412 - High Quality, High Volume Surgery & the Future of Shelter Medicine

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!

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!

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!

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.

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 right now, protecting client trust, talking openly with the team, and evolving the business model in manageable phases rather than panicking. By the end, listeners get a clear-eyed roadmap for navigating pharmacy disruption, plus a sneak peek at the lineup of guests still to come in the series. Gang, lets get into this episode! This episode is brought to you ad-free by Boehringer-Ingelheim Canada! Kelsey 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.