Trading Secrets - 238. Dr. Josie Horchak: Stepping away from owning her own clinic to rewriting the pet-care model, everything YOU need to know about the veterinarian career path, advice for pet owners, and the $$$ behind it all!

Episode Date: June 9, 2025

This week, Jason is joined by  veterinarian, entrepreneur, and podcast host, Dr. Josie Horchak! Josie has over 15 years of experience in the vet field and is a renowned vet for the exceptional care ...she provides her patients. Most recently, Dr. Josie stepped away from owning her own clinics to focus on providing quality concierge vet services to a smaller group of clients in Nashville with her company, The Concierge Vet. With this company, she offers at-home wellness and sick visits, telemedicine consults, and more, all at the comfort of the patient's home. In addition to work as a vet, Dr. Josie added podcast host to her resume when she started In The Vet’s Office.  Dr. Josie opens up about her journey through the demanding world of veterinary medicine—from the years of schooling and financial investment it requires, to the lesser-known pay gap between vets and human doctors. She breaks down the typical career path in the field, the emotional and physical toll it can take, and what truly drives someone to choose this profession. Dr. Josie also shares what every pet owner should understand before stepping into a clinic, the difference between owning a practice and working in one, and how she built her own concierge-style pet care model. She discusses turning her anxiety into a strength, why pet insurance is a must from day one, and the overlooked importance of dental health in animals. Plus, she offers heartfelt advice on navigating tough end-of-life decisions for pets and answers listener questions on all things furry and four-legged from the Money Mafia community. Dr Josie reveals all this and so much more in another episode you can’t afford to miss! Host: Jason Tartick Co-Host: David Arduin Audio: John Gurney Guest: Dr. Josie Horchak Stay connected with the Trading Secrets Podcast!  Instagram: @tradingsecretspodcast  Youtube: Trading Secrets Facebook: Join the Group All Access: Free 30-Day Trial  Trading Secrets Steals & Deals! This Is Small Business Podcast: If you're plotting your next move — maybe launching that side hustle, scaling a business, or pivoting hard — go check out This Is Small Business hosted by Andrea Marquez. Season 6 is all about entrepreneurs who took massive risks to build something real, and is live right now on Apple Podcasts, Spotify — wherever you listen. Northwest Registered Agent: Northwest is your one-stop business solution. Get everything from formation paperwork to custom domains and trademark registration-all in one easy-to-use account. Don't wait, protect your privacy, build your brand and set up your business in just 10 clicks in 10 minutes! Visit www.northwestregisteredagent.com/tradingsecrets and start building something amazing! Open Phone: OpenPhone is the #1 business phone system that streamlines and scales your customer communications. It works through an app on your phone or computer, so no more carrying two phones or using a landline. No missed calls, no missed customers. For  20% off of your first 6 months, head to OpenPhone.com/tradingsecrets Indeed: Speed up your hiring right now with Indeed. For a $75 SPONSORED JOB CREDIT to get your jobs more visibility at Indeed.com/SECRETS 

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Starting point is 00:00:00 Welcome back to another episode of trading secrets. Today we are joined by a veterinarian, entrepreneur, and podcast host, Dr. Josie Horchek. Dr. Josie has over 15 years of experience in the vet field and is a renowned vet for the exceptional care she provides her patients. Most recently, Dr. Josie stepped away from owning her own clinics to focus on providing quality concierge vet services to a smaller group of clients in Nashville with her company, the concierge vet. With this company, she offers at home wellness and sick visits, telemedicine, consults, and more, all at the comfort of the patient's home. In addition to her work is a vet. Dr. Josie added podcast host to her resume when she started in the vet's office that was picked up by the premier
Starting point is 00:01:00 network with Bobby Bones in 2024. We are going to learn all about the career of a veterinarian and discuss various tips and tricks to help you with your pets in the most cost-effective ways. And I was actually just on her podcast. So you're going to have to tune into that. Dr. Josie, thank you so much for being on Trading Secrets. Thank you so much for having me. I'm excited to be here. Yes. As a new pet owner, obviously rescued my boy from Wags and Walks. I have, I don't even need these notes. I have a million questions. But I will do what we do best here. I'm going chronological order. Okay? I know right now in the vet space, my understanding is that the amount of vet students that are pursuing this career has decreased and there's a little bit of shortage
Starting point is 00:01:40 with vets in general. We'll get into that. Before we do, you were a bachelor's degree in pre-med at University of Dayton and then you went to vet medicine school at the Ohio State. Go buck guys. Go back guys. Question for you there. How many years of school do you have to go to be a vet and what did it cost you as far as total school dollar amounts. Oh, gosh. Hitting me with the hard questions. Right early. Right and early. I love it. So to be a veterinarian, you do four years of undergrad, and then you go on to do four years of your doctorate, which is your DVM. From there, you have the option to specialize. So just like human medicine, you can go on and do a residency, whether you want to be an internal medicine specialist, a surgeon, ophthalmologist. We have all of those specialties,
Starting point is 00:02:27 just like humans do. And that's another roughly like four to five years. Okay. So very similar to human medicine. I did not pursue a residency. I went right out into general practice. So eight years in total with college and my doctorate. Eight years. So I'm going to guess a couple hundred grand of students. Like, is that what it is? Yeah, a couple hundred grand. I got into multiple vet schools and I am from Indiana. So Purdue is my in-state school. I did not want to spend my 20s in West Lafayette and Indiana. Fair. And I may or may not have followed a boy. It happens. And so I decided to go to Ohio State for vet school. Columbus is an amazing city, by the way. Such a well-cup secret. Yeah. Maybe not so much a secret anymore. And the difference, if I had gone in state,
Starting point is 00:03:14 it would have been 25K a year. Going out of state to Ohio State was $84,000 a year. Damn, that's a big difference. Huge difference. That you really, you don't realize when you're 25 years old. and so my parents were wonderful after after your first year at Ohio State they allow you to get residency and then you can pay in-state tuition and so my parents said okay if you really want to go there like this is a huge financial decision
Starting point is 00:03:37 that has consequences will help you with the three years of in-state school but you have to pay the difference for that $84,000 out of state so gotcha all right so I mean 84,000 then it goes down let's say to 30,000 ish so you're talking to yeah around 200 $250K that's just for the med school Yes. Most veterinarians leave vet school with around $250,000 in debt.
Starting point is 00:03:58 Okay. When you get out of vet school, and I know you had a very entrepreneurial path, we'll talk about it. And for all my dog owners or pet owners out there, we will get into all the specific, especially at the end of the episode. I'm going to read off questions you guys submitted. So you're going to get all the insight. But I also want to dive into the track. When you finish vet school, what is your typical, like some of your peers and yourself, what do you make right out of school? It varies widely. It's starting to go up. more, but it's a fraction of doctors. Did not know that? Yes, a fraction.
Starting point is 00:04:28 I would think it's more. No, we leave with the same amount of debt and we make a eighth of what they make. Give me an example. So, for example, I graduated from vet school and I made $85,000 my first year out. That is insane. Most MDs are making $500K. That is wild. As just starting. And what year was that that you're making $85,000?
Starting point is 00:04:50 I graduated in 2017. So we're not talking about like 10 or, you know, that's obviously there's been inflation since then, but that's like 100 grand. Okay. And that is pretty standard, that amount? That was standard for then. That was honestly pretty great for then. Yeah. And so now if I have a new associate, I'm typically paying them, they're making six figures, but probably like 110, 115. And that's in a major urban area. Fascinating. Okay. I have a million questions. Here's where I'm to start. So you graduate school, you make 85,000 a year. I had a preconceived knowledge that getting into vet school was actually harder than getting into med school. Is that correct?
Starting point is 00:05:28 That is true. Why? Well, A, there's only, at least when I applied, there was 26 vet schools in the whole country. So the ability to get into vet school, there's just such a dramatically fewer options. Med school, I mean, gosh, there's hundreds, hundreds of med schools. And I think, you know, you have just as many applicants, and so it's really competitive. Okay. There's just a lot of information in detail we have on this space. The U.S. VET Services market is a substantial industry in the market reaching 66 billion in 2024.
Starting point is 00:06:00 And I'll talk about some of the compound annual growth we're seeing in the industry, which is what's attracting some of the big companies to want to get involved in vet services. Before we get into that, talk to me about your typical career track. You know, we've had big athletes on. We've had investment bankers, entrepreneurs, reality stars. We always talk about what it looks like. So you get out of school and you're making the 85K, you obviously did things different. But what is like your standard blueprint career model for a vet?
Starting point is 00:06:26 Do they work their way up to the practice and then become a partner, like almost an accountant, a lawyer? Like what does that track look like if you're typical vet takes the typical blueprint within their career? I think that's a really great question because there's not really a clear cut track for every single veterinarian. I would say the majority in A, just to preface this, most veterinarians don't have. a great business acumen. I'll just generalize that. And so really the whole focus is let's go to vet school. Let's get out and let's be a veterinarian.
Starting point is 00:06:54 And from there, I don't think there's a whole lot of forethought, okay, what's my life going to look like 20 years from now? As far as how am I going to work my way up? Because there aren't a ton of options to do so. Usually you get into a practice. You work as an associate. If it's privately owned, then you can have the option to potentially buy in and be a partner.
Starting point is 00:07:12 Okay. Most practices these days are corporate, in which case you could probably work your way up to being a medical director. Okay. So if you work your way up in that regards, there's obviously different tracks. It seems like there's boutiques where you, again, you can work your way in buy-in. But there's also some of these big corporates like a band field, right, where it's owned by PetSmart. To me, it feels like... They're owned by Mars. Mars, okay.
Starting point is 00:07:38 Yeah. Which Mars is here, right, in Nashville. So I don't know. I think about like pharmacists, like they'll go to. like Walgreens or, you know, they'll go to CVS. If you're in the vet space and you go to one of the big corporates, like a band field or they're everywhere, do you get paid more or less? Typically, you get paid more.
Starting point is 00:07:55 Okay. These big corporate companies have a lot more resources on the back end. So for us, as veterinarians, that is a perk that you're going to get a signing bonus usually and you're, and not always. I mean, there are some private practices that pay very, very well. But if I had to say, corporates tend to pay more. their staff and their veterinarians. That checks. That makes sense. It makes perfect sense. Okay, so they're paying more in corporate. I think it makes sense. It's kind of like,
Starting point is 00:08:20 if I even bring it to like the influencer model, some of the big, like very desirable brands, like Gucci and like all the places people like would love to have their name associated with, they pay way less than like what a, I don't know, I just did a Ziploc deal, what a Ziploc company might pay. So it makes sense. It's the same in a lot of industries, but also different. Let's talk about your track. So your associate veterinarian at Blue Animal Hospital in Chicago. We talked about 85K. After one year, now this I find fascinating. After one year you left and you went to Boulevard veterinarian in Chicago also as an associate veterinarian. Now we talk a lot about career tracks how like you have to zigzag these days. Within one year you left and went to another
Starting point is 00:08:57 spot. What was like the career thought process there? Well, Blum Animal Hospital is an amazing practice. It's like Blum, right? Blum. Okay, I had it as blue. So Blum Animal Hospital. Okay. And they were a staple in the downtown Chicago veterinary community. I mean, it's been around forever and just a really massive. I think when I was there, there was nine veterinarians. And for me, when I was graduating vet school, I said, I want to go somewhere where I'm going to get really great mentorship. And I went there and I got that.
Starting point is 00:09:28 I mean, the best veterinarians, one of my mentors is very well known. She lectures around the entire country. So I couldn't have picked a better spot as far as that goes. And then from there, once I kind of got my feet, underneath me, I felt really comfortable with practicing. I said, you know, I think I'd like to go somewhere that's a little bit smaller, just not as large of a practice. And Boulevard was fairly new then. It's also a private practice in downtown Chicago. I met their owner and founder, Dylan, and we became friends and then decided to make the move. Okay, so you made the move. It sounds like
Starting point is 00:10:00 personal reasons, also culture. Do you get a big pay increase when you make a move like that? At that age, only a year out of experience, it wasn't as substantial as you would think. I think. Okay. So like, I don't know, 100-ish. I'm probably making like 95K at that point. Okay. When vets are working, especially as an associate vet, like you're not running the whole show, I've heard a lot about commission structures and bonus structures. Were you in your time not owning, but also being an associate vet, were those in place? And what do those look like? Funny enough, most practices do pro-sale, so production and salary. So once you make your salary, you get a percent of production on top of that. So I understand that for the listeners back home.
Starting point is 00:10:45 Let's just say you're paid $100 grand. You have to then do $100,000 in revenue to the company. When you do $100K of revenue to the company, you can then make a percentage above that based on the revenue that you achieve. That's correct. So as a result of that, though, aren't you always then incentivized
Starting point is 00:11:02 to prescribe something that would cost more? This is such a great question. I'm glad you mentioned it. because I always hear, you know, veterinarians are trying to upsell me or they're selling any things that I don't necessarily need, which I feel like we'll probably dig into a little bit more. But I can say I've been working,
Starting point is 00:11:20 I started working in a vet hospital and I was 15, so 20 years ago. I have never worked in any other field. I've worked with hundreds of veterinarians. I have never, I don't think ever once encountered a veterinarian that is selling something that isn't necessary for the pet or doing so in order to like make production. Yeah, I think it's a good plug for all.
Starting point is 00:11:38 vets out there. I don't think, as someone who knows nothing about the industry, my heart tells me, people do not go through four years of undergrad and then four years of veterinarian school when they could be doing other areas in medicine. And obviously, they have the skill set, aptitude, acumen and brain to do it where they could be making more and then go down the route of being a vet for money. It doesn't feel like money is an incentive for vets given their care, love, respect for pets. Like, I don't think you go in this space to make, if you can make money, great. But you don't go when this is a money motivator. Yeah, absolutely. I mean, this is just not a field where you're going to get rich. It's just not. Yeah. So, I mean, maybe there's a few that have,
Starting point is 00:12:17 but for the majority of us, we do it because it's a work of the heart and we love the animals. And so I hear what you're saying. And I guess that, you know, I think the general public probably does feel like, oh, well, if they're making production, are they just telling me I need these x-rays when I really don't need these x-rays? And I would say, I'm sure there's a bad apple in the bunch, but 99.99% at a time, we are making recommendations because that's really what's best for your pet. And as the employer, you have to think, how am I going to incentivize my employees? I mean, it's kind of like a, yes, we deal with of, okay, the general public is worried about their veterinarians getting production, but it's the same as human medicine as well.
Starting point is 00:12:53 I mean, they also get paid on production. They do. So doctors get paid on production. Absolutely. Did not know that. Yes. All right, as a consumer, what should we then, I mean, if I'm a consumer and I'm bringing my dog to the vet, and I know in the back of my head, the number one thing,
Starting point is 00:13:06 I care about is my dog's health. That's number one. The second thing I care about is equitable, I guess, service, if that makes sense. What are things that I should know or I should do or I should ask if I feel as though maybe production is playing into some of the decision making? Because I think it's fair for our hearts, like I'm saying, there's no way vets go into this business to be charging us more. But at the same token, I'm like, they're incentivize to. So as a consumer, how do I prepare myself or what tools should I have in those situations? I think it's important to ask why. Why are you recommending this? I think that's fair. And we can ask that all the time and we're not going to take offense to that. That's our job is to kind of help educate you on why we're recommending
Starting point is 00:13:49 certain tests or vaccines or whatever it may be medications. So I think asking why is really important. I think it's really important to find a veterinarian that you trust. So that may take a little bit of searching. It's kind of like finding a therapist. Like sometimes you have to shop around to find the right one and not all personalities fit every exact expectation, but finding someone you trust and asking why, I would say it would be the two things I would recommend. Okay, great advice. We're going to get into your next stop,
Starting point is 00:14:16 which is very entrepreneurial, and I'm so excited for that. Before we do, I don't want to pass this as we're talking about students and vets and the compassion and empathy we have for vets out there because I read, and this topic is a little bit morbid but it's real. I read an article this morning,
Starting point is 00:14:32 Not only has past research shown that veterinarians have a higher PMRs from suicide, but a recent survey of 11,627 U.S. veterinarians also showed that vets were more likely to experience current and serious psychological distress, having a history of depression, having experienced suicidal ideation compared with other types of professions in the medical field. These are numbers that are coming out now. We're seeing this whole area change a little bit. there's a lot of articles about vets being worked too much. I just wanted to get your take on the industry from someone who's in it.
Starting point is 00:15:09 Maybe the why or just your overall state of the union when you hear something like this. Yeah, I think it's real. The compassion fatigue that veterinarians face is real. I've seen it firsthand. And burnout is definitely happening within our field. I can name a couple veterinarians that I know that have committed suicide. And so you hear these same. stats and they are, you know, to all of us just stats, but it's definitely happening. And so
Starting point is 00:15:35 I think the why, gosh, there's a lot of factors in it, but I think people have this misconception that veterinarians play with puppies and kittens all day long. And sure, that happens maybe 5% of the time, but the other 95% of the time is, you know, you think you see a new person every 20 minutes with their pet. This person is probably pretty stressed out because they're pets sick. So you have to, in 20 minutes, go in, build rapport. You have to recommend certain diagnostics. They're asking you why, which is well within their rights. You have to convince them to do it. Then you have to do the diagnostics, come up with a treatment plan, get them their meds, get them out, and then 20 minutes later, you're doing the same thing. And maybe 20 minutes after that,
Starting point is 00:16:15 you're euthanizing. And maybe 20 minutes after that, it's a new puppy. So it's a very grueling. And if you do that 10 hours a day, five days a week, it can be a really taxing job, I would say. And so I think that that probably contributes a little bit to it. The other part in this is that unlike human medicine, we have patients that we know we can treat. They come in, let's say, with diabetes. We know how to treat diabetes. But maybe the client doesn't have the means to do that
Starting point is 00:16:43 because insulin costs money or because they can't medicate their dog for whatever reason. And so we have to euthanize these pets to maintain. I mean, they would have a terrible quality of life if we didn't treat them. And so I think that can be really taxing on veterinarians as well, knowing, hey, I can treat this pet, but for whatever reason, we're not able to. And so, you know, that's the alternative is euthanizing them. Yeah. In your eight years, have you experienced any type of, like, mental setbacks from the occupation? And if so, what it look like?
Starting point is 00:17:13 You know, I'm a naturally very, like, anxious person, I would say. So I think, and that's probably what makes me great to some extent. Sure. It's like a superpower, too. It is. Yeah. So, you know, I deal with a little bit of anxiety. But I've been lucky in that, you know, I have a great support system outside of work.
Starting point is 00:17:29 I have really prioritized my work-life balance as best as I can. So I've been lucky in that. I haven't dealt with it as much as others have. But it's definitely, you know, there are some days you come home and you just, you've got nothing left to give. I just want to lay in bed like a vegetable. I've been talking and dealing all day long with. And I'm sure our human doctors feel the same way that work in the ER and it's very similar. Yeah.
Starting point is 00:17:54 Well, thank you for your work. I'm glad that you have powered through and continue to have a lot of success on a more positive note, a cool business move you made is you go from associate vet. You're then in that role for three years at Boulevard Veterinary in Chicago. You're an associate vet for a year. We already talked about that blum. So now you got, it's like three, four years under your belt and you decide to start your own practice. Talk to us a little bit about what that looked like. You know, you're an owner and a medical director. You know, just give us the, that's a huge transition. what was like the business case behind it, what it looked like. How much of it did you own? How much did you raise all the questions? So I, my husband and I decided to move from Chicago to Nashville in 2020. And I loved Boulevard. For what? I'm just, as someone that's in Nashville, what drove the move? Yeah, my husband's job. Okay, got it. He was like, we can move to Miami. Yeah. We can move to Nashville or we can move to Austin. Like, you get a choose. No state income tax. In all three. Yeah. I see that. Tax purposes. I was like, I don't know. We didn't know a soul in Nashville. Yep. Had never been, but we just, I like horses.
Starting point is 00:18:54 And it wasn't too far from home, so we chose Nashville. You could just drive up than freaking Chicago. Exactly. You just go. So best decision we ever made. And if I had stayed in Chicago, my plan would have been to have been a partner at Boulevard. I really loved that practice. They do such amazing work.
Starting point is 00:19:10 And then coming here, I said, well, now what? Sure. So I decided I'm going down the path of opening my own clinic. At the time, there was a startup that would be majority owners. They would own 51% and kind of, of take care of the back of house administrative stuff of a hospital. And so that really takes a lot off the veterinarian's plate. It's kind of like a hybrid model where the veterinarian still has ownership, but you've got this startup that deals with all of the administrative stuff that vets
Starting point is 00:19:39 really aren't great at. And so I decided to partner with them, opened up two hospitals here in Nashville. And can you share the name of them or no? I'm probably not. Okay. It's a fast. So that business concept. You already said vets don't have a ton of business acumen. So essentially you give 51% of the company to an operator and they focus on all the business stuff. You continue to be a vet. They run the business side. Exactly. Interesting. And this is a model that is it just done in Nashville or all over the country? There's multiple companies now that are doing it. Okay. Fascinating. So when you do that, you get 49% do you also have to contribute startup capital? You do. Okay. I'm sure every place different. I did. Yeah. Can you share how much you had to contribute? It was a lot. Like more than
Starting point is 00:20:28 a more than a half million? A little bit less than that. Okay. So that's what you started up. You get 49%. You now own your clinic. What's the hardest part about owning your clinic versus working for a clinic? Oh my gosh. Managing people was a big challenge for me. I love my team. I love working with all of my associates and my nurses, but just dealing with the nuances of different personalities and how some people respond to different feedback than others. Like, you don't learn that in vet school. I mean, I can talk to dogs and cats all day long. When it comes to managing people, it was really a huge learning curve for me. Interesting. Did you ever have to hire any vets or were you the sole vet? No, when I left, there was five of us, five veterinarians. I had a staff of 25. Five. Oh, my gosh.
Starting point is 00:21:11 Do you hire them just out of school or from other vets? I hired, the majority of them were coming from other clinics. Okay. So, yeah, we had a team of, I think, yeah, 25. All women. Yeah. Oh, That's cool. I love it. That is badass. And I'm assuming you talked about starting salary, was it similar when you were hiring? Or has the market changed? It depends on their experience and how long they've been out for. And if they're part-time, full-time, of course. So it's gone, it has gone up a bit. So I'd say like 125, 130. Okay. Okay. Okay. Like average. Okay. All right. So you're an associate veterinarian for about four years.
Starting point is 00:21:45 You then own your own company. You partner with a startup. You own 49% of it. but then you go on to start your own concierge services. And we'll get into that and all the tips and tricks for my pet owners out there. They are coming. But you left your practice in which you own 49%. So from a business perspective, what happened there? You know, I think with any startup, there's always the peaks and valleys. Yeah.
Starting point is 00:22:07 Oh, yeah. I'm married to an entrepreneur who has done startup after startup. So I see it from all angles. And I think, you know, after growing it for almost three years, it got to a point where I said, I don't know that this is a great fit for me long term. Okay. And so then ended up selling my shares. At this point, they were private equity backed.
Starting point is 00:22:27 So sold my shares and decided to go a different route. Okay. So you go a different route. And when you sell your shares back, we already talked about, maybe it's around $500,000 or in that range. I'm assuming it was profitable, right? I left getting what I had put in, getting it back. Okay.
Starting point is 00:22:45 So it was kind of like a break-even model. It was a break-even for me. if I had stayed for X amount of years, and then we had sold, which was the plan, I would have made, I don't know, much more. 13 times EBTA. But you were just ready to, it was time. It was time for me to go elsewhere. It was time for you to go elsewhere.
Starting point is 00:23:02 Yes. When you, in this venture, which was three years, you obviously got your money back, which is great. You also paid a salary, though, while you're working, right? So in general, like cash flow-wise, it was fine for you, right? Yeah, exactly. No skin off my back. Yeah, no skin off your back.
Starting point is 00:23:16 Exactly. Okay. One thing I do want to ask and not specific to this deal. But from a business perspective, this is something I'm very aware of and something that some of the people back home might not be aware of. What's happening is not just in your instance, all over the country, private equity groups are seeing the profitability and the numbers within veterinary clinics and they are rolling them up everywhere. And I get it, especially when I did research on this industry. This industry has experienced steady growth with a compound annual growth rate of 4.7%. Essentially what that means is this industry is growing about 5% a year. The annual revenue per patient of $622 has increased drastically
Starting point is 00:23:54 from $499 in professional services. So you're seeing that the market's projected to expand to reaching $70 billion in 2029. All the numbers are showing that people are paying more. The industry is expanding and there's growth in it, which means eyeballs and money is spent in it. For consumers, though, with private equity, and I'm not talking about specific your clinic, all clinics. What are things we need to know that now private equity companies who are driven by profitability and growth that are running these clinics? Like, what should we know and what should we think about? It's, that's a really complex answer. Private equity, it's very similar to where dental was 10 years ago, I would say, maybe 20 years ago. Yes. The big roll-up strategy is happening.
Starting point is 00:24:41 And as a consumer, I don't know how much you feel. it as a consumer. I think the one thing that I hear clients say, and they call me and they say, hey, I need a concierge vet because this practice I've been going to for 10 years, something happened in the last two years. It just doesn't feel the same. It doesn't feel as personal. I feel like a number. And more times than not, they've been bought out by private equity or a corporate backed company. And so I think as consumers, they just start to feel a little bit like a number in a system. And that is at no fault of the staff working in these clinics. I mean, most veterinarians I know are working in corporate-owned clinics and they're amazing vets. But the fact of
Starting point is 00:25:19 the matter is when PE comes in, they want to maximize their returns. And the way to do that is to increase prices and to see more pets, increase the volume. And so there's only so much we can do as boots on the ground to kind of keep up with that and still maintain that rapport. And so I think consumers, they can start not right away, but over time, they're kind of like, hey, it just doesn't feel the same. Okay. So maybe if you're feeling, I'm thinking, if from my stance, standpoint, if I'm feeling there's been a change at the vet, maybe just asking some questions like, hey, like, do you guys still have full ownership? Is it owned by PE, et cetera, et cetera? Like, I can ask those questions, right? You can absolutely ask those questions. Yeah, I think, yeah,
Starting point is 00:25:56 that's fair to ask. Okay. All right. And there are some corporations out there that do a great job. Sure. And the bonus to them is that, you know, you do have more resources. So you're going to have great technology in your clinics. You're going to be able to pay, reimburse tuition for employees. I mean, there's some really great perks to it. It's not all bad. It's a really good point. In general, private equity, the idea is they will acquire to drive optimization and drive profitability back to the company. But hopefully the ideas that they're using their network, their skill sets, their resources, their tools to actually make the company much better as well. So as a consumer, we might see that in, you know, better X-ray machines, better, you know,
Starting point is 00:26:37 medicine. Maybe there's a facelift in the whole entire clinic, et cetera. So like you said, there's good and bad for all that stuff. I just think I guess a consumer things to be aware of. And if you start to see a change, maybe ask a couple questions. I think so. And I don't know that it's even that it would be an obvious tangible change is what I'm hearing consumers say. It's more of like a feeling.
Starting point is 00:26:55 I know that sounds silly, but the culture just seems to change a bit. Interesting. So, and I think that consumers, you know, we feel that. Yeah. And I'm sure I'm going to speak on some vets without being a vet. I'm sure, because I know business owners feel it when PE takes over because it becomes a little tougher. And I'm sure vets in some capacities also feel that because you're working more. It feels like you're maybe losing a little touch of like why you started here because it becomes so business
Starting point is 00:27:21 and corporate. So yeah, that's interesting. I think of anyone in BE is listening. Like I think it's important to remember, you know, to stay in touch and to talk to the people that are boots on the ground because they're the ones that drive it. They're the ones that make it go around. And if we don't reinvest in them or we don't listen to their concerns, like what's going to happen? Yeah. It's not going to be good. Exactly. All right, great advice. We're going to get into all the dog tips and tricks, especially from the perspective of a vet.
Starting point is 00:27:48 Before we do, got to talk about your concierge service. So then you exit that. Obviously everything worked out. You now have a concierge service, something I've never heard of ever before. The closest thing I've heard about something like this actually reminded me in my grandfather. He was an endodontist and did oral surgery. And he actually never owned a practice. He never, or he owned his own practice, but he never owned brick and mortar.
Starting point is 00:28:09 what he would do is partner with the actual dentist and then he would give them a larger kickback and do the procedure in their office, which I think is kind of cool. But talk to me a little bit about concierge pet services. That was very entrepreneurial back in the day. Back in the day, this was like, yeah, you cleaned up. Yeah, that's smart. Go Dr. Lenny, R-I-P. Really smart.
Starting point is 00:28:27 No overhead. Yeah, keep a lean and profitable. Yeah. Smart man. I left my last practice feeling, I guess, you know, you asked me, did I ever feel burnout. I guess this would be one point in my career. where it could say, yeah, I felt a little burnt out. And I did a lot of soul searching of what do I want to do?
Starting point is 00:28:44 And I have come to the conclusion that I love being a veterinarian. I love taking care of animals. That is my vocation in life. And I want to be able to do that. And I want to be able to offer quality care, really high quality care. And in doing that, like, you have to be able to spend the time with your clients to sort of build that report, to be able to, you know, answer their questions or if something comes up on a Saturday night.
Starting point is 00:29:06 And so I came up with this business model all on my own. I'm going to pat myself on the back. Brilliant. Let's go, Dr. Josie. And I just, you know, I mean, not all of my own, I will say. The human concierge medicine model is very similar. Sure. A little different, but similar.
Starting point is 00:29:21 And so I said, you know, I want to take the numbers changing. I want to take X amount of patients. And I want to give them really great quality of care. My clients are going to have my cell phone number, my personal cell phone number. They can call and text me anytime. If something's wrong with their pet, I'm going to go to their home. I'm going to see them in the luxury of their own home,
Starting point is 00:29:40 which is super convenient for them and stress-free for the animals. And they're going to pay an annual fee for this. And I wasn't sure about the annual fee because there are a lot of veterinarians that are mobile veterinarians that do go to people's homes and do what I do, but they don't charge that concierge fee
Starting point is 00:29:57 that human doctors do. And as veterinarians, we do get taken advantage of a little bit. We have people call us, if they're your client, They'll call you on a, you know, Friday night at 4 o'clock. Hey, what's going on? And they're not paying for that consult necessarily. So with this annual fee, it's like, you are a member of this, this concierge practice. And you've paid, you've paid for the annual fee.
Starting point is 00:30:20 You can call me any time with any questions you have. Okay. People are like, oh, gosh, do you think like you're going to get abused with this? Like, are people going to call? No, my clients are amazing. They really only call me if there's, like, a major issue. And so having that peace of mind is worth every penny for them. and it works out for me because now I'm not taking phone calls on a Saturday
Starting point is 00:30:39 and not getting paid for something that I went to school for a very long time to do. Right. Do you have any employees right now? I have one employee. One employee. We've been together since we worked together in Chicago at Boulevard. And then she came here. She helped me open my last practice. And now she works with me at the concierge vet.
Starting point is 00:30:56 She is amazing. She's like my right-hand woman. And do you own 100% of it? I own 100%. There you go. A little better than 49%. A lot better. One thing we talked about in your podcast was negotiating a little bit.
Starting point is 00:31:05 So I figured, let's at least have the conversation. Let's do it. So I'm not here all the time. I might be in New York. What would your annual fee be if I was here and then how could you pro-rate something for me? Okay. So glad you asked Jason. Let's talk.
Starting point is 00:31:18 Let's talk about recording. So with one pet, I recommend there's the platinum plan, which is $3,000 for the year. It includes all of their vaccines, their heart room tests, their blood work, their fecal, all of those annual wellness items that every dog needs once a year. Okay. In addition to that, all of your visits, all of my visits to your home. Sure. And then you can call and text me anytime.
Starting point is 00:31:39 Now, let's say you're in New York and Teddy hurts himself. Yeah. He hurts his paw. He's limping. You can call me. I can look at him on FaceTime. We can do a whole telemedicine visit. I can then call in medications to a human pharmacy.
Starting point is 00:31:51 So you don't even have to go to the vet in New York City to kind of save you that headache. I have a lot of entertainment industry, whether they're singers, a lot of country singers. Of course. So the other day I had a client who's on tour. Their dog was jumping out of the bus. He hurt his back. I was able to call into medications to Costco in the city that they were in. They picked him up.
Starting point is 00:32:11 Dogs doing great. So there's a lot of just making your life easier. Now, with you being gone and knowing that he may need to go see another vet in another city, I am totally open to prorating it. Okay. So I think what I've been doing for my other clients that I pro rate, they are dropping it to $2,000 for the year. Oh, interesting. Okay.
Starting point is 00:32:28 All right. You think about it. Let me think about it. It is more expensive than. A brick and mortar. Yeah, but you're also getting a convenience. Convenience. And not to mention, it does include a lot of wellness items.
Starting point is 00:32:37 And you're getting you. And you're getting me. But what do you do if like, okay, so everyone, let's talk about this. We're in a situation where when I rescued Teddy, he had some kind of hip issue from the jump. We've been all over it. And we still don't know exactly what it is. We got x-rays. He had to get sedated.
Starting point is 00:32:54 The vet actually thought they were, she just thought it was mild hip dysplasia. She's like, there's something going on, but I don't see anything else. The radiologist thought it was the ACL tear, which I know is not the right vernacular for dogs, but an ACL tear. Then we sent it to another radiologist, someone that you know, and he was like, I'm not exactly sure what he said that you had said you want to see Teddy. Then you were like the x-rays weren't done properly, so we've got to redo the x-rays. How if you're a concierge vet, do you do things like x-rays and stuff like that?
Starting point is 00:33:23 Like, where would it be done? So I rent an OR, so any surgeries I have to do. Kind of like your grandpa. I rent an OR at a private practice and then they also have x-ray machines if they have to have an abdominal ultrasound I have a specialist where we do it in your home most things can be done in the home
Starting point is 00:33:41 but anything that requires anesthesia or like an x-ray I do at a private practice this model's genius I like it, it's smart I'm sure it's more profitable and more convenient it creates a win-win-win right like this has got to be your most profitable venture so far yeah I mean gosh it's only we're eight months in so we're still in our infancy
Starting point is 00:33:57 but the overhead is definitely not as near as much. Yeah. And I think, you know, if it goes the way I want it to, yes, I think it will be very profitable. Okay. Amazing. All right. Well, for all my patient pet owners, we learned so much there. Now, we got to get into the selfish questions. Let's do it. These are the questions and we have a vet here right now to give us all the answers that we just otherwise wouldn't get. So I am going to just go right into some of the questions that were asked, and I want your perspective. All right. Question number one from the Money Mafia, Pet Insurance. there is a lot of noise about pet insurance.
Starting point is 00:34:32 Most people can't stand it. They don't cover anything that's outside major. Some people are for it. A lot of opinions. What's your take on pet insurance? Any tips you can give us? My tip is if you are getting a puppy or a kitten or a new dog, you need to get pet insurance immediately.
Starting point is 00:34:50 When should I get pet insurance? Yes, 100%. You should get pet insurance before you even see a veterinarian. Okay. The reason being is before you go, they don't have any pre-existing conditions, but now this limp with Teddy is a pre-existing condition. And so anytime Teddy limps going forward,
Starting point is 00:35:08 you're going to have a hard time getting that covered. Got it. So I strongly, strongly recommend the bottom line here is whether or not you go to a PE-backed clinic or a private practice, the cost of veterinary medicine is going up. And that's because our technology, we are getting better.
Starting point is 00:35:24 We're using technology that they're using in human medicine and that costs money. And so the cost of care is going to, up and really the only way for us to kind of help consumers with this is to get pet insurance. So very pro pet insurance. Okay. Very pro. Vaccines. I remember I talked about this on my, on your podcast with my other Goldens that I had back in the day, Rahman, he had got a vaccine and almost died from the vaccine. And so, and obviously that was a random allergic reaction. And this question came in from Kristen. It said, are pet vaccines actually necessary? Or are they more harm than good?
Starting point is 00:35:56 What's your overall take on vaccines for dogs? there are four core vaccines rabies the distimper parvo vaccine the bordatella vaccine which is kennel cough and the leptosporosis vaccine those are four vaccines that i give to my own pets and i recommend to every single one of my patients they are super duper important i there is really no case unless they have like life-threatening reactions to them that i wouldn't vaccinate for those okay and people say i hear a lot oh gosh like is rabies really a thing like my dog doesn't really go outside like what about rabies well i had a patient a bat got in the house the bat had rabies and the bat bit the cat wow so it happens i mean we see it and if humans get infected with rabies we die wow there is no treatment so i mean if
Starting point is 00:36:46 you go undiagnosed there's no treatment so it's not just for their health it's for our health too it's a huge public health issue as well okay great answer all right healthiest dog food brand and then additionally to this for senior dogs or like even a teddy when you have arthritis or hip issues, any type of treatments or supplements for arthritis. So first healthiest dog food brand and then supplements for like arthritis or like hip issues. The number one question I get asked as a veterinarian is what should I feed my pet? Yes. And I wish I could sit up here and say, feed them the raw food, feed them these like really cute boutique brands that are out there that have amazing marketing. But the fact of the matter is I don't feed those to my pet and I don't
Starting point is 00:37:25 recommend them. Interesting. So Kibble gets a really bad wrap. Yeah, it does. But Kibble is, if you choose the right brand, there's three brands I recommend, which are Purina Pro Plan, Royal Canaan and Hill Science Diet. They are all formulated with veterinary nutritionists. They are like very regulated so you know exactly what's in them. And they're well-balanced foods that are completely safe to give your pets. If you're like, I do not care. I am so anti-Kibble, I won't do it. And you want to feed fresh food, I really like just food for dogs or just food for cats. They do a great job and they also have a veterinarian on staff helping formulate them. Otherwise, anybody can call themselves a pet nutrition expert and put really cute packaging on it and targe you an arm
Starting point is 00:38:08 and a leg and tell you it's grain free and gluten free and you're going to pay way more for something that probably isn't as good. Interesting. Very fascinating. Okay, why does my dog's nose peel? Oh, that's so funny. I have a crusty nose peeling dog at home myself. You know, it's a, it's cartilage and it happens, whether it's weather change or kind of like if you have a crusty elbow, like it can just happen. So there's all different kinds of moisturizers you can put on there. I just put aqua for on my dog's nose. Okay. Interesting. Any of those tools as far as like deshedding or any of these things that we got going on, any of them, you're for or against? I mean, brushing is super important. I like de shedding shampoos. The fermanator, which I know we talked about
Starting point is 00:38:48 on my podcast. I have seen a lot of pets when they get fermanent. or de-ferminated, I don't know what the right verb is there, that that brush will cause micro tears in their skin, and then they can get infections in their skin. So I kind of stay away from those really harsh, metal-pronged, de-shedding tools. Okay. We talked about this already. Vets are paid a salary,
Starting point is 00:39:10 and then they're paid a portion of what they ring up from a sales perspective. Someone is asking specifically, like, what is the commission percentage that they get on that? I'd say that the average is probably around 20%. 20%. And you don't get 20%. on everything you generate revenue on. It kind of, it's usually professional services. Okay.
Starting point is 00:39:27 Forgive me if you said this. I'm just going back to it. Did you go to the arthritis supplement? Oh, I didn't. So I really love Dasequin. Okay. Great chondritin and glucosamine supplement that they can take. It's a chew.
Starting point is 00:39:40 They usually love the taste of it. And then Adequan is an injection, which is also great for joint health. Okay. And best choose, like, as far as like, what is your take on either choose and or treats or some of those, like, big bones, they'll sit and bite forever? What's your overall of that endorsement? I tend to steer clear of anything that's super hard. So hard bones, hard antlers, I would throw them in the trash
Starting point is 00:40:05 because I see so many dogs that fracture their teeth on them. And then I have to go in and take that tooth out, which is so much work, which we should talk about dentals if we're not going to. We will. And so I really like, there's a brand called Yomp, Y-O-M-P, and they make silicone toys and bones that are a little bit more gentle for pets to chew on, but they still kind of get that chewing sensation. So that kind of texture, at least I can put my thumb into it, it's malleable.
Starting point is 00:40:35 Okay. Kongs are great. Okay. Trying to think what else. Treats. I like Stewart's, freeze-dried beef liver treats. You can get those on Amazon. Yeah.
Starting point is 00:40:42 Okay. Zooks makes good treats. Do you, like feeding a dog, did you ever feed your dog human food? I wish I could say no. Okay. But sometimes I just look at me and I got to give them. A little piece of cheese. I mean, it depends on the pet.
Starting point is 00:40:54 Like, my dogs are really, they're very well-trained. And they're not going to sit there and, like, drool at the table. So I will give them a little bit. I don't ever do it while I'm sitting there eating. But it's like, okay, if I have a teeny little piece, I'll give it to them in their bowl. Yeah. But I don't recommend doing that on a frequent basis. Okay.
Starting point is 00:41:11 That's a good idea, too, to give it in the bowl as opposed to, like, feeding on the table. You talked about dental work and I got to jump on it now because I'm thinking about it. I remember dog clean, like an actual professional cleaning. dogs have to get sedated. And then if a dog has to get a tooth pulled, it's super expensive. So can you walk me through some of the dental health and the cost behind it? Yes, I can't begin to stress how important dental health is, A, because they don't have hands like we do. So everything they do, whether it's picking up a toy, giving you a kiss, eating their food, all of that involves their mouth, their teeth, their oral health in general. It also systemically, I've had some dogs with such bad,
Starting point is 00:41:45 and cats. I always leave out cats. Cats, this goes for cats too. Yeah, come on cats. We love our cats. Swift would love this. Exactly. These would call me. I've had them have such bad dental disease that it affects their blood work. It can affect their, yeah. I mean, you can see changes systemically from their dental health. So dental health is so important.
Starting point is 00:42:04 And I can't tell you how many times I go over a treatment plan or a quote with a client and they almost fall over looking at how much it's going to cost to do a dental. It depends. It varies. I would say roughly like a professional cleaning, you're probably looking at like $600, $700, $800. Damn, how much to pull a tooth? Twins on which tooth it is and how long it's going to take, but you're looking at like probably around the 1,1,200.
Starting point is 00:42:27 Okay, how do we, this is the, we talk about this financial transparency this podcast all the time. I'll go back to some of these questions, but how the hell am I supposed to know how much it should cost? And then also, there's a lot of discussion out there about negotiating with the vet.
Starting point is 00:42:43 How do I know how much it costs in benchmark it? And two, how do I negotiate with a vet? Okay, that's a great question. So let me, I'll tell you what goes into, The reason these prices are the way that they are is it's not just a cleaning. Like people hear, I go to the dentist, I know what they do. Like, how can this cost $700? Sure.
Starting point is 00:42:58 This pet's coming in. We're running pre-anesthetic blower. They're not sedated. They're under full anesthesia. Okay. Which means I have to pay two support staff, two licensed trained nurses to monitor their anesthesia, place an IV catheters, start them on IV fluids, give them all of their anesthetic drugs like that in itself.
Starting point is 00:43:16 Just the monitoring equipment is very expensive. We then take full mouth oral. radiographs because a lot of times what we may see on the surface is not telling the full picture of what's going on underneath the gum line. So I got to make sure they don't have any infections around the roots of their teeth. And then from there, if I have to extract a tooth, that's such a bad term for I'm doing full-blown oral surgery. I'm using high-speed drills. It's like I'm sweat and bullets. It takes a lot of skill, like a ton of skill and it takes a lot of time. And then from there we have to recover them. So it's a huge procedure. And I think as vets, we really do
Starting point is 00:43:50 ourselves a disservice by saying, ah, it's just a dental because it's not. So that's one thing to think about. And then how do you know? That's a great question. I think if I was a consumer and my dog was going in for a dental, I would ask, are you taking full mouth x-rays? Every single pet, every single time, gold standard, standard of care, they should get x-rays taken. Make sure that they are going under anesthesia. And I would ask them, you know, are you, do you have a designated support staff member monitoring their anesthesia while they're under? I think that's really important. Should you call, like, should I call another vet and be like, hey, how much you charge for this? You can. It's not wrong and that some people do. Yeah. I will say, though, you're probably
Starting point is 00:44:29 getting what you pay for. There may be some places that are going to charge you. It's like, it's like plastic surgery. Like you want to get a nose job. You go to Tijuana. You're probably going to pay a lot less. Yeah. It may be a great job. You might be very happy with it, but there's a chance that you probably aren't. Versus if you go to Dr. 90210 or someone local, like you're probably going to get the best care. How do you know who Dr. 90210 is? That's a great question. Again, asking who's taking full mouth x-rays?
Starting point is 00:44:56 Do you have designated support staff monitoring anesthesia? And also finding a vet that you trust. Because most of the times, if you have a vet, you trust, you're not just like you have built a rapport with them. And they're the ones that are doing the dental procedure. It's not like that's like on your first go usually. Yeah, interesting. And then negotiating.
Starting point is 00:45:15 I'm sure people have negotiated with you. I just negotiated with you. But on the whole veterinarian, like actual process, like, you know, what happens is I come in, doctor prescribes, okay, we got to give him this shot. We got to do this. Then they have like the closer. I always joke around. He's like the closer. Guy comes in. He's like, all right, this is how much it is. Give me a credit card. Can I negotiate with that guy? And if so, how would I? You certainly can. I don't think you'll make much headway. Prices are pretty fixed. Okay. Okay. So could you, I guess, give it a go. Why not?
Starting point is 00:45:42 And I assume you would negotiate before you actually went. I would think I negotiate before I even get to office. Yeah, exactly. But also you have to think, do you negotiate when you go to your human doctor? Do you negotiate when you go to your dentist? Can you? Yeah, a lot of people are doing that. Like you're going in for like, let's say, you're going in for your physical exam. They're going to run blood work. They're going to. I don't negotiate that. But like if you have a big procedure, you can negotiate now. And with your dentist, you can negotiate. We've had some come on. You can negotiate cash up front. And or if you actually finance with them and don't go through your insurance, they'll give you discounts. There's like all different. The biggest place to negotiate right now in
Starting point is 00:46:17 health care is hospitals. Because hospitals are overcharging exorbitantly, like at a really nasty level. Yeah. So like checking, like when you go to the hospital, like making sure you're checking every line that item was actually happening. You know, I haven't seen it done yet. And you're the guru on this. So I would like for you to go and report back to me and let me know how it goes. I'm going to do a whole thing on it. I'm going to try it. I want to negotiate with you. I'll do it with the other. No, no, no. This is not up for negotiation. Yeah. This is not up for negotiation. Okay. This is a tough one. It's a really tough one. And people struggle the most with that is the end of life.
Starting point is 00:46:48 Like how and what advice do you have for someone that's listening to this where maybe their pet, the quality of life is deteriorating and every pet owner struggles with how do you know when and how to let the pet go in peace? I actually have a dog at home who I'm going through this with. I'm so sorry. So I can relate and certainly emphasize with my clients. And, you know, I think it's really important that you lean on your veterinarian.
Starting point is 00:47:16 and you ask them, what do you think? Sometimes you just need an objective outsider to kind of help guide you in that decision. And I know it's really hard. Once we speak it into the atmosphere of and just saying, hey, do you think it's time or will you let me know when it's time? That makes it feel so real.
Starting point is 00:47:32 But it's really important to have somebody that can help guide you in that decision. Even me, I'm a vet. And I have a hard time with my own pets deciding, I mean, gosh, I would do anything for them. And I have the resources because I am a vet to do anything for them. So a lot of times I have to rely on my colleagues
Starting point is 00:47:45 or my husband to be like, no, as an outsider, like, I do think it's time. So that's one thing. And then the other is there is a quality of life scale online. If you just type in quality of life scale dog or quality of life scale, cat, it can quantify the quality of life so that you can track different metrics like hydration. Are they, you know, grooming themselves? One thing I always hear owners say is, oh gosh, my dog, he's still eating, you know, so it's not time. But I know dogs.
Starting point is 00:48:12 Like my one little dog that's sick at home, he will eat till he's. going in his grave. And that doesn't mean his quality of life is good. So we can't just chalk it up to just that. I think there's like a whole ton of factors we really have to take into consideration. That is a great trading secret right there. We'll put that one in the show notes 100%. Two more I got for you is bathing. How often should you bathe your dog? People really get hung up on this. I love this. Every new puppy exam or kitten exam I do, they always ask about bathing, which is funny to me. There is like no right or wrong here. I say give them a bath when they're dirty. If they're doodle or they have that kind of hair, they should get groomed every six to eight weeks,
Starting point is 00:48:49 have that as an expectation. And I've never really had a case of a pet getting bathed too much where it's drying out their skin. As long as you're using like a nice, normal, like Bert's Bees makes a great dog and cat shampoo. Honestly, you don't need to bathe your cats ever. But dog shampoos, like use a good dog shampoo and you can't really overbath them. Wait, dumb question, but why? Because they're... Cats? Yeah. Cats are really a huge part of their like, everyday regiment is to groom themselves. And so if we bathe them, that, like, really throws them off. No way.
Starting point is 00:49:20 Okay. And they're super clean. All right. So if you're me and I have Teddy, how often when you bathe them? I would bathe Teddy once a month or two. Okay, good. All right. Yeah, we could do that, no problem.
Starting point is 00:49:30 CBD or THC and dogs? I have had, it's so interesting, we're like at this inflection point in veterinary medicine where I can't legally give you like a yes, do THC in your dogs. I will say that I have had clients that have done it with their pets and had really great responses. Okay. Teeth cleaning on dogs, like toothbrush and actual, like, using dog. Huge.
Starting point is 00:49:50 Really? Game changer. How often? As your vet, I'm supposed to say every single day. That's insane. I do not, I don't do that. I try and do it like once a week, once every two weeks. I need to step that up.
Starting point is 00:50:01 It's a game changer. The pets that I see whose parents brush their teeth have exponentially better oral health and can get away with way less cleanings. They don't have to have oral surgery than. the ones that don't. Okay. Last thing I got for you is flea and ticks. What do you say? What's the prescription? So many out there. The one that I prescribe is Semperica Trio. That is not to say that there aren't other ones that do great. So fleas and ticks are really important. You definitely don't want fleas on your pets. You definitely don't want ticks on your pet. But heartworms are even more
Starting point is 00:50:36 important because they are life-threatening. And so that's like really the big one. And Sympirica Trio, it's really nice. It does all three fleece, ticks, and heartrooms all in one chew. Okay. Amazing. Not all preventions do that. Okay. All right. Great advice. We're going to get your trading secret before we do. Just one overarching thing. You've seen so many animals, so many pet owners from Chicago to Nashville, and I'm sure you talk to vets all over the place. One theme, one thing in general that you see pet owners do that allow their pets to live longer, healthier, and happier lives. If you had to put it in like one thing, what do you think it would be? I think it's owners that focus on preventative health.
Starting point is 00:51:13 It's not the ones that, and this isn't wrong, but we have, it's like creasters, you know, like the people that go to church on Christmas and Easter, but don't go all the rest of the rest of the year and I am a crester for sure, but it's the owners that come in every year for the annual, they run the annual blood work. We have really good baselines on what their pet looks like when they're healthy so that when they are sick, we can compare back. It's the ones that are doing those routine dental cleanings. that we don't have to pull 10 teeth when they're 12 years old.
Starting point is 00:51:42 So I find the ones that are really focused on preventative here. They tend to have great quality of life and live the longest. All right. So much information on the industry and his owners and consumers, honestly, an invaluable podcast. We're going to have to have literally a notepad out, take notes on this one so that we can have them forever. Josie, this has been great.
Starting point is 00:52:02 Now, you and I have to actually go see if our boy over here, Teddy, has got a tour in ACL. So I will keep you guys up to date on that. But before we do, you got to leave us with a trading secret Dr. Josie. It could be anything and everything, but specific to your career track. What can you leave us with? I think I have two. Oh, I love that.
Starting point is 00:52:20 Yeah. One of which is, I know that tax laws have changed a little bit in 2025 with different write-offs for your pets. They have. I'm impressed. Yeah. So I'll let Jason fill you guys in on all of that. I'll probably get it wrong.
Starting point is 00:52:32 No, but you're exactly right. In the recap, David and I will go through all the tax laws. and there are different things you could write off. So we'll go over that. That's a good one. Interesting. I'm glad you gave me two, though. Yeah, you're so welcome.
Starting point is 00:52:42 And number two is a little bit more case-based. All everybody, all the influencers, everyone's making beautiful, big baguettes of sour dough right now. Like the hottest thing, I feel like. It's the hottest thing. And I've had a few cases now of dogs jumping up onto the counters and eating the raw sour dough. And what happens is that dough goes into their stomach.
Starting point is 00:53:03 It cooks in the heat and the acidity of the, the stomach. It expands. Oh, my God. So you've got a whole sourdough loaf growing in their stomach. The stomach can flip on itself, which is obviously very dangerous. But not only that, the yeast releases ethanol, which is alcohol. Alcohol gets absorbed into their bloodstream and they get like life-threatening drunk. Wow. Yeah. All right. So when you're baking sourdough, keep it up. Watch it. Before I wrap with you, you told this story on your podcast and everyone go listen to that. But if you haven't heard it yet, can you just breathe? because I think this is where we should wrap the importance of leash training
Starting point is 00:53:39 and an example you recently saw, and then we will wrap this up. Can you just tell people like a very quick summary of that story? This is a sad story. I was listening back to our episode and I'm like, oh my gosh, this is so depressing, but it's the reality. And it's educational. It is educational. You might save one dog's life with this.
Starting point is 00:53:54 Exactly. That's everything. So there was a client of mine that was walking his pet off leash. Dog is amazing, very well behaves, but I always say they still are animals. They will get into things. you also don't, people can drive crazy, so just put them on a leash. This pet was sniffing around in a bush. The owner noticed he had something plastic in his mouth, wasn't able to see what it was, thought it was trash. They come home. 30 minutes later, the dog's acting super agitated. He brings
Starting point is 00:54:20 him into the clinic. His heart rates through the roof. His pupils are huge. He has full body tremors. We drug test him and then later come to find out he ate an entire bag of cocaine. Unbelievable. And through a multitude of trying to save him, he ended up passing. It was like a week's long stay in the ICU trying to do everything we could. But ultimately, he didn't make it. And so I think it just really reemphasizes the importance of keeping them on a leash. Keep them on a leash. That's just one story.
Starting point is 00:54:47 If you want more stories that are both education insightful, you'll have to go check out the podcast in the vet's office. I am on that. We just gave you a tease of just a little bit of that episode. So go check it out in the vet's office. It's a great one. I talk all about Teddy and I get a lot of advice too. And Dr. Josie, where can everyone find everything else you have
Starting point is 00:55:05 going on, your concierge services, all your handles. Give it to us. I have one handle and one handle only. Love it. At Dr. Dr. Dor Josie Vet on Instagram. All my links are there. Check it out. Send me all your questions. All right. Amazing. And then do you have a website for your concierge service? I do. It's the concierge DVM. Okay. So it's doctor of veterinary medicine. DVM.com. I love it. And then, of course, in the vets office on YouTube and where you find your podcast, go check us out. Dr. Josie, thank you for trading literally all the secrets in the vet space. thank you for having me ding ding ding we are closing the bell to the doctor josie episode a lot of action especially if you are a pet owner a dog owner or just have any interest in this
Starting point is 00:55:47 field uh just a lot of information there david what you think yeah i thought it was good if you had a dog um and if you don't have a dog no i'm kidding i still think that it was good uh i think if you had a dog you were probably writing things down you had the no pad go to things were flowing you were making sure your pet insurance was up to go you make sure you're not cooking sourdough on the counter because that story about the sourdough and the dog and it grows in their stomach. Oh my God, that was jaw-dropping diabolical.
Starting point is 00:56:13 Some really interesting, you know, full spectrum from the career of the veterinarian to some really helpful dog, cat, animal, you know, animal for the owners out there. So I thought all around it was good. I thought it was good. There's nearly one
Starting point is 00:56:29 dog in every two homes in 2025 and they're saying 68 million households. That's about 45. 0.5% of all households own a dog in 2025. So, you know, hopefully we can touch that audience a little bit. But Dr. Josie, they said, hold on, hold on, hold on, hold on. I'm going to, I got a personal story to tell about that stat. Can you read that stat one more time?
Starting point is 00:56:50 One and out of every what, two hosts? One and every two homes have a dog. There's nearly 89 to 90 million pet dogs nationwide. So about 45.5% of all households in the United States in 2025. have a dog in that. So it's a safe space, right? So we're just going to be, we're going to tell a little David's story time here.
Starting point is 00:57:12 And I know people are going to jump and rush to the reviews and say, David is the most insincere, unthoughtful, blah, blah, but you got to just let, don't clip the clips. Just listen to the story because there's a meaning to it. Did you know that I want,
Starting point is 00:57:26 did you ever, by the way, you're obviously looking for the love of your life, correct? Mm-hmm. Do you have a list? A list of what? like things like a non-negotiable list like they you know this is really important this this
Starting point is 00:57:39 this non-negotiable I think maybe in my head I don't have one on paper should I have one on paper no I don't think you should have one on paper but I always said that I would never be with someone that had came from a divorced family that's insane that's insane or had a dog okay or had a dog 50% of America gone 50% of get of America gone These are insane. Wait, you're not a dog guy. What's wrong with you? You're not a dog guy.
Starting point is 00:58:07 No, listen, this is you. Now, everyone's going to already be typing out the I hate David. David. Now, listen, this is why it's beautiful because my wife comes from divorced parents and she has a dog. And so I stubborn, thought I was going through life thinking I knew what I wanted. And here I got to inherit an absolutely joy of a dog. Bentley, he's a miniature shih Tzu. Yes, he barks a lot.
Starting point is 00:58:32 He's just excited. when people come over, but he's snugly, he's cuddly, he looks at you with those puppy dog eyes. I, single David, that was looking, you were wrong. And divorced parents, we can go on a whole topic about that. I came from, you know, my parents have been married for almost 50 years. That's great. Your parents are married. That's just what we grow up with.
Starting point is 00:58:50 We think that's the only way you can work. My in-laws, my mom, my dad, my father-in-law, my mother-in-law, they get together. We still go on family vacations. It's an absolutely loving household. They raised amazing, amazing siblings. they maintain a great relationship. And I just say that because if there are any people who listen to this episode, who aren't dog people,
Starting point is 00:59:10 who are angry that we had, you know, someone on to talk about pets or animals or dogs or dog love that. Or you're listening to this and you're like, and you had a list too, throw that list in the garbage because it doesn't matter. It's all about the person you mean, have an open mind,
Starting point is 00:59:26 live a better life. Okay, here we go. Dogs for life. Love, love, love, love animals. Look at me in, a change man. You're a change man. That's just growth, baby. That just shows your growth.
Starting point is 00:59:36 But I won't be, I won't be the negative Nancy just beating the shit out of you for those comments. I'm going to take a little bit of a high road and say, hey, I appreciate your vulnerability and a topic that's hard to be vulnerable in. Hey, I beat the shit out of myself. That's why I tell all the listeners. But it's a learning lesson, just like a learning lesson that we take out of the podcast, learning lesson. Throw the lists out.
Starting point is 00:59:54 That's true. It's a learning lesson. Throw the lists out. Be open to different things. And you might one day look back and say that guy was wrong. Sounds like he was. But, you know, yeah, man, I mean, obviously, I've always been a dog guy. We had a rescue growing up.
Starting point is 01:00:09 My rescues growing up was Mindy. My parents always had dogs. They have a cavalier, Chloe. My brother's got a dog. And so obviously, it's awesome to have Teddy. And to hear some of this stuff was really interesting. And as someone who is a pet owner, I was shocked by a lot about it. Can we, you just got Teddy back from his trainer.
Starting point is 01:00:29 Can we talk a little bit about how amazing that's been? I mean, the videos of him on the golf cart, like that, those are. come on those are the best dude it's a bit like he is so happy to be back uh the training that they did was really really good for reactivity nothing's perfect he's not perfect but he is in such a better place um as far as reacting to people to reacting to uh cars and moving objects like it's a whole different dog we're still working a little bit with other dogs there's like some that you know he'll he'll bark at a little bit and some that he's not fazed by at all but in general he's like doing so well I'm so happy he did it he's in a better place
Starting point is 01:01:08 and as a result of that I am and everyone around us is so like it was the best investment I can make for a rescue who needed it I mean he was neglected he was beaten and he was about a week from being euthanized because of overcrowding in his shelter so I don't know it all feels I feel so grateful for it all and he's the man you gotta meet him You gotta come to Nashville. Well, I think, I think we may be making that happen shortly. Let's make it happen. Stay tuned.
Starting point is 01:01:37 Stay tuned, people. I, uh, I can't, I can't wait to meet Teddy. Um, and I know how excited you were to, to get him back when we were together last week. But, um, you know, one thing I did want to make sure that I brought up because you, you pointed out in the episode was, um, all of the tax laws and things that are out there that we can write off, uh, by being a dog owner. because I think that that is a money-saving tip that we like to help our people with. And you were the one that was directed to share that knowledge in the recap.
Starting point is 01:02:08 So take it away. Yeah, here's what I'll say. First and foremost, if you have a CPA or you have anybody that's in the tax space, make sure you always talk to them before doing anything or claiming anything or anything of that nature. First and foremost, in 2025, if you have a service animal and medical expenses. So if your pets is certified service animal that helps with a medical condition that you have, you may be able to deduct the cost associated with owning and then maintaining that animal. And those include expenses like purchase or adoption costs, training, veterinarian care, food, and grooming.
Starting point is 01:02:43 And you can claim these expenses as medical costs, but they must be part of your total medical expenses. And also the caveat is that it can't exceed 7.5% of your adjusted gross income. So the amount that you're deducting can't exceed that. So if you have high medical expenses, this could be huge for a deduction, especially as we talked about today, the cost of pet care is increased a lot. There's also a lot of pets, David, you know. We've had dug the pug on. We have some others coming down the line.
Starting point is 01:03:13 But if pets are part of your business operations, you can also potentially bring tax savings to yourself as well. So let's say your pet serves as like a guard dog for your business or is used in some kind of capacity for business purposes, maybe even really. marketing, the IRS might allow you to deduct related expenses to food and supplies, veterinarian bills, grooming, and training. And then if you foster pets and or you provide charitable contributions, those can be tax deductible if the fostering is through a registered 501c3, which we know now on this podcast is a non-for-profit organization. So if you have
Starting point is 01:03:51 expenses and you're fostering through a non-for-profit connected to food, veterinary care, supplies, mileage for trips, et cetera, that's another write-off. And then another one is like income-generating pets, like literally the pets that are on Instagram. You can have deductions that can include food supplies, grooming, and vet bills. So there's a lot of action. Things are, I mean, how crazy is it that there are some big, big, big pet accounts out there making millions and millions of dollars. It's crazy. Actually, I think one of the best pet accounts is there's this teddy, this guy who does Teddy the Golden. Dude, you got to check out his page. is the most creative video work I've ever seen.
Starting point is 01:04:28 It's unbelievable. I mean, right there, just saving money because, you know, and I feel like saving money and doing right by taking care of your pet is great. And those are just very, very important tips and tricks. And I want to know of those. Do you write anything off for yourself with Teddy? And secondly, is there anything that you learn from this where you're like, oh, shit, I got to do for Teddy right away?
Starting point is 01:04:53 I mean, he is a professional trained service dog now, so there's obviously expenses that I can capture from that. I'd love to get him to the place where he's trained and could like go into hospitals and, you know, especially like children's hospitals. That would be a dream. So we'll see. You know, honestly, I'm going to look at what's out there and then I'm going to see the expenses. I'm going to talk to my accountant and then see what we could do. But I do want to give a shout out to Dr. Josie, who takes care of Teddy. and I work with her and she comes and takes care of him whenever I need anything.
Starting point is 01:05:27 Her services are absolutely incredible. Oh, I didn't know that. She's a rock star. Oh, yeah. Like, she has the veterinary services that, like, she'll come to my house. Like, she just looked at me today. She came to the house. She'll bring medicine, et cetera.
Starting point is 01:05:39 She's an absolute rock star. And she's just a great person, like badass, just a cool person. But a question I got for you is, was there anything that really surprised you? Obviously, the sourdough thing, but anything else? yeah there there was like here's a question like if you had a daughter or a son would you want them to go be in the veterinary field after the things that you heard and i only asked that for two reasons one the instant answer is yes if they have a love and passion for animals it's very rewarding two things that caught me off guard obviously it sounds it seems like it's like the most amount of schooling that you can do in the medical field and obviously the rate at which you're getting paid at the end isn't equal to one to as she said, her human counterparts, that was shocking. Number two, and it makes perfect sense, and you would never ever realize,
Starting point is 01:06:28 unless you listen to the podcast, the rates of suicide amongst veterinarians. I mean, that just kind of totally took me off guard, and when she explained it, it made perfect sense. So that's the question I have. What would your take be if your little Tartic daughter or son in the future says, Daddy, I want to be a veterinarian? What are you going to say?
Starting point is 01:06:49 Other than you can do whatever you want to do. Right. No, I think the only reason to get into this field at this point is based on what I was just told in this interview is impact or insane passion. Like, you really want to make an impact for animals and you're so passionate about. Other than that, if you take those two things away, which is hard to take those away in the animal space, right? But we're just talking business here. It is, it's a tough field. I mean, it's very competitive. It's super expensive. It's hard to. make money. Vets are not in the vet business to make money. You heard or say it yourself. It's just a hard profession. So I would be like, I don't know. Like unless you're just die hard about doing it, I don't think I would highly recommend it unless you're trying to make impact. You're totally
Starting point is 01:07:37 in love with it. It seems like a tough profession. Yeah, it's one of those things where like they say when they're eight and then you just like, oh, that's great. And then hopefully when they're 13, you ask what they want to be. It's like, please don't say, okay. But of course, no, if you have a, you know, I don't want to be the morbid person in here who doesn't like dogs who had a list of not liking dogs and now I'm a dog owner so you can you can go full circle on that.
Starting point is 01:07:59 You can still be a dog owner and I like dogs. Do you like dogs? Yeah, no, I do. I do. I do. You don't believe me. I'm not sold. I don't think that I could ever personally I don't think that I could ever live with a big dog.
Starting point is 01:08:15 I also have a story. Wait, why though? Like big dogs? Like I'm just a little, I'm sure I would grow to love them because I'm saying that right now all of a sudden they were on my list and now I live with one and now I'm saying I couldn't live with a big dog
Starting point is 01:08:27 I probably love living with a big dog but the idea of like them like ripping around and like knocking shit off shelves and like hair everywhere and bringing mud in the house like that just me is like oh my god that's a lot like that's like I look at like a pet like Bentley's a pet he that comes in my lap
Starting point is 01:08:42 it's like cute I get to pet him like he sleeps in the bed and it's like cute yeah I can't complain to someone who is a father So I can't compare. Yeah, see, that's part of it. And you can't compare the two.
Starting point is 01:08:54 And I certainly can't compare the two if I've never had a child. But I can tell you, it's a lot. It's a lot of work, especially the type of breeds that Teddy is. Like, it requires a lot. Like this whole training. It does patience and nonstop training, dude. It's over, almost every action, it's like over and over and over making sure that it's repetitive, repetitive, repetitive, repetitive, repetitive, repetitive.
Starting point is 01:09:18 But, I mean, the things he does, like, I've said it before. And I don't just say it to say, I truly can't tell you the things he does for me. Like, me being with him now, I am so much happier. I feel so much like, I feel so less lonely. I feel, like, I feel safer. Dude, I just, it's like, I can't tell you what this dog does for me. It's crazy. And I mean it.
Starting point is 01:09:38 I believe it. And I honestly can say with perspective now, like, thank God I had Bentley before I had a child because they do prioritize something. something other than yourself and your selfish habits, and you see the joy in the way that they show you love back. So you see all that and you feel all that. It motivates you to want to do the things that maybe you don't want to do. Maybe it's, you know, take them for walks or sacrifice your time to give them attention or pick up their poop or deal with them when they're sick. Like those are all things that when it does come to parenting a human, they do all come into play.
Starting point is 01:10:11 Yeah, 100%. Yeah. Love it. 100%. Well, we're at that 15 minute mark, David. I, I, I, appreciate your vulnerability i know it's not easy to see these things it's not easy to come out i want to smack you in the face for saying you're not a dog guy but hey that's who you are and you're you've learned to become one yeah and and you and when you come visit me you better fucking love on i appreciate that you are calling it vulnerability when you really want to call it like uh something else stupidity maybe or or egregiousness or something like that but no it's you know it's uh you're a cat guy i grew up with two cats Yeah, shut out.
Starting point is 01:10:48 Oh, wow, you're such. Okay, that makes so much. Shut out sushi and pug. You know, they click, never have to bat. You're like an indoor cat, actually. Never have to bathe them. You heard of hear from her first? I mean, you never have.
Starting point is 01:11:00 They made them, sucks. Yeah, they're ultra clean. My cats were indoor, outdoor cats. When we left for a weekend, we'd leave them outside on Friday and come back Sunday, and they would just be outside the whole time. Teddy's ultra-cle, I mean, do you, like, he gets grooming and you watch, you know, you get their. It sounds like you got to send them to the spa.
Starting point is 01:11:17 Yeah. You got to give them the food. I will say owning a pet. But we talk about finances money. My God, it is not cheap. It is a very, very, very expensive thing, especially when you have unexpected health expenses, which we talked about, the deduction.
Starting point is 01:11:35 You got to get Teddy some health insurance there. Yeah, I do. I actually do. I'm actually shocked that you of all people, like, don't, doesn't have that. I think it's because I've had so much going on. Like, that was on my list. I can't believe they fell through. wow yeah we don't have health insurance for bentley
Starting point is 01:11:51 pet health insurance pet pet health insurance for bet he's getting old too yeah but he's just such like teddy's just such a wild man that like he's a wild man like he'll tear his ACL or whatever in two seconds like he's just he's a wild man um so anyway he is yeah well I can't wait for you to me Teddy he's going to change your perspective on big dogs he's a badass he's the man it's not it's not that I don't like
Starting point is 01:12:17 big dogs. It's I don't think I could own a big dog. Fair. I also have a story. One of my best friends in seventh grade, his name is Brody Gower. He had a dog named T-Rex. Love that name. You can imagine how big this dog was. Damn, I love the name T-Rex. T-Rex
Starting point is 01:12:35 jumped me from behind and tackled me to the ground and put a paw so deep in my face into the mud. That is why truly, we've talked, we've got a lot of therapists on the show, We've talked a lot about childhood trauma. I have childhood trauma for big dogs, and it's because of T-Rex.
Starting point is 01:12:52 And I was scared of dogs for a long time. Wow, interesting. That's a real thing. I mean, that's a real thing. My mom, my mom is terrified of dogs. My mom can't even go to my father-in-law's place because he's the two dog, big dogs to jump on you. My mom can't even go there for dinner anymore.
Starting point is 01:13:05 Damn. Yeah, it's really sad. So that's kind of where I got it from. I inherited it, and then I experienced it myself. And so then I was like, all dogs are written off. And then Bentley is showing me love. and I do love like I do love dogs I just don't think I can own a big one until I owned a big one I probably love and I think that's like well again that makes so much more sense like if there's a
Starting point is 01:13:24 childhood trauma connected to it that makes so much more sense yeah hopefully people were listening this far through so they can hear my comment at the three minute mark doesn't it it now it now makes a way more sense okay I love it yeah it's actually a test for our listeners let see let's see if they made it if they did make it I got some stuff to give away because I'm going to move right now so make sure you give us a five star review let us know your biggest takeaway from this episode and I got some stuff to give away that we will give away next week on the recap. David, thank you for tuning in to this episode. Thank you for recap with me. Anything before we wrap? Happy Father's Day to all the fathers out there Sunday. Treat your
Starting point is 01:13:58 fathers. Treat them out there. Say I love you. Get them a nice gift. Tell them what you love most about them. Tell them your favorite memory of them. Happy Father's Day. Happy Father's Day. Perfectly said. And that Monday we are following it with Dale Tardick 65th. So, A lot of action. Good stuff ahead. Next recap, we'll touch on some personal stuff because there's been a lot of opt-up. Maybe David, just maybe we do like a little halfway tell-all or something like that.
Starting point is 01:14:24 Oh, you know what? You know? A lot of action, you know? Is it? It almost is halfway. It's almost true. Maybe we do that in July. I think it just did.
Starting point is 01:14:34 I think the halfway point just passed. Yeah. June 21st, longs day of the year coming up. Summer solst us. Didn't know that. Yeah. I read books. Actually, don't read books.
Starting point is 01:14:44 There's that. we know that anybody that listens this podcast knows you don't read books you're fucked all right but I love you
Starting point is 01:14:53 all right thank you for tuned into another episode of trading secrets but you can't afford to miss making that money
Starting point is 01:15:00 money pain on me making that money living that money living that dream making that money money pay on me
Starting point is 01:15:12 making that money Living the dream

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