Podcast
Ditch The Labcoat
Hosted by Dr. Mark Bonta · ENGLISH
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.
107episodes
Episodes
Newest firstAll episodes
The Art of Storytelling: Medical Ethics and the Stories We Don't Tell with Katie Engelhart
3w ago00:46:18Tap to summarizeDr. Mark Bonta reads the obituary section every weekend. Not morbidly. But because when he cares for patients in the hospital, he sees them in a blue gown having their worst day. He never knows their life, their legacy, or how they wanted to be remembered. The obituary fills in the gaps.Katie Engelhart, a Pulitzer Prize-winning journalist and contributing writer at The New York Times Magazine, does something similar. She finds the stories medicine doesn't tell. The ethical dilemmas playing out in ICUs and hospital rooms that the public never hears about. Medical aid in dying for eating disorders. Covert consciousness in patients diagnosed as vegetative. Dementia patients timing their own deaths before losing capacity to consent.Her work challenges the way medicine operates. Not the science. But the values, the judgments, the institutional culture that shapes standards of care without public input. She spends months, sometimes years, with patients and families navigating impossible decisions. And she lets the stories stay messy because real life doesn't fit tidy narratives.Mark and Katie talk about how she finds the people whose stories need to be told, how she earns trust over months of conversations, and why she has respect for doctors and medical science but not deference to the way things are in medicine.If you've ever wondered how medical journalism actually works, why certain stories get told and others don't, or what happens when families navigate end-of-life decisions without the ethical support they need, this conversation will give you a behind-the-scenes look at one of the best medical writers working today.Katie Engelhart: https://www.katieengelhart.com/Episode Takeaways1. Standards of medical care are shaped by value judgments, ethics, institutional culture, and history — not just science and mathematics. The public is often unaware of why policies exist or how they came to be.2. Katie's reporting process involves months (sometimes years) of conversations, thousands of pages of medical records, and cross-referencing with family members and experts to verify every detail.3. Covert consciousness research shows that about 25 percent of patients presumed to be in vegetative states are actually aware and can perform tasks like imagining playing tennis, but families making decisions rarely have access to these tests.4. What "better" or "recovery" means to an ICU physician is often very different from what it means to a family member — even medical terms are shaped by values, not just facts.5. Katie finds people to profile by spending months building trust with providers, writing letters they can share with patients, and navigating institutional barriers that either support or block her work.6. The healthcare system lacks ethical support for patients making major moral decisions, leaving millions of people to face these choices alone even though their neighbors are going through the same thing.7. Patients will do their own research, and clinicians need to accept that and expand conversations to include it rather than dismissing skepticism as uninformed or pseudoscience.8. Choices that seem unfathomable from the outside become completely understandable when you spend time with the people making them and walk through their reasoning step by step.Episode Timestamps04:48 – Why Katie Is Drawn to Medical Writing08:24 – Telling Robert Munch's Dementia Story Without Making It About Dementia15:22 – Covert Consciousness: A Quarter of Vegetative Patients Are Actually Aware19:32 – The Ego and Humility Problem in Medicine22:56 – What "Better" Means to Doctors vs. Families28:17 – Finding the People Whose Stories Need to Be Told32:05 – How Katie Vets Sources and Verifies Information37:38 – The Existential Crisis of Our Own MortalityDISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.
Transcribe →Curing Cancer: Possible or Pipe Dream? with Dr. Sonal Gandhi
May 1300:58:45Tap to summarizeWe're going to cure cancer in our lifetime." It's a rallying cry at every charity event, every fundraiser, every race. But what does that actually mean?Dr. Sonal Gandhi, a medical oncologist, joins Ditch the Labcoat to break down what most people don't understand: we already cure cancer. All the time. Early stage cancers like breast, colon, and skin cancer caught in time have cure rates approaching 90 to 100 percent.The challenge is stage four cancer. Metastatic disease. Cancer that has spread to other organs. And even there, the conversation is shifting. Cancer is increasingly becoming a chronic illness. People are living longer with it, sometimes dying with it rather than from it, just like they do with heart disease or diabetes.Dr. Gandhi walks through what "curing cancer" really means, how treatment has evolved beyond chemotherapy into targeted therapies and immunotherapy, and why prevention matters. Up to 40 percent of cancers are related to modifiable lifestyle factors: smoking, alcohol, obesity, lack of exercise. But even doing everything right doesn't guarantee you won't get cancer. Age is the number one risk factor, and we can't modify that.She also challenges the guilt people carry when they're diagnosed and reframes the fear around the "C word." Maybe it's time to pull cancer back into the middle with the menu of other chronic illnesses we manage, not cure.If you've ever wondered what "curing cancer" actually means, why some cancers are more treatable than others, or what you can do to reduce your risk, this episode will reframe how you think about one of medicine's most feared diagnoses.If you've ever wondered why so many people have unexplained symptoms, why standard treatments fail them, or what actually works when medicine runs out of answers, this episode will reframe how you see chronic illness.Dr. Sonal Gandhi's LinkedinEpisode Takeaways1. We already cure cancer. Early stage cancers (stage 1 or 2) caught in time have cure rates approaching 90 to 100 percent, depending on the type.2. Cancer is not one disease. It's dozens of diseases with different stages, treatments, and outcomes. We're better at treating some than others.3. Stage four (metastatic) cancer is increasingly becoming a chronic illness. Treatments help people live longer with cancer, sometimes dying with it rather than from it.4. Up to 40 percent of cancers are related to modifiable lifestyle factors: smoking, alcohol, obesity, and lack of exercise. Being a healthy weight matters for cancer prevention.5. Age is the number one risk factor for cancer. Every decade you get older, cells get worse at repairing mistakes. We can't modify aging.6. Only 10 to 20 percent of cancers are due to inherited genes. Most cancers happen because of the complicated interplay between lifestyle, environment, and cellular aging.7. Immunotherapy works by preventing cancer cells from turning off the immune system, but it can cause severe autoimmune side effects that need rapid treatment.8. Whole body scans and experimental blood tests sound appealing, but they often create more harm than good. Screening needs to be done in context with clear downstream action plans.Episode Timestamps03:51 – What Does "Curing Cancer" Actually Mean?08:15 – Early Stage vs. Late Stage Cancer: The Critical Difference12:42 – How Chemotherapy, Targeted Therapy, and Immunotherapy Work18:35 – Prevention: Lifestyle Factors That Reduce Cancer Risk21:50 – Why Immunotherapy Can Cause Severe Side Effects30:48 – Cancer as a Chronic Illness, Not a Death Sentence38:22 – Environmental and Occupational Cancer Risks45:51 – Why Whole Body Scans Aren't the AnswerDISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.
Transcribe →Neuroplasticity Part 2: Fixing Physical Pain with Treatment of the Mind with Dr. Dave Clarke
Apr 2200:51:04Tap to summarizeDr. Dave Clarke returns to Ditch the Labcoat to dig deeper into something medicine still doesn't talk about enough: what happens when your body creates real, debilitating symptoms but there's nothing structurally wrong.This isn't about imaginary illness or psychosomatic complaints. This is about the brain physically changing in response to stress, trauma, and unresolved emotional burdens, and manifesting those changes as chronic pain, migraines, irritable bowel syndrome, fibromyalgia, chronic fatigue, and dozens of other conditions that standard medical tests can't explain.Dr. Clarke walks through what neuroplastic treatment actually looks like. How he identifies patients whose symptoms stem from adverse childhood experiences, current stressors, or past traumas they've buried so deep they don't even recognize the connection. How he helps them see that their bodies are okay, their brains have just learned to create symptoms as a warning signal. And how, once that fear is removed and the real stressors are addressed, symptoms that have plagued people for years can resolve. Sometimes dramatically, sometimes over time with therapy.The conversation challenges everything medicine teaches about the link between pathology and symptoms. Why do ten people with identical "bone-on-bone" knee arthritis x-rays experience completely different levels of pain? Why do half of people over 40 have abnormal spine MRIs but no symptoms at all? Why do patients get told their spine is "abnormal" or they have Ehlers-Danlos or chronic Lyme when the real issue is unprocessed trauma from childhood?Dr. Clarke also addresses the system failures that keep neuroplastic treatment on the margins. Why physicians trained to think about organs and structures struggle to diagnose conditions rooted in the mind. Why patients resist the idea that their pain could be brain-generated, even when it's the only explanation that fits. And why collaborative care between medical doctors and trauma-informed mental health professionals is the most cost-effective intervention we're not using.If you've ever wondered why so many people have unexplained symptoms, why standard treatments fail them, or what actually works when medicine runs out of answers, this episode will reframe how you see chronic illness.Dr. Dave Clarke's Website: https://www.symptomatic.me/Episode Takeaways1. Neuroplastic conditions are not imaginary. The brain has physically changed in response to stress or trauma, creating real symptoms in the body.2. Over 40% of people who present to primary care have medically unexplained symptoms, and at least a quarter to a third of adults experience neuroplastic conditions.3. More than half of people over age 40 have abnormal spine MRIs with zero symptoms, proving that structural abnormalities don't always correlate with pain.4. Pain reprocessing therapy starts with reassurance: your body is okay, you don't need to fear lifelong disability, and shifting attention from body to mind begins reducing symptoms.5. Adverse childhood experiences (ACEs) are often subtle. Not just physical or sexual abuse, but emotional neglect, perfectionism, or growing up in chaotic households create lasting neuroplastic effects.6. The key to uncovering hidden trauma: ask patients to imagine their own child growing up exactly as they did. This reframe helps them see experiences they minimized as actually harmful.7. Collaborative care between medical doctors and trauma-informed mental health professionals produces the best outcomes and is highly cost-effective, reducing ER visits and healthcare utilization.8. Resources are now widely available: apps (Curable, Nirvana, Digestible, FreeMe), self-help books, the Association for the Treatment of Neuroplastic Symptoms (symptomatic.me), and trained providers worldwide.Episode Timestamps03:45 – What Neuroplastic Treatment Actually Looks Like07:09 – The Stress Evaluation: Finding the Link Between Trauma and Symptoms13:35 – How to Get Patients to Believe Their Brain Creates Physical Pain18:55 – Placebo, Nocebo, and Why Pain is Always Generated by the Brain24:46 – Conditions That Benefit from Neuroplastic Treatment29:35 – Why the System Still Doesn't Believe This36:53 – How to Uncover Hidden Childhood Trauma46:45 – Resources for People Who Can't Access Specialized CareDISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.
Transcribe →The Human Upgrade: Peak Performance and Purpose in the AI Revolution with Dr. Alfredo Borodowski
Apr 100:46:44Tap to summarizeAlfredo Borodowski has lived through public failure, bipolar disorder, and the work of rebuilding identity from the ground up. Now he helps leaders navigate disruption without losing their humanity.In this episode of Ditch the Labcoat, Dr. Mark Bonta sits down with Alfredo to explore what happens to meaning when systems accelerate. They discuss why productivity metrics fail to capture human performance, what AI accelerates and what it erodes, and how leaders can maintain purpose and resilience when certainty disappears.Alfredo's formula is simple but powerful: Positivity + Purpose = Peak Performance. But the conversation goes deeper than frameworks. It asks hard questions about what humans need to preserve as work becomes more automated, why resilience isn't grit or endurance theater, and where positive psychology helps versus where it breaks.This isn't a how-to episode. It's a thinking episode for leaders, clinicians, and anyone navigating a world where the system is outpacing the human. Dr. Borodowski : https://www.linkedin.com/in/alfredo-borodowski/Episode Takeaways1. Positive psychology focuses on nurturing what's already working, not fixing what's broken—a fundamental shift from traditional problem-solving approaches.2. The formula Positivity + Purpose = Peak Performance isn't about motivation—it's about maintaining agency and meaning when systems accelerate beyond human capacity.3. AI accelerates efficiency but can erode meaning, dignity, and the human experience of work if leaders don't actively preserve it.4. Resilience isn't grit or pushing through—it's about internal stability, purpose, and psychological adaptability in permanent uncertainty.5. Leadership in the AI era requires shifting from predicting the future to guiding people through disorienting change.6. Burnout happens when purpose disconnects from work—not from working too hard or lacking work-life balance.7. Productivity metrics capture output but miss what actually drives human performance: meaning, connection, and psychological safety.8. Positive psychology helps when it addresses real tension and limits—it breaks when it becomes toxic positivity or denial of difficulty.Episode Timestamps05:54 – What Is Positive Psychology? (Nurturing What Works, Not Fixing What's Broken)09:06 – The Positivity + Purpose = Peak Performance Formula11:21 – Why Most Leadership Fails in Times of Uncertainty14:02 – How AI Changes What Humans Need to Focus On18:11 – The Difference Between Efficiency and Meaning22:50 – Why Burnout Is Misunderstood by Leaders28:03 – Resilience Is Not Grit or Endurance Theater32:03 – What Positive Psychology Gets Wrong35:32 – Leadership When Certainty Is GoneDISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.
Transcribe →Ending the Diagnostic Odyssey: Finding Hidden Rare Disease Patients with Joshua Resnikoff
Mar 1100:48:32Tap to summarizeJoshua Resnikoff was a bench scientist at Harvard's Wyss Institute, surrounded by cutting-edge science. He believed healthcare could solve anything. Then his son started having unexplained recurring fevers. Monthly ER visits. Ice baths to prevent seizures. Years of diagnostic uncertainty. Finally, a diagnosis: PFAPA, a hyper-inflammatory condition so rare only 500 kids in the US have it. The doctor's response? "There's nothing we can do. It's not terminal, so don't worry about it."That was his red pill moment.On this episode of Ditch the Labcoat, Dr. Mark Bonta sits down with Joshua, founder and CEO of Sunstone Health, to explore what happens when families get trapped in the diagnostic odyssey. Joshua built a platform that compresses a seven-year diagnostic journey into 12 weeks by using AI to find hidden rare disease patients buried in insurance claims data.Dr. Bonta and Joshua tackle the hard questions: What happens when doctors don't know what's wrong? Why does the healthcare system fail zebra patients while teaching doctors to only look for horses? And what role does physician attitude play in solving diagnostic mysteries?If you've ever felt dismissed by the healthcare system or wondered whether AI can actually help real patients, this conversation will challenge everything you thought you knew about precision medicine and patient advocacy.Joshua Resnikoff's Website : https://www.sunstonehealth.com/Episode Takeaways1. The diagnostic odyssey for rare diseases averages 7 years—Sunstone compresses it to 12 weeks using AI and insurance claims data.2. "There's nothing we can do" isn't medical reality—it's often a failure of attitude, not knowledge or skills.3. Rare disease families are desperate for answers, making them vulnerable to predatory experimental treatments and unproven therapies.4. Health plans, not patients, are Sunstone's customers—financial incentives align when undiagnosed kids cost insurers millions in repeated ER visits.5. Doctors are taught "when you hear hoofbeats, think horses not zebras"—but 2% of hospital patients are zebras with no diagnosis after 24 hours.6. Genetic testing isn't just about diagnosis—it's about getting specialty guidance back to local doctors so families don't travel hours for care.7. Patient data ownership matters—families should control their genetic reports and medical records, not insurance companies.8. Expanding from genetic epilepsy into autism, familial hypercholesterolemia, and other rare diseases—the goal is to be infrastructure for all non-oncology genetic disease.Episode Timestamps04:11 – The Red Pill Moment: "There's Nothing We Can Do"07:07 – Building Community: From Desperation to Action11:42 – How Sunstone Works: Finding Hidden Patients in Claims Data19:22 – Seven Years to 12 Weeks: Compressing the Diagnostic Odyssey25:17 – Zebras vs. Horses: When Rare Disease Becomes Your Reality33:46 – The Attitude Problem: Why Doctors Give Up on Diagnostic Mysteries37:48 – Medical Desperation: Experimental Treatments and Predatory Care45:38 – The Future: Expanding Beyond Epilepsy into Autism and BeyondDISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.
Transcribe →Is AI Actually Changing Healthcare? with Dr. Joshua Liu
Feb 2500:46:10Tap to summarizeAI is everywhere in healthcare conversations. This episode asks the more uncomfortable question: what is it actually doing in real hospitals, with real patients, and real constraints?Dr. Mark Bonta sits down with Dr. Joshua Liu, Co-Founder and CEO of SeamlessMD, for a clinician-first, workflow-grounded conversation about where AI delivers value today, where it still falls apart, and why “smart” tools often die quietly at implementation.They unpack why the most immediate wins are not futuristic diagnostics. They are the unglamorous bottlenecks that drain clinical bandwidth: documentation, forms, referrals, and the administrative sprawl that keeps teams stuck in the note instead of at the bedside. From there, the conversation turns to a core systems problem: insight without protocol. A model can predict risk. But if no one knows what to do with the number, nothing changes.You’ll also hear a clear breakdown of “AI agents,” why trust matters more than technology, and how digital care journeys can reduce anxiety, shorten length of stay, and catch post-discharge issues earlier without flooding clinicians with noise.If you are a CMIO, CIO, clinical operations leader, surgical program director, or anyone tired of alert fatigue and “model theater,” this episode will feel uncomfortably familiar in the best way.Dr. Joshua Liu Website https://www.seamless.md/Episode Takeaways1. AI’s First Impact Is Administrative, Not Diagnostic — The biggest gains today are in documentation, forms, and workflow relief, not autonomous clinical decision-making.2. Insight Without Protocol Is Noise — A risk score means nothing unless a care team has defined what to do with it.3. Healthcare Moves at the Speed of Trust — Technology adoption depends less on capability and more on clinician confidence and governance.4. AI Agents Shift from Answers to Action — Moving from chat-based support to systems that execute tasks will redefine clinical workflow.5. Eighty Percent of Patient Concerns Are Low Risk — Smart triage and education can filter noise and reduce unnecessary visits.6. Digital Care Journeys Reduce Variation — Personalized, just-in-time guidance lowers anxiety, shortens length of stay, and reduces readmissions.7. Integration Determines Survival — Tools that do not fit directly into existing EMRs and workflows will not scale.8. Execution Beats Hype — The future of AI in healthcare will be shaped by implementation, not model sophistication.Episode Timestamps01:52 – AI Boom or Bust: What Actually Changes Care03:23 – Predictive Analytics vs Documentation: The Real “Low Hanging Fruit”12:19 – What Is an AI Agent: Chatbot vs Agentic AI16:39 – The Biggest Barrier: Trust, Not Just Privacy22:27 – Why Joshua Chose Startups Over Residency: SeamlessMD Origin Story25:55 – Building Digital Care Journeys: From Surgery to “Birth to Death”30:17 – AI Inside Patient Journeys: Answers Grounded in Vetted Protocols42:03 – The Next Decade: Computer Vision, Robotics, and Physical AIDISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.
Transcribe →Reclaim Your Balance: The Neuroscience of Aging Well with Dan Metcalfe
Feb 1100:55:16Tap to summarizeWelcome back to Ditch the Labcoat for our 100th episode. Today we tackle a challenge that touches millions yet remains widely misunderstood: falls and balance loss in aging adults.Host Dr. Mark Bonta sits down with Dan Metcalfe, Founder and CEO of Born SuperHuman and Total Balance Company, to challenge the dangerous assumption that falling is just "part of getting older." They reveal how falls are actually the number one cause of death in older adults, not because bodies weaken, but because the brain-to-body connection deteriorates when we stop challenging our neurological systems. Dan shares groundbreaking insights from training over 70,000 people, explaining why traditional strength training misses the mark and how proper balance work can add eight years of quality life.Drawing from his own journey from paralysis after a stage accident to competing in Ironman races following partial brain death, Dan explains the neuroscience behind balance, fear, and movement. He breaks down how the cerebellum, the pyramis, and neuroplasticity work together, why "muscle memory" is actually neuron memory, and how mental rehearsal can be as powerful as physical practice. Most importantly, he offers practical, accessible strategies anyone can use to prevent falls and reclaim independence.Dr. Metcalfe shares transformative stories, from Bob Eubanks going from wheelchair-bound to running at 79, to his own mother returning to line dancing after a stroke. They explore why static balance tests fail us, how fear creates the very falls we're trying to avoid, and why playing like a kid again might be the most powerful longevity tool we're ignoring.If you've ever worried about losing your independence, watched a loved one shuffle in fear, or wondered whether aging really means slowing down, you won't want to miss this evidence-based, hope-filled conversation.Dan Metcalfe's Links : http://totalbalancecompany.com/ & https://bornsuperhuman.com/Episode Takeaways1. Falls Are Preventable, Not Inevitable – Falls are the number one cause of death in older adults, but they're caused by lost brain-body connection, not aging itself.2. Balance Is Brain-Led, Not Body-Built – Traditional strength training misses the point. Balance comes from neurological pathways, not muscle strength.3. Muscle Memory Doesn't Exist – What we call muscle memory is actually neuron memory. The brain fires signals to muscles through repetitive neural pathways.4. Fear Creates the Falls We're Trying to Avoid – The pyramis in the cerebellum holds movement fear memories, causing the cautious shuffle that increases fall risk.5. Static Balance Tests Are Misleading – Standing on one leg without moving only uses three brain regions. Real balance requires dynamic movement engaging 18+ brain areas.6. Better Balance Adds Eight Years of Quality Life – French study of 1,300 women proved those in the top 30% for balance lived eight years longer with better function.7. Play Like a Kid to Age Well – Swinging, hopping, side-stepping, and playful movement maintain the neurological connections built in childhood.8. We're Born to Heal at Any Age – From Olympic athletes to centenarians, the brain's ability to rewire through neuroplasticity never stops if we challenge it.Episode Timestamps02:03 – Falls: The Silent Epidemic in Aging04:02 – Balance Isn't About Age, It's About Brain Connection06:41 – From Paralysis to Performance: Dan's Story11:39 – The Muscle Memory Myth: It's All Neurons16:40 – The Pyramis and Fear: How Your Brain Stops You26:06 – Visualization and Mental Rehearsal Power33:52 – Prevention Over Treatment: Move Like a Kid Again50:54 – Born to Heal: Unlocking Your Superhuman PotentialDISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.
Transcribe →Neuroplastic Recovery: Up Close and Personal with Nora Rodden
Jan 2800:48:58Tap to summarizeIn this episode of Ditch the Labcoat, Dr. Mark Bonta does something different. For the first time on the podcast, he speaks with a former patient.Nora Rabah Rodden joins the show not as a clinician, but as someone who lived for years with debilitating symptoms that medicine couldn't explain or fix. Despite normal tests and repeated reassurance, her pain, GI symptoms, fatigue, and nervous system distress persisted. What she encountered instead was a gap in care. Not a lack of effort, but a lack of framework.Nora shares how learning about neuroplasticity and nervous system patterning finally gave her symptoms context. Not imagined. Not psychological. Learned, reinforced, and reversible. That experience became the foundation for why she later co-founded Nervana.Together, they explore why so many patients are dismissed once serious disease is ruled out, how threat signaling and conditioned responses can keep the body stuck in symptoms, and why telling patients “nothing is wrong” is often the most harmful message of all. The conversation breaks down the science of neuroplastic recovery in plain language, while staying honest about its limits and responsibilities.This episode is about what happens when medicine runs out of explanations, and what becomes possible when we stop treating unexplained symptoms as a dead end and start treating the nervous system as something that can learn, adapt, and heal.Nora's Link : https://www.trynervana.com/Episode Takeaways 1. Patient Experience Matters: Normal tests do not equal normal lives. Symptoms can persist even when disease is ruled out.2. Neuroplastic Symptoms Are Real: Learned nervous system patterns can drive pain, GI distress, fatigue, and insomnia without structural damage.3. “Nothing Is Wrong” Is Harmful: Reassurance without explanation often deepens fear, confusion, and isolation.4. Symptoms Can Be Learned and Unlearned: The brain adapts quickly, for better or worse, and those patterns are reversible.5. This Is Not Psychosomatic: Neuroplastic recovery is grounded in neuroscience, not imagination or positive thinking.6. Awareness Changes Identity: When patients stop identifying with symptoms, recovery often begins.7. Recovery Is Gradual, Not Dramatic: Progress usually looks subtle, steady, and cumulative rather than sudden.8. Lived Experience Can Build Better Care: Nora’s recovery is why Nervana exists, to close the gap medicine often leaves behind.Episode Timestamps04:18 – Why This Episode Is Different: The First Patient Voice08:36 – When Tests Are Normal but Symptoms Are Not13:09 – The Gap Between Disease and Dysfunction18:52 – Neuroplasticity Explained Without the Jargon24:35 – Why “Nothing Is Wrong” Can Be Harmful30:13 – How the Nervous System Learns Symptoms36:56 – What Recovery Actually Looks Like in Practice43:14 – Turning Lived Experience Into a Care FrameworkDISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.
Transcribe →Lifestyle Changes to Prevent Chronic Disease: Real Talk with Dr. Ford Brewer
Jan 1500:53:48Tap to summarizeDr. Ford Brewer’s story is not about hacks or shortcuts. It is about a physician who left the adrenaline of the emergency department to confront a quieter, more uncomfortable reality. Most of the heart attacks and strokes he saw should never have happened. At Hopkins, in public health, and later in his own practice, he realized how profoundly our future health is shaped by habits that feel small in the moment and by metabolic problems that remain invisible for decades.In this conversation, we unpack what “test, do not guess” really looks like in real life. We talk about the epidemic of undiagnosed prediabetes, why fasting glucose and A1C miss so much disease, and how an old school oral glucose tolerance test can reveal what is really happening under the surface. Dr. Brewer explains continuous glucose monitors, why leg muscle acts like an internal safety valve for high blood sugar, and how small “exercise snacks” can protect you more than heroic gym bursts. We dig into the GLP 1 craze, the politics of food guidelines, and the uncomfortable reality that some systems profit from people staying sick.So whether you are a clinician, a patient who has been told your labs are “fine,” or someone who simply wants to stay out of the cath lab in your 50s, this episode is a sharp reset. It will change how you think about carbs, muscle, and “normal aging,” and it will give you tangible ways to take back agency over your metabolism. Plug in and see what happens when prevention stops being boring advice and becomes a clear plan for protecting the decades ahead.Ford Brewer MD MPH's Links : YouTube : https://www.youtube.com/channel/UCmoEsq6a6ePXxgZeA4CVrUw Website : https://drfordbrewermd.com/Episode Takeaways 1. Building Better Habits – Long term health depends far more on daily routines than on motivation or willpower. Action beats intention every time.2. Discomfort Drives Growth – Improvement requires stepping outside comfort zones. Sustainable prevention often starts with doing what you do not feel like doing.3. Prevention Is Undervalued – Preventive medicine is dismissed as boring, yet most chronic disease stems from issues that could have been avoided years earlier.4. Prediabetes Is Everywhere – With half the population showing signs of impaired glucose control, early metabolic testing should be a universal priority.5. A1C Is Not Enough – Standard labs miss a large percentage of metabolic disease. Old school glucose tolerance testing reveals problems long before symptoms appear.6. CGMs Change Behavior – Real time glucose feedback helps people finally understand how food and activity affect their bodies and motivates true habit change.7. Muscle Protects Metabolism – Strong, active leg muscles act as metabolic engines that help control glucose spikes and support long term vascular health.8. Food Systems Shape Disease – Big Food, outdated guidelines, and institutional incentives influence what people eat and directly contribute to chronic illness.Episode Timestamps 00:02:32 — Meet Dr. Kang Hsu, Chief Medical Officer of Canary Speech00:03:44 — How voice became medicine: the story behind Canary Speech00:04:29 — Why this conversation matters to clinicians and patients alike00:05:05 — Making science accessible: breaking down complex ideas00:06:59 — Behind the mic: how each episode comes together00:07:59 — Keeping it real: refining, revising, and staying authentic00:09:00 — Can your voice reveal your health? The rise of vocal biomarkers00:13:00 — From telehealth to wearables: real-world applications00:19:00 — The uphill climb: innovation vs. healthcare resistance00:25:00 — The road ahead: what the future of voice in medicine could look like00:31:00 — Closing thoughts and a glimpse into what’s nextDISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.
Transcribe →New Years Eve Special with Dr. Mark Bonta
Dec 3100:24:13Tap to summarizeIn this special New Year’s Eve solo episode, Dr. Mark Bonta steps away from the guest format to reflect on a landmark year for Ditch the Labcoat and to share where the show is headed next.After surpassing 50 episodes and approaching episode 100, Dr. Bonta looks back on how the podcast evolved in 2025. What started as a more traditional interview-style medical show has grown into deeper, more philosophical conversations about performance, longevity, mental health, neuroplastic symptoms, and the human side of healthcare.Using a surprising year-end analytics insight from his recording platform, he explores why the word “athlete” became one of the most frequently used terms on the show, and what that reveals about how healthcare, high performance, parenting, and recovery intersect. He also shares a candid and self-aware resolution for 2026, including how small environmental changes can shape better habits both personally and professionally.Looking ahead, Dr. Bonta outlines meaningful shifts for the podcast in 2026. Expect fewer episodes, greater depth, clearer thematic focus, and more intentional preparation to better honor guests and their work. He also highlights future areas of exploration, including neuroplastic and invisible illnesses, long COVID, chronic fatigue, high-performance mindsets, and the role of technology and AI in improving care.The episode closes with a deeply personal reflection on caregiving. A simple moment at home caring for his daughter leads to a broader meditation on touch, nursing, administrative burden, burnout, and why “caring” remains the most essential and fragile element of modern healthcare.This episode is both a thank-you to listeners and a statement of purpose for the year ahead.Mark Bonta's Links : https://ditchthelabcoat.com/ https://www.linkedin.com/in/mark-bonta-/ Episode Takeaway 1. Healthcare as Performance: Why the Athlete Mindset Keeps Appearing — Recovery, sleep, nutrition, and training principles apply far beyond elite sports.2. Filler Words Reveal Thinking: What “So” Says About Deep Conversation — Pauses often signal reflection, curiosity, and cognitive processing, not incompetence.3. Behavior Change Starts at Home: Environment Shapes Outcomes — The easiest habits are the ones your surroundings make unavoidable.4. Longevity Is Not Biohacking: It’s Consistency Over Intensity — Sustainable routines outperform extreme interventions every time.5. Quality Over Quantity: Fewer Episodes, Deeper Impact — Better preparation and focus create more meaningful learning for listeners.6. Invisible Illnesses Are Real: When Scans Don’t Explain Suffering — Neuroplastic symptoms demand credibility, nuance, and evidence-based care.7. Administrative Burden Erodes Care: Documentation Steals Time From Healing — Systems often pull clinicians away from the bedside.8. Burnout’s Red Flag: When Caring Disappears — Loss of empathy is a warning sign that support and reflection are urgently needed.Episode Timestamps05:08 – Why “Athlete” Became One of the Most Used Words on the Show07:27 – The Most Commonly Used Word on Ditch the Labcoat (And Why It Matters)09:44 – Setting Yourself Up for Success: Habits, Environment, and Behavior Change11:39 – Longevity Lessons from Athletes and Everyday Life14:02 – Quality Over Quantity: How the Podcast Evolves in 202617:25 – Neuroplastic and Invisible Illnesses: What Medicine Still Misses19:25 – Caregiving, Touch, and the Administrative Burden of Modern Medicine24:15 – Burnout, Red Flags, and the Importance of Never Stopping CaringDISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by (soundsdebatable.com) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.
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