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Ditch The Labcoat

Dr. Mark Bonta
Ditch The Labcoat
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  • The Present and Future State of Medicine with Dr. Erwin Loh
    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 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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  • Influencer Mythbusting with Dr Samir Gupta
    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 (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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  • Parkour: Part Sport, Part Art, All Risk Management with Joe Scandrett and Dr. Sagar Desai
    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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  • Habits vs Diets - Winning the Weight Battle with Dr. Sasha High
    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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  • Has Medicine Lost Its Mind? With Dr Robert Smith | Ditch The Labcoat
    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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About Ditch The Labcoat

Candid conversations between healthcare experts, every Wednesday at 5am EST on Labcoat.fm, your destination for evidence-based insights into the world of medicine, with no holds barred debate about hot topics in healthcare. This is for all the closet doctors, nurses, pharmacists and all others who are deeply fascinated about medicine but view the headlines with science-based skepticism.
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