Ditch The Labcoat

In this episode of Ditch the Lab Coat, Dr. Mark Bonta is joined by Dr. Robert C. Smith, University Distinguished Professor Emeritus of Medicine and Psychiatry at Michigan State University, to tackle one of modern healthcare’s biggest blind spots: mental health care in the medical system.Dr. Smith—renowned educator, author, and advocate—pulls back the curtain on how, despite mental health problems being the most common health condition seen in practice, most doctors are dangerously undertrained to diagnose or treat them. He explains that medicine’s longstanding “mind-body split” traces back centuries, shaping medical education, health systems, and even our billing codes to treat mental and physical health as separate entities. The result? Nearly 75% of mental health care is provided in primary care settings by clinicians who received only about 2% of their training in mental health.The conversation is both a critique and a call to action. Dr. Smith advocates for a revolution in medical education—a new “Flexner Report”—to fully integrate mental health teaching and the biopsychosocial model at every level of training. He shares lessons from history, the cultural and structural forces behind the mind-body divide, and practical examples from the clinic—like why lifestyle factors and trauma histories are so often ignored.Dr. Bonta and Dr. Smith also offer practical advice for both clinicians and patients: how to advocate for better care, what questions to ask, and the importance of seeing patients as whole people rather than a sum of body parts or checklists.If you’ve ever felt that your mental health concerns weren’t taken seriously, or if you’re a healthcare provider frustrated by a broken system, this episode offers both context and hope—a blueprint for creating a healthcare system that truly sees and treats the whole person.Episode HighlightsBiopsychosocial Model’s Limits : Treating biological, psychological, and social factors as separate fails patients; true integration is essential for holistic care.Insufficient Mental Health Training : Most doctors get minimal mental health education, despite facing these issues daily in primary care settings.Systemic Checkboxes Over People: Medical culture prioritizes checklists and protocols, often neglecting patients’ real experiences and interconnected life factors.Chronic Disease and Mental Health : Overlooking mental health and lifestyle factors worsens outcomes for chronic illnesses like heart disease and diabetes.PTSD as Teaching Tool : Post-traumatic stress highlights how physical and psychological symptoms are deeply entwined and inseparable in patient care.Need For Top-Down Reform : Only policy-level, systemic changes can mandate integration of mental health into mainstream medical education and practice.Patient Advocacy Is Crucial : Change won’t arrive without active voices from patients and the public demanding better, more integrated care.Actionable Lifestyle Advice : Regular exercise, good diet, mindfulness, and honest self-reflection can support both mental and physical resilience.Communication Beats Technology : As artificial intelligence advances, true human connection in healthcare—listening, understanding, empathy—remains irreplaceable.Episode Timestamps04:53 – Biopsychosocial Model Critique07:32 – PTSD: Linking Mental and Physical Health10:20 – “Mind-Body Split in Medicine”15:53 – Mind-Body Connection in Chronic Care17:40 – Lifestyle-Induced Health Complications21:32 – “Reforming Medicine: A Systems Approach”26:25 – Biopsychosocial Model in Healthcare29:35 – Mental Health Training Shortfall30:41 – Integrated Biopsychosocial Medical Training35:20 – Interdisciplinary Approach to Trauma Inquiry37:44 – Lifestyle Hacks for Mental and Physical Resilience43:24 – Healthcare System’s Training Limitations45:11 – Prioritize Mental Health AwarenessDISCLAMER >>>>>>    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.    

In this episode of Ditch the Lab Coat, Dr. Mark Bonta takes us into the underappreciated world of medical documentation—and the burnout it breeds—by shining a spotlight on two disruptors aiming to change the status quo. Joined by Dr. Kyle Fortinsky, a gastroenterologist and self-proclaimed tech enthusiast, and serial entrepreneur Jay Gilbert, the discussion pulls back the curtain on the all-too-familiar struggle of physicians, nurses, and healthcare workers documenting late into the night while real life passes them by.Together, they unpack the daily grind of charting and how the current EMR landscape keeps clinicians glued to screens, often at the expense of patient care and personal well-being. Jay and Kyle reveal the origin story of their innovative startup, Clever Consult, born from both firsthand medical experience and the intimate view of a spouse disappearing into late-night charting marathons. Listeners get a candid look at their journey from scribbled napkin ideas to building a privacy-first AI assistant that actually understands clinical nuance.Beyond the tech talk, this episode explores everything from the high-risk realities of endoscopy procedures to the frustrating hunt for vital information buried in endless patient charts. The conversation also delves into the real fears—and hurdles—of integrating AI into healthcare, from privacy concerns to the challenge of building tech that truly lightens clinicians’ workloads.With humor and humility, Dr. Fortinsky and Jay Gilbert make the case that “doctor-built, doctor-focused” AI can finally start to reclaim the cognitive energy clinicians lose to admin overload. Rather than replace clinicians, this technology aims to empower them, helping doctors spend less time as scribes and more time as healers, problem-solvers, and humans.Tune in to hear how the marriage between entrepreneurial grit and frontline medical experience is forging a new path—one where AI does the heavy lifting behind the scenes, so healthcare professionals can get back to what truly matters: caring for people.Episode HighlightsWhy We NEED This: Kyle and Jay share horror stories of never-ending notes, missed dinners, and knowing your patient is safe to scope only after 20 minutes combing PDFs for hidden warfarin doses.The Product: An AI tool designed not to replace doctors, but to free them from scribal servitude. Clever Consult ingests mountains of charts, consults, labs, and more—then gifts you the focused summary you need, before you see the patient.Built by Doctors, for Doctors: "If physicians don’t look after themselves, they can’t look after patients.” That’s the mantra guiding Clever Consult’s development.Privacy FIRST: With patient confidentiality sacred, the team spent more money on privacy law than anything else. All data’s in Canada, nothing is retained by AI vendors, and legal experts guide every tech decision.The Human Touch: While some fear robots will take the stethoscope, Jay and Kyle see AI as an assistant—not a replacement—to boost diagnostic accuracy, flag hidden dangers, and (finally!) give us more one-on-one time with patients.The Future: Imagine charting in a fraction of the time, cognitive energy reserved for real-life problem-solving (not formatting notes on endless EMR screens), and leaving “scut work” to the machines.Episode Timestamps03:35 – Revolutionizing Healthcare with Tech09:13 – Streamlining Medical Data Management12:52 – “Improving Medical Efficiency with AI”16:21 – Serendipitous Developer Collaboration17:14 – Building & Validating the Business Model20:57 – “Balancing AI’s Strengths and Weaknesses”25:36 – AI Legal Consultation for Data Compliance28:27 – Bridging Software and Medical Expertise32:27 – AI Revolution in Medical Diagnostics34:33 – AI‑Enhanced Medical Diagnosis40:29 – Deep AI Solutions for Medical Documentation42:06 – “AI‑Driven Healthcare Documentation”47:33 – AI Revolutionizes Healthcare DocumentationDISCLAMER >>>>>>    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.    

In today's episode of Ditch the Lab Coat, we dive into the raw, real-world chaos of trauma that unfolds beyond the controlled environment of a hospital. Dr. Mark Bonta is joined by Dr. Andrew Petrosoniak, a trauma director and emergency medicine expert who specializes in designing effective healthcare systems, to explore the unpredictable nature of street-level emergencies.Throughout the episode, the duo unpacks the reality of responding to accidents in real-world settings, where medical tools are limited and the stakes are high. From discussing the importance of overcoming the bystander effect to the critical role of tourniquets in stopping a traumatic bleed, Dr. Petrosoniak shares actionable insights that go beyond traditional medical scenarios.Dr. Petrosoniak reflects on his experience with high-stress situations, emphasizing the power of a calm presence and strategic communication to provide reassurance until professional help arrives. The conversation highlights how anyone, not just medical professionals, can make a significant difference during emergencies through basic actions like calling for help and offering reassurance.Listeners are encouraged to rethink what being prepared means, urging them to consider keeping essential items like a tourniquet, defibrillator, and first aid kit nearby. This episode serves as a poignant reminder that life-saving efforts often start not in the ER but at the scene of an accident, where immediacy, intuition, and courage can have the most profound impact.Join Dr. Bonta and Dr. Petrosoniak as they explore the instinctual side of emergency response, sharing both practical advice and engaging anecdotes from the frontline of trauma care.Episode HighlightsApplying Tourniquets Properly Apply a tourniquet tightly enough to stop bleeding below the site. This is crucial in emergencies to prevent excessive blood loss.Understanding Trauma's Reality Trauma doesn’t happen in a controlled environment. Real-life situations require quick thinking and improvisation with limited resources.Importance of the Bystander Effect Overcome the bystander effect by taking charge in emergency situations. Your presence and action can make a significant difference.Street-Level Medical Preparedness Real-life medical emergencies demand an understanding of how to act without hospital tools – a phone call and support can be vital.Interpreting Blood Loss Know signs of severe blood loss—confusion and cold extremities—rather than estimating based on visible blood alone.Role of First Responders Sometimes non-medical professionals, like St. John Ambulance volunteers, are better prepared for emergencies due to their specific training.Communication in Crisis In emergencies, communicate clearly, outlining the plan to provide comfort, rather than giving false assurances of safety.Understanding Electrical Injuries High-voltage injuries are extremely dangerous. Never approach if there’s a risk of being electrocuted. Safety should be our top priority.Value of Proper Equipment Keeping simple equipment like a tourniquet and blanket in your car can be life-saving during an unforeseen emergency.Preparedness Beyond Hospitals Being prepared for emergencies means more than medical skills. It's about readiness to act and show compassion, no matter where you are.Episode Timestamps04:44 — Thrill-seeking risks and physiological reactions08:12 — Managing stress and preparedness in emergencies11:54 — Immobilization advice after falls15:55 — Survival odds after high falls18:20 — Crisis communication in prehospital care22:35 — Ski injury first-aid and bystander concerns26:09 — Tourniquet use: prioritize stopping bleeding27:01 — Emergency situational awareness tips31:29 — Assessing blood loss in hospital settings33:31 — Understanding the impact of blood loss36:38 — Electrocution safety and response challenges39:56 — “Mark’s Power Room Dilemma”43:58 — Simplifying trauma response protocols45:48 — Compassion in crisis: the human side of trauma careDISCLAMER >>>>>>    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.    

In today's episode of Ditch the Lab Coat, we're delving into the often overlooked world of long Covid and post-viral syndromes. Ever wondered why the medical community wasn't fully prepared for the enduring effects of post-viral conditions despite its potential impact?Dr. Mark Bonta talks with Dr. Funmi Okunola, a family physician and advocate for patients with Long Covid. Dr. Okunola discusses the challenges and frustrations surrounding the medical community's response to Long Covid and highlights her work in educating both the public and healthcare professionals about the condition.Throughout the episode, Dr. Okunola shares her journey from practicing family medicine to focusing on patient advocacy through digital education platforms. She aims to bridge the gap between medical evidence and public understanding, providing accessible and credible information to combat misinformation.Dr. Okunola emphasizes the lack of preparedness in the medical field for post-viral syndromes and the need for a shift in medical education to include complex chronic diseases like Long Covid, fibromyalgia, and ME/CFS as core parts of the curriculum. The conversation is rich with insights on how to better support patients with Long Covid and calls for a more proactive approach in the healthcare system to recognize and address complex chronic diseases. Dr. Okunola's passion for advocacy and education is a central theme in this episode, urging both healthcare providers and the public to acknowledge and act on the realities of Long Covid.Episode HighlightsUnprepared for Post-Viral Syndromes The medical community wasn't ready to tackle long-term effects of viral infections like Long Covid.Dr. Funmi Okunola's Journey From family medicine to Long Covid advocacy, Dr. Okunola founded educational initiatives during the pandemic to address patients' unmet needs.Navigating Healthcare for Long Covid Dr. Okunola and colleagues highlight the need for ongoing, informed care for Long Covid, often overlooked by the health system.Complexity in Diagnosis Treating conditions without clear tests or markers requires a multifaceted approach and reliance on patient narratives.Educational Gaps in Medicine Dr. Okunola argues for integrating complex chronic disease education in medical training as a part of core curriculum.Global Health Crises Insight Long Covid research offers a broader understanding of immune response and the impacts of viral infections on public health.Call for Systemic Change Dr. Okunola emphasizes that Long Covid is a public health issue needing urgent attention in both medical practice and policymaking.Episode Timestamps04:17 — Interprofessional approach for complex diagnoses10:01 — Urgent need for Long COVID recognition12:18 — Physician frustration with healthcare system15:56 — Misinformation & public health concerns17:48 — Somatic Symptom Disorder explained23:27 — Effective management strategies for Long COVID26:37 — Evidence vs. belief in diagnostics27:29 — Discussion on Long COVID & POTS33:28 — Long COVID exercise recommendations debunked37:28 — Causes and effects of Long COVID40:13 — Long COVID as an ignored immune threat42:43 — Public health vs. individual freedom47:13 — Campaigning for chronic disease education49:59 — Embracing complexity in healthcareDISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.    

Today, we're diving into the captivating world where cardiology meets cutting-edge technology. Ever wondered how your smartwatch could potentially save your life or how wearable tech is revolutionizing heart rhythm monitoring? You're in for a treat! Joining us is Dr. Yaariv Khaykin, an internationally renowned expert in rhythm disorders. He's a self-proclaimed "heart electrician" with a knack for gadgets and tech, and he's here to guide us through the intersection of traditional cardiology and modern advancements. From exploring the 100-year-old ECG technology to discussing breakthrough wearable devices, this episode is packed with insights that will transform the way you think about heart health. So whether you're a medical professional, a tech enthusiast, or someone just curious about how wearables could benefit your health, stay tuned for a fascinating conversation that proves science fiction is quickly becoming present-day medicine.Episode HighlightsWearables Catch Fleeting Symptoms Wearables effectively detect fleeting health symptoms that traditional monitors might miss, especially heart rhythm abnormalities.ECG's Long-Standing Role ECGs have been crucial in cardiology for over 100 years, providing insight into heart's electrical activity.Technology Elevates Heart Monitoring Advanced tech offers multi-channel monitoring, improving safety and precision in diagnosing heart conditions like arrhythmias.Smartwatches: Medical Utility Evolving Smartwatches like Apple Watch are now FDA-approved for heart monitoring, offering reliable data for clinical decisions.Data in Wearables: Double-Edged Sword While empowering users, wearables can increase anxiety without proper context. Interpretation is key.Improving Life Through Wearables Devices encourage healthy behaviors, tracking sleep, steps, and exercise to guide lifestyle choices for longevity.Heart Rate Variability's Importance High heart rate variability indicates fitness and longevity, while low variability can signal health issues.Non-Invasive Monitoring Innovations Textile-based ECGs provide comfort, easy use, and continuous heart monitoring without traditional discomforts.Bridging Clinical and Consumer Tech The integration of wearables in daily life advances proactive healthcare, offering diagnostic-level insights easily accessible to all.Episode Timestamps00:00 - Ditch the Lab Coat Podcast06:09 - AI enhances ECG interpretation07:03 - Advanced cardiac mapping vest10:30 - Wearables revolutionize heart monitoring14:39 - Wearables' role in health monitoring18:58 - Assessing Apple Watch for heart rhythms21:00 - Atrial fibrillation detection limitations23:49 - Wearable limitations in symptom detection28:41 - Wearable ECG tech achieves 99.9% accuracy29:46 - Medical device risk and standards34:38 - "Tech bros & longevity obsession"38:17 - Wearables: balancing peace and anxiety42:32 - Heart rate variability explained46:02 - Heart tech: ECGs and innovation47:20 - Future of wearable cardiac technologyDISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.       Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. 

In this episode of "Ditch the Lab Coat, where we delve into health issues with a grounded, scientifically skeptical eye. Today, we're diving deep into the world of cholesterol science and statins with our special guest, Dr. Malcolm Kendrick, an acclaimed skeptic and thought provoker in the medical community. Dr. Kendrick, known for turning conventional wisdom on its head, will be sharing his insights on how statins really affect our health, stretching beyond the common narrative and challenging the status quo of the pharmaceutical-medical industry complex.In this episode, Dr. Kendrick shares his perspective on the actual benefits and risks associated with statins, exploring their history and the modern-day data controversies surrounding them. Are they truly the heart-protecting wonder drugs we have been led to believe? Prepare for a dialogue that ventures into the realm of medical guidelines, research transparency, and, most critically, how independent thinking can lead us to better healthcare decisions.Grab your headphones, get comfortable, and join us as we embark on this eye-opening journey to dissect the truths about statins and explore what might actually lie at the heart of cardiovascular health. This is an episode you won't want to miss.Episode 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. 

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.