Friday, June 6, 2014

Interview with Off The Leash cartoonist Rupert Fawcett

Off the Leash Cartoonist Rupert Fawcett.
Thank goodness its Friday folks (at least for anyone who has the weekend off). This year my boss gave me a copy of "Off The Leash: The Secret Life of Dogs" by none other than a Mr Rupert Fawcett. Of course I had to ask him if we are related - especially when a number of his cartoons featured a dog called Phil. What are the odds? Well, it turns out we aren't related, but Rupert F did admire the photo of Phil I sent him, and was polite enough to answer some probing questions for SAT even if he isn't my second cousin twice removed.

Hi Rupert. You've been a professional cartoonist since 1989, but your dog cartoons have recently recieved a huge response on Facebook. Why do you think everyone has been so taken with Off the Leash?

I went art school many years ago wanting to be a 'serious painter' but kept drawing cartoons and always enjoyed them. During and after art school I had a few wild years in which I started a punk band and drank too much, then in 1985 I cleaned up my act, got back onto the straight and narrow and a short time later created Fred which was my first big success as a cartoonist.

I think people identify with the situations and behaviour I portray in my cartoons and recognise their own lives. They frequently say "You must have cameras in my house!"

Your dog cartoons have some recurring themes: dogs using their wits and charm to take over the entire bed, sofa-stealing stunts and sleeping positions. What is your source of inspiration?

Funnily enough I don't have a dog at the moment but I grew up with them and remember all the behaviours really well and with great affection.

Humans often talk down to dogs or project their feelings onto them. Do you think they humour us sometimes?

It's impossible to know, but I like to think so. I like to think they are sophisticated enough to humour us, and yes we as humans project all sorts of stuff onto our pets. That's all part of the human/dog relationship which I have always found rich in humour.

Do you think there's ever a mismatch between what makes dogs happy and what we think makes them happy?

There may be and in some cases definitely is, but I think most real dog lovers instinctively know what makes their dogs happy and unhappy and anyone who doesn't shouldn't have a pet.

How could humans improve their relationships with dogs?

The important thing is to love your dog, but also to respect it's individuality and it's natural instincts and needs. We don't 'own' our dogs in my view, we simply care for them during their lifetime and it is a privilege to do so. If we care for them well we are rewarded with love, affection and loyalty.

Thank you Rupert. And in breaking news, a poor veterinarian mistook a zookeeper wearing a gorilla suit for an actual gorilla and tranquilised him. To compound matters further, the zookeeper had an allergic reaction to the drug. However he has made a full recovery. Moral of story: wear a safety vest when dressed in a halfway-decent animal costume (although I can appreciate this would have somewhat detracted from the desired look). Second moral of story: some poor person is always having a worse day at work than you are.

Thursday, June 5, 2014

SAT giveaway competition: David Attenborough's Micro Monsters

Meeting a micromonster.

Everyone loves a little competition and this week we have a fine DVD to giveaway: Sir David Attenborough's Micro Monsters - a three part series about the real rulers of the world. If you fancy a nerdy night in viewing spectacular bugs in their insect armony filmed using pioneering macroscopic techniques, this is your DVD. 

Episode 1 is about conflict and predation - learn about how insects, scorpions and spiders attack (you will be impressed).

Episode 2 covers courtship and reproduction - need I say more. Definitely worthy viewing.

Episode 3 is about family and colony. Some bugs have moved beyond the urge to fight and established colonies which rival human megacities.



Thanks to ABC DVD, SAT has a DVD (RRP $29.95) to give away to one lucky reader. It runs for 150 breathtaking minutes - the perfect length of time to curl up on the couch/bean bag/air mattress with your favourite companion.

All you have to do is email us a photo of you and your non-human companion(s) watching TV. The best entry (judged by myself and Phil, and the judge's decision is final) will be mailed this awesome DVD. The rest of you will have to go and buy it when it is officially released on July 9! 

This giveaway is open to Australian residents only and we will take entries til midnight on June 30. That gives you plenty of time to get comfy and snap happy.

Winners will be announced in the second week of July (hint, we are planning on being inundated with entries).

By entering you give us permission to run your entry on SAT. Please try to send a JPEG around 1-2MB in size, that will help. 

Chester watches TV with Tanya. The happiness is palpable.

Wednesday, June 4, 2014

Midweek mental health paws

Chillaxing with friends: it isn't just fun, its healthy.
It has been a tough week for the Australian veterinary profession with tragic news about the loss of two colleagues in two separate incidents. This information is really hard to process but it is a good reminder just how important support is and that there is no shame in reaching out for it. 

What is really upsetting is that last week's AVA conference had a strong emphasis on mental health and wellbeing. This is such a big issue for the profession, there are some excellent resources for veterinarians vet students, and no one is judged at all for using them.

For urgent help anyone can call Lifeline on 13 11 14 (24 hours).
AVA members can call the AVA Telephone Counselling Service (24 hours) on 1800 337 068.

The AVA has a great resource page for veterinarians here. The UK's VetLife also offers support and has a great website here.

University's have student counselling services which are almost invariably free, and set up to take walk-in appointments for emergencies.

Please take care of yourselves and each other and don't feel bad about reaching out. More often than not the person you reach out to has been there - or somewhere similar - before, and may have the clarity of distance that being in the midst of a storm can rob one of.
Moisie plays with a ribbon. Does she need a reason?

Tuesday, June 3, 2014

Biodiversity: why does it even matter?

Most people want to preserve the so-called flagship species. But different people have different motivations.

For those of you with an interest in the animal studies field, The Human Animal Research Network and the Sydney Environment Institute are hosting a seminar on exploring biodiversity as cultural value.

I know not all SAT readers have a humanities leaning, so what does the above mean?

We all know about biodiversity and the threats to it (habitat destruction, climate change, rising sea levels etc). But how much does it really matter? Really? In the words of the seminar organisers, "There may be significant unforeseen consequences to the loss of some organisms (as became evident with the recent collapse of the South Asian vulture population), but the loss of others may have no apparent consequences for humans at all. It seems abundantly clear that human cultures rely on pollinators such as bees, but would they really miss the pygmy three-toed sloth?"

Personally one of my dreams is to go and meet some sloths, so I definitely would. But the point is, is extinction bad in itself? To whom does it matter? Why? 

It turns out that we often answer these questions on the basis of concealed usefulness. i.e. biodiversity is valuable to us because we need access to that genetic bank of hitherto unexplored resources that could be useful in medicine or industry. Maybe the three-toed sloth secretes sweat containing an antimicrobial substance. 

For others, justification for all this effort to maintain biodiversity is about emotional attachment to some species - or the natural world generally. The problem is this can be seen as a bleeding-heart, airy-fairy, sentimental approach, easily dismissed by economic or science-driven types. But is it any less valid?

A lot of us are sold on biodiversity, but may not be able to pinpoint exactly why.

The seminar will explore the values underpinning current public discussions about biodiversity.

For more info about this seminar please visit here.


Abstracts.
John Miller, “From Natural Capital to Dark Tourism: Biodiversity Loss and the Aesthetics of Conservation.”
The 1992 Earth Summit in Rio saw the signing of the Convention for Biological Diversity (CBD), the culmination of many years’ work initiated by the United Nations Environment Program (UNEP) to safeguard ‘biological diversity for the benefit of present and future generations’. It was, according to its own publicity at any rate, a landmark in international conservation, a ‘dramatic step forward’ in the midst of the planet’s sixth great extinction event. 
Although a significant aspect of the CBD’s agenda was ‘the fair and equitable sharing of benefits arising from the use of genetic resources’, it has stimulated some sharp criticism on ideological grounds, most trenchantly in Vandana Shiva’s work. For Shiva, the CBD appears ‘primarily as an initiative of the North to “globalise” the central management and ownership of biological diversity’ in order to advance the portfolios of large corporations. International biodiversity legislation becomes part of what Shiva describes as ‘the ultimate colonization of life itself’, a penetration of economics into Earth’s biological fabric. 
Since the 1990s, the deepening entrenchment of a rhetoric of ‘natural capital’ has continued to emphasise the subsumption of species conservation into a neo-liberal logic; even environmental aesthetics are commodified into a ‘cultural service’. Public policy on biodiversity loss seems firmly installed in crude cost/benefit analyses that are paradoxically both widely discredited and progressively more influential.
Starting with debates around the CBD’s neo-colonial politics, this paper explores the relationship between the rise of ‘natural capital’ and the emergence of an increasingly prominent literary subgenre, the conservation travel narrative. 
Particularly, it examines Douglas Adams and Mark Cawardine’s poignant Last Chance to See (1990) in which the authors recount ‘an unforgettable journey across the world in search of exotic, endangered creatures’. Evidently, Adams and Cawardine are writing at some remove from a market-driven approach to conservation: we should preserve endangered species, Cawardine writes, because the world would be a ‘poorer, darker, lonelier place without them’. 
At the same time, however, Last Chance to See is structured around the necessity of rendering endangered animals available to a western audience. As such, it may be understood in an intimate relationship with eco-tourism, another expression of the economic logic of conservation that Shiva critiques. Given the framing ecological context of the collapse in global biodiversity, Last Chance to See (and ecotourism more broadly) may be read as an instance of ‘dark tourism’, travels associated particularly with catastrophe, violence or trauma. Consequently, neo-liberal biodiversity conservation insists not just on the commodification of ‘life itself’, but also on the commodification of death.  

Robert McKay, “Invaluable Elephants”
This paper begins from the perhaps obvious premise that all value is valuation: it is necessarily always contingent and distributed rather than inherent. A less apparent implication of this is that all such valuations necessarily both produce and ward off alternative redistributions of value. 
These claims hold true whether value is understood in a political-economic register or in an ethical register, to refer to moral worth. Such points warrant statement in the context of discussions of biodiversity and animal death for this principal reason. The discourse of species (as Cary Wolfe terms it)—the rhetorical, political, and institutional mobilization of the imputed fact of human-animal difference—consistently plays a crucial role in the presentation of contingent and tactical (anthropocentric) valuations as necessary, absolute values in the consideration of humans’ lethal encounters with nonhumans, of the kind that is omnipresent in conservation/”biodiversity management”. 
The coding of speciesist political choice as necessity is a good instance of the crucial mechanism that Wolfe, following Derrida, names a ‘sacrificial logic’. It is not just that affective possibilities that exceed anthropocentric/humanist accounting—such as a specific animal’s interest in its own or another specific animal’s ontogeny, or a cross-species value such as an ideal of animal friendship—are devalued. Rather, ironically imagined as unimaginable, they are ruled out of court, sacrificed in a presentation of the field of value as necessarily human and (thus) anthropocentric.
This paper will develop Wolfe’s position by suggesting that a crucial purpose of contemporary ecological and pro-animal critique is to address head-on the contingency of the anthropocentric valuations by exploring specific historical instances of the sacrificial logic at work. 
This can offer a genealogical account of both a) the reproduction of the discourse of species and its material effects on living beings and b) such redistributions of value as are both produced and foreclosed by anthropocentric processes of valuation. 
I also want to suggest that cultural texts offer particular leverage for this critical operation, because they have the power both to embody the social processes of value-making and distribution of their time and resist that process in subtle ways. The historical intimacy of conservation with the practices and legacies of hunting hints at the complex intertwining of difficult and competing values in relation to animal life that underpins environmentalist thought as it develops in the 20th Century. 
The issues become even more overdetermined when the animal at stake is under a number of different hunting threats and rationales for conservation, each of them very differently politicized, as was the case with elephants in the decolonization period after the Second World War. This moment, therefore, presents an important case study in the political and moral distribution of value I have been discussing. In this paper, then, I will discuss Romain Gary’s The Roots of Heaven (1956/1958) Peter Viertel’s White Hunter, Black Heart (1953) in relation to political discourses of the time. I will explore the competing political, moral and aesthetic valuations of elephants at play, and whether these texts might portray animals, in all the senses the word implies, as invaluable.


Monday, June 2, 2014

AVA conference wrap up: exams for fun, a veterinary orchestra and animal-themed footwear

"We promise it won't hurt" - the absolutely delightful, not-scary-at-all invigilators for the Australian Veterinary Boards Council Inc National Veterinary Exam.
During the AVA conference last week I visited the Australian Veterinary Boards Council Inc. booth to sit a voluntary exam. Yep. A voluntary exam. Not something you’d think would be hugely entertaining but if you have an opportunity to sit their exams I highly recommend it. I actually enjoyed the experience.

Part of our annual registration fee goes to the AVBC, an organisation which started in the 1980s as an annual meeting of all of the veterinary registration boards. The aim is to determine standards of acceptable veterinary practice and accredit veterinary schools.

In 1999 the profession was required to take responsibility for the National Veterinary Exam – that’s the exam that overseas vets take to ensure that can practice here. This is one of the roles played by the AVBC. And to make sure that is done fairly, they benchmark the questions by testing them on Aussie and New Zealand vets wandering around at conferences.

The AVBC team attend conferences and have a quiet booth where you can volunteer to sit the exam. Unlike most exams, you’re allowed to do it in your own time, you can bring a cup of tea and eat, its relaxed and very pleasant. They don’t even record your mark. In fact if you are a bit of a stress head when it comes to exams (who isn’t?) this might be a good exercise in desensitisation. And once you have sat the paper you can compare your answers with the actual answers (hopefully there isn’t too much discrepancy but as a small animal vet I did notice my performance in the large animal questions wasn’t exactly stellar, although I did recall more than I thought I would).

For more information check out their website here.

Another highlight was the debut performance of the Australian Veterinary Orchestra. The AVO, as it is known, is the brainchild of veterinarian Mike Woodham who owns Sugarland Veterinary Clinic.

Here’s an excerpt from an article I wrote about it in the Australian Veterinary Journal.

 “My father died suddenly in 2005 at age 55, which was a tremendous shock and hit me rather hard,” Dr Woodham said.
“As a professional I didn’t realise that I suffered from some of the usual stress and anxiety associated with busy practice. Adding the burden of the loss of a loved one made me recognise that perhaps I was not coping as well as I thought.”
As a scientist and diagnostician, Dr Woodham decided more research was in order. He sought professional advice and counselling, and learned how to recognise and cope with stress and anxiety. He’d played music from an early age, and his counsellor suggested that taking it up again might help. 
“After some music therapy I can certainly endorse the benefits of music to veterinary mental health,” he said. 
Dr Woodham plays seven instruments, ranging from piano to tuba.
“I learned bass guitar last year and am starting on acoustic guitar this year.”
The idea for the AVO came to Dr Woodham as he listened to a jazz ensemble at the 2013 AVA Conference, and thought that the veterinary profession would have enough musical talent to gather a music group.
“I have a friend in the Australian Doctor’s Orchestra who told me of their acclaim, and I thought ‘surely we are better than the doctors’!”
And they were pretty darn good, earning a well-deserved standing ovation at the end. And a few tears along the way.

Dr Woodham plays his tuba.
Joined by the Hills Symphony Orchestra (not to be confused with Hill’s Pet Nutrition, although the latter did sponsor the evening), nine veterinarians displayed their hither-to hidden talents, such as the ability to rock the oboe or wield a bassoon. It was like discovering someone you work with is really in the X-men.

All funds went towards the Veterinary Benevolent Fund, and gee it was nice to see members of the profession come together to support each other. Mental health issues affect everyone of course, but veterinarians have a particularly high suicide rate and often feel very isolated in practice. The job poses some unique stressors, so bringing awareness to the issue and promoting wellness, not just crisis management, is so important.


Finally, conferences are one place where vets get to wear things we can’t really wear at work for health & safety reasons. Like amazing shoes. I ran into a delegate from Victoria who was wearing the most amazing pair of rabbit heels. Maybe not something you’d slip on to hang the washing on the line or play squash, but we struck by serious shoe envy.

Gloria said her shoes were from Irregular Choice. I checked their site and they also make kitten heels.

Saturday, May 31, 2014

What's best practice? Insights from the AVA conference, days 3&4

Brush tail Bettong
Another pic of the brush-tail bettong at the conference...just because its a whole lot cuter than photos of people speaking behind lecterns. 
Blogging a five-day conference turns out to be a huge challenge when you are attending it at the same time. So we’ve been a little slow – mostly because we’ve been busy attending every possible breakfast session, lunchtime lecture, plenary, special-interest-group dinner and mini-lecture possible. And still we missed a few! (There were eight concurrent streams and over 200 sessions to choose from during the week).

For me there were two stand-out sessions in the last two days that I’d like to single out.

Martin Whiting discussed business and veterinary clinical autonomy. He noted, particularly with reference to the UK but it is also happening in Australia, the growth of veterinary practice franchises or chains. There are of course big benefits of standardising veterinary care – centralised services, bulk-buying and cost-savings for clients, sharing of high-value, short-life products such as blood products between practices, standardised employee training and education, centralised after hours services, better working conditions and so forth.

But there are some very clear disadvantages, depending on the way these are run. What happens when you are treating a patient and the standard operating protocol dictates that you need to work it up in a particular way and you disagree? What if bulk purchased medicines or foods are not the optimal treatment in a particular case? Some practices incentivise vets to sell particular products, or force veterinarians to refer to a particular service. Many pay on a commission-basis or give bonuses for invoicing over certain thresholds. These business practices have serious consequences for vets and patients.

Commission-based remuneration in health care can lead to abuse and generate distrust between the client and clinician. Clients may be unsure if the recommendation is being made for commercial reasons or in the best interests of their pet. Individual veterinarians must always abide by the professional code of conduct, which trumps private practice policy in the event of a disciplinary hearing. Dr Whiting made some excellent observations and the presentation generated a lot of discussion. This potential conflict between practice protocols and clinical autonomy has huge ethical implications and is something that the profession needs to address.

Dr Ilana Mendels from VetPrac won a prize for visiting the AVA's Wellness Stand. Ilana is always well coordinated but note that her glasses, lanyard and shirt are totally coordinated with the prize. Seriously, do us mere mortals stand a chance?
Meantime when it comes to communicating costs in veterinary care, Ontario Veterinary College’s AssociateProfessor Jason Coe had some fascinating data to share. A lot of veterinarians feel awkward talking about money. Some perceived it made them look like they were money-focused, some felt that their job was just to worry about the animal and let reception discuss costs with clients. Dr Coe has done some great work. The upshot is that upfront communication about costs improves clinical outcomes.

When he asked how many vets enjoyed talking to clients about money, 45 per cent disagreed and 28 per cent strongly disagreed. That’s a pretty clear majority.

But time and again, studies have shown that client satisfaction is increased when the client understands the costs involved and why these are incurred.

Vets get a bit defensive. In a study Dr Coe ran, he found that vets often justified costs in terms of their investment in time, overheads, the skillset required etc.

What the clients wanted to know was what the costs meant in terms of their pet. For example, this operation will give Rusty X chance of cure or 6 months additional survival, relieve pain and allow you to manage him without medication…etc. The time taken, the equipment needed etc. weren’t so relevant.

Veterinarians said they felt undervalued or guilty when talking about money which made them a bit gun shy. But pet owners felt that a failure to discuss costs upfront could lead to clients being over-extended financially. One point of discussion was the client who comes in and says “costs are irrelevant”.

This actually means different things to different people and often these clients challenge the bill when they finally see it. So it is important to discuss costs even if the client says that costs do not matter. Knowing what to expect does matter.

In one overseas study, almost 50 per cent of veterinary clients left the consult room without an idea of what costs they would be up for. In another study by Coe, Adams and Bonnett (JAVMA 2009 234:1418-1424) of 200 veterinary consults, only 29 per cent of visits included a discussion of costs, and 25 per cent of vets never initiated cost discussions.

Dr Coe discussed the different ways that veterinarians might initiate cost discussions in an emotionally charged environment. The use of empathy ranked very highly. Interestingly in an Australian study by McArthur and Fitzgerald AVJ 2013:91:374-380), veterinarians expressed empathy in only 41 per cent of consults – and 73 per cent of those occasions involved directing empathy at the animal. Which is fine – except only the empathy statements directed at the client had any impact on client satisfaction.

Dr Coe talked about the use of partnership statements and “I wish…” statements to express our concerns in a way that is meaningful to clients (for further info see Hardee, Platt & Kasper J Gen Intern Med 2005, 20:666-669). You can think empathic and helpful thoughts all you like, but if you don’t express these to the client they won’t have an impact on client satisfaction. 

And client satisfaction is a variable that has a huge impact on client uptake of recommendations and therefore clinical outcomes. We know why we are making a recommendation, but as a profession we need to improve our communication. The client wants to know why we are making this recommendation to Phil, or Rory, or Cliff (insert favourite pet name here).


However you feel about money, Dr Coe’s data showed overwhelmingly that upfront discussions about costs were helpful to clients, allowed them to plan better and improved their relationship with the veterinary team. 

Friday, May 30, 2014

Learning how to be a surgeon: interview with specialist surgeon Dr Charles Kuntz

Dr Charles Kuntz, from Southpaws Specialty Surgery for Animals, in the office.
Dr Charles Kuntz gave such a great talk on Monday at the AVA conference, that SAT had to interview him. What I found particularly interesting as a general practitioner was learning how a great surgeon develops and hones their skills. 

Can you tell us about your day job?
I am a specialist veterinary surgeon. I try to improve the quality of life in pets and their owners when they present to me with serious (generally surgical) conditions. I have been a specialist veterinary surgeon for 18 years. I started and currently run a “boutique” veterinary referral practice which is growing by the day. My responsibilities are clinical, teaching, marketing and management. I love what I do and can’t imagine doing anything else.

What kinds of surgeries do you perform now and why are they challenging?
I perform nearly any kind of veterinary surgery. Really the only thing I don’t personally do is joint replacement. I leave that to my business partner and associate Dr. James Simcock. I do a lot of cancer surgery which means removal of large tumours. I have sub specialist training in surgical oncology and am an ACVS Founding Fellow in Surgical Oncology. 

I also really enjoy neurosurgery.  This includes removal of brain tumours, decompression of the spinal cord due to disc ruptures, decompression of nerve roots due to lumbosacral disease (which is like sciatica in people) and correction of congenital brain abnormalities. I find neurosurgery particularly enjoyable because it is very technical and requires a lot of concentration. Also, the results are usually great which is rewarding. 

I do a lot of orthopaedic surgery for ligament injuries in the shoulder and knee. I also do surgery for developmental diseases of elbows and hips. We don’t do much trauma surgery because of the good leash laws in Australia. 

I also really enjoy soft tissue surgery for urinary tract, respiratory and intestinal problems. Again, they are fairly technical and require a good knowledge of anatomy. If I could design my perfect surgery day, it would include a brain tumour removal, a lung tumour removal, a disc rupture, a shoulder ligament replacement and an adrenal tumour removal.  [Ed: My perfect surgery day would be WATCHING that!]

Dr Kuntz: good trainers keep training.
Were you always good at surgery? Did you always do something with your hands?
I was pretty good at surgery in veterinary school. I always found the technical part of surgery pretty straight-forward. The challenge for me has been learning the perioperative care - learning when to cut, how to minimise suffering before and after surgery and how to maximise the outcomes with good patient care. 

I have always done stuff with my hands. Early on, aged 10-14 it was taking apart radios and things, 18+ it was playing guitar and I have always enjoyed woodworking although I have been banned by my wife due to a stupid and pretty serious injury which occurred about 18 months ago. I was using a very sharp chisel and cut three tendons, two nerves, two muscles and an artery in my left hand. I had three hours of microsurgery and was operating again (against doctor’s orders) 48 hours later. I was what was called a “very motivated patient” with respect to physiotherapy and have had an excellent recovery with no residual deficits. 

How does someone become an expert in surgery? 
The most effective way to become an expert in surgery is to do an internship, surgical residency and specialisation. A residency is a 4-5 year program which involves extensive training, supervision and examination under the guidance of other established surgical specialists. During my residency, I experienced long hours and performed about 1,000 surgeries. 

I read thousands of articles and about a dozen surgical textbooks, on which I had intensive examination. I also did a Master’s degree at the same time and published several articles. Even with all that training, I was most certainly not an expert when I was finished (although I thought I was). In the 18 years since the completion of my specialisation, I have continued to learn actively every day by observing other surgeons on youtube and in human hospitals, intensively reading the literature, continuing to publish and developing new techniques. 

One of the best things I have done to develop my skill has been supervising surgical residents. I have mentored two residents through their programs from veterinary school all the way through specialisation and currently have two more in different stages of their programs. Having residents around forces me to be consistent and honest in my approach to surgery. It also forces me to keep up with the relevant veterinary literature and to justify my decisions. 

That being said, I know of lots of great surgeons who have not done surgical residencies. It is much more difficult because the training has to be more self-directed and self-motivated. Resources can be hard to find and it can be challenging to go home and read for three hours after a big day in the clinic if no one is forcing you to do it. Continuing education is great in the form of attending lectures and reading articles and textbooks. Also, one must be completely honest with one’s self about successes and failures in order to improve. I had a mentor who said that no matter how well a surgery went, you should be able to pick three things you could have done better. You should never settle for “good enough.”

Why is it important to do things differently when you can? 
It is always important to constantly question what you are doing and to never settle for status quo. I am always challenging myself to improve my technique. I never accept that the current way of doing something is necessarily the best way. I try to keep up with the veterinary literature and always question if there might be a better way. 

What continuing education/training do you do?
The most rewarding continuing education I do is training surgical residents. I have been really lucky with the residents I currently have in that they are really hard-working, clever and technically gifted. They are also really great people to be around. We always have a laugh at work. I also try to foster an atmosphere where they can challenge me and are welcome to question my decision making. They do not accept “Because that is the way we have always done it” as an answer. 

We also have interns which are graduate veterinarians who are hoping to specialise in some discipline. They are usually with us for a year. We have been really lucky in getting our interns placed in residency programs. I am an academic associate with several veterinary schools and frequently have veterinary students at our practice. It is really exciting to have these young and enthusiastic people around who are looking for guidance in their careers. I especially enjoy recognising that “spark” in a few of our students that suggests that they are going to be the leaders in veterinary medicine in the future. 

I lecture frequently locally, nationally and internationally and find this aspect of continuing education enjoyable. I try to make my lectures practical and fun, and try to inspire people to be the best vets that they can be. I also do newsletters monthly which are both educational and provide marketing for our practice. I also do continuing education every day with our referring vets. I try to make cases a learning experience for them in hopes that they can carry some of the information that they learn from the case at hand onto their future patients. 

I also actively teach nurses and encourage them to ask me questions in surgery and in the treatment room. It is important that they understand the decisions we make. Again, “Because that is the way we have always done it” is not an acceptable answer to their questions. I have a very active youtube channel with around 90 videos. We have had around 200,000 views from 183 countries. It is rewarding to me to have vets in developing countries watching and learning from our videos in an attempt to provide options for their clients when referral is not an available. 

You recently incorporated a 3D printer intp your practice – how do you use it? 
I love technology. I incorporate new technology into my practice any way I can. One of our latest acquisitions has been a very high-quality 3d printer which was partially supported by a grant from Royal Canin. With it, we can easily print plastic bones of patients which have been scanned on our CT scanner. We can use these bones to practice a surgical procedure (like fracture repair, tumour removal or repair of a congenital bone abnormality) on a patient prior to the actual surgery, pre-contour plates, better explain a disease to clients and referring vets and use as a marketing tool.

What resources can you point readers to?
Veterinary Information Network is a great resource for vets who may feel isolated in private practice. It is a subscription-based service which allows searching of forums on discussions in numerous different fields (like neurology, orthopaedic surgery and soft tissue surgery). If you are feeling brave you can post your own questions and have several responses within 24 hours from experts in the field. There are also proceedings from conferences and access to abstracts from veterinary publications. 

We have the SouthpawsVet youtube channel which has around 90 videos of different surgical procedures [Ed: I am watching these as soon as I get home from AVA!]. There are also thousands of human surgical videos on youtube which may provide some ideas for treatment options. Specialists are also a great resource because we are expected to keep up with our area of expertise. 

We welcome questions from primary care vets whether they are about potential referrals or about general knowledge. I also read medical history books and biographies because they inspire me to advance my abilities and sometimes give me ideas on how I can better treat my patients.

Are there any non-humans in your life and what have they taught you? 
We have two very silly male black Labradors. They live for the moment, love unconditionally, are not embarrassed about being really excited and are extremely loyal. They don’t stress about the future and don’t seem to worry about the past. I really admire those qualities about them.

Thank you Dr Kuntz for taking time out of your schedule! We're truly inspired.