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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 HighlightsStatins 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 Timestamps04:18 - Prescription practices for elderly patients08:24 - Coenzyme Q10's role in energy11:44 - "Uncommon statin side effects"16:28 - Statins' minimal life extension19:59 - Statins: worth the effort?23:55 - Overprescription of statins debate26:02 - Reevaluating statins' efficacy and bias29:40 - Oxford data transparency concerns33:27 - Pharma-research funding influence34:16 - Challenging medical system norms40:09 - NICE's influence and conflict concerns43:19 - Human nature and medical conflicts45:58 - Advocating lifestyle over medication48:00 - Lifestyle over statins51:05 - Reevaluating statin use in elderly55:13 - Rethinking statins and patient care58:00 - Challenging healthcare's status quoLet 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 HighlightsTravel 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 Timestamps04:13 - 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 HighlightsGut 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 Timestamps05:38 - 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. 

Bob and James compare thumb releasees and give you honest opinions.Disclamer: opening video has audio issue

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 HighlightsMental 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 Timestamps04:03 - Building an Elite Athlete08:20 - 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 Health06:00 - 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 ConnectionDr. 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 SystemA 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 ImpactWhile 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 RoleUltra-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 ApproachRather than relying solely on medications, Dr. Furlan advocates for a comprehensive approach including:- Sleep improvement- Proper nutrition- Exercise- Stress management- Mind-body techniques6. Validation of PainFor 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 ImpactsDr. Bonta sharing his interest in history and the logistics of warDr. Cook addressing the question "War, what is it good for?"Examination of war as a force of change and its legacyAdvancements in Medical Care During WarEvolution of military medicine during World War ISpecific advancements in surgery, disease treatment, and preventive medicineRole of Canadian doctors and nurses during the warMedical Advances and Their Post-war ApplicationIntegration of war-time medical advancements into civilian healthcareVaccination and preventive strategies during and post-warChallenges and Psychological Aspects of WarImpact of war on mental health, post-traumatic stress disorder (PTSD)Historical understanding and treatment of shell shock and PTSDExperience of veterans returning home and societal attitudesCurrent Conflicts and Future ImplicationsReflections on the Ukraine conflict and its historical parallelsDiscussion on modern warfare implications and drone technologyPerspectives on Post-war Social StructureSocietal mental health during and after wartimeChallenges faced by soldiers and civilians in post-conflict recoveryExploration of the Book "Lifesavers and Body Snatchers"Uncovering the body snatching program during World War IEthical considerations and the historical context of the programClosing Remarks and ReflectionsFinal thoughts on learning from history and warAcknowledgments and thanks to Dr. Tim CookEncouragement to engage with historical content for broader understandingEpisode 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 FoodsDr. 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 ControversyWhat'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 NutritionLearn 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 NutritionUnderstand 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.

Agradece a este podcast tantas horas de entretenimiento y disfruta de episodios exclusivos como éste. ¡Apóyale en iVoox! Disclamer sobre el anterior capítulo, relojes gratis, cumpleañeros, Pidcock y más pijadinas. El mejor podcast: https://go.ivoox.com/rf/124768116Escucha este episodio completo y accede a todo el contenido exclusivo de Bikineros. Descubre antes que nadie los nuevos episodios, y participa en la comunidad exclusiva de oyentes en https://go.ivoox.com/sq/765886

Agradece a este podcast tantas horas de entretenimiento y disfruta de episodios exclusivos como éste. ¡Apóyale en iVoox! Disclamer sobre el anterior capítulo, relojes gratis, cumpleañeros, Pidcock y más pijadinas. El mejor podcast: https://go.ivoox.com/rf/124768116Escucha este episodio completo y accede a todo el contenido exclusivo de Bikineros. Descubre antes que nadie los nuevos episodios, y participa en la comunidad exclusiva de oyentes en https://go.ivoox.com/sq/765886

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," where we break down complex medical science in an engaging and relatable way. In today's episode, our hosts, Dr. Mark Bonta and Dr. Zachary Laksman, dive deep into the nuances of managing atrial fibrillation (AFib). We'll dissect the foundation and challenges of current treatment guidelines, explore the growing role of atrial fibrillation ablation, and discuss the fascinating phenomenon of "Holiday Heart."Dr. Laksman will also share insights from his cutting-edge work at the intersection of genetics and personalized medicine, including the innovative MyTrials AI platform he's co-founded. This tool aims to democratize access to clinical trials using artificial intelligence, making them accessible irrespective of personal networks. We'll cover the emerging potential of wearables in heart rhythm monitoring, the importance of lifestyle interventions, and the evolving landscape of AFib treatment.Whether you're a medical professional or simply curious about heart health, this episode offers valuable perspectives and practical advice. Stay tuned as we unravel these topics and more with the expertise of Dr. Zachary Laksman, an acclaimed heart rhythm specialist and leader in cardiogenetics. Don't forget to check out our new website and engage with us for more insightful content. Let's get started!00:00 - Seek professional advice, not podcast opinions.05:50 - Wearable devices: Reliable, clinically relevant, widely used.08:50 - Heart doctor: Electrician managing heart's nerve impulses.12:50 - Atrial fibrillation increases stroke risk despite rhythm.14:19 - Smartwatch inconsistencies in detecting atrial fibrillation.19:33 - Rhythm control improves life quality and longevity.20:17 - Modifiable and unmodifiable risk factors affect atrial fibrillation.25:56 - Researching interventions for high-risk patient outcomes.28:24 - Lifestyle changes reduce recurrent atrial fibrillation likelihood.31:10 - Shock hearts carefully; consider anticoagulants beforehand.33:52 - Are guidelines fear-mongering or evidence-based?37:55 - Electrophysiology advances improve atrial fibrillation ablation.41:54 - Tailoring medicine to individuals for better outcomes.46:02 - AI aids connection, education, breaking trial barriers.48:43 - Helping people navigate medical concerns and care.53:44 - Heart rhythms, paddles, blood thinners, stroke prevention.55:27 - Zach's AI project expands clinical trial access.

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 into complex healthcare topics with a scientific and skeptical lens. In this episode, our host Dr. Mark Bonta sits down with Dr. Akash Goel, an esteemed anesthesiologist and pain specialist, to explore the intricate world of chronic pain management.We'll delve into the prevalence of chronic conditions like stenosis, myofascial pain dysfunction, and sacroiliac joint dysfunction, particularly in older adults and women. Dr. Goel sheds light on the challenges of pain assessment and the often-overlooked patient experience of feeling disbelieved by family and caregivers.We'll discuss the limitations of traditional pain scales and the innovative tools reshaping pain treatment, such as quantitative sensory testing and real-time data from wearables. Dr. Goel's pioneering research, including a clinical trial with MDMA and ketamine for chronic pain management, will provide a glimpse into the future of pain therapy.Join us for an engaging conversation that highlights the evolving interface of AI, psychedelics, and psychotherapy in tackling chronic pain. Dr. Bonta and Dr. Goel also touch upon the broader challenges within the healthcare system and the exciting potential of new research and technological advancements. Stay tuned for insights that could change how we understand and treat chronic pain.06:40 - Doctors frequently encounter medically unexplained symptoms.08:57 - Chronic pain is diverse, commonly affecting older women.11:45 - Many patients feel disbelieved when reporting chronic pain.16:45 - Pain-related disability and interference assessed using specific scales.17:42 - Leveraging data to predict and manage chronic pain effectively.23:45 - Psychedelic compounds shown to aid in chronic pain psychotherapy.26:17 - Understanding chronic pain requires grouping patients into subcategories.28:48 - Chronic pain alters the brain and spinal cord's response mechanisms.33:58 - Emphasis on the need for quality placebo-controlled clinical trials to refine approaches.37:49 - Research into safe MDMA dosing and administration frequency.38:41 - 120mg of MDMA produces effects similar to 60mg of Ritalin.43:03 - Psychotherapy improves connection, access, and creates lasting therapeutic impacts.49:12 - Chronic pain's complexities inspire exploration of new treatments.50:16 - Psychedelics enhance psychotherapy, with Dr. Goel's research showing optimism.

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 critically explore the latest in medical science and healthcare with engaging discussions and a dose of skepticism. I'm your host, Dr. Mark Bonta, and today we have an insightful conversation lined up with our distinguished guest, Dr. Allan Detsky. Dr. Detsky, a professor at the University of Toronto and former Chief Physician at Sinai Health Systems, brings his extensive knowledge in evidence-based medicine, health policy, and clinical experience into our discussion.In this episode, we'll delve into the complex landscape of pain management and the opioid crisis, explore the future health challenges posed by climate change and societal shifts in civility, and critique the growing influence of unregulated health advice on social media. Dr. Detsky shares his candid views on the pharmaceutical industry's role in drug development, conflicts of interest, and the intricate relationship between lifestyle changes and medical advancements.We'll also discuss the limitations of evidence-based medicine, especially when it comes to treating patients with multiple conditions, and the challenges of applying clinical guidelines to real-world settings. Plus, stay tuned for an announcement about a website overhaul, launching in December, featuring expanded blog content for our curious listeners.Join us as we unravel these pressing issues and more, always questioning, always learning. "Ditch the Lab Coat" continues right now.00:00 - Podcast begins with healthcare insights from Dr. Alan Detsky.05:31 - Highlighting the role of randomized trials in improving evidence-based medicine.08:52 - Questioning the efficacy of zinc supplements for healthy young adults.10:27 - Clinical study results often fail to align with real patient demographics.16:57 - Lack of shared decision-making opportunities for hospitalized patients.19:22 - Discussing right-wing skepticism toward pharmaceutical companies, balanced with acknowledgment of their contributions.21:21 - Exploration of how pharmaceutical companies prioritize profits over public-interest-driven drug development.25:00 - Reflecting on personal and professional relationships with drug industry figures.30:43 - Increasing dependency on lifelong medications in healthcare.35:14 - Potential for AI to address systemic issues despite its resource demands.36:35 - Emphasizing the importance of verifying credentials to avoid unqualified healthcare professionals.

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 episode of "Ditch the Lab Coat," where we tackle health issues with scientific skepticism and bring you the latest insights straight from the experts. Today, we have the pleasure of hosting Dr. Christine Suess, a seasoned ophthalmologist with over two decades of experience and a former Chief of Ophthalmology at Cornwall Community Hospital. Dr. Suess will shed light on the intricate world of eye health, from common conditions like presbyopia and myopia to the impacts of screen time on children's vision. We'll delve into the importance of regular eye exams, the realities of eye surgeries, and essential tips on preventing retinal damage with proper UV protection. Tune in as we bust some myths, discuss ocular emergencies, and explore the evolving role of technology in eye care. Plus, you'll get some unique insights, including how eye health can reflect overall body wellness and why a career in ophthalmology might just be the perfect blend of precision and patient care. This episode is packed with valuable information to help you keep your vision clear and your eyes healthy. Stay with us as we uncover these fascinating topics!01:00 – Dr. Christine Seuss discusses her ophthalmology expertise.04:48 – Chose career for balance; nurses' supportive advice.08:54 – How to connect with an ophthalmologist or optometrist?11:55 – Glasses ease presbyopia; adaptation or denial, discussed.13:43 – Screen time may increase myopia risks in children.18:47 – Crusting on eyelids may indicate blepharitis.22:00 – Use artificial tears and cool compresses; consult ophthalmologist.23:02 – Medical specialties attract people with specific traits.28:21 – Handling ocular emergencies and managing glaucoma remotely.32:33 – Wear sunglasses with 100% UVA, UVB protection.35:00 – Eye surgeries now use topical drops for numbing.37:09 – No patch, use shield; hydrate wound closure.39:18 – Serious eye injuries require urgent specialist care.43:22 – Limited experience with ophthalmology as a student.48:07 – Discussing teeth and vision care with an empathetic expert.

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 medical jargon to bring you clear, actionable insights on health and wellness. I'm your host, Dr. Mark Bonta, and today, we're diving deep into the complex world of type 2 diabetes with our esteemed guest, Dr. Satya Dash.In this episode, we'll explore how even simple changes, like short bursts of post-meal activity, can significantly improve insulin sensitivity and control blood glucose levels. We'll also bust the myth that sugary snacks are the real culprits behind kids going hyper on Halloween, and instead, look at the role excitement and events play.From the multi-faceted approach required for managing type 2 diabetes, including lifestyle changes, advanced medications, and the promising role of bariatric surgery, to the future trends in diabetes treatment with groundbreaking hormonal modulators, this episode has it all. Dr. Dash will also share insights from an intensive 12-week program based on the UK's Direct Study that has shown impressive diabetes remission rates.We'll discuss the role of caloric surplus in weight gain, the effectiveness of early intervention, and the challenges of sustaining long-term weight loss—touching on everything from genetic predispositions to the importance of individualized treatment plans.So hunker down and get ready to ditch that lab coat mentality as we uncover the truths about managing and potentially reversing type 2 diabetes. Stay tuned for an informative and unscripted dialogue designed to bring a scientific skepticism to the latest healthcare trends. Let's get started!05:28 – Excess calories cause organ fat, leading to insulin resistance.06:41 – Excess calories are stored differently by genetics.10:11 – Various tests diagnose diabetes and prediabetes status.14:13 – Does healthcare prioritize prevention or immediate treatment?16:06 – Meal replacement aids type 2 diabetes remission.20:20 – Weight loss primes overeating; habits revert easily.23:13 – Diabetes management improves health, despite temporary remissions.27:58 – Managing diabetes requires medication beyond conversation.31:43 – Surgery aids health; underutilized yet validated.34:18 – Various procedures offer health benefits for diabetes.37:29 – Tirzepatide reduces A1C; costly but effective.39:38 – Oral drugs may surpass injections, surgery options.46:07 – Episodes are unscripted, conversational, occasionally require guidance.47:25 – Simplifying complex topics for understanding diabetes management.

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 health issues with a critical and skeptical eye. I'm your host, Dr. Mark Bonta.This episode is a special interlude where we'll address your burning questions about staying healthy during the fall and winter seasons.We'll delve into the effects of COVID-19 on children's health and social interactions, emphasizing the importance of accepting viral illnesses as a normal part of life. We'll also revisit some previous topics, including addiction medicine, critical care, and infectious diseases, reflecting on how these issues intersect with our everyday experiences.We'll discuss the challenges of navigating quick-fix health cures often advertised and why it's crucial to be skeptical and informed. I'll share personal insights on practical preventive measures, the impact of parental health on children, and the science behind vaccinations. Plus, we'll explore the significance of moderate exercise, good sleep hygiene, and proper hydration in maintaining overall health.Thanks for joining us today. Let's dive in—and don't forget to check out our newly revamped website at www.ditchthelabcoat.com for more resources and links. Stay tuned for our next episode, where we tackle the complex world of diabetes.00:00 – Answering health questions in special podcast session.03:41 – Understanding healthcare through accessible, unscripted conversations.08:49 – No quick fix for avoiding common illnesses.12:26 – Vitamin C is generally sufficient; supplements unnecessary.15:02 – Exercise improves mental, bone, and cardiovascular health.19:07 – Moderation in exercise prevents frequent illness.24:28 – Vaccines crucial for vulnerable, aging populations' protection.27:03 – Ibuprofen, Tylenol help symptoms; practice good hygiene.29:53 – Cranberry extract unlikely effective against urinary infections.35:14 – Adverse childhood events increase chronic illness risks.39:10 – Research, decide wisely; prioritize reputable sources.40:32 – Rebranding website; thanks to the team and supportive family.This version provides clear and structured timestamps for easier reference during the podcast.

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 enlightening episode of "Ditch the Lab Coat," where we delve into the complexities of healthcare with a sharp, science-based skepticism. I'm your host, Dr. Mark Bonta, and today we're joined by the brilliant movement disorders neurologist, Sarah Lidstone.In this episode, we explore the intricacies of Functional Neurological Disorders (FND), a condition where the brain's function fails despite appearing normal on tests. We'll unpack the pivotal role of interdisciplinary care in treating FND, the significance of recognizing symptoms and triggers, and the essentiality of patient acknowledgment for effective therapy.Sarah shares her expertise on the communication breakdowns in brain networks that lead to functional symptoms, and how historical misconceptions have shaped the treatment of such disorders. We critique the healthcare system's often dismissive attitude and discuss strategies to improve provider skills and patient outcomes.Listen as we discuss real-world examples, like dissociative seizures versus epileptic seizures, and the nuanced clinical examinations that differentiate them. We'll also dive into therapy misconceptions and the importance of supporting patient agency in the recovery process.Whether you're a healthcare professional or simply intrigued by the mind-body connection, this episode promises to be an engaging and insightful journey into the world of FND. So, grab your headphones, and let's ditch the lab coat for an hour and uncover the fascinating science behind these complex disorders. Tune in now!07:33 – FND highlights healthcare system's shortcomings and improvements.12:38 – Testing rules out comorbid neurological conditions, non-lesional deficits.20:07 – Societal attitudes challenge understanding of functional disorders.22:08 – FND misdiagnosis: historical misunderstanding, lacking clinical home.30:04 – Emotional challenges diagnosing psychogenic, non-epileptiform seizures.36:45 – Distinguishing seizures can be challenging and nuanced.38:26 – CBT helps control seizures, reducing emergency visits.47:34 – Support patients' agency and structure healthcare systems.51:57 – Recognizing symptom changes enables better treatment understanding.56:11 – Functional neurological disorders often face systemic dismissal.59:37 – Body worked fine despite previous dysfunction experience.

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" with your host, Dr. Mark Bonta! In today's conversation, we are honored to have Dr. Carol Anne Moulton, a prominent hepatopancreatobiliary surgeon and an expert in medical education. Together, they delve deep into the critical role of cognitive rehearsal and the 10,000 hours rule in mastering both technical and non-technical skills in medicine.Dr. Moulton shares her invaluable insights on fostering compassion and humanity in the high-stress world of surgery, emphasizing the importance of vulnerability and authentic patient connections. They discuss revolutionary cultural shifts in the medical field, the pressing need for teamwork and open communication in the OR, and the significant impact of non-technical skills on patient outcomes.Tune in as Dr. Bonta and Dr. Moulton explore the evolving definition of surgical expertise, the ongoing feminization of surgery, and the urgent need for balancing technical excellence with compassionate care. This episode promises to provide key takeaways that will inspire both seasoned professionals and aspiring medical practitioners to nurture a more humane and effective healthcare environment.03:25 – Doctor Moulton: Surgeon, mom, juggles multiple passions.09:45 – Surgery combines skill with good bedside manner.11:07 – Choosing a medical career involves fitting personality.17:01 – Cognitive rehearsal and environment shape personality skills.18:49 – Expert calmly saved patient and reassured family.23:13 – Connectivity and vulnerability positively impact surgeons' welfare.26:33 – Impact, introspection, recovery, reputation, surgery's lasting effects.29:30 – Compassion, collaboration crucial for effective healthcare transformation.30:53 – Improving culture reduces surgeons' bad behavior.35:05 – Practice patience and kindness for a better culture.40:16 – Expand skills beyond technical expertise safely.43:47 – Checklists improve surgical safety, reducing mortality rates.45:40 – Key qualities for outstanding surgeons: skill, culture.47:43 – Collaboration and humility essential for successful surgery.52:15 – Human skills enhance technical fields like surgery.54:59 – Humanistic skills essential, irreplaceable by AI robots.

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 delve into critical health issues from a scientific perspective. I'm your host, Dr. Mark Bonta, and in today's episode, we have the privilege of speaking with Dr. Lawrence Loh. Dr. Loh, an esteemed public health figure and adjunct professor at the Dalla Lana School of Public Health, University of Toronto, shares his insights gleaned from his time as the Medical Officer of Health for Peel Region during the COVID-19 pandemic.In this episode, we explore the public's evolving perception of health crises, driven by their experiences during the pandemic. From the learning curve about viruses and vaccines to the polarization of societal behaviors, Dr. Loh provides an in-depth analysis of how these factors shape public health strategies.We also dive into the future challenges Dr. Loh anticipates in public health, such as drug toxicity, mental health issues, and the effects of climate change. You'll hear about societal divisions and their far-reaching impact on collective action and public policy, as well as the intriguing notion of a hypothetical pandemic focusing on loneliness and substance use.So settle in as we unpack these critical topics and more, with valuable insights from Dr. Lawrence Loh. This is **Ditch the Lab Coat**—bringing the science and stories behind today's healthcare headlines straight to your ears.05:05 Became interim health officer just before COVID.09:13 Experienced media engagement during major health crises.11:58 Managing public criticism and harsh social media comments.14:46 Experience: health, economic crises, cultural clashes, anger management.19:29 Paid sick leave reduces outbreaks in long-term care.20:33 Advocated prioritizing older individuals before younger boosters.23:41 Public opinion of hospitals shaped by experiences.28:39 Balancing democratic policies for diverse, conflicting perspectives.32:23 Substance use severely impacts hospital patient care.36:10 Emergency actions justified to reduce virus transmission.37:29 Covid actions: fear and renewed sense of community.41:06 Public health response to virus similar to Covid45:30 Addiction overrides conscious choice despite severe consequences.48:38 Contrarians exist; systemic inequities require constant attention.52:44 I savor and prioritize in-person connections now.55:35 We're all just people, learning and adapting.57:00 Applying learnings exemplifies evidence-based medicine.

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 dive into pressing health issues with scientific skepticism and heartfelt curiosity. I'm your host, Dr. Mark Bonta, and in this episode we have a special guest, Dr. Spencer Nadolsky. Dr. Nadolsky is a board-certified obesity and lipid specialist known for his straightforward approach to fitness and health, and for pioneering obesity management via telemedicine. In this episode, we'll dive into various topics, including the intricacies of Lipoprotein(a) and its impact on cardiovascular health, the balance between lifestyle changes and pharmaceutical interventions, and the challenges of research funding in lifestyle modifications. We'll also explore Spencer's insights on effective weight loss strategies, sustainable diets, and his personal journey with health and fitness. So, whether you're here to glean some practical tips or to understand the latest in medical research, stay tuned—this is going to be an enlightening conversation.04:44 Sustainable weight loss requires satiating, nutritious food.08:55 Intermittent fasting, increased exercise caused weight loss.10:57 Dietary composition impacts health beyond weight loss.14:05 Appetite largely dictates body weight and thinness.17:09 Medication and bariatric surgery enhance weight loss results.20:55 Future obesity prevention: targeting genetic and socioeconomic risks.22:47 Medications reduce hypertension but overlook underlying causes.25:51 Drug trial: ~10% weight loss, possible cardiovascular benefits.29:32 Higher LDL and APOB increase long-term plaque risk.33:40 Advise family about LDL cholesterol management realistically.38:48 High school glucose test fueled sports nutrition interest.39:59 Anti-aging field's evolving, medication secondary uses explored.45:28 Biopsychosocial model emphasizes controllable and uncontrollable factors.47:31 Lifestyle changes are equally important as medications.49:49 Exciting times ahead; feedback appreciated. Stay tuned.

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 dive into pressing health issues with scientific skepticism and heartfelt curiosity. I'm your host, Dr. Mark Bonta, and in this episode, we are back with our second part to the two-part series focused on the intricate world of addiction treatment.Joining us today are two distinguished guests: Dr. Jon Mong, a general internal medicine and addictions physician, and Dr. Wiplove Lamba, an addiction psychiatrist. Together, Dr. Mong and Dr. Lamba will shed light on the promise and perils of new treatment approaches, underscore the necessity of comprehensive support systems, and point to the pivotal role of social supports and stable housing in fostering sustainable recovery.We also tackle the cultural and historical context of the opioid crisis, including the profound impact of Purdue Pharma and the Sackler family. Dispelling misconceptions about fentanyl, you'll learn about the real risks, the invaluable role of naloxone, and practical steps for overdose prevention.This episode is not just about groundbreaking therapies; we will discuss the critical need for rigorous, high-quality data to back new treatments and reflect on the significant influence of private companies in the field. Our guests will emphasize the paramount importance of addressing the root causes of substance use, building life skills, and creating supportive networks to prevent relapses.Lastly, this episode will feature discussions on opioid tolerance, withdrawal management, and the nuanced balance between the risks of prescribing medications versus the risks of untreated withdrawal. You'll gain insights into how healthcare teams can shift their perceptions and practices to better support patients with substance use disordersStay tuned as we unravel these topics and much more. So, grab your headphones and get ready for an enlightening conversation on addiction treatment with Dr. Jon Mong and Dr. Wiplove Lamba. Let's dive in!04:17 Challenges and future of addiction treatment discussed.09:36 Understanding withdrawal challenges in hospitals with unknown dosages.12:02 Provide proper care despite addiction-related complications.16:20 Colleague's guarded due to personal trauma, concerns.20:05 Conversations led hospital to adopt PICC lines.21:54 New grads integrate social responsibility with medical care.27:20 Risk from checking on overdose is minimal.29:15 There can't be too much widely accessible Narcan.34:00 Need rigorous study for psychedelics in treatment.35:39 Concerned new treatments overshadow foundational patient support measures.41:40 "Cured" involves functional life, stability, coping mechanisms.42:52 Substance use disorder: Patients can achieve long-term remission.46:01 Meet needs without substances to avoid relapse.

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 dive into pressing health issues with scientific skepticism and heartfelt curiosity. I'm your host, Dr. Mark Bonta, and in this episode, we're embarking on the first of a two-part series focused on the intricate world of addiction treatment.Joining us today are two distinguished guests: Dr. Jon Mong, a general internal medicine and addictions physician, and Dr. Wiplove Lamba, an addiction psychiatrist. Together, we'll explore the complexities of managing and treating addiction within hospital settings, the profound challenges faced by patients and healthcare providers alike, and the life-saving implications of treatments like opioid agonist therapy.In this episode, we tackle the high relapse rates among opiate users, the effectiveness of medications for alcohol use disorders, and the importance of patient readiness in overcoming substance use. We'll also delve into the value of motivational interviewing in fostering patient cooperation and the evolving role of addiction medicine in modern healthcare.Dr. Bonta reflects on his experiences and frustrations with addiction treatment, emphasizing the need for evidence-based approaches and reducing harm. We'll discuss the broader implications of addiction treatments, including societal perceptions and the importance of treating addiction as a complex, multifaceted issue.Stay tuned as we unravel these topics and much more. So, grab your headphones and get ready for an enlightening conversation on addiction treatment with Dr. Jon Mong and Dr. Wiplove Lamba. Let's dive in!06:28 Biopsychosocial overview and social determinants of health.08:33 Addiction perception varies; harm reduction prioritizes context.12:42 Substance use disorder defined by the four C's.15:24 Challenges of informing patients about health impacts succinctly.20:11 Enjoyed working with you; motivational interviewing technique.21:40 Promote cooperation and autonomy in medical interactions.24:38 Brief interventions reveal deeper patient issues for treatment.30:23 Support for treating illness without moral judgment.31:43 Understanding treatments can improve patient prognosis discussions.34:59 Medication modulates neurotransmitters for alcohol use disorder.39:44 Four reasons to start opioid agonist therapy.42:14 Discharged patients risk fatal overdose; opioid therapy saves.46:42 Patients generally agree with treatment but resist lifestyle changes.49:00 Importance of discussing addiction and enabling behaviors.

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," where we bring you insightful conversations that peel back the layers of medicine and health. In this episode, Dr. Mark Bonta sits down with Dr. Samira Jeimy, a leading expert in allergies and immunology. Together, we'll dive deep into the complexities of managing allergies in today's world.In this episode, we explore the dangers of relying on inaccurate allergy tests and supplements, the limitations of "may contain" labels, and the critical need for precise allergy management. We'll also examine the disconnect between school allergy policies and allergist recommendations, emphasizing the need for standardized forms and comprehensive staff training.Dr. Jeimy will share practical advice on treating anaphylaxis, from recognizing symptoms to the correct use of EpiPens and the importance of proper positioning during a reaction. We'll also discuss the prevalence of milk allergies, the challenges of reintroducing allergens, and the various risks associated with milk consumption.Lastly, we'll address the broader implications of labeling children as allergic, the effectiveness of nut-free school policies, and the vital need for education and communication in managing allergies in school settings.Join us for an insightful journey into the world of allergies and immunology. Remember, this podcast is here to inform, not replace professional medical advice. So, let's ditch the lab coat and get started!04:04 Summer camps bring challenges and rule flexibility.08:34 Allergists advocate standardized school anaphylaxis protocols.11:07 Practical approaches to reduce anaphylaxis complications.16:11 Correct epiPen placement crucial for immediate effect.18:00 Expired food debated, decisions made to keep.23:09 Adverse effects of milk consumption explored briefly.24:03 Dairy worsens eczema, but avoiding it promotes allergies.27:18 Processing milk alters protein, making it tolerable.31:05 Alarming focus on nut-free schools after tragedy.34:17 Be prepared for allergy symptoms on subway.36:55 Parent's emotional response to children's safety concerns.42:11 Blood tests, oral challenge, and immunotherapy options.43:20 Maintain exposure to build immune tolerance, spectrum conditions.49:31 Engaging discussion on allergies with medical expert.50:39 Correctly administer expired EpiPen to save lives.

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," where we bring you insightful conversations that peel back the layers of medicine and health. In this episode, Dr. Mark Bonta sits down with the esteemed Dr. Roy Eappen, an adult clinical endocrinologist with over three decades of experience. Together, they dive into a myriad of crucial, and sometimes controversial, topics in endocrinology.From the risks associated with anabolic steroids to the complexities of thyroid hormone replacement therapy, we explore the delicate balance of hormonal health. Dr. Eappen also shares his expert perspective on the current approaches to gender-affirming care, expressing concerns about the medicalization of children and the long-term consequences of treatments like puberty blockers and cross-sex hormones.We'll touch on the variability of hormonal levels, the rigid societal stereotypes around gender, and the evolving landscape of transgender medicine. Throughout the episode, Dr. Bonta and Dr. Eappen emphasize the importance of scientific evidence and thoughtful care in addressing these deeply personal and sensitive issues.Don't miss this thought-provoking discussion that challenges conventional wisdom and sheds light on the ever-changing world of endocrinology. Stay curious, stay informed, and let's ditch the lab coat together!02:00 Renowned endocrinologist Dr. Roy Epin's impactful career.05:25 Importance of thyroid gland for health and treatment.07:30 Thyroid hormone levels and controversies explained briefly.10:24 TSH levels determine thyroid function, cutoff varies.13:31 Early detection of hypothyroidism prevents severe developmental effects.17:16 Steroids can build muscle but cause harm.20:01 Psychologists affirm care without thorough evaluation.23:40 Dutch protocol overlooks psychological work with children.29:17 Sticking to evidence-based practice in healthcare.32:20 WPATH lawsuits reveal controversial practices and ethical concerns.36:18 Rita's research on children's suicide risk.39:21 Caution urged before altering physical appearance.41:02 Health initiative led to reconsideration of estrogen therapy.46:41 Complex modern life overwhelms parents, kids. Simplify.51:11 Limited education in gender affirming care history.52:12 Understanding historical context in gender affirming 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. Welcome to another episode of "Ditch the Labcoat," where we step outside the confines of conventional science and into the transformative world of behavioral insights. Today, we're thrilled to have Dr. Hasan Merali, an esteemed emergency medicine pediatric doctor, join our host, Dr. Mark Bonta, to explore the magical world of toddlers and their surprisingly transformative behaviors for adults.In this episode, Dr. Merali dives into how the natural tendencies of toddlers—such as laughter, play, risk-taking, and confident self-expression—can be integrated into adult behavior to enhance success and well-being. From the morning routine of waking up happy to the benefits of deep reading and consistent bedtimes, Dr. Merali offers a refreshing perspective on how adults can benefit from behavior typically exhibited by toddlers.We'll also delve into the science of self-talk, the significance of play for creativity and cognitive flexibility, and the profound impact of direct communication in personal and professional relationships. Dr. Bonta shares his journey of overcoming discomfort with kids and applying these insights both as a father of four and a professional.Expect practical tips, scientific evidence, and inspiring anecdotes that highlight the importance of adopting toddler-like behaviors for a more successful and fulfilling life. Plus, you'll get a sneak peek into Dr. Merali's book, designed to equip you with actionable strategies to incorporate these playful and inquisitive behaviors into your daily routine. So, get ready to ditch your lab coat and embrace the wisdom of our smallest humans for a happier, healthier you!07:57 Understanding toddler behavior and its application to work.13:42 Childlike mindset fosters new perspectives and learning.16:49 Prefrontal cortex acts as CEO of brain.24:21 Common sense actions for physical and mental well-being.26:50 Deep reading is undistracted absorption, disconnect from phone.36:02 Quality sleep, morning routine, and health benefits.41:27 Mindful eating, movement, and standing meetings are beneficial.46:36 Remind yourself of childhood or a hero.49:41 Preview: Podcast to discuss neuroscience lab opening in 2025.54:33 Direct communication is key in all relationships.59:15 Meta-analyses clump research for more powerful study.

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 enlightening episode of "Ditch the Lab Coat," the podcast where we critically examine health issues through a lens of scientific skepticism and practical wisdom. I'm your host, Dr. Mark Bonta, and today, we have a special guest, Dr. Shawn Gill, a clinical pharmacist and founder of Deprescribed Solutions. Dr. Gill collaborates closely with physicians and patients to create detailed taper plans for safely coming off medications like SSRIs. In this episode, we dive deep into the challenges of convincing physicians to adopt evidence-based tapering approaches, the importance of individualized patient care, and the hazards of over-relying on medication for minor ailments. Dr. Gill shares his practical, sustainable mental health-boosting practices and underscores the need to consider lifestyle interventions over long-term pharmaceutical treatments.Listen in as we explore the complexities of medication therapy in both acute and community settings, debate the appropriateness of prescribing SSRIs, and discuss the collaborative interprofessional model in healthcare. We also touch on the systemic challenges within a fee-for-service infrastructure and the significance of managing patient expectations during the transition off medications.Join us for an insightful discussion on how we can evolve as healthcare providers and implement holistic, non-pharmacological approaches to improve patient care. And remember, this podcast is aimed at fostering thoughtful discussion and is not a substitute for professional medical advice or treatment. Enjoy the episode, and stay tuned for more in-depth conversations on "Ditch the Lab Coat"!06:43 Limited access to specialists leads to disjointed care.10:31 Concern about medication adherence and deprescribing motivation.14:21 Navigating healthcare challenges and career self-reflection.16:53 Intervening with young patients to prevent complications.18:58 Emphasizing patient goals and identifying severity of symptoms.23:43 Antidepressant numbness, fear of stopping medication.26:22 Mental health treatment lacking options due to time.31:36 Pharmacist navigates patient dynamics without prescribing authority.32:59 Experienced doctor focuses on patient's mental health.37:31 Coordinate deep prescribing with physicians, share updates.39:19 Building trust, giving feedback, and fragile egos.42:33 Consider stopping antidepressants, it's possible and rewarding.47:07 Discontinuing medication requires careful adjustment and support.51:46 Reflection on medical practice, calls for diverse guests.53:48 Mother's nursing work inspired son's medical career.

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 fascinating world of health and medicine with a skeptical eye. I'm Dr. Mark Bonta and In today's episode, Dr. Kaplovitch dives deep into the different types of blood clots and the importance of personalized treatment. He explains that not all blood clots are created equal - some predominantly affect the veins, while others can travel to the lungs and become life-threatening. We discuss the various risk factors that can lead to blood clot formation, from genetic conditions to long plane rides, and Dr. Kaplovitch offers practical advice on managing this complex disorder.We also touch on the fascinating history behind some blood thinning medications, like warfarin, which was originally used as rat poison! Dr. Kaplovitch clarifies the distinctions between its toxic properties and medical use. Throughout our conversation, we emphasize the importance of transparently counseling patients about the risks and benefits of different treatments. Dr. Kaplovitch highlights the abundance of research in the field of thrombosis and how it informs the personalized approach he takes with his patients.So join us as we simplify these complex medical concepts and explore the latest advancements in blood clot prevention and treatment. As always, remember that this podcast is for informational purposes only and does not substitute for professional medical advice. Let's ditch the lab coat and dive in!04:24 Experienced medical student impresses with professionalism.09:02 Blood clots can travel to lungs, fatal.12:14 Prolonged sitting at desk may increase thrombosis risk.16:01 Minority with blood clots can improve naturally.18:45 Clot busters have significant risk of bleeding.20:59 Treatment options for preventing blood clot complications.25:39 Passion for vascular medicine, citing primary literature.29:26 Newer blood thinners may have advantages.31:37 Warfarin inhibits clotting by blocking vitamin K.36:09 Balancing blood thinness for health benefits is crucial.37:22 Maintain optimal blood thinness to prevent risks.42:22 Minor bleeding from gut might not require action.46:27 Consistent blood thinner use is crucial.50:05 Discussing evolving thrombosis practices, specifically genetic testing controversies.51:24 Testing for clotting disorders requires informed discussion.57:02 Advancements in personalized medicine revolutionize treatment.58:45 Hip hop slang reference and deep thrombosis.

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 fascinating world of health and medicine with a skeptical eye. I'm Dr. Mark Bonta, your host, and today's episode features an enlightening discussion with the esteemed Dr. George Oreopoulos, a renowned vascular surgeon and interventional radiologist.In this episode, Dr. Oreopoulos provides insight into the high-stakes world of vascular surgery, discussing the urgency of aortic aneurysm ruptures and the low survival rates in community settings. We delve into the complexities of managing varicose veins and venous diseases, the evolution of vein treatments, and the crucial role of specialists like Dr. Oreopoulos in addressing traumatic vascular situations.Join us as we explore the future of vascular surgery, from the potential impact of artificial intelligence and nanotechnology to the delivery of biologic therapies through interventional radiology. We also discover the intricacies of endovascular repair, the challenges of managing different types of vascular injuries, and the critical role of randomized control trials in determining treatment efficacy.Stay tuned for an insightful conversation that's both engaging and informative. And remember, while we're here to provide knowledge, always seek professional medical advice for your health concerns. Let's "ditch the lab coat" and embark on this enlightening journey!04:09 Specialist trains surgeons and radiologists, discusses surgery.09:24 What to do if someone is injured?12:53 Specialized hospital treats complex medical procedures efficiently.15:24 Vein clots may require catheter-wire treatment.17:18 Vascular surgery focuses on treating vein issues.22:46 Modern vein treatments available in Ontario. Insurance coverage.24:19 Vein surgery has evolved to outpatient treatment.28:15 Aortic aneurysm rupture risks and outcomes.32:21 Minimally invasive aneurysm treatment under local anesthetic.38:17 AI improves aneurysm prediction, but needs personalization.42:02 Interventional radiology: innovative, effective treatments for patients.44:49 Interventional procedures and accessing arteries, minimal invasiveness48:53 Innovative technology aims to improve medical procedures.50:55 Vascular surgery, veins, arteries, future, family tree.54:58 Medical expert shares fascination and future predictions.

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 take a deep dive into the world of health and science with a healthy dose of skepticism. I'm your host, Dr. Mark Bonta, and today we have an intriguing episode lined up for you as we welcome the esteemed Dr. David Cadotte, a neurosurgeon at the University of Calgary.In this episode, Dr. Cadotte will shed light on the fascinating, yet complex realms of neurosurgery and spinal health. We'll discuss the ethics and feasibility of freezing and unfreezing the brain, bridging the critical gap between neurosurgery and community needs, and the significant impact of spinal cord injuries on quality of life. Dr. Cadotte emphasizes the importance of scientific rigor in novel therapies, shares precautionary tales, and explains why emergency neurosurgery should only be attempted in medical facilities.We'll also explore the future of neurosurgery, from potential non-surgical treatments for brain cancers to the promising, yet cautious world of stem cell research. Join us as we delve into the delicate balance between innovation and safety in the medical field, with intriguing discussions about the cerebellum, peripheral nerve diseases, and even the impact of extreme sports on spinal health.Stay tuned for a captivating conversation that promises to be both informative and thought-provoking. And remember, while we're here to offer insights, always seek professional medical advice for any personal health concerns. Let's "ditch the lab coat" and get started!05:43 For adventurous activities, treat yourself like athlete.07:32 Parent concerned about kids doing dangerous flips.11:13 Limited chances for full recovery from spinal cord injury14:03 Stem cell therapy for spinal cord not approved.18:54 Doctor ready for river trip, except brain surgery.22:00 Parent intervenes as toddler falls from play structure.23:28 Consider healthcare availability in remote world travel.26:45 Surgical infections after brain surgery are low.31:35 Noah Ardbeck quadriplegic, now using Elon Musk's Neuralink.34:08 Discussion of rare cervical spine injuries in ICU.38:06 Longevity: Nurturing brain health through oxygen, sugar.39:54 Unknowns of ocean, brain, and near-death experiences.44:49 Considering life and legacy, living forever debated.48:00 Spinal cord severing implications and neurosurgery insights.48:48 Fascinating discussion on neuralink and future tech.

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. Today, our host Dr. Mark Bonta sits down with the ever-knowledgeable Dr. Suman Chakrabarti to dive deep into the world of infections and their surprising sources. From the classic culprits, like poorly stored rice at church picnics causing sudden bouts of illness, to more exotic findings like respiratory diseases from parrots and toxoplasmosis risks for pregnant women, we've got it all covered.Dr. Chakrabarti sheds light on the curious link between avian flu and milk production, as well as the risks associated with common pets like dogs, cats, and even domesticated rodents. We'll navigate the complexities of bacterial and viral pneumonia, discuss the impact of antibiotics on treatment, and explore the looming threat of tropical diseases spreading due to climate change.Throughout this episode, you'll gain valuable insights into the history and evolution of infectious diseases and hear candid discussions on contemporary concerns, such as the necessity of additional COVID-19 boosters and our readiness to tackle new health risks. So, grab your headphones and join us for an enlightening conversation that promises to challenge your perceptions and expand your knowledge on all things infectious. Let's ditch the lab coat and get started!00:59 Medical educator with diverse expertise and humor.05:42 Avian influenza could become a pandemic virus.08:14 Limited testing may miss mild cases of illness.11:57 Interactions between animals and humans facilitate diseases.14:24 Medical students gather irrelevant patient information, specifically birds.19:10 Dog bites can cause serious infections, disfigurement.20:38 Risk of infection for those with spleen dysfunction.25:30 Influenza can lead to potential bacterial pneumonia.28:55 Livestock health, climate change, and disease risks.29:44 Climate change may bring new disease vectors.34:51 Podcast fosters learning, health, informed decision-making, experts' engagement.37:13 Acknowledgment to family and production and social media teams.

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. Today, we're diving deep into the world of urology with a focus on bladder ruptures and kidney stones. Our special guest, Dr. Sri Sivalingam, a renowned endourologist from the Cleveland Clinic, will share his expertise on everything from the causes and prevention of kidney stones to advanced surgical techniques for their removal. We'll explore fascinating real-life cases, including traumatic bladder ruptures and the often excruciating journey of passing kidney stones. Dr. Sivalingam will debunk common myths, discuss the critical role of hydration, and highlight the importance of tailored dietary advice. We'll also delve into the intricacies of pain management and the innovative technologies that allow for minimally invasive treatments. Whether you're curious about the mechanics of a bladder rupture or the latest in kidney stone treatment, this episode promises to be both educational and engaging. So, sit back, relax, and get ready to ditch the lab coat as we journey through the captivating realm of urology. Don't forget to tune in next Wednesday for another riveting episode! For more information, visit Labcoat.fmTimestamps :04:38 Urology: mix of surgery and medical management.06:53 Urologists treat kidney and urinary tract issues.12:19 Guidelines for passing kidney stones and treatment.15:36 Patients need to understand urine production varies.19:23 Obstructed kidney pain is relieved through interventions.21:08 Medication used for BPH, kidney stones relief.25:50 Conflict between internists and surgeons in hospitals.27:28 Urologists handle varied cases, few urgent emergencies.30:39 Medical specialties sound exciting, but become routine.33:43 Bladder ruptures from trauma, alcohol, and impact.39:15 Tiny telescopes inserted to break down kidney stones.41:05 Med student describes laparoscopic abdominal surgery.44:47 Humorous comment on medical procedure for kidney stones.48:39 Analyzing urine for stone prevention; internet misinformation.53:12 Kidney stones, bladder issues, and advanced surgeries.56:04 Kidney stone retrieval and medical passion discussed.

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, host Dr. Mark Bonta sits down with the esteemed Dr. Sanjeev Sockalingam, a champion of mental health integration and connection with roles at the University of Toronto and CAMH. Together, they delve into the critical importance of destigmatizing mental health, emphasizing equal treatment for mental and physical health impairments.From practical self-care approaches and the impact of social determinants on wellness to the challenge of balancing extreme cases and everyday stress, Dr. Sockalingam shares profound insights. They humorously touch on screening calls and the evolution of talk therapy, while seriously addressing the rising mental health crisis linked to technology and social media.Join us as we explore the intricacies of mental health care, the importance of finding purpose and meaning, and the evolving landscape of therapy. Dr. Bonta's reflections and personal experiences add depth, making this episode not just informative but also deeply personal and inspiring. Let's dive in and start destigmatizing mental health together!Timestamps :05:24 War fosters collective purpose for mental health.07:27 Historical rates of mental health conditions compared.10:30 DSM: Standardizing mental health diagnosis for consensus.13:42 People using phones to seek dopamine release.17:46 Understanding mental health conditions making normal abnormal.22:16 Setting routines and physical health improve mental wellness.24:56 Adopting healthy habits is challenging despite awareness.27:14 Social determinants of health affect patient care.29:47 Contrasting extremes of poverty and wealth in health.33:19 Control and purpose combat burnout and distress.37:13 Transitioning to retirement, finding new purpose.40:32 Psychological treatments, research, and therapeutic alliance importance.44:45 Setting boundaries, targeting, and intervening in therapy.46:08 Being informed about mental health professionals is important.50:02 Discussion on prevalence and funding disparity in healthcare.56:18 Finding purpose, maintaining mental health through conversation.57:32 Feedback welcome for interesting, understandable healthcare guest talks.

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 dive deep into health issues and medical discussions with leading experts.In today's reflection episode, Dr. Bonta revisits some of the most insightful conversations from the past 19 episodes, touching on key topics in medical education, mentorship, and the evolving landscape of healthcare. Join us as Dr. Bonta delves into the value of ongoing mentorship, the importance of simulations, and the delicate balance of personal well-being for medical professionals. We'll explore the impact of AI in healthcare, the significance of end-of-life discussions, and the ongoing challenges of chronic disease management. Plus, we'll tackle pressing issues like children's mental health, the rise of screen time, and even some practical information about managing allergies. Whether you're a medical professional or just passionate about science-based skepticism in healthcare, this episode is packed with valuable insights. So, sit back, relax, and let's ditch the lab coat together.Timestamps : 05:31 Children need advocacy for voice and rights.08:28 Struggles at work, need to decompress.11:28 Obesity viewed as medical condition requiring compassion.13:08 Prepare for potential harm, seek professional help.16:02 Angiograms and heart procedures are routine, significant.21:56 Balancing screen use, health, and technology impact.24:01 Teaching simulation, heart surgery, martial arts comparison.27:41 Struggle to implement change, still highly beneficial.29:04 Accessible school routine for children and anxiety.31:39 Join Doctor Bonta for science-based health talk.

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 dive deep into health issues and medical discussions with leading experts.In today's episode, Dr. Mark Bonta chats with psychiatrist Dr. Nik Grujich, who specializes in mood and anxiety disorders and directs mental health programs at the University of Toronto.Together, they'll explore the intricacies of prolonged exposure therapy for PTSD, the evolutionary roots of anxiety, and the line between normal and abnormal behavior. They'll also tackle the impact of modern technology on children's mental health, delve into the complexities of diagnosing mental health conditions using the DSM and ICD, and highlight the resilience of the human mind.From personal stories and cultural insights to professional perspectives on mental well-being, this conversation promises a comprehensive look at the ways our minds cope with adversity and how therapeutic techniques can foster resilience. Plus, hear their engaging discussion on the role of cognitive behavioral therapy and the promising future of biomarkers in mental health diagnosis and personalized care.Get ready for an enlightening and thought-provoking episode that underscores the importance of holistic health and the powerful intersection between our minds, behavior, and physical well-being. Join us for this compelling conversation on "Ditch the Lab Coat" with Dr. Nik Grujich!Timestamps :06:52 Immigrant upbringing, limited discussion, led to psychiatry.11:11 Socialization and nurturing have evolutionary and practical aspects.19:40 Anxiety leads to checking and relief.20:34 Obsessive compulsive disorder: intrusive thoughts, rituals, distress.27:11 Anxiety linked to evolution and survival instincts.36:39 Anxiety disorders, specific phobias, and PTSD.38:15 Specific phobias may not be relevant.43:53 Parents struggle to address their children's anxiety.52:08 Anxiety treatment involves trust, support, and challenge.57:07 Flooding therapy works, especially for PTSD treatment.01:01:35 Rick Arsenault, a specialist in internal medicine, leads advanced training for unexplained symptoms nationwide. His approach integrates mind and body, with remarkable results, including lower recurrence of heart attacks compared to medication use.01:05:26 Fascination with normal and abnormal human behavior.

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 dive deep into the intricacies of healthcare design and innovation. I'm your host, Dr. Mark Bonta, and in today's episode, we're joined by two remarkable guests, Dr. Chris Hicks and Dr. Andrew Petrosoniak, esteemed emergency physicians and trauma team leaders who are reshaping the landscape of trauma care. Our conversation revolves around the critical lack of user-focused design in healthcare environments and the innovative steps Chris and Andrew have taken to address this issue, particularly in building an optimized trauma bay. We'll uncover how thoughtful design, focusing on human factors and ergonomics, can dramatically improve efficiency and patient outcomes. Listen in as we delve into the use of simulation to understand and enhance current medical practices, the complexities of team dynamics, and the invaluable lessons learned from other high-stakes industries like Formula One racing.This episode is packed with insights on leadership, communication, and the importance of feedback in medical training. Dr. Hicks and Dr. Petrosoniak will share their experiences and discuss the life-saving impact of a well-coordinated trauma team. Whether you're a healthcare professional, a design enthusiast, or simply curious about the behind-the-scenes action in emergency medicine, you won't want to miss this enlightening discussion.Stay tuned as we explore the fascinating interplay between space design, teamwork, and trauma care, and be inspired to rethink how we can improve both our work and personal environments through better design.TIMESTAMPS : 00:00 Doctor Petroniak integrates user-focused design, clinical expertise.05:21 Two emergency physicians explain their overlapping roles.08:34 Passion for trauma care drives my career.11:11 Bad mechanism can result in major injuries.13:53 Medical professionals use stickers for role identification.17:22 Technicians provide hands-on expertise, create shared mental models.22:56 Challenges of trauma resuscitation and team dynamics.24:36 Maintaining situational awareness crucial in medical settings.27:00 Continuous improvement through feedback and reflection is key.30:21 Healthcare industry lacks awareness of human factors.35:34 Medical education teaches problem-solving for known issues.39:50 Believe in the process and accept outcomes.42:16 Training and environment impact performance of teams.44:49 Addressing lack of user-focused clinical design.47:24 Stressful situations caused by lack of equipment.52:54 Importance of trauma response in healthcare emphasized.54:10 Improving access to fruits and vegetables, inspiring.

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 with Dr. Mark Bonta," where we critically examine health issues with a scientific lens, always reminding our listeners that this podcast does not replace professional medical services. Today, we delve into Part 2 of our conversation with Dr. Ric Arseneau, an expert on chronic conditions like fibromyalgia and chronic fatigue syndrome.In this episode, Dr. Arseneau tackles the many misconceptions medical students and residents often hold about fibromyalgia and chronic fatigue syndrome, two conditions frequently dismissed as mere psychological issues. He highlights the importance of recognizing these ailments as legitimate medical conditions and discusses the challenges patients face, both from the healthcare system and societal perceptions.Dr. Arseneau provides an in-depth look at the nature of central sensitivity syndromes and their treatments, advocating cognitive behavioral therapy and other behavioral therapies. He notes the crucial role of attitude over mere labeling of conditions, emphasizing a treatment approach focusing on remission.The conversation also covers the fight or flight system's influence on these conditions and highlights the importance of neuroplasticity, stress management, and self-care. Both Dr. Arseneau and Dr. Bonta discuss the significant impacts of small traumas, administrative burdens, and legal stresses on physician burnout and overall health.Moreover, Dr. Arseneau shares his initiatives, such as setting up neuroplasticity support groups, underscoring the power of group therapy despite the lack of extensive evidence. They discuss systematic issues within the healthcare system, the importance of good evidence-based interventions, and the hope for improved access to care for conditions like long COVID.In this informative installment, we also touch on the widespread benefits of mental care for physical health, the effects of neuroinflammation and neuroplasticity, and the low-cost, low-risk interventions like cyclic sighing. Dr. Bonta thoughtfully reflects on applying these insights to his practice and daily life to help patients and listeners alike build mental resilience.Join us as we explore how understanding, evidence-based treatment, and compassion can greatly improve the quality of life for patients with chronic conditions, challenging the existing healthcare paradigms and cultural misconceptions. Don't miss this enlightening discussion that promises to leave you with practical tips and hope for a brighter, more inclusive future in healthcare.Episode Timestamps :00:00 Healthcare expert discusses fibromyalgia and chronic fatigue.03:25 Insightful interview with Dr. Rick Arsenault.07:12 Somatic symptom disorder misdiagnosed for unexplained symptoms.11:22 Impaired physical capacity affects societal support.15:48 Support groups provide crucial validation and understanding.17:40 Changing attitudes towards fibromyalgia treatment is crucial.22:48 Refrains from using "cure," emphasizes "remission."24:37 Inadequate support for central sensitivity syndromes in Canada.27:19 Zebra-escape prompts return to neurobaseline, program options.30:22 Vagal system, tone, and nerve for alternative treatments.34:00 Be cautious of costly, invasive health recommendations.37:25 Physician burnout due to non-clinical challenges.42:47 Early stress leads to serious health issues.46:56 Future of patient care for syndromes discussed.50:32 Remote recording lacks personal in-person nuances.54:29 Promote mental resilience and physical well-being. 

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*! I am your host, Dr. Mark Bonta, and today we're diving deep into the intricate world of post-viral syndromes with our esteemed guest, Dr. Ric Arseneau. In the first part of this fascinating conversation, we'll explore the far-reaching impacts of COVID-19, particularly focusing on long COVID and other post-viral conditions like chronic fatigue syndrome and fibromyalgia.Dr. Arseneau brings a wealth of expertise on how these conditions manifest and affect patients long after the initial viral infection. We'll discuss the often confusing distinctions between post-COVID and long COVID, and the critical need for consistent terminology in medical literature. Dr. Arseneau will also share insights into the downstream effects of COVID-19 on various organs and systems, the challenges in recognizing post-viral syndromes, and the societal stigma that often accompanies these "invisible" illnesses.Moreover, we'll delve into the current state of COVID treatment options, the barriers posed by cost and availability, and the essential role of healthcare professionals in acknowledging and treating these complex conditions. Dr. Arseneau's approach to managing chronic conditions, including the importance of pacing, neuroplasticity work, and non-pharmacological treatments, provides a comprehensive look at improving patient outcomes.Join us as we bring attention to these crucial yet often overlooked aspects of health in the aftermath of COVID-19, and stay tuned for even more riveting discussions in Part 2 of our conversation. Whether you're a healthcare professional or simply someone eager to understand the long-term effects of the pandemic, this episode is packed with valuable insights and practical advice. Let's get started!Episode Timestamps : 02:30 Doctor Arsenault leads exploration into mysteries of healthcare.03:33 Dr. Arsenault excels but long COVID support lacks.09:30 Post viral syndromes, neuroimmune adrenergic phenomenon, long COVID.13:37 Healthcare system adapts to living with COVID-19.14:43 Post-COVID issues neglected, patients not properly cared.18:20 Physicians suffer from Sherlock Holmes fallacy hubris.23:03 Recommended 9 grams salt/day, more effective orally.24:59 Factors involved: hypovolemic, small fiber neuropathy, cardiac output, neuroinflammation, autonomic overdrive.29:32 Challenging societal perceptions of chronic fatigue syndrome.31:34 Syndrome-based diagnoses limit understanding of conditions.37:44 Neuroplasticity for pain with psychiatrist's new approach.40:00 Neurological features, depression, misdiagnosis, chronic fatigue syndrome.42:02 Patients open to depression's effect on symptoms.48:34 Bias in medical legal cases, patients denied benefits.49:30 You are a pioneering expert in Canada.53:42 COVID treatments aim to reduce severity, not cure.58:45 Long COVID and treating patients with compassion.01:00:26 Tune in for part two next time.

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. Introduction to our guestToday, we dive deep into the world of cardiac surgery with our esteemed guest, Dr. Bobby Yanagawa, Division Head of Cardiac Surgery at St. Michael's Hospital. This episode unpacks the thrilling, yet demanding life of a heart surgeon, exploring everything from the adrenaline of emergency surgeries to the finesse required for elective procedures. Dr. Yanagawa, distinguished for his mastery in the realm of heart health, shares his insights on managing heart disease risk factors and the advances in surgical technology like transcatheter aortic valve replacement (TAVR). We'll also touch on the emotional weight of decision-making in life-threatening treatments, and how surgeons like Dr. Yanagawa navigate the complexities of patient care. Moreover, beyond the scalpel and sutures, we discuss the critical balance between personal life and professional dedication, aiming to unearth the reality of medical practice in contrast to its often sensationalized portrayals. So, tune in as we explore the heart of the matter on "Ditch the Labcoat."Episode Breakdown : The discussion opens with Dr. Yanagawa comparing the intensive concentration required in the operating room to entering a martial arts dojo, a place where focus is paramount and the external world fades away. This analogy extends into a broader discussion on the parallels between martial arts and medical education, emphasizing humility, continual learning, and respect for expertise.Moving through the intricacies of heart health, the conversation covers a wide array of topics, from the technological advancements in procedures like Transcatheter Aortic Valve Replacement (TAVR) to the challenges of maintaining a work-life balance in such a demanding field. Dr. Yanagawa shares insights into the surgical intricacies of managing acute emergencies like aortic dissections and the bread-and-butter of elective coronary bypass procedures.A significant portion of the dialogue focuses on the ethical and emotional dimensions of heart surgery, particularly regarding patient interactions and the decision-making process concerning surgical risks and life expectancy. The emotional weight of conveying the realities of heart surgery to patients and their families highlights the profound impact of medical professionalism and empathy in clinical practice.Moreover, Dr. Yanagawa reflects on the broader implications of modern lifestyle choices on health, contrasting today's sedentary habits with the more active, hunter-gatherer past, and how these shifts contribute to chronic health issues. This serves as a springboard into a deeper discussion on the interplay between genetics, lifestyle, and preventive health care.As the episode winds down, both doctors discuss the future of heart surgery, including the potential for growing organs in labs and the evolving role of artificial hearts. The conversation also touches on the use of different heart valves, from pig and cow valves to mechanical options, outlining the considerations that guide their use in different patient scenarios.Throughout the episode, Dr. Bonta and Dr. Yanagawa repeatedly circle back to the importance of deriving purpose from their work and the intrinsic motivation needed to navigate the pressures of the medical field. The episode not only sheds light on the technical and ethical facets of cardiac surgery but also humanizes the surgeons behind the scalpel, revealing their passions, challenges, and the delicate balance they maintain between saving lives and living their own.Topics Covered 1. Introduction to Guest and Episode Focus   - Introduction of Dr. Bobby Yanagawa, a division head of cardiac surgery at St. Michael's Hospital   - Overview of the episode's focus on heart surgery, health management, and the reality of healthcare.2. The Reality of a Surgical Career   - Dr. Yanagawa's excitement for elective and emergency procedures.   - Challenges and rewards of being a cardiothoracic surgeon and internist.3. Impact of Modern Lifestyle on Health   - Discussion on how modern living contrasts with hunter-gatherer lifestyles.   - Evolutionary lifestyle effects on human health.4. Handling Medical Emergencies and Procedures   - The thrill and pressures of dealing with medical emergencies.   - Mortality risks and emotional dimensions of discussing life-threatening treatments.5. Surgical Decision-Making and Ethics   - Patient reactions and emotional impacts when facing serious health decisions.   - Consulting with colleagues on borderline cases and ethical considerations in healthcare.6. Advancements in Medical Technology   - Discussion on the potential of growing blood vessels and organs in labs.   - Technological advancements like transcatheter aortic valve replacement (TAVR).7. Education and Mentorship in Medicine   - Importance of providing proper feedback and support to medical learners.   - Drawing parallels between martial arts training and medical education.8. Personal Motivations and Career Choices   - Dr. Yanagawa's personal reasons for becoming a heart surgeon.   - The day-to-day realities and the diversities within the medical field.9. Health Management and Chronic Diseases   - Importance of medication adherence in managing diabetes.   - The role of lifestyle modifications in managing chronic diseases.10. Work-Life Balance and Burnout    - Importance of balancing professional obligations with personal life.    - Strategies to avoid burnout and maintain a fulfilling career.11. Discussion on Heart Valves and Prostheses    - Different types of heart valves and their suitability for various patients.    - Future possibilities and current limitations of artificial heart technology.12. Concluding Thoughts    - Reflections on deriving purpose from work and making a difference.    - Recap of the importance of a real understanding of the healthcare profession beyond media portrayals.This sequence offers a structured breakdown of the episode's discussion, providing a clear roadmap for listeners to understand the complexities and nuances of a career in heart surgery as well as broader healthcare issues.

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 episode of "Ditch the Labcoat," the podcast that explores the human side of healthcare beyond the sterile field.In this insightful episode of "Ditch the Labcoat," host Dr. Mark Bonta is joined by Dr. Samir Grover, a prominent figure in the realm of medical education. Together, they delve into the pressing issues surrounding current educational practices in healthcare and propose revolutionary changes aligned with the needs of a modern medical system.Dr. Grover discusses his advocacy for competency-based training systems and the integration of technology like AI and simulations to enhance assessment objectivity in medical education. He emphasizes the critical role of fostering essential physician traits such as empathy and hard work, beyond just academic achievements. The episode critically analyses the misalignment in assessments, such as the lack of evaluation for practical skills like endoscopy among gastroenterologists, despite its significance in their daily responsibilities.The conversation extends to the potential shifts in medical student selection processes, aiming to highlight qualities beyond test scores, and explores the ongoing need for reforms in training systems to better match learners' capabilities with their medical specialty. Dr. Grover also shares his experiences and perspectives on the need for personalized assessment and the effective use of feedback in education.Adding to the rich discussion, Dr. Bonta and Dr. Grover touch upon the future of medical education, advocating for the inclusion of advanced technologies and methodologies that ensure comprehensive and efficient learning experiences. They conclude with a critical view on health fads like juice cleanses and the importance of evidence-based approaches in medical practices.This episode not only sheds light on the essential changes needed in medical education but also celebrates the efforts of educators like Dr. Grover who are at the forefront of these transformative approaches. Whether you're a medical professional or just intrigued by the evolution of medical education, this episode offers valuable insights into making healthcare education more adaptive, inclusive, and effective.Episode timestamps: 04:41 Important physician traits: earnestness, desire to learn.07:45 Academic excellence not sole indicator of good physician.11:28 Flexner report still influences medical education today.14:28 Self-regulated learning key for medical practitioners.20:31 High-intensity simulation improves clinical procedure performance.23:25 Validated colonoscopy performance scales differentiate novices to experts.27:51 Using AI assists improves learning and performance.28:47 Laparoscopy: minimally invasive surgery with training challenges.33:43 Striving for autonomy in medical career assessment.35:24 Competency-based system for physician training summary.38:50 Work assessments and subjective nature in universities.43:40 Understanding medical terms critical for both sides.46:01 Developing social and emotional intelligence for healthcare.51:42 Virtual reality enables real-time consultation with experts.52:58 Doctor Bonta thanks team, family, promises more.

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. Today, we're joined by Dr. Ali Shahnavaz, a distinguished expert in otolaryngology, who will be diving into the intricacies of ear, nose, and throat health with our host, Dr. Mark Bonta. In this episode, Dr. Shahnavaz shares his expertise on a range of topics starting with pediatric concerns like the dangers of children inserting small objects into their noses and the importance of age-appropriate toys to prevent choking hazards. He also explains the risks of nosebleeds and infections from nose picking and suggests practical remedies like saline washes.The conversation shifts to more general ear and throat health, where Dr. Shahnavaz recommends measures to maintain a healthy throat, such as staying hydrated, reducing caffeine, and managing acid reflux. He emphasizes the significance of not overusing the voice and offers tips for vocal care, especially for singers. Furthermore, Dr. Shahnavaz discusses auditory health, warning against the prolonged use of headphones at high volumes and advocating for cautious exposure to noise to prevent hearing loss and tinnitus.Additionally, Dr. Shahnavaz shares intriguing aspects of his work, including removing various foreign objects from patients' ears and noses, which often brings immediate relief to his patients. He reassures listeners that despite common fears, bugs cannot travel to the brain through the ear. The episode also touches on the overlap between otolaryngology and ophthalmology and Dr. Shahnavaz's personal journey from dentistry to medical school.Overall, the episode provides a wealth of practical advice and knowledge, aiming to enhance listener awareness about ear, nose, and throat health while debunking common myths and highlighting the importance of professional care in preventing and treating ENT-related issues.Questions cover in this week's episode : 1. How do foreign objects like beads or lego pieces end up in the nasal passages of children, and what are the immediate steps parents should take before medical help arrives?2. Dr. Shahnavaz mentioned using saline washes and ointments for dry noses. Can you elaborate on how these treatments work and why they are effective for maintaining nasal health?3. Considering the risks associated with nose hair trimming that you mentioned, such as furuncles and ingrown hairs, what are some best practices for safely managing nose hair?4. Can you discuss further the anatomical structure of the throat and how issues in different parts may require different specialist interventions?5. With the rising use of personal audio devices, you highlighted concerns about headphone volume and duration of use. Could you explore alternative safe listening practices for people who use headphones frequently?6. In the case of Dr. Bonta's relief from ear wax removal, why does excessive wax build-up occur, and what are some preventive measures to avoid significant build-up?7. You have significant expertise in both dentistry and ENT. How does this dual training benefit your practice and patient care, especially in mixed cases involving both dental and ENT issues?8. Dr. Shahnavaz, you emphasized the importance of maintaining healthy bacteria in our systems. Can you talk about how this relates specifically to ear, nose, and throat health?9. Throughout the episode, you discussed various preventive measures for ENT health. Which simple daily habits do you believe are most underestimated in their positive impact on our ENT health?10. Finally, could you dive deeper into the strategies for managing severe tinnitus, especially regarding new research or therapies that might offer hope to those severely affected?

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 episode of "Ditch the Labcoat," the podcast that explores the human side of healthcare beyond the sterile field. I'm your host, Dr. Mark Bonta, and today's episode, we're diving deep into healthcare innovation with a very special guest, Dr. Dante Morra.Dr. Morra brings his extensive experience as president of Trillium Health Partner Solutions and chief clinical innovation officer at Trillium Health Partners to discuss the transformative wave of technology sweeping through healthcare. From virtual technology to monitoring systems, we'll explore how the landscape of patient care is shifting and what that means for hospital admissions, personalized treatment, and the delicate balance of private and public interests.We tackle the tough questions: Can innovations in data capture and connectivity truly prevent hospital admissions? How do we align business and payment models with technological advancements and the consumer experience in healthcare? And in a system traditionally resistant to risk-taking, how can innovation thrive without compromising patient safety?Join us as we touch upon Dr. Morra's motivation to improve health and reduce suffering through system change, and investigate how new business models, akin to the Netflix revolution, are disrupting traditional healthcare practices. Will the future of healthcare be more personalized, with AI, advanced organ printing, and even self-driving cars shaping our destiny? Or do the human touch and therapeutic alliances still hold the key to future medical breakthroughs?Sit back, keep your lab coat off, and let's delve into the dynamic and evolving world of healthcare innovation on this episode of "Ditch the Labcoat."Timestamps :03:47 Doctor Mora: Revolutionizing healthcare and conquering triathlons.08:17 Uber revolutionizes food delivery; healthcare undergoes transformation.11:17 Small hospitals face challenges in implementing technology.15:55 Healthcare faces hidden risks, costs, and complexity.19:29 Personal data usage changing medical diagnosis and support.23:26 Remote health data accessibility and usefulness concerns.25:57 Leverage technology and nurse support for wellness.27:44 Complexity of patient care and aging inevitability.32:00 Private enterprises sell unnecessary health monitoring services.35:05 Technological change driving wealth distribution through capitalism.39:07 Humans driving not so good, but improving.41:17 AI aids radiologists, concerns about technology's role.45:51 Lifestyle choices impact aging and health risks.48:22 Regular monitoring and preventive care revolutionize healthcare.52:10 Customized health platform frees up healthcare system.55:47 Distinguishing between helpful medical info and trends.56:46 Regular healthcare check-ups, screenings, and healthy habits.