Ditch The Labcoat Podcast Por Dr. Mark Bonta arte de portada

Ditch The Labcoat

Ditch The Labcoat

De: Dr. Mark Bonta
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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.© 2024 ditchthelabcoat.com - All Rights Reserved Enfermedades Físicas Higiene y Vida Saludable
Episodios
  • Awake Patients, Better Outcomes with Kali Dayton

    Awake Patients, Better Outcomes with Kali Dayton
    Jul 30 2025
    Welcome back to Ditch the Labcoat! In this thought-provoking episode, Dr. Mark Bonta sits down with Kali Dayton, nurse practitioner, international consultant, and the bold voice behind the Awake and Walking ICU movement. Together, they peel back the curtain on a common but rarely questioned practice in critical care: routine heavy sedation of patients on ventilators.Kali shares her journey from a nurse in a pioneering ICU—where awake, mobile, intubated patients were the norm—to a world where comatose ventilator patients are the expectation. She unpacks the hidden harms of automatic sedation, sharing both eye-opening research and the heart-wrenching stories of ICU survivors who left with trauma, cognitive struggles, and fractured lives.Dr. Bonta and Kali explore how culture, habit, and outdated beliefs have shaped critical care—and challenge us all to rethink what’s possible. Is it really safer, easier, or kinder to keep patients sedated? Or can presence, mobility, and human connection transform not just survival, but recovery?Get ready to question what you thought you knew about the ICU, discover what’s already possible in some hospitals, and hear a call to action for compassionate, evidence-based change. If you work in healthcare—or might ever need it—this is a conversation you can’t afford to miss. Let’s ditch the lab coat and reimagine patient care, one episode at a time.Episode HighlightsRethinking ICU Sedation — Most ventilated patients don’t require deep sedation—remaining awake can actually improve outcomes and reduce harm.Hidden Harm of Sedation — Automatic sedation often leads to delirium, long-term trauma, and cognitive impairment for many ICU survivors.Awake and Walking ICU Model — It’s possible and beneficial to keep intubated patients awake and mobile; some ICUs already achieve this routinely.Cultural Myths in Medicine — Common ICU practices persist due to unexamined traditions, not necessarily the latest evidence or patient-centered thinking.Preventing Delirium Is Key — Early avoidance of sedation and encouraging mobility drastically decrease risks of ICU delirium and related complications.Power of Patient Stories — Listening to ICU survivors reveals the real, lasting harms of unnecessary sedation and challenges clinical assumptions.Team Buy-In Essential — Successful change requires educating and involving the entire healthcare team, from doctors to bedside nurses.Early Mobility Saves Lives — Mobilizing patients—even walking them—within hours of intubation is not only feasible, but can improve recovery.Family Involvement Matters — Informing and including families in care expectations helps calm patients and supports a less traumatic ICU experience.Start Small, Lead Change — Begin cultural transformation with one patient, one team—small steps can drive a revolution toward better, humane care.Episode Timestamps05:14 — Challenges of Mechanical Ventilation 06:57 — ICU Nursing: Breathing Tube Walks 10:14 — ICU Norms Challenged: Breathing Tubes 13:16 — Pioneering Awake, Mobile Patient Care 19:11 — Awake and Walking ICU Initiative 22:06 — Rethinking Hospital DVT Practices 25:42 — Sedation Considerations Before Intubation 27:20 — Reducing Delirium in ICU Care 32:57 — Sedation: Not Just Laughing Gas 36:24 — Rounding Culture and ICU Challenges 39:08 — Improving ICU Care: ABCDEF Protocol 41:23 — Rethinking Patient Sedation Practices 44:14 — Improving ICU Patient Care 47:38 — Revolutionizing Awake ICU 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 (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of M
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    50 m
  • Healing Hospitals from within Georg Haymerle

    Healing Hospitals from within Georg Haymerle
    Jul 23 2025
    On this episode of Ditch the Lab Coat, Dr. Mark Bonta sits down with Dr. Georg Haymerle—once a top head and neck surgeon in Europe and Australia, now a dedicated advocate for culture change in medicine. Georg’s journey is anything but typical: after reaching the pinnacle of surgical mastery, he made the radical decision to walk away—not because of burnout or failure, but to confront the invisible crisis unraveling healthcare teams from within.Join us as we dive into Dr. Haymerle’s powerful story: from the grueling demands of 14-hour cancer surgeries and the accidental discovery of high-functioning, trust-based teams, to the moment when his own department’s spirit collapsed under uncertainty. We’ll explore why human factors like psychological safety and simple acts of gratitude can impact patient outcomes just as much as surgical skill. Dr. Haymerle takes us inside the often-overlooked world of healthcare team dynamics, revealing why he left the operating room behind to fix something even more delicate than anatomy: the fractured culture that shapes how care is delivered.If you’ve ever wondered whether culture truly matters in medicine—or how speaking up, vulnerability, and a heartfelt “thank you” might just save a life—this episode will stay with you long after you listen. Tune in for a heartfelt, evidence-based conversation about what really keeps healthcare teams—and their patients—thriving.Episode Highlights1. Team Spirit Transforms Outcomes — Cohesive, trusting teams dramatically improve surgical efficiency and patient safety, sometimes reducing surgery times by hours.2. Culture Changes Everything — Good workplace culture is just as critical as skill—loss of hope or toxic environments erode performance and morale.3. Technical Skill Isn’t Enough — High technical mastery won’t guarantee success if team dynamics and relationships are neglected or dysfunctional.4. Vulnerability Builds Excellence — When team members can safely show weaknesses and ask for help, everyone benefits, including patient outcomes.5. Money Isn’t the Motivator — Financial rewards alone don’t solve morale or performance issues; intrinsic motivators and appreciation matter more.6. Gratitude Is Powerful Medicine — Simple, genuine thank-yous are rare but transformative, fueling motivation, engagement, and mutual respect in healthcare teams.7. Speaking Up Saves Lives — Creating environments where all voices are heard—regardless of hierarchy—prevents errors and fosters innovation.8. Change Requires Leadership Buy-In — Cultural shifts succeed only when leaders acknowledge problems and model openness to feedback and improvement.9. Early Intervention Matters — Recognizing “the spiral” of team dysfunction early and addressing it promptly can prevent long-term damage and staff turnover.10. Healthcare Must Evolve — Emphasizing the human side of medicine—connection, gratitude, honest conversation—represents the future of safe, effective healthcare.Episode Timestamps03:58 — Career Shift in Healthcare Path06:41 — From Timid to Skilled Surgeon10:12 — Human Factors Impact Medical Outcomes14:33 — Creating a High-Performing Team19:10 — Building Trust for Departmental Progress22:37 — Surgical Trainee Silence Dilemma23:26 — Breaking Hierarchies: Encouraging Open Dialogue26:56 — Healthcare Organizations’ Capacity for Change32:49 — Austrian Healthcare's Resistance to Change34:26 — Revolutionizing Healthcare Through Change37:54 — Targeting Female Leaders in HealthcareDISCLAMER >>>>>> 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 m
  • The Great Nerve with Dr. Kevin Tracey

    The Great Nerve with Dr. Kevin Tracey
    Jul 16 2025
    Welcome back to Ditch the Lab Coat, the podcast where we break down the fascinating world of medicine with a blend of scientific skepticism and real-world insight. In today’s episode, we dive deep into the mysteries of the vagus nerve—a nerve so ancient and essential, it’s been called the “conductor” in the symphony of human physiology.Join host Dr. Mark Bonta as he sits down with Dr. Kevin Tracey, neurosurgeon, president and CEO of the Feinstein Institutes for Medical Research, and a pioneer in the world of bioelectronic medicine. Dr. Tracey’s breakthrough research has shown us that the vagus nerve is far more than just a conduit for signals—it’s a key player in managing inflammation, regulating our immune system, and maybe even shaping the future of medicine.In this conversation, you’ll explore the mind-bending complexity of the nervous system, discover how cutting-edge science is redefining how we treat diseases like rheumatoid arthritis and long Covid, and learn how a tiny chip implanted in the neck might one day replace whole classes of immune-suppressing drugs. Dr. Tracey shares metaphors, straight talk about medical myths, and a vision for a future where reprogramming the body’s reflexes could offer relief to millions.Get ready for a journey that’s equal parts awe-inspiring and practical, as we unpack the true potential (and real-world considerations) of harnessing the vagus nerve’s power. Whether you’re a healthcare professional, a science nerd, or just someone searching for new answers, this episode invites you to see medicine in a whole new way. Resources : ( https://feinstein.northwell.edu/ )Episode HighlightsVagus Nerve Complexity Unveiled — We’re only scratching the surface of understanding the vagus nerve’s vast, intricate network and its essential bodily roles.Inflammation: Friend and Foe — Inflammation is vital short-term, but when uncontrolled, it’s destructive and underlies many autoimmune and chronic diseases.Nervous-Immune System Interplay — The nervous and immune systems communicate reflexively, with nerves directly capable of controlling immune and inflammatory responses.Bioelectronic Treatments Emerge — Vagus nerve stimulation—via implanted chips—shows promise for conditions like rheumatoid arthritis without full-body immunosuppression risks.Individualized Nerve Fiber Functions — Each of the 200,000 vagus fibers controls specific functions, forming a body-wide symphony of precision responses.Not All Self-Help Fits — Lifestyle hacks can support vagus health, but serious disease often requires targeted nerve stimulation, not general wellness.Caution Against Online Misinformation — Vagus nerve advice online is often oversimplified or inaccurate; nuance and scientific backing are essential.Lifestyle Still Matters — Balanced diet, sleep, exercise, and community all help regulate vagus nerve tone and reduce chronic stress.Future Disease Applications Possible — Vagus stimulation may treat IBD, MS, and neurodegenerative or psychiatric conditions as research evolves.Episode Timestamps6:25 — Exploring Nervous System Complexity9:08 — Vagus Nerve Controls Inflammation11:05 — Vagus Nerve: Brain Signals Control Inflammation15:45 — Nervous System's Role in Immunity20:43 — Understanding Your Vagus Nerves23:25 — Vagus Nerve Health and Research25:12 — Vagus Nerve Stimulation Insights29:36 — Vagus Nerve Stimulator: Inflammation Therapy32:13 — Neurotransmitter Effects on Cytokine Production38:22 — Minimizing Nerve Damage in Surgery39:30 — Vagus Nerve Stimulation Benefits43:42 — Exploring Vagus Nerve Mysteries46:42 — Vagus Nerve Stimulation for Autoimmune Diseases50:52 — Cold Plunges & Bioelectrical Future 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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    53 m
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