Ditch The Labcoat

• Saving Lives by Changing Culture With Martin Bromiley

  Welcome back to Ditch the Labcoat, the show where we challenge assumptions in medicine and seek out the systems, stories, and science that truly shape healthcare. In today’s episode, we’re joined by Martin Bromiley: airline captain, human factors champion, and founder of the Clinical Human Factors Group.But before he became a global advocate for patient safety, Martin faced unimaginable tragedy when his wife, Elaine, died following what was supposed to be a routine surgical procedure in 2005.Martin’s journey isn’t just about personal loss—it’s about his relentless quest to understand why a well-trained, technically proficient medical team could still fall short in a critical moment. Drawing lessons from aviation, where errors spark investigation and learning rather than resignation, Martin became a pivotal force in bringing the science of human factors—a field all about understanding how people interact with their environment, teams, and tools—into the world of healthcare.In this conversation, we explore not just the events that launched his mission, but the broader issues of humility, communication, and system design. We talk about “can’t intubate, can’t ventilate” scenarios, reflect on the evolution of patient safety culture, and crack open the stubborn problem of medical hierarchy. Martin’s story isn’t just one of systemic frustration; it’s also one of hope and tangible change.So whether you’re a healthcare professional, a patient, or just someone curious about how lives can be saved not simply by skill, but by safer systems—this episode is a gripping, essential listen. Plug in and prepare to have your ideas about medicine, teamwork, and learning turned upside down.Episode HighlightsHumility in Healthcare – Humility is vital for professionals to learn, grow, and stay open to feedback, ultimately improving patient safety.Communication Saves Lives – Miscommunications in critical situations can be fatal; clear, assertive dialogue and defined roles are essential in emergencies.Teamwork Over Hierarchy – Breaking down rigid medical hierarchies empowers every team member to speak up for patient safety.Design Smarter Systems – Systems must be created to make errors less likely, whether via technology, checklists, or better equipment design. Independent Case Reviews – Conducting external, impartial reviews after adverse events helps identify root causes and leads to improvements.Small Changes, Big Impact – Reducing steps in processes, standardizing equipment, or tweaking procedures can greatly decrease error risks.Continuous Improvement Mindset – Perfection isn’t possible, but aiming to get a little better every day is the key to safer healthcare for all.Episode Timestamps 6:15 — Turning Point: Embracing Human Factors 7:19 — "Science Overlooked in Healthcare" 11:01 — Intensive Care Transfer Decision 14:51 — Receptionist Sparks Important Meeting 18:11 — Evolution of Case Review Processes 22:27 — "Human Factors in Healthcare Initiative" 25:02 — Origin of Aviation Safety Protocols 28:28 — Enhancing Safety in Drug Handling 30:30 — Medication Errors and Design Flaws 33:49 — Promoting Human Factors in Healthcare 38:04 — Team Leadership in Medical Procedures 42:51 — Healthcare Pressures and Consequences 44:47 — "Concerns Over Arrogant Healthcare Professionals" 50:16 — Striving for Continuous Improvement in Healthcare 52:36 — Progress in Healthcare Culture ShiftDISCLAMER >>>>>>    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. 

  --------  

  54:16

  --------

  54:16
• How to Perform Your Best Under Pressure with Dr. Marie Claire Bourque

  In this episode of Ditch the Lab Coat, Dr. Mark Bonta sits down with Dr. Marie Claire Bourque, a psychiatrist, executive coach, and mental performance consultant to elite athletes, including the Toronto Maple Leafs. Together, they dive into the world of high performance under pressure, uncovering what medicine can learn from the mental training of professional athletes.Dr. Bourque shares her insights on the importance of presence, focus, and resetting under stress—skills commonly built into the toolkit of elite performers but often neglected in the medical field. She discusses practical strategies like meditation, diaphragmatic breathing, and values-based living, emphasizing that these are trainable skills, not innate talents. Meditation, Dr. Bourque explains, isn’t about getting good at meditating—it’s about getting good at life, particularly in moments when it matters most.The conversation moves through the parallels between elite sports and the demands of medicine, exploring how even top professionals need to recognize when mental health support or even medication is necessary to maintain well-being and performance. Dr. Bourque candidly addresses the stigma around mental health and medication, both in sports and medicine, and the risks of trying to "white-knuckle" through life on hard mode.Listeners will come away with actionable advice on sleep, movement, nutrition, and discovering one’s true values. Dr. Bourque’s approach highlights the need to care for mental fitness just as intentionally as physical health, whether you’re a surgeon, an athlete, or just navigating daily stress.This episode is a must-listen for anyone interested in resilience, focus, and living with purpose—reminding us that training our minds is just as vital as training our bodies, and life doesn’t have to be lived on hard mode.Episode HighlightsMeditation Enhances Daily Living — Meditation isn’t just for calm; it helps you navigate real-life challenges by keeping you grounded in the present.Reset With Breathwork —Conscious diaphragmatic breathing helps you regain composure and focus, especially when distractions or stress threaten performance.Value-Based Living Drives Decisions — Identifying and living by your true values leads to greater fulfillment and resilience, rather than societal or external expectations.Sleep is Foundational Health — Adequate, restorative sleep is a non-negotiable for optimal performance, mental clarity, and emotional regulation.Movement Prevents Mental Illness —Regular, moderate-intensity exercise (150 minutes weekly) significantly lowers risk of depression and anxiety, supporting overall well-being.Substance Use Isn’t a Solution —Self-medicating, especially with alcohol or cannabis, is common but ultimately harms performance, resilience, and long-term health.Purpose Motivates and Sustains Us — A clear sense of purpose, even if small, is essential for satisfaction and sustained motivation in day-to-day life.You Don’t Have to Suffer — Life doesn’t have to be lived on “hard mode”—seeking support and building skills makes it easier and more fulfilling.Episode Timestamps5:58 — Training Focus: Athletes vs. Doctors9:05 — Dedicated Daily Self-Improvement Practice11:50 — Mastering Presence through Meditation14:10 — Understanding Apologies and Distractions18:30 — Supporting Young Athletes' Mental Health23:05 — Athletes' Struggles with Substance Abuse26:45 — Reducing Self-Medication Through Therapy27:57 — Youth Misconceptions About Cannabis32:55 — Living by True Personal Values36:42 — Importance of Values in Decision-Making39:42 — Actionable Self-Improvement Tips41:42 — Escaping Life's Hard ModeDISCLAMER >>>>>>    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. 

  --------  

  44:07

  --------

  44:07
• Raw Milk and Allergy Pet Peeves with Dr. Samira Jeimy

  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 HighlightsImmunity Debt Myth Don't believe the narrative that lack of infection "weakens" your immune system; real harm comes from infections, not their absence.Food Intolerance Tests Are Useless Expensive food intolerance tests measure exposure, not intolerance, leading to wasted money and unnecessary diet restrictions.Natural Isn’t Always Safe “Natural” products (like raw milk, plant oils) aren’t automatically safe—many can cause harm or severe allergic reactions.Eczema Not About Food Eliminating foods often doesn’t cure eczema; the real issue is inflammation of the skin, not food allergies.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 AdvocateDISCLAMER >>>>>>    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. 

  --------  

  44:04

  --------

  44:04
• From Fentanyl to the Frontlines with Dr. Dov Gebien

  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. 

  --------  

  49:40

  --------

  49:40
• 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. 

  --------  

  49:25

  --------

  49:25

Weitere Bildung Podcasts

Trending Bildung Podcasts

Über Ditch The Labcoat