The Cone of Shame Veterinary Podcast

35:35

421 - When Your World Turns Upside Down

The Cone of Shame Veterinary Podcast ·

2026/10/07

Dr. Ryane Englar is joining me on the podcast today to tell her unique story: What happens when you go blind as a veterinarian? Dr. Englar takes us through the journey, from her first symptoms, to diagnosis, to treatment and transplant, to learning to move through the world differently with a disability. Dr. Englar is extremely open, honest, and insightful in this episode, and she shares some really powerful messages that apply to us all. Definitely do not miss this one!Dr. Ryane Englar's new book,

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19:08

420 - Should You Still Have Cannabinoid Medicines On...

The Cone of Shame Veterinary Podcast ·

2026/10/01

In the 420th episode of the Cone of Shame Veterinary Podcast, Dr. Andy Roark talks with Steven Satal about the state of cannabinoid medicine in veterinary care after the early surge of interest 8–10 years ago. Satal clarifies terminology and legal distinctions between hemp (≤0.3% THC) and cannabis/marijuana (>0.3% THC), noting the 2018 Farm Bill definitions may change. They discuss how the field has plateaued but become more normalized, with over 40 PK/PD dosing studies across species and

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30:30

419 - Adapting to a New Pharmacy World - COS Canada

The Cone of Shame Veterinary Podcast ·

2026/09/24

Dr. Andy Roark, host of The Cone of Shame Veterinary Podcast, flips the script and lets Kelsey Beth Carpenter run the show for the launch of a brand new six part miniseries, Cone of Shame Canada. The topic on the table: human pharmacies have entered the veterinary pharmacy business north of the border, and Andy walks through why that regulatory change is rattling Canadian practices, what the US already learned from its own online pharmacy shakeup years ago, and the three things he thinks matter most

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26:04

418 - Falling Trust in Research & the Data We Really...

The Cone of Shame Veterinary Podcast ·

2026/09/17

I’ve got Dr. Jules Benson on the podcast today and we’ve got a doozy of a topic for ya: The sad, sad state of research in vet medicine (my words, not his!) I am bothered by what seems to be a tidal wave of crappy, biased, cherry-picked research lately, and I ask Dr. Benson to get into it with me. How do we get our information in vet med? What do we believe and what do we not believe? How do we actually incorporate data and research into a future that’s feeling more cynical and less trusting? Let’s

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23:41

417 - Making Veterinary Medicine Work for the People...

The Cone of Shame Veterinary Podcast ·

2026/09/10

Dr. Andy Roark welcomes Dr. Isaac Bott, an Utah practice owner and theriogenologist who works with reindeer, to discuss his run for AVMA president (election July 2027) and the profession’s sustainability challenges. They explore how rising cost of care intersects with the need to pay living wages and retain veterinarians, technicians, and support staff, arguing vet medicine is not overpriced even if care can be unattainable for some clients. Bott emphasizes retention through sustainable workplaces,

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21:13

416 - Is It Bad Medicine or Just a Bad Outcome?

The Cone of Shame Veterinary Podcast ·

2026/09/03

Dr. Chad R. Brown, DVM (Purdue), executive director of the Lloyd Veterinary Medical Center at Iowa State University, joins Dr. Andy Roark to tackle a gut-punch truth in veterinary medicine: good decisions do not always equal good outcomes, and outcome-based judgment can be brutal on clinicians. They unpack how hindsight bias and outcome bias trick us into “judging our past self with our future self’s information,” rewarding lucky medicine and fueling shame after tough cases. Chad argues for

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18:58

415 - Vet Medicine as Dark Comedy

The Cone of Shame Veterinary Podcast ·

2026/08/27

Dr. Steve Deels, a New Zealand emergency veterinarian and career coach, joins Dr. Andy Roark to tackle a familiar gut punch: "you can save a life at 2:00 a.m. and still get a one-star review because the wait was too long." They dig into dark humor as a healthy coping tool, the unrealistic expectations placed on vets as jack-of-all-trades clinicians, and how Steve’s early mixed-animal work and later corporate clinic burnout pushed him toward life coaching and practical strategies like daily

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23:53

414 - What if the whole vet team got production pay?

The Cone of Shame Veterinary Podcast ·

2026/08/20

Dr. Ivan Zak, DVM, entrepreneur and former CEO of SmartFlow and Galaxy Vets, joins Dr. Andy Roark to dig into one of the spiciest topics in vet med, whether production pay is actually “bad,” and what happens when salary-only pay gets weaponized as burnout prevention. They unpack Ivan’s experience switching Galaxy Vets to straight salary, watching productivity and hours drop, and realizing the business risk of blocked schedules and reduced case acceptance. Ivan shares how that led to Galaxy Vets’

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31:50

413 - Post-Op Pain and Enrichment: Are We Sedating...

The Cone of Shame Veterinary Podcast ·

2026/08/13

Tabitha Kucera, VTS (Behavior) and founder of Chirrups and Chatter, joins Dr. Andy Roark to unpack what "keep them quiet" actually means after surgery. Using real cases like a beagle mix post-abdominal surgery and a cat post-PU, Tabitha shares low-mobility enrichment options such as snuffle mats, frozen Kongs, and scent work that support recovery without heavy sedation or strict confinement. The result: better client guidance, stronger outcomes, and stronger relationships.Episode Links:

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23:40

412 - High Quality, High Volume Surgery & the Future...

The Cone of Shame Veterinary Podcast ·

2026/08/10

Dr. Roberta Westbrook, DVM, takes us inside the world of shelter medicine and challenges what many of us think we know about high quality, high volume surgery, access to care, and animal welfare. From the evolution of modern shelters to the realities of pet homelessness, community responsibility, and the future of keeping pets with the families who love them, this conversation will leave you with a whole new perspective on the incredible work happening behind the scenes.This episode is brought to

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17:35

411 - New Guidelines on Canine Cognitive Dysfunction

The Cone of Shame Veterinary Podcast ·

2026/08/06

Dr. Lisa Radosta, DVM, DACVB, joins Dr. Andy Roark on the Cone of Shame Veterinary Podcast to discuss canine cognitive dysfunction syndrome (CDS) and how to tell normal aging from something treatable. Radosta emphasizes screening all dogs starting at age seven, tracking mentation and behavior changes against each dog’s baseline, and watching for signs such as disorientation, interaction changes, sleep-wake disruptions, house-training lapses tied to learning and memory loss, anxiety, and aggression

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24:03

410 - How to Build Confident, Competent Early Career...

The Cone of Shame Veterinary Podcast ·

2026/07/30

Building Confident New Grad Vets: Mentorship, Psychological Safety, and Onboarding That Works Dr. Jason Szumski, DVM, joins Dr. Andy Roark to tackle a problem every hospital feels, new grads want to do great medicine, but they are often scared of mistakes, lawsuits, and being “on their own” before they are ready. They dig into why mentorship is the top priority for vet students, what strong onboarding actually looks like (psychological safety, structured but flexible timelines, and honest

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28:09

409 - A Cry For Help From the Pathology Department

The Cone of Shame Veterinary Podcast ·

2026/07/23

A Cry for Help in Veterinary Pathology, Burnout, Economics, Digitization, and AI with Dr. Eric Fish Dr. Eric Fish, DVM, DACVP, joins Dr. Andy Roark to tackle a tough question: Why does being a veterinary clinical pathologist feel darker right now, and what happens if AI turns “nice to have” diagnostics into “don’t need to have”? They unpack burnout and pay compression (including pathologists earning less than new grad GPs), consolidation in the lab market, and how digitization has pushed cytology

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31:32

408 - Beyond Trazodone: When the "Chill Protocol"...

The Cone of Shame Veterinary Podcast ·

2026/07/16

Beyond Gabapentin and Trazodone, Smarter Pre-Visit Anxiety Meds with Dr. Chris Pachel Dr. Chris Pachel, DVM, DACVB, joins Dr. Andy Roark to tackle a problem every clinic knows too well, stressed pets, stressed owners, and appointments that start going sideways before the car even leaves the driveway. They dig into pre-visit pharmaceuticals beyond the usual gabapentin and trazodone, including when to increase doses, when sedation is masking anxiety (not fixing it), and how options like clonidine,

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25:25

407 - The Dangers of Dutch

The Cone of Shame Veterinary Podcast ·

2026/07/09

Dr. Andy Roark hosts Dr. Matt Salois, an economist, VMG president, and adjunct faculty at Cornell’s College of Veterinary Medicine, to discuss his Today’s Veterinary Business article on the “dangers of Dutch Pets veterinary telemedicine,” using a Trojan horse metaphor. They argue that when a “no strings attached” solution promises cheaper, easier access by reducing restrictions, vets should be skeptical because removing safeguards like the VCPR and physical exams is not the same as innovation. The

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15:17

406 - HoF - Fireworks Phobia Over the Phone

The Cone of Shame Veterinary Podcast ·

2026/07/02

Dr. Lisa Radosta, DVM, DACVB, joins Dr. Andy Roark for a timely Hall of Fame episode that every veterinary professional should revisit before fireworks season kicks into high gear. If you've ever had a client call in a panic hours before the fireworks start, this episode breaks down what you can do, what realistically helps, and how to set pets up for success when noise phobias strike. Gang, let's get into this episode!

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20:32

405 - Redefining the DVM Career Path

The Cone of Shame Veterinary Podcast ·

2026/06/29

Dr. Matt Silvius, DVM, shares a career journey that challenges the idea that veterinarians only have one path to leadership. Matt shares his journey from kennel technician to practice owner and multi-site leader, exploring entrepreneurship, mentorship, and the many ways veterinarians can build fulfilling careers. If you've ever wondered what career growth, ownership, or leadership opportunities can look like in modern veterinary medicine, this episode will leave you inspired to think bigger about

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23:25

404 - HDYTT: The Critical Feline Patient

The Cone of Shame Veterinary Podcast ·

2026/06/25

Tasha McNerney, CVT, CVPP, VTS (Anesthesia & Analgesia), tackles one of the most stressful situations in veterinary medicine: the critical feline patient crashing through the door after severe trauma. If you've ever felt the urge to rush a painful cat straight into anesthesia, this episode will help you slow down, stabilize first, and make smarter decisions about oxygen delivery, shock management, analgesia, and anesthesia protocols. You'll walk away with practical tips to improve patient

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27:33

403 - Improving Animal Welfare at Commercial Dog...

The Cone of Shame Veterinary Podcast ·

2026/06/18

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

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29:41

402 - A New Vet Guide to Working with Senior...

The Cone of Shame Veterinary Podcast ·

2026/06/15

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

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