The Doc Talk Podcast

Dr. Sheila Wijayasinghe and Dr. Shazma Mithani

Dr. Shazma Mithani and Dr. Sheila Wijayasinghe have spent years navigating the health care system. Not just as doctors for their patients, but as moms for their kids, and patients themselves. And they know it's not always straightforward. Every two weeks they'll take a real question from a real patient, and provide in-depth answers with a clear path to action, with help from other trusted experts. No jargon. No time wasted. Just real talk about real issues from two doctors who've seen it all. And they'll give you the inside scoop on how to navigate the health care system like a pro. This is The Doc Talk.  Disclaimer: The Doc Talk is for general information purposes only. This podcast is not intended to replace medical advice from your doctor. While we are doctors, we are not your doctor.  Always speak to your own healthcare provider for questions related to your personal health needs. 

  1. 4 HRS AGO

    The Pitt – Season 2 Finale: What It Got Right…and What It Missed

    In this special episode, we take a deeper look at the Season 2 finale of The Pitt. Rather than a full recap, we focus on the major medical storyline and the bigger themes the episode tries to tackle, including what it gets right, what it doesn’t, and what it reflects about real-life medicine. We break down the case of preeclampsia progressing to eclampsia, discuss the realities of neonatal resuscitation, and explore the portrayal of burnout in healthcare, and why it deserves a more direct conversation. We also reflect on key character arcs and what they reveal about the emotional cost of working in emergency medicine. In this episode, we discuss: Preeclampsia and eclampsia: recognition, escalation, and managementHELLP syndrome and maternal riskResuscitative hysterotomy (perimortem C-section): when and why it’s doneNeonatal resuscitation (NRP): key steps and where the show missed the markPhysician health: Dr. Al’s seizure disorder and implications for practiceBurnout in healthcare: what it actually looks like and why it’s more than “just being tired”Character reflections: Robby, Whittaker, Mohan, Javadi, and Mel & SantosA note on burnout and mental health in healthcare Burnout, moral injury, and mental health struggles are common in medicine, particularly in high-intensity environments like emergency departments. These experiences are not a personal failure; they are often the result of systemic pressures combined with emotionally demanding work. If you are a healthcare worker and you are struggling, you are not alone - and support is available. Mental Health & Suicide Support Resources (Healthcare Workers) Canada Talk Suicide Canada Call or text 988 (24/7, free, confidential)Canadian Medical Association Physician Wellness Hub Resources for physicians and learners, including mental health supports and crisis toolsCanadian Nurses Association Wellness Resources Mental health and resilience resources for nurses and healthcare teamsProvincial Physician Health Programs (PHPs) Confidential support services available in every province (e.g., Alberta Physician & Family Support Program)United States National Suicide and Crisis Lifeline Call or text 988 (24/7)Physician Support Line 1-888-409-0141 (free, confidential peer support by physicians, daily)Global  International Academy of Physician Associate Educators Wellness ResourcesMany hospitals and health systems offer confidential Employee Assistance Programs (EAPs)If you’re in immediate distress Please contact your local emergency services or a crisis line in your region. Follow us on social media at @thedoctalkpod and let us know your thoughts on this episode.

    43 min
  2. APR 7

    32. HPV Positive — Now What?

    HPV is common. Cancer is not inevitable.  In this episode, we break down Human Papillomavirus (HPV), what it actually means if your test is positive, and how vaccination and screening can prevent most HPV-related cancers. About 75–80% of sexually active people will be exposed to HPV at some point. Most infections clear on their own. But certain high-risk strains can persist and increase cancer risk over time. In Canada, approximately 1,550 people are diagnosed with cervical cancer each year and about 400 die annually (Canadian Cancer Society). Almost all cases are linked to HPV and are largely preventable. In this episode, we cover: What HPV is (and isn’t)What happens after a positive testWho should get the vaccine and whether it’s ever too lateChanges to cervical cancer screening in CanadaWe also clear up common myths and explain how to move from panic to prevention. If you’ve ever received an HPV-positive result and worried, this one’s for you.  Thank you to our sponsor, FIGS. If you work in health care (or love someone who does), you know how important comfort and function are. Use code FIGSDOCTALK for 20% off your first order at wearfigs.com.  Disclaimer A reminder that The Doc Talk is for general information purposes only. This podcast is not intended to replace medical advice from your doctor. While we are doctors, we are not your doctor. Always speak to your own healthcare provider for questions related to your personal health needs.  Follow us on social media @thedoctalkpod and don’t forget to subscribe, rate, and review wherever you listen to podcasts.

    24 min
  3. MAR 24

    31. What Should You Actually Feed Your Kids?

    Feeding kids has become one of the most overwhelming parts of parenting. In this episode, we cut through the noise on starting solids, picky eating, supplements, and the growing confusion around sugar and ultra-processed foods.  We’re joined by Registered Dietitian Nita Sharda (Happy Healthy Eaters) to break down what the evidence actually says and how to apply it in real life. What we cover: Baby-led weaning vs spoon-feeding What it is, what the evidence shows, and how to approach it safelyStarting solids Nutritional priorities in early feeding and practical first food guidance Safe introduction of common allergens including peanut, egg and dairyIron and vitamin D When supplementation is needed vs food-based approaches Signs kids may not be meeting requirementsPicky eating What’s developmentally normal vs concerning Strategies to reduce mealtime stress and support variety How to think about “enough” intake and growthNutrition misinformation Common myths circulating online and how to identify credible sourcesAdded sugar What the evidence says about timing and amounts in childhoodUltra-processed foods What they are, why they matter and how to approach them realisticallyGuest: Nita Sharda, Registered Dietitian and co-founder of Happy Healthy Eaters, shares practical, evidence-based strategies to support family nutrition. Connect with Nita: Instagram: @nita_sharda Instagram: @happyhealthyeaters Thank you to our sponsor, FIGS. If you work in health care (or love someone who does), you know how important comfort and function are. Use code FIGSDOCTALK for 20% off your first order at wearfigs.com.  Disclaimer A reminder that The Doc Talk is for general information purposes only. This podcast is not intended to replace medical advice from your doctor. While we are doctors, we are not your doctor. Always speak to your own healthcare provider for questions related to your personal health needs.  Follow us on social media @thedoctalkpod and don’t forget to subscribe, rate, and review wherever you listen to podcasts.

    43 min
  4. MAR 10

    30. Are Women Being Gaslit in Medicine?

    For International Women’s Day, we’re tackling a difficult but important question: are women’s symptoms being dismissed in healthcare? Research shows that women experience higher rates of missed and delayed diagnoses for several major conditions. Women under 55 are more likely than men to be misdiagnosed during a heart attack. Endometriosis takes an average of 7–10 years to diagnose. And women account for roughly 75–80% of autoimmune disease cases, often after years of unexplained symptoms. So what’s going on? In this episode, we break down the data behind women’s health inequities, why these patterns occur and how system pressures, research gaps and cognitive bias can contribute to women feeling unheard in medical settings. We also talk about the broader consequences of this trust gap, why it matters for the future of Canadian healthcare and how clinicians, patients and policymakers can help move the system forward. This episode is not about blaming individual doctors. It’s about understanding patterns, rebuilding trust and asking what needs to change so women’s symptoms are taken seriously. In this episode we discuss: • Why cardiovascular disease remains the leading cause of death in women • The long road to diagnosis for conditions like endometriosis and autoimmune disease • How research history has shaped modern medicine • System pressures in Canadian healthcare that affect complex diagnoses • The role of cognitive bias in clinical decision-making • Why women may feel dismissed in medical encounters • Practical ways patients can advocate for themselves • What clinicians and health systems can do to improve trust and outcomes Thank you to our sponsor, FIGS. If you work in health care (or love someone who does), you know how important comfort and function are. Use code FIGSDOCTALK for 20% off your first order at wearfigs.com.  Disclaimer A reminder that The Doc Talk is for general information purposes only. This podcast is not intended to replace medical advice from your doctor. While we are doctors, we are not your doctor. Always speak to your own healthcare provider for questions related to your personal health needs.  Follow us on social media @thedoctalkpod and don’t forget to subscribe, rate, and review wherever you listen to podcasts.

    23 min
  5. MAR 3

    29. Before You Board: Travel Health Essentials Every Canadian Should Know

    Travel is exciting. Getting sick on vacation is not. In this episode, we walk through what Canadians should think about before heading out of the country, and even within it. From vaccines and malaria prevention to travel insurance, food and water safety and emergency planning, this is your practical guide to staying safe while you explore. We focus on what actually matters, where to find reliable information and how to prepare without overcomplicating it. In This Episode, we cover: Why travel health planning should start weeks before departureHow to check if you need travel vaccinesWhat to know about malaria preventionWhy travel insurance is not optional outside CanadaWhat to bring in a basic travel health kitFood and water precautions abroadWhat symptoms should prompt medical attentionHow to prepare for emergencies in another countryWhat Canadians should know about healthcare coverage between provincesPreparation does not take the fun out of travel. It protects!  Thank you to our sponsor, FIGS. If you work in health care (or love someone who does), you know how important comfort and function are. Use code FIGSDOCTALK for 20% off your first order at wearfigs.com.  Disclaimer: This podcast is for general information only and does not replace medical advice from your own health care provider.  Follow us on social media @thedoctalkpod and don’t forget to subscribe, rate, and review wherever you listen to podcasts.

    23 min
  6. FEB 24

    Special Heart Month Rerelease! Episode 10: Think It’s Not Your Heart? Think Again.

    In light of Heart Month, The Doc Talk Podcast is dropping a special re-release of our episode on heart health. Heart disease is the leading cause of death for women in Canada. In this episode of The Doc Talk Podcast, we dive into what heart disease can look like in women, how it’s too often overlooked, and what you can do to protect yourself and those you love. We kick off with a listener question from Kellie, who asks: “What does the research say about how heart disease shows up differently in women—and how can we advocate for ourselves when screenings don’t tell the whole story?” It’s a crucial question—because heart disease often does look different in women, and the healthcare system isn’t always set up to recognize that. In this episode, we break down how to recognize symptoms, what tests can (and can’t) show, and the steps you can take to protect your heart. In this episode, we cover: What heart disease really is and why women are underdiagnosedHow the symptoms of heart attacks and strokes differ in womenWhy perimenopause and menopause increase risk—and what to do about itThe gender gap in medical research and its impact on heart healthAdvocacy tips for navigating the ER and pushing for follow-up careWhat “knowing your numbers” actually means (and when to start checking them) Dr. Shaz and Dr. Sheila share personal insights, ER stories, and a practical “Prescription for Heart Health” that’s rooted in prevention and empowerment. Key Takeaways: Symptoms of heart attack in women can be subtle: nausea, fatigue, dizzinessMany risk factors—like high blood pressure, smoking, or inactivity—are preventableMenopause plays a key role in heart risk due to hormonal changesSpeak up in healthcare settings—your story mattersScreening starts at 40, earlier if you have risk factors or family history If this episode helped you see heart health in a new light, please share it—it might just save a life. Missed our perimenopause episode? Go back and check out Episode 2 for more on how hormonal changes affect heart and brain health. Follow us on Instagram @thedoctalkpod! Have a question for our docs? Send us a message—we might feature it in an upcoming episode! Disclaimer: This podcast is for general information purposes only and is not a substitute for personal medical advice. Always consult your own healthcare provider for recommendations specific to your health.

    31 min
  7. FEB 17

    28. Perimenopause: What’s Happening to Me?!

    Perimenopause can feel confusing, frustrating, and at times overwhelming and most of us aren’t taught what to expect.  We usually start with a listener question, but this time, it’s Dr. Shaz asking Dr. Sheila all the real-world questions about perimenopause. The ones patients bring to clinic every day. The ones many are Googling at 2 a.m.  From symptoms to lifestyle shifts to medication options and how to know what’s right for you, we break it down clearly and practically. Perimenopause isn’t just about hormones, it’s about being heard. We talk about how to prepare for appointments, what to ask, when to investigate further, and how to advocate for yourself in a system that doesn’t always prioritize midlife women’s health.  You deserve evidence-based information. You deserve options. You deserve care that takes your symptoms seriously. With the right support, this phase can be navigated with clarity and confidence.  Tune in and share with someone who needs this conversation.  We’re in this with you. Thank you to our sponsor, FIGS. If you work in health care (or love someone who does), you know how important comfort and function are. Use code FIGSDOCTALK for 20% off your first order at wearfigs.com.  Disclaimer: This podcast is for general information only and does not replace medical advice from your own health care provider.  Follow us on social media @thedoctalkpod and don’t forget to subscribe, rate, and review wherever you listen to podcasts.

    36 min
  8. FEB 3

    27. Clot or Not? The Blood Clot Symptoms You Can’t Afford to Miss

    Blood clots are common, often preventable, and still widely misunderstood. In this episode, Dr. Sheila Wijayasinghe and Dr. Shazma Mithani unpack what people actually need to know about deep vein thrombosis (DVT) and pulmonary embolism (PE), conditions we see every day in clinic and the ER. We talk through real-world risk factors, symptoms that should never be ignored, and why clots don’t always present in obvious or dramatic ways. We also cover practical prevention strategies, how clots are diagnosed, and what treatment typically looks like. Whether you’re a healthcare worker or someone trying to understand your own risk, this episode focuses on awareness, early recognition, and why acting quickly matters. In this episode, we cover: •What DVTs and PEs are and why they can be dangerous •Who is at higher risk and why risk isn’t evenly distributed •Symptoms that should prompt urgent medical care •What prevention actually works •How blood clots are diagnosed and treated •Clinical pearls for healthcare workers Thank you to our sponsor, FIGS. If you work in health care (or love someone who does), you know how important comfort and function are. Use code FIGSDOCTALK for 20% off your first order at wearfigs.com. Disclaimer Thank you for tuning into The Doc Talk Podcast. This podcast is for general information purposes only and is not intended to replace medical advice from your doctor. While we are doctors, we are not your doctor. Always speak to your own healthcare provider for questions related to your personal health needs. Follow us on social media @thedoctalkpod and be sure to like, subscribe, and review us wherever you get your podcasts.

    20 min
4.8
out of 5
46 Ratings

About

Dr. Shazma Mithani and Dr. Sheila Wijayasinghe have spent years navigating the health care system. Not just as doctors for their patients, but as moms for their kids, and patients themselves. And they know it's not always straightforward. Every two weeks they'll take a real question from a real patient, and provide in-depth answers with a clear path to action, with help from other trusted experts. No jargon. No time wasted. Just real talk about real issues from two doctors who've seen it all. And they'll give you the inside scoop on how to navigate the health care system like a pro. This is The Doc Talk.  Disclaimer: The Doc Talk is for general information purposes only. This podcast is not intended to replace medical advice from your doctor. While we are doctors, we are not your doctor.  Always speak to your own healthcare provider for questions related to your personal health needs. 

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