Dr. Brett Bingham

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Dr. Brett Bingham Dr. Brett Bingham | Veterinarian
As a vet who struggled with communication, I now teach vets to communicate better, lead the exam room & love practice.

Learn how to own the exam room.

10/21/2026

🐾 The client or the pet—who gets your first hello?

10/21/2026

Vet students teaching the teacher. 👏🐾

I spent the last week at Washington State University helping with their annual Diagnostic Challenge—and I came away impressed.

These students worked through IMHA, abscess management, blood transfusions, and more. They were sharp, thoughtful, and great with clients.

One communication tip I loved: compare veterinary medicine to human medicine.

“IMHA is an immune-mediated disease, similar in principle to autoimmune diseases in people like lupus or psoriasis.”

“Dogs have blood types just like people do. The types are different, but the principle is the same.”

Boom. 💡

When you connect something unfamiliar to something the client already understands, complicated medicine suddenly becomes a lot easier to explain.

Great job, Wazzu vet students. The future of veterinary medicine looks pretty darn good. 👏

And yes… even after 26 years, I’m still stealing good ideas from vet students. 😂

10/19/2026

💸 Should veterinary teams have the authority to offer discounts?

My take: Yes—with a budget and accountability.

If I failed to explain a $95 diagnostic charge, I should be able to own that mistake and resolve it without chasing down a manager.

“That was my mistake. I should have discussed the cost with you. I’m going to take care of it.”

Set a clear courtesy-discount budget. Track every discount. When the budget is gone, it’s gone.

Give your team clear boundaries and the freedom to fix small problems before they become bigger ones.

**Empower the person closest to the problem to solve the problem.**

👇 Would this work in your hospital? Why or why not?

Follow for more practical veterinary communication tips.

10/16/2026

Hey vets—YES, you should talk about money.

Know your common fees. Explain the value. Share the cost. Get permission.

“This ear cytology will help us know what we’re treating. It costs $95. Can we do that now?”

Clear recommendation. Clear cost. Immediate decision.

For bigger, more complex plans, have your technician prepare and review a formal Care Plan Estimate.

Be comfortable talking about cost. It’s part of helping clients decide.

Follow for practical tips to own the exam room.

10/14/2026

Hey vets—talking to pets? Your clients are listening. 🐾

“Hey Max, looking good!”
“I know, buddy. You don't like it when I check your ears.”

A few words can show the owner you see their pet as more than a medical problem.

Next exam, talk TO the pet. Small effort. Stronger connection.

Follow for practical tips to own the exam room.

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10/12/2026

Hey vets—“spectrum of care” sounds complicated. It' not!!! Simply think of it as OPTIONS.

Give clients two or three medically appropriate paths. Explain the benefits, risks, and costs. Make your recommendation. Then help them decide their best option.

Clear choices. Informed clients. Collaborative care.

Follow for practical tips to own the exam room.

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10/09/2026

**Hey vets—are you handling the patient twice to collect information you could get in one exam? 🐾**

A technician gets the TPR. Then you come in and handle the pet again for the physical exam.

Could you combine those steps?

You’re already checking the ears and listening to the heart and lungs. Consider collecting the temperature, pulse, and respiratory rate as part of that exam when appropriate.

**Fewer repeated handling steps may mean less stress for the pet—and a smoother workflow for your team.**

The goal: get the information you need while making every interaction count.

▶️ Watch for a simple workflow change worth discussing with your technicians.

Follow for more practical exam-room management and communication tips.

10/07/2026

Want an easy way to make your treatment conversations feel more collaborative? Simply use these four words.

WE. OUR. US. LET’S.

Listen to the difference:

“Here’s what I want you to do.”

“Let’s review our options, including the costs, so we can put together the best plan for Max.”

One gives instructions. The other invites the client into the conversation.

Collaborative planning starts with your medical recommendation—and makes room for the client’s concerns, priorities, and budget.

These four words help open that door. Then follow through by listening.

▶️ Watch for a simple example you can use in your next appointment.

Follow for practical veterinary communication tips to help you own the exam room.

10/05/2026

Hey vets—what makes clients come back to YOU?

Price? Convenience? Great medicine?

An AVMA client survey found that **53% of pet owners identified personalized recommendations as the most valuable thing their veterinarian provides.**

That deserves our attention.

Clients can get generic pet information anywhere—Google, social media, even AI.

Your advantage is being able to say:
“I know Max. I know his history. I know what matters to you. And based on all of that, here’s what I recommend.”

That’s where your medical knowledge and your relationship with the client come together.

**Are your recommendations showing clients how well you know their pet?**

▶️ Watch to see why personalized recommendations matter—and how to make yours more personal.

Follow for practical veterinary communication tips to help you own the exam room.

Source: AVMA & Maslansky + Partners, *Language of Veterinary Care: Talking to Clients, Phase 2* (2023).

10/02/2026

My first year as a veterinarian, an itchy puppy made me wonder if I should quit.
At the first visit, there wasn’t much to see. I took too little history, did most of the exam in silence, and told the owner to come back if it got worse.
They did. The puppy was worse, and this time a skin scraping showed demodex. I was relieved to have an answer. The owner was angry that I hadn’t found it sooner.
I had missed an opportunity at that first visit: to listen carefully, explain what I was seeing, and give the owner a clear plan for what to do if the itching continued.
That appointment hurt. It also changed how I practice. Good medicine matters, and so does how we guide clients through uncertainty.
Follow me for practical veterinary communication tips.

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199 N. Capitol Boulevard #905
Boise, ID
83702

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+12088506541

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