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Blog

Notes from the floor.

AI in practice. Migrations from old PMS. The numbers behind the day. Real essays from real clinics — and from us.

New essays every Tuesday · ~9-min reads
The archive.
8 essays
Migrations

21 days off Cornerstone.

A practice manager walks through what migration looked like, hour by hour. The duplicate patients, the AR, the parallel week, and the morning the old PMS went read-only.

Practice manager
Maple Veterinary · name on request
Apr 14, 2026
6 min
Product

The 4-tap discharge.

Going home with three meds used to take seven minutes. Here is the design we landed on after two months of watching techs do it on real iPads with real gloves.

Marcie Doan, CVT
Lead technician · Northstar Emergency
Apr 9, 2026
4 min
Customer stories

Triage at 3am: what 90 days on the board taught us.

Severity × wait sounds simple. Then a Sunday at 2:14a happens. A medical director shares the small rules that ended up mattering more than the big ones.

Lila Kwan, DACVECC
Medical director · Northstar Emergency
Apr 2, 2026
12 min
Operations

Per-vet pricing — the math we used.

Why we don't bill per text, per token, or per chart. The spreadsheet we built before we picked a price, and what surprised us when 212 clinics ran on it.

The Vetch team
Founders
Mar 27, 2026
7 min
Product

Suggest, Ask, or Auto.

Three modes per capability, per shift. The mental model that took us a year to land on, and the one we threw out. Includes the table we use when onboarding clinics.

Sasha Lee
Engineering
Mar 20, 2026
5 min
Customer stories

Multi-pet households are the highest-CSAT flow we built.

Two cats and a dog, one family, one invoice, one SMS thread. Why the obvious thing was hard, and what the data looks like 90 days in.

The Vetch DVM team
DVM-in-residence
Mar 13, 2026
6 min
AI in practice

What ER software is supposed to feel like.

A whiteboard that re-ranks itself. A note that signs at the door. A handoff card you can read in the time it takes to wash your hands. A field guide.

The Vetch DVM team
DVM-in-residence
Mar 5, 2026
9 min
Operations

We don't do free trials. Here's what we do instead.

Trials work for tools that one person uses for ten minutes. They don't work for the system the whole clinic runs on. The two-week sandbox we landed on, in detail.

Eli Brand
Customer team
Feb 26, 2026
5 min
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