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

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

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.

Dr. Flavia Vaduva, 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.

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/

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.

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

Dr. Josh Rosen is a relief veterinarian and veterinary content creator based in the New York metro area, practicing across NYC, Long Island, and Northern New Jersey. A graduate of the Virginia-Maryland College of Veterinary Medicine, his clinical interests span preventative care, urgent care, soft tissue surgery, dentistry, dermatology, and internal medicine. Working across many practices has given Dr. Rosen a rare, unfiltered view of what's actually happening on the ground in veterinary medicine today, including the growing gap between how organized medicine operates and what the people doing the work know it needs. He channels that perspective into his platform, @dogtorjosh on Instagram, where he covers clinical empathy, effective communication, team culture, and all the relatable laughs we share in this amazing profession. Today, he's advocating for a profession led by those with real, lived veterinary experience, rather than metrics alone.

Dr. Charli Dong, DACVD, joins the podcast to tackle one of the most frustrating and common cases in practice: the itchy dog that just will not get better. If you have ever had a client convinced it is “just a food allergy” while their dog continues to suffer, this episode is your playbook. Dr. Dong breaks down canine atopic dermatitis in a way that actually makes sense, from puppies presenting earlier than expected to the messy overlap between food allergies and environmental triggers. You will walk away with a clearer approach to multimodal management, including when to use diet trials, how to set realistic expectations, and why the skin barrier and nutrition matter more than ever. This is practical, real-world dermatology that helps you feel more confident the next time an allergic dog walks through your door.

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

Hill's Therapeutic Derm: https://www.hillsvet.comxpet-nutrition/derm

Hill's Veterinary Academy: https://na.hillsvna.com/en_US/dashboard

Dr. Charli Dong is a board-certified veterinary dermatologist with extensive experiencing diagnosing and managing canine allergic skin disease, including canine atopic dermatitis. Her clinical and research interests focus on improving the lives of itchy dogs through better long-term management strategies, skin barrier support and evidence-based therapeutics – a holistic approach. Education is central to Dr. Dong’s passion. She has served as Exam Chair for the American College of Veterinary Dermatology, is actively involved in training dermatology residents and teach veterinary students, and is a frequent national and international speaker. She has authored numerous scientific publications, with an emphasis on translating emerging research into practical, real-world guidance for both veterinarians and pet owners.

Dr. Andy Roark welcomes Caitlin Palmer (aka “the desk winch”), a veterinary receptionist at Southern Vet Clinic and a member of the President’s Advisory Board for the North American Association of Veterinary Receptionists (NAVR), to talk about the state of the front desk. They discuss how changing communication preferences and tools like AI may increase the importance of front-desk staff as key client communicators, and why reception should be viewed as a long-term career path with better pay, recognition, and continuing education. Caitlin shares common pain points like disrespectful clients, vaccination hesitancy conversations, lack of appreciation, and the rift between front and back teams, plus the hidden challenge of having to be “on” all the time. They cover solutions like cross-training, consistent messaging, and NAVR’s goals for CE and future certification, and share where to find NAVR and Caitlin online.

Caitlin Palmer has spent 16 years in veterinary medicine with a passion for helping animals and the people who love them. She is widely recognized for her TikTok character the “DeskWench,” where she humorously portrays both a veterinary receptionist and “Karen Stevens,” everyone’s favorite disgruntled client, highlighting the real-life challenges of working at the veterinary front desk. Caitlin originally began her adult life as a theatre major studying acting and music, but ultimately chose a career in veterinary medicine because she couldn’t imagine being away from her dog. After overcoming her own battles with mental health, she became a strong advocate for supporting veterinary teams and fostering healthy clinic culture. Caitlin believes that while not everyone performs the hands-on medical aspects of veterinary care (something she jokes she certainly couldn’t do), pets don’t bring themselves to the veterinarian—making CSRs an essential part of patient care and the veterinary team. She proudly serves on the President's Advisory Board for NAAVR and is HONORED to share her passion with you all! Through education, storytelling, and humor, she encourages veterinary receptionists to take pride in their role and recognize the powerful impact they have every day.

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

Links: https://veterinarysustainabilityalliance.org

Dr. Richardson holds a BA in Ecology and Evolutionary Biology, a PhD in Zoology and a DVM degree. He is a small animal practitioner licensed in British Columbia and Ontario, owns The Animal Cinic in Toronto and has a special interest in environmentally sustainable practice. The Animal Clinic was the first clinic in North America to receive the Green Paw Certification for sustainability. He is the Past-President of the OVMA and The Farley Foundation, the co-founder and chair of the OVMA’s Sustainability Committee, Director of the Veterinary Sustainability Alliance and member of the CVMA Sustainability Advisory Group. A keen year-round cyclist and advocate for active transportation, Dr. Richardson can often be found on his bike or with a camera in his hand (or sometimes both).