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 disordersStay 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.
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.
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," where we bring you insightful conversations that peel back the layers of medicine and health. In this episode, Dr. Mark Bonta sits down with Dr. Samira Jeimy, a leading expert in allergies and immunology. Together, we'll dive deep into the complexities of managing allergies in today's world.In this episode, we explore the dangers of relying on inaccurate allergy tests and supplements, the limitations of "may contain" labels, and the critical need for precise allergy management. We'll also examine the disconnect between school allergy policies and allergist recommendations, emphasizing the need for standardized forms and comprehensive staff training.Dr. Jeimy will share practical advice on treating anaphylaxis, from recognizing symptoms to the correct use of EpiPens and the importance of proper positioning during a reaction. We’ll also discuss the prevalence of milk allergies, the challenges of reintroducing allergens, and the various risks associated with milk consumption.Lastly, we’ll address the broader implications of labeling children as allergic, the effectiveness of nut-free school policies, and the vital need for education and communication in managing allergies in school settings.Join us for an insightful journey into the world of allergies and immunology. Remember, this podcast is here to inform, not replace professional medical advice. So, let’s ditch the lab coat and get started!04:04 Summer camps bring challenges and rule flexibility.08:34 Allergists advocate standardized school anaphylaxis protocols.11:07 Practical approaches to reduce anaphylaxis complications.16:11 Correct epiPen placement crucial for immediate effect.18:00 Expired food debated, decisions made to keep.23:09 Adverse effects of milk consumption explored briefly.24:03 Dairy worsens eczema, but avoiding it promotes allergies.27:18 Processing milk alters protein, making it tolerable.31:05 Alarming focus on nut-free schools after tragedy.34:17 Be prepared for allergy symptoms on subway.36:55 Parent's emotional response to children's safety concerns.42:11 Blood tests, oral challenge, and immunotherapy options.43:20 Maintain exposure to build immune tolerance, spectrum conditions.49:31 Engaging discussion on allergies with medical expert.50:39 Correctly administer expired EpiPen to save lives.
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," where we bring you insightful conversations that peel back the layers of medicine and health. In this episode, Dr. Mark Bonta sits down with the esteemed Dr. Roy Eappen, an adult clinical endocrinologist with over three decades of experience. Together, they dive into a myriad of crucial, and sometimes controversial, topics in endocrinology.From the risks associated with anabolic steroids to the complexities of thyroid hormone replacement therapy, we explore the delicate balance of hormonal health. Dr. Eappen also shares his expert perspective on the current approaches to gender-affirming care, expressing concerns about the medicalization of children and the long-term consequences of treatments like puberty blockers and cross-sex hormones.We'll touch on the variability of hormonal levels, the rigid societal stereotypes around gender, and the evolving landscape of transgender medicine. Throughout the episode, Dr. Bonta and Dr. Eappen emphasize the importance of scientific evidence and thoughtful care in addressing these deeply personal and sensitive issues.Don't miss this thought-provoking discussion that challenges conventional wisdom and sheds light on the ever-changing world of endocrinology. Stay curious, stay informed, and let's ditch the lab coat together!02:00 Renowned endocrinologist Dr. Roy Epin's impactful career.05:25 Importance of thyroid gland for health and treatment.07:30 Thyroid hormone levels and controversies explained briefly.10:24 TSH levels determine thyroid function, cutoff varies.13:31 Early detection of hypothyroidism prevents severe developmental effects.17:16 Steroids can build muscle but cause harm.20:01 Psychologists affirm care without thorough evaluation.23:40 Dutch protocol overlooks psychological work with children.29:17 Sticking to evidence-based practice in healthcare.32:20 WPATH lawsuits reveal controversial practices and ethical concerns.36:18 Rita's research on children's suicide risk.39:21 Caution urged before altering physical appearance.41:02 Health initiative led to reconsideration of estrogen therapy.46:41 Complex modern life overwhelms parents, kids. Simplify.51:11 Limited education in gender affirming care history.52:12 Understanding historical context in gender affirming care.
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 Labcoat," where we step outside the confines of conventional science and into the transformative world of behavioral insights. Today, we're thrilled to have Dr. Hasan Merali, an esteemed emergency medicine pediatric doctor, join our host, Dr. Mark Bonta, to explore the magical world of toddlers and their surprisingly transformative behaviors for adults.In this episode, Dr. Merali dives into how the natural tendencies of toddlers—such as laughter, play, risk-taking, and confident self-expression—can be integrated into adult behavior to enhance success and well-being. From the morning routine of waking up happy to the benefits of deep reading and consistent bedtimes, Dr. Merali offers a refreshing perspective on how adults can benefit from behavior typically exhibited by toddlers.We'll also delve into the science of self-talk, the significance of play for creativity and cognitive flexibility, and the profound impact of direct communication in personal and professional relationships. Dr. Bonta shares his journey of overcoming discomfort with kids and applying these insights both as a father of four and a professional.Expect practical tips, scientific evidence, and inspiring anecdotes that highlight the importance of adopting toddler-like behaviors for a more successful and fulfilling life. Plus, you'll get a sneak peek into Dr. Merali's book, designed to equip you with actionable strategies to incorporate these playful and inquisitive behaviors into your daily routine. So, get ready to ditch your lab coat and embrace the wisdom of our smallest humans for a happier, healthier you!07:57 Understanding toddler behavior and its application to work.13:42 Childlike mindset fosters new perspectives and learning.16:49 Prefrontal cortex acts as CEO of brain.24:21 Common sense actions for physical and mental well-being.26:50 Deep reading is undistracted absorption, disconnect from phone.36:02 Quality sleep, morning routine, and health benefits.41:27 Mindful eating, movement, and standing meetings are beneficial.46:36 Remind yourself of childhood or a hero.49:41 Preview: Podcast to discuss neuroscience lab opening in 2025.54:33 Direct communication is key in all relationships.59:15 Meta-analyses clump research for more powerful study.
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," the podcast where we critically examine health issues through a lens of scientific skepticism and practical wisdom. I'm your host, Dr. Mark Bonta, and today, we have a special guest, Dr. Shawn Gill, a clinical pharmacist and founder of Deprescribed Solutions. Dr. Gill collaborates closely with physicians and patients to create detailed taper plans for safely coming off medications like SSRIs. In this episode, we dive deep into the challenges of convincing physicians to adopt evidence-based tapering approaches, the importance of individualized patient care, and the hazards of over-relying on medication for minor ailments. Dr. Gill shares his practical, sustainable mental health-boosting practices and underscores the need to consider lifestyle interventions over long-term pharmaceutical treatments.Listen in as we explore the complexities of medication therapy in both acute and community settings, debate the appropriateness of prescribing SSRIs, and discuss the collaborative interprofessional model in healthcare. We also touch on the systemic challenges within a fee-for-service infrastructure and the significance of managing patient expectations during the transition off medications.Join us for an insightful discussion on how we can evolve as healthcare providers and implement holistic, non-pharmacological approaches to improve patient care. And remember, this podcast is aimed at fostering thoughtful discussion and is not a substitute for professional medical advice or treatment. Enjoy the episode, and stay tuned for more in-depth conversations on "Ditch the Lab Coat"!06:43 Limited access to specialists leads to disjointed care.10:31 Concern about medication adherence and deprescribing motivation.14:21 Navigating healthcare challenges and career self-reflection.16:53 Intervening with young patients to prevent complications.18:58 Emphasizing patient goals and identifying severity of symptoms.23:43 Antidepressant numbness, fear of stopping medication.26:22 Mental health treatment lacking options due to time.31:36 Pharmacist navigates patient dynamics without prescribing authority.32:59 Experienced doctor focuses on patient's mental health.37:31 Coordinate deep prescribing with physicians, share updates.39:19 Building trust, giving feedback, and fragile egos.42:33 Consider stopping antidepressants, it's possible and rewarding.47:07 Discontinuing medication requires careful adjustment and support.51:46 Reflection on medical practice, calls for diverse guests.53:48 Mother's nursing work inspired son's medical career.
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 explore the fascinating world of health and medicine with a skeptical eye. I'm Dr. Mark Bonta and In today's episode, Dr. Kaplovitch dives deep into the different types of blood clots and the importance of personalized treatment. He explains that not all blood clots are created equal - some predominantly affect the veins, while others can travel to the lungs and become life-threatening. We discuss the various risk factors that can lead to blood clot formation, from genetic conditions to long plane rides, and Dr. Kaplovitch offers practical advice on managing this complex disorder.We also touch on the fascinating history behind some blood thinning medications, like warfarin, which was originally used as rat poison! Dr. Kaplovitch clarifies the distinctions between its toxic properties and medical use. Throughout our conversation, we emphasize the importance of transparently counseling patients about the risks and benefits of different treatments. Dr. Kaplovitch highlights the abundance of research in the field of thrombosis and how it informs the personalized approach he takes with his patients.So join us as we simplify these complex medical concepts and explore the latest advancements in blood clot prevention and treatment. As always, remember that this podcast is for informational purposes only and does not substitute for professional medical advice. Let's ditch the lab coat and dive in!04:24 Experienced medical student impresses with professionalism.09:02 Blood clots can travel to lungs, fatal.12:14 Prolonged sitting at desk may increase thrombosis risk.16:01 Minority with blood clots can improve naturally.18:45 Clot busters have significant risk of bleeding.20:59 Treatment options for preventing blood clot complications.25:39 Passion for vascular medicine, citing primary literature.29:26 Newer blood thinners may have advantages.31:37 Warfarin inhibits clotting by blocking vitamin K.36:09 Balancing blood thinness for health benefits is crucial.37:22 Maintain optimal blood thinness to prevent risks.42:22 Minor bleeding from gut might not require action.46:27 Consistent blood thinner use is crucial.50:05 Discussing evolving thrombosis practices, specifically genetic testing controversies.51:24 Testing for clotting disorders requires informed discussion.57:02 Advancements in personalized medicine revolutionize treatment.58:45 Hip hop slang reference and deep thrombosis.
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 explore the fascinating world of health and medicine with a skeptical eye. I'm Dr. Mark Bonta, your host, and today's episode features an enlightening discussion with the esteemed Dr. George Oreopoulos, a renowned vascular surgeon and interventional radiologist.In this episode, Dr. Oreopoulos provides insight into the high-stakes world of vascular surgery, discussing the urgency of aortic aneurysm ruptures and the low survival rates in community settings. We delve into the complexities of managing varicose veins and venous diseases, the evolution of vein treatments, and the crucial role of specialists like Dr. Oreopoulos in addressing traumatic vascular situations.Join us as we explore the future of vascular surgery, from the potential impact of artificial intelligence and nanotechnology to the delivery of biologic therapies through interventional radiology. We also discover the intricacies of endovascular repair, the challenges of managing different types of vascular injuries, and the critical role of randomized control trials in determining treatment efficacy.Stay tuned for an insightful conversation that's both engaging and informative. And remember, while we're here to provide knowledge, always seek professional medical advice for your health concerns. Let's "ditch the lab coat" and embark on this enlightening journey!04:09 Specialist trains surgeons and radiologists, discusses surgery.09:24 What to do if someone is injured?12:53 Specialized hospital treats complex medical procedures efficiently.15:24 Vein clots may require catheter-wire treatment.17:18 Vascular surgery focuses on treating vein issues.22:46 Modern vein treatments available in Ontario. Insurance coverage.24:19 Vein surgery has evolved to outpatient treatment.28:15 Aortic aneurysm rupture risks and outcomes.32:21 Minimally invasive aneurysm treatment under local anesthetic.38:17 AI improves aneurysm prediction, but needs personalization.42:02 Interventional radiology: innovative, effective treatments for patients.44:49 Interventional procedures and accessing arteries, minimal invasiveness48:53 Innovative technology aims to improve medical procedures.50:55 Vascular surgery, veins, arteries, future, family tree.54:58 Medical expert shares fascination and future predictions.
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 take a deep dive into the world of health and science with a healthy dose of skepticism. I'm your host, Dr. Mark Bonta, and today we have an intriguing episode lined up for you as we welcome the esteemed Dr. David Cadotte, a neurosurgeon at the University of Calgary.In this episode, Dr. Cadotte will shed light on the fascinating, yet complex realms of neurosurgery and spinal health. We'll discuss the ethics and feasibility of freezing and unfreezing the brain, bridging the critical gap between neurosurgery and community needs, and the significant impact of spinal cord injuries on quality of life. Dr. Cadotte emphasizes the importance of scientific rigor in novel therapies, shares precautionary tales, and explains why emergency neurosurgery should only be attempted in medical facilities.We'll also explore the future of neurosurgery, from potential non-surgical treatments for brain cancers to the promising, yet cautious world of stem cell research. Join us as we delve into the delicate balance between innovation and safety in the medical field, with intriguing discussions about the cerebellum, peripheral nerve diseases, and even the impact of extreme sports on spinal health.Stay tuned for a captivating conversation that promises to be both informative and thought-provoking. And remember, while we’re here to offer insights, always seek professional medical advice for any personal health concerns. Let's "ditch the lab coat" and get started!05:43 For adventurous activities, treat yourself like athlete.07:32 Parent concerned about kids doing dangerous flips.11:13 Limited chances for full recovery from spinal cord injury14:03 Stem cell therapy for spinal cord not approved.18:54 Doctor ready for river trip, except brain surgery.22:00 Parent intervenes as toddler falls from play structure.23:28 Consider healthcare availability in remote world travel.26:45 Surgical infections after brain surgery are low.31:35 Noah Ardbeck quadriplegic, now using Elon Musk's Neuralink.34:08 Discussion of rare cervical spine injuries in ICU.38:06 Longevity: Nurturing brain health through oxygen, sugar.39:54 Unknowns of ocean, brain, and near-death experiences.44:49 Considering life and legacy, living forever debated.48:00 Spinal cord severing implications and neurosurgery insights.48:48 Fascinating discussion on neuralink and future tech.
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. Today, we're diving deep into the world of urology with a focus on bladder ruptures and kidney stones. Our special guest, Dr. Sri Sivalingam, a renowned endourologist from the Cleveland Clinic, will share his expertise on everything from the causes and prevention of kidney stones to advanced surgical techniques for their removal. We'll explore fascinating real-life cases, including traumatic bladder ruptures and the often excruciating journey of passing kidney stones. Dr. Sivalingam will debunk common myths, discuss the critical role of hydration, and highlight the importance of tailored dietary advice. We'll also delve into the intricacies of pain management and the innovative technologies that allow for minimally invasive treatments. Whether you're curious about the mechanics of a bladder rupture or the latest in kidney stone treatment, this episode promises to be both educational and engaging. So, sit back, relax, and get ready to ditch the lab coat as we journey through the captivating realm of urology. Don't forget to tune in next Wednesday for another riveting episode! For more information, visit Labcoat.fmTimestamps :04:38 Urology: mix of surgery and medical management.06:53 Urologists treat kidney and urinary tract issues.12:19 Guidelines for passing kidney stones and treatment.15:36 Patients need to understand urine production varies.19:23 Obstructed kidney pain is relieved through interventions.21:08 Medication used for BPH, kidney stones relief.25:50 Conflict between internists and surgeons in hospitals.27:28 Urologists handle varied cases, few urgent emergencies.30:39 Medical specialties sound exciting, but become routine.33:43 Bladder ruptures from trauma, alcohol, and impact.39:15 Tiny telescopes inserted to break down kidney stones.41:05 Med student describes laparoscopic abdominal surgery.44:47 Humorous comment on medical procedure for kidney stones.48:39 Analyzing urine for stone prevention; internet misinformation.53:12 Kidney stones, bladder issues, and advanced surgeries.56:04 Kidney stone retrieval and medical passion discussed.
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. Today, our host Dr. Mark Bonta sits down with the ever-knowledgeable Dr. Suman Chakrabarti to dive deep into the world of infections and their surprising sources. From the classic culprits, like poorly stored rice at church picnics causing sudden bouts of illness, to more exotic findings like respiratory diseases from parrots and toxoplasmosis risks for pregnant women, we’ve got it all covered.Dr. Chakrabarti sheds light on the curious link between avian flu and milk production, as well as the risks associated with common pets like dogs, cats, and even domesticated rodents. We’ll navigate the complexities of bacterial and viral pneumonia, discuss the impact of antibiotics on treatment, and explore the looming threat of tropical diseases spreading due to climate change.Throughout this episode, you'll gain valuable insights into the history and evolution of infectious diseases and hear candid discussions on contemporary concerns, such as the necessity of additional COVID-19 boosters and our readiness to tackle new health risks. So, grab your headphones and join us for an enlightening conversation that promises to challenge your perceptions and expand your knowledge on all things infectious. Let's ditch the lab coat and get started!00:59 Medical educator with diverse expertise and humor.05:42 Avian influenza could become a pandemic virus.08:14 Limited testing may miss mild cases of illness.11:57 Interactions between animals and humans facilitate diseases.14:24 Medical students gather irrelevant patient information, specifically birds.19:10 Dog bites can cause serious infections, disfigurement.20:38 Risk of infection for those with spleen dysfunction.25:30 Influenza can lead to potential bacterial pneumonia.28:55 Livestock health, climate change, and disease risks.29:44 Climate change may bring new disease vectors.34:51 Podcast fosters learning, health, informed decision-making, experts' engagement.37:13 Acknowledgment to family and production and social media teams.
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 today's episode, host Dr. Mark Bonta sits down with the esteemed Dr. Sanjeev Sockalingam, a champion of mental health integration and connection with roles at the University of Toronto and CAMH. Together, they delve into the critical importance of destigmatizing mental health, emphasizing equal treatment for mental and physical health impairments.From practical self-care approaches and the impact of social determinants on wellness to the challenge of balancing extreme cases and everyday stress, Dr. Sockalingam shares profound insights. They humorously touch on screening calls and the evolution of talk therapy, while seriously addressing the rising mental health crisis linked to technology and social media.Join us as we explore the intricacies of mental health care, the importance of finding purpose and meaning, and the evolving landscape of therapy. Dr. Bonta's reflections and personal experiences add depth, making this episode not just informative but also deeply personal and inspiring. Let's dive in and start destigmatizing mental health together!Timestamps :05:24 War fosters collective purpose for mental health.07:27 Historical rates of mental health conditions compared.10:30 DSM: Standardizing mental health diagnosis for consensus.13:42 People using phones to seek dopamine release.17:46 Understanding mental health conditions making normal abnormal.22:16 Setting routines and physical health improve mental wellness.24:56 Adopting healthy habits is challenging despite awareness.27:14 Social determinants of health affect patient care.29:47 Contrasting extremes of poverty and wealth in health.33:19 Control and purpose combat burnout and distress.37:13 Transitioning to retirement, finding new purpose.40:32 Psychological treatments, research, and therapeutic alliance importance.44:45 Setting boundaries, targeting, and intervening in therapy.46:08 Being informed about mental health professionals is important.50:02 Discussion on prevalence and funding disparity in healthcare.56:18 Finding purpose, maintaining mental health through conversation.57:32 Feedback welcome for interesting, understandable healthcare guest talks.
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 deep into health issues and medical discussions with leading experts.In today's reflection episode, Dr. Bonta revisits some of the most insightful conversations from the past 19 episodes, touching on key topics in medical education, mentorship, and the evolving landscape of healthcare. Join us as Dr. Bonta delves into the value of ongoing mentorship, the importance of simulations, and the delicate balance of personal well-being for medical professionals. We'll explore the impact of AI in healthcare, the significance of end-of-life discussions, and the ongoing challenges of chronic disease management. Plus, we'll tackle pressing issues like children's mental health, the rise of screen time, and even some practical information about managing allergies. Whether you're a medical professional or just passionate about science-based skepticism in healthcare, this episode is packed with valuable insights. So, sit back, relax, and let's ditch the lab coat together.Timestamps : 05:31 Children need advocacy for voice and rights.08:28 Struggles at work, need to decompress.11:28 Obesity viewed as medical condition requiring compassion.13:08 Prepare for potential harm, seek professional help.16:02 Angiograms and heart procedures are routine, significant.21:56 Balancing screen use, health, and technology impact.24:01 Teaching simulation, heart surgery, martial arts comparison.27:41 Struggle to implement change, still highly beneficial.29:04 Accessible school routine for children and anxiety.31:39 Join Doctor Bonta for science-based health talk.
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 deep into health issues and medical discussions with leading experts.In today's episode, Dr. Mark Bonta chats with psychiatrist Dr. Nik Grujich, who specializes in mood and anxiety disorders and directs mental health programs at the University of Toronto.Together, they'll explore the intricacies of prolonged exposure therapy for PTSD, the evolutionary roots of anxiety, and the line between normal and abnormal behavior. They'll also tackle the impact of modern technology on children's mental health, delve into the complexities of diagnosing mental health conditions using the DSM and ICD, and highlight the resilience of the human mind.From personal stories and cultural insights to professional perspectives on mental well-being, this conversation promises a comprehensive look at the ways our minds cope with adversity and how therapeutic techniques can foster resilience. Plus, hear their engaging discussion on the role of cognitive behavioral therapy and the promising future of biomarkers in mental health diagnosis and personalized care.Get ready for an enlightening and thought-provoking episode that underscores the importance of holistic health and the powerful intersection between our minds, behavior, and physical well-being. Join us for this compelling conversation on "Ditch the Lab Coat" with Dr. Nik Grujich!Timestamps :06:52 Immigrant upbringing, limited discussion, led to psychiatry.11:11 Socialization and nurturing have evolutionary and practical aspects.19:40 Anxiety leads to checking and relief.20:34 Obsessive compulsive disorder: intrusive thoughts, rituals, distress.27:11 Anxiety linked to evolution and survival instincts.36:39 Anxiety disorders, specific phobias, and PTSD.38:15 Specific phobias may not be relevant.43:53 Parents struggle to address their children's anxiety.52:08 Anxiety treatment involves trust, support, and challenge.57:07 Flooding therapy works, especially for PTSD treatment.01:01:35 Rick Arsenault, a specialist in internal medicine, leads advanced training for unexplained symptoms nationwide. His approach integrates mind and body, with remarkable results, including lower recurrence of heart attacks compared to medication use.01:05:26 Fascination with normal and abnormal human 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. Welcome to *Ditch the Lab Coat*, the podcast where we dive deep into the intricacies of healthcare design and innovation. I'm your host, Dr. Mark Bonta, and in today's episode, we're joined by two remarkable guests, Dr. Chris Hicks and Dr. Andrew Petrosoniak, esteemed emergency physicians and trauma team leaders who are reshaping the landscape of trauma care. Our conversation revolves around the critical lack of user-focused design in healthcare environments and the innovative steps Chris and Andrew have taken to address this issue, particularly in building an optimized trauma bay. We'll uncover how thoughtful design, focusing on human factors and ergonomics, can dramatically improve efficiency and patient outcomes. Listen in as we delve into the use of simulation to understand and enhance current medical practices, the complexities of team dynamics, and the invaluable lessons learned from other high-stakes industries like Formula One racing.This episode is packed with insights on leadership, communication, and the importance of feedback in medical training. Dr. Hicks and Dr. Petrosoniak will share their experiences and discuss the life-saving impact of a well-coordinated trauma team. Whether you're a healthcare professional, a design enthusiast, or simply curious about the behind-the-scenes action in emergency medicine, you won't want to miss this enlightening discussion.Stay tuned as we explore the fascinating interplay between space design, teamwork, and trauma care, and be inspired to rethink how we can improve both our work and personal environments through better design.TIMESTAMPS : 00:00 Doctor Petroniak integrates user-focused design, clinical expertise.05:21 Two emergency physicians explain their overlapping roles.08:34 Passion for trauma care drives my career.11:11 Bad mechanism can result in major injuries.13:53 Medical professionals use stickers for role identification.17:22 Technicians provide hands-on expertise, create shared mental models.22:56 Challenges of trauma resuscitation and team dynamics.24:36 Maintaining situational awareness crucial in medical settings.27:00 Continuous improvement through feedback and reflection is key.30:21 Healthcare industry lacks awareness of human factors.35:34 Medical education teaches problem-solving for known issues.39:50 Believe in the process and accept outcomes.42:16 Training and environment impact performance of teams.44:49 Addressing lack of user-focused clinical design.47:24 Stressful situations caused by lack of equipment.52:54 Importance of trauma response in healthcare emphasized.54:10 Improving access to fruits and vegetables, inspiring.
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 Dr. Mark Bonta," where we critically examine health issues with a scientific lens, always reminding our listeners that this podcast does not replace professional medical services. Today, we delve into Part 2 of our conversation with Dr. Ric Arseneau, an expert on chronic conditions like fibromyalgia and chronic fatigue syndrome.In this episode, Dr. Arseneau tackles the many misconceptions medical students and residents often hold about fibromyalgia and chronic fatigue syndrome, two conditions frequently dismissed as mere psychological issues. He highlights the importance of recognizing these ailments as legitimate medical conditions and discusses the challenges patients face, both from the healthcare system and societal perceptions.Dr. Arseneau provides an in-depth look at the nature of central sensitivity syndromes and their treatments, advocating cognitive behavioral therapy and other behavioral therapies. He notes the crucial role of attitude over mere labeling of conditions, emphasizing a treatment approach focusing on remission.The conversation also covers the fight or flight system's influence on these conditions and highlights the importance of neuroplasticity, stress management, and self-care. Both Dr. Arseneau and Dr. Bonta discuss the significant impacts of small traumas, administrative burdens, and legal stresses on physician burnout and overall health.Moreover, Dr. Arseneau shares his initiatives, such as setting up neuroplasticity support groups, underscoring the power of group therapy despite the lack of extensive evidence. They discuss systematic issues within the healthcare system, the importance of good evidence-based interventions, and the hope for improved access to care for conditions like long COVID.In this informative installment, we also touch on the widespread benefits of mental care for physical health, the effects of neuroinflammation and neuroplasticity, and the low-cost, low-risk interventions like cyclic sighing. Dr. Bonta thoughtfully reflects on applying these insights to his practice and daily life to help patients and listeners alike build mental resilience.Join us as we explore how understanding, evidence-based treatment, and compassion can greatly improve the quality of life for patients with chronic conditions, challenging the existing healthcare paradigms and cultural misconceptions. Don’t miss this enlightening discussion that promises to leave you with practical tips and hope for a brighter, more inclusive future in healthcare.Episode Timestamps :00:00 Healthcare expert discusses fibromyalgia and chronic fatigue.03:25 Insightful interview with Dr. Rick Arsenault.07:12 Somatic symptom disorder misdiagnosed for unexplained symptoms.11:22 Impaired physical capacity affects societal support.15:48 Support groups provide crucial validation and understanding.17:40 Changing attitudes towards fibromyalgia treatment is crucial.22:48 Refrains from using "cure," emphasizes "remission."24:37 Inadequate support for central sensitivity syndromes in Canada.27:19 Zebra-escape prompts return to neurobaseline, program options.30:22 Vagal system, tone, and nerve for alternative treatments.34:00 Be cautious of costly, invasive health recommendations.37:25 Physician burnout due to non-clinical challenges.42:47 Early stress leads to serious health issues.46:56 Future of patient care for syndromes discussed.50:32 Remote recording lacks personal in-person nuances.54:29 Promote mental resilience and physical well-being.
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*! I am your host, Dr. Mark Bonta, and today we're diving deep into the intricate world of post-viral syndromes with our esteemed guest, Dr. Ric Arseneau. In the first part of this fascinating conversation, we'll explore the far-reaching impacts of COVID-19, particularly focusing on long COVID and other post-viral conditions like chronic fatigue syndrome and fibromyalgia.Dr. Arseneau brings a wealth of expertise on how these conditions manifest and affect patients long after the initial viral infection. We'll discuss the often confusing distinctions between post-COVID and long COVID, and the critical need for consistent terminology in medical literature. Dr. Arseneau will also share insights into the downstream effects of COVID-19 on various organs and systems, the challenges in recognizing post-viral syndromes, and the societal stigma that often accompanies these "invisible" illnesses.Moreover, we'll delve into the current state of COVID treatment options, the barriers posed by cost and availability, and the essential role of healthcare professionals in acknowledging and treating these complex conditions. Dr. Arseneau's approach to managing chronic conditions, including the importance of pacing, neuroplasticity work, and non-pharmacological treatments, provides a comprehensive look at improving patient outcomes.Join us as we bring attention to these crucial yet often overlooked aspects of health in the aftermath of COVID-19, and stay tuned for even more riveting discussions in Part 2 of our conversation. Whether you're a healthcare professional or simply someone eager to understand the long-term effects of the pandemic, this episode is packed with valuable insights and practical advice. Let's get started!Episode Timestamps : 02:30 Doctor Arsenault leads exploration into mysteries of healthcare.03:33 Dr. Arsenault excels but long COVID support lacks.09:30 Post viral syndromes, neuroimmune adrenergic phenomenon, long COVID.13:37 Healthcare system adapts to living with COVID-19.14:43 Post-COVID issues neglected, patients not properly cared.18:20 Physicians suffer from Sherlock Holmes fallacy hubris.23:03 Recommended 9 grams salt/day, more effective orally.24:59 Factors involved: hypovolemic, small fiber neuropathy, cardiac output, neuroinflammation, autonomic overdrive.29:32 Challenging societal perceptions of chronic fatigue syndrome.31:34 Syndrome-based diagnoses limit understanding of conditions.37:44 Neuroplasticity for pain with psychiatrist's new approach.40:00 Neurological features, depression, misdiagnosis, chronic fatigue syndrome.42:02 Patients open to depression's effect on symptoms.48:34 Bias in medical legal cases, patients denied benefits.49:30 You are a pioneering expert in Canada.53:42 COVID treatments aim to reduce severity, not cure.58:45 Long COVID and treating patients with compassion.01:00:26 Tune in for part two next 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. Introduction to our guestToday, we dive deep into the world of cardiac surgery with our esteemed guest, Dr. Bobby Yanagawa, Division Head of Cardiac Surgery at St. Michael's Hospital. This episode unpacks the thrilling, yet demanding life of a heart surgeon, exploring everything from the adrenaline of emergency surgeries to the finesse required for elective procedures. Dr. Yanagawa, distinguished for his mastery in the realm of heart health, shares his insights on managing heart disease risk factors and the advances in surgical technology like transcatheter aortic valve replacement (TAVR). We'll also touch on the emotional weight of decision-making in life-threatening treatments, and how surgeons like Dr. Yanagawa navigate the complexities of patient care. Moreover, beyond the scalpel and sutures, we discuss the critical balance between personal life and professional dedication, aiming to unearth the reality of medical practice in contrast to its often sensationalized portrayals. So, tune in as we explore the heart of the matter on "Ditch the Labcoat."Episode Breakdown : The discussion opens with Dr. Yanagawa comparing the intensive concentration required in the operating room to entering a martial arts dojo, a place where focus is paramount and the external world fades away. This analogy extends into a broader discussion on the parallels between martial arts and medical education, emphasizing humility, continual learning, and respect for expertise.Moving through the intricacies of heart health, the conversation covers a wide array of topics, from the technological advancements in procedures like Transcatheter Aortic Valve Replacement (TAVR) to the challenges of maintaining a work-life balance in such a demanding field. Dr. Yanagawa shares insights into the surgical intricacies of managing acute emergencies like aortic dissections and the bread-and-butter of elective coronary bypass procedures.A significant portion of the dialogue focuses on the ethical and emotional dimensions of heart surgery, particularly regarding patient interactions and the decision-making process concerning surgical risks and life expectancy. The emotional weight of conveying the realities of heart surgery to patients and their families highlights the profound impact of medical professionalism and empathy in clinical practice.Moreover, Dr. Yanagawa reflects on the broader implications of modern lifestyle choices on health, contrasting today's sedentary habits with the more active, hunter-gatherer past, and how these shifts contribute to chronic health issues. This serves as a springboard into a deeper discussion on the interplay between genetics, lifestyle, and preventive health care.As the episode winds down, both doctors discuss the future of heart surgery, including the potential for growing organs in labs and the evolving role of artificial hearts. The conversation also touches on the use of different heart valves, from pig and cow valves to mechanical options, outlining the considerations that guide their use in different patient scenarios.Throughout the episode, Dr. Bonta and Dr. Yanagawa repeatedly circle back to the importance of deriving purpose from their work and the intrinsic motivation needed to navigate the pressures of the medical field. The episode not only sheds light on the technical and ethical facets of cardiac surgery but also humanizes the surgeons behind the scalpel, revealing their passions, challenges, and the delicate balance they maintain between saving lives and living their own.Topics Covered 1. Introduction to Guest and Episode Focus - Introduction of Dr. Bobby Yanagawa, a division head of cardiac surgery at St. Michael's Hospital - Overview of the episode's focus on heart surgery, health management, and the reality of healthcare.2. The Reality of a Surgical Career - Dr. Yanagawa's excitement for elective and emergency procedures. - Challenges and rewards of being a cardiothoracic surgeon and internist.3. Impact of Modern Lifestyle on Health - Discussion on how modern living contrasts with hunter-gatherer lifestyles. - Evolutionary lifestyle effects on human health.4. Handling Medical Emergencies and Procedures - The thrill and pressures of dealing with medical emergencies. - Mortality risks and emotional dimensions of discussing life-threatening treatments.5. Surgical Decision-Making and Ethics - Patient reactions and emotional impacts when facing serious health decisions. - Consulting with colleagues on borderline cases and ethical considerations in healthcare.6. Advancements in Medical Technology - Discussion on the potential of growing blood vessels and organs in labs. - Technological advancements like transcatheter aortic valve replacement (TAVR).7. Education and Mentorship in Medicine - Importance of providing proper feedback and support to medical learners. - Drawing parallels between martial arts training and medical education.8. Personal Motivations and Career Choices - Dr. Yanagawa's personal reasons for becoming a heart surgeon. - The day-to-day realities and the diversities within the medical field.9. Health Management and Chronic Diseases - Importance of medication adherence in managing diabetes. - The role of lifestyle modifications in managing chronic diseases.10. Work-Life Balance and Burnout - Importance of balancing professional obligations with personal life. - Strategies to avoid burnout and maintain a fulfilling career.11. Discussion on Heart Valves and Prostheses - Different types of heart valves and their suitability for various patients. - Future possibilities and current limitations of artificial heart technology.12. Concluding Thoughts - Reflections on deriving purpose from work and making a difference. - Recap of the importance of a real understanding of the healthcare profession beyond media portrayals.This sequence offers a structured breakdown of the episode's discussion, providing a clear roadmap for listeners to understand the complexities and nuances of a career in heart surgery as well as broader healthcare issues.
DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome back to another episode of "Ditch the Labcoat," the podcast that explores the human side of healthcare beyond the sterile field.In this insightful episode of "Ditch the Labcoat," host Dr. Mark Bonta is joined by Dr. Samir Grover, a prominent figure in the realm of medical education. Together, they delve into the pressing issues surrounding current educational practices in healthcare and propose revolutionary changes aligned with the needs of a modern medical system.Dr. Grover discusses his advocacy for competency-based training systems and the integration of technology like AI and simulations to enhance assessment objectivity in medical education. He emphasizes the critical role of fostering essential physician traits such as empathy and hard work, beyond just academic achievements. The episode critically analyses the misalignment in assessments, such as the lack of evaluation for practical skills like endoscopy among gastroenterologists, despite its significance in their daily responsibilities.The conversation extends to the potential shifts in medical student selection processes, aiming to highlight qualities beyond test scores, and explores the ongoing need for reforms in training systems to better match learners’ capabilities with their medical specialty. Dr. Grover also shares his experiences and perspectives on the need for personalized assessment and the effective use of feedback in education.Adding to the rich discussion, Dr. Bonta and Dr. Grover touch upon the future of medical education, advocating for the inclusion of advanced technologies and methodologies that ensure comprehensive and efficient learning experiences. They conclude with a critical view on health fads like juice cleanses and the importance of evidence-based approaches in medical practices.This episode not only sheds light on the essential changes needed in medical education but also celebrates the efforts of educators like Dr. Grover who are at the forefront of these transformative approaches. Whether you're a medical professional or just intrigued by the evolution of medical education, this episode offers valuable insights into making healthcare education more adaptive, inclusive, and effective.Episode timestamps: 04:41 Important physician traits: earnestness, desire to learn.07:45 Academic excellence not sole indicator of good physician.11:28 Flexner report still influences medical education today.14:28 Self-regulated learning key for medical practitioners.20:31 High-intensity simulation improves clinical procedure performance.23:25 Validated colonoscopy performance scales differentiate novices to experts.27:51 Using AI assists improves learning and performance.28:47 Laparoscopy: minimally invasive surgery with training challenges.33:43 Striving for autonomy in medical career assessment.35:24 Competency-based system for physician training summary.38:50 Work assessments and subjective nature in universities.43:40 Understanding medical terms critical for both sides.46:01 Developing social and emotional intelligence for healthcare.51:42 Virtual reality enables real-time consultation with experts.52:58 Doctor Bonta thanks team, family, promises more.
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. Today, we're joined by Dr. Ali Shahnavaz, a distinguished expert in otolaryngology, who will be diving into the intricacies of ear, nose, and throat health with our host, Dr. Mark Bonta. In this episode, Dr. Shahnavaz shares his expertise on a range of topics starting with pediatric concerns like the dangers of children inserting small objects into their noses and the importance of age-appropriate toys to prevent choking hazards. He also explains the risks of nosebleeds and infections from nose picking and suggests practical remedies like saline washes.The conversation shifts to more general ear and throat health, where Dr. Shahnavaz recommends measures to maintain a healthy throat, such as staying hydrated, reducing caffeine, and managing acid reflux. He emphasizes the significance of not overusing the voice and offers tips for vocal care, especially for singers. Furthermore, Dr. Shahnavaz discusses auditory health, warning against the prolonged use of headphones at high volumes and advocating for cautious exposure to noise to prevent hearing loss and tinnitus.Additionally, Dr. Shahnavaz shares intriguing aspects of his work, including removing various foreign objects from patients' ears and noses, which often brings immediate relief to his patients. He reassures listeners that despite common fears, bugs cannot travel to the brain through the ear. The episode also touches on the overlap between otolaryngology and ophthalmology and Dr. Shahnavaz’s personal journey from dentistry to medical school.Overall, the episode provides a wealth of practical advice and knowledge, aiming to enhance listener awareness about ear, nose, and throat health while debunking common myths and highlighting the importance of professional care in preventing and treating ENT-related issues.Questions cover in this week's episode : 1. How do foreign objects like beads or lego pieces end up in the nasal passages of children, and what are the immediate steps parents should take before medical help arrives?2. Dr. Shahnavaz mentioned using saline washes and ointments for dry noses. Can you elaborate on how these treatments work and why they are effective for maintaining nasal health?3. Considering the risks associated with nose hair trimming that you mentioned, such as furuncles and ingrown hairs, what are some best practices for safely managing nose hair?4. Can you discuss further the anatomical structure of the throat and how issues in different parts may require different specialist interventions?5. With the rising use of personal audio devices, you highlighted concerns about headphone volume and duration of use. Could you explore alternative safe listening practices for people who use headphones frequently?6. In the case of Dr. Bonta's relief from ear wax removal, why does excessive wax build-up occur, and what are some preventive measures to avoid significant build-up?7. You have significant expertise in both dentistry and ENT. How does this dual training benefit your practice and patient care, especially in mixed cases involving both dental and ENT issues?8. Dr. Shahnavaz, you emphasized the importance of maintaining healthy bacteria in our systems. Can you talk about how this relates specifically to ear, nose, and throat health?9. Throughout the episode, you discussed various preventive measures for ENT health. Which simple daily habits do you believe are most underestimated in their positive impact on our ENT health?10. Finally, could you dive deeper into the strategies for managing severe tinnitus, especially regarding new research or therapies that might offer hope to those severely affected?