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Everything Is Gross and They’re Doing It Wrong

January 29, 2026 by Andy Roark DVM MS

dog making a funny face of disgust and confusion

Dr. Sarah Boston, DVM, DVSc, DACVS, boarded surgical oncologist, author, podcaster, and stand up comedian, joins Dr. Andy Roark for a candid, funny, and slightly unhinged conversation that started with a text message and turned into a full blown existential check on veterinary medicine. Ever feel like the system is just a little… off? From commission based pay and buried service fees to corporate pressures and the emotional tax of modern practice, Andy and Sarah dig into why so many vets feel icky about how medicine is monetized right now. You will hear honest reflections on compensation models, professional values, burnout, and what happens when productivity becomes the only thing that counts. Expect laughs, deep truth, and that comforting feeling of realizing you are not the only one thinking, “Wait… are we doing this wrong?” Gang, let’s get into this episode!

You can also listen to this episode on Apple Podcasts, Amazon Music, Spotify, YouTube or wherever you get your podcasts!

LINKS

Dr. Sarah Boston IG: https://www.instagram.com/drsarahboston/?hl=en

Comedicine Podcast: https://www.drsarahboston.com/comedicine-podcast

Dr. Andy Roark Exam Room Communication Tool Box Team Training Course: https://drandyroark.com/on-demand-staff-training/

Dr. Know-It-All Card Game

Dr. Andy Roark Charming the Angry Client Team Training Course

Dr. Andy Roark Swag: drandyroark.com/shop

All Links: linktr.ee/DrAndyRoark

ABOUT OUR GUEST

Dr. Sarah Boston is a veterinary surgical oncologist who is an ACVS board certified small animal surgeon and an ACVS Founding Fellow of both Surgical Oncology and Oral & Maxillofacial Surgery. She practices with VCA Canada in the Toronto area. Up until recently, she has spent most of her career in academia as a tenured faculty member at both the University of Guelph and the University of Florida. Dr Boston is also a best-selling author of the book, Lucky Dog: How Being a Veterinarian Saved my Life and one of the creators of The Cageliner, a satirical online newspaper for veterinary professionals that she is currently woefully neglecting. She is also a stand up comedian and in spring 2023, she graduated from the Humber College Comedy Performance and Writing Program. She is the host of the podcast Comedicine, where she interview healthcare professionals who are also comedians. She is a nerd. She believes that we all need to laugh more.

Filed Under: Podcast Tagged With: Perspective, There I Said It

Andy Roark DVM MS

Dr. Andy Roark is a practicing veterinarian in Greenville SC and the founder of the Uncharted Veterinary Conference. He has received the NAVC Practice Management Speaker of the Year Award three times, the WVC Practice Management Educator of the Year Award, the Outstanding Young Alumni Award from the University of Florida’s College of Veterinary Medicine, and the Veterinarian of the Year Award from the South Carolina Association of Veterinarians.


Read more posts by: Andy Roark DVM MS

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