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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.
10 essays
Migrations

21 days off Cornerstone.

Our migration lead walks through what a clean migration is designed to look like, hour by hour. The duplicate patients, the AR, the parallel week, and the morning the old PMS goes read-only.

The Vetch migration team
Migration
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.

The Vetch product team
Product
Apr 9, 2026
4 min
Operations

Triage at 3am: the small rules that run the board.

Severity × wait sounds simple. Then a Sunday at 2:14a happens. The small rules that matter more than the big ones.

The Vetch DVM team
DVM-in-residence
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 the model we landed on.

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
Product

Multi-pet households: the flow we most wanted to get right.

Two cats and a dog, one family, one invoice, one SMS thread. Why the obvious thing was hard to build right.

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
Product

What ambient AI scribing actually does in a consult room.

Ambient AI veterinary scribe technology is spreading fast — but most vets have never seen a clear explanation of the mechanism. Here is what happens, step by step, from the moment the encounter opens to the moment the note lands in the chart.

The Vetch DVM team
DVM-in-residence
Jun 12, 2026
4 min
AI in practice

How long should a vet spend on clinical notes.

Veterinary clinical notes time is the invisible tax on every consult. Here is where it actually goes — and what a realistic target looks like.

The Vetch DVM team
DVM-in-residence
Jun 8, 2026
5 min
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