Daily duties for a veterinary practice manager may include staff management and scheduling, inventory control, bookkeeping, payroll administration, budgeting, advertising, establishing clinic policies and procedures, training new staff, updating medical records, and overseeing client relations.
hmm.. the author used a metaphor so you would have a better understanding on how the horrid pain in their left side felt. metaphors allow creativity and can paint a clearer picture of what you describe. they help express certain emotions and can help you better understand something.
