Episodes

  • Raw Milk and Allergy Pet Peeves with Dr. Samira Jeimy

    Raw Milk and Allergy Pet Peeves with Dr. Samira Jeimy
    Jun 11 2025
    Welcome back to Ditch the Labcoat, the podcast where we cut through the noise and myths swirling around modern healthcare—one evidence-based conversation at a time. I’m Dr. Mark Bonta, and in today’s episode, get ready to hear from one of our returning guests: Dr. Samira Jeimy, allergist, immunologist, associate professor, and the straight-talking force behind Allergies Explained.

    Dr. Jeimy is here to tackle her “Top 10 Propaganda Pieces” as an allergy expert—the big healthcare myths, media soundbites, and outright scams that drive her up the wall. From debunking the so-called ‘immunity debt’ theory and the raw milk craze, to exposing the truth behind pricey food intolerance tests and the seductive marketing of wellness supplements, she brings a blend of humor, clinical wisdom, and no-nonsense clarity.

    You’ll hear why “natural” doesn’t always mean safe, how supplement and testing industries prey on patient anxiety, and why stories—more than science—often shape the health choices we make. Dr. Jeimy also takes us inside the real conversations she has with patients confused by allergy myths, and how she helps untangle fact from fiction, one appointment at a time.

    Whether you’re a healthcare professional, a chronic allergy sufferer, a concerned parent, or just tired of being bamboozled in the supplement aisle, this episode brings fresh perspective, sharp debunking, and a dose of laughter to your feed. So cozy up and get ready to ditch the misinformation, as we dive into the truth behind the top allergy and immunology myths with Dr. Samira Jeimy.

    Episode Highlights

    1. Immunity Debt Myth Don't believe the narrative that lack of infection "weakens" your immune system; real harm comes from infections, not their absence.
    2. Food Intolerance Tests Are Useless Expensive food intolerance tests measure exposure, not intolerance, leading to wasted money and unnecessary diet restrictions.
    3. Natural Isn’t Always Safe “Natural” products (like raw milk, plant oils) aren’t automatically safe—many can cause harm or severe allergic reactions.
    4. Eczema Not About Food Eliminating foods often doesn’t cure eczema; the real issue is inflammation of the skin, not food allergies.
    5. Overtesting Creates False Allergies Unnecessary allergy testing leads to false positives, unhelpful labels, and dangerous food restrictions.


    Episode Timestamps

    4:16 — Influencer Impact on Health Information
    6:35 — "Storytelling's Impact in Tech and Health"
    12:51 — Health Concerns or Misdirection?
    16:52 — Food Desensitization and Lifestyle Changes
    20:07 — Countering Misinformation on Allergies
    21:46 — Dietary Restrictions and Relationship Strain
    25:24 — Immune System Overreaction Dangers
    27:48 — Benadryl: Canada's Sole IV Antihistamine
    31:12 — Dairy, Sugar, and Skin Health
    35:08 — Unreported Complementary Health Treatments
    38:52 — The Limitations of Unvalidated Diagnostic Tests
    42:46 — Dr. Jamie: Compassionate Healthcare Advocate


    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.
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    44 mins
  • Surviving the Stigma with Dr. Dov Gebien

    Surviving the Stigma with Dr. Dov Gebien
    Jun 4 2025
    In this episode of Ditch the Lab Coat, Dr. Mark Bonta sits down with Dr. Dov Gebien for a deeply personal and raw conversation about addiction, stigma, and redemption within the medical profession. Dr. Gebien, an emergency physician, shares his courageous story of opioid addiction—tracing his journey from the initial dependency that crept in after multiple back surgeries, through the devastating fallout of withdrawal, arrest, and prison, to his eventual recovery and fight to reclaim both his medical license and sense of self.The episode explores the culture of medicine and the harsh judgment often faced by healthcare professionals struggling with substance use. Dr. Gebien opens up about the profound shame and isolation that accompany addiction, explaining how secrecy and fear of exposure perpetuate suffering. He discusses how his turning point came when he finally “came clean,” recounting the unexpected compassion from some colleagues, but also the widespread mistreatment and lack of understanding he encountered—especially compared to how the system treats those with alcohol use disorder or physical illness.Dr. Gebien and Dr. Bonta delve into how the medical system, historically complicit in the opioid crisis, continues to stigmatize opioid addiction in its ranks, and they candidly address the punitive versus rehabilitative paths offered to healthcare workers in crisis. Dr. Gebien reflects on how recovery transformed his approach to medicine, fostering empathy and changing the way he relates to patients facing addiction.Now a community physician, public speaker, and researcher with published work on Sudden Infant Death Syndrome, Dr. Gebien unpacks his reinvention and the ongoing challenges of regaining trust and credibility within his field. The episode is a powerful meditation on perseverance, accountability, and hope—the “hard-won kind” forged through adversity.Episode Highlights1. The Power of Honesty : Telling the truth about addiction, even when it’s painful, is the starting point for recovery and lightens the emotional burden.2. Compassion Over Judgment : Healthcare needs more compassion and less stigma toward addiction—judgment only deepens isolation and suffering for both patients and clinicians.3. Addiction Knows No Boundaries : Opioid addiction can affect anyone—doctors, professionals, or neighbors—not just the stereotypical “skid row” population.4. Burnout Breeds Judgment : Compassion fatigue and harsh attitudes in emergency medicine can lead to diminished empathy for those with addiction struggles.5. Redefining Professional Redemption : Recovery and return to practice after addiction require perseverance, transparency, and a willingness to rebuild credibility from scratch.6. Forgiveness and Second Chances Reintegration into medicine is possible, but it demands humility, hard work, and meeting rigorous requirements to ensure public safety.7. Continuous Recovery Accountability Structured support systems—therapy groups, monitoring, and regular check-ins—are vital in maintaining long-term recovery and reducing relapse risk.8. Experience Builds Better Doctors Personal hardship, including addiction and recovery, can foster stronger empathy, better listening skills, and more effective patient care.Episode Timestamps3:32 – Resilient Hope Amid Adversity9:32 – Addiction's Story: A Broader Insight10:54 – Opioid Dependency Misunderstanding17:12 – Compassion in Addiction Treatment21:07 – Forgiveness and Reintegration in Healthcare23:39 – Challenges Reveal True Character27:13 – Recovery: Holistic Approaches Versus Cure29:38 – Expressing Myself Through Recovery33:20 – Challenges of Reintegration for Felons37:01 – Healthcare Workers' Untreated Disorders Insight39:10 – Diaphragm Cramp Research Breakthrough42:33 – Rediscovering Purpose in Medicine45:00 – Secrets, Addiction, and Consequences48:44 – Finding Hope After DisgraceDISCLAMER >>>>>> 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.
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    50 mins
  • The Present and Future State of Medicine with Dr. Erwin Loh

    The Present and Future State of Medicine with Dr. Erwin Loh
    May 28 2025
    Welcome back to another eye-opening episode of Ditch the Lab Coat with Dr. Mark Bonta! While we usually dig into the science behind medicine’s biggest questions, on this episode, Dr. Mark is joined by the extraordinary Dr. Erwin Loh — a powerhouse at the intersection of medicine, law, healthcare leadership, and medical futurology. Dr. Loh is not only the President of the Royal Australasian College of Medical Administrators and National Director of Medical Services for Calvary Healthcare in Australia, but he’s also a trusted voice on LinkedIn, where he untangles medical breakthroughs and ethical dilemmas for his global audience on the daily (sometimes 5 to 10 times a day!)—all while juggling life as an executive and dad.Together, Mark and Erwin tackle some of the most pressing—and headline-worthy—topics in medicine today. They dig into Long Covid: what it is, why it’s not just "all in your head," and why the recognition of this condition is also reshaping how we think about elusive illnesses like chronic fatigue syndrome and fibromyalgia. If you’ve wondered what’s really happening with the mysterious gut microbiome, the resurgence of old viruses, or the risks of misinformation in today’s media chaos, you’ll find answers grounded in the latest evidence, not just the loudest opinions.But that’s not all—they venture into the weird and wild wonders of scientific progress, from the looming issue of plastics in our cells to CRISPR gene editing and the promises (and perils) of AI in healthcare. Along the way, you’ll hear why microplastics might be the “asbestos of our age,” how mixing vaccines can make you a lightning rod for online trolls, and why being cautiously optimistic about humanity’s next steps—despite climate change, pandemics, and deepfake bioweapons—is not just reasonable, it’s necessary.Whether you’re a science junkie, a future-watcher, or simply want a hopeful, no-nonsense take on where medicine is headed (and how it affects your life), this episode delivers smart, ethical, and accessible conversation. Pour yourself something strong, turn your curiosity up to eleven, and get ready for a tour de force of myth-busting, insight, and inspiring optimism from two voices at the cutting edge of healthcare.Tune in for the kind of honest, evidence-based, and thought-provoking discussion you won’t find anywhere else—right here on Ditch the Lab Coat!Dr Loh's Links( https://www.linkedin.com/in/erwinloh/ )( https://x.com/erwinloh )Episode HighlightsLong Covid: Real and Varied Long Covid is a legitimate, multifaceted syndrome. Most cases improve within two years, but symptoms and underlying mechanisms differ widely.Post-Viral Syndromes Aren’t New Long-term illness after viral infections, like after influenza or Epstein Barr, has long existed—Covid just spotlighted this issue.Chronic Illness Recognition Grows Long Covid research is giving more credibility to conditions like chronic fatigue syndrome and fibromyalgia within the medical community.Silent Illnesses Challenge Healthcare Illnesses without definitive biomarkers, such as Long Covid, are harder to diagnose and treat, often leading to patient stigma.Microbiome’s Expanding Influence Our gut, skin, and oral microbiomes profoundly affect physical and mental health, though much remains to be discovered about exactly how.Viruses and Chronic Disease Links Viruses may contribute to diseases like multiple sclerosis, cancers, and possibly Alzheimer’s, highlighting new frontiers in research.Gene Editing: Transformative Power CRISPR technology lets us precisely edit human genes, promising cures for some diseases but raising major ethical and safety concerns.AI: Double-Edged Healthcare Tool AI accelerates medical discovery and innovation but can also enable harmful outcomes, including creation of bioweapons or misinformation.Plastics: Ubiquitous Unknown Threat Microplastics are everywhere, even in our cells. The true health risks are not fully understood but raise serious environmental and biological questions.Episode Timestamps4:22 – Long Covid: Global Challenge and Uncertainty9:31 – Recognizing Long Covid's Impact10:47 – Exploring Long Covid Treatments16:39 – Unknown Frontiers in Science18:22 – Understanding Microbiome and Disease Dynamics21:04 – COVID Vaccination Journey and Hybrid Immunity24:42 – LinkedIn: Fewer Trolls, Richer Conversations29:04 – Gene Therapy via Phage Infections31:58 – Genetic Correction: Hope and Ethics36:54 – AI and Humanity's Existential Challenges41:14 – Future of Microplastics and Society44:24 – AI, Cognition, and Future Governance46:28 – "Medical Futurology with Irwin Lowe48:31 – "AI in Medicine: Trust MattersDISCLAMER >>>>>> 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 ...
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    49 mins
  • Influencer Mythbusting with Dr Samir Gupta

    Influencer Mythbusting with Dr Samir Gupta
    May 21 2025
    Welcome back to another eye-opening episode of Ditch the Lab Coat with Dr. Mark Bonta! While we usually dig into the science behind medicine’s biggest questions, this week we’re tackling the latest health fads and “wellness” trends lighting up your social feeds—from infrared saunas and cold plunges to mouth taping and chlorophyll water.Joining Mark is Dr. Samir Gupta, a leading Canadian health communicator, clinician, and respirologist known for translating the complex world of medical research into practical advice you can trust. Together, they sift fact from fiction on everything from the cardiovascular perks of sauna bathing (is it really the “new running”?), to the surprising metabolic effects of cold immersion, and what science truly says about intermittent fasting and its potential risks.If you’ve ever wondered whether that daily cold plunge will actually boost your immune system, or if packing your cart with ultra-processed foods is as dangerous as smoking, this episode is for you. Mark and Samir unpack the real data—both the encouraging findings and the cautionary tales—behind today’s most viral wellness hacks, including why you might want to think twice before taping your mouth shut or spending a fortune on chlorophyll water.They also take a deep dive into the gut microbiome—what it actually is, how it impacts cravings and disease risk, and why you shouldn’t rush to buy the latest “miracle” probiotic kit just yet. Plus, a frank discussion on the harms (and sometimes hilarity) of the social media health machine.Whether you’re a wellness skeptic, a trend-chaser, or just someone confused by conflicting health advice, this episode delivers the scientifically sound, refreshingly honest perspective you’ve been looking for. Plug in for myth-busting, evidence-backed conversation—and a few laughs—about what it really takes to live healthier, longer, and smarter.Episode HighlightsSauna Science Surprises : Frequent sauna use, especially Finnish-style, is linked to reduced heart disease and dementia risk, with short- and long-term benefits.Infrared vs. Traditional Saunas : Infrared saunas might differ from classic dry saunas; less data supports their health claims, especially regarding respiratory or cardiovascular outcomes.Benefits and Limits of Cold Plunge : Cold plunges activate brown fat and may modulate immunity, but benefits depend on regular, protocol-based use—not occasional dips.Intermittent Fasting: Mixed Signals : Intermittent fasting can offer metabolic perks and moderate weight loss, but recent studies raise concerns about potential long-term cardiovascular risks.Ultra Processed Foods: New Tobacco : Growing evidence ties ultra processed foods to shorter lifespans, heart disease, cancers, and mental health risks—diet quality matters deeply.Fad Diets: Caution Required : Trends like the carnivore diet or chlorophyll water lack solid evidence and may distract from proven, common-sense health choices.Ancient Traditions, Modern Evidence : Heat and cold therapies are age-old practices; modern research is catching up to explain their physiological and health effects.Gut Microbiome: Emerging Frontier : The diversity and health of your gut bacteria impact metabolism, immunity, cravings, and possibly mental health; much remains unknown.Simple Habits Still Matter : Basic changes—better sleep, home cooking, activity, limiting processed foods—often have more impact than supplements or extreme regimens.Episode Timestamps06:00 – Sauna Benefits: Short and Long Term?08:44 – Evaluating Health Trends Skeptically13:19 – Ancient Health Benefits of Saunas17:00 – WeGovy Microdosing: Affordability and Efficacy19:52 – Intermittent Fasting: A Convenient Habit21:49 – Metabolic Adaptation and Eating Habits26:03 – Dangers of Ultra-Processed Foods29:46 – Ultra-Processed Foods: Health Risks Highlighted33:09 – Unexpected Health Outcomes: Smoking vs. Lifestyle35:55 – Microbiome's Impact on Health and Cravings38:14 – Gut Microbiome: Promising but Uncertain42:41 – Investing in Health Improvements44:33 – Rethinking Supplement Fads with ScienceDISCLAMER >>>>>> 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 (...
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    47 mins
  • Parkour Precision: Balancing Risk and Prevented Care for Athletes with Joe Scandrett and Dr. Sagar Desai

    Parkour Precision: Balancing Risk and Prevented Care for Athletes with Joe Scandrett and Dr. Sagar Desai
    May 14 2025
    Welcome to a brand new episode of Ditch the Lab Coat with Dr. Mark Bonta! Normally, we dig deep into medical mysteries and healthcare headlines, but today we’re taking a high-flying detour into the world of extreme movement and gravity-defying stunts. In this episode, Mark sits down with internationally renowned parkour athlete, free runner, stunt performer, and Ninja Warrior UK finalist, Joe Scandrett. If you’ve ever seen someone leap between rooftops or swing from lampposts like a real-life Spider-Man, you’ve probably watched Joe in action.But behind the jaw-dropping videos and viral stunts lies an athlete with intense focus, respect for his craft, and a work ethic rivaling Olympic champions. Joining the conversation is Dr. Sagar Desai, an orthopedic foot and ankle surgeon to elite athletes, who helps break down the anatomy of risk, recovery, and resilience when things go wrong.Together, they explore everything from the mental prep before attempting a death-defying pole slide, to how parkour athletes minimize injury, and how the sport’s next generation is pushing the human body further than ever. We hear the honest truth about injury, fear, the importance of listening to your gut, and why sometimes the bravest move is to walk away.Whether you’re a curious parent, a health professional, or someone itching to try a backflip in the backyard, this episode is packed with adrenaline, wisdom, and practical advice for athletes of any level. So plug in, get ready for an inside look into the world of extreme movement, and discover what it really means to chase mastery—without losing your head (or your ankles) along the way.Episode HighlightsCalculated Risk Over Recklessness : Progress carefully, know your limits, and differentiate between safe pushing and dangerous stunts.Preparation Beats Adrenaline Chasing : Success in extreme sports comes from meticulous mental and physical prep, not just thrill-seeking.Community Strengthens Skills : Being part of a community offers support, feedback, and encouragement for safer progression.Listen To Your Body : Recognize warning signs and walk away if something feels wrong; self-preservation is paramount.Injury Recovery Requires Patience : Take the time to heal and pace your return; rushing leads to setbacks.Respect Individual Progression : Focus on gradual, personal skill development rather than comparing yourself to others or rushing milestones.Technical Mastery Is Essential : Precision and practice trump brute force; landings and proper techniques prevent injuries.Mentorship Matters : Guidance from experienced athletes or coaches is critical for both safety and progression.Episode Timestamps01:00 – Unveiling Joe Scandret's Adventures04:22 – Extreme Sports Evolution: Instagram Phenomenon09:46 – Risky Movement Preparation11:59 – Parkour vs. Medicine: A Risky Comparison13:57 – Surviving Jumps: Risk and Technique17:08 – Achilles Injury Misdiagnosis20:19 – Rebuilding Confidence After Injury24:21 – Ego-Free Decision Making28:48 – Parkour Risks for Non-Professionals30:01 – Coaching Challenges in Parkour33:20 – Balancing Encouragement and Safety36:56 – Parkour Participation Across Ages42:42 – Athletes and Surgeons: A Unified Goal43:32 – Stay Grounded, Trust YouthDISCLAMER >>>>>> 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.
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    45 mins
  • Habits vs Diets - Winning the Weight Battle with Dr. Sasha High

    Habits vs Diets - Winning the Weight Battle with Dr. Sasha High
    May 7 2025
    In today’s episode, Dr. Mark Bonta sits down with Dr. Sasha High—internist, obesity medicine specialist, founder of High Metabolic Clinic, and host of the High on Life podcast—to take a fresh, science-based look at weight management, obesity, and why sticking to those well-intentioned New Year’s resolutions isn’t just about willpower.Dr. High pulls back the curtain on one of the most stubborn misconceptions in medicine: that losing weight is simply about eating less and moving more. Instead, she invites us inside the fascinating intersection of biology, psychology, and our modern environment—unpacking everything from the brain’s reward system and relentless food cravings, to the real effects of ultra-processed foods and why portion control strategies aren’t always enough. Plus, they dig into headline-grabbing GLP-1 medications like Ozempic, exploring how these new tools fit into a holistic approach rooted in compassion and sustainability rather than shame.Whether you’ve ever found yourself battling the dessert buffet, struggling with food noise, or just curious about what truly works when it comes to lasting weight management, this episode is packed with evidence-based insights, practical strategies, and a healthy dose of empathy. So, plug in and get ready to challenge your assumptions—and maybe even get a little kinder to yourself along the way.Check out the High on Life podcast with Dr. Sasha High and sashahighmd.comEpisode HighlightsObesity Isn’t Willpower Alone : Obesity is driven by biology and genetics, not just lack of willpower. Many factors influence eating behaviors beyond conscious choice.The Power of Food Environment : Ultra-processed, hyper-palatable foods hijack our brain’s reward system, making moderation especially hard for some people.All-or-Nothing Thinking Sabotages ProgressRigid dieting mindsets cause yo-yo cycles. Adopting a “next best choice” approach is far more sustainable.Protein Keeps Hunger in Check : Including protein with every meal helps stabilize blood sugar, maintain satiety, and curb overeating, especially with snacks.Manage Emotional Eating Mindfully : Emotional eating is common and not always bad, but learning emotional regulation skills is key for sustainable weight management.Ultra-Processed Food Is UbiquitousAccessibility and cost make it hard to avoid unhealthy foods, so realistic, values-based strategies are essential for change.Small Changes Beat Drastic Diets : Stepwise, patient-led lifestyle changes tailored to individual values work better than strict, all-or-nothing overhauls.GLP-1 Medications: Tool, Not CureMedications like Ozempic can help some, but they must supplement—not replace—lifestyle and psychological interventions.Episode Timestamps02:00 – Challenging Weight Loss Myths05:08 – Understanding Obesity and Eating Motivation07:08 – The Cycle of Constant Hunger10:28 – Lifestyle Change: Beyond Basic Knowledge15:02 – Mindful Eating and Neuroplasticity16:59 – Insulin Resistance: Beyond Calorie Count22:51 – Reframing Sugar: Marathon Fuel25:48 – Food Risks: Health vs. Accessibility28:30 – Patient-Led Lifestyle Changes32:35 – Behavior Change Through Habit Design33:30 – Motivating Change Through Values37:18 – Psychology’s Role in Weight Management43:32 – Empowering Healthcare Providers45:03 – Balancing Health: Meds & CompassionDISCLAMER >>>>>> 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.
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    46 mins
  • Has Medicine Lost Its Mind? With Dr Robert Smith | Ditch The Labcoat

    Has Medicine Lost Its Mind? With Dr Robert Smith | Ditch The Labcoat
    Apr 30 2025
    In this episode of Ditch the Lab Coat, Dr. Mark Bonta is joined by Dr. Robert C. Smith, University Distinguished Professor Emeritus of Medicine and Psychiatry at Michigan State University, to tackle one of modern healthcare’s biggest blind spots: mental health care in the medical system.Dr. Smith—renowned educator, author, and advocate—pulls back the curtain on how, despite mental health problems being the most common health condition seen in practice, most doctors are dangerously undertrained to diagnose or treat them. He explains that medicine’s longstanding “mind-body split” traces back centuries, shaping medical education, health systems, and even our billing codes to treat mental and physical health as separate entities. The result? Nearly 75% of mental health care is provided in primary care settings by clinicians who received only about 2% of their training in mental health.The conversation is both a critique and a call to action. Dr. Smith advocates for a revolution in medical education—a new “Flexner Report”—to fully integrate mental health teaching and the biopsychosocial model at every level of training. He shares lessons from history, the cultural and structural forces behind the mind-body divide, and practical examples from the clinic—like why lifestyle factors and trauma histories are so often ignored.Dr. Bonta and Dr. Smith also offer practical advice for both clinicians and patients: how to advocate for better care, what questions to ask, and the importance of seeing patients as whole people rather than a sum of body parts or checklists.If you’ve ever felt that your mental health concerns weren’t taken seriously, or if you’re a healthcare provider frustrated by a broken system, this episode offers both context and hope—a blueprint for creating a healthcare system that truly sees and treats the whole person.Episode HighlightsBiopsychosocial Model’s Limits : Treating biological, psychological, and social factors as separate fails patients; true integration is essential for holistic care.Insufficient Mental Health Training : Most doctors get minimal mental health education, despite facing these issues daily in primary care settings.Systemic Checkboxes Over People: Medical culture prioritizes checklists and protocols, often neglecting patients’ real experiences and interconnected life factors.Chronic Disease and Mental Health : Overlooking mental health and lifestyle factors worsens outcomes for chronic illnesses like heart disease and diabetes.PTSD as Teaching Tool : Post-traumatic stress highlights how physical and psychological symptoms are deeply entwined and inseparable in patient care.Need For Top-Down Reform : Only policy-level, systemic changes can mandate integration of mental health into mainstream medical education and practice.Patient Advocacy Is Crucial : Change won’t arrive without active voices from patients and the public demanding better, more integrated care.Actionable Lifestyle Advice : Regular exercise, good diet, mindfulness, and honest self-reflection can support both mental and physical resilience.Communication Beats Technology : As artificial intelligence advances, true human connection in healthcare—listening, understanding, empathy—remains irreplaceable.Episode Timestamps04:53 – Biopsychosocial Model Critique07:32 – PTSD: Linking Mental and Physical Health10:20 – “Mind-Body Split in Medicine”15:53 – Mind-Body Connection in Chronic Care17:40 – Lifestyle-Induced Health Complications21:32 – “Reforming Medicine: A Systems Approach”26:25 – Biopsychosocial Model in Healthcare29:35 – Mental Health Training Shortfall30:41 – Integrated Biopsychosocial Medical Training35:20 – Interdisciplinary Approach to Trauma Inquiry37:44 – Lifestyle Hacks for Mental and Physical Resilience43:24 – Healthcare System’s Training Limitations45:11 – Prioritize Mental Health AwarenessDISCLAMER >>>>>> 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.
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    47 mins
  • Physician Burnout meet AI with Dr. Kyle Fortinsky and Jay Gilbert

    Physician Burnout meet AI with Dr. Kyle Fortinsky and Jay Gilbert
    Apr 23 2025
    In this episode of Ditch the Lab Coat, Dr. Mark Bonta takes us into the underappreciated world of medical documentation—and the burnout it breeds—by shining a spotlight on two disruptors aiming to change the status quo. Joined by Dr. Kyle Fortinsky, a gastroenterologist and self-proclaimed tech enthusiast, and serial entrepreneur Jay Gilbert, the discussion pulls back the curtain on the all-too-familiar struggle of physicians, nurses, and healthcare workers documenting late into the night while real life passes them by.Together, they unpack the daily grind of charting and how the current EMR landscape keeps clinicians glued to screens, often at the expense of patient care and personal well-being. Jay and Kyle reveal the origin story of their innovative startup, Clever Consult, born from both firsthand medical experience and the intimate view of a spouse disappearing into late-night charting marathons. Listeners get a candid look at their journey from scribbled napkin ideas to building a privacy-first AI assistant that actually understands clinical nuance.Beyond the tech talk, this episode explores everything from the high-risk realities of endoscopy procedures to the frustrating hunt for vital information buried in endless patient charts. The conversation also delves into the real fears—and hurdles—of integrating AI into healthcare, from privacy concerns to the challenge of building tech that truly lightens clinicians’ workloads.With humor and humility, Dr. Fortinsky and Jay Gilbert make the case that “doctor-built, doctor-focused” AI can finally start to reclaim the cognitive energy clinicians lose to admin overload. Rather than replace clinicians, this technology aims to empower them, helping doctors spend less time as scribes and more time as healers, problem-solvers, and humans.Tune in to hear how the marriage between entrepreneurial grit and frontline medical experience is forging a new path—one where AI does the heavy lifting behind the scenes, so healthcare professionals can get back to what truly matters: caring for people.Episode HighlightsWhy We NEED This: Kyle and Jay share horror stories of never-ending notes, missed dinners, and knowing your patient is safe to scope only after 20 minutes combing PDFs for hidden warfarin doses.The Product: An AI tool designed not to replace doctors, but to free them from scribal servitude. Clever Consult ingests mountains of charts, consults, labs, and more—then gifts you the focused summary you need, before you see the patient.Built by Doctors, for Doctors: "If physicians don’t look after themselves, they can’t look after patients.” That’s the mantra guiding Clever Consult’s development.Privacy FIRST: With patient confidentiality sacred, the team spent more money on privacy law than anything else. All data’s in Canada, nothing is retained by AI vendors, and legal experts guide every tech decision.The Human Touch: While some fear robots will take the stethoscope, Jay and Kyle see AI as an assistant—not a replacement—to boost diagnostic accuracy, flag hidden dangers, and (finally!) give us more one-on-one time with patients.The Future: Imagine charting in a fraction of the time, cognitive energy reserved for real-life problem-solving (not formatting notes on endless EMR screens), and leaving “scut work” to the machines.Episode Timestamps03:35 – Revolutionizing Healthcare with Tech09:13 – Streamlining Medical Data Management12:52 – “Improving Medical Efficiency with AI”16:21 – Serendipitous Developer Collaboration17:14 – Building & Validating the Business Model20:57 – “Balancing AI’s Strengths and Weaknesses”25:36 – AI Legal Consultation for Data Compliance28:27 – Bridging Software and Medical Expertise32:27 – AI Revolution in Medical Diagnostics34:33 – AI‑Enhanced Medical Diagnosis40:29 – Deep AI Solutions for Medical Documentation42:06 – “AI‑Driven Healthcare Documentation”47:33 – AI Revolutionizes Healthcare DocumentationDISCLAMER >>>>>> 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....
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    50 mins