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Ditch The Labcoat

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Dr. Mark Bonta

Candid conversations between healthcare experts, every Wednesday at 5am EST on Labcoat.fm, your destination for evidence-based insights into the world of medicine, with no holds barred debate about hot topics in healthcare. This is for all the closet doctors, nurses, pharmacists and all others who are deeply fascinated about medicine but view the headlines with science-based skepticism.

#36

Dissecting Operating Room Culture with Dr Carol Anne Moulton

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] (https://podcastsins.trafft.com/) ) 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. ... Read more

09 Oct 2024

57 MINS

57:16

09 Oct 2024

#35

Pandemic Prepping with Dr Lawrence Loh

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] (https://podcastsins.trafft.com/) ) 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. ... Read more

02 Oct 2024

57 MINS

57:44

02 Oct 2024

#34

Weighing in with Lipid Specialist Dr. Spencer Nadolsky

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] (https://podcastsins.trafft.com/) ) 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. ... Read more

25 Sep 2024

50 MINS

50:38

25 Sep 2024

#33

From Methadone to Ibogaine: Navigating the Future of Addiction Treatment with Dr. Jon Mong and Dr. W...

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] (https://podcastsins.trafft.com/) ) 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 disorders 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! 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. ... Read more

18 Sep 2024

51 MINS

51:40

18 Sep 2024

#32

Inside Addiction Medicine: Conversations with Dr. Jon Mong and Dr. Wiplove Lamba - Part 1

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] (https://podcastsins.trafft.com/) ) 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. ... Read more

11 Sep 2024

50 MINS

50:32

11 Sep 2024

#31

Allergy MythBusting with Dr. Samira Jeimy

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] (https://podcastsins.trafft.com/) ) 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. ... Read more

04 Sep 2024

51 MINS

51:37

04 Sep 2024

#30

Gland Chat with Dr. Roy Eappen

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] (https://podcastsins.trafft.com/) ) 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. ... Read more

28 Aug 2024

53 MINS

53:28

28 Aug 2024

#29

Learning From Toddlers to Become Better Adults with Dr. Hasan Merali

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] (https://podcastsins.trafft.com/) ) 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. ... Read more

21 Aug 2024

1 HR 02 MINS

1:02:40

21 Aug 2024

#28

The Art of De-Prescribing with Pharmacist Dr. Shawn Gill

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] (https://podcastsins.trafft.com/) ) 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. ... Read more

14 Aug 2024

56 MINS

56:02

14 Aug 2024

#27

De-clotting with Dr. Eric Kaplovitch

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] (https://podcastsins.trafft.com/) ) 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. ... Read more

07 Aug 2024

59 MINS

59:55

07 Aug 2024

#26

Circulation Control with Vascular Surgeon and Interventional Guru Dr. George Oreopoulos

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] (https://podcastsins.trafft.com/) ) 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. ... Read more

31 Jul 2024

56 MINS

56:40

31 Jul 2024

#25

Neurosurgery from Head To Toe: Session with Spine Surgeon Dr David Cadotte

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] (https://podcastsins.trafft.com/) ) 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. ... Read more

24 Jul 2024

50 MINS

50:13

24 Jul 2024

#24

Bursting Bladders and Kidney Stones - Urology 101 with the Stonecrusher

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] (https://podcastsins.trafft.com/) ) 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.fm Timestamps : 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. ... Read more

19 Jul 2024

56 MINS

56:55

19 Jul 2024

#23

Summer School 2024 - Infectious Diseases Edition with Dr Suman Chakrabarti

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] (https://podcastsins.trafft.com/) ) 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. ... Read more

17 Jul 2024

37 MINS

37:39

17 Jul 2024

#22

The Psychiatrists Chair: Self Care with Dr Sanjeev Sockalingam

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] (https://podcastsins.trafft.com/) ) 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. ... Read more

26 Jun 2024

57 MINS

57:59

26 Jun 2024

#21

Lessons learned from ditching the labcoat over the first 19 episodes

19 Jun 2024

31 MINS

31:53

19 Jun 2024

Podurama

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#34

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#33

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#30

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#29

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#28

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#27

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#26

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#25

Neurosurgery from Head To Toe: Session with Spine Surgeon Dr David Cadotte

#24

Bursting Bladders and Kidney Stones - Urology 101 with the Stonecrusher

#23

Summer School 2024 - Infectious Diseases Edition with Dr Suman Chakrabarti

#22

The Psychiatrists Chair: Self Care with Dr Sanjeev Sockalingam

#21

Lessons learned from ditching the labcoat over the first 19 episodes