<script data-pm-proxy="intercept"></script><?xml version="1.0" encoding="UTF-8"?><rss xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:atom="http://www.w3.org/2005/Atom" version="2.0" xmlns:itunes="http://www.itunes.com/dtds/podcast-1.0.dtd" xmlns:googleplay="http://www.google.com/schemas/play-podcasts/1.0"><channel><title><![CDATA[On The Treatment Floor]]></title><description><![CDATA[Licensed veterinary technician with over a decade in veterinary medicine. I’ve worked private and corporate GP, ER, and specialty. This space is for honest conversations about burnout, trust, and caring for patients in a broken system.]]></description><link>https://onthetreatmentfloor.substack.com</link><image><url>https://substackcdn.com/image/fetch/$s_!J2JZ!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F7724f67e-b160-4b9c-ae79-6f2bfc46cd7e_1024x1024.png</url><title>On The Treatment Floor</title><link>https://onthetreatmentfloor.substack.com</link></image><generator>Substack</generator><lastBuildDate>Tue, 01 Sep 2026 21:11:10 GMT</lastBuildDate><atom:link href="/__u/onthetreatmentfloor.substack.com/feed" rel="self" type="application/rss+xml"/><copyright><![CDATA[On The Treatment Floor]]></copyright><language><![CDATA[en]]></language><webMaster><![CDATA[onthetreatmentfloor@substack.com]]></webMaster><itunes:owner><itunes:email><![CDATA[onthetreatmentfloor@substack.com]]></itunes:email><itunes:name><![CDATA[On The Treatment Floor]]></itunes:name></itunes:owner><itunes:author><![CDATA[On The Treatment Floor]]></itunes:author><googleplay:owner><![CDATA[onthetreatmentfloor@substack.com]]></googleplay:owner><googleplay:email><![CDATA[onthetreatmentfloor@substack.com]]></googleplay:email><googleplay:author><![CDATA[On The Treatment Floor]]></googleplay:author><itunes:block><![CDATA[Yes]]></itunes:block><item><title><![CDATA[The Quiet Wins We Never Celebrate]]></title><description><![CDATA[It&#8217;s been a little while since I&#8217;ve sat down to write.]]></description><link>https://onthetreatmentfloor.substack.com/p/the-quiet-wins-we-never-celebrate</link><guid isPermaLink="false">https://onthetreatmentfloor.substack.com/p/the-quiet-wins-we-never-celebrate</guid><dc:creator><![CDATA[On The Treatment Floor]]></dc:creator><pubDate>Wed, 22 Jul 2026 01:27:27 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!jY6O!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2085de5f-2556-4d7a-a15e-36dfe673ac6f_1536x1024.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>It&#8217;s been a little while since I&#8217;ve sat down to write.</p><p>Not because there hasn&#8217;t been anything to say, but because life has been full of the kind of moments that are difficult to capture in words. The days have been busy, my career has continued to evolve in ways I never expected, and I&#8217;ve found myself reflecting more than I&#8217;ve found myself writing.</p><p>What&#8217;s interesting is that none of those reflections came from a single unforgettable case or one life-changing event. Instead, they came from dozens of small moments. Moments that would probably never be remembered by anyone except the people who were there.</p><p>The longer I thought about it, the more I realized we have a habit of celebrating the extraordinary while quietly overlooking the ordinary. And yet, I think it&#8217;s the ordinary that keeps this profession alive.</p><p>Most of our careers are built on moments no one talks about.</p><p>The patient that finally eats after refusing food for three days.</p><p>The nervous owner whose shoulders relax after someone takes an extra minute to explain the treatment plan.</p><p>The new technician who places a catheter on the first try after a week of second-guessing themselves.</p><p>The kennel assistant who notices a hospitalized dog isn&#8217;t acting like himself and mentions it before anyone else has the chance.</p><p>The receptionist who remembers a client&#8217;s name, or their pet&#8217;s favorite treats, months after their last visit.</p><p>The technician who catches a medication discrepancy before it reaches a patient.</p><p>The doctor who sits on the floor because a frightened dog trusts people more when they&#8217;re not standing over them.</p><p>The coworker who quietly restocks supplies before leaving because they know tomorrow&#8217;s team will need them.</p><p>None of these moments make headlines.</p><p>No one claps.</p><p>No one gathers around to congratulate the person who wiped tears from a client&#8217;s face or stayed five extra minutes to make sure a patient was comfortable before heading home.</p><p>Most of the time, those moments pass unnoticed.</p><p>But I don&#8217;t think they&#8217;re small.</p><p>I think they&#8217;re the foundation of this profession.</p><p>Veterinary medicine isn&#8217;t held together by the extraordinary cases we remember for years. It&#8217;s held together by thousands of ordinary decisions made every single day by people who care enough to do one more thing before they leave the room.</p><p>One more blanket.</p><p>One more pain score.</p><p>One more phone call.</p><p>One more look at a patient that &#8220;just seems a little off.&#8221;</p><p>One more, &#8220;I&#8217;ve got it. Go take your lunch.&#8221;</p><p>None of those things feel monumental in the moment.</p><p>But if you&#8217;ve been in this field long enough, you know that they add up.</p><p>They build trust between coworkers.</p><p>They make clients feel seen.</p><p>They keep patients safer.</p><p>They make hospitals stronger.</p><p>Sometimes we convince ourselves that unless we saved a life today, we didn&#8217;t make much of a difference.</p><p>I don&#8217;t believe that&#8217;s true.</p><p>Sometimes the biggest impact you&#8217;ll have is preventing the emergency that never happens because you noticed something early.</p><p>Sometimes it&#8217;s making someone&#8217;s worst day just a little less lonely.</p><p>Sometimes it&#8217;s teaching a new teammate without making them feel embarrassed.</p><p>Sometimes it&#8217;s simply showing up with the same compassion on your hundredth patient as you did on your first.</p><p>Those moments are quiet.</p><p>They&#8217;re easy to overlook.</p><p>But they&#8217;re the reason so many patients make it home.</p><p>They&#8217;re the reason good teams become great ones.</p><p>And they&#8217;re the reason people stay in this profession longer than they thought they could.</p><p>So if you leave work today feeling like nothing extraordinary happened, maybe look a little closer.</p><p>Maybe the victory wasn&#8217;t dramatic.</p><p>Maybe it was simply that someone trusted you.</p><p>Maybe a patient was more comfortable because of you.</p><p>Maybe a coworker had a better day because you showed up.</p><p>Those things count.</p><p>In fact, they might be the things that matter most.</p><p>The quiet wins rarely get celebrated.</p><p>But they deserve to be.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" 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stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div>]]></content:encoded></item><item><title><![CDATA[Be Contagious]]></title><description><![CDATA[Positivity is contagious. Be the person who changes the room, lifts the team, and reminds people why they fell in love with this work.]]></description><link>https://onthetreatmentfloor.substack.com/p/be-contagious</link><guid isPermaLink="false">https://onthetreatmentfloor.substack.com/p/be-contagious</guid><dc:creator><![CDATA[On The Treatment Floor]]></dc:creator><pubDate>Wed, 03 Jun 2026 15:56:57 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!Z-qJ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff82581b3-8666-493b-8d40-a944a09dcaeb_1536x1024.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://onthetreatmentfloor.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Pull up a chair on the treatment floor. Stories, lessons, and reminders that the good ones are still here.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p>There is something funny that happens in veterinary medicine&#8230;<br>Walk into a treatment room where everyone is miserable, and you can feel it before anyone says a word. </p><p>The sighs.<br>The eye rolls.<br>The short answers.<br>The way everyone braces themselves when the next patient walks through the door.</p><p>Negativity has a pulse. It spreads quickly.<br>But so does positivity. And I think sometimes we forget that.</p><p>For a long time, I thought being happy at work meant waiting for work to become a place that made me happy.</p><p>Waiting for staffing to improve.<br>Waiting for the schedule to get better.<br>Waiting for difficult coworkers to change.<br>Waiting for management to fix everything.<br>Waiting for the chaos to calm down.</p><p>And listen, some of those things matter.</p><p>A broken system cannot be fixed with pizza parties and a good attitude.</p><p>But somewhere along the way I realized something uncomfortable&#8230;<br>I was giving everyone else responsibility for the energy I brought into the room.</p><p>I was letting my environment decide who I was going to be that day.<br>And I didn&#8217;t like who I was becoming.</p><p>Because the truth is, misery is easy.<br>Complaining is easy.<br>Standing in a group and bonding over everything that is wrong is easy.</p><p>It feels good temporarily. It feels like connection.</p><p>But eventually you realize something.<br>You aren&#8217;t actually fixing anything.</p><p>You&#8217;re just teaching yourself to look for everything that&#8217;s broken.<br>And when you train yourself to look for the bad, you will always find it.</p><p>So what happens if you do the opposite?</p><p>What happens if you intentionally become the person who looks for the good?<br>Not the fake positivity person.<br>Not the &#8220;everything happens for a reason&#8221; person.<br>Not the person ignoring problems that desperately need solution.</p><p>The person who says:<br>&#8221;Today was hard, but did you see how well we worked together?&#8221;<br>&#8221;That case was awful, but you handled that situation beautifully.&#8221;<br>&#8221;I know you&#8217;re overwhelmed. How can I help?&#8221;<br>&#8221;Hey, you did a really good job.&#8221;</p><p>Small things.<br>Almost embarrassingly small things.<br>But those things change rooms.</p><p>Because people are starving for someone to notice them.</p><p>The baby tech who&#8217;s terrified they&#8217;re failing.<br>The seasoned tech who secretly wonders if they still have it.<br>The doctor drowning under records and callbacks.<br>The assistant who feels invisible.</p><p>Everyone is carrying something.</p><p>And sometimes the difference between someone going home defeated and someone going home thinking &#8220;maybe I can do this&#8221; is one person choosing to say something kind out loud.</p><p>Be that person.<br>Be the person who celebrates the wins.<br>Be the person who laughs when the day is ridiculous.<br>Be the person who jumps in without being asked.<br>Be the person who says good morning first.<br>Be the person who refuses to turn someone else&#8217;s bad moment into the story of who they are.</p><p>Because heres the thing about becoming the positive person:<br>At first, it feels awkward.<br>People might even question it.</p><p>When a culture has been negative for a long time, kindness feels suspicious. <br>People are used to sarcasm.<br>They are used to competition.<br>They are used to protecting themselves.</p><p>But keep showing up.<br>Because slowly something happens.<br>Someone laughs with you.<br>Someone starts celebrating wins with you.<br>Someone who normally complains catches themselves and changes the conversation.<br>Someone else helps because they watched you help.<br>Someone new learns that this is how we treat each other here.</p><p>You become permission.<br>Permission to care.<br>Permission to try.<br>Permission to enjoy this job again.</p><p>That&#8217;s leadership.<br>And no, leadership is not a title.<br>It&#8217;s not a badge.<br>It&#8217;s not a pay raise.<br>It&#8217;s not being the loudest person in the room.</p><p>Leadership is understanding that your attitude impacts every single person who crosses your path.</p><p>You are contagious whether you realize it or not.<br>Your frustration is contagious.<br>Your resentment is contagious.<br>Your gossip is contagious.</p><p>But so is your kindness.<br>So is your excitement.<br>So is your willingness to make things better.</p><p>We spend so much time talking about changing the culture of veterinary medicine.<br>Maybe this is where it starts.<br>One shift.<br>One patient.<br>One interaction.</p><p>One person deciding:<br>The cycle stops with me.<br>I&#8217;m going to be something worth catching.<br><br>I&#8217;m going to be contagious&#8230;</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!Z-qJ!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff82581b3-8666-493b-8d40-a944a09dcaeb_1536x1024.jpeg" 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/__u/onthetreatmentfloor.substack.com/f_auto, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff82581b3-8666-493b-8d40-a944a09dcaeb_1536x1024.jpeg 424w, /__u/substackcdn.com/image/fetch/$s_!Z-qJ!, /__u/onthetreatmentfloor.substack.com/w_848, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_auto, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff82581b3-8666-493b-8d40-a944a09dcaeb_1536x1024.jpeg 848w, /__u/substackcdn.com/image/fetch/$s_!Z-qJ!, /__u/onthetreatmentfloor.substack.com/w_1272, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_auto, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff82581b3-8666-493b-8d40-a944a09dcaeb_1536x1024.jpeg 1272w, /__u/substackcdn.com/image/fetch/$s_!Z-qJ!, /__u/onthetreatmentfloor.substack.com/w_1456, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_auto, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Ff82581b3-8666-493b-8d40-a944a09dcaeb_1536x1024.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><div class="captioned-button-wrap" data-attrs="{&quot;url&quot;:&quot;https://onthetreatmentfloor.substack.com/p/be-contagious?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="CaptionedButtonToDOM"><div class="preamble"><p class="cta-caption">Positivity IS contagious! If this made you think of someone who makes the treatment floor a little brighter, send it their way. The good ones deserve to know they&#8217;re seen.</p></div><p class="button-wrapper" data-attrs="{&quot;url&quot;:&quot;https://onthetreatmentfloor.substack.com/p/be-contagious?utm_source=substack&utm_medium=email&utm_content=share&action=share&quot;,&quot;text&quot;:&quot;Share&quot;}" data-component-name="ButtonCreateButton"><a class="button primary" href="/__u/onthetreatmentfloor.substack.com/p/be-contagious?utm_source=substack&amp;utm_medium=email&amp;utm_content=share&amp;action=share"><span>Share</span></a></p></div><p> </p>]]></content:encoded></item><item><title><![CDATA[The Patients Know]]></title><description><![CDATA[There are people in veterinary medicine that animals respond to differently.]]></description><link>https://onthetreatmentfloor.substack.com/p/the-patients-know</link><guid isPermaLink="false">https://onthetreatmentfloor.substack.com/p/the-patients-know</guid><dc:creator><![CDATA[On The Treatment Floor]]></dc:creator><pubDate>Tue, 12 May 2026 13:58:43 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!CEBI!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa6381678-3719-497a-8b1e-8c1c82445cbc_1536x1024.jpeg" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>There are people in veterinary medicine that animals respond to differently.</p><p>You notice it after enough years on the treatment floor.</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://onthetreatmentfloor.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p>The dog that&#8217;s been growling at everyone suddenly relaxes when a certain technician approaches the kennel. The cat that needed three people to handle becomes manageable in someone else&#8217;s arms. The hospitalized patient that has refused food all day finally eats when one particular assistant sits beside them on the floor.</p><p>No one teaches this in school. <br>There&#8217;s no certification for it. <br>No specialty title. <br>No hourly differential.</p><p>But the patients know.</p><p>They know who moves with patience instead of urgency.<br>Who handles them with confidence instead of force.<br>Who enters the room already emotionally regulated.<br>Who sees them as something other than a task list.</p><p>Some people practice veterinary medicine with their hands.<br>Others practice it with their nervous system.</p><p>Animals are deeply aware of energy in ways humans often overlook. They feel hesitation. Frustration. Anxiety. Anger. Impatience. They feel the difference between restraint and reassurance. Between control and safety.</p><p>And somehow, despite the chaos of a hospital environment, certain people consistently make animals feel safe.</p><p>Not because they are the loudest.<br>Not because they demand authority.<br>Not because they know the most medicine in the room.</p><p>But because they create calm instead of consuming it.</p><p>Veterinary medicine tends to reward visible skills. Fast blood draws. Technical precision. Efficiency during codes. Multitasking. Speed. Productivity.</p><p>And those things DO matter.</p><p>But there are quieter skills in this profession that often go unnoticed.</p><p>The technician who notices subtle pain before the monitor changes.<br>The assistant who recognizes fear-based aggression before it escalates.<br>The nurse who adjusts their voice, body language, and touch without even thinking about it.<br>The person who can walk into a chaotic ICU and somehow lower the emotional temperature of the entire room.</p><p>These people are not always the most celebrated.</p><p>But they are often the reason patients make it through hospitalization with a little less fear.</p><p>You can see it in the way animals lean into certain staff members. The way sedated patients settle when familiar voices speak to them. The way nervous dogs stop scanning the room when someone calm takes the leash.</p><p>The patients know who feels safe.</p><p>And in a profession that is increasingly fast, exhausting, and emotionally overextended, I think we underestimate how much that matters.</p><p>Because medicine is not only pharmacology and procedures and technical skill. It is also presence.</p><p>It is the ability to stay soft without becoming fragile.<br>Calm without becoming detached.<br>Gentle without becoming ineffective.</p><p>Some of the most extraordinary people in veterinary medicine will never become famous speakers or specialists or hospital administrators.</p><p>They will simply continue showing up every day and quietly making terrified animals feel less alone.</p><p>And the patients know exactly who they are&#8230;</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!CEBI!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa6381678-3719-497a-8b1e-8c1c82445cbc_1536x1024.jpeg" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!CEBI!, /__u/onthetreatmentfloor.substack.com/w_424, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_webp, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa6381678-3719-497a-8b1e-8c1c82445cbc_1536x1024.jpeg 424w, /__u/substackcdn.com/image/fetch/$s_!CEBI!, /__u/onthetreatmentfloor.substack.com/w_848, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_webp, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa6381678-3719-497a-8b1e-8c1c82445cbc_1536x1024.jpeg 848w, /__u/substackcdn.com/image/fetch/$s_!CEBI!, /__u/onthetreatmentfloor.substack.com/w_1272, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_webp, /__u/onthetreatmentfloor.substack.com/q_auto:good, 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/__u/onthetreatmentfloor.substack.com/f_auto, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa6381678-3719-497a-8b1e-8c1c82445cbc_1536x1024.jpeg 424w, /__u/substackcdn.com/image/fetch/$s_!CEBI!, /__u/onthetreatmentfloor.substack.com/w_848, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_auto, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa6381678-3719-497a-8b1e-8c1c82445cbc_1536x1024.jpeg 848w, /__u/substackcdn.com/image/fetch/$s_!CEBI!, /__u/onthetreatmentfloor.substack.com/w_1272, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_auto, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa6381678-3719-497a-8b1e-8c1c82445cbc_1536x1024.jpeg 1272w, /__u/substackcdn.com/image/fetch/$s_!CEBI!, /__u/onthetreatmentfloor.substack.com/w_1456, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_auto, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fa6381678-3719-497a-8b1e-8c1c82445cbc_1536x1024.jpeg 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://onthetreatmentfloor.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Thanks for reading! Subscribe for free to receive new posts and support my work.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div>]]></content:encoded></item><item><title><![CDATA[The Break Room Is Not A Safe Place]]></title><description><![CDATA[Every hospital has that one &#8220;break room&#8221;.]]></description><link>https://onthetreatmentfloor.substack.com/p/the-break-room-is-not-a-safe-place</link><guid isPermaLink="false">https://onthetreatmentfloor.substack.com/p/the-break-room-is-not-a-safe-place</guid><dc:creator><![CDATA[On The Treatment Floor]]></dc:creator><pubDate>Sun, 01 Mar 2026 17:50:06 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!b3Yj!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2f753c77-f232-4c2d-ad99-a208b055ffe3_1536x1024.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Every hospital has that one &#8220;break room&#8221;.</p><p>The one with the microwave that burns popcorn, the table that&#8217;s always sticky, the chair that slowly sinks when you sit in it, and the sad little sign that says something like &#8220;Take Your Breaks! You Deserve It.&#8221;</p><p></p><p>Cute idea.</p><p>Terrible execution.</p><p></p><p>Because in reality, most of us only see the break room when we set our stuff in our locker for the day, sprinting through it to grab something, cry for 48 seconds, shove a protein bar in our mouth, or picking up our stuff to go home.</p><p></p><p>Vet med invented a new genre of break: the administrative break.</p><p>You&#8217;re not resting. You&#8217;re catching up.</p><p>You&#8217;re not decompressing. You&#8217;re documenting.</p><p>You&#8217;re not eating. You&#8217;re inhaling calories like a feral raccoon behind a dumpster.</p><p></p><p>And everyone acts like this is normal.</p><p></p><p>We joke about it.</p><p>We adapt to it.</p><p>We build a whole personality around not needing basic human functions.</p><p></p><p>But here&#8217;s the part that&#8217;s starting to feel weird to admit: I miss having a body. I miss the version of myself who could feel hunger or thirst or tiredness in a way that wasn&#8217;t immediately overridden by a beeping pump, a crashing patient, or a client who &#8220;did their own research.&#8221;</p><p></p><p>Some days, I can&#8217;t tell if I&#8217;m exhausted or numb.</p><p>Some days, I can&#8217;t tell if the room is actually hot or if it&#8217;s just my adrenaline simmering.</p><p>Some days, I feel like I&#8217;m watching myself work from across the room.</p><p></p><p>Maybe it&#8217;s not that we don&#8217;t take breaks.</p><p>Maybe it&#8217;s that we don&#8217;t remember how to be people during them.</p><p></p><p>Here&#8217;s what I&#8217;m trying this week, and you can steal it if you want:</p><p></p><p>&#8226; A real five minutes. Not fifteen. Not ten. Just five.</p><p>&#8226; Sitting down, not crouching against a kennel.</p><p>&#8226; Phone away. iPad closed. Laptop closed.</p><p>&#8226; Water. Actual water.</p><p>&#8226; One full inhale. One full exhale. Repeat until someone inevitably yells my name.</p><p></p><p>It&#8217;s microscopic, but it&#8217;s something.</p><p></p><p>I&#8217;m not trying to fix the system today. I&#8217;m just trying to not disassociate while chewing.</p><p></p><p>If you&#8217;re in the same boat, consider this your permission slip to take a break that is actually a break.</p><p>Five minutes won&#8217;t save the world.</p><p>But it might save you from forgetting you&#8217;re human in a job that constantly rewards you for acting like you&#8217;re not.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!b3Yj!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2f753c77-f232-4c2d-ad99-a208b055ffe3_1536x1024.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!b3Yj!, /__u/onthetreatmentfloor.substack.com/w_424, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_webp, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2f753c77-f232-4c2d-ad99-a208b055ffe3_1536x1024.png 424w, /__u/substackcdn.com/image/fetch/$s_!b3Yj!, /__u/onthetreatmentfloor.substack.com/w_848, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_webp, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F2f753c77-f232-4c2d-ad99-a208b055ffe3_1536x1024.png 848w, /__u/substackcdn.com/image/fetch/$s_!b3Yj!, /__u/onthetreatmentfloor.substack.com/w_1272, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_webp, /__u/onthetreatmentfloor.substack.com/q_auto:good, 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y2="14"></line></svg></button></div></div></div></a></figure></div>]]></content:encoded></item><item><title><![CDATA[You Don’t Actually Hate Veterinary Medicine. You Hate What It’s Doing to You.]]></title><description><![CDATA[At some point, almost every technician has the thought:]]></description><link>https://onthetreatmentfloor.substack.com/p/you-dont-actually-hate-veterinary</link><guid isPermaLink="false">https://onthetreatmentfloor.substack.com/p/you-dont-actually-hate-veterinary</guid><dc:creator><![CDATA[On The Treatment Floor]]></dc:creator><pubDate>Thu, 12 Feb 2026 15:26:13 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!P7Zl!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fad26fe4c-7a48-4f50-a747-0ce32f6ab9ff_1536x1024.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>At some point, almost every technician has the thought:</p><p>&#8220;I think I hate this field.&#8221;</p><p></p><p>It feels dramatic. It feels ungrateful. It feels like betrayal.</p><p></p><p>You worked so hard to get here. You chose this. You love animals. You care deeply. So if you feel miserable, the obvious conclusion must be that something&#8217;s wrong with you.</p><p></p><p>But what if that is not true.</p><p></p><p>What if you don&#8217;t hate veterinary medicine.</p><p>What if you hate what it has slowly been doing to you.</p><p></p><p>You hate the constant emotional exposure with no decompression.</p><p>You hate being the emotional punching bag for scared, angry, grieving clients.</p><p>You hate being told to &#8220;just let it go&#8221; after a client is rude to you.</p><p>You hate skipping lunch while being told the hospital can&#8217;t afford another technician.</p><p>You hate caring more than everyone else in the room and being made to feel dramatic for it.</p><p></p><p>That&#8217;s not hating the profession.</p><p>THAT is reacting to chronic stress without protection.</p><p>There is a difference.</p><p></p><p>Most of us came into this field because we&#8217;re wired to care. We&#8217;re the ones who double check the fluid pump at 2 am. The ones who stay late to sit with a hospitalized patient. The ones who remember which dog is afraid of men and which cat needs the towel over the cage door.</p><p></p><p>The system rewards that at first. You get praised for being dedicated. Selfless. Team oriented.</p><p></p><p>Then it quietly starts extracting from you.</p><p></p><p>Your time.</p><p>Your boundaries.</p><p>Your emotional capacity.</p><p>Your tolerance for disrespect.</p><p>Your body.</p><p></p><p>And because you&#8217;re competent, you compensate. You fill the gaps. You cover the shifts. You absorb the tension. You carry the weight.</p><p></p><p>Until one day you feel numb. Or angry. Or tired in a way that sleep doesn&#8217;t fix.</p><p></p><p>And you think, &#8220;Maybe I just am not cut out for this.&#8221;</p><p></p><p>Pause.</p><p></p><p>Before you blow up your entire career, ask a harder question.</p><p></p><p>Have you been practicing veterinary medicine with boundaries?</p><p></p><p>Have you separated compassion from self sacrifice?</p><p></p><p>Have you stopped letting every crisis become your personal responsibility?</p><p></p><p>If the answer is no, that doesn&#8217;t make you weak. It makes you untrained in self preservation. Most of us were.</p><p></p><p>No one teaches technicians how to emotionally detach in a healthy way. No one teaches us how to say, &#8220;I understand you are upset, but you may not speak to me that way.&#8221; No one teaches us how to go home without replaying every case in our heads.</p><p></p><p>So we assume the only options are:</p><p></p><ul><li><p>Care deeply and burn out.</p></li><li><p>Stop caring and become bitter.</p></li><li><p>Leave.</p></li></ul><p></p><p>There IS another option.</p><p></p><p>Care deeply and develop boundaries that protect your nervous system.</p><p></p><p>That means:</p><p>You don&#8217;t argue with clients.</p><p>You don&#8217;t chase approval.</p><p>You don&#8217;t over explain to people who have already decided to be angry.</p><p>You do your job well.</p><p>You document clearly.</p><p>You escalate appropriately.</p><p>Then you mentally clock out.</p><p></p><p>You are not required to carry the emotional aftermath of every interaction.</p><p></p><p>The profession is heavy. It&#8217;ll always be heavy. Sick animals. Financial limitations. Grief. Euthanasia. Those things are real.</p><p></p><p>But chaos, drama, overextension, and self abandonment are not required components of good medicine.</p><p></p><p>If you feel like you hate this field, slow down before you walk away.</p><p></p><p>You might not hate veterinary medicine.</p><p>You might hate practicing it without protection.</p><p>And that is something you can change.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!P7Zl!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fad26fe4c-7a48-4f50-a747-0ce32f6ab9ff_1536x1024.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!P7Zl!, /__u/onthetreatmentfloor.substack.com/w_424, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_webp, 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stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div>]]></content:encoded></item><item><title><![CDATA[Where the Breaking Point Becomes the Turning Point]]></title><description><![CDATA[There is a moment in every vet tech&#8217;s career where something inside you finally goes quiet.]]></description><link>https://onthetreatmentfloor.substack.com/p/where-the-breaking-point-becomes</link><guid isPermaLink="false">https://onthetreatmentfloor.substack.com/p/where-the-breaking-point-becomes</guid><dc:creator><![CDATA[On The Treatment Floor]]></dc:creator><pubDate>Thu, 05 Feb 2026 21:18:51 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!ckqR!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5b9bdf65-216b-4458-8ecc-43f64c6c80f3_1536x1024.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>There is a moment in every vet tech&#8217;s career where something inside you finally goes quiet. It doesn&#8217;t happen with fireworks. There is no dramatic meltdown. It&#8217;s just a shift. A click. A thought that lands so softly you almost miss it.</p><p></p><p>&#8220;I can&#8217;t do this anymore.&#8221;</p><p></p><p>It sneaks in on a normal day. You&#8217;re placing a catheter. You&#8217;re holding a dog for a vaccine. You&#8217;re explaining a bill for the fiftieth time. Nothing dramatic. Nothing new. But for the first time, your brain doesn&#8217;t bounce back. The little spark that kept you going feels muted.</p><p></p><p>You recognize the feeling even if you pretend you don&#8217;t. It&#8217;s the kind of tired that sleep doesn&#8217;t fix. The kind of heaviness that makes even the good cases feel borrowed. You look around at the chaos. The ringing phones. The short staffing. The impossible expectations. And instead of gearing up, you feel yourself backing away on instinct.</p><p></p><p>People love to call it burnout. But burnout makes it sound temporary. This is different. This is the moment you realize your career has taken more from you than it has left to give.</p><p></p><p>You think about the years you spent convincing yourself it would get better. You think about the pride you felt when you first put on your badge. You think about the patients you kept alive through sheer force of will. And somewhere underneath all that, there&#8217;s grief. Real grief. Because the version of you who pushed through everything is slipping.</p><p></p><p>And you know it.</p><p></p><p>The hardest part is that no one else sees it. To everyone else, you look fine. You&#8217;re still competent. You&#8217;re still helpful. You&#8217;re still everyone&#8217;s go to. But inside, something has already shifted. You&#8217;re already imagining a life where you&#8217;re not carrying all of this. A life where you don&#8217;t have to fall apart quietly in your car before walking into work.</p><p></p><p>This moment doesn&#8217;t make you weak. It makes you honest. It takes courage to admit that the field you gave everything to has drained you to empty. It takes strength to decide you deserve a life that doesn&#8217;t require constant sacrifice.</p><p></p><p>But here&#8217;s the part we never talk about. The moment you realize you&#8217;re done doesn&#8217;t always mean you have to leave. Sometimes it means you have to change the way you exist inside this field.</p><p></p><p>And that is the part no one ever teaches us.</p><div><hr></div><p>So what is the fix? What is the cure?</p><p></p><p>It isn&#8217;t a day off. It isn&#8217;t self care. It isn&#8217;t yoga or sleep or a bubble bath. You already know that. Those things help you survive a shift. They don&#8217;t rebuild you.</p><p></p><p>The real &#8220;fix&#8221; is honesty. Sometimes uncomfortable honesty.</p><p></p><p></p><p><strong>Be honest about what you need, not what you have been enduring.</strong></p><p>Vet med trains us to adjust. To adapt. To take pride in surviving impossible workloads. But the truth is simple. The more you absorb, the more they let you absorb. The cure starts with saying the thing you have been swallowing for years.</p><p>&#8220;I am overwhelmed.&#8221;</p><p>&#8220;I need help.&#8221;</p><p>&#8220;I can&#8217;t be everyone&#8217;s safety net.&#8221;</p><p>That kind of honesty feels dangerous, but it is the only thing that breaks the cycle.</p><p></p><p></p><p><strong>Build boundaries that protect your energy instead of proving your worth.</strong></p><p>Boundaries are not a threat. They are a treatment plan. Stop being the tech everyone relies on when the world is on fire. Let someone else run anesthesia sometimes. Let someone else restrain the fractious dog. You cannot be the hero every day without eventually losing the parts of yourself you care about most.</p><p></p><p></p><p><strong>Reconnect with the one part of the job that still feels like yours.</strong></p><p>There is always something. A species you love. A skill that lights you up. A type of case that makes you feel competent and alive instead of drained. Feed that part. When the whole field feels heavy, that sliver of connection keeps you from disappearing inside the weight of everything else.</p><p></p><p></p><p><strong>And if none of that brings you back to yourself, allow yourself to walk away without guilt.</strong></p><p>Leaving doesn&#8217;t mean you gave up. It means you listened. It means you refused to let the field strip away the last parts of you that still feel human. You can leave for a season. You can leave forever. You can come back later in a different capacity. You are allowed all of it.</p><div><hr></div><p><strong>The hope is this.</strong></p><p>You are not broken. You are not weak. You are not failing your patients or your team. You are recognizing that your worth as a human being does not depend on how much suffering you can carry without collapsing.</p><p></p><p>There is a path forward. Sometimes it winds back into vet med. Sometimes it doesn&#8217;t. Either way, this moment is not the end of you. It&#8217;s the beginning of a version of you that finally gets to breathe.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!ckqR!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5b9bdf65-216b-4458-8ecc-43f64c6c80f3_1536x1024.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!ckqR!, /__u/onthetreatmentfloor.substack.com/w_424, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_webp, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5b9bdf65-216b-4458-8ecc-43f64c6c80f3_1536x1024.png 424w, /__u/substackcdn.com/image/fetch/$s_!ckqR!, 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/__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5b9bdf65-216b-4458-8ecc-43f64c6c80f3_1536x1024.png 1456w" sizes="100vw"><img src="/__u/substackcdn.com/image/fetch/$s_!ckqR!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5b9bdf65-216b-4458-8ecc-43f64c6c80f3_1536x1024.png" width="1536" height="1024" data-attrs="{&quot;src&quot;:&quot;https://substack-post-media.s3.amazonaws.com/public/images/5b9bdf65-216b-4458-8ecc-43f64c6c80f3_1536x1024.png&quot;,&quot;srcNoWatermark&quot;:null,&quot;fullscreen&quot;:null,&quot;imageSize&quot;:&quot;normal&quot;,&quot;height&quot;:1024,&quot;width&quot;:1536,&quot;resizeWidth&quot;:null,&quot;bytes&quot;:0,&quot;alt&quot;:null,&quot;title&quot;:null,&quot;type&quot;:&quot;&quot;,&quot;href&quot;:null,&quot;belowTheFold&quot;:true,&quot;topImage&quot;:false,&quot;internalRedirect&quot;:null,&quot;isProcessing&quot;:false,&quot;align&quot;:null,&quot;offset&quot;:false}" class="sizing-normal" alt="" srcset="/__u/substackcdn.com/image/fetch/$s_!ckqR!, /__u/onthetreatmentfloor.substack.com/w_424, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_auto, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5b9bdf65-216b-4458-8ecc-43f64c6c80f3_1536x1024.png 424w, /__u/substackcdn.com/image/fetch/$s_!ckqR!, /__u/onthetreatmentfloor.substack.com/w_848, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_auto, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5b9bdf65-216b-4458-8ecc-43f64c6c80f3_1536x1024.png 848w, /__u/substackcdn.com/image/fetch/$s_!ckqR!, /__u/onthetreatmentfloor.substack.com/w_1272, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_auto, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5b9bdf65-216b-4458-8ecc-43f64c6c80f3_1536x1024.png 1272w, /__u/substackcdn.com/image/fetch/$s_!ckqR!, /__u/onthetreatmentfloor.substack.com/w_1456, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_auto, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F5b9bdf65-216b-4458-8ecc-43f64c6c80f3_1536x1024.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div>]]></content:encoded></item><item><title><![CDATA[How To Survive When People In Charge Are The Problem]]></title><description><![CDATA[There&#8217;s a quiet reality in veterinary medicine that nobody likes to admit.]]></description><link>https://onthetreatmentfloor.substack.com/p/how-to-survive-when-people-in-charge</link><guid isPermaLink="false">https://onthetreatmentfloor.substack.com/p/how-to-survive-when-people-in-charge</guid><dc:creator><![CDATA[On The Treatment Floor]]></dc:creator><pubDate>Fri, 30 Jan 2026 19:19:28 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!geUz!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdcd29c70-43d9-4dfc-8b16-2d76c3861475_1536x1024.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>There&#8217;s a quiet reality in veterinary medicine that nobody likes to admit. Sometimes the hardest part of your job isn&#8217;t the medicine, the clients, the emergencies, or the long hours. Sometimes the hardest part is the people who are supposed to be leading you. The doctor with the short fuse. The manager who talks down to everyone. The shift lead who wields their title like a weapon. And when people say &#8220;If you don&#8217;t like it, leave,&#8221; it rings hollow because leaving isn&#8217;t always an option. Bills exist. Childcare exists. Geography exists. And even if you did leave, there&#8217;s no guarantee the next clinic would be any better.</p><p></p><p>So this isn&#8217;t about escaping a bad environment. It&#8217;s about surviving one. It&#8217;s about how to protect your confidence, your boundaries, and your identity when the people above you refuse to protect theirs.</p><p></p><p>The first shift in surviving rude leadership is understanding that their tone doesn&#8217;t define you, and it doesn&#8217;t require an equal emotional reaction. When a doctor or manager unloads on you, they want intensity. They want control. They want a reaction that validates their outburst. What they don&#8217;t expect is steady neutrality. Calm, concise replies. Nothing dramatic. Nothing extra. You&#8217;re not being passive. You&#8217;re removing fuel. A simple &#8220;What&#8217;s the next priority?&#8221; or &#8220;I hear you, what do you need right now?&#8221; resets the interaction without shrinking yourself. It&#8217;s a strategic refusal to get dragged into their whirlwind.</p><p></p><p>In the background of that calm exterior sits your strongest protection: documentation. Not in a tattletale way, but as armor. A brief email confirming instructions after a heated exchange. A private log with dates and direct quotes. A quick written clarification when something was said in anger. People who speak to others disrespectfully often try to rewrite the moment later. Documentation is how you refuse to let that happen. It&#8217;s how you stay grounded in facts when someone else is operating from emotion.</p><p></p><p>When leadership is unpredictable, you learn to create boundaries they don&#8217;t have to approve to be effective. Boundaries that exist in the way you behave, not in the way they respond. You stop apologizing for things that aren&#8217;t your fault. You take one task at a time instead of letting yourself be pulled in six directions by someone else&#8217;s disorganization. You refuse to match their tone. You give yourself a brief pause before responding so their mood doesn&#8217;t become your own. These aren&#8217;t dramatic lines drawn in the sand. They&#8217;re quiet, consistent behaviors that retrain the dynamic over time. People treat you the way you teach them to treat you. When you stop rewarding disrespect with emotional availability, the pattern changes.</p><p></p><p>But the most important part of surviving rude leadership is protecting your inner narrative. When someone above you speaks sharply or unfairly, it&#8217;s easy to internalize it. You start to doubt yourself. You second-guess every move. You brace for the next hit before it even arrives. Their voice becomes the one in your head, long after the moment is over. That&#8217;s where the real damage happens. So you have to separate what they said from who you are. Their outburst is about their stress, their ego, their lack of regulation. Not your competence. Not your worth. Remind yourself of that every time you feel the sting. You can respond with professionalism without absorbing their emotion.</p><p></p><p>Surviving difficult leadership also means knowing when to quietly loop someone else in. Not to start drama. Not to corner anyone. Just to create accountability. Sometimes that means shifting conversations to email. Sometimes it means having a witness nearby during a volatile interaction. Sometimes it means asking a calmer leader for logistical clarification when the person above you is too emotional to communicate clearly. You&#8217;re not escalating in a loud way. You&#8217;re creating structure where there wasn&#8217;t any.</p><p></p><p>No one survives this alone. You need at least one or two stable people in the building who don&#8217;t feed on gossip or chaos. People who can reality-check your interpretation after a rough moment. People who can take over a case so you can reset. People who aren&#8217;t threatened by boundaries and don&#8217;t get high off drama. A dysfunctional environment can&#8217;t be weathered without allies. You don&#8217;t need a clique. You just need a couple of sane voices.</p><p></p><p>And through all of this, you remind yourself why you&#8217;re there. You&#8217;re not there for the rude doctor. You&#8217;re not there for the moody manager. You&#8217;re not there for the people who forget your value the second they get stressed. You&#8217;re there for the animals, for the medicine, for your coworkers who rely on you, and for the version of yourself you&#8217;re building. The people who make your day harder aren&#8217;t the reason you show up. They&#8217;re just noise you learn to navigate.</p><p></p><p>You can&#8217;t force a veterinarian to be kind. You can&#8217;t make a manager emotionally mature. You can&#8217;t control the temperament or professionalism of leadership that was never trained to lead. But you can control how you respond. You can control what you internalize. You can control the boundaries you hold, the documentation you keep, the professionalism you maintain, and the identity you protect.</p><p></p><p>In a perfect world, the people in charge would be held accountable.</p><p>In the real world, veterinary technicians become masters at surviving storms other people create.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!geUz!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdcd29c70-43d9-4dfc-8b16-2d76c3861475_1536x1024.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!geUz!, /__u/onthetreatmentfloor.substack.com/w_424, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_webp, /__u/onthetreatmentfloor.substack.com/q_auto:good, 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/__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdcd29c70-43d9-4dfc-8b16-2d76c3861475_1536x1024.png 424w, /__u/substackcdn.com/image/fetch/$s_!geUz!, /__u/onthetreatmentfloor.substack.com/w_848, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_auto, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdcd29c70-43d9-4dfc-8b16-2d76c3861475_1536x1024.png 848w, /__u/substackcdn.com/image/fetch/$s_!geUz!, /__u/onthetreatmentfloor.substack.com/w_1272, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_auto, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdcd29c70-43d9-4dfc-8b16-2d76c3861475_1536x1024.png 1272w, /__u/substackcdn.com/image/fetch/$s_!geUz!, /__u/onthetreatmentfloor.substack.com/w_1456, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_auto, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fdcd29c70-43d9-4dfc-8b16-2d76c3861475_1536x1024.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div>]]></content:encoded></item><item><title><![CDATA[Where Caring Starts to Crack]]></title><description><![CDATA[There&#8217;s a version of veterinary medicine that looks polished from the outside.]]></description><link>https://onthetreatmentfloor.substack.com/p/where-caring-starts-to-crack</link><guid isPermaLink="false">https://onthetreatmentfloor.substack.com/p/where-caring-starts-to-crack</guid><dc:creator><![CDATA[On The Treatment Floor]]></dc:creator><pubDate>Mon, 26 Jan 2026 16:05:16 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!S6Vo!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb347c00d-1d0f-4dde-a622-90aa424fa6ce_1536x1024.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>There&#8217;s a version of veterinary medicine that looks polished from the outside. You know the one. Smiling techs, spotless floors, a tidy stack of patient files, and a clinic cat who conveniently sleeps in picture-perfect lighting. That version gets the spotlight because it&#8217;s comforting. Marketable. Easy to swallow.</p><p></p><p>But there&#8217;s another version. The one we walk into every day without fanfare or press releases. The one where you&#8217;re holding a dying patient in your arms while someone in the lobby complains about the wait time. The one where you can feel your own pulse pounding harder than the heart you&#8217;re monitoring. The one where you have to decide whether to advocate, stay quiet, or swallow the consequences of speaking up.</p><p></p><p>We carry that version in our bodies far longer than anyone realizes.</p><p></p><p>The public sees the gentle hands. They don&#8217;t see those hands shaking in the car after a shift. They see the compassion. They don&#8217;t see the anger you have to swallow when someone calls you &#8220;overpaid&#8221; for doing CPR on their dog at two in the morning. They see the cute scrubs. They don&#8217;t see the technician who hasn&#8217;t eaten since breakfast because the moment she opened her granola bar, a GDV hit the door.</p><p></p><p>And yet we keep showing up. Not because the system makes it easy. Not because the job makes sense. But because at some point we decided that animals matter more than our comfort, and we didn&#8217;t know how to un-decide it.</p><p></p><p>Lately I&#8217;ve been writing about the parts of our field that rarely get named. The emotional physics. The burnout nobody catches until it&#8217;s already scorched through someone&#8217;s identity. The way caring too much can put a target on your back in some clinics. The way leadership positions can turn into battlefields when all you wanted was to support the people doing the real work.</p><p></p><p>There&#8217;s something powerful in finally saying the quiet things out loud. And trust me, I&#8217;ve been saying them. A lot of them.</p><p></p><p>I&#8217;ve spent months putting something together that isn&#8217;t just another rant or anonymous confession. It&#8217;s the thing I wish someone had handed me years ago when I was drowning in a profession that expected me to be grateful for the privilege of burning out.</p><p></p><p>I&#8217;m not ready to release it yet, but I can tell you this: it&#8217;s real. It&#8217;s raw. And it isn&#8217;t interested in protecting the version of this industry that pretends everything is fine.</p><p></p><p>If you&#8217;ve ever stood on the treatment floor and felt the ground shifting under your feet, you&#8217;ll know exactly what I&#8217;m talking about.</p><p></p><p>More soon.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!S6Vo!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb347c00d-1d0f-4dde-a622-90aa424fa6ce_1536x1024.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!S6Vo!, /__u/onthetreatmentfloor.substack.com/w_424, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_webp, /__u/onthetreatmentfloor.substack.com/q_auto:good, 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stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div>]]></content:encoded></item><item><title><![CDATA[The Ugly Truth: Veterinary Medicine Survives On Exploiting The People Who Care The Most]]></title><description><![CDATA[Veterinary medicine does not run on passion.]]></description><link>https://onthetreatmentfloor.substack.com/p/the-ugly-truth-veterinary-medicine</link><guid isPermaLink="false">https://onthetreatmentfloor.substack.com/p/the-ugly-truth-veterinary-medicine</guid><dc:creator><![CDATA[On The Treatment Floor]]></dc:creator><pubDate>Fri, 23 Jan 2026 16:06:45 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!HkgV!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd5138932-b4d8-4915-90db-bf00e861fcd9_1536x1024.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Veterinary medicine does not run on passion. It runs on the predictable emotional compliance of people who care far too deeply to walk away, even when the math, the workload, and the treatment from leadership all point toward the exit. This field functions because the most compassionate workers are the easiest to convince that suffering is simply part of the job. It is a quiet system of exploitation that hides behind words like dedication and teamwork and &#8220;doing it for the animals.&#8221;</p><p></p><p>Here is the part no one likes to say out loud.</p><p>The people who care the most are always the first to break.</p><p>The industry never asks why. It just replaces them.</p><p></p><p>The cycle continues because it is efficient.</p><p>Not ethical.</p><p>Not humane.</p><p>Just efficient.</p><p></p><p>Clinics understand the psychology of their staff. They know exactly who will stay late without pay, absorb emotional volatility, tolerate broken systems, and still show up early the next morning because someone has to. They know who will run the floor, calm the clients, clean the messes, train the new hires, and hold the clinic together while leadership drafts another motivational email about teamwork.</p><p></p><p>These workers are not selected at random.</p><p>They are chosen by temperament.</p><p></p><p>Soft heart.</p><p>High guilt tolerance.</p><p>Lives for patient care.</p><p>Overachiever.</p><p>Internalizes failure.</p><p>Apologizes for things that are not their fault.</p><p>Still worries that they are the problem.</p><p></p><p>Perfect fuel.</p><p>Cheap fuel.</p><p>Replaceable fuel.</p><p></p><p>And I know this pattern firsthand. I was pushed out of leadership for caring too much about the technicians who were holding the clinic together. I advocated for them. I fought for fair treatment. I refused to treat their well-being as optional. Management decided that made me someone who did not have the clinic&#8217;s best interests in mind. They twisted compassion into disloyalty. Not because I was wrong, but because protecting staff meant challenging the system that depended on their exhaustion. Caring became a liability. And that is exactly how the field wants it.</p><p></p><p>The industry does not need fully staffed clinics when it has emotionally conditioned staff. It needs just enough employees who are willing to carry double the workload and blame themselves for not carrying triple. It needs workers who believe exhaustion is normal and personal sacrifice is admirable. The field praises these people publicly while privately squeezing them dry.</p><p></p><p>And the praise is always free.</p><p>Free pizza.</p><p>Free T-shirt.</p><p>Free &#8220;you&#8217;re such a rock star.&#8221;</p><p>Free emotional manipulation disguised as appreciation.</p><p></p><p>Actual compensation, however, seems to be on permanent backorder.</p><p></p><p>The truth is uncomfortable.</p><p>If compassion were not so easily weaponized, this entire structure would collapse. Clinics depend on the quiet hope that techs will tolerate unfair pay because they love the animals. They depend on guilt to keep people from leaving. They depend on loyalty to hide the gaps in staffing and leadership. They depend on the fact that the average vet professional would rather burn out than let someone down.</p><p></p><p>That last part is the whole problem.</p><p>Burnout is not an accident.</p><p>Burnout is the operating system.</p><p></p><p>It is easier to break the people who care than to fix the systems that harm them.</p><p></p><p>Veterinary medicine loves to talk about resilience.</p><p>Resilience workshops.</p><p>Resilience webinars.</p><p>Resilience culture-building exercises.</p><p>All of it designed to teach staff how to tolerate dysfunction with a smile.</p><p></p><p>No one asks why the same people keep breaking.</p><p>No one asks why the turnover never stops.</p><p>No one asks why the most skilled, compassionate professionals are the ones who disappear silently in the middle of a shift and never come back.</p><p></p><p>The answer is simple.</p><p>The field never needed them to survive.</p><p>It only needed them long enough to function.</p><p></p><p>Once they crack under the pressure, the system does not pause to reflect.</p><p>It does exactly what it was designed to do.</p><p>It replaces them with someone new. Someone hopeful. Someone who still believes this time will be different.</p><p></p><p>This is not a staffing crisis.</p><p>It is a values crisis.</p><p></p><p>And every time a tech walks away from the field, the industry pretends to be shocked, as if the loss is mysterious and tragic and impossible to understand. As if the signs weren&#8217;t visible months before. As if the conditions weren&#8217;t predictable. As if the system did not depend on their silence, their guilt, their willingness to carry the weight of an entire clinic on their backs. </p><p></p><p>But here is the truth that cuts through the denial.</p><p></p><p>People are not leaving because they stopped caring. </p><p>They&#8217;re leaving because the field counted on their caring to keep them trapped. </p><p></p><p>They finally realized caring along would never save them. </p><p></p><p>Veterinary medicine will keep breaking the people who care the most until it stops relying on their compassion as a substitute for fair pay, functional leadership, and humane working conditions. The industry can pretend the losses are random. It can pretend burnout is personal. It can pretend replacement is the solution. </p><p></p><p>But sooner or later, it will run out of people who are willing to bleed for a field that refuses to stop taking. </p><p></p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!HkgV!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd5138932-b4d8-4915-90db-bf00e861fcd9_1536x1024.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!HkgV!, /__u/onthetreatmentfloor.substack.com/w_424, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_webp, /__u/onthetreatmentfloor.substack.com/q_auto:good, 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/__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd5138932-b4d8-4915-90db-bf00e861fcd9_1536x1024.png 424w, /__u/substackcdn.com/image/fetch/$s_!HkgV!, /__u/onthetreatmentfloor.substack.com/w_848, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_auto, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd5138932-b4d8-4915-90db-bf00e861fcd9_1536x1024.png 848w, /__u/substackcdn.com/image/fetch/$s_!HkgV!, /__u/onthetreatmentfloor.substack.com/w_1272, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_auto, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd5138932-b4d8-4915-90db-bf00e861fcd9_1536x1024.png 1272w, /__u/substackcdn.com/image/fetch/$s_!HkgV!, /__u/onthetreatmentfloor.substack.com/w_1456, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_auto, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fd5138932-b4d8-4915-90db-bf00e861fcd9_1536x1024.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div>]]></content:encoded></item><item><title><![CDATA[The LVT Trap: Why Veterinary Medicine Leaves Technicians With No Safe Place to Stand]]></title><description><![CDATA[Veterinary medicine likes to present a false choice to Licensed Veterinary Technicians.]]></description><link>https://onthetreatmentfloor.substack.com/p/the-lvt-trap-why-veterinary-medicine</link><guid isPermaLink="false">https://onthetreatmentfloor.substack.com/p/the-lvt-trap-why-veterinary-medicine</guid><dc:creator><![CDATA[On The Treatment Floor]]></dc:creator><pubDate>Wed, 21 Jan 2026 16:10:33 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!QEzp!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc9ac42f0-a083-4070-b131-d96b0e296478_1536x1024.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Veterinary medicine likes to present a false choice to Licensed Veterinary Technicians.</p><p></p><p>If corporate burns you out, go private.</p><p>If private underpays you, go corporate.</p><p></p><p>As if one is the problem and the other is the solution.</p><p></p><p>In reality, both models fail LVTs in different but equally damaging ways, and the profession survives by pretending this is normal.</p><div><hr></div><p><strong>Corporate exploits labor. Private practice excuses it.</strong></p><p></p><p>Corporate hospitals often pay more. On paper, it looks like progress.</p><p></p><p>That higher pay comes with a cost that is easy to see once you have lived it.</p><p>Corporate hospitals operate with thin staffing, heavy productivity pressures, long shifts, and an expectation that technicians can absorb endless emotional labor without real support.</p><p>Burnout is described as a personal issue instead of a predictable reaction to an unsustainable workload.</p><p></p><p>Corporate understands the value of LVTs perfectly.</p><p>Skilled technicians keep doctors efficient, keep patients alive, and keep revenue flowing.</p><p>This is why corporate pushes technicians to the edge of what is legal, ethical, and humanly possible.</p><p></p><p>Corporate does not undervalue LVTs.</p><p>Corporate monetizes them until they break.</p><div><hr></div><p><strong>Private practice has a quieter, softer failure that hurts in its own way.</strong></p><p></p><p>Private hospitals often focus on culture and compassion. Many of them truly care.</p><p>However, caring without compensation is still exploitation, even if the tone is gentler.</p><p></p><p>Private practices often justify low wages with phrases like:</p><p></p><ul><li><p>We are not corporate</p></li><li><p>We cannot afford to pay more</p></li><li><p>Margins are tight</p></li><li><p>We are a family here</p></li></ul><p></p><p>This language works because it adds guilt.</p><p>Wanting financial stability becomes selfish.</p><p>Wanting a living wage becomes unrealistic.</p><p>Wanting a retirement plan becomes an unreasonable request.</p><p></p><p>You may feel more supported in a private hospital, but the paycheck is not enough to build a stable adult life.</p><p></p><p>Corporate drains technicians.</p><p>Private practice guilts them.</p><p></p><div><hr></div><p><strong>Different stories. Same outcome.</strong></p><p></p><p>Both sides rely on the same unspoken assumption.</p><p></p><p>LVTs will stay because this is their identity.</p><p>LVTs will stay because they love animals.</p><p>LVTs will stay because they cannot imagine doing anything else.</p><p></p><p>This assumption props up the entire profession.</p><p></p><p>If LVTs were compensated according to their education, licensure, medical responsibility, liability, and emotional labor, most veterinary hospitals would have to rebuild their financial structure from the ground up.</p><p></p><p>Instead, the industry accepts high turnover, calls it a staffing shortage, and moves on.</p><p></p><div><hr></div><p><strong>A small but important truth</strong></p><p></p><p>There are rare hospitals that prove it is possible to value technicians.</p><p>There are places where LVTs are paid well, respected fully, supported emotionally, and treated as irreplaceable members of the medical team.</p><p>These hospitals check every box.</p><p>They are healthy.</p><p>They are sustainable.</p><p>They are proof that the profession can do better.</p><p></p><p>They are also the exception, not the rule.</p><p>Most LVTs will never find a workplace that meets this standard, and that is the problem.</p><p></p><div><hr></div><p><strong>This is not a staffing crisis. It is a sustainability crisis.</strong></p><p></p><p>The entire system runs on passion instead of pay.</p><p>Licensed medical professionals are paid wages that compete with retail.</p><p>Career progression caps out long before financial stability is possible.</p><p>Burnout is reframed as a lack of resilience.</p><p>Leaving the field is framed as a personal failure instead of a rational choice.</p><p></p><p>LVTs are not leaving because they do not care.</p><p>They are leaving because the system gives them no path to a stable future.</p><p></p><div><hr></div><p><strong>The hardest truth</strong></p><p></p><p>There is no reliably safe place inside the profession.</p><p>Corporate may pay more but will take everything you have.</p><p>Private practice may treat you better but often cannot pay enough to support a family or a long-term life.</p><p></p><p>Being forced to choose between emotional collapse and financial instability is not a career path.</p><p>It is a trap.</p><p></p><div><hr></div><p><strong>Veterinary medicine cannot survive without LVTs</strong></p><p></p><p>Yet it continues to operate as if technicians are replaceable and infinitely flexible.</p><p></p><p>You cannot value patient care while underpaying the people who provide most of it.</p><p>You cannot claim to prioritize mental health while designing jobs that are financially and emotionally unsustainable.</p><p>You cannot claim to respect licensure while compensating it like a hobby.</p><p></p><p>Until the profession confronts this openly, it will keep losing its most committed and most experienced people.</p><p>Not because they stopped caring.</p><p>Because caring alone is not enough to support a life.</p><p></p><div><hr></div><p><strong>Where do LVTs go when the field breaks them</strong></p><p></p><p>The fear is universal:</p><p>If I leave, where do I go. This is all I know.</p><p></p><p>That fear is created by a system that benefits from technicians feeling trapped.</p><p></p><p>The truth is very different.</p><p></p><div><hr></div><p><strong>LVT skills transfer into many higher paying, more sustainable careers</strong></p><p></p><p>Human healthcare</p><p></p><ul><li><p>Surgical tech</p></li><li><p>Patient care coordinator</p></li><li><p>Clinical educator</p></li><li><p>Dialysis tech</p></li><li><p>Case management Your triage instincts and clinical reasoning translate immediately.</p></li></ul><p></p><p></p><p>Medical and pharmaceutical industries</p><p></p><ul><li><p>Pharma sales</p></li><li><p>Equipment training</p></li><li><p>Field support</p></li><li><p>Medical education roles These positions pay significantly more and value your clinical background.</p></li></ul><p></p><p></p><p>Regulatory and compliance fields</p><p></p><ul><li><p>OSHA compliance</p></li><li><p>Quality assurance</p></li><li><p>Research oversight Technicians excel in protocol management and detailed documentation.</p></li></ul><p></p><p></p><p>Operations and management outside of vet med</p><p>Technicians already do staffing, workflow management, conflict resolution, inventory, and crisis logistics.</p><p>Other industries compensate these skill sets far more fairly.</p><p></p><p>Remote clinical roles</p><p></p><ul><li><p>Teletriage</p></li><li><p>Virtual client support</p></li><li><p>Case coordination Still medical. Less trauma.</p></li></ul><p></p><p></p><p>When LVTs leave veterinary medicine, they often make more money very quickly.</p><p>Not because they changed who they are, but because their skills were finally valued appropriately.</p><p></p><p>Leaving the field is not failure.</p><p>It is recognition of your worth.</p><p></p><div><hr></div><p>Veterinary medicine needs to stop pretending this issue is about passion or resilience.</p><p>It is about sustainability and the long-term survival of the profession.</p><p></p><p>If this field wants to keep its Licensed Veterinary Technicians, it must stop relying on their love for the job to cover the gaps created by low wages and chronic emotional strain.</p><p>It must invest in technicians financially, structurally, and professionally.</p><p></p><p>Until that happens, LVTs will continue to walk away.</p><p>Not because they stopped caring, but because they finally realized they deserve a life where caring for others does not require sacrificing themselves.</p><p></p><p>And they are right.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!QEzp!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc9ac42f0-a083-4070-b131-d96b0e296478_1536x1024.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!QEzp!, /__u/onthetreatmentfloor.substack.com/w_424, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_webp, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc9ac42f0-a083-4070-b131-d96b0e296478_1536x1024.png 424w, /__u/substackcdn.com/image/fetch/$s_!QEzp!, /__u/onthetreatmentfloor.substack.com/w_848, 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/__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc9ac42f0-a083-4070-b131-d96b0e296478_1536x1024.png 1456w" sizes="100vw"><img src="/__u/substackcdn.com/image/fetch/$s_!QEzp!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fc9ac42f0-a083-4070-b131-d96b0e296478_1536x1024.png" width="1536" height="1024" 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stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div>]]></content:encoded></item><item><title><![CDATA[What We Absorb So You Don’t Have To]]></title><description><![CDATA[Veterinary medicine asks its people to absorb a lot.]]></description><link>https://onthetreatmentfloor.substack.com/p/what-we-absorb-so-you-dont-have-to</link><guid isPermaLink="false">https://onthetreatmentfloor.substack.com/p/what-we-absorb-so-you-dont-have-to</guid><dc:creator><![CDATA[On The Treatment Floor]]></dc:creator><pubDate>Wed, 14 Jan 2026 18:48:49 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!xQOd!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F756af1e4-35aa-4030-8e72-fd2737b30ede_1536x1024.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Veterinary medicine asks its people to absorb a lot.</p><p></p><p>We absorb fear when a client doesn&#8217;t know if their pet will survive.</p><p>We absorb grief when outcomes aren&#8217;t what anyone hoped for.</p><p>We absorb anger when the system disappoints people who are already hurting.</p><p></p><p>And often, we absorb it silently.</p><div><hr></div><p>Abuse Is Not &#8220;Part of the Job&#8221;</p><p></p><p>Veterinary professionals are frequently told that difficult interactions are just part of working with the public.</p><p></p><p>Raised voices.</p><p>Personal insults.</p><p>Threats.</p><p>Objects thrown.</p><p>Hands shoved away, or worse.</p><p></p><p>For many in veterinary medicine, especially technicians and support staff, verbal abuse is so common it&#8217;s barely acknowledged. Physical intimidation or assault is often minimized unless it leaves visible marks.</p><p></p><p>It shouldn&#8217;t be normal. And it shouldn&#8217;t be tolerated.</p><div><hr></div><p>Why It Happens So Often</p><p></p><p>Most of the anger we face isn&#8217;t actually about us.</p><p></p><p>It&#8217;s about fear.</p><p>About money.</p><p>About guilt.</p><p>About loss of control.</p><p></p><p>Clients are grieving, overwhelmed, and frustrated by circumstances that feel unfair. But instead of being directed at systems, policies, or structures, that anger lands on the people standing closest to the patient.</p><p></p><p>The people on the treatment floor.</p><div><hr></div><p>The Cost of Constant Exposure</p><p></p><p>Repeated exposure to hostility changes people.</p><p></p><p>It creates hypervigilance&#8230; watching tone, posture, body language, always bracing for the next escalation. It creates emotional numbing as a form of survival. It creates exhaustion that no amount of time off fully resolves.</p><p></p><p>Many veterinary professionals learn to de-escalate instinctively, to absorb blame, to remain calm no matter what is said to them.</p><p></p><p>That skill is rarely acknowledged. It is almost never compensated.</p><div><hr></div><p>When Silence Becomes Policy</p><p></p><p>One of the most damaging aspects of this culture is how normalized it is.</p><p></p><p>Abuse is reframed as &#8220;understandable.&#8221;</p><p>Boundaries are discouraged because they might upset clients.</p><p>Speaking up is sometimes labeled as causing drama or being difficult.</p><p></p><p>When leadership fails to protect staff, silence becomes policy. And that silence teaches people that their safety is secondary.</p><div><hr></div><p>This Is Not Compassion Fatigue, It&#8217;s Trauma Exposure</p><p></p><p>What&#8217;s often called &#8220;compassion fatigue&#8221; is frequently cumulative trauma.</p><p></p><p>Being screamed at while trying to save a patient.</p><p>Being blamed for outcomes you didn&#8217;t control.</p><p>Being expected to recover instantly and move on to the next case.</p><p></p><p>That kind of exposure leaves a mark.</p><p></p><p>And it&#8217;s one of the reasons so many good, capable veterinary professionals eventually leave. Not because they stopped caring, but because caring came at too high a cost.</p><div><hr></div><p>What Needs to Be Said Clearly</p><p></p><p>Caring about animals does not mean accepting abuse.</p><p>Empathy does not require tolerating harm.</p><p>Professionalism does not mean being a punching bag.</p><p></p><p>Veterinary medicine can (and must) do better by the people who hold it together during its hardest moments.</p><p></p><p>Because the care you receive depends on the people who are still standing after absorbing everything meant for someone else.</p><p></p><p>We are human, even when we&#8217;re being asked not to be.</p><div><hr></div><p>Veterinary medicine cannot continue to survive on the quiet endurance of its people.</p><p></p><p>Abuse is not a rite of passage. Silence is not professionalism. And absorbing harm is not part of providing care.</p><p></p><p>If this profession wants to protect patients, it must first protect the people who show up for them&#8230; especially when things are hard, messy, and emotionally charged.</p><p></p><p>This isn&#8217;t about being less compassionate. It&#8217;s about being honest.</p><p></p><p>This is the reality we need to stop ignoring,</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!xQOd!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F756af1e4-35aa-4030-8e72-fd2737b30ede_1536x1024.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!xQOd!, /__u/onthetreatmentfloor.substack.com/w_424, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_webp, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F756af1e4-35aa-4030-8e72-fd2737b30ede_1536x1024.png 424w, /__u/substackcdn.com/image/fetch/$s_!xQOd!, /__u/onthetreatmentfloor.substack.com/w_848, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_webp, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F756af1e4-35aa-4030-8e72-fd2737b30ede_1536x1024.png 848w, /__u/substackcdn.com/image/fetch/$s_!xQOd!, /__u/onthetreatmentfloor.substack.com/w_1272, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_webp, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F756af1e4-35aa-4030-8e72-fd2737b30ede_1536x1024.png 1272w, /__u/substackcdn.com/image/fetch/$s_!xQOd!, /__u/onthetreatmentfloor.substack.com/w_1456, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_webp, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F756af1e4-35aa-4030-8e72-fd2737b30ede_1536x1024.png 1456w" sizes="100vw"><img src="/__u/substackcdn.com/image/fetch/$s_!xQOd!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F756af1e4-35aa-4030-8e72-fd2737b30ede_1536x1024.png" width="1536" height="1024" 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/__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F756af1e4-35aa-4030-8e72-fd2737b30ede_1536x1024.png 424w, /__u/substackcdn.com/image/fetch/$s_!xQOd!, /__u/onthetreatmentfloor.substack.com/w_848, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_auto, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F756af1e4-35aa-4030-8e72-fd2737b30ede_1536x1024.png 848w, /__u/substackcdn.com/image/fetch/$s_!xQOd!, /__u/onthetreatmentfloor.substack.com/w_1272, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_auto, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F756af1e4-35aa-4030-8e72-fd2737b30ede_1536x1024.png 1272w, /__u/substackcdn.com/image/fetch/$s_!xQOd!, /__u/onthetreatmentfloor.substack.com/w_1456, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_auto, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F756af1e4-35aa-4030-8e72-fd2737b30ede_1536x1024.png 1456w" sizes="100vw" loading="lazy"></picture><div class="image-link-expand"><div class="pencraft pc-display-flex pc-gap-8 pc-reset"><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container restack-image"><svg aria-hidden="true" width="20" height="20" viewBox="0 0 20 20" fill="none" stroke-width="1.5" stroke="var(--color-fg-primary)" stroke-linecap="round" stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div>]]></content:encoded></item><item><title><![CDATA[Burnout Isn’t a Personal Failure]]></title><description><![CDATA[Burnout in veterinary medicine is often treated like a character flaw.]]></description><link>https://onthetreatmentfloor.substack.com/p/burnout-isnt-a-personal-failure</link><guid isPermaLink="false">https://onthetreatmentfloor.substack.com/p/burnout-isnt-a-personal-failure</guid><dc:creator><![CDATA[On The Treatment Floor]]></dc:creator><pubDate>Wed, 07 Jan 2026 15:04:16 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!BVO6!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb62bf3bb-f315-40a5-87e3-238932dca63c_1536x1024.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Burnout in veterinary medicine is often treated like a character flaw.</p><p></p><p>If you&#8217;re exhausted, you didn&#8217;t manage your time well enough.</p><p>If you&#8217;re overwhelmed, you need better boundaries.</p><p>If you&#8217;re struggling, maybe you just &#8220;weren&#8217;t cut out for it.&#8221;</p><p></p><p>That narrative is not only wrong. It&#8217;s dangerous.</p><p></p><p>Burnout isn&#8217;t a lack of passion or resilience. It&#8217;s what happens when a system repeatedly demands emotional labor without providing the support, staffing, or recovery time required to sustain it.</p><div><hr></div><p>This Job Asks More Than People Realize</p><p></p><p>Veterinary medicine is not just medical work. It&#8217;s emotional triage, crisis management, and grief counseling layered on top of science and technical skill.</p><p></p><p>In a single shift, veterinary professionals may:</p><p></p><ul><li><p>Manage critical patients while making split-second decisions</p></li><li><p>Support grieving families through some of their worst moments</p></li><li><p>Absorb anger, blame, and fear from people who are overwhelmed</p></li><li><p>Move immediately from loss to the next appointment with no pause</p></li></ul><p></p><p></p><p>There is no decompression built into that cycle.</p><p></p><p>The expectation is that we carry it quietly and keep going.</p><div><hr></div><p>Resilience Has Been Weaponized</p><p></p><p>&#8220;Resilience&#8221; has become a buzzword in veterinary medicine, often used as a substitute for meaningful change.</p><p></p><p>Be more resilient.</p><p>Practice self-care.</p><p>Take a deep breath.</p><p></p><p>But resilience does not fix understaffing.</p><p>Resilience does not create fair pay.</p><p>Resilience does not prevent moral distress when financial or corporate constraints interfere with patient care.</p><p></p><p>When resilience is used to shift responsibility onto individuals, it stops being a strength and starts becoming a burden.</p><div><hr></div><p>Burnout Is Predictable</p><p></p><p>Burnout doesn&#8217;t come from one bad day. It builds slowly.</p><p></p><p>It shows up as emotional numbness, irritability, or exhaustion that doesn&#8217;t resolve with time off. It shows up as dread before shifts, or guilt for feeling relief when you&#8217;re not at work. It shows up as questioning your competence, even when you know you&#8217;re good at what you do.</p><p></p><p>These are not personal failures. They are warning signs.</p><p></p><p>And in many veterinary settings, they are treated as normal.</p><div><hr></div><p>Loving the Work Isn&#8217;t Enough</p><p></p><p>Most people in veterinary medicine don&#8217;t burn out because they don&#8217;t care.</p><p></p><p>They burn out because they care deeply and are asked to do so in environments that don&#8217;t protect them.</p><p></p><p>Loving the work does not make you immune to harm.</p><p>Being dedicated does not mean you should tolerate burnout.</p><p>Wanting better does not make you weak.</p><div><hr></div><p>What Needs to Change</p><p></p><p>Burnout won&#8217;t be solved by yoga classes or pizza parties.</p><p></p><p>It requires:</p><p></p><ul><li><p>Adequate staffing</p></li><li><p>Fair compensation</p></li><li><p>Respect for licensed professionals</p></li><li><p>Leadership that listens instead of deflecting</p></li><li><p>Systems that allow people to recover, not just endure</p></li></ul><p></p><p></p><p>Until those things are addressed, burnout will continue to be the cost of doing business.</p><p></p><p>And that cost will be paid by the people on the treatment floor.</p><div><hr></div><p>If You&#8217;re Feeling It</p><p></p><p>If you&#8217;re reading this and recognizing yourself, know this:</p><p></p><p>You are not failing veterinary medicine.</p><p>Veterinary medicine is failing you.</p><p></p><p>And acknowledging that truth is not giving up. It&#8217;s the first step toward change.</p><div><hr></div><p>Burnout is not a weakness. It&#8217;s a signal.</p><p>A signal that something in the system is broken, not the people inside it.</p><p>And until veterinary medicine is willing to listen to that signal, the harm will continue.</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!BVO6!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb62bf3bb-f315-40a5-87e3-238932dca63c_1536x1024.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!BVO6!, /__u/onthetreatmentfloor.substack.com/w_424, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_webp, /__u/onthetreatmentfloor.substack.com/q_auto:good, 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/__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb62bf3bb-f315-40a5-87e3-238932dca63c_1536x1024.png 1272w, /__u/substackcdn.com/image/fetch/$s_!BVO6!, /__u/onthetreatmentfloor.substack.com/w_1456, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_webp, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb62bf3bb-f315-40a5-87e3-238932dca63c_1536x1024.png 1456w" sizes="100vw"><img src="/__u/substackcdn.com/image/fetch/$s_!BVO6!,w_1456,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb62bf3bb-f315-40a5-87e3-238932dca63c_1536x1024.png" width="1536" height="1024" 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/__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb62bf3bb-f315-40a5-87e3-238932dca63c_1536x1024.png 424w, /__u/substackcdn.com/image/fetch/$s_!BVO6!, /__u/onthetreatmentfloor.substack.com/w_848, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_auto, /__u/onthetreatmentfloor.substack.com/q_auto:good, /__u/onthetreatmentfloor.substack.com/fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb62bf3bb-f315-40a5-87e3-238932dca63c_1536x1024.png 848w, /__u/substackcdn.com/image/fetch/$s_!BVO6!, /__u/onthetreatmentfloor.substack.com/w_1272, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_auto, /__u/onthetreatmentfloor.substack.com/q_auto:good, 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stroke-linejoin="round" xmlns="http://www.w3.org/2000/svg"><g><path d="M2.53001 7.81595C3.49179 4.73911 6.43281 2.5 9.91173 2.5C13.1684 2.5 15.9537 4.46214 17.0852 7.23684L17.6179 8.67647M17.6179 8.67647L18.5002 4.26471M17.6179 8.67647L13.6473 6.91176M17.4995 12.1841C16.5378 15.2609 13.5967 17.5 10.1178 17.5C6.86118 17.5 4.07589 15.5379 2.94432 12.7632L2.41165 11.3235M2.41165 11.3235L1.5293 15.7353M2.41165 11.3235L6.38224 13.0882"></path></g></svg></button><button tabindex="0" type="button" class="pencraft pc-reset pencraft icon-container view-image"><svg xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-maximize2 lucide-maximize-2"><polyline points="15 3 21 3 21 9"></polyline><polyline points="9 21 3 21 3 15"></polyline><line x1="21" x2="14" y1="3" y2="10"></line><line x1="3" x2="10" y1="21" y2="14"></line></svg></button></div></div></div></a></figure></div>]]></content:encoded></item><item><title><![CDATA[Where Veterinary Medicine Actually Happens]]></title><description><![CDATA[Veterinary medicine doesn&#8217;t really happen in the exam room.]]></description><link>https://onthetreatmentfloor.substack.com/p/where-veterinary-medicine-actually</link><guid isPermaLink="false">https://onthetreatmentfloor.substack.com/p/where-veterinary-medicine-actually</guid><dc:creator><![CDATA[On The Treatment Floor]]></dc:creator><pubDate>Thu, 01 Jan 2026 02:12:19 GMT</pubDate><enclosure url="https://substackcdn.com/image/fetch/$s_!yayC!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9331b529-16ec-4b2d-974f-68005a256348_1536x1024.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Veterinary medicine doesn&#8217;t really happen in the exam room.</p><p></p><p>It happens behind swinging doors, where most clients never see, on the treatment floor. That&#8217;s where patients are stabilized, monitored, restrained, intubated, resuscitated, comforted, and sometimes lost. That&#8217;s where the work is loud, fast, messy, and deeply human.</p><p></p><p>That&#8217;s where I&#8217;ve spent the last decade.</p><p></p><p>I&#8217;ve worked in private practice and corporate medicine. General practice, emergency, specialty, you name it. I&#8217;ve seen excellent medicine done under impossible conditions, and I&#8217;ve watched good people burn out in systems that asked too much and gave too little back.</p><p></p><p>This blog exists because the version of veterinary medicine most people see is incomplete.</p><div><hr></div><p><strong>The Part You Don&#8217;t See</strong></p><p>Clients see exam rooms. Estimates. Policies. Bills.</p><p>They don&#8217;t see the treatment floor.</p><p></p><p>They don&#8217;t see technicians monitoring anesthesia while managing three other critical patients. They don&#8217;t see hands shaking after a code, or someone taking a breath in a supply closet because there&#8217;s no time to process grief. They don&#8217;t see the emotional whiplash of saving one patient and losing another within the same hour.</p><p></p><p>They don&#8217;t see the abuse (verbal, emotional, and sometimes physical) that veterinary staff absorb as part of the job. They don&#8217;t see how often we are expected to carry anger that isn&#8217;t actually about us.</p><p></p><p>And they rarely see how little control the people in front of them actually have.</p><div><hr></div><p><strong>Loving a Profession That Hurts</strong></p><p>I love veterinary medicine.</p><p></p><p>I love the science. I love the problem solving. I love being part of a team that shows up for patients on their worst days. I love the quiet moments when an animal finally relaxes because someone is paying close attention.</p><p></p><p>What I don&#8217;t love is a system that too often treats veterinary professionals, especially licensed veterinary technicians, as interchangeable and expendable.</p><p></p><p>How are we supposed to perform at our best when we are treated as disposable?</p><p></p><p>How are we supposed to provide exceptional care for critically ill and dying patients while being told, directly or indirectly, that we are replaceable?</p><p></p><p>Burnout in veterinary medicine isn&#8217;t a failure of passion or resilience. It&#8217;s the predictable outcome of chronic emotional labor, understaffing, moral distress, and leadership structures that prioritize optics and metrics over people.</p><div><hr></div><p><strong>Why We Look Like the Problem</strong></p><p>Veterinary professionals are increasingly painted as the villains in a story we didn&#8217;t write.</p><p></p><p>Rising costs are framed as greed.</p><p>Boundaries are framed as lack of compassion.</p><p>Policies are framed as indifference.</p><p></p><p>The public rarely sees the corporate mandates, staffing shortages, or systemic pressures shaping those interactions. Instead, the frustration lands on the people closest to the patient, the ones who are still trying to care.</p><p></p><p>This blog isn&#8217;t about blaming clients or excusing bad behavior in medicine. It&#8217;s about context. About honesty. About telling the full story instead of the convenient one.</p><div><hr></div><p><strong>Why This Space Exists</strong></p><p>I&#8217;m writing anonymously, not because I&#8217;m ashamed, but because this conversation needs to be bigger than any one hospital, company, or individual.</p><p></p><p>This space isn&#8217;t here to attack veterinary medicine. It&#8217;s here because I believe in it.</p><p></p><p>I believe transparency rebuilds trust.</p><p>I believe good medicine requires healthy teams.</p><p>I believe we can talk about hard truths without tearing each other down.</p><p></p><p>Some stories will be heavy. Some will be uncomfortable. All of them are real.</p><p></p><p>If you&#8217;re a veterinary professional, my hope is that you feel seen here.</p><p>If you&#8217;re a client, my hope is that you walk away with understanding instead of anger.</p><p>If you&#8217;re a leader, my hope is that you listen.</p><p></p><p>Veterinary medicine doesn&#8217;t need more silence.</p><p></p><p>It needs honesty,</p><div class="captioned-image-container"><figure><a class="image-link image2 is-viewable-img" target="_blank" href="/__u/substackcdn.com/image/fetch/$s_!yayC!,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F9331b529-16ec-4b2d-974f-68005a256348_1536x1024.png" data-component-name="Image2ToDOM"><div class="image2-inset"><picture><source type="image/webp" srcset="/__u/substackcdn.com/image/fetch/$s_!yayC!, /__u/onthetreatmentfloor.substack.com/w_424, /__u/onthetreatmentfloor.substack.com/c_limit, /__u/onthetreatmentfloor.substack.com/f_webp, 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