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Premium Content — Featured Columnists — Patty Khily Unleashed

VCPR 101, and why it's ancient history

VCPR 101, and why it's ancient history

May 7, 2026

By Patty Khuly, VMD, MBA

we can now establish VCPRs online in California or Florida, but the new definitions for the VCPR make it harder for all veterinarians to get into trouble for issuing refills without physically re-examining patients—even for those they might have examined as recently as the day before.
The trouble with veterinary practice prices

The trouble with veterinary practice prices

April 1, 2026

By Patty Khuly, VMD, MBA

What I’m now starting to understand is our clients are almost always keen enough to know individual veterinarians are seldom at fault, personally, for the economics in play. Nevertheless, our everyday critics (our clients, that is) are evaluating our professional behavior and expecting better from people who purport to care about animals.
Why relief work is the vet equivalent of a rideshare driver

Why relief work is the vet equivalent of a rideshare driver

February 18, 2026

By Patty Khuly, VMD, MBA

Since the pandemic, in fact, some of us have seen more relief workers come and go than in the entirety of our pre-pandemic careers. Perhaps you’ve been relief-curious, wondering why taking on temporary work assignments seems so attractive. Maybe you’re even considering becoming a lone wolf yourself.
Eight annoying new client questions and demands

Eight annoying new client questions and demands

January 7, 2026

By Patty Khuly, VMD, MBA

Honestly, there’s not much more we can do except behave empathetically, even when we want to throw our stethoscope across the room and storm out. Indeed, after my third ivermectin conversation last week I nearly lost it. The pause was long and uncomfortable but I recovered and explained the research. I even invited them to hit up Chat GPT for advice on the subject.
What do you tell clients who complain about prices?

What do you tell clients who complain about prices?

December 16, 2025

By Patty Khuly, VMD, MBA

Sure, it’s complex, multifactorial, and not any one individual’s doing. I get this, but I absolutely believe it will be our profession’s undoing. Moreover, it’ll happen partly because we as veterinary professionals have all been at least a little guilty of willingly participating in the process.
'How' (not 'will') AI replaces veterinarians

'How' (not 'will') AI replaces veterinarians

November 12, 2025

By Patty Khuly, VMD, MBA

Much virtual ink has been spilled on the subject of AI’s threat to our professions. Whether we’re discussing computer engineering, accounting, or the allied medical professions, the promise of change is upon us. Artificial intelligence has substantially changed us already. The question is: Will it merely alter our job descriptions…or pull the rug out from under us altogether?
From Marlboro Men to Barbie pink: the gender flip in vet med

From Marlboro Men to Barbie pink: the gender flip in vet med

September 17, 2025

By Patty Khuly, VMD, MBA

We all know it’s true: Some clients won’t take advice from women the same way they would from men. Within the profession, gender balance might even help alleviate burnout: With more diverse problem-solving approaches, team dynamics improve, and everyone’s burden gets lifted.
We don't like mutts, and I cannot lie

We don't like mutts, and I cannot lie

July 10, 2025

By Patty Khuly, VMD, MBA

You know this is true: The purebred bias is our profession’s dirty little secret. We love our purebreds for lots of reasons, but if we are honest, we know it is because they make our profession what it is today—lucrative, for sure, but also challenging and exciting. Nothing satisfies my inner nerd like a Norwegian Forest cat from the Ukraine with all his IBD, cardiomyopathy, and LPLs.
Top 10 life hacks for veterinarians courtesy of an AI bot

Top 10 life hacks for veterinarians courtesy of an AI bot

May 29, 2025

By Patty Khuly, VMD, MBA

No tool has afforded me so many insta-hacks as ChatGPT. This and other AI bot-based tools are every industry’s most conspicuous work hacks, but they’re still undoubtedly under-leveraged—especially in red med. In fact, I can promise if you are not using it every day you are definitely missing out.
Big vet energy, fading fast

Big vet energy, fading fast

April 24, 2025

By Patty Khuly, VMD, MBA

The only photo I have on my desk at work is one a classmate snapped during my field service rotation 30 years ago last month. Dinosaur that I am, it was one of those pictures you print at the drugstore photo lab in doubles to give away to your new colleagues at graduation. In it, I'm cradling a Pygmy goat kid…and I'm beaming. It exudes "big vet energy" in the best way possible. Everyone has a picture like that—one that captures their veterinary essence in peak bloom. It represents the moment you first recognized yourself as a real veterinarian. It says, "This is what I am. This is what I do. I was made for this." If your version of this picture isn't already on your desk, it probably should be. It will keep you grounded and inspired, humbled yet exultant. When things go wrong, it'll soothe you to recall why you made the choices you did. When everything's just as you think it should be, it will boost your mood all the more. Ironically, though, it is this photo that made me realize I was ready to end my career as I knew it. Sitting at my desk, crunching …
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