VPN Plus+ ExclusiveVCPR 101, and why it's ancient historyMay 7, 2026By Patty Khuly, VMD, MBAwe 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.
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VPN Plus+ ExclusiveThe trouble with veterinary practice pricesApril 1, 2026By Patty Khuly, VMD, MBAWhat 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.
VPN Plus+ ExclusiveWhy relief work is the vet equivalent of a rideshare driverFebruary 18, 2026By Patty Khuly, VMD, MBASince 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.
Hell hath no fury like a vet with 'senioritis'February 5, 2026"To some extent, this version of volunteerism, what I’m alternatively calling “veterinary senioritis,” is possibly why so many veterinarians have turned to relief medicine. The power to say “no” is a tremendous antidote to what ails many in our profession."
VPN Plus+ ExclusiveEight annoying new client questions and demandsJanuary 7, 2026By Patty Khuly, VMD, MBAHonestly, 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.
VPN Plus+ ExclusiveWhat do you tell clients who complain about prices?December 16, 2025By Patty Khuly, VMD, MBASure, 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.
VPN Plus+ Exclusive'How' (not 'will') AI replaces veterinariansNovember 12, 2025By Patty Khuly, VMD, MBAMuch 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?
VPN Plus+ ExclusiveFrom Marlboro Men to Barbie pink: the gender flip in vet medSeptember 17, 2025By Patty Khuly, VMD, MBAWe 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.
How to handle the very 'worst' days in practiceSeptember 3, 2025"If you are even in need of a helping hand and a shoulder to cry on, help is to be had. Never forgo the help of a colleague, friend, family member or professional ... Nothing is ever so bad it can’t be managed."
VPN Plus+ ExclusiveWe don't like mutts, and I cannot lieJuly 10, 2025By Patty Khuly, VMD, MBAYou 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.
