المحتوى المقدم من Dr. Mark Bonta. يتم تحميل جميع محتويات البودكاست بما في ذلك الحلقات والرسومات وأوصاف البودكاست وتقديمها مباشرة بواسطة Dr. Mark Bonta أو شريك منصة البودكاست الخاص بهم. إذا كنت تعتقد أن شخصًا ما يستخدم عملك المحمي بحقوق الطبع والنشر دون إذنك، فيمكنك اتباع العملية الموضحة هنا https://ar.player.fm/legal.
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Tiffany Yu is the CEO & Founder of Diversability, an award-winning social enterprise to elevate disability pride; the Founder of the Awesome Foundation Disability Chapter, a monthly micro-grant that has awarded $92.5k to 93 disability projects in 11 countries; and the author of The Anti-Ableist Manifesto: Smashing Stereotypes, Forging Change, and Building a Disability-Inclusive World. As a person with visible and invisible disabilities stemming from a car crash, Tiffany has built a career on disability solidarity. Now that she has found success, she works to expand a network of people with disabilities and their allies to decrease stigmas around disability and create opportunities for disabled people in America. Episode Chapters 0:00 Intro 1:26 When do we choose to share our disability stories? 4:12 Jay’s disability story 8:35 Visible and invisible disabilities 13:10 What does an ally to the disability community look like? 16:34 NoBodyIsDisposable and 14(c) 21:26 How does Tiffany’s investment banking background shape her advocacy? 27:47 Goodbye and outro For video episodes, watch on www.youtube.com/@therudermanfamilyfoundation Stay in touch: X: @JayRuderman | @RudermanFdn LinkedIn: Jay Ruderman | Ruderman Family Foundation Instagram: All About Change Podcast | Ruderman Family Foundation To learn more about the podcast, visit https://allaboutchangepodcast.com/…
المحتوى المقدم من Dr. Mark Bonta. يتم تحميل جميع محتويات البودكاست بما في ذلك الحلقات والرسومات وأوصاف البودكاست وتقديمها مباشرة بواسطة Dr. Mark Bonta أو شريك منصة البودكاست الخاص بهم. إذا كنت تعتقد أن شخصًا ما يستخدم عملك المحمي بحقوق الطبع والنشر دون إذنك، فيمكنك اتباع العملية الموضحة هنا https://ar.player.fm/legal.
Candid conversations between healthcare experts, every Wednesday at 5am EST on Labcoat.fm, your destination for evidence-based insights into the world of medicine, with no holds barred debate about hot topics in healthcare. This is for all the closet doctors, nurses, pharmacists and all others who are deeply fascinated about medicine but view the headlines with science-based skepticism.
المحتوى المقدم من Dr. Mark Bonta. يتم تحميل جميع محتويات البودكاست بما في ذلك الحلقات والرسومات وأوصاف البودكاست وتقديمها مباشرة بواسطة Dr. Mark Bonta أو شريك منصة البودكاست الخاص بهم. إذا كنت تعتقد أن شخصًا ما يستخدم عملك المحمي بحقوق الطبع والنشر دون إذنك، فيمكنك اتباع العملية الموضحة هنا https://ar.player.fm/legal.
Candid conversations between healthcare experts, every Wednesday at 5am EST on Labcoat.fm, your destination for evidence-based insights into the world of medicine, with no holds barred debate about hot topics in healthcare. This is for all the closet doctors, nurses, pharmacists and all others who are deeply fascinated about medicine but view the headlines with science-based skepticism.
Welcome back to another episode of Ditch the Labcoat! This week, Dr. Mark Bonta is joined once again by the ever-insightful Dr. Dante Morra—innovator, internal medicine specialist, and the driving force behind the Can Health Network. In this wide-ranging conversation, they pull back the curtain on the current state and future of Canadian healthcare, tackling everything from the rise of AI-driven virtual care to the systemic issues clogging up our hospitals. Dr. Morra breaks down the four pillars of healthcare—catastrophic, chronic disease, episodic, and preventative—and reveals why technology and innovation are set to overhaul not only how care is delivered, but who’s really in control. Together, they discuss why it's easier to buy alcohol and gamble than it is to book a physical exam, what it takes to nudge a population toward better health, and how Canadian-made solutions like virtual triage and optimized healthcare “front doors” could change the game. But most of all, this episode is about who will drive real change: not the policymakers or administrators, but people—patients, citizens, and entrepreneurs—who are tired of waiting, ready to take control, and brave enough to disrupt the system from the outside in. Whether you work in medicine, depend on it, or just want a preview of where our healthcare is headed, you’ll leave with big ideas and plenty of hope for what’s possible next. Plug in, listen up, and—as always—question everything. Episode Highlights 1. Courage to Lead Change — Courage is essential to make necessary healthcare changes; everyone knows what to do, but few are willing to go first. 2. Rise of AI in Care — AI surpasses traditional care in planned prevention, aggregating biomarkers and histories for optimized personal health plans. 3. Healthcare’s Four Categories — Understanding catastrophic, chronic, episodic, and preventative care clarifies where innovation and resources should be focused. 4. Self-Directed Health Solutions — Technology empowers individuals to manage their healthcare directly, sometimes bypassing traditional systems entirely. 5. Misaligned Incentives — Payment structures incentivize episodic and acute care over preventive or chronic care management, perpetuating system inefficiencies. 6. Public vs Private Innovation — System transformation will likely come from private sector innovators, not within public institutions mired in political and structural inertia. 7. Danger of Easy Vices — Society makes harmful behaviors like gambling and alcohol dangerously accessible, contributing significantly to declining population health. 8. Canadian Healthcare Renaissance — Canada stands on the brink of a health innovation renaissance, with technology and empowered citizens leading the way. Episode Timestamps 6:10 — AI's Role in Episodic Care 9:32 — Optimizing Healthcare Access with AI 10:25 — Self-Care Revolution in Healthcare 14:51 — Canadian Healthcare Access Challenges 18:37 — Technology's Impact on Business Models 21:31 — Predictive Health Tools: Behavior Impact? 25:47 — "Courageous Leadership Challenges" 28:12 — Disrupted Pay Model in Healthcare 30:41 — Public vs. Private Industry Dynamics 35:53 — Healthcare System's Struggles and Growth 38:36 — "Virtual Hallway Revolutionizing Healthcare" 41:26 — Embracing Disruptive Health Technology 44:17 — Disruption Sparks Hopeful Healthcare Change DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.…
Welcome back to Ditch the Labcoat, the show where we challenge assumptions in medicine and seek out the systems, stories, and science that truly shape healthcare. In today’s episode, we’re joined by Martin Bromiley: airline captain, human factors champion, and founder of the Clinical Human Factors Group. But before he became a global advocate for patient safety, Martin faced unimaginable tragedy when his wife, Elaine, died following what was supposed to be a routine surgical procedure in 2005. Martin’s journey isn’t just about personal loss—it’s about his relentless quest to understand why a well-trained, technically proficient medical team could still fall short in a critical moment. Drawing lessons from aviation, where errors spark investigation and learning rather than resignation, Martin became a pivotal force in bringing the science of human factors—a field all about understanding how people interact with their environment, teams, and tools—into the world of healthcare. In this conversation, we explore not just the events that launched his mission, but the broader issues of humility, communication, and system design. We talk about “can’t intubate, can’t ventilate” scenarios, reflect on the evolution of patient safety culture, and crack open the stubborn problem of medical hierarchy. Martin’s story isn’t just one of systemic frustration; it’s also one of hope and tangible change. So whether you’re a healthcare professional, a patient, or just someone curious about how lives can be saved not simply by skill, but by safer systems—this episode is a gripping, essential listen. Plug in and prepare to have your ideas about medicine, teamwork, and learning turned upside down. Episode Highlights Humility in Healthcare – Humility is vital for professionals to learn, grow, and stay open to feedback, ultimately improving patient safety. Communication Saves Lives – Miscommunications in critical situations can be fatal; clear, assertive dialogue and defined roles are essential in emergencies. Teamwork Over Hierarchy – Breaking down rigid medical hierarchies empowers every team member to speak up for patient safety. Design Smarter Systems – Systems must be created to make errors less likely, whether via technology, checklists, or better equipment design. Independent Case Reviews – Conducting external, impartial reviews after adverse events helps identify root causes and leads to improvements. Small Changes, Big Impact – Reducing steps in processes, standardizing equipment, or tweaking procedures can greatly decrease error risks. Continuous Improvement Mindset – Perfection isn’t possible, but aiming to get a little better every day is the key to safer healthcare for all. Episode Timestamps 6:15 — Turning Point: Embracing Human Factors 7:19 — "Science Overlooked in Healthcare" 11:01 — Intensive Care Transfer Decision 14:51 — Receptionist Sparks Important Meeting 18:11 — Evolution of Case Review Processes 22:27 — "Human Factors in Healthcare Initiative" 25:02 — Origin of Aviation Safety Protocols 28:28 — Enhancing Safety in Drug Handling 30:30 — Medication Errors and Design Flaws 33:49 — Promoting Human Factors in Healthcare 38:04 — Team Leadership in Medical Procedures 42:51 — Healthcare Pressures and Consequences 44:47 — "Concerns Over Arrogant Healthcare Professionals" 50:16 — Striving for Continuous Improvement in Healthcare 52:36 — Progress in Healthcare Culture Shift DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.…
In this episode of Ditch the Lab Coat, Dr. Mark Bonta sits down with Dr. Marie Claire Bourque, a psychiatrist, executive coach, and mental performance consultant to elite athletes, including the Toronto Maple Leafs. Together, they dive into the world of high performance under pressure, uncovering what medicine can learn from the mental training of professional athletes. Dr. Bourque shares her insights on the importance of presence, focus, and resetting under stress—skills commonly built into the toolkit of elite performers but often neglected in the medical field. She discusses practical strategies like meditation, diaphragmatic breathing, and values-based living, emphasizing that these are trainable skills, not innate talents. Meditation, Dr. Bourque explains, isn’t about getting good at meditating—it’s about getting good at life, particularly in moments when it matters most. The conversation moves through the parallels between elite sports and the demands of medicine, exploring how even top professionals need to recognize when mental health support or even medication is necessary to maintain well-being and performance. Dr. Bourque candidly addresses the stigma around mental health and medication, both in sports and medicine, and the risks of trying to "white-knuckle" through life on hard mode. Listeners will come away with actionable advice on sleep, movement, nutrition, and discovering one’s true values. Dr. Bourque’s approach highlights the need to care for mental fitness just as intentionally as physical health, whether you’re a surgeon, an athlete, or just navigating daily stress. This episode is a must-listen for anyone interested in resilience, focus, and living with purpose—reminding us that training our minds is just as vital as training our bodies, and life doesn’t have to be lived on hard mode. Episode Highlights Meditation Enhances Daily Living — Meditation isn’t just for calm; it helps you navigate real-life challenges by keeping you grounded in the present. Reset With Breathwork —Conscious diaphragmatic breathing helps you regain composure and focus, especially when distractions or stress threaten performance. Value-Based Living Drives Decisions — Identifying and living by your true values leads to greater fulfillment and resilience, rather than societal or external expectations. Sleep is Foundational Health — Adequate, restorative sleep is a non-negotiable for optimal performance, mental clarity, and emotional regulation. Movement Prevents Mental Illness —Regular, moderate-intensity exercise (150 minutes weekly) significantly lowers risk of depression and anxiety, supporting overall well-being. Substance Use Isn’t a Solution —Self-medicating, especially with alcohol or cannabis, is common but ultimately harms performance, resilience, and long-term health. Purpose Motivates and Sustains Us — A clear sense of purpose, even if small, is essential for satisfaction and sustained motivation in day-to-day life. You Don’t Have to Suffer — Life doesn’t have to be lived on “hard mode”—seeking support and building skills makes it easier and more fulfilling. Episode Timestamps 5:58 — Training Focus: Athletes vs. Doctors 9:05 — Dedicated Daily Self-Improvement Practice 11:50 — Mastering Presence through Meditation 14:10 — Understanding Apologies and Distractions 18:30 — Supporting Young Athletes' Mental Health 23:05 — Athletes' Struggles with Substance Abuse 26:45 — Reducing Self-Medication Through Therapy 27:57 — Youth Misconceptions About Cannabis 32:55 — Living by True Personal Values 36:42 — Importance of Values in Decision-Making 39:42 — Actionable Self-Improvement Tips 41:42 — Escaping Life's Hard Mode DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.…
Welcome back to Ditch the Labcoat, the podcast where we cut through the noise and myths swirling around modern healthcare—one evidence-based conversation at a time. I’m Dr. Mark Bonta, and in today’s episode, get ready to hear from one of our returning guests: Dr. Samira Jeimy, allergist, immunologist, associate professor, and the straight-talking force behind Allergies Explained. Dr. Jeimy is here to tackle her “Top 10 Propaganda Pieces” as an allergy expert—the big healthcare myths, media soundbites, and outright scams that drive her up the wall. From debunking the so-called ‘immunity debt’ theory and the raw milk craze, to exposing the truth behind pricey food intolerance tests and the seductive marketing of wellness supplements, she brings a blend of humor, clinical wisdom, and no-nonsense clarity. You’ll hear why “natural” doesn’t always mean safe, how supplement and testing industries prey on patient anxiety, and why stories—more than science—often shape the health choices we make. Dr. Jeimy also takes us inside the real conversations she has with patients confused by allergy myths, and how she helps untangle fact from fiction, one appointment at a time. Whether you’re a healthcare professional, a chronic allergy sufferer, a concerned parent, or just tired of being bamboozled in the supplement aisle, this episode brings fresh perspective, sharp debunking, and a dose of laughter to your feed. So cozy up and get ready to ditch the misinformation, as we dive into the truth behind the top allergy and immunology myths with Dr. Samira Jeimy. Episode Highlights Immunity Debt Myth Don't believe the narrative that lack of infection "weakens" your immune system; real harm comes from infections, not their absence. Food Intolerance Tests Are Useless Expensive food intolerance tests measure exposure, not intolerance, leading to wasted money and unnecessary diet restrictions. Natural Isn’t Always Safe “Natural” products (like raw milk, plant oils) aren’t automatically safe—many can cause harm or severe allergic reactions. Eczema Not About Food Eliminating foods often doesn’t cure eczema; the real issue is inflammation of the skin, not food allergies. Overtesting Creates False Allergies Unnecessary allergy testing leads to false positives, unhelpful labels, and dangerous food restrictions. Episode Timestamps 4:16 — Influencer Impact on Health Information 6:35 — "Storytelling's Impact in Tech and Health" 12:51 — Health Concerns or Misdirection? 16:52 — Food Desensitization and Lifestyle Changes 20:07 — Countering Misinformation on Allergies 21:46 — Dietary Restrictions and Relationship Strain 25:24 — Immune System Overreaction Dangers 27:48 — Benadryl: Canada's Sole IV Antihistamine 31:12 — Dairy, Sugar, and Skin Health 35:08 — Unreported Complementary Health Treatments 38:52 — The Limitations of Unvalidated Diagnostic Tests 42:46 — Dr. Jamie: Compassionate Healthcare Advocate DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.…
In this episode of Ditch the Lab Coat, Dr. Mark Bonta sits down with Dr. Dov Gebien for a deeply personal and raw conversation about addiction, stigma, and redemption within the medical profession. Dr. Gebien, an emergency physician, shares his courageous story of opioid addiction—tracing his journey from the initial dependency that crept in after multiple back surgeries, through the devastating fallout of withdrawal, arrest, and prison, to his eventual recovery and fight to reclaim both his medical license and sense of self. The episode explores the culture of medicine and the harsh judgment often faced by healthcare professionals struggling with substance use. Dr. Gebien opens up about the profound shame and isolation that accompany addiction, explaining how secrecy and fear of exposure perpetuate suffering. He discusses how his turning point came when he finally “came clean,” recounting the unexpected compassion from some colleagues, but also the widespread mistreatment and lack of understanding he encountered—especially compared to how the system treats those with alcohol use disorder or physical illness. Dr. Gebien and Dr. Bonta delve into how the medical system, historically complicit in the opioid crisis, continues to stigmatize opioid addiction in its ranks, and they candidly address the punitive versus rehabilitative paths offered to healthcare workers in crisis. Dr. Gebien reflects on how recovery transformed his approach to medicine, fostering empathy and changing the way he relates to patients facing addiction. Now a community physician, public speaker, and researcher with published work on Sudden Infant Death Syndrome, Dr. Gebien unpacks his reinvention and the ongoing challenges of regaining trust and credibility within his field. The episode is a powerful meditation on perseverance, accountability, and hope—the “hard-won kind” forged through adversity. Episode Highlights 1. The Power of Honesty : Telling the truth about addiction, even when it’s painful, is the starting point for recovery and lightens the emotional burden. 2. Compassion Over Judgment : Healthcare needs more compassion and less stigma toward addiction—judgment only deepens isolation and suffering for both patients and clinicians. 3. Addiction Knows No Boundaries : Opioid addiction can affect anyone—doctors, professionals, or neighbors—not just the stereotypical “skid row” population. 4. Burnout Breeds Judgment : Compassion fatigue and harsh attitudes in emergency medicine can lead to diminished empathy for those with addiction struggles. 5. Redefining Professional Redemption : Recovery and return to practice after addiction require perseverance, transparency, and a willingness to rebuild credibility from scratch. 6. Forgiveness and Second Chances Reintegration into medicine is possible, but it demands humility, hard work, and meeting rigorous requirements to ensure public safety. 7. Continuous Recovery Accountability Structured support systems—therapy groups, monitoring, and regular check-ins—are vital in maintaining long-term recovery and reducing relapse risk. 8. Experience Builds Better Doctors Personal hardship, including addiction and recovery, can foster stronger empathy, better listening skills, and more effective patient care. Episode Timestamps 3:32 – Resilient Hope Amid Adversity 9:32 – Addiction's Story: A Broader Insight 10:54 – Opioid Dependency Misunderstanding 17:12 – Compassion in Addiction Treatment 21:07 – Forgiveness and Reintegration in Healthcare 23:39 – Challenges Reveal True Character 27:13 – Recovery: Holistic Approaches Versus Cure 29:38 – Expressing Myself Through Recovery 33:20 – Challenges of Reintegration for Felons 37:01 – Healthcare Workers' Untreated Disorders Insight 39:10 – Diaphragm Cramp Research Breakthrough 42:33 – Rediscovering Purpose in Medicine 45:00 – Secrets, Addiction, and Consequences 48:44 – Finding Hope After Disgrace DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.…
Welcome back to another eye-opening episode of Ditch the Lab Coat with Dr. Mark Bonta! While we usually dig into the science behind medicine’s biggest questions, on this episode, Dr. Mark is joined by the extraordinary Dr. Erwin Loh — a powerhouse at the intersection of medicine, law, healthcare leadership, and medical futurology. Dr. Loh is not only the President of the Royal Australasian College of Medical Administrators and National Director of Medical Services for Calvary Healthcare in Australia, but he’s also a trusted voice on LinkedIn, where he untangles medical breakthroughs and ethical dilemmas for his global audience on the daily (sometimes 5 to 10 times a day!)—all while juggling life as an executive and dad. Together, Mark and Erwin tackle some of the most pressing—and headline-worthy—topics in medicine today. They dig into Long Covid: what it is, why it’s not just "all in your head," and why the recognition of this condition is also reshaping how we think about elusive illnesses like chronic fatigue syndrome and fibromyalgia. If you’ve wondered what’s really happening with the mysterious gut microbiome, the resurgence of old viruses, or the risks of misinformation in today’s media chaos, you’ll find answers grounded in the latest evidence, not just the loudest opinions. But that’s not all—they venture into the weird and wild wonders of scientific progress, from the looming issue of plastics in our cells to CRISPR gene editing and the promises (and perils) of AI in healthcare. Along the way, you’ll hear why microplastics might be the “asbestos of our age,” how mixing vaccines can make you a lightning rod for online trolls, and why being cautiously optimistic about humanity’s next steps—despite climate change, pandemics, and deepfake bioweapons—is not just reasonable, it’s necessary. Whether you’re a science junkie, a future-watcher, or simply want a hopeful, no-nonsense take on where medicine is headed (and how it affects your life), this episode delivers smart, ethical, and accessible conversation. Pour yourself something strong, turn your curiosity up to eleven, and get ready for a tour de force of myth-busting, insight, and inspiring optimism from two voices at the cutting edge of healthcare. Tune in for the kind of honest, evidence-based, and thought-provoking discussion you won’t find anywhere else—right here on Ditch the Lab Coat! Dr Loh's Links ( https://www.linkedin.com/in/erwinloh/ ) ( https://x.com/erwinloh ) Episode Highlights Long Covid: Real and Varied Long Covid is a legitimate, multifaceted syndrome. Most cases improve within two years, but symptoms and underlying mechanisms differ widely. Post-Viral Syndromes Aren’t New Long-term illness after viral infections, like after influenza or Epstein Barr, has long existed—Covid just spotlighted this issue. Chronic Illness Recognition Grows Long Covid research is giving more credibility to conditions like chronic fatigue syndrome and fibromyalgia within the medical community. Silent Illnesses Challenge Healthcare Illnesses without definitive biomarkers, such as Long Covid, are harder to diagnose and treat, often leading to patient stigma. Microbiome’s Expanding Influence Our gut, skin, and oral microbiomes profoundly affect physical and mental health, though much remains to be discovered about exactly how. Viruses and Chronic Disease Links Viruses may contribute to diseases like multiple sclerosis, cancers, and possibly Alzheimer’s, highlighting new frontiers in research. Gene Editing: Transformative Power CRISPR technology lets us precisely edit human genes, promising cures for some diseases but raising major ethical and safety concerns. AI: Double-Edged Healthcare Tool AI accelerates medical discovery and innovation but can also enable harmful outcomes, including creation of bioweapons or misinformation. Plastics: Ubiquitous Unknown Threat Microplastics are everywhere, even in our cells. The true health risks are not fully understood but raise serious environmental and biological questions. Episode Timestamps 4:22 – Long Covid: Global Challenge and Uncertainty 9:31 – Recognizing Long Covid's Impact 10:47 – Exploring Long Covid Treatments 16:39 – Unknown Frontiers in Science 18:22 – Understanding Microbiome and Disease Dynamics 21:04 – COVID Vaccination Journey and Hybrid Immunity 24:42 – LinkedIn: Fewer Trolls, Richer Conversations 29:04 – Gene Therapy via Phage Infections 31:58 – Genetic Correction: Hope and Ethics 36:54 – AI and Humanity's Existential Challenges 41:14 – Future of Microplastics and Society 44:24 – AI, Cognition, and Future Governance 46:28 – "Medical Futurology with Irwin Lowe 48:31 – "AI in Medicine: Trust Matters DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.…
Welcome back to another eye-opening episode of Ditch the Lab Coat with Dr. Mark Bonta! While we usually dig into the science behind medicine’s biggest questions, this week we’re tackling the latest health fads and “wellness” trends lighting up your social feeds—from infrared saunas and cold plunges to mouth taping and chlorophyll water. Joining Mark is Dr. Samir Gupta, a leading Canadian health communicator, clinician, and respirologist known for translating the complex world of medical research into practical advice you can trust. Together, they sift fact from fiction on everything from the cardiovascular perks of sauna bathing (is it really the “new running”?), to the surprising metabolic effects of cold immersion, and what science truly says about intermittent fasting and its potential risks. If you’ve ever wondered whether that daily cold plunge will actually boost your immune system, or if packing your cart with ultra-processed foods is as dangerous as smoking, this episode is for you. Mark and Samir unpack the real data—both the encouraging findings and the cautionary tales—behind today’s most viral wellness hacks, including why you might want to think twice before taping your mouth shut or spending a fortune on chlorophyll water. They also take a deep dive into the gut microbiome—what it actually is, how it impacts cravings and disease risk, and why you shouldn’t rush to buy the latest “miracle” probiotic kit just yet. Plus, a frank discussion on the harms (and sometimes hilarity) of the social media health machine. Whether you’re a wellness skeptic, a trend-chaser, or just someone confused by conflicting health advice, this episode delivers the scientifically sound, refreshingly honest perspective you’ve been looking for. Plug in for myth-busting, evidence-backed conversation—and a few laughs—about what it really takes to live healthier, longer, and smarter. Episode Highlights Sauna Science Surprises : Frequent sauna use, especially Finnish-style, is linked to reduced heart disease and dementia risk, with short- and long-term benefits. Infrared vs. Traditional Saunas : Infrared saunas might differ from classic dry saunas; less data supports their health claims, especially regarding respiratory or cardiovascular outcomes. Benefits and Limits of Cold Plunge : Cold plunges activate brown fat and may modulate immunity, but benefits depend on regular, protocol-based use—not occasional dips. Intermittent Fasting: Mixed Signals : Intermittent fasting can offer metabolic perks and moderate weight loss, but recent studies raise concerns about potential long-term cardiovascular risks. Ultra Processed Foods: New Tobacco : Growing evidence ties ultra processed foods to shorter lifespans, heart disease, cancers, and mental health risks—diet quality matters deeply. Fad Diets: Caution Required : Trends like the carnivore diet or chlorophyll water lack solid evidence and may distract from proven, common-sense health choices. Ancient Traditions, Modern Evidence : Heat and cold therapies are age-old practices; modern research is catching up to explain their physiological and health effects. Gut Microbiome: Emerging Frontier : The diversity and health of your gut bacteria impact metabolism, immunity, cravings, and possibly mental health; much remains unknown. Simple Habits Still Matter : Basic changes—better sleep, home cooking, activity, limiting processed foods—often have more impact than supplements or extreme regimens. Episode Timestamps 06:00 – Sauna Benefits: Short and Long Term? 08:44 – Evaluating Health Trends Skeptically 13:19 – Ancient Health Benefits of Saunas 17:00 – WeGovy Microdosing: Affordability and Efficacy 19:52 – Intermittent Fasting: A Convenient Habit 21:49 – Metabolic Adaptation and Eating Habits 26:03 – Dangers of Ultra-Processed Foods 29:46 – Ultra-Processed Foods: Health Risks Highlighted 33:09 – Unexpected Health Outcomes: Smoking vs. Lifestyle 35:55 – Microbiome's Impact on Health and Cravings 38:14 – Gut Microbiome: Promising but Uncertain 42:41 – Investing in Health Improvements 44:33 – Rethinking Supplement Fads with Science DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.…
Welcome to a brand new episode of Ditch the Lab Coat with Dr. Mark Bonta! Normally, we dig deep into medical mysteries and healthcare headlines, but today we’re taking a high-flying detour into the world of extreme movement and gravity-defying stunts. In this episode, Mark sits down with internationally renowned parkour athlete, free runner, stunt performer, and Ninja Warrior UK finalist, Joe Scandrett. If you’ve ever seen someone leap between rooftops or swing from lampposts like a real-life Spider-Man, you’ve probably watched Joe in action. But behind the jaw-dropping videos and viral stunts lies an athlete with intense focus, respect for his craft, and a work ethic rivaling Olympic champions. Joining the conversation is Dr. Sagar Desai, an orthopedic foot and ankle surgeon to elite athletes, who helps break down the anatomy of risk, recovery, and resilience when things go wrong. Together, they explore everything from the mental prep before attempting a death-defying pole slide, to how parkour athletes minimize injury, and how the sport’s next generation is pushing the human body further than ever. We hear the honest truth about injury, fear, the importance of listening to your gut, and why sometimes the bravest move is to walk away. Whether you’re a curious parent, a health professional, or someone itching to try a backflip in the backyard, this episode is packed with adrenaline, wisdom, and practical advice for athletes of any level. So plug in, get ready for an inside look into the world of extreme movement, and discover what it really means to chase mastery—without losing your head (or your ankles) along the way. Episode Highlights Calculated Risk Over Recklessness : Progress carefully, know your limits, and differentiate between safe pushing and dangerous stunts. Preparation Beats Adrenaline Chasing : Success in extreme sports comes from meticulous mental and physical prep, not just thrill-seeking. Community Strengthens Skills : Being part of a community offers support, feedback, and encouragement for safer progression. Listen To Your Body : Recognize warning signs and walk away if something feels wrong; self-preservation is paramount. Injury Recovery Requires Patience : Take the time to heal and pace your return; rushing leads to setbacks. Respect Individual Progression : Focus on gradual, personal skill development rather than comparing yourself to others or rushing milestones. Technical Mastery Is Essential : Precision and practice trump brute force; landings and proper techniques prevent injuries. Mentorship Matters : Guidance from experienced athletes or coaches is critical for both safety and progression. Episode Timestamps 01:00 – Unveiling Joe Scandret's Adventures 04:22 – Extreme Sports Evolution: Instagram Phenomenon 09:46 – Risky Movement Preparation 11:59 – Parkour vs. Medicine: A Risky Comparison 13:57 – Surviving Jumps: Risk and Technique 17:08 – Achilles Injury Misdiagnosis 20:19 – Rebuilding Confidence After Injury 24:21 – Ego-Free Decision Making 28:48 – Parkour Risks for Non-Professionals 30:01 – Coaching Challenges in Parkour 33:20 – Balancing Encouragement and Safety 36:56 – Parkour Participation Across Ages 42:42 – Athletes and Surgeons: A Unified Goal 43:32 – Stay Grounded, Trust Youth DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.…
In today’s episode, Dr. Mark Bonta sits down with Dr. Sasha High—internist, obesity medicine specialist, founder of High Metabolic Clinic, and host of the High on Life podcast —to take a fresh, science-based look at weight management, obesity, and why sticking to those well-intentioned New Year’s resolutions isn’t just about willpower. Dr. High pulls back the curtain on one of the most stubborn misconceptions in medicine: that losing weight is simply about eating less and moving more. Instead, she invites us inside the fascinating intersection of biology, psychology, and our modern environment—unpacking everything from the brain’s reward system and relentless food cravings, to the real effects of ultra-processed foods and why portion control strategies aren’t always enough. Plus, they dig into headline-grabbing GLP-1 medications like Ozempic, exploring how these new tools fit into a holistic approach rooted in compassion and sustainability rather than shame. Whether you’ve ever found yourself battling the dessert buffet, struggling with food noise, or just curious about what truly works when it comes to lasting weight management, this episode is packed with evidence-based insights, practical strategies, and a healthy dose of empathy. So, plug in and get ready to challenge your assumptions—and maybe even get a little kinder to yourself along the way. Check out the High on Life podcast with Dr. Sasha High and sashahighmd.com Episode Highlights Obesity Isn’t Willpower Alone : Obesity is driven by biology and genetics, not just lack of willpower. Many factors influence eating behaviors beyond conscious choice. The Power of Food Environment : Ultra-processed, hyper-palatable foods hijack our brain’s reward system, making moderation especially hard for some people. All-or-Nothing Thinking Sabotages Progress Rigid dieting mindsets cause yo-yo cycles. Adopting a “next best choice” approach is far more sustainable. Protein Keeps Hunger in Check : Including protein with every meal helps stabilize blood sugar, maintain satiety, and curb overeating, especially with snacks. Manage Emotional Eating Mindfully : Emotional eating is common and not always bad, but learning emotional regulation skills is key for sustainable weight management. Ultra-Processed Food Is Ubiquitous Accessibility and cost make it hard to avoid unhealthy foods, so realistic, values-based strategies are essential for change. Small Changes Beat Drastic Diets : Stepwise, patient-led lifestyle changes tailored to individual values work better than strict, all-or-nothing overhauls. GLP-1 Medications: Tool, Not Cure Medications like Ozempic can help some, but they must supplement—not replace—lifestyle and psychological interventions. Episode Timestamps 02:00 – Challenging Weight Loss Myths 05:08 – Understanding Obesity and Eating Motivation 07:08 – The Cycle of Constant Hunger 10:28 – Lifestyle Change: Beyond Basic Knowledge 15:02 – Mindful Eating and Neuroplasticity 16:59 – Insulin Resistance: Beyond Calorie Count 22:51 – Reframing Sugar: Marathon Fuel 25:48 – Food Risks: Health vs. Accessibility 28:30 – Patient-Led Lifestyle Changes 32:35 – Behavior Change Through Habit Design 33:30 – Motivating Change Through Values 37:18 – Psychology’s Role in Weight Management 43:32 – Empowering Healthcare Providers 45:03 – Balancing Health: Meds & Compassion DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.…
In this episode of Ditch the Lab Coat, Dr. Mark Bonta is joined by Dr. Robert C. Smith, University Distinguished Professor Emeritus of Medicine and Psychiatry at Michigan State University, to tackle one of modern healthcare’s biggest blind spots: mental health care in the medical system. Dr. Smith—renowned educator, author, and advocate—pulls back the curtain on how, despite mental health problems being the most common health condition seen in practice, most doctors are dangerously undertrained to diagnose or treat them. He explains that medicine’s longstanding “mind-body split” traces back centuries, shaping medical education, health systems, and even our billing codes to treat mental and physical health as separate entities. The result? Nearly 75% of mental health care is provided in primary care settings by clinicians who received only about 2% of their training in mental health. The conversation is both a critique and a call to action. Dr. Smith advocates for a revolution in medical education—a new “Flexner Report”—to fully integrate mental health teaching and the biopsychosocial model at every level of training. He shares lessons from history, the cultural and structural forces behind the mind-body divide, and practical examples from the clinic—like why lifestyle factors and trauma histories are so often ignored. Dr. Bonta and Dr. Smith also offer practical advice for both clinicians and patients: how to advocate for better care, what questions to ask, and the importance of seeing patients as whole people rather than a sum of body parts or checklists. If you’ve ever felt that your mental health concerns weren’t taken seriously, or if you’re a healthcare provider frustrated by a broken system, this episode offers both context and hope—a blueprint for creating a healthcare system that truly sees and treats the whole person. Episode Highlights Biopsychosocial Model’s Limits : Treating biological, psychological, and social factors as separate fails patients; true integration is essential for holistic care. Insufficient Mental Health Training : Most doctors get minimal mental health education, despite facing these issues daily in primary care settings. Systemic Checkboxes Over People: Medical culture prioritizes checklists and protocols, often neglecting patients’ real experiences and interconnected life factors. Chronic Disease and Mental Health : Overlooking mental health and lifestyle factors worsens outcomes for chronic illnesses like heart disease and diabetes. PTSD as Teaching Tool : Post-traumatic stress highlights how physical and psychological symptoms are deeply entwined and inseparable in patient care. Need For Top-Down Reform : Only policy-level, systemic changes can mandate integration of mental health into mainstream medical education and practice. Patient Advocacy Is Crucial : Change won’t arrive without active voices from patients and the public demanding better, more integrated care. Actionable Lifestyle Advice : Regular exercise, good diet, mindfulness, and honest self-reflection can support both mental and physical resilience. Communication Beats Technology : As artificial intelligence advances, true human connection in healthcare—listening, understanding, empathy—remains irreplaceable. Episode Timestamps 04:53 – Biopsychosocial Model Critique 07:32 – PTSD: Linking Mental and Physical Health 10:20 – “Mind-Body Split in Medicine” 15:53 – Mind-Body Connection in Chronic Care 17:40 – Lifestyle-Induced Health Complications 21:32 – “Reforming Medicine: A Systems Approach” 26:25 – Biopsychosocial Model in Healthcare 29:35 – Mental Health Training Shortfall 30:41 – Integrated Biopsychosocial Medical Training 35:20 – Interdisciplinary Approach to Trauma Inquiry 37:44 – Lifestyle Hacks for Mental and Physical Resilience 43:24 – Healthcare System’s Training Limitations 45:11 – Prioritize Mental Health Awareness DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.…
In this episode of Ditch the Lab Coat, Dr. Mark Bonta takes us into the underappreciated world of medical documentation—and the burnout it breeds—by shining a spotlight on two disruptors aiming to change the status quo. Joined by Dr. Kyle Fortinsky, a gastroenterologist and self-proclaimed tech enthusiast, and serial entrepreneur Jay Gilbert, the discussion pulls back the curtain on the all-too-familiar struggle of physicians, nurses, and healthcare workers documenting late into the night while real life passes them by. Together, they unpack the daily grind of charting and how the current EMR landscape keeps clinicians glued to screens, often at the expense of patient care and personal well-being. Jay and Kyle reveal the origin story of their innovative startup, Clever Consult, born from both firsthand medical experience and the intimate view of a spouse disappearing into late-night charting marathons. Listeners get a candid look at their journey from scribbled napkin ideas to building a privacy-first AI assistant that actually understands clinical nuance. Beyond the tech talk, this episode explores everything from the high-risk realities of endoscopy procedures to the frustrating hunt for vital information buried in endless patient charts. The conversation also delves into the real fears—and hurdles—of integrating AI into healthcare, from privacy concerns to the challenge of building tech that truly lightens clinicians’ workloads. With humor and humility, Dr. Fortinsky and Jay Gilbert make the case that “doctor-built, doctor-focused” AI can finally start to reclaim the cognitive energy clinicians lose to admin overload. Rather than replace clinicians, this technology aims to empower them, helping doctors spend less time as scribes and more time as healers, problem-solvers, and humans. Tune in to hear how the marriage between entrepreneurial grit and frontline medical experience is forging a new path—one where AI does the heavy lifting behind the scenes, so healthcare professionals can get back to what truly matters: caring for people. Episode Highlights Why We NEED This : Kyle and Jay share horror stories of never-ending notes, missed dinners, and knowing your patient is safe to scope only after 20 minutes combing PDFs for hidden warfarin doses. The Product : An AI tool designed not to replace doctors, but to free them from scribal servitude. Clever Consult ingests mountains of charts, consults, labs, and more—then gifts you the focused summary you need, before you see the patient. Built by Doctors, for Doctors : "If physicians don’t look after themselves, they can’t look after patients.” That’s the mantra guiding Clever Consult’s development. Privacy FIRST : With patient confidentiality sacred, the team spent more money on privacy law than anything else. All data’s in Canada, nothing is retained by AI vendors, and legal experts guide every tech decision. The Human Touch : While some fear robots will take the stethoscope, Jay and Kyle see AI as an assistant—not a replacement—to boost diagnostic accuracy, flag hidden dangers, and (finally!) give us more one-on-one time with patients. The Future : Imagine charting in a fraction of the time, cognitive energy reserved for real-life problem-solving (not formatting notes on endless EMR screens), and leaving “scut work” to the machines. Episode Timestamps 03:35 – Revolutionizing Healthcare with Tech 09:13 – Streamlining Medical Data Management 12:52 – “Improving Medical Efficiency with AI” 16:21 – Serendipitous Developer Collaboration 17:14 – Building & Validating the Business Model 20:57 – “Balancing AI’s Strengths and Weaknesses” 25:36 – AI Legal Consultation for Data Compliance 28:27 – Bridging Software and Medical Expertise 32:27 – AI Revolution in Medical Diagnostics 34:33 – AI‑Enhanced Medical Diagnosis 40:29 – Deep AI Solutions for Medical Documentation 42:06 – “AI‑Driven Healthcare Documentation” 47:33 – AI Revolutionizes Healthcare Documentation DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.…
In today's episode of Ditch the Lab Coat, we dive into the raw, real-world chaos of trauma that unfolds beyond the controlled environment of a hospital. Dr. Mark Bonta is joined by Dr. Andrew Petrosoniak, a trauma director and emergency medicine expert who specializes in designing effective healthcare systems, to explore the unpredictable nature of street-level emergencies. Throughout the episode, the duo unpacks the reality of responding to accidents in real-world settings, where medical tools are limited and the stakes are high. From discussing the importance of overcoming the bystander effect to the critical role of tourniquets in stopping a traumatic bleed, Dr. Petrosoniak shares actionable insights that go beyond traditional medical scenarios. Dr. Petrosoniak reflects on his experience with high-stress situations, emphasizing the power of a calm presence and strategic communication to provide reassurance until professional help arrives. The conversation highlights how anyone, not just medical professionals, can make a significant difference during emergencies through basic actions like calling for help and offering reassurance. Listeners are encouraged to rethink what being prepared means, urging them to consider keeping essential items like a tourniquet, defibrillator, and first aid kit nearby. This episode serves as a poignant reminder that life-saving efforts often start not in the ER but at the scene of an accident, where immediacy, intuition, and courage can have the most profound impact. Join Dr. Bonta and Dr. Petrosoniak as they explore the instinctual side of emergency response, sharing both practical advice and engaging anecdotes from the frontline of trauma care. Episode Highlights Applying Tourniquets Properly Apply a tourniquet tightly enough to stop bleeding below the site. This is crucial in emergencies to prevent excessive blood loss. Understanding Trauma's Reality Trauma doesn’t happen in a controlled environment. Real-life situations require quick thinking and improvisation with limited resources. Importance of the Bystander Effect Overcome the bystander effect by taking charge in emergency situations. Your presence and action can make a significant difference. Street-Level Medical Preparedness Real-life medical emergencies demand an understanding of how to act without hospital tools – a phone call and support can be vital. Interpreting Blood Loss Know signs of severe blood loss—confusion and cold extremities—rather than estimating based on visible blood alone. Role of First Responders Sometimes non-medical professionals, like St. John Ambulance volunteers, are better prepared for emergencies due to their specific training. Communication in Crisis In emergencies, communicate clearly, outlining the plan to provide comfort, rather than giving false assurances of safety. Understanding Electrical Injuries High-voltage injuries are extremely dangerous. Never approach if there’s a risk of being electrocuted. Safety should be our top priority. Value of Proper Equipment Keeping simple equipment like a tourniquet and blanket in your car can be life-saving during an unforeseen emergency. Preparedness Beyond Hospitals Being prepared for emergencies means more than medical skills. It's about readiness to act and show compassion, no matter where you are. Episode Timestamps 04:44 — Thrill-seeking risks and physiological reactions 08:12 — Managing stress and preparedness in emergencies 11:54 — Immobilization advice after falls 15:55 — Survival odds after high falls 18:20 — Crisis communication in prehospital care 22:35 — Ski injury first-aid and bystander concerns 26:09 — Tourniquet use: prioritize stopping bleeding 27:01 — Emergency situational awareness tips 31:29 — Assessing blood loss in hospital settings 33:31 — Understanding the impact of blood loss 36:38 — Electrocution safety and response challenges 39:56 — “Mark’s Power Room Dilemma” 43:58 — Simplifying trauma response protocols 45:48 — Compassion in crisis: the human side of trauma care DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.…
In today's episode of Ditch the Lab Coat, we're delving into the often overlooked world of long Covid and post-viral syndromes . Ever wondered why the medical community wasn't fully prepared for the enduring effects of post-viral conditions despite its potential impact? Dr. Mark Bonta talks with Dr. Funmi Okunola, a family physician and advocate for patients with Long Covid. Dr. Okunola discusses the challenges and frustrations surrounding the medical community's response to Long Covid and highlights her work in educating both the public and healthcare professionals about the condition. Throughout the episode, Dr. Okunola shares her journey from practicing family medicine to focusing on patient advocacy through digital education platforms. She aims to bridge the gap between medical evidence and public understanding, providing accessible and credible information to combat misinformation. Dr. Okunola emphasizes the lack of preparedness in the medical field for post-viral syndromes and the need for a shift in medical education to include complex chronic diseases like Long Covid, fibromyalgia, and ME/CFS as core parts of the curriculum. The conversation is rich with insights on how to better support patients with Long Covid and calls for a more proactive approach in the healthcare system to recognize and address complex chronic diseases. Dr. Okunola's passion for advocacy and education is a central theme in this episode, urging both healthcare providers and the public to acknowledge and act on the realities of Long Covid. Episode Highlights Unprepared for Post-Viral Syndromes The medical community wasn't ready to tackle long-term effects of viral infections like Long Covid. Dr. Funmi Okunola's Journey From family medicine to Long Covid advocacy, Dr. Okunola founded educational initiatives during the pandemic to address patients' unmet needs. Navigating Healthcare for Long Covid Dr. Okunola and colleagues highlight the need for ongoing, informed care for Long Covid, often overlooked by the health system. Complexity in Diagnosis Treating conditions without clear tests or markers requires a multifaceted approach and reliance on patient narratives. Educational Gaps in Medicine Dr. Okunola argues for integrating complex chronic disease education in medical training as a part of core curriculum. Global Health Crises Insight Long Covid research offers a broader understanding of immune response and the impacts of viral infections on public health. Call for Systemic Change Dr. Okunola emphasizes that Long Covid is a public health issue needing urgent attention in both medical practice and policymaking. Episode Timestamps 04:17 — Interprofessional approach for complex diagnoses 10:01 — Urgent need for Long COVID recognition 12:18 — Physician frustration with healthcare system 15:56 — Misinformation & public health concerns 17:48 — Somatic Symptom Disorder explained 23:27 — Effective management strategies for Long COVID 26:37 — Evidence vs. belief in diagnostics 27:29 — Discussion on Long COVID & POTS 33:28 — Long COVID exercise recommendations debunked 37:28 — Causes and effects of Long COVID 40:13 — Long COVID as an ignored immune threat 42:43 — Public health vs. individual freedom 47:13 — Campaigning for chronic disease education 49:59 — Embracing complexity in healthcare DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.…
Today, we're diving into the captivating world where cardiology meets cutting-edge technology. Ever wondered how your smartwatch could potentially save your life or how wearable tech is revolutionizing heart rhythm monitoring? You're in for a treat! Joining us is Dr. Yaariv Khaykin, an internationally renowned expert in rhythm disorders. He's a self-proclaimed "heart electrician" with a knack for gadgets and tech, and he's here to guide us through the intersection of traditional cardiology and modern advancements. From exploring the 100-year-old ECG technology to discussing breakthrough wearable devices, this episode is packed with insights that will transform the way you think about heart health. So whether you're a medical professional, a tech enthusiast, or someone just curious about how wearables could benefit your health, stay tuned for a fascinating conversation that proves science fiction is quickly becoming present-day medicine. Episode Highlights Wearables Catch Fleeting Symptoms Wearables effectively detect fleeting health symptoms that traditional monitors might miss, especially heart rhythm abnormalities. ECG's Long-Standing Role ECGs have been crucial in cardiology for over 100 years, providing insight into heart's electrical activity. Technology Elevates Heart Monitoring Advanced tech offers multi-channel monitoring, improving safety and precision in diagnosing heart conditions like arrhythmias. Smartwatches: Medical Utility Evolving Smartwatches like Apple Watch are now FDA-approved for heart monitoring, offering reliable data for clinical decisions. Data in Wearables: Double-Edged Sword While empowering users, wearables can increase anxiety without proper context. Interpretation is key. Improving Life Through Wearables Devices encourage healthy behaviors, tracking sleep, steps, and exercise to guide lifestyle choices for longevity. Heart Rate Variability's Importance High heart rate variability indicates fitness and longevity, while low variability can signal health issues. Non-Invasive Monitoring Innovations Textile-based ECGs provide comfort, easy use, and continuous heart monitoring without traditional discomforts. Bridging Clinical and Consumer Tech The integration of wearables in daily life advances proactive healthcare, offering diagnostic-level insights easily accessible to all. Episode Timestamps 00:00 - Ditch the Lab Coat Podcast 06:09 - AI enhances ECG interpretation 07:03 - Advanced cardiac mapping vest 10:30 - Wearables revolutionize heart monitoring 14:39 - Wearables' role in health monitoring 18:58 - Assessing Apple Watch for heart rhythms 21:00 - Atrial fibrillation detection limitations 23:49 - Wearable limitations in symptom detection 28:41 - Wearable ECG tech achieves 99.9% accuracy 29:46 - Medical device risk and standards 34:38 - "Tech bros & longevity obsession" 38:17 - Wearables: balancing peace and anxiety 42:32 - Heart rate variability explained 46:02 - Heart tech: ECGs and innovation 47:20 - Future of wearable cardiac technology DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.…
In this episode of "Ditch the Lab Coat, where we delve into health issues with a grounded, scientifically skeptical eye. Today, we're diving deep into the world of cholesterol science and statins with our special guest, Dr. Malcolm Kendrick, an acclaimed skeptic and thought provoker in the medical community. Dr. Kendrick, known for turning conventional wisdom on its head, will be sharing his insights on how statins really affect our health, stretching beyond the common narrative and challenging the status quo of the pharmaceutical-medical industry complex. In this episode, Dr. Kendrick shares his perspective on the actual benefits and risks associated with statins, exploring their history and the modern-day data controversies surrounding them. Are they truly the heart-protecting wonder drugs we have been led to believe? Prepare for a dialogue that ventures into the realm of medical guidelines, research transparency, and, most critically, how independent thinking can lead us to better healthcare decisions. Grab your headphones, get comfortable, and join us as we embark on this eye-opening journey to dissect the truths about statins and explore what might actually lie at the heart of cardiovascular health. This is an episode you won't want to miss. Episode Highlights Statins and Life Extension Statins make you feel older, not necessarily extend life by 15 years. Challenge Conventional Wisdom Dr. Kendrick challenges mainstream cholesterol views, sparking debates and insights in the medical community. Studying Only Specific Populations Original statin studies lacked diversity, mostly involving young males, not reflecting today's patient demographics. Relative vs. Absolute Risk Be mindful of how risk reductions are presented; sometimes it's more about misleading percentages. Medical Research Conflicts Industry connections can bias studies. We must demand independent verification of data. Independent Medical Thinking Doctors should critically evaluate guidelines, balancing them with individual patient needs and circumstances. Cost of Conformity in Guidelines Blind adherence to guidelines, due to fear of malpractice, might not always benefit the patient. Lifestyle Over Medication Managing chronic conditions through lifestyle changes can often be more effective than medication. Potential of Lp(a) Lp(a) might provide clearer heart disease risk markers. However, it's crucial, to accurately interpret its significance. Empowering Patient Decisions Encourage patients to actively participate in their health decisions, weighing the true benefits and risks of treatments. Episode Timestamps 04:18 - Prescription practices for elderly patients 08:24 - Coenzyme Q10’s role in energy 11:44 - "Uncommon statin side effects" 16:28 - Statins’ minimal life extension 19:59 - Statins: worth the effort? 23:55 - Overprescription of statins debate 26:02 - Reevaluating statins’ efficacy and bias 29:40 - Oxford data transparency concerns 33:27 - Pharma-research funding influence 34:16 - Challenging medical system norms 40:09 - NICE’s influence and conflict concerns 43:19 - Human nature and medical conflicts 45:58 - Advocating lifestyle over medication 48:00 - Lifestyle over statins 51:05 - Reevaluating statin use in elderly 55:13 - Rethinking statins and patient care 58:00 - Challenging healthcare’s status quo Let me know if you need any modifications! DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.…
In this episode of "Ditch the Lab Coat, where we delve into health issues with a grounded, scientifically skeptical eye. This week's conversation is truly special as we sit down with two giants in the field of medicine: Dr. David Carr and Dr. Sumon Chakrabarti. Join us as we unpack the essentials of travel medicine. From crafting the ultimate travel medical kit to knowing when to panic about that mysterious fever after your Southeast Asian adventure, these experts bring humor, experience, and a wealth of knowledge to the table. Whether you're planning a family vacation or a solo expedition, this episode promises to equip you with the wisdom you need to travel smart. Get ready to learn about must-have medications, the truth about travel vaccines, and how to handle those daunting, "Is there a doctor on board?" moments on a plane. Sit back, relax, and let us turn you into the savvy traveler you've always wanted to be. Let's get into it! and prepare to have your preconceptions about medicine and holistic care turned upside down. Episode Highlights Travel Kits Essentials: Dr. Carr and Dr. Chakrabarti shared their must-have items for medical travel kits, including antiemetics like Zofran for nausea and glue (Dermabond) for minor injuries. They also discussed the importance of carrying Imodium for emergencies but warned against using it as a solution for diarrhea with fever. Medical Travel Tips: They emphasized preparing for potential health issues depending on the destination, especially in places with known diseases, such as malaria in certain regions. Pepto Bismol was highlighted as an effective preventive measure for traveler's diarrhea. Vaccination Advice: Dr. Chakrabarti recommended vaccinations based on the destination, particularly focusing on hepatitis A, typhoid, and yellow fever in certain regions. They also discussed the malaria prophylaxis options available today, like Malarone. Emergency Situations on Airplanes: Dr. Carr shared his experiences responding to medical emergencies on flights, describing the airplane's medical kits as adequate but limited, emphasizing the importance of an EpiPen and defibrillator. Healthcare Access While Traveling: They talked about how healthcare access varies by destination and shared personal stories of needing medical attention abroad, such as Dr. Bonta's trip to the Amazon. Safety Precautions: Emphasized no pills and no powders, especially for teenagers on trips. They suggested considering Narcan kits due to the prevalence of opioids tainting other substances and the importance of preventative measures like condoms to avoid STDs in areas with higher rates. Returning Traveler's Fever: Both guests stressed the importance of not dismissing a fever on returning from a tropical trip, as this could signify a serious condition like malaria. Episode Timestamps 04:13 - Travel medical essentials insights. 09:32 - Emergency eye and ear care prep. 10:51 - Ducorel: Cholera vaccine limitations. 14:33 - Plane medical emergencies: doctor’s role? 18:21 - Vaccine recommendations for Caribbean travel. 20:46 - Essential travel vaccines and malaria prevention. 22:56 - Avoiding travel health mistakes. 27:27 - Check fever after tropical travel. 31:45 - Essential travel health tips. 32:41 - Gratitude and safe travels. DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.…
In this episode of "Ditch the Lab Coat, " host Dr. Mark Bonta welcomes a groundbreaking guest who is reshaping how we understand gut health and integrative care. Dr. Kim Bretz, a naturopathic doctor with a unique approach, joins the conversation to challenge traditional frameworks and introduce innovative solutions for conditions like irritable bowel syndrome and reflux. With her expertise in the gut-brain connection, microbiome diversity, and holistic patient care, Dr. Bretz breaks down complex concepts and offers evidence-based insights into treating digestive disorders. Together, they explore the limitations of the conventional medical system, shed light on the often-overlooked gut-brain interaction, and discuss how interdisciplinary collaboration can enhance patient outcomes. Whether you're a healthcare provider or someone dealing with unexplained digestive symptoms, this episode is packed with knowledge and tools to expand your understanding of gut health beyond the typical medical approach. Tune in and prepare to have your preconceptions about medicine and holistic care turned upside down. Episode Highlights Gut Health Significance The importance of gut health to overall quality of life compared to serious conditions like heart failure. Collaborative Healthcare Approach The benefits of collaboration between MDs, naturopathic doctors, and other specialists. Patient-Centered Care Emphasizing care that considers patients' holistic needs, not just symptoms. Gut-Brain Connection Exploring the link between mental health and gastrointestinal symptoms. Role of the Microbiome Understanding how bacteria in our gut impact our health. Visceral Hypersensitivity Why some people feel digestion more keenly than others, impacting IBS symptoms. Low FODMAP Diet Dietary considerations for IBS symptoms management. Holistic Treatment Options Combining traditional and alternative treatments like gut-directed hypnotherapy. Skeptical Scientific Approach Navigating the balance between evidence-based medicine and alternative approaches. Building a Diverse Diet How plant-based foods and variety support gut health and microbiome diversity. Episode Timestamps 05:38 - Traditional system failing gut health. 07:13 - Longevity clinic benefits: beyond procedures. 10:22 - Rethinking diet safety and microbiota. 15:03 - Exploring IBS and brain-gut link. 18:15 - Gut sensitivity and cognitive therapies. 20:02 - Central sensitization impact on pain. 23:53 - Managing IBS stress: techniques & therapies. 29:04 - Gut issues: acute vs. chronic. 29:57 - Gut-brain interaction and microbiota insights. 35:47 - Balancing diet and microbiome connection. 37:21 - Pro-bacteria gut health diet. 40:38 - Dietary focus in Crohn's treatment. 45:04 - System challenges to healthy eating. 47:59 - Spontaneous career pivot to collaboration. 52:04 - Addressing misinformation in healthcare. 55:54 - Exploring complementary alternative medicine. 59:29 - Rethinking gut health approaches. DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.…
In this episode of "Ditch the Lab Coat," Dr. Mark Bonta hosts Dr. Jane Thornton, an Olympian, world champion, and leading sports medicine physician. Known as the Olympian doc, Dr. Thornton brings a unique perspective to the intersection of elite sport, health, and science due to her dual experiences as an athlete and a healthcare professional. Dr. Thornton delves into the myth of athletic prodigies, emphasizing that while some genetic factors can contribute to success in sports, it is the environment, work ethic, and mental performance that truly create elite athletes. She shares her personal journey from being a sedentary teenager to competing in the Olympics, highlighting how sports can transform lives beyond athletic achievements by enhancing focus, motivation, and social connections. The discussion explores issues like gender disparities in sports, particularly how cultural pressures and a lack of supportive environments cause many adolescent girls to drop out of sports. Dr. Thornton underscores the need for environments where athletes can be open about their symptoms and the importance of preventing early sport specialization to promote long-term athlete health. Dr. Thornton also touches upon safeguarding in sports, which involves creating safe, supportive environments free from harassment and abuse. She explains the complexities involved in balancing athletes’ desires to compete despite injuries with the duty of care healthcare professionals owe them. Finally, Dr. Thornton and Dr. Bonta address the transition of athletes from sports to other life phases, noting the importance of a supportive community and maintaining physical activity as key to positive long-term health outcomes. Tune in for an episode filled with insights on developing and sustaining a healthy relationship with sports while exploring the broader implications for athlete health. Episode Highlights Mental Health and Performance Creating supportive environments boosts performance and wellbeing. Open communication is key to reducing anxiety about symptoms and injuries. The Role of Genetics in Sports Genetics isn't destiny in sports. While genetics influence certain attributes, work ethic, mental performance, and enjoyment are crucial. Early Specialization Risks Early specialization can harm long-term health. Diverse sports experiences during youth promote holistic growth and prevent burnout. Safe Sporting Environments Safe sport ensures fairness, respect, and freedom from harassment. Preventing injuries and illness involves creating a positive training culture. Transition After Sports Identity shifts post-career can impact athletes' mental health. Support and social belonging help in reintegration to non-athletic life. Balanced Athletic Training A structured, well-planned workload minimizes injuries. Sleep and recovery are essential in maintaining peak performance and health. Parent-Child Dynamics in Sport Cultivating joy is key. Encouraging kids to love their sport nurtures long-term engagement and potential elite performance. Ethical Considerations in Athletics Decision-making involves balancing risks. Safe return-to-play protocols are vital, especially in ambiguous injury scenarios. Episode Timestamps 04:03 - Building an Elite Athlete 08:20 - Early specialization vs. holistic development. 10:55 - Addressing barriers for girls in sport. 17:15 - Positive messaging for young athletes. 18:18 - Social media's impact on youth athletes. 22:53 - Injury prevention and safe sport. 27:06 - Athlete injury decision-making factors. 30:48 - Preventing injuries through workload management. 33:37 - Olympic athletes: long-term health impacts. 36:14 - Olympian lifespan: beyond the sport. 40:30 - Post-sport transition and psychological impact. 43:43 - Embrace joy in pursuit. 47:07 - Insightful athlete podcast highlights. 48:24 - Insightful sports and life tips. DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.…
In this episode of "Ditch the Lab Coat," Dr. Mark Bonta welcomes Dr. Behnam Banihashemi, a cardiologist specializing in cardiovascular prevention, wellness, and longevity. Dr. Banihashemi discusses the concept of Medicine 2.0, which includes advancements in pharmaceuticals and interventions that have extended life expectancy in the Western world, along with a focus on improving lifestyle choices to further enhance longevity. However, he emphasizes that the real key to living a longer, healthier life lies in addressing lifestyle factors such as fitness, nutrition, sleep, and mental health. Dr. Banihashemi explains that although cardiac procedures like stents can be life-saving during heart attacks, they do not necessarily improve life expectancy for those with stable angina. Instead, lifestyle changes have a more significant impact. He highlights the influence of pharmaceutical funding on medical research and practice, leading to an emphasis on treatments rather than preventive care. The conversation also covers the limitations of the Canadian healthcare system, which does not incentivize primary prevention, and the potential benefits of certain quick fixes like metformin or supplements like protein and creatine. Dr. Banihashemi stresses that small, consistent actions, despite not being marketable, are essential for longevity and that the healthcare system often focuses more on managing diseases than preventing them. Ultimately, individuals hold the power to take charge of their health through day-by-day lifestyle decisions, adding life to their years, not just years to their lives. Get Dr. Banihashemi's 8 Steps to Conquer Chronic Pain: A Doctor's Guide to Lifelong Relief : https://www.amazon.ca/Steps-Conquer-Chronic-Pain-Lifelong/dp/0778807118 Episode Highlights: Longevity Myths Debunked: Dr. Ben sheds light on the widespread misconception that a magic pill exists for living longer. Spoiler alert: it doesn't! Discover the habits that truly make a difference in extending not only your lifespan but also your health span. Four Pillars of Health: Learn about the core areas that Dr. Ben advocates for—Fitness, Nutrition, Sleep, and Mental Health—and how these simple, intentional choices can vastly improve your quality of life. Real Talk on Medical Interventions: Are cardiac stents the ultimate fix? Dr. Ben discusses the harsh realities of current medical practices focused on quick fixes and how lifestyle changes offer more significant benefits. The Canadian Healthcare Perspective: Ever wondered how the Canadian healthcare system affects patient care? Dr. Ben gives an insider's look into the challenges doctors face and how his new venture, the Cardiac Longevity Clinic, is pioneering a shift towards proactive, personalized healthcare. 00:00 - Cardiologist Ben's Holistic Heart Health 06:00 - Longevity trends in the Western world. 09:08 - Impact of non-chronic mortality factors. 12:04 - Cardiac stents save lives in heart attacks. 16:53 - Biased pharmaceutical research investments. 18:49 - Cardiology’s focus: Band-Aids over causes. 21:13 - Research bias in health studies. 27:03 - Primary prevention system failures. 28:43 - The Four Pillars for Longevity. 34:43 - Integrative health consultation process. 37:42 - Sustainable change through consistency. 40:46 - Longevity drugs: Metformin vs. Rapamycin. 45:28 - Red wine popularity: Study misinterpretations. 47:00 - Wine, longevity, and confounding factors. 51:13 - Patient responsibility in medication adherence. 53:22 - Reflecting on longevity and lifestyle. DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.…
Welcome to another insightful episode of Ditch the Lab Coat with Dr. Mark Bonta. In today's conversation, we're diving deep into the intricate world of chronic pain with the renowned Dr. Andrea Furlan, a global authority in pain management. With a career dedicated to understanding and conquering chronic pain, Dr. Furlan sheds light on the misconceptions surrounding pain as we age, the role of stress, and how our modern virtual lifestyles are influencing our health. We’ll explore the significance of the mind-body connection, the impact of stress on muscle pain, and the manifold strategies that can help alleviate chronic pain, from mindful techniques and lifestyle changes to the benefits of proper sleep and diet. Whether you're a healthcare professional, enduring chronic pain, or simply curious about how to manage pain more effectively, this episode is packed with valuable insights and practical advice informed by Dr. Furlan's extensive career and research. I apologize, but I notice you're asking for key takeaways about fetal alcohol spectrum disorder, but the transcript provided is actually about chronic pain and features Dr. Andrea Furlan discussing pain management. Let me provide the key takeaways from this actual transcript: Key Takeaways: 1. Mind-Body Connection Dr. Furlan emphasizes that chronic pain often has strong connections to stress, mental state, and emotional wellbeing, with the body using pain as a way to communicate underlying issues. 2. Parasympathetic Nervous System A major focus is placed on activating the parasympathetic nervous system through techniques like mindful breathing, meditation, and mindful walking to help manage chronic pain. 3. Modern Lifestyle Impact While modern behaviors like prolonged sitting and screen use are often blamed for pain, Dr. Furlan notes that similar sedentary behaviors existed 100 years ago without the same pain complaints, suggesting other factors are involved. 4. Nutrition's Role Ultra-processed foods are identified as "poison" for the body, potentially contributing to various health issues including chronic pain. The importance of natural, whole foods is emphasized. 5. Treatment Approach Rather than relying solely on medications, Dr. Furlan advocates for a comprehensive approach including: - Sleep improvement - Proper nutrition - Exercise - Stress management - Mind-body techniques 6. Validation of Pain For chronic pain patients, Dr. Furlan emphasizes the importance of validating their experience and understanding that their pain is real, even when not visible on medical imaging. 06:01 - Chronic pain across all ages. 09:43 - Rethinking pain management approaches. 11:20 - Muscle pain and nociception origins. 13:55 - Breaking the fear avoidance cycle. 18:06 - Processed vs. natural foods awareness. 23:14 - Jaw massage experience and benefits. 24:26 - Massage: Temporary relief for muscle pain. 30:19 - Overwhelmed and Overheating Connections. 30:59 - Rethinking pain and treatment. 34:39 - Managing pain with parasympathetic activation. 41:06 - Chronic pain and central sensitization. 42:14 - Overcoming recovery challenges. 47:57 - Healing trauma: Brain and emotions. 49:51 - Stress, trauma, and health connection. 54:31 - Chronic pain management tools. DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.…
Welcome to "Ditch the Lab Coat," the podcast where we break down complex medical topics with leading experts shaping the future of healthcare. In today's episode, we're diving into the nuanced and critical conversation surrounding Fetal Alcohol Spectrum Disorder (FASD) with our distinguished guest, Dr. Susan Rich. With a career spanning decades, Dr. Rich is a trailblazer in child and adolescent psychiatry and an ardent advocate for public health. She's here to shine a light on prenatal alcohol exposure's often overlooked impacts on brain development. Did you know that not only alcohol consumed during pregnancy but even prior to conception can lead to multigenerational health issues? Dr. Rich unpacks how prevalent this is, affecting 1 in 20 children, yet remains largely unrecognized. Throughout our discussion, we'll explore systemic challenges, the myths perpetuated by the alcoholic beverage industry, and most importantly, the critical steps we need to take for prevention and support. Whether you're a healthcare professional, a parent, or just intrigued by one of public health's hidden crises, this episode promises to be both enlightening and empowering. Get ready for a thought-provoking journey as we seek a healthier future for the generations to come. Key Takeaways : The Hidden Impact of Alcohol on Fetal Development Dr. Susan Rich explains that fetal alcohol spectrum disorder affects approximately 1 in 20 children (5% of the population), with far-reaching consequences beyond the commonly known physical characteristics. Early Pregnancy Vulnerability Critical developmental impacts occur as early as the third to fourth week post-conception, often before women know they're pregnant. About 13.5% of childbearing age women in America binge drink, and approximately 50% of pregnancies are unplanned. Beyond Traditional Understanding While medical education traditionally focused on severe cases with facial deformities and intellectual disabilities, Dr. Rich reveals that only 10-15% of affected children show these classic features. The majority have neurodevelopmental issues without obvious physical signs. Male Factor Contribution Alcohol consumption by men up to three months before conception can affect sperm quality through epigenetic modifications, potentially making the embryo more susceptible to alcohol exposure during pregnancy. Economic and Social Impact The alcohol industry generates approximately $220 billion annually, while the cost of caring for just those with full fetal alcohol syndrome (not including the entire spectrum) was estimated at $5.4 billion as of 2003 data. Prevention and Treatment Approaches Dr. Rich advocates for better public health messaging, comprehensive support systems for affected children, and the need for healthcare providers to better understand and recognize the full spectrum of alcohol-related developmental disorders. 03:14 - Alcohol's multigenerational impact explained. 08:27 - Alcohol's epigenetic effects on offspring. 13:17 - Unplanned pregnancies and fetal alcohol syndrome. 15:33 - Neural crest and facial development. 19:18 - Fetal alcohol, nutrition, and growth. 23:04 - Dr. Kathleen Sulick’s contributions. 25:26 - Alcohol’s impact on family events. 28:38 - Alcohol’s cultural role and societal effects. 30:57 - Alcohol’s toxicity and informed consent. 34:05 - Liquor profits and education funding. 37:35 - Rethinking alcohol’s role in society. 42:56 - Global epidemic: Fetal alcohol impact. 45:05 - Supporting neurodivergent youth transitions. 47:50 - Taxing alcohol to aid impoverished children. 51:01 - Alcohol’s Hidden Health Impacts . 54:12 - Rethinking alcohol’s impact on children. DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.…
Welcome to another intriguing episode of "Ditch the Lab Coat!" Today, we're stepping beyond the usual realm of medical professionals to explore the remarkable intersection of history and medicine with our special guest, Dr. Tim Cook, an acclaimed historian and Chief Historian at the Canadian War Museum. Known for his award-winning works, including his recent book "Lifesavers and Body Snatchers," Dr. Cook delves into the gripping stories of medical care during World War I. Join us as we unravel the profound impacts of war on the evolution of medical practices, technological advancements, and societal attitudes toward mental health and veterans. With a unique blend of military history and healthcare, this episode promises to offer a fascinating lens into how the past has shaped our present understanding of medicine and survival. Tune in and expand your knowledge with our evidence-based and thought-provoking conversation right here on "Ditch the Lab Coat" with Dr. Mark Bonta. Key Topics: Discussion on War and Its Impacts Dr. Bonta sharing his interest in history and the logistics of war Dr. Cook addressing the question "War, what is it good for?" Examination of war as a force of change and its legacy Advancements in Medical Care During War Evolution of military medicine during World War I Specific advancements in surgery, disease treatment, and preventive medicine Role of Canadian doctors and nurses during the war Medical Advances and Their Post-war Application Integration of war-time medical advancements into civilian healthcare Vaccination and preventive strategies during and post-war Challenges and Psychological Aspects of War Impact of war on mental health, post-traumatic stress disorder (PTSD) Historical understanding and treatment of shell shock and PTSD Experience of veterans returning home and societal attitudes Current Conflicts and Future Implications Reflections on the Ukraine conflict and its historical parallels Discussion on modern warfare implications and drone technology Perspectives on Post-war Social Structure Societal mental health during and after wartime Challenges faced by soldiers and civilians in post-conflict recovery Exploration of the Book "Lifesavers and Body Snatchers" Uncovering the body snatching program during World War I Ethical considerations and the historical context of the program Closing Remarks and Reflections Final thoughts on learning from history and war Acknowledgments and thanks to Dr. Tim Cook Encouragement to engage with historical content for broader understanding Episode Timestamps: 05:07 - The human toll of war. 07:01 - War’s role in technological advances. 11:10 - Medical innovations during World War I. 15:15 - War experience vs. domestic complaints. 18:18 - The post-war medical revolution. 21:11 - War’s medical breakthroughs and prevention strategies. 24:10 - Insights on medical and military preparedness. 27:45 - Canada’s evolving military identity. 31:29 - Soldiers’ untreated mental health crisis. 36:04 - Chaos in the Ukraine conflict. 38:29 - Ukraine’s resilience amid modern trench warfare. 43:08 - Post-COVID unrest and its lasting impact. 48:26 - "Legacy of war’s dual nature" discussion. 49:28 - "Learning from history’s challenges." 53:35 - Honoring soldiers’ service and sacrifice. DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.…
In this episode of "Ditch the Lab Coat," Dr. Mark Bonta sits down with Dr. Jeff Alfonsi, an internal medicine and obesity medicine doctor with a focus on nutrition. The conversation revolves around the impact of nutrition on health and the importance of moving away from ultra-processed foods. Dr. Alfonsi explains that the modern diet often prioritizes convenience over health, leading to increased consumption of processed foods laden with additives that can have various negative health impacts. He emphasizes that significant health benefits can be achieved even with incremental improvements in diet quality. For instance, decreasing the consumption of ultra-processed foods and increasing the intake of whole foods can improve various health metrics, including blood pressure, blood glucose levels, and cognitive function. The episode delves into how the food industry focuses on factors like taste, convenience, and consumption rather than the nutritional value and health benefits of food. Dr. Alfonsi points out that this disconnect between the food industry and health guidelines contributes to poor dietary habits and chronic diseases. One of Dr. Alfonsi's major ventures, Rx Food, aims to address this issue by using technology to help individuals track their food intake and get personalized dietary assessments. He emphasizes the importance of using both subjective and objective measures to monitor progress and make sustainable dietary changes. The episode concludes with practical advice on how to implement healthier eating habits, such as preparing healthy snacks in advance and keeping less-healthy options out of easy reach. Dr. Alfonsi advocates for balance and moderation rather than perfection in dietary changes. Overall, the episode sheds light on the critical role of nutrition in overall health and offers actionable insights for individuals looking to make sustainable improvements in their diet. Key Takeaways: The Inconvenient Truth About Ultra-Processed Foods Dr. Alfonsi discusses the hidden dangers of additives found in everyday ultra-processed foods and how they can impact our health. From changes in taste buds to cognitive function, the impacts are far-reaching. Red Food Dye Controversy What's the deal with Red Food Dye Number 2? Dr. Alfonsi explains the risks associated with food additives and why moderation is crucial. The Power of Personalized Nutrition Learn about Rx Food, a groundbreaking technology co-founded by Dr. Alfonsi, that transforms how we view our dietary habits. This tool helps individuals make smarter, more sustainable food choices. Cheat Days: Yay or Nay? Dr. Alfonsi shares his nuanced view on cheat days and how they can fit into a balanced diet, depending on the individual. From Numbers to Nutrition Understand the importance of measuring dietary intake and how it can help you make informed choices about your health. Discover how Dr. Alfonsi uses technology to create detailed food logs for better healthcare outcomes. ( https://www.rxfood.ca/ ) 05:55 - Impacts of food additives on health. 09:53 - Challenges surrounding processed food safety. 13:37 - The rise of convenience foods in modern diets. 14:21 - Busy lives driving the demand for fast food. 19:26 - Benefits of shifting to a healthy diet. 21:13 - How sodium-potassium imbalance affects health. 25:37 - "Complex Impact of Food Additives" discussion. 30:36 - Undervalued non-medical solutions to health issues. 34:24 - Analyzing dietary composition and quality. 35:53 - "Stepwise Health Strategy" for sustainable changes. 39:08 - The importance of transparent nutritional education. 42:21 - Objective vs. subjective metrics in evaluating health. 47:31 - "Comforting snacks during a snowstorm commute." 50:44 - Exploring antidepressants and medication deprescribing. 52:05 - Rethinking diet and its environmental harms. DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.…
Welcome to another insightful episode of Ditch the Lab Coat , the podcast where we explore life, medicine, and everything in between. I'm your host, Dr. Mark Bonta, and today's episode promises to leave you inspired and ready to perform at your peak. Our guest today is Dr. David McDuff, a retired Army Colonel with extensive combat and special operations experience who has transitioned into a leading sports psychiatrist and mental skills trainer. With over 30 years of experience, Dr. McDuff has helped athletes from youth leagues to professional teams like the NFL's Baltimore Ravens and the MLB's Baltimore Orioles unlock their full potential. In this episode, Dr. McDuff shares his unique insights into the evolution of mental health in sports, drawing from his military service and extensive work with elite athletes. He dives into practical strategies for achieving balance, resilience, and peak performance, emphasizing the importance of mental training, breath control, and positive self-talk. Whether you're an athlete, coach, or someone striving to thrive under pressure, this conversation is packed with wisdom and actionable tips that can benefit everyone. So sit back, relax, and get ready to expand your knowledge on the critical intersections between mental health, sports performance, and everyday life. Let's dive right in! Key Episode Highlights: Background and Experience: Dr. McDuff shares his unique journey from military psychiatry to sports psychiatry, highlighting his transition and the relevance of military principles like immediacy and proximity in providing mental health care to athletes. Impact and Evolution: He discusses how mental health support has evolved in professional sports, noting increased acceptance and integration, with leagues like the NBA and NFL mandating on-site mental health services. Mental Skills and Techniques: Breathing Techniques: Dr. McDuff explains the importance of breath control in physical performance and stress management. He provides examples using stretching and running, emphasizing how proper breathing aids muscle relaxation and reduces tension. Mental Visualization: The episode delves into the concept of mental rehearsal and how visualization can enhance performance, citing examples like free throw routines in basketball. Practical Strategies: Dr. McDuff offers insights into fostering mental resilience and peak performance, underscoring the importance of staying grounded and focusing on process goals over outcome goals. Translating Skills to Younger Athletes: The discussion covers coaching young athletes, suggesting methods for parents and coaches to use positive reinforcement and avoid emphasizing negative feedback. Dr. McDuff uses anecdotes from his own coaching experiences to illustrate effective strategies. Key Takeaway: One major takeaway for athletes at any level is the significance of staying grounded in how they play the game and maintaining a love for their sport. He suggests focusing on the intrinsic joy and pride in mastery rather than solely on outcomes. 09:35 - Ravens' trainer finds psychiatric relief through innovative methods. 14:05 - Mental health awareness in the pre-woke era. 15:47 - A holistic approach to mental health in the military. 24:13 - The importance of trust in doctor-patient relationships. 31:14 - The role of breath control in sports performance. 34:22 - Facing fears during SEAL training. 41:21 - Pitching focus and breathing techniques for athletes. 43:03 - Coaching young athletes to build resilience. 50:48 - Keeping instructions crisp and quick. 53:29 - Visualization techniques enhance tennis performance. 01:02:07 - Bringing positivity and checking in with others. DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.…
DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome to another episode of "Ditch the Labcoat," the podcast that brings a critical, science-based perspective to healthcare discussions. I'm your host, Dr. Mark Bonta, and today we dive deep into the intersection of nutrition and surgery. Joining us are Dr. Sagar Desai, an orthopedic surgeon, and Dr. Kyle Waldman, an anesthesiologist. We'll explore the influence of pharmaceutical companies in medicine, the importance of non-drug interventions, and how nutritional modifications can offer significant patient benefits. Our focus will be on immuno and pharmaco nutrition—innovative approaches combining amino acids, omega-3s, vitamins, and other nutrients to improve surgical outcomes and patient recovery. Sagar and Kyle will share their entrepreneurial journey with Proven Therapeutics, aiming to provide better perioperative care. We'll discuss the challenges of patient compliance, the evidence supporting these nutritional strategies, and the practicalities of implementing them in both academic and community settings. Plus, for a bit of levity, we'll be addressing some of the common stereotypes in the medical profession and the humorous side of our intense, life-saving work. So, grab your headphones and get ready to ditch the labcoat. Let's jump into a conversation that blends serious science with a touch of humor, all in the pursuit of better healthcare. 06:21 - Unexpectedly switched career focus from orthopedics to internal medicine. 09:32 - Steroids and diet significantly impact bowel surgery recovery. 10:39 - Oral immunonutrition reduces the risk of anastomotic leaks. 16:33 - Nutritional changes can outperform medications after heart attacks. 17:26 - Nutrition data from general surgery applies to orthopedics as well. 22:44 - Challenges and strategies for managing surgical anesthesia effectively. 23:53 - Perioperative immunonutrition addresses the surgical stress response. 28:12 - Evidence-based nutritional products are underutilized despite proven benefits. 32:08 - Healthcare workers are genuinely dedicated to helping patients. 37:18 - Thorough research ensures positive feedback on nutritional products. 43:52 - Low financial risk, careful work, and significant patient benefits. 45:29 - Enjoyable interviews with intellectual, humorous, and influential guests. 47:28 - Evidence-based treatments are often overlooked in medical prescriptions.…
DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome back to "Ditch the Lab Coat," the podcast where we explore the intricate world of healthcare with a scientific and skeptical lens. I'm your host, Dr. Mark Bonta, and in today's episode, we're joined by Dr. Shawn Gill, a clinical pharmacist and host of the "Deprescribed" podcast. Together, we'll navigate the demanding terrains of medical residency, explore personal and professional fulfillment, and discuss groundbreaking ideas for healthcare reform. We'll kick things off by reflecting on the grueling hours and mental toll of medical training, questioning age-old practices, and suggesting potential reforms to relieve resident burnout. Dr. Gill and I will then pivot to the importance of balance and self-reflection, sharing tips on how healthcare professionals can maintain their well-being while excelling in their careers. As we dig further, expect insightful discussions on lifestyle medicine, preventive care, and the need to shift from volume-based to outcomes-based healthcare incentives. We’ll also touch on Dr. Gill’s passionate advocacy for deprescribing and empowering patients beyond the pill bottle. In the latter part of our conversation, we’ll share personal anecdotes and book recommendations, discuss the significance of quality family time, and evaluate the role of physicians in providing a stable, nurturing environment for better mental health outcomes. Finally, we will address systemic issues within the Canadian healthcare system and explore radical ideas for reinventing healthcare to focus more on prevention and less on bureaucracy. Plus, stay tuned for exciting announcements about our upcoming guests and future plans for the podcast. Join us for a compelling conversation that promises to be both intellectually stimulating and practically beneficial, right here on "Ditch the Lab Coat." 3:28 - Incentivizing outcomes to revolutionize healthcare approach. 6:47 - Rethinking pharmacy: prioritize patient care over quantity. 11:20 - Physicians are often frustrated by assembly line careers. 13:29 - RFK advocates nutrition, exercise, preventive healthcare focus. 17:26 - Canadian healthcare system is broken; prioritize prevention. 19:46 - Incentivize outcome-based models for healthcare improvement. 24:24 - United by patient care, simplifying healthcare processes. 29:15 - Primary prevention, lifestyle management crucial for longevity. 32:32 - Proactive health management to prevent future diseases. 34:29 - Appreciates insights on resilience and preventive habits. 38:04 - Pre-existing mental health issues complicate veterans' suicides. 41:01 - Creating healthy habits for resilient, joyful adulthood. 43:41 - Wife plans kids' activities, emphasizes reading books. 49:50 - Reevaluate residency hours; promote balanced training. 51:11 - Resident work limits strain hospital system. 56:20 - Step outside life's chaos for self-reflection. 57:36 - Rethinking healthcare's approach to lifestyle diseases.…
DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome back to Ditch the Lab Coat , the podcast where we dive deep into pressing health issues with a touch of scientific skepticism and a whole lot of heart. Today, we're peeling back the layers on a critical topic: suicide prevention. We're thrilled to have Dr. Mark Sinyor join us, a leading figure in the field, known for his extensive work on this very issue. In this episode, we explore the complex realities of suicidal thoughts and behaviors, emphasizing the importance of promoting life, hope, and recovery rather than focusing solely on suicide itself. Dr. Sinyor sheds light on the often misunderstood factors that contribute to personal crises, from unemployment to relationship issues, and the vital role of interventions and coping strategies. We'll also discuss groundbreaking initiatives like the implementation of suicide barriers in Toronto, which significantly reduced suicide rates, and touch on the power of media influence both for better and worse. From historical stigmas to current crises response strategies, you'll learn about the transformative potential of open conversations and humane interventions. Tune in as Dr. Bonta and Dr. Sinyor tackle the urgent need for population-wide interventions and more accessible mental health care, aiming to create lives worth living and a society where everyone feels they belong. Whether you're a healthcare professional, someone struggling, or simply interested in this critical topic, this episode promises profound insights and actionable takeaways. Don't miss out on this compelling conversation—let's ditch the lab coat and get to the heart of what really matters. 04:16 - General internist fascinated by patients' life stories. 07:21 - Addressing suicide openly reduces stigma, prevents contagion. 12:18 - Media, modeling influence suicide numbers significantly. 13:59 - Crisis line callers hear caring, supportive messages. 18:27 - Many regret suicide attempts; intervention often helps. 20:39 - Explore crisis options with Stanley and Brown. 26:00 - Major social issues often shift suicide rates. 28:48 - Cash transfers reduce suicide rates among low-income Brazilians. 31:41 - Means restriction: most evidence-based suicide prevention strategy. 34:58 - Thinking about mortality, dislike of cold weather. 38:55 - Understanding context provides relief and effective intervention. 40:43 - Deciding patient discharge involves risk of readmission. 44:21 - Effort is made to manage patients' risks. 48:00 - Openly talk about suicide; reduce stigma. 50:46 - Visit www.ditchthelabcoat.com for information.…
DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome to another insightful episode of "Ditch the Lab Coat," hosted by Dr. Mark Bonta. In this episode, we are joined by Dr. Brian Cho, a specialist in general internal medicine and critical care, who brings a wealth of experience from leading critical care outreach programs and mastering echocardiography techniques. We delve into the intricate decisions surrounding Do Not Resuscitate (DNR) orders and the complexities of "full code" scenarios in the ICU. Dr. Cho shares his perspective on the emotional and practical challenges healthcare professionals face in these high-stakes environments, highlighting the importance of understanding patient values and navigating the communication with family members. Listeners will gain an understanding of typical ICU patient trajectories, the emotional impact of resuscitation efforts, and the crucial role of cultural sensitivities in patient care. We also explore the often-misrepresented realities of ICU care in media, the delicate balance of risk and benefit in medical treatments, and the personal experiences of healthcare professionals transitioning between the intense healthcare setting and their personal lives. Join us for this profound discussion as we shed light on the real-life dynamics of critical care, the vital aspect of communication in patient outcomes, and the enduring human element in medical practice. Don't miss this episode of "Ditch the Lab Coat." 00:00 - Informational, entertaining medical talk show with experts. 03:21 - Dr. Cho balances critical care responsibilities with family life. 09:21 - Four ICU outcomes: rapid death, chronic illness, palliative care, or recovery. 13:06 - Medical scores are often unvalidated and not disclosed to patients. 16:44 - Swelling from fluid buildup is common in ICU patients. 19:28 - Ventilators assist breathing by delivering pressurized air. 21:10 - ICU pneumonia differs due to resistant bacterial pathogens. 25:38 - ICU discussions involve proxies addressing multicultural language and cultural barriers. 27:52 - Building a therapeutic alliance is crucial for effective care. 32:56 - Quickly assess futility, prioritize patient dignity in ICU care. 37:09 - Invite family during CPR to help them understand the process. 39:40 - Collective decision-making when stopping life-saving efforts. 43:38 - Code status decisions reflect complex healthcare experiences. 46:24 - Evaluate life's worth by balancing independence against prolonged debilitation. 48:23 - Focus discussions on values and joys rather than solely on code status. 51:38 - Balancing hospital work with social life presents challenges. 54:42 - Thank you to the team and listeners. Happy holidays!…
DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome to another episode of "Ditch the Lab Coat," the podcast where we delve into science-based skepticism and medical insights. I'm your host, Dr. Mark Bonta, and today's episode is an eye-opener for anyone curious about men's health, specifically testosterone. I'm joined by Dr. Adam Millar, a leading expert who will help us navigate the complexities and common misconceptions surrounding this vital hormone. We'll discuss the optimal timing and conditions for measuring testosterone levels, the overprescription concerns, and the often overlooked role of the pituitary gland in testosterone production. We'll also touch on hypogonadism and its impact on testosterone and sperm production. Our conversation will differentiate between evidence-based medical advice and the often misleading claims from social media influencers. Dr. Millar will share insights from high-quality studies, including the pivotal Traverse trial, and highlight the importance of informed decision-making when it comes to testosterone therapy. We’ll explore natural ways to boost testosterone and the potential risks of unwarranted treatments. Whether you're considering testosterone therapy or just want to understand more about what drives these discussions, this episode is packed with valuable information. So, sit back and get ready to ditch the lab coat for some straightforward, evidence-based talk on testosterone. Don’t forget to check out our blog at ditchthelabcoat.com for more resources and share this episode to spread the knowledge! 05:11 - Growing interest and increasing prescriptions for testosterone worldwide. 08:31 - Non-uniform hypogonadism diagnosis complicates treatment decisions. 12:30 - Symptoms alone are not reliable indicators of low testosterone. 15:23 - Testosterone production occurs in Leydig cells, stimulated by LH. 17:26 - Semen analysis helps assess sperm production and fertility. 21:40 - Testosterone boosts energy and strength but can impair fertility. 24:39 - Potential harms of testosterone include reproductive and cardiovascular issues. 28:17 - Discussion on testosterone's necessity; symptoms are often nonspecific. 31:53 - Is testosterone's effect truly objective or just placebo? 35:08 - Exploring the role of testosterone in men’s health and aging. 39:35 - Testosterone gel is not linked to increased heart issues. 41:41 - Randomized studies suggest testosterone may not cause harm. 47:19 - Valuable conversation emphasizing informed health guidance. 50:19 - Empowering the audience to research and make informed decisions. 51:33 - Closing discussion on testosterone; visit ditchthelabcoat.com.…
DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by ( Podkind.co ) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome back to "Ditch the Lab Coat," the podcast that delves into important healthcare topics with a critical, scientifically skeptical lens. I'm your host, Dr. Mark Bonta. In today's episode, we're honored to have Dr. Woganee Filate with us, a leading expert in women's health and co-founder of LOOM Women in Health. Dr. Filate is here to shed light on the often-overlooked subject of menopause. Together, we'll explore the urgent need to include menopause education in medical school curricula, normalize discussions around this natural part of aging, and provide better care for women experiencing menopausal symptoms. We'll touch on the historical context of hormone therapy, the benefits and risks associated with it, and the disparity in attention given to women's health compared to men's. Additionally, Dr. Filate will offer valuable advice for women navigating this stage of life and emphasize the importance of advocating for oneself in the healthcare system. Stay tuned for an enlightening conversation that promises to empower women to be their authentic selves and improve community health. Let's dive in! 01:00 - Introducing Dr. Wagani Falati, a dedicated advocate for women's health. 05:17 - Discussing puberty changes and lack of awareness around menopause timing. 06:36 - Perimenopause symptoms can begin up to 10 years before menopause. 11:05 - Menopause hormone therapy addresses low estrogen symptoms effectively. 13:40 - Vaginal changes due to aging can be treated with local estrogen. 17:13 - Hormone therapy also promoted for preventing chronic diseases. 21:24 - Highlighting disparities in women’s health research, including testosterone and cardiac studies. 23:31 - Women's health has historically been deprioritized in male-dominated medical research. 28:12 - Improving healthcare requires collective efforts and continuous learning. 30:01 - Women’s health empowerment benefits not just individuals but entire communities. 33:14 - Estrogen replacement therapy benefits vary and should follow a personalized approach. 38:04 - Comprehensive evaluations are vital to avoid premature diagnoses. 40:29 - Advising caution and verification when consuming health advice on social media. 45:40 - Groundbreaking work in female health research with a promise to address male health next.…
مرحبًا بك في مشغل أف ام!
يقوم برنامج مشغل أف أم بمسح الويب للحصول على بودكاست عالية الجودة لتستمتع بها الآن. إنه أفضل تطبيق بودكاست ويعمل على أجهزة اندرويد والأيفون والويب. قم بالتسجيل لمزامنة الاشتراكات عبر الأجهزة.