What if compassion isn’t the problem, but part of the solution in veterinary practice?
If you give vets a choice for tomorrow afternoon’s consult list, which would you take?
A consulting list of diarrhoea, dermatology, rechecks and vaccines on rinse and repeat?
Or six euthanasias?
I ask this question often, and anecdotally, about 90 percent of the vets I know choose the euthanasias.
Not because we are morbid. Not because we are burned out. And not just because we are bored of white Staffies with ear infections (ok, well maybe this one a little bit).
But mostly we choose them because most of us genuinely find euthanasia meaningful.
There is something profoundly grounding about helping an animal leave the world peacefully. About holding space for a family in one of their worst moments. About knowing that you reduced suffering in a way that was clean and kind and steady.
That feeling, even though it is not pleasant, is satisfying.
This is compassion satisfaction.
And yet if you scan the professional narrative around veterinary medicine (or any other healthcare), you would think these types of activities are the primary reason we are all collapsing under the weight of “compassion fatigue.” (I keep compassion fatigue in quotation marks intentionally.)
Because most of what people are describing when they say compassion fatigue is actually empathy fatigue.
Compassion or Empathy
Empathy is feeling with someone. Your nervous system mirrors theirs. Their distress becomes your distress. That is exhausting.
Compassion is feeling for someone. You care deeply. You want to help. But you do not step into the emotional quicksand with them. Compassion allows you to stay regulated enough to act well.
Compassion can hurt, but it is not inherently depleting.
In fact, when framed consciously, compassion can be deeply replenishing.
Compassion satisfaction
There is data in healthcare literature showing that compassion satisfaction is a measurable construct. It correlates with LOWER burnout and HIGHER professional quality of life. People who report high compassion satisfaction are less likely to experience the destructive side of fatigue.
Which brings me to the uncomfortable part: our profession talks endlessly about how hard it is.
The stress. The complaints. The financial constraints, unrealistic expectations, and emotional toll. And yes, these are real and I don’t advocate for toxic positivity or pretending these aren’t real challenges.
But what we focus on, we reinforce.
If the dominant narrative in your clinic – veterinary or human – is how awful things are, your brain will become exquisitely skilled at spotting evidence that confirms it.
It is the old proverb. Which wolf wins? So how do we consciously feed the other one without slipping into toxic positivity or performative gratitude?
First, we change the language.
Instead of only asking, what did we have to deal with today, ask, what did we get to do today.
Not in a cheesy way, in a specific way.
I got to ease pain while a family said goodbye.
I got to help that person make a decision they had been agonising over for weeks.
I got to watch that anxious patient finally relax with the new protocol.
Second, we build micro rituals.
At the end of a tough consult, pause for ten seconds before moving to the next room. Literally say to yourself, that mattered. Or ask yourself why it mattered. If you can’t find an answer, ask someone else from outside the profession.
At the end of the week, ask your team one question. Where did you feel proud of how you showed up?
Make it normal to articulate satisfaction out loud.
Third, we differentiate empathy from compassion in training.
Teach teams how to stay in compassionate mode. How to regulate. How to care without absorbing. Or at the very least, how to check in with themselves about whether they are using empathy in the moments that need it, or if it is the default response.
When someone says, I am emotionally wrecked after that consult, ask gently, were you with them or for them?
That awareness alone changes how people experience their day.
Fourth, track the right things.
We already measure revenue. We measure consult numbers, average transaction value.
What if once a week you also measured meaningful moments?
One euthanasia done well. One conflict navigated calmly. One scared owner who left reassured.
The point is not to deny the hard parts, but to balance the lens.
Because if you ask most of our profession quietly, away from the social media noise, they will tell you the same thing.
There are parts of this job that are extraordinary. Not glamorous or headline grabbing. But deeply, quietly extraordinary. If we do not actively name and celebrate those parts, the negativity bias will swallow them.
Compassion satisfaction is not an accident.
It is a discipline, a choice we can make.
And if we want to combat so called compassion fatigue, we cannot just reduce stress, we have to amplify meaning.
The wolf we feed grows. The question is, which one are we feeding in your clinic?