil Richmond, founder of Flourishing Phoenix, to dive into the U.S. Surgeon General's Framework for Mental Health in the Workplace. They discuss how veterinary practices can address psychosocial hazards, implement effective risk assessments, and foster a culture of wellbeing that supports teams without creating unnecessary stress. You’ll gain actionable insights into leadership strategies, the PERMA framework, and practical ways to enhance connection, recognition, and resilience in your practice. If you’re ready to prioritize mental health and build a thriving veterinary workplace, this episode is for you. Let’s get into this episode!


    LINKS

    Workplace Wellbeing Study Referenced


    Dr. Phil Richmond at Flourish


    Dr. Know-It-All Card Game


    Dr. Andy Roark Charming the Angry Client Team Training Course


    Dr. Andy Roark Swag: drandyroark.com/shop


    All Links: linktr.ee/DrAndyRoark


    ABOUT OUR GUESTS

    Dr. Philip Richmond is the Founder and Chief Consultant of Flourishing Phoenix Veterinary Consultants, LLC. As a practicing vet, he champions a positive work culture, emphasizing psychological health, safety, and wellbeing in veterinary settings. He has taken pivotal roles in both state and global initiatives to promote workplace wellbeing in veterinary medicine. Among his roles, Dr. Richmond has served as Chief Medical and Wellbeing Officer for Veterinary United and currently chairs the Florida Veterinary Medical Association's Professional Wellbeing Committee. Beyond his advocacy, he contributes as a writer, speaker, and podcast guest, and has earned various certifications in positive psychology, workplace wellbeing, and suicide prevention. Dr. Richmond is a speaker and published writer, including having co-authored “Psychological Health and Safety Guidelines” from Veterinary Visionaries. He is a frequent veterinary podcast guest and holds multiple certifications in applied positive psychology, appreciative inquiry, workplace wellbeing, psychological health & safety, trauma-informed workplaces, resilience training, behavior change, and suicide prevention. He has been awarded the FVMA Gold Star, FVMA Veterinarian of the Year, Uncharted Veterinary Community Founder’s Award, Blue Buffalo Together for Pets Award, and a finalist for the US Bright Minds Veterinary Wellness Champion Award.

    16 January 2025, 5:01 am
  • 26 minutes
    310 - Leveling Up Fear Free

    Ever wondered what the next level of Fear Free handling really looks like? Dr. Andy Roark sits down with Dr. Megan Bauer and Jessica Osborne of Latah Creek Animal Hospital in Spokane, Washington, to explore their transformative journey into Fear Free practice. From navigating staff and client turnover to implementing innovative low-stress handling techniques, this duo shares how they’ve created a practice where pets, clients, and team members thrive. Discover practical tips, lessons learned, and inspiration for building a Fear Free culture in any clinic. Gang, you're gonna love this episode!


    LINKS

    Follow Latah Creek Animal Hospital on Instagram


    Fear Free Handling


    Dr. Know-It-All Card Game


    Dr. Andy Roark Charming the Angry Client Team Training Course


    Dr. Andy Roark Swag: drandyroark.com/shop


    All Links: linktr.ee/DrAndyRoark


    ABOUT OUR GUESTS

    Dr. Megan Bauer, DVM, Fear Free Certified Elite

    Dr. Megan Bauer, co-owner and medical director of Latah Creek Animal Hospital, graduated from Washington State University in 2015 and became Spokane’s first Fear Free Certified veterinarian. She is currently an Elite Fear Free certified professional. She is passionate about behavioral medicine and feline care but loves all her patients. Outside of work, Dr. Bauer enjoys camping, four-wheeling, and agility training with her two dogs, Remy Pierre and Oliver Elvis, and spending time with her three cats, Trixie, Chandler, and Jinkx.


    Jessica Osborne, CVPM, Fear Free Trailblazer

    Jessica Osborne, co-owner and hospital manager of Latah Creek Animal Hospital, has been in veterinary medicine since 2003 and earned her CVPM in 2016, becoming Spokane’s first. A Fear Free advocate, she helped get the first clinic in Eastern WA certified and most recently helped Latah Creek achieve Fear Free Practice Certification in 2021. Jessica is a thoughtful leader who values positivity and accountability. On weekends, she enjoys riding dirt bikes with her husband and kids, alongside their two dogs, Benelli and Dash, and two cats, Rocco Wilson and Gustov.

    9 January 2025, 5:01 am
  • 24 minutes 10 seconds
    309 - Why Weight Can't Wait

    Dr. Ernie Ward joins Dr. Andy Roark to discuss the challenges of discussing pet obesity with clients and practical strategies for creating urgency and motivating pet owners to take action. This episode of the Cone of Shame Veterinary Podcast dives deep into the psychology of weight loss conversations, emphasizing the importance of permission, framing the discussion around quality of life, and focusing on actionable steps. Dr. Ward shares his insights and experiences, offering valuable tools for veterinary professionals to navigate these difficult conversations with compassion and achieve better outcomes for their patients. This episode is brought to you ad-free by Hill's Pet Nutrition.


    Intended for Veterinary Professionals. Opinions expressed within this content are solely the speaker's and do not reflect the opinions and beliefs of Hill's or its affiliates.


    Check out the downloadable team training worksheet and follow along together! Empower your team to educate clients using the notes and discussion questions.


    LINKS

    Hill's Pet Nutrition


    Hill's Veterinary Academy


    Pet Obesity Prevention Organization


    Dr. Andy Roark Exam Room Communication Tool Box Team Training Course


    Dr. Andy Roark Charming the Angry Client Team Training Course


    Dr. Andy Roark Swag


    All Links


    ABOUT OUR GUEST

    Dr. Ernie Ward is an award-winning veterinarian, internationally known speaker, impact entrepreneur, author of several books, columnist, and media personality. A 1992 graduate of the University of Georgia, he was voted Speaker of the Year at both VMX and WVC conferences, the 2018 Veterinary Journalist of the Year, the recipient of the US National Veterinary Practice of Excellence Award, and has received many veterinary and civic recognitions.


    Dr. Ward is involved on the Boards of many animal organizations, including the World Small Animal Veterinary Association (WSAVA), Morris Animal Foundation's Scientific Advisory Board and Animal Welfare Advisory Board, Grey Muzzle Society, CATalyst Council, and the Southern European Veterinary Conference's Scientific Committee and Practice Management Chairperson.


    Dr. Ward is the founder of the Association for Pet Obesity Prevention (APOP) and the World Pet Obesity Association. He is also the editor of the forthcoming textbook titled Veterinary Clinical Obesity: A Multidisciplinary Approach to Causes, Consequences, and Interventions, First Edition, which Wiley will publish. He is known for improving veterinary medical standards through his clinical education programs and promoting a higher quality of life and healthier habits for pets and people.


    When he’s not with family or pet patients, he can be found contemplating solutions for both the veterinary profession and the planet during endurance athletics, meditation, and on his award-winning weekly podcast, the Veterinary Viewfinder, or his regular column, “Opening Shots,” in NAVC’s “Today’s Veterinary Business.”

    6 January 2025, 5:01 am
  • 22 minutes 10 seconds
    308 - Where is VetMed Going in 2025?

    Ryan Leech returns once again to talk about our 2025 predictions. Ryan Leech is the creator and host of The Bird Bath Podcast, and joins Dr. Andy Roark this time on The Cone of Shame Veterinary Podcast to explore veterinary industry trends and predictions for 2025. They discuss corporate consolidation, AI integration, emerging pet health technologies, and the potential for significant shifts in pet ownership demographics. Ryan shares insights on the future of pet care, including advancements in pain management, diagnostics, and wearable tech. Whether you're curious about industry growth areas or preparing for upcoming challenges, this episode is packed with valuable insights for veterinary professionals navigating a rapidly evolving field.


    LINKS:

    Ryan Leech on LinkedIn: Connect with Ryan


    The Bird Bath Podcast: birdbath.io


    Business Consulting Services: First100.io


    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: drandyroark.com/shop


    All Links: linktr.ee/DrAndyRoark


    ABOUT OUR GUEST

    Ryan Leech is an experienced leader with a history of growing businesses through highly scalable sales models. With a background that spans multiple industries, Ryan led sales for startups that raised over $100MM in funding and ran his own sales consulting firm. In his role at Digitail, he is responsible for overseeing collaborations and integrations with industry leaders and innovators to drive digital transformation in veterinary medicine.


    In addition to his professional experience as Director of Business Development at Galaxy Vets and Hippo Manager Software, Ryan is also the host of "The Bird Bath" podcast.

    2 January 2025, 5:01 am
  • 36 minutes 45 seconds
    307 - Is There Anything Good About Modern Vet Medicine?

    Kelsey Beth Carpenter, RVT hosts a lively episode in which we find out what to do when we feel overwhelmed by the problems in our industry. On this episode of The Cone of Shame Veterinary Podcast, Kelsey Beth Carpenter Dr. Andy Roark to discuss optimism and cynicism in veterinary medicine. They dive into how choosing optimism can positively shape careers, the difference between optimism and toxic positivity, and strategies for navigating negativity in the profession. This episode offers actionable insights for veterinary professionals on maintaining hope, finding balance, and embracing opportunities amidst challenges. Whether you're a vet, technician, practice manager, or part of a veterinary team, this conversation is a refreshing reminder of the good in veterinary medicine and the power of perspective.


    LINKS


    Dr. Andy Roark Newsletter


    Dr. Know It All Card Game


    Dr. Andy Roark Swag


    All Links: linktr.ee/DrAndyRoark


    ABOUT OUR GUESTS

    Dr. Andy Roark is a practicing veterinarian, international speaker, author, and media personality. He is the founder of the Uncharted Veterinary Conference and DrAndyRoark.com. He has been an award-winning columnist for DVM360 and the magazine Today’s Veterinary Business. His social media, website, podcast and YouTube show reach millions of people every month.


    Dr. Roark has received the NAVC Practice Management Speaker of the Year Award three times, the WVC Practice Management Educator of the Year Award, the Outstanding Young Alumni Award from the University of Florida’s College of Veterinary Medicine, and the Veterinarian of the Year Award from the South Carolina Association of Veterinarians. His greatest achievement however involves marrying a bad-ass scientist and raising 2 kind and wonderful daughters.


    Kelsey Beth Carpenter is a Registered Veterinary Technician with over a decade of experience working in emergency hospitals across California. She currently works as the Social Media Manager for DrAndyRoark.com and a Content Specialist for the Uncharted Veterinary Conference. Some of Kelsey’s passions include the open hospital concept, the power of creativity and humor, the overlap of science and art, and sharing lessons learned from living life with chronic illness. Kelsey is probably most known for two of her favorite hobbies: writing and performing comedic songs about veterinary medicine and acting as a full time stage mom for her Chihuahua mix, Birdie.

    26 December 2024, 5:01 am
  • 25 minutes 20 seconds
    306 - State of Veterinary Wellness

    Dr. Marie Holowaychuk joins Dr. Andy Roark on The Cone of Shame Veterinary Podcast to share her journey through burnout, mental health struggles, and recovery as a boarded critical care specialist turned wellness advocate. In this insightful episode, Dr. Holowaychuk discusses the realities of perfectionism, the martyr complex, and the challenges veterinary professionals face in balancing work, identity, and life outside the clinic. Marie opens up about her personal transformation, the pivotal role of boundaries, and strategies to prioritize mental health. Whether you’re navigating burnout, seeking wellness solutions, or striving for a sustainable veterinary career, this conversation is packed with actionable advice and inspiration for veterinarians, practice owners, and veterinary teams.


    LINKS

    Marie's Website: marieholowaychuk.com


    Mental Health Hub: revivingvetmed.com


    Instagram: @drmarieholowaychuk


    LinkedIn: Dr. Marie Holowaychuk


    Dr. Know It All Card Game: https://drandyroark.com/product/dr-know-it-all-card-game/


    Dr. Andy Roark Swag: drandyroark.com/shop


    All Links: linktr.ee/DrAndyRoark



    ABOUT OUR GUEST

    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, 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.

    19 December 2024, 5:01 am
  • 21 minutes
    305 - Things I Wish I Knew About Diagnostics

    Dr. Cathy Meeks dives into this episode to discuss diagnostic innovation and what really happens at the lab. In this episode of The Cone of Shame Veterinary Podcast, host Dr. Andy Roark sits down with his longtime friend and fellow University of Florida alum, Dr. Cathy Meeks, Global VP of Medical Operations at Antech Diagnostics. Together, they explore the inner workings of veterinary diagnostics, discussing hematology cases and the advanced resources available to veterinary teams. Dr. Meeks shares insights into the diagnostic process, highlighting how practices can utilize Antech's pathologists, AI-driven tools, and consult lines to improve efficiency and support their teams. If you're a veterinary practice manager, technician, or veterinarian looking to understand the cutting-edge innovations shaping diagnostics, this episode is a must-listen. Dr. Roark and Dr. Meeks uncover ways to leverage technology, enhance technician development, and maximize the support available through reference labs. This episode is brought to you by Antech Diagnostics!


    LINKS

    Antech Diagnostics


    Cathy Meeks on LinkedIn


    Leadership Essentials Certificate


    Charming the Angry Client Course


    Dr. Andy Roark Swag


    All Links


    ABOUT OUR GUEST

    Dr. Cathy Meeks received her Bachelor of Science in Animal Science, her Master’s degree in forensics and her Doctorate of Veterinary Medicine from the University of Florida in 2007.  She did a small animal internship and an internal medicine residency at BluePearl Veterinary Partners.  She received board certification in 2011 in Internal Medicine.  For the past 12 years she has practiced in the Tampa Bay area. From 2015-2020, she was the Regional Vice President of Medicine for Bluepearl Veterinary Partners overseeing the medical quality and developing medical leaders of 15 specialty hospitals. In 2021, she became Vice President of Medical Operations for Antech diagnostics and was recently promoted to Global Vice President of Medical Operations. Currently she is responsible for over 200 veterinary specialists and the day-to-day operations of the medical team.  

    16 December 2024, 5:01 am
  • 304 - At-Home Dental Care They'll Actually Do

    Struggling to get pet owners on board with dental care for their pets? In this episode of The Cone of Shame Veterinary Podcast, host Dr. Andy Roark tackles this common challenge with the help of board-certified veterinary dentist and oral surgeon Dr. Amy Thomson, aka "Toothy Thompson." Together, they discuss practical strategies to inspire pet owners to adopt home dental care routines that actually get done. From realistic toothbrushing techniques to advice on leveraging treats and routines, Dr. Thomson shares actionable tips and communication strategies tailored for veterinary teams to use in exam rooms. Whether you're a veterinarian or practice manager, this episode delivers the tools you need to improve client compliance, enhance pet oral health, and ultimately support longer, healthier lives for pets. Don't miss this motivating and insightful conversation!


    LINKS

    At Home Dental Care Handout


    American Veterinary Dental College: https://avdc.org/


    Amy Thomson IG: https://www.instagram.com/toothy.thomson/


    Amy Thomson website: https://toothythomson.ca


    Dr. Andy Roark Charming the Angry Client Team Training Course: https://drandyroark.com/charming-the-angry-client/


    Dr. Andy Roark Swag: drandyroark.com/shop


    All Links: linktr.ee/DrAndyRoark


    ABOUT OUR GUEST

    Dr. Amy Thomson is a specialist in small animal dentistry & oral surgery. She began her career in small animal general practice and while challenging at times she was fortunate to gain a great deal of dentistry CE. The more she learned the more her passion for dentistry grew as well as a desire to become a specialist. While Dr. Amy enjoys all aspects of clinical practice as Board Certified Veterinary DentistTM, she also very much enjoys providing continuing education for all veterinary professionals in small animal general practice. There is a huge demand for veterinary dentistry and oral care, and she wants to support general practice teams to provide the best care to their patients. 

    12 December 2024, 5:01 am
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