The Cone of Shame Veterinary Podcast

373 - 2025 Post Mortem & Predicting 2026

The Cone of Shame Veterinary Podcast

Show Notes

Ryan Leech, founder and host of The Bird Bath podcast and principal at First 100 Veterinary Growth Consulting, joins Dr. Andy Roark for their annual year end tradition, breaking down the biggest veterinary industry stories of 2025 and what they mean for 2026. Feeling whiplash from corporate consolidation, tightening budgets, AI everywhere, and practices wondering what comes next? You are not alone. Andy and Ryan unpack what they call “the great compression,” from private equity shifts and practice group shutdowns to leadership changes at major players, all while keeping it light, honest, and very real. They also dig into the rapid rise of AI scribes, why they are more than just note takers, and how artificial intelligence could fundamentally change how practices use data without blowing up day to day medicine. You will walk away with clarity, perspective, and a better sense of how to think strategically about the future of veterinary medicine, plus a few laughs along the way. Gang, let’s get into this episode! LINKS The Bird Bath: https://www.thebirdbath.io

First 100 Veterinary Growth Consulting: https://www.first100.io

Ryan Leech on TikTok

Dr. Andy Roark Exam Room Communication Tool Box Team Training Course: https://drandyroark.com/on-demand-staff-training/

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 Ryan Leech is a growth consultant and speaker who helps veterinary businesses navigate change and capture new opportunities. He hosts The Bird Bath, a weekly podcast exploring pet health trends, industry news, and insights. Previously, Ryan held key roles in business development and partnerships at leading veterinary organizations including Digitail, Galaxy Vets, and Veterinary Integration Solutions.

More from The Cone of Shame Veterinary Podcast

Oct 29, 2026

Stephen Niño Cital, RVT, SRA, RLAT, CVPP, VTS-LAM (Research Anesthesia), joins me to ask a question that might sting a little: are we giving maropitant to our spay patients and calling it pain control? Stephen explains why MAC sparing is not the same as true analgesia, why nausea makes pain worse (and quietly throws off our pain scores), and why maropitant still belongs in every anesthetic protocol, just not for the reason many of us think. You'll walk away better at reading veterinary research and with a stronger plan for surgical pain management. Gang, let's get into this episode.

Oct 22, 2026

Dr. Bob Lester, DVM, co-founder of WellHaven Pet Hospital, is back, and we're talking about a silver tsunami that could completely change veterinary medicine! As pets live longer, what does that mean for our appointment schedules, chronic disease management, preventive care, and the way we run our practices? We're digging into the opportunities of geriatric veterinary medicine, how wellness plans could help pets live longer, and why communicating the value of veterinary care matters more than ever. Gang, let’s get into this episode!

Oct 15, 2026

Dr. Alex Sigmund, DVM, DACVO, a board-certified veterinary ophthalmologist and the face behind The Vet Eye Guy, is here to call us out on something I may or may not be guilty of: reaching for NeoPolyBac every time a dog shows up with a red eye! We're digging into why that approach can lead to missed diagnoses, how to recognize serious conditions like glaucoma and dry eye, and the essential ophthalmic diagnostics every general practice should have in its toolbox. From tonometry tips to empowering veterinary technicians, Alex shares practical ways to improve eye care, practice better antibiotic stewardship, and catch problems before they become emergencies. Gang, let’s get into this episode!

Oct 7, 2026

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!

Oct 1, 2026

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 increasing specialist referrals for cannabis consults focused on harm reduction, dosing, and product selection. Satal emphasizes cannabinoids are not a silver bullet; his main uses are chronic pain, epileptic disorders, and canine cognitive dysfunction, with some evidence for itch reduction in dermatology. He typically starts dogs/cats at 2 mg/kg CBD twice daily and adjusts, stresses variable product quality, cites brands with supporting studies, and outlines cautions with sedating drugs and liver monitoring; he does not recommend cannabinoids for pre-visit anxiety.

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