04/13/2026
I want to take a moment on this Monday morning and express my gratitude towards my base clients. Thank you. Thank you for your understanding. Thank you for your patience.
I "closed" my books to new clients well over a year ago and years earlier stopped seeing non client emergencies. These were necessary changes to persevere the practice. It cost the ability to continue to grow but growth had outpaced quality and that was unacceptable. I have no intention to ever practice quantity medicine over quality medicine. Practicing exhausted is not healthy, compromises clinical judgment and does not benefit patient nor client.
I also filter clients. I have limited tolerance for certain behaviors. Clients that plan poorly and expect to be seen on an emergency base for non emergency things often do not remain clients. Lack of planning on client side does not constitute my emergency. When people do that it takes away from patients that are truly needing seen. I have a low emergency rate because of good preventive care by my clients and many have attended my free lectures to gain insight about early intervention. Not actively listening to medical advice is another way to be filtered out of service. I am often happy to discuss thoughts and explain why certain "other sourced" ideas are less than ideal based on modern science and why we need to look at the individual patient and not make blanket treatment protocols. And yes, I have my standard approaches based on decade of experience practicing in the area but all of these are starting points for the individual. I also filter out bad paying clients. Equine practice doesn't pay well to start with. Average profit margin in equine is 7%, that's 7k per 100k that's true profit. It doesn't take long when people skip out on bills to be running a practice grossing several hundred thousand and making nothing. The fastest way to be removed from my client base is to be disrespectful. I have no tolerance for anyone that does not have respect for my profession, my employees, and the safety of those in the working area. My life has more value than your untrained animal. Your life has more value than your untrained animal. Don't behave in such a way that it makes harder for me to provide quality care to all my patients and not just yours.
Now, I post this because there are a number of things going on behind the scenes. And I am failing in a few ways. I have struggled this year to be consistent with lectures. My travel schedule hasn't been clear. It was removed from being posted as I have had some trespassing issues while I was out of town when posted. I've been slow to return calls. I know I am not perfect, I never want to be. I want to be better tomorrow than today and that takes accountability. So unfortunately while I have as much going on as currently do, I am likely going to fall short on some fronts. My apologies. But again, this is why I am grateful for my client base. You all are major factor in my life decisions even though you'll never know what most of those are.
And for those that read this far, I am returning to school (online program) because I want to be better for you all. So starting soon I will be balancing classes, practice, teaching, and spending time with my wife. Thank you all for understanding and support on this adventure.
