Failing Forward
Neal Sivula, DVM

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What if “failure” was just expectations being uncomfortably rewritten by reality?

In this conversation with Neal Sivula  we discuss the experience of failing forward—what it actually looks and feels like when you’re a practitioner, a clinic owner, and a person who cares. How to navigate the employee who doesn’t show up the way you hoped, the power outage, or the appointment someone forgets. And the uncomfortable moment when you have to hold a boundary, especially when you’d rather not be the hammer.

 Neal has found a few steady anchors: the micro-business reality of “one day at a time,”  and the  quietly radical skill of addition by subtraction. Sometimes the way forward isn’t adding another technique. It’s stopping something. Simplifying. Doing more with lessing.

There’s also the importance of tenderness . Neal works with older animals and the humans who love them, he leans on the practice of accompaniment—staying present when things are hard, not avoiding the difficult moments, but instead inhabiting them. It makes a difference.

Listen into this conversation for how failure teaches, and what it asks of us when we’re the ones doing the learning.

In this episode, we discuss:

  • Neal Sivula (and his podcast, The Integrative Veterinarian)
    Neal shares what he’s learning from recording other clinicians’ life stories—and how those conversations shape his own work.
  • Failing Forward as Part of the Job
    Failure isn’t a detour from practice and business ownership; it’s baked into the path.
  • When Slogans Meet Real Life
    “The obstacle is the way” sounds great until you’re in the middle of the obstacle.
  • Micro-Business: One Day at a Time
    Staying upright often looks like steady, unglamorous persistence—getting up again, even when you don’t feel like it.
  • Clinic Ownership: The Unseen Hassles
    The work includes broken machines, power outages, internet switches, and all the infrastructure nobody talks about.
  • The Cost of Caring (Practitioner Burden)
    Holding space for others can feel like a privilege and a weight—sometimes both at once.
  • Rest, Slack Time, and Taking Your Foot Off the Gas
    Pausing can be surprisingly agitating, and learning how to rest becomes its own practice.
  • The Journeyman Craft Mindset
    Medicine as craft: continual learning, fewer illusions of mastery, and letting the work work on you.
  • Creating the Container (“Setting the Table”)
    The clinic environment—pace, scheduling, sensory details—shapes what’s possible in the treatment room.
  • Two Patients: The Animal and the Human
    In veterinary practice, the relationship includes both the pet and the person who loves them, with all the extra complexity that brings.
  • Boundaries, No-Shows, and Being the Hammer
    Policies, fees, and referrals aren’t punishment—they’re part of protecting the work, the staff, and the clinical environment.
  • Reflection + Failure as Feedback (Add by Subtracting)
    Meditation/journaling/prayer support the long game: noticing, adjusting, simplifying, and learning from what doesn’t work.

We try to meet clients where they are. We give them plenty of open ended questions, and if there are multiple family members present with the pet (patient), we allow everyone to give their thoughts on the patient’s history and how they are doing.

 

Neal Sivula, DVM

I earned my DVM from Ohio State University in 1988. Afterwards, I completed an internship and residency in large animal internal medicine as well as a PhD at the University of Minnesota College of Veterinary Medicine.

After eight years in general practice, I founded Dancing Paws Animal Wellness Center in Northeast Ohio in 2001, limiting my practice to acupuncture, chiropractic, and herbal medicine.

Outside of my clinical practice, I am a Professor, Podcast Host, and Webinar Manager for the College of Integrative Veterinary Therapies, an online continuing education provider for holistic veterinarians, veterinary nurses, and the public. I have also served as the President of the American Academy of Veterinary Acupuncture and the American Holistic Veterinary Medical Association.

Outside of practice, I earned a MDiv in Buddhist Ministry and am an Ordained Zen Buddhist Priest. I teach Zen students individually and as a faculty member at Buddha Dharma University.

Links and Resources

Visit Neal at his clinic website, or on Instagram.

In this conversation we mentioned the book Dropping Ashes on the Buddha.

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