400 - That's Bad Advice
Dr. Sarah Boston, DVM, DVSc, DACVS-SA, joins Dr. Andy Roark for a hilarious and surprisingly thoughtful conversation about the worst advice they've heard in veterinary medicine. From "if you love what you do, you'll never work a day in your life" to "just let them simmer" when clients are upset, they unpack the well-intentioned wisdom that can sometimes lead us astray, while exploring career development, work-life balance, veterinary culture, and what actually makes good professional advice. You'll laugh, nod in agreement, and probably rethink a few pieces of guidance you've accepted as truth. Gang, let's get into this episode!
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Office Hours w/ Dr. Andy Roark
Inside the Uncharted Veterinary Community, Dr. Andy Roark hosts Office Hours where veterinary leaders can bring real-world challenges and get practical guidance from someone who understands the realities of practice life. These sessions give veterinarians, practice managers, and team leaders a chance to ask questions, workshop difficult situations, and gain perspective on issues like team dynamics, communication, burnout, and clinic operations. Instead of navigating leadership challenges alone, members get direct access to Andy’s insight along with the support of a community of veterinary professionals working through many of the same challenges.
Transcript
Welcome everybody to the Cone
of Shame Veterinary Podcast.
2
:I am your host, Dr.
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:Andy Roark.
4
:Guys, it is the 400th episode
of the Cone of Shame Show.
5
:400 episodes.
6
:I- it's so hard for me to believe.
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:I think this is a great episode I have
for you today to kind of bookend where
8
:we started from because Sarah Boston, Dr.
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:Sarah Boston, who I have today, was
also the first guest I ever had on the
10
:Cone of Shame show, and we talk about
that a little bit here at the beginning.
11
:, It was kind of a lark.
12
:I had this idea for a conversation that
I wanted to have that I thought would be
13
:really interesting, and I wanted to have a
reason to sit someone brilliant like, Dr.
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:Boston down and just and talk
to her and spend time with her.
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:And, and I was like, "Let's
just make a podcast."
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:That'll give me a reason to do cool stuff
with people that I'm, you know, , either
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:have always wanted to talk to, or I'm
kind of intimidated by, or I, I feel like
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:I need a reason to spend time with them.
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:And, that's just...
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:I kind of started it from a selfish
reason, and it's turned into one of
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:the most, popular podcasts in the
industry, by a, by a good margin.
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:So, it's been a wonderful
journey along the way.
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:Sarah and I today are talking
about that's bad advice.
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:We go through and we talk about the advice
that we have heard in our career, and we
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:thought, "Yeah, that's, that's not good."
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:, we, we go back and forth a little bit.
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:Some of the advice we actually wrestle
around with a little bit and kind of
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:decide that maybe it's pretty good advice.
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:Other advice, we come to an agreement,
yeah, like that, that's bad.
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:People need to stop saying that.
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:Or, , we n- a- anyone who's
heard that needs to, needs
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:to recognize that's not good.
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:Don't do that.
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:And so that's what the episode is today.
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:If you're interested in the bad
advice that we have heard, , tune
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:in, buckle up, and hang on.
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:That's what we're doing for Cone
of Shame, episode number 400.
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:Let's get into it
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:Kelsey Beth Carpenter: This is your show.
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:We're glad you're here.
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:We want to help you in
your veterinary career.
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:Welcome to the Cone of Shame with Dr.
43
:Andy Roark.
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:dr--andy-roark-_1_03-06-2026_162143:
Welcome to the podcast, Dr.
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:Sarah Boston.
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:How are you, my friend?
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:sarah-boston_1_03-06-2026_162143: Andy.
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:I'm great.
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:It's good to see you.
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:dr--andy-roark-_1_03-06-2026_162143:
It's so good to see you.
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:We're recording this at the end of my
workday, and I used to say visiting
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:with you is about the best thing that
can happen to me at the end of the day.
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:It's really fantastic to see you
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:sarah-boston_1_03-06-2026_162143:
I, I concur.
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:Anytime's
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:dr--andy-roark-_1_03-06-2026_162143: out.
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:Stay.
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:For, for those who don't know you,
you are, gosh, here's so many things.
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:You are a boarded
veterinary, onco surgeon.
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:You have been a faculty member at more
than one college of veterinary medicine.
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:I mean, you're still in practice,
as anse, and also you are a
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:blossoming standup comedian.
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:I see you doing shows, all over.
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:Canada, you are starting, your
acting career is kind of taken off.
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:You're starting to do some, you
know, it's kind of taken off.
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:You're doing
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:sarah-boston_1_03-06-2026_162143:
Well, okay, sure.
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:dr--andy-roark-_1_03-06-2026_162143:
it's it's happening.
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:sarah-boston_1_03-06-2026_162143: It's a
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:dr--andy-roark-_1_03-06-2026_162143:
happening.
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:sarah-boston_1_03-06-2026_162143: Yeah.
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:dr--andy-roark-_1_03-06-2026_162143:
It's on your calendar.
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:It's on your, it's on your schedule.
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:sarah-boston_1_03-06-2026_162143: it
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:dr--andy-roark-_1_03-06-2026_162143:
Okay, perfect.
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:That's it exactly.
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:Right.
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:So that's your, your acting career
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:sarah-boston_1_03-06-2026_162143:
have done
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:dr--andy-roark-_1_03-06-2026_162143:
happening.
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:sarah-boston_1_03-06-2026_162143:
additions.
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:I,
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:dr--andy-roark-_1_03-06-2026_162143: Yes.
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:I like, to me that's, to me that's it.
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:That's taking off.
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:You have, most of us just
think about doing the thing
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:and you're, and you're out.
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:You're out actually auditioning
and, and making it happen.
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:So anyway, that's it.
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:You are one of my favorite
people to talk to you.
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:We.
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:sarah-boston_1_03-06-2026_162143:
Thank you.
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:dr--andy-roark-_1_03-06-2026_162143:
We have, you might know us from such
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:podcast episodes as are we bad people?
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:And this is gross and
you're doing it wrong.
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:are some of our previous conversations
that we had today, I thought we
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:would get together and talk about.
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:That's bad advice.
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:I think that's, that's what I wanna
call this episode is that's bad advice.
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:And I thought that we could talk about
some of the things that we see that
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:would just go, that's, that's bad advice.
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:I,
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:sarah-boston_1_03-06-2026_162143: I love
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:dr--andy-roark-_1_03-06-2026_162143: I
wish they wouldn't do that, but yeah.
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:What do you, how do you feel about.
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:sarah-boston_1_03-06-2026_162143:
you will just like, send me a
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:text and be like, Hey, Sarah,
you wanna talk about this thing?
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:Or like, we'll just come up with
like, we're like, yeah, that's
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:a good thing to talk about.
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:dr--andy-roark-_1_03-06-2026_162143:
I think, yeah, I think I sent you
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:a, a text message that says, what do
you think about, that's bad advice.
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:And we just talk about that
and you were like, I'm in
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:sarah-boston_1_03-06-2026_162143: sure.
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:Let's
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:dr--andy-roark-_1_03-06-2026_162143: it
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:sarah-boston_1_03-06-2026_162143: Yeah.
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:Book it.
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:book it.
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:dr--andy-roark-_1_03-06-2026_162143:
book it between, between my auditions,
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:we put this on the calendar, so yeah.
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:sarah-boston_1_03-06-2026_162143: Lady
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:dr--andy-roark-_1_03-06-2026_162143:
So yeah.
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:sarah-boston_1_03-06-2026_162143:
audition right
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:dr--andy-roark-_1_03-06-2026_162143:
So lady cop audition.
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:So yeah, you're going up.
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:Do you think that being a practicing
veterinary onco surgeon helps you when
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:you audition for the role of lady cop?
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:sarah-boston_1_03-06-2026_162143: I do.
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:dr--andy-roark-_1_03-06-2026_162143: Yeah.
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:sarah-boston_1_03-06-2026_162143:
Yeah, I do.
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:dr--andy-roark-_1_03-06-2026_162143:
They're like, she's,
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:she'll figure this out.
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:Like she's, at least we
know she's not gonna be dim.
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:sarah-boston_1_03-06-2026_162143:
Some authority maybe, I don't know.
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:dr--andy-roark-_1_03-06-2026_162143:
could see that.
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:Co competent, I think.
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:I think you, I think you radiate
confidence and competence.
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:It's one of the things I love about you.
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:sarah-boston_1_03-06-2026_162143: yeah.
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:So we'll see how it goes.
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:We'll, hope hopefully the casting
director also feels that way.
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:Yeah.
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:dr--andy-roark-_1_03-06-2026_162143:
I dunno.
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:Fingers crossed.
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:So anyway, when I say that's bad advice,
what comes, what comes to your mind?
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:What is the thing, what is the thing
that you've heard recently or that
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:stuck out to you in your career where
you were like, that's bad advice.
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:sarah-boston_1_03-06-2026_162143: Okay.
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:I've had so much bad advice
through the years and it, so I
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:don't even know where to start,
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:dr--andy-roark-_1_03-06-2026_162143:
I love that.
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:Like since I texted you,
let's do, that's bad advice.
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:I, every couple of days I get
a ping from you that's like,
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:Hey, I got, I got some more.
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:And I'm like, look, it's like
a 20 minute episode, Sarah.
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:sarah-boston_1_03-06-2026_162143: I
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:dr--andy-roark-_1_03-06-2026_162143: like,
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:sarah-boston_1_03-06-2026_162143:
that's the thing, so I gotta,
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:okay, so I gotta focus.
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:Well, this is one that
makes me laugh, and I've had
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:dr--andy-roark-_1_03-06-2026_162143: okay.
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:sarah-boston_1_03-06-2026_162143:
multiple times when people talk about
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:when you're, and maybe it's more academic
environments, but I think it's everywhere.
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:And people say in veterinary medicine,
they say you have to pick your battles.
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:dr--andy-roark-_1_03-06-2026_162143: Yeah.
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:You think that's bad advice?
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:sarah-boston_1_03-06-2026_162143: Well,
no, I just like, why am I going to battle?
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:Like, I'm a, I don't what
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:dr--andy-roark-_1_03-06-2026_162143:
I think that's good advice
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:to give to you specifically.
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:You know, why
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:sarah-boston_1_03-06-2026_162143:
Because of
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:dr--andy-roark-_1_03-06-2026_162143:
because
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:sarah-boston_1_03-06-2026_162143:
sense of justice.
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:dr--andy-roark-_1_03-06-2026_162143:
exactly right.
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:That's exactly what I was gonna say,
because you haven't overdeveloped it.
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:That's one of the things I love about you.
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:sarah-boston_1_03-06-2026_162143: I
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:dr--andy-roark-_1_03-06-2026_162143:
But the, you don't turn
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:down a battle very often.
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:sarah-boston_1_03-06-2026_162143:
Oh, so maybe it's good advice,
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:dr--andy-roark-_1_03-06-2026_162143:
think it's good advice for you.
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:I do.
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:sarah-boston_1_03-06-2026_162143:
but also like, I'm like, okay, but
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:I'm like, why is there a battle?
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:Why is there so much injustice?
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:dr--andy-roark-_1_03-06-2026_162143: Yeah,
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:sarah-boston_1_03-06-2026_162143:
That's my.
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:dr--andy-roark-_1_03-06-2026_162143:
that's,
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:sarah-boston_1_03-06-2026_162143: So
maybe it's good advice in an unjust
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:world, but I just think like, can I
just go to work and take care of animals
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:dr--andy-roark-_1_03-06-2026_162143: yeah.
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:sarah-boston_1_03-06-2026_162143:
going to battle?
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:dr--andy-roark-_1_03-06-2026_162143:
So you're saying I shouldn't
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:have to pick my battles.
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:You
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:sarah-boston_1_03-06-2026_162143: I am
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:dr--andy-roark-_1_03-06-2026_162143:
you people should just
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:sarah-boston_1_03-06-2026_162143:
Yeah, I shouldn't have a battle.
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:Like unless I'm an
active duty veterinarian,
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:dr--andy-roark-_1_03-06-2026_162143: you
get the role of lady Cop and then you're,
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:sarah-boston_1_03-06-2026_162143:
it's like,
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:dr--andy-roark-_1_03-06-2026_162143:
you're ready, to go.
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:sarah-boston_1_03-06-2026_162143:
one, that's fine.
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:'cause I can.
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:I will find another one.
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:I think this is another one
that's misleading to the youth.
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:dr--andy-roark-_1_03-06-2026_162143: Okay.
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:Yeah.
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:Okay.
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:Tell me more about that.
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:What do you mean?
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:sarah-boston_1_03-06-2026_162143:
When people say, and it's not
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:dr--andy-roark-_1_03-06-2026_162143: I.
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:sarah-boston_1_03-06-2026_162143:
medicine, but I think veterinary medicine
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:is very, like, very susceptible to this.
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:When people say, well, if
you love what you do, you'll
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:never work a day in your life.
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:You know, that sense of
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:dr--andy-roark-_1_03-06-2026_162143: Yeah.
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:sarah-boston_1_03-06-2026_162143: like.
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:You should love this and you
should love every moment.
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:You're lucky to be here and you
love animals and you should just be,
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:you should just, this isn't work.
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:And I'm like, but actually it's work.
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:Like
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:dr--andy-roark-_1_03-06-2026_162143: Yeah.
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:sarah-boston_1_03-06-2026_162143:
that's, that's good advice necessarily.
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:dr--andy-roark-_1_03-06-2026_162143:
No, I, I think you're right.
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:I think it's interesting too, so as
you're someone who's, you know, like
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:been on the faculty and, and stuff,
and like people are like, yeah, this
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:is, this is kind of who you are.
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:I mean, do you, do you ever get
that vibe where people like that
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:you're, did, did people ever expect
you to be defined by your job?
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:Do you think
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:sarah-boston_1_03-06-2026_162143: Oh,
well, I think I expected me to be defined
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:dr--andy-roark-_1_03-06-2026_162143:
really?
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:sarah-boston_1_03-06-2026_162143: job.
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:I think I am defined by my job.
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:Don't you think that?
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:dr--andy-roark-_1_03-06-2026_162143: What?
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:So tell, tell me what, tell me what
you mean when you, when you say that
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:you think you're defined by your job.
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:sarah-boston_1_03-06-2026_162143: every
veterinarian is defined by their job,
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:dr--andy-roark-_1_03-06-2026_162143:
oh, man.
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:sarah-boston_1_03-06-2026_162143:
don't you think?
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:dr--andy-roark-_1_03-06-2026_162143: Yeah.
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:It's, it's, it's definitely a, a like, I'm
always like, I'm not defined by my job.
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:And then the first thing I say when you
meet me is, hi Mandy, I'm a veterinarian.
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:sarah-boston_1_03-06-2026_162143:
Here's my website, Dr.
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:Andy Rohr.
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:dr--andy-roark-_1_03-06-2026_162143: Yeah.
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:It's like.
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:sarah-boston_1_03-06-2026_162143:
here's my podcast
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:dr--andy-roark-_1_03-06-2026_162143:
Here's my podcast.
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:It's about, it's a, it's,
it's about veterinary medicine
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:and I talk to veterinarians.
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:Yeah.
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:sarah-boston_1_03-06-2026_162143:
I, I think it's okay.
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:I
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:dr--andy-roark-_1_03-06-2026_162143: Okay.
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:I think that's fair.
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:sarah-boston_1_03-06-2026_162143:
things like.
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:Well, for me it's comedy speaking, acting,
and for other people it would be parenting
265
:or playing an instrument or whatever.
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:Like I think it's just good to
have yourself defined lots of ways,
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:but
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:dr--andy-roark-_1_03-06-2026_162143:
I hate it when I feel like
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:people are using the calling.
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:To manipulate me.
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:That, that makes me really mad.
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:You know what I mean?
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:This, it's kind of like that, you
know, if you, if you love what you do,
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:you'll never work a day in your life.
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:It's kind of like.
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:You really, if you really love
pets, you would do it for free.
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:You know what I mean?
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:sarah-boston_1_03-06-2026_162143: Yeah.
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:dr--andy-roark-_1_03-06-2026_162143:
say you love pets.
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:Why do I have to go to
the emergency clinic?
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:You know?
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:sarah-boston_1_03-06-2026_162143: Yeah.
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:dr--andy-roark-_1_03-06-2026_162143:
sort of stuff like that.
284
:And again, I don't think people mean
it that way and I don't mean to be
285
:harshly sort of judgmental of them, but
I do think when you're saying that, I
286
:think, I think you really have to keep
your own counsel about, about what you
287
:do because you love it and what you.
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:sort of mark off for
yourself, if that makes sense.
289
:Right.
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:So
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:sarah-boston_1_03-06-2026_162143:
I've seen veterinarians have
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:used that too, though, like
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:dr--andy-roark-_1_03-06-2026_162143:
what do you mean when you say that?
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:sarah-boston_1_03-06-2026_162143: I've
seen veterinarians on social media sort
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:of say like, this is my calling and,
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:dr--andy-roark-_1_03-06-2026_162143:
Oh, this is my colleague.
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:Yeah, I,
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:sarah-boston_1_03-06-2026_162143: And
kind of, kind of almost like, turn that
299
:around and, and sort of like to praise
ourselves and, and not naming names.
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:Okay.
301
:dr--andy-roark-_1_03-06-2026_162143: okay.
302
:sarah-boston_1_03-06-2026_162143:
Not gonna do it.
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:But
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:dr--andy-roark-_1_03-06-2026_162143:
Alright.
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:sarah-boston_1_03-06-2026_162143: it
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:dr--andy-roark-_1_03-06-2026_162143:
Oh yeah.
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:sarah-boston_1_03-06-2026_162143:
yeah, you've seen it.
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:We've all
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:dr--andy-roark-_1_03-06-2026_162143:
I, well, you get, you get pats on the
310
:back when you're like, I love this job.
311
:I love it.
312
:I want to do it forever.
313
:You know what I mean?
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:And this is a calling.
315
:People go, yeah.
316
:But also there's, there's a flip
side to that, you know what I mean?
317
:Like, you can only, you can only, you
can only take that so far of like,
318
:this is, this is what I'm all about.
319
:And then people are like, well, we
need, we need you to be all about
320
:that on Sundays, you know, and and
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:sarah-boston_1_03-06-2026_162143: Yeah.
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:dr--andy-roark-_1_03-06-2026_162143:
also after hours.
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:And you go,
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:sarah-boston_1_03-06-2026_162143:
when I text you
325
:dr--andy-roark-_1_03-06-2026_162143: it's,
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:sarah-boston_1_03-06-2026_162143: Message
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:dr--andy-roark-_1_03-06-2026_162143:
to, put it down.
328
:Yeah.
329
:I think.
330
:I think that I have gotten much
more crotchety in my older age
331
:just because I'm more wary of that.
332
:And I still say to people, I
really love being a vet and
333
:I do really love being a vet.
334
:And also I, you know, I, I, I love
being a dad and I love, you know,
335
:being a spouse and I love working
in my garden in the springtime and,
336
:you know, and, and things like that.
337
:And I, like, I don't want
to, I, I don't think that.
338
:I think you have to be careful about
taking all the credit and the accolades
339
:and being like, yes, I was called
to do this and I do love pets more
340
:than your average person does, but
also I'm gonna be off this weekend.
341
:And like, I, I think that that's,
that's sort of hard to message.
342
:And so for me, I think.
343
:I think maybe leaning back a little
bit from that and just trying
344
:to, even if I love the job more
than I tell people, I love it.
345
:I think, I think you're better off
loving your job more than you say, than
346
:you are telling everybody how much you
love your job, because I think that sets
347
:expectations with them of how available
you're gonna be or how willing you're
348
:gonna be to put down what you're doing
and, and go and, and do what they do.
349
:sarah-boston_1_03-06-2026_162143: Yeah.
350
:My love is like, I just like.
351
:love animals and I will maintain, like
I do talk to dogs, like I'll see a dog
352
:on the road and I'll just, Hey, how's it
353
:dr--andy-roark-_1_03-06-2026_162143:
Oh, totally.
354
:sarah-boston_1_03-06-2026_162143:
you know, like, that's so crazy.
355
:But I, I, that's nothing to
do with being a veterinarian.
356
:It's just my, I just love them, you know?
357
:And I, and so I feel lucky that I
get to work in an environment where
358
:I get to see animals and I, that
could be hard for me not to do that.
359
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
360
:sarah-boston_1_03-06-2026_162143: you
know, when my female cop role takes off.
361
:dr--andy-roark-_1_03-06-2026_162143:
Yeah, when you're, when you're known,
362
:when you're known as a hards female cop
who doesn't take flack from anybody.
363
:sarah-boston_1_03-06-2026_162143:
How will I let this go?
364
:Yeah, so, okay.
365
:well, okay.
366
:Tell me your list.
367
:I have a list.
368
:dr--andy-roark-_1_03-06-2026_162143:
okay, so I've got, so I, yeah,
369
:so I, I put together a list.
370
:A list as well.
371
:so, okay.
372
:So the first time that I made a
pet on a really mad, my boss told
373
:me, he was like, let them simmer.
374
:Like, like we got, I got a letter,
I got a a, I got a letter from a pet
375
:owner that was really angry and like,
everything, everything worked out
376
:and I, I did drop, like, to be fair,
I dropped, like I dropped the ball.
377
:So I had this, I had this tiny
little Yorkie that always had
378
:vomiting and diarrhea and it always
had vomiting and diarrhea and.
379
:On this day I was swamped and the
person called and they were like,
380
:Hey, he's having diarrhea again.
381
:And I was like, look, they had a whole
pharmacy at their house, you know what I
382
:sarah-boston_1_03-06-2026_162143: Yeah.
383
:dr--andy-roark-_1_03-06-2026_162143:
like, Hey, look, put him, put him back
384
:on the stuff and let's see how it goes.
385
:And then it just got worse.
386
:And that night he was so small,
he got dehydrated pretty quickly.
387
:They take him to the emergency clinic and.
388
:I should have said, Hey, you
know, bring, bring him on back in.
389
:But I was kind of, I was trying to
help them and I was like, you guys have
390
:the stuff, just go ahead and do this.
391
:And anyway, they were,
they were upset and like.
392
:And rightfully so.
393
:Again, I was a brand new veterinarian
and I just, I, I missed that
394
:trick and I've never forgotten it.
395
:It's made me better.
396
:but they wrote this letter saying that
they were disappointed in the care that
397
:they got, and, and it got, and, but
my boss was like, just let 'em simmer.
398
:We'll call 'em in a couple of days.
399
:sarah-boston_1_03-06-2026_162143: Oh.
400
:dr--andy-roark-_1_03-06-2026_162143:
that was a terrible piece
401
:of advice because they, they
402
:sarah-boston_1_03-06-2026_162143: It's
403
:dr--andy-roark-_1_03-06-2026_162143:
were mad.
404
:And then, yeah, and then they
got, they were more mad and they
405
:felt like they were ignored.
406
:And I was just like,
407
:sarah-boston_1_03-06-2026_162143: Yeah.
408
:Now they're mad about two things.
409
:dr--andy-roark-_1_03-06-2026_162143:
they're mad about two things.
410
:Exact, exactly.
411
:sarah-boston_1_03-06-2026_162143:
said, look, I, in retrospect, that
412
:wasn't a mistake and I'm so sorry.
413
:dr--andy-roark-_1_03-06-2026_162143:
Exactly right.
414
:And,
415
:sarah-boston_1_03-06-2026_162143: would've
416
:dr--andy-roark-_1_03-06-2026_162143:
and, that's how I felt too.
417
:sarah-boston_1_03-06-2026_162143: Yeah.
418
:dr--andy-roark-_1_03-06-2026_162143: like
I was, I was like, yeah, I, they're not,
419
:they're not wrong in what they're saying.
420
:And so anyway, but I think back
and like I was thinking about
421
:bad advice that I have gotten.
422
:I think that was, that
was very bad advice.
423
:And I was, I was brand new doctor
and I just didn't know better.
424
:And I started trusted this person
who was like, yeah, I would let
425
:this set, that was a bad piece of
advice that I would like to pass on.
426
:Like, don't do that.
427
:Don't let 'em simmer.
428
:Go and talk to him.
429
:sarah-boston_1_03-06-2026_162143:
Okay, this is okay.
430
:Can I go back
431
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
432
:sarah-boston_1_03-06-2026_162143:
really far back?
433
:Okay.
434
:where I went to vet school and I've
heard this advice to other vet students
435
:when they tell, they're trying to like,
stop vet, vet students are so like.
436
:A type personality and
they've had to get 90% to get
437
:into vet school.
438
:And they're just so used to that
and, and they're trying to, like,
439
:I know the faculty are trying
to like, make them not do that.
440
:So you hear them saying like, marks
aren't that important anymore.
441
:And they'll say, you know, you know
the person who got the lowest mark in
442
:the class, you know what they call him?
443
:They call him doctor.
444
:Ha ha ha.
445
:And I'm like, okay.
446
:You don't know what you're gonna wanna do.
447
:And so I, I've seen
448
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
449
:sarah-boston_1_03-06-2026_162143:
students who then suddenly, like
450
:they third year, they're like,
oh my God, surgery is so cool.
451
:Or I wanna do a PhD, or I
452
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
453
:sarah-boston_1_03-06-2026_162143: And
it's like, well now because you got
454
:this advice that it doesn't matter.
455
:yeah, you're not gonna
get a surgery agency.
456
:Like it's not gonna happen.
457
:And
458
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
459
:sarah-boston_1_03-06-2026_162143:
I think that is not good advice.
460
:I think.
461
:Advice would be like, stay in
the top half or keep your options
462
:open or stay in the top quarter.
463
:Don't be so competitive.
464
:Don't like, you know, I think we're
trying to stop people from like it
465
:affecting their mental health, that
466
:dr--andy-roark-_1_03-06-2026_162143: Yes.
467
:Yeah.
468
:sarah-boston_1_03-06-2026_162143:
all the time and that is good advice.
469
:But to be like, blah, can be the
last in the class and no one cares.
470
:I mean, first of all, you do
need to learn these things so you
471
:dr--andy-roark-_1_03-06-2026_162143: Yeah,
472
:sarah-boston_1_03-06-2026_162143: doctor.
473
:dr--andy-roark-_1_03-06-2026_162143:
be, actually a competent
474
:doctor when you're done.
475
:Yeah.
476
:sarah-boston_1_03-06-2026_162143: There
is a reason you're learning this stuff.
477
:So I think that is just.
478
:It's good intention, but it is
actually like kind of bad advice.
479
:And like the stage I would get to
these students was like, when I was
480
:a faculty, it was usually their like
third or fourth year, and then I was
481
:like, oh, you're, you're cooked like.
482
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
483
:That's brutal.
484
:sarah-boston_1_03-06-2026_162143:
You can't go back.
485
:Like you
486
:dr--andy-roark-_1_03-06-2026_162143: Yeah,
487
:sarah-boston_1_03-06-2026_162143:
and upgrade that.
488
:You can't, there's, you're just like,
oh, that you're never gonna be that.
489
:And I think that's really unfortunate.
490
:dr--andy-roark-_1_03-06-2026_162143:
that's brutal.
491
:sarah-boston_1_03-06-2026_162143: there's
some students who maybe weren't as strong
492
:and then when they hit their clinical
year, they're, they're like, oh, this
493
:is, it's just how their brain works.
494
:There's so
495
:dr--andy-roark-_1_03-06-2026_162143: Oh,
496
:sarah-boston_1_03-06-2026_162143:
in the clinical part.
497
:there's, you know, so anyway, that if
there's any vet students listening.
498
:I'm just saying
499
:dr--andy-roark-_1_03-06-2026_162143: I.
500
:sarah-boston_1_03-06-2026_162143:
options open.
501
:You know, like don't, don't put yourself
in a box of like, I'm only gonna do
502
:this thing 'cause you don't know that.
503
:dr--andy-roark-_1_03-06-2026_162143:
Yeah, I, so, okay.
504
:I have a question for you.
505
:So is this bad advice
And so I was told once.
506
:More than once that yes, you
should let the technicians do
507
:stuff for you, but you should be
better than them at those things.
508
:You know what I mean?
509
:Like, you should, you should like
the, the vet should, you should be
510
:the, you should be be able to draw
blood better than technicians do.
511
:You know?
512
:You should be able to, like when
they can't hit a vein, you should
513
:be the one who can hit the vein.
514
:Things like that.
515
:You should have those skills.
516
:I don't buy it because one, I just,
I've not found that to be feasible
517
:because the techs are drawing blood
all day long and I just don't do it.
518
:And so how in the world am I gonna
magically be better than these
519
:people who do this all day long?
520
:It's like, I'm just not, I'm, I'm
just not that, not that person.
521
:So part of me says, well, Andy,
you're just, maybe you're just
522
:letting yourself off the hook here.
523
:But another part of me goes, I don't.
524
:Maybe times have changed.
525
:I, I don't know why I should
be better than the techs at
526
:the job of being a technician.
527
:Like I don't, I don't
know why I should do that.
528
:And it seems like a weird place
to invest my time and skills.
529
:And I see a lot of vets who
are like, no, I'm gonna make
530
:sure that I do these things.
531
:And I'm like, that's wildly inefficient.
532
:And I just, anyway.
533
:Yeah.
534
:So what do you think, I mean,
should the doctor be better than the
535
:technician at these technical skills?
536
:sarah-boston_1_03-06-2026_162143:
been called in, like, no
537
:one can get this, whatever.
538
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
539
:sarah-boston_1_03-06-2026_162143: And then
you are, then it's you who's gonna do it.
540
:And maybe I have an, like, as a surgeon,
I'm always doing stuff with my hands.
541
:So maybe that is something like
with tactile things, like I
542
:dr--andy-roark-_1_03-06-2026_162143:
Can see it.
543
:sarah-boston_1_03-06-2026_162143:
I maybe am better at some of those
544
:dr--andy-roark-_1_03-06-2026_162143:
Yeah, sure.
545
:sarah-boston_1_03-06-2026_162143:
you ask me to put an anesthetic
546
:machine together, like, I will kill
the patient, like they will die.
547
:I, I'm like, I don't even know.
548
:I don't know how to put it together.
549
:I don't
550
:dr--andy-roark-_1_03-06-2026_162143:
Right.
551
:sarah-boston_1_03-06-2026_162143:
talking about.
552
:I don't know.
553
:I don't know the different
circuits anymore.
554
:Like I really, I don't, I'm
sorry, but I don't, I don't know.
555
:I'm never at that
556
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
557
:sarah-boston_1_03-06-2026_162143:
the table.
558
:I don't, and so, and also like we have
an anesthesiologist at my practice, but
559
:if he's not there, technicians are so
trained, they'll be like, so like, this
560
:is happening with the blood pressure.
561
:I'm gonna start this thing.
562
:Like, what do you think?
563
:And I'm like, yeah.
564
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
565
:Yep.
566
:All right.
567
:sarah-boston_1_03-06-2026_162143: Do
568
:dr--andy-roark-_1_03-06-2026_162143:
Let me,
569
:sarah-boston_1_03-06-2026_162143: Like,
570
:dr--andy-roark-_1_03-06-2026_162143: yeah,
571
:sarah-boston_1_03-06-2026_162143: like,
572
:dr--andy-roark-_1_03-06-2026_162143:
keep me posted.
573
:sarah-boston_1_03-06-2026_162143:
I, but so yeah, I don't, I don't
574
:think that I, I don't know that you
can be so black and white about it,
575
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
576
:sarah-boston_1_03-06-2026_162143:
have this very strong belief that for
577
:people to be happy in their work, every
single person should be working at
578
:the highest level of their training.
579
:dr--andy-roark-_1_03-06-2026_162143: Yeah,
580
:sarah-boston_1_03-06-2026_162143:
And if you take that away from
581
:your technicians, like that's.
582
:That's what they're trained to do.
583
:That's
584
:dr--andy-roark-_1_03-06-2026_162143: yeah.
585
:sarah-boston_1_03-06-2026_162143: good at.
586
:And if someone, if that person's
having a bad day, then get the other
587
:technician who's, you know what I mean?
588
:Like, don't get the doctor, get the other
technician who's really good at that
589
:thing, because that they're probably
gonna have a better success rate.
590
:but also sometimes people
are just having a bad day and
591
:dr--andy-roark-_1_03-06-2026_162143: Yeah,
592
:sarah-boston_1_03-06-2026_162143:
know, yeah.
593
:So I don't know.
594
:I don't think it's good
blanket advice, I guess.
595
:dr--andy-roark-_1_03-06-2026_162143:
no, I think, I think you're right.
596
:I think, I think you don't wanna
be a liability, but I like your
597
:advice better of train people to,
and work the math the highest,
598
:sarah-boston_1_03-06-2026_162143: Yeah,
599
:dr--andy-roark-_1_03-06-2026_162143:
of their credentialing.
600
:I think that's the right advice.
601
:Alright.
602
:sarah-boston_1_03-06-2026_162143: advice.
603
:dr--andy-roark-_1_03-06-2026_162143:
I like that.
604
:I like Sarah Boston advice.
605
:All right.
606
:What do you got?
607
:sarah-boston_1_03-06-2026_162143: Oh,
I feel like I'm taking your, okay.
608
:Well these are just two quick ones.
609
:I'm gonna say when I,
this was like so long ago.
610
:It's just funny to me now.
611
:dr--andy-roark-_1_03-06-2026_162143: Okay.
612
:sarah-boston_1_03-06-2026_162143:
I had a nose ring in vet school
613
:dr--andy-roark-_1_03-06-2026_162143: Okay.
614
:sarah-boston_1_03-06-2026_162143:
I was, you know, trying and trying
615
:to get a res and it was okay.
616
:I graduated in 96.
617
:dr--andy-roark-_1_03-06-2026_162143: Okay.
618
:sarah-boston_1_03-06-2026_162143:
one had a nose ring.
619
:Okay.
620
:dr--andy-roark-_1_03-06-2026_162143:
was gonna say, yeah,
621
:sarah-boston_1_03-06-2026_162143: It
622
:dr--andy-roark-_1_03-06-2026_162143:
think that I, I wasn't gonna ask,
623
:but also it's kind of important of
when we're talking about, you know.
624
:sarah-boston_1_03-06-2026_162143: yeah.
625
:And it was radical.
626
:Like it was like, it was like no one
had, no, it was unprofessional, whatever.
627
:And so like I had someone who was I think
a surgery resident at the time and she
628
:said, you're never gonna get a surgery
residency with that thing in your nose.
629
:You should take it out.
630
:And I didn't take it out and I didn't
get a surgery entry right away.
631
:And she probably was right.
632
:But now I see like.
633
:Full sleeve tattoos,
634
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
635
:sarah-boston_1_03-06-2026_162143:
hair, tongue ring, like
636
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
637
:sarah-boston_1_03-06-2026_162143:
I'm like, I had a tiny, like,
638
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
639
:sarah-boston_1_03-06-2026_162143:
like a tiny stud.
640
:You could barely see it.
641
:And like I was like, whatever
people thought, you know?
642
:Anyway, it makes me laugh.
643
:dr--andy-roark-_1_03-06-2026_162143:
Yeah, you were ahead of,
644
:you, were ahead of your time.
645
:That's, that's your problem.
646
:sarah-boston_1_03-06-2026_162143:
took it out 'cause it was
647
:like they became so common.
648
:I was like, hmm, no,
649
:dr--andy-roark-_1_03-06-2026_162143:
you're like, now that everyone
650
:has this, I don't want it anymore.
651
:It's not the, it is not the rebellion
that I, that I signed up for.
652
:sarah-boston_1_03-06-2026_162143:
rebellion I was hoping for.
653
:And then the other advice I got when
I was like trying to decide on a
654
:career, someone who's very nice, and
again, it was a long time ago, but I
655
:was contemplating surgery, whatever.
656
:And our ophthalmologist at the
time told me like, he sat me down.
657
:He goes, Sarah, you should really
consider ophthalmology 'cause it's
658
:a wonderful career for a woman.
659
:And you
660
:dr--andy-roark-_1_03-06-2026_162143:
Did you, did they, did you
661
:immediately discard ophthalmology
at that point where you're like, oh,
662
:sarah-boston_1_03-06-2026_162143: that.
663
:Well, you're gonna have to You're
664
:dr--andy-roark-_1_03-06-2026_162143:
No, you got no.
665
:Yeah, that's fine.
666
:It's fine.
667
:sarah-boston_1_03-06-2026_162143:
edit out those curse words.
668
:Yeah.
669
:No.
670
:I was like, yeah, not doing up though.
671
:I'm not doing that.
672
:Gonna do surgery.
673
:It's not,
674
:dr--andy-roark-_1_03-06-2026_162143:
that's funny.
675
:sarah-boston_1_03-06-2026_162143:
I got that advice and I, yeah,
676
:it made me not wanna do it
because I was like, no, like I.
677
:You know, don't tell me like it
shouldn't be gendered and whatever, but,
678
:dr--andy-roark-_1_03-06-2026_162143:
You're like, like you should wear
679
:a nose ring and do ophthalmology,
and you're like, I'm not
680
:doing either of those things.
681
:sarah-boston_1_03-06-2026_162143:
supposed to take my nose,
682
:ring out and do ophthalmology.
683
:Yeah.
684
:dr--andy-roark-_1_03-06-2026_162143:
Gotcha.
685
:That's what I was.
686
:sarah-boston_1_03-06-2026_162143: those
687
:dr--andy-roark-_1_03-06-2026_162143:
Fair enough.
688
:sarah-boston_1_03-06-2026_162143:
Tell me if you have another one.
689
:Okay.
690
:dr--andy-roark-_1_03-06-2026_162143:
Oh man.
691
:I, I got a couple, I said I've
got one, and it was someone else
692
:pointed out to me, so I was thinking
about this, about us talking, and
693
:I was thinking about bad advice
694
:sarah-boston_1_03-06-2026_162143: Yeah.
695
:dr--andy-roark-_1_03-06-2026_162143:
and, and one of my friends said, he was
696
:like, do you remember like five, six
years ago, when telemedicine was brand
697
:new and, and there was this huge push.
698
:Telemedicine was gonna be everywhere.
699
:And vets should be like, you
should be figuring out how to do
700
:telemedicine in your own practice.
701
:And like, and I do remember that.
702
:I like, I remember that was a big thing
is like, wow, this is, this technology
703
:is here and pet owners want it and
we should figure out how to do it.
704
:And it was funny because I think the vast
majority of vets just kind of ignored that
705
:sarah-boston_1_03-06-2026_162143: Yeah.
706
:dr--andy-roark-_1_03-06-2026_162143: and
now we've gone on and yes, telemedicine
707
:is a thing and there are vets that
do telemedicine, but I feel like.
708
:Vets in general have kind of given
up on the idea of integrating
709
:telemedicine into the standard practice.
710
:And so I don't know if, if that was
everybody should be doing telemedicine.
711
:I don't know if that was bad idea.
712
:I think it was just interesting that
it was everywhere and I feel like the
713
:vast majority of vet practices just
ignored it and now it, now the time
714
:has changed and now it's, you should be
using AI for everything and everybody
715
:should be using ai and so, I don't know.
716
:sarah-boston_1_03-06-2026_162143:
though because I
717
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
718
:sarah-boston_1_03-06-2026_162143:
I think telemedicine, I mean, I'm
719
:a big proponent of it and I was
actually trying to start doing it
720
:before the pandemic for other reasons.
721
:Like I've got
722
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
723
:sarah-boston_1_03-06-2026_162143:
that come from far away.
724
:A lot of times with cancer, they're so
wound up that like they really need a
725
:consult before they're left their home.
726
:So they know like what's gonna
happen and what, you know, like.
727
:There's so much talking, and I
could give them a quote and then
728
:I could have everything set up.
729
:'cause if they're coming from
far away and then I'm like, oh,
730
:sorry, we can't do a CT today.
731
:They're very upset about that.
732
:So I found
733
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
734
:sarah-boston_1_03-06-2026_162143: it
was more to like, help the client be
735
:prepared, get all the talking outta
the way, bring their stress level down.
736
:And then when they came in, all I
had to do was like, do a physical
737
:exam, do whatever, the CT and stuff.
738
:And so, then I was like playing with
different platforms and then the
739
:pandemic happened and I was like,
well, here's what we're doing now.
740
:I, I think it.
741
:I still wish we were, I
was doing it more like
742
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
743
:sarah-boston_1_03-06-2026_162143:
those, for those other reasons.
744
:But it does feel like since
the pandemic we're just kind of
745
:like, we don't need that anymore.
746
:I, I think it has a role.
747
:I don't think it's gonna
take over anything.
748
:yeah, so I don't know if it's, I think
it's not bad advice, but it didn't
749
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
750
:sarah-boston_1_03-06-2026_162143:
thought it was gonna do.
751
:But I think it's 'cause a lot
of vets don't like change,
752
:dr--andy-roark-_1_03-06-2026_162143:
Yeah, I think, no, I, I think that that's
753
:too, I said that was, that was one that
I, when I heard it and he said it, he
754
:was like, yeah, you know, that like,
it, it, it was a couple of years ago
755
:that was, you know, that was such a big,
it was such a big push and it was the,
756
:it was the advice of, of the day and.
757
:It didn't go away.
758
:And there's definitely
good, good uses for it.
759
:And it's funny when you say that, I'm
like, eh, you know, I don't even know if
760
:we came out to the best place possible.
761
:You're right.
762
:Like I think that there's probably
reasons, to use telemedicine that,
763
:that we haven't done or we missed
some tricks, but it was just,
764
:it was just sort of interesting.
765
:But that was brought to me and I
wanted to hear your thoughts on it.
766
:I knew you, you do a lot
with telemedicine, so anyway.
767
:Dr.
768
:Sarah Boston.
769
:Thanks for, jumping on today
and talking with me about,
770
:about all manner of bad advice.
771
:Where can people find you
other than watching television?
772
:Looking for un
773
:sarah-boston_1_03-06-2026_162143: A
774
:dr--andy-roark-_1_03-06-2026_162143:
unknown lady cop,
775
:sarah-boston_1_03-06-2026_162143:
I'm a, yeah, I'm on Sheriff Country
776
:dr--andy-roark-_1_03-06-2026_162143:
sheriff country is what it's called.
777
:sarah-boston_1_03-06-2026_162143: Well,
that's a, that's not the lady cop though.
778
:I'm a patient.
779
:dr--andy-roark-_1_03-06-2026_162143:
Oh, okay.
780
:So you're a patient on sheriff country.
781
:sarah-boston_1_03-06-2026_162143:
you'll miss me.
782
:But yeah, that's happening.
783
:or you can go to my Instagram, Dr.
784
:Sarah Boston.
785
:that's the best place.
786
:Or my website is dr sarah boston.com.
787
:dr--andy-roark-_1_03-06-2026_162143:
Is your Instagram more onco
788
:surgery or television slash comedy?
789
:sarah-boston_1_03-06-2026_162143: It's a
lot more comedy and pictures of my dog.
790
:I'll be honest, I don't know, I
just like also just 'cause like the
791
:social media policies at work and
792
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
793
:sarah-boston_1_03-06-2026_162143: I, I
794
:kind,
795
:dr--andy-roark-_1_03-06-2026_162143:
also it could be, it's quite a
796
:curve ball when people are there
for the comedy and then, you know,
797
:sarah-boston_1_03-06-2026_162143: yeah.
798
:Or vice
799
:dr--andy-roark-_1_03-06-2026_162143: you
give them a reel of taking a tumor out.
800
:Yeah.
801
:sarah-boston_1_03-06-2026_162143: Yeah.
802
:I had it happen in real life.
803
:I had, did I tell you it was like really
kind of a difficult case I've been working
804
:through with these owners and then.
805
:wanted to, I guess, with their friends,
they went to the art comedy club, yuck X.
806
:They didn't know that I do comedy.
807
:dr--andy-roark-_1_03-06-2026_162143: No.
808
:sarah-boston_1_03-06-2026_162143:
also I hadn't met them in person
809
:because speaking of telemedicine,
not real telemedicine, but they had
810
:work, been worked up through oncology.
811
:And then I just did a phone consult.
812
:So
813
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
814
:sarah-boston_1_03-06-2026_162143:
been in the same room as these people.
815
:I've talked to 'em on the phone
like a lot over the last few weeks.
816
:And then, and then I am on stage
talking about crazy things.
817
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
818
:sarah-boston_1_03-06-2026_162143: not,
819
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
820
:sarah-boston_1_03-06-2026_162143:
like, and then they were like on
821
:their phones, like looking at the
website of our clinic and then like,
822
:dr--andy-roark-_1_03-06-2026_162143:
They're like, that's her, that's, that's
823
:the woman who's gonna save our dog's life.
824
:sarah-boston_1_03-06-2026_162143: it
was her cat, and then they came up to
825
:me with their, at the, at the end of
the show, people like to come and talk.
826
:And then this woman came up to me and
she goes, you're not gonna believe this.
827
:I don't know who she is.
828
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
829
:sarah-boston_1_03-06-2026_162143:
puts, just puts a picture of her cat,
830
:but it's just an orange and white cat.
831
:dr--andy-roark-_1_03-06-2026_162143:
Right.
832
:You're like, I don't know.
833
:I've never.
834
:sarah-boston_1_03-06-2026_162143: I
was like, and like I, I had done a
835
:big surgery on this cat, but this cat
was pre-surgery, so I did not have the
836
:context of like, it's just a cat in a box.
837
:And I was like, and then
I was like, oh, and.
838
:Anyway, so then I was like, talk, trying
to figure out who it was, and I, I, I kind
839
:of realized who it was and I was like,
oh, this, you know, and talking to her.
840
:But then she was like talking about the
cats not eating and like it turned into
841
:a consult in the middle of yuck yucks.
842
:And then out of the corner of
my eye, I can see four women
843
:standing waiting to talk to me.
844
:And I can't explain this, but I'm
sure people listening will understand.
845
:I knew there were veterinarians.
846
:I didn't know them.
847
:dr--andy-roark-_1_03-06-2026_162143:
Oh yeah.
848
:sarah-boston_1_03-06-2026_162143:
I was like, that's, those
849
:dr--andy-roark-_1_03-06-2026_162143: Just
by the way, you're, they were standing.
850
:sarah-boston_1_03-06-2026_162143:
Everything about them.
851
:I don't You play that
game when you're at a
852
:dr--andy-roark-_1_03-06-2026_162143: Yes.
853
:sarah-boston_1_03-06-2026_162143: Like
854
:dr--andy-roark-_1_03-06-2026_162143: Yes.
855
:sarah-boston_1_03-06-2026_162143:
I'm like, I call it Spot Vet.
856
:I'm like, that's a vet,
that's a veterinarian.
857
:Anyway,
858
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
859
:sarah-boston_1_03-06-2026_162143: So I
finished this consult with this woman.
860
:I turned to them and they go,
was that one of your clients?
861
:And I said, yes.
862
:Anyway, we laughed really hard and
I was so grateful they were there.
863
:'cause I was like, no one
else would understand.
864
:dr--andy-roark-_1_03-06-2026_162143: Yeah.
865
:sarah-boston_1_03-06-2026_162143:
weird this experience was.
866
:I was like, they didn't
know I'm a comedian.
867
:I didn't know what they looked like.
868
:They didn't know I was gonna be on stage.
869
:I was saying crazy stuff
like it was, anyway, that has
870
:nothing to do with bad advice.
871
:My
872
:dr--andy-roark-_1_03-06-2026_162143: No.
873
:sarah-boston_1_03-06-2026_162143:
don't don't be in that situation.
874
:dr--andy-roark-_1_03-06-2026_162143:
Yeah, try to, try to try to
875
:avoid meeting clients when you're
coming off stage at yuck yucks.
876
:All right.
877
:That sounds great.
878
:Thanks for being here guys.
879
:Thanks for tuning in, everybody.
880
:I'll talk to you later on.
881
:Okay.
882
:sarah-boston_1_03-06-2026_162143: bye.
883
:dr--andy-roark-_1_03-06-2026_162143:
And that's what I got guys.
884
:Thanks for being here.
885
:Thanks for Sarah for being here.
886
:I always enjoy talking with her.
887
:She makes me laugh.
888
:She's such a fun, smart, creative person.
889
:I just, I just really enjoy
her and her perspective.
890
:So anyway, guys, I hope
you enjoyed it as well.
891
:Take care of yourselves, everybody.
892
:I'll talk to you later on.
893
:Bye.
