Ditch The Labcoat

Dr. Mark Bonta
  • 5.0 (1)
  • MEDICINE
  • UPDATED WEEKLY
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. 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
  2. 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

  3. OCT 16

    Between Brain and Mind: Unpackaging Functional Neurological Disorders with Dr Sarah Lidstone

    DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.    >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.        Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome to another enlightening episode of "Ditch the Lab Coat," where we delve into the complexities of healthcare with a sharp, science-based skepticism. I'm your host, Dr. Mark Bonta, and today we're joined by the brilliant movement disorders neurologist, Sarah Lidstone. In this episode, we explore the intricacies of Functional Neurological Disorders (FND), a condition where the brain's function fails despite appearing normal on tests. We'll unpack the pivotal role of interdisciplinary care in treating FND, the significance of recognizing symptoms and triggers, and the essentiality of patient acknowledgment for effective therapy. Sarah shares her expertise on the communication breakdowns in brain networks that lead to functional symptoms, and how historical misconceptions have shaped the treatment of such disorders. We critique the healthcare system's often dismissive attitude and discuss strategies to improve provider skills and patient outcomes. Listen as we discuss real-world examples, like dissociative seizures versus epileptic seizures, and the nuanced clinical examinations that differentiate them. We'll also dive into therapy misconceptions and the importance of supporting patient agency in the recovery process. Whether you’re a healthcare professional or simply intrigued by the mind-body connection, this episode promises to be an engaging and insightful journey into the world of FND. So, grab your headphones, and let's ditch the lab coat for an hour and uncover the fascinating science behind these complex disorders. Tune in now! 07:33 – FND highlights healthcare system's shortcomings and improvements. 12:38 – Testing rules out comorbid neurological conditions, non-lesional deficits. 20:07 – Societal attitudes challenge understanding of functional disorders. 22:08 – FND misdiagnosis: historical misunderstanding, lacking clinical home. 30:04 – Emotional challenges diagnosing psychogenic, non-epileptiform seizures. 36:45 – Distinguishing seizures can be challenging and nuanced. 38:26 – CBT helps control seizures, reducing emergency visits. 47:34 – Support patients' agency and structure healthcare systems. 51:57 – Recognizing symptom changes enables better treatment understanding. 56:11 – Functional neurological disorders often face systemic dismissal. 59:37 – Body worked fine despite previous dysfunction experience.

    1h 1m

  4. OCT 9

    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) 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.

    57 min

  5. OCT 2

    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) 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.

    58 min

  6. SEP 25

    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) 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.

    51 min

  7. SEP 18

    From Methadone to Ibogaine: Navigating the Future of Addiction Treatment with Dr. Jon Mong and Dr. Wiplove Lamba - Part 2

    DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.    >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.        Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.  Welcome to "Ditch the Lab Coat," the podcast where we dive into pressing health issues with scientific skepticism and heartfelt curiosity. I'm your host, Dr. Mark Bonta, and in this episode, we are back with our second part to the two-part series focused on the intricate world of addiction treatment. Joining us today are two distinguished guests: Dr. Jon Mong, a general internal medicine and addictions physician, and Dr. Wiplove Lamba, an addiction psychiatrist. Together, Dr. Mong and Dr. Lamba will shed light on the promise and perils of new treatment approaches, underscore the necessity of comprehensive support systems, and point to the pivotal role of social supports and stable housing in fostering sustainable recovery. We also tackle the cultural and historical context of the opioid crisis, including the profound impact of Purdue Pharma and the Sackler family. Dispelling misconceptions about fentanyl, you'll learn about the real risks, the invaluable role of naloxone, and practical steps for overdose prevention. This episode is not just about groundbreaking therapies; we will discuss the critical need for rigorous, high-quality data to back new treatments and reflect on the significant influence of private companies in the field. Our guests will emphasize the paramount importance of addressing the root causes of substance use, building life skills, and creating supportive networks to prevent relapses. Lastly, this episode will feature discussions on opioid tolerance, withdrawal management, and the nuanced balance between the risks of prescribing medications versus the risks of untreated withdrawal. You’ll gain insights into how healthcare teams can shift their perceptions and practices to better support patients with substance use 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.

    52 min

  8. SEP 11

    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) 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.

    51 min
See All (39)

Trailer

Ratings & Reviews

About

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.

Information

  • Creator
    Dr. Mark Bonta
  • Years Active
    2K
  • Episodes
    39
  • Rating
    Clean
  • Copyright
    © 2024 ditchthelabcoat.com - All Rights Reserved
  • Show Website
    Ditch The Labcoat

You Might Also Like

To listen to explicit episodes, sign in.

Stay up to date with this show

Sign in or sign up to follow shows, save episodes, and get the latest updates.
Select a country or region

Africa, Middle East, and India

Asia Pacific

Europe

Latin America and the Caribbean

The United States and Canada