Ditch The Labcoat

In this episode of Ditch the Labcoat, Dr. Mark Bonta does something different. For the first time on the podcast, he speaks with a former patient.Nora Rabah Rodden joins the show not as a clinician, but as someone who lived for years with debilitating symptoms that medicine couldn't explain or fix. Despite normal tests and repeated reassurance, her pain, GI symptoms, fatigue, and nervous system distress persisted. What she encountered instead was a gap in care. Not a lack of effort, but a lack of framework.Nora shares how learning about neuroplasticity and nervous system patterning finally gave her symptoms context. Not imagined. Not psychological. Learned, reinforced, and reversible. That experience became the foundation for why she later co-founded Nervana.Together, they explore why so many patients are dismissed once serious disease is ruled out, how threat signaling and conditioned responses can keep the body stuck in symptoms, and why telling patients “nothing is wrong” is often the most harmful message of all. The conversation breaks down the science of neuroplastic recovery in plain language, while staying honest about its limits and responsibilities.This episode is about what happens when medicine runs out of explanations, and what becomes possible when we stop treating unexplained symptoms as a dead end and start treating the nervous system as something that can learn, adapt, and heal.Nora's Link : https://www.trynervana.com/Episode Takeaways 1. Patient Experience Matters: Normal tests do not equal normal lives. Symptoms can persist even when disease is ruled out.2. Neuroplastic Symptoms Are Real: Learned nervous system patterns can drive pain, GI distress, fatigue, and insomnia without structural damage.3. “Nothing Is Wrong” Is Harmful: Reassurance without explanation often deepens fear, confusion, and isolation.4. Symptoms Can Be Learned and Unlearned: The brain adapts quickly, for better or worse, and those patterns are reversible.5. This Is Not Psychosomatic: Neuroplastic recovery is grounded in neuroscience, not imagination or positive thinking.6. Awareness Changes Identity: When patients stop identifying with symptoms, recovery often begins.7. Recovery Is Gradual, Not Dramatic: Progress usually looks subtle, steady, and cumulative rather than sudden.8. Lived Experience Can Build Better Care: Nora’s recovery is why Nervana exists, to close the gap medicine often leaves behind.Episode Timestamps04:18 – Why This Episode Is Different: The First Patient Voice08:36 – When Tests Are Normal but Symptoms Are Not13:09 – The Gap Between Disease and Dysfunction18:52 – Neuroplasticity Explained Without the Jargon24:35 – Why “Nothing Is Wrong” Can Be Harmful30:13 – How the Nervous System Learns Symptoms36:56 – What Recovery Actually Looks Like in Practice43:14 – Turning Lived Experience Into a Care FrameworkDISCLAMER >>>>>>    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 (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. 

Dr. Ford Brewer’s story is not about hacks or shortcuts. It is about a physician who left the adrenaline of the emergency department to confront a quieter, more uncomfortable reality. Most of the heart attacks and strokes he saw should never have happened. At Hopkins, in public health, and later in his own practice, he realized how profoundly our future health is shaped by habits that feel small in the moment and by metabolic problems that remain invisible for decades.In this conversation, we unpack what “test, do not guess” really looks like in real life. We talk about the epidemic of undiagnosed prediabetes, why fasting glucose and A1C miss so much disease, and how an old school oral glucose tolerance test can reveal what is really happening under the surface. Dr. Brewer explains continuous glucose monitors, why leg muscle acts like an internal safety valve for high blood sugar, and how small “exercise snacks” can protect you more than heroic gym bursts. We dig into the GLP 1 craze, the politics of food guidelines, and the uncomfortable reality that some systems profit from people staying sick.So whether you are a clinician, a patient who has been told your labs are “fine,” or someone who simply wants to stay out of the cath lab in your 50s, this episode is a sharp reset. It will change how you think about carbs, muscle, and “normal aging,” and it will give you tangible ways to take back agency over your metabolism. Plug in and see what happens when prevention stops being boring advice and becomes a clear plan for protecting the decades ahead.Ford Brewer MD MPH's Links : YouTube : https://www.youtube.com/channel/UCmoEsq6a6ePXxgZeA4CVrUw  Website : https://drfordbrewermd.com/Episode Takeaways 1. Building Better Habits – Long term health depends far more on daily routines than on motivation or willpower. Action beats intention every time.2. Discomfort Drives Growth – Improvement requires stepping outside comfort zones. Sustainable prevention often starts with doing what you do not feel like doing.3. Prevention Is Undervalued – Preventive medicine is dismissed as boring, yet most chronic disease stems from issues that could have been avoided years earlier.4. Prediabetes Is Everywhere – With half the population showing signs of impaired glucose control, early metabolic testing should be a universal priority.5. A1C Is Not Enough – Standard labs miss a large percentage of metabolic disease. Old school glucose tolerance testing reveals problems long before symptoms appear.6. CGMs Change Behavior – Real time glucose feedback helps people finally understand how food and activity affect their bodies and motivates true habit change.7. Muscle Protects Metabolism – Strong, active leg muscles act as metabolic engines that help control glucose spikes and support long term vascular health.8. Food Systems Shape Disease – Big Food, outdated guidelines, and institutional incentives influence what people eat and directly contribute to chronic illness.Episode Timestamps 00:02:32 — Meet Dr. Kang Hsu, Chief Medical Officer of Canary Speech00:03:44 — How voice became medicine: the story behind Canary Speech00:04:29 — Why this conversation matters to clinicians and patients alike00:05:05 — Making science accessible: breaking down complex ideas00:06:59 — Behind the mic: how each episode comes together00:07:59 — Keeping it real: refining, revising, and staying authentic00:09:00 — Can your voice reveal your health? The rise of vocal biomarkers00:13:00 — From telehealth to wearables: real-world applications00:19:00 — The uphill climb: innovation vs. healthcare resistance00:25:00 — The road ahead: what the future of voice in medicine could look like00:31:00 — Closing thoughts and a glimpse into what’s nextDISCLAMER >>>>>>    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 (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. 

In this special New Year’s Eve solo episode, Dr. Mark Bonta steps away from the guest format to reflect on a landmark year for Ditch the Labcoat and to share where the show is headed next.After surpassing 50 episodes and approaching episode 100, Dr. Bonta looks back on how the podcast evolved in 2025. What started as a more traditional interview-style medical show has grown into deeper, more philosophical conversations about performance, longevity, mental health, neuroplastic symptoms, and the human side of healthcare.Using a surprising year-end analytics insight from his recording platform, he explores why the word “athlete” became one of the most frequently used terms on the show, and what that reveals about how healthcare, high performance, parenting, and recovery intersect. He also shares a candid and self-aware resolution for 2026, including how small environmental changes can shape better habits both personally and professionally.Looking ahead, Dr. Bonta outlines meaningful shifts for the podcast in 2026. Expect fewer episodes, greater depth, clearer thematic focus, and more intentional preparation to better honor guests and their work. He also highlights future areas of exploration, including neuroplastic and invisible illnesses, long COVID, chronic fatigue, high-performance mindsets, and the role of technology and AI in improving care.The episode closes with a deeply personal reflection on caregiving. A simple moment at home caring for his daughter leads to a broader meditation on touch, nursing, administrative burden, burnout, and why “caring” remains the most essential and fragile element of modern healthcare.This episode is both a thank-you to listeners and a statement of purpose for the year ahead.Mark Bonta's Links : https://ditchthelabcoat.com/ https://www.linkedin.com/in/mark-bonta-/ Episode Takeaway 1. Healthcare as Performance: Why the Athlete Mindset Keeps Appearing — Recovery, sleep, nutrition, and training principles apply far beyond elite sports.2. Filler Words Reveal Thinking: What “So” Says About Deep Conversation — Pauses often signal reflection, curiosity, and cognitive processing, not incompetence.3. Behavior Change Starts at Home: Environment Shapes Outcomes — The easiest habits are the ones your surroundings make unavoidable.4. Longevity Is Not Biohacking: It’s Consistency Over Intensity — Sustainable routines outperform extreme interventions every time.5. Quality Over Quantity: Fewer Episodes, Deeper Impact — Better preparation and focus create more meaningful learning for listeners.6. Invisible Illnesses Are Real: When Scans Don’t Explain Suffering — Neuroplastic symptoms demand credibility, nuance, and evidence-based care.7. Administrative Burden Erodes Care: Documentation Steals Time From Healing — Systems often pull clinicians away from the bedside.8. Burnout’s Red Flag: When Caring Disappears — Loss of empathy is a warning sign that support and reflection are urgently needed.Episode Timestamps05:08 – Why “Athlete” Became One of the Most Used Words on the Show07:27 – The Most Commonly Used Word on Ditch the Labcoat (And Why It Matters)09:44 – Setting Yourself Up for Success: Habits, Environment, and Behavior Change11:39 – Longevity Lessons from Athletes and Everyday Life14:02 – Quality Over Quantity: How the Podcast Evolves in 202617:25 – Neuroplastic and Invisible Illnesses: What Medicine Still Misses19:25 – Caregiving, Touch, and the Administrative Burden of Modern Medicine24:15 – Burnout, Red Flags, and the Importance of Never Stopping CaringDISCLAMER >>>>>>    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 (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. 

In this episode, Dr. Mark Bonta sits down with pediatrician and medical journalist Dr. Alok Patel to unpack what it really means to keep kids healthy in a chaotic healthcare system and a distracted digital world. Starting with a story about Mark’s nine year old getting injured at hockey, they dive into how parents can respond to injuries and illness without panicking, how to check your own emotions first, and when a situation truly belongs in the emergency department versus urgent care or a clinic visit.Drawing on his frontline pediatric experience, Dr. Patel breaks down practical red flags for parents to watch for, like increased work of breathing or changes in mental status, and explains why ER waits feel so brutal yet often reflect deeper system issues like staffing and bed shortages. He shares behind the scenes stories from “The Pitt” and his work on the official HBO companion podcast, highlighting how accurately the show captures social determinants of health and the emotional reality of modern emergency care.From there, the conversation moves into vaccines, flu season, and the very human fact that even doctors sometimes struggle to follow all their own advice. Mark and Alok talk candidly about phones, social media, Roblox, and why today’s kids are essentially part of a live experiment in screen exposure. They close with a focus on what actually protects kids long term: safe, nonjudgmental adults, honest conversations about mental health, limits around screens, and a home environment that values connection over perfection.Dr. Alok Patel's https://www.alokpatelmd.com/Episode Takeaways1. Parent First, Patient Second: Kids borrow their reaction from you, so the first step in any injury or illness is to calm your own emotions before you decide what to do.2. ER vs Clinic: Not every vomit, bump, or fever is life threatening, and learning when to use urgent care or outpatient clinics can spare families long, stressful ER waits.3. Triage Reality Check: Emergency departments prioritize the sickest patients first, which means long waits for minor issues are frustrating but often a sign the system is doing its job.4. Medicine Behind the Camera: The Pit shows how accurate medical details can sit in the background while stories focus on the real emotional chaos of patients, families, and staff.5. Social Determinants in Real Time: Two kids with the same diagnosis can have completely different outcomes depending on housing, income, family support, and access to care.6. Doctors Are Human Too: Even physicians miss flu shots, struggle with habits, or feel guilty, which can actually make their public health messages more relatable, not less credible.7. Screens and Social Media: The real risk is not one device but a constant digital environment that shapes brain development, sleep, self esteem, and social skills in ways we are only starting to understand.8. Safe Adults Save Lives: The most powerful protection for teens is a nonjudgmental adult who listens, normalizes hard conversations, and gives kids a place to bring their worst thoughts without fear.Episode Timestamps02:06 – Hockey Rink Medicine: How Doctors Triage Their Own Kids04:07 – Parents First: Calming Yourself Before You React to Injury06:50 – ER, Urgent Care, or Clinic: How to Decide Where Your Child Belongs09:37 – Waiting Room Reality: Triage, Delays, and Why Sickest Kids Go First12:34 – Inside “The Pit”: TV Emergency Medicine, Accuracy, and Chaos24:50 – Flu Shots, Doctor Guilt, and Why Practice Often Lags Advice31:06 – Kids, Phones, and Social Media: The Live Experiment on Their Brains37:08 – Teen Mental Health Red Flags: Subtle Signs and Safe Adult SpacesDISCLAMER >>>>>>    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 (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. 

Psychotherapist and author Leah Marone joins Mark for a grounded conversation about why so many of us fall into the trap of overfunctioning for others. Leah, whose new book Serial Fixer explores this exact pattern, explains how emotional mirroring and urgency cycles show up in families, friendships, and clinical environments. She walks through the patterns she sees when people try to rescue or fix someone who is struggling and why that well intentioned approach often fuels more chaos rather than growth.Leah introduces practical indicators that boundaries are slipping, including resentment and repetitive conversations where nothing changes. She breaks down what serial fixing looks like in real time, how quickly we jump into problem solving to relieve our own discomfort, and why validation is the missing skill that keeps ownership where it belongs.She also explains her framework of support not solve, a mindset that helps clinicians, caregivers, and families shift away from codependency and toward healthier relational dynamics. Through relatable examples, Leah teaches how to use I statements, strengthen self trust, and approach hard conversations with clarity rather than guilt.This episode gives listeners concrete tools to stop taking responsibility for what is not theirs, communicate boundaries with confidence, and build more sustainable, compassionate relationships in their personal lives and in healthcare.Leah C Marone, LCSW Website : https://www.serial-fixer.com/TedTalk : https://www.youtube.com/watch?v=qVBjI4tNv3sEpisode Takeaways Self Care Is Not a Spa Day- Real self care is a series of small resets throughout the day that regulate your nervous system.Fixing Others Creates More Chaos- Trying to solve someone’s problems for them often fuels dependency and resentment.Resentment Signals a Boundary Problem- When irritation grows, it usually means you have taken on work that is not yours.Validation Beats Problem Solving- People calm down when they feel understood, not when they receive rapid fire solutions.I Statements Keep Conversations Safe- Replacing “you always” with “I feel” prevents defensiveness and keeps dialogue open.Urgency Is Often Self Imposed- Feeling responsible for everyone’s comfort pushes you into overfunctioning and emotional burnout.Self Trust Requires Reps- Boundaries get easier through practice, not perfection, and discomfort is part of the growth curve.Micro Transitions Change Your Day- Short pauses between tasks help reset your focus and reduce the compounding stress that builds across a busy day.Episode Timestamps03:58 – Meeting the Inner Critic: Why We Judge Ourselves So Harshly05:16 – Realizing People Are Not Thinking About You as Much as You Think24:18 – Why Fixing Others Fails and How to Shift the Pattern25:50 – Boundaries Require Reps: Getting Comfortable With Discomfort28:28 – The Danger of “You” Statements and How They Trigger Defensiveness32:19 – The Hidden Crisis in Medicine: Shell Culture and Silent Burnout33:23 – What Self Care Really Means: Internal Conflict and Rigid Beliefs35:40 – Micro Transitions: How Small Daily Moments Can Reset Your Nervous SystemDISCLAMER >>>>>>    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 (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. 

Invisible illnesses shape millions of lives, yet most patients spend years in the system without answers. Dr. David Clarke has spent his career at the intersection of internal medicine, psychology, and mind-body research. His mission is clear. Help clinicians recognize when symptoms are driven by the nervous system rather than structural disease. Help patients finally feel seen. And give the medical community a framework to reduce unnecessary testing while improving outcomes.In this episode he explains how the brain generates real physical symptoms under stress, trauma, and emotional overload. He walks through clinical red flags that differentiate structural disease from functional conditions. He shares stories of patients who suffered for years before receiving the right diagnosis. Dr. Bonta and Dr. Clarke explore why invisible illnesses are often missed in rushed systems. They dig into tools clinicians can use to validate symptoms without over pathologizing them. They highlight communication strategies that restore trust. They also discuss prevention, early detection, and the growing evidence supporting mind-body approaches.The conversation is practical. Evidence based. Deeply human. Dr. Clarke shows how clinicians can uncover hidden drivers of symptoms and give patients a path to recovery even when imaging and lab work are normal. This episode is designed for anyone who wants to understand the science and psychology behind medically unexplained symptoms and how to improve care for this underserved population.David Clarke, MD's Website : https://www.symptomatic.me/Episode Takeaway 1. Neuroplastic Symptoms: Real physical sensations created by the brain that can improve with the right approach.2. Invisible Illnesses: Often missed because standard training focuses on structural disease, not functional mechanisms.3. Brain Body Pathways: Stress and trauma can activate neural circuits that generate chronic pain and gut symptoms.4. Diagnostic Clarity: Red flags help distinguish functional illness from conditions that need imaging or procedures.5. Validation Matters: Patients recover faster when clinicians acknowledge symptoms without dismissing them.6. Communication Skills: Asking the right questions uncovers hidden emotional drivers behind persistent symptoms.7. Prevention Tools: Early recognition of neuroplastic patterns reduces unnecessary testing and specialist referrals.8. Hope in Recovery: Most patients improve once they learn how the nervous system produces their symptoms.Episode timestamps 02:46 – Why invisible illnesses elude standard medical training06:13 – How the nervous system produces real physical symptoms10:34 – Red flags that separate structural disease from functional illness14:51 – Communication strategies that validate patient symptoms19:30 – Trauma, stress and the hidden drivers of chronic symptoms24:42 – Clinical cases that shifted Dr. Clarke’s diagnostic approach30:04 – Tools clinicians can use to reduce unnecessary testing35:57 – Preventing invisible illness through early recognition and educationDISCLAMER >>>>>>    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 (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. 

In this deeply human episode, Dr. Mark Bonta sits down with cardiac surgeon, scientist, and writer Dr. Paul Fedak for an honest look at the hidden cost of excellence in medicine. Dr. Fedak shares the story of the injury that forced him out of the operating room and into a profound reckoning with identity, purpose, and the culture of silence that surrounds clinician suffering.Drawing from years as Professor at the University of Calgary and Director of the Libin Cardiovascular Institute, he unpacks why perfectionism is so common in medical training, how surgeons learn to mask pain behind composure, and why emotional detachment has long been mistaken for professionalism. Together they explore the unseen burden clinicians carry, the pressure to perform without pause, and the moments when the mask finally cracks.Dr. Fedak speaks candidly about ego death, vulnerability, and rebuilding a life after losing the work that once defined him. He describes the colleagues who opened up only after he shared his own story, highlighting how connection and honesty can transform a profession built on quiet endurance.This episode examines the human side of medicine that rarely makes it into textbooks. Identity. Injury. Recovery. Presence. What it means to care for others while trying to stay whole yourself.A moving conversation for anyone in healthcare or anyone who has ever struggled with the weight of impossible expectations.Paul Fedak, MD, PhD's website : paulfedak.comEpisode Takeaways1. Surgeons are trained to push through pain, not acknowledge it.Medical culture rewards resilience and persistence, but that same conditioning prevents clinicians from recognizing and responding to their own injuries.2. Perfectionism is wired into medical training.Traits like list making, obsessive task completion, and performance under observation are common in medicine and often go unexamined despite their psychological cost.3. The mask of competence becomes automatic.Clinicians become so skilled at hiding distress that even close colleagues fail to notice warning signs. This silence leaves suffering invisible.4. Vulnerability creates connection and protects lives.When Dr. Fedak shared his story, dozens of peers came forward with their own hidden experiences. Openness is not weakness. It is safety.5. Ergonomic injuries in surgery are far more common than most people realize.The physical demands of operating are intense, yet surgeons lack the protections that other healthcare workers receive.6. Leadership shows the true burden physicians carry.Once in leadership roles, clinicians see the depth of burnout, fear, and quiet endurance happening behind the scenes.7. Losing the identity of “surgeon” creates an existential crisis.Stepping out of the operating room forced a complete reevaluation of purpose, ego, and self worth.8. Technical excellence is not the full measure of a doctor.Relational skill, empathy, presence, and human connection matter just as much as procedural skill.9. Medicine needs protected space for reflection.Without pause and presence, clinicians lose touch with themselves and the people they care for. Healing requires time, community, and grounding.10. System structures shape clinician wellbeing.The fee for service model rewards quantity over recovery, creating pressures that make self care feel impossible.11. Paying clinicians to care for themselves could change outcomes.If mental health visits, ergonomic care, and recovery time were compensated, more clinicians would seek help early.Episode Timestamps07:10 How one surgeon’s work related injury forced a career pivot and a deeper conversation about wellbeing.08:25 The secret stories colleagues shared only after Paul opened up about his own suffering.10:30 Independent contractor status and why doctors lack the ergonomic protections nurses receive.13:00 The unseen emotional toll behind surgical careers and what leadership reveals about clinician suffering.16:00 Training teaches perseverance, but injury demands honesty. The conflict surgeons are never taught to navigate.17:28 Medical trainees and perfectionism. Why obsessive traits are six times more common in medicine.19:10 When the mask becomes permanent. How clinicians hide distress even from each other.20:00 Two tragic losses and the lessons Paul learned about checking in with colleagues.22:00 Vulnerability as leadership. Why sharing your story opens the door for others to heal.28:57 Did speaking out come with professional risks. What changed when Paul stopped protecting his own ego.31:55 Losing the identity of “surgeon.” The ego death that followed leaving the operating room.33:40 Beyond technical mastery. Why excellence must include human connection, empathy, and presence.34:46 How medicine can “create space” for reflection, grounding, and real conversations.37:50 The hidden financial pressures behind surgical work and how billing shapes clinician behavior.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. 

Clinical psychologist Dr. Chloe Carmichael joins Dr. Mark Bonta for an important and timely conversation about free speech, emotional regulation, and the psychology of open dialogue. Drawing on her clinical work and her new book, Dr. Carmichael explains how suppressing opinions affects stress, anxiety, and even physical health. She describes her own experience with media self censorship, the impact of masking policies during COVID, and how moving from New York to Florida revealed the mental health benefits of open discussion.The episode explores how naming emotions reduces amygdala activity, how repressing thoughts can lead to acting out, and why honest conversation promotes neural coupling and lowers cortisol. Together they examine bullying, victimhood, groupthink, and how language can unintentionally shut down dialogue instead of inviting clarity and connection.Listeners will learn practical tools for navigating political disagreements, managing emotional overload during difficult conversations, and practicing reflective listening to stay grounded and curious rather than reactive.Dr. Carmichael’s message is simple and powerful. Dialogue matters. Open conversation strengthens emotional regulation, builds healthier relationships, and supports mental clarity. Her invitation to the audience is to have more honest disagreements and to rediscover the psychological value of speaking freely.Dr. Chloe Carmichael Link : https://www.drchloe.com/Episode Takeaways1. Free Speech Supports Mental Health: Speaking openly improves emotional regulation, strengthens relationships, and reduces anxiety.2. Suppressing Thoughts Has Consequences:Bottling emotions disrupts emotional processing and can lead to acting out, stress, and internal tension.3. Labeling Emotions Lowers Fear Response: Simply naming what we feel reduces amygdala activation and increases clarity and control.4. Self Censorship Takes a Psychological Toll: Avoiding truthful expression to fit social expectations erodes authenticity and increases distress.5. Groupthink Is Dangerous: Institutions that suppress debate become vulnerable to poor decisions and intellectual stagnation.6. Open Disagreement Is Healthy: Learning to disagree politely strengthens community bonds rather than damaging them.7. Authoritarian Environments Harm Wellbeing: Chronic suppression of speech leads to anxiety, helplessness, and depressive patterns across populations.8. Language Can Shut Down Dialogue: Words like bullying or victim can be used as shields, stopping rational discussion and reflection.9. Listening Does Not Mean Agreeing: Separating listening from endorsement allows conversations to stay civil and productive.Episode Timestamps01:23 – Dr. Carmichael’s clinical background and early media experience03:40 – Moving from New York to Florida over masking policies04:38 – Mark on masking, speech development, and emotional suppression06:32 – Why naming emotions lowers amygdala activity07:00 – Emotional suppression and how bottling feelings leads to acting out10:00 – Media censorship and limiting acceptable viewpoints13:00 – Listening versus agreeing and the psychology of disagreement17:00 – Thought replacement as a tool for staying grounded20:00 – Why political conversations feel dangerous and how to navigate them24:00 – Groupthink in institutions and intellectual environments26:32 – How suppressing discussion harms innovation and clarity27:10 – Authoritarian environments and mental health consequences28:16 – Living with hidden thoughts and long term anxiety30:24 – The power of labels like bullying to shut down dialogue32:00 – Victimhood culture and the upside down bully victim dynamic35:45 – Why shutting down dialogue creates conflict rather than reducing it40:16 – Dr. Carmichael’s call for more open, happy disagreements42:21 – Closing reflections and holiday dinner table dynamics42:52 – Invitation to join discussion groups with her book purchaseDISCLAMER >>>>>>    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 powerful conversation, Matteo Esposito shares the story that shaped his mission to help others reclaim their lives from addiction and mental illness. Matteo is a Certified Addiction Recovery Coach and co-founder of Invisible Challenge, a movement focused on ending the stigma around invisible illnesses including bipolar disorder, substance use disorders, and suicidality.Mark and Matteo explore the difficult reality of dual diagnosis, the limits of our current system, and the lived experience behind manic episodes, depression, and the pull of addiction. Matteo explains how suffering, time, and honest acceptance led him to recovery, and why connection is often stronger than willpower alone.They discuss the gaps in psychiatry, the trial and error of medications, the danger of self-medication, the unpredictable nature of relapse, and the emotional toll on families who walk beside a loved one in crisis. Matteo also opens up about rebuilding his life, repairing relationships, and using his lived experience to support others who are still trying to find their footing.This is an honest and deeply human look at mental illness, addiction, and what it truly takes to heal.Matteo Esposito, Certified Addiction Recovery Coach : https://invisiblechallenge.org/Episode Takeaways 1. Invisible illnesses are often dismissed because they do not show up on scans, yet they can be as disabling as any physical condition.2. Dual diagnosis is complex. Treating bipolar disorder and addiction separately does not work. Both must be addressed together.3. Self medication hides deeper problems. Many people use alcohol or cannabis to manage anxiety, insomnia, or early psychiatric symptoms.4. Mania has clear warning signs. Loss of sleep, high energy, pressured speech, and risky decisions are red flags that should never be ignored.5. Addiction is a brain illness. It is not a moral failure, not a weakness, and not a lack of willpower.6. Suffering often precedes change. For many people, the turning point comes only after repeated lows and accumulated exhaustion.7. Connection is protective. Recovery becomes possible when someone is surrounded by people who understand the journey.8. Professional guidance matters. Matteo credits his progress to finally following recommendations from clinicians instead of relying on his own judgment.9. Peer support accelerates healing. Helping others in recovery strengthens sobriety and reduces the risk of relapse.10. Families carry their own burden. Loving someone with addiction or mental illness is heavy, complex, and often painful.11. Recovery is a daily commitment. Even years later, it is maintained one decision and one day at a time.12. Hope is a vital tool. Matteo reminds anyone struggling that change is possible, suffering is not permanent, and no one is alone in the process.Episode Timestamps 01:27 – Matteo describes entering the mental health system and navigating inconsistent levels of care. 02:21 – Mark breaks down substance use disorders and explains the limits of current treatments. 03:38 – Matteo discusses early experiences with psychiatrists and the difficulty of treating substance use and bipolar disorder together. 04:39 – Matteo explains when his mania first escalated and how substances intensified the symptoms. 05:49 – Matteo talks about the relationship between depression, self-medication, and worsening addiction. 06:11 – Mark explains why people self-medicate with alcohol or cannabis when their mind starts to unravel. 07:11 – Matteo shares how he gained partial stability with bipolar disorder before realizing his addiction was growing. 08:20 – Matteo describes the moment he recognized he had lost control over weed and alcohol. 09:57 – Mark explains the difference between mood disorders and personality disorders and why bipolar is often misunderstood. 10:23 – Matteo identifies the behavioral warning signs of mania, including loss of sleep, pressured speech, and risky decisions. 12:24 – Mark explains mood-stabilizing therapy and how medications level out extreme highs and lows. 12:47 – Matteo reflects on the importance of connection as the opposite of addiction. 14:30 – Matteo explains why suffering and time were the two forces that finally pushed him toward recovery. 15:54 – Mark outlines why addiction treatment has low success rates and why relapse is common. 17:24 – Matteo discusses peer support and how helping others helps him stay sober. 20:47 – Matteo describes how following professional guidance instead of his own instincts became a turning point. 23:13 – Matteo reflects on repairing relationships with family and how addiction strains loved ones. 25:08 – Matteo discusses how families struggle with the line between love and enabling. 27:29 – Matteo shares words of encouragement for people who feel hopeless in addiction or mental illness. 30:45 – Mark and Matteo discuss therapy, lived experience, and the need for ongoing self-awareness in recovery. 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. 

Your voice says more than you think.In this episode, Dr. Mark Bonta sits down with Dr. Kang Hsu, Chief Medical Officer of Canary Speech, to explore how AI and vocal biomarkers could make the human voice the next vital sign in medicine.They unpack the science behind this breakthrough, showing how subtle shifts in tone, rhythm, and cadence can reveal early signs of depression, anxiety, Parkinson’s, or cognitive decline long before symptoms appear.Dr. Hsu shares the origin story of Canary Speech, the research that powers its models, and how voice-based screening is already being used in healthcare, from telehealth visits to smart devices.It is a look into a future where a 40-second voice sample could help doctors detect disease, personalize treatment, and bring empathy back into digital medicine.Guest Link : https://canaryspeech.com/Timestamps00:00:00 — Welcome and opening reflections00:00:07 — A candid start: location, context, and conversation00:01:32 — Meet Dr. Kang Hsu, Chief Medical Officer of Canary Speech00:02:44 — How voice became medicine: the story behind Canary Speech00:03:29 — Why this conversation matters to clinicians and patients alike00:04:05 — Making science accessible: breaking down complex ideas00:05:59 — Behind the mic: how each episode comes together00:06:59 — Keeping it real: refining, revising, and staying authentic00:08:00 — Can your voice reveal your health? The rise of vocal biomarkers00:12:00 — From telehealth to wearables: real-world applications00:18:00 — The uphill climb: innovation vs. healthcare resistance00:24:00 — The road ahead: what the future of voice in medicine could look like00:30:00 — Closing thoughts and a glimpse into what’s nextEpisode Takeaways1. Voice as a Vital SignYour voice holds more data than you realize. Subtle changes in tone and rhythm can reveal early signs of depression, anxiety, or even cognitive decline.2. Objectivity Through AICanary Speech uses vocal biomarkers to turn speech into measurable data, giving clinicians objective insight where surveys and self-reporting fall short.3. New Frontiers in TelehealthVoice analysis can run quietly in the background of virtual visits and smart devices, creating a noninvasive way to monitor mental and physical health between appointments.4. The Challenge of ChangeHealthcare moves slowly. Adoption depends on awareness, trust, and showing how accessible technology like this can ease strain on overburdened systems.5. A Future Built on ListeningIn time, voice may join heart rate and blood pressure as a standard vital sign. It can help detect disease earlier and make care more personal, not less.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. This week, host Dr. Mark Bonta sits down with Dr. Elliot Justin, emergency physician, innovator, and founder of FirmTech, for a conversation that’s equal parts fascinating, funny, and paradigm-shifting. Together, they explore a topic that most people find awkward to talk about—but everyone is curious about: male sexual health.Dr. Justin shares how a personal injury and a deep curiosity about human physiology led him to develop an unexpected form of wearable technology—an erection ring that can not only enhance sexual performance but also collect valuable health data. Beneath the humor and candor lies something revolutionary: nocturnal erections, it turns out, may be one of the most powerful predictors of cardiovascular health we’ve been overlooking.In this episode, Dr. Bonta and Dr. Justin unpack what it means when men stop getting morning erections, how this can serve as an early warning sign for heart disease, and why the term “erectile dysfunction” might need to be retired altogether. They explore the complex interplay between vascular, neurological, and psychological factors that drive sexual performance; and how rebranding “dysfunction” into erectile fitness reframes the conversation around men’s health, confidence, and relationships.From bedside humor to hard science, Dr. Justin reveals how FirmTech’s technology has already identified hidden cardiac disease in users, improved relationships, and empowered men to take charge of their health in a completely new way. The discussion ranges from cardiovascular physiology to the social stigma surrounding male sexual health—and how technology might just be the bridge that makes it easier to talk about.If you’ve ever wondered what your body might be trying to tell you, why sex can be one of medicine’s most underused diagnostic tools, or how innovation can transform intimacy and health alike, this episode is for you.Let’s ditch the lab coat and get real about the science—and future—of erections.Dr. Elliot Justin, MD, FACeP, CEO of FirmTechhttps://myfirmtech.comEpisode Timestamps 01:00 Introduction to Health Metrics02:56 The Journey to Sexual Health Technology05:48 Understanding Nocturnal Erections09:13 The Role of Vascular Health11:57 Redefining Erectile Dysfunction14:54 The Impact of Technology on Sexual Health17:53 The Importance of Venous Return21:06 Patient Experiences and Relationship Dynamics24:02 The Power of Data in Sexual Health26:56 Safety and Usage of the Technology29:57 Future of Sexual Health Screening32:54 Concluding Thoughts on Sexual HealthEpisode TakeawaysNocturnal erections can serve as a leading indicator of cardiovascular health, offering a non-invasive way to monitor heart health.The technology developed by Elliot provides a dual-purpose solution: tracking nocturnal erections and serving as an erection ring to maintain sexual performance.Elliot's personal journey from emergency medicine to developing this technology highlights the importance of addressing sexual health as a vital component of overall well-being.The conversation challenges the stigma around erectile dysfunction, advocating for a shift towards discussing "erectile fitness" to promote a positive and proactive approach to sexual health.The data collected from the wearable technology can help differentiate between psychogenic and physiological causes of erectile issues, providing valuable insights for personalized treatment.Elliot emphasizes the need for a personalized approach to health, where individuals can use data to understand their unique health needs and make informed decisions.The episode underscores the potential of wearable technology to disrupt traditional medical practices by providing actionable insights and empowering individuals to take control of their health.Dr. Mark Bonta and Elliot discuss the broader implications of their work, suggesting that it could lead to new standards of care for men over 45 or those with specific health conditions.The conversation highlights the importance of open dialogue about sexual health, encouraging listeners to consider the benefits of integrating sexual health monitoring into their wellness routines.Elliot's innovative approach to sexual health technology is positioned as a tool for enhancing relationships and improving quality of life, beyond just addressing medical concerns.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. This week, Dr. Mark Bonta sits down with Dr. Filippo Ongaro. He is a physician, bestselling author, and former flight surgeon at the European Space Agency who joins Dr. Bonta in the studio to explore a topic that’s redefining how we think about aging: the pursuit of healthspan over lifespan.In a world obsessed with biohacking, supplements, and quick fixes, Dr. Ongaro brings the conversation back to fundamentals; how to age strong, not just long. Drawing from his years working with astronauts exposed to the accelerated aging effects of space travel, he reveals how lessons from outer space can transform how we live here on Earth.Together, Dr. Bonta and Dr. Ongaro unpack what it really means to live well into our later decades; why preserving muscle is the key to longevity, how sleep acts as free medicine, and why fitness, nutrition, and environment are the true “anti-aging” tools. They challenge the hype around lifespan extension and focus instead on the daily, unsexy habits: movement, connection, consistency - that have the biggest impact on well-being.Dr. Ongaro also shares how his work has evolved to emphasize coaching, where he works to help people bridge the gap between knowing what to do and actually doing it. From setting up your home to promote healthy choices, to rethinking gratification, he offers practical, science-informed ways to turn small behavioral changes into lifelong transformation.If you’ve ever wondered whether living to 100 is the goal; or if living well to 80 might be the better and more realistic one, this episode will reshape your understanding of aging, motivation, and what it truly means to thrive over time.Let’s ditch the lab coat and get real about living longer AND stronger.Check out Dr. Filippo Ongaro, MD Youtube Channel https://www.youtube.com/@DrFilippoOngaroEpisode Timestamps02:00 Exploring Biohacking and Longevity03:08 The Importance of Healthspan vs. Lifespan06:11 Principles of a Good Healthspan09:06 Habit Change and Behavioral Science11:49 Creating a Supportive Environment for Health15:08 Lessons from Astronauts and Aging20:00 Motivating Change in Health Behaviors30:05 The Future of Longevity and HealthspanEpisode TakeawaysBiohacking is about more than just extending lifespan; it's about enhancing healthspan and quality of life.Fitness plays a crucial role in maintaining a high quality of life and can significantly impact healthspan.Habit change is essential for long-term health benefits, and coaching can be a powerful tool in facilitating this change.The lessons learned from astronauts about muscle preservation and stress management can be applied to everyday life.Simple lifestyle changes, like improving sleep quality and home ergonomics, can have a profound impact on health.The focus should be on applying existing knowledge about healthspan rather than seeking new, unproven methods.Behavioral change is key to improving health outcomes and should be integrated into medical practices.The concept of healthspan should become a common part of medical conversations to drive meaningful change.Practical interventions, like having a home gym, can be accessible and effective for many people.The future of longevity lies in making healthspan a universal focus, not just for biohackers or early adopters.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 week’s episode of Ditch The Labcoat, host Dr. Mark Bonta sits down with gastroenterologist and podcast host Dr. Neil Parikh—known from The Gut Doctor Podcast—for a fascinating journey through one of the most complex and misunderstood systems in the human body: the gut.Together, they unpack the modern obsession with “gut health,” the hype around the microbiome, and why everyone from wellness influencers to scientists seems to think the key to longevity lies somewhere between our mouth and anus. But this conversation goes far deeper than digestion—it explores how what we eat, how we live, and even how we think shapes our gut and, in turn, our overall health.Dr. Parikh blends science with relatable insights from his life as both a physician and a dad, sharing how early childhood experiences, diet, sleep, stress, and even how we talk about “tummy troubles” influence lifelong health. The discussion spans from the everyday nuisances of bloating and irritable bowel syndrome to the more serious red flags of inflammatory bowel disease—and the grey area in between that frustrates so many patients (and doctors).You’ll hear about why our guts become more sensitive with age, why sugary drinks can wreak havoc on our internal ecosystem, and how something as simple as portion control—or a good night’s sleep—can dramatically improve digestive wellness. Along the way, Dr. Bonta and Dr. Parikh also challenge the commercialization of gut health, questioning whether expensive probiotic supplements or social media trends actually stand up to science.If you’ve ever wondered what your microbiome is really doing, whether yogurt is worth the hype, or why your stomach isn’t as resilient as it used to be, this episode will give you the clarity you’ve been craving.Time to get real about gut health and digest the science while crapping out the myth.Listen to The Gut Doctor Podcast by Dr. Neil Parikh, MD https://podcasts.apple.com/us/podcast/the-gut-doctor/id1605040922    Episode Timestamps 03:35 The Role of Gut Microbiome in Health09:16 The Importance of Gut Flora and Its Functions17:45 Dietary Choices and Their Impact on Gut Health21:08 Irritable Bowel Syndrome: A Spectrum of Symptoms30:23 Distinguishing Between IBS and Inflammatory Bowel Disease34:44 Current Understanding of Inflammatory Bowel Disease37:09 Practical Dietary Advice for Gut HealthEpisode Takeaways1. Gut health is a broad term that encompasses various aspects of digestive well-being, often misunderstood even by medical professionals.2. The gut microbiome plays a crucial role in digestion and overall health, but our understanding of it is still evolving.3. Lifestyle factors such as diet, sleep, and mental health significantly impact gut health and can influence conditions like irritable bowel syndrome.4. There is no one-size-fits-all approach to gut health; individual experiences and symptoms can vary widely.5. Probiotics and fermented foods like yogurt can support gut health, but their effectiveness may vary depending on individual conditions.6. Understanding the difference between normal digestive discomfort and symptoms that require medical attention is key to managing gut health effectively.7. The conversation around gut health is becoming more open, allowing for better management and understanding of digestive issues.8. Cultural and dietary habits, such as those observed in European "blue zones," may offer insights into maintaining a healthy gut.9. The relationship between gut health and other conditions, such as autoimmune diseases, is an area of ongoing research and interest.10. Personalized approaches to diet and lifestyle can help manage and improve gut health over time4. There is no one-size-fits-all approach to gut health; individual experiences and symptoms can vary widely.5. Probiotics and fermented foods like yogurt can support gut health, but their effectiveness may vary depending on individual conditions.6. Understanding the difference between normal digestive discomfort and symptoms that require medical attention is key to managing gut health effectively.7. The conversation around gut health is becoming more open, allowing for better management and understanding of digestive issues.8. Cultural and dietary habits, such as those observed in European "blue zones," may offer insights into maintaining a healthy gut.9. The relationship between gut health and other conditions, such as autoimmune diseases, is an area of ongoing research and interest.10. Personalized approaches to diet and lifestyle can help manage and improve gut health over time.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. 

This episode applies a clinical lens to the mindset first philosophy shared by Dr. Cassidy Preston in Part 1. In this insightful episode, Dr. Mark Bonta, Dr. Sebastian Mafeld, and Dr. Cassidy Preston delve into the intersection of mindset and medicine. They explore how principles from sports psychology can enhance medical practice, emphasizing the importance of adaptability, presence, and continuous learning. Through personal anecdotes and professional experiences, they discuss the transformative power of coaching and the potential for integrating these strategies into medical education. Join us for a thought-provoking conversation that challenges traditional paradigms and inspires a new approach to healthcare.Our Guests :Dr. Sebastian Mafeld, Vascular & Interventional Radiologist. Cassidy Preston, PhD in Sport & Performance Psychology.https://cepmindset.com/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 conversation, Dr. Mark Bonta and Cassidy Preston explore the critical role of mental resilience in high-stress environments, particularly in sports and medicine. They discuss Cassidy's journey from being an elite athlete to a coach focused on mental skills training, the evolution of mental coaching in various fields, and the importance of measuring success through mindset rather than just results. The discussion also delves into the concept of the alter ego effect as a transformative tool for performance and the significance of the narrative we tell ourselves in achieving our goals. In this conversation, Cassidy Preston and Dr. Mark Bonta explore the concept of alter egos in performance psychology, emphasizing the playful and imaginative aspects of creating an alter ego to enhance confidence and performance. They discuss various unique alter egos adopted by athletes, the importance of confidence in high-pressure situations, and the necessity of reflection in personal and professional growth. Cassidy outlines a three-phase approach to performance mindset, focusing on preparation, execution, and reflection, while also introducing a powerful analogy of jumping off a cliff to illustrate the importance of letting go and trusting one's training.Key Takeaways Division one athletes receive more coaching on stress than doctors.Mindset is crucial for consistent performance in high-pressure situations.Practical and personalized mental training is essential for athletes.Challenging norms in sports and medicine can lead to better outcomes.Mental skills training has evolved significantly in the last few decades.Buy-in for mental development is increasing among athletes.Subjective measures of confidence and enjoyment are key indicators of success.The journey and personal growth are as important as the results.The alter ego effect can help athletes tap into their best selves.The narrative we tell ourselves shapes our performance and mindset. The playful imagination in performance can enhance creativity.Alter egos allow individuals to tap into their unique traits.Confidence is a common challenge faced by many performers.Preparation is key to reducing anxiety during performance.Letting go of control can lead to better performance outcomes.Reflection helps in recognizing progress and areas for improvement.Owning your wins builds momentum and confidence.An inside-out approach fosters a healthier mindset.Different situations require different traits and mindsets.Developing a mindset-based approach is essential for high performance.Chapters:03:11 From Athlete to Coach: A Personal Journey06:04 The Evolution of Mental Skills Training in Sports08:55 Measuring Success: The Mindset First Approach11:51 The Alter Ego Effect: Transforming Performance14:58 The Journey Over the Result: Finding Meaning in Performance19:11 The Playful Imagination in Performance Psychology22:16 Exploring Unique Alter Egos in Athletes24:31 Confidence and Behavioral Change Through Alter Egos26:00 An Inside-Out Approach to Performance30:00 The Three Phases of Performance Mindset32:55 The Cliff Jump Analogy for Letting Go35:07 The Importance of Reflection in Performance39:14 Developing a Mindset-Based Approach to PerformanceDISCLAMER >>>>>>    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. 

This week's episode will be with Dr. Bijaj Patel a nephrologist who has done amazing work developing transitional dialysis centers.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, where we break down the highs, lows, and real talk of life on the frontlines of medicine. In this episode, Dr. Mark Bonta sits down with Brian Ferguson—a former military special operator and founder of Arena Labs—to explore what it truly means to perform under pressure in today’s healthcare landscape.Drawing on his unique experience in both military special operations and high performance coaching, Brian unpacks the surprising similarities between the worlds of medicine and the military: relentless stress, long hours, a drive to serve, and the ever-present risk of burnout. Together, Dr. Bonta and Brian dive into actionable, science-backed strategies for stress management, sleep recovery, and resilience—techniques inspired by elite athletes, fighter pilots, and creative professionals, but tailored to the real challenges healthcare workers face every day.This isn’t just a conversation about burnout or self-care. It’s about honoring the trust society places in clinicians—and learning how to show up at our best for our patients, our teams, and our own families. Whether you’re a seasoned doctor, a new resident, or just someone chasing your own version of peak performance, today’s episode is packed with practical wisdom to help you thrive in high-pressure environments.Plug in for a thought-provoking, entertaining, and genuinely useful discussion that just might change the way you approach your work—and your life.Episode Lessons Sleep Is Foundational Performance — Prioritizing sleep is essential for peak performance, decision-making, and longevity—especially in high-stress healthcare environments.Shift Culture, Not Just Schedules — The outdated badge-of-honor mentality around sleep deprivation in healthcare must be replaced with a performance-focused narrative.Embrace Science-backed Recovery — Active recovery—intentional downtime and enjoyable activities—significantly restores energy, resilience, and emotional health for clinicians.Measure What Matters Regularly — Consistent tracking of sleep, stress, and recovery using wearables helps target and improve health and performance outcomes.Performance Tools Are Transferrable — Techniques from elite athletics and military training can greatly benefit healthcare professionals facing similar high-pressure demands.Early Adoption Builds Resilience — Learning and practicing high-performance skills early in medical training equips clinicians to handle future stress more effectively.Community Strengthens Well-being — Strong teams and shared purpose provide essential support, prevent isolation, and buffer against the stresses of clinical practice.Reframe Burnout for Growth — Focusing on human flourishing, not just preventing burnout, fosters a culture of aspiration and ongoing improvement in healthcare.Healthcare Deserves Elite Support — Division 1 athletes have more performance resources than most clinicians; bridging this gap is vital to sustainable healthcare excellence.Episode Timestamps 03:58 – The Alchemist: Lessons for Medical Training 09:20 – Military Fiction's Team-Based Allure 12:23 – Healthcare and Military Similarities 15:24 – Trust and Nuance in Medicine 17:06 – Sleep: The Key to Performance 20:18 – Recovery Beyond Medicine 25:07 – Evolving Healthcare Performance Strategies 29:01 – Science-Based Human Performance Tools 30:36 – Real-Time Solutions to Burnout 33:13 – Clinician-Led Decisions vs. Wellness Trends 38:08 – Decline of Team Spirit in Healthcare 39:14 – Unlocking Personal Performance Tools 44:06 – Redefining Healthcare Performance Norms 47:30 – Fostering Sustainable Peak PerformanceDISCLAMER >>>>>>    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 this episode of Ditch the Lab Coat, hosted by Dr. Mark Bonta—a show where curiosity meets science and skepticism, all in the name of practical healthcare innovation.This week, we tackle a problem plaguing healthcare systems across Canada (and beyond): the painfully long wait times to see a dermatologist, especially when it comes to skin cancer. Our guest is Mike Druhan, President of Dermatology Services at MedX Health. Mike is on a mission to save lives by closing the gap between a suspicious mole and a potentially life-saving diagnosis.Together, Dr. Bonta and Mike explore the bottlenecks of Canadian healthcare, the trust required for new technologies to be accepted, and the real-world journey of bringing evidence-based digital solutions—like secure skin imaging and teledermatology—to market. You'll hear the candid realities behind innovation in medicine, the hurdles of building clinician confidence, and why access—not just technology—can be the biggest lifesaver of all.Plus, Mike shares eye-opening stories from the field, including how a routine golf outing and a sharp eye led to an early melanoma diagnosis that made all the difference for a patient. If you’ve ever wondered why game-changing ideas in medicine can take so long to become reality—or how technology can help us fight diseases hiding in plain sight—this conversation is for you.Plug in, enjoy, and get ready for a deep dive into the art and science of making innovation practical, trustworthy, and patient-centered.Episode HighlightsTrust Drives Healthcare Adoption — Healthcare innovation only moves as fast as stakeholders trust new systems and tech, making trust central to successful adoption.Early Detection Saves Lives — Catching skin cancer at the earliest stage dramatically improves outcomes and reduces treatment costs and patient suffering.Access Is a Critical Barrier — Long wait times to see specialists like dermatologists can be deadly; smart solutions must address these systemic access issues.Tech Complements, Not Replaces — Innovative tools are designed to support, not substitute, specialists—helping prioritize urgent cases and manage the patient queue.Design for Clinical Reality — Successful tools require clinician input, regulatory compliance, and clear workflow integration to earn real-world adoption.Iterate with Frontline Feedback — Regular collaboration with diverse healthcare professionals refines questions, workflows, and builds essential clinical buy-in.Evidence First, Hype Later — Robust evidence and pilot programs—rather than flashy promises—pave the path for credible healthcare innovation.AI Is an Assistant, Not Judge — AI is best used as a double-check for clinicians, enhancing accuracy but not replacing expert human decision-making.Economic Incentives Matter — Insurers and employers increasingly see the financial sense in proactive screening and early intervention for high-risk groups.Human Factor Still Critical — Even with tech, “right place, right time” expert intervention can make the difference between early cure and late-stage tragedy.Episode Timestamp03:59 – Canadian Healthcare Access Challenges 09:40 – Dermatology Digital Patient Platform Development 13:25 – Trust Barriers in Healthcare Innovation 15:57 – Dermatology Investment Collaboration Insights 19:05 – Prioritizing Urgent Pathology Reports 22:54 – Dermatology: Ownership and Patient Insights 24:19 – Dynamic Approach to Skin Cancer Tracking 28:38 – Early Detection through Stool Testing 32:56 – Canada's Dermatology Shortage and Insurance Solutions 33:38 – Predictive Analytics in Workplace Safety 37:07 – AI-Assisted Skin Cancer Detection 42:15 – Human Error vs. AI Expectations 45:47 – AI Enhancing Medical Diagnostics 46:46 – Trusting Emerging Healthcare Technologies 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! In this episode, host Dr. Mark Bonta sits down with Dr. William Cherniak, an emergency physician, global health leader, and CEO of Rocket Doctor—a Canadian tech company on a mission to shake up how we access healthcare. As the world continues to grapple with the lessons learned from COVID-19, Dr. Cherniak and Dr. Bonta dive deep into the evolution of virtual care and its role in both episodic and chronic healthcare.Together, they challenge the misconceptions around virtual medicine, exploring how digital innovation is not just a convenient alternative but often a superior solution for patients who need fast, efficient, and ongoing medical attention. From navigating Canada’s complex healthcare policies to leveraging AI and Bluetooth-enabled devices, Dr. Cherniak shares his journey as a physician-entrepreneur working to make healthcare more accessible—whether you’re managing blood pressure from your living room or urgently treating poison ivy without a trip across town.Tune in as we unravel the myths of hands-on-only healthcare, the future possibilities of remote diagnostics and procedures, and what it will take for medicine to truly enter the 21st century. If you’re curious about how virtual care is changing the patient-doctor relationship, cutting through red tape, and building a compassionate, tech-savvy future, this is an episode you can’t miss.(https://www.linkedin.com)(http://rocketdoctor.io/)Episode Lessons 1 – Virtual Care Is Effective – Virtual healthcare can match or even surpass in-person care for many conditions, especially when accessibility is an issue.2 – Breaking Down Healthcare Barriers – Virtual care improves access for patients struggling with long waits or limited transportation to clinics.3 – Episodic vs. Chronic Care Needs – Healthcare isn’t just for chronic patients; episodic care can be efficiently managed through modern virtual models.4 – Innovation Born From Necessity – Rocket Doctor’s creation was driven by gaps in primary care, especially for those without family doctors.5 – Team-Based Medical Support – Virtual platforms enable teams of physicians to support each other, ensuring continuity even when one doctor is away.6 – Navigating Bureaucracy and Policy – Different provinces and health systems determine how virtual care can be provided and reimbursed, affecting implementation.7 – Seeing Beyond Clinic Walls – Virtual visits provide unique insights into patients’ home and social environments, revealing valuable context for care.8 – Tech Empowers Doctors and Patients – Electronic records, AI tools, and Bluetooth devices streamline tasks, allowing more focus on patient care and faster follow-up.9 – Busting Medical Tradition Myths – Not every visit needs physical examination; much required care can be accurately delivered without in-person touch.10 – Envisioning Healthcare’s Future – Real integration of AI, seamless records sharing, and patient-driven portals will further revolutionize how care is delivered virtually.Want me to bold all the lesson titles for consistency, or keep only the last one bold as the highlight?Episode Timestamps00:00 – Medical Podcast Disclaimer 05:28 – Reimagining Virtual Care in Canada 08:04 – Canadian Tech-Driven Medical Practice 11:54 – Bureaucratic Challenges in Healthcare 13:39 – Embracing Virtual Healthcare 19:53 – Virtual Care: Beneficial vs. In-Person 20:54 – Canada's Acute vs. Preventative Care 26:14 – Virtual Care Evolution 2019 30:08 – Healthcare Innovation and Streamlining 32:59 – Home Ultrasound Study for Pneumonia 35:40 – Virtual Care: Medicine's Evolution 37:42 – Science Skepticism Podcast Promo 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.