Navigating Staff Drama In Vet Med

Welcome to another episode of The Veterinary Roundtable! In this episode, the ladies discuss the eclipse, a really heartbreaking Great Dane case, navigating how to handle staff drama in vet med, and more!

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TIMESTAMPS
Intro 00:00
The Eclipse Is Happening Next Week 03:24
Listener Icebreakers 10:00
Listener Inquiries 16:20
Pits & Peaks 21:56
Case Collections 31:43
Listener Question (@a_mccahill44) 45:30
Outro 58:04

Transcript

0:00

(upbeat music)- Hello everyone and welcome to another episode of the Veterinary Round Table, the podcast where we brought(laughs)- So, thank you. - It's so funny.- I was thinking of big boobs, okay.(laughs)- Okay, there's no context. If there was, okay.- Oh my gosh, this is PG-13, officially.(laughs) I guess there is no context.(laughs)- Okay, sorry, let's start over.(laughs) No more keeping that.(laughs)- Do you have two minutes to explain?- Oh yeah. (laughs)- Hello everyone and welcome to another episode of the Veterinary Round Table, the podcast.(laughs)- Talk while you do the subject.- Well we have some fun along the way. If you enjoyed today's episode, be sure to leave us a review on your podcast provider of choice and if you have any feedback to offer to improve the Veterinary Round Table, let us know.- Contacts to big boobs.(laughs) We were all straighting out our shirts, our scrub tops before he said action and joking that our huge boobs,(laughs)- Can't in the way the bar is scrubbed.- But this funny 'cause none of us have a big, little ironic.- Oh my gosh.- Okay.- I think we're all just very sloppy, too.(laughs)- None of us have a big, he would be in our belly, so.- Listen, all those people out there, thank you.- Yeah, apparently we got lots of them.- We got more reviews.- Yeah, thanks.- I mean, like two or three a week.- Yeah?- That's a very fast way. - Yeah, it's over a week.- I got there 53 last week.- He said we got a few more.- Okay.- Okay.- So maybe he didn't update that.- Yeah. Maybe we got more on Spotify.- Yeah.- Yeah, an Apple Podcast.- We're less over halfway there.- To your stunt.- Yeah.- My stunt.- Less over half.- I made a noise.- I did mean to say less.- It was over halfway there.- Over halfway, okay, I like it.- I can't speak.- I think this has been in the works for like four months and we've probably gotten 10 reviews.- No, it's actually working. We're getting more reviews.- Yeah.- We just, yeah.- Yeah.- Queue the review.- Queue the review.- Hit it.- 47 more.- Hit it.- Hit it.- One new review is next on our agenda. It says, ha ha ha ha ha.(laughing)- It's actually--- I love it.- Ha ha ha.- I feel like I've listened to enough episodes now to leave a review. Y'all are awesome. I have never reviewed a podcast yet, so feel honored.- Ooh, very honored.- I am very honored. Okay, that was really cool. Technician here at a small and large animal clinic in very rural Missouri. I'm glad you guys are even carrying the CPMA. We have a lot of cost-concerned people in my area. So most of our parvo pets are too far gone to where supportive care doesn't even touch them. It's so expensive that our owner won't even buy it because of the likelihood of it not being purchased on face.- Oh.- I'm about to switch clinics and go to, oh, veg. So I'm excited for the change of pace and experience and being utilized more. But y'all are awesome. I love listening to your cases. We've been getting a lot of unique cases too. I blame the stars.- Love the new scroll.- Oh, thank you.- Boo, boo, boo, boo.- I love it.- I love it.- Oh my gosh, it's so cute. You know what? Just Monday, all the animals were acting weird.- It's the solar eclipse coming.- Perseval pets, when are patients, they all, I think, know it's happening and they're getting prepared for you.- I think so. They're just really arranging.- Yeah, 'cause Mercury is not unretrograde as far as I know.- It has to be the eclipse.- Sure, there's some like scientific thing going on.- Okay, so no one knows actually, this is really important because we, why are you laughing?- I know, you got really excited.- Because we are like in the path of the complete clips.- You're probably not even listening here.- Or not in the path. You guys, I'm not gonna be in town next week, so you guys have to take pictures.- You're not here on Monday?- No, of yourselves with the solar eclipse so we can show people.- We'll get a group picture.- It like literally--- On the podcast.- The Hamilton County is in--- It's like ground zero, right?- And you know what's gonna happen? It's gonna rain because it's Indiana.- You can only see from here?- Well, it's like the best place.- Yeah, like the best place.- Yeah, that's why everything is shutting down and all these people are traveling.- Yeah.- Like, hospitals aren't doing elected procedures.- Yes.- These are closed. Like, it's bananas.- It's a big deal.- It's crazy.- It really is a huge deal.- It's gonna look at Hamilton County all the way to our lifetime so that we're gonna see.- Yeah.- Yeah.- Wasn't there one a few years ago?- It wasn't total.- But it wasn't total.- See, I don't know anything.- Yeah.- Yeah, it's pretty crazy and safe.- I'm excited.- So you guys need to get video next week.- Keep your eyes out.- Don't animal up inside so they don't go behind.- Don't let your dogs outside during this time. If you have outdoor cats, bring them inside.- Or lock them up.- Or get them goggles.- Hatch kids, hatch webs.(laughing)- Hatch kids, hatch webs. Hatch cats.- I will hide my cats.- 'Cause that's a good point to think about.- You pets will go blind.- Anyway.- I feel like I'm going blind.- I think God naturally protects them. They don't look up there.- Yeah, I don't really find them.- Do you ever see a dog or cat looking up at this one?- Me.- My dog is like, you do.- I think things look really dark out my dog.- I don't think I've ever seen an animal stare up at the sun.- My cats look at the birds up in the sky.- They're not like genuinely staring at the sun.- No, my house doesn't look at the sun, but the other day I let them outside and I looked out on the patio and he was just like,(laughing)- He was standing there.- I was enjoying the weather.- There was no birds. He was just standing roasting.- But he's also really weird. So yeah, maybe airplanes, do they hear them and then look up?- And balloons and stuff.- I don't deny that they look up in the sky. I just don't think they're going to. I think it's better to be staring at the other animals.- I think they're naturally protected to not do that.- Are all flights canceled? Are there planes flying that day?- Yeah, there are some, could you imagine?- Plans are on an all flight.- They're a lot of fly then?- I'm sure they are.- I think so. I heard someone in the target line last week say they were gonna be in the air when it was happening.- They can fly in the center.- So the pilots had to put in a special goggles.- Probably.- Would you say, Devon?- They can fly in like hurricanes.- Yeah, the shorter planes start.- They can fly in the dark, maybe they can just fly.- I'm actually gonna go blind like that. You could have your right nose.- I was looking at up. You could injure your retinas.- So it could cause partial blindness.- That's like, I told you we have the special goggles.- That's to stare at the sun, which you can't normally do anyway.- Do you want to test it?- So it's like, it's about like not staring at the sun in general, like no one stares at the sun during like normal times. And so then therefore, because you want to stare at the sun, you have to wear special goggles. I don't think it has anything to do with the solar eclipse. I think it has to do with staring at the sun.- We got our goggles last weekend on Easter, my brother and I tested them. So we put them on and stared at the sun and then took our things off and you know how bright it is. Because I tried to look at you can't.- No.- So maybe just your, I don't know, maybe everyone just assumes because you don't wear the goggles like every day when you're on the sun.- Yeah.- Yeah, fancy glasses.- I'm sure people will stare.- It just says that it's safe to fly during the eclipse.- Okay, well there we go.- I'm not getting any.- If you were traveling, don't worry.- Safe travels, yeah. Just don't stare at the sun. Per usual or do?- It's just gonna be dark. I mean, it's not like, people are gonna do what they want.- I feel like one in your phone.- There are people are having parties and stuff guys. Like literally like, like hotel rooms, book, but like, what you might call it over there off of Conor Prairie.- Yeah.- Whole party.- All of some things.- Like all these places are having actual parties for the solar eclipse.- So we close the clinic and get ready for the party?- We're close for an hour.- Yeah.- If you think about it, if you think about it, the solar eclipse is not like three in the afternoon. So it's gonna be like right above you, kind of. And when you're flying a plane, like,- Oh yeah, you're not gonna be able to fly it any below the sun.- Yeah, yeah.- That makes sense. You're still on the plane.- That's still worried on the plane.- Wait, wait. The 230 to 330 the best time when it's like fully happening.- Yeah, that's what it was.- Yeah.- Yeah, it says it's like the total solar eclipse from 301 to 308 or something like that.- Okay.- So there's a,- All cars closed.- 230 to 330. So, don't call.- Don't call.- And then everyone's gonna be rushing in with whatever happens after this solar eclipse.- We'll be too busy stirring up the sun.- Right. Okay, well, I guess we should, I'm Dr. King.- Oh, I'm Courtney Allen. Devon Fortune.- Ashlanduck, well.- And we are here to provide you.- And we are the vet in our office.- And we are here to provide you with entertaining information.- We do.- Okay. Does anybody wanna discuss about Devon? You're kind of like been the, like, the,- Yeah, the genius.- Go to person to talk about all things new. And what we're doing is.- Are we still doing it?- Yeah, do it again.- I'm gonna do it for the first again.- Okay, going forward, you will be seeing us weekly with guest episodes once a month. And if you haven't already, come look at us'cause we are looking at, like,- Faya.- Yeah.(laughing)- Yeah, that.- Faya.- Tomatoes.- Tomatoes, red peppers.- Yep, Terry's.- Red hot chili pepper.- Speaking of fire on Saturday, it was 70 out. I sat outside and my face got a little sun burnt.- That's so nice.- It's forever.- I was like,- Did you see me on Monday at work?- Yeah.- I was burnt.- I have a farmer's tan line.- Cast from Easter.- 'Cause I was outside all day. And I got burnt, like it hurt.- Yeah.- And it's like,- It was one day a time when you really- Frag your skin 'cause you're not used to it.- Yeah, that's okay.- But you're like,- You need that vibe of a deity.- Yep.- Yeah, telling you.- There were tons of old oppression was over on Sunday. It's back.(laughing)- It is back.(laughing)'Cause it's,- And now it's going away.- It's like,- It's like,- Come on,- No, I don't see this solar eclipse.- Come here and see the solar eclipse in your winter jacket.(laughing)- Yeah.- All right.- Well, let's start icebreakers. This is new. I wasn't here last week. So, I don't know what's happening here.- Okay, well, go ahead and read the question or the statement.- You know what you got.- You do it.- Okay.- Hi, my name is Alina.- I would say Alina.- Alina.- Alina? I'm a veterinarian from Russia, which is super cool.- Super cool.- I was wondering what books on dog and cat psychology you consider the best. At gastroology.bet.- Gastrology.- Gastrology.- Gastro-galactic.- Do you think can do hard?- I do. I always make words hard. I'm just not good with words.- Me neither.- So, it's pretty cool.- Yeah.- Got a question.- The Russia thing blew my freaking notice.- Yeah, I know, that's what I'm looking for.- That's what I'm looking for.- Because I just feel like, like 10 people watch us or listen to us. So like the fact that like,- My mom's one of them.(laughing)- Well, a mom, a mom, a mom, and a mom, and a husband, there's five.- That's all I think.- That's all of the 10 people.(laughing) All right, so this is pretty cool on lots of levels. So, the fact that she's from Russia.- And it's a very interesting question.- Yes.- It's not something I think about.- Well, yes, I bet you could think about it because Devon and I talked briefly about it the other day.- I talked about it.- It was you and I.- Okay, you and I.- I don't think so.- Because we were like, okay, there are some books out there on, because I'm thinking like psychology, I'm thinking behavior.- No, okay, yeah.- Yeah, okay, so like now you can probably think of some really good texts that talk about animal psychology, how they think, right? I mean, what's the definition of psychology? Because you might know at the top of your head.- You know, I'm mastered my apocyc exam, but I can't give you the definition of that.- Of psychology.(laughing)- Probably the way the brain works, how that people make decisions.(laughing) Shall I look at that?- Yeah, you need to look at that.- Okay, okay.- No, I don't know.- No, I don't know.- No, I don't know.- You're coming in.- I'm just like, does anybody know the definition of psychology?- Because maybe we don't address the problem.- Okay, it says,(singing) I just clicked on the right.- All right.- The scientific study of the human mind and its functions, especially those affecting behavior in a given context.- There we go.- Yeah, the same stuff.- A behavior, so behavior and how maybe they think how they process information. Okay, so I guess, Sophia Yen, but that's training.- That's a week's end.- Yeah, good.- Good job.- Okay, yeah. I also, well, this is more for training, but Zach George has dog training revolution. So that's training.- I also say that. - But it's great. Sophia Yen, and then Karen Pryor, because in the one book that she has, which getting started with clicker training, I believe is the name of that book, in the very beginning, she talks about how dogs and other animals think. Like, and how they process information. And so she does that just so she can explain why clicker training is so advantageous for that particular species or whatever. So I think that is kind of along these lines.- The best cat one, I recommend to all the time is decoding your cat by the American College of Veterinary Behaviorist.- Mm-hmm.- That I've actually read it, and it goes through the behavior.- I wanna give that a read.- Yeah, the psychologist is really good.- And then the other one is,- Oh, it's called feline behavior and medicine, feline medicine and behavior. It's like a, it looks like the color, like plum. It's, you know.- I don't know, anyway.- It's really good.- It talks about cats and their behavior and why they do what they do. And then the other source would be, well then we read that whole article series on cat behavior and Ohio State has all that information in their pet initiative.- Yeah, has all that information about behavior.- I printed it off a sheet of top rated book.- Oh my gosh. Okay, excellent, let's hear it.- I did my research.- What you got?- The most, okay, so this is from 2022.- Okay.- But the most popular author that came up, his name, his or her name, I'm not sure, is Zazie Todd.- Oh.- He HD.- Okay.- There's one that's called WAG, the science of making your dog happy, and the cat one is called per the science of make your cat happy, and then there's ones, here in one moment there's multiple pages.(laughs) Then there's the cautious canine, how do you help your dogs conquer their fears?- I'm so cute.- That's really cute.- From Seared WannaCouch.- Oh that one's called the fox.- Yeah. And how about your day?- Talk about their feelings.- Yes.- And then there's another one called, or that one's by Patricia McConnell, and these ones look like you could all purchase them online, and then there's from,- Beautiful.- You think in Russia they have Amazon.- I was thinking the same thing when I was taking them with a world.- There's no way.- Yeah.- Yeah.- Fact check.- Please respond back and let us know if you have Amazon.- But anyway, yeah, if you look up, if you just type in on Google, best psychology books, this list is the first thing that pops up. I thought it was cool. And I'm interested in kind of want to read some of them.- There's another book called Good Dog, Bad Dog. That's another easy, information book that's good for owners. Like you can pull stuff out of it and give it to owners.- I'm sure the college of veterinary behavior has a dog one now. Well, Landsberg, isn't that that guy's name Landsberg that wrote the big, that blue book that is, you guys hardly ever used books when you came out of school. But it's a big blue book that's about behavior, feel like you don't know what you're talking about.- Going to the other's name is Landsberg.- He's on Vieram.- He does stuff.- Decoding your cat, they have a decoding your dog.- Yeah.- And the American College of Veterinary Behaviorist made that one too.- Wow, I'm gonna recommend that. There you go.- 'Cause the cat one's so good.- No, I guess so.- Yeah, but there's a dog one too. I wanna read Perth. Yeah, he's a pretty good, but yeah, Zazzy Todd seems to be the...- The guru.- Mm-hmm.- That's amazing. That is fascinating.- There we go.- I learned this is good because now when people ask, you've got even more resources.- Yeah.- So great question.- Great question.- Great question.- I have to say the disclaimer.- If any listener has any other icebreaker questions, they want us to pick apart. DM the All Star Veterinary Clinic, social media accounts or email Harrison at KingmediaMarketing.com.- Wow.- We would love your iceburgers. They're fun.- Yes, please keep on coming.- Iceburgers.- Breaking news.- Breaking news.- Iceburg ahead.- Oh my gosh.- I'm so stupid.- Sorry.- Got me surprised.- Breaking news.- Did the breaking news catch you by surprise?- It caught me by surprise, actually.- Because my wife is in ding.- Oh, no.- She just remembered.- I just remembered.- She got the earpiece going.- She's not the earpiece.- Got it.- Nobody else can see it, but she has it.- It's in her glasses.- It's congestion.- Today's viewing.- Can you sponsor my day, Quill?(laughing) Just for me.- I'm kidding, day, Quill, don't get mad. Okay.- But you can't sponsor us.- Or are we happy?- Yeah.- Yeah, that's actually great.- Or are we in need?- So this is a response to last week, I guess.- Yes, 'cause we were in here.- I don't know why you're here.- So we're in here.- No, I'll read it.- So thanks for mentioning my question on the podcast. To follow up, I've always been told that when pushing Safazolin,- Ha, Safazolin.- Safazolin.- We even told us how to print it.- Even spell it, right?- And then at the bottom.- Like so we can.- Yeah.- But with the dashes and everything.- You don't come down to the middle.- Yeah.- And like the meadow tomato.- Yeah.- I was always taught in school. I was always taught in school, Safazolin.- You said Safazolin last week.- I know, but that's 'cause I thought other people.- So, that's how it's supposed to be said.- Anyway.- Like smart people say Safazolin.- Okay, we've been told to stop interrupting each other.- I'm sorry, remember?- Did I not say Safazolin?- You did.- I don't know what you said.- It doesn't matter, keep going.- Okay.- If you push too fast, it can cause the patient to vomit, which we obviously do not want, especially because we frequently use it during surgery. On the case I saw the doctor was on, the doctor that was on had no luck in prior cases with any of the other methods and asked us to push Safazolin quickly and then boom, vomit. Usually the dose I see is 22-megapirchic. PS, it's Safazolin.- So, anyway, it's just wrong.- LOL.- LOL.- LOL period.- That's what he means business.- That's what I mean business.- That's from FreddyStory.vett.- I love the engagement.- I'm gonna say that right.- Thank you, thank you, thank you.- Is it out of this?- No, he gave us that last time, so it was fine. Okay, yeah.- Interesting.- LOL. I wanna try it. Would you guys be interested in trying it? Or, well, Safazolin?- Yeah, to end this vomiting in the cat.- Yeah, 'cause like what harm would do?- That's what I'm thinking is the only thing I can think of is, I suppose you weigh your pros and cons, right? Like, the pro of giving an antibiotic, we know how fast it selects for resistance and when you don't need it with the animal ate something that's gonna kill it. So, do you really care? So, you go ahead and give this to Safazolin.- Also, is that the only adverse reaction that happens? I thought there was blood pressure, you have to worry about too.- I don't know.- Maybe that's pentopresol or something, I'm not sure. But, yeah.- I mean, there's various ones we give slowly for reasons, but I don't know. I mean, I feel like, if you need to make a moment, if you have other options, so probably exhausts other options first.- Lighting. - Yeah.- Yeah, I agree.- Even hydro, I mean, you're giving it and you're making a vomit.- Right.- Like, if you're still like side effects associated with the hydro.- Yeah.- So either way, I suppose you're gonna have side effects.- We don't really do the hydro for cats though. To make a vomit.- We give dex, sorry, dex.- And I was like, yeah, my brain was mixed up.- Yeah, dex, I'm sitting here watching, thinking of my head watching a cat vomit, yeah, dex.- Yeah.- But I mean, because I'm thinking,- But the dex will make them, yeah, sedated, yep.- I don't know, I mean, I think we should try it.- I think we should try it.- I think we should come up with a new medication.- Oh, okay, we're gonna be in a good,- I am not torturing my cats. And they will already come in, hissing and growling and try and do it.- Yeah, you can't get it, IV.- Okay, watch it.- Well, it's not, I need you.- Oh, my cats are eating.- Oh, try to.- I am so ready for this bond cat stuff to come out.- We found his happy, his happy days.- I was like, what's up with him?- I tried to kill me one last time.- He found his magic, his magic.- We are gonna use the bond cat stuff out the wazoo when it comes out.- I'll be honest, I'm one of those owners that I really try not to bring my cats to the vet unless it's a quick trip because it stresses me out. And maybe that's just 'cause I've seen all the cats get super stressed, so I don't wanna to happen to my cats. They've been okay, just, yeah.- I'll definitely give bond cat a try when we have it though.- Yep, I think it's gonna be huge.- Mm-hmm.- Okay.- We get to test someone at the clinic.- We can get, oh my gosh, what's it drew?- I need that.- You're a spoof, it's a little bit.- You don't wanna be a clinic cat.(laughing)- We take really good care of them.- We take very good care of them, but you can use them for practice.(laughing)- Did you remember?- Before that.- So fast, so little.- Oh, yes, so look at that.- So fast as always.- What products in our clinic? Like, do we have straight, stuff is on, injectable?- Yeah. - Yeah.- Okay, I didn't know.- 'Cause we use it in surgery.- I didn't know if it's like, convenient.- Well, with, convenient.(laughing)- We have a sufficer.(laughing)- They're both cephalosporins.- Okay.- So, one's a first generation cephalosporin and one's a third generation cephalosporin.- I've just never seen like straight out of the cat.- This is all one.- Because I'm always turning around.- Oh, yeah.- 'Cause we only had first generation cephalosporins when I started.- Okay, that's what I was wondering.- Nice.- You're not old, you're wise.- Yeah, thanks guys.- So wise.- So wise.- All right, pets, pets, pets and peaks.- Peek and pee, pets and peaks.- Pets and peaks, pets and peaks.- Pets and peaks.- I know, I just spoke about that.- Ooh, pets and peaks could be, ooh. It could be like a little shop where you pet animals and then your peak could be a little sweet dream. This is a great.- This is the idea.- It's kind of cute.- There's a new copy place off of 38 and a little Chicago. Hazel, that little Chicago.- Where?- Is it named?- To Paris and peaks.- No.- I just saw it today. I drove by it twice.- I drove by there every day.- How did I know that?- 38 and hazel.- There's a huge flag that says copy.- Oh, that's it.- Oh, it's a big white horse.- Yeah, yeah, it's been there for a while. It's called something. Harrison, what's the name of that place?- Is it the old dentist office?- No.- No, no more copies.- No more copies downtown.- I thought it was in a garage now.- There's another building on the property.- What?- It's like a garage.- I'm just thinking.- It's really cool.- I don't know where this is.- I don't know where the tax trees I drop in. It's like a home good, like, like, like,- I'm sure you're in some sort of place.- Kind of place.- Almost awesome.- Those are Chicago turns into hazel, all right.- What's your pits and peaks for the week?- Yep, I'm going last.- Okay.- I'll go.- Okay, go for it.- I have two pits, peaks.- Okay.- My first peak was this week with my birthday. That was a very good day.- It was a really gross day outside, but it was a good day. And then my other peak is I did, so I'm not very comfortable with them, nor do I do them often, but I did a standing system on an 80 pound dog today. And it was a male.- No.- So then the penis is in the way, and I did it.- No!- And I got it first try because--- Don't let that penis stop you.- No.(laughing)- But yeah, it was just, she's so happy, yeah. But it was, yeah, it was very rewarding'cause it was an emergency and we didn't wanna, yeah, I was a mess, but anyway. Yeah, that made me feel really good.- Well done, well done, well done.- My pit was my personal dog, my own dog is having some behavior issues, and it's really irritating and frustrating.- It's really hard to practice but in a nice, - A very home.- Yep, and it's just, yeah, it's infuriating.- Yeah.- Because I did all the work and I socialized them as a puppy and it's just like I didn't do anything. But stay after it, stay after it.- It'll be okay, it's just very frustrating. But he's still young, yeah.- He's like a teenager right now.- He thinks he knows your story.- He knows his story.- He's just in his rebellious days.- He's got a penis.(laughing)- He has penises, they are always those having it.- Yeah, I'm just kidding.(laughing)- Hi.- Okay, my peak is I'm going on spring break on Saturday.- Where are you going?- A rubah.- Yeah, a lobby.- With Bet and I.- With you, which child?- All of them except Harrison and Madeline.- Wow.- I'll go in his place.- Where are some sunscreen?- Yep, sunscreen and a cabana and nice.- That's so exciting.- It's fun.- It's 17a colata.- So because it's Johnny's senior year. So we're going and with like five other families. So we're really looking forward to that.- Oh, that's really fun. Those are fun trips.- Yeah, it's a good time.- It should be a good time, right?- Do you know how this solar eclipse is gonna be in a rubah?- It will not be present.- At all?- No.- It's not in the past.- It's amazing. So you guys have to take pictures.- We will take pictures.- Are we allowed to take videos or is that like bad for your eyes?- You just can be like, what if you want to rewatch it? Do you have to wear goggles every time you watch it?- Oh, I know, that's a good question.- I remember when I was in the school.- There's pictures on the other Google.- I had a good eye.- Does it hurt your eyes when you look at them?(laughing)- Did you ever get it?- Did you look at it afterwards and not worried? Did it hurt you?- Yeah, she could Google the stuff.- I used goggles and then I also didn't use the goggles. It was fine.- Yeah, so.- So, I mean it was for a split second.- We're doing it again, we're talking over each other.- My pit.- I don't know if I have a pit.- Oh, King, you didn't have a pit last week either.- I'm just cut like,- You're not perfect.- Pills?- That's always good though.- Yeah.- Like anything that you're like, like a bummer.- Anything that's a bummer.- I can give you one. Your life's just perfect.- No, it's not perfect.- Your life's just perfect.(laughing)- I have a hard time finding pits.- Yeah, she's a good in law.- I'm just, I wish I could do that.- Come on.- You can, it's a choice.- Wake up every day, loving life.- I, you know what? You know what?- I love life, but I still pit.- Well, the pit is, is.- It better be good.- It's not anything good.- Right.- No, I was thinking like of the whole thing that we're managing with Dr. Dudley and I with the people submitted the,- Oh, are you allowed to talk about?- What?- The thing, the complaint.- Yeah, we were talking about that.- Are you?- Well, I'm playing.- Why not?- I don't know.- I feel like this is really a surprise.- Because Chrini and I don't know.- So yeah, so that's probably the pit.- There's a complaint being filed.- But I'm not sure what, why, why? But that's for them to figure out. So just working our way through that.- More details to come.- More details behind the cameras.- In 26, however many, how old I am, I've never had to do that. Fascinating.- Because you build a freaking awesome clinic. That's when your lawyer husband comes in the play, right?- Yeah. - Yeah.- But no, he's not in charge about.- Oh.- So there you go.- I guess he used to be, but not anymore.- My other peak though is the two associate veterinarians at the clinic learning their TPLOs. They've done multiple cadaver dogs now and they're getting ready to do their first procedure on Monday.- On a clip stage.- On a clip stage.- On a clip stage.- Monday's a big day.- Oh yeah, you better hope they're not still in their surgery when.- So they shouldn't be.- They shouldn't be. They timed it yesterday.- Yep.- They should be great.- And I'm super excited for them. So yeah, that's my other one.- That's really cool.- Yeah.- Long time coming.- Does it hurt your eyes?(laughs)- Oh, I'm blind.- I'm blind.- I'm so happy to take a video of it.- It's okay.- Yeah, it's okay.- All right, Devon, no, you wanted to go last.- Yeah.- All right, duck wall. I think I mentioned my pit yesterday and I was like, I shouldn't, I'm gonna talk about on the podcast because I'm better.- So we talked through it yesterday too. But anyways, and your feelings are valid.- Yes, my last couple weeks, I've had a couple clients where I feel like I just really have gone gung-ho for them throughout their pet's lives. And like I felt like I have a good relationship. And then sometimes they just are like, I prefer to have so-and-so's opinion, like another doctor's opinion, or they prefer another doctor instead. Or, and so it just like gets to you after a while because the bitter side of me is like, why do I even go-- Why do I bother?- Why do I bother? Why do I go that?- I invest emotionally into your work.- Yeah, right.- Because you get so emotionally exhausted and compassion fatigue anyway. So then you have those ones that you go that extra mile, and then you're like, well, shoot, what's the point? And then, of course, your feelings get hurt because you're human and then you start to question, I always do, what did I do wrong? What can I do?- What's my problem?- Yeah.- And so yeah, I just been thinking about that and it wasn't just one scenario. One scenario I tried to just say, okay, whatever, but then when it's a couple back to back, close together, it's kind of like, what the heck? Yeah. I just wanna be like,- Hello?- I don't care.(laughing) I don't care. So yeah, anyway, so if anyone's ever felt like that, it's normal.- Yeah, it's real.- We get to, it's real.- Yeah, it's human.- And it's a real feeling.- I mean, yeah, it's valid. It's something that happens, especially just because of the nature of the job.- Yep.- And it's not always about you, but even if it was about you, just learn from it.- But still, I'm better.(laughing)- I'm better.- I'll be better for a little bit.(laughing) And then my peak, I think is,- Hmm.- I don't know. Saturday.- Saturday, my having my baby's number one.- There you go.- First.- My number one.- First birthday party. We had a postponate because she was sick last week. Hence, day, quill, congestion.- Conj- what?- Conj- congestion?- You said congestion?- No, since day, quill is sponsoring me today.- Oh, I thought you were thinking of another word.- No, she shared it within the household.- She's now your sharing.- Yeah, she's sharing that word.- And that word, the first.- Not next week, but then we got here. I'm going on vacation. Woo! Woo!- Okay, so there you go.- I'm going on vacation.- I like it. I like it.- Maybe, and I'll show where.- That's okay.- You're going somewhere, you're going in June.- I'm going to Kentucky from my mom's year.- That's not a vacation.- I mean, it is a turkey.- I love Kentucky.- No, it's not relaxing.- I love it.- What's a yoga retreat?- It's a little.- I'm not doing yoga.- And there would be the chef and the cleaning crew.- Yes, my dad and I cook and we clean. That's why my mom takes us. She called me "bubble."- Nice.- It's not a relaxing vacation. I'm about to do any yoga. Granted, I'm not a fan of yoga, which is dumb, but your mom's going to hear that. She knows that. I've told her that.- Okay, Devon, you're up.- Okay. I'll share my peak first. I'm going to see Morgan Wall and tomorrow with my mom and sister.- My sister's going to my, really?- Yeah, I didn't know.- Yeah, I'm excited.- I'm excited.- You don't.- Tomorrow, I have my first day off of first requested day off of work since September. And I'm just really excited to have the day off because I need it, especially after the week. So that kind of leads into my pit, which also moves into my case.- Ooh, that's my, oh, thank you.- I like it.- Okay, that's why you wanted to last.- I like it.- That's good transition.- Nice work, okay.- So my pit is this week we had a two of our kind of regular, actually pretty regular patients pass away. And we are really close to both of their owners, I feel. Excuse me. Oh my gosh. I don't know why it's in a week.- See, we care.- We can wait, do you want to wait? Do you want somebody else to go? Yeah, okay, thanks.- Are we doing cases now?- Okay, so, okay, so.- Okay, so, okay, so.- My, I'll go.- Okay, you go.- My case is another update. Alan, Mr. Teddy, everybody loves Teddy.- Teddy.- Yeah, he's, what?- Recap, Teddy.- Oh, he, I was getting here.- Oh, sorry.- He is our 10 year old Golnertreever. Wow, he is not that old. I'm so sorry. He is seven.- He's only seven?- Yes.- No, really?- Yeah.- He's like six in a few months, but he's seven. Anyway, he came in for the first time since his last chemo treatment yesterday. For just a general overall reach, kind of feeling his lymph nodes he always doing, things like that. He is doing really, really well. He's eating great, no vomiting. He's acting like his normal self, going on walks, playing with his house mate, just happy, go lucky guy. And I think two of his, he had a poplidial and then a sub, sub-indibular.- Sub-indibular, yeah.- Okay, lymph node that was slightly enlarged, but I don't think it's enlarged enough or he's doing poorly enough to enforce a rescue treatment on him. So all in all, he's doing pretty good. And it's very exciting. And everybody got to see him yesterday. He went on his normal walk through the clinic, which was really fun. So they said they bake his kibble and like chicken broth or bacon grease.- Yeah.- This is the cutest thing.- Yeah.- You just imagine it.- So their other dog is smelling it.- Yeah, yeah.- Their other dogs get in super fat. Who also has autoimmune disease.- Yeah.- Yeah. But yeah, they were just prominent is how I would phrase it.- Yeah.- He was able to measure him. So reaching out to the oncologist that helped with his protocol, just to make sure that there's no rescue therapy. I'm assuming I wouldn't have to since he's doing well clinically, is that correct? Have you ever had to do rescue therapy?- I mean, they probably will, they'll probably let him ride out, I would think, until you feel like, you've got like multiple lymph nodes that are big again. You know what I mean? Or-- - Like it was fairly noticeable.- It's the patients doing poorly. That'd be another factor, right?- Oh sure.- Yeah.- He was so happy to see ya.- Yeah.- Who's like chattering and he was really happy carrying his leash around. Yeah, he's a really good dog.- He's cool.- We all were so excited to see him.- Yeah.- Yeah.- It was very exciting to see him.- Yeah, me too.- Miss him.- Like, although, okay.- I'm just gonna push through it.- I'm gonna do it.- No, it's okay. So we have talked about Murphy on here before. He's like a 250 pound great name that had some weird swelling of his paw. We ended up referring him to a facility for a CT, to have a CT done. And I guess the day of the CT he was having a hard time so they didn't start his procedure until a little bit later in the day. And then they did the procedure. He had a really hard time waking up so they decided to keep him overnight for observation. And then went home the next day and mom said it took him like six times to even get in the car. And then ever since then he was just super well-fargic, not really eating. Really drooling. He didn't throw up or have any diarrhea but he was just drooling puddles. And so that was a week ago and then the following Monday she called telling me all that information and we recommended bringing him back to the special T facility just since they had just seen him. So she brought him back there and he got diagnosed with aspiration pneumonia and recommended hospitalization with oxygen supplementation which the owner decided to not do just due to finances'cause he's a very large dog and it was very expensive. So they brought home medications and we're just gonna try to treat him at home. And then I came in to work the next day and she let us know that he passed away at home.- Yes.- Yeah, from the pneumonia, I'm sure.- Yeah, and when I called in doctor it was just, like I think it was difficult'cause there was a little hope'cause like his oxygen level she had said at the end of the facility was 94. So it's not ideal but I think there are some optimism there that they could still maybe try the outpatient care especially since that was their only option at the time. But then he just declined pretty rapidly overnight which I guess it happened very quickly.- And so is this temperature was 106.9?- Well, I didn't know that. And a fever is 103.- Wow, I did not know that information.- Yeah, I have his report when he admitted, wow, for not doing well, he was 106.9.- Wow, yeah.- That's really sad.- Yeah.- I'm glad he was with his family though.- Yeah.- He didn't pass it, like if they decide to hospitalize him I'm glad he didn't pass it.- Yeah.- I'm glad he was with his family.- That's pretty much right.- He was that sick, like, yeah.- That could have very well happened at the hospital for sure. There's only so much we can do.- He never actually got the CT report back. So I'm curious.- I know, I haven't gotten any lead.- I looked for it but I couldn't find anything.- So that's who I'm Paul, I don't, who knows what that is.- Cause I feel like I'm just gonna...- And we have this after the procedure. She actually also reported that his Paul was getting significantly worse and it was turning like yellow.- Yeah.- Maybe it's something very large.- You could have had a tumor somewhere.- He's a big dog.- Yeah.- So like that was enough for the three days that I worked this week and then the next day we had...- Well, my case actually.- Yeah.- So perfect.- Look at that.- Segweze. Last episode or two episodes ago, I discussed this patient that had a lot of issues. So recapping liver issues, heart issues, seizures. And then incidentally came in for just a bald skin spot and ended up having 8,000 platelets. So we just started the treatment essentially for our suspected immune-mediated for our most out of pinia, so ITP. But as we started to follow along, it was so weird and interesting. Like we rechecked to CBCs between five to seven days, multiple times. His platelets were responding to the treatment. So that tells me that that category we're on the money, so to speak, of what we thought was going on, but he kept becoming anemic. Like he was already anemic from the start, but it kept getting worse. And so the anemia pattern was regenerative. So I was concerned that he was bleeding somewhere or the red blood cells were being destroyed. But we, Dr. King actually worked in and with me and we looked everywhere if there was blood anywhere. So chest X-rays, fast scans, a full abdominal ultrasound. We had a panic chemistry at the beginning and it wasn't, it didn't coincide with destruction. So this last recheck, so we changed the protocol as we went through. Like we tried to cover for a potential GI bleed, even though there was no blood in his poop or his vomit. And he was doing okay. Like his platelets at the second last check were adorable. 334,000, I was like, oh, this great. At least we know like he's not gonna spontaneously start to bleed. Well, this last time yesterday we rechecked and it wasn't a clean stick, but his platelets were still really low. Even if it wasn't a clean stick and the reason why you worry or if it's not a clean stick, you worry about clubbing or an inadequate platelet value while his were low again at 71,000. But then now his anemia was worse. His hematocrit went down to 14%. And then he was no longer regenerating. So his body is no longer responding to the low blood cells and he looked not good. He looked like he was struggling. He was a very pale. So anyway, talk to the owner. Unfortunately about his lack of response and worrying that the autoimmune disease is at the level of the bone marrow. I had talked to an internist just the Friday before. So three days before and she said it could still be a GI bleed. You just don't visibly see any blood. And then of course, what is his bone marrow doing? And so yeah, just honestly kind of set it was straightforward. I was like, unfortunately, we have to consider quality of life. He's not responding or we have to refer for deeper diagnostics. We literally just can't, we're at our with said here. We can't do anything else. And that would include a blood transfusion as well. Right. And so we talked about it. Also consulted with his neurologist that she really trust to and even though that's not his field, at least it's another brain that, you know, I talked to him about the case and he was worried about the bone marrow. And so ultimately, unfortunately, she decided for he made new tenasia, which truly was the best decision for him. Not just because he has a whole bunch of things going on, but he really, he wasn't doing well. Right. So, yeah. Yep, yep, yep. It was a tough case. Yeah. And it had me thinking like, what did I do wrong? What's going on? But it would have been a lot of commitment financially and just, I don't know, diagnostic. It's tough for him to go through. Yeah. To try to figure it out if there was something to even be fixed. Right. You could do all those tests and then you may still not be able to fix him. Yeah. Yeah, we have a saying that's just because you can, doesn't mean you should. Yeah. You know, so that's always something to agree with my beloved. My case is a, I want to say he's like eight, nine, ten, something like that. It's a doctor, a fast patient that came in as a new client. New patient on Tuesday and the owner called in to the surgery department and wanted to schedule a cherry eye surgery. And so the surgery technician said, sure, we can schedule a cherry eye surgery. He needed it done by a certain date. And so we're like, yeah, we can get him on Wednesday. But before you come in, we need to have a veterinarian see you because we have learned the lesson that it's not always what we think it is. It's not always what the clients think it is. And so this is a perfect example of that where you know, you listen to clients and you should take what they say, you know, and listen to it and rely on it. But also they also don't know a lot of times what they're talking about. Or they'll lead you down the wrong path, you know. So you thinking, you'll be thinking it's vomiting and it's regurgitation or you're thinking it's cherry eye and it's something else. So this was in fact one of those cases where it came in, the patient, he came in to see Dr. Faust and Dr. Faust looked at the eye and was like, that's not a cherry eye because it was a large mass associated with the third island. And so it looks like a cherry eye, like from the standpoint of like if you were looking at a picture, maybe in a book, yes. But even then it's way too big because it wasn't scrolled out. So like a cherry eye for all those people out there that don't know is a prolapse of the third island gland. So there's a gland that sits underneath the third island that provides tear production. And sometimes it will prolapse and so it rolls out and it looks like this cherry just sitting inside, you know, inside the, I guess the eyelid kind of sort of in the third island. So you can surgically tuck those back into place. We should never be removing them because then we have issues with tear production. Unless you had a tumor, then you could in theory remove the third island gland and then just medicate the dog for the rest of its life if you wanted to try and save the third island gland. Anyway, so this dog came in then on Wednesday and Dr. Cloud did a, a nucleation, but did it involve like so the eyelid shut and then took it because we were concerned about a mass. So then took all the tissue around the globe itself and the globe and removed it and then we'll submit it for pathology. And then it was insane. Yeah, it was big. I mean, I could even tell where the eye was like when you looked at him, you couldn't see the eye. So was it coming out of the eye? Well, it was part of the third island, for sure. Yeah. But like when you retro post the globe, which makes the third eyelid come up, it, it, it, it was up already. Like it, it didn't move at all because it was so large that you couldn't open his eye anymore. His eye was like to be able to see his eye. It was huge. Yes. Oh, wow. Compared because I was, I didn't like get up post look at him, but I looked at him through the run yesterday morning and I was just standing there and all like, where is his eye? And then the other eyelid was like all the way up, well, with the mass and whatnot. But like his eye was like up here pretty much like that sort of looked like it was so pushed up by them because like the mass was like his whole like it looked like as I have all then, but as I was up here. Oh my gosh. Like it was getting pushed, right? Yeah. Yeah. It was insane looking. Wow. So he, we enuclated his eye, Dr. Cloud, a nucleotid, and that should hopefully solve the problem. Yeah. So now he does his permanent, will he? Yeah. Exactly. I just had a puppy come up with one eye. I did well. They do. They actually do. They don't seem to mind. No, they accommodate very well. It's very interesting. Yeah. So that's my case. That's good. All right. Okay. Listener questions. Do you ladies deal with any drama between staff members? How do you deal with it at a underscore? I'm a K. Hill. M. K. Hill 44. I was going to say MCC. A. Hill. I like the question. Yes. And no matter where you have a good story. Oh, you do the head world role story, the head role role. Yes. Okay. So when I first started back in 2019, too, I can mod that. I'm just a young little spy out of school scared of everything. And I had started at all star. So to answer your question, there, yes, there's always is going to be. There's drama. Absolutely. Especially because of women. And then ruled for the most part field. Yes. You do what you care, right? There's a lot of estrogen. And at the time, there were just some issues with the culture. I wasn't, I'm not still not really privy to the details, just because I just come in and stuff. But I remember one day after work, Ms. Dr. King over there gathered all the technicians. She's going to, oh, damn. And basically was frustrated because there had been drama. And all I heard from our office was. This is news to me. I was not aware. It was in 10 heads will roll. I was in a media school. If people don't get their ish together, heads will roll. It wasn't, that was very, I don't think I've been scared of many people in that moment. I was scared of you. I never, I wasn't scared, but I was like, and it's funny because if you knew Dr. King, it's just not something you've ever, unless she's just at her with set, right? She was, right, fully so very at her. I was, I remember that day, very, very scary. Yeah. I never amad. So I'm sure when I got mad, I was like, I was like, but I just remember sitting there like, holy shit. I don't know how to do anything wrong. That's how I felt. I'm in trouble. I had to roll in my head. Oh, no, it was a very intense conversation. Which it needed to happen. And guess what? We did out people that were not good for the culture. It sure did. And that's, I think then to that point, yes, we have drama, but we also have a very strict policy of no gossiping. You figure your ish out between the two people if you don't or help with leadership can help you do it, but you, everyone tries to protect the culture because it's been worked so hard at. And it's really hard to expect just one person, you know, like so me, for instance, to manage everything in terms of the culture, right? Or the drama. So you really do have to rely on other people to say something if they see something and it's really important. Like so, we have a policy of like grievances should be handed up, not sideways and not handed down. So, you know, if you hear, if you, if Devon is talking to a room assistant and saying something negative or something that's gossipy and the other person she's talking to doesn't say, that's not something we do here. And you, even though you may not be agreeing with it, even though you may not be participating, what you're not, don't think you're participating, you're still condoning the behavior in your platform for the behavior. So you have to be willing to say, you know what? Sorry, I don't feel comfortable talking about that because we don't talk about that because that's how we protect the culture and we want it to be a good work environment for everybody. And until people are willing to do that, and not everybody's comfortable with that, right? And that's why I think it's so important to have the core values in everyone's head because then it's very easy to bring things back. It gives the other employee a thing they can say, like, that's not, you know, our core values are this. So our core value is loving, that's not very loving. So I don't want to talk about that. Or our core value is atmosphere. And by talking about this person, we're not creating a good atmosphere for everyone. Are we perfect at it? Absolutely not. So the important thing is to know that you're constantly working at it, right? So it has to be, you know, culture is kind of like something that you constantly have to be working on. And when you're not, if you just let it go, then things happen, it just goes, it just stuff happens because you have a culture whether you know it or not. You know, and so I think people just have to really say something. Yep. And all the way down to the high school student. Yep. I mean, people have to be willing to say something in order to create an environment in which they want to live in every day. And those people need to be willing to take it too because there's, it could be so easy if someone, you know, tries to do the right thing by saying something in the other person, the other person just starts building this like animosity or bitterness story in their mind. Yeah. You have to just kind of accept what the culture is or don't be a part of it. Yeah. And I think that, you know, we, the other thing we set up back then when all of that was going on was operate, people were operating under the wrong assumptions. So we set up a, you know, like basically what I did was talk about, everybody needs to operate under the assumption that everyone's doing the best that they can do. Yep. Right. So you're doing the best you can do. You're doing the best you can do to get into that room on time. You're doing the best you can do to clean up after yourself. You're doing the best you can do to, you know, talk to the client as nice as you can and handle their problem as nice as you can. Does that mean that you're, that you're perfect at it? No, but, but when someone comes behind you and sees a mess, they're not thinking they just left the mess because they just want me to clean them up. No, they're doing the best they can do. Yeah. You know, so it changes, you know, what you're thinking in your head and then your opinion. But the other thing is it's so easy for our brains to make up stories. And that's how drama happens, right? Because the story happens in a second. You walk past Devon in the hallway and she doesn't greet you. So the thing then your head can be like, she's mad at me. Yeah. I'm not talking about her birthday. Oh my gosh, she's mad at me. She didn't say, she didn't say hi. Yeah. Oh, wait, there's about a thousand other things that someone sitting on the sideline could say are the reason why she didn't say hi. And so like, I think teaching people to operate with, and again, nobody's perfect at this, but teaching people to operate with the facts instead of their feelings also solves a lot of those problems. Yep. So it's so much more than what we could answer in this podcast, but I think being aware of it is the first step. And then finding out tools and having a posse of people at work that are interested in changing it. Yeah. Yeah. Is how you can make a difference. Yep. I think sometimes people have a hard time because it might be their boss that's actually the one that's contributing to the drama. Yes. I've heard that's a big thing. Yeah. It's, I don't know, or there's that one person that just dogs on everybody all the time and they're talking crap about everybody. That could be hard too. Well, and the thing is, if you're not willing as a leader to address it, then now you're the problem, not the person. Yeah. So I think that's really important is that if people see you allowing behaviors to occur, and I don't know what this person's position is in their practice, but if you are allowing things to occur, then you become the problem and your staff then really start to regret, you know, and just aren't happy with, they'll start to, I can't think of it, resent. Yeah. resent what you're doing. Mm-hmm. For sure. Yeah. But it is, why is our field so stressful and stressful? Okay. Women are emotional. Full of what? Yeah. So, you know, you're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. You're not going to be able to do that. We all know all the jobs, but we're a team. We've lost a lot. It's hard when you have so many, you know, you get, because that's part of the job is, it's more than just a job, right? One of the things that we talk about is being emotionally invested in the job. Then that trickles over to then your care, which is also, you know, so it all piles up. Especially when you talk to that one or it's like every day. Yeah. But can you imagine doing it any differently? I love it, but as hard as it is, it's always worth it. Because when you go and you're making those decisions and you're sharing information with them, you feel like you're actually in it with them. Like you're actually accomplishing and getting places and going places with them with the care of their pet. And it creates a entirely different experience, not only for the owner, but for you guys as caregivers. And so I think it's way more like at the end of the day, you're able to go, okay, I have a purpose. I meant something, this meant something, and it did. And to your point earlier about the pet, like that's why then it hurts so bad. Because you know the value behind all of that. And so then when it's not, when you don't feel like it's appreciated on the other side. Yeah. You know, it's hard. Yeah. It's like a one way relationship. Yeah. Doesn't go anywhere. Yeah. Yeah. So. But I just always think of two like places I go or experiences where you can feel like they don't care. Oh my gosh. I'm always like you would get in so much trouble. Or like you're waiting forever. I'm like, there's no like I could not work with that philosophy of like not caring or not being accommodating or not responding right away. Like it's just it's such a night and day experience. And granted, we're not ever going to be the clients that come into our clinic the way that you know other people are. So we won't be on that side ever really. But you still can try to put your your mind and your shoes and those people's feet and like I go the doctor or I'm just mind boggling. Yeah. How do people get away with this? That's the other day because I was on hold for like 30 like you know you get on hold with people. Yeah. And then like this is a dumb example, but like Taco Bell. Jacob and I went there after we went there after Taco Bell. And we were after a brewery on Friday night and we were in line for 45 minutes and ended up leaving. And I was like if we ever did this it also fired like his fast food. But you know, yeah, I was like, all jaw has the same importance. Yeah. And service space. Yeah. I need my food. And I look at my food and I love. And you know the drama is going to affect patient care. Yeah. That's it. And so I mean like if you can't get people to buy into changing that mentality. At least you can bring it back to patient care. Like listen, it's going to affect patient care. Yeah. You should care because it's going to affect patient care. True. Yeah. Pretty. Yep. Well great question. Great, great. We got off on hold. We got a lot of pain. But that was good discussion today. Yeah. So you guys are going to be missing Dr. King and I next week. Oh, we got a record. Yes. Oh, bye bye. And I have a lot of time. I'm going to be. Let's bring that beer. I'm getting my wisdom seed. That's no fun. Comment any tips because any tips. Comment if I have tips before. For Devon. Kind of. There we go. Yeah, it's my brother. Devon which is all. I just gave it to you. Yeah. Yeah. I know. So see you in two weeks. Oh. But. Okay. Thank you so much for tuning into another episode of the Veterinary Roundtable. Remember sending those questions and leave us a review if you enjoyed this episode or previous one. We'll see you next week for another episode of the Veterinary Roundtable. Woo-hoo. Woo-hoo.[MUSIC]