This week’s episode is about something most practice owners avoid… until it starts keeping them awake at night.

The numbers.

I’m joined by Martin Traub-Werner, founder of VetBooks and VetSuccess, who has spent years helping practices understand what their financials are really saying.

We get into a simple but uncomfortable truth. Most owners don’t really know their numbers. Not in a way that gives them clarity or confidence. And when that’s the case, the business starts to feel heavier than it should.

As Martin puts it, there’s no substitute for knowing your numbers.

Because this isn’t really about finance. It’s about visibility. Most practices are not struggling through lack of effort. They are struggling because they can’t clearly see what is happening inside the business. And when you can’t see it, decision-making becomes harder, second-guessing creeps in, and leadership starts to feel like a weight you’re carrying rather than a role you’re leading.

What we talk about in this episode is how that changes. When the key parts of the business are working together and your numbers are visible and understood, the experience of running a practice becomes more stable, more predictable, and ultimately more enjoyable. Not because the work disappears, but because the system begins to carry more of the load and your decisions have a clear direction.

When you understand your numbers, you stop guessing and start deciding with intent. Over time, that shift replaces pressure with confidence and allows you to trust the practice you are building.

If the numbers have ever felt like something you’d rather avoid, this is a good place to start.

[00:00] The numbers we avoid

[04:50] Why most owners don’t know

[09:00] The 5 financial buckets

[13:00] Why vet businesses are complex

[15:00] Cash vs reality

[17:30] Flying blind financially

[19:00] Reading your P&L

[21:30] Focus on the big levers

[24:00] Small % big impact

[26:30] Using AI to analyse

[31:00] Building a system you trust

[33:30] Confidence and sleep

[35:00] Final takeaways

Why does leading your practice feel harder than it should?

The Practice Growth Reflection is a short, 10-minute tool that shows you the stage your practice has reached and the leadership changes that can reduce pressure, strengthen your team, and help your practice run more smoothly.

Start your Practice Growth Reflection and get instant clarity on what needs to evolve next.

Follow Dr. Dave Nicol for More Leadership Insights:

1. Follow Dr. Dave: @drdavenicol
2. Learn more about the Veterinary Leadership Academy

Connect with Martin Traub-Werner:

1. Website: vetbooks.com
2. LinkedIn: Martin Traub-Werner

Enjoyed this episode?

Leave a review on iTunes and share it with your veterinary colleagues!

A few weeks ago, I sat down with Dr Andy Roark and he dropped a line that lit up the internet:

“You, my friend, are a dick.”

His point was simple and uncomfortable. In veterinary medicine, one of the biggest career killers is being someone others simply do not want to work with. You might be clinically excellent. You might work hard. But if you consistently damage relationships, you quietly lose opportunities, influence and growth.

The feedback to that episode was fascinating. Many of you agreed. Many pushed back, sharing stories of abrasive leaders who still climbed the ladder.

So this week, I unpack it properly.

I break leadership down into a series of “Big D” styles - Direct, Ditherer, Dreamer and Democrat - and explore how each one shapes the way we make decisions. We look at when directive leadership works and when it corrodes culture, why indecision is often a clarity problem, how conflict avoidance erodes trust, and why collaboration without ownership stalls progress.

Underpinning it all is one core truth: leadership is decision-making.

And great leaders are not defined by personality. They are defined by flexibility.

So grab a coffee and join me for a practical conversation about leadership agility, self-awareness and choosing the right mode for the moment.

[00:00] Big D leaders in vet med

[02:03] Is being a dick really a career killer?

[03:14] The Direct leader – results vs relationships

[05:40] The Ditherer – clarity before action

[07:41] Dreamers – vision vs avoidance

[11:28] The Democrat – collaboration and responsibility

[15:52] Why data sharpens decisions

[17:11] Leadership is about flexibility

If you want to sharpen your decision-making, build clarity around what good looks like, and develop the flexibility your team needs from you. Book a call with us at the Veterinary Leadership Academy.

We’ll help you identify where you’re strong, where you’re stuck, and what to do next.

Follow Dr. Dave Nicol for More Leadership Insights:

1. Follow Dr. Dave: @drdavenicol
2. Learn more about the Veterinary Leadership Academy

Enjoyed this episode?

Leave a review on iTunes and share it with your veterinary colleagues!

This week, we’re asking a question that’s been rumbling under the surface of vet med for far too long: Are clients really the problem, or have we lost our grip on what’s actually going wrong?

To tackle this, I’m joined by Dr Seth Mathus Ganz, a board-certified small animal surgeon and founder of Agile Veterinary Surgery, who brings a rare perspective from working inside hundreds of practices. Seth has spent over a decade performing advanced procedures, mentoring vets, and observing what helps teams thrive - and what quietly holds them back.

Together, we look at the stories we tell ourselves about clients, discomfort, and growth, and how those stories shape our daily experience of the job. Seth offers a surgeon’s-eye view on why confidence and trust are built, not demanded - and how leaning into the right kind of challenge helps us grow skill, self-belief, and professional satisfaction.

We talk about feedback loops, compounding habits, and the long game of mastery - the kind that makes veterinary work feel meaningful, energising, and sustainable again.

So grab a coffee, take a breath, and join us for a thoughtful conversation about how we can build a healthier, more fulfilling future for vet med - one decision at a time.

[00:00] Clients as “the enemy”

[02:29] A surgeon’s front-row view

[04:03] The vet–client war story

[06:43] The victim mindset problem

[07:47] How “difficult” clients are made

[08:57] Avoiding discomfort blocks growth

[11:18] Two kinds of resistance

[14:42] Losing the magic of the job

[17:27] Growth compounds or stalls

[26:01] Why having a plan matters

[30:50] Clients as mirrors, not enemies

If you’re ready to turn insight into action, book a call with us at the Veterinary Leadership Academy. We’ll help you clarify what’s in the way and define your next move. Book your call here.

Connect with Dr. Seth Mathus Ganz:

Instagram: @ask_a_veterinary_surgeon

Follow Dr. Dave Nicol for More Leadership Insights:

Instagram: @drdavenicol

Learn more about leadership training: Veterinary Leadership Academy

Enjoyed this episode?

Leave a review on Apple Podcasts and share it with a colleague who’s ready to bring the magic back to vet med.