The Cone of Shame Veterinary Podcast

The Cone of Shame Veterinary Podcast


353 - The Impacts of Medical Futility

September 11, 2025

Dr. Nathan Peterson, DVM, DACVECC, MA Bioethics joins Dr. Andy Roark to dive into one of the hardest questions in veterinary medicine: what happens when treatments feel futile? As an emergency and critical care specialist at Cornell with a master’s in bioethics from Harvard, Dr. Peterson has studied how veterinary teams wrestle with cases where the outcome may not change and the burden often falls on technicians carrying out the plan.

In this conversation, Andy and Nathan unpack how veterinarians and technicians define medical futility, why perspectives often differ, and how the lack of agency can increase moral distress among support staff. They explore practical strategies to reduce burnout, strengthen team communication, and involve technicians in client discussions to create shared understanding. Gang, let’s get into this episode.


Nathan Peterson on LinkedIn: www.linkedin.com/in/nathan-peterson-DVM-DACVECC


Dr. Know-It-All Card Game: https://drandyroark.com/product/dr-know-it-all-card-game/


Dr. Andy Roark Charming the Angry Client Team Training Course: https://drandyroark.com/charming-the-angry-client/


Dr. Andy Roark Swag: drandyroark.com/shop


All Links: linktr.ee/DrAndyRoark


Nathan Peterson, DVM, MBE, DACVECC is an Associate Clinical Professor at Cornell University. He received his DVM from The Ohio State University and completed his internship and residency training in Emergency and Critical Care medicine at Angell Animal Medical Center in Boston. Following board certification, he spent 12 years as the head of the Department of Emergency and Critical Care Medicine at a tertiary referral hospital in Los Angeles before taking his current position at Cornell. He completed a Master of Bioethics through the Harvard Medical School Center for Bioethics in 2023 and has published works exploring the impact of providing futile treatments in veterinary medicine.