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Dr. Cindy Bressler: Harnessing Hologram Technology to Revolutionize Pet Health Care typography
How to Master Your Veterinary Marketing with the Help of AI typography
8 Tech Tools & Apps for the Busy Veterinary Professional typography
Innovation in Veterinary Rehabilitation: Appreciating the Past & Embracing the Future
Photo provided by Proto
October / November 2024

A PRACTICAL GUIDE FOR PET HEALTH PROFESSIONALS

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October / November 2024

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Copyright October 2024. PetVet Magazine is published bimonthly by Barkleigh Productions, Inc, 970 West Trindle Road, Mechanicsburg PA 17055. Postmaster: Send change of address to Pet Vet Magazine c/o Barkleigh Productions, Inc., 970 West Trindle Road, Mechanicsburg PA 17055. No part of this publication may be reproduced without written permission of the publisher. Editorial offices: 970 West Trindle Road, Mechanicsburg PA 17055. (717) 691–3388 FAX (717) 691–3381 Email: info@barkleigh.com
Dr. Cindy Bressler: Harnessing Hologram Technology to Revolutionize Pet Health Care article graphic
Where Are We Now? A Look at the Veterinary Industry Four Years Post Pandemic article graphic
ADVISORY BOARD

Meet our EDITORIAL ADVISORY BOARD!

PetVet’s advisory board is here to help ensure quality content to motivate & educate Veterinarians and their staff.
Picture of Courtney Campbell
Courtney A. Campbell
DVM, DACVS-SA
“My passions ultimately drove me towards becoming a veterinarian, but when I was growing up I briefly flirted with the idea of becoming a magician. As a veterinarian, the ability to save lives, keep animals healthy, and strengthen the human–animal bond makes me realize there’s nothing more magical than that.”
Picture of Jenifer Chatfield

Jenifer Chatfield
DVM, Dipl. ACZM, Dipl. ACVPM

“People should be so lucky as to get to be a veterinarian. The broad-based education empowers us to be successful in multiple fields and affords us the opportunity to choose how we spend our professional time.”
Picture of Julie Legred
Julie Legred
CVT
“I have worked in many areas of veterinary medicine and veterinary technology over the last thirty five years, and it is amazing how far our profession has grown and paved the way for the betterment of animals’ lives and happiness, as well as improving public health issues. It is an honor for me to be a part of this advisory board to offer additional education and opportunities to grow in our profession.”
Picture of Lisa Powell
Lisa Powell
DVM, DACVECC
“I have had the privilege of working with a variety of animals in my career and my passion has allowed me to be involved in teaching veterinary students, interns, residents and other veterinarians. I continue to enjoy going to work every day to help critically ill dogs and cats, and love the client interactions as well. I am proud to be a part of this advisory board to help teach and spread my love for this profession to others in the veterinary community.”
  • STAFF
  • Publisher
    Barkleigh Productions, Inc.
  • President
    Todd Shelly
  • Vice President
    Gwen Shelly
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    Adam Lohr
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    Rebecca Shipman
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    Laura Pennington
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    Brandi Aurelio
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    Carlee Kubistek
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    Luke Dumberth
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    Allison Smith
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    Cassidy Ryman
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    Evan Gummo
  • Director of Marketing & Client Relations
    James Severs
  • Accounts Manager/ Executive Assistant
    Karin Grottola
  • Administrative Assistant
    Britany Smith
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Kathryn Primm,
DVM, CVPM
“Animals mean so much to the human condition. It is my privilege to make lives better every day! I cannot imagine myself in any other career.”
VETERINARIAN LIFE ADVICE
"A good vet is always a student, forever learning & improving on their skills...

The best way to stay up to date is to read industry trade publications, attend conferences, and sign up for classes on the latest technology.

– Sehaj Grewal,

DVM, “The Melrose Vet”
CLIENT SERVICES
woman in a red blazer and white button up shirt looking at a laptop
How to Master Your Veterinary Marketing with the Help of AI typography
By Jon C. Coward
A

I in marketing—sounds like a pleasurable escape in a sci-fi movie, right? Well, it’s not just a futuristic fantasy; it’s here! And, it’s transforming how we do business—especially in the veterinary world. But, like any tool, AI is only as good as the hands that wield it. In this article, we’ll explore the magic of AI in marketing and why the right prompts are your secret weapon.

Understanding AI and Its Limitations
First, it’s important to understand that AI tools like ChatGPT and Claude are like really smart interns. They’ve read a ton of information (some good, some not so good) and they’re here to help. But remember, they’re not infallible. Sometimes they pick up bad habits from the internet’s dark alleys of outdated SEO tips and marketing myths. That’s why AI needs you.

AI can analyze data and automate tasks like a champ, but it can also miss the mark without proper guidance. Your job? To be the guiding star that steers AI clear of the junk and towards the gold.

AI in Customer Service Marketing
Imagine having a super-enthusiastic assistant who never sleeps and always has the right answer. That’s AI in customer service for you. But, if not handled well, this eager beaver can turn into a clueless bot that frustrates more than it helps.

Here are a few AI tools to try and what they can do:

outline of speech bubbles
Chatbots: Your 24/7 front desk, handling everything from “When are you open?” to “My cat just ate a sock, what do I do?”
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Virtual Assistants: Scheduling appointments, sending reminders—basically, your clinic’s very own Siri.
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AI-driven CRM Systems: Keeping track of client preferences and histories to make every interaction feel personal and special.
While these all probably sound great, there are a few pitfalls to avoid:
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A Bot that isn’t really an AI Bot: Be careful about using a chatbot that isn’t actually a language learning-based bot and has limited answers fed into it, or one that tells people they don’t understand their request too many times.
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Data Dangers: Outdated or incorrect data leads to misinformation. Be sure to use a chatbot capable of tracking history. Imagine telling a client their pet’s vaccine is due when it was actually done last month.
icon of people with gear and heart
Personal Touch: Don’t let AI replace human interaction. Clients still want to feel valued and understood by real people.
The Science of Prompting
Think of a prompt as AI’s magic wand. Wield it well, and you get results that dazzle. However, to craft the perfect prompt, you must be specific. For example, instead of “Create a marketing plan,” try “Create a social media marketing plan for Facebook and Instagram aimed at attracting new pet owners of dogs who are inexperienced at dog ownership.” You can even go as far as picking income, location, gender, activity level, types of dogs, etc. There is no limit!

Next, you’ll want to break it down and ask step-by-step questions. Don’t dump everything in one go. For example, start with “What are key components of a successful Facebook marketing strategy for veterinary clinics?” then, “What type of content engages pet owners the most on Facebook?”

You can then move onto refining and reviewing. Treat it like a draft and keep tweaking until it’s perfect. By breaking it down and building, you are more likely to get a clear, actionable plan instead of a jumbled mess.

Case Studies of AI
Let’s explore some real-world examples to understand the impact of precise AI prompting:

icon of people with gear and heart The Good
A veterinary clinic significantly boosted their online presence by 30% and saw a 20% rise in new clients. How did they achieve this? By using precise AI prompts. They began with broad prompts to identify key social media platforms, then they refined their strategy by focusing on specific tactics for Facebook and Instagram. With each step, they guided the AI through more detailed questions, which helped them develop a comprehensive and effective marketing plan.

icon of people with gear and heart The Bad
Another clinic used vague, short prompts for their AI. Their initial prompt was a general request for a marketing plan without specifying any particular focus, background or details. As a result, the AI defaulted to generic and outdated strategies. The advice led to minimal improvements in their visibility.

Checklist for Effective AI Prompts
closeup of hands typing on a laptop
red check box
define your goal:
What exactly do you want?
red check box
Break It Down:
Make it manageable.

red check box Ask Detailed Questions:

Be clear and specific.
red check box
Review and Refine:
Keep tweaking for perfection.
True AI vs Fake AI

True AI remembers your clinic’s quirks and preferences, stays sharp and up-to-date, and keeps your marketing fresh, relevant and effective. Using fake AI is like using a rusty, old typewriter in a world of sleek laptops.

Fake AI Versus True AI
Fake AI is like those infomercial products that promise the world but don’t deliver. True AI, on the other hand, is like a seasoned pro that learns and adapts over time. True AI learns from its mistakes. Fake AI? Not so much; it only knows a limited data set. You have probably encountered it many times on those annoying help chats that leave you trying to ask the same question over and over in different ways to no avail, then typing in repeatedly that you need a live agent.

True AI remembers your clinic’s quirks and preferences, stays sharp and up-to-date, and keeps your marketing fresh, relevant and effective. Using fake AI is like using a rusty, old typewriter in a world of sleek laptops.

Predictive analytics, personalized client communication and automated client management are just the beginning. Stay informed with what’s on the AI horizon with webinars and courses, learn from others’ experiences in online communities, and use AI prompt guides and templates as your ready-made helpers. In no time you’ll be riding the crest of the AI wave.

And remember, mastering AI prompting and marketing isn’t just about getting the tech right; it’s about strategy and finesse on top of the technical. With the right prompts, you can turn AI into your marketing sidekick or even co-manager, ensuring your campaigns are sharp, relevant and engaging. Embrace the power of precise prompting and watch your marketing results soar!

Jon C Coward headshot
Jon C Coward is a marketing expert, author, speaker, and presenter in the Pet Care Industry with 20 years’ experience. As the CEO of 7 Sided Cube, he helps businesses approach digital marketing from a growth perspective. Jon attended the University of Texas and has an MBA in Marketing. He spends his days reading SEO and Marketing manuals to his cat and daughter when he is not riding his bike.
BUSINESS TRENDS
Innovation in Veterinary Rehabilitation: typography
Appreciating the Past & Embracing the Future
brown dog with tongue sticking out
By Christine Jurek, DVM, MSIVM-C
O

ne certainty in life is change. Growth and development are integral to our field, and our cutting-edge practitioners are skilled at adjusting to and embracing new technology. One of the most exciting advances in veterinary rehabilitation has been adopting artificial intelligence (AI) devices.

A Brief History
Veterinary rehabilitation techniques were used in ancient times, but there is little documentation of exact practices. Egyptian hieroglyphs depict massage being applied to horses. In Ancient China, Tui-Na techniques were used for people and horses, similar to massage and manual therapy. Hydrotherapy also improved fitness and strength in racing horses in ancient Europe.

One of the first early adopters of modern physical therapy techniques was Sir Charles Strong, a British physiotherapist tending to Lord Luis Mountbatten. Lord Mountbatten asked him if a therapy device being used on him could also be used on his polo ponies. Strong tried it and successfully returned two lame horses to soundness. After this, he began treating animals (mainly horses) for the royal family and was later knighted for his contributions to human and animal medicine.1

The practice of veterinary rehabilitation experienced much worldwide growth in the 1980s and 1990s, with formal organizations being chartered and coursework created to train veterinarians and physical therapists to develop their skills. As the practice grew, so did the recognition that this should be a standard of animal care and not just an “alternative” to mainstream medicine.2

In 2010, the American Board of Veterinary Specialties provisionally recognized the American College of Veterinary Sports Medicine and Rehabilitation, with full recognition in 2018. Rehabilitation today continues to grow and develop and is often the gateway for multimodal pain management in equine and canine patients.3

Enter AI
Practitioners’ most valuable and crucial patient evaluation and treatment tools are their hands and brains—even AI is not a good substitute for thorough palpation. However, it can provide additional information that can streamline the process and reinforce clinical skills in novice practitioners. For instance, AI can analyze data from wearable devices to assess motion, posture and muscle firing patterns, which can be early indicators of injury. While AI can aid in the early identification of risk and injury prevention, it’s important to note that it’s not a replacement for the expertise of a skilled practitioner.

Innovative devices have taken a crucial role in veterinary rehabilitative care. These tools, such as lasers for photobiomodulation therapy, extracorporeal shockwave machines, pulsed electromagnetic field devices and underwater treadmills, have significantly improved patient care. As the field continues to advance, we have new AI-driven options that can help us evaluate our patients, providing a level of care that was previously unimaginable.

The following are examples of technology already being utilized in animal rehabilitation:

Stance Analysis:

labrador dog with feet highlighted

Early adaptation involved standing a quadruped patient on four identical scales. Now, we have several devices on the market that will read and analyze weight-bearing on all four limbs and average the values obtained while eliminating outlying figures.

Gait Analysis:

side view of cat walking with multicolored arrows pointing left
Rather than relying on our eyes (and now video recordings that can be slowed down for analysis), we have the capability of using a long mat which will track patient footfalls and analyze whether the gait is normal or abnormal and how it deviates (most devices also incorporate stance analysis). New wearable devices applied to the limbs can be used at home to generate information in a more natural setting.

Wearable Activity trackers:

front view of dog walking with graphic of waves emitting from him
These are more commonly utilized to collect data for orthopedic pain management studies. This is critical to the scientific validation of some outcomes that cannot be otherwise measured.
Looking Ahead
In addition to the advancements in training techniques and equipment, there is a growing focus on AI’s potential in sports and performance animal management. AI could also be used as a more objective means of assessing when it is appropriate to increase challenges and return to previous activity, with the assurance that the patient is not likely to re-injure. Adapting AI for racing and performance animals could significantly reduce morbidity and mortality and increase financial savings.

AI algorithms and 3D printing may also eventually be used patient-side to fabricate customized, fully biomechanically compatible assistive devices, such as wheelchairs, orthotics and prosthetics. Additional adaptations can be used to determine custom fitness programs based on wearable feedback devices. These may also help assess the appropriateness of increasing activity and exercise intensity based on functional patterns analysis.

Veterinary rehabilitation has a rich history, and its growth in the last several decades has been substantial. The increased acceptance, driven by research and scientific explanation, is a testament to our progress in our field. While it can still be a complex and challenging practice, with much subjective information driving the decision-making process, the future is promising. With the advent of new tools and technologies, we are better equipped than ever to provide superior patient care, which we can all be proud of.

References:
  1. Calatayud, M. (2019, August 2). A royal history of animal physiotherapy. HISTORY.PHYSIO. https://history.physio/a-brief-history-of-animal-physiotherapy/
  2. Nolan, R Scott. Pet Rehab Becoming Mainstream Practice. J Am Vet Med Assoc. 2009 Oct 1:235(7):798-9.
  3. American College of Veterinary Sports Medicine and Rehabilitation. History. https://www.vsmr.org/history/
Christine Jurek headshot
Dr. Christine Jurek received her Doctor of Veterinary Medicine from Purdue University. She spent six years in general practice before joining the staff at Thrive Pet Healthcare partner TOPS Veterinary Rehabilitation in Grayslake, Illinois. She has been practicing full-time canine rehabilitation for over 22 years with certifications in Canine Rehabilitation (CCRT), Acupuncture (IVAS), and Chiropractic (AVCA), and recently, she completed her Master’s in Integrative Veterinary Medicine- Canine (MSIVM-C) from Chi University. Dr. Jurek has numerous published works and lectures on rehabilitation and integrative medicine.
petvet profile
Dr. Cindy Bressler typography
Dr. Cindy Bressler holding a small dog
By Rebecca Shipman
Photos provided by Dr. Cindy Bressler and Proto
“P

roto presents people, or animals, in volumetric 4K. When a person beams somewhere live, they can see and hear the people they are interacting with in real time,” explains David Nussbaum, CEO and Inventor of Proto Hologram. “When Dr. Bressler interacts with a client and their pet, it’s exactly as if the pet is in the room with her.

Harnessing Hologram Technology to Revolutionize Pet Health Care typography; dog laying on its stomach looking up
Dr. Cindy Bressler holding a small dog
Harnessing Hologram Technology to Revolutionize Pet Health Care typography; dog laying on its stomach looking up
By Rebecca Shipman
Photos provided by Dr. Cindy Bressler and Proto
“P

roto presents people, or animals, in volumetric 4K. When a person beams somewhere live, they can see and hear the people they are interacting with in real time,” explains David Nussbaum, CEO and Inventor of Proto Hologram. “When Dr. Bressler interacts with a client and their pet, it’s exactly as if the pet is in the room with her.

“We’ve been working in healthcare with humans, and the Bronx Zoo has used Proto to show holograms of sloths, foxes, boars and more,” continues David. “But Dr. Bressler is the first to use it in veterinary care and we’re so excited about this.”

As owner of House Call Veterinarian in New York City and the preferred vet of many pet-owning celebrities in the Hamptons, Dr. Cindy Bressler was determined to find a faster and more accurate way to help pets when seconds count.

“We’d ask people to send photos or videos so we could see what was going on,” Dr. Bressler explains, “And then I realized when I’d see the animal in person, it would be a much different situation than I thought. I was worried the info I was working with when people would send stuff in wasn’t accurate enough.

“Now with Proto,” she continues “I can get a much more real view of what’s going on. It’s not just a close-up of a bump or wound; it’s how the pet is moving and interacting with its owner. I’ll tell the client to have the pet walk to them, or show me how he is breathing, or how he reacts to you touching his paw. With holograms I can see so much more. This is hugely important when someone can’t get into the office soon enough or we can’t get to them.”

I can get a much more real view of what’s going on. It’s not just a close-up of a bump or wound; it’s how the pet is moving and interacting with its owner.
– Dr. Cindy Bressler
digital illustration of a dog in a lab
To use this feature, clients follow a few simple instructions and use the Proto Beam app on their smartphone to send the hologram to Dr. Bessler.

“Proto is great for things like re-checks—say a dog has orthopedic surgery—a week later, two weeks later, you can monitor it,” she says. “You can gain so much from seeing how they’re moving, how much weight they put on their leg, and things like that.

“Another area is neurological situations, which are very hard for a client to explain on the phone,” Dr. Bressler continues. “Not everything is cut and dry like a full-blown seizure. A dog could be licking the air, or what we call fly-biting, and other things that are hard to describe. With Proto, you can capture behaviors much more accurately than people can describe.”

Dr. Bressler did her internship and residency in small animal internal medicine at the Animal Medical Center in Manhattan, but says she will see any animal in an emergency.

human in a Proto with their dog
human in a Proto with their dog
“I won’t turn any animal away,” she states. “Treating some large animals, like horses, can be more complicated, but the same life-saving methods can apply to any animal.”

This commitment was sparked at a very young age when Dr. Bressler took her sick childhood pet gerbil to the vet.

“The vet said, ‘I don’t treat gerbils,’” she recalls. “And I said, ‘You’re an animal doctor, you should treat all animals.’ I took her home and she died the next day. So I knew I wanted to be a vet and that when I became one, I would always take care of all animals.”

Dr. Bressler spent much of her free time volunteering at local veterinary hospitals, but when she found out that to apply to vet school you have to have worked on a farm or with zoo animals too, she began volunteering at the Staten Island Zoo and working with other large animal vets to get that experience.

“When I was at Ithaca College, I’d get up at 4 a.m. to work with a large animal vet who was also married to an Australian sheep farmer, so I had both kinds of experience there,” she says.

From there, Dr. Bressler went to Atlantic Veterinary College on Prince Edward Island, which was a brand-new school in 1990.

“It was small so we got a ton of individualized attention,” she explains. “And I was happy to have peers working hard, with the same interests as me, for the first time in my life there.”

Now a typical day for Dr. Bressler begins around 7 a.m. when the phone starts ringing, and often lasts late into the night with so many emergencies to respond to.

Proto is great for things like re-checks—say a dog has orthopedic surgery—a week later, two weeks later, you can monitor it. You can gain so much from seeing how they’re moving, how much weight they put on their leg, and things like that.
– Dr. Cindy Bressler
“We travel to different patients’ homes in the Hamptons on Long Island; wherever we need to go,” she says. “Last night we got a call for a dog who swallowed a peach pit, so we met at a beach parking lot. It was an easy case.”

In an effort to save even more pets’ lives, Dr. Bressler is working on opening the first-ever 24-hour emergency vet hospital in Watermill, NY, which will service the South Fork of Long Island.

“Currently the closest emergency hospital is an hour away, and a lot of pets don’t make it,” she shares.

Dr. Bressler’s patient care doesn’t stop at just handing emergencies. With help from colleagues around the country, she’s dedicated to making sure her patients receive top-notch care, no matter where they are.

dog in a Proto machine
“One thing we did is we started a company called Jet Set Pets,” she explains. “We can travel with families when they need veterinary care—continue their treatment on a plane, for example—and then transfer care in our network so they keep the same level of care, whether they’re travelling between New York and L.A., Miami, Aspen, or even London.”

Another unique service that Dr. Bressler and her team offer is in-home hospitalization. If a pet is non-critical and it’s appropriate for the situation, they essentially set up a 24/7-care hospital in the client’s home, complete with nurses, equipment and specialists.

“A pet can feel so much better surrounded by their own home and everyday life instead of the stress of being in a cage,” she says. “We can provide the same care with undivided, personalized attention and all that TLC that being at home offers.”

She’s also done what she calls “Vet Sitting”—similar to pet sitting—where she’ll have a pet in her home to get to know them better before seeing them in the office.

“They’re so much more comfortable with me when they do come visit at the office,” Dr. Bressler explains. “And I learn so much about them, from the way they look at you, cuddle up to you, how they greet you at the door, or the way they know what you’re feeling.”

Wellness and longevity are other areas in pet health that are an important focus of Dr. Bressler’s. Through seeing what people do with human healthcare, she’s interested in how that can apply to pets to keep them feeling better longer, and is even currently working on a dog aging study.

When a pet’s life does sadly come to an end, there’s another use case of Pronto that’s different from diagnosis and care. In addition to recording holograms for symptom and recovery monitoring, anything a pet owner wants to capture can be recorded to keep the pet’s memory alive forever.

“You can record all these little things that only your pet does in its own way and a hologram really preserves it,” Dr. Bressler explains. “People love their animals so much—the grief process is very hard—so this is a new way to help with that loss.”

With a promise to herself at a very young age to help all animals, Dr. Cindy Bressler has certainly stuck to her commitment. And with the help of the innovative hologram technology available through Proto, and her unique, personalized ways of providing care, Dr. Bressler can help even more pets live longer, healthier lives.

LIFESTYLE
8 Tech Tools & Apps for the Busy Veterinary Professional typography
By Cari Wise
With the busy life of a veterinary professional, any help we can get to streamline tasks or make them more enjoyable in our daily lives—personal or professional—is always a plus. The following are eight terrific tech tools and apps that are worth trying out to help you move through your busy days with a little more ease!
the Philips SmartSleep Wakeup Light pictured beside its packaging box

Philips SmartSleep Wakeup Light

There’s nothing worse than being jolted out of a deep sleep by the intrusive sound of a classic alarm. If you prefer to wake up peacefully, the SmartSleep Wakeup Light by Philips does the trick. It lights up slowly, simulating sunrise and stimulating the body to wake naturally without noise. It is especially helpful during the time of year when natural daylight hours are short and the desire to hibernate under the covers is high. Afraid that light alone won’t wake you up? Rest assured; it also has built-in audible alarms that you can set simultaneously for backup.

Braintoss logo icon
Braintoss App

Ever remember something and want to make a note, or have a brilliant idea at the most inopportune time? If the answer is yes, then Braintoss will be a life-saver! With the touch of a button, this clever app allows you to record a voice memo that gets transcribed and sent to your email of choice. Never again “lose” those important thoughts to the chaos of the day.

Audible & Kindle Unlimited
cropped view of hands placing a Kindle into a personal bag
Having access to unlimited books in digital and audio format allows you to stay engaged and entertained without packing around extra weight. Audio books (Audible) are a great option during road trips, especially when fatigue starts to set in. Digital books (Kindle) are excellent for travel, unexpected downtime or your nighttime wind-down routine. Both apps allow downloads for offline use, which is spectacular when you want to unplug or be off-grid.
4.
Countdown App
vector graphic of a red block with a black calendar and clock icon

Whether you’re counting down the days to your next vacation or pacing your work toward a personal goal, the Countdown app keeps your timeline front and center. It also comes with built-in countdowns for holidays, or you can add your own, such as a birthday or anniversary, to be sure not to miss an important date. The app will even send you notifications one day or one week before an event.

enlarged view of an Oura Ring
5.
Oura Ring

This wearable device gathers a myriad of useful information, continually collecting data on over 20 biometrics that directly impact your wellbeing, day and night. Track your sleep, heartrate, daily steps, stress level and more. A simple morning sync with the mobile app shows you not only how long you’ve slept, but also how often you woke and the quality of your breathing. The longer you use Oura, the better the data gets.

GoodNotes logo icon
GoodNotes App

With unlimited “notebooks,” a variety of pen and highlighter options (and colors), and the ability to import pdfs and make notes right on them, this app is versatile and highly useful. Need to sign a document electronically? Import it into Goodnotes, sign it with your Apple pencil, and then export it as a pdf. Want an easy way to take notes on those CE proceedings? Import them here. Interested in capturing your thoughts and pictures from a special event or vacation all in one place? Create a dedicated notebook to collect it all. You can even have it printed when you’re finished.

an Ember Mug pictured on its charging disk
Ember Mug Most of us don’t get the luxury of sitting down and enjoying a full cup of coffee while it’s still hot. The Ember Mug has a built-in heating element and corresponding app that allows you to set the ideal temperature for your beverage of choice. The battery lasts about an hour and is recharged when placed on a charging disk. Bonus tip: If you want to use your mug on the go without a mess, the travel lids for small Yeti cups fit perfectly on the Ember mug!
8.
Calm App
vector illustration of a female wearing yellow clothes and matching headphones while holding her hands in Anjali Mudra
If you’ve ever wanted to try meditation, the Calm app is a good place to start! The app includes a variety of guided meditations from different providers, as well as music, Sleep Stories and calming sounds to help you get a better night’s rest. It also has the option for reminder notifications if you have trouble staying on track. And, if social sharing is your thing, you can share your streaks or inspiring messages to your favorite platform easily.
headshot of Dr. Cari Wise
Dr. Cari Wise is a Veterinarian with a master’s degree in Higher Education and certification in Life Coaching. She is Founder of Joyful DVM LLC, the Vet Life Academy program, VetMed; JOY CLUB; and The Joyful DVM Podcast. She helps veterinary professionals and teams decrease anxiety and stress, create balance, and expand personal wellbeing no matter what happens at work or in the world.
BEST PRACTICES
voice memos and text boxes representing medical records with 'Modernize Your Medical Records with LLMs' typography

LLMs break down text into “tokens”–which can be words or chunks of words–and use probabilities to predict the next token.

LLMs break down text into “tokens”–which can be words or chunks of words–and use probabilities to predict the next token.
By Katherine van Ekert
M

any veterinarians have been reaping the benefits of new artificial intelligence (AI) technologies for over a year now. And thanks to large language models (LLMs), vets can drastically reduce the amount of time they spend each day writing records. These tools quickly transcribe audio recordings from veterinary consultations into comprehensive and accurate medical records.

LLMs are a type of AI that have been trained using vast amounts of text data, enabling them to learn tasks such as predicting the next word in a sentence based on context. Models like OpenAI’s ChatGPT are notable examples, and modern veterinary scribe startups utilize this same underlying technology.

LLMs break down text into “tokens”—which can be words or chunks of words—and use probabilities to predict the next token. For example, if given the tokens “The cat is,” the model might predict “hungry” or “sleeping” as the next word based on learned probabilities. To enhance their human-like qualities, these models incorporate “sampling” to add randomness, preventing repetitive and robotic text generation. Beyond text production, LLMs are also used in modern-day transcribing, converting audio recordings into written form.

LLMs facilitate the creation of medical records by summarizing lengthy consultation transcripts, identifying pertinent information and filtering out irrelevant content. Most existing LLMs were trained on more generalist content, so they may misinterpret or misspell veterinary words, but this is changing with the rise of models that are trained on more specific content.

Of course, many practitioners have been using AI-powered tools for image analysis for a few years now. Scribes and image analysis are only the beginning. Expect many AI tools to emerge over the next short while to help with many elements of practice administration—tasks such as ensuring there are no missed billable items on client invoices, managing insurance claims, coordinating employee rosters and tracking specialist referrals.

AI also has a significant role to play in the critical but often intractable issue of treatment compliance, as well as in improving client communications. Vets will be able to leverage AI’s ability to quickly create tailored client summaries, enhancing the level of personalized care and client buy-in. It also has the ability to “learn” about habits and behaviors that may interfere with client compliance, and counteract them with personalized communication strategies in the home setting.

From a clinical standpoint, AI’s unprecedented pattern recognition abilities will prove useful as a diagnostic aide and assistant in case management. While it may never substitute the intricate and nuanced clinical reasoning of a veterinarian, it does have the potential to augment such decisions. These are exciting times ahead, both from a clinical perspective and also in terms of the impact that reduced workloads will have on veterinary morale and workplace satisfaction.

Katherine van Ekert with a dog
Katherine van Ekert is a veterinarian and owner of Goldie, an AI-powered transcription tool. She is also a former practice owner and mother of three.
INDUSTRY NEWS
a colorful Illustration of people in lab coats next to giant science tools including a microscope and multiple test tubes
A Look at the Veterinary Industry Four Years Post Pandemic
By Elycia Degenhardt, BA, CVT
I

remember driving to work on March 12th, 2020, the day a public health emergency was declared in my city. I walked into an eerily quiet clinic and gathered with my coworkers, waiting to discuss how we were going to proceed. For the next year and beyond, work and life took on a bizarre, unfamiliar shape. I fortunately came through without suffering any major personal tragedies, and slowly pieces of pandemic life fell away. On May 11th, 2023, the U.S. Department of Health and Human Services officially ended the Covid-19 public health emergency.

With the pandemic behind us, where are we now? Is everything back to normal?

Well, not exactly…

Stress and Trauma
It is likely no surprise that many of us are more stressed than we were before the pandemic. The sudden shifting or loss of routine, chronic fear and uncertainty, and, for many, personal illness and loss all contributed to stress during the height of the crisis. Despite the resolution of pandemic lockdown conditions, chronic stress remains an issue in the general population.

The American Psychological Association’s “Stress In America 2023” report reveals evidence of long-term stress that psychologists are identifying as effects of collective trauma. The percent of adults who rated their stress an eight out of 10 or higher has increased in nearly all age groups (the exception was 65+). The pandemic is not the only source of stress. Stress regarding media, finances, family responsibilities and discrimination are all cited as having increased since 2019.1

The physical and psychological impacts of this stress are significant. Chronic stress is linked to inflammation, heart disease, digestive issues and a host of other ailments. This is reflected in an increase in chronic illnesses since the pandemic.

Our psychological health has also suffered. Reported incidence of diagnoses of mental illnesses has increased, and a third of adults surveyed report being too stressed to think about the future. Mental health conditions can impair executive functioning, making it challenging for individuals to concentrate, plan and organize in everyday life. They can also affect emotional regulation and decrease one’s ability to cope with unexpected situations, increasing stress and challenges associated with interpersonal interactions.

Stress can even physically affect your brain, contributing to loss of gray matter in the prefrontal cortex. This loss may decrease cognitive function and impair working memory, negatively impacting an individual’s ability to learn, recall and concentrate.2 Ironically, chronic stress even damages the part of our brain we need in order to manage and recognize stress, making it even harder to regain normal functioning.

It is important to acknowledge that even though the acute panic of the pandemic is over, people are still dealing with stress and trauma. We can help one another by being patient and acknowledging the real difficulties that follow such a huge life event. Recognizing that someone’s perceived inattentiveness, “brain fog,” decreased motivation or emotional dysregulation may have a root cause helps us remain empathetic. We should similarly respond to our own struggles with compassion.

Social support networks have been shown to have a significant positive impact on people recovering from and living with mental illness, stress and trauma. While many of us may still be struggling to reestablish social lives after lockdown, connecting with people who have a positive impact on your life can be a huge stress reliever.

Professional mental health support is also an important component of processing and coping with change, trauma and stress. It is common to feel you are not “stressed enough” to seek help—two-thirds of adults in the APA survey said as much—but anyone who feels they need support should not hesitate to turn to a professional. We all carry the effects of what we have lived through, and learning to manage that is part of moving forward.

Work Culture
If you have stopped in to get a late-night donut at your favorite haunt only to find them closed much earlier than they used to be, you have witnessed one aspect of the shift in work culture since the pandemic. Increased consumer preference for online shopping and takeout, worker shortages and greater value placed on work-life balance are just some of the factors that have changed the way businesses operate.

As much as you might want that 10-p.m. donut, it’s important to recognize that no one really wants to be working that late, especially at donut-shop wages. People are weighing the costs and benefits of work differently now than they did before the pandemic, and the benefits are frequently coming up short. With cost of living—especially housing costs—skyrocketing, employees in many industries are struggling to keep up, and veterinary medicine is no exception.

A mobile phone featuring a doctor's contact photo icon on the screen
Veterinary medicine was utilizing digital and online services before the pandemic, but curbside medicine brought telehealth into the forefront of daily practice.
While a 2022 NAVTA survey of veterinary technicians reports that the average vet tech is earning 25% more than they were in 2016, that increase does not necessarily translate to improved financial stability. Thirty-three percent of veterinary technicians are working a second job, a 6% increase since 2016. Low salary is the most significant issue facing technicians and the most challenging aspect of the job, according to survey respondents.3 Even with more employers in veterinary medicine now offering benefits such as dental, vision and overtime pay, financial concerns remain a significant issue for veterinary team members.

In addition, veterinary professionals, like much of the general population, often struggle with work-life balance. Burnout and compassion fatigue are still the top two wellness issues cited by veterinary technicians in the NAVTA survey. Work-life balance is generally considered a key factor in preventing burnout, and since the pandemic, many industries are finding it in remote or hybrid work. And while remote work is not an option widely available in veterinary medicine, there are other ways to encourage balance.

“The Merck Animal Health 2023 Veterinary Wellbeing Study” revealed that fewer veterinarians are working evenings, weekends, holidays or extended hours than in previous years.4 Decreased work hours can free up time for family, friends, exercise and sleep, all activities associated with lower burnout. Other ways to improve work-life balance include supporting and using paid time off, respecting and establishing boundaries regarding workplace relationships and expectations, and avoiding communication about workplace concerns outside of scheduled work hours.

Expanding Technologies
Veterinary medicine was utilizing digital and online services before the pandemic, but curbside medicine brought telehealth into the forefront of daily practice. Apps that offer direct booking, online payments, automated reminders and follow-ups, and text, chat and video services can be integrated into practice integration management software, providing convenience for the client and reducing strain on veterinary staff. Additionally, pet portals give clients remote access to medical records, invoices and medical conversations. In our current culture, easy online options play an important role in client experience.

Some clinics are utilizing video appointments to increase availability and accessibility of veterinary care, mirroring their increased use in human healthcare. Video appointments can reduce stress for some patients and allow clients to have their pet seen who may otherwise struggle to fit a veterinary appointment into their busy schedule.

While there are a growing number of companies offering opportunities to connect virtually with a vet, the AVMA recommends telehealth, with the exception of teleadvice and teletriage, be conducted within an existing Veterinary-Client-Patient-Relationship (VCPR).5 It is important to consider legal concerns regarding telemedicine, which may vary from state to state.

Another technology making waves is artificial intelligence. While AI has been around in some form for decades, 2023 marked a massive increase in its use and relevance. With AI technology ranging from predictive text and customer support chatbots to performing surgery, the possibilities, as well as concerns, are extensive.

Daily applications for streamlining tasks such as voice-to-text technology are largely welcomed by busy veterinary professionals. And while AI may be a matter of convenience for some, for others, it can offer a step toward inclusion. Voice technology, transcription, translation and virtual assistant programs all have great potential to reduce barriers for a wide range of individuals.

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Voice technology, transcription, translation and virtual assistant programs all have great potential to reduce barriers for a wide range of individuals.
AI is also revolutionizing human and veterinary medicine with diagnostic, predictive and drug-development capabilities. In its current form, AI generally requires human review, but it holds promise as a way to increase efficiency, accessibility, and potentially accuracy in many aspects of life and practice.
A New Normal
There are ways in which our lives, and even ourselves, are different than they were before the Covid-19 pandemic. Some of us may feel more affected than others, but all of us are participating in our world’s progression and adaptation. By acknowledging changes, we can better understand our present and shape our future. Things may not be back to the old normal, but a new normal offers promise of growth, hope and healing.
References:
  1. American Psychological Association. (2023, November). Stress in America 2023: A nation recovering from collective trauma. American Psychological Association. https://www.apa.org/news/press/releases/stress/2023/collective-trauma-recovery
  2. McPhillips, D. (2023, March 7). Stress may lead to lower cognitive function, study finds. CNN. https://www.cnn.com/2023/03/07/health/high-stress-lower-cognition-study-wellness/index.html
  3. NAVTA 2022 Demographic Survey Results. (2023, February 13). National Association of Veterinary Technicians in America. https://drive.google.com/file/d/11pmYzIouybfL55YsduRbaZ1TtMD1i2DB/view
  4. Improving Wellbeing and Mental Health: Merck Animal Health 2023 Veterinary Wellbeing Study. (2024). Merck Animal Health. https://www.merck-animal-health-usa.com/offload-downloads/2023-vet-wellbeing-presentation
  5. Telemedicine. American Veterinary Medical Association. https://www.avma.org/resources-tools/avma-policies/telemedicine
Elycia Degenhardt headshot
Elycia Degenhardt is a certified veterinary technician and instructor in an AVMA CVTEA accredited Veterinary Technician program in Madison, Wisconsin. Elycia earned degrees from the University of Wisconsin- Madison and Madison College and continues to learn new things every day through her career and life experiences.
BEST PRACTICES
Artificial Intelligence in Veterinary Medicine: Is it Helpful or a Hindrance?
digital illustration of woman with dog in cone talking to doctor through phone
By Keith Loria
A

rtificial intelligence (AI) technology is showing big promise in veterinary medicine by improving diagnostic testing, imaging, client communication and drug research.

A prime example of this is AI chatbots and virtual assistants. They offer preliminary assessments and telemedicine services, providing crucial support to urgent care veterinarians by helping prioritize cases. Additionally, they give pet owners immediate guidance, enabling them to make informed decisions when a vet is not readily available.

Other Benefits
There are many benefits of AI, including increased accuracy due to reducing the chance of human error, and time saved by analyzing and interpreting large amounts of data efficiently. This can benefit both the busy vet and the animal in circumstances where time or resources are limited and a quick, educated decision could mean the difference for a positive outcome.

Dr. Terry Fossum, board-certified veterinary surgeon and CEO of Dr. Fossum’s Pet Care, notes radiology and pathology are two areas that AI has been successfully implemented as a diagnostic tool.

“AI algorithms are used to analyze X-rays, CT scans, MRIs, and ultrasounds, helping veterinarians detect abnormalities such as tumors, fractures, or internal injuries more quickly and accurately than manual analysis,” she explains. “The development of imaging modalities with embedded AI is increasing and may allow for early detection of cancer, which would be potentially life-saving for many of our patients.”

AI is also used in labs for analyzing blood work and other diagnostic tests, and can assist in examining cytology or histopathology slides, detecting patterns indicative of diseases such as cancer or infections.

Dr. Julie Hunt, DVM, a veterinary consultant for Embrace, shares that AI diagnostic reads are faster than having to send specimens to a reference laboratory for a pathologist to review, which can take a week or longer.

“The quicker turnaround time benefits patients, as they receive faster, more accurate diagnosis and treatment,” she says. “Veterinarians appreciate being able to complete the patient examination, receive diagnostic results, and implement treatment within a single veterinary visit.”

Challenges Exist
However, despite the excitement around AI, there are some concerns. For example, there is the potential for algorithms to contain inherent biases from the data they are trained on, which could affect the recommended care for certain breeds.

Another potential risk is protecting data and keeping medical records confidential. Therefore, it is recommended that veterinarians avoid over-relying on AI tools and should always use their professional judgment.

Dr. Sehaj Grewal, DVM, a veterinarian in Los Angeles known as “The Melrose Vet,” echoes this, saying, “AI should only be used as a tool to aid experienced veterinarians but cannot replace the skill and expertise of a vet and their staff. AI systems are not a one-size-fits-all solution. While they can gather and analyze data quickly, AI may struggle with more complex cases or lesser-known symptoms or diseases not represented in the training data. Other limitations include the high cost to implement these technologies, which may make them less accessible to individual vets or smaller practices.”

Dr. Nell Ostermeier, DVM and veterinary advisor at Figo Pet Insurance, notes there are numerous ethical considerations around who owns the data and security associated with the patient and client (pet owner) information.

“There is also the fact that, for humans, AI in medicine is regulated by the FDA, whereas there is no regulatory body in veterinary medicine yet,” he says.

Keep in mind, in order for AI to produce high-quality results, the algorithms need to be fed reliable data in a standardized format. So, the general lack of standardization of medical records and coding in many veterinary practices may create a massive challenge.

Plus, Dr. Fossum adds that implementation of new technology can be a relatively heavy lift.

“Integration with current systems in your practice is one of the main issues that you will face,” she warns. “In addition, training employees can be very challenging and expensive. You need to get the ‘buy-in’ from your entire team to ensure that everyone is using the technology appropriately. They should understand the risks and benefits associated with using AI.”

“The future of AI will be prevention. AI’s predictive models will be able to help with early disease detection, as well as personalized therapies and treatment plans.
– Dr. Sehaj Grewal
Vets need to be trained on how to use the AI tools properly, which can take time away from other day-to-day needs. One way to mitigate these challenges is to incorporate ongoing training and education on AI to vets and staff in the practice. But you don’t want the staff to feel like they will eventually be replaced.

“AI isn’t perfect and it can cause trust and reliability issues with veterinary staff,” Dr. Fossum says. “A hybrid approach of not totally relying on AI but instead using it as an additional tool may be the most logical way to implement AI now. Over time, veterinarians will likely gain more comfort with the technology.”

Looking Ahead
While many veterinarians are interested in using AI technologies to improve patient care and client communication, it’s still early in its infancy, so the effect on what it can do is still limited and evolving.

“The future of AI will be prevention,” Dr. Grewal forecasts. “AI’s predictive models will be able to help with early disease detection, as well as personalized therapies and treatment plans. Also, AI used in wearables (dog or cat collars) can analyze data from the device in real time, which makes health monitoring more accurate.”

In the future, Dr. Hunt believes AI may be used to assist with medication recommendations for patients with conditions that have multiple medication options.

“Cancer medications could be recommended on the basis of the patient’s demographics, clinical signs, and diagnostic testing,” she says. “These treatments could dramatically improve the effectiveness of existing drug therapies once implemented.”

The potential for AI to transform veterinary practices is significant, but ongoing research and development are crucial to fully understand and harness its capabilities.

“The best way to stay up to date is to read industry trade publications, attend conferences, and sign up for classes on the latest technology,” Dr. Grewal notes. “A good vet is always a student, forever learning and improving on their skills.”

Keith Loria headshot
A graduate of the University of Miami, Keith Loria is a D.C.-based award-winning journalist who has been writing for major publications for close to 20 years on topics as diverse as healthcare, travel and food. He started his career with the Associated Press and has held high editorial positions at publications aimed at entertainment, sports and technology.
PETVET TOP 10
SEE HOW MANY YOU CAN DO!
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dvm360’s Fetch Coastal Veterinary Conference, taking place in Atlantic City, NJ, October 14th-16th, offers the timely and relevant clinical, management, technician, and wellness insights you need to enhance patient and client care. www.dvm360events.com/event/fetch-coastal
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Play a part in helping veterans and pets create new beginnings together by volunteering or donating at petsforvets.com

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Shop and learn at
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Embrace technology to streamline your thanksgiving preparations.

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Attend the AVMA’s DEIW summit November 7th-9th.
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The first of its kind in veterinary medicine, the Diversity, Equity, Inclusion and Wellbeing Summit, held in Atlanta, GA, is more than just a conference. It’s the gathering of a community united by the shared goal of fostering environments where creativity, wellbeing and collaboration flourish. www.avma.org/events/deiw-summit
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November 10th-16th is…
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practice manager appreciation week.
Spend the week celebrating and recognizing the important role your practice manager plays in providing exceptional care to clients, pets and the veterinary team.
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