People SUCK! with guest Jonathan Gonzalez, DVM
Everyone knows someone who says they work with animals because they hate people. Or maybe you are that someone. But what we must realize is that as animal welfare advocates we cannot separate the animals from their humans. The human-animal bond is a very important relationship, and to care for one we must acknowledge the other.
Dr. Jonathan Gonzalez is a veterinarian practicing in the State of Texas and is very passionate about fostering the relationship between animals and humans and being part of the family medical team. We will discuss the importance of client communications, how to work through hard situations and when to learn to step away, and overall how to change our outlook to improve our own mental health.
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Transcript
Hi and welcome to the Animal Welfare Junction.
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:This is your host Dr.
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:G and our music is written
and produced by Mike Sullivan.
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:So this is episode number 39, the first
episode of:
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:year since I started this podcast.
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:So before I introduce our guest for
today, I wanted to say thank you
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:to everyone who has been following,
rating, and sharing the podcast.
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:Because right now, as of this
recording, we are just over
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:5, 700 episodes downloaded.
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:So far better outcome than we
expected when I took the leap
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:into this podcast hosting.
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:So I want to say thank you.
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:And I'm really grateful
for everybody that listens.
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:I hope that it's informative and relevant.
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:So let's get started.
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:Today's guest is another Dr.
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:G.
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:So Dr.
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:Jonathan
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:Jonathan Gonzalez, DVM: Gonzalez.
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:Yes.
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:Yes.
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:I'm really, really happy to be the
first guest of the year and another Dr.
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:G.
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:So it's easy to.
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:to say Dr.
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:G to each other.
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:And even though we met recently,
it's like we, you know, we can,
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:uh, make it pretty, pretty easy to,
to have this conversation today.
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:And I'm pretty excited.
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:And I appreciate the invite.
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:No worries.
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:DrG: I'm really happy and excited
and proud to have you here because
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:you're another Puertorro, right?
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:You're from Puerto
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:Jonathan Gonzalez, DVM: Rico.
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:Exactly.
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:Yep.
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:We're, we're both from the same place
and I know you've done some work there.
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:And You know, we always, uh, keep
that in, in, in our hearts, you know,
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:DrG: so.
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:Yeah, I always tell people that it's
like People from Puerto Rico are,
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:are never like strangers, right?
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:You meet somebody from Puerto Rico
and it's like, you automatically
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:feel that there's, there's a bond.
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:So like between the language
and, and everything.
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:So, so knowing the
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:Jonathan Gonzalez, DVM: places
and knowing what it looks like and
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:knowing, you know, and the food, food.
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:Yeah.
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:I think that's a instant bond, you know?
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:DrG: Yeah.
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:So let's start first by sharing with
our listeners, kind of what led you to
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:become a veterinarian, like the path
that brought you where you are today.
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:Jonathan Gonzalez, DVM: So I always
kind of bring up the same story
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:ever since I was little, I had,
I always wanted to have animals.
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:I think a lot of us started that way.
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:And when they got sick, I wondered why
I wondered how to make them better.
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:I tried to prevent from them dying,
of course, you know, or being sick and
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:how to do my best to get them better.
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:And I guess that's where
the curiosity started.
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:And I just had really good.
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:Coaxing and, um, really good teachers
and my mom was a, a, a biology teacher,
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:so she always pushed me to, to that side
of things because she saw I, I liked
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:it since, you know, I could remember.
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:So, between that and, and good
teachers and, and good education,
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:I ended up, um, going to, to
vet school at Ross University.
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:Um, so.
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:I lived in Puerto Rico that whole time.
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:So I went to, school in Miramar.
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:It's, uh, Perpetuo Socorro.
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:And then I did my undergrad at, uh, the
University of Puerto Rico in Mayagüez,
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:where I did, um, like an animal production
undergrad, and then I ended up in St.
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:Kitts and, and Ross University.
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:So that's kind of how I, I, you know,
ended up in vet school and kind of
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:like, it's always been a, what I
wanted to be and what I wanted to do.
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:And, you know, I've been a vet now 15
years, so between different experiences,
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:a lot of good mentorship and, and.
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:Um, you know, hard experiences to
make you grow, I think, out of all of
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:that together, I think, um, you know,
that's how I ended up where I'm at
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:and, and the things that I believe in
and the things that I talk about and,
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:and like share with other vets and
would like everybody to kind of have a
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:little, put a little thought into it.
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:Um, you know, it, it, it kind of comes
from all of that from when I was little,
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:all the way through all what I've
learned in life to where I'm at now.
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:So.
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:DrG: Cool.
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:And we keep learning every day, right?
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:Jonathan Gonzalez, DVM: Yes.
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:Correct.
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:Yep.
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:DrG: And you're in Texas now.
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:Is that right?
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:Jonathan Gonzalez, DVM: Yeah.
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:So I'm in Angleton, Texas.
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:I'm practicing in that same town with Dr.
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:Raymond Miller, uh, at the veterinary
medical center of the Gulf coast.
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:And I've been there only a month.
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:Um, but I've known him for a long time.
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:I know he would be a good fit
and we're doing pretty good.
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:Pretty good medicine together.
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:So I'm very happy right now to, you
know, do what I love and have a lot
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:of say and kind of, you know, kind of
between me and him kind of dictate the
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:medicine and how we do things in the
culture and having a pretty tight ship
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:and no outside, you know, influence
is really good for us right now.
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:So running a good, good clinic
and helping a lot of people.
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:Which is what we like
doing the best, right?
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:DrG: Right.
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:And because I know that, like, me
personally, I like emergency and
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:I like high volume sterilization.
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:Like, I, I don't It's not that I don't
like my patients, I don't like spending
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:time with patients or, or their owners,
but I'm kind of a, a go go go type person.
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:And I know from what I, from what I
have read from your posts, if I feel
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:like you are more of a follow somebody
throughout the lifetime of a pet, right,
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:would that, would that describe you best?
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:Jonathan Gonzalez, DVM: Yes.
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:Um, absolutely.
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:I, I, I think it comes from watching,
you know, veterinarians that are now,
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:um, you know, in their seventies,
uh, still practicing medicine, right.
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:People that absolutely love, love
their job and, and, you know, that
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:was their passion the whole time.
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:So, um, I think, I think a lot of that
comes from that mentorship, you know.
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:Uh, where I saw them treat dogs
from when they were puppies, like
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:their kids dogs or grandchildren's
dogs, you know, through the years.
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:So they kind of became part of the family.
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:They became the family doctor, um, which
is kind of the vision I had as a kid of
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:what veterinarians should be, you know,
kind of like the family doctor kind of
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:helping out, you know, with the pets
and, and, uh, somebody they could trust
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:and, and kind of guide them through,
through the pet's life, you know.
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:DrG: That's really, that's
really cool that you bring that
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:up because I interviewed Dr.
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:Michael Blackwell a few months ago
about the whole concept of One Health.
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:And we were talking about how
veterinarians need to be part
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:of the family practice, right?
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:So you have the pediatricians and the
general practitioners and everything
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:else, but then you have the veterinarians
because animals are part of the family.
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:So as veterinarians, we have to
take care of the four legged family
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:members while the rest of the medical
team take care of everybody else.
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:Right.
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:It's just one more specialty.
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:Jonathan Gonzalez, DVM: Yeah.
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:Sometimes that's their only kid,
you know, or that's their only other
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:than themselves or their partner or
whatever the, that's the only other
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:creature that they need to care for.
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:So we become that person that.
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:Not only treats the dog and, you know,
we do our job, but we'll calm their
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:moments of stress and anxiety over that.
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:So I know, especially the last two
years, a lot of first, I saw a lot of
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:first time owners, a lot of puppy owners
and first time pet parents, how that,
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:you know, we want to call them now too,
I'm trying so that, you know, I just
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:noticed that, that we just are a lot
of, of it is calming them down, you
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:know, and kind of trying to, to have
that connection and gain that trust.
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:Um, you know, and become part of their
circle, you know, they kind of see, they
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:were probably become a household name,
you know, if they're, that's their kid or,
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:you know, their dog is a big part of their
family, even when they have children,
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:, so just another part of the family.
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:So, we just become like, you know,
they talk about, we talk about
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:our physician sometimes at home.
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:Or pediatricians, so
we become part of that.
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:And I want, I want to, I want to kind of
keep that in our, in our, um, you know,
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:field and, and I don't want to lose that.
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:I don't want to, I don't want
veterinarians to become just another
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:tool of, getting things done and just
kind of, doing whatever it takes just
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:to solve the problem and keep going.
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:Right.
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:DrG: Yeah, yeah, because I, I like
how you bring it up as far as, you
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:know, how people have animals and
some people have them instead of
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:children and they're their children.
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:It's like being a first time parent,
like when I had my, my son, my sister
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:has kids, so I knew about kids and
stuff, but it's a completely different
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:experience having your own kid.
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:And it's a completely different
experience when I went from
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:owning animals growing up.
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:To going to college and
having a cat by myself.
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:And now this thing I'm responsible for it.
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:Right.
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:So we have to work with the, as you say,
the pet parents to make sure that, that
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:we're helping them help their animals.
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:So we can't expect people to just know.
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:Jonathan Gonzalez, DVM: And yeah, yeah.
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:Or we can't expect to
everybody be the same either.
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:Like you're going to have the
people that you kind of feel
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:like they should care more.
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:Yeah.
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:And then the people that.
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:Sometimes you feel like you, they're
caring too much, but I think we
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:should keep that to ourselves and
kind of have the same reaction,
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:the same demeanor and kind of
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:bring them to the facts and bring them to
what needs to be done and hear them out
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:and just, you know, kind of solve that
problem and it we cannot kind of gauge
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:our appointments by how we feel but more
about how the client feels and the medical
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:problem they're bringing up, you know, and
then kind of start there and if you find
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:other things and go on that route also
but I think making that connection with
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:the people is important to get that trust.
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:DrG: Yeah, so that's the main reason
I invited you here today is because,
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:you know, this is something that I rant
almost every day with my, with my staff.
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:And it's because it's unfortunately
so strong in the animal welfare world.
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:The common saying that I work with animals
because I hate people, I work with animals
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:because people suck or people are stupid.
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:And there's just so much judgmental and,
and hatred towards humans in general.
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:And, and, and sometimes not,
not really based on anything.
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:So what are, what are your, your thoughts
on, on this comment, as far as I work
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:with animals because I hate people.
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:Jonathan Gonzalez, DVM: Yeah.
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:So, you know, as leaders, we, we
kind of set the example on that.
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:So, you know, we're the first people
that need to kind of show the rest
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:of the staff, how, how we have to
manage people's behaviors and clients
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:reactions to what we do, and they're
not always going to follow our advice.
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:And, you know, they're not always
going to do what we want them to do.
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:And as professionals, um, we chose
to feel that, you know, of course,
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:we want to help the animals.
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:We love a lot of us love the science,
but our patients have a parent that is
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:different than a child's parent, right?
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:Because they're both human.
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:Now we have a creature
that can't talk that it's a
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:different kind of relationship.
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:Right?
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:So, I feel like in that regards,
we, we need to put that in
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:perspective and kind of.
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:Understand where they're coming from and
understand that we need to communicate
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:with that person and include them in
that circle and that team to make that
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:pet better and to end up achieving
that common goal of treating pets and
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:make them better and the medicine.
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:Right?
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:So you can still be very, very medicine
oriented, but at the same time, put
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:it in perspective from the owner's
point of view and trade that as well.
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:Right?
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:And I think the medical
success will be better.
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:If you establish that trust initially with
the person and kind of, you know, hear
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:them out, see what their problems are,
don't think things personal, you know,
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:sometimes wait, if they react a certain
way, wait a few seconds, let them vent.
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:And then if there's a problem I think
what I've done too and I've learned
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:not to, and I try not to is to come out
of rooms and make comments or behave
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:a certain way that sets up a cascade
of behavior and the rest of the team.
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:Um, sometimes the.
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:You know, things are, are heavier
or busy and, and if we start having
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:that kind of, um, vibe, then the rest
of the people are going to follow.
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:Right.
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:And, and if we were the one saying,
oh, so and so, or their pet is like
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:this, or their person's like that,
then people can, can feel that.
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:Right.
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:And, and they can, someone's hear it.
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:And then the, the pets react to that too.
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:So it's, I've heard a lot of people
come from other clinics and kind
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:of tell me they felt a certain
way, the pets felt a certain way,
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:and some people disregard that.
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:Um, like, almost like, yeah, the dog
didn't know, like, the dog's just
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:reacting like that because it's scared.
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:But I think there's a little bit of a
connection that we need to have with
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:those pets, to avoid that behavior and
that perception from the owner, too.
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:Right, so.
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:DrG: Yeah, it's like people, if
people feel judged, they may not
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:make the right decisions or they
may not be straightforward and tell
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:you the right things, like they
may feel that they can't tell you.
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:You know, well, I only feed my dog once
a day because you're going to judge
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:me and then you don't have the, and
then you don't have the opportunity
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:to explain this is why it's best to
feed them twice a day, you know, like
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:having a, a judgmental attitude can
put 'em in a defensive in a way that
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:then you can't really help the pet.
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:And if you lose the trust from that
owner, I mean, it's kind of game over,
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:Jonathan Gonzalez, DVM: right?
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:Yeah.
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:Then you cannot achieve the
magical success that you would
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:with the trust from them.
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:So I think that's where.
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:You know, you have to achieve that initial
relationship, but also you have to kind
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:of have the spectrum of care, um, and
kind of go into it, not knowing exactly
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:what would you want to do with this case.
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:Right off the bat, you have to kind
of go in with an open mind of spectrum
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:of care and kind of dictate the
medicine and tailor it to the person.
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:Um, because I see a lot of
frustration with the client with that
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:treatment plan that wasn't approved
that I wanted to do as a doctor.
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:And then that's where
the judgment comes in.
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:Right?
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:So, I think coming in with the
expectation of, okay, maybe they're not
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:going to do everything I want to do.
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:But I still want to, I want to help this
pet so within the, within the scope of
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:what they can do, then let's do our best
without, making them the, the, the bad
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:person or being antagonistic, right?
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:Because they, they feel that too.
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:I mean, as soon as, as soon as they
feel antagonism, there's a lot of
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:that nowadays, there's a lot of
defensive behavior with people.
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:So if they feel a little
bit of that, um, you might.
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:You might lose them, you
know, pretty quickly.
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:So you have to be open to, to kind of
go in by what they want to do a little
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:bit and let them kind of hear them out
to what they would do or they would like
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:to do and not just say, you know, Oh,
people think they're vets or I don't like
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:people to say, don't let me do my job.
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:Right.
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:Just kind of, kind of let them feel
like they have a little bit of control
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:over the situation sometimes, you know.
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:So I think a lot of the, I hate
people thing comes from that lack
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:of ability to do what, what we want
and kind of them trying to control.
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:And then we just become like kind
of antagonistic with each other.
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:Yeah.
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:DrG: Yeah.
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:I think we, we get into that,
into that idea of gold standard of
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:care, what we think should be done.
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:And then if somebody doesn't agree with
what should be done or doesn't do what
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:should be, what we think should be done.
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:Then they're automatically a bad
owner or a irresponsible person.
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:And we have to, we have to think
about all the different things.
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:You know, I try to practice
within what, within the concept
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:of cultural competence, right?
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:Cause there's a lot of different
things that, that come to play when
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:you're trying to do a treatment plan.
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:There's the the finances of the owner.
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:There's the capabilities of the
owner There's even the the religious
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:cultural background everything.
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:I mean, there's a lot of stuff that
comes into play So we have to we have
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:to understand we have to listen and
then we have to kind of work with Work
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:with what we have to be able to do
the best that we can with what we got.
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:I did have to see
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:Jonathan Gonzalez, DVM: that effort, you
know, they have to see that we're making
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:an effort to do the best we can with
what they have and instead of feeling
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:like, Oh, no, that's all you can do then.
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:No, I cannot see you.
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:So I that's a good point.
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:DrG: Yeah.
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:And it's like, you know, they, they are.
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:They're paying for the care of their pet.
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:So they're kind of paying us
to to do a job to take care of
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:their animal to offer a service.
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:So we have to understand that
when the when they come into to
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:bring their pet, they're they're
coming in and they're asking.
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:And it doesn't mean that we wish.
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:Need to allow people to use us and abuse
us and and berate us and everything else.
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:That's not what I'm talking about.
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:But what I'm talking about is that we
are offering a service of healthcare
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:and then we need to try to figure
out what's the best way that we can
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:service this person that came in.
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:I don't, I don't believe in the, in
the old, the customer's always right
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:because the customer's not always right.
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:But, but I think that we have
shifted that balance too much
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:from the customer's always right
to the customer's always wrong.
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:Jonathan Gonzalez, DVM:
Yeah, that's a good point.
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:I think it's a natural reaction of
noticing that customers get away with
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:things because they're always right.
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:And then you put a stop to it.
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:Um, and then, yeah, like you said,
it's just become the other extreme too.
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:We're, we're the professionals.
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:We tell you what to do.
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:You don't want to do it my way.
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:Then you have to see somebody else.
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:And I think that defeats the
purpose of what we want to do.
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:And, and, you know, I think going
back to where we're from, I think.
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:And seeing it, uh, and kind of growing
up around it, you know, where people try
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:to do what they could and, and you kind
of, you know, feel compassion for them.
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:You, you feel like they, they love their
animal and, and, and, you know, you,
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:you're gonna, you're gonna help them with
what, what the abilities they have, right?
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:Like you've done work in Puerto Rico,
you've done, you know, that people
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:love their pets and they're gonna,
they're gonna do their best with,
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:with spaying, neutering, vaccinations,
you know, some, as much as they can.
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:Even through the judgment of,
Oh, you're doing it at a, at a.
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:You know, whatever clinic, you're
not doing it with a vet or well,
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:you know, that's what they can do.
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:And we're there to help
them do that as well.
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:We have to be open to, you know,
kind of being helped to them and not
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:being strict about this, the, the.
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:You know, environment of where
we do those surgeries or where
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:we practice that medicine, right?
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:So, you know, I, I think that's part of,
of helping the people and, and kind of
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:understanding the people and not judging,
you know, sometimes I've seen, oh, they
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:get their vaccines at the here or they
get their vaccines here and now the
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:dogs sick and now they want to see us.
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:So, yeah, okay, that's, that's okay, they
do what they can with their vaccines,
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:they get their vaccines done, that's
better than not, not doing anything and
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:then you kind of, you know, sometimes
you have to kind of help the staff, the
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:younger vets get over that hump of that,
you know, man, like they should be coming
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:here, they should be doing this, you
know, textbook care, well, you know, they,
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:they did what they could and now they're
here for us to help them and instead of,
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:you know, saying, well, you should have
been here, now your dog has heartworms.
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:Uh, because you got donated medicine.
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:Uh, well, let's go
forward and help you now.
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:Right?
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:And, and kind of bring that,
that energy to the staff too.
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:Like, hey, guys, you know, I know
it's, it sucks that they did this,
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:but now we need to help the dog
and, and try and get the owner back.
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:Um, and, and make them feel like
they're part of the team and
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:they're going to help their dog and
we're going to be back to normal.
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:So, yeah,
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:DrG: sometimes people are like
staff members and like you
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:say, younger vets and stuff.
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:They're so intent on punishing the person
for doing something that they don't
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:agree with, that they forget that the one
that is suffering is the animal, right?
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:It's like, well.
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:For example, I work in, in high volume
sterilization and sometimes there'll be
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:a cat that licks the incision and it has
a little bit of an infection and then
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:the person wants to go to another vet
because we're not available that day
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:and the vet is like, well, you didn't
have it done here, so we can't help you.
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:Yeah, right.
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:Why are, why are we like that?
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:Right?
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:Like take care of the cat.
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:It's like, you're going to let the
cat have an infection for an extra
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:couple of days when all you had to
do was look at it and clean it up and
397
:give him some antibiotics just because
you're mad at the owner, because.
398
:You didn't do the surgery and
they, they couldn't afford it.
399
:So they went somewhere else.
400
:Like, we have to be more
open minded than that.
401
:Jonathan Gonzalez, DVM: That's exactly it.
402
:And I think then that kind of
sometimes puts a guilt in the
403
:owner for having done it there.
404
:And then you're kind of telling
them they did the wrong thing.
405
:And then it puts a veterinarian that
did the surgery in a weird spot.
406
:Because now they, they, they're
in light of, you know, I
407
:shouldn't have done it with them.
408
:And then, you know, it's just, I, I
think we should focus on the problem
409
:and the solution and kinda, kinda,
you know, letting things go and,
410
:and, and not, not causing more, more
friction than, than there is already.
411
:Right.
412
:You know, you have a right
owner that's upset, you know,
413
:they have an, an infection and,
and then you're adding to it.
414
:You know, I, I've heard things like, uh,
you know, if your vet didn't do this and
415
:if you hadn't come here and you hadn't
done this, your dog would have died, you
416
:know, and comments like that, I think,
you know, just don't help, um, our, our
417
:industry as, as, as a team, you know.
418
:And I think it creates a lot
of the lack of trust in, in,
419
:in clients with, with us too.
420
:Think part of the people
things, other vets, right?
421
:And other, um, you know, people that
work in the field, I think we need to
422
:be compassionate with them as well.
423
:Yeah.
424
:DrG: Like professional
courtesy and stuff like that.
425
:Right.
426
:Like, and it doesn't mean like if
somebody does something wrong, I'm not
427
:going to be like, Oh no, everything's
okay, but there's a difference
428
:between, you know, pointing out
somebody did something maliciously
429
:inappropriate to complications happen.
430
:You know, it's, it's, it
happens with any surgery.
431
:It happens with us when we go to
the, when, with the doctor and,
432
:and we're not licking our stitches.
433
:Right.
434
:We're not, we're not running around.
435
:And, and stuff.
436
:So animals have a much higher
rate of risk and complications.
437
:So yeah, as veterinarians, we need to
work together, not, not work apart.
438
:Because what, what I also see happening is
that if, you know, if somebody comes to me
439
:because they need help and then something
happens and then they go somewhere else
440
:and that person trash, trashes what I
have done, the clients usually actually
441
:are mad at that vet because they feel
that then it becomes all about the money.
442
:Like that vet is mad because
I didn't give them my money.
443
:Uh, they're not gonna, they're
not gonna look bad on me,
444
:like I'm trying to help them.
445
:So it, you know, you're,
it, it, it comes back at
446
:Jonathan Gonzalez, DVM: you.
447
:Yeah.
448
:Yeah.
449
:No, I've seen that, you know, and,
and, uh, I, I think that the guilt
450
:sometimes of telling them that,
well, you're not doing all of this.
451
:So your pet is going to, something
bad is going to happen to your pet
452
:and putting them in their head.
453
:And, you know, we, we have to
be careful with the people's
454
:emotions and, and how they feel.
455
:And yeah, if.
456
:I think we need to put in perspective
that for us, it's a room and it's
457
:an appointment and we have a bunch
of them in a day, but for them, it's
458
:a vet visit that they'll, they're,
they're never going to forget.
459
:You know, they, they
don't go to the vet often.
460
:In a year, they're gonna remember
every one of those visits.
461
:So I think that all the interactions, all
the body language, I think it's important
462
:nowadays to kind of, kind of keep that
relationship as a important, you know,
463
:bond and, and, uh, making them want to see
the veterinarian and want to bring their
464
:pets in to see you and kind of have that.
465
:Family doctor feel, you know, like you
bring your kid to the pediatrician and
466
:kind of have the same, the same, uh,
perspective and, and, and trust, you know,
467
:and then the same bond with the person.
468
:Yeah,
469
:DrG: you know, I work, I do forensics,
so I see horrible things that people
470
:do to animals intentionally, but,
and, and those people do suck.
471
:people that are animal cruelty.
472
:They're horrible.
473
:Uh, but there's also a difference between
intentional and unintentional neglect.
474
:And there are people that commit
unintentional neglect because they
475
:can't afford things, because they
don't have access to care, and
476
:sometimes because they just don't know.
477
:And it is our job to, to help provide
those things, really eliminate barriers
478
:to care, um, eliminate, especially the
easiest one is barrier to education.
479
:Once that client is in your
room, they're right there.
480
:It's your time to, to help them.
481
:There's a lot of people that.
482
:I mean, best example would be when I
have assistants or technicians, uh,
483
:that will say, Oh my God, that person
is using the wrong flea medication.
484
:Like that's so stupid.
485
:Right.
486
:But you didn't know that
five years ago, right?
487
:Before you started working here,
you didn't know that, that those
488
:over the counter things were
toxic to cats, for instance.
489
:So you came in, you learn, and now you're
an advocate for animals because you know,
490
:So we can take the time to educate people.
491
:So, you know, if we can take.
492
:I, I, I believe, I can't remember the
numbers exactly, but it's a huge amount
493
:of like a very large percentage of animals
that are neglected that is unintentional.
494
:So if we can take care of that, it's a
huge difference in the lives of animals,
495
:just the quality of life of the animals
and the quality of life of their owners.
496
:Jonathan Gonzalez, DVM: Yeah,
yeah, that's interesting.
497
:And, and, you know, that's where I
think we, we have to sometimes not,
498
:not be quiet because I think early in
my career, I'd be quiet about those.
499
:Those, uh, interactions and
those reactions from our
500
:staff, and I would let it go.
501
:And I think as leaders, we, we, you
know, we need to find a way to be
502
:able to bring those things up and be
able to talk to our staff about that
503
:in a moment that without disrupting
the flow of the day and changing
504
:the, the energy of the day, right?
505
:Where do you have an open relationship
on a daily basis enough to be like, Hey,
506
:to be able to say what you just said,
for example, in the moment, like, Hey.
507
:You didn't know that and, and, and we
need to be compassionate with them.
508
:And, and, you know, we're here to
help them and make that make that
509
:the normal interaction with them.
510
:And I think that that little
by little, we, we as leaders
511
:seem to change that, right?
512
:It's not going to come from the staff.
513
:Um, because they're, you know, I
think that they feel the stress
514
:in a different way than we do.
515
:Um, I think it's not that it's more
or less, I think it's just this
516
:different, it's a different day.
517
:I was a technician before I was a doctor.
518
:I, I know how, kind of how it feels.
519
:I've never been like a receptionist
type person, but at least I
520
:know how the technicians felt
in the day I worked as one.
521
:So, you know, I kind of, I kind of.
522
:Like to feel like everybody's
kind of not like I'm the doctor.
523
:I have more stress than you, you know
And you kind of like put everybody on
524
:the same plane to then be able to talk
to each other as human beings that way
525
:and kind of you know, have a Leadership
role that it's also more easygoing
526
:and less of a you know Punishing type
thing and I think that's a way to
527
:get a better reaction from the staff.
528
:Yeah, I'm
529
:DrG: super lucky with the people
that I have working with me, right?
530
:And I don't say working for me, I say
working with me because we're a team
531
:and, and it's, it's about empowering.
532
:Um, and I'm not, I'm not an easy boss.
533
:I'm a very bossy boss, but
I'm a Puerto Rican woman.
534
:What can I say?
535
:Right.
536
:But, uh, but, but we have a
really great relationship.
537
:Like we talk and we joke around
and whatever, but when it's time
538
:to work, it's time to work, but I
empower them within the capabilities
539
:of their license for my technicians.
540
:I have four veterinary
technicians, licensed technicians
541
:and, and they know enough.
542
:And I trust them enough for them
to educate the clients, right?
543
:So when an animal has a skin
infection, they can call and
544
:they can discuss that with them.
545
:And they discuss it in a
really compassionate way.
546
:And they explain to them, this is what
we need to do and why we need to do it.
547
:And they take their time.
548
:And I mean, we're seeing 30 to 50
animals in a day in a high volume
549
:clinic, but yet whenever an animal.
550
:You know, a pet owner needs the time
to have something explained, they
551
:take the time to explain it, just to
develop that, that trust and, and that,
552
:so, you know, I think that utilizing,
utilizing Staff appropriately, educating
553
:them appropriately, and helping them
be compassionate can even eliminate
554
:some of the compassion fatigue that
so many people are feeling, right?
555
:Jonathan Gonzalez, DVM: Yeah, that's true.
556
:And, and, and not, not use it as
a curtain to hide behind, right?
557
:Because, you know, we, we kind of use
the staff to, all right, here, tell them
558
:this, and I'm back here, and then kind
of wait and see what happens, right?
559
:You have to kind of, uh, set
them up for, for success too.
560
:Um, when they have those conversations
with the owners and, you know, uh, build
561
:that confidence for them to, to be able
to do that and, and then rely on them.
562
:And then it empowers them to
feel good enough at that point.
563
:So, you know, I think, I think, I
think having that, that bond with
564
:the, with the staff is important
and, and make them feel that.
565
:They can educate the clients and, and,
uh, take the, the time and, and the, the,
566
:you know, the, the care to, to talk to
them like a friend or a family member.
567
:And when you look at the time when
you actually look at most phones
568
:have like a little clock on them.
569
:It's like three minutes, two minutes,
and you have explained to the owner, how
570
:to treat for diabetes in three minutes.
571
:And you actually took your time without
rushing, you know, and, and it's not a big
572
:deal and then the technicians can maybe
hear you and you can train them to do the
573
:same thing and then, you know, dealing
with people becomes a little easier.
574
:DrG: Yeah, yeah, I know that actually
With with general practice and like I have
575
:worked in general practice and I just I
just personally can't do it because again
576
:I'm just like go but we we get clients
that well, actually Perfect example.
577
:The other day, we had somebody
that came in with her cats and her
578
:cats had ear mites and she had been
given some medication and stuff,
579
:but the cats still had ear mites.
580
:So she had taken the cats to the vet.
581
:She had had an hour appointment
with three of her cats and the
582
:cats were still having problems.
583
:And my technician just took, you
know, a couple of minutes to say, Hey,
584
:we can go ahead and do an ear clean
for, for them while they're sedated.
585
:And then we can do this
and we can do that.
586
:And the owner was so thankful.
587
:about how thorough the
technician was in explaining it.
588
:And the fact that they were offering, I
can, I can help you get things started.
589
:I can help you with an ear clean.
590
:The owner said, nobody ever told
me that they could clean the ears.
591
:They just gave me medication for it.
592
:So the value of a couple of minutes.
593
:Right.
594
:Yeah, a couple of minutes of somebody
listening to the concerns of the client
595
:and then answering those concerns
because yeah, the cat needs something,
596
:but what does the owner also need?
597
:What does the owner need
to be able to help the cat?
598
:And I'm super thankful and lucky that
my staff, all of my staff members.
599
:Take the time to do that to listen to
the question to answer the question
600
:to take the time and, you know, and
and follow through, even though we're
601
:not a general practice, they're kind
of, you know, giving that that care,
602
:Jonathan Gonzalez, DVM: right?
603
:It's like connecting the dots right
from the diagnosis to the plan, but
604
:then that line you're throwing, you
have to make sure that lines going
605
:to connect those thoughts right and
and that's where the technicians can
606
:help bridge that gap of communication
of how to treat that better and.
607
:You know, and, and, and again, not, not
use it as a curtain or as a lazy way to
608
:be out of the, of the way, but as a way
to be available for the more, um, you
609
:know, the more doctor like questions
and the things that we care about more,
610
:the things that we, we enjoy better.
611
:Uh, in that way, like there's a
612
:DrG: difference between
utilization and abuse,
613
:Jonathan Gonzalez, DVM: right?
614
:Correct.
615
:Correct.
616
:And I think part of like, I hate people.
617
:I don't like working with people
is because maybe the veterinarians
618
:are being put in situations that
they shouldn't be in, you know, like
619
:cleaning the cats here, maybe, you
know, empower your technicians to do it.
620
:And then maybe you're there to explain
what you found, show them a picture of it
621
:and do the things that you enjoy doing.
622
:And I think that's up to us
individually to create that environment.
623
:Yeah,
624
:DrG: I did a I did a poll on social
media just to kind of get an idea of
625
:the attitudes of people and I found
out from from the votes and and one
626
:of the things though is that this is
a little bit of a biased poll because
627
:we can tell who is who is voting.
628
:So I think that some people may not be.
629
:completely willing to be honest with it.
630
:But still about 15 percent of people that
voted say that they hate people period.
631
:Right.
632
:And then about 47 percent though
said that they love both people and
633
:animals, which was, which honestly
was a higher amount that I expected.
634
:And it was kind of nice, but yeah,
there's, there's still at least
635
:15 percent of people that are
like, You know, screw the people.
636
:I just want to, I just want to deal with
the animals and I think that, you know,
637
:I think that some of that comes from,
again, like the compassion fatigue that
638
:comes from working with animals and stuff.
639
:I think that the angry clients,
the, the people that get mad.
640
:Are louder, they're really quick to
come and reply, review, you know,
641
:if you have, if you're in a room and
you're with somebody that is pissed
642
:off about what you did or didn't do,
or they wanted antibiotics and you told
643
:them it doesn't need antibiotics and
they get mad as soon as they leave the
644
:door, they're going to get on their
phone and they're going to start and
645
:go to Google and Yelp and Facebook and
everywhere and leave you a bad review.
646
:But when you go into that room and you
have that client that is really thankful
647
:and really grateful, that person's going
to go home and they're going to tell
648
:their family, they're going to tell
their friends, they're going to tell
649
:a bunch of people, but it's not gonna,
you don't necessarily hear that back.
650
:So I think that part of our compassion
fatigue and part of it is that we're
651
:taking too personally the thoughts
of the, of the few that we can
652
:not help or that can't be helped.
653
:And we're letting them,
654
:Jonathan Gonzalez, DVM: you know,
I think that, I think it, it needs
655
:to be normalized as part of our
field and part of our profession
656
:that it's going to happen.
657
:And, and make it, we cannot
avoid that from happening.
658
:It's just part of the nature of
what we do and people's feelings.
659
:And we need to be ready
to understand that.
660
:And there's space for that 15%.
661
:I think there's space,
there's space for them.
662
:Uh, I think, but eventually you're
going to deal with other people, right?
663
:If you're a radiologist, you
need to talk to the owner.
664
:Sometimes you need to talk to their vets.
665
:You know, you can type a report, but
you can get a phone call too, and you
666
:need to be able to communicate and so
I think schools are doing better and,
667
:you know, enrolling students that are
good at communicating and they are kind
668
:of helping them achieve that because I
didn't start out as the best communicator.
669
:I had really good mentors that I stole
things from, like little lines they said,
670
:little jokes, little things that they did
with the dogs, how little body language
671
:things that I, I kind of learned as I
went, you know, and, and I think, I think
672
:students need to be aware that when they
graduate, they're going to make mistakes.
673
:Things are going to happen, they're
going to be embarrassed, you know,
674
:owners are going to be angry.
675
:There's, they're going to slam doors
and, you know, it's, it's kind of like
676
:expecting that that might happen one
day and, and not blame yourself for it.
677
:And, and I was lucky.
678
:I had those mentors to bring
up those things with them.
679
:I'm just like, yeah,
that's going to happen.
680
:It's, you know, you just haven't
been practicing long enough.
681
:Right.
682
:Stuff like that.
683
:Right.
684
:So, you know, it, it kinda kind
of prepare the, the students and
685
:the new grads to, to have that.
686
:And, and I think what's happening, there's
a little bit of, of, um, you know, oh, you
687
:have a license here, here's a hospital.
688
:And, and you know, there, there's a lot
to it, you know, for, for me to be at
689
:the point where I think I could handle
the hospital, it took eight, 10 years.
690
:Um, you know, five years to
really handle the medicine.
691
:Right?
692
:So you can get a new grad and you can.
693
:Some of them are very smart.
694
:They're really, you know, I've seen
new guys that are very well, um, versed
695
:and very mature, um, and, and very
competent, but I see a lot of that.
696
:And it's a little pushy to, to give a
clinic to a new grad and, and leave them
697
:alone for a day and kind of let them.
698
:handle the day, because people, people
notice, people notice that, um, you
699
:know, they don't have the experience.
700
:They're a little anxious,
nervous about things.
701
:They, they might be sometimes saying too
much to clients and, and it looks funny.
702
:Uh, I, I think as we have a little more
experience, we kind of like, kind of trim
703
:down the, the wording and trim down the,
our thoughts, our, our, our diagnoses
704
:and our thoughts and their expectations.
705
:And, and, you know, it just
goes, it goes different.
706
:So.
707
:Uh, I think it's good for new grads to be
around vets that have been around a little
708
:longer before having that like first
time clinic because I think that says
709
:them to not like people either, right?
710
:Right.
711
:DrG: And, and yeah, and having the
confidence, like having the confidence,
712
:because if you go into a room and, and
you sound like you're asking and not
713
:telling, then that also also creates
an issue with the, with the pet owner.
714
:If they come in and they're asking you
questions and you're kind of like looking
715
:around and you're like, oh, well, uh,
I think then they're not going to trust
716
:what, what you're going to say or what
you're going to recommend as much as
717
:if you come in and you're confident
and you, and you know, and even if you
718
:don't know multiple times, I mean, I've
been in practice for a long time and.
719
:And I will say to somebody, you know what?
720
:I'm not sure about that.
721
:Let me do some research
and I'll get back to you.
722
:And it's that honesty of, no,
I don't know everything, but
723
:I know where to look it up.
724
:And I will find out and
I will get back to you.
725
:Jonathan Gonzalez, DVM: Yeah.
726
:And, and having that ability of
saying, well, I've seen this before,
727
:or I've done this, you know, and, and
as a new grad, you don't have that.
728
:And I think that creates
a little bit of anxiety.
729
:And, you know, I think the, the
environment in school is very protected
730
:in terms of the client and the students.
731
:So that barrier is taken
away very abruptly.
732
:You know, when they start in real
life and, and I didn't have that in
733
:my case, I had real good mentors and
a real good environment of learning.
734
:And, and, you know, so I, I think from
my experience, I think that's really key
735
:to create confident veterinarians that
end up liking people, uh, and maybe from,
736
:you know, those 15%, maybe some of them.
737
:will end up liking people if they have
the right mentorship and the right
738
:tools to learn how to deal with the
awkward, weird situations that you
739
:don't, nobody wants to deal with.
740
:Yeah.
741
:DrG: I used to have, uh, I have
a lot of like social anxiety.
742
:So I would be concerned about if I
go into a room and that person gets
743
:mad or, you know, can I defuse a
situation or what's going to happen?
744
:And then I realized that that
person is just as scared as I am.
745
:And that empowered me.
746
:Right.
747
:As soon as I realized that the
person that I'm talking to.
748
:It's not necessarily, they
don't necessarily feel that
749
:they're above me, stronger than
me, or more powerful than me.
750
:So why should I just shrink myself
before getting into that situation?
751
:And that helped me a lot.
752
:And even though I still have some social
anxiety, I can go into a room and I can
753
:say what I need to say because I feel
very confident about what I'm doing.
754
:Right.
755
:So how would you say like if you have
a if you have a pet owner, because one
756
:of the things that that some people
in animal welfare don't don't seem
757
:to comprehend is that when people are
stressed, you get fight or flight.
758
:So their animal is injured, their
animal is sick, something happened, you
759
:know, so especially in emergency urgent
care type situations, they come in and
760
:they're, they're frustrated, and they're
scared, and they may be belligerent,
761
:but they're not Taking it out on you.
762
:They're taking it out on just
the world, like everything.
763
:So, what would you say to people
as far as dealing with somebody
764
:that, that comes in that is just
angry because their pet is sick or,
765
:Jonathan Gonzalez, DVM: or injured?
766
:I think, you know, a lot, a
lot comes from human medicine.
767
:You know, I think a lot of the,
first of all, separating that
768
:injured pet from the owner.
769
:I think that, that, and before
you do that, I think it depends
770
:on the person you have to create.
771
:Trust and confidence.
772
:You can't just like grab
the dog and take it away.
773
:Sometimes you have to see some
people will give you the dog and
774
:then you, you know, you can run.
775
:Some people hold, hold their
dogs and don't let you hold it.
776
:And you can like pry,
like pry it from them.
777
:So, you know, that initial interaction
of separating the dog from the person has
778
:to be very, very careful, carefully done.
779
:But I think it's important to separate
that, that dog or that patient
780
:or cat or patient from the owner.
781
:Um, and then having a person that
is very compassionate, experienced,
782
:and, you know, dealing with that
kind of situation, have that person
783
:maybe be the one talking to them.
784
:Um, sometimes they need the
veterinarian to be there as the
785
:staff works on the dog initially.
786
:Um, sometimes I've seen people
that kind of stand there kind of
787
:like, what are you doing here?
788
:Go treat my dog, right?
789
:So, I think in a big scheme of things.
790
:It's to treat each situation
individually as a different thing
791
:and rather than have a plan, observe
and look what's happening, kind of
792
:like read the room, read the patient,
see how much of an emergency it is.
793
:Sometimes the person is acting like
it's, you know, and you, there's
794
:certain things we can look at, you
know, the BAR part of our exam.
795
:Right.
796
:If you see a dog in a mentally depressed
state, you know, you know, you know,
797
:right away, you need to do more.
798
:If you see the mental
state, it's not as bad.
799
:You have time to talk to
your owner a little bit more.
800
:And so I think you have to read
each situation individually.
801
:I think if you're not feeling confident
enough, you have to also as a professional
802
:separate yourself from that client.
803
:And go to your job and
kind of focus on the pet.
804
:If you're, if you're standing
there thinking about the pet and
805
:you're talking to the person,
people notice that, I think, too.
806
:You have to, you know, kind of
let them know like, hey, Mrs.
807
:So and so, I know you need to talk
to me about what happened, but I
808
:need to go see your pet real quick.
809
:So kind of like be, be in control,
you know, observe, read the room, be
810
:in control, and then, you know, keep
calm, try, you know, keep, remember
811
:that you're the leader in that room
and you have to set the example of how
812
:to, you're going to act in that moment.
813
:So, I think that initial
interaction is really important.
814
:And, and also if it depends on the
client, if you have established trust
815
:before, if they know who you are, if
you know, you've seen them forever, you
816
:know what to do, you know, and then the
whole treatment plan becomes easier and
817
:you have to kind of tailor the situation
to each specific patient and client.
818
:Yeah, I think
819
:DrG: that, uh, you know, one of the, one
of the biggest errors that I see people
820
:make is that a client comes in and the
client is upset and the client comes
821
:in and it's like, you know, like, you
gotta take care of my animal right now.
822
:And the person behind the desk, instead
of saying, Hey, tell me what's happening.
823
:They go, okay, no, stop.
824
:I need you to calm down.
825
:Right?
826
:And it's like, okay, no, now,
now we have two people just
827
:escalating and escalating and
828
:Jonathan Gonzalez, DVM: escalating.
829
:I don't know that there's
that's I've ever seen that work.
830
:When you tell a human
being to calm down to stop.
831
:I don't think that's ever worked ever.
832
:DrG: Right.
833
:It's like completely opposite.
834
:Jonathan Gonzalez, DVM: Yeah.
835
:Yeah.
836
:So I agree.
837
:Yeah.
838
:DrG: No, exactly.
839
:So it's, but, but it's a reaction, right?
840
:Somebody comes at you aggressively and
then our reaction is to take defense.
841
:And it's like, if, if
we take the time to say.
842
:Okay, tell me what's happening
and they're and they're still up
843
:here know that this happened and
it just needs to be taken care of.
844
:Hey, I'm going to work to get you
taken care of as soon as possible.
845
:I just need to get things, you
know, so that I can, I can move you
846
:the way that it needs to be moved.
847
:And you notice that that person just
deescalates little by little just comes
848
:down like you need to let them vent.
849
:And again, it's not allowing people to
abuse you, like if that person comes
850
:in and starts calling you name and
insulting you and threatening you, then
851
:no, that's not what I'm talking about.
852
:But that's probably the 1%.
853
:It's like the majority of people are
just, are just upset, but not really
854
:like they don't want to fight you.
855
:They just want their pet taken
856
:Jonathan Gonzalez, DVM: care of.
857
:And I think as time goes by, you learn to
be like, Hey, listen, I'm here to help and
858
:you keep mentioning the word help, right?
859
:It's one thing that I like I've learned
with time to tell them I want to help you.
860
:I want to help your pet I think that
somebody that's offering help, it's
861
:hard to be angry at that person, right?
862
:So you kind of need to bring them down
from that anger and bring them back to
863
:reality by saying, Hey, I'm here to help.
864
:I want to help.
865
:And if, if, if, if you get angered
to that, then something's not right.
866
:And I think you should separate yourself
from that situation at that point and
867
:have a plan for when that happens.
868
:Um, because it gets to a point where,
you know, you're saying everything,
869
:you know, to say you're explaining
everything you're trying to explain.
870
:Sometimes there's a barrier that cannot
be crossed and a different staff member
871
:comes in and it's a different scenario,
different interaction, different.
872
:You know, and who knows why it's just
a different person coming in, right?
873
:And there might be a different
connection, different vibe, different
874
:energy, and then things change.
875
:So, you know, and, and having a
plan ready for those situations,
876
:I think it's important.
877
:Yeah.
878
:I
879
:DrG: actually, it's funny that you
said, cause I was watching one of
880
:those border patrol shows, right?
881
:And there was this, and there was
this girl that is talking to somebody
882
:and this person, this guy is just.
883
:angry at her and just yelling at her
and she's trying to explain everything.
884
:So then she leaves and one of her
co workers comes over to talk and
885
:he's saying exactly the same thing.
886
:But at that point, the
person feels heard, right?
887
:And it's just because
it's a second person.
888
:So when they're talking, the
second person knows what to expect.
889
:Right?
890
:Like she went to the back and she
said, this guy is pissed because
891
:we took this away from him and
we told him that he can't keep it
892
:and now he's going to have a fine.
893
:So this guy comes over and it's
explained like, listen, man, this is
894
:why we do our job and this is whatever.
895
:And the, and the guy was like,
okay, well, you know, you're, you're
896
:really kind, you're really nice.
897
:You're explaining everything to me.
898
:She was just horrible to me or not.
899
:And it's exactly the same conversation.
900
:It's exactly the same thing.
901
:It's just two different people.
902
:You just gave them time to deescalate.
903
:You, you cannot make somebody
come down and that's okay.
904
:Like we, we got to understand
that sometimes we're not it
905
:and we got to get somebody else
and have somebody else be it.
906
:Yeah,
907
:Jonathan Gonzalez, DVM: and I don't,
not only our staff, but a family
908
:member, a person that's with them,
you know, I'm sure, you know, I'll be
909
:careful with saying it, but there's
two people in the room and there's
910
:one that you connect with better.
911
:And maybe you can have that, that
connection and drive that person to
912
:have the other person feel better.
913
:Right.
914
:And, and there's like, like body
language and eye contact that can help
915
:you kind of get that other person.
916
:To help you with their spouse
or whatever their partner.
917
:Right.
918
:Right.
919
:So, uh, that, that, that's
another ally in that room to help
920
:you deescalate the situation.
921
:Um, you know, and sometimes they
offer that, say, Hey dog, I think she
922
:should go to, or he should go, right.
923
:Or whatever.
924
:Um, and, and then we can talk or whatever.
925
:So, right.
926
:And, and also I, I, one more
thing, sorry, that I just remember
927
:that I think it's important.
928
:So much.
929
:You're not going to solve
that conflict that day.
930
:Okay.
931
:Uh, sometimes you have a conflict, you
have a situation, sometimes you have
932
:to give it a few days, you know, give
it a week, and that person that maybe
933
:acted a certain way, a week later, a
month later, is going to be a completely
934
:different person, and it's going to do
everything you want to do, and whatever.
935
:So, you know, we have
to be patient as well.
936
:Yeah, I think that when
937
:DrG: we're too pushy, people
don't see it as Don't see it
938
:necessarily as we're trying to do
the best for that pet at this time.
939
:They see it as you're trying to sell
me something because unfortunately,
940
:I mean, we are, we are there to
help the animals and we're there
941
:to provide health, but there is a,
there's a price tag attached to it.
942
:And we have to be really careful with
how we are presenting ourselves and
943
:how we are offering things because
we don't want to be selling things.
944
:We want to be You know, giving good
care to, to that patient to develop that
945
:Jonathan Gonzalez, DVM:
trust, correct, correct.
946
:And, and, you know, when, when we
establish that trust and we can give
947
:that care and that's not just up to us.
948
:And I think the anxiety goes away
when we know the world is not, it's
949
:not up to us to fix the world and
fix everything that happens every
950
:day and every single case, you know,
and I think that's part of it too.
951
:So I think we need to rely on people.
952
:DrG: Yeah, and you know, with what I
do, because it's high volume and stuff,
953
:like even when we do wellness clinics,
they're not the same as if somebody brings
954
:you a dog versus they bring me a dog.
955
:When they bring me a dog, it's like
a quick, quick exam, vaccines, next.
956
:Whereas with you, they
have the time or whatever.
957
:So every now and then somebody
will come to me and say that
958
:they're unhappy with my service.
959
:Because they want somebody to come
and talk to them and sit with them
960
:in a room and everything else.
961
:And I'm not offended by it.
962
:It's like, I understand, I
understand what you need.
963
:We are not what you need, right?
964
:So, you know, these are other
places that can give you what you
965
:Jonathan Gonzalez, DVM: need.
966
:They, they see that you're a
veterinarian, so they maybe expect, and
967
:that expectation, you know, needs to
maybe establish after the first time.
968
:You know, and, and same with us, you know,
in general practice, sometimes they come
969
:with the expectation of you coming in,
giving the dog a shot and leaving, right.
970
:And because they haven't been to a vet in
20 years and that's what they saw before.
971
:And now you have this like person coming
in to weigh the dog, take vitals and
972
:get a history and then they kind of
like, so you, you, I think we sometimes
973
:need to create expectations of how the
visit is going to go from the beginning.
974
:You know, and kind of maybe at
the high volume clinics, we like,
975
:Hey, this is just a quick exam.
976
:If you have concerns, you
probably should see your vet.
977
:And even, even you can, we can
try and do everything we can and
978
:things are still going to happen.
979
:So I think the, the umbrella
expectation is that things are
980
:going to happen once in a while.
981
:And when they happen, it's how we react
to how they, to what happens, not,
982
:not, you know, what happens or the
situation we're in, but how we're going
983
:to fix it and not, not blaming anybody
or blaming what, but how we're going
984
:to fix it as a team, like you said.
985
:DrG: Yeah, we gotta, yeah, we gotta focus
forward, right, because we just, it's part
986
:of that whole compassion fatigue is that
we just focus too much on the negative.
987
:So we see 10 patients, 10
clients that are great.
988
:And then we see one
person that is horrible.
989
:And then for the rest of the
day, we're dwelling on the
990
:one person that was horrible.
991
:So the next 20 appointments
may be fantastic, but that
992
:one person just ruins our day.
993
:I try to think of it as I play
ice hockey, so, and I'm a goalie.
994
:So if I get scored on,
okay, I got scored on.
995
:Forget it.
996
:Okay, let's keep playing.
997
:Let's, you know, forget
that you got scored on.
998
:Let's let's keep moving.
999
:It's kind of, it's kind of that
like you had that bad client.
:
00:54:00,291 --> 00:54:02,281
Yeah, it's gonna, it's gonna make you mad.
:
00:54:02,281 --> 00:54:03,421
It's gonna piss you off or whatever.
:
00:54:03,421 --> 00:54:03,841
Forget it.
:
00:54:03,841 --> 00:54:04,401
They're gone.
:
00:54:04,431 --> 00:54:05,251
Get them out of your mind.
:
00:54:05,621 --> 00:54:07,791
Focus on on the good that you're doing.
:
00:54:07,791 --> 00:54:13,291
And then maybe we can psych ourselves
into into being positive and having a
:
00:54:13,291 --> 00:54:13,791
Jonathan Gonzalez, DVM: better day.
:
00:54:14,311 --> 00:54:17,231
I joked around with the newer vets,
like, hey, you know, you're going to
:
00:54:17,291 --> 00:54:21,351
forget this case when the next bad
thing happens, you know, the next
:
00:54:21,351 --> 00:54:25,001
bad case, the next angry client is
going to make you forget the last one.
:
00:54:25,121 --> 00:54:29,881
And not in a negative way, like,
like wait for the next bad thing
:
00:54:29,891 --> 00:54:30,971
because there's going to be one.
:
00:54:31,811 --> 00:54:33,211
It's more of a realistic thing.
:
00:54:33,211 --> 00:54:36,621
There's going to be more problems
and you might be upset about this
:
00:54:36,621 --> 00:54:39,701
problem, but there's going to be
others and you need to bounce back.
:
00:54:40,626 --> 00:54:42,736
And you need to be ready for
the next thing to happen.
:
00:54:42,736 --> 00:54:46,996
So, you know, we cannot dwell on
things and, and we cannot do that
:
00:54:46,996 --> 00:54:48,576
until the next bad thing happened.
:
00:54:48,586 --> 00:54:51,496
But we need to learn to do,
to bounce back before that.
:
00:54:51,496 --> 00:54:51,806
Right.
:
00:54:51,926 --> 00:54:56,896
And, and the quicker, the better
because there's no point in, in
:
00:54:57,806 --> 00:54:59,266
thinking about things too much.
:
00:54:59,266 --> 00:55:03,126
And, and, you know, there's, that's
a whole different world, but, uh,
:
00:55:03,126 --> 00:55:06,956
I think that's a big part of our
fatigue to kind of let it go and
:
00:55:07,096 --> 00:55:10,636
be able to bounce back and kind
of have somebody to talk about it.
:
00:55:11,776 --> 00:55:17,636
With and, and, you know, and, and, and
mentorship is a really big factor in that.
:
00:55:19,616 --> 00:55:19,906
Yeah,
:
00:55:19,916 --> 00:55:22,706
DrG: venting and having somebody that
you trust that you can, that you can
:
00:55:22,706 --> 00:55:26,826
discuss stuff and, and just get it out
of your chest and get over, you know,
:
00:55:26,826 --> 00:55:29,686
be able to talk about that experience,
but again, not dwelling on it.
:
00:55:29,686 --> 00:55:32,027
Just talk about it, get over
it, and then let's, let's
:
00:55:32,027 --> 00:55:32,547
Jonathan Gonzalez, DVM: move on.
:
00:55:32,547 --> 00:55:35,669
Or being negative about the people,
or being negative about the client
:
00:55:35,669 --> 00:55:37,490
or the person or the pet, right?
:
00:55:37,490 --> 00:55:40,091
So, kind of like from the,
from the leadership end.
:
00:55:41,331 --> 00:55:44,851
When I, when I vet another vet comes
in and say, Hey, this person was this
:
00:55:44,871 --> 00:55:48,641
and this is like, instead of like
jumping in the bandwagon with them,
:
00:55:48,641 --> 00:55:51,471
it's good to be like, Hey, well, you
know, they're, they're acting this
:
00:55:51,471 --> 00:55:56,151
way because of this and that, and, you
know, you, you kind of, you know, from
:
00:55:56,151 --> 00:56:00,671
a leadership standpoint, we're also
in charge of creating that culture.
:
00:56:01,913 --> 00:56:07,863
DrG: So before we, we close up, I did
want to talk a little bit about, uh,
:
00:56:07,883 --> 00:56:11,373
something that I know I've seen you
discuss and I've discussed also on
:
00:56:11,373 --> 00:56:14,603
social media and it's the whole concept
of telemedicine and telehealth because
:
00:56:14,963 --> 00:56:16,803
it involves the human animal bond.
:
00:56:16,803 --> 00:56:20,013
And I don't think that a lot
of people understand how.
:
00:56:20,343 --> 00:56:21,233
How that works.
:
00:56:21,483 --> 00:56:24,973
So do you want to explain to our
listeners, what's the difference between
:
00:56:24,973 --> 00:56:28,833
telemedicine and telehealth and why
one is okay and the other one isn't?
:
00:56:28,883 --> 00:56:29,203
Jonathan Gonzalez, DVM: Yeah.
:
00:56:29,483 --> 00:56:31,963
Well, I'd be happy to do
like a whole episode of that.
:
00:56:32,283 --> 00:56:36,203
Cause I, you know, if that's okay
with you, cause that it's so much
:
00:56:36,203 --> 00:56:37,883
time that we can talk about that.
:
00:56:38,463 --> 00:56:46,213
Um, but I think when, when, you know,
COVID happens, um, or the whole pandemic
:
00:56:46,213 --> 00:56:51,823
happens, I think we got used to doing
a lot of things from home and we got
:
00:56:51,823 --> 00:56:58,568
used to, Having a lot of convenience
with everything in life, but, you know,
:
00:56:58,568 --> 00:57:02,928
there, there's certain things and for
example, where I'm, when I, where I
:
00:57:02,928 --> 00:57:06,208
live in Texas, there were some things
that were essential workers, right?
:
00:57:07,298 --> 00:57:13,078
And there's, there's a point behind that
being made an essential worker, right?
:
00:57:13,078 --> 00:57:14,348
We're essential for a reason.
:
00:57:15,838 --> 00:57:19,948
Um, and I think part of that becomes
the fact that we have to physically
:
00:57:19,948 --> 00:57:23,048
be, be there to provide a service.
:
00:57:23,938 --> 00:57:26,538
So as veterinarians,
our physical presence.
:
00:57:27,023 --> 00:57:30,613
Is essential and it was
proven through a pandemic.
:
00:57:31,393 --> 00:57:37,643
So, I think, I think stemming from that,
um, you know, the, the way we practice
:
00:57:37,643 --> 00:57:43,713
our, our, our, our medicine is not a,
not a, there's a history taken from the
:
00:57:43,713 --> 00:57:46,053
owner and we take that into account.
:
00:57:46,073 --> 00:57:50,813
That's a big part of what we do, but
then the physical examination is a, it's
:
00:57:50,813 --> 00:57:52,363
a very important part of what we do.
:
00:57:53,533 --> 00:57:58,140
Uh, I think that, you know, we find out a
lot of things by doing that once a year.
:
00:57:59,040 --> 00:58:04,790
Um, but we also are more accurate
by having that physical examination.
:
00:58:06,040 --> 00:58:13,140
So, in human medicine, and, and to explain
the difference between telemedicine
:
00:58:13,140 --> 00:58:17,680
and telehealth, in human medicine,
um, a lot of telemedicine happens, you
:
00:58:17,680 --> 00:58:22,470
know, in, in terms of mental health,
uh, in terms of things that patients
:
00:58:22,470 --> 00:58:24,090
can talk to their physician about.
:
00:58:25,290 --> 00:58:31,150
And, and, and be very specific in
words, um, and, and be very accurate
:
00:58:31,190 --> 00:58:33,930
in diagnosing a problem through.
:
00:58:34,188 --> 00:58:39,855
A conversation and having the, the,
the screen now and the video calls
:
00:58:39,855 --> 00:58:45,025
have made it, you know, a little,
a little more accurate in terms of
:
00:58:45,095 --> 00:58:47,485
seeing things right in, in real time.
:
00:58:48,535 --> 00:58:56,325
Um, but in, in, in telemedicine,
you're diagnosing health problems
:
00:58:56,475 --> 00:58:59,035
and then you're treating and
you're prescribing medication.
:
00:59:00,275 --> 00:59:08,955
Um, telehealth is where you do all the
different, you know, emails, phone calls.
:
00:59:09,675 --> 00:59:12,295
Anything, any, any technology to.
:
00:59:13,045 --> 00:59:18,445
Have a conversation or to achieve, you
know, a goal with a patient, right?
:
00:59:18,495 --> 00:59:22,555
So the telemedicine part is when
you're diagnosing and treating.
:
00:59:22,585 --> 00:59:25,075
Telehealth is everything
else that we've done forever.
:
00:59:26,105 --> 00:59:29,885
So in general, telehealth,
it's very normal.
:
00:59:29,885 --> 00:59:30,895
We've done it forever.
:
00:59:30,895 --> 00:59:32,485
We do, we do it all the time.
:
00:59:33,305 --> 00:59:35,535
Now we've added video calls to that.
:
00:59:36,815 --> 00:59:37,995
And it's very convenient.
:
00:59:37,995 --> 00:59:39,335
It's great for clients.
:
00:59:39,455 --> 00:59:43,115
You know, there's, there's, and that's why
we can talk probably a full hour on this,
:
00:59:43,135 --> 00:59:50,195
but I think it's important for us to have
that initial contact with the pet and the
:
00:59:50,195 --> 00:59:56,595
people to then be able to provide advice
and, and triage and, and, and give them
:
00:59:56,595 --> 00:59:58,645
the right advice later on using tools.
:
00:59:59,460 --> 01:00:02,830
Like technology and, and,
you know, uh, telehealth.
:
01:00:03,240 --> 01:00:05,750
So telehealth and
veterinary medicine, great.
:
01:00:06,490 --> 01:00:12,030
Uh, telemedicine, I, I think it
just sets us up to not be accurate
:
01:00:12,050 --> 01:00:16,580
in our diagnoses and in creating
that initial bond with the people.
:
01:00:17,400 --> 01:00:23,180
Uh, because I, I, I, I think
that we've starting to lose a
:
01:00:23,180 --> 01:00:27,600
little bit of that personal bond
of being there with the person.
:
01:00:28,065 --> 01:00:33,395
You know, and having a communication and
being in presence in the same room and
:
01:00:33,395 --> 01:00:35,185
seeing how the pet interacts with you.
:
01:00:35,185 --> 01:00:38,985
And I don't know, for me, so important
to have the pet there with me.
:
01:00:39,385 --> 01:00:43,195
As a veterinarian, and I think
everybody can practice the way they
:
01:00:43,195 --> 01:00:46,955
want with their license and, and
ultimately, I think it's just going
:
01:00:46,955 --> 01:00:49,845
to be very common to have this happen.
:
01:00:50,685 --> 01:00:53,765
Just because the world is kind
of being directed that way.
:
01:00:54,425 --> 01:00:57,805
But then as veterinarians, we can
control how much of that is done with
:
01:00:57,805 --> 01:01:01,485
our license and how much we're going
to do with that right and we're gonna,
:
01:01:01,515 --> 01:01:05,455
we're gonna put it in practice like
you can write a law, you can write.
:
01:01:05,910 --> 01:01:10,360
You know, a paragraph of how things
are going to happen, but ultimately,
:
01:01:10,890 --> 01:01:15,360
we're the ones in control of how that
case is going to go, um, and we're
:
01:01:15,380 --> 01:01:18,660
the ones that are going to decide how
comfortable we are with what we do.
:
01:01:19,510 --> 01:01:28,270
And I really think that most of us are
would not be comfortable prescribing
:
01:01:28,310 --> 01:01:33,900
medication and having a diagnosis without
having that patient in front of us.
:
01:01:34,575 --> 01:01:39,455
And I think that's a very deep general
thought in most veterinarians, and I just
:
01:01:39,455 --> 01:01:45,135
see a big disconnect in what's being put
out there, what clients want, because it's
:
01:01:45,145 --> 01:01:51,705
convenient, but they don't understand that
a Zoom call is not the best treatment for
:
01:01:51,705 --> 01:01:54,065
their dog, especially as an initial exam.
:
01:01:55,030 --> 01:01:59,520
Uh, versus, you know, a human
being having an initial call with
:
01:01:59,520 --> 01:02:03,870
a physician about a problem because
then they can direct them to testing
:
01:02:03,870 --> 01:02:07,940
and all that, but as veterinarians,
we're there to test as well, right?
:
01:02:07,940 --> 01:02:13,280
So, having the pet there ends up
being more convenient for things and
:
01:02:13,280 --> 01:02:17,320
issues that need more care, rather
than a phone call that then you have
:
01:02:17,330 --> 01:02:18,720
to go and bring your dog anyway.
:
01:02:18,740 --> 01:02:23,530
So, I want to be specific about
the wording, telemedicine.
:
01:02:24,275 --> 01:02:28,835
implies a lot more care, uh,
that it's really hard for us as
:
01:02:28,845 --> 01:02:31,815
veterinarians to be accurate remotely.
:
01:02:32,565 --> 01:02:38,565
Telehealth is a great tool to provide
advice and triage and tell them, you know,
:
01:02:38,565 --> 01:02:40,285
what they should do next with their pet.
:
01:02:41,235 --> 01:02:45,195
Uh, but I think veterinarians are
going to start being careful with
:
01:02:46,485 --> 01:02:50,975
what they diagnose and what they
prescribe over those interactions
:
01:02:50,975 --> 01:02:55,355
without knowing those people and
having that pet in front of them.
:
01:02:55,355 --> 01:03:00,865
And I hope that we as leaders that we
have been in the industry longer can
:
01:03:00,865 --> 01:03:05,985
steer it into that direction rather
than steer it to making it normal.
:
01:03:06,525 --> 01:03:11,885
For you to jump on a zoom call and
prescribe medication, and I think
:
01:03:11,885 --> 01:03:15,005
that the newer generation of vets
need to see us kind of putting
:
01:03:15,005 --> 01:03:16,205
a little bit of a break to it.
:
01:03:17,131 --> 01:03:17,931
DrG: Yeah, I.
:
01:03:18,591 --> 01:03:19,321
I, I couldn't agree more.
:
01:03:19,321 --> 01:03:25,321
I mean, I think of it as, uh, again, like
in, in how I practice if I do a surgery
:
01:03:25,601 --> 01:03:28,801
and I have a client that calls and says,
Hey, I'm a little bit concerned about my
:
01:03:28,851 --> 01:03:31,211
cat's incision and I can say, Oh, okay.
:
01:03:31,211 --> 01:03:32,131
Send me a picture.
:
01:03:32,271 --> 01:03:33,511
Let's, let's get on the phone.
:
01:03:33,521 --> 01:03:35,271
Let's see what, explain
to me what's happening.
:
01:03:35,271 --> 01:03:36,231
And I can see a picture.
:
01:03:36,511 --> 01:03:39,791
And based on that picture, I can
see, say, okay, is, is she eating,
:
01:03:39,801 --> 01:03:41,461
drinking, everything else is okay.
:
01:03:41,671 --> 01:03:42,021
Okay.
:
01:03:42,021 --> 01:03:43,221
You know, everything looks okay.
:
01:03:43,221 --> 01:03:46,321
We just need to do some compresses or
we don't just need to put an e-collar.
:
01:03:46,341 --> 01:03:46,571
Okay.
:
01:03:46,686 --> 01:03:50,076
So, because I, I know that patient, I
have a relationship with that patient.
:
01:03:50,076 --> 01:03:53,746
I have a relationship with that
owner, but it's different to just
:
01:03:54,106 --> 01:03:57,396
somebody calling me up and saying,
Hey, my dog has vomiting and diarrhea.
:
01:03:57,436 --> 01:03:58,816
And what am I going to do with that?
:
01:03:59,116 --> 01:04:03,076
Like, there are so many different
things that can be, and you know,
:
01:04:03,096 --> 01:04:06,336
it's like, uh, and, and me saying.
:
01:04:06,436 --> 01:04:06,746
Okay.
:
01:04:06,746 --> 01:04:09,686
Well, I'm going to call you in a
prescription and hopefully this is okay.
:
01:04:09,686 --> 01:04:12,936
And if I'm wrong, something can
go really, really, really wrong.
:
01:04:13,376 --> 01:04:17,266
Then, you know, it's the harm to
the patient and then the harm to
:
01:04:17,266 --> 01:04:20,326
ourselves as veterinarians and
the potential harm to our license.
:
01:04:20,866 --> 01:04:21,176
Jonathan Gonzalez, DVM: Yeah.
:
01:04:21,176 --> 01:04:25,166
And, and I think the law is opening
a gate that then sets up the
:
01:04:25,166 --> 01:04:29,786
veterinarian for more liability
under the board of, of, of, you know,
:
01:04:29,796 --> 01:04:31,426
veterinary medicine in their States.
:
01:04:31,436 --> 01:04:31,736
Right.
:
01:04:31,736 --> 01:04:36,626
So they're, they're, they're
being more open to you diagnosing
:
01:04:36,626 --> 01:04:38,006
and practicing the way you want.
:
01:04:39,176 --> 01:04:44,906
And that's also opening you up to
more, you know, strict, um, um,
:
01:04:44,996 --> 01:04:46,656
judgment of your medicine, right?
:
01:04:46,656 --> 01:04:52,456
Because the standard of care really is up
to the veterinarians that are analyzing
:
01:04:52,456 --> 01:04:54,576
that case and how it went along, right?
:
01:04:54,576 --> 01:04:58,936
And what happened, you know, when
you're analyzing a mistake and the
:
01:04:58,936 --> 01:05:03,246
standard of care and how it went along
and, you know, you had this, you know,
:
01:05:03,246 --> 01:05:08,056
interaction on a Zoom call and you
had advice, you diagnosed the patient.
:
01:05:08,786 --> 01:05:14,236
So then you're liable for that result and,
and what you said and, uh, went along.
:
01:05:14,236 --> 01:05:18,686
So I, I, I think there's going to
be a lot of veterinarians nervous
:
01:05:18,686 --> 01:05:20,860
about, with certain things.
:
01:05:21,029 --> 01:05:25,666
Uh, I think that, you know, they, they,
they're dogs limping, you have, you're
:
01:05:25,706 --> 01:05:28,316
going to have veterinarians that are
going to be okay saying, well, you know,
:
01:05:28,326 --> 01:05:32,086
let's do some anti inflammatories if
it's not better, but then you're going
:
01:05:32,086 --> 01:05:33,846
to have a lot of us be like, you know.
:
01:05:34,451 --> 01:05:35,021
I don't know.
:
01:05:35,021 --> 01:05:36,281
It could be so many things.
:
01:05:36,311 --> 01:05:38,141
I haven't, let me see the gums.
:
01:05:38,141 --> 01:05:39,761
Well, I'm seeing it through a screen.
:
01:05:40,351 --> 01:05:41,311
Let me feel the gums.
:
01:05:41,311 --> 01:05:42,331
Well, I can't feel them.
:
01:05:43,201 --> 01:05:45,121
I'm asking the owner
now, how do they feel?
:
01:05:45,641 --> 01:05:49,181
You know, I've triaged emergencies
before over the phone, so I
:
01:05:49,181 --> 01:05:50,831
know what to talk, what to ask.
:
01:05:51,601 --> 01:05:56,481
I think the video adds some
value to that, but it doesn't
:
01:05:56,481 --> 01:05:59,021
make it a consultation, right?
:
01:05:59,051 --> 01:06:03,891
It, it just, it enhances the phone
call as a tool, but it doesn't
:
01:06:03,891 --> 01:06:06,681
make it a full consultation to
where you can practice medicine.
:
01:06:07,591 --> 01:06:08,461
Yeah, that's how I see it.
:
01:06:10,111 --> 01:06:14,611
DrG: Yeah, no, it As you mentioned, I
mean, this is a huge topic and I think
:
01:06:14,621 --> 01:06:19,621
that, uh, as things are changing, I mean,
there's a lot coming, coming soon, both
:
01:06:19,621 --> 01:06:24,111
good and bad, so I would definitely love
to have you back at some point to, to
:
01:06:24,111 --> 01:06:29,346
have a whole episode of just telemedicine
the implications, the stakeholders and.
:
01:06:29,496 --> 01:06:30,766
And everything involved.
:
01:06:31,306 --> 01:06:36,836
So, so, um, uh, so in closing,
uh, you have your own podcast.
:
01:06:37,086 --> 01:06:39,266
So do you want to tell
our listeners about your
:
01:06:39,266 --> 01:06:39,696
Jonathan Gonzalez, DVM: podcast?
:
01:06:40,006 --> 01:06:42,331
Yeah, it's called, uh, Tu Amigo Fiel.
:
01:06:42,721 --> 01:06:51,811
Uh, it's a podcast that, um, my brother's
brother in law, uh, and I started, and
:
01:06:51,811 --> 01:06:57,181
then Carla, a technician started to give
advice to Spanish speakers, you know,
:
01:06:57,191 --> 01:07:03,111
about their pets and where I was working
in Houston, uh, I, you know, Houston,
:
01:07:03,111 --> 01:07:07,031
Texas, I had a lot of Spanish speaking
clients and I realized that there's
:
01:07:07,041 --> 01:07:08,921
not a lot out there to help them out.
:
01:07:09,311 --> 01:07:14,721
And we started having this podcast to, you
know, we, where we talked about general
:
01:07:14,721 --> 01:07:19,051
problems and you have the technician
perspective, the owner perspective,
:
01:07:19,051 --> 01:07:20,621
and then the veterinarian perspective.
:
01:07:20,621 --> 01:07:24,891
So, it's a, it's a fun
conversation type podcast.
:
01:07:24,911 --> 01:07:29,381
Um, you know, not, not very
straight, not very technical, um.
:
01:07:29,681 --> 01:07:31,331
You can find it on any platform.
:
01:07:31,601 --> 01:07:33,881
Um, again, it's called Tu Amigo Fiel.
:
01:07:34,601 --> 01:07:39,651
Um, and yeah, it's, it's really good
to, to spread out for, you know, if
:
01:07:39,751 --> 01:07:43,841
you have Spanish speaking clients, if
you're not very versed in Spanish and
:
01:07:44,331 --> 01:07:48,261
you did your best and you're still like,
kind of like, oh man, did that go well?
:
01:07:48,261 --> 01:07:48,801
I'm not sure.
:
01:07:48,801 --> 01:07:53,101
Well, here's a little tool that you
can use, you know, that I, I, we share.
:
01:07:53,641 --> 01:07:58,546
Um, That they might find fun and
yeah, who knows they might come back
:
01:07:58,546 --> 01:08:01,756
with more questions to you and it
might create a good bond with them.
:
01:08:01,976 --> 01:08:05,666
Um, so just, you know,
thank you for mentioning it.
:
01:08:06,476 --> 01:08:07,126
Oh, no problem.
:
01:08:07,146 --> 01:08:10,226
DrG: Yeah, I'll share the, the
information when, when we release
:
01:08:10,226 --> 01:08:12,766
the information on this episode,
because I did listen to an episode.
:
01:08:12,766 --> 01:08:14,676
I didn't listen to an
episode that you did with Dr.
:
01:08:14,676 --> 01:08:15,116
Arce.
:
01:08:15,676 --> 01:08:16,116
Oh, yeah.
:
01:08:16,616 --> 01:08:17,026
Yeah.
:
01:08:18,831 --> 01:08:19,881
Yeah, he's great.
:
01:08:19,881 --> 01:08:23,161
I had the pleasure of meeting him at
one of the spayathons in Puerto Rico.
:
01:08:23,201 --> 01:08:26,871
So for anybody else to know, he
was the past, uh, president of the
:
01:08:26,871 --> 01:08:29,171
AVMA and he is from Puerto Rico.
:
01:08:29,270 --> 01:08:32,951
So very, very smart, very
passionate human being.
:
01:08:33,001 --> 01:08:34,631
So it was a, it was a great episode.
:
01:08:34,681 --> 01:08:35,071
So yeah.
:
01:08:35,371 --> 01:08:38,531
Uh, we'll, we'll share that
information for any of our Spanish
:
01:08:38,941 --> 01:08:39,140
Jonathan Gonzalez, DVM: speaking friends.
:
01:08:39,171 --> 01:08:43,850
We, we talk a lot, a little bit about
how, um, I went to school, you know,
:
01:08:43,850 --> 01:08:46,281
high school where he practices medicine.
:
01:08:47,185 --> 01:08:49,975
So the same community where he
practices and has practiced for
:
01:08:49,975 --> 01:08:52,796
a long time is where I went to
school and I didn't even know that.
:
01:08:53,696 --> 01:08:57,536
So it's interesting that I probably went
to school with a lot of his clients and,
:
01:08:58,095 --> 01:09:02,536
you know, he kind of has that feel of
being the community vet and, you know,
:
01:09:02,536 --> 01:09:07,056
he's a pretty known person and, you
know, president of the AVMA and all that.
:
01:09:07,056 --> 01:09:11,076
But in that conversation, you get a
feel of that human being behind all
:
01:09:11,076 --> 01:09:15,946
that and, and how, you know, you, you
at all levels of our, of our industry
:
01:09:15,946 --> 01:09:17,666
and all levels of professionals.
:
01:09:18,661 --> 01:09:22,131
It doesn't matter how many letters
you have next to your name, uh,
:
01:09:22,171 --> 01:09:26,821
little or more, we're all kind of,
you know, similar in many ways.
:
01:09:26,821 --> 01:09:30,121
And, you know, that, that specific
episode kind of talks a lot
:
01:09:30,121 --> 01:09:32,421
about, about that, you know, so.
:
01:09:34,350 --> 01:09:34,671
DrG: Awesome.
:
01:09:34,681 --> 01:09:36,681
Well, thanks so much, Dr.
:
01:09:36,681 --> 01:09:37,111
G.
:
01:09:38,131 --> 01:09:38,671
You're welcome.
:
01:09:40,581 --> 01:09:44,681
For taking the time and for, uh,
ranting with me on this topic.
:
01:09:44,720 --> 01:09:48,220
Uh, and I hope that people that are
listening, take a little bit of pause
:
01:09:48,220 --> 01:09:52,711
and, and time to understand how, how
their words and actions are harmful,
:
01:09:53,031 --> 01:09:57,501
not just to the people, but to the
animals and empathy goes a long way.
:
01:09:57,511 --> 01:09:59,641
So, you know, we worry
about compassion fatigue.
:
01:09:59,641 --> 01:10:04,451
Well, we're doing it to ourselves a lot of
the time, so we can, we can control that.
:
01:10:04,451 --> 01:10:09,481
So again, thank you so much and good luck
to your practice and with everything that
:
01:10:09,481 --> 01:10:09,971
Jonathan Gonzalez, DVM: you're doing.
:
01:10:10,786 --> 01:10:11,146
Thank you.
:
01:10:11,146 --> 01:10:11,876
Thanks for having me.
:
01:10:11,876 --> 01:10:16,286
And we'll talk more about the
telehealth, uh, telemedicine
:
01:10:16,466 --> 01:10:17,626
in the next episode we do.
:
01:10:17,776 --> 01:10:19,156
So I look forward to that.
:
01:10:20,016 --> 01:10:20,636
DrG: Fantastic.
:
01:10:20,636 --> 01:10:22,926
And to everybody, everybody
listening out there, thank you
:
01:10:22,926 --> 01:10:24,036
for listening and thank you for
:
01:10:24,036 --> 01:10:24,466
Jonathan Gonzalez, DVM: caring.
:
01:10:26,076 --> 01:10:26,426
Thank you.
:
01:10:26,446 --> 01:10:27,296
Thanks for listening.