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Vet Tech

Nov 29 2023

There’s Something In The Water – EVERYONE is Pregnant!

This week on the Uncharted Podcast, Dr Andy Roark and practice management super geek, Stephanie Goss, tackle another awesome submission to the Uncharted Podcast mailbag. This week's email comes from a practice owner who has babies everywhere at their practice! They have experienced maternity leave before on the team but that was one person at a time. They are currently juggling 4 people on a small team of less than 15 who are out on leave or going out on leave in the next few months. Plus they have a couple team members who have shared with the team their current desire to become pregnant. This practice owner loves babies and is also wondering how in the heck to survive when 1/3 of the team is out on leave at once?! Given that more of the team is likely going to take leave over the coming months and years, this practice owner is trying to figure out a plan for right now AND think about future planning. They asked some wonderful questions of Andy and Stephanie about how to prepare. Let's get into this…

Uncharted Veterinary Podcast · UVP – 258 – Help- Am I Witnessing A Mutiny?

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

Do you have something that you would love Andy and Stephanie to roleplay on the podcast – a situation where you would love some examples of what someone else would say and how they would say it? If so, send us a message through the mailbag! We want to hear your challenges and would love to feature your scenario on the podcast.

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.
This week on the podcast, Andy and I are in the mailbag, because there is something in the water. That's right. We've got an email from a practice owner who is swimming in babies at their practice and they have a handful of questions about what to do when it seems like everyone is pregnant at the same time. Let's get into this.

Speaker 2:
And now, the Uncharted Podcast!

Andy Roark:
And we are back. It's me, Dr. Andy Roark, and the one and only Stephanie “there's something in the water” Goss.
There's something in the water.

Stephanie Goss:
Please sing for us today.

Andy Roark:
I don't like the flavor. I don't like the taste.
I'm a man of two worlds, Stephanie Goss. I walk in two worlds. Yeah, oh, yeah, because I walk in the world of teenage girls.
I am up on teenage girls and what teenage girls are doing, because my youngest, my youngest, is about to turn 13. I picked her friend up to take them both to dance class and it was the friend's birthday and she was turning 13, and they've been friends forever, and I was just driving and I was like, “My youngest daughter's best friend is 13, and she's going to be 13 in the blink of an eye.” Meanwhile, my older daughter is almost 16 and she is talking about getting a car, and I am blown away. That's the two worlds.
The first world is, I know about the music that teenage girls listen to and what they watch and what they're into. Very up. I have purchased tickets to the Taylor Swift movie. I've done these things. I'm aware. At the same time, I'm also old. I am walking in the world of an old man. I was recently caught not paying attention on a Zoom meeting because I was watching my bird feeder. And so, I'm watching birds and listening to Rod Stewart, and I am one phone call away from taking up pickleball. That's where I am.

Stephanie Goss:
Stop it. If you take up pickleball, you can move here. This is where it was invented. You know that, right?

Andy Roark:
I had no idea.

Stephanie Goss:
Where I live is where pickleball was created, invented, whatever, made up as a sport. It's real big here. All the old people, every day, rain or shine.

Andy Roark:
My dad plays it. I could play with him. I can play with him.

Stephanie Goss:
Oh, that's funny.

Andy Roark:
Yeah, he would trash talk me and without wearing his hearing aids, so I couldn't trash talk back. I don't think I want any part of that. But yeah, I'm a man of two worlds, Goss. That's where I am.

Stephanie Goss:
Yeah, I feel that. I feel that. It goes by really fast, while you go from kids' toys to teenage crap in the blink of an eye.

Andy Roark:
Oh, man. Well, it doesn't. It does or it doesn't! Because I had this thought, too, I was like, “Man, it's been a blink of an eye and now my kids are teenagers,” and someone said to me, “Would you ever consider having another child?” And I'm like, oh hell no. Absolutely not. No. What? I'm so past that part of my life.
And again, no shade, but I'm like, I have a friend who's in his fifties and he is in his second marriage and they decided to have a baby. So, he's like 53 and he's got a baby and I'm like, “I would not wish that on an enemy.”
I say that, I walk that back. Obviously, people who are excited about having kids, it is a wonderful joy and it's important to them, but I just, I… Oh boy, the idea of starting over. Oh, man, it's a lot of work. It's a lot of work. It makes me tired just thinking about it.

Stephanie Goss:
Yes, I feel that, and I agree. I think it's wonderful if that's something that you want. And at the same time, I think when you have gone through the infancies and the toddlers and you get away from that and you get to the stage where we are now where they're going out with their friends and they can do things, they can let themselves into the house and they can cook themselves dinner, and they have all of this autonomy, and your life changes in a big way again, and you start to have more… I've started reading again, because I actually have free time. There's not someone climbing on me and asking me to do things 24/7.

Andy Roark:
That's just me. Just me.

Stephanie Goss:
Just you. The asking me to do things, not climbing on me.

Andy Roark:
Exactly. Yeah, you're far too far away for me to climb on you. I would demand piggybacks if you were local. I would, “Goss, come and pick me up. I'm tired of walking.”

Stephanie Goss:
No, I did… My kids, it's so funny, because we have been working on kitten-proofing the house, because we got a new kitten. It was time for Pepper Potts to have a sibling, and that's how I am satisfying my desire to have another baby, is, “Let's get a kitten.”

Andy Roark:
I think that's great. I think that's a great way to satisfy that itch. Just scratch that itch with kitten claws.

Stephanie Goss:
Let's not have a human. Let's scratch it with kitten claws. So we've been kitten proofing the house and going through a bunch of stuff and purging, and the kids discovered the baby carriers that I had from when they were little, and my daughter is my oldest and she's 14, but she is very small and she still fits in the damn thing.

Andy Roark:
Oh, you put her in your BabyBjörn? You stab it in your, shove her in your chest and walk around with her? That's hilarious.

Stephanie Goss:
She got it. She got in on my back and I could still walk around the house with her on my back, and it was like, “Oh yeah, I don't want to go back to this though.” It was that moment of, “I remember.”

Andy Roark:
If Tyler Grogan wasn't so tall, I think she could ride around in… I could just transport Tyler in the BabyBjörn, and then I would have marketing support whenever I needed it.

Stephanie Goss:
Oh, my gosh.

Andy Roark:
But she's tall, she has long legs. I don't think it would work, but so close.

Stephanie Goss:
I think she might even be taller than you.

Andy Roark:
I think so, too. I think so, too. I think I should wear a BabyBjörn and let Tyler carry me.
Okay.

Stephanie Goss:
This is off the rails.

Andy Roark:
Yeah, I feel like we're a long way from management advice at this point.

Stephanie Goss:
Speaking of baby carriers, we got a great email in the mailbag from a practice owner who is, there's babies everywhere at their hospital.

Andy Roark:
Just all over the place. Contagious.

Stephanie Goss:
There's something in the water.

Andy Roark:
Something in the water.

Stephanie Goss:
Because it feels like they are going through a season at their hospital and they have people on maternity leave, they've got some people on the team right now who are pregnant, and they've got some team members who are actively trying to have kids. And so, they are like, “Okay, this is a thing. It has happened and now is happening.”
When you have one person on the team, you just kind of figure it out, and this is the season where they're just like, “It's happening with everybody. And so I have some questions about how to plan for this,” and there's some really great questions having to do with, “How do I staff for this? How do I plan for it? How do I support them?” And things like that.
I just thought that this was so great. It's something that is so, so common in a female dominated field, and so I thought this would be a fun one to go through and answer some of the questions that they were asking, because they signed it, “An almost empty nester that is surrounded by young mamas.”

Andy Roark:
Yes.

Stephanie Goss:
Just loved it.

Andy Roark:
I feel you. Yeah, I feel this so much. I love it. First of all, I just want to start by validating the scenery. It does feel like often that pregnancies come in waves. I hope it's not offensive to say, I don't mean it to be, I don't know why it would be, but just in my experience, not always, but we have all… If you've been around vet medicine for very long, you have been around a hospital at least where a lot of people are pregnant together in a short period of time. And it's just kind of a joke, I don't mean anything by it, other than to say the idea that people would not reproduce on a convenience schedule for the business, it should not be… That should not be a novel thought to you. That should not be shocking, if and when it happens. It's going to blow some people's minds. Owners and managers, you would think that you could ask them to space these things out. You can't. They do not, people do not move these things around the calendar for work. They don't.
So, anyway, that's it.
Anyway, you got to have good perspective. Let's start with headspace on this. I do think, when we're sort of laughing about it… And again, let me just say starting off, I love when people who want to have children have children. I think that that's wonderful for them. I remember being a young person and wanting so desperately to have kids, and then having that in my life, and it was this wonderful time. I also remember I was in vet school and I was in my fourth year of vet school when my adult oldest daughter was born, Jacqueline. I was doing rotations, and it was kind of this crapshoot, because we knew what the due date was, but it doesn't really mean anything, and we were I think about 10 days late from the due date, which was good because I think I was in equine internal medicine or large animal internal medicine.
And sort of the reputation was that if you had some life thing that happened when you were on that rotation, nobody cared. They did not care. They were not going to help you out. So, I had a limited amount of control over my schedule, but that's where I was. And I was like, “Oh man, this is a big deal, and what is this going to be like? Am I going to miss this? What am I going to do if this becomes an issue?” I imagined me getting the call from my wife and the professor being like, “No, you're here.” And I'm like, “No! This could be bad.”

Stephanie Goss:
Take a bathroom break and just not come back.

Andy Roark:
But that didn't happen. And I ended up in small animal dermatology with five young female clinicians and they were like, “Get the hell out of here. Don't come back. You get a B plus, just go.” And I'm like, “All right, I'm out.”

Stephanie Goss:
That's so great.

Andy Roark:
I wrote notes to the clinicians just being like, “Hey.” it was like two years later I wrote to them. I was like, “Hey, I just want you guys know, I still remember this. It was important to me.” And it was wonderful.
So anyway, I remember that experience around that time, and you want to have everything to go right, and it's stressful, but…
People are going to have babies and you can be happy about it and supportive of it and deal with it or you can be a villain about it and not supportive of it and they will remember you being a jerk for the rest of their lives and they will tell people about it and it will be what they think of when they think of you and you're still going to have to deal with it. And so, these are your two options.
The first part of headspace is you should get into a good headspace, because you have no power here. You have no power, you have no control. You might as well be kind and supportive and excited for people, because you're going to deal with it no matter what. Just be a good person about it.

Stephanie Goss:
Well, and I think if we roll that back even further, the reality is, we don't have any control over life. I think it's a lot easier in kind of an ironic way to feel frustrated or irritated because you think about the pregnancy thing and it's really easy to think, even though you were joking, the thoughts of, “Couldn't we have scheduled this better? Did this really have to happen during summer? You know how busy summer in the vet hospital is?”
The reality is, how is this any different than someone having a death in their family or getting ill or some other life thing? The reality is, none of us can control life, and we do work in a female dominated field at this point. And so, I think your point is, the healthiest headspace that we can get into is to shift the mindset to acceptance, that we are in a female dominated field and that means there's going to be relationships.
And whether it's female or male, someone's gender doesn't really matter, the reality is we employ a lot of younger people as well, and so that means life events. It means weddings, it means babies, it means dating. It means all of these things that are things that people cannot control the timing over as much as we might want them to. So I think you're spot on, and I love that idea of let's just get into a zen headspace of there are going to be things that you cannot control as an owner of a practice or as a manager and a leader, and this is one of them, and your life will be better if you can just wrap your brain around that and accept it.

Andy Roark:
Well, and again, I think then… Now we're going to start to get into some real talk and things here might get a little bit dicey. I'm going to try not to blow my face off with this.
Whenever I hear people talk about maternity leave and paternity leave and stuff like that, there's a tendency to just put this rosy face on it and just say, “Oh my gosh, this is great. This is all great.” I want to inject some nuance here. And so I just said you should be kind about it. You should be happy about it.
At the same time, you and I deal in reality here. I do want to give some validation to… First of all, I think these are great questions. I love the fact that we've got somebody who's looking ahead and going, “Okay, I want to be supportive of this. I want to be a good employer. How do I get this stuff done?” Because that is the thing. I saw a story one time where this company, and I can't remember what company it was, but just getting dragged through the coals, because their CEO had said that maternity leave was inconvenient. He'd used the word inconvenient in talking about maternity leave. People got really upset, and I don't buy… I think that that is a picture of our society not being able to handle nuance at all.
If things fall into the category of being either convenient or inconvenient and we're talking about for the business, then yes, maternity leave is inconvenient. Maternity leave is not convenient. I mean, it's inconvenient, but so is people getting sick, and so is people finding other jobs, and so is people getting married and moving away, and all sorts of things that are bigger and have life implications that could theoretically possibly be much better for that individual. It's still inconvenient for the job or for the business, but that doesn't mean people should be mean about it or that they should not be happy that it's happening. You can be inconvenienced by something and still be happy to deal with it.
I still think that that is true, and I think that for everybody to come together and look at this eyes wide open in a productive way, we have to be able to hold this idea in our head that something can be inconvenient or challenging for the business and also something that people should not feel bad about and that we should actually celebrate.

Stephanie Goss:
Yes.

Andy Roark:
So anyway, you have to be able to hold that nuance in your head, and I think if you can't, if you're losing your mind, this is going to be a hard episode for you.

Stephanie Goss:
Well, I mean, I think that as a society we struggle with the idea that two things can be true at the same time that are opposite of each other, and this is one of them. The truth presents itself in almost every single time I have had a team member come to me, and thinking about myself, too. Coming to your employer and letting them know that you're pregnant, it has almost always started with, “I know this is not great timing, but, dot-dot-dot, I'm pregnant.”

Andy Roark:
As soon as somebody says, “I know this is not great timing.” I'm like, “Oh, are you pregnant? Is that where this is going?”

Stephanie Goss:
And as a boss, as a manager, I remember how, like you remember how your clinicians made you feel, and-

Andy Roark:
Absolutely.

Stephanie Goss:
… I remember how previous employers made me feel. Even the ones who were excited for me, I remember that feeling like it was my fault. And when you're happy, especially if you are… I went through significant challenges with infertility, and when you're struggling to get pregnant, feeling like you're someone's inconvenience the first thing when you're so excited and this is the happiest thing that you have experienced, that sticks with you. And that feels like crap. And so, for me, from a headspace perspective, I think it's something that I'm super passionate about. Because, when I became a leader, one of the things that I really was intentional about was trying to create a safe space that was happy.
And it wasn't just babies. It needed to be all the life events, so whether someone was getting married, or they got into grad school and they were telling me that they were leaving, or whatever it was, I think that it is within our control to choose to look at it from a positive space, because yes, it is inconvenient and yes, there's always challenge associated with it, and the results that come from choosing to be positive and put on a positive face for your team are just so, so incredible.
I can't tell you how many times I would, the first words out of my mouth, I would, “Congratulations, I'm super happy for you, and don't worry about it. That's my job.” Because I want them to know, “I don't want you to apologize.” This is not something to apologize for. You are living your best life and I want that for you. That's from a headspace perspective. Part of it is recognizing that we employ humans, and humans are going to have life events, and so we should want them to live their best life. I mean really, if we're about culture, and that's what you and I are about, that is an intentional choice that you can make as an employer, is those two things can be true at the exact same time.
You can inwardly, inwardly is the key, be thinking, “Oh my God, I have no idea how I'm going to deal with this.” And outwardly, you need to choose the person, choose the human, because it makes all the difference in the world.

Andy Roark:
Well, this is why I said nuance is so important, because let's just pause for a second here. I love the way you set this up, but it's like… Everything you said, I completely agree with. And also, I just want to try to step away unemotionally for a second and honor the difficulty of what we just said, which is to have someone deliver you news that they're super excited about and you say to them, “I am happy for you and congratulations to you,” and at the same time, you are going to have these fears of, “How are we going to do this? And what am I going to do with all the support staff who now don't have a doctor?”
And I can just tell you, it is naive to say that, “Oh, good people don't have those thoughts.” Yes, they do. Yes they do.

Stephanie Goss:
Yes, absolutely.

Andy Roark:
The fortitude, the emotional fortitude, is required. It really is.
My wife, when we had our second child, her employer was not good. They weren't like… Her direct boss was a jerk, an absolute jerk, and if I ever want to just want to make my wife angry, I'll be like, “Hey, remember-“

Stephanie Goss:
“Remember that guy?”

Andy Roark:
“… your boss, Sam, when we had our second kid?” And she'd get mad real fast because she remembers it, and they were a jerk. You do not want to have that impression on people, and ultimately, the boss being a jerk, it made no difference in what we ended up doing. We're going to take care of our family, we're going to do our thing. And so, that person did not gain anything, but boy, they lost a lot of trust. That was, and I think my wife would say, that was probably the driving reason when she was like, “I'm ready to be somewhere else.” And it was. So, anyway, but I just… As a podcast for people in leadership and management who are often the ones receiving the information, I just want you to know, yes, this is hard.
I've said this many times, I think that running a practice is simple. That does not mean it's easy. It's simple to say, when someone tells you that they're going to go out on maternity leave or they're excited about their pregnancy, it's simple to say you should celebrate with them. It is difficult to, in that moment, take that information, not think about yourself, not think about your practice, just think about them and be there for them emotionally while putting your sudden, “Oh my God, my world just shift that under my feet,” putting that on the back burner until you can process it. But, that's what separates strong leaders from weak leaders. That's what separates people who have great emotional intelligence and emotional control from people who don't.
What's funny is, nobody's going to pat you on the back and say, “Hey, I suspect the moment that you got that news, it was probably scary for a second, but you didn't show it. Congratulations.” But if you've done it for long, you know. I have left encounters and said, “You know what? I'm really proud of myself. I really sat with that person in the moment and genuinely was happy for them and I'm still happy for them, and now I'm going to start to think about the logistics and how this affects what I'm doing. But I did not show that to them. I was there for them, and I'm just going to pat myself on the back.”
I don't know. Tell me that I'm wrong.

Stephanie Goss:
You're not. You're not.

Andy Roark:
Maybe I am the jerk and everyone else is sitting in the lotus position, “Silly Andy, struggling to not-“

Stephanie Goss:
No. I will a thousand percent validate you and say, poor Andy, we had not been working together very long; it was probably five months before our big conference, it was back when we were only doing one conference a year, and we had our April conference coming up, and I very unexpectedly found out that I was pregnant. I remember calling you, and I remember as soon as I found out, when you find out your due date, the first thing that goes through your head is, “Oh my God, this is two weeks after the conference. What am I going to do?” And I remember calling you and I was just like, I had all of these nerves and I was so anxious. The first words out of my mouth were, “Don't worry, I can still come to April,”

Andy Roark:
“Don't worry. I'll be there!”

Stephanie Goss:
That's what I told you! I was like… And I will validate you, because I can imagine the panic that you were feeling at that point of, “This is person who was speaking,” you're coordinating all the speakers, you're doing all of these things. And the first things… I think the first thing that you said to me was, “Shut up.” And I think the second thing that-

Andy Roark:
“Shut up, are you serious?”

Stephanie Goss:
I think the second thing that you said-

Andy Roark:
No, I did not. I did not.

Stephanie Goss:
… Was, “I am happy for you,” and we talked through it, but I do want to validate you, because it is really, really hard. I can only… That panic, I've been there, when the team member tells you, “Oh, I'm going to go out on maternity leave right when someone is taking an extended vacation,” or… It never fails. It happens at the worst and most inconvenient time. That was how I felt. And you were very calm about it, and inwardly, I was like, “Are you panicking? You can panic.”

Andy Roark:
Oh, I was living in a box. I was living in a box in the forest when everything fell apart.

Stephanie Goss:
You could panic now.

Andy Roark:
And the whole thing was disaster, and our company went out of business. I was mentally living in a box in the forest, but I was like, “Hey, where are you registered?”

Stephanie Goss:
But I think that it is, it's one of those things that, as a leader, you're right. It's one of those thankless jobs. Nobody is ever going to… I shouldn't say nobody. It would be a rare person who would acknowledge you for your calmness. I did have a technician say, “You know, you were really calm and I really appreciated that, because I really thought that you were going to lose your mind when I told you.” But very rarely is somebody going to acknowledge that, but you can make the difference for someone and you can create that safety.
I will tell you, that makes all of the difference in the world, because I had a radically different experience with you as my boss as I did with my owners at the practice. And so, I think that it's really important to remember this is hard. It is hard. It's never going to get easier, but it is a thing that you're going to have to deal with for sure.

Andy Roark:
It's funny, there's all these things that happen when people say, “Hey, I'm pregnant. I'm going to go to maternity, or I'm going to be out on maternity,” or whatever.
It's funny how many people immediately go to, “Well, why did you choose this time?” And it's funny, it's like, I get it. Again, I think that's a panic response. It's a panic response. But to me, it's hilarious. It's like they signed up for a class. It's not the same thing. It's not like, “Hey, it looked like a good spot in the calendar, so I thought I would just make a human right here. August is a good time to make a person. I'll just…” Again, but it's about trying to give grace and empathize to the people who are receiving this. And again, anyway, okay, so I'm going to push this really hard here in headspace, because here it goes.
Okay, your people are going to reproduce. They are, and it's going to happen. You are going to deal with it one way or another. The way that you show up, you have complete control on how you show up. Doesn't mean it's easy. It doesn't mean… It requires strength, emotional strength and fortitude, to say, “I'm going to put this news and what it means to me away and just be here and present for this person and I'll figure this stuff out later on.” And it is much harder to say than it is to do. You do have control about how you show up for that person. No matter what, this will pass. It will. You will get through it. The business will figure it out.
And you have the potential here, so I'm going to get a little bit romantic here, but I do think this is important for headspace and philosophy, you have the potential to be the boss who shows up for someone when they're having a child. You have the ability to be the good story about, “I was working for this practice when I did this and I went through it and they were there for me.” We tell our people all the time that we care about them. We tell them that we want to be happy. I'm not saying this is corporate policy, but I want to be a part of the lives of the people who work for me in a good way. I want to have a positive impact on their life. It's not just about seeing pets, it's not just about putting on conferences. I want the people to work for me to be positively experienced in their life by their time with me and with our company. I do.
This is my chance to do it. It's my chance to put my money where my mouth is and say, “I told you that I wanted you to be happy, and I cared about you as a person, and I do.” And so, this is where I step up and I freaking figure it out. I'm not going to let you shoulder that stress. I am not going to do it.
And for me, it's a core values thing. It's a philosophy thing. It's a being-the-light-you-want-to-see-in-the-world thing. And again, but I wanted to start by honoring the emotional experience of the people when you receive this news, it's not convenient. It shakes you. But, the two things that you should think are, “This too shall pass. We will figure it out. And now, I get to be the person that I would want to have, that I would want to work for.” And then you can make that happen.
You may not receive praise for it.
We have a mutual friend, Dr. Bruce Frankie and I love him, but he's told me stories before of working with people, and he's such a generous, giving person. He is a boss that I aspire to be. I want to be like Bruce. I try. He's someone I look up to him.

Stephanie Goss:
When we grow up, we would like to be like Bruce.

Andy Roark:
I want to grow up to be like Bruce, that's what I want, because he's a wonderful person, and he has told stories of having veterinarian… He told me a story one time about letting a doctor go. They had a significant disagreement, and 10 years later, they came back and they were like, “Hey, you really treated me very fairly and I just didn't understand that at the time, and I'm sorry.” And I'm like, oh man.
I love that story, because there are people out there who see what you do for them. There are people out there who get it. Maybe it takes 10 years before they acknowledge it or see it, maybe they never do. A lot of people probably do, but they're shy or they don't know what to say about it or whatever, but you have to put that aside and say, “I don't know this person will ever. They may never say thank you, but I don't care, because I'm not doing it for them to say thank you. I'm doing it because of who I am as a person and who I want to be as a person. This is my chance to prove it, to step up and to do the thing.” So anyway, I think that, from a headspace standpoint, to me, that's the best advice that I have. So anyway, yeah.

Stephanie Goss:
I think the last thing for me from a headspace perspective is recognizing that your first instinct for most of us as leaders is going to grasp for any sense of control that we can. That usually means our brain's running a million miles a minute trying to get answers to all of these questions. I think that it's really important from a headspace perspective to realize that no matter what it is, whether someone's pregnant, they're getting married, they're dealing with illness, this is where it gets murky, and you cannot go at them asking them to have a crystal ball and have all these answers for you.
They might have some, especially if somebody is getting married, they might be able to tell you when they're going to take their honeymoon and how long they want to be gone for, but they may have no idea. They may have just gotten engaged and they're telling you because they're excited.
Our first instinct is to go into control mode and want to ask all these questions and have all these answers. I think it's really important to remember that this is where it gets murky and there is no control from here on out. We can ask the questions and we can support them in trying to give the answers, and recognizing that we can't… Again, we have to control our emotions, because it does far more damage if we get angry or frustrated or show that to the team versus creating a space where it's okay to not have all the answers.

Andy Roark:
Exactly.

Stephanie Goss:
And letting them know that you're still here, you're still supporting them. And so, I think I'm recognizing that. It's going to get murky, and they may not have all the answers, and it's not fair to ask them to crystal ball it. I think is really important.

Andy Roark:
I think it's super important. Let me hit on this just real quick, too, because you're exactly right.
The truth is, okay, I guess headspace here, one last, maybe this is action steps. I think in this case, you have to let go of control. And that's really hard for people. But the truth is, there is no clarity. It doesn't matter. And again, I have known people, young parents, who are like, “Here's the schedule.” And I'm like, “Ha,” from your lips to God's ear, that's the schedule.

Stephanie Goss:
Yes.

Andy Roark:
You just don't know. I mean, we had an easy baby and we had a not easy baby who had thrush and did not sleep at all, and I was a different person in those times, but you just don't know. Then you've got… I mean, who knows what's going to happen? You could have a preemie that requires extra care.
You cannot know.
I understand people, desperately, they want control, they want to plan, they want to make adjustments. And again, this goes into, it's real simple. You don't have that control. You're going to have to wait and see how this goes. You just are. And, even emotionally, you don't know how parents are going to feel. I see a lot of people are like, “Oh well, when are you going to come back? Are you going to be right back? Are you not going to be right back?” And I think a lot of people are like, “I don't know what… I have no idea what this is going to be.”
And so anyway, I know that that's hard to hear, but it really is just true, and a lot of times, you are pushing for clarity that does not exist. If you push too hard, you're just going to end up with resentment, or you're going to end up getting people to commit to things they can't deliver on, and then they feel bad and you feel bad and everybody's angry and it's like, none of this was ever in your control anyway. You were kidding yourself.

Stephanie Goss:
It's so great. I think that's a great segue into the action steps, because that was actually one of the questions that our writer asked us, was, and they asked it from such a great perspective, because they said, “How do you deal with it when somebody says they're going to come back, but then they want to come back part-time or minimally or not at all?” And they framed it with, “I know that that happens. I recognize that that happens, and how do I handle it? Because I want to support them, but also, that's really inconvenient.”
So I think you're spot on with that in terms of, again, it's one of those things we can't control.

Andy Roark:
Yeah. Well, these are such excellent questions. They've got four questions here. I think we should just take a break, and then we should come back, and I think we should answer their questions rather than laying out general maternity policy.
Except maybe for one caveat. I'm going to lay down one ground rule at the very beginning, and then… all right, let's take a break.

Stephanie Goss:
Did you know that we offer workshops for our Uncharted members and for our non-members? If you're listening to today's podcast and you are not a member of Uncharted yet, you should be. But, this is not a conversation about joining Uncharted. This is a conversation about all of the amazing content that we have coming at all of you.
Whether or not you're a member through our workshop series, you should head over to the website at unchartedvet.com/events and check out what is coming. We have got an amazing lineup on the regular. We've got something every month, sometimes two or three things in a month, coming at you to expand your brain, to talk about leadership, to talk about practice management, and dive into the kind of topics that Andy and I talk about on the podcast every week.
So, now's your chance. Stop what you're doing, pick up your cell phone, I know it's not far from you, and type in unchartedvet.com/events. See what's coming and sign up. They are always free to our Uncharted members and they have a small fee attached to them if you are not currently a member. You can get all of the details, pricing, dates, times, and register. Head over to the website now. I want to see you there.

Andy Roark:
All right, so I want to do these questions, but I just want to say, real quick, upfront, the right time to create a maternity policy is not when someone tells you that they're pregnant. That's a terrible time to create policy.
You don't want to be creating policy when someone has just given you this news. It looks bad, it feels bad. People take it personally, it's just not good.

Stephanie Goss:
There will be crying.

Andy Roark:
Yeah. And you're like, “I don't know, let's make this rule.” It's bad. So, if you don't have this problem and you don't have a maternity policy, get one now. You get your employment lawyer, figure out what's legal in your state, what are the norms, try to come out. And I think this is important, too. When people make policy staring down a problem that makes them afraid, they have a tendency to make a not fair policy to their employees. They end up making policies that are unpopular because they are driven by fear and not a wide-eyed idea of what's happening.
Anyway, my advice is figure out what your policy is going to be when you're not in it so that you can be unemotional and you can really think about it, and then do your research to make sure that you are following your state regulations and that you are proud of the policy that you have.
That's my one caveat here before we start answering questions.

Stephanie Goss:
Look at you, stealing my thunder about making sure that you're checking the boxes legally. I'm super proud of you.

Andy Roark:
No, well, I mean, thank you. Thank you very much. It was a, “What would Goss do,” moment. I was like, “What would Goss do? Oh, she would…” And then she would put it in her handbook. She would come up with a policy and she would put it in her handbook. WWGD.

Stephanie Goss:
Okay, so question number one was, “We are a smaller team, so we have a lean staff. We don't have extra hands.” So they were asking, “We are going to have to hire if we have multiple people who are going to be out at the same time, right? That's a reality.”
And I think I would say, absolutely, because this is where you and I get into… The team can work shorthanded for a day, a week. When we're talking about pregnancy and maternity leave, for all of the reasons you mentioned, because you have no control and you don't know what's going to happen, you can have a person who comes in and tells you that I was so excited and so happy and I was like, “No, I'm going to work. I want to keep working, and I love my job,” and blah, blah, blah.
I had hyperemesis with all of my pregnancies and I was put on bedrest within the first four weeks after I found out that I was pregnant with my oldest. And so, I was on bedrest until my last trimester. That was not something that I thought was going to happen or could control. So, I think it's really important to recognize you don't know what's going to happen. We're talking about at least nine… Well, if you're finding out right at the beginning, nine months plus maternity leave, which is another couple of weeks to months depending on people's desires and needs, and so this is not a, “We can manage it for a couple of weeks,” especially if you have multiple people and multiple timing. You have to look at this like a longer term process.

Andy Roark:
So I would say, I think you're right. It depends. It depends.
Again, I'm maybe be a bit more wary about hiring people than you are, but that's just kind of how we are. As a person who has to pay people when we hire them, I'm like, “No, I don't know. Let's slow down here for a second. Let's slow down everywhere.” So it depends. It depends right on, is this one person that we're talking about or is this really a series of people that we're going, “Okay, we're going to be in this. This is going to be an extended thing,” then I would move quicker. The other thing is, I think you and I also agree with this, and a lot of it is in the details, but you and I also agree that generally best practices is we don't like to be staffed perfectly.

Stephanie Goss:
Correct.

Andy Roark:
You want to have extra capacity, because people are always going to get sick. Something's going to happen, they're not going to show up. If you are like, “Bam, we are perfectly staffed,” I'd be like, “You are understaffed most likely,” because something is going to happen.
And so, I think if we've got staffing… And again, we are where we are, it's no shame, but ideally, we'd like to just live with a little bit of extra capacity so if somebody's out, it's not the end of the world. If you've got one person going out and you're staffed a little bit above capacity, then what I would say is, “All right, great. We've got a little bit of wiggle room here.” My first step I think would be to kind of audit our workflows and kind of be like, “All right, what are we doing here? Are there things that we could do differently? Are there services that we could alter? Are there things that we could take away? Could we, I don't know, tone down our boarding for a little bit and maybe not run at full capacity boarding and pull people over?”
I don't know. Just think… I would try to think outside the box.

Stephanie Goss:
Absolutely. Are there internal solutions?

Andy Roark:
Exactly. Are there internal solutions, things like that. Kind of process that. It's not wrong to ask the team. It's not wrong to go to them and be like, “Hey, we're looking at this. This is where we're going. I don't want you guys to be short staffed.”

Stephanie Goss:
“Gut check. How do you guys feel?”

Andy Roark:
“Gut check. How do you guys feel?” And again, a lot of people, it depends on your team, it depends on your relationship, the trust that you have, how big your staff is. But I'm telling you, if you can have those conversations with your team and just say, “Gut check. What are you guys feeling? I'm not committing anything, but I want to know where your heads are.” And they're like, “We're dying. We're overwhelmed.” You say, “Okay, great. I can count on you guys to help me hire, correct?”
And then I'm going to start saying, “If you have a friend, let's do some referral hiring. Let's start to look at those things.” I can recruit them into helping me bring someone in. I can recruit them into onboarding. I can try to leverage my team, because they had a voice in this process.
And if they go, “Nope, we don't want anybody,” and I think that we really need somebody, I may still hire and still move forward, but at least I've explored where their heads are. All of these things, they might impact my thinking, and so those are kind of things.
I don't know that it's a, “Heck yes, you've got to hire,” I think you should run a quick audit, see where you are with your workload, see where you are as far as, “Can we flex over?” Maybe do a gut check with the team and say, “Hey, you guys, are you on board with this?” And then, I really do think getting your team involved, that's a great way to hire, is to have people who say, “I have a friend who could come in. They're looking for a job. I think they would be really good.” And it's funny how you can get the buy-in from the team and they can help you recruit and they can help you fill that spot. I think that's how I would play it.

Stephanie Goss:
Yes, and I would agree with you. I think it's smart to look internally and see what you can shift. In this case, this owner did a great job of going through the audit, and they have half their team who is pregnant or is trying to get pregnant. So in that case, yes, absolutely hire someone else. This is not going to be a short-term fix.
Which leads to their next question, which is a great one, which is, “Okay, what do we do with the new team members when everybody comes back?” I think this is where remembering the last bit of headspace, this is the crystal ball land, and it's murky, and who knows. So, if everything goes perfectly according to plan and everybody comes back when they say that they are, then you might have to face the fact that you are a little bit overstaffed. And what I would say, and their concern was, “When we have extra people, that's when we maybe get a little less efficient and there's a little bit more hanging out and standing around.” I totally get that as an owner and as a leader. I get that concern. And, I think it's really, really important to remember life happens.
This is where I go back to my answer for number one, which is I have almost never been able to say that I was truly overstaffed, because something always happens. Someone decides to go to tech school. Someone decides to get married. Someone wants to take a four-week vacation to ride their bike from San Diego to Florida. Whatever it is, it happens. And so, I am a big advocate for hiring smart.
I think, “Do you need to replace every single person on your team who's going on maternity leave?” Probably not. But, “Do you need to get some extra staff to help get you through the season?” Absolutely.
And I think the answer to number two falls in finding that balance, that sweet spot between being able to absorb it and grow when they come back, if they come back.

Andy Roark:
I completely agree. Yeah. I didn't think to clarify that. Yeah, I would not one-for-one replace.
“People are going out on maternity. Well, then let's hire someone continuously to replace that.” No. “How many people do we need, knowing that we've got this ebb and flow, knowing that we're going to get spread thin?”
You are not going to be comfortable. You are going to be uncomfortable. That's okay. A lot of life is being uncomfortable. Get used to it. That's it.
What I would say is, look ahead, see how much… What are we talking? If you're talking about, “This is going to be a hard two months, let's hire somebody.” I'm like, I don't know, I'd suck it up for two months. I'm assuming things aren't really bad. But if you're talking about, “We've got this, it's going to be the better part of a year,” I would say hire someone. And then they say, “Okay, but then when everything is back, what do I do?” And I would say, “The world will be different. It will be different.”

Stephanie Goss:
Cross that bridge when you get to it.

Andy Roark:
Exactly right. You have no idea what you're going to be looking at. I would not worry too much about this. Yeah, I would not worry too much about this.
The worst case is, you're going to carry this person for a year and then you're going to say, “Hey, we are overstaffed. We're going to need to move you to another position or find another seat in the bus, or we're not going to be able to… We're going to have to downsize.”
But I can't remember the last time that happened. Something always happens. Somebody moves away, they just leave. I mean, something always happens. Don't sweat too much about a year from now, nine months from now, “What am I going to do?” I was like, “The world will be a different place in nine months. You're going to have to get there and then see what you're looking at.” I agree with you completely.

Stephanie Goss:
Yes.
So, their third question was the question about, “How do you prepare when somebody says, ‘I'm going to come back full time,' and then they change their mind?” Whether they only want to come back part time or they are not going to come back at all. And so, their question was about, “What are some of the signs that might be the case?” And I think the hard answer is there are none. You don't know.

Andy Roark:
Yeah. You don't know.

Stephanie Goss:
And here's why, because as a human who went through this, and I was sure that this was my plan, I was like, “Nope.”
When I had my first, I was all in and I was like, “I want to stay home. I want to experience it.”
And let me tell you, by the third week after I had my daughter, I was literally going to Target every other day just to have adult conversation with the person at the checkout stand. I was miserable as a stay-at-home mom. “I love my kids, but I need people. I need conversation. And I miss working.” So, I was sure, and I had told them. And my boss was so excited when I called and said, “Hey, can I go back sooner than planned?”
And most of the time, for us as leaders, unfortunately, it's the other way around, where someone says, “I'm going to come back,” And then they change their mind and they want to stay at home more. I think the thing to remember is that there are no signs. The best thing that you can do to survive this is have great communication. The way that I set it up with my team is I just say, “You're not going to know.” And I tell my team, “Thank you for telling me that you want to come back full time, and I am not going to hold you to that, because you're not going to know until you get to that bridge. So, keep communicating with me. We'll keep the doors open. We'll set up some regular touch bases. I want to see how you're doing, how the baby's doing, and we'll plan when we get closer to that point.”
Because, especially if you just found out you're pregnant, you're not going to know what is going to happen after the baby gets here. They have no idea. I approach it from the perspective of, “Let's keep the lines of communication open, set up some regular checkpoints. You're not asking them to work while they're on maternity leave, but let me know how you're doing.” It could be a text, it could be an email, and just keep the communication ongoing, and as leader, that's something you have to stay on top of. Because it's really easy to just be like, “Oh yeah, they told me they were coming back,” and then it's a week before they're going to come back and now you're getting the email that's like, “Oh, I've changed my mind.” And that's when we go into panic mode.

Andy Roark:
Yeah, I agree with this. The thing that this feels like to me is the question that we get a lot about investing into people in training and then having them leave. It's like, “What do you do if you invest into people and then they leave?” And you and I talked about this before.
I've got an article I really like. It's called Fare Thee Truly Well. It's something I'm proud of. I think it was inspired by Bruce Francke, who we were talking about, and sort of conversations I had with… If I remember correctly, it's at least a year old. But the basic idea is people say, “Well, I invest in these people and then they leave,” and my thought is, when we grow people, when we develop people, when we work with people, we should do what we're going to do for them because we want to do it, not because of some idea we have about what they're going to do for us in the future.
I see that as a root of a lot of pain and resentment and unhappiness, is they're like, “Well, I did this, but I thought she was going to stay for another year.” And I'm like, “You don't know. And she doesn't know. You should do it because you want to do it and that's what you wanted to do and you want to be that type of a boss or you want to provide this experience, or don't do it.” But don't do it with hidden strings attached about what they're going to do or how they're going to behave in the future. That's not fair, and it just never works, and so just do it when you want to do it.
If you buy into that, and the same thing is true here, where I go, “We provided this experience, we provided this environment, because I want you to be here and I want you to be happy, not because I want you to pledge to come back or behave in a certain way after you got from maternity.” I don't think you're can ask people that, and you shouldn't take it personally if they decide to be gone. It's a choice the individual person makes.
My wife was the exact same boat as you. She geared way down on work for the first year of our first child. And she was like, “I got to get out of here. I got to get out of here.” And that was it. But people are different. And so, I think part of it's just, again, it's that… I think we're sounding like a broken record in a way. You don't have this control. I think the best piece of advice I can give is, one, to say you don't know. You're not going to know. Don't drive yourself crazy trying to read the tea leaves or guess what someone is thinking.
I would take it back to dating advice, relationship advice. And it's funny, a lot of times we end up talking about dating, it's because relationships are relationships. The number one way to get someone to want to be with you is not to follow them around and ask them, “Do you want to be with me? Are you still going to be with me? Are you going to be with me in the future? What do I need to do to make sure that you're still with me?” It's not, it's to be freaking awesome. It's to be awesome. It's to be good to be around. It's to care about them, to do your own thing, take care of, handle your own business, and just be a generally good person to be around. If you do that, I think that's your best chance of getting someone to say, “I want to continue to be around you.”
And that's just the same thing, but you still can't, you cannot take this as, “Oh man, Andy said I should be awesome and I clearly wasn't awesome enough because this mother or this father decides he wants to stay home with his kid more than he thought he would.”
That's not about you, my friend. That's about them. All you can do is what you can do, and then you have to go on with the cards that you were dealt. It's the same thing as we said in the question before. It's like, you can't know. You're going to have to get there and see what it is when you get there.
I've got this idea. I think I'm going to write it up, because I've been thinking about it a lot. Let me bounce this off of you and see what you think.
Okay, so I was taught and grew up with this mentality that a problem was a puzzle that I could attack and solve, right? That's what it is.

Stephanie Goss:
Okay. Sure.

Andy Roark:
As I have gotten older and I have seen more of the world, I believe that some problems can be attacked and solved as puzzles and others have to be dissolved. Meaning, they have to sit. They have to sit and you have to sit with them. And over time, oftentimes, these puzzles will start to come apart and you will get some insight into how to approach them. And then one day, the problem will just come apart in your hands and you'll go, “Oh, that's… Why didn't I think of that a year ago?”
And the truth is, because you didn't have the clarity a year ago. It was not a puzzle you could solve a year ago. You had to dissolve this one. And a lot of the questions about what do we do, if and when they come back, those are problems that have to be dissolved, which means you're just going to have to sit with them. And that's not failure. I think a lot of people are like, “How do I solve this puzzle? I can't solve this puzzle. I'm failing.” And I'm like, “You're not failing. That's just a puzzle that can't be solved. It has to be to dissolved.”

Stephanie Goss:
Well, yeah, I think there's something to that, for sure, and I think that this is a great example of one of those ones where time… And it sucks that that's the answer, but you got to sit with it because who knows what's going to happen? You can't read the tea leaves.
I think the last question was, which is a great one, which is, “How do we prepare for all of the extra sick days and last minute call-outs that inevitably come from team members who have small young children?” I think it's a great question, and see the answer to number one, which was, “We need to hire more staff.” And this is another reason exactly why. Because, it's not just the pregnancy. It is the maternity leave afterwards, and then it is, as a parent, like you, who went, “I had horrible infants.”
Again, I love my children with all my heart. They were horrible infants. They both had some health challenges, and they both had severe ear infections, and I was out constantly. As much as I wanted to be at work, in order to support me being at work, they had to go to daycare. What happens when they go to daycare? They become petri dishes.
The good news was, and I vividly remember it, and I just was so appreciative of our pediatrician who said to me, “Stephanie, this is a season.” And he was just like, the really important thing, he's like, “I want you to just hold this in your head. When they get to grade school, they will never miss school being sick, because you're getting it all out of the way now.” I in the moment could not hold that, but then when they got to school and all of their friends were constantly getting sick and they never got sick and they still never get sick, I was like, “Hell yeah. He was totally right.”
And it is true, but it's a season. I think, as an employer, recognizing that. You focus on the pregnancy and you're like, “Oh, this is nine months, we can get through this and then everything's going to go back to normal.” Everything doesn't go back to normal. Life happens.

Andy Roark:
I think it's funny. It's funny, you went back to question one. I'm going back to question two, which is, “What do we do with this person that we hire when everybody's back?”
And then question four is, everybody's going to be sick all the time.

Stephanie Goss:
Yeah, that's what I mean.

Andy Roark:
Good thing. Good thing we staffed. Good thing we ticked up our staffing a little bit, because we're going to tank this. That's my answer there is, you're right. It's interesting to anticipate these things. Who knows if that's going to happen or not. You have to wait and see.
But, it is very possible that a year from now you'll be like, “Oh man, everybody's back and we should be overstaffed, but life is happening because we have these little people at home, and we're not overstaffed.” And you know what? You're going to have to get there and assess it.
But that's basically the idea, is try to be intentional about your capacity, your efficiency, and then think about your staffing. And again, I would staff on the heavier side and just say, “We have to be overstaffed sometimes so that we can handle the other days.”
Otherwise, your option is, “We are staffed perfectly when everybody's here and then we're miserable all the other times.” And as the all other times, meaning the times that we are not fully staffed, as that number clips up, you're going to be miserable more and more. So anyway, it's got to be that sort of staffing. You're just not going to be able to… You might be able to run a really tight ship, a really lean staffing, when everybody is 20-something and no one has kids at home, when they're not pregnant, and bam. But at some point, things change.
I'll tell you, if you had a staff full of septuagenarians, you would have to staff heavy too, because they've got… They're going to have-

Stephanie Goss:
Doctor's appointments.

Andy Roark:
They're have doctor's appointments, and it's just phases of life.

Stephanie Goss:
Appointments to look at all the money in their retirement account because they're counting down the days.

Andy Roark:
Financial planning appointments. Just, people calling out because they just can't get out of bed.
I'm not trying to be anti-septuagenarian, just… You know what, let's just be done.

Stephanie Goss:
We started it off the rails. We're ending it off the rails. It's good. It's good.

Andy Roark:
And that's why-

Stephanie Goss:
We're done.

Andy Roark:
… We don't have whole practices staffed by people in their seventies and eighties.

Stephanie Goss:
Or in their early ages where they're all going to have babies at the same time.

Andy Roark:
Or when they're toddlers and they all have ear infections. We don't staff toddlers.
Okay, that's it. We're done. That's it. Let's be out.

Stephanie Goss:
Have a great week, everybody.

Andy Roark:
See you, everybody.

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.
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 Maria Pirita · Categorized: Blog, Podcast · Tagged: communication, culture, management, Vet Tech

Nov 08 2023

Help: Am I Witnessing a Mutiny?

This week on the Uncharted Podcast, Dr. Andy Roark and practice management geek, Stephanie Goss, are in our mailbag to tackle a question from an associate vet who is struggling with a peer. Their fellow associate seems to be having a hard time. Let's get into this…

Uncharted Veterinary Podcast · UVP – 258 – Help- Am I Witnessing A Mutiny?

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

Do you have something that you would love Andy and Stephanie to role play on the podcast – a situation where you would love some examples of what someone else would say and how they would say it? If so, send us a message through the mailbag! We want to hear your challenges and would love to feature your scenario on the podcast.

Submit your questions here: unchartedvet.com/mailbag


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This workshop will give you tips and tricks on creating irresistible job offers for millennials and developing roles that will retain them in today's challenging recruitment landscape. Veterinarians are in high demand, but prepare to find out how accessible this market can be, no matter the size of your practice!

This workshop is free for our current Uncharted members and only $99 for the general public! Come join us.

Upcoming events: unchartedvet.com/upcoming-events/


Episode Transcript

Stephanie Goss:
Hey everybody. I am Stephanie Goss, and this is another episode of the Uncharted Podcast. We're back this week with another letter from the mailbag. This one comes to us from an associate veterinarian who is having some challenges with a fellow associate. Only they're not challenges that they themselves are having. They're challenges that they're observing within the rest of the team. There's a lot of change happening, and this doctor is advocating for even more change and getting frustrated when it's not happening and going above the manager's head. There's a lot of drama happening here, and Andy and I both looked at this letter and couldn't help but think, is this associate watching a potential mutiny happen? Let's get into it and find out.

Speaker:
And now the Uncharted Podcast.

Dr. Andy Roark:
And we are back. It's me, Dr. Andy Roark and the one and only Stephanie Yo Ho Ho, and a bottle of rum Goss. We've got a mutiny Goss. We've got a mutiny.

Stephanie Goss:
We've got a mutiny. We've got a mutiny. I don't like mutiny.

Dr. Andy Roark:
We got a good one in the mailbag today.

Stephanie Goss:
Okay.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
How's it going, Andy Roark?

Dr. Andy Roark:
How is it going? It's crazy. The college recruiter came to the high school and now Jacqueline's, like she thinks she's leaving tomorrow. So it's like you're 15, you're not out of here just yet. But she's serious. My oldest daughter is my wife's child for sure. And so she definitely wants to get this right. And so at first we had a lot of panic because my daughter goes to the Fine Arts Center, and so the colleges that came there rolled up hard with fine arts programs. Well, my wife teaches biology as a STEM professor, and so Jacqueline comes home and she's like, “Look at this place.” And Allison was like, “I've never heard of this school.”
It's because they only have theater. That's the only, it's a four-year college with just art stuff. And so of course, I think Allison and I both were taken aback a little bit by that. Oh. And so Allie freaked out, I think. Allison freaked out. She was like, “What do we do? She's going to go to the school I'd never heard of that just does art.” And again, maybe that's your jam, but for a veterinarian and a science professor-

Stephanie Goss:
She's a science teacher.

Dr. Andy Roark:
That's an unexpected pill to have to swallow all of a sudden. But the nice thing is I was like, I know Jacqueline. She's just like Allison. And so I introduced Jacqueline to the US News and World Reports. I was like, “Hey, Jacqueline, look, all of these colleges are ranked with lots of data.” And Jacqueline was just like, “Oh my God.” So now she has, I kid you not on her wall. She has a map of America and it has concentric circles around Greenville drawn based on driving time. She's like, these are within two hours. These are within four hours, these are within six hours.
And then she has pins and she put pins where the schools were, and then, I'm not kidding, got a piece of thread and goes from the pin to a post-it note on the side that has the school. And she's just making notes and it looks like she's solving a murder investigation, trying to figure out where she's going to go to college. But she's talking about, and her younger sister, Hannah, who's 12, is just really depressed because she's like, “Jacqueline's leaving.” I was like, “She's not leaving. Everybody calm down. She's not leaving… “-

Stephanie Goss:
Oh gosh.

Dr. Andy Roark:
“… Just yet”. Hannah's like, “Jacqueline's going.”

Stephanie Goss:
I was going to say she's gotten her driver's a permit. She's not even driving yet. She's planning her college-

Dr. Andy Roark:
She's not driving yet, yeah.

Stephanie Goss:
Yeah, she's planning her college escape. That sounds like my house too.

Dr. Andy Roark:
Yeah.

Stephanie Goss:
It's crazy how quickly the year goes by. I was thinking about it for Uncharted, but I was thinking about it because of at home, I was looking at the calendar and I'm like, Holy crap. My kids' birthdays in a week and that's in the fall, and there's all this fall activities and holiday conversations are starting, and whose families are we visiting this year? And I'm just like, wait a minute, where did this whole year go? It has just flown by. And then I started thinking about work and all the things that we have coming and looking at that calendar, it's like, man, it is just a steady march from here until the new year. There's a lot. There's a lot happening.

Dr. Andy Roark:
Yeah, it's going fast. Boy, September just disappeared. That was the fastest month I could remember in my life of just, and it's here and it's gone.

Stephanie Goss:
Yep. And now it's the halfway through through October.

Dr. Andy Roark:
We're halfway through October as we're recording this. Yeah, it's flying up. So we've got our practice leader Summit right around the corner and then on from there. Oh, man.

Stephanie Goss:
I know. I was just talking about that with Tyler Grogan on our team yesterday. I said, “Hey, you know what? The time is going to fly by between here and Greenville in December. And I cannot wait. It's going to be so much fun.”

Dr. Andy Roark:
We've got cool stuff. Tyler and I had been working on some neat program stuff for our practice owners and practice managers. It's going to be really cool.

Stephanie Goss:
Yeah, I'm excited. Well, hey, let's get into today's episode. So you said we have a mutiny on our hands.

Dr. Andy Roark:
We got a potential mutiny on our hands.

Stephanie Goss:
This one was really interesting to me because, so the email came to us from an associate veterinarian. And they work in a corporate practice. And so they're not the boss, they're not the leader in this situation. And so it'll be interesting to see how our conversation flows with this one, because I think there's questions that the writer is asking, but then also the bigger picture questions of the practice leadership here. So an associate vet who loves their practice and they were hoping for some input and advice from us on what to do about a fellow associate veterinarian.
So they have somebody that they have been working with and ever since they came on board, they've been advocating for big change in the practice and which is awesome because the practice was ready to change. But there are things that the practice manager and the medical director have not always been in agreement with the associate vet who's proposing the change on. So lots of things that they're bringing to the table that the leadership team is like, yeah, let's tackle that. Let's take it on. And then other things that they do not agree with for a variety of reasons. And so it sounds like from our writer's perspective that this doctor does not being told no. And so when they get no for things that they would like to see change, they are causing some drama and stirring the pots and causing what has tipped over to this place of moving beyond themselves and involving other team members and the paraprofessional staff, the technicians and the front desk trying to recruit them to their side of the argument and push the change through, it sounds like, on their own.
And so this associate vet was like, “Look, I love this practice. I care about the team on both sides of this. I care about the relationships that I have with the associate doctor that I work with, and I also care about the team. And I feel like this is starting to get really messy and toxic. And this practice manager and this medical director are working really, really hard to guide the practice through the season of change as we grow. And it feels like this doctor is undermining all of that, and I'm worried that this thing is about to blow wide open.” And so they were asking for help knowing what they could do to help support this situation where the practice leaders are getting routinely submarines by this associate doctor with the rest of the team.

Dr. Andy Roark:
Yeah. Did you mentioned it's a corporate practice?

Stephanie Goss:
Yeah.

Dr. Andy Roark:
I think that that's important in this case, because a lot of times it speaks to how much control leadership has about the requests that are being made. And you and I don't exactly know what the requests are that are being made, but I do think that's important. It's important flavor when we start talking about what we do here. All right, I am committed this time. This is the time when I'm not going to turn this into what managers should do. And I'm going to actually answer the question that was asked of us. I think a lot of people ask this question, they're like, “I'm not in a position of power, but I see this going on in my practice and what do I do about it?” And so I'm going to really try hard to not put on my leader, coacher hat and be like, this is what your medical director should do. Although now that I say that out loud, I'm like, well, I have thoughts on what that is, but I'm not going to do them.

Stephanie Goss:
See, this is why I said it was hard-

Dr. Andy Roark:
Real hard.

Stephanie Goss:
… Because I did the same thing. I sat down and I was like, okay, let's think. And I thought as we do, I was trying to divide my thoughts into head space and action, and I was thinking about the writer and I was like, what can the writer actually do in this situation? And I made my little list and then I was like, what could the hospital leaders do in this situation? And that list was far longer.

Dr. Andy Roark:
It's a much longer, more empowered list. Yeah, I agree.

Stephanie Goss:
And so I was really struggling and I was like, well, we'll see where Andy and I take this.

Dr. Andy Roark:
No, no. But I think this is good. I mean, I love the fact that this person's an associate vet and they're like, I've got this other associate vet. I think that's awesome because a lot of people, a lot of times, we're not somebody's boss and we've got a problem and we see something happening in our practice and we don't want it to go badly. And here's the other thing too. If you have to work at this practice and then you see a train wreck shaping up, don't think that's not going to affect you.

Stephanie Goss:
Right. Absolutely.

Dr. Andy Roark:
I mean, I just think that that's true is that we all got to swim around in this fishbowl, and if you come here and make it a sewer, I still got to live in it. And that's not, boy, that's a good metaphor, but that's not helpful. You know what I mean? Don't act like you're not affected by that. And I think the way I look at this, like a mailbag question on hard mode, because boy, you don't have a whole lot of tools. This is a limited tool engagement. I go, all right, we can get creative here. We can MacGyver this, we can duct tape a spoon to a lawnmower and just we can whip this pudding.

Stephanie Goss:
So many mixed metaphors here.

Dr. Andy Roark:
Yeah, no, I was MacGyvering something. Ultimately I came up with a lawnmower that has a spoon attached and basically it's an egg beater.

Stephanie Goss:
You're talking MacGyver and my brain is still back on when you started talking about the toxic sewer and swimming in it, my brain immediately as a child of the eighties was on Ninja Turtles. And I'm just picturing glowing, radioactive little-

Dr. Andy Roark:
We'll fix that mutated turtle.

Stephanie Goss:
… veterinarians and support stuff running around. All right.
Okay. Let's talk about head space.

Dr. Andy Roark:
All right, cool. So head space. So the first thing I got to say in head space, and I don't say this, it's limited value to say to people, I wish that you had done this in the past, or I hope you did this in the past. Sure. But I still think that I just got to give a quick shout out to good old relationship lever here. We talk about the ways you get people to do things. There's two levers you can pull. There's a relationship power and there's organizational power. Organizational power is I'm your boss, I have a leadership role, I have a formal position and I'm going to tell you what to do and you're going to have to do it or else you're going to have to deal with some sort of formal consequences. That lever sucks. It's just not a very useful lever for anybody, but it is a lever. I think a lot of people look at.
The other lever is the relationship lever, which is just, Hey, I like you and you like me and you believe that I have your best interest at hearts and I care about you as a person. And so if I need something, then you are going to at least listen to me and you would kind of like to help me out because you believe that if the roles are reversed, I would want to help you out. And that is hard to establish once things start to go off the rails. And so I just throw this out as my initial sort of point of order. This is why it's good to be friends with people you work with. Even if you don't need anything, if you have the same job, anything, it's just good to know people around you and to try to take care of them and to listen to them and to know so that at some point in the future if things start to shift, you can have the, I don't know, just the human, the capital, the political capital to kind of get heard.
And if you don't have a relationship with that person, then you don't have that capital. Then you're somebody who's kind of coming in and trying to talk to this person who doesn't really know or trusts you. So anyway, I just think that that's good rules to live by. I don't mean to take relationships and make them transactional, but there's a lot of reasons that we should be friends and we should try to know the people that we work with. And situations like this where you see somebody kind of starting to make things toxic, if you know that person and you have a good relationship with that person, it's a whole lot easier to try to talk to them and just, you might not be able to get them to change how they feel, but you can at least get them to hear what you're saying and maybe temper their actions. And a lot of times that is the difference between things being a rough patch and really becoming a toxic mutiny.

Stephanie Goss:
Yeah. Well I don't think we've talked about it on the podcast before multiple times now about being friends with people that you work with. And when you say you don't mean for it to be transactional, I hear that because I know that we've talked about you don't have to be friends with the people and at the same time, nobody goes into veterinary medicine because they don't have a heart and they're not caring. And so we are working in a field of people who do care about what they're doing and the people that they choose to do it with every day and work side by side with. And so we're not just widgets. I mean our field is not a field where we're working in cubicles and we're just a number in the big giant sphere. And so I think that that's really important here because even if you're not friends with the people that you work with, you have relationships with them.
And your point about that being, it is really important here because you need to be able to look at them, especially when things get hard and look at them and say, I know this person as a human and therefore I know these things about them. I can tell myself this story in my head for good or for bad. So when you know someone and you work side by side with them and you have seen how, to your point, they have reacted to things in the past, you can choose to tell yourself a story about their intentions. And we talk about that a lot on the podcast.
And I think that this is where that becomes really, really important because when you have a relationship with that person, our writer for example is like, Look, I like this associate vet. I work with them. I think they practice good medicine. I'm telling, they didn't write all of this. I'm telling myself I'm hallucinating as if I'm them. I could look at them and say, I like this person. I think they practice good medicine. I like being on their team. I want this to go well for them and I care about the manager. I care about the team. Those conversations in your head or the shower conversations that you have with yourself when you're trying to sort this stuff out, those become much easier when you do have a relationship. And to your point, you're not starting from ground zero when things are already bad.

Dr. Andy Roark:
Yeah, I completely agree with that. So I think that that relationship hopefully that you already have in place, I think is key. We talk a lot about, so the metaphor I always use is you need to build the bridge before you need to walk on it. And that's just kind of how I feel about relationships with the people that we work with is people that you lead or just your colleagues. It's not about who someone is in their role in the organization. It's just if you want to be effective regardless of your role, it helps to have good relationships with the people around. And that's just pruning the garden. You know what I mean? It's just constant maintenance and watering that relationship and taking care of it. But that really, you just never know when that's going to come in handy. So I start with that.
The second thing for me with head space is, and I think this is kind of where you tend to go with these things as well. I think you as the associate vet, you kind of have to take stock on what you can control. And this is a general piece of advice I give to associate vets all the time because the number of people who get hung up on what should happen and what should be and who should do what or how we should run our practice, I see it all the time. And that is the path to ruin in a lot of ways. It is a recipe for frustration. It is a recipe for happiness. I think in order to be happy as an associate vet or as a technician or as a CSR, you have to be able to balance the desire to make things better around you with acceptance of how the world is and the things that you don't control.
I think a lot of us are struggling with that just in life in general. It feels like I got this idea right now that I'm playing a lot with, I think the world is too big, Stephanie. I don't think that our human brains were made to know what's going on across the entire world. I don't think that we were made to see literally a thousand people doing things as we flip through Instagram. I just don't think that we're wired to take in all that information and to see all of these people and to compare ourselves to all of these people. I think the world is too big and the amount of control that we have gotten while the world around us has gotten so big and we're now aware of this whole world, our control has not changed at all.
We are aware of so many more things and we have absolutely no control beyond what we used to have 50 years ago. We just don't, we still have the ability to affect relationships, to help the people who are right in front of us. We have the ability to decide how we talk to people. We have the ability to just figure out how we're going to spend our free time, but that's about it. We just don't have any more control. So anyway, I don't mean to take that tangent too far, but I think that that's true. And I really do think that that whole thing falls back into one of the thing it takes to be happy as an associate or as an employee basically is looking around and saying, I see all of these things now and I see social media and I see what people are saying and doing in their free time and like we didn't used to see that and we have no control over that stuff. And so I think a lot of it is what do you control? So the next part of head space for me, I think is just kind of running through what do we control here? And so when I'm looking at this, I think that our writer can control what she says to the other associate vet. She's a hundred percent has control in what she says there. She's got control over what she says to the staff and how she interacts with the staff. She's got control over what she can say to the management or how she wants to approach them. But that's about it in regards to this situation. I don't know, what control do you have? Well, you could talk to the vet, you could talk to the team, you can talk to the management, and I think those are your cards. You know what I mean? And the things that we don't have control over is how the associate perceives the practice or the management or the team or vet medicine in general. Of there are people-

Stephanie Goss:
Or what they do either.

Dr. Andy Roark:
Or what they do, you cannot control their behavior. You cannot control other people. But even the perception thing, I've seen this a bunch of times, is you'll work with somebody and they will just go, “God, can you believe how awful this place is?” And I'm like, “I am not having an awful time here. I've seen some other places and I got to tell you, every place has got bumps, right? Every path has got bottles. I don't perceive this as being a horrible place.” But I'm sure I'm not the only one who's heard people. They will talk in this horrible dark language about the abuse in their practice. And sometimes maybe that's true, and if it's true, I don't want to down play it, but there's other times when you can say, “What are you talking about? Where is this deep angry language coming from?” And again, maybe they're having experiences that I'm not having, but I think we've probably all seen people who just for whatever reason, they take a view that is much more severe than what we take.
You can't stop people from taking that view. You can talk to them, you can seek first to understand why they have that view. And I think that's good of investigating and saying, “You say this place is hell. I think you called it hell. Why do you feel like this is hell? What is the thing?” And I think that sort of questions can open up the conversation, “Wow, you're really upset about this thing. That really doesn't bother me. I've worked in other places where, what we have is wonderful. I haven't seen that.”
But anyway, but you can't control their perception. You cannot control what they do. You can't control how the staff decides to feel. If the staff is like, yeah, we're going to get fired up about this, and there's a staff of 15 or 20 and you're one associate vet, you can't tell them to not be fired up about it. Again, you can decide what you're going to say and how you're going to engage, but you just don't have that level of control. And this is the most frustrating part. You can't control what management decides to do. You can't control what they do with the staff. You can't control what they say to the staff. That doesn't mean you can't talk to them. You can decide how you're going to communicate. But again, all of this stuff, you're really kind of playing with your one arm tied behind your back just because you don't have that control.

Stephanie Goss:
Now, it's interesting because it is a frustrating position to be in, I think, to look at it and realize that there is not, if you were the associate in this scenario, there's not a whole lot within your control. And part of the conversation when I have had this conversation with peers in the past has been that's also, it's the blessing and the curse, right?

Dr. Andy Roark:
Yes.

Stephanie Goss:
Because the blessing is it's not your job.

Dr. Andy Roark:
No.

Stephanie Goss:
That responsibility does not sit on your shoulders. You are the employee who gets to come to work, do their job, do it well, and then go home at the end of the day. That doesn't sit on your shoulders the way it does. If you are in a leadership position, the trade-off to that is that you've given up that control over being able to potentially impact to direct the change. That doesn't mean that you can't impact the change as a member of the team, but you give up the control to direct the change when you're not in that leadership position. And so I think it's the blessing and the curse here because the writer is in that position where they're facing all of these perceptions, like you said, that probably from, I'm guessing from their email, make them feel the shoulds. They want to fix this. They feel like things should be different. They could be different. They're seeing it through that lens. And it's a very frustrating place to be in, to feel like you want things to be different and you don't have any control over directly managing them to be different.
I think from a head space perspective, I agree with you. Part of that for me is the conversation with myself over what can I control and making peace with the fact that what I can control is limited and I'm going to have to be okay with that because the trade-off is I've chosen to be the employee. It's maybe a long-term difference story with yourself. If you're looking at this and you're like, oh, okay, I don't want to be in this position again in the future and I would like to be in that leadership role. And then we move into the conversation about all of the options for what someone in a positional power position in this practice could do. But for the writer right now, I think part of it is just that acceptance of what you can control and knowing that the things that you can control are fairly limited.

Dr. Andy Roark:
Yeah, I didn't perceive the shoulds in this letter. I didn't. That's something I've seen again and again and again. Just whenever we hear from people who are seeing conflict in their practice, and it's how I felt, boy early in my career. And again, I tried to reign it in, but I chafed, especially the bigger hospitals that I worked in where there was a, I mean, again, you have to have strong rules in it. You have a lot of people your managing, and I understand that now in a way I didn't when I was young, but I had these ideas about how this should be or that should be. And it's funny, life is funny. I think life has a sense of humor. And so it puts you in a position where you have strong feelings about things and then over about 20 years it puts you into the opposite position where you are the one running the things and you get to say, that was so silly.
And then you'll see young veterinarians, fresh new grads come in with big ideas about how you should be. And I'm not saying you dismiss those people and you definitely don't want to. But at the same time, I hear some of these same ideas that they had when I'm now juggling this much bigger operation and I'm like, yeah, I remember being, I think we're probably raised that way. I think it's probably part of the human experience is that when you're in your twenties and your thirties, you see problems. You're like, I can take them down. And then when you're in your forties and you fifties, you're like, I've seen problems like this before. And I recognize the nuance here and what it means to turn a ship of this size and you can't know that until you do it. And so anyway, it's just one of the beauties of life, but it's never going to go away.
Now I want to pause here with head space, because you're exactly right. There's a dichotomous approach that people often take with these things, and you touched on both sides of it. And so a lot of people look at and they say, I've got two options. I can join the fight, I can pick a side and I can go to battle. Or I can, and I've said this to myself, this was actually a tool that I used for a while, which is, it's just a job.
I can just decide this is just a job and I'm just going to show up and the cards will kind of fall where they will and I'm just going to do my thing. And sometimes if you're someone who cares too much, you might have to choose the, it's just a job. And I have told people there's nothing wrong with that. And what I've generally found is, it's just a job is a mantra that can help me to accept things that are really bothering me. And just because you decide to say to yourself, it's just a job, that doesn't mean it always has to be just a job. That doesn't mean that you don't care about the clients that you serve and things like that, but it can be a mantra to help you accept things that are out of your control to say, it's just a job. I don't own this place. I'm not in charge. It's not my circus, it's not my monkeys. That can be a mantra you say to yourself to help resolve this.
I think that ultimately the best position to be in for head space, and the one where I'd really like our associate vet to be is in this beautiful place in between where you say, I'm going to show up and I'm going to accept what is, and I am going to be happy and I am going to put my thumb on the scale and try to exert some influence without joining this battle. So I do have some power to change people's perception of what's going on, and I don't have to do a dramatic speech to the staff, but through my words and actions over time, I can a hundred percent have a calming directional influence over this situation that's not taking sides or joining the battle.
And I think that my friends, that's really the enlightened position is, I can accept the people and what they're feeling and what they're trying to do, and I can see how this is going and I can recognize that I don't have a lot of power here, but I am going to set some boundaries for myself and I am going to try to be a good influence on this situation. And I might lean a little heavily into influence and see how it goes, and I might lean back a little bit and decide it's just a job and I'm just floating along. But I think that there is a balancing act right there where you can get that really makes you a Jedi, and also it makes you a wonderful asset to the practice. You can be this, I don't even know how to describe it, but you can be this calming, stabilizing force without joining the management. You can do that. And without joining the mutineers or the rioters, you don't have to not have an opinion.
That's the other part is that you can have an opinion and also be a force of stability and to sort of counsel people to talk through their issues, to not assume bad intent on the part of others and things like that.

Stephanie Goss:
Well, you can lead from within the team.

Dr. Andy Roark:
You can absolutely lead from within the team. But even then, I have seen people who are like, I'm going to lead even though I don't have power. And the truth is the team doesn't want to hear what you have to say. I think it's kind of like some things I've seen in parenting in my life where when I was a young parent, I thought, boy, when my kid has a struggle, I'm going to lean on them. I'm going to fix this, I'm going to intervene. And then only after the first week or so did I realize that you have no power. Look, these kids, you do not make them. They are who they're are, they came out 98% baked. You've got a little bit of power, a little bit of influence. It's mostly the environment you provide.
But it's kind of that thing of like Hannah is worried that Jacqueline is leaving and Hannah needs her time to process that. And I'm here for her and I'll talk to her and I'm going to keep talking to her because the conversation keeps coming up. But I can't sit Hannah down and give her a motivational speech and make her accept that this is not happening right away, but at some point your sister will leave. It's going to have to be a continued process of supporting and kind of guiding and being there for me when she wants to talk to me. And again, I don't mean to take relationships that work back down to talking to children, but that relationship and that support is the same. So anyway, I think that you can be, again, to be enlightened. The enlightened doctor is to be able to look at the situation without getting upset about what should be or what shouldn't be, but just to accept what is and to take care of yourself and to have influence that you can have that's good and positive.
So the very last part of head space for me is just as you're thinking about this and you say, what do I do here? And we'll get into action steps, but the old golden rule continues to be a great guide is just if you were management, what would you want? And if you were the team, what would you want? And if you were this other associate veterinarian who's probably struggling, who seems to be upset, who seems to not be happy, what would you want? And I think just giving some thought like that of if it was me in these other roles, how would I like someone to approach me? What would be beneficial to me? I know that sounds simplistic, but a lot of times that really is the best place to get your head when we start to talk about action steps.

Stephanie Goss:
For sure. I can agree with that. Do you want to take a break here and then come back and talk about some action steps that this associate can use?

Dr. Andy Roark:
Let's do it.

Stephanie Goss:
Hey friends, I just wanted to talk for a quick second about the maths with you all because I've been thinking a lot about the workshops. And normally here's where we tell you what's coming up and we've got some great stuff happening. So you're going to want to head to unchartedvet.com/events and check out the upcoming calendar. But I want to talk about maths because if you are not already an Uncharted member, you can attend any one of our workshops and pay $99 a piece. Most of them are just $99. You can do it as a one-off great and fine. However, that adds up really quick. And if you do the monthly workshop with us, and I've seen some of you there as repeat customers, which is amazing, but you could spend almost $1,200 over the course of the year doing workshops with us.
Or you could pay $699 and get a 12-month membership, which means you get all of the workshops that we do at no extra charge. You also get access to our amazing conversation in the community, our community members and all of our community resources. And it is hopping over there. We've got conversation 24/7, we have got activities, we've got book club. We're writing our handbooks together in Handbook Helper Group. This year we are talking about development and leadership growth, doing our development pathway. This year we are doing hallway conversations where we're talking about topics. These are sessions that are community led, community driven, it's topics about things that are going on in your practice that you want to talk about with your peers. All of that is happening and it's all included for your $699 membership.
So simple maths, do you pay almost 1200 for the year or do you pay 699? If you're not currently a member, you should head over to the website and use this argument to convince your boss, “Hey boss, I need to be a part of this amazing community because Stephanie told me so. And because she's telling you that you will save money.” Hopefully that works, but I couldn't resist. I hope to see you at our upcoming workshops. Again, unchartedvet.com/events for everything that's coming. And now back to the podcast.
So I think you and I both landed in the same place in different ways, which is we have to look at what does the writer actually have in their control in the situation? And recognizing that doesn't really necessarily feel like a lot. And there are some things I think that they do control. And so I think from an action step perspective, for me that would be where I would start, which is what is actually in my control? And if I was the writer, I think that there's a couple of things that I could be in control of. And I think we kind of talked about them a little bit when we were setting up the head space, but one of them is what I can say and who I can say it to. And so I think it's worth talking about how do we potentially have a conversation with the other associate vet? How do we have a conversation with the manager, with the team, et cetera. But the things that I say, the other is how we're acting. We talked about that a little bit as well.
And so I think thinking about what do I control when it comes to my actions. And then that kind of leading from within the team, what do I control when it comes to how I show up, how I act, how I'm leading from within the team, and then also how I can show up for the people that are involved in different ways. And so I think that those things are going to look different for each of the people involved. But I think if I was this writer, the way that my brain works, I would sit down and not dissimilarly probably to how Jacqueline drew her circles on the map. I would sit down for myself and say, okay, what are the things that I can control and actually do when it comes to my relationship with the associate vet?
And I would start there and then work my way out in those concentric circles like Jacqueline's map, which is the associate vet, the manager, the medical director, the team as a whole. And then potentially because this is a corporate practice structure, the field leaders that are involved in supporting the practice as well, it sounds like there's been some engagement and some interaction with them as well. So I think they become a circle there, but that's kind of how my brain would approach it.

Dr. Andy Roark:
Yeah, I'm the same way. I think as the associate vet, you got three conversations that you can have. And when I say conversation, I think this is important. I think when you have non-positional power, sometimes the best approach is not to have a meeting. It's not just sit someone down and have a conversation. It can be, sometimes you have to look for your openings because you're not the boss of these people and they didn't want to hear you lecture. And as soon as you start to call them in and sit them down, they're going to get defensive. They're not going to like this. It is going to make the dynamic feel weird. They're immediately going to peg you as being on the other team. And so I think one of the things to really do this well is you have to have a little bit of patience.
You have to kind of know what you want to say and have thought through it. And then you have to sort of look for the opportunities to engage in a way that feels organic and not forced. And I think that that's important. I think that that's an interesting trick. Now, when your management, that's still a good tool, but you do have positional power and it's a lot easier for you to say, “Hey, let's have a talk. We need to talk about something.” It's much harder to do when you're talking about peers. And so I don't know. Let's start with the associate that way. You want to start?

Stephanie Goss:
Yeah, yeah. Let's do it.

Dr. Andy Roark:
I think for me, let's start with our SAFE head space. And again, I know it's a little bit of head space, but just remember the SAFE acronym that we use all the time. So S, can you sit next to this person? Can you smile at this person? The day that you are sick of hearing them complain about the practice is not the time to have the conversation. It's nice if you can get into a good zen head space about things and the opportunity presents itself. Now, what's hard here is that when you're in this head space and you can sit next to this person, you can smile at them. You are going to want to not have the conversation because everything is good and I feel good. And you know what? It's not that big a deal. And so there's really discipline here in saying, I'm in a good head space with this person and I have decided this is important enough to talk about.
And so I'm going to push into this potentially difficult conversation because I decided to do it. Even though right now in the moment I'm not triggered, I'm not angry, I'm not frustrated. This is a time you're most likely to be successful. And so you have to have the discipline to have the conversation. S, can you sit next to this person? Can you smile? A, are you assuming good intent? And I think that that's really important as we go and talk to this other vet, are we seeing them as a toxic person because that language will color them in our eyes.

Stephanie Goss:
Yes

Dr. Andy Roark:
So A, can we assume good intent? F is failure. Has this person been set up to fail? And I think that's a really good place to look at this because a lot of times when we talk to employees or we talk to other people on our team and they say, “I can't believe this is happening. I can't believe this decision was made.” My question is, do they have all the information? Do they really understand why that decision was made? Do they know what's reasonable or what tends to happen at other practices? Things like that. And so if they don't have information, then maybe they've been set up to fail. Maybe they haven't been told a straight story. And the last is the end result is what do you want to accomplish? I don't think the end result here should be, I'm going to make this person love their job.
It's, Hey, I just want to give them a little bit of perspective and say every practice has problems. And part of being in a larger organization is that the ship turns much more slowly and there's lots of other people who probably have conflicting views on the same topics and they have to get heard. And it's just part of being a piece in a big team is that, so that's probably the E part, the end result. So SAFE, I would put that in my mind. I would remember what the associate vet, it's not your job to initiate this conversation. It's not your job to fix this situation or sit this person down. You shouldn't feel obligated, which is why you can wait until the opportunity arises. And then if or when the opportunity arises, I would ask this person about why they feel the way they do, and I would tell them I'm concerned, I'd say, “Well, you seem really unhappy. I'm hearing a lot of really negative things from you.”
I've had this conversation with people. And that's the end of the conversation right there. As I say, “Man, I just got to tell you, you seem really unhappy, man. I feel like every day when I talk to you, there's something that's really bothering you.” And they'll go, “oh, no, no, no. Oh, no. I mean no, I don't think I'm really unhappy.” And I'll say, “That's just how it sounds to me. We used to never talk about headaches at the practice, and I feel like a couple a times a day they come up now.”
A lot of times it's that you can jolt into place. And again, if they don't have any self-awareness, you can't. But a lot of us just, we don't really see ourselves or sometimes we don't recognize the thought patterns we've fallen into. So something as simple as that can make a big difference. Talk about what your perception is, how you're seeing it, how you say, “This is what I'm seeing when we have these conversations.” And then focus on the future, try to keep it positive, try to push them a little bit into like, “Well, if they're not going to do what you're suggesting. I mean, what are the alternatives? I don't think you should be miserable every day.” And just kind of start to move them in that direction.

Stephanie Goss:
Well, I think that there's really, you hit it because for me there's really the two areas where you could actually potentially affect change with them or to have a conversation again in the context of your relationship. So you know this person, you like this person, you like working with them. And so I love your point about focusing on the interactions and the things you can do to continue to build that relationship so that you can lean into that relationship and have the conversation with them and just say, Hey, “I'm worried about you.” Or, “It seems like you're not yourself.” Or however it feels right for you to phrase that conversation. I think the other piece besides, so there's two sides to that. One is your concerns for them. The other side is that the impact for you of their actions in your relationship.
So you have the ability to say to them, “Hey, when you talk to the team about the things that…” I'm just going to call her Sarah, “Sarah, the practice manager does. When you have conversations with the team in the treatment room about her, it makes me feel really uncomfortable because I don't know how you are, but sometimes I tell myself stories in my head. And so when I hear you having conversations in the treatment room with the techs about Sarah, sometimes I go home and wonder, oh, is she having conversations about me when I'm not there? And so that makes me worried for myself and the rest of the team, and it really makes me uncomfortable when I see that happening. How can we change that? Because I know you're not intentionally a mean person. I know that you wouldn't want to make me or anybody else feel that way.”
You have the ability to lean into how does it impact you as a person, as a tool there. And the third one is also the impact that you see. You see the impact potentially on them not feeling themselves. You can talk about the impact that it has on you. You also can talk about what you see as the impact to the team. And that can be a really important, especially with associate doctors, because I'm going to go out on a limb and I'm going to say some things that might upset some people here, but vets are like cowboys sometimes. What do we call them previously? Fighter pilots.

Dr. Andy Roark:
Oh, fighter pilots, yeah.

Stephanie Goss:
And there's a little bit of ego involved. And the reality is the support staff does look up to the veterinarians and they carry influence and weight. And so sometimes to your point earlier about shocking them or jolting them a little bit into looking at their own behavior, sometimes it's pointing the mirror back, but looking at their behavior and how it's impacting the rest of the team.
And so that can, with associate vets in particular be a really powerful leveler is to point that mirror back at them and say, “Hey, this is how I see you impacting the rest of the team. And I'm not sure if you have noticed this, but they really look up to you. And so I know it can be really easy to get frustrated and say things off the cuff and the team doesn't know when you're just necessarily, when you're blowing off steam or when you might be serious about something, when you say something in their presence and they hear it, that impacts them and it impacts the way that they react and act with you and also impacts the way that they act and react with Sarah as well. And so I just wanted to have a conversation with you about it because doctor to doctor, I feel like I can… ” You have that commonality, you have that relationship. So I think that that's the third piece of the conversation lever that you as the associate doctor could pull with them.

Dr. Andy Roark:
Yeah, I like that a lot. I think the last part for just coaching with dealing with the associate, I think gossip rules apply here, which is when this negativity comes out, don't engage with it. Just withdrawal from the conversation. You can be friendly without participating. You can say things like, “I'd rather not go to a negative place about this.” And you can kind of gently shut down those things. It takes two people to gossip. It takes one person to talk and one person to listen. The same thing is kind of true about spreading negativity, it takes one person to start this negative sentiment and the other person to be willing to listen to that negative sentiment. And so you do have some subtle power there as well.

Stephanie Goss:
I think that that's really important too, because again, not to go back to having kids, but I've been thinking about this a lot because I have been working with my kids on the power of their own boundaries. And I think it's really important to remember that there are two sides to that. There is, you can control what you choose to do action wise. You can choose to participate in gossip, but you also could choose to listen or to not listen. And we're taught, I think as children, we're taught not to do the golden rule, do unto others as we want unto us, to think before we speak. We're taught all kinds of platitudes like that about how we should act and interact with other human beings.
And I don't think that we're actually taught a whole lot about, at least I wasn't about the power of being able to say, “I don't like hearing that. That makes me uncomfortable. I don't want to feel like you would be talking about me behind my back. And I feel like based on what you just said, that you're doing it about them. And so I'm not going to engage in this.”
But we don't learn the tools for how to walk away. And I've been thinking about that a lot as a parent because we've been going through some mean girl drama and some friends drama with teenagers, and I have been trying to teach them that they do control that and they do get to control, it is okay. And I expect it of them to say, “That's not kind. If you were really my friend, you wouldn't talk to me that way.” And so if you really care about this teammate, you wouldn't talk about them that way either.
And I think that the reason that I'm babbling and bringing all of this up is because I think that that's something that's really important that we can learn how to bring to the table as human beings. And I say that because I learned how to model that behavior sometimes really well, sometimes horribly for my team by seeing someone else who was really, really good at it. And I'll never forget the first time that I heard someone in a treatment room situation say, “That makes me feel really uncomfortable. I feel like you're gossiping about the other person and I don't want to be a part of this conversation.” And then just walk away.
Not to be vindictive or bitchy or snarky at them, but just this is a boundary for me. I'm not comfortable with this conversation and I'm going to walk away. And I remember in the moment it was wildly uncomfortable, but then the conversation stopped and I was like, oh, hey, that's really powerful. And that person was like, “I didn't realize they sounded that mean. I didn't realize they sounded that, was I really gossiping?” Again, pointed the mirror back at them in a way that made them be able to look at it and look at their own behavior and shake them up. And so I think that that's a really, really powerful tool. And I think we have more control over that as individuals on the team, what that boundary is and how we set those boundaries for the things that we engage in or choose not to engage in.

Dr. Andy Roark:
Talking about the team. So we talked about talking with these, talking with the team, and again, I don't imagine this being a sit-down conversation with the team. It's just more of a way of interacting with the team. It's just be the light you want to see in the world. That's it. If you're worried about people getting down or being negative, be positive, be optimistic. Talk about the practice in a good way. Talk about the things you enjoy. Remind them of the differences that they're making. And again, it's not about a dramatic Braveheart type speech that rallies everybody. It's just kind of the consistency of noticing the good things and pointing out what's good and what's positive. And so I think it's a part of it. If the team starts to bring up negativity or things like that, I tend to engage them with questions. I don't want to tell them they're wrong, especially if you're talking to the staff, support staff, it can come up as condescending if the doctor's like, “You've got it really good.”
That's not really it. But I'll say things like, “Why do you say that? I'm not not having this experience. Tell me why you are perceiving this as unfair treatment. Help me understand.” And those are just subtle questions that you can have with people and you probably tend to have them one on one as they come up with people that I'm working with or stuff like that. You can do that stuff. Remember your positive reinforcement when you see people who are not buying into the negativity, tell them, “Hey, I just want to tell you I love working with you because you're positive, you're happy to be here and you see the bright side of what we're doing and I just want to say thanks. I just enjoy spending time around you. Thanks for making my day brighter.”
And it can be little things like that. That way you're encouraging those other people who are also trying to hold up candles in the darkness. Yeah, you can do those things. That's the big things for me is you have great power as a doctor to shut stuff down if you use the tools that Stephanie was talking about as far as like, “Hey, no, no, I'm not enjoying this conversation guys.” You do have great power. And you can do that without being critical of the other doctor or trying to start fights or anything like that. But you can subtly shut things down and you can subtly positively reinforce things that you want to try to grow. And again, you can manifest and exhibit the behaviors that you think you'd like to see in the practice.

Stephanie Goss:
I think the only other thing that I would add to that about the team would be, I think you lead with your own actions and positivity, and I love your pointing out of the positive reinforcement. And I think you also have power because of the relationship and I guess the hierarchy in a practice, in the sense that the staff does look up to the doctors. And so if I was this associate, one of the areas where do have power of influence is to create just those, continue nurturing those relationships, your own relationships with the support staff in the sense of make sure that they know that you are an open door and that you want to support them and that you want to listen to them. And so it can be as simple as you're in surgery with them and ask them, “How are things going for you? How's work? What do you love about work?” And asking them questions and being curious just as a human.
But also by doing that, you're laying the groundwork where if they do have a concern or they do have something, if they bring it up to you, then you also have created a situation where you have the ability to influence by saying, “Hey, you know what? That's a great point. That sounds to me like you should have a conversation with the associate doctor directly or with the practice manager directly.” You're creating opportunities for you to lead from totally within the team. It's not about being in a position of leadership. It's about leaning into those relationships and being able to look at this person and say, “Oh yeah, it sucks that you're feeling that way. You should do something about that.” You can be an agent for positive change in that regard by making the team understand that you do have the open door. And the only way that that happens, even from within the team is to build those relationships with them and be intentional about it.
And it would go the same way for the associate as well, which we talked about. Just leaning back into that relationship of, Hey, we're both doctors and we both love what we're doing here at the practice. Let's focus on building that relationship because then your ability to speak to them, your ability to act and lead by example, falls on both sides of that. And then you can actually be a support for all of those people as things continue to grow and change in the practice. And it's the same for this associate doctor. They clearly have an affinity for the manager and they like the manager and there's definite empathy there and they see that. Tell them, remind them that you see them, that you see the good hard work that they're doing, positively reinforcing them. You can, as the person who is on the outside and not in the middle of the drama, you have the ability to be the perspective and give that positivity to all the sides here. And I think that that is, if I was in this person's shoes, that is the most powerful tool I think that you have.

Dr. Andy Roark:
Yeah. The last part for me is talking to the management. And to me, this falls into my, what is kind. I always want to do what is kind. Is it kind to not say anything to the management about what you see shaping up? I think the answer is no. I don't think you owe them a whole lot. It's not your job to manage the practice. And I think that's, hear me out when I say that. I don't think you owe them a lot, but I just think sort of common courtesy and just being kind would be to stick your head in to ask if you can chat with a manager for a second or with the medical director or whoever and just say, I would just say, “Hey, look, I'm concerned about a couple of things and I just wanted to make sure that they're on your radar.” And then I would say, “These are the behaviors that I'm starting to see.” And you can decide how direct you want to be.
I'm not trying to go and rat on the other vet and be like, Well, she said this and then she said that. But what I would say is something along the lines of, “I think that the other associate vet is, she seems to be feeling a bit resentful about how things are going. And I'm starting to hear some negativity about the practice and I'm starting to hear it back from the staff. And so I'm worried that… ” And again, I don't know what the specifics are, so I don't know how widespread this, I don't know if this is one issue or if this is a couple issues or if there's a pattern here, but I would like to give them a heads-up and say, “I'm feeling like there may be a culture change kind of happening. I don't really like where it's going. And so I just want to put that onto your radar and just say, I'm a bit concerned about how this is happening and where it's going.”
And hopefully that's all you need to say. It's amazing how often I'll see people and they're like, “And nothing happened in the practice, it just got worse.” And I'm like, “Well, did you tell the managers?” And they were like, “No.” And I'm like, “Well, how did they know?” I was like, “Well, they knew when everybody started yelling at them.” And I was like, “That's kind of late in the game.” They could have deployed a lot more tools if they had known this was-

Stephanie Goss:
A heads-up.

Dr. Andy Roark:
… if they had a heads-up, if they'd known this is where things were going, but they don't know necessarily. Again, it just depends on the leaders. If you're a job of a leader, remember that relationship game we talked about the very beginning. Hopefully you've got good people who will say, “Hey, look, I'm hearing some stuff you might want to be aware of.” And again, it's not about selling people out or getting other people in trouble. I think that's an important point. I think a lot of people are like, “Oh, Andy says I should go turn them in. I should tell on them.” I'm not saying that. I think you should give the management a fighting chance to try to stop your practice from turning into a cesspool. That's what I think. That's how I look at it.
But that doesn't mean, again, you can be friendly without joining up. You don't need to pick sides in this battle to say, “I'm kind of worried that morale is sliding down and that people are starting to get sort of a negative view about some things that are going on. And you might want to work on that a little bit and see.” And then it goes to the management, which let me begin. Let's do head space for management really quick. No, I'm just kidding. We're not.

Stephanie Goss:
That's a whole other episode.

Dr. Andy Roark:
That's a whole other thing. We're not going to tell management what they should do, but basically that's how I would kick it up the chain. And they need to get a plan. And the truth is the plan depends on what the heck is going on. What is the person upset about? What are they saying? What's the staff saying? It's a whole other thing.

Stephanie Goss:
The nice part is that's above your pay grade. You don't have to worry about that as the associate. You just have to put it on their radar.

Dr. Andy Roark:
Totally. And here's the thing, again, if you get your head in the right place, you can accept your position and also decides you want to be an influencer and somebody who's a sort of a force for good, then you can hopefully maybe positively affect the head space of the associate vet. You can hopefully positively affect the head space of the team. You can sort of manifest the positivity into the theme that you want to see. And then hopefully management's going to engage and they're going to start trying to make things better. And very quickly we can swing this thing around.
It's really, I mean, it's like managing a chronic condition. Early diagnostics are the key. And it's funny, but I've seen these things turn around pretty fast. If you can have a couple of good conversations, you've got to have some push from the management. People have to believe that things are going to get better or that they're going to change in the future, or at least they're heard or they're cared about. But you can swing these things around. You don't want to wait until the clinic is divided and people have drawn battle lines and they're making plans-

Stephanie Goss:
Or people are leaving. Yeah.

Dr. Andy Roark:
Or they're leaving. Yeah. Just do it sooner rather than later.

Stephanie Goss:
All right, well, I think if we go on any longer, we're going to get into what should this manager do, which like I said, is a whole other episode. We're done. That's it. That's a wrap on another podcast.

Dr. Andy Roark:
We're out like Jacqueline Roark looking at colleges. We're out. We got to map. And some-

Stephanie Goss:
We're 15 and we're three years down the road.

Dr. Andy Roark:
…rings and we're driving away.

Stephanie Goss:
Have a great rest of the week, everybody.

Dr. Andy Roark:
See you everybody.

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 Maria Pirita · Categorized: Blog, Podcast · Tagged: communication, culture, management, Vet Tech

Nov 06 2023

Can Financial Discussions Impact Veterinary Professionals Well-Being?

This week on our bonus episode of the Uncharted Podcast, practice management nerd Stephanie Goss is joined by special guest, Dr. Phil Richmond. When Stephanie saw this letter in the mailbag, Phil was the first person who came to mind to tackle this topic with. Dr. Philip Richmond, DVM, is the Founder and Chief Consultant of Flourishing Phoenix Veterinary Consultants, LLC. As a practicing vet, he champions a positive work culture, emphasizing psychological health, safety, and wellbeing in veterinary settings. He has taken pivotal roles in both state and global initiatives to promote workplace wellbeing in veterinary medicine. Among his roles, Dr. Richmond has served as Chief Medical and Wellbeing Officer for Veterinary United and currently chairs the Florida Veterinary Medical Association's Professional Wellbeing Committee. Beyond his advocacy, he contributes as a writer, speaker, and podcast guest, and has earned various certifications in positive psychology, workplace wellbeing, and suicide prevention.

Stephanie and Phil are taking on an email from our mailbag that addressed the concern that one of the most stressful instances for vet professionals can be when they have to downgrade treatment, or euthanize due to the owner not being able to afford treatment. We immediately knew this would be an amazing discussion about wellbeing in our practices along with how we can support clients from a financial planning perspective. TThis episode is brought to you all ad free today, thanks to our friends at CareCredit and Pet’s Best. Let's get into this…

Uncharted Veterinary Podcast · UVP – 257 – Can Financial Discussions Impact Veterinary Professionals Well – Being?

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

If your practice is not talking to clients about ways to pay for care, including the CareCredit health and pet care credit card, please consider accepting it in your practice! You can find out more about how your practice can help empower a lifetime of care, together, here.

Additional Resources:

Australian Workplace Psychosocial Hazard Standards

National Standard of Canada for Psychological Health and Safety in the Workplace (the Standard)

Canadian Standard Resource Page

Do you have something that you would love Andy and Stephanie to role play on the podcast – a situation where you would love some examples of what someone else would say and how they would say it? If so, send us a message through the mailbag! We want to hear your challenges and would love to feature your scenario on the podcast.

Submit your questions here: unchartedvet.com/mailbag


Upcoming Events

Are you a practice owner or a practice manager? Never underestimate the impact of a powerful partnership and DON'T MISS YOUR CHANCE TO JOIN US LIVE IN GREENVILLE – REGISTRATION CLOSES TOMORROW!

The Wright Brothers. Venus and Serena. Han Solo and Chewbacca. Okay, that last one was (far) far-fetched… but there’s no denying that all of these rockstar duos made a lasting impression on us. They innovated, discovered, experimented, and explored the unknown, all to leave the world a bit better than they found it. Veterinary practice leaders can form powerful partnerships just like these. Collaboration in leadership might sound simple, but for any of you that do it on a regular basis, you know it can be anything but easy!

Every partnership (like every veterinary practice) is unique and faces very specific challenges. To be successful, you must identify your strengths and weaknesses as individuals and as a pair. By working to further your skills within your respective role, then coming together to work collaboratively with your partner, you can quickly break problems down into manageable pieces and move forward as a team. 

This December, The Practice Leaders Summit is here to infuse the powerful veterinary partnership of practice owners and practice managers with renewed energy and understanding. You both want a strengthened foundation to guide the practice (or practices!) you lead so that it can continue on to future success. Join us!

Upcoming events: unchartedvet.com/upcoming-events/


Episode Transcript

Stephanie Goss:
Hey, everybody! I am Stephanie Goss, and this is another episode of the Uncharted Podcast. This week on the podcast, I invited my dear friend, Dr. Phil Richmond, to join me, and it's for a very important reason, because there were some mailbag questions that I've gotten recently about the impact that some of the challenges we face and practice are having on the team from a mental, emotional, and physical perspective. Phil and I were chatting through. I asked him for some input on some of the challenges, and we got to talking, and we realized, “Wouldn't it be fun to do a podcast, and talk about some of Phil's passion work, some things that I am passionate about as a practice manager, which have to do with creating systems and processes to support our teams?”
We brought those two things together to bring you all an episode about creating psychological safety, but it goes a lot more than that. So if you're like, “Oh, those are fun buzz words, I'm going to ignore this podcast,” please don't, because we get into the things that emotionally and psychologically impact the team that we can't take away from practice. We can't stop doing euthanasias for our patients, because it's necessary at points in time. We can't stop working necessarily prolonged hours in surgery when an emergency patient walks in the door, and it's a surgery that takes hours. There are things that we cannot avoid, and that doesn't mean that there aren't things that we collectively as an industry and in particular as practices and leaders of practice can do to support our team in those situations.
That's a little bit of what Phil and I get into this week. I think we had a lot of fun with this one, and I'm hoping you enjoy it. Just a reminder that Synchrony shares the information on today's podcast solely for your convenience. All the statements made are the sole opinions of myself and Phil Richmond, and Synchrony makes no representations or warranties regarding the content of today's episode. Now, let's get into it.

Speaker 2:
Now, the Uncharted Podcast.

Stephanie Goss:
We are back. It's me, Stephanie Goss, and I'm joined today by a very special guest, one of my dearest friends who happens to be a colleague, the wonderful, the kind, the amazing Dr. Phil Richmond. Phil has been with me on the podcast before. If you have not heard our prior episode that we have done together, you're in for a treat, because he is a wonderful human being. Phil, welcome to the podcast today.

Dr. Phil Richmond:
Thank you, Stephanie. It's always a wonderful opportunity to share space with you.

Stephanie Goss:
I love spending time with you, friend. Do you want to… It's hard for me to imagine people in veterinary medicine who have not experienced Phil Richmond, because you are just one of those people who knows everybody. When we go to conferences, or we go places in veterinary medicine together, you are like a pingpong ball. You are bouncing around, and you're just up and down saying hi to everybody. So, it's hard to imagine people who have not met you, but will you tell us a little bit about yourself for our listeners who might not know who you are?

Dr. Phil Richmond:
Sure. So, Phil Richmond. I'm a practicing veterinarian, so I get to do all the cool things that we talk about, but also the founder and CEO of a consulting group called Flourishing Phoenix Veterinary Consultants. What we do is work on psychological health and safety. We work on flourishing in the workplace, workplace wellbeing, but on an individual team and organizational level. I'm also very grateful I get to work on a lot of exciting projects with a lot of cool people on a state, national and international level around psychological health and safety, workplace wellbeing, resilience, those types of things in veterinary medicine, and of course very personal to me just because those things, not only am I professionally excited about, but they also genuinely and without being over the top helped save my life a number of years ago, and really gave me the tools to love veterinary medicine.
So, that is it in a nutshell.

Stephanie Goss:
I love it so much, just as much as I love you. I'm so glad you're here today. We are going to talk through some stuff. I got a handful of letters in the mailbag that had to do with stress for the team, and I was talking through a couple of them with you, and trying to figure out like, “What's the best way to tackle some of these.” As you and I do, we got a little squirrely, and our conversation took an unexpected path, and we started talking about the impact that really euthanasia, but also the changes to care and treatments for patients, especially when it comes to clients not being able to afford the treatment plan that we're proposing for a patient, the impact of all of that on the team.
We got into some serious conversation, and you and I were like, “This would be a really fun thing to talk through on the podcast, because there are so many facets of it.” I think it's a piece that, as we're going to talk about here in a little bit, we address some pieces of it. I think we've gotten more and more open in veterinary medicine about addressing in particular one area over the last few years, but there's still a whole lot of the conversation that I think we don't address as much or as well, and I know you are doing some… You have some background knowledge to share with us, but you also are doing some cool stuff around this very subject, and so when we were talking about it, we were like, “Hey, let's do a thing.”
Of course, because our friends are amazing at Pets Best and CareCredit, we were talking with our friend Colleen and Stacy, Jennifer over there, and they were like, “This fits right in line with a lot of the things that we are working on supporting in Vet Med, and we would really love for you guys to bring this topic outward on the podcast, and really talk about it because it highlights the need to talk about things like financial care for clients, spectrum of care from a medicine perspective, but also about the support and mental health and wellbeing of our teams, which is your passion project.” So, it felt like a perfect storm to bring all of us together, and for you and I to be able to have a conversation.
So, I want to give another shout out to our friends at Pet's Best Pet Health Insurance and CareCredit and Synchrony, because we couldn't do this without them. I think it's a really important topic, and I'm excited to dive into it with you.

Dr. Phil Richmond:
Awesome. So, shall we start on where some of these events can really affect us from a wellbeing point of view as team members, as veterinary professionals?

Stephanie Goss:
Yeah.

Dr. Phil Richmond:
There's this concept called moral injury. So, moral injury was studied a number of years ago, and really, it was seen through the lens of war veterans, soldiers that were in these situations where you could see these sometimes horrific, sometimes just things that could be traumatic, that for one reason or another, we were unable to step in and change the course of what was happening, and that it went against our moral beliefs and the things that we held true or that the soldiers and the people that were veterans. Well, what was seen is over time, and I think as veterinary professionals, we can really relate to this, is that we hear a ton about burnout and burnout in veterinary medicine.
Certainly considerable, when we look at the statistics, burnout is a system's issue, is that it's an overwhelm issue, is that our capacity to do the thing outweighs, or I'm sorry, the demands that are put upon us outweigh our capacity to do the thing. What they saw in human healthcare is that burnout didn't exactly 100% fit with what was going on with physicians and other healthcare providers. What they saw was that there was something else that was in play, and it's a little bit different in human medicine, but that same concept of, “I have the knowledge to do this job to serve my patients.” Something outside of that between me and that patient, something outside of that is keeping me from doing that job.
Now, that can be due to a number of things. Now in human healthcare, they talk about potentially sometimes having to ration care, or there are barriers from a bureaucratic standpoint, the rules of the hospital or other things happen, and then certainly overload as being short-staffed, these types of things.

Stephanie Goss:
Sure.

Dr. Phil Richmond:
So, we think about that very much from a veterinary lens, and say, “What are the similarities there, and what are the things that impact us?” Well, what is one of the biggest things that externally keeps us as veterinary professionals from, say, treating… Not always going through advanced veterinary care, tertiary level care, but what are some of the things or what's the main thing that keeps us from performing the test or performing the treatments that-

Stephanie Goss:
Sure.

Dr. Phil Richmond:
Almost always, not always, but almost always, that's financial constraints.

Stephanie Goss:
Sure.

Dr. Phil Richmond:
How many times have we written that in the record, or noted that in the record that owner declines due to financial constraints? So, knowing the impact that that can have on us from a wellbeing and job satisfaction and position is that it opens the door for this condition called moral injury, which causes this distress in professionals, and it does in veterinary professionals as well. Where I'm going with this is there's a concept of psychological health and safety. So, Stephanie, if we're going into radiology with a patient, and we're going to take X-rays, before I take those X-rays, I have to do something to protect myself. What do I need to do?

Stephanie Goss:
You have to use your PPE. You've got to put on your gown. You've got to put on your gloves.

Dr. Phil Richmond:
Right. Your thyroid shield. Why do we do that?

Stephanie Goss:
Yes. Because we're protecting ourselves.

Dr. Phil Richmond:
Because we're protecting ourselves, and we're protecting ourselves because we know that's a hazard. We know that that ionizing radiation is dangerous to us.

Stephanie Goss:
Sure.

Dr. Phil Richmond:
However, think about that too is that we know that moral injury is dangerous to us as well. So, what potentially are some of the ways? If we know that that's injurious to us as veterinary professionals is what are some of the things that we can do to prevent that? One of those does go around. It starts getting into this discussion of insurance and getting… Is there some way to facilitate that care before that emergency comes in for that patient? That's around either pet insurance, or if they don't have access to that, then spectrum of care.

Stephanie Goss:
Sure.

Dr. Phil Richmond:
Again, saying that it's these deeply held moral beliefs and that we can have beliefs around spectrum of care, and why that's vitally important in veterinary medicine and general practice, but also, is there something where… Stop, and I'm going to say another example. We've all been in that position where we go into a room, and an emergency comes in, and the owner says, “Please do whatever.” Money is no object, and it's a human being in pain, scared, frightful for this-

Stephanie Goss:
For the pet.

Dr. Phil Richmond:
… delightful being that they love, and I just please save… That's the only thought that can step into our mind as a pet owner.

Stephanie Goss:
Sure.

Dr. Phil Richmond:
Then we end up, because of the nature of veterinary medicine, we then have to… We need to go in and then discuss a treatment plan.

Stephanie Goss:
Sure.

Dr. Phil Richmond:
Then it's saying, “Oh, I don't have those resources.” Then we get into… Potentially, the client goes into threat mode, which is the normal human response that client wasn't expecting to get potentially hit that.

Stephanie Goss:
Sure.

Dr. Phil Richmond:
They're potentially going to respond. That can escalate. If we don't have tools of conflict resolution and being able to throttle down our response, that can obviously negative affect our wellbeing and then the wellbeing of the client.

Stephanie Goss:
Well, or even just the benign response of, “Oh, I mean, of course I want you to do whatever you need to do to save my pet, but I can't pay for that. What are my options, or what are the other… Is there anything else you can do to save them that doesn't cost this?” Even without the escalation or anger or emotions that we seek come out, sometimes, as the care provider, you still have that, “Okay, now, I have to respond to this, and I have to figure out how to help take care of them while at the same time taking care of the patient.” So, I think that whole we've done… You said a couple things that are, I think, really, really important and worth unpacking. This is where I said, I think, in veterinary medicine, we've come a long, long way, especially in the last few years.
I remember, and for those of you who can hear that, I did not all of a sudden get a bunch of birds. Phil has a whole zoo at his house, and it always makes me happy when we talk, because I can hear the menagerie in the background. It's the best. But in veterinary medicine, we have come such a long way. I remember when I started, the tools that we had for those conversations was you just did whatever the owner… We didn't do treatment plans for everything. If an emergency walked in the door, it was like, “Give us the basic information. We take care of the patient.” Go in the room. You have that conversation. They're like, “Well, I can't pay for that.” Then you have the follow-up conversation, right?
So as an industry, we have grown tremendously in the sense that we recognize that that's problematic, and we've taken steps to address it. Now, I don't know anyone whose clinic doesn't have a process or, to your point earlier, a system to help prevent that from happening. So, we are getting smarter in that regard. I don't think that even though clinics are more aware, we're doing things like treatment plans. We're being preventative in the sense that we start the conversation about finances, about the financial implications of taking care of a pet far earlier than we ever did. We're talking to puppies and kittens, pet owners about things like pet health insurance, about alternative payment options like CareCredit.
We're doing those things, so we are being more proactive. I think something that you and I have had the conversation about is that that is wonderful. There's been a ton of conversation over this last probably two years about the idea of spectrum of care and that it's okay as clinicians, as care providers to work with a client like, “Yes, we might want plan A, and we're willing to go to plan B, C, and D to discuss with the owner like, “What care can we provide with this patient?” That all is a radical shift, I feel like, that we've made in over the last 20 years that I've been in veterinary medicine. Even with all of those changes, I feel like there's not a lot of focus. I've not seen a lot of education for ourselves and for our teams of the impact that the emotional weight that that has on us, right?
I have friends that work in ER, and they're the only ones that I have ever seen in veterinary medicine who put a focus on the fact that euthanasia in general takes a toll on us, but also the high stress, high-risk day in day out of having those financial conversations with owners about having to talk about financial euthanasia, about having to really lean into spectrum of care in a way that a lot of times we don't fathom. I don't think in general practice. It's very different level in ER and 24-hour care. We don't do a whole lot to talk about that and the impact that that has on the team.
So, that's part of what I love about the work that you're doing, which is, “Hey, hi, this has a really big impact on the team, and if the only time we're talking about it is when people are so far impacted by it that they're leaving the profession, we're never going to get ahead of this.”

Dr. Phil Richmond:
I agree. So, going back to the idea of protecting ourselves against ionizing radiation is that the fact is that we know that that situation when veterinary professionals are put in that situation, that it opens the door for emotional distress, spiritual distress. That is a hazard of the profession. So, then we say, “What are the ways,” because the best thing to do… When we look at risk management in that regard, the best thing to do is totally remove the risk. So, it's either the client has resources to be able to do that. Then we talked about insurance, and we talked about doing it all for free, which is not an option.

Stephanie Goss:
Not an option if we want to be able to pay everybody's paychecks.

Dr. Phil Richmond:
Right. Then getting into then spectrum, “Okay, then how do we mitigate it? How do we try to lessen it as best we can?”

Stephanie Goss:
Sure.

Dr. Phil Richmond:
I want to give an example, so let me say this, is that the group that I worked for, again, we knew… This was before a lot of this came. This is probably 10, 12 years ago. We sat down, and we said, “Okay, there are certain cases that when they come in, we know that we can positively impact that patient if we do this one thing, if we unblock first time black cat.”

Stephanie Goss:
Sure.

Dr. Phil Richmond:
I'm not saying this goes along the lines of everyone, but realizing back then the impact that that had, and we just asked. We said, “Look, we'll…” We came up with a way to pay for it, and I am like, “I don't care if you can take it out of whatever. Just if… Can we come up with a way that the team doesn't have to make that potential decision?” I'm not saying that that way is for everyone, but we recognized even back then the impact, and I did, that it had on the team. So, what are the things proactively that we can do. I mean, if we are talking about that when they're kittens before, and puppies, if they're already covered, if they're already protected, and they come in.

Stephanie Goss:
Sure.

Dr. Phil Richmond:
So, what I would say too is thinking about that emotional situation that we've all been in, and when we have a client that potentially will say, “Do whatever. Money is no object,” and cynically, sometimes we've heard that where it is, it's just that in that moment, I can't make that decision as a client versus if the client says, “Do whatever. I have pet insurance.” I mean, being in that, that was just something that really struck me a number of years ago when I had that self-awareness of walking into that room with a case that I really wanted to stabilize and transfer to Blue Pearl to the specialty hospital to work with, and it was like saying, “That's now an option,” where-

Stephanie Goss:
So, there's two things that you just said that light bulb for me. One, I love that you distinguish between the feeling. I don't know how many people are listening or this is going to resonate with, but I've always had this feeling. Having started at the front desk and being the one to be calm in an emergency, I always got sent into the exam room when we had emergency cases come in to be the client partner. There is this spidey sense that always goes off when a client says to me, “Do whatever they need. Money is no object.” There is a very radically distinct difference for me in hearing that versus hearing, “Do whatever they need. They have pet health insurance, or we have CareCredit. Do you need my card?”
There is a very big difference in that to a veterinary professional. I will tell you, my body physiologically changes when I hear a client say that, because those things feel different. I hate to say it, but I am always second guessing when they say money is no object. Do whatever my pet needs. I'm like, “Wonderful. I will put together a treatment plan for you, and I will be right back so we can talk about it.” Not that I don't believe them, but I've just… Experience tells me that to your point, a pet owner who loves this being, and wants to do everything for them is saying yes. Then they're saying yes from an emotional place, and they have no idea the detailed, rational medical place that we would be coming from, and so many times, those are opposite ends of the spectrum.
I love that you pointed that out, because that very much was my experience as a team member is I always… My stomach clenched up, but I felt this pit until I would go in and actually show them a treatment plan, and talk through it with them, and get a sense of, “Okay, yes. I'm going to sign for this or not.” That's not to say that that couldn't be alleviated, because to your point earlier, pet insurance, pet health insurance, CareCredit, alternative payments, even a traditional credit card, that's only one tool in our toolbox, right? We know that there are other tools that we can reach for, and we can talk about spectrum of care.
We can talk about alternatives. We can talk about community support options for paying for care, but it still gives you that stressful feeling physically when you're the team member involved in those conversations.

Dr. Phil Richmond:
Absolutely. Again, just going back to, and this is… You and I have had the opportunity to speak at conferences on crisis management, and what do we do when a team member is in trouble? One of the things that we talk about is having a plan before we're put into that situation. This is very similar to that is that, again, we know that this causes psychological harm to veterinary professionals. So, what are the options that we have to ameliorate to either remove the risk, remove the hazard, which again is that finances don't have to be discussed? That would be the wonderful thing is then we've removed at least that parti… Not saying that that completely removes moral injury, but the financial resource constraints aspect of it is taken off the table.

Stephanie Goss:
Right.

Dr. Phil Richmond:
Again, do we offer pet insurance? Do we offer CareCredit? Do we then say, “Hey, the other option too is like we did at our practices in these certain situations, before it happens, can we have an agreement that this will be a teaching case, or this will go against my CE money,” or whatever that looks like to each individual practice, their value system and what they can put together, but knowing can we have something in place before we're put in that situation? So, it's something that we don't talk about as much the importance of it, but it really is vitally important. I mean, there are certainly other aspects of moral injury, so not just focusing on the financial aspect in veterinary medicine, but it's the one that we encounter more than…

Stephanie Goss:
Sure.

Dr. Phil Richmond:
They just don't see that as much. Obviously, in human medicine to that degree, the moral injury that they see is usually for different reasons.

Stephanie Goss:
But I will say too on the human side, I can appreciate the impact even with insurance, the impact that has for providers. I've been going through some health challenges myself, and have been going through the diagnostic process. I have insurance, but the hoops and the bureaucracy and the waiting and seeing the toll that it takes on my healthcare provider, I just saw them this morning. I could see it on her face when we were having the conversation, because she knows how long I've been waiting for the next step in this process, and she knows some of the physical symptoms that I've been dealing with every day. She is such a wonderful kind person.
I was like, “Are you sure you don't want to go to vet school, and be a veterinarian, because you'd be great at it?” But I can see the appreciation she has for the impact that it has on me, and it has nothing to do with the financial piece of it. It has to do with taking care of this human that you care about and that you can see the frustration and the suffering and the physical impact. It's that same perspective I feel like amplified a million times in veterinary medicine, because none of us got into it for the money. We all got into it because we care about the patients. I know I've been in that room when you have to have a hard conversation with a pet owner, because to your point, you just want to take care of the patient.
So, I want to go back to what you said about creating some systems in your practice, and talk about our personal experiences there, because I have a question for you about how it impacted your team when you guys put that system in place. I had a very similar experience. We went through a horrible, horrible case where a patient came in on an emergency. Our practice owners weren't in the practice. We had one of our newer doctors there, and there was a lot… Anyways, the pet was in significant pain, and the owner was like, “I can't pay for it,” and the team was left going, “Well, how do we take…” We really want to take care of this patient, and so the response of the team that was on that day, plus the doctor was very similar to yours, which is like, “If you have to take it out of my paycheck, go ahead. I just want to take care of this patient.”
So, of course I was like, “I'm not going to take it out of your paycheck, and I'm going to have a conversation with our practice owner.” We sat down, and I said, “Hey, the team needs a way to deal with this. We need systems,” and it brought up a bigger conversation for the team. Having worked for really compassionate practice owners, they were like, “We never want a patient to suffer if there are always tools that we can reach for in our tool bag that yes, they cost us a little bit of money, but you can always offer a client at no charge if it's warranted, which is pain control and euthanasia.” They were like, “If a client is like, “I can't afford a euthanasia. I understand that that should be what should happen right now, but I can't afford it,” we'll take care of it,” or if this patient could be dramatically improved, even just while we're waiting to try and get a CareCredit application go through, take care of the patient first.
The impact that that had on the team, I could see on their faces the look of relief knowing that it didn't matter. The money wasn't the issue. Nobody had to go, “You can take it out of my paycheck,” ever again. That dramatically impacted their mental health and wellbeing. Because we live in a rural area, we don't have a blue pearl and emergency hospital right down the street. So, we do see a lot of cases that they would have to go far away. So, it's not always just the money thing. They're like, “I don't want to drive two hours to the specialty hospital or across the water to the ER.” So, seeing the impact that that had on them was huge for me.
What was your experience with your team when you guys started talking about those systems and structures, because I think I would have to think that it was similar?

Dr. Phil Richmond:
What we definitely saw… When I think about holistically and in Toto, what we saw with our team is that… I'll say this right off the bat. What are some of the things that impact us that we are thinking about right now in veterinary medicine? Recruitment and retention. Not that this is why we did it, but I just went back to the group that I used to work for. All the technicians that I've worked with all those years are still there. So, what I would say is that we know that that's important to us. Again, it's one of these things that being real about, “What do we do? We are not accountants. We're not electricians, and we don't make widgets.”
I mean that, not saying anything about those other professions, but delivering what we are trained to do has an impact on us if we can't do it. To give you an idea, and this is our practice, it was our group, but we just had an agreement again. For financial reasons, we wouldn't ever put a pyometra to sleep, and we wouldn't put a black cat, or I should say we had the option to not do that if it wasn't-

Stephanie Goss:
Sure.

Dr. Phil Richmond:
That, and we also did payment plans where it was their work-

Stephanie Goss:
In house.

Dr. Phil Richmond:
… and in-house payment plan. Stephanie, I mean, we just didn't have those people. Whatever it was that they paid, generally speaking that they took care of it, but it was that knowledge that we weren't going to have to… that we knew that that would negatively impact the emotional and psychological health of our team. Plus, it got into the meaning and purpose obviously of what we did. There are certain things, and again, this was something that we just worked together as a team that we said, “What are the things that we know if we do this one thing that it's going to potentially save that patient's life, we'll say?”
Those were two of the things that I just said, “Please don't ask me to do those things.” I was an older… I was six years out or something when I asked for that. For me, knowing that I was able to do that, it was like I didn't have to… We were able to do those things, and make them into teaching cases and that sort of thing, but what I would say is that that really impacted the team. So, what I want to also say is there's a new study that came out. I may have the description of this a little off, but our friend, Josh Vaisman, will be writing an article on this for today's veterinary business. They looked at what had some of the most impact on people staying in a job.
Essentially, it was if leaders… What they did as far as integrity, and what they said when we look at values is that if that was done on a daily basis, that was always their north star when given, that that had the biggest impact in people staying in the job. Again, just that thing. I mean, I was at my practice for 12 years, and then I came back. I did, because, again, we're not in it for the money, but I love them. I love what we do, and I know that those things like, “I'm not going to give away the farm necessarily,” but if I think something is there, I have the autonomy, and the team has the autonomy to do it.
So, everybody's situation is different, but knowing that having some say in when we're faced with these situations that it's not just a line item decision that is made, that it's bigger than that, that makes me happy. Like you said, like… Go ahead.

Stephanie Goss:
No, I want us to talk about… One of the things… When you and I have done the what do we do when team members are in crisis, one of the biggest pieces is how do we get ahead of it, right?

Dr. Phil Richmond:
Right.

Stephanie Goss:
We know that the best time to prevent it is before anything is actually a problem or before it happens. That is the case here, which is very much what we're talking about. I love your point that every practice is different, and so there is no one size fits all approach here, just like anything else in veterinary medicine. I have to call out a podcast that Andy did. Andy did an interview on the Cone of Shame podcast with our friend Tannetjé Crocker. Dr. Crocker's a practicing veterinarian. She's a practice owner, and she also works in emergency. She works for VEG. They did a podcast where they talked about intentional discounting and the north star and the philosophy that VEG has about supporting their team and their patients and their clients.
I remember when the podcast came out, and Andy was really worried and was stressed out because there was a lot of people who were just up in arms about it. I listened to it, and I was like, “I love this conversation,” because here is a hospital, here are teams who are proactively saying, “How can we support our patients and our clients, and also, how can we support our people?” Tannetjé talked about the impact that it had on her. If you haven't heard the podcast, you should go listen to it, because it's a great episode, but she talked about the impact that it had on her as a team member and as a veterinarian, and her support staff that she works with to know that they had the ability. Now, everybody got all up in arms about it, and my first thing to Andy was, “Did anybody actually listen to it?”
Because what she was saying wasn't that there was no system, that there was no structure, that it was a free for all, and that the team could just discount anything that they wanted, because that's not the case. The case is that they have a system, and they have a structure, because they sat down and made a plan for it. They said, “This is what we're going to do and how we're going to deal with it.” I said to Andy, “I love this episode so much. You and I could have had this conversation on the podcast, because that's what I did in my practice too.” It came about as a result of this case about halfway through my career with the practice owners that I was talking about previously. I said, “Hey, okay, so if we've defined this boundary, what are the other areas where we can intentionally get ahead of some of this stuff?”
So, when you and I started having this conversation, we were talking about it's not just limited to when a pet owner can't pay. That's certainly one aspect in it impacts us on a daily basis, particularly our colleagues who work in specialty and ER where the bills are often multipliers of what we see in general practice, and they're seeing cases 24/7. It is very impactful to all of us in veterinary medicine, but especially to them, but it impacts the team in other ways too. It's not just financial. It's the, “Hey, what about those times of year where it's a euthanasia cycle?” It's a weird freaking thing that I didn't believe was actually a thing in veterinary medicine when I started, and someone told me, “Oh, there's kitten season, and there's euthanasia season.”
I said, “I'm sorry, what?” I remember just thinking that was the weirdest thing ever, but it's true. Looking at, “Okay, when euthanasia season does happen, what are we doing to take care of the team? Are we talking about it? We do morbidity rounds when we have an anesthetic death in our hospital, but what are we doing when we have a rash of euthanasias? How are we checking in with the team and saying, “Hey, how are you all doing?” How are we supporting the mental health and wellbeing, because that has an impact on us? Whether we do one euthanasia in a day or we do 10, the reality is that we're all in veterinary medicine for the patients, and it is a beautiful…”
Euthanasia is a beautiful part of veterinary medicine, and that we can help pets pass peacefully and without pain and suffering. At the same time, there is absolutely a emotional toll and impact to that. So, things like that where we look beyond the money conversation, and start to talk about, “How do we create this safe space to be honest about the things that are impacting us as team members, and then how do we go into creating systems and processes to help support that?”

Dr. Phil Richmond:
There's an old saying down here in the south that is, “Don't hit your shin on a stool that shouldn't have been there in the first place,” is that essentially though… I mean, I suppose, but it's that we-

Stephanie Goss:
You and Andy and the southern sayings, it kills me.

Dr. Phil Richmond:
But knowing that something can cause this, and some of those things, there are other things. I mean, this can be a whole nother show of things that we know that can cause a psychological harm in the workplace. So, that is one of those things is personally for me as a veterinarian, as a GP veterinarian, I've just… This is me, but I've noticed for me is that if I have three or more euthanasias in a day, because, again, I'm not in a hospice situation where I'm, “Go. Go. Go,” and then having to shut down, compartmentalize and do that is I feel it. Sometimes I'm all right, and then sometimes, I'm like, “I am just…” I got to throttle down a little bit. This is where some of the burnout, because my capacity, my emotional capacity goes down.
Being able to honor that is important, but those are those things like, “What do we know in the workplace that can cause those harms?” Again, going back to one of the things obviously that can cause harm is conflict, violence, these types of things in the workplace. So, I genuinely look at the financial stuff as like, “What are some of the ways that we can ameliorate or mitigate those things so that something is already in place?” I just go back to, “Yes, it's a feeling,” but knowing when a client says, “Do whatever. I have pet insurance,” is that knowing how I felt with that, it was like, “Wow, that's just a fundamentally different situation than I was girding myself up for.”

Stephanie Goss:
Sure.

Dr. Phil Richmond:
Then again, also on that line is knowing that that's a conflict. I mean, we can go into a whole thing on conflict, but the financial thing is that what things do we have in place to minimize the stresses and the risks too? Our team members, but I mean also obviously then our patients are going to get care, but what are the things that we can do before that's an issue that we say, “Okay, we know this is something, and let's be intentional about decreasing those harms?” Because when we do that, it's less that gets taken out of our battery every day.

Stephanie Goss:
I think you just moved us into… Anybody who listens to the podcast knows Andy, and I usually talk about the Headspace, which you and I covered early on here. This moves us really nicely into the action pieces, because the first question, when you and I did our conversation about crisis, and we both shared why it was important to us, and some of the study information is statistical information. The firsthand that was raised in the audience, and the question that we get is like, “But how do we deal with it, and where do we even start?” I think you just hit on the two answers, and it's not… Some people are like, “That seems so overly simple. That can't be the answer.”
I think that it really is, and the first question we have to ask is, “What are the things? What are the circumstances? What are the situations? What are the things in our jobs in veterinary medicine, but really any place of employment that are causing us stress, anxiety, emotional distress, put our bodies into fight or flight mode,” looking specifically at those situations. So, we have to identify the situation. Do you have any tools or resources or suggestions for practices in terms of how to audit that with a team other than just asking them, “Hey, let's make a list.”
I mean, that's literally where I started was like, “Hey guys, let's…” I literally got a giant post-it board, and put it on the wall, and said, “What are the things that stresses out the most?” We got the euthanasias, and we got the money conversations, but where can teams start with assessing that piece?

Dr. Phil Richmond:
Cool things. I'm actually working on this with an awesome group of peeps, where we're creating psychological health and safety standards for veterinary medicine, which answers exactly that. Think of it as OSHA for the brain, as the things that we know that cause us emotional and psychological harm. Is it that we don't have autonomy in our job? Is it that we are not clear on what our job is? Is it that sometimes our workplace isn't fair? Are we getting enough reward and recognition equally for what we do? Then am I isolated at work? Am I always… Especially if I'm working remote, if I'm a remote CSR or something like that, am I having connection there?

Stephanie Goss:
Sure.

Dr. Phil Richmond:
Then some of these other things, certainly conflict, workplace relationships are important, supervisor support. So, all of these things are vitally important to all workplaces. What I'll say is almost every country other than the U.S., and I shouldn't say, because the surgeon general just came out with some great workplace wellbeing strategies, but the U.S. is probably about 10 years behind other countries as far as psychological health and safety.

Stephanie Goss:
It's not shocking in the slightest.

Dr. Phil Richmond:
I'm excited. I've partnered with a group called the Wellbeing Lab in Australia. Australia, again, they're 10 to 15 years ahead of us as far as that, and they measure those things. If you're in HR, there's the ISO 45003. Those are the International Psychological Health and Safety Standards. Canada, so I'm certified in the Canadian standard. They have 13 healthcare providers, or healthcare organizations have 15 standards. So, you can look up the Canadian standards, but it gives you an idea initially of where to look.
It's just… Again, the first thing is just awareness and curiosity is that we really haven't been in a veterinary workplace. Sometimes we focus on so much of self-care and individual care, but we've got to be looking at the team level, the things that happen to us and our leaders.

Stephanie Goss:
Right. Yes.

Dr. Phil Richmond:
Then also organizationally, what are we doing, like workload and harassment policies and bullying policies and all of these things? EAPs, are all of these things in place? So very much, the overall thing is preventing harm. Where can we prevent harm, and then where can we also promote flourishing? Hopefully that in a short period of time gave you what you were looking for.

Stephanie Goss:
No. No. No, I love that, and so I think the answer is that it starts with asking the question. It could be as simple as… I mean, don't get me wrong. I love to nerd out, and so by all means, especially if you are a practice manager listening, do your research. Do your homework. Like you said, Phil, we can drop some links in the show notes as well, because there are some amazing information and standards that other countries who are light years ahead of us have put together, and it can be… I think a lot of us don't open the can of worms. I know I was afraid to open the can of worms with my team, because I sat down…
When I did this exercise most recently, I sat down with my medical director, and I was like, “Hey, look, I want to ask the team what stresses them out at work.” You should have seen the look on her face. It was like, “Why would you do that? You're going to open a whole can of worms.” I was like, “Well, what do you mean?” She's like, “Well, what can we do about it?” I said, “Well, if we don't know what is overwhelming, what is stressing them out, what feels emotionally dangerous to them, we can't do anything about it. We have to know what we're facing before we can come up with a plan of attack.” So, I think in talking to colleagues, there's a lot of fear, because the second piece of this is it goes back to your illustration, which is so perfect of what do we do before we go into x-ray?
We put on our lead gown, and we put on our thyroid shield. That's like a tangible… We know what that is. We know what the protection measures are. You could get a checklist on the internet of, “I've got to do these things,” and so many of us are like, “Well, if our team tells us that euthanasia is emotionally taxing for them, what do I do about that, because we can't stop…” We can't just say we're never going to perform a euthanasia in our practice anymore.

Dr. Phil Richmond:
The same thing is we can't say that we're not going to take X-rays, and that's from a risk management. The best thing to do is to get rid of it totally, but what if that's not a possibility?

Stephanie Goss:
We can't do that.

Dr. Phil Richmond:
So, then we go down the… How can we minimize it? How can we ameliorate it? Then the very last thing is putting on the lead. Lead is actually the PPE, from a physical point of view, is the lowest thing, but what can we do? Can we work on… For instance, with euthanasia, just throwing this out there, can we put something in the PIM system that puts us in alert, “Hey, by the way, Dr. Smith has been scheduled three euthanasias. Just put an alert up there that maybe we need to just check in with Dr. Smith,” or, “Hey, I just noticed that Mary actually ticked all three of those rooms. Let's-

Stephanie Goss:
Sub out for somebody else.

Dr. Phil Richmond:
Can we do that? The differences, though, is that may be something that actually is deep meaning and purpose for Mary. So, it may not be something that is… But still checking in because-

Stephanie Goss:
We won't know if we don't talk about it.

Dr. Phil Richmond:
We don't know because of the secondary… The situation may have been not a peaceful transition of an elderly pet or something of that nature. So, it's just those things where we're like, “Hey, let's just be aware that these things cause harm, so let's check in.” Again, just like wearing the badge, we know what the dosimeter is. It's like, “What's going on with our team?” That gets into a whole other thing is are we measuring these things, which is I'm a huge proponent of checking in on the wellbeing, measuring the wellbeing, measuring those things. It's that if we're not measuring it, it's hard to manage it. Then if we're just throwing stuff up against the wall, anyway, I'll go down the rabbit hole with that.

Stephanie Goss:
I was going to say we can't measure it if we don't have a system. So, I think that for you and I for today, that was where we wanted to start and stop, which is that it really can be as simple as asking the question. This is where you do you. You know your team best if you're a manager or practice owner, leader of your practice, asking them like, “What emotionally takes a toll on them?” When they go home at the end of the day, and they just feel like they want to cry or they're exhausted, why? Is it because of interpersonal conflict or emotional things or the workplace things that you mentioned? Is it the nature of our business? Is it doing euthanasia? Is it being in surgery by themselves with nobody else or only one other person for the day? What are those situations?
Then the second piece of it is then what do we do about it? That's where so many of us freeze, because it will feel like an elephant, so I asked my team. The first time we did this exercise, I had 22 of them, and I had probably 52 different answers from the 22 of them, because everybody's individual, and the things that impact them, they're filtering it all through their own lenses and their own experiences. So, to your point, being involved in euthanasia might give life purpose to Mary, but for me or you, that might be a huge stressor for us when we do more than three euthanasias. So, everybody on the team is going to be different.
I was sitting there looking at this giant list, and I remember thinking, “Well, I promised my partner that this was not going to go sideways, and that it's not going to backfire on me.” I could just see the look on her face. We're looking at this giant list, and I said, “Great. Now, we're going to talk about what is one thing off of this list that we can tackle.” So because I had already done it, I started, like you, with, “Okay, somebody had put up there, “Well, it really stresses me out when pets come in, and they're in pain, and the owners can't afford any care.” I said, “You know what? I've got a solution for that. Here we go.”
We laid out the system for the whole team, and I said, “This is how we document it. This is how we…” But never once will we deny pain control to a patient that comes in our doors, because that is something that we can absolutely take care of every time. The relief that the team experienced was great. Then I said, “You know what, you guys, we're going to tackle this one thing, and then when we've got the system down, then we're going to pick another.” We just worked our way through the list, and it is that eating the elephant one bite at a time, because it will feel overwhelming, and you will have the individual pieces, and some of it will be very individual.
I had a member on my team who was struggling with handling stress, and so part of it was, “Hey, look, this is not a thing for everybody else, and I recognize that it's a big thing for you. So, your support is going to look like using our EAP, and having access to some additional counseling to get some coping mechanisms for the stress of our job and the reality of our job.” It can be individual. It doesn't necessarily have to apply to the team as a whole, but I think only then when we define why is it happening, and what can we do about it, can we move into your super happy place, which is how do we measure it? How do we keep tabs on it, and how do we get even better down the road, right?

Dr. Phil Richmond:
Yeah.

Stephanie Goss:
Oh, man, this has been so much fun as always. I love nerding out with you. I'm hoping that this was a good conversation for our listeners, and that they weren't just like, “Stephanie and Phil went down a rabbit hole,” because we can do that sometimes. I'm going to drop some links in the show notes for some of the resources that I know that you have. If you are a practice who's listening to this, and you're like, “Where do I start?” Even the outline that Stephanie just gave feels really overwhelming. I'll tell you, the easiest place you can start is if you don't already have alternative payment options in your practice.
If you're not leveraging the resources that have come out in the last couple of years on spectrum of care, or you're not leveraging the giant resource that is pet health insurance, start there, because those are the easiest things that you can do, because we know, and it has been studied, statistically, the impact that that has on our teams.

Dr. Phil Richmond:
What I would say too is along those lines is just recently, this website policy was set, because that was one of the things is we did as a practice. We believed in it, but, well, which one would you recommend? It's like, “Well, we-

Stephanie Goss:
You're talking about pet health insurance?

Dr. Phil Richmond:
Yeah, pet health insurance. So, it was just… That was one of those things like, “Hey, here's this option. Go.” I don't have to necessarily come up with the answer, but I can say, “Hey, here's the way to make the best decision for you is go. I think it's Pawlicy.com or some such, but like a something.

Stephanie Goss:
I was going to say, I don't have it in front of me, but I'll drop it. I drop it in the show notes, because I'm a big policy fan as well. I am so old that I remember when there used to be the AAHA preferred provider list. I'm totally dating myself down, but I remember the relief that it had to be able to say, “Well, our clients use a whole bunch of companies, and we don't have one that we recommend, but you can go to this one place.” I love that there is that resource in Vet Med again, because I was really sad when it went away, because it takes the stress of, to your point, having to choose because there is no one… Again, there's no one size fits all approach for anything in vet medicine.
I've been saying this forever, and pet health insurance is no exception to that. There's the right thing for the family, for the practice, and all of those things combined. So, to be able to send them to a neutral third party who has all of the information, and be able to give them a resource location as a clinic takes that weight and that stress off of your team as well. I love that you brought that up, Phil, and I'll put it in the show notes as well, because like I said, if you're stressed out over where to start, a great first place is with those three tools. Thanks for joining me, Phil. This was wonderful. I had a great time.

Dr. Phil Richmond:
Oh, thank you. Thank you, Stephanie Goss.

Stephanie Goss:
We will be back, I am sure, because you and I could have endless conversations.

Dr. Phil Richmond:
This is a fact.

Stephanie Goss:
Take care everybody. Have a fantastic rest of your week.

Dr. Phil Richmond:
Bye, everybody.

Stephanie Goss:
Well, that's a wrap on another episode of the Uncharted Podcast. Hopefully you enjoyed this episode. I know it was a little bit different not having Andy and I together in the copilot seats, but hopefully you enjoyed Phil and I's conversation today. Before we go, I just want to take one more opportunity to say a huge heartfelt thank you to our friends at CareCredit, at Synchrony Financial, and at Pets Best Pet Health Insurance, because without them, we couldn't do this podcast. There are a lot of people doing exciting and wonderful things for the veterinary profession as a whole, and we couldn't do them without them. So, thank you all for making this episode possible and brought to you ad free today. Have a great rest of your week, and we'll see you all next time.


Written by Maria Pirita · Categorized: Blog, Podcast · Tagged: communication, culture, management, Vet Tech

Nov 01 2023

How Do You Stop Someone From Oversharing Personal Details With Everyone?

Maria Pirita, CVPM, joins Dr. Andy Roark to discuss a question from the mailbag! Our listener has an employee who has a… dramatic… personal life. The continuous sharing of personal information and challenges is taking a toll on the team overall. Can this person be coached to change his/her behavior? Or is the genie out of the bottle for good? Let's get into it!

Uncharted Veterinary Podcast · UVP – 256 – How Do You Stop Oversharing?

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

Do you have something that you would love Andy and Stephanie to role play on the podcast – a situation where you would love some examples of what someone else would say and how they would say it? If so, send us a message through the mailbag! We want to hear your challenges and would love to feature your scenario on the podcast.

Submit your questions here: unchartedvet.com/mailbag


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The Wright Brothers. Venus and Serena. Han Solo and Chewbacca. Okay, that last one was (far) far-fetched… but there’s no denying that all of these rockstar duos made a lasting impression on us. They innovated, discovered, experimented, and explored the unknown, all to leave the world a bit better than they found it. Veterinary practice leaders can form powerful partnerships just like these. Collaboration in leadership might sound simple, but for any of you that do it on a regular basis, you know it can be anything but easy!

Every partnership (like every veterinary practice) is unique and faces very specific challenges. To be successful, you must identify your strengths and weaknesses as individuals and as a pair. By working to further your skills within your respective role, then coming together to work collaboratively with your partner, you can quickly break problems down into manageable pieces and move forward as a team. 

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Upcoming events: unchartedvet.com/upcoming-events/


Episode Transcript

Andrew Roark:
Welcome everybody to the Uncharted Veterinary Podcast. I am your host, Dr. Andy Roark. Guys, I am here today with the one and only Maria Pirita, and we are tackling the question from the mailbag. Our listener wants to know, “I have an employee and this person has a, how should we say, dramatic personal life and they are way oversharing that personal life with the rest of the staff and it is causing some issues. Can I talk to this person and make sure that they know we care about them and also, you got to stop?” That's what they're asking. Is this a fixable thing? Is this just something that has gone on too long and now we're stuck with it? I don't know. Let's get into it and find out, shall we?

Speaker 3:
And now, the Uncharted podcast.

Andrew Roark:
And we are back. It's me, Dr. Andy Roark, and the one and only Maria Pirita. Hello, Maria Pirita. How are you?

Maria Pirita :
I'm good. How are you doing Andy Roark?

Andrew Roark:
I am so good. I am trying not to live in a shadow of jealousy because you just got back from the VHMA conference where you got your official CVPM certification. And I see pictures from this and there's a picture of all these people who were all dressed professionally and standing at attention. And then there's you with this huge grin and you're doing finger guns, and I'm just like, ah, what a ham. And so you were clearly having a wonderful time and getting accolades. And then today, the VHMA Manager-to-Manager podcast comes out and somebody sent it to me and they're interviewing you. And I was like, we are never going to be able to fit her head onto a Zoom call after this week.

Maria Pirita :
It's true.

Andrew Roark:
And so you seem to be living your best life.

Maria Pirita :
I am absolutely living my best life. I have to tell you, I had so much fun at that conference and the podcast that I did with them was actually all about networking. I actually think it came out just in time for the conference, and they might've just shared it on the social media, but it was really fun to do that podcast. Because you know me, I love talking to people. I'm a golden retriever. I will go up to anyone and talk to anyone. That's a big part of networking is just talking to people about what's going on with their life. And so I had a lot of fun doing the podcast, but I'll tell you what, doing the podcast right before going to the conference, it almost geared me up even more. So I was trying even harder than I was trying before to talk to as many people as possible.
And so what happened was that by the time the ceremony happened, I had tons of friends at the conference. And so they were cheering me on. And oh man, that smile, that grin you saw, it was totally real. I could not stop smiling from just ear to ear. Just the excitement because I was really proud of myself for getting it done and getting the pin and everything. But also just being around so many like-minded individuals that also worked really hard for something like this or are currently working really hard towards something like this. And then obviously just the energy of the whole thing. I had tons of fun. So yeah, it is going to be really hard to fit my head in the Zoom because basically I'm a CVPM and I'm awesome.

Andrew Roark:
Talk about being set up for success. It's like hey, let me interview you on networking and now I'm going to release you into this conference. You have been primed to go and make friends. I love it. Meanwhile, in my life, the Uncharted podcast episode where I told Stephanie Goss about discovering Rod Stewart. I've reached the age where I'm now a Rod Stewart fan. That came out last week, and I cannot tell you how many texts about Rod Stewart, featuring Rod Stewart, Rod Stewart gifts, Rod Stewart emails, Rod Stewart lyrics I have been emailed and texted in the last week.

Maria Pirita :
That's amazing.

Andrew Roark:
People really enjoyed this new phase of my life. And so while you're racking up accolades. I'm getting lots of wake up, Maggie, I think I've got something to say to you voicemails.

Maria Pirita :
Oh, yeah. I actually didn't know who that was until that episode.

Andrew Roark:
Oh my God.

Maria Pirita :
I had to look him up. And then I was like-

Andrew Roark:
Are you serious?

Maria Pirita :
Yes.

Andrew Roark:
Goss and I were joking. We were like, there's young people who don't know who this is, ha, ha, ha. I didn't know it was you.

Maria Pirita :
Hold on. Hold on. Let's state the fact that I didn't know English until I was six. And then even then so, a lot of the music was in Spanish for many years. So there's a pass. I am in my mid-30s.

Andrew Roark:
Yeah. Okay. Okay. Okay. You got me there. Okay. I'm going to take comfort in that.

Maria Pirita :
Yeah, there's a little comfort in that.

Andrew Roark:
Oh, man. Let's do some work here. Let's go to the mailbag. We got a good one today.

Maria Pirita :
We do have a really good one. The mailbag question for today is something that I resonate with, and I'll tell you why after I share the question. But it is all about how to get the person who overshares on your team to still feel loved and support without having them tell the whole team all the details of their drama. And so essentially, this person has a bit of a train wreck personal life, and so they're just genuinely oversharing with their team and it can really bring down the team. They're sick of hearing about all the drama.
And so the team themselves, they'd rather have this person stop oversharing, but they also want to make sure that she feels loved and supported throughout the whole thing. And it was signed sincerely, is the genie out of the bottle for good? I love how they signed it. But the reason why I resonate with that is because I can be an oversharer. And so it was one of those things when I read this, I was like, oh yeah, this is going to be a great conversation. Just because I understand how it feels to be almost on both sides of that spectrum of being the person that either overshares or being somebody who people overshare with you. And so I'm excited to dive into this. Yeah.

Andrew Roark:
No. Well, let's get into it and break it down as we do. So let's start with head space. So we're going to try to help our listener. She says, “Hey, we've got this employee. They're oversharing. The team is tired of it. Their personal life is a train wreck. What do we do?” So where do you go with head space? Do you think about why this happens? How do you start to get your head around how you're going to approach this?

Maria Pirita :
For me, the first thing that I always want to think about is exactly what kind of oversharing we're talking about. Because I think that there are some things that are like, this is a big deal, and there are things that are like, I don't need to know what you're doing every single time you go to this one place. And so for me, head space wise, I want to really put this on a spectrum of what are we talking about oversharing with? Because if it's something that's going to require a lot of empathy and support, then that's actually a very serious thing that I'm actually going to have to need to have more empathy towards. And so we're going to have to be a little bit more delicate about the situation.
But sometimes oversharing can seriously be like I used to have … This is a good example of a bit smaller scale, but when I first took over a clinic that didn't have the greatest culture when it came to calling in, as in they had sick time, PTO time that they could use, but they didn't feel comfortable using it. So they would often overshare the reason they were calling in for, and it could be a smaller thing where it was like, I don't feel well. And now they're describing to me every single thing of why they're not feeling well. And I'm like, “Listen, I don't need pictures. Can you please not share those things?”

Andrew Roark:
Like I believe you. I believe that you don't feel good. It's okay.

Maria Pirita :
For that, it's a different situation because I knew that that stemmed from a little bit of a fear of calling in and them having to feel like they needed to prove that they were really sick. And so the way that we're going to approach that is going to be a little bit different. There's going to be some empathy required for them to understand, “Hey, I definitely want to know when you're sick and you're not feeling well and you're calling in. You don't have to feel like you need to prove anything to me.” In fact, tell me uncomfortable with a text message, which a lot of managers are not. A lot of managers are like, “You need to call me and you need to sound sick.” And I'm like, “Nope. Your sick time is your sick time. You don't need to prove anything to me. Your personal time is your personal time. I'm fine if you text me and just let me know you're not coming in.” I think really figuring out what kind of a deal this is that we're talking about. Because they did say it's a train wreck of a personal life. And so that makes me wonder what resources does this person need? How much empathy or support does this person need before we move on?

Andrew Roark:
So I'm going to dovetail right off of that because I completely agree. I think starting with … Seek first to understand. We talk about that a lot. Okay. What is their position? But then the other thing is that dovetails into this next mental exercise for me. It's, what is the problem with this? Meaning what exactly is the fallout? And we're going to need that because when we go and talk to this person … And we want to talk a little bit about what is happening here? What is the downside of the behavior that they have? If you can't say to somebody, “Hey, when you do this behavior, this is the impact it has on the team.” It's really hard to give them feedback. And I think that when we talk about oversharing and especially personal lives and stuff like that, a lot of people go, “Ooh, I just don't like it and the team is tired of hearing about it.” And I go, okay. I hear that. In professional language, what does that translate to?
Because it's one thing … If I sat you down and was like, “Hey, Maria, the team is really tired of hearing about your personal life, but we care about you, but also we're tired of it.” That may be true. I think it'd be a whole lot easier for me to sit you down and say, “Hey, Maria, we're not able to get enough things done in the day. Things are not moving slow. We're not being very efficient because we've got too much chatter on the team and we're doing too much socializing.” Either way, whether I say, hey, look, we're doing too much socializing, talking about non-work stuff and it's slowing the team down or I say, hey, we're just tired of hearing about your personal life, if I can get you to change your behavior the same in both of those approaches, one of them is much more likely to make you feel valued and cared about than the other.
I'm not trying to mislead anybody, but I want to stop and quantify what's the problem here? Do people feel like we're gossiping? Is that where we're going? Do people feel like there's just constant talk about non-work-related stuff? Do they feel like they're being distracted and pulled away from their work because they want to be a good listener for you? And that's very different from we're sick of hearing about your ish to, hey, people really want to support you and so when you start to talk to them about your personal life, they're trying to give you their full attention, but that's stopping them from being able to get their stuff done. And now they're starting to feel guilty about letting you down and they're falling behind and it's causing them a lot of stress. Isn't that a much softer, nicer way to approach this then just say, hey, we're tired of hearing about your stuff?
And so anyway, start to break that down as far as what are the outcomes of this behavior? Because whenever we give feedback, whenever we coach, whenever we start to hold people accountable, we want to talk about this is what the problem is, and I would like it to not be, we're just sick of your voice. That's not where we're trying to go. I don't get the impression … Because this person, when they write, they're like, “We want this person to know that they're cared about. We do care about them. And this behavior has got to stop.” And so just taking that head space to dig into it. I think a lot of times with oversharing people struggle to articulate what the problem is. It's just that's not appropriate. This is stuff that we don't care about or doesn't affect us. And I go, yep. Go one step beyond that and what does the impact of this sharing have on the team, because that's how we're going to frame this up in a professional way versus we're sick of hearing about your stuff.

Maria Pirita :
Yeah. I love that you said that because I think it's also a lot more actionable to really look at it from that way. And I'll tell you, because when I was little in first and second grade … So I'll tell you the story of my parent-teacher conferences. When I was little in first grade, surprise, surprise, the teacher told my mom that I talked too much in class.

Andrew Roark:
No.

Maria Pirita :
Yes she did. And that was the only remark because beyond that I was a perfect student. So the following year in first grade … I swear. I'm not even making that up. That's true.

Andrew Roark:
Okay. I thought that was the punchline. No. Okay. Sorry.

Maria Pirita :
No. That was actually true. That was not a punchline. I was beyond that a perfect student. According to this teacher, according to this one. I kissed butt a lot in school to the teachers all right, Andy. I'm not going to lie.

Andrew Roark:
Okay.

Maria Pirita :
So they all loved me. And then in first grade, the feedback that the teacher had was like, “Yeah, Maria's great. She's pays attention in class, does well. She just doesn't talk to anyone.” And I was like, “Oh, so now I'm getting in trouble because I don't talk to anyone.” Legitimately, I wasn't talking to many people. And then I was like, okay. So then the following year in third grade, the remark was, “Hey, Maria's a great student, but she has a problem with talking too much and she talks to everyone and we can't focus.” And so I kept doing this … I remember being a student and doing this correcting and over correcting and then under correcting and over correcting, and I could never really get it right. So the problem wasn't that I talked too much or too little. The problem was that I used it at an inappropriate time. So I was talking too much during work stuff when I shouldn't have.
And so I think it took me a really long time as a child to learn that because nobody really showed me when you're supposed to talk and when you're not supposed to talk when it came to school. And so finally by around fifth grade, I got it right. So thanks for that. But what I really like about what you just said is it reminds me of that because you're absolutely right. It's not just like, “Hey, we don't want to hear about your situations, or this is too much drama, we don't want to hear about it.” And I think if you told somebody that it can be very confusing and they could be like, “Oh, well, we care about you, but we don't want to hear about all this drama.” I'm going to hear you don't really care about me. You're just saying you care about me so that you don't seem like a jerk, but really you don't want me to talk at all.
And that would cause me to over correct, and then I would not share any of my personal life with anyone for the fear that nobody genuinely wants to hear about it. And so I think putting it in the way that you just said was really focusing in on the reason why. So we're not getting work done. I need to focus on the clients, or maybe the negativity can bring me down. Whatever it is, getting it actionable I think is what really struck me about that.

Andrew Roark:
Yeah. Thanks for saying that. I think you're spot on. It is very hard to say we care about you and we don't want to hear about the things that you care deeply about. That's a hard balance to work. And so we need to try to figure out how do we communicate what the issue is and try to get this person to self-correct. Let me just step back. And I always try to answer our listeners' questions and we are going to answer this question. And I try not to go, well, let's think about what we could have done in the past that would've been helpful because the past is gone. But I got to throw out, this is one of those problems where the easiest thing is to not let it get to this point.
There's so many people who they want to lean back and they're not really sure how to have the conversation with somebody about their personal life conversations and stuff, so they don't say anything. And then it starts to be a little bit much, but we still don't say anything. And it's like, man, do not wait for this to become a big thing. Use what we call the mention early on, which is just going, “Hey, I know you've been talking a lot about your personal life. I know some of the team is a little bit concerned about some stuff that's going on with you. Are you doing okay? Are you aware of our employee assistance program?” Which I'm a big fan of.
Whenever we have employees who are having personal struggles, mental health challenges, things like that, having something like an EAP, the employee assistance program that you can point to and say, hey, this is a resource, this is here for you, we have this for you, again, it's a nice way of saying we have something to support you. These are action steps and starting to push them in that direction so that you can refer them. Because you are not a therapist, you are not their life coach, you are not their counselor. You are not here to fix their personal life. And I see a lot of people go into that problem.
They're like, “Hey Maria, I'm hearing a lot about what's going on in your personal life. How can we help? How can we support you so that we can get our work done?” And what I'm really trying to say is, how can I get you to not bring this to work? But what you hear is, “Hey, tell me more about your personal life so I can get involved in the action or I can give you advice.” I'm not trying to give you advice on your personal life. I don't want any part of that, but I also don't want tell you, hey, you need to deal with this and I don't have anything to support you. And so the EAP is an nice thing. They're affordable for practices. They're easy to have. It's a nice thing that you can say, here is an action step for you and also, I don't want to continue to wrestle with this at work.

Maria Pirita :
I love that. I love that the EAP system can also help you as a leader too when you're having those situations. Because sometimes when you have this whole, it brings down the whole team. I would want to know who the whole team is. Who's really brought down by somebody sharing their drama. And sometimes you find it might actually not be the whole team. There might be some internal conflict that you don't know that is really there and so sometimes it can annoy some people. And so one thing that I love about EAPs too is that we as managers can also use them for conflict resolution to help them. Call them up and say, “Hey, I have this person who has this problem and as a manager, how can you help me with this?” And so they have resources for us too as managers, but I love it for our team members and our employees.
I love what you just said. I am a big believer in that too, that we're not their therapists and we're not supposed to be over here trying to get involved. But my thing is I am always going to try and give them the resources they need to help with their personal situation. So whether it's the employee assistance program or if I have somebody that's confided in me that they have maybe financial issues, I'm going to refer them to our financial person that takes care of our benefits program. Our financial coach. Whoever it is that we have as a resource, because I'm trying to help without getting immediately involved and that's where a lot of those resources really do come in. And we actually have a lot more than we realize because sometimes we have some of those through our insurance companies as well. Our 401k, our payroll will sometimes have certain benefits that help with our employees. So it's important to know what resources we have, depending on what they mean by train wreck of a personal life, obviously. And then there's also community resources too. There's a lot of community resources available that sometimes are only available in your own personal community when it comes to personal lives and situations. So I like to be able to refer them to somebody that can help.

Andrew Roark:
Yeah. I think that's really important when we start dealing with people's personal lives. You can be supportive of them by referring them to a resource. And I think that you can take the bull by the horns as manager, as a leader and say, “Hey, this is what we have, these are the things that I recommend.” So you're not telling them to shut up. You're telling them, hey, we want to actually address this issue and try to support you. Anyway, I found that to be a really effective way to communicate to people I do care and also we've got a job to do and I'm going to make sure you get the resources you have and we're going to move forward. And if they don't care enough or they're not in a place to utilize those resources, again, that's totally their choice, but it's not okay to continue to come and bring that stuff to work and then not take advantage of resources that are being put forward.
We talk a lot about building trust before you need it. One of the core tenets in effectively leading people is having a trusting relationship. And in order to have that, you have to know your people and they have to know you. And so this is one of those things too, just to jump back in time a little bit. Like, hey, it's really helpful if we talked about this earlier rather than later after it becomes the big established pattern. The other thing, it's always helpful to know your people. And it sounds again from our writer that they have got a good culture and that they know each other. And so it's a whole lot easier to have these conversations when you know this person than it is when you really don't know them and now you're telling them that they need to figure out their personal life somewhere else at another time.
And so that's just a reminder. Always be laying that groundwork of knowing the people that you lead and that you manage. And again, having those conversations. Just figure out who they are as people. Know their hobbies. Know their families. Know what they care about. And then if you can have that level of trust, then when you bring them in and say, “Hey, I got to talk to you about something that's going on. I know that you're struggling in your personal life and you're bringing these things in and this is the impact that it's having on the rest of the team.” That's a much easier conversation to have if you and I have some relationship than when you and I don't have much of a relationship and I don't know much about you and you don't know much about me.

Maria Pirita :
Yeah. I really agree with that 100%. And also easier to bring up if you have something that you're already doing or meeting regularly with. Andy, you and I meet regularly for one-on-ones, and so it feels like a really safe space where we get to talk about what's going on with the business, with what we have going on with the podcast, with webinars, what have you. And so I think that this is something that trying to figure out, okay, this person is oversharing with the regular team, but does she have an area in which she can share perhaps part of the personal life that's affecting her work? If for some reason I had like, oh, hey Andy, I have a situation in which maybe a family member is moving in due to health concerns and I need to share it with you. And so just to let you know, I might be harder to get ahold of within the next couple of weeks, but it'll be done by this time.
I feel like not only do we have a spot where I can feel like I trust you enough to say that because you're such a great leader, Andy, but also because we meet regularly to discuss things. And so I think that's another thing is what are we offering our teams in the sense of … Not saying that you have to be their therapist, but that you do have a space where those things can be brought up versus maybe she's oversharing because she's trying to bring up the fact that she's got a lot going on in her life, but she doesn't know how to bring it up to management. And so instead she's bringing it up to everybody else on the team just so that everybody else knows that she might be coming in a little late because she has this personal thing. That's what I'm getting at is what system do we have in place to be able to bring that up if it's going to be affecting our work?

Andrew Roark:
Yeah. I really like that. I think that's so insightful. Yeah. The open door policy, the ongoing communication, easy way to bring up. But it's funny when you say that. I had not even thought about the idea that maybe we're having all of this talk because this person's insecure. They're like, “Hey, I know I'm distracted. I am worried about making mistakes.” And I'm not trying to make excuses, but I want those people to understand, hey, if you see these behaviors, this is what's going on with me. And there's just a lot of people who, they have a lot of guilt if they don't feel like they're at 100% or they don't want anyone to think they're not trying to pull their weight or things like that, and so they overshare.
So it goes back to that whole start with why. What's going on? What's driving this behavior? I think that that type of investigation, it requires a little bit of subtlety. And again, it really makes it a lot easier if you have a good relationship with your people. But I think you're spot on with that. The last part of head space for me, where I want to get my head into this going in is remember, it is not your job as a leader, as a manager to make people happy. Now, that doesn't mean we don't care about people. It is your job to balance the needs of the people and the patients and the clients and the business. And so you've got to keep all those things in balance. And to me, that just helps me mentally because I'm like, I'm going to go have to have this hard conversation with Maria. I feel this great weight and pressure to talk to Maria, but I don't want to hurt Maria's feelings because I know that I care about her and I want her to know that our team cares about her.
I put all this personal weight on this conversation of what's going to happen between the two of us. And just for me, it's so much easier if I step out and go, you know what? I am the messenger here and I need to balance Maria's needs against the needs of the rest of the team and also against the needs of the clients and also against the needs of the patients who need care. And so we're going to go have this conversation in that larger context. It just puts everything in balance and perspective, and it makes it a whole lot easier to say, hey, this is what's going on and this is what other people are dealing with and this is what our patients need and we need to talk about how this behavior fits into that balance.
And it's not just we're having this conversation because I am tired of hearing about your personal life. It's like, no, there's this much larger thing going on and I'm trying to find this balance. So anyway, that seek balance is always something I want to put into my mind whenever I have hard interpersonal conversations coming up. It gives you a healthier perspective and helps you zoom out and not just look at the one person you have to have the hard conversation with, but look at everybody involved and saying, okay, it's suddenly a whole lot clearer what needs to happen and why it needs to happen.

Maria Pirita :
Yeah. And I love that you said that too because I think sometimes us as managers, we do feel very much that we have to … It's hard for us to have these conversations because we feel like, oh, we have to take care of our team and how am I taking care of them if I'm having to have to have this type of conversation. But really frame it in the perspective of balancing those needs that this is the better thing for the team as a whole is to have this conversation. Because I think a lot of times that's the problem with any difficult conversation is that we don't have it because we don't want to upset somebody in the process. But then this tiny little no big deal thing turns into a very big deal because now you've let it go on for so long. And so I think that that's a really smart thing for us to remember as the people who are having to have this conversation and so that we hopefully don't feel as like, oh, I'm a bad leader for telling somebody that they can't share their personal life. You know what I mean? It's not that at all, and it's important to keep that in mind. And so I love that you said that.

Andrew Roark:
Well, that balanced perspective. That definitely pushes me to have the conversation earlier too. You're exactly right. If I don't think of that way and I'm just like, well, it doesn't bother me that much, and so I'm going to let it go, I tend to let it go a lot longer than I do. If I go, hey, this is impacting five other people who are all working at the front desk or five of the other techs, the doctors are starting to roll their eyes. Yes, it's a low grade annoyance, but all these people are having it and that's not worth it. And so I'm going to step in and have this conversation when everybody's slightly annoyed as opposed to, I've got a lot of people who are really just sick and tired of this behavior and now I'm going to have to go and have a much bigger conversation. So that whole balance perspective. As someone who doesn't really love conflict, as somebody who likes to be nice and sees himself as a kind person that-

Maria Pirita :
You are a kind person.

Andrew Roark:
Well, thank you. I can sit back too long. And so that balance perspective, that's pushed me for that. So anyway, that's what I got for heads pace. Anything else you want to add to that?

Maria Pirita :
No. I think that that's what I've got too. I think we hit them all.

Andrew Roark:
All right, cool. Let's take a little break and then we'll come back and we'll do our action steps.

Stephanie Goss:
Hey, everybody. If you are a practice owner or a practice manager, listen up because I've got something for you. If you're not in one of those roles, take a quick break from whatever you're doing and we'll be right back with the podcast. But if you are, I don't want you to miss out because our Practice Leader Summit is happening in December in Greenville, South Carolina in person and registration is going to be closing. In fact, it is closing on November the 7th, 2023. And if you have not signed up and you have been on the fence, I'm going to give you a little bit of incentive. I'm going to share a coupon code here for you and I want you to use it because I want to see you there.
So Practice Leaders Summit is all about working on our practices, not in them. And this year we are taking practice owners and practice managers specifically, and we are hoping to bring them all together and let them spend some time separately. So practice owners working with other practice owners, managers working with other managers because the challenges we face in those roles are so unique. And so we need time and space to be able to work together with our peers and collaborate because no one knows what life is like for us in the clinic better than our peers. And so we're going to do that. And then we're going to bring everybody together. So if you come together with your practice owner, let's say as practice manager or vice versa, we're going to spend time working on your practice. But don't fear because if you come by yourself, you will still get the opportunity to work with practice owners or practice managers in small groups so that you can spend the time at the end of the conference really working with myself and Andy and Maria and the rest of the Uncharted team, working our way through what do we really want 2024 to be about for our practices?
And so we're going to tackle some of the big topics. I'm super pumped about this. So we would love to see you there. And I've got a special code for our Uncharted podcast listeners. So if you go to uncharted.com/events and you sign up before the November 7th deadline for PLS and you use this code, it is SG for Stephanie Goss, UVC. So SGUVC20. You will get $20 off your registration for Practice Leader Summit. So if you've been on the fence, if you've been waffling, I haven't shared this on the podcast yet, but I'm throwing it out there, go to unchartedvet.com/events, sign up for the registration. You can use the code to get it for yourself. You can get it for you and your practice owner or you and your practice manager. But sign up because I want to see you there. And now back to the podcast.
Maria Pirita :
Okay.

Andrew Roark:
All right.
So we're in good head space. We've thought about what are the drivers of this behavior? Start with why. Where is this behavior coming from? We seek first to understand. All those cliched phrases about understanding what's driving this behavior. And then we started to dig into what are the actual outcomes that we're seeing so that we can go and say, this is the outcome that is coming out of your behavior. Not just people don't want to hear about it, people are tired of it, but what are the negative effects of this behavior so we can coach that? And we've thought about that stuff. We talked about looking at it from a balanced perspective. We talked about knowing what our resources are and are there things that we can go and hand off to this person. So we're not saying, “Hey, I know you're struggling. You need to keep it to yourself.” It's not that. But also I'm not your therapist and I don't want to be your therapist and that's not my job and I'm not taking that on, so don't bring it to me, but I'm going to give you some resources and I can get you access to a therapist or whatever through our EAP or through other resources that we have.
So we've got all those ducks in a row. So I think having that stuff is really important. When we actually go to have the conversation … So is the genie out of the bottle for good? You never know, right? I cannot say, if you say this to this person, their behavioral will change. I don't know. I think that usually when we have behaviors that get started and build up slowly over time, one of the mistakes I see people make … And maybe you can pull it off. I've never been able to pull it off. It's really hard to just subtly walk that back. Meaning start giving people subtle negative reinforcement and change that behavior.
Once that behavior is established, to me, you have to do what I call the reset. And the reset is when you bring the person in and say, “Hey, this is what's going on. We need to make some changes and we're going to start today.” And then we can start to give positive reinforcement. We can start to give negative reinforcement it see behaviors. A lot of times if people have been doing something and behaving a certain way for a long time and then you just start giving negative reinforcement or saying, hey, stop that, they're confused. They don't really get it. They don't understand where this pushback is coming from. You need to do a reset conversation. So the first action step for me is it's time to bring this person in. It's time to have a reset conversation. It's time to ask them about what happened, why this behavior is coming up as opposed to in the past. And it may just be that their personal life has spun out of control.
We need to talk to them about what exactly they're doing that's bothering the team. Because to your point, I thought it was a really good story about first I talked too much and then so I was told that was not right so then I talked not at all. It's not this person talking. It's probably not this person sharing. It's definitely not this person being themselves or being their authentic selves. It's not those things. It is a specific behavior and we need to try to make clear what that behavior is so this person is not confused. So when I bring you in and go, “Hey, Maria, I just need you to just take it down a couple of notches.” You don't know what that means. That's terrible if you … Or, “Hey, it's the talking. It's just the talking.” That's really confusing feedback. It's Not specific. It's not really actionable in a way that matters.
Again, I'm not trying to make this person feel unwanted. I need to get surgical in what exactly is the problem so that you can see it and isolate it. And then we're going to have to start to talk about the impacts that problem has on the team So they go, “Oh, I understand how my behavior is causing these effects.” And then lastly, we're going to talk about our resources and how we're going to change our behavior. And oftentimes that means maybe trying to get this person some support if possible in a healthy way.

Maria Pirita :
Yeah. I really like that and I really liked how you said really addressing that behavior, which is really, really important in that conversation. Things like sharing … When you talk to us about this, it makes us feel this way or just really having that focus on the behavior and the action steps on how we can correct it or where it might be the appropriate place because that's going to give me something to actually work on, like you said, versus just not sharing my personal life at all because now I think you guys don't care about me.

Andrew Roark:
Let's role play this. People always like if we try to use some language and things. And like I said, there's no right way to say this. You got to figure out what sounds good in your voice. Let's you and me do this real fast. So let's come up real quick with … What is the behavior? Let's think about this. So what could oversharing look like? What I want to get at is what does this conversation sound like? You know what I mean? And so what is something that an employee would be doing? What does this oversharing look like?

Maria Pirita :
Yeah. As in, oh man, Andy, I had a great weekend, although it was really hard because my car broke down and then also then my husband was getting mad at me for the car breaking down like it was my fault.

Andrew Roark:
Okay, cool. So fighting-

Maria Pirita :
Fighting with the husband.

Andrew Roark:
Yeah. I love it.

Maria Pirita :
I feel like those, and then talking about the reasons why you were fighting with your husband. I think we hear a lot of the personal life like that at home. Drama amongst there usually. We can make up a scenario with that too.

Andrew Roark:
Yeah. Well, let's just start with that. And then I would say, what is the specific behavior that … So what is the outcome of that? Is it a time suck? Is it emotional fatigue? Is it conflict that's being brought to the team and they're getting conflict fatigue? When we start to look at that behavior, what would that feel like?

Maria Pirita :
Yeah. I think the emotional impact that it has on your team is going to be one because if you're bringing down negativity a lot. And then also the efficiency piece. We had one time a receptionist who liked to overshare with clients, and that gave us an unprofessional setting. So that was-

Andrew Roark:
Oh, that's a great one. Yeah. So let's you and me … I'm going to give you the talk and just sort of say how I'd set it up, and then I want you to come back and I want you to fix it, critique it, tell me how you would go at it differently. Sound good? Okay, cool. So I'd say something like, “Hey Maria, thanks for coming in. I wanted to talk to you a little bit. You and I have been hanging out for a long time and I've known you a long time. I can't help but notice over the last couple of weeks you are having a lot of conversations with me and with other members of the staff about conflict that you're having with your husband. And so I'm hearing a lot.”
And say, “I care about you. You're a friend of mine. The rest of the team, they love you and they care about you as well. And so I know everybody wants to be supportive, but we're getting to the point where it's definitely happening pretty regularly and when we're having these conversations and this team is hearing about conflict again and again, they internalize that conflict. They care about you and they're hearing about you in these arguments or these fights, and it doesn't sound like you're always being treated fairly and it takes an emotional toll on them and they don't know how to help and I don't really know how to help. But it's something that I'm worried about people really feeling and carrying with them.
“The other thing is that when you come in and tell these stories, people want to give you their full attention and they want to be present with you. And we're just so busy. I know that people struggle to be able to get their work done and also feel like they're giving you full attention, but then also the phones are ringing and clients are coming in and they've got patients that they're working on and things like that. And so I think people are starting to feel a little bit trapped of, I really want to give my full attention to the patient and also really want to be there for Maria. And so I think that that's really hard on them.
“The last part is when clients are around and they hear these conversations, they look to us to be these magical professionals that know everything and take perfect care of their pets and it doesn't match up. It seems like a possible distraction from the care that their pet is getting and things like that. And of course, I'm not saying it's unimportant and you know that, but I do worry about an unprofessional appearance just with them hearing one of our team members talking about personal life stuff while we're taking care of their pet.
“And so I just want to talk to you about this stuff and say, this is the behavior that I'm seeing. This is how it's affecting the team. I want to make sure that you're supported. And so I want to ask you, is there anything that we can do? Do you have support outlets? Have you looked at our employee assistance program? I don't know if that would be valuable, but if it is valuable, I want you to know that it's there. Things like that. But how can we support you without having these effects on the team and to make people be able to continue to show up and make this be a positive place to be? Because I want this to be a refuge where you can come and have a great experience and feel supported and cared about, and I want to make sure that we protect that experience for other people while still being honest about people having a hard time sometimes and we all struggle. So anyway, talk to me a little bit about what's going on and how we can maybe support you in a positive, productive way.”

Maria Pirita :
Wow. That's great.

Andrew Roark:
That's how I would … And again, you hear me just making it up and I'm talking off the cuff.

Maria Pirita :
Yeah. I love that.

Andrew Roark:
That's what it would sound like as I start to try to open this conversation up. What do you think? What could I do better? What seemed to work well? What are your thoughts?

Maria Pirita :
I felt genuinely supported during that. You did a great job at framing it from, like we talked about, the behavior and the support and really caring about, I still want to care and support you. And I love the actual steps that that's where you ended because that's where my brain focused towards the end, not as much on the other things. But really focusing on the actionable steps. The only thing that I would add in that conversation would be to frame more about why it's important for them to use EAP.
And I may even say something of like, “When we talk about these things at work, not only does the team feel bad because they're not giving you the time because they're trying to struggle, but you also deserve to have an unbiased party give you that information because we all love you and we're going to give you the best advice that we can, and we're going to talk to you about those things. But at the same time, I really do think that you owe it to yourself to have that unbiased party, and you're only going to get that through the EAP, and so it's going to be something that's really going to help you work through it in more actionable steps than us trying to help you in the middle of this appointment.” And so trying to really focus it from what would they get out of using the program kind of thing.

Andrew Roark:
I love your phrase. Oh, I think you owe it to yourself. I was like, oh, that's so good. You know what I mean? And it's true. You've got this opportunity. You've got the support. There's things that you can do. If it's bothering you this much, you owe it to yourself to get serious about what you're going to do, not just to talk to whoever is not fast enough to get out of the room before you start to unload on them. You know what I mean?

Maria Pirita :
Yeah.

Andrew Roark:
But I love that wording. When we do examples like this, it's always a balance of I want to try to get it out into the world. It's like, this is what I would say. And at the same time, I don't want to monologue at this person. You know what I mean?

Maria Pirita :
Right, mmm-hmm.

Andrew Roark:
And so it's that balance of reading their body language, seeing how they're feeling, checking in. I think you're totally right about having to unpack more of what that EAP experience looks like. I would not drop that in the initial monologue. You know what I mean?

Maria Pirita :
Yeah. Mm-hmm.

Andrew Roark:
I want to check in with them and then if they have questions or if they start to tell me if they're on board with that, if that sounds reasonable, then I'll start to lay out more of these are the resources that we have or this is what that can look like. But no, I think you're spot on about before we go too much farther, we do need to flesh out a little bit more what that support looks like. But again, I do think it's really important to get their input on what support is valuable for them. Because I don't know what they need, and I don't want to be presumptuous and say, “Oh, I hear what's going on. Let me tell you that this is the best thing that you can do, and here it is.” And yeah.

Maria Pirita :
I think you're spot on in what you just told the audience in the way that we role played it. It's going to be different because I felt the moments in which you were talking in which you would've stopped and asked … There was a specific question. I just want to talk to you about that. What do you think we could do about something like this? I feel like that would've been a moment in which I would've stopped and been like, “Oh, well, I have some ideas about this.” Because you're right, the solution to the problem is always going to be better if it comes from them. And so I think it's different when we're role playing it here in the podcast because the conversation's going to be different, but I think the approach you went was just super solid and just the way that you framed it. Yeah.

Andrew Roark:
It's one of those things too where taking a little bit of time to do this right, and to have this conversation is going to pay such huge dividends later on. Don't rush it. Sitting down. Pick your time. Pick your location. I don't want this to feel like they're in trouble. I don't want to do this at the end of the day when they're exhausted and they're hungry. I want to try to do this at a time when I can get some good head space. We've all had hard conversations when we are not up for a hard conversation, and that is really, really challenging. We have also had hard conversations when people are open to hearing what we're talking about and had it go really well. And again, we've got a limited amount of control because we can't control other people, but we can at least try to be a little bit strategic about how we're going to do this and when we're going to do it and things like that. How do you pick your time for this conversation, Maria? Say how we're going to do it, when we're going to do it. People always ask me, they're like, “Do you tell the person you're going to have this conversation? Do you book time on the calendar? Do you not? Do you just ask them to come in?” Talk to me a little bit about when you would have this conversation.

Maria Pirita :
I think you're spot on. I would hate to do it at the end of the day. I feel like what you're going to find is it's going to be stuck on the end of the day. You're going to mull it over. You're going to think about it a lot. And I want to be there to control any afterthoughts, because we all have afterthoughts that are sometimes driven by anxiety of like, oh, this or that. I want to be able to control those afterthoughts. So I want to have it not at the end of the day for sure. This is where I was talking about why I love having a regular cadence for discussing regular one-on-ones and talking about having this designated time, because then it's not a surprise, and it's like this is our regular one-on-one cadence that we talk about whatever we need to talk about. What's going on at home, work, whatever, and having that space because then it's not going to feel daunting.
I think one of the biggest mistakes we can make as leaders is say to employees like, “Hey, I need to talk to you for a minute.” Because for some reason, that can be the scariest phrase when you're a manager, and it can actually be the scariest phrase when coming from your employees. Because sometimes they tell you, I need to talk to you, and your brain will immediately go like, “Oh, great. This person's going to quit.”
We have to be careful with the, I need to talk to you because some of us have experiences in the past that can be that. So I try to avoid saying, I need to talk to you, and if I'm ever going to have a meeting like this. And I do try to make sure we have time for it. And so I'll say more like, “Hey, I set some time for us to meet at this time.” And so that way it's more like, hey, we're going to meet at this time. Low stakes. They're not going to be worried about, oh, what are we going to talk about? Hey, we're just meeting up and talking. So I think that that's really important to me. I think time-wise, it's usually going to be sometime in the morning to mid-afternoon when it's not going to be so crazy for my team. But that's because that's when it wasn't so crazy for my team. Every clinic's going to be a little different, I think.

Andrew Roark:
Yeah. No, I agree. I agree with all that. It's a mistake to set this thing up in a way if you can avoid it where they're like, “Oh my gosh, we're having a meeting tomorrow, and they won't tell me what it's about.” I always think that that's bad. It's much more problematic. If this is a doctor who's got an appointment schedule and you're like, oh man, they're in appointments. This is not a conversation that you want to squeeze between appointments. This is not a, hey, can I talk to you real quick? Because if they come back and they're like, “Hey, I've got some serious stuff going on. I'm really struggling. I think I'm getting pretty depressed.” You don't want to be like, “Well, I'm sorry to hear that. I'm sorry I got to go. There's an appointment waiting for you, and I don't think you should miss it.” You definitely don't want that.
I completely agree. If you have regular meeting times, if this is one of your direct reports, if you're a medical director, it's really nice to have standing meetings with doctors. This is also one of those things where if it's been going on for a long time, which is where we are now, this is not a thing where you have to race and fix it this afternoon. And it's funny how long there'll be a pattern of behavior that's been going on for six months and people are like, “That's it. We're fixing this. Where is she?” And it's like, man it's been six months. What are you doing? Why is this a thing you have to do before you go home today? Just make the decision and stick to it. You're not bailing on this, but also go home and sleep on it. Think about what you're going to say. Go through the exercises we talked about, figuring out fallout and the questions we're going to ask and stuff like that. And then it's worth it to keep your cadence and bring this person in and talk to them in a low stakes environment. I think that's really good.
If this is somebody like a CSR or a tech or an assistant, somebody you can pull off the floor, make sure that you've got time and you are not going to be distracted. But if this is not someone that you regularly meet with or things like that, I do think that you can do that, “Hey, have you got a couple of minutes? I want to talk to you about something.” And just pull them that way. I can be on board with that because I think the anticipation of the conversation can really terrify people. Especially if you do your best to keep it low stakes in the room and make sure that they don't feel like they're in trouble. But again, that breaks down when you're talking about doctors who have appointments and there's people waiting on them. It's much harder to get those people.

Maria Pirita :
Or if it's like a receptionist that's in charge of the phones, what are you going to do with the phones? Because in my years of receptioning, I remember getting anxiety sometimes when I would get pulled from the floor, but all they did was forward the phones because that just meant I had a bunch of messages to come back to. So really thinking about if you are going to do the casual thing, put somebody at the desk to just help out. Put somebody in the back to do it. Or if you have time because you actually have decided to schedule it, you have the ability to schedule to have more hands that you need so that you don't have to be pulling somebody and it's going to be a great dire need situation. But yeah.

Andrew Roark:
That's all I got. I feel like that's the best shot. Does the genie go back into the bottle? I don't know. I think it depends on why this is an issue. It depends on what's going out. It depends on what kind of positive and negative feedback this person's been getting from the rest of the team. Yeah. It just depends on a lot of factors. We can't make people change their behaviors. We can talk to them about it. We can coax them to change. We can coach them to change. But ultimately this has got to be something that they've got to want. We've all seen employees that just can never break the habit of … Some people just love drama. They let it into their lives. They seem to thrive on it and feed on it. You can coach those people. We can make our team a place that drama just doesn't get much of a foothold. There are things like that that we can do. But we can't guarantee that the genie goes back in the bottle.
But my big advice is have the big conversation. And the last thing I want to say is this. You're going to have the conversation we just talked about. That is not the beginning, middle, and end of our treatment plan. That is the beginning of the treatment plan. And then we're going to stay engaged. And when this person comes the next day and we don't hear anything about the personal life and they've got a good attitude, I want you to jump in there with the positive reinforcement. Call it out. Say to them, at the end of the day, “Hey, I want you to know I see you. I see you working hard. I know you're carrying a lot, but boy, you were an absolute joy to be around today and I know that it meant a lot to the rest of the … For having your head in the game here and for showing up the way that you did.” So remember to jump in positively reinforce. If after a couple of weeks it starts to slip, which is often the case is the behavior will get better for a couple of weeks and if and when it starts to come back, because it often does, be there just to have the quick mention. Don't wait until it gets back bad enough that you have to have another closed door conversation. Say something sooner rather than later.
Say, “Hey, things have been going really well for the last couple of weeks. I know you've been working through some stuff. You have really been a pleasure to be around. I couldn't help but over here today that we're starting to talk again about conflicts at home. And I'm sorry to hear that. What's going on as far as our commitment to communicating with the team? You can understand my concern is I don't want things to get negative or for us to start backsliding because things have been really, really great. How can I support you?” And it's just trying to mention it in a way like that. Again, a compassionate way. But don't let it go. Just know that people are going to make an effort. They're generally are going to do their best and they're generally going to have some backsliding. And all you got to do is mention to them, “Hey, I heard this. Everything okay?” And a lot of times what happens is that hopefully it helps them know that they're supported. But also it causes attention to the fact that this behavior did happen and I saw it. And so hopefully that's often enough that it takes to get people back on the rails.

Maria Pirita :
Yeah. Yeah. I love it.

Andrew Roark:
Cool. Well, Maria, thanks for being here today. I always appreciate you and your time. Guys, thanks for tuning in. I hope this was helpful for our mailbag listener. Take care of yourselves, everybody.
And that's what we got for you guys. I hope you enjoyed the episode. Thanks to Maria for being here. I always enjoy working with her. She is amazing. Congratulations to her, in all seriousness, on her CVPM. She really is a rising star in our profession, and I feel honored to get to work with her. So anyway, guys, take care of yourselves. Be well. I'll talk to you later on. Bye.


Written by Maria Pirita · Categorized: Blog, Podcast · Tagged: communication, culture, management, Vet Tech

Oct 25 2023

I’ll Admit It: Some Animals Make Me Nervous! With Amanda Schwarzwalder, CVPM, RVT, KPA CTP, VTS

This week on the Uncharted Podcast, practice management geek Stephanie Goss is joined by special guest, Amanda Schwarzwalder, CVPM, RVT, KPA CTP, VTS (Behavior). When Stephanie saw this letter in the mailbag, Amanda was the first person who came to mind to tackle this topic with. For over 20 years Amanda has worked as a veterinary technician in various capacities. Her interest in behavior led her to joining The Behavior Clinic in 2009.  A nationally recognized speaker in veterinary behavior and Fear FreeTM Approved Speaker,  Amanda enjoys teaching veterinary team members how to implement and develop behavior care as a team. As the Practice Manager, Amanda is often behind the scenes handling the day to day business of keeping TBC running, supporting our referring veterinarians, and working with the TBC team to assist our clients and their pets. With such a well-rounded resume, it makes perfect sense that Amanda has a whole alphabet soup behind her name.

Stephanie and Amanda are taking on an email from our mailbag that came to us from a technician in training who is worried about their comfort level with animals. While this might seem strange to some people in veterinary medicine who are lovers of ALL creatures great and small, Amanda and Stephanie talk through the concerns from a practical, clinical and personal level because there is a lot to this seemingly simple concern. We're not brushing it off, let's get into this…

Uncharted Veterinary Podcast · UVP – 255 – I'll Admit It – Some Animals Make Me Nervous! With Guest Co – Host Amanda Schwarzwalder

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

LINKS FOR RESOURCES MENTIONED IN PODCAST

Fear Free Coupon Code: FFROARK20

Low Stress Handling

Do you have something that you would love Andy and Stephanie to role play on the podcast – a situation where you would love some examples of what someone else would say and how they would say it? If so, send us a message through the mailbag! We want to hear your challenges and would love to feature your scenario on the podcast.

Submit your questions here: unchartedvet.com/mailbag


Upcoming Events

Are you a practice owner or a practice manager? Never underestimate the impact of a powerful partnership and DON'T MISS YOUR CHANCE TO JOIN US LIVE IN GREENVILLE...

The Wright Brothers. Venus and Serena. Han Solo and Chewbacca. Okay, that last one was (far) far-fetched… but there’s no denying that all of these rockstar duos made a lasting impression on us. They innovated, discovered, experimented, and explored the unknown, all to leave the world a bit better than they found it. Veterinary practice leaders can form powerful partnerships just like these. Collaboration in leadership might sound simple, but for any of you that do it on a regular basis, you know it can be anything but easy!

Every partnership (like every veterinary practice) is unique and faces very specific challenges. To be successful, you must identify your strengths and weaknesses as individuals and as a pair. By working to further your skills within your respective role, then coming together to work collaboratively with your partner, you can quickly break problems down into manageable pieces and move forward as a team. 

This December, The Practice Leaders Summit is here to infuse the powerful veterinary partnership of practice owners and practice managers with renewed energy and understanding. You both want a strengthened foundation to guide the practice (or practices!) you lead so that it can continue on to future success. Join us!

Upcoming events: unchartedvet.com/upcoming-events/


Episode Transcript

Stephanie Goss:
Hey, everybody. I am Stephanie Goss, and this is another episode of the Uncharted Podcast. This week on the podcast, I am very excited to be joined by an Uncharted community member, friend, and colleague. Amanda Schwarzwalder is a CVPM. She is an RVT. In fact, she has got a whole alphabet soup behind her name, as you'll learn as we get into this episode. I asked Amanda to come on the podcast this week for so many reasons, least of which is that she is a VTS in behavior.
We got a question in the mailbag from someone who is working on their technician license, and they had a question about behavior and pets. The first person I thought of was Amanda. I'm super excited to have her jump in and guest host with me this week, as we tackle this mailbag topic about being nervous potentially around some of our patients. This was a fun one. I hope you guys enjoy it. Now, let's get into it.

Speaker 2:
Now, the Uncharted Podcast.

Stephanie Goss:
We are back. It's me, Stephanie Goss, and I am joined this week not by Dr. Andy Roark, but by my friend and colleague. I'm really excited for you all to meet Amanda, because I'm not sure that all of you have had the opportunity. She is amazing. We have an Uncharted community member and a CVPM. Are you an RVT, LVT, CVT?

Amanda Schwarzwalder:
RVT.

Stephanie Goss:
RVT. Amanda has the entire alphabet suit behind her name, so I'm not even going to try and name the letters, because Ms. Amanda Schwarzwalder, who is here with me today, is a technician, practice manager. You are a VTS in behavior, which is why you're here because we're going to have a conversation about a mailbag thing that came through. I was like, “Oh, this is right up your alley.” Amanda Schwarzwalder, welcome to the podcast.

Amanda Schwarzwalder:
Thank you. I'm so excited to be here.

Stephanie Goss:
I am excited to have you, and I have to ask you a question, because I was looking at your bio and I'm like, “Okay, CVPM, I know that. RVT, KPA, what is that?”

Amanda Schwarzwalder:
Karen Pryor Academy certified training partner. Yep. I've been through a formal trainers program to be an animal trainer, multiple species.

Stephanie Goss:
Okay. CTP, what is that?

Amanda Schwarzwalder:
That's the certified training partner that goes with the KPA.

Stephanie Goss:
Okay. Those two are the training ones, and then VTS in behavior.

Amanda Schwarzwalder:
Yep.

Stephanie Goss:
You told me a fun fact when we were getting ready about the letters behind your name.

Amanda Schwarzwalder:
Yeah, so I also-

Stephanie Goss:
You have to tell everybody.

Amanda Schwarzwalder:
Yeah, so I have a few more letters, because I'm also a Fear Free Certified Elite. By the time you put all the jumble of letters together with my first name and my last name, I am only missing four or five letters from the alphabet. That's my new gig when I lecture is on the title screen, it's like, “these are the letters that are missing. If you know a credential that contains these, let me know.” Then I'll have the whole alphabet. It'll be complete set. That'd be great.

Stephanie Goss:
Oh, my gosh. I love it so, so much. Tell our audience, because you are in the Midwest, and then I know you have done speaking, and our Uncharted community knows you, but tell the listeners a little bit about yourself.

Amanda Schwarzwalder:
Yeah. I am a practice manager for The Behavior Clinic. We are a specialty behavior practice in the Cleveland area. I have two board of veterinary behaviorists that are part of our team, our business owner, and then an associate. Then we also have, I'm losing track, I think I'm up to five RVTs. I've got one other VTS behavior and then some other trainers. We're a team of 14 now, which has been crazy.

Stephanie Goss:
Yeah.

Amanda Schwarzwalder:
Yeah, so we do animal behavior. We do mostly dogs and cats primarily. Occasionally, we get horses, occasionally, we get birds. I've also gotten to do some really cool work with Raptor Rehab. I've also gotten to do wolves, and coyotes, and otters are my favorite.

Stephanie Goss:
Whoa.

Amanda Schwarzwalder:
I love otters. They're so cool. It's been a lot of fun. We've gotten to help bobcats learn how to give blood, and do some consulting with zoos and things. It's been a really fascinating ride, so sometimes can't believe it.

Stephanie Goss:
I feel like we could just do an episode and hear your story, your stories about-

Amanda Schwarzwalder:
I think some of them might have to get legal permission from clients, but they're really funny. I've got some really good ones.

Stephanie Goss:
Oh, gosh. That is so awesome. I'm super excited to have you on the podcast today. Y'all, I thought of Amanda immediately because I got a mailbag letter and when I first got it, I will admit, I was like, “I got to put this on the back burner, because it doesn't feel like it's right up Andy and I's alley.” Then I was thinking about, who would be someone good? We've been doing some episodes while Andy or I have been on vacation, where we've had guest hosts. I was like, “Amanda would be perfect for this one.”
We got a mailbag letter from a young technician intern who is working on their technician license, and they're about to do their internships. They are a little bit nervous and were asking about some tips for becoming comfortable with animals, because they said, “I'm reasonably comfortable around dogs. I've had dogs growing up, and I have friends with dogs in their homes. I feel like I know enough about the basics of canine body language, and I can kind of tell when they're uncomfortable.”
They said, “I've never had a cat, and I don't want one because our current dog has a prey drive,” and I was like, “Good for you, recognizing that. That's a step in the right direction.” They were like, “I have friends who have cats, and I don't feel like I'm as good reading their body language, but I'm a lot less nervous with them.” They said, “I feel like I'm really nervous around the larger animals, and I'm getting ready to move into the step of my program where I'm going to do my large animal internship and get experience with them.”
They said, “I'll pet a large animal, but I don't ever feel completely comfortable.” They reached out, were asking for tips on how to be comfortable around the pets that make them nervous. They said, “I feel like as a technician, I should know the basics of handling a whole variety of species, and not just necessarily dogs and cats.” I was like, “Oh, this will be a fun one. I feel like both Amanda and I probably can get into some stories about being a technician, and nerves and comfort.”
I told Amanda, “We're just going to dive into this one in true Uncharted Podcast fashion,” and we'll talk about some Headspace things with all of you, and then we'll do some action steps that Amanda's got some great resources. We'll have set links in the show notes and everything for everybody. I'm excited to dive into this one with you, Amanda.

Amanda Schwarzwalder:
Yeah. Well, and I love that in the mailbag letter, that they were actually willing to contemplate willing to get a cat in order to learn more about cats. I'm just like, “You can't do that with every species.”

Stephanie Goss:
No, not at all, or you would have a zoo.

Amanda Schwarzwalder:
Yeah, you would have a zoo, but it's great that we've got that level of commitment, so I love that.

Stephanie Goss:
Yeah, absolutely. Okay, so from a Headspace perspective, I think you and I were talking a little bit before we started recording, I think both of us are in total agreement that I love this letter because this is totally normal. I think there are people who are going to listen to this podcast episode and see themselves in it, whether it's themselves now in their career, or themselves at one point in time.
I know that's how I felt when I read it. I was like, “Oh, I remember that point in my technicians program where I was like, ‘Oh, I'm afraid of these things.'” I've been honest on the podcast about things that I'm still afraid of as a technician. That's things that I have now put into my deal breaker category.

Amanda Schwarzwalder:
Yep, yeah. There are so many things, and fear is normal. It's normal to be nervous. It's normal to be concerned. I love that It also comes from this person's writing, from this perspective of, “I want to know how to be better. I want to know how to feel safe and be safe in these environments,” because that's someone who's going to be a really great technician.
They're asking right questions before they get into those situations, whereas suddenly, they are in that externship and they're like, “Okay, today you're palpating a cow,” and having to go, “I've never touched a cow in my life. What do you mean?” It's great that they're thinking ahead. I love that. I love that they're able to, “Hey, this makes me comfortable and this makes me uncomfortable.” We've got a really good place of self-awareness and where their skills are right now.
I think that's the one thing, as a technician, you're in school. I love it. We're in school. We're in school to learn. I think that's the biggest thing is to remember that in that process, there are things you're going to get to, and you'll get there. It takes time, depending on where that large animal component is in your program, but at least we've got some resources, and lots of things we'll talk about a little bit later.

Stephanie Goss:
Well, and think about it. The possibilities in veterinary medicine, and I remember feeling this when I started my tech program, I was working in a small animal GP, so there were species that we were seeing in the practice every day. We actually had mixed animals. I knew that I was seeing that in the practice, so I was not as uncomfortable about that, but I knew that there's a whole variety of career options out there in vet med.
Thinking about my colleagues, at the time, I was in California in the Bay Area, and I had friends who were technicians for the, we had several zoos in the area. I had technician friends who were working at the zoo, and I thought, “When they went to school, they didn't have in school the learning opportunity with the species that they're now working with.” That's not a part of the curriculum. If it was, if we covered every animal species on the planet, we would be in school for 10 years.

Amanda Schwarzwalder:
Exactly, yeah. That's the thing, we have such a small timeline for veterinary technician education. It's a two-year program. Some places are 16 months, 18 months. Then we do have some of the four-year programs. I'm a specialist in behavior. The amount of behavior that I was given in that two-year timeframe was very, very little. That's, I think, a really good point of remembering that you're not going to get everything that you need to know in school.
You're going to have to go out and find education for yourself, especially when you've got passion areas that you want to invest more time in, or again, being able to self realize what you need more help with. For me, I'm a CVPM. I always need more help with finance. It's just one of those areas I just always need more help with, but HR, I'm good. You're always going to have to figure out where your weaknesses are and where your strengths are.
Then do like this person is doing and say, “Hey, who can I talk to? Who can I network with? What resources can I find?” Yeah. Yeah, I didn't get otter class in tech school and there was no Otter training course. No, missed that.

Stephanie Goss:
It's so funny, because I remember, I was excited to do this episode for a whole variety of reasons, least of all to get to talk to you, because you have great stories. I knew that our listeners would love you. I remember being a young technician, and I think I was maybe in my final semester of school, but I'm going to share a secret with all of you. I was terrified of birds.

Amanda Schwarzwalder:
We share a fear.

Stephanie Goss:
I was terrified, and no one in the clinic knew my dirty little secret. We saw birds. We had a vet who saw small animals, but she also saw avians and exotics. It was a part of our everyday practice, and I had managed successfully to avoid getting on any of her schedule stuff. I knew that the day was coming where I was going to have to confront the fear. We had a client of hers who had a large bird. He was an Amazon parrot, and you'll find this funny, I think, ironic as a behaviorist.
He had some serious feather plucking issues, and his dad traveled a lot for work. He was boarding with us for an extended period of time. I think he was with us for about a month. His enclosure was housed in the office because it was the only place in the clinic that was big enough to put his cage.

Amanda Schwarzwalder:
His house, yeah.

Stephanie Goss:
Yeah, exactly. At the time, I was working on a big project for AVImark, and I was coming in at 3:30 or four in the morning west coast time to get on east coast time to talk to AVImark tech support. Every morning, I would get there and I'd be in the office, and I'd be on the server, and he would start talking to me. I sat on the far side of the office from him, because I was just even terrified to go close to his cage. Nobody knew my dirty little secret. He would just keep talking to me, keep talking to me.
I remember sitting there, thinking, “Maybe this is a sign. Maybe it's a time to try this and get over my fear.” We're going to talk about this when we get into action steps, but I knew logically, that when you have a fear, part of getting over it is only facing it, and then desensitizing yourself to it. I remember sitting in that office and being 10 feet apart from him, and literally being afraid he was going to get me, even though I knew that was illogical. I was just like…

Amanda Schwarzwalder:
He has a key, he can open the door. Yeah.

Stephanie Goss:
I was just like, “Please don't hurt me.” I think this is totally normal, and I going to save the other half of my story for when we get to action steps because it has to do with facing the fear, but it's totally normal. I think everybody has that. Is there, besides birds, which seems like we may share…

Amanda Schwarzwalder:
Birds and snakes, I'm not really a snake fan. We had one client who used to breed boa constrictors, and so I had to start with the baby snakes. I'm still not a snake fan, but I can be okay. I actually married someone who loves tarantulas. When we started dating, Mr. Snuggles, a little pink toed tarantula that was the size of your hand, and it was Mr. Snuggles because it was the most friendly of his pets. Yeah. There was some chocolate involved. Yeah.

Stephanie Goss:
Okay. We're going to…

Amanda Schwarzwalder:
He wants a much larger one, but I'm not to that point in my spider therapy, so yeah.

Stephanie Goss:
Okay. We're going to circle back to that, because there's some stories there.

Amanda Schwarzwalder:
Oh, yeah.

Stephanie Goss:
First piece, we recognize that this is totally normal, and I love your point about not only is it normal, and I so appreciate the writer who said this, because it's healthy. You said something to me when we were getting ready to start recording that I think is really important. We were talking about it being healthy, and you were talking about particularly in the context of large animals, why fear is a little bit healthy and important.

Amanda Schwarzwalder:
Yeah, it's healthy whether we're talking about large animals, small animal, bird, spiders, or even when it comes to doing things like getting in front of a crowd and speaking. You want to have some sort of a little bit of anxiety, because that's what's going to keep you safe. Your amygdala is there for a reason. It has a job. Its job is to keep you from doing things that are going to harm yourself.
When we're walking up to that bowl that's in the pasture, we want to have that little bit of like, “Okay, you need to be aware. You need to be watching. You need to be cautious.” When you're working with a large animal and they step on your foot, they can break your foot. They're just shifting their weight, but that's going to be a much greater injury that you're going to sustain compared to when you're working with a Great Dane in a room and they step on your foot. It's not going to take a whole lot for you to get hurt when we're working with large animals.
Again, a little bit of awareness of that, “Eh, this makes me a little cautious,” is good. It's the same thing when I'm coaching my technicians in our consult rooms. If you're ever to the point where you are not a little bit worried when you're seeing that dog that has a multiple bite history, and it's got a history of pinning technicians in the vet clinic and biting the doctor, you need to have that. That's what's going to keep you and your doctor safe while you're providing care so that pet can get better. Yeah.

Stephanie Goss:
Yeah, it's not that you don't want to believe that they can be trusted, but you should always be aware. That's what I love about what you do is that the idea that we can learn new behaviors, and we can desensitize, and we can train away from behaviors that we may have learned. At the same time, that awareness is so, so important to always keep with you. It's so healthy for you. I love that you train your team on that. That's awesome.

Amanda Schwarzwalder:
Yeah, I spend a lot of time with that. It's the same reason when I'm lecturing, if I ever am doing something like the podcast, or a lecture, if I'm ever not a little bit anxious or excited, then I probably shouldn't be doing it, because maybe I don't care as much about what the outcome is. I want my people to care. Yeah.

Stephanie Goss:
It is so, so true. People, I think, are surprised when they actually learn, because this is what I do now for a living, and I do the podcast every week, and I am on stage, and I've spoken in front of hundreds of people, but the stage fright is real. Andy's very proud of me because it has gotten better, but I will tell people, “I still throw up before every time.” That's just my body's response.
It's the nerves, and the anxiety, and that excitement. Even now that the excitement outweighs the nerves and the anxiety about my performance, I'm like, “Am I going to trip and fall on my face?” I still have that energy, and it's my body's way of dealing with it. I'm okay with that.

Amanda Schwarzwalder:
Yeah, exactly. You need that. That's where it's like I did some time at Wolf Park in Indiana, and when you're going into the enclosure with a large wolf, you are definitely feeling not super comfortable, especially if

Stephanie Goss:
Even if you're excited about that.

Amanda Schwarzwalder:
… they'll hop up on the log next to you, face level, you're just kind of like, “Okay, this is really exciting, but I might die.” It's a very different sort, but again, it's there to keep you safe. It's there to keep you from turning around, going, “Oh, hi, cute wolfie,” and smooching it on the nose, because that won't go well. Wolfies don't like that, it's not their thing. Yeah.

Stephanie Goss:
I want to, what you just talked about dovetails into, I think the next thing from Headspace perspective, which, for me, is thinking about my own career and my own experiences, I think about the things that I was nervous about or I was even truly afraid of. I think that some of the moments of greatest, the most moments of great achievement in my career, a lot of them, or the moments that gave me immeasurable pride, came from facing up to some of those fears and those discomforts.
I remember getting on stage for the first time in front of hundreds of people, and it was terrifying and also exhilarating. Walking into an enclosure with a wolf and having that experience, I would be terrified.

Amanda Schwarzwalder:
Yeah, it's terrifying, but it's amazing.

Stephanie Goss:
Yeah, but also, what a rush?

Amanda Schwarzwalder:
It is.

Stephanie Goss:
Yeah.

Amanda Schwarzwalder:
It's a total rush. It's the same thing when you think when we start out as technicians, the first time you're learning to place a catheter. You're like, “Okay, how many zillions of pieces of tape do I need? This is really stressful, and am I going to hit the vein?” Like, “Oh shoot, now it's bleeding everywhere. What do I do with that? Where'd that darn cap cap go?”
Then you're getting that catheter on that little neonatal kitten that's super dehydrated, and it looks terrible, and you get it in, and you're like, “Score. I did it.” You get that big surge of confidence. Again, it's that fulfillment of you did learn it, you got the skill, and you nailed it.

Stephanie Goss:
Well, and pride…

Amanda Schwarzwalder:
You're comfortable with it. Yeah.

Stephanie Goss:
… Is that pride of feeling like you've taken a skill, something that you've studied, that you've learned, because the skills, and this is my next piece, is the skill gets you so far. You learn, you have all the theory, you have all the bookwork, and it's one thing to know it in my head, and I can recite it backwards and forwards. I'll be honest, this is the kind of technician I was. I'm very book smart. The book learning came very easy to me.
The actual doing was hard. I had to really put time and effort and energy into the doing, because the skills come with practice. For me, when I went to school, I was working at the front desk. I wasn't in the exam room every day. I wasn't getting the hands-on day in, day out experience. Those skills were a lot slower in coming for me. To your point, I still get that excitement and that pride, even in the small things, like hitting a jugular.

Amanda Schwarzwalder:
Yeah.

Stephanie Goss:
Most of us think, “Oh, my God, it's so easy to hit a jugular,” but when you don't do it every day…

Amanda Schwarzwalder:
When you don't do it all the time, yeah.

Stephanie Goss:
It's that excitement of I have the knowledge, I know how to do the thing, and I have the skills to do it. That brings the achievement and the pride in what we, I think that's part of why we do what we do.

Amanda Schwarzwalder:
Right, yeah. Well, and we get the satisfaction that we actually help, we helped an animal. We helped them have a better life today. We helped them have better care. That's what I think a lot of what we do in behavior, especially because we do have these patients who are not, you've got a horse, and it doesn't really want the farrier to touch its feet, but if we don't get the farrier to touch their feet, they might get more damage over time and become lame.
Then we're into a big medical concern that is now more of a problem. It's going to cost the owner more. The horse is going to be in more pain and discomfort, because we didn't have the skillset to get there. That desire to help, I think, is a big thing that empowers a lot of us as technicians is we want to know that we helped the animal. We want to know that we did something to give them care. Most of us, I love it, my favorite question is always, how many of you in the audience love people? When I'm talking to technicians.
It's like, you get five people out of a few hundred. I love people, I love the people part, but I think that's the biggest thing for most of us is we're in it for the animals. Being able to do something that, yeah, we got that blood sample, so now we can treat this dog, and we can have the information to know what's going on.

Stephanie Goss:
I also think that I'm so glad that you brought that up, and I think it's such a good point, because I think one of the things that always stuck with me, especially when I was in school and learning, was I leaned into that discomfort and that fear to help the animal. What I mean by that is that there were definitely circumstances where either it was that I was learning a new skill, or it was a patient, a species that I was uncomfortable with.
I was never afraid to try a thing, but I was always okay to say, “Okay, I've tried it, and it didn't work. I would rather you, the experienced preceptor or whoever's with me, do the thing, because this is a critical patient, or it's more emergent or whatever.” Never, when they were healthy pets, it never worried me, but that comfort level for the patient was always at the heart of it for me. I didn't want my learning to come at their expense.
I think that that's something that a lot of us think about when we're in school, because we care about our patients and we don't want to harm them. It's really easy to practice on the dumb, dopey lab that just sits there, wagging their tail with their…

Amanda Schwarzwalder:
Yeah, take my blood, it's fine. Yeah. You got more cookies? Yeah.

Stephanie Goss:
That neonate that you're just like, “This is critical. We need to hit this. Let's not cause it more harm or discomfort.” I think that that fear factor, that anxiety, spidey senses, it feels different for all of us. For some of us, it is a true fear.
I've talked on the podcast before about my fear over anesthesia as a technician, and I would always absolutely say, “Nope, I'm going to step out,” first thing. I never felt bad about it, because for me, I was putting the patient first.

Amanda Schwarzwalder:
Exactly.

Stephanie Goss:
It was truly a terror fear level. I also have other friends who, there were other things that I did, where it was like, “Okay, this is a little spidey sense tingling. I feel uncomfortable with it.” I think recognizing that that's going to come and go as you learn and as you develop skills, and sometimes it is the true terror, and sometimes it's just the spidey senses tingling, feeling like, “I'm a little uncomfortable in this situation.”

Amanda Schwarzwalder:
Yeah, and I think that dovetails in really nicely with behavior, because oftentimes, I find when I'm working with vet teams and we're talking about behavior, no matter what species, everyone has that feeling, like, “Ooh, I was in the room with this patient, and I just got this weird feeling. They weren't comfortable, but I can't tell you why.” That's one of the things with behavior is that we talk a lot about, “Well, pin down the why. Why do you think that that patient is uncomfortable? Why do you think that this isn't going to go well?”
Sometimes we're seeing things that are actually clues that the animal's uncomfortable, or that they might display differently if we contact them in a certain way, or if we get into their space. We aren't very good at talking to each other about what that is, because sometimes we don't know, because again, we don't get that in school, but it's definitely something, “Okay, I'm approaching the horse in the paddock. I just have this weird feeling,” but being able to go like, “Well, okay, stop for a second.” Go, “Well, why do I feel this way? Let me look at my patient.”
Take five seconds, look at the ears, the eyes, all these different things. Then you can also have that, “Okay, I feel this way because this is what I'm seeing in the animal's body language.” Then that helps connect you with that. “Oh, okay.” Over time you go, “Ooh, I'm more aware of that. I'm seeing this as I'm approaching to the paddock, so that is telling me I already need to change some of what I'm doing, because I'm now aware of, well, why did I feel weird? It's because something in that animal's body language told me to be concerned. I just wasn't maybe paying attention to it before.”
That's something that's hard, because in behavior, we have a luxury of an hour and a half consultations that we're spending a lot of time-

Stephanie Goss:
I was just going to say, yeah.

Amanda Schwarzwalder:
I've got clients who send us video from home, and all sorts of things, versus when you're in a 15-minute appointment, or you're on a farm call and you've got to get through the barn has 30 horses in it, it's very different. You might be, you're going through faster, you're going, “I feel weird, I don't know, but we got to get this cat vaccinated, so let's go.”
Then later, you're going, “Oh, yeah. They exploded, and there was a reason they were really upset.” Maybe, hindsight's always 2020. Yeah.

Stephanie Goss:
I think that that's an important lesson, though from a leadership perspective, for me, learning to lean into that with my team and teach everyone, myself included, to trust our instincts. I love that as a field, we have become more aware about low stress handling and Fear Free techniques. You certainly can speak to this as a Fear Free Elite, but that was one of the things for me with my team is if your spidey senses tingle, listen to that.
It is always okay to pause and say, “I would love someone else's opinion here, or I'm just going to slow down and sit here with the patient for a minute and see what I see,” to your point, “And I'm going to observe the behavior,” or to say, “Maybe we should do some drugs, and come back at another point in time, even if it's an hour from now versus tomorrow.” I think I love that we as an industry are starting to pay attention to that, because I think it is just as important in your behavior practice as it is in the 15-minute appointment.
If we don't listen to that, that's when we find ourselves in the world, that I think you and I have both been in veterinary medicine long enough, I remember starting and it was, “Cowboy up, man. Just do the thing.”

Amanda Schwarzwalder:
Oh, yeah. We got to get this done.

Stephanie Goss:
It doesn't matter.

Amanda Schwarzwalder:
Grab three more people. We got to get that emergency boardetella. Let's go.

Stephanie Goss:
Yeah, yeah.

Amanda Schwarzwalder:
Yeah, 27 years in the field, you're going to see a lot.

Stephanie Goss:
Yeah.

Amanda Schwarzwalder:
Yep. I think that it's a big thing. I think that even coming from a management perspective, when we have someone like our writer, who's aware of their concerns, being able to express those concerns to whoever you're going to be externing with, is like, “Hey, I don't have experience with horses and cows,” is really big.
Then from the management side of that, is us going like, “Okay, I need to know that, because I need to pair you with somebody who is more experienced, to make sure that you can get some positive learning happening while you're here on this learning adventure of an externship.” Then also, if you aren't comfortable being able to empower them, to say, “At some point, if we're walking in here and you're not comfortable, you need to tell me you're not comfortable, so we can change what's happening.”
That's the same thing with a lot of our technicians that we do during training is if you feel like you're in over your head, it's okay, tap out. You are going to be in over your head at some point, and it's a lot easier to throw you a lifeline while we can still see you before you float away.

Stephanie Goss:
Right, yeah. Oh my gosh, I love that. I love that. Okay, so I said we were going to circle back to your relationship and the spider situation, and here's where we're going to do it. The last thing for me in Headspace is as a person in veterinary medicine, just but a person in general, is it's okay to know your limits, and it is okay to have deal breakers.
I heart you so much. Holy hell, I could not, spiders, arachnids are a deal breaker for me. It's so funny, because I did not know that about you, or your relationship, or your household, and I'm never coming to your house. I love you so much, but I'm never coming to your house.

Amanda Schwarzwalder:
It's okay. It passed. I was 24, I don't know. They live for a long time. It's a big commitment.

Stephanie Goss:
Amanda's just talking about it, and I'm creeping out.

Amanda Schwarzwalder:
Stephanie's just shivering and shaking, creeping out.

Stephanie Goss:
Spiders are a deal breaker for me. In my, hi, Sylvester, in my first practice, where we saw avians and exotics, I have had that in every one of my practices, but our doctor, Dr. Shaefer, Marty saw birds and exotics. I remember vividly, when I was in school having conversation with her, and just being honest and saying, “I am terrified of spiders.”
I was also just like you, I was terrified of birds, and I was terrified of snakes. I said, “I think I can work on these two, but spiders are a deal breaker for me.” I said, “If you see spiders,” I said, “I'm telling you that it is so bad for me that I literally cannot be in the building when you are going to have someone knowingly come in here.” I was just like…

Amanda Schwarzwalder:
“I'll be in the parking lot.”

Stephanie Goss:
“I will be in my car in the parking lot until you're done.” It was okay. She was just like, “That's fine, because we have,” we had a member on our team, because there's always one, who was the, I lovingly referred to her as the spider freak, who loved the spiders. She would be in on every one of those appointments if she could. It was just like, to your point, being able to tap out before you were underwater.
For me, I would have panicked, and then it would've been a worse situation for the team because the tension would be off the patient and on me as the panicker, and dealing with whatever comes from that. I've seen technicians faint, all of those things. Then the attention is not on the patient where it needs to be. I think just recognizing for our writer, and for anybody who is in this, just because it's all creatures great and small in veterinary medicine, doesn't mean that you have to love all creatures great and small, and that that has to be your jam.
It is okay for you to draw lines in the sand, whether it's with a type of patient, or whether it's for me, with surgery, that became another deal breaker for me. I got to the point in my career not to say that I didn't try it, that I didn't try and face the fear and work through it, and I think it is absolutely okay to know ourselves as human beings, and allow ourselves the space to say, “This is a true fear for me, and it is not a fear that I'm in a place to deal with and to face, or that I'm not equipped to face right now. This is a deal breaker.”
It might be a deal breaker for right now, but it also sounds like for you, might be something that you're willing to work on, and you're willing to… The relationship matters more to you than the fear of spiders.

Amanda Schwarzwalder:
Yeah. That's something, if somebody is really passionate, “Well, I really, really love this job, and occasionally we have to see birds, what's my workaround?” It's like, “Okay. Well, we only book birds on the day when Cindy's here because Cindy loves birds.” Oftentimes, we can come up with some sort of options. You just have to be prepared that sometimes there are emergencies, where you might have to see the bird. That's what happened to me.
You had to see the bird, and it had bugs, and that was actually the part, beaks and the bugs are actually what bothered me more than anything. I ended up doing some work with the Raptor Rehab, and that was actually super helpful, because I'm like, “Raptors are way more dangerous than birds.” You get an eagle, that's much more dangerous.

Stephanie Goss:
Yeah.

Amanda Schwarzwalder:
Yeah, so to meet those little Sun Conures, they're just little sparrows compared to some of those other big guys out there. Great horned owl, those are cool, but yeah, not inviting him for dinner. Yeah, he can be outside. That's great. Yeah, it's just when you got to take the time, you got to feed their little mice while they're in recovery in the rehab. Again, you're dealing with wild animals. Again, you want to have that, I don't know about you, but it's, you learn over time.
If it's, again, if birds are your passion, fantastic. You've got the option to find a specialty practice that only does avians or exotics. That's the cool thing about our profession. If there's something that is a deal breaker for you or something you're really passionate about, on the opposite side of the spectrum, we have so many options, so many things out there that technicians can do. It's just been really fun to watch the profession grow and change.

Stephanie Goss:
Yeah. I love that you said that, because thinking about my experience in school, and I know a lot of vets who say the same thing, if you ask me now, I could tell you zero of what I learned to take my boards about cows, zero. Cows, oh, they're so cute. Baby cows in the pasture. Great. Do I want to work with them? Absolutely not. Do I remember any of what I learned? Absolutely not, but that's because I chose a path that didn't involve cows.

Amanda Schwarzwalder:
Exactly, yeah. I remember, so I was on an AAHA committee for speaker chairs way back, just how long ago, nutrition wasn't a specialty. It was like me, Carol Burns, and Harold Davis. I remember, because I'm like in GP, learning all the things, and you're in school and you're so excited about all this stuff. Harold's just looking at me, he's like, “If you're going to specialize in behavior medicine,” he's like, “There's going to come a day where you're not going to know what vaccine your cat needs.”
He's like, “That's me. I do emergency critical care, and if you ask me about a vaccine my cat needed,” he's like, “I can't tell you. I know it needs one. I don't know what one.” I've reached that point-

Stephanie Goss:
I love that so much.

Amanda Schwarzwalder:
… Probably about five years ago. I'm just like, “Oh, Harold was so right.”

Stephanie Goss:
Harold and Kara, they're amazing-

Amanda Schwarzwalder:
They're so fantastic.

Stephanie Goss:
… Human beings.

Amanda Schwarzwalder:
Yes.

Stephanie Goss:
It's so funny, because I am unapologetically a fan girl and just as a human and in veterinary medicine, and there are people that I have learned from and looked up to, and when I get to see them talk, or I get to see them speak, and Kara and Harold are two of those, especially growing up with Harold, growing up in California, he did regular stuff at UC Davis, and I remember being very young grad student, Stephanie sitting in a lecture and going, “Oh, my gosh, he's so smart.”
I remember the first time at a conference, just standing there, having a conversation with my friend, Eric Garcia, and he's like, “Oh, there's Harold.” He goes over and talks to him. Afterwards, I remember telling him, “Oh, my God, I'm such a fan girl over Harold.” He's like, “Oh, my god, Harold is the nicest human being on the planet.” Like, “You should go introduce yourself.” I was like, “I can't. I'm just like the little technician fan girl in me. I can't do it.” I love that, of course, it would come from someone like him that would say…

Amanda Schwarzwalder:
Yeah. It's just like, you're going to get to a point where you're just not going to know, and it's okay not to know because you've gained all of this other knowledge. You have to, at some point, replace it. Yeah, I remember walking into my VTNE exam, and there were people sitting on the lawn. It was when you actually had to take it on paper back in the day, and they were like, “What's the normal temperature for a chicken?” I just remember going, “If I have to know the normal temperature for chicken for this exam, I'm done.”

Stephanie Goss:
You're screwed.

Amanda Schwarzwalder:
“I'm cooked, because I don't know that.” 350 for 45 minutes if you're doing chicken breast? I don't know. I'm like, “Yeah, I can bake it, but I don't know what normal temperature's at.”

Stephanie Goss:
Are you sure?

Amanda Schwarzwalder:
Yeah, it was a little bit challenging, but that's a good example of, again, you're going to learn so much stuff in school, but you're not going to retain it all. You're going to find other things you focus on. Other things are going to become more important to you, and that's okay. Definitely getting the education and learning more about this stuff is important, though.

Stephanie Goss:
I love it. Okay, this feels like a good place to take a quick break, and then let's come back and talk about action steps and things that we can do to address our concerns and our fears. I, like you, I agree, our writer asked some excellent questions. I want to make sure that we get to them. Let's take a quick break, and then we'll come back.
Hey, everybody, if you are a practice owner or a practice manager, listen up. I've got something for you. If you're not in one of those roles, take a quick break from whatever you're doing, and we'll be right back with the podcast. If you are, I don't want you to miss out, because our Practice Leaders' Summit is happening in December in Greenville, South Carolina in person. Registration is going to be closing. In fact, it is closing on November the 7th, 2023.
If you have not signed up and you have been on the fence, I'm going to give you a little bit of incentive. I'm going to share a coupon code here for you, and I want you to use it, because I want to see you there. Practice Leaders' Summit is all about working on our practices, not in them. This year, we are taking practice owners and practice managers specifically, and we are hoping to bring them all together and let them spend some time separately, so practice owners working with other practice owners, managers working with other managers, because the challenges we face in those roles are so unique.
We need time and space to be able to work together with our peers and collaborate, because no one knows what life is like for us in the clinic better than our peers. We're going to do that, and then we're going to bring everybody together. If you come together with your practice owner, let's say as practice manager, or vice versa, we're going to spend time working on your practice.
Don't fear, because if you come by yourself, you will still get the opportunity to work with practice owners or practice managers in small groups, so that you can spend the time at the end of the conference really working with myself, and Andy, and Maria, and the rest of the Uncharted team, working our way through, what do we really want 2024 to be about for our practices? We're going to tackle some of the big topics.
I'm super pumped about this, so we would love to see you there, and I've got a special code for our Uncharted Podcast listeners. If you go to Uncharted.com/events and you sign up before the November 7th deadline for PLS, and you use this code, it is SG, for Stephanie Goss, UVC, so SGUVC20, you will get $20 off your registration for Practice Leader Summit. If you've been on the fence, if you've been waffling, I haven't shared this on the podcast yet, but I'm throwing it out there.
Go to UnchartedVet.com/events, sign up for the registration, you can use the code to get it for yourself. You can get it for you and your practice owner, or you and your practice manager, but sign up because I want to see you there. Now, back to the podcast.
Okay. Let's get into some action steps. We talked a lot about Headspace, we talked about the main things. It's totally normal to feel this way. We feel a sense of pride and achievement when we try things that feel outside of our comfort zone. Our knowledge gives us confidence, and practice gives us skill. We don't have to have all the answers, and we're not going to know everything coming out of school, and we're going to have to learn a lot of things.
A lot of things we learn, we're going to immediately forget or forget over time, and it's okay to have deal breakers. Spiders are mine. Let's talk about some action steps, because the question our writer asked, I thought was a great one, which is how can they become more comfortable around the animals that make me nervous?

Amanda Schwarzwalder:
Yeah. I think the writer made a really great point of like, “Well, I have friends who have cats,” in speaking about that species. Really, that's one of the things that I think landed me in behavior was that I grew up on a farm. When you're growing up as a kid in the eighties, we didn't have all this technology, so what were you going to go do? Well, you're going to go play outside. I spent a lot of time watching animals, and I just found it was fascinating and fun.
Still, for me, there's nothing more relaxing than walking into a barn and listening to animals eating feed. It's just a very relaxing sound. We had pigs, we had sheep, we had horses, the neighbors had cattle. I was very lucky in that I got exposed to a lot of those large animals, but you learn a lot from just sitting and watching. That's one thing in behavior, we talk about the field of ethology, and ethology is all about sitting and watching. You're watching the animals interact with each other.
Then you're looking at the body language. What are the ears doing, eyes, tail? Does that animal, is it signaling that it's comfortable, or uncomfortable? Are they moving into a space next to someone? Are they moving away? A lot of little pieces, and it's fascinating. I know, totally geeky stuff, but…

Stephanie Goss:
No, I love it.

Amanda Schwarzwalder:
That's a way to learn more about a species. You can start with your basics and your body language. That's the nice part about Fear Free is we've got the cat section of Fear Free now available. We've got feline body language, we've got canine body language. Then the new section that was launched recently is equine. There's Fear Free Equine. For people who haven't had much exposure to horses, there are videos in there. There are diagrams.
Similar crossover to what's already in there for dogs and cats, as far as looking at ears, eyes, tails, body posture, and positioning. It's for horses.

Stephanie Goss:
I love it.

Amanda Schwarzwalder:
That's something else that's out there. There are lots of tools in that department, but just spending some time, if you have a local shelter and you're not super comfortable with cats, there are a bunch of shelters by us that would love for people to come in and clean kennels, or just play with kittens. We have a shelter less than two minutes from our practice, and I have a pass. When I'm having a stressful management day, I can go over and knock on the door, and go play with kittens for a little bit. It's great. Great therapy, but they would love to have you come.
Just like we have small animal rescues, there are large animal rescues. A lot of people don't really think about that, but there's a whole community for large animal rescue, where you can go, and again, get a chance to interact with some of those species in a different setting, that's lower stress than during an internship, or during class, where you're like, “Oh, shoot, this is my only chance to draw blood on a pig.” You can actually go out and meet a pig, pet a pig, talk to a pig, read a book to a pig.
You can have a different interaction and just sit and watch. We're really lucky by us, there's what's called Lake Farm Park, and it's a large animal sanctuary. They also have farm animals there for educational purposes for the community. When I think about it, even when I was teaching in tech school, I taught one of the large animal courses, and I love that class, because again, I'm teaching tech school in Cleveland. Most of my students had full sleeves, multiple piercings, ear space, all over the place.
We're going through, talking about tattooing large animals, and also doing ear notching, or putting tags in large animals. They're like, “well, doesn't that hurt? Do you do lidocaine first?” I'm like, “did you ask for lidocaine before you got your nose pierced, and your ears, and your full sleeve?” It's like, “Oh, it's the same process. It's just a different species.” It was really fun for them to go, “Oh,” because a lot of them didn't have any exposure.

Stephanie Goss:
Right, right.

Amanda Schwarzwalder:
I did a really cool science camp at one point for, they were inner city youth, and it was a farm-based camp. They were all, kids who were really smart, but didn't have any exposure to farms. They got to come to OSU ATI, and they go through all of the, they got to play in the labs, they got to go out and collect corn samples, and then look at grains-

Stephanie Goss:
That's awesome.

Amanda Schwarzwalder:
… Then look at milk. Their favorite part was the calves. That was their favorite part of the whole thing.

Stephanie Goss:
Yeah.

Amanda Schwarzwalder:
It was looking at the whole science of where does your food come from?

Stephanie Goss:
Oh, that's awesome.

Amanda Schwarzwalder:
How does science and math interplay with farming? It was really great time. Yeah, those kids, they had no experience with large animals. I think that's the thing we have to remember is most people coming into tech school anymore don't. The days when you have a lot of technicians who are coming from a foreign background, it just doesn't exist anymore.

Stephanie Goss:
Yes, yeah.

Amanda Schwarzwalder:
You also probably are not alone, to our writer. There are probably other people in your class who have the exact same feeling. You can do a field trip to the large animal sanctuary together, and that can be a nice way to have some camaraderie, talk about your feelings.
You also get to see or talk about from someone else's eyes, “Well, what do you see? Does that animal look comfortable? Do they look uncomfortable? Did he like getting scritched behind the ear when you touch him? Is that okay?” I said, “Oh, I'll touch him too.”

Stephanie Goss:
I love that you brought up the idea of rescues and sanctuaries, and volunteering. That was going to be a step for me as well. I think Andy and I talk a lot on the podcast about how much neither of us is excited about social media anymore. What I would say is that social media is a great resource here, because there are so many, as we have seen the shift away culturally from funding for so many things, rescues and sanctuaries are one of those things. They continue to exist, most of them, I would argue, off of the generosity of patrons and donors.
Social media is a very powerful resource for them. Like you, we've got some awesome programs near me. There is someone who I followed for a long time on social media, and they have a farm animal sanctuary here in Washington, and it is On Alaska Farm Sanctuary. I love what they're doing, because they purely exist to rescue farm animals, which I think is awesome and different. They're a great example of lots of rescues are looking, and sanctuaries are looking, at alternative options for exposing people to what they do and what they have.
Searching social media for what's out there in your area is a great idea. The other thing that I have seen more and more of, which I think is so cool, and OFA is a great example here in Washington, is that rescues and sanctuaries that have actual physical spaces, I've seen more of them also try and generate alternative income by having an Airbnb, or a hip site camping site on their grounds. You can go, some of them offer work experience options, where you can go and help clean, to your point, and scoop poop, shovel, whatever. There's always work to be done in a rescue, in a sanctuary. You get the benefit of helping them out.
At the same time, the opportunities to just sit and watch. Like you said, I love that so much. I think, I remember back to being in school, but I've seen it more as a manager. I was always a little bit hesitant, because I was nervous of my own skills in school, I'll be honest. I was always, this will probably surprise some people, I was probably one of the last people to raise my hand and say, “I'll go,” because it was not, I was like you. People? Give me people all day long. The science was new for me. I had to really push myself out of my comfort zone there.
I see this trend in our technicians, and I've seen this as a manager, and I'm guessing you've probably experienced it, where we have more and more students who are assistants who go to tech school, and they want to skip from the learning immediately to the doing, and not only just the doing, but the being successful, because they think the only way to learn is to do.

Amanda Schwarzwalder:
Right.

Stephanie Goss:
I set everybody up as a manager with having the conversation, and I make it very clear: you don't skip the watching step in my practice, like watching, and observing, and listening. I'm not just talking about once.

Amanda Schwarzwalder:
Right.

Stephanie Goss:
I'm talking about over, and over, and over, because you learn so much. I spent two years at the front desk, working with someone who had a nutrition background, and I learned almost everything I know about veterinary nutrition by listening to her have the consults with clients on the phone. I wasn't getting to do anything fun or glamorous. I was literally listening to the same spiel over and over and over again, but I learned so much about dermatology, about dental care.
There was other facets of veterinary medicine that I learned so much about, and I was only getting that because I was observing the same things over and over and over again. I love your point about just sitting, especially when we're nervous, sitting with the patients from a safe distance.

Amanda Schwarzwalder:
Yes, exactly.

Stephanie Goss:
Especially if you're nervous.

Amanda Schwarzwalder:
Not full time with them. Yeah.

Stephanie Goss:
Right, or not when you're like, “Okay, get a blood draw on this patient,” because you're in your clinical rotation, right? It's like, “Let's just sit and observe.”

Amanda Schwarzwalder:
Yeah, let's just take some time. Let's sit and watch. That is a big thing. Even in training my team, you're not going to be touching a patient until you have done a lot of observations. Then we have video cameras in all of our rooms that are there for teaching. They're recording the consult. I love it, because again, when you set up video cameras, that you're using them for education, it's awesome.
My team will come to me and be like, “Hey, I think I missed something before that dog snapped. Can you pull the camera for me?” They will use that to, again, help learn to that next step. That's where video is another great way to learn. There's so much stuff online. Social media is great for finding those good positive rescues and resources. Then also, you can also find a lot of cool stuff that's out there for educational videos on horse safety, or I found a really cool one, it's called, what is it? Pasture IO, it's on cattle behavior.

Stephanie Goss:
Oh.

Amanda Schwarzwalder:
Who knew?

Stephanie Goss:
That's awesome.

Amanda Schwarzwalder:
There's all sorts of cool stuff out there. Then the RSPCA has a really cool website for equine behavior, and I like the RSPCA, because again, horses in Britain, it's kind of fun. They're everywhere. You just get on your horse, and you just go ride into town and have some coffee. There's a whole different vibe. The other thing is sometimes, Europe and the UK, when it comes to behavior, they're ahead of us. We're kind of behind in some things behaviorally here in the States, compared to things that are allowed and not allowed overseas.
Always, anytime you're looking at any of these resources, if you're out there looking for cow videos, or goat videos, or something, look at, again, where's that coming from? Always do a resource check.

Stephanie Goss:
Right, the source.

Amanda Schwarzwalder:
Check your sources, check who wrote it, what degrees do they have? You're looking for DMBs, PhDs, certified applied animal behaviorists, or associate certified applied animal behaviorists. Look at where it's coming from to make sure you're getting accurate information. That's always a big part. There's a lot of not good stuff out there, especially when it comes to behavior of animals.

Stephanie Goss:
Yes. Yeah, we could, I'm sure we could do a whole-

Amanda Schwarzwalder:
Yeah, that's a whole other podcast. Yeah, that's a whole other time.

Stephanie Goss:
No, I love that. I think I said when we got to action steps, we were going to come back to this, because I think a big part of the final one, besides resources, and I have some, and we've mentioned several of them, like low stress handling, Fear Free, we'll drop links to all of that in the show notes for you. I expect we probably can come up with some coupon codes for listeners as well for some of that resource info.
We'll drop that. I love your links, and I'll pull those in. I think a big part of it, besides the observing, is just recognizing that we're not going to be perfect in a day. Even when we come out of school, and we are certified, and we have passed the boards, and we are technicians, and there is a measurable pride in that, you don't know all the things. Veterinary medicine is one of those things that it just takes time and exposure, and it is a journey.
That's what I constantly have to remind my team and remind myself, like you, I've been in this over 20 years, and I still learn new things. Recognizing that it's going to take time and exposure, and just repeatedly doing things. I told everybody, I would share the other half of my Willie Bird story. That was it for me was just every day, I was sitting in that office and I was like, “Okay, maybe now is the time to desensitize myself.”
I think part of it is just facing the fear, and owning it, and acknowledging that you have a fear. The other part of getting over the fear is either choosing to not face the fear, because it is a deal breaker, and it is okay to say that you don't feel safe, and that's a deal breaker for you, but if it's something that you want to face, then the desensitizing process, you got to try it. Sometimes that's baby steps leading up to it, and sometimes it's jumping all in and doing a thing, and trying it.
For me it was like, “Okay.” I was sitting 10 feet across the room, having a conversation with this bird every day. I was just like, and the other thing besides the feather plucking, was he was a biter, but he was talking to me every morning. I looked at him one day dead in the eye and I was like, “Listen, Linda. I'm going to let you out.” I was like, “But you have to promise not to bite me.” I remember being so nervous. The funny part is now, I would never do it, because I'm like, “What would I have done if he had escaped?” So many things could have gone wrong.
I remember sitting there, because I remember Marty telling me, “He's not going to really hurt you. It's fine,” but I just was so irrational in the fear. I started to lift the cage door, and I shut it because I was like, “Okay, I'm afraid.” Then I started to lift it and he could sense it, and he immediately popped his head out from under the thing and started to crawl up my arm. I froze. I was just like, “Oh my god, oh my god.”
Of course, being a parrot, he sensed it, and he knew, and he walked right the hell up to my shoulder, right next to my head, and I literally, shoulders up, I froze.

Amanda Schwarzwalder:
Yeah.

Stephanie Goss:
I'm like, “Don't move, don't move, don't move.”

Amanda Schwarzwalder:
This is flooding. This is not desensitization. This is flooding. Let's be clear.

Stephanie Goss:
I was not intending. I thought, “He'll come out, and he'll sit on top of his cage, and it'll be…”

Amanda Schwarzwalder:
You had a conversation.

Stephanie Goss:
… he'll be out.

Amanda Schwarzwalder:
He made a promise.

Stephanie Goss:
Like I said, I would never do this if I was doing it over. Then that's how Marty found me. Two hours later when the rest of the team came in, I'm sitting at our boss's desk, and I'm frozen. I managed to get over to the chair and just sit down. That was it, because I was like, “If I move, he's going to bite me. If I move, he's going to bite me.”
Then every day, and I would look at him and I was like, “Don't bite me,” and he didn't every day. I was still afraid, but every day it got a little bit… I was still stiff as a board, but every day, it got a little bit easier. I never really, I still now am not super easy around birds. They give me anxiety. I have to pep talk myself and deep breath, but I can, over time, I worked on restraint techniques. Now I'm like, “Okay,” and hearing you talk about working with the raptors, how cool of an experience would that be?
There's a part of me now, and young Stephanie would've told you you were on all the drugs in the world if you told me that I would be excited about trying something like that. Hearing you talk about it, that would be awesome.

Amanda Schwarzwalder:
Yeah,

Stephanie Goss:
I would love that, and that only comes from facing the fear.

Amanda Schwarzwalder:
Right, exactly, yeah. That's where it's like, you don't always either start with raptors. That's the thing, when you're working at the rehab, they don't start you with the great horned owl.

Stephanie Goss:
Right, yes. Thank God.

Amanda Schwarzwalder:
You're going in with like, “Okay, let's take care of the baby birds.”

Stephanie Goss:
The Conures.

Amanda Schwarzwalder:
It's like, “The doves that fell out of the nest, here's some robins.”

Stephanie Goss:
Yes.

Amanda Schwarzwalder:
That's the desensitization process is you want to start with something below threshold. You were way above threshold with your parrot.

Stephanie Goss:
Don't do what I did.

Amanda Schwarzwalder:
That is learned helplessness. Yeah, but you're going to start below that threshold with things that are like, when I talk about it with my clients, I'm like, “Your dog is uncomfortable with other dogs or kids on bikes, so we're not going to start with kid on a bike. We're going to start with just a bike, or just a kid, but we're also not going to start with them within five feet of you. We're going to find, what's the point where they can see it-

Stephanie Goss:
Right, further away.

Amanda Schwarzwalder:
… And not be panicked?” It's the same thing with me with the spider. That was kind of how, like, okay, I was not going to walk in there, open the top and put the crickets in. That was not happening after a couple of dates, so that's where it takes time. We had to have conversations about the spider. I had to learn a little bit more about the spider. Like, “Okay, well, this isn't an arboreal spider. This is a little bit more of a terrestrial spider. It doesn't really move that much.”
I had to do some watching of the spider to confirm that it really didn't move that much. Then it was like, “Okay. Well, it's not, isn't bad,” but then it's like, “Okay, going into the apartment and going into the apartment next to the room with the room with the spider,” and then there's good dinners that are happening, there's chocolate, there's jewelry.”
You need the positive reinforcement for doing these things. My husband's actually standing in the kitchen, laughing at me right now.

Stephanie Goss:
It's so much.

Amanda Schwarzwalder:
It's not a big deal. Then I'm like, “Okay, she's got this kind of cool terrarium. I can be in the,” and then you would, and sit and watch her. I'm like, “Okay, what are you doing behaviorally?” She really didn't do anything. I was like, “Okay, you don't move? We're good.” That's okay.
Then over time, I was able to lift the top and dump some crickets in, because again, she didn't do anything. It kind of lulled me into a slight false sense of security, because then we got a second spider, and it was arboreal type.

Stephanie Goss:
I was going to say, hmm.

Amanda Schwarzwalder:
They move a lot more, but yeah, but again, it was a lot of like, we got her when she was very small. She wasn't as big as the other spider. We were starting with the hand sized spider.

Stephanie Goss:
Right, right.

Amanda Schwarzwalder:
Di was barely the end of your thumb. She was tiny. It was like, “Oh, this is cool to start, a baby spider. She's pretty colors.”

Stephanie Goss:
Work our way up to hand sized.

Amanda Schwarzwalder:
Exactly, yeah. It was like, “All right.” Yeah, with her, she moved too much for me. That was a no-go until the day she got dehydrated. This is where I had a really hard time, because it was like, the technician kicked in. I can't let this poor little thing be dehydrated and not be okay. I'm not liking spiders, finding myself Googling spider nursing care, something I never thought I would do.
Again, it is about, okay, I got to find this information about this spider, and what do I need to do? There are things out there for spider nursing care if you have that emergency.

Stephanie Goss:
Who knew?

Amanda Schwarzwalder:
Who knew? Yeah, so I had to get my little plastic containers, and I got my little paper towels all wet, and then I had to get her into a little box with the damp paper towels, and then to get her re-hydrated.

Stephanie Goss:
Oh my gosh.

Amanda Schwarzwalder:
It worked. Yeah, because it was kind of that technician oath of like, “Well, I can't let her die,” kicked in. I'm like, “But it's a spider, and it's really kind of creepy,” but it was that…

Stephanie Goss:
That instinct took over.

Amanda Schwarzwalder:
That instinct took over and I fixed the spider. Yeah, and she lived for a while, so she's cool.

Stephanie Goss:
You are a better human and a better technician than me. I could not do it.

Amanda Schwarzwalder:
Yeah, I don't know if I'll do it again. He's like, “Hissing cockroaches.” I'm like, “Yeah, I think that's my hard line. I know they're only like 50 cents, but no.” He's like, “You just spent $1,700 on your cat's mouth.” I'm like, “Yeah. Yeah, I did. He's a good cat. He's soft.”

Stephanie Goss:
Oh, my gosh.

Amanda Schwarzwalder:
Cockroach is not soft. Yeah. They are fascinating to watch behaviorally, but I don't know that I want them in my house.

Stephanie Goss:
Oh, my gosh, this has been so much fun. I feel like I see more Amanda Schwarzwalder episodes in the future, because holy cow, we could talk forever.

Amanda Schwarzwalder:
There are so many things. There are so many things.

Stephanie Goss:
This has been fun. I love your perspective. You are one of our Uncharted speakers. You are at our Team Lead Summit in 2023, and more things to come. Where are you, speaking of social media, are you on social media? Where can people find you if they're interested in behavior, the clinic, or any of that kind of stuff?

Amanda Schwarzwalder:
The clinic is TheBehaviorClinic.com, and you can reach me on there.

Stephanie Goss:
You're on there, the team page.

Amanda Schwarzwalder:
You can reach me through there. Then people are always welcome to direct email me with any questions. I am always recruiting for the specialty. The specialty is ABBT.net.

Stephanie Goss:
Love it.

Amanda Schwarzwalder:
That is a great way, again, we have a huge recommended reading page, which has large, small animal sources, exotics, bunch of reading materials there. If you want, again, more links, we got those. Yeah, you can always reach out to me directly by my email, it's RVTVTSManager@gmail.com.

Stephanie Goss:
I'll put that.

Amanda Schwarzwalder:
I'm happy to answer any questions, because I would like to retire someday, and I can't do that without having another VTS-

Stephanie Goss:
Without more techs.

Amanda Schwarzwalder:
… To take my place. Yeah.

Stephanie Goss:
I love it. I will put Amanda's email in the show notes as well. This has been wonderful. I hope everybody enjoyed this fun break from the two of us, and we will see you all back next week.

Amanda Schwarzwalder:
Yeah, thank you so much for having me. It's been a blast.

Stephanie Goss:
Thank you. Take care, everybody. Have a great rest of your week. 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 Maria Pirita · Categorized: Blog, Podcast · Tagged: behavior, communication, management, Technician, Training, Vet Tech

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