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Jun 28 2023

How Do We Speak Their Language: The Next Gen of Pet Owners

Cover Image for Episode 238 of the Uncharted Veterinary Podcast

This week on the podcast…

This week on the Uncharted Podcast, Dr. Andy Roark and practice management geek Stephanie Goss are in the mailbag to take on a question from a practice manager colleague who is wondering what they can do at their practice to support the next generation of pet owners. Andy and Stephanie face up to their age a bit as a genXers, acknowledge that we need to stop thinking/talking about millennials being the new “young” clients and start really looking at the next big leap forward. Stephanie immediately ran wide with ideas on technology and Andy had a little more reserved approach. They managed to find middle ground and talk options in the end. Let's get into this…

Uncharted Veterinary Podcast · UVP – 238 – How Do We Speak Their Language- The Next Gen Of Pet Owners

You can also listen to the episode on Apple Podcasts, Spotify, Google Podcasts, Amazon Music or wherever you get your podcasts.

This episode is made possibly by SimpleTexting. For more information about helping your clinic communicate effortlessly with your clients, check out the SimpleTexting website.

Submit your questions here: unchartedvet.com/mailbag


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Episode Transcript

Stephanie Goss:
Hey, everybody. I am Stephanie Goss, and this is another episode of the Uncharted Podcast. Today's episode is brought to us by our friends at Simple Texting. I love this because Simple Texting believes that better care starts with better communication. Today's episode is all about better communication. Andy and I got a letter in the mailbag from a practice manager colleague who was wondering what they can do at their practice to support the next generation of pet owners. Very sadly, Andy and I realized that we are old AF, because we are not talking about Gen Xers. We are also not talking about Millennials because they're old too.
We are talking about Gen Z and maybe even the generation that comes after Gen Z and what we can do to lean into communicating and meeting them where they are at. We want to take into account all the different styles of communication that our clients, regardless of generation, want to use. This was a fun episode because I definitely ran wide with the ideas on technology and Andy had a little bit more of a reserved approach, but as we usually do, we've managed to find some middle ground. So, let's get into this. Now, the Uncharted Podcast.

Dr. Andy Roark:
And we are back. It's me, Dr. Andy Roark, and the one and only, Stephanie, do you speak-a my language, Goss.

Stephanie Goss:
How's it going, Andy?

Dr. Andy Roark:
She just giggled and gave me a Vegemite sandwich, Goss.

Stephanie Goss:
Oh, I am not a Vegemite fan.

Dr. Andy Roark:
Yeah, I think I've had it one time. I think it's an Australian thing.

Stephanie Goss:
It is.

Dr. Andy Roark:
I don't even know where you find it.

Stephanie Goss:
It is.

Dr. Andy Roark:
But every kid of the '80s knows exactly what a Vegemite sandwich is, at least in concept.

Stephanie Goss:
Oh, true story. How's it going?

Dr. Andy Roark:
Oh, man, it's good. I took Hannah… I'm hoping that she'll run cross country over the summer, so they've got cross country practice. Okay, so here's why. There's a backstory here. I remember when I was a young doctor, I was working in Washington, DC and I'll never forget this family. I don't know why they stuck in my head because they had a sick pet. I don't even remember the pet, what it was sick about, but it was an ongoing case when I saw this family multiple times over a two-week period. Every time I saw the family, it was the father, the mother, and the three daughters. Every time I saw any of them, they were decked out in full running gear. They were ready to take flight. You know what I mean?
Windbreakers, shorts, all of them in different levels of warmup suit, but I felt like their clothes were breakaway. I could just snatch them off and run. They always had running shoes on. They were 100% dressed to run away right now. I said to the father at one point, and Jacqueline was probably two years old at this point. I said something to him, “Yeah, it's great that your whole family's into running.” He was like, “Yeah.” I said, “I have a daughter.” He's like, “Let me tell you something, get them into running. They're too tired to be interested in boys.” I don't know that that's true, but in my head somewhere, some part of me was like, “Write this down, Andy.” So Hannah is my girl with attitude.
So, I'm like, “Well, I don't know about boys,” but she'll be less bad if she's exhausted is what I think. So, anyway, I've got it in my head just from a long time that this is a good thing that Hannah would do and that she could be good at. So, I've wanted to get her into cross country and she's just finished the sixth grade. So, she's going to the seventh grade next year. So, the middle school coach has reached out. So, she texted me and said, “Hey, this is Coach Connolly. Hannah is a great runner. We're doing cross country, and I really think she should check it out at the high school. It's the parents' information meeting, bring your kids.”

Stephanie Goss:
Sure.

Dr. Andy Roark:
So she says, “You should go and also tell Hannah, I'm going to be involved with the girls team, but just make sure she knows that.” I'm like, “Okay, I'll tell her.” Okay. So, anyway, we go to the information gathering and we get there. It's at the high school and Hannah's going into the seventh grade. So, this is real intimidating. We get there and there's three coaches that present themselves, not the female coach from middle school. It's the quintessential, if Saturday Night Live did a sketch with football coaches, it'd be these guys.
You know what I mean? Two of them in their 60s and one of them in his 20s, and they've all got thumbs and belt loops rocking back on their feet. The young one looked like he could run. The other two have not run in a long time, I'm confident. They start to have this informational meeting.

Stephanie Goss:
Sure.

Dr. Andy Roark:
Stephanie, it was the strangest informational meeting I've ever seen. It wasn't like this meeting could have been an email. I don't think it could have been an email, but the most infuriating thing was this could have been a 10-minute meeting, but it was an hour.

Stephanie Goss:
Oh, geez.

Dr. Andy Roark:
Because the head coach liked to tell stories, and so he was telling stories. So, at one point, we're sitting there in the bleachers. Hannah's seventh grade. There's like 12th grade boys around. This is a tense thing. I'm like, “Baby, everything's cool. This is going to be good. Just stay with me. Just check this out. It's going to be fine.” The guy is just going through the handout they gave the parents. He's like, “Yeah, we got to have a waiver because things happen. I mean, we're not going to let anything bad happen. The kids have to run beside the road, but at the end, they're not going to get hit by a car except one time there was a kid who got hit by a car.” He's telling us at the informational meeting, he's like, “There was a kid that got hit by a car.”
So all the parents get real quiet. Really it's a good story. He says, “There's this kid Jimmy and Jimmy is out.” This is why the meeting took an hour because he just kept going. He was like, “There's this kid Jimmy and Jimmy is out and he's running. He was a knucklehead. So, he's a knucklehead and he is running by the side of the road. He is not paying attention to where he is going. There's this woman and she pulled up at the stoplight. She's sitting in a stoplight and she's just minding her business and the car's at a full stop. Jimmy just runs into the side of her car, wasn't looking, just came right off the sidewalk, ran right into her car. That wouldn't have been bad except the windows were down because it was a nice day. Knucklehead Jimmy just bust right through the window.
He went bang into her car. His head goes into the window. She thinks she's being carjacked because he screamed when he ran into her car. So, she punches the gas and runs through the red light with Jimmy hanging out the window.” Everybody's sitting there just wide-eyed staring at this informational session about why you should send your seventh grade daughter to cross country. The whole meeting went that way. That was just one example of where the meaning went wildly off the rails. As soon as it was over, I got a text from Coach Connolly saying, “Don't leave. Don't leave. It's not that way. It's not going to be that way. I promise your child will not get hit by a car. I promise I will be the girls' coach. I will be there.” So anyway.

Stephanie Goss:
Oh, my gosh.

Dr. Andy Roark:
The jury's still out on whether or not we're going to do cross country this year.

Stephanie Goss:
I was going to say, what was Hannah's reaction after sitting through the hour of that? She's a kid who will tell you how it is.

Dr. Andy Roark:
Yeah. Yeah. She basically said, “Those guys are scary.” She was like, “Those guys are scary.” That's it. That was funny. It affects some of my thinking here too is it was right as school was ending. So, she saw Coach Connolly the next day and the coach came up to her and said, “Hey, I really think you should do this. I really think your friend should do it as well and do it with you.”

Stephanie Goss:
Sure.

Dr. Andy Roark:
I reached out to the parents of the best friend and we're like, “Hey, do you guys want to do this over the summer? Maybe they can just drop in and do some of these running practices and see what they think.” When the other kid got on board and Hannah wasn't alone, I think, she's come around to this might be a thing that we can do together. But it was just funny. It was obviously really important to both of the girls that this female coach who's young and energetic and positive be there. It's just really interesting to look at my daughter and see the effect that these guys who I'm sure are really nice guys. You know what I mean? I am sure they are really nice guys, but they don't present necessarily a welcoming facade to a 12-year-old girl.
So, just the importance of having this younger coach there was really big. I wish she'd been more involved in the program, even just from a representation standpoint of just being there and standing up with the guys. I might say that to her at some point because she was there, but then she just disappeared into the background and she sat with the parents. Anyway, I think you never understand the politics of what are going on. I think she wants to be involved. I suspect she's new and getting going, but anyway, it's really been just interesting in thinking about that of what makes people want to be a part of things and how we present what we're doing funny. So, I don't know.

Stephanie Goss:
It's funny.

Dr. Andy Roark:
It's been an interesting time. I don't think I care that much either way. I really don't because she's really young to be going and doing this. Boy, I'll never forget about knucklehead Jimmy running into that car and the woman thinking she's being carjacked and punching it through the red light. Oh man, parenting. Nobody tells you how to do this stuff.

Stephanie Goss:
Oh, man. That's pretty fantastic.

Dr. Andy Roark:
Just another day in high school sports.

Stephanie Goss:
Oh, man. Well, I'm excited for our topic today.

Dr. Andy Roark:
Speaking of high school.

Stephanie Goss:
Speaking of high school, not even high school at this point. So, we had a great question in the mailbag that I'm super excited about discussing with you. So, it was from someone who was asking about supporting younger client basis. So, they were talking about how COVID has really launched the majority of veterinary medicine, at least into the texting realm and how their clinic has been doing some online booking and they started doing some preventive care plans as a way to give a subscription model or payment options beyond the traditional ones, but they were saying that it feels like as an industry as a whole, we're almost always playing catch up. So, they were asking how do we speak their language? How do we focus on younger clients?
I think it's a great question for a whole bunch of reasons, least of which is that we know that younger pet owners. It's so funny because I think it says how behind the times we are in veterinary medicine that when we talk about younger clients, we're still using millennials as the example.

Dr. Andy Roark:
Millennials are 35.

Stephanie Goss:
Right? That's the thing is that I hate to break it to us all, but millennials are old. So, when we look at the makeup of pet owners and all of the market research that is out there that has nothing to do with veterinary medicine, but just pet ownership in general, Gen Z is the fastest growing segment of the market when it comes to pet owners. They have been for some time, and there are things that set millennials and Gen Z wildly apart from the generations that came before them. So, I thought it was a great question and I'm really looking forward to going through it with you.

Dr. Andy Roark:
Yeah, no, I always like this stuff. I think this is really interesting. Obviously, I like innovation, I like change. So, I have a lot of feelings of excitement around that. At the same time, I can be crotchety and I can be crotchety.

Stephanie Goss:
You can be a 60-year-old track coach.

Dr. Andy Roark:
I can loop my fingers through my belt and say, “One time…” I don't know about this whole Texan thing. At one point, one of the coaches said… I don't know if this is true or not. It was the assistant coach. They refer to each other as coach. So, if you all look in the handout there, you'll see Coach Daniels and you'll see a cell phone number. That's my cell phone number. You will not see a cell phone number for coach. Why? Because coach doesn't have a cell phone. I'm his cell phone. I was like, “Is that real? Does he really not have a cell phone or are you setting boundaries to prevent people from texting the head coach?”
But looking at him, he might not have had a cell phone. It's been a couple days. I'm like, “Does that man really not have a cell?” I mean, it's possible he just did. He just smirked and rocked back on his heels. If ever there was a man who didn't have a cell phone, it could've been that guy. I'm like, “That's ridiculous. Also, I'm into what you're doing there, buddy. I'm into this.”

Stephanie Goss:
Oh, okay. So, you can be crotchety.

Dr. Andy Roark:
Okay. So, you're not going to get a rah-rah technology lecture from me, I'll tell you that. You're going to get a weird mixture of enthusiasm and caution.

Stephanie Goss:
Okay, fair.

Dr. Andy Roark:
So yeah, that's what I will do.

Stephanie Goss:
I will pick up my pompoms for us on the technology side.

Dr. Andy Roark:
Yeah. I know. I saw your notes and I'm like, “Well, gosh, let's pump the brakes here.” This seems to be one of those conversations where your friend is so positive that you feel obligated to take the other side. We have to keep this in proportion here. That's going to be me.

Stephanie Goss:
All right, fantastic.

Dr. Andy Roark:
All right.

Stephanie Goss:
Should we start with that? Should we start with headspace?

Dr. Andy Roark:
Let's start with some headspace. All right, let's start with some headspace. So, I appreciate this. I appreciate this letter a lot and it is undeniable that the world is changing and it is changing faster than it has ever changed before. I mean ever. The industrial revolution did not cause us to move as fast as how we are changing right now with artificial intelligence. I use artificial intelligence today. Today, I took handouts, right? I took a bullet pointed outline of a presentation I'm going to be giving. So, I've got all bullet pointed out. That's all I've got is the bullet pointed outline. I put a lot of thoughts in this outline. I took that thing and ran it through ChatGPT and said, “Make me slides.”
It was like, “I'm a text thing. I can't make slides, but if I made you slides, here's what would be on them.” It just said, “Bam.” So then I took that slide. I copy and pasted. I dropped it into PowerPoint, just straight up, dropped it in, and then I hit their automated graphic design button. Voila, I got a slide deck. It's beautiful. It's much better than what I used to make in old school. I had the old school PowerPoints that look like a middle schooler's project with just solid color backgrounds and what looks like five by seven pictures laying next to some text.

Stephanie Goss:
On top.

Dr. Andy Roark:
Yeah, on top. That's what I used to do. This thing is so far better than what I used to do. That's just today. It took me 12 minutes to do something that used to would've taken me an afternoon. The outcome is much better and I'll tinker with it, but for the most part, it's done. So, boy, that's just happened in the last year. So, anyway, things are changing like crazy. The idea that we don't have to keep up, that's ridiculous. The way we communicate is different. The way we use technology is different. Change is coming and we need to be thinking about it. I think our clients are absolutely going to expect us to be… I don't think they expect us to be bleeding edge. I don't think they expect us to be innovating. The truth is, I think about it as a consumer too.
I don't want people asking me to download apps or register for weird stuff. I want you to only ask me to do things that are going to make my life more convenient. Technology for the sake of technology I think is bad. However, our world is changing fast and I like the fact that this is a recognition of that. Given the world is changing, what do we do? So that's my first part of headspace is look around you. The world is not what it was 10 years ago and it is getting faster and how it changes. So, I think this is a worthwhile conversation. Do you agree?

Stephanie Goss:
Oh, totally. Totally. I also agree with their sentiment that we are behind the curve. So, I agree with you. I don't think any of our consumers, even the ones who wish that we would get more ahead than where we are, I don't think that they by and large want us to be cutting edge. I think to your point, they just want it to be more convenient.

Dr. Andy Roark:
Well, cutting edge means so many things to so many different people. I don't think people want us to be less human than we used to be. I think that that's really important to people. I don't believe that people are pushing to have less interaction with the healthcare team. It was funny.

Stephanie Goss:
I would agree.

Dr. Andy Roark:
Well, you and I were talking with people on our team and we were talking about paying for bills at restaurants and somebody was saying, “I think we should have a tablet at the table. You just do all of your transactions there and you don't talk to the waiter or the wait staff.” I was just like, “I could see that.” In another way, I was also like, “Ooh, I don't like moving away from the human aspect. I don't like us not talking to each other as much.”
At the same time, paying on the tablet that's built into the table is probably a much faster way to get things done. Also, it's cheaper for the restaurant and all those things. So, I get it. I don't know that when we say get cutting edge, I think it's important to remember that people don't want less human interaction with their veterinarian or vet team, I don't think.

Stephanie Goss:
Yes. Yeah, no, I would agree with that.

Dr. Andy Roark:
So yeah, I think that keeping up is a process and not a destination. I think that's important to remember too. I think a lot of people look at getting on board with technology. They used to look at having electronic medical records.

Stephanie Goss:
Sure.

Dr. Andy Roark:
Oh, boy, this is a huge lift, but once we do it, then we'll be done. I'm like, “Hmm, I don't think this is ever going to end.” I think that that's a good headspace to get into is this is a process.

Stephanie Goss:
Yeah, for sure.

Dr. Andy Roark:
I don't think you're going to make it if you don't start with why. I think the idea that we need to embrace technology full-stop, I don't think that's motivating enough to actually get it done for most practices and most people.

Stephanie Goss:
Sure.

Dr. Andy Roark:
I think the first part of this in a headspace is to say, “Why do we need to embrace technology? What are we accomplishing?” I think that that's a big thing in technology overall is a lot of times people are like, “Oh, we need to upgrade because upgrades exist.” This is the crotchety Andy is going, “Just because you could do something in a more fancy way, to me, that doesn't mean by itself that you should do it in a more fancy way.”

Stephanie Goss:
Yes. So, I would actually agree with that. I think anybody who has used some of our traditional practice management softwares for a long time would agree. I never had the most up-to-date Avimark version. You know why? Because there's always bugs. So, if you're upgrading just for the upgrade, there are cons to that. There are pros, right? You get new features, you get things ahead of the curve, but there are also significant cons and the learning curve that goes along with it. The reality is in your average veterinary practice, to your point, nobody's got time for that. So, yeah, I agree with you. I don't think that that is where most of us want to strive to be. I think it's about finding that balance.

Dr. Andy Roark:
Yeah. Well, I mean, think about technology in general. There are definite downsides to racing to be a first adapter for technology. You think of the old Betamax and no one had that after any of my time. What were the DVDs that were really big? What were those things? They weren't Blu-Rays because that became a thing that stuck around.

Stephanie Goss:
Yeah, they had them at school. When you moved off tape, that's how you would watch your science videos and stuff. The hell were those things called.

Dr. Andy Roark:
It was like a record sized DVD is what it looked like. I remember that. Those things, I remember seeing them at the stores. Nobody that I knew had them except for my uncle. So, my uncle was one of those. He loves technology stuff. As soon as it came out, he had it. As a result, he had a lot of cool stuff. He also had a lot of weird stuff that was going to be big and then just never was. I'm like, “Why do you have this?” He was like, “There was a time that this was the next big thing.”

Stephanie Goss:
The laser discs.

Dr. Andy Roark:
The laser discs, yes.

Stephanie Goss:
I was like, “Google, what the hell are those things called?”

Dr. Andy Roark:
Imagine going hard on laser discs. There's definitely a problem with racing to get up first in technology. So, that's why I say I can be a little bit crochety here. I think it's wise. There's definite downsides to racing ahead and being super cutting edge. Unless that's your jam, unless you're like, “I love it. I want to do this. I've got the resources to do it. I'm all about it.” I think for most of us, it's okay to look at where people are. I guess this is part of my big takeaway with keeping up with the times is I want to meet people where they are. We talk about that a lot in a lot of different contexts. Same thing here. It's like you know where people are? They're on their phones getting texts, they're not in their voicemail, they're not talking on the phone, but that's where they are right now.
I think people are looking for more telehealth and more convenience. I think convenience is where people really are. What can we do to bring convenience about? At the same time, we have to balance those things and say, “Okay, I want to meet them where they are and I need to be able to balance the needs of our practice and not feel like I'm a slave to technology innovation necessarily.” Again, it goes back to what is the why? Why are we doing this? Why are we making these changes and where are our clients?
I mean this metaphorically, where are they? But I also mean it literally, which says you should consider the clients you actually serve, not the clients that you imagine in your mind. Because if you are in Downtown Manhattan, you are going to see a different clientele than if you're in Fort Jenkins, Texas, which is not a real place in Texas, but just you know if it does exist, if it did exist, it would be a small town in Texas. That's not at all like Manhattan.

Stephanie Goss:
Fair, but here's the thing. I think that that is true, and I think that there is a lot to be said for looking at the data and the research and who do we serve. Because I'll tell you, so when I moved here, this is largely still a retirement area. Everybody advertised in the phone books still when I moved here, and that was only eight years ago. Yet when I looked at our actual client base and I started asking questions of the actual client base, they were online. They're older people, but to your point about your track coach, maybe he didn't actually have a cell phone, but maybe he did and just didn't want everybody having the cell phone number.

Dr. Andy Roark:
Which is super progressive. That's why this blows my mind so much, because he could be a complete Luddite. He could also be living in 2030 where people are like, “Hey, the cool thing is to not tell people you don't have a cell phone.” I can't tell where that guy is, but I'm sorry, but go ahead.

Stephanie Goss:
For real, we know that the generations, I mean when you look at who is using a social media tool like Facebook, which is where a lot of veterinary practices still are, the fastest growing market segment for them is older people. So, I think part of it is to your point about meeting our clients where they are at, I do think that part of the headspace is about doing your homework. Really I think as a whole, we need to open up our minds and look at what the research is saying. It was really interesting to me. So, those of you who have been listening to this podcast now, I like spreadsheets, I like numbers, I'm super nerdy. My brother-in-law and my sister-in-law are both in marketing and my sister-in-law in particular is in human healthcare market research.
So, I really like super nerdy market research stuff. So, I was looking at some studies in preparation for this episode and I thought that it was super, super interesting, because in the human healthcare side, 40% of people were saying that they find barriers to online access to healthcare. I was like, “Well, that tracks with veterinary medicine, because by and large, the majority of us put up significant barriers for our clients to have access to us.” Now we do it for a good reason because we're trying to protect our team and we're trying to find balance. To your point, it has to fit with what we're doing.
So, there are reasons for it, but when we look at the reason that in the veterinary space that clients are switching practices is super interesting to me, because Weave did a study and 35% of the pet owners in the study listed a lack of digital access as a reason for switching vets or the access to digital care and/or digital access to the practice as being a reason why they were attracted to a practice. That 35% is huge. So, I think it is really important to look at our existing client bases and start asking the questions of what do they actually want. So, from a headspace perspective, I do think it's important to do some homework, look at the studies. There's numerous ones.
Banfield has done a lot of research with outside companies outside of veterinary medicine looking at market research from a pet owners' perspective. There's some great research out there about what pet owners are. People are asking the questions of what do they want and they are telling us. If we are not actively as practices looking at the answers that they are giving us, we are behind the curve.

Dr. Andy Roark:
Yeah, I completely agree with that. I do agree with that. I think that we've both see 100% utility in being honest about who we're serving and what they want. I think that when you look at the world, as I said at the very beginning, there's clearly momentum in this direction. Everything is moving towards a more connected digital interface. I think we all have to own that. The other part I want to say as we start to think about technology and making technology changes in our practice from a headspace standpoint is remember to think outside the box. I think a lot of the real kickback resistance to technology we get is because people make assumptions or they lock their brain in linearly.
So, they decide what getting on board with technology or what keeping up with technology means. They say, “I'm not doing that.” They dig their heels in and they react to this imagined reality. So, I'll give you an example because I am guilty of this as well. I think everybody is. We make an archetype of an idea, meaning we get a picture in our head of what something means and that's all that we can see. So, keeping up with technology is a nebulous term as far as what the heck does that actually mean. So, I will tell you there is technology that I am radically opposed to and it's TikTok. I have railed against TikTok for years. I am not on TikTok. I don't want to be on TikTok.
I cannot tell you how many people who work for me and who don't work for me have been like, “Andy, you know what the future is?” I'm like, “Don't say it.” They're like, “TikTok.” I'm like, “Damn you.” Here's why. Because when I imagine TikTok, I imagine me dancing like a doofus. I'm 46 years old. Me dancing on TikTok is not good for anybody. It's not. I'm talking to Kelsey Carpenter. I'm like, “This is not a brand builder, Kelsey.” It's growing like crazy. So, I have this knee-jerk negative reaction to TikTok because I have the picture of people dancing and popping little information bubbles and I'm like, “I'm not doing it.” No shade on people who do do it. It's just not my thing. It's not going to happen. It's not going to happen.
If you hear this language I'm using, that's exactly the language that people have when they're like, “We're not texting people, we're not texting,” or “We're not doing telemedicine.” I'm not doing it because they get a picture in their head of what it would be like and they're like, “We're not doing it.” I was talking to Caitlin DeWilde who does all sorts of marketing and social media stuff recently, and I was like, “I don't know. What do you think about social media? So how do we still use this as a tool?” She's familiar with all of our stuff and everything. I was like, “Do you have any advice?” She was like, “You should get on TikTok.” I was like, “Caitlin, I'm not doing it.”
But here's what she said. She said, “You are imagining you dancing on TikTok and it doesn't have to be that. You are already doing video content. You already talk constantly. You're telling stories, just put them on TikTok and it'll be fine. No one said you had to dance. That's not even a thing that anyone wants.”

Stephanie Goss:
Nobody wants you dancing, Andy.

Dr. Andy Roark:
I'm like, “Well, good.” Then of course, I was like, “Well, I could dance if I wanted to,” but as soon as I was told not to, I was like, “I could do it if I wanted to.” But all of that to come back around and say it just didn't occur to me that this could be a useful tool that manifests in a different way than the weird way that I latched onto. That's true in telemedicine. They just don't immediately imagine not being able to leave their house because people were just constantly blowing them up and they would lose their day off. I think for a lot of people, they're like, “The only respite I have from work is leaving the building. If we start doing telemedicine, it doesn't matter that I left the building because people can pop up on my cell phone and there is no off switch from me.”
That's exactly what I say is I get it. I deeply, deeply get it. You have to reject that thinking. You have to reject the I'm going to lose my free time if I do this. You have to say, “Okay, this is a tool and it could be used in a way that would be beneficial to us.” I'm open to discussing what those ways might be without just having a knee jerk, dig your heels in, stomp your feet, I'm not doing TikTok reaction. That's my headspace piece.

Stephanie Goss:
I love it so much. First of all, I love Caitlin so much.

Dr. Andy Roark:
I know. She's not afraid to tell me things I don't want to hear. That's been our relationship a long time.

Stephanie Goss:
You just made Tannetje Crocker's day. She's going to hear this episode. She's going to be like, “I told you so.”

Dr. Andy Roark:
Yeah, Tannetje, I met her when she was at a bar and she saw me and I'd never met her in my life. She was like, “I heard you talking trash about TikTok, Roark.” That's how I made a friend.

Stephanie Goss:
I love her, but I'm going to take yours and I'm going to one up it because I love it. I think this is a great veterinary example. So, your example of TikTok is so great because you had that kneejerk reaction from a brand perspective with inside veterinary medicine. You said, “The dancing and the pointing at things, how is that going to resonate with the people that I serve? It doesn't make sense. It's not me. It's not who I am.” You attach to that linearly. The same is true in our practices. I've had this conversation with so many managers and veterinarians about online booking, right? Which when we get to action steps is one of my basics. If you're not doing it, I'm going to get on that soap box real hot. But here's why.
Because so many people, to your point about telemedicine, think that if I open up my schedule for clients to be able to book appointments online, it means that inmates are running the asylum and it'll be pandemonium and clients can be just putting crap on the schedule whenever they want. But people think about it so linearly that the only way that they can see it is wide open and clients are going to do whatever they want or not at all. There is no in between.
We have that very black and white thinking for an industry that lives in the shades of gray every day, all day when it comes to how we make decisions about clients and patients. We do so much of our thinking, particularly when it comes to technology, as one end of the spectrum or the other. It is black or white. There is no in between. We have to shift our mindset.

Dr. Andy Roark:
Yeah, no, I get it. I completely agree. So, that's my thought on technology. I think one last way it's been put to me in the past was… I love our practices at Uncharted. I love our get-togethers. I love our live events so much, and it's for reasons like this. I remember being in a room with some really smart practitioners and we were talking about wages going up in our profession. This was a lot of practice owners who were in the room and they were like, “I don't know how I'm going to pay for this.” That was the discussion until one of the practice owners stood up and said, “Hey, listen, the thing that has helped us the most is recognizing that we've got to raise our wages. We've got to. So, given that we have to raise our wages, how are we going to do this?”
That's the question we've been asking ourselves. That was transformative to that session and to that conversation, because suddenly, it went from a lot of I don't know and I don't want to do this and the client pain is going to be this and all this wrestling with this idea. But when it was reframed as, “This has to happen, how can we make it happen?”, suddenly, the conversation got so much more productive and it was so much more problem focused and just the whole thing unlocked. So, I say that, because to me, technology is a lot of that way as well where we can absolutely wrestle with I don't want to do this. This is going to be so much work. It's going to be such a headache and it's going to be expensive and there's going to be so much training, but we can have these thoughts.
At some point, it's helpful to step back and say, “This is going to happen. We are going to have to move into the new era. How are we going to do this?” Then start getting serious about what your options are and what you're going to do and what you're not going to do. But getting past that whole circling around wrestling with anxiety and the headaches and woe is me, I have to do this, and just going, “Nope, given that it's got to happen, how are we going to do it?” How is a wide open question. I really do think that that's a very productive mindset.

Stephanie Goss:
I love that and I think that's a good spot to take a quick break and then come back and talk about the actual how. How do we do the thing? Hey, friends, it's Stephanie. I wanted to pop in here for a second because I never thought at this point in 2023 we would still be having this conversation, but here we are. Every day, I see posts in the manager groups that I'm a part of from practice managers and practice owners who are still, despite where we are in 2023, not using texting to communicate with their clients. It boggles my mind, because we know that 90% of text messages are opened within the first five minutes after being sent, which makes it a great way for us to reach our clients.
Now, I know a lot of you who weren't already texting picked it up during the pandemic and you have been off to the races, which is wonderful. This episode is all about ways that we can take it one step further. So, our friends at Simple Texting wanted to bring today's episode to you because they believe in helping us help our clients because we know that our clients want to text. It gives them the freedom to reply when they can. How many times have we gotten a call from our doctor's office or our dentist's office and we're at work and we can't answer the phone? But if we get a text, we can probably reply much faster than finding time to step off the floor for five minutes and call them back.
So, if you are interested in looking at a texting option for your practice that is simple, that is easy to set up, that integrates with tools that you're already using, like Google, Facebook, and tons of others, head over to simpletexting.com/uncharted. They have put together a promo for you and you can get $100 worth of free credits when you sign up to try Simple Texting. Again, that is simpletexting.com/uncharted and you'll be able to get $100 worth of free credits if you sign up today. Now, back to the podcast.

Dr. Andy Roark:
You've got some action steps, Goss. I've got two action steps. I've got two action steps. That's all that I've got because this is a nebulous philosophic question and episode.

Stephanie Goss:
You went with the headspace. I went straight into dumping down my ideas for action steps.

Dr. Andy Roark:
Here's where you go. So, the reason I don't have a ton of action steps is because of what I said before about know thyself and know what your clients want and who you are trying to reach and what is going to benefit your culture and your values and the practice you want to have and the people that you serve. So, I think that there's a lot of personalization here. There's not many things that I'm like, “Yes, every practice should do this.” There's just practices are so different. So, I don't necessarily jump right into that. The big things I would put forward as far as action steps are consider what you might do.
Going back to what I said right before the break of if we're going to get on board with technology, if we recognize the world is going this way and we're going to have to go in this direction, how do we want to do that? Then start looking at what your options are. Then the two big things that I would say to get this done is first, remember your 80/20 rule. There are some things that you can get on board with that are going to make a significant impact, that you are going to be able to do them. People are going to use them. You are going to have a big impact on what you're doing. There's lots of other things that are bells and whistles that really are not going to do that much for you. They're not going to shake the earth.
The clients are probably going to largely not notice them. You're only going to use them with a certain small number of clients, things like that. This is change management 101. Think about the changes that you can make that you think are going to most significantly positively impact the experience of your clients, your clients, and which ones are going to be simple to implement. Which ones do you think you can get your team on board? Then you're going to find the balance of what is simple to implement, what can I get my team on board with, and what are the clients going to find the most value in? Then just do those. Beware of doing summer of technology where we're doing 10 different things. No, just pick one, implement it, and then in three months, you can move on to the next thing.
But my advice is slow is smooth. Smooth is fast. Go slow and implement stuff in a way that makes sense. So, remember your 80/20 rule. 80% of your success comes from 20% of your efforts. Pick the 20% that are going to give you 80% of the client experience you're trying to create. Then after you get that laid down, you can tinker, you can add some bells and whistles, but just be smart about what you pick up because you will always be able to find more things to add if you want to. The other part is this. It's just a little action step about getting inspired. You know and I work with a lot of consultants. We work with presenters, speakers, writers, people like that in our industry.
One of the things that people have said to me again and again is they'll say, “Well, I need to get inspired.” If I was inspired, this would be easy. I look at TikTok and I'm like, “If I was inspired, I could jump into this.” You know what I mean? And really have fun.

Stephanie Goss:
Sure.

Dr. Andy Roark:
But I'm not inspired and so I'm going to wait until I'm inspired to do this. So, I have young consultants and speakers who are at Uncharted that say that to me all the time. I'll say, “Look, I get it. It's wonderful to be inspired, but inspiration to some degree is for amateurs and professionals hit deadlines.” What that means is I can't sit on my hands until inspiration strikes me because sometimes it doesn't. So, in those cases, my advice is generally this is. If you're someone who's going, “Boy, if I was inspired, I could get to work on this. I could really figure some stuff out, but I just need to get fired up.”
This may sound silly, but I promise you, it works or it can work. Imagine for a second that you were inspired. What would you do if you were inspired? Then write that down and that's your to-do list and now go do it. You're like, “But I'm not inspired.” It doesn't matter. You have a to-do list. Go do your to-do list. Hopefully, you'll find inspiration on the way. But it's just silly. It's funny.

Stephanie Goss:
Sure.

Dr. Andy Roark:
I'll have people that come to me and they're like, “Well, I want to renovate this practice, but God, I'm just not feeling it. I'm just not inspired.” I'll say, “Great, if you were inspired, tell me about what you would be doing. Just imagine that.” They'd be, “Oh, well, I would be pulling magazines of vet magazines and looking at photos. I would be messaging some of my friends and asking who had a hospital design that they really liked. What do they liked about it? I would be doing all of these things.” I'm like, “Great, why don't you just go ahead and start doing those things and then we'll see if we find inspiration along the way?” So anyway, that may sound silly, but guys, I promise for things like this, it can be a really helpful tool.

Stephanie Goss:
Okay, so I'm going to take your what if you were inspired, and I am going to flip it because I know that we have a lot of veterinarians and a lot of veterinary practice owners that listen to the podcast. We probably have a lot of people listening right now who are feeling a lot like you and TikTok and they're just like, “Technology does not inspire me.” This whole conversation that you all have just had makes me want to run screaming into the forest and live in a box in the woods. I have no desire to do it. It doesn't have to be you. This is another aspect of our linear thinking is that it doesn't have to be you. It doesn't have to be you as the manager. It doesn't have to be you as the practice owner.
If we want to know how to communicate in another language, generally, the best success is immersion and we find someone else who already speaks that language. So, as adult learners, that is the number one tenet for learning a new language. It's the same here. We're talking about learning how to communicate with the younger generation. Pick someone who's younger. It could be somebody who's on your team now. If you have a team that doesn't have somebody who's younger on your generation, younger generationally on your team, you can outsource this because there is a lot of the things. To your point, pick one thing and do it slowly. I would agree with that 100% when it comes to implementing things that impact the team and the workflow.
I think that there are a lot of things when it comes to technology and communicating with clients that happen on the backend that can have very little impact for the team. I think that's where we can start if you are worried about it. You can get a lot of traction and a lot of motion by having one person on your team or somebody that you outsource, whether it's using one of your third-party vendors and leveraging somebody on their team, whether it's hiring someone to just do this work for you. Because believe it or not, in this crazy world full of technology, there are websites that exist to solely hire people to help with projects like this. You can outsource this. This is something that you can ask for help getting done. There are things like putting online booking in place.
Now, yes, your team has to know how it integrates with your software and what the appointments look like when they come in, but that piece of it is so small and the vast majority of it is client facing. It has to do with getting it on your website. It has to do with getting it on your social media. It has to do with getting the things set up. That's an area where you can work in tandem with someone else to put a system in place that is immediately going to drop a barrier of access for your clients and give them more accessibility to you using technology that they are asking for to be able to get in and see you. That is going to drive revenue, which in turn is going to allow you to do the things that you care about in your practice.
Pay your team more, buy new equipment, all of those things come when we practice good quality medicine and we get more clients in the door. So, I think some of it is I see where you're coming from in terms of looking at the 80/20 rule and picking one thing to focus on at a time and doing things slowly. But when I sat down and I was brainstorming a list of things, there's probably 10 things on my list that are what I would consider basics. At least half of them are things that someone could help you implement in your practice that are on the backend, that are going to be client facing, that are going to have minimal implications for the team in terms of management. Because they are things that someone who speaks the language, who likes using the technology could run.
That person doesn't have to be someone on your team and they're things that you can do to be talking directly to your clients, which was the question at the very beginning. So, I think for me, I think the action steps have to start with looking at the basics. There are some barriers that we know we put up for clients. The phones is a big one. How many of us are still using the phones in our practice as our primary source of communication with clients? Yet we know that the studies show that clients are almost always put on hold. Think about the last time that someone called your practice and somebody on your team didn't have to put them on hold either at the start of that conversation or during the course of that conversation.
We know that after being on hold for 1 minute and 55 seconds, so it's less than two minutes, the majority of clients will hang up and a huge number, 34% won't call back. So, think about that. If we put clients on hold, 34% of those clients that we put on hold are walking out the door and not coming back. That's a huge number. So, when I think about that barrier, we have to think about basics. It's doing the things like texting, which our writer at the start talked about, which is awesome. But believe it or not, we still have clinics out there who haven't started texting. We have clinics out there who are not doing online booking.
I mean true booking, not having clients request, “Hey, I'd like to come in on a Tuesday and see Dr. Roark,” and sending an email and going back and forth, but actually when I book an appointment, I went this weekend, I took my kids. We went and got pedicures. I can go on the salon's website. I can look at their calendar. I can see what the options are. I can book the appointment. I don't have to talk to anybody. I can pick the thing that works for my calendar. We have to start to think about reaching those clients where they're at, and we know that that's something that they want. We've been talking about forward booking in veterinary medicine forever.
If you're not looking at how do we get clients in the door ahead of time, that for sure has to go on the basics list, because it helps us communicate better with them when we already know what the next touchpoint is. When they're already on the schedule, yes, they may have to reschedule the appointment because we're booking it 6 months or 12 months in advance, but it gives us that next point of contact versus making our team do the work for it. The clients are already there. They're already saying yes, right? So there are things like that we've been talking about. Since COVID hit, we've been talking about digitizing our forms. A lot of us did that in the beginning for the basics, but how many of us have continued that?
There are still so many practices that are paper forms for all of the things, new client forms, anesthetic, permission forms, boarding forms. We have got to think about how do we lower that barrier so that clients can come in, drop their pet off, and go out the door. So, I think for me, the basics really start with some of those things, but there's all kinds of cool things that practices are doing. This is where, to your point about inspiration, one of the things that I love the most about our Uncharted community is that we have some of those practices that are doing things that when I heard of what they were doing, I was like, “Holy cow, that seems so cutting edge, so progressive.” But it's about finding that inspiration.
So, it's about talking to your peers, seeing what other practices are doing, because to me, the basics, the things that I just talked about, those are things that we should have been doing 5 to 10 years ago. If you're not doing that, that's where you have to start, but for most of us, we're doing those things. So, what is that next step, which is what the writer was asking, right? How do we go beyond the basics? How do we start engaging with them? To me, it's about getting inspiration. I would look in veterinary medicine, but to be honest, this is where I as a manager always leaned outside of veterinary medicine. What is human healthcare doing? What are dentists doing? Dentists have a very similar model to veterinary medicine in a lot of ways.
I have been consistently inspired by what my colleagues in the dental field have been doing for years. Things like being able to offer preventative care plans, looking at making it personal, knowing our clients, knowing who they are, using a client relationship management tool, a CRM, to know who our clients are. When you go to the dentist, my dentist, anyways, always asks me, “Hey, how are Riley and Jackson?” They know the kids' names. They know what activities they're involved in. They know about my family. They know what I do for work. Hey, how are things at the clinic? They don't remember all of that. They write it all down. It's things like that that millennials, that Gen Z, when we look at the data, there are a few things that they really care about.
That personal touch, that small business feeling statistically in market research has been proven over and over again that it is something that Gen Z cares dramatically about. So, starting to look for that inspiration, both inside veterinary medicine in places like the Uncharted community, even some of the groups that you can find online and on Facebook, seeing what your peers are doing, talking to them when you go to a conference, having those conversations. That's why I love Uncharted so much because we have that community that feels like the conference that never ends. So, we don't just go one time and the conversation ends, but asking your peers what they're doing and looking outside the box of veterinary medicine.
I think to your point, when we were getting ready to start this section, I was like, “Dude, I have so many ideas.” I think this is one of those episodes where I'm going to be like, “I want to write a blog article about this.” Because I think that there's so many things that we can do. For me, to your point, it's about finding that inspiration and really doing our homework. So, for me as manager, it was about who is my client and making that archetype, looking at the research, finding out what is it they're actually asking for when it comes to pet ownership. For millennials and Gen Z, there's five real buckets that market research has demonstrated. So, I would approach it like, “What are the buckets? What are the things that they care about?”
Then to your point about how do I minimize the impact on the team, what are things that we're already doing that fall into one of those buckets? Then what are simple things that I can build on, that I can put in each of those buckets and slowly but surely work on strengthening those relationships and speaking their language in more intentional ways? You can't go from 0 to 100. We prove that over and over again in the practice, and we most often fail. We've got to figure out what are those baby steps to get there.
So, for me, it's about doing your homework, looking at the data, looking at the data that has been brought over into veterinary medicine for us, figuring out who our existing client base is, looking at what are the things that we are already doing, and then getting that inspiration and figuring out how do I put that system in place. We have to stop thinking linearly that we have to be the ones to do all of this and think about what are those things that we can do in the background that don't impact the team's day-to-day workflow that can allow us to speak to the younger generation of veterinary medicine in ways that they are going to immediately soak up and love.

Dr. Andy Roark:
Yeah, no, I like that a lot. I think it's super smart. It's always good to take a data-driven approach. I think that's a great balance of, like I said, the non-linear thinking. It's about looking at state of best practices. It's about remembering who you are trying to serve. Like I said, there are people who have very progressive tech forward client basis and there's people who have the opposite of that, who are definitely not tech forward progressive audiences or client bases. Again, I think it's knowing your people. So, I like all that. I think that makes a lot of sense and I think that's just a good approach. Again, if you're starting to feel overwhelmed, fall back into keeping up is a process. It's not a destination. This is not going to end.
Pick the things that are going to help the most, that are going to make the biggest difference. Get them in place and move forward and move forward. Just know that we're going to have to keep adjusting. I am confident the world is going to look very different five years from now than it does now. So, people go, “Well, I'll just wait five years before I do anything.” I was like, “I'm pretty sure it's going to be a building process.”

Stephanie Goss:
Start now.

Dr. Andy Roark:
Again, starting now and being intentional I think makes a lot of sense, but yeah, I really like your idea of delegating it too. I think this is absolutely something that can be delegated. You can mentor a young leader, find someone who it's their passion and support them. Yeah, I think that makes a ton of sense.

Stephanie Goss:
I want a soapbox, but we're out of time.

Dr. Andy Roark:
We'll stop recording and then you can just soapbox to me if you want.

Stephanie Goss:
My mind is running. Yeah, this is one of those ones.

Dr. Andy Roark:
Soapbox in the Uncharted community. Just go in there and start posting and talking to people.

Stephanie Goss:
Guys, Andy wouldn't let me talk on the podcast today. So, now I'm going to give it all to you.

Dr. Andy Roark:
Everybody, huddle up. I got something to tell you. But yeah, if you're like, “Well, boy, I would really love to hang out with some really smart, innovative practice leaders, managers, head techs, medical directors, practice owners,” and get some ideas about what they're doing so I could pick the best path for me, come on over, join the Unchartered community, jump in 24/7, 365. It is a vibrant, engaged community that's always happy to help. So, anyway, that's all I got, Stephanie Goss.

Stephanie Goss:
Me, too. This was so fun. Have a fantastic week, friends.

Dr. Andy Roark:
Thanks, everybody.

Stephanie Goss:
Well, gang, that's a wrap on another episode of the podcast. As always, this was so fun to dive into the mailbag and answer this question. I would really love to see more things like this come through the mailbag. If there is something that you would love to have us talk about on the podcast or a question that you are hoping that we might be able to help with, feel free to reach out and send us a message. You can always find the mailbag at the website. The address is unchartedvet.com/mailbag or you can email us at podcast@unchartedvet.com. Take care, everybody, and have a great week. We'll see you again next time.

Written by Dustin Bays · Categorized: Blog, Podcast · Tagged: closing, fear, Practice ownership

Jun 21 2023

Fear in Veterinary Medicine

This week on the podcast…

This week on the Uncharted Podcast, Dr. Andy Roark and practice management geek Stephanie Goss are taking a recent topic they were discussing with a colleague and diving in for a deeper conversation. Their colleague was pointing out the perspective that it feels like there is a lot of fear swirling around veterinary medicine these days. Veterinarians are afraid of being sued and board complaints; they and their teams are anxiously awaiting the next negative client interaction; they are terrified of online reviews especially the ones that go sideways and get mob mentality attached to them. Andy and Stephanie walk through their take on some questions like “Is this normal? Has the profession really changed that much in this regard in the last 20 or 30 years. Are all professions like this? And most importantly, can this be changed? Let's get into this…

Uncharted Veterinary Podcast · UVP – 236 – Fear In Veterinary Medicine

You can also listen to the episode on Apple Podcasts, Spotify, Google Podcasts, Amazon Music or wherever you get your podcasts.

Submit your questions here: unchartedvet.com/mailbag


Episode Resources

Upcoming events: unchartedvet.com/upcoming-events/

All Links: linktr.ee/UnchartedVet


Episode Transcript

Stephanie Goss:
Hey everybody. I am Stephanie Goss, and this is another episode of the Uncharted podcast. This week on the podcast, Andy and I are continuing a conversation that got started recently with a colleague. We were talking about the current state of veterinary medicine, and one of the things that came up was that it feels like to some of us, that one of the predominant emotions in veterinary medicine right now is fear.
And we talked about a bunch of examples, and we'll dive into that in the episode. And there were some great questions that came out of the conversation that Andy and I really wanted to take some time and discuss in more detail here on the podcast. There was questions like, “Is this normal? Are other professions like this? Are all professions like this? Are we an anomaly?” We talked about, has the profession changed, and how has it changed over the last 20 or 30 years?
And I think the most important question of all was the hopepunk rebellion question of, can this be changed? If this is truly our state, is this something that we as an industry can change? Andy and I had so much fun with this one. Let's get into it.

Speaker 2:
And now, the Uncharted podcast.

Dr. Andy Roark:
And we are back. It's me, Dr. Andy Roark, and the one and only Stephanie. I want to see you be brave Goss. I want to see you be… I have a soft spot in my heart for that positive female empower… Like a small boat on the ocean. Anyway, I can't.

Stephanie Goss:
I was going to say, that's a little out of your range.

Dr. Andy Roark:
It is. It is. What is my range? I don't know. I just go for it and then we find out.

Stephanie Goss:
I don't think Rachel Platten's in your range.

Dr. Andy Roark:
Thank you. You knew what it was, which is great. As I said, I was like, “No one's going to know what that is.”

Stephanie Goss:
I totally knew what it was. That's one of my favorite songs.

Dr. Andy Roark:
This is my fight song, take back my right song, or turn on the light song. Anyway, it's something like that. I love that kind of empowerment music. When I'm in the mood, it's my jam. I just like it.

Stephanie Goss:
I know. Your playlist is full of that for when we go to events and stuff.

Dr. Andy Roark:
Yeah, I know. That's one of the hard parts of my life, is the Uncharted Spotify account is also the Dr. Andy Roark personal Spotify account. And so I get criticized for my music by… 11 employees are all like, “Look at this.” Oh man.

Stephanie Goss:
So fantastic. How's it going?

Dr. Andy Roark:
I've got a new segment of the show. I have a new segment for our show.

Stephanie Goss:
Okay.

Dr. Andy Roark:
It's life lessons from advanced beginner hiphop dance class, with Dr. Andy Roark.

Stephanie Goss:
Okay. So we've moved on from the garden to advanced beginner. Advanced beginner hip hop. Okay, lay it on me.

Dr. Andy Roark:
Advanced beginner hip hop dance class. I find inspiration everywhere in this joyful world Stephanie Goss-

Stephanie Goss:
Wait is it beginner, beginner?

Dr. Andy Roark:
It's advanced beginner.

Stephanie Goss:
Okay.

Dr. Andy Roark:
Advanced beginner. It's like there's the beginners, and then there's advanced beginners. And my daughter is in the advanced beginners class. And I saw they had their recital yesterday, and I was there.
And what was funny is, she's been working on… It's a dance. So it's a dance. First of all, the dance that they chose is Kanye West Jesus Walks, which is not remotely appropriate, not remotely appropriate for 11 to 13 year old dancers.
And yes, they play a clean version. But you can't find the clean version. So every time your kid wants to show someone, every time they want to practice, you're like, “Whoa, whoa.” It was just, the choice of song was real, I struggle a bit. It was a bold choice.

Stephanie Goss:
The adult oversight there.

Dr. Andy Roark:
It was. I was like, “Mr. Trey, we need to talk. I'm going to give you some feedback when we're done.” And so it's Jesus Walks okay. And every day, Hannah comes home from dance practice and she's flustered and she's like, “The kids. There's one kid that's not paying attention and the other kids are not… The spacing is not right. It's a trapezoid shape. We're doing a trapezoid shape on the stage. And this one kid doesn't know the difference in a square and a trapezoid.” She's very upset.
And so she's given this really specific critiques, like down to people are not hitting their marks, things like that. So I've heard this for eight weeks and I'm like, “Oh boy, this is a production. And Hannah is very serious about getting”… And I get there and it is exactly what you expect for an advanced beginner 11 year old hip hop dance class recital, as is to say it's chaos.
It's The Muppet Show up there. You know what I mean? The kids are looking at each other. You know what I mean? To make sure they're doing it right. It is not the Fly Girls from In Living Color or any other dance troop that you might associate with hip-hop dance.
Anyway, the life lesson I took away was make sure that you are not the person who's trying to perfect the presentation when you're in advanced beginner hip hop class. You know what I mean? We all know people who their perfection level is turned so far up beyond, of whatever is going happen in real life. And I'm like, “That's Hannah.” And so I had to have a conversation with Hannah about accepting that sometimes we're in advanced beginner hip hop dance and people aren't going to hit their marks. And we have to be a little bit careful about the trust fall part of the dance. And that's just what we have to be careful about. Anyway, so make sure that you are not going for perfection when you're working in advanced beginner hip hop dance, or else you're going to be frustrated. And that's life lessons from advanced beginner hip hop dance class with Dr. Andy Roark. I felt so bad for her because she was like, “Can you believe they didn't hit their marks?” And I'm like, “I can. I can believe that.”

Stephanie Goss:
“What I can't believe is that y'all are out here dancing to Jesus Walks.”

Dr. Andy Roark:
“Of all the things that I'm struggling to believe, that's not the one.”

Stephanie Goss:
Oh man. Okay. My face hurts from laughing already, and we haven't even started. We have a fun one this weekend I think. This one came kind of via the mailbag, but came from a community conversation in Uncharted.
And one of our friends was asking a question about fear in veterinary medicine. And I thought it was such a good question. And it was like this is an older veterinarian, and he's wonderful, and progressive, and was just like, “I've been around a long time and I feel like we've gotten way more fearful. And I feel like the profession has changed radically over the last 20 or 30 years. I feel like now we live as a whole collective group in this state of fear. We're afraid of being sued. We're afraid of negative client interactions. We're afraid of bad reviews online. We're afraid of not being perfect for everybody all the time,” and on and on and on. He was asking, “Is this the new normal? Have we really changed that much?”
And the other questions that I found were super, super interesting, are all professions like this? Is it just us in veterinary medicine? And the best question was, can we change this? And I would add, how do we change it, to that list of questions. And I thought it was such a fun one, and I said, “Hey, we would love to talk about this on the podcast, because I have thoughts and I bet Andy has thoughts.” I would love to do what we do best, which is you sit in your basement, and me sit in my closet, and let's soapbox about it.

Dr. Andy Roark:
Oh yeah. I'm all about it. I'm all about it. Yeah, I like this question. I think this is a big, sprawling topic, and I think it's good to talk about. I really do. I like this question a lot.
I think that there's two parts of this. There's the larger culture that we live in, and then there's the way that we communicate inside that culture. And that's kind of where I start.
So we'll start in head space here as we start talking about, “Man, why is everybody so afraid in vet medicine? Is it just vet medicine?” Stuff like that. I don't think it's just vet medicine. I'll just say that. I don't think that vet medicine is any scarier than a lot of other jobs. And people say, “But we have lives in our hands,” and we do. And lots of other people have lives in their hands as well, or they have other things that really matter.
And so I get it. I don't think that we own the market on… If things go bad in our job, they really go bad. And that's true for bus drivers as well, and airplane pilots, and all sorts of people, police officers and on and on. So anyway, there's that.
I think that overall, we live in a safety culture right now. And there's been a lot of research on this. And we have come to a place in a culture where we are very worried about things. And I think a lot of that comes from how we communicate stuff.
You and I have talked about this a number of times with our kids, and we talk about the kids. And I really like this because I think this is important. So I think about my own childhood. When I was 11 years old, I ran free in the neighborhood. My parents had no idea where I was until I came home at dark.
And man, there is no time in the day where I don't know where my 11-year-old is now. I'm not trying to enforce that… But can I just tell you, so my daughter's 11, my youngest hip hop dance class daughter. And I have a little apprehension about her walking the dog, and just by herself, and off in the neighborhood. And it is not rational. It is not rational at all, but I do. And it's just because people are like, “Oh man, you let your daughter walk away?”
We had this thing called Artisphere in Greenville last weekend. It's when they have all the little art exhibits set up on Main Street and everything. And I got there and kind of whispered to my wife, “Hey, are we okay if the girls go off on their own?” Man, my girls are 15 and 11 in downtown Greenville in the middle of the day. Alison was like, “Let's see if they ask.” She's like, “I'm happy to be together as a family, but if they want to go off, then we'll let them ask and do it.” But just the fact that I was like, “Hey, we should have a huddle about this.” And then I go, “What am I thinking? How did we get to this place where our anxiety is so ratcheted up?”
When as we look at the numbers, the chances of something bad happening to our kids are lower than they've ever been. Their safety is pretty flipping great, and we have this fear about it.
So anyway, I'm not trying to jump onto a parenting bandwagon, but I just use that as an example of the type of culture that we live in where we are so aware now and there's this sort of feeling of, “Oh boy, you do not want something bad to happen.” And I think it permeates everything that we do. I definitely don't think it's a vet medicine thing. What do you think about when I lay that out?

Stephanie Goss:
Yeah, no, I agree. You and I have definitely had this conversation about parenting. And there's a book that both of us have read that was written by a parent about the idea of free-range parenting and letting our kids have this space.
I'm with you. I vividly remember as a kid, free-ranging all over our small town. I mean, I would ride my bike miles. Because my parents worked both of them, and they weren't home. And we were, by the time I was my kid's age, I was a latchkey kid and had been for several years.
And so if I wanted to see my friends during the summer, get on your bike and go or get on your skateboard and go. That's your choice, or get on the bus. And I was like, “Dude, my kids don't know how to ride the bus by themselves.” I'd been riding the transit by myself for several years by the time I was their age.
And so I read that book, and it was after I had a conversation with my parents that dramatically changed my foundation of how I parent. But I'm with you. I think that I was sure in the course of this conversation that we were in a more dangerous place as a society. And I had an argument with my parents and my mom said what you said, which is that statistically, no, it's no different now. It's actually probably safer now than it was.
And I was like, “No way.” Because all you hear about is the bad things. And so I was like, “No way. This got to be up.” And so the C in me was like, “I'm going to go and get all the statistics, and all the facts and figures, and I'm going to prove my parents wrong.”
So I looked it up, and I looked it up for our small town. And sure enough, all the rates were less than they were when I was a kid. And I really sat back, and it was a self-awareness moment for me because I sat back and looked at it and I was like, “Okay, but why?” And I was trying to ask myself, why would I think this? Anyway, so I went down a rabbit hole as a parent, but I agree with you.
And where I landed was on a piece that I think really affects us fundamentally in veterinary medicine, which is that we as society have become more connected and we have social media, we have instant connection. When you and I were kids, if something happened in town, you didn't learn about it until you went to the grocery store, or until you went to church on Sunday, or you went to school the next day. You had to have the personal connection to hear about the things. Or it had to be printed in the newspaper, which had a 24-hour delay.
And now, there's instant news. Something happens across the world, and it starts broadcasting on the computer that we hold in our hands. And so there's this connectedness that accelerates the share of information, which is wonderful and is a very, very double-edged sword. And I think for us in veterinary medicine, and professions like ours, that connectivity and that ability for people to instantly connect in ways that they didn't before dramatically impacts our state of mind.

Dr. Andy Roark:
Yeah, so I completely agree with that. And I would take it one step further too, is to say, I would zoom out a little bit and just say, we live in the attention economy. And so what that means is we have in our media, accepted a business model that's about getting and holding your attention.
And I would say even before social media, the first thing I think that really started to amp us up towards being afraid all the time, it was 24-hour news. And going back to your point, it's very much in the vein of we used to get news when it came out in the newspaper, and there's only so much space in the newspaper. And then we heard it from other people.
Well, when the Nightly News came on at 6:00 PM and it was one hour, we got one hour's worth of news. And now we've got how many cable news channels or news outlets, not counting what's on the internet, trying to fill 24 hours worth of content. And they are just covering everything that they can find just to fill the day with a reason to keep watching. And so back to your point of we saw this thing that happened in your local town, the truth is there was something just absolutely bonkers that happened one state away in a small town, and you never heard about it, but you hear about it now.
I saw an extreme example. And again, I'm not saying the things that happened in other places aren't noteworthy or they aren't tragic or terrifying. They are. We just didn't used to know about them.
So I saw a great in depth coverage recently in the New York Times about a school shooting in Sudan, which is a country in North Africa. And I'm like, “This is awful.” And it's not remotely close to us. And that doesn't mean it's not important or anything.
But the problem I think that we have as human beings is we are really bad at maintaining perspective. We just don't understand how big the United States of America, or Canada, or Australia are. When we say, “Oh boy, this terrible thing happened at a supermarket in this town somewhere else in the US.” And you're like, “It is terrible.” And do you know how many supermarkets there are in this country?
And so we just don't do a good job of hearing a story and putting it in proportion with how actually likely is this to affect us, like ourselves. And that's not how we're wired. You think back. We're still running the hard-wiring from millions of years ago when we evolved as a species. You know what I mean? We have the absolute belief… It's funny.
When we're talking about fitness or whatever, people are like, “Listen to your body.” I'm like, “My body thinks that winter is coming and that the pizza tree is going to go out of bloom any time now. Anytime. And we better get ready.”
And that's the model that it's running on is there is a much better chance in my body's mind of me starving to death, you know what I mean, than anything else. That's the number one concern that my body has is, “But what if we starve to death?” And I am wired hard in that way.
It's the same thing here. It's like my body thinks that there's a tribe of maybe 50 people that we're interacting with. And so when it hears a story, it believes that it's a story from those 50 people that we live with. And it's like, “No, this is a story from some guy on YouTube that's in Switzerland.” But my deep lizard brain doesn't get that. And so I just think that connectivity, that battle for attention is a big deal.
And so besides filling up 24/7/365 on news networks and also on the internet and things like that, in social media, we know that the goal is engagement to keep people on social media. And we know that if you want to get attention there, emotion is what carries it. And honestly, fear and outrage are the two biggest, most sticky emotions that get people to pay attention.
And so look at our news and look at the headlines, and just look at how geared towards fear and outrage the headlines are. That's not a flaw, that's a feature. That's how they were made. They were tweaked and tweaked to get there. And I go, we swim around in fear. So again, I go back to, I don't think it's vet medicine. Do I think that we are more fearful now? I absolutely do.

Stephanie Goss:
Yeah, I would agree. And I think the other piece of connectivity that's important when we talk about this, specifically in the vet med context is that we have also… So we've experienced this cultural shift of going to the 24-hour news cycle and having instant connection. To your point, the whole world is in your hand if you have a smartphone, and you are connected to that guy in Switzerland or in New York City, in ways that you never were before. You would send a letter and it would take two weeks to get there previously.
And so for us in vet med, we also have the connectivity shift that has happened in regards to our pets. And so I remember when we were kids, our family pets, when I was young, our dogs lived in the backyard. They didn't come in the house. They were part of the family, but they were backyard dogs. And we loved them, but that was where they lived. And they had a two-story dog house because that's my dad. They lived in the backyard.
And so we have had this shift where our pets have become parts of our family. And I love this, and I think this is fantastic. And, we also have shifted as a culture to traveling and bringing our pets with us. And so with that has come this connectivity in our local communities in regards to pets in ways that we never had before.
So when our pets lived in our backyards, we didn't go to the dog park and have conversations with other people who were experiencing veterinary medicine in similar and also very dissimilar ways, because they're going different places. And so now, people are bringing their pets to places that are pet-friendly businesses, and they're going to the dog park, and they're talking, and they're connecting, and they're sharing experiences. Not dissimilarly to the way that social media allows us to share with people that are the same but also different from us. And so there has become this connection point that allows that information to spread significantly faster.
And it is good because we get tons of client referrals that way. We lean into that as an industry. We want our clients to go to the dog park and tell every Mrs. Smith and Jones that they meet, how amazing their experience is at our hospital.
And we also know, to your point, that as a society, we have been conditioned to focus on the sensational and the negative headlines. And so what is the vast majority of the information that's shared, especially on social media? It's negative. It's the bad. It's the one case out of 1,000 in your practice that went sideways or that went badly.
And it's so timely that we're talking about this, because I got an email, speaking of 24-hour connection. I got an email yesterday with the updates from Nextdoor, which is an online community for your local neighborhood. And I get it. Just because it cracks me up to see what the old people in our neighborhood are bitching about, I live in a retirement community, and they're around 24/7. So there's constantly conversation, and it's hilarious to me.
So I'm flipping through and there's an article about a local practice in our area, and the practice closed, and there was some concerns with the practice. But one of the comments really stuck out to me, which was someone who made the comment that, “Like pediatricians, there's no room for error when it comes to our pets' lives. Veterinarians should be held to a higher standard.”
And I have been sitting with that since yesterday because I was just like, “Are you kidding me? We're human. Mistakes are going to happen. No one of us is infallible.” And yet there is this sense… I knew that this person was not alone because the comments started and everybody was jumping on that bandwagon.
And I do think that that connectivity, if one person had a bad experience that led them to thinking that thought or one person had a frame of mind or a frame of reference, but they didn't have that connectivity before, they might share with the people that they interacted locally, but it wasn't on that global scale.
And so I think that that connection in vet med has helped us. And I think that it also has hurt us on a core level in terms of being fearful and being negative. And so I would agree with you. I think we are way more fearful than we were when I started in vet med 20 years ago. And I think that there's good reason for a lot of it.

Dr. Andy Roark:
Yeah. So I have a friend who does a standup set, and he talks about Nextdoor, the social media platform. And he's like, “Nextdoor is a social media platform that you would think would be the best, but it's the worst.” And it's the worst because it shows you so clearly how nuts the people who live right around you are. And it's just like you know these people, and they live next door. And you're like, “Oh boy, I'm learning things about people that I see that I wish I did not know.” And I thought that was super funny.
I think there's a lot in what you said just to unpack. I would say yes, the connectivity that we have means that unhappy people can now write online reviews and post in Facebook groups and things like that, that they did not used to be able to do.

Stephanie Goss:
Right.

Dr. Andy Roark:
So I do think that there's more potential real damage there, and that's true for everybody. If you run a restaurant and people have a bad experience, every profession has that. But that is an actual thing that has ratcheted up fear.
The other part about it is the changing relationship to pets… And I do think that there's some truth to that, and that's one place where I would say, here's a place where I could say that actually, the tension in vet medicine may have moved up a couple cliques when it wouldn't have necessarily, in a way it wouldn't have another professions. And that is just, people take their pets really seriously now. And yeah, it's not what it used to be.
But here's the other part too though, is while pets may have gotten more important to pet owners, I don't know that they've gotten more important to veterinarians or vet professionals, because we already cared a ton. I just think that the average pet owner is getting closer to where your vet professionals have already been. We cared enough to go into this profession. We were already at that level.
And so managing the emotional reactions of the pet owners is harder when they're more invested sometimes. And I do think that's true. So I would say I get that. And that may be a stressor that causes fear. That wasn't the way that it used to be.
There's two other things that I see a lot just in the way that we communicate. Well, three other things. So the three things, number one is before we had specifically social media, we as veterinarians or vet professionals did not see exactly what was happening in other people's clinics.

Stephanie Goss:
Right.

Dr. Andy Roark:
You know what I mean? If we had an angry client, we had an angry client. But we didn't have angry clients every day. It happened every now and then. But now through the wonders of social media, we can be immersed all day every day in people telling us the story about the angry person they just had.
And while absolutely nothing has changed in our practice, we can feel like pet owners are out of control and everyone is mad. And again, it goes back to that proportionality in our brain, that specific to vet medicine of people in the practice saying, “Boy, can you believe pet owners do this,” or, “This person did this thing.” And just someone in another town far away. But man, you feel connected to them because they're talking in a language that you understand. And so that connectivity is the first thing. The second one is the way that a lot of our media works to make us feel like individual one-off things are a pattern, that there's a sweeping change.
And so there's this thing in psychology called the Texas sharpshooter fallacy. And the Texas sharpshooter fallacy, the way it works is just imagine that you had someone with a gun, and you told them to shoot at a barn. And so they stand back and they just shoot, shoot, shoot at this barn. And then you walk up to the barn and you look at where all the holes are, and then you paint a bullseye where the holes are. And you go, “Look at this clustered.” It looks like they were shooting at a bullseye. The truth is, these are just random smattering across the side of this barn. But when you draw a bullseye and you say, “This is what it means, this is the pattern.” You can make a pattern appear where there absolutely wasn't one. And so we'll hear a lot of stuff in our news or our media and they'll talk about, “This shocking trend.”
And I think that that happens a lot when you say, “Boy, pet owners really are more difficult than they've ever been.” And I'm like, “You went and found five different instances across the entire continent of North America, and now you're calling it a trend. And the truth is, some of it's just coincidence, and some of it is just, ‘Hey, we happen to have angry people in our continent this week.'”
But you can package that stuff together and tell the story that it's a trend. And that makes it more scary, more sensational, more likely to get people to take a look. And so I feel like that's a journalistic practice that we see a lot online. And we get swept up into this as far as, “Oh my gosh, things are getting bad. Veterinarians are getting bullied in a way they didn't used to.”
And I think veterinarians are getting bullied more because there's more tools that people can use to bully people. But I don't know that it's a shocking trend that's going somewhere, that this is just building and building, and getting worse and worse. I don't know that, but it looks that way.
And then the last thing, I've heard it called nut farming. And nut farming is when we look at the continent and we find one example of one just wild, over-the-top example, of something scary, something bad. And we put it forward and say, “Look at this, it could happen to you.” And I'm like, “Boy, you went deep down a Twitter rabbit hole to find this one person,” that you're now holding up as if they're an example of what the average pet owner is. And that's just not true.
But we see it all the time, and it still works. I know that that's what's happening. And still, if they find the right person, it can make me feel angry, and unappreciated, and afraid. And I'm aware of this trick, and it still gets at me. So I think all of those things are things that happen, that I think add to our fear of practice.

Stephanie Goss:
Yeah, I think I agree with you. And then I think from a head space perspective, the last thing… You and I have talked about this a few times because we've kind of come to this place as a industry where we're talking about the changes in veterinary medicine, which are good. We have seen radical changes in the 20 years that I have been in the field. And there is some of the trends that I think are maybe not as good.
And one of those has to do with the vet schools in the training, and the educational perspective, and this let's do the gold standard. And I think one of the things from a fear perspective… And again, now that we're having this conversation, I'm questioning, is it actually happening more frequently, or am I just thinking that it's happening more frequently because we're connected and we're sharing experiences? And so I'm hearing other people's, and so maybe it's happening at the same rate it was before.
But thinking about my own perspective, and having new grads in my practice, and having doctors who are just like, “I'm not qualified. Let's send this to the specialist. Let's send this for review. I want somebody to double check my work.” And I have to wonder, is that fear coming from the people themselves, or is that coming from the way that we're training them, or the way that we're approaching it in veterinary medicine?

Dr. Andy Roark:
I was doing a podcast with this neurologist, a veterinary neurologist named Dr. Sean Sanders. And I've really enjoyed talking to him. I've had him on The Cone of Shame podcast twice now. I don't know if the second episode's come out yet, but if it hasn't, it'll be out really soon. But it'll be out by the time this episode comes out. Anyway, he's a neat guy. He's interesting.
He makes this really strong point. And his belief is that years ago, maybe in the last 20, less than 20 years, up to maybe 20 years ago, we had these veterinary specialists coming out, and they were being trained at the vet schools. And the vet specialists would do our education in the vet school. We were trained by specialists. And there were plenty of specialists coming out, and they're sort of being put out.
And his implication was that there is a bias in teaching to train young doctors to refer things up to specialists. And when there was a really focus on delivering gold standard of care, we teach gold standard of care. That's what we want our doctors to know. Well, the gold standard of care is often to send this case to a specialist who's a boarded surgeon, who does surgery all day long, because they'll do a better job. And I go, “That's true.” If it's a splenectomy, or a GDV, or especially orthopedics, I assure you that a boarded surgeon is going to do a better job than me. And it is a better goal standard of care for you to go to that person.
And his idea was that because we were trained and trained, that line of where we refer, it might have been slipping farther down saying, “Well, maybe you should refer that as well, and you should refer that as well.”
And I do think, I remember in my training, there was definitely an inclination. I remember people saying things to me like, “Well, you're not going to actually do this, but I'm going to show it to you.” And again, we've heard a lot of doctors come out who are not comfortable doing advanced procedures and things like that.
And so I think that there is a certain amount of fear that the gold standard of care and the way we're educated puts into us of, “You want to send this away. There's someone else out there who has the appropriate training for this, and it's really not you.” And I do think that that approach in teaching has sunk into a lot of us.
From what I am hearing now, what I believe is the rise of spectrum of care approach and the idea that gold standard is getting maybe a bit unattainable for a lot of pet owners. Let's start to talk about what an acceptable silver standard looks like or a basic standard looks like. And we're starting to see some shifts in that.
And I've heard that education is shifting that way, and I think that makes me happy. I think that's a good place to be. But I do think for a lot of us, I think there's a lot of doctors out there who came out in the last 20 years, who have some concerns about doing things that they're not the best person to do. And I think that may have been baked into us a bit when we were coming out. And so I do think that that is a type of fear that probably did not exist in doctors that came out more than 20 years ago when it was much more like, “No, you're the vet, and you're going to go, and you're going to deal with what comes in.”

Stephanie Goss:
Right. All creatures great and small. Like, it walks in your door, you got to be prepared to deal with it.

Dr. Andy Roark:
Yeah. So I think that's the last thing. I'm totally with you there. I think there's a part of our education that may have caused that type of fear. So yeah. Anyway, I think from a head space standpoint, we always talk about, why do we feel this way? And we came all this way, what are we going to do about it? I think we could, let's take a break here, and then we'll come back and let's start to talk about how do we manage this?
Because I absolutely think there are things that we as a profession can do. Mostly, I think we as individuals can manage this. And I really like that because it empowers people to do it themselves. I think that we can control our own fear and how we go forward, and be really smart about it.

Stephanie Goss:
I love that. Let's take a break. Hi, friends. Do you struggle with finding the right cadence for team meetings in your practice? Do you feel like maybe you're meeting not enough, or maybe you're meeting too often and you're stuck in meeting hell?
I feel you. Finding that balance, trying to work on improving communication, make sure everybody stays on the same page, and getting things done in a busy vet practice is really, really hard.
But we've got a solution for you. Join the Uncharted community on July 1st, 2023 from 4:00 to 6:00 PM Eastern Time, that's one to 3:00 PM Pacific, for an Uncharted workshop presented by my friend and colleague Maria Pirita. She's a CVPM. And if you've not met Maria before, you are in for a spicy treat. She is amazing, and she is super excited to kick off the conversation talking about team meetings with her take on making them effective and efficient. That's right. It's called Effective & Efficient Team Meetings. It's $99 to register, but it's free for our Uncharted members.
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Dr. Andy Roark:
All right, so let's get into what we do about this. I don't like being afraid. Something I've noticed in myself over the years is having some anxiety about things that don't warrant having anxiety. And so this is something obviously, I've thought a lot about, and have really tried to build safety catches and pushbacks against into my own life. And boy, talk about return on investment. Getting out of a head space like this and feeling more comfortable, boy, it's worth the effort.

Stephanie Goss:
Yeah, I would agree. This episode really excited me, and I was excited to have this conversation. And I also had some trepidation, because I feel this when I look back at my own career. I quit being a veterinary technician because I was afraid. I was someone who had significant fear for some of the reasons that we talked about and their stories there.
But at the end of the day, when it comes to how did I have to deal with it, well, I was afraid. And so I had an opportunity to make a change in my career. And so I ran away. I was afraid and I said, “I'm just going to quit.” And I'm not a quitter. I've never been a quitter. You know me. That's not my personality.

Dr. Andy Roark:
Oh no, you stick around. You're like a non-healing draining track. You just keep going.

Stephanie Goss:
Thank you. Thank you for that.

Dr. Andy Roark:
You're like methicillin resistant Stephgossius.

Stephanie Goss:
I can't.

Dr. Andy Roark:
I wanted to agree enthusiastically with you.

Stephanie Goss:
Thank you. Thank you.

Dr. Andy Roark:
I like to make sure my employees feel empowered and supported. So I'm on board with this statement.

Stephanie Goss:
A draining wound track. That's me.

Dr. Andy Roark:
A draining, she's like nidus of infection, does not stop.

Stephanie Goss:
But I did. I did stop and I ran away, because I was afraid, and I had to do a lot of work. And for me, the work started completely unrelated. I was going to therapy and talking about some other things, and realized that I had some work to do.
And where it had to start was the question of why. “Does it all come back to Simon Sinek?” Well, let's start with why. But for me, when it comes to the fear and the action steps of this, whether it was me on a personal level, or team members that I've worked with, or industry as a whole, I think we have to start with the why.
And there's a whole multitude of reasons why. Whether it's individual. In my case, having some horrific experiences with anesthesia, and specifically having my own fears. Or whether it's us as an industry being worried about the increasing social connectivity and the ability, the fact that we're living in a litigious society and that we could get sued at any minute, or we could have a board case brought against us at any minute.
We have to start with examining where the fear is coming from, because I think the answer, the action steps are going to vary depending on where that fear is coming from.

Dr. Andy Roark:
Yeah, I completely agree with that. And so step one, when we're feeling fearful about practice or things in practice that give us an anxiety, I agree with you. So a couple things you put there. I'm going to start and say, “Why am I afraid? What does this fear mean to me?” I really do think that that is the underlying reason.
I think for a lot of us in vet medicine, a lot of us are perfectionists. A lot of us put a ton of weight on our shoulders. I have found, it is true for me. I found it to be true again and again with veterinarians that I have worked with, is a lot of times there's anxiety about or fear about doing things. I think a lot of us have this struggle with feeling worthy. We feel like imposters. And, what if people find out that I'm an imposter? What if I make a mistake and people don't respect me anymore? What if I make a mistake and they don't see value in me anymore as a person? And that may sound over the top, but I assure you it's not. And it is a very common approach.
It comes a lot from… As we do this, I'm getting ready to get in the car and I'm going to drive out to one of the veterinary schools, and I'm speaking at the graduation, which is always an honor. And one of the points that I've decided I want to make in my brief time talking to them is, I really do want to encourage them to remember that veterinary medicine is what you do. It's not who you are.
And some people don't like that. And we talk about the calling of medicine, but I'm really pushing back on the other side and say, the key for me to enjoying being a veterinarian is not defining myself as a veterinarian. I am a dad, and I am a husband, and I am a gardener, and I attend advanced beginner hip-hop dance classes, and things like… I have other things that I do, and then I do vet medicine. And if vet medicine doesn't go well, that's not devastating to me in my identity.
But boy, it was for a while. When I was getting started and I was Dr. Andy Roark, and social media was big, and I was doing a ton of stuff there. I really had a lot of fear about, “What if this doesn't work out, and what if I mislead people, or if some of my advice isn't good? Or what if someone who knows more than me about a specific topic, what if they challenge me, and what if they're right and I'm not?” I go, “Boy.” I was so wrapped up in this identity or feeling. And no one else thought that.
No one was like, “I need some real insight. Let's see what Andy Roark has to say on GDV surgeries,” like I'm not your guy. But I was very worried like oh boy if I say things, then people… And again, it was a feeling of worthiness and being seen as someone of value. And it wasn't until I really burned out back in 2019 when I really had to step back and look at my life and go, “Buddy, your whole identity is wrapped up in professional success and how you're being perceived, and it's killing you. And it's not fun.” And that was a big part is setting that aside.
So anyway, we got to figure out why we're afraid. Why does this bother us? And the answer may still be, there's a thing that I don't like to do. If you say, “I don't like surgery. It gives me anxiety. I don't like it.” I think it's worth exploring why we don't like surgery. Know thyself. There is nothing wrong with saying, “I don't like to do surgery, and I let the other doctors do it.” That's not bad. But I think there's real value in figuring that out. One of the things that you mentioned as well, as I say, I truly believe that therapy can be wonderful in that it helps people unpack that.
The way I look at therapy and I talk about therapy is this. There are times in my business when I don't exactly know what to do, or I kind of know where we should go, but I don't really know how to get there. Or, I'm just not the right person to fix the problem. And I say, “Okay, I need an outside perspective. I need different language that I personally don't have. I need a fresh set of eyes here.” And it's not that I'm not good enough, it's just other people have this expertise. It's hard to see yourself. It's really hard to get an outside perspective when you are up to your neck working on whatever you're working on.
And so at that point, it's worth hiring a business consultant. I say, “I'd pay somebody. I don't know how to get out of this hole, or I feel like I'm going in circles. And I just need a fresh idea, fresh perspective. I'm going to pay somebody for their time.” At first, I'm going to talk to my friends and things like that. But at some point, I'm going to pay somebody for their time.
And that's how I see therapy as well. It's like, man, if you're rolling around and wrestling with something, and you can't get a good perspective because you're so deep in it, and your friends and spouse are sick of hearing you talk about it, and they don't know how to help you anymore, or you don't want to talk to them anymore, well it's time to hire somebody and just be like, “Hey, I'm bringing you in.”
Again, people have different things that they want in therapy, and I'm not trying to tell people what you should want. I am super pragmatic, problem oriented. And so in times that I've used a therapist, I've been like, “Hey, this is what I'm struggling with. This is a thing I'm working with, and I could use some encouragement. I need to get a perspective on this. Help me work through this.” And then I do it. And then when it's over, I'm like, “Great, thanks a lot. Got what I needed. I feel good. I got this thing worked out. I'll call you if I need you in the future.”
That's it. It does not have to be an all-in. I think a lot of people are like, it's the lifestyle. It can be, doesn't have to be. But anyway, I just put that forward as to say this has been my perspective on therapy and how I have personally used it at times in my past when I've wrestled with stuff. So anyway, I know that that's a big soapbox that you love to climb on. And I don't mean to squeeze you on your soapbox, but I do think it's a good place if you're like, “Man, I really want to work on this.”
I think where you go from here is, what did you find? What did you find when you dug in? Was it like, “I'm not confident in these things”? I go, great. Can we do CE and training? You know what I mean? If it's, “I'm not comfortable, I'm afraid of anesthesia.” Great. Can we get educated on anesthesia? Can we go do work and put in time so that we go, “Oh, okay, this doesn't feel like such food anymore. I was okay before, but now I really feel good and sharp, and now I'm ready to give this another try, start slowly dip my toe in the water and kind of go from there.”
A lot of it is about getting comfortable, getting what we need, whether it's support. Some of it may be, “I don't feel comfortable because I don't have the relationship I need to have with this person that I'm working with.” I'm the technician, and then I don't have a good relationship with a doctor. Well, maybe we can work on that and see how it comes out.
I think a lot of times when we talk about being fearful, one of the big therapy approaches is cognitive behavioral therapy. Which is basically like, “Hey, if you're afraid of something and you want to do it, then avoidance is not what we want.” You know what I mean? We want to work towards it. We want to do scary things or do hard things so that we know that they don't have to be scary and so we can have some good experiences. But you want to be smart and set yourself up so that you can dip your toe in. You can do this scary thing in a safe way and start to build confidence.
And it's a process. And I think a lot of times people are like, “I'm afraid of this thing, and tomorrow I'm going to throw myself into it and I'm not going to be afraid anymore.” It's like, I don't know if that works for some people. I don't think that works for most of us. I think if there's something like this that makes you fearful or you struggle with, I think one of the kindest things can do for yourself is say, “This is a process.” I don't think it's wrong to say, if you're afraid of anesthesia to say, “My June 2023 to 2024 program self-development program, it's going to be about anesthesia. And by June of 2024, I want to feel comfortable.” And I'm like, “Man, you got 12 months to get there.” And so start small, set little milestones, and work to it. I don't know. I don't know. You're laughing. What do you think?

Stephanie Goss:
This is not Andy coaching Stephanie, because that will not be my 2024 goal.

Dr. Andy Roark:
Stephanie Goss, when I look at you, I'm like, “You know what Goss needs? Anesthesia coaching.” I don't kind of, because what would happen is I'm going to get tranquilized. If we were traveling together and you were reading a book on anesthesia, I would be so concerned, like this is-

Stephanie Goss:
No. I will leave that to McNerd all day long. That is never going to a thing. I will never be in Anesthesia Nerds. As much as I love Tasha, that is not my jam. And I did the work. I did the work to figure out the why. And then I put myself through the process of, I avoided the fear for a really long time. And then I was like, “Okay, I need to actually overcome this fear.” So I took the cognitive behavioral therapy approach, and I tried the thing in a safe environment and small doses. And at the end of the day I was like, “Okay, I can do this thing and I can survive. I am a sweaty, disgusting mess, but I can do the thing.” And it was enough for me to say, “Okay, I've done the thing and I am perfectly fine walking away and leaving the thing behind me.”
Because a part of it, to your point, was that identity work, and figuring out who I actually am. And saying, “I'm okay with this not being my whole identity,” because there's this whole new part of me that has opened up as a result. And I'm thankful. I love medicine. I love veterinary medicine. I love the science part of it. I could nerd out about so many facets of medicine from a tech perspective. And what I recognized is that my jam is not there. I love it and it's a happy place, but that's not my thing. I love the people piece of it. And I don't know that I would have ever explored it if I hadn't had done that piece of it. I might have just quit completely and walked away from it.
And so I think it goes back to that starting with why. And we were talking about the schools and coming out. And I've had a couple new grads now who have come out and they have been in that place to your point of referring, “Well, somebody who knows more than me should do this case. Somebody else should take care of this patient. I'm not qualified to do this thing.”
And I had a lot of guilt about pushing some of them to do the thing anyways, because I have practiced in places where we don't have a specialty practice down the street. They're going an hour to get critical care or specialty care, or two hours.
And so to your point, not everybody can afford it. Not everybody wants it. Not everybody wants that travel. And so we have a lot of clients who are like, “Oh no, I'm fine if you guys do the thing. Can you just do it?” And so that's part of the reality of practicing medicine where I live.
And so I went through that with some of our new grads and recognizing they have to figure this out for themselves. I can't want it more than they do, and I also have to figure out how to work with them.
And recognizing that if practicing medicine where I live means that they have to do these things, it's okay if they want to draw a hard line in the sand and say, “I do not want to practice surgery. I want to just do outpatient.” And the results of that might mean I might be able to get them a plan. I might be able to print out that blueprint, like you said, and work your way towards facing the fear. And, it might be okay that it's a line in the sand for them. And, the result of that might mean they're not the right fit for my practice.
And I think so many of us are so wrapped up in that identity piece of it, that we force ourselves to make situations work that that isn't necessarily the best choice for us, for our patients, for our peers. Because we're afraid of that identity piece.

Dr. Andy Roark:
Yeah, I agree with that. I can tell you one for me that I had to unlock, which all this code was kind of tied together, but I really stressed out about clients getting angry at me. I really did not want to have angry clients. And I very much wanted to make them happy.
Until I started to say, “Well Andy, why? Why does this bother you?” And then really started to go, it's because I am defining myself and my success by how I make pet owners feel. And until I unlock that, I was stuck in that kind of loop of, “Oh my gosh, this person's experience, their facial expressions, their online reviews mean so much to me.” And I go, “God, what a horribly unhealthy place to be.”
There's this part of the first season of Ted Lasso when Ted asked the star soccer player, he was like, “If you could be any animal, what would you want to be?” And he was like, “Why would I want to be any animal, I'm me?” And Ted goes, “I don't think you understand how healthy that is.” And it was like, that is healthy. It's like, “Nah, this is what I am.”
Again, it doesn't mean that I don't care. Of course I still do. But I think some of it was I had to go through those experiences of having clients get angry at me, and recognize that the sky didn't fall, and work past it.
So anyway, the next one I'll sort of lay down from an action step, and this has just been a big one for me and my career, is get present. I think we live in a state of perpetual distraction. And I think honestly, if there was one thing, and this is not easy to do. But if someone said, “Andy Roark, real quick, I've got 30 seconds left and I'm going to disappear, and you're never going to see me again, and I will do whatever you say. How do I be happy in practice?”
I would say get present. Get out of your head. Get into what you're doing. Be fully present with what you're doing right now in the day. Throw yourself into your work and just focus on being there with the pet, the pet owner, and with your team. And if you do that, you'll be great. And then they would disappear. And that would be my piece of advice. It's much easier said than done.
But I think a lot of us, we live up in our heads. We go, “What if this happens? What if this goes bad? What if this doesn't turn out the way that I thought?” Well, the truth is, you'll cross that bridge when you come to it. You can ask yourself this question then say, “Is this going to change how I am behaving right now, the choices that I'm making?” If the answer is no, then put it away. Get back into what you're doing in the moment.
I think another thing that I've been thinking about saying to the graduates when I get up there… And again, I won't be able to say all these things. It'll come together. I promise it will work, and it'll be better than I'm making it sound now. I promise. But if I can give them a piece of advice, it's try to love the mundane work of being a veterinarian. Not to define yourself by the outcomes, but to actually enjoy just doing the work. Being in the room, enjoy talking to the clients, enjoy talking to the staff. Just try to enjoy the mundane parts of actually doing.
And I think a lot of that is absolutely key to getting out of your head about being afraid, being anxious, being fearful. Just get present. Are you going to do this surgery? They're not going to the specialist. This dog's got a splenic tumor that's bleeding. Are you going in there, or are you not going in there?
And if you're going in there, get present, deep breaths, get your stuff together, what prep do you need to do? And then go to work, and just put yourself into it. And I think that that's really the key for getting past a lot of this stuff, and also just enjoying what we do for a living.

Stephanie Goss:
Yeah, I would agree with that. And I think that when I look back at my career and I think about some of the highlights, I think some of the best days are the days where you were fully present. Whether it was for a period of time sitting with the owner while they said goodbye to their best friend, or even doing the difficult surgery, truly being present and letting go of all of the distraction, and just doing the work. Those are some of the best days.
And especially as we shift in our career I, think to a leadership perspective, your point is such a good one. Because I think about how many days I showed up in the practice for my team, and I was thinking about 10 million other things. And I never did my best work when I was thinking about all of the other things, when I set it all down and said, “I'm going to give my full attention to this thing.” Whether it was holding a patient in the treatment room because they needed help or sitting down and having a one-on-one with somebody on my team, that's where we engage with ourselves, with our patients, with our clients. And also with our fears. Because if we're not really giving it 100%, we're never going to be able to address those.

Dr. Andy Roark:
Yeah, I agree. I saw an interview with basketball coach Phil Jackson… And the guy's like a legend, and he's won 11 NBA titles and whatever. He was just talking about his players and he was like, “Getting these players to be present in the moment when the media is around them, and taking pictures of them, and making stories, and people are trying to get their attention.” And it's so much distraction.
So he would have all of his players wear a rubber band around their wrist. And the idea was that they would snap that rubber band and that little ouch would bring them back to the present. But he was like, “Yep, everybody on the team wore it, and we would snap it, or we would have other people would reach over. And if they thought you were zoned out, they would snap it to get you to come back.” And the whole thing was meant to be, “Get back here in the moment,” right here in the here and now. I think it's a big part. So I've got that stuff. I've got one last piece for me. Are you ready for this?

Stephanie Goss:
Lay it on me.

Dr. Andy Roark:
All right. So this has been an important thing for me recently, and it's where I've been living. And man, I really love this. So I saw a quote. It was from Tumblr, and it was a science fiction writer. But she wrote this thing that said, “The opposite of grimdark is hopepunk. Pass it on.” And what she meant was, there's so much of a desire in our society to be afraid, and to be cynical and to say yes, things are bad and they're going to be bad.
And people seem to believe that if you want to look smart, you should assume that things are going to end badly, and you should expect the worst. And we all know people in vet medicine that as soon as a sick pet comes in, they go, “I bet it's got parvo.”

Stephanie Goss:
Right.

Dr. Andy Roark:
And they'll just go straight to the cynical, to the darkness, and they do it because it's a self-protection mechanism. If you assume that things are going to be bad, then you're not disappointed when they're not. And there's a lot of people who just live there.
So when I talk about the opposite of grimdark is hopepunk, the idea is I really believe that we have settled into a society that's built on fear, and it's built on cynicism. The idea that things are bad and they're going to continue to be bad, and it's all founded on badness, and everything is a crisis, and blah, blah, blah. And they hold onto that.
And I don't say that hopepunk, it's not a rejection of those things. I'm not saying that there aren't hardships in medicine. There are. I'm not saying you're not going to get a group of people on Facebook who hate your guts and are coming after you, or that a case isn't going to go bad and you're going to have a pet die. That's going to happen. This is a hard job and people are hard to deal with. They are. And anyone who tells you, “No, that's just a mindset.” Those people are out of their minds. It's not. That's true. That's real, right?

Stephanie Goss:
Yeah.

Dr. Andy Roark:
Things can be real and you can still push against them. You can still rebel against the system and the society. And that's kind of where I am, is I think it's time for rebellion. I think it's time for revolution.
And the way that we revolt against cynicism and fear in practice, it's not positivity. It's not saying, “No, things are good.” That's got its own toxicity, right? That's rejecting things that are objectively true, which is like, this is scary or this is hard.
The way we rebel against fear and cynicism is with optimism and hope, right? It's going in and saying, “Yeah, I get it. Things are hard. And you know what? I'm going to stick it to the system by believing that tomorrow might be better than today, by believing that I have the power to make something good right here, right now.”
And I get it. Life is hard, but I am going to go out of my way to help somebody else. Not because I want them to write a review, just because I want to push back against darkness in the world. And guys, I think it's time for rebellion in vet medicine. I think it's time for a hopepunk rebellion. I do.
I keep going back to punk, right? Because punk rock music, I like punk rock. I like the idea of people who are like, “You know what? I'm a misfit. I don't fit in with this, and I'm okay with it.” And I'm like, yeah, I'm a optimism punk. That's what I am. I've got a smile and a wink for a Mohawk, and I've got a freaking, “Hey buddy, let me help you out,” face tattoo. And that's it. I am going to wear that punk rock sneer, because I know that I'm going to jump in and help you. And if there's a change that has to happen, I'm going to say, “What if this works out even better than it has been guys? What if this turns into something really good?” Because that is punk rock today. The idea that things could be better in the future than they are now is so anti-establishment I love it. So last thing I would say is hope punk revolution in vet medicine. That's what I want.

Stephanie Goss:
Come over to our side. We have Andy and a mohawk, and tattoos, face tattoos.

Dr. Andy Roark:
That's right. Face tattoo that says, “Have a nice day,” and, “This might all work out great.” That's what my tattoos say. And that's it. Join the hopepunk rebellion. I don't know if there's anything better against feeling fearful than to say, “You know what? I am going to embrace optimism. In your face.”

Stephanie Goss:
With my face.

Dr. Andy Roark:
With my, that's it. That's all I got.

Stephanie Goss:
That's all I got.

Dr. Andy Roark:
All right, good. All right. I think we're out of time. I'm pretty sure we are over time here. Yeah, we better wrap this one up. All right guys, thanks for being here. See you next year… See you next week. I'll see you next week. You know why I'll see you next week? Because you're non-healing wound.

Stephanie Goss:
A festering wound of MRSA that's never going to leave you alone.

Dr. Andy Roark:
Yeah. Yeah. You were mine, met cell and resistance staph infection-

Stephanie Goss:
I'm with you for life now. Like a face tattoo. Have a great week everybody.

Dr. Andy Roark:
Stephanie Goss is my face tattoo like, “It might have been a mistake when I got her, but I'm in it now. I'm in it now.” All right. Thanks buddy. Bye.

Stephanie Goss:
Well gang, that's a wrap on another episode of the podcast. And as always, this was so fun to dive into the mailbag and answer this question. And I would really love to see more things like this come through the mailbag. If there is something that you would love to have us talk about on the podcast or a question that you are hoping that we might be able to help with, feel free to reach out and send us a message. You can always find the mailbag at the website. The address is unchartedvet.com/mailbag. Or you can email us at podcast@unchartedvet.com. Take care everybody, and have a great week. We'll see you again next time.

Written by Dustin Bays · Categorized: Blog, Podcast · Tagged: closing, fear, Practice ownership

Jun 14 2023

A Case For (and Against) Saturdays

This week on the podcast…

Leslie Mamalis, Senior Consultant at Summit Veterinary Advisors, joins Dr. Andy Roark to walk through how she advises veterinary clinic owners or leaders on how and when to consider closing on Saturdays.

ABOUT OUR GUEST:

Leslie is the Senior Consultant with Summit Veterinary Advisors, a nationally recognized business consulting firm. Leslie’s specialties include practice valuations, profitability assessments, feasibility analyses, and transition planning for veterinarians across the country. 

Leslie has an MBA and an MS in Information Technology and became a Certified Valuation Analyst in 2013. She worked for the American Animal Hospital Association (AAHA) for seven years, beginning with management education seminars and then becoming involved with the accreditation program. She is a member of the National Association of Certified Valuators and Analysts, the Veterinary Hospital Managers Association, VetPartners, and the VetPartners Valuation Council.  

Ms. Mamalis is an author and frequent speaker on practice value, profitability, and owner transition. She is an original columnist in Today’s Veterinary Business. Leslie has extensive experience helping veterinarians and managers understand financial reports so they can use that information to increase practice profitability and value. 

Uncharted Veterinary Podcast · UVP – 236 – A Case For (and Against) Saturdays

You can also listen to the episode on Apple Podcasts, Spotify, Google Podcasts, Amazon Music or wherever you get your podcasts.

Submit your questions here: unchartedvet.com/mailbag


Episode Resources

Summit Veterinary Advisors – https://summitveterinaryadvisors.com/

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

Dr. Andy Roark Charming the Angry Client Team Training Course: https://drandyroark.com/charming-the-angry-client/

Dr. Andy Roark Swag: drandyroark.com/shop

All Links: linktr.ee/DrAndyRoark


Episode Transcript

Dr. Andy Roark:
Welcome, everybody to the Uncharted Veterinary Podcast. I'm your host, Dr. Andy Roark. I actually, I made this podcast, guys, the one you're listening to right now with my friend, Leslie Mamalis, and I was going to put it out through my Cone of Shame Veterinary Podcast. It's a podcast I talk about what's going on in medicine and I tend to have guests on and do interviews, and I really liked this interview with Leslie a lot, and I was talking to Stephanie Goss about the case for and against Saturdays, and she said, “That's an Uncharted podcast, Andy.
These are the types of management decisions that we work on and weighing the pros and cons and looking into how to make decisions about when we're open and what we do with our hours, I think that's a great Uncharted episode,” and so she really, she twisted my arm and so I'm going to put this out as an Uncharted podcast. Guys, I hope that you'll love it. It's a little bit shorter than our regular Uncharted podcast, but I think it's a really, really good one. Leslie's amazing. She is a senior consultant at Summit Veterinary Advisors, and I give her more of an introduction when we get into the episode. Guys, let's get into this.

Speaker 2:
And now, the Uncharted Podcast.

Dr. Andy Roark:
Welcome to the podcast, Leslie Mamalis. How are you?

Leslie Mamalis:
I'm doing great, Andy. Thank you so much for having me.

Dr. Andy Roark:
It's my pleasure. So I was checking and confirming your title before you came on, and it is Queen of the Universe.

Leslie Mamalis:
It is, yes.

Dr. Andy Roark:
Okay, good. Boy, I got to tell you, the quality of guests I'm getting on this podcast just keeps going up. It's amazing.

Leslie Mamalis:
You're moving up in the world.

Dr. Andy Roark:
Really pulling them in. As a queen of the universe, Leslie Mamalis, you are also, when just have free time, you are senior consultant at Summit Veterinary Advisors.

Leslie Mamalis:
That's right. That's right. Summit just celebrated 25 years too so it's tradition.

Dr. Andy Roark:
You and I have known each other for a long time. We've been on the speaking circuit together doing practice management stuff and things like that. You write a column that I really enjoy in Today's Veterinary Business. I like to read your stuff on practice and practice management, and you had a column not long ago, that was The Case for and Against Saturdays, and I enjoyed it. I think that there's a lot of value in coming with a balance of saying, well, sometimes this makes sense and sometimes it doesn't.
I think a lot of people have really felt shoehorned into Saturdays. I think the pandemic was a really interesting shakeup time when people started to really question, wait a second, what are we doing and how much do we have to do and what do people really want, and so I wanted just to go through the exercise with you of evaluating the case for and against Saturdays if you're a small animal medical practice. Is that okay?

Leslie Mamalis:
Absolutely. Absolutely. And just as you're saying, there's been pretty significant social changes over the past few years that are making veterinarians reconsider Saturdays and office hours in general.

Dr. Andy Roark:
Well, talk to me about that. Let's just start at a high level. Why are we having this conversation? What are the social changes you're referring to?

Leslie Mamalis:
Well, for forever, veterinary practices were open six days a week or five full days, plus Saturday mornings at least, sometimes later, and that has been the expectation for eons because you needed to be available for clients who needed to come in on Saturdays because they were working. Well, with the pandemic, oh my gosh, things changed so much because for one thing, some practices weren't open at all for a period of time and then there had to be so much caution taken with segregating staff, making sure that the employees were safe and healthy so that you could continue to have the practice open, and Saturdays just were not feasible. It was so hard to staff Monday through Friday, and frankly, clients weren't going anywhere. There weren't going into the office frequently, kids weren't at school, there weren't after school activities.
Social life really got very quiet for a long time, and so veterinary practices who closed on Saturdays because of the pandemic now have come out of that and wondered, should we reopen, and honestly, during the pandemic, I think a lot of people got back to what really matters in their life and they enjoyed having a little slower pace, and Saturdays became family time or personal time and not time to run around doing errands or working, and the value that comes from having two consecutive days off is tremendous. If you have just one day off a week or you have one day off and not the following day, you're spending that day doing errands, doing chores. You're not getting any time to relax and refresh. By having two days in a row though, you can accomplish all of those must-dos and also have time for yourself and your family.

Dr. Andy Roark:
Do you see a labor shortage in veterinary medicine and do you think that contributes to the idea to either not do Saturdays or to continue, or to either drop Saturdays or to continue not doing Saturdays? So I don't want to make too many assumptions. When you're shorthanded, I feel like people look for reasons. One is how do we make it go with the staff that we have, but then I also, I can go from there into recruiting people and is that a perk that people like is not having to work on Saturdays, and so is that hooey? Is that made up, or do you think that's real?

Leslie Mamalis:
I think it's real. I think maybe we're taking it a little farther than reality truly suggests, but is there a labor shortage? I think there's a labor shortage in almost every industry right now, and it's not that there aren't enough people. It's that people don't want to work as much as they used to because they're not seeing the value. The money isn't as important for whatever reason, and that's true even now that so many of the government incentives and extended unemployment, et cetera, those benefits have ended, but we're not seeing a rush of people back to, especially some of the less skilled jobs.
And I'm not seeing that there are many unskilled jobs in veterinary medicine, but if you look at fast food or retail, something like that where you don't have to undergo a lot of training in order to do work, there's still not a rush to go back to those jobs. So I also believe that it can be a shortage of people who want to work for what you're paying, and that certainly has changed somewhat in veterinary medicine because practices have had to pay more to keep people, and honestly, high time. It's time that veterinary medicine wasn't the underpaid profession, especially for veterinary nurses, for receptionists, for veterinary assistance. People should be able to make… I'm sorry, I'm really going off on a tangent here.

Dr. Andy Roark:
No, no, go ahead. I love it.

Leslie Mamalis:
So people need to be able to work at a veterinary practice and support themselves and their families. So it was important and a very necessary change that wages have increased. They needed to, absolutely, because I'm tired of seeing good people leave the profession because they can make more money doing something else.

Dr. Andy Roark:
Sure. I think all that makes sense. Let's go with this a little bit and let's just say that I am the owner of a three doctor practice and I have increased wages for my staff, so I've got a bigger payroll than I've had before, you know what I mean? I'm able to retain people the way that I've wanted to, and the staff has brought me this idea that maybe we don't need to be open on Saturdays, and so maybe my kids are young and then I would like to have two consecutive days off as much as anybody.
Walk me through how you would advise me here. So Leslie, I brought you in and I say, “I'm looking at this. I don't really know where to start. It's a scary thing. I know that Saturday is my busiest day. I know that people show up. The idea of not being here is scary, and at the same time, I would really like to not be here and people are telling me, ‘oh, don't worry. The clients will come on other days,' and I don't know if that's true. I've got at least a couple of people who have told me they're not coming if I'm not open on Saturdays.” How do you walk me through a decision making process?

Leslie Mamalis:
Absolutely. Absolutely. So we need to start from where are you located because if you're in Denver like I am, it's a different decision than if you're in Lander, Wyoming where I grew up and it's about 10,000 people and there are two veterinary practices. So if closing on Saturday is not going to impact your clients or your community in a negative way such that it outweighs the benefit that your practice will get, then that's one decision, and I'll talk a little bit more about that. So if you're in a metropolitan area and there are emergency clinics that are open on weekends, open during the evening, it's less of an issue for you to close your practice on Saturdays.
So yes, there are absolutely clients who need to come in on Saturday, whether it's because they just prefer to come in on Saturday or they cannot get in because they cannot get time off work or they've got little kids at home, or there's some reason why they can't come in. So there are so many things that go into a decision related to closing on Saturdays. So certainly, there's the doctors and staff at your practice, there's your clients and what their needs are, and then there's the community needs, and we need to consider all of those together.

Speaker 4:
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We don't want you to sit silently in front of your screen. We want you to be engaged and interacting for the one to two hours that you're meeting with our speakers to have the chance to ask your questions, to talk to your peers, and interact with other rockstar veterinary professionals because that's what you are, and we want to see you there. So head on over to unchartedvet.com/events to sign up for this workshop and check out what's coming because we've got a bunch of stuff coming up in the future that you don't want to miss, and now, back to the podcast.

Leslie Mamalis:
Saturdays so often are a pain in the butt to schedule, not for the clients, but for the staff. Doctors don't want to work Saturdays, staff don't want to work Saturdays, and too often, the Saturday shifts end up with people calling out for whatever reason, and so the people who are left working, they're overburdened, and after a while, that becomes to feel really unfair. The other thing is if for those clients who have Saturday appointments, if they're coming into a practice that's now understaffed, their experience is not going to be nearly as positive as it might be during the week, and Saturdays can absolutely become crazy.
Some Saturdays are nice and everything works really well, and staff show up, clients are on time, nobody has an issue, but those Saturdays are so few and far between. It's much more likely that Saturdays are going to be crazy. There's going to be a mob scene because you're going to have clients who have to come in today, can't possibly wait until Monday, refuse to go to the emergency clinic for whatever reason. Perhaps it's because it's really not an emergency. So often, the stress level in the practice goes up, the quality of client communication and client care goes down.
Patient care, I'm going to hope is always good. May not be absolutely what you wanted it to be, but it's always good care. It's the client that gets the raw end of that deal, either through needing to wait much longer than they expected for their appointment or they're not getting the attention they expected, they're not getting the full explanation maybe from the receptionist, et cetera. So that can be difficult. For staff, I never minded working Saturdays when I knew that I was going to go in and come out and at the time I expected, but I would work my shift and go home.
So often, that doesn't work though because you've got to stay late to finish appointments, deal with that emergency or transfer the case to the emergency clinic. You've got to clean like crazy and you're there for two or three hours later than you expected to be. Once in a while, that comes with the territory of working in veterinary medicine. Once in a while, that's not a big deal. Every time, that becomes a big deal and so you start getting dissatisfaction and disgruntlement with staff. People start resenting working on Saturdays and which makes it even harder to schedule them.

Dr. Andy Roark:
Okay, this is not the argument I thought you were going to make, which is interesting. I think all this makes sense and I have 100%, I was lamenting recently, I was working in the clinic on a Saturday and we were really busy and I had some people who went up to the front desk and they were like, “Is Dr. Roark always so rushed? We didn't feel like we got to ask him these questions,” and they had a pet with allergies and they had transferred from another vet, and it was just interesting in that I was doing my best to try to keep up with the flow of patients coming in and I didn't have time to sit down and do the whole allergy talk with them.
And so I tried to specifically answer their questions and then I was onto the next room, and it bothered me because I thought their critique was valid. I really did, and at the same time, I don't know what I would do differently because I had other sick patients and so I was really pinched, and it was one of those ones where I rolled around and I go, I see their criticism. I see its validity. I don't know what I would do differently if I was back in that position, and that always bothers me as systemically, it feels broken, and so it's interesting to me that you say, well, all these things happen.
And I see them all, you're exactly right, the staying in the afternoon, the people calling out, and then we're shorthanded and we're still dealing with this, the dump truckload of stress, but they're all tied around this being a really popular day, and so I have a hard time teasing those two things apart. If I was this practice owner, I'm looking at you and saying, wow, but these are all problems of popularity and people wanting the service. Are there things that you can do to help assuage my fears that the biggest day of the year, if I just stop doing it, that all that revenue's going to go away? How do you help people not grab onto that idea and just cling to it?

Leslie Mamalis:
Sure, and that can be difficult. So my recommendation would be start by closing every other Saturday. If you're really worried about losing a lot of revenue because you're not open on Saturdays, start by closing every other Saturday and look at other times during the week when you may be able to expand hours. So could you stay open until 7:00 or 8:00 one night a week? Could you open a little bit earlier? Could you do more to encourage people to use drop-off appointments? Are there other ways that you can move cases during the week, but allow your clients to still have the flexibility of dropping that pet off and not needing to take time off of work or to still get their kids to school on time?
So certainly, looking for other places during the week where perhaps you could expand hours. Many of the practices we work with work half days on Wednesdays. Could you open Wednesday afternoons, and again, just adding even if you stayed open until 6:00 or 7:00, assuming that you… I'm surprised by the number of clients I work with that are open 9:00 to 5:00. I kind of wonder, when would I take my pet then, but if you're open 9:00 to 6:00, could you stay open until 7:00 twice a week and just stagger employees. If you're not doing telemedicine, so many practices had an immediate turn to telemedicine during the pandemic and a lot of them have stopped.
It's like, why, because if you can do telemedicine, now I don't have to worry about juggling my three cranky cats and trying to get them into the practice during the week right after work, right before work. So finding ways to use telemedicine, finding ways to use more technician appointments, finding ways to just expand the ability of the practice to serve clients with existing staff and also in existing office hours. Now some people are going to leave, absolutely, and unfortunately, a couple of those people are going to be people that really surprise you. They're the ones that you've really enjoyed working with, but for whatever reason, they just can't fit into your hours. That's okay. We have to let it be okay for clients to choose to go somewhere else and not take it as a crushing blow to our egos.

Dr. Andy Roark:
Easier said than done.

Leslie Mamalis:
Absolutely. Absolutely.

Dr. Andy Roark:
But yes, you're right, but oh boy, that hurts.

Leslie Mamalis:
It does.

Dr. Andy Roark:
Oh, man.

Leslie Mamalis:
It absolutely does, but if you can have a calmer environment, happier staff who are more engaging with clients, it will be easier to replace the clients that you lost by not being open on Saturdays. So by starting to just taper Saturday hours so that you're open every other week instead of every week. Gosh, look back to what people were doing prior to easy access to emergency care. Veterinary practices, you rotated. It's like you got together with a group of your colleagues and everybody picked a weekend and you were on call that weekend and it worked. So sometimes it's okay to go back to what worked long before you were a veterinarian, just because if people really need access on Saturdays, they can still get that care.

Dr. Andy Roark:
I think this really speaks to a fundamental philosophic shift that I think a lot of people have gone through, and I think you put your finger on the very beginning of going back to the pandemic and people spending some time at home and starting to think about what they wanted their lives to be like and things like that. I always thought in my thirties especially, I was pretty darn convinced that bigger was better. You wanted to have more doctors, you wanted to be open more days, more hours, see more patients.
And that's what success was, was this escalation of service capabilities and service providing to the public and that was where the success path went, and I remember I was running strategic planning for this veterinary practice owner and I was talking to her about where she saw herself in 10 years, and I was like, “What's your big plan? Where does this look in 10 years,” and she said, “Andy, I have a three vet practice and I love it, and I don't want any more vets and I don't want any more clients. I want to do what I'm doing now and I would like that to be simpler. I would like it to be easier for me to do what I'm doing now,” and that absolutely broke my brain at the time.

Leslie Mamalis:
Absolutely, absolutely. Because we've all been taught that bigger is better and if you're not moving, if you're not growing, you're in trouble, right?

Dr. Andy Roark:
Yeah, exactly. And this is a conscious movement away from that. This is consolidation to say, no, we're going to see a little bit less. We're going to ratchet this down. We're going to have more time away from the business, and I really do think that's a very modern idea and I think it's probably a really healthy one. Leslie, thanks so much for being here and thanks for talking through this with me. I really appreciate your time. Where can people find you online? Where can they read more of your stuff? Where can they learn more?

Leslie Mamalis:
Sure. Summitveterinaryadvisors.com is our website. We're on Facebook and the Insta, and you can find my articles on Today's Veterinary Business. I write the Money Matters column.

Dr. Andy Roark:
Excellent. Well, guys, thanks so much for tuning in. Leslie, thanks so much for being here. Take care of yourselves, everybody. And that's it, guys. That's the episode. That's what I got for you guys. I hope you enjoyed Leslie. Again, I really appreciate her. She's wonderful to work with. She's so insightful and so, gang, anyway, Stephanie Goss and I will be back for you next week doing our regular thing. Can't wait to talk to you then. All right. Take care of yourselves. Be well. Bye.

Written by Dustin Bays · Categorized: Blog, Podcast · Tagged: closing, culture, Practice ownership

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