Ditch The Labcoat

Dr. Mark Bonta
Ditch The Labcoat

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.

  1. 4 DAYS AGO

    "T Talks" with Men's Health Expert Dr. Adam Millar

    DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.    >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.        Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome to another episode of "Ditch the Lab Coat," the podcast where we delve into science-based skepticism and medical insights. I'm your host, Dr. Mark Bonta, and today's episode is an eye-opener for anyone curious about men's health, specifically testosterone.  I'm joined by Dr. Adam Millar, a leading expert who will help us navigate the complexities and common misconceptions surrounding this vital hormone. We'll discuss the optimal timing and conditions for measuring testosterone levels, the overprescription concerns, and the often overlooked role of the pituitary gland in testosterone production. We'll also touch on hypogonadism and its impact on testosterone and sperm production. Our conversation will differentiate between evidence-based medical advice and the often misleading claims from social media influencers. Dr. Millar will share insights from high-quality studies, including the pivotal Traverse trial, and highlight the importance of informed decision-making when it comes to testosterone therapy. We’ll explore natural ways to boost testosterone and the potential risks of unwarranted treatments. Whether you're considering testosterone therapy or just want to understand more about what drives these discussions, this episode is packed with valuable information. So, sit back and get ready to ditch the lab coat for some straightforward, evidence-based talk on testosterone. Don’t forget to check out our blog at ditchthelabcoat.com for more resources and share this episode to spread the knowledge! 05:11 - Growing interest and increasing prescriptions for testosterone worldwide.08:31 - Non-uniform hypogonadism diagnosis complicates treatment decisions.12:30 - Symptoms alone are not reliable indicators of low testosterone.15:23 - Testosterone production occurs in Leydig cells, stimulated by LH.17:26 - Semen analysis helps assess sperm production and fertility.21:40 - Testosterone boosts energy and strength but can impair fertility.24:39 - Potential harms of testosterone include reproductive and cardiovascular issues.28:17 - Discussion on testosterone's necessity; symptoms are often nonspecific.31:53 - Is testosterone's effect truly objective or just placebo?35:08 - Exploring the role of testosterone in men’s health and aging.39:35 - Testosterone gel is not linked to increased heart issues.41:41 - Randomized studies suggest testosterone may not cause harm.47:19 - Valuable conversation emphasizing informed health guidance.50:19 - Empowering the audience to research and make informed decisions.51:33 - Closing discussion on testosterone; visit ditchthelabcoat.com.

    53 min
  2. DEC 11

    Woman's Health with Dr. Woganee Filate

    DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.    >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.        Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome back to "Ditch the Lab Coat," the podcast that delves into important healthcare topics with a critical, scientifically skeptical lens. I'm your host, Dr. Mark Bonta. In today's episode, we're honored to have Dr. Woganee Filate with us, a leading expert in women's health and co-founder of LOOM Women in Health.  Dr. Filate is here to shed light on the often-overlooked subject of menopause. Together, we'll explore the urgent need to include menopause education in medical school curricula, normalize discussions around this natural part of aging, and provide better care for women experiencing menopausal symptoms. We'll touch on the historical context of hormone therapy, the benefits and risks associated with it, and the disparity in attention given to women's health compared to men's. Additionally, Dr. Filate will offer valuable advice for women navigating this stage of life and emphasize the importance of advocating for oneself in the healthcare system. Stay tuned for an enlightening conversation that promises to empower women to be their authentic selves and improve community health. Let's dive in! 01:00 - Introducing Dr. Wagani Falati, a dedicated advocate for women's health. 05:17 - Discussing puberty changes and lack of awareness around menopause timing. 06:36 - Perimenopause symptoms can begin up to 10 years before menopause. 11:05 - Menopause hormone therapy addresses low estrogen symptoms effectively. 13:40 - Vaginal changes due to aging can be treated with local estrogen. 17:13 - Hormone therapy also promoted for preventing chronic diseases. 21:24 - Highlighting disparities in women’s health research, including testosterone and cardiac studies. 23:31 - Women's health has historically been deprioritized in male-dominated medical research. 28:12 - Improving healthcare requires collective efforts and continuous learning. 30:01 - Women’s health empowerment benefits not just individuals but entire communities. 33:14 - Estrogen replacement therapy benefits vary and should follow a personalized approach. 38:04 - Comprehensive evaluations are vital to avoid premature diagnoses. 40:29 - Advising caution and verification when consuming health advice on social media. 45:40 - Groundbreaking work in female health research with a promise to address male health next.

    47 min
  3. DEC 4

    Things That Go Bump In The Night: Holiday Heart and Smart Watches with Dr Zachary Laksman

    DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.    >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.        Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.  Welcome to another episode of "Ditch the Lab Coat," where we break down complex medical science in an engaging and relatable way.  In today's episode, our hosts, Dr. Mark Bonta and Dr. Zachary Laksman, dive deep into the nuances of managing atrial fibrillation (AFib). We'll dissect the foundation and challenges of current treatment guidelines, explore the growing role of atrial fibrillation ablation, and discuss the fascinating phenomenon of "Holiday Heart." Dr. Laksman will also share insights from his cutting-edge work at the intersection of genetics and personalized medicine, including the innovative MyTrials AI platform he's co-founded. This tool aims to democratize access to clinical trials using artificial intelligence, making them accessible irrespective of personal networks. We'll cover the emerging potential of wearables in heart rhythm monitoring, the importance of lifestyle interventions, and the evolving landscape of AFib treatment. Whether you're a medical professional or simply curious about heart health, this episode offers valuable perspectives and practical advice. Stay tuned as we unravel these topics and more with the expertise of Dr. Zachary Laksman, an acclaimed heart rhythm specialist and leader in cardiogenetics. Don't forget to check out our new website and engage with us for more insightful content. Let's get started! 00:00 - Seek professional advice, not podcast opinions. 05:50 - Wearable devices: Reliable, clinically relevant, widely used. 08:50 - Heart doctor: Electrician managing heart's nerve impulses. 12:50 - Atrial fibrillation increases stroke risk despite rhythm. 14:19 - Smartwatch inconsistencies in detecting atrial fibrillation. 19:33 - Rhythm control improves life quality and longevity. 20:17 - Modifiable and unmodifiable risk factors affect atrial fibrillation. 25:56 - Researching interventions for high-risk patient outcomes. 28:24 - Lifestyle changes reduce recurrent atrial fibrillation likelihood. 31:10 - Shock hearts carefully; consider anticoagulants beforehand. 33:52 - Are guidelines fear-mongering or evidence-based? 37:55 - Electrophysiology advances improve atrial fibrillation ablation. 41:54 - Tailoring medicine to individuals for better outcomes. 46:02 - AI aids connection, education, breaking trial barriers. 48:43 - Helping people navigate medical concerns and care. 53:44 - Heart rhythms, paddles, blood thinners, stroke prevention. 55:27 - Zach's AI project expands clinical trial access.

    58 min
  4. NOV 27

    Agony and Ecstasy: Psychedelics for Chronic Pain with Dr Akash Goel

    DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.    >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.        Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome back to "Ditch the Lab Coat," the podcast where we dive into complex healthcare topics with a scientific and skeptical lens. In this episode, our host Dr. Mark Bonta sits down with Dr. Akash Goel, an esteemed anesthesiologist and pain specialist, to explore the intricate world of chronic pain management. We'll delve into the prevalence of chronic conditions like stenosis, myofascial pain dysfunction, and sacroiliac joint dysfunction, particularly in older adults and women. Dr. Goel sheds light on the challenges of pain assessment and the often-overlooked patient experience of feeling disbelieved by family and caregivers. We'll discuss the limitations of traditional pain scales and the innovative tools reshaping pain treatment, such as quantitative sensory testing and real-time data from wearables. Dr. Goel's pioneering research, including a clinical trial with MDMA and ketamine for chronic pain management, will provide a glimpse into the future of pain therapy. Join us for an engaging conversation that highlights the evolving interface of AI, psychedelics, and psychotherapy in tackling chronic pain. Dr. Bonta and Dr. Goel also touch upon the broader challenges within the healthcare system and the exciting potential of new research and technological advancements. Stay tuned for insights that could change how we understand and treat chronic pain. 06:40 - Doctors frequently encounter medically unexplained symptoms. 08:57 - Chronic pain is diverse, commonly affecting older women. 11:45 - Many patients feel disbelieved when reporting chronic pain. 16:45 - Pain-related disability and interference assessed using specific scales. 17:42 - Leveraging data to predict and manage chronic pain effectively. 23:45 - Psychedelic compounds shown to aid in chronic pain psychotherapy. 26:17 - Understanding chronic pain requires grouping patients into subcategories. 28:48 - Chronic pain alters the brain and spinal cord's response mechanisms. 33:58 - Emphasis on the need for quality placebo-controlled clinical trials to refine approaches. 37:49 - Research into safe MDMA dosing and administration frequency. 38:41 - 120mg of MDMA produces effects similar to 60mg of Ritalin. 43:03 - Psychotherapy improves connection, access, and creates lasting therapeutic impacts. 49:12 - Chronic pain’s complexities inspire exploration of new treatments. 50:16 - Psychedelics enhance psychotherapy, with Dr. Goel’s research showing optimism.

    53 min
  5. NOV 20

    Wisdom From A Legend | Dr. Allan Detsky

    DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.    >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.        Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.  Welcome to another episode of "Ditch the Lab Coat," the podcast where we critically explore the latest in medical science and healthcare with engaging discussions and a dose of skepticism.  I'm your host, Dr. Mark Bonta, and today we have an insightful conversation lined up with our distinguished guest, Dr. Allan Detsky.  Dr. Detsky, a professor at the University of Toronto and former Chief Physician at Sinai Health Systems, brings his extensive knowledge in evidence-based medicine, health policy, and clinical experience into our discussion. In this episode, we'll delve into the complex landscape of pain management and the opioid crisis, explore the future health challenges posed by climate change and societal shifts in civility, and critique the growing influence of unregulated health advice on social media. Dr. Detsky shares his candid views on the pharmaceutical industry's role in drug development, conflicts of interest, and the intricate relationship between lifestyle changes and medical advancements. We'll also discuss the limitations of evidence-based medicine, especially when it comes to treating patients with multiple conditions, and the challenges of applying clinical guidelines to real-world settings. Plus, stay tuned for an announcement about a website overhaul, launching in December, featuring expanded blog content for our curious listeners. Join us as we unravel these pressing issues and more, always questioning, always learning. "Ditch the Lab Coat" continues right now. 00:00 - Podcast begins with healthcare insights from Dr. Alan Detsky. 05:31 - Highlighting the role of randomized trials in improving evidence-based medicine. 08:52 - Questioning the efficacy of zinc supplements for healthy young adults. 10:27 - Clinical study results often fail to align with real patient demographics. 16:57 - Lack of shared decision-making opportunities for hospitalized patients. 19:22 - Discussing right-wing skepticism toward pharmaceutical companies, balanced with acknowledgment of their contributions. 21:21 - Exploration of how pharmaceutical companies prioritize profits over public-interest-driven drug development. 25:00 - Reflecting on personal and professional relationships with drug industry figures. 30:43 - Increasing dependency on lifelong medications in healthcare. 35:14 - Potential for AI to address systemic issues despite its resource demands. 36:35 - Emphasizing the importance of verifying credentials to avoid unqualified healthcare professionals.

    39 min
  6. NOV 13

    Eye 101: Pupil & Teacher with Dr. Christine Suess

    DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.    >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.        Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome back to another episode of "Ditch the Lab Coat," where we tackle health issues with scientific skepticism and bring you the latest insights straight from the experts. Today, we have the pleasure of hosting Dr. Christine Suess, a seasoned ophthalmologist with over two decades of experience and a former Chief of Ophthalmology at Cornwall Community Hospital. Dr. Suess will shed light on the intricate world of eye health, from common conditions like presbyopia and myopia to the impacts of screen time on children's vision. We'll delve into the importance of regular eye exams, the realities of eye surgeries, and essential tips on preventing retinal damage with proper UV protection. Tune in as we bust some myths, discuss ocular emergencies, and explore the evolving role of technology in eye care. Plus, you'll get some unique insights, including how eye health can reflect overall body wellness and why a career in ophthalmology might just be the perfect blend of precision and patient care. This episode is packed with valuable information to help you keep your vision clear and your eyes healthy. Stay with us as we uncover these fascinating topics! 01:00 – Dr. Christine Seuss discusses her ophthalmology expertise. 04:48 – Chose career for balance; nurses' supportive advice. 08:54 – How to connect with an ophthalmologist or optometrist? 11:55 – Glasses ease presbyopia; adaptation or denial, discussed. 13:43 – Screen time may increase myopia risks in children. 18:47 – Crusting on eyelids may indicate blepharitis. 22:00 – Use artificial tears and cool compresses; consult ophthalmologist. 23:02 – Medical specialties attract people with specific traits. 28:21 – Handling ocular emergencies and managing glaucoma remotely. 32:33 – Wear sunglasses with 100% UVA, UVB protection. 35:00 – Eye surgeries now use topical drops for numbing. 37:09 – No patch, use shield; hydrate wound closure. 39:18 – Serious eye injuries require urgent specialist care. 43:22 – Limited experience with ophthalmology as a student. 48:07 – Discussing teeth and vision care with an empathetic expert.

    49 min
  7. OCT 31

    Diabetes For Dummies with Dr Satya Dash

    DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.    >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.        Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.  Welcome back to "Ditch the Labcoat," the podcast where we cut through the medical jargon to bring you clear, actionable insights on health and wellness. I’m your host, Dr. Mark Bonta, and today, we're diving deep into the complex world of type 2 diabetes with our esteemed guest, Dr. Satya Dash. In this episode, we’ll explore how even simple changes, like short bursts of post-meal activity, can significantly improve insulin sensitivity and control blood glucose levels. We’ll also bust the myth that sugary snacks are the real culprits behind kids going hyper on Halloween, and instead, look at the role excitement and events play. From the multi-faceted approach required for managing type 2 diabetes, including lifestyle changes, advanced medications, and the promising role of bariatric surgery, to the future trends in diabetes treatment with groundbreaking hormonal modulators, this episode has it all. Dr. Dash will also share insights from an intensive 12-week program based on the UK’s Direct Study that has shown impressive diabetes remission rates. We’ll discuss the role of caloric surplus in weight gain, the effectiveness of early intervention, and the challenges of sustaining long-term weight loss—touching on everything from genetic predispositions to the importance of individualized treatment plans. So hunker down and get ready to ditch that lab coat mentality as we uncover the truths about managing and potentially reversing type 2 diabetes. Stay tuned for an informative and unscripted dialogue designed to bring a scientific skepticism to the latest healthcare trends. Let’s get started! 05:28 – Excess calories cause organ fat, leading to insulin resistance. 06:41 – Excess calories are stored differently by genetics. 10:11 – Various tests diagnose diabetes and prediabetes status. 14:13 – Does healthcare prioritize prevention or immediate treatment? 16:06 – Meal replacement aids type 2 diabetes remission. 20:20 – Weight loss primes overeating; habits revert easily. 23:13 – Diabetes management improves health, despite temporary remissions. 27:58 – Managing diabetes requires medication beyond conversation. 31:43 – Surgery aids health; underutilized yet validated. 34:18 – Various procedures offer health benefits for diabetes. 37:29 – Tirzepatide reduces A1C; costly but effective. 39:38 – Oral drugs may surpass injections, surgery options. 46:07 – Episodes are unscripted, conversational, occasionally require guidance. 47:25 – Simplifying complex topics for understanding diabetes management.

    50 min
  8. Preparing Yourself For Cold & Flu Season Using The Ditch The Labcoat Teachings

    OCT 23

    Preparing Yourself For Cold & Flu Season Using The Ditch The Labcoat Teachings

    DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.    >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.        Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.  Welcome to "Ditch the Lab Coat," the podcast where we break down health issues with a critical and skeptical eye. I'm your host, Dr. Mark Bonta. This episode is a special interlude where we'll address your burning questions about staying healthy during the fall and winter seasons. We’ll delve into the effects of COVID-19 on children's health and social interactions, emphasizing the importance of accepting viral illnesses as a normal part of life. We’ll also revisit some previous topics, including addiction medicine, critical care, and infectious diseases, reflecting on how these issues intersect with our everyday experiences. We'll discuss the challenges of navigating quick-fix health cures often advertised and why it’s crucial to be skeptical and informed. I’ll share personal insights on practical preventive measures, the impact of parental health on children, and the science behind vaccinations.  Plus, we'll explore the significance of moderate exercise, good sleep hygiene, and proper hydration in maintaining overall health. Thanks for joining us today. Let’s dive in—and don't forget to check out our newly revamped website at www.ditchthelabcoat.com for more resources and links. Stay tuned for our next episode, where we tackle the complex world of diabetes. 00:00 – Answering health questions in special podcast session.03:41 – Understanding healthcare through accessible, unscripted conversations.08:49 – No quick fix for avoiding common illnesses.12:26 – Vitamin C is generally sufficient; supplements unnecessary.15:02 – Exercise improves mental, bone, and cardiovascular health.19:07 – Moderation in exercise prevents frequent illness.24:28 – Vaccines crucial for vulnerable, aging populations' protection.27:03 – Ibuprofen, Tylenol help symptoms; practice good hygiene.29:53 – Cranberry extract unlikely effective against urinary infections.35:14 – Adverse childhood events increase chronic illness risks.39:10 – Research, decide wisely; prioritize reputable sources.40:32 – Rebranding website; thanks to the team and supportive family.

    41 min

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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.

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