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400 - That's Bad Advice
4th June 2026 • The Cone of Shame Veterinary Podcast • Dr. Andy Roark
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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!

Transcripts

Speaker:

Welcome everybody to the Cone

of Shame Veterinary Podcast.

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I am your host, Dr.

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Andy Roark.

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Guys, it is the 400th episode

of the Cone of Shame Show.

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400 episodes.

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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

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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

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Cone of Shame show, and we talk about

that a little bit here at the beginning.

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, It was kind of a lark.

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I had this idea for a conversation that

I wanted to have that I thought would be

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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.

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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

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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.

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And again, I don't think people mean

it that way and I don't mean to be

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harshly sort of judgmental of them, but

I do think when you're saying that, I

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think, I think you really have to keep

your own counsel about, about what you

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do because you love it and what you.

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sort of mark off for

yourself, if that makes sense.

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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

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around and, and sort of like to praise

ourselves and, and not naming names.

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Okay.

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dr--andy-roark-_1_03-06-2026_162143: okay.

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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

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back when you're like, I love this job.

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I love it.

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I want to do it forever.

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You know what I mean?

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And this is a calling.

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People go, yeah.

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But also there's, there's a flip

side to that, you know what I mean?

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Like, you can only, you can only, you

can only take that so far of like,

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this is, this is what I'm all about.

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And then people are like, well, we

need, we need you to be all about

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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

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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.

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