Episodes

  • Telemedicine.

    What’s your gut reaction when you hear that term?Maybe you think it was just a clever COVID workaround, or second-rate substitute for a “real” vet visit.

    Or maybe you’re a bit curious about what it’s like to work in telemedicine— but you’re worried it’ll be boring. Or worse: that you’ll spend your days diagnosing lizards over Zoom.

    Whatever you think— chances are, you’re wrong. But don’t worry. This episode will change that. We go deep on the real-world pros and cons of telemedicine, from two key angles:

    For curious vets:

    What’s it really like to work in telemedicine?Is it fulfilling?How will I cope with all the tricky questions (and species?!)Is the pay good?Can you get into trouble for giving remote advice?

    For clinic owners:

    How do you integrate telemedicine into your practice?What are the practical hurdles?What’s worked (and what hasn’t) from someone who’s built a global platform from scratch?

    Our guest is Dr. Shadi Ireifej, a board-certified surgeon, tech entrepreneur, and co-founder of VetTriage, a global teletriage platform.

    This one made me rethink what “good vet work” really means. I think it’ll do the same for you.

    Join us on the slopes of New Zealand for our winter CPD adventure with Vets On Tour Wānaka 25.

    Lift your clinical game with our RACE approved clinical podcasts at ⁠⁠⁠vvn.supercast.com⁠⁠⁠ for more clinical confidence and better patient outcomes, or check out our Advanced Surgery Podcast at ⁠⁠cutabove.supercast.com⁠⁠.

    Get case support from our team of specialists in our ⁠⁠Specialist Support Space⁠⁠.⁠

    Subscribe to our weekly newsletter⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠ ⁠⁠for Hubert's favourite clinical and non-clinical learnings from the week.

    Topics and Time Stamps

    01:43 So you think you want to work in telemedicine?

    04:20 Common concerns about telehealth work

    06:11 Will I get sued for giving the wrong advice?

    10:37 Vets on Tour: Upcoming Events

    15:55 Income and Work Hours in Telemedicine

    18:35 Will I have to give advice for all sorts of weird animals?21:29 Unexpected Joys of Telehealth

    23:44 Future of Telehealth and Technology

    29:21 Challenges and Lessons in Telehealth for Practice Owners

    36:33 What about the technology?

    We love to hear from you. If you have a question for us or you’d like to give us some feedback please get in touch via our contact form at ⁠thevetvault.com⁠, or catch up with us on ⁠Instagram⁠. And if you like what you hear, please share the love by clicking on the share button wherever you’re listening and sending a link to someone who you think should hear this.

  • In this solo episode Hugh tackles a bold idea: if you're not currently using AI in your clinical veterinary work, you may be falling behind. And if/when artificial intelligence gets to the point where it reliably has access to all the most up to date information for managing your patients, will you be negligent if you DON’T use it?

    Hubert shares how artificial intelligence is quietly but powerfully reshaping veterinary practice. He paints a vivid picture of an AI-powered clinic, shows you practical tools you can start using immediately, and challenges you to rethink the future of your role as a vet.

    What you'll discover:

    A demo showing how to use ChatGPT for clinical reasoning, how to build your own custom AI assistants, and how to set up a personal knowledge library with free tools like Google's NotebookLM.How to spot and handle AI hallucinations — and why your human skills like empathy and ethical judgment are still your unique superpowers.The business opportunities of AI for your practice, and why clinics that embrace AI may thrive while others struggle.How AI could reshape veterinary education and open doors to a more sustainable, fulfilling career.

    Hubert doesn’t just speculate — he shows you how AI can work in clinics today, and how you can lead instead of lagging behind.

    Tune in if you're ready to future-proof your practice, sharpen your skills, and unlock a better way to be a vet.

    Try out our AI Blood Gas Assistant

    Join us at Vets on Tour Wānaka, NZ, for the most fun CE event you’ll attend this year.
    Join our community of Vet Vault Nerds to lift your clinical game and get your groove back with our up-to-date, easy-to-consume clinical episodes at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠vvn.supercast.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.

    Get help with your tricky cases in our ⁠⁠⁠⁠⁠⁠⁠⁠Specialist Support Space.⁠⁠⁠⁠⁠⁠⁠⁠

    V⁠⁠isit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠thevetvault.com⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠for show notes and resources related to this episode.

    ⁠Subscribe to our weekly newsletter⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠ ⁠for Hubert's favourite clinical and non-clinical learnings from the week.

    Topics and time stamps

    03:08 What could the future of clinical practice look like with AI?

    12:48 Can I trust it? What does the data say?

    18:22 Where does Ai get its information from?

    25:20 How I use it: Using 'general' models for clinical decision making

    33:29 Building your own Ai tools

    34:06 Google Notebook LM

    40:58 MyGPT - your own assistant

    54:49 What might the role of the future veterinarian look like?

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  • Join us for the Vet Vault's own conference in the snow: ⁠⁠Vets On Tour Wānaka⁠⁠, New Zealand, 10-15 August 2025!

    Have you ever felt pressured, as a vet, to do more 'stuff' - diagnostics, procedures, and sell more, even when you can’t quite see the clinical justification for it?

    In this episode we welcome Dr. Brennen McKenzie-veterinarian, researcher, creator of the SkeptVet blog, author of Placebos for Pets? The Truth About Alternative Medicine in Animals, and all-round lover of science-based thinking. And who better to help us draw the line between solid science and revenue-driven decision making than someone who is known for their scepticism? Dr. McKenzie brings real-world wisdom and refreshing honesty to the debate. Together we explore the often-unspoken pressures of profit-driven care, commission-based pay, and what happens when business incentives conflict with good science. Brennen shares lessons from two decades in practice on how to use Spectrum of care reasoning to make clinical decisions that respect science, client resources, and the needs of your employer.

    A must-listen for any vet who’s ever questioned the system—and their place in it.

    Find out more about Brennen's current work in longevity at loyal.com.

    Join our community of Vet Vault Nerds to lift your clinical game and get your groove back with our up-to-date, easy-to-consume clinical episodes at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠vvn.supercast.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.

    Get help with your tricky cases in our ⁠⁠⁠⁠⁠⁠⁠⁠⁠Specialist Support Space.⁠⁠⁠⁠⁠⁠⁠⁠⁠

    V⁠⁠isit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠thevetvault.com⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠for show notes and resources related to this episode.⁠

    Subscribe to our weekly newsletter⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠ ⁠⁠for Hubert's favourite clinical and non-clinical learnings from the week.

    Episode Topics and Timestamps

    08:11 The Shift to Profit Driven Veterinary Practice

    09:46 A Guide to Evidence-Based Decision Making

    12:00 Client Communication and Financial Constraints

    17:31 Spectrum of Care: A New Approach

    32:15 Overdiagnosis and Screening: A Critical Look

    39:09 Cognitive Psychology in Veterinary Decision Making

    42:45 The Power of Checklists in Medical Practice

    43:18 Balancing Autonomy and Systematic Decision Making

    45:52 Clinical Audits: Improving Practice Through Data

    48:36 Intuitive vs. Algorithmic Thinking in Veterinary Medicine

    51:37 The Pitfalls of Anecdotal Evidence in Veterinary Practice

    01:07:40 Communicating with Clients About Unproven Therapies

    01:18:17 Pass Along Question and The One Bit of Advice

  • Veterinary practice can be unpredictable, exhausting, and full of interruptions - not that conducive to getting things done, right? But what if you could handle it all with mind-like-water calm?

    In this episode I pick the brain of productivity legend David Allen, creator of Getting Things Done (GTD), to show you exactly how. This isn’t about squeezing more into your day — it’s about cutting mental clutter, regaining focus, and feeling in control, even when it all hits the fan.You'll learn simple, actionable GTD strategies that busy vets can use today:

    Master the 5 GTD steps for veterinary practice:

    Capture: Never lose track of to-dos in a busy clinic againClarify: Break down complex patient tasks into clear next stepsOrganise: Build bulletproof systems your whole team can trustReflect: Create powerful review routines for team rounds and personal clarityEngage: Focus on what matters, when it matters

    Beat interruptions without losing your mind

    Why task-switching drains your brain — and what to do instead.The simple tools that keep you sane and focused.How to ‘park’ distractions and re-engage fast.

    Transform team rounds and communication

    The secret to closing open loops (and reducing anxiety for everyone)How structured reflection makes complex caseloads manageableBalancing roles and flexibility for smooth team dynamics

    Join us for Vets On Tour Wānaka, New Zealand, 10-15 August 2025. Limited Early Bird Tickets on sale now.

    Join our community of Vet Vault Nerds to lift your clinical game and get your groove back with our up-to-date, easy-to-consume clinical episodes at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠vvn.supercast.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.

    Get help with your tricky cases in our ⁠⁠⁠⁠⁠⁠⁠⁠Specialist Support Space.⁠⁠⁠⁠⁠⁠⁠⁠

    V⁠⁠isit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠thevetvault.com⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠for show notes and resources related to this episode.⁠

    Subscribe to our weekly newsletter⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠ ⁠for Hubert's favourite clinical and non-clinical learnings from the week.

    Topics and Timestamps

    03:09 Mind Like Water: The Key to Clarity

    05:15 Challenges in Veterinary Productivity

    20:33 Practical Tips for Capturing Tasks

    28:58 Managing Multiple Projects and Tasks

    29:26 The Importance of Knowing the Next Step

    30:14 Dealing with Task Shifting and Interruptions

    32:25 Organizing Physical and Mental Spaces

    35:43 Team Dynamics and Productivity

    38:02 Effective Rounds42:20 Balancing Defined Roles and Flexibility

    47:35 Book recommendations

    48:49 Pass along question

  • “Did you know the AVMA doesn’t actually require a residency to become a specialist?”

    Yeah, neither did we—until Dr. Matt Booth dropped that fact-bomb.

    And it’s bigger than just an interesting fact - it’s a mindset shift that cracks the door wide open to alternative routes to specialisation—for veterinarrians who want to grow their careers, but can’t jump through the hoops of the traditional residency pathway.

    So, if you are:
    - Ambitious, but feeling a bit stuck

    - Limited by the realities of life outside the clinic

    - Or just curious about your options in veterinary medicine

    This one’s for you.

    Join us for part 2 of our conversation with Dr. Matt Booth—former ER practice owner and ER practice development lead at Ethos Veterinary Health—as we rethink what’s possible in the future of specialisation.

    Topics and Time Stamps

    02:04 Alternative Specialisation Routes

    03:17 Challenges and Benefits of Non-Traditional Paths

    09:17 Exploring the Hybrid Credentialing Path

    19:31 Podcast Recommendations

    21:54 Pass along question



    Join our community of Vet Vault Nerds to lift your clinical game and get your groove back with our up-to-date, easy-to-consume clinical episodes at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠vvn.supercast.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.

    Get help with your tricky cases in our ⁠⁠⁠⁠⁠⁠⁠⁠Specialist Support Space.⁠⁠⁠⁠⁠⁠⁠⁠

    V⁠⁠isit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠thevetvault.com⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠for show notes and resources related to this episode.

    ⁠Subscribe to our weekly newsletter⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠ ⁠for Hubert's favourite clinical and non-clinical learnings from the week.

  • Most vets believe it’s inevitable—on average, they leave Emergency and Critical Care (ECC) after just 3-5 years. The obvious culprit? Shift work, right?

    But what if that’s just scratching the surface?

    In this episode, I sit down with Dr. Matt Booth, ER Practice Development Lead at Ethos Veterinary Health, to break down surprising findings from his survey of 3,500 emergency veterinarians. Together, we explore the Five Buckets of Retention—the REAL factors that determine whether your career in emergency medicine thrives or fizzles out. Spoiler: It’s not all about night shifts and burnout.

    We dig into leadership challenges, the keys to professional growth, and how these insights apply beyond ECC to every role in veterinary medicine.

    You’ll also catch highlights from my previous chat with Dr. Matt at IVECCS 2023, where we shared actionable strategies for improving recruitment and building sustainable veterinary careers.

    Whether you’re an ER vet looking for longevity or a practice leader aiming to attract and retain top talent, this episode is your guide to rethinking retention and career sustainability in veterinary medicine.

    Topics and Timestamps:

    00:40 Meet Dr. Matt Booth and the Five Buckets03:47 Recruitment Insights from 202307:36 Survey Findings and Retention Strategies12:07 The Five Buckets of Retention27:07 The Burden of Being a Giver28:23 Creative Solutions for Employee Retention29:04 Leadership and Gender Representation39:59 The Role of paid time off in Retention43:40 Creating a Positive Work Environment46:37 Professional Educational Growth

    Join me at JAVECCS Tokyo on 15 and 16 March, and at IVECCS 2025 in San Diego on 4-8 Septembet.

    Join our community of Vet Vault Nerds to lift your clinical game and get your groove back with our up-to-date, easy-to-consume clinical episodes, library of show notes and access to our veterinary practice AI Toolbox at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠vvn.supercast.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.

    Get help with your tricky cases in our ⁠⁠⁠⁠⁠⁠⁠⁠Specialist Support Space.⁠⁠⁠⁠⁠⁠⁠⁠

    V⁠⁠isit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠thevetvault.com⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠for show notes and resources related to this episode.

    ⁠Subscribe to our weekly newsletter⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠ ⁠for Hubert's favourite clinical and non-clinical learnings from the week.

  • Try our AI Blood Gas Assistant here

    Are you wasting hours on outdated study methods like cramming and re-reading—only to forget everything by exam day? You might be studying wrong—and Dr. Matt Hollindale is here to help you fix that so you can learn smarter, not harder.

    When preparing for his ECC Membership exams, Dr. Matt became obsessed with the science of study. The result? He achieved the top marks of the 2023 cohort. Now, he’s applying the same methods to his residency training and sharing them with you.

    In this episode, we dive into science-backed strategies that transform how you study. Say goodbye to endless highlighting, reading and re-reading, and hello to techniques that actually makes things stick.

    Whether you’re a veterinary student building good habits early or preparing for specialist exams, this episode will save you many hours. (And possibly even some tears!)

    Here’s what we cover:

    The biggest study mistakes you didn’t know you’re making. How active recall and spaced repetition turbocharge your memory. The best AI and tech tools to revolutionise your study game. Why prioritising your well-being is as critical as your study hours.

    Links & Resources
    Lift your clinical game with our RACE-approved clinical podcasts at ⁠⁠vvn.supercast.com⁠⁠ for more clinical confidence and better patient outcomes, or check out our Advanced Surgery Podcast at ⁠⁠cutabove.supercast.com⁠⁠.

    Get case support from our team of specialists in our ⁠⁠Specialist Support Space⁠⁠.

    ⁠⁠Subscribe to our weekly newsletter⁠⁠ for Hubert's favourite clinical and non-clinical learnings from the week.

    Topics and Time Stamps


    04:33 Common Study Mistakes
    08:58 Study Techniques That Actually Work
    18:11 Making It Practical
    20:56 Using Spaced Repetition for Better Long-Term Memory
    29:08 Tech and AI Study Tools
    31:39 Google Notebook LMS
    34:38 Advanced Strategies
    38:54 The Importance of Self-Care in Studying

    We’d love to hear from you! Email us at ⁠⁠⁠[email protected]⁠⁠⁠ or reach out via our ⁠⁠⁠contact form⁠⁠⁠.

    If you enjoyed this episode, share it with someone who you think could benefit from these game-changing study strategies!

  • Lift your clinical game with our RACE-approved clinical podcasts at vvn.supercast.com for more clinical confidence and better patient outcomes, or check out our Advanced Surgery Podcast at cutabove.supercast.com.

    Get case support from our team of specialists in our Specialist Support Space.

    Subscribe to our weekly newsletter for Hubert's favourite clinical and non-clinical learnings from the week.

    Do you ever feel just... flat? Not inspired, not excited, and certainly not energised. It might feel like burnout. Or is it compassion fatigue? Maybe it's neither.

    You know those moments in veterinary medicine when you know the right thing to do, but external circumstances prevent you from doing it? That dissonance, that discomfort deep in your core: that’s moral injury.

    In this episode, we unravel the complexities of moral injury with Dr. Shannon Bass, a leader in veterinary medicine and a passionate advocate for supporting veterinarians through the psychological challenges they face. Moral injury, often confused with burnout or compassion fatigue, is an under-discussed but critical issue in our profession. Together with Dr. Bass, we explore the distinctions between these terms, their impact on veterinary professionals, and how to address them effectively.

    Dr. Bass brings over 20 years of experience in general practice, emergency veterinary medicine, and leadership to this conversation, where you’ll learn

    How moral injury manifests in daily practice The importance of differentiating it from burnout and compassion fatigue Why 'client bashing' can be a symptom of moral distress, and Practical steps to create healthier and more supportive veterinary work environments.

    Topics and Time Stamps

    Defining Moral Injury - 02:58

    Differentiating Trauma, Moral Injury, and Burnout - 07:04

    Moral Injury in Veterinary Practice: Subtle and Irresolvable Cases - 10:03

    What’s New for the Vet Vault in 2025 - 16:33

    Moral Injury vs Moral Distress - 21:18

    Moral Injury vs Compassion Fatigue - 24:01

    How Does Moral Injury Manifest? - 27:01

    How to Address Moral Injury: Recognising and Implementing Solutions - 29:44

    The Role of Vulnerability and Shared Experiences - 33:25

    Communication, Community, and Support - 38:59

    Shannon’s Podcast Choices - 46:29

    Pass-Along Question - 49:30

    Get in Touch

    Email us at [email protected] if you want to find out more about Vet Vault/Vets on Tour 2025 in Wanaka, NZ, or about the Essential Consequence Management series for practice leaders with Rhonda Andrews.

    We love to hear from you! If you have a question for us or you’d like to give us some feedback, please get in touch via our contact form, or catch up with us on Instagram.

    If you like what you hear, please share the love by clicking on the share button wherever you’re listening and sending a link to someone who you think should hear this.

  • Hands up if you feel truly valued and respected at work.

    In this episode, we dig deep into what truly makes employees feel valued and how leaders can create workplaces that people never want to leave. Spoiler: It’s not just about pay, pizza parties, or avoiding toxic behaviour. We’re aiming much higher!

    Why You Should Listen

    Workplaces that crack the code of real team respect and value don’t just retain their talent — they thrive. Whether you’re a team leader or an employed vet, this episode is packed with actionable insights on creating meaningful change, improving communication, and unlocking your unique “zone of genius.”

    What Team Leaders Will Learn

    ‱ How to spot and fix the subtle cues that make employees feel unheard and replaceable.

    ‱.The counter-intuitive financial upside of investing in team development.

    “I think that organisations are sometimes coming in backwards, where it’s like: ‘Let’s just focus on the numbers and the metrics.’ If you develop amazing talent and build a strong team, you will make so much money. It is not the other way around.”

    ‱.Practical tips to tackle team disengagement and avoid the high cost of turnover.

    ‱ Strategies for better communication and feedback without burning out as a leader.

    “Because our brains are pre-programmed to attune to the negative, it’s going to be a negative story. So when people don’t understand what’s happening, they’re going to jump to the worst-case scenario, spread rumours, and act accordingly.”

    What Employed Vets Will Learn

    ‱ How to advocate for yourself without feeling ‘pushy’ or ‘needy’.

    ‱ Why you might be feeling stuck in your role, and what to do about it.

    ‱ How to discover and step into your ‘zone of genius.’

    “If I can maximise my time and attention there, I will be of most use to my company, my team, myself, my patients — everybody.”

    Our guests are:

    ‱ Dr. Natalie Fayman: A veterinarian with 30+ years of clinical experience turned certified Positive Intelligence coach, and champion for less workplace dread and more veterinary dream teams

    ‱ Crystal Stokes: A former ER vet tech turned licensed psychotherapist and leadership coach. As the founder of Full Circle Lab, she’s on a mission to bridge the gap between veterinary leadership and teams.

    Say not to settling for a ‘meh’ workplace by hitting play on this episode in to learn how to create (or find!) a role where you’re truly respected, valued, and thriving. Your veterinary dream team starts here!

    Topics and Time Stamps:

    06:23: Recognising the subtle things that make people feel undervalued

    08:50: The counter-intuitive truth about investing time and money in team development

    12:36: The repercussions of getting this wrong

    18:13: Leveraging the team to get this right

    21:25: Why it’s important to know the limits of your skills

    25:23: Upcoming events and conferences

    28:41: Pushing for change as someone who is not in a leadership role

    35:05: Better systems for better feedback

    37:32: Discovering your ‘zone of genius’

    45:59: Addressing team disengagement

    52:21: Effective communication and feedback

    58:12: Podcast recommendations

    58:52: The pass-along question

    Lift your clinical game with our RACE approved clinical podcasts at ⁠⁠⁠⁠vvn.supercast.com⁠⁠⁠⁠ for more clinical confidence and better patient outcomes, or check out our Advanced Surgery Podcast at ⁠⁠⁠cutabove.supercast.com⁠⁠⁠.

    Get case support from our team of specialists in our ⁠⁠⁠Specialist Support Space⁠⁠⁠.

    ⁠Subscribe to our weekly newsletter⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠ ⁠⁠⁠for Hubert's favourite clinical and non-clinical learnings from the week.

    Join me at the JAVECCS ECC conference in Tokyo on 15 and 16 March.

  • Get the show notes for this episode, plus a very neat treatment guide for hyperkalaemia, ⁠here.⁠

    Join our community of Vet Vault Nerds to lift your clinical game and get your groove back with our up-to-date, easy-to-consume clinical episodes at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠vvn.supercast.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.

    Get help with your tricky cases in our ⁠⁠⁠⁠⁠⁠⁠⁠Specialist Support Space.⁠⁠⁠⁠⁠⁠⁠⁠

    ⁠Subscribe to our weekly newsletter⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠ ⁠for Hubert's favourite clinical and non-clinical learnings from the week.

    You may have heard about a condition where greyhounds can become dangerously hyperkalaemic under anaesthesia, but did you know that this isn’t something that happens exclusively in greyhounds? And do you know what the risk factors are for this happening, what you can do to try and prevent it, or how to preempt it? If the answer to any of these is no, and you ever anaesthetise non-human species, then this is one of those “will probably save a patient’s life one day” episodes.

    Our guest is Dr Stacey Jones, who was involved in publishing the first ⁠paper on anaesthesia-associated hyperkalaemia⁠ in greyhounds that brought this condition to the veterinary world’s attention. She joins the podcast to share what she learnt while conducting the research for this paper, as well as to provide an update on the work that has been done since that first publication. This update fleshes out our understanding of the condition, focusing on what you need to know about it in practice.

    Episode Topics and Timestamps

    04:06 Symptoms and Detection

    07:27 The Greyhound Project: A Case Study

    19:15 Hyperkalemia Beyond Greyhounds

    22:05 Practical Takeaways

    27:53 Conclusion and Additional Resources

  • Lift your clinical game with our RACE approved clinical podcasts at ⁠⁠vvn.supercast.com⁠⁠ for more clinical confidence and better patient outcomes, or check out our Advanced Surgery Podcast at ⁠cutabove.supercast.com⁠.

    Get case support from our team of specialists in our ⁠Specialist Support Space⁠.

    ⁠Subscribe to our weekly newsletter⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠ ⁠for Hubert's favourite clinical and non-clinical learnings from the week.

    “This is not a women's issue: this is a societal issue. We all have women in our lives that we love, that we work with, that we care for, and we MUST be putting these conversations on the table.”

    If you’re listening to THIS podcast, chances are you’re a veterinarian. That means that statistically, there’s about a 70% chance you’re a woman. That makes an honest, in-depth conversation about menopause not just relevant, but essential. This is that conversation.

    And even if you’re not a woman, or menopause is still decades away for you, you almost certainly work with or live with someone for whom this topic is, or will be, very significant. You should absolutely care about it- and know about it.

    In this question-and-answer conversation, recorded live at the Greencross Symposium 2024, we unpack the science, symptoms, and solutions with Dr. Nicole Avard, menopause specialist, and Georgie Drury, founder of Metluma, a digital health initiative that supports women through menopause.

    From understanding the biology of menopause to tackling its impact on mental health, career, and workplace culture, this is the conversation you didn’t know you needed—but one that will make a difference in your life and practice.

    Topics and Timestamps

    [00:04:00] Menopause 101

    [00:06:00] Biological Changes During Menopause

    [00:08:00] Symptoms of Menopause

    [00:12:00] Mental Health and Menopause

    [00:15:00] Challenges in Diagnosis and Treatment

    [00:17:00] HRT Safety and Benefits

    [00:22:00] Myths and Misinformation

    [00:32:00] Organisational Responses to Menopause

    [00:40:00] Menopause Q&A

    Gradual discontinuation of HRT. Role of diet in managing symptoms:

    [00:45:00] Advanced Questions on Treatment

    Using IUDs vs. transdermal progesterone. Blood tests for diagnosing postmenopause. Role of testosterone in symptom management.

    Speaker bios:

    Nicole Avard

    Dr Nicole Avard is a dedicated Menopause Specialist GP with 18 years of experience as an Integrative GP. As the Medical Director and Co-founder of Metluma, she is passionate about guiding women through the complexities of menopause. Dr Nic has supported thousands of women on their menopausal journey, offering compassionate and individualized care.

    Georgia Drury

    Georgie is an experienced entrepreneur and CEO, with a passion for health and technology. As founder and CEO of Springday, she built the business into a multi-million-dollar global organisation, operating across 13 countries in ASPAC before exiting and moving onto her next venture. With Hummingbird Innovations, Georgie advises, invests, and collaborates with boards and organisations. She is currently Co-founder and CEO of Metluma, an exciting and innovative digital health initiative aiming to support women by taking a proactive approach to menopause.

    We love to hear from you. Leave a review here, or get in touch with questions or feedback at [email protected].

    And if you like what you hear, please share the love by rating us on your podcast player and hitting that share button and sending a link to someone who you think should hear this.

  • Lift your clinical game with our RACE approved clinical podcasts. Get your first two weeks free at ⁠⁠vvn.supercast.com⁠⁠ for more clinical confidence and better patient outcomes, or check out our Advanced Surgery Podcast at ⁠cutabove.supercast.com⁠. Get case support from our team of specialists in our ⁠Specialist Support Space⁠.

    What if you asked the head of a famous business school for some veterinary business advice, but instead of telling you about a new system to increase productivity or some new marketing hack, he tells you to ‘focus less on the business side of veterinary practice’?

    "You have to stop imposing a managerial mindset on these types of businesses - a 'business mindset.' Managerialism has seeped into everything - into industries where it shouldn't be. "

    An interview that started with the goal of helping vets get better at having difficult finance conversations quickly detoured into a discussion about:

    - The philosophy of veterinary business,

    - Why the managerialism that works in some industries doesn’t always translate well into ours, and

    - What true success could look like.

    (Don’t worry - we do also get insights on how to make those money conversations less stressful!)

    Dr Paul Harrison is the Director of the MBA program and Co-Director of the Better Consumption Lab at Deakin University's School of Business, and Adjunct Professor at Sacred Heart University in Milan.The MBA program that Paul designed for Deakin ranks 1st in the world for class experience. Paul is a renowned international speaker on issues related to consumer behaviour, public health and well-being, governance, and marketing.

    Topics and Timestamps

    Money Conversations: Challenges and Strategies 04:50

    Balancing Business and Values in Veterinary Practice 07:29

    Rethinking Success: Beyond Financial Growth 12:17

    Exciting News: Clinical Podcast Updates 17:24

    Embracing Uncertainty and Value 19:32

    Controlling the Customer Experience 24:08

    Philosophical Approaches in Business 24:29

    Understanding Customer Needs 25:45

    Money Conversations in Veterinary Practice 27:15

    Human Decision-Making in Emergencies 34:05

    Emotional Management in Emergencies 40:30

    We love to hear from you. If you have a question for us or you’d like to give us some feedback please get in touch via our contact form at ⁠thevetvault.com⁠, or catch up with us on ⁠Instagram⁠.

    And if you like what you hear, please share the love by clicking on the share button wherever you’re listening and sending a link to someone who you think should hear this.

  • Lift your clinical game with our RACE approved clinical podcasts. Get your first two weeks free at ⁠⁠⁠vvn.supercast.com⁠⁠⁠ for more clinical confidence and better patient outcomes, or check out our Advanced Surgery Podcast at ⁠⁠cutabove.supercast.com⁠⁠.

    Get case support from our team of specialists in our ⁠⁠Specialist Support Space⁠⁠.

    If you scroll through any veterinary chat group you won’t have to scroll for long before you see a conversation along the lines of: “My career as it is now isn’t really working for me, but I don’t know what my other options are. I feel
 stuck.”

    So how do you become unstuck?

    Dr Jess Moore Jones is a bit obsessed with what keeps vets engaged and fulfilled, and she helps individuals and teams figure out how to create resilient and thriving cultures and careers through her business, ⁠Unleashed Coaching and Consulting⁠, and in this episode we unpack a few of the talks she presented at WVAC 2024:

    The choices we make: taking back the power as veterinary professionals to be in control of our own resilience and our own wellbeing. YOU ARE NOT STUCK: helping veterinarians discover that a meaningful, fulfilling career (and life) is possible.

    Jess shares her thoughts on where the line is between being a good team member and having healthy boundaries, why being selfish in the short term can be generous in the long run, and we talk about the ‘four doors’ available to you with every challenging situation. We discuss Jess' first steps to becoming ‘unstuck’ from your career rut, and we ask the big question: are the new generations of vets ‘soft’, or just wise?!

    Join Dr Jess on 28 November 2024 for her online ⁠Women in Veterinary Leadership Summit. ⁠

    Topics and Time Stamps

    02:21 The Generational Debate: Are Younger Vets Soft?

    03:43 Resilience in Veterinary Medicine: Good vs. Toxic

    10:30 Balancing Boundaries: Soft vs. Hard

    15:15 Long-term Resilience vs Short-Term People-Pleasing

    20:02 Career Coaching: Moving from Stuck to Fulfilled

    22:55 Challenging Traditional Work Structures

    23:34 Discovering Your True Self

    25:06 Overcoming Fear and Taking Action

    26:22 Exploring New Opportunities

    29:05 The Power of Choice in Your Career

    34:27 Mindfulness and Self-Awareness

    36:01 Choosing Your Perspective

    40:31 Embracing Negative Emotions

    We love to hear from you. If you have a question for us or you’d like to give us some feedback please get in touch via our contact form at ⁠⁠thevetvault.com⁠⁠, or catch up with us on ⁠⁠Instagram⁠⁠.

    And if you like what you hear, please share the love by clicking on the share button wherever you’re listening and sending a link to someone who you think should hear this.

  • If you work in emergency practice, or you're considering it, then this episode is for you. ⁠Dr Brooke Schampers ⁠and ⁠Dr Taleta Hompas ⁠are ECC veterinarians with more than two decades experience between them who create resources and coach others on how to thrive as an ECC shift worker through there ⁠EMV4Life⁠ program. In this episode they will tell you:

    How to better structure your shifts to optimise for sleep and health. How to navigate the swing between night and day shift. How Taleta manages shift work as a parent of young children. How to increase productivity on shift to reduce cognitive load and stress and get you out the door sooner. How to bring more joy into your emergency shifts.

    We discuss what there is to love about emergency vetting, what to consider if you are thinking of a career as an ECC vet, and what other challenges there are beyond sleep and shift work.

    Contact us⁠ to find out about our Vet Vault/EMV4Life resource bundles to help you up skill and navigate life as an emergency vet.

    Lift your clinical game with our RACE approved clinical podcasts. Get your first two weeks free at ⁠⁠vvn.supercast.com⁠⁠ for more clinical confidence and better patient outcomes, or check out our Advanced Surgery Podcast at ⁠cutabove.supercast.com⁠.

    Get case support from our team at specialists in our ⁠Specialist Support Space⁠.

    Topics, Time Stamps and Chapters

    00:00 Intro

    03:22 Why ECC? What’s to love about it?

    06:38 Are Certain Personalities Better Suited for ECC

    15:39 The Impact of Shift Work on Health

    22:21 Brooke’s Routine for Sustainable Night Shifts

    32:51 Balancing ECC Work with Family Life

    46:18 Setting Yourself Up for Long-Term ECC Careers

    50:32 Rostering

    54:17 Increased Productivity On Shift

    01:06:17 Finding Your Joy in Veterinary Work

    We love to hear from you. If you have a question for us or you’d like to give us some feedback please get in touch via our contact from at ⁠thevetvault.com⁠, or catch up with us on ⁠Instagram⁠.

    And if you like what you hear, please share the love by clicking on the share button wherever you’re listening and sending a link to someone who you think should hear this.

  • Lift your clinical game with our RACE approved clinical podcasts. Get your first two weeks free at ⁠⁠vvn.supercast.com⁠⁠ for more clinical confidence and better patient outcomes, or check out our Advanced Surgery Podcast at ⁠cutabove.supercast.com⁠.

    Get case support from our team at specialists in our ⁠Specialist Support Space⁠.

    Topics and Time Stamps

    We love to hear from you. If you have a question for us or you’d like to give us some feedback please get in touch via our contact from at ⁠thevetvault.com⁠, or catch up with us on ⁠Instagram⁠.

    And if you like what you hear, please share the love by clicking on the share button wherever you’re listening and sending a link to someone who you think should hear this.

    07:35 The Role of Compassion and Innovation12:08 Leadership and Management in Veterinary Practices17:55 Addressing Risks and Governance24:51 The Importance of Communication and Training43:23 Implementing Change in Veterinary Practices44:04 The Role of Coaching and Mentoring44:56 Different Models of External Support46:27 Cross-Industry Learning and Its Benefits56:06 Delegation and Managing Multiple Roles01:00:31 The Importance of Trusted Networks01:09:15 Balancing Client Relationships and Clinical Work01:17:13 Innovative Solutions for Veterinary Practices01:23:55 Conclusion and Final Thoughts

  • et access to our clinical podcast series with our ⁠⁠⁠30% off IVECCS Special.⁠⁠⁠

    Get case support from our team at specialists in our ⁠⁠⁠⁠⁠Specialist Support Space⁠⁠⁠⁠⁠.

    Hands up if you still remember much of the statistics you learned back in vet school
 Some of us have looked at way more P nappies than p-values since our student days!

    But this is veterinary SCIENCE after all, and part of science is reading the occasional paper. Reading papers—beyond just the abstract and the conclusions—and with at least a little bit of discernment, does involve some degree of understanding statistics, just to make sure you’re not being misled.

    So, in this episode, we’re talking about statistics, and we have the best person for the job. (Don’t skip it because of that word—I promise it’s actually quite fun!)

    Dr. Steven Epstein is a Professor of Clinical Small Animal Emergency and Critical Care at the University of California, Davis. His research interests include CPR, diagnostic testing in the emergency room, and antimicrobial resistance patterns, and he loves a bit of statistics.

    Join us for an easy-to-understand, practical, and entertaining update on statistics, recorded live at IVECCS 2024. You’ll even learn a nifty tip to help you (finally!) remember the difference between sensitivity and specificity!

    Sign up for our ⁠⁠⁠free weekly newsletter⁠⁠⁠ to hear about my favourite 3 lessons I learnt in that week from making the podcasts.

  • Lift your clinical game with our RACE approved clinical podcasts. Get your first two weeks free at ⁠vvn.supercast.com⁠ for more clinical confidence and better patient outcomes, or check out our Advanced Surgery Podcast at cutabove.supercast.com.

    Get case support from our team at specialists in our Specialist Support Space.

    Contact Credabl for questions and help around personal and professional finance for medical professionals, and apply for their $10000 Helping Hands Business grant here.

    If you’ve ever wondered about starting your own veterinary practice, then this episode is for you. We speak to Dr Amber Christie and Brooke Goodwin, a vet and vet nurse team who are the owners of a brand new clinic, about the highs, the challenges the lessons learnt from building their new practice.

    Dr Amber is on new practice number four, and she tells us what they're doing differently this time around - from the practicalities of setting up the practice, like practice design, business structure, and finance, to how they’re thinking about things like boundaries, values, and growth. Brooke shares her perspective from a first time business owner’s point of view, and tells us how they are making the vet nurse/business owner structure work for them and for their clients. Finance specialist Caroline Willemse from Credabl took care of the money side of practice ownership for Amber and Brooke, and she joins us to answer common questions and bust some myths about business finance.

    Topics and Time Stamps

    05:21 Balancing Personal and Professional Life as a Practice Owner

    10:49 The Importance of Flexibility

    16:15 Designing the Perfect Vet Clinic

    19:51 Financial Planning and Support for New Practices

    30:22 Misconceptions and Realities Starting a Vet Practice:

    31:17 Choosing Your Path: Independent vs. Group Practice

    31:38 The Joy of Building from Scratch

    32:58 Financial Considerations for New Practices

    34:48 Renting vs. Buying: Pros and Cons

    36:18 Fixed vs. Variable Borrowing

    38:51 The Unique Partnership: Vet and Nurse Co-Ownership

    46:00 Picking Your Values and Goals

    54:33 The One Question

    We love to hear from you. If you have a question for us or you’d like to give us some feedback please get in touch via our contact from at thevetvault.com, or catch up with us on Instagram.

    And if you like what you hear, please share the love by clicking on the share button wherever you’re listening and sending a link to someone who you think should hear this.

  • You’ll hear a lot of complaining and blaming of leaders for everything that’s wrong with veterinary science. But the reality is that leading people is a very hard job, especially in a profession as complicated and nuanced as veterinary science. So this episode is for our leaders. We hope that it helps make your job of making our profession better just a little bit easier.

    David Liss is the Director of West Coast Operations for Veterinary Emergency Group (VEG), and in this episode he’ll tell you about the three essential ingredients of great veterinary teams, and what this has to do with The Avengers and how they defeated Thanos! David also shares his strategies for giving hard-to-hear feedback, and tells us why goal setting is so important for building a great team and how to get the team excited for these goals. But we start with what might be the most important question: how do you, as a leader, stay motivated to keep motivating others?!

    This episode was recorded live at IVECCS 2023, the conference of the Veterinary Emergency and Critical Care Society. Join me at IVECCS 2024 for MUCH more content like this, and more ECC clinical content than you could ever wish for.

    Get access to our highlights and key takeaways sessions, plus the show notes, from all of the conferences we’ve attended this year by joining our Vet Vault Nerds at vvn.supercast.com for more than 500 short sharp and practical podcasts in Small Animal Medicine, Surgery and Emergency and Critical Care.

    If you need expert help with those tricky cases that you can’t refer - we have a team of specialists on standby to provide you with some extra brains. Contact them here.

    Topics and time stamps

    02:54 Motivation and Inspiration in Leadership

    11:14 Back to the Avengers: Team Dynamics

    15:43 Setting Goals and Achieving Buy-In

    19:19 Profit: It's not a dirty word!

    21:26 Handling Difficult Conversations

    29:30 Carrot or Stick? Motivators

  • In a world of Amazon and Uber-level convenience, where digital disruptors are changing the way the world interacts and how we do business, why do we think that the vet profession won't be impacted?

    "We're facing a lot of disruption. There is this class of digital disruptive dis-intermediators that are emerging and trying to displace the position of the veterinary clinic. Many of them explicitly have the mission to become the most trusted, most convenient touch point in the pet care journey."

    Dr Thom Jenkins is the co-founder & CEO of PetsApp, a client engagement platform the streamlines client interactions, and in this episode he'll show you why the veterinary profession is, and should remain, at the heart of animal care, why disruptors think they can compete for the role of ‘most trusted’, and how they’ll do it. You’ll hear how practices are integrating telemedicine and online services with the physical touch points of traditional bricks and mortar clinics, how we’re our own worst enemies when we overpromise and underdeliver, and how a tech-savvy vet sees the role of AI in the future of veterinary science. Thom also tells us about his experiences of working as a vet in China.

    Please give us your feedback on how to make the podcast better by answering 12 questions here.

    Join me at the combined ASAV/VBG Conference on 12-16 August on the Sushine Coast, or, for our US listeners, at IVECCS in St Louis on 7-11 September for more emergency and critical care content than you ever imagined possible!

    Join our nerds for better patient outcomes and more clinical confidence by signing up for our RACE approved clinical podcasts at vvn.supercast.com for a free 2-week trial.

    We love to hear from you. If you have a question for us or you’d like to give us some feedback please get in touch via email at [email protected], or catch up with us on Instagram.

    And if you like what you hear then please share the love by clicking on the share button wherever you’re listening and sending a link to someone who you think should hear this.

    Topics and timestamps

    05:30 Bad Decisions, Good Stories: Dr. Jenkins' Adventures

    11:21 Veterinary Career in China: Challenges and Opportunities

    21:51 The Future of Veterinary Medicine: Challenges and Solutions

    35:48 Managing Expectations in Veterinary Practice

    36:01 The Culture of Martyrdom in Veterinary Medicine

    36:46 Setting Realistic Expectations for Customer Delight

    38:52 The Role of Disruptors in Veterinary Medicine

    40:47 Balancing Quality, Convenience, and Cost

    42:29 The Importance of Physical Touchpoints

    45:35 Leveraging Technology for Better Client Communication

    50:47 The Role of AI in Veterinary Practice

    56:37 Addressing Bottlenecks in Veterinary Business

    01:09:55 Final Thoughts and Advice for New Graduates

  • Ah, those liver enzymes... sometimes they are up when you don't expect them to be. Sometimes they're up a bit... but not that much, so you don't know if it's actually significant. Or sometimes they're way out of whack, but you're not sure what that means exactly, or what to do next.

    In this episode, Small Animal Medicine Specialist, RCVS Course Director and clinical reasoning guru Prof Jill Maddison helps us take a fresh look at liver enzymes. We review what each enzyme tells us in dogs and in cats, how to interpret changes in both the 'well' patient with the surprise finding on bloods, and in the sick patient, and Prof Jill clears up common misconceptions and pitfalls around ALP, ALT, GGT, and bile acids.

    This clinical episode has been unlocked for you by Vetnostics Pathology, one of the largest veterinary pathology groups in Australia with the most veterinary pathologists and veterinary medicine consultants. Vetnostics is the new nationally aligned name of what used to the SVS Pathology Network ( (Vetnostics NSW/ACT, Vetpath Laboratory Services WA/NT, ASAP Laboratory Vic , QMLVetnostics Qld/NNSW and TML Vetnostics Tas), with a new consolidated website (www.vetnostics.com), but the same exceptional quality diagnostics, same extensive courier network and same veterinary pathologists and veterinary medicine consultants on other the end of the phone or email to talk you through any tricky results and cases.

    Join our community of Vet Vault Nerds to lift your clinical game and get your groove back with our up-to-date, easy-to-consume clinical episodes at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠vvn.supercast.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.

    Get help with your tricky cases in our ⁠⁠⁠⁠⁠⁠⁠⁠Specialist Support Space.⁠⁠⁠⁠⁠⁠⁠⁠

    ⁠Subscribe to our weekly newsletter⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠ ⁠for Hubert's favourite clinical and non-clinical learnings from the week.

    Episode Topics and Timestamps

    05:01 ALT and ALP: Detailed Analysis

    05:40 Challenges in Diagnosing Liver Disease

    06:40 Liver Enzymes in Cats vs. Dogs

    20:44 Bile Acids and Liver Function

    26:51 Pre-Anaesthetic Liver Checks

    36:35 Understanding Cholangitis in Cats

    36:53 The Complexity of Diagnosing Liver Disease

    37:45 The Role of Blood Tests in Wellness Checks

    38:11 Interpreting Reference Ranges

    40:53 Case Studies: Real-World Examples

    42:05 The Challenges of Wellness Screening

    44:21 The Importance of Biopsies

    55:14 Biases in Diagnosis