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Janet Gilmore peeked through the door into the small waiting room. She could see Harold, holding two cats and Harry, his pet Beagle. She saw several other clients she knew quite well and one new client, who looked a bit uneasy as she sat with a small mixed-breed dog.

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Phoenix, Ariz. - Veterinary medicine is stressful. The workday is filled with responsibilities, decision-making and time constraints. Staff meetings can be extremely stressful, especially when they turn into gripe sessions. Humor will help alleviate stress, and the result is a more productive meeting.

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Q. Although there are three emergency clinics in the area, the practice I work at always sees its clients' emergencies. This is frustrating, but the owner says that clients love it. Is this reasonable?

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Think you're the first and only business owner to suffer a particular problem? In almost every case, someone worked through the misery before you. They might even have learned lessons that could help you.

If you go on VIN, you will see dozens of posts and links trying to define what production pay is and how to pay it. Unfortunately, it is a constantly moving target. The current thinking is this:

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Clients often cannot comprehend what a cat or dog at a healthy weight looks like, so I give them a live demonstration with my own dog and cat, which are at ideal weights.

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Experience running large referral practices, and a background in social work give this leader insights into the changes specialty care brings.