Welcome to The Doc Talk, a new podcast from Dr. Sheila Wijayasinghe and Dr. Shazma Mithani! 

Get ready to join them as they answer your healthcare questions, and deep-dive into different medical topics with each episode.

They're here to make navigating the healthcare system a bit easier by informing you with what you need to know to get the care you need. 

Launching mid-November, 2024. 

Welcome to episode 1 of The Doc Talk Podcast! This episode is an overview of respiratory season.

Key Viruses and the Illnesses They Cause

• Influenza A (H1N1):
  • Symptoms: Fever, chills, cough, muscle aches, fatigue.
  • Complications: Pneumonia, exacerbation of asthma or heart conditions
• RSV (Respiratory Syncytial Virus):
  • Symptoms: Runny nose, cough, wheezing, reduced appetite.
  • Complications: Bronchiolitis, severe respiratory distress in infants, and asthma exacerbations
• COVID-19:
  • Symptoms: Fever, fatigue, loss of taste/smell, cough, and shortness of breath.
  • Complications: Long COVID, pneumonia, myocarditis
• Rhinovirus (Common Cold):
  • Symptoms: Sneezing, congestion, mild cough.
  • Complications: Can trigger asthma attacks, and post-viral coughs are common among children

Why Is My Child Always Sick?

• Children often encounter 8–12 illnesses in their first year of daycare, thanks to close contact and shared spaces. Daycares are perfect environments for virus transmission
• Early exposure to germs may build immunity. Kids in daycare tend to get sick less frequently once they reach school age.
• Common illnesses: RSV, conjunctivitis, gastroenteritis, hand, foot, and mouth disease

Pro Tip: Saline Drops Study

• A UK study found that children under six who used saline drops four times a day had symptoms resolve two days sooner. The same group’s family members also had reduced infections—a simple yet effective intervention!

Vaccination Update

• Vaccines for influenza, RSV, and COVID-19 are available and highly recommended for children, seniors, and high-risk groups to minimize severe outcomes

What About Supplements?

There is not supplements that has robust evidence on it’s effectiveness for preventing a viral infection or reducing the duration of symptoms. This includes echinacea, vitamin C, and vitamin D. Zinc and elderberry have mixed evidence and still need more data before we know for sure that they are helpful (or not). 

Take-Home Prescription from the Doc Talk:

• Masks in crowded spaces.
• Hand hygiene: Wash hands often! Teach your kids how to wash their hands regularly.
• Ventilation: Use air purifiers and open windows.
• Stay home when sick to reduce spread.
• Vaccinate against flu, RSV, and COVID-19.
• Saline drops for potentially faster recovery from colds and reduced transmission.

Thanks to our sponsor, AirValent (airvalent.com), for supporting this episode. AirValent makes sleek CO2 monitors that can help you monitor how well your indoor space is being ventilated, so you can take action to improve it if the CO2 level is too high. AirValent has given us a special code for our listeners to get a discount on your device. Use code THEDOCTALK at checkout!

Disclaimer: The Doc Talk is for general information purposes only. This podcast is not intended to replace medical advice from your doctor. While we are doctors, we are not your doctor.  Always speak to your own healthcare provider for questions related to your personal health needs. 

Walking pneumonia is caused by a bacterial infection by Mycoplasma pneumoniae. It’s called walking pneumonia because of the mild to absent symptoms. 

Even though the symptoms are mild, there are still things that can signal Mycoplasma pneumonia. The symptoms tend to build more slowly and can include cough, but also things like sore throat, runny nose fever, and fatigue, which often makes people think that they have a viral infection, rather than a bacterial pneumonia. 

This particular bacteria tends to require a different antibiotic than the standard pneumonia antibiotics that are usually prescribed. This is why it’s important to see a doctor if you have any of the following:

• You have linger symptoms that continue after antibiotics are complete
• You have a fever that lasts more than 5 days or has returns after being absent for a few days
• You have a worsening cough, SOB, chest pain, or are coughing up blood
• Something doesn’t feel right or you’re worried 

Disclaimer: The Doc Talk is for general information purposes only. This podcast is not intended to replace medical advice from your doctor. While we are doctors, we are not your doctor.  Always speak to your own healthcare provider for questions related to your personal health needs.

Introduction

In this episode of The Doc Talk Podcast, Dr. Shaz Mithani and Dr. Sheila Wijayasinghe delve into a topic that affects millions of women worldwide: perimenopause. 

This phase of life often brings about various symptoms, from mood swings to cycle changes, and can sometimes leave women feeling like they're in uncharted territory. Today’s discussion is structured around Dr. Shaz’s personal experiences and questions, along with insights from Dr. Sheila, who brings her expertise in menopause to provide guidance, clarity, and support for women going through these transitions.

Episode Highlights

• Listener Question: Special thanks to Melissa Grelo, from the Social and Aging Powerfully with Melissa Grelo, for sending in today’s question about the symptoms of perimenopause, which she describes as impacting cycles, mood, energy, and more. 
  
  
• What is Perimenopause?
  • Overview of perimenopause as the transition phase before menopause.
  • Symptoms: From mood swings, fatigue, and cycle changes to hot flashes, perimenopause presents in various ways.
  • Differentiating early vs. late perimenopause.
  • Typical age range and onset.
• Symptoms and How to Manage Them
  • Discussing lifestyle changes that can alleviate symptoms, including consistent sleep, stress management, exercise, and diet.
  • Non-hormonal options for mood support, like CBT and specific medications.
  • Hormonal therapy for managing severe symptoms affecting quality of life that can include hormonal contraception, IUDs and menopause hormonal therapy.
• Contraception Considerations
  • Why contraception is still essential in perimenopause, as fertility doesn’t end immediately.
  • Birth control methods that can help manage symptoms and prevent pregnancy, such as low-dose hormonal contraceptives and IUDs.
• Addressing Perimenopause at Work
  • Tips on discussing symptoms with employers and practical strategies for managing symptoms at work.
• Common Myths: Testing for Perimenopause
  • Explanation of why blood tests aren’t typically useful in diagnosing perimenopause due to fluctuating hormone levels.
  • Emphasis on tracking symptoms rather than relying on over-the-counter tests.
• Emergency Room Insights
  • Dr. Shaz shares stories of patients experiencing symptoms like palpitations and other health concerns that can often be linked back to perimenopause.

Resources for Support

• Canadian Menopause Society: https://www.canadianmenopausesociety.org
• Menopause Foundation of Canada: https://menopausefoundationcanada.ca/
• Menopauseandu.ca

Sponsor Acknowledgment
Thanks to Always Discreet for supporting this episode. Always Discreet products are designed to keep you comfortable and confident through all stages of life, including perimenopause. When used correctly, Always Discreet can stop bladder leaks before they happen, and feel like you’re wearing no protection at all. Always Discreet has been there through all your life changes and will continue to support, educate and empower you during this new, upcoming phase.

Visit Always Discreet for your own product here: https://checkout51.app.link/e/K3yAUdFCUKb 

Thank you for joining us on this week’s episode! Remember, this podcast provides general information and is not a replacement for medical advice. Always consult your healthcare provider for questions related to your health. Follow us on social media @TheDocTalkPod, and don’t hesitate to send in your questions for future episodes!&l

Colorectal Cancer: Screening, Prevention, and What You Need to Know

Welcome back to The Doc Talk Podcast! In this episode, Dr. Shazma Mithani and Dr. Sheila Wijayasinghe take a deep dive into the critical topic of colorectal cancer—the third most commonly diagnosed cancer and the second leading cause of cancer deaths in Canada. Whether you're curious about screening options or wondering how to reduce your risk, this episode has you covered.

Episode Highlights:

• Colorectal Cancer by the Numbers:
  Learn key Canadian statistics and why early detection is crucial. Did you know the five-year survival rate for colorectal cancer can reach 90% with early screening?
• The Importance of Screening:
  Dr. Sheila shares insights from family medicine, emphasizing the power of proactive screenings like the FIT test and colonoscopy. Meanwhile, Dr. Shazma highlights the challenges of diagnosing colorectal cancer in the emergency room, often when symptoms have already progressed.
• Screening Options Explained:
  Discover the differences between the FIT test (a simple at-home stool test) and colonoscopy (a more comprehensive diagnostic tool). Learn who should get screened, how often, and what to expect.
• Recognizing Symptoms:
  Dr. Shazma and Dr. Sheila break down red flags such as rectal bleeding, unexplained weight loss, and changes in bowel habits—and when to seek medical attention.
• Prevention Tips:
  From diet and exercise to avoiding smoking and limiting alcohol, find out how you can reduce your risk of colorectal cancer.
• Your Prescription for Health:
  If you’ve been putting off your FIT test or colonoscopy, now is the time to prioritize your health. Take this episode as your sign to book that screening and take a step toward prevention.

Takeaways:

• Screening saves lives—talk to your primary care provider about when you should start.
• Colorectal cancer often develops silently, so don’t wait for symptoms to appear.
• Lifestyle changes, combined with regular screening, offer the best protection.

References:

• Canadian Cancer Society. Colorectal Cancer Statistics (2023).
• Public Health Agency of Canada. Colorectal Cancer Screening Guidelines.
• Canadian Task Force on Preventive Health Care. Colorectal Cancer Screening Guidelines (2016 Update). 

On this week’s bonus episode of The Doc Talk, we do a crossover episode with Aging Powerfully with Melissa Grelo! 

In this rapid-fire episode, we talk about misinformation and the importance of sourcing credible health information from social media. Melissa then hits us with rapid-fire listener questions on as many health topics as she can cover!

The emergency room is one of the busiest places in healthcare—and while it’s there for when we need it most, wouldn’t it be great to avoid a trip altogether? In our first episode of 2025, we kick off a two-part series on how to stay out of the ER. This episode focuses on pediatrics, though many of the tips are just as relevant for adults. Dr. Shazma Mithani and Dr. Sheila Wijayasinghe dive into the ways we can protect ourselves and our loved ones from common, preventable emergencies.

As an experienced ER physician, Dr. Mithani shares valuable insights on the emergencies she sees most often and how to avoid them. From ingestion risks like button batteries and magnets to water safety, trampoline injuries, and head and spinal cord trauma, we discuss practical steps you can take to minimize risk.

While the topics may feel heavy at times, this episode is packed with actionable advice, empowering you with knowledge to stay safe. Prevention is truly the best medicine, and our hope is that this conversation helps you feel prepared and confident to keep your loved ones out of harm’s way.

Key Takeaways from This Episode:

•How to spot and prevent ingestion emergencies in kids (e.g., button batteries and magnets).

•Essential water safety tips to prevent drowning.

•The truth about trampolines and injury risks.

•Head injuries and spinal trauma: what to know and how to protect yourself.

•Effective ways to communicate safety practices with kids and loved ones.

This is an episode everyone needs to hear. Share it widely to help others in your life avoid unnecessary trips to the ER!

Listen now and join the conversation.

Subscribe to DocTalk Podcast for more insights every two weeks!

Episode Summary: In this episode of The Doc Talk Podcast, Drs. Shazma and Sheila tackle the critical and often under-discussed topic of bladder health. From the nuances of urinary tract infections (UTIs) to the dangers of kidney infections and urosepsis, the doctors break it all down. Plus, they shine a spotlight on incontinence, exploring its causes, social impact, and treatment options. Join us as we answer listener questions, debunk myths, and offer a practical prescription for maintaining bladder health.

Listener Question of the Week: Rachel asks about recurrent UTIs and when to worry about something more serious. Drs. Shazma and Sheila provide thoughtful insights and evidence-based advice to help Rachel and others struggling with this common issue.

Key Topics Covered:

• Understanding UTIs: Symptoms, myths, and when antibiotics are (or aren’t) needed.
• Recurrent UTIs: Risk factors, including sexual activity, menopause, and medical conditions.
• When a UTI Gets Serious: Recognizing signs of kidney infections and life-threatening urosepsis.
• Incontinence Unpacked: Types of incontinence, its widespread impact, and treatment options.
• Listener Q&A: Advice for Rachel, who’s struggling with recurrent UTIs.
• Actionable Health Tips: From hydration to pelvic floor physiotherapy, practical ways to maintain bladder health.

Doc Talk Prescription for Health:

1. Stay hydrated—it’s key to flushing out bacteria.
2. Don’t ignore UTI symptoms; treat infections early.
3. Understand your risk factors and seek help if incontinence affects your quality of life.
4. Consider local vaginal estrogen for menopause-related bladder issues.
5. Explore pelvic floor physiotherapy—it’s underused and effective.

Call to Action: If you enjoyed this episode, subscribe to The Doc Talk Podcast for more expert advice on health topics that matter. And don’t forget to share it with someone who could benefit from this discussion! 

Thank you to Always Discreet for sponsoring this episode of the DocTalk Podcast!  Get your promo code for your product at: https://checkout51.app.link/e/K3yAUdFCUKb

Don’t forget to subscribe to the DocTalk Podcast and share this episode with others who might benefit.

Medical Disclaimer:

The Doc Talk Podcast is for general informational purposes only and is not a substitute for professional medical advice. While we are doctors, we are not your doctors. Always consult your healthcare provider regarding any personal health concerns. 

In this quick mini-episode of The Doc Talk Podcast, Drs. Sheila and Shazma break down the basics of measles, why outbreaks are back, and how to stay protected with vaccinations. They highlight the serious risks associated with measles, share who should get the MMR vaccine, and address rare cases where vaccination might not be suitable. If you’re unsure about your immunity, this episode provides essential tips to ensure you’re safeguarded against this highly contagious virus.

Key Points Discussed:

• What makes measles a big deal:
  • Highly contagious; lingers in the air up to two hours after exposure.
  • Serious complications include hospitalization, brain swelling, and long-term immune suppression.
• Who needs the MMR vaccine:
  • Kids 
  • Adults born after 1970 (check if you need a second dose).
  • Travelers and high-risk groups like healthcare workers.
  • Exceptions for people born before 1970.
• Important reminders:
  • Vaccination exceptions include pregnant people, those with severe immune suppression, and those with severe allergies to vaccine components.
  • The best protection is two doses of the MMR vaccine.

The Bottom Line: Measles is making a comeback due to low vaccination rates, but you can protect yourself and others. Check your vaccination records, and if in doubt, consult your doctor or get tested for immunity.

Disclaimer: This episode is for informational purposes only and does not replace medical advice. Always consult your healthcare provider for any questions about your personal health.

Follow Us: Be sure to follow The Doc Talk Podcast (@thedoctalkpod) on social media for updates and to send in your questions! 

Today’s episode of The Doc Talk dives into a listener question on bone health and osteoporosis. 

Definition of Osteoporosis:

  - Dr. Sheila explains osteoporosis as a condition where bones become weak and brittle, making them prone to fractures.

  - It’s often called the “silent disease” because there are no symptoms until a fracture happens.

Osteoporosis Statistics:

  - Over 2.3 million Canadians are living with osteoporosis.

  - It affects 1 in 3 women and 1 in 5 men.

  - 80% of fractures in those over the age of 50 are due to osteoporosis, with the most common sites being the wrist, spine, shoulder, and hip.

Health Consequences:

  - 22% of women and 33% of men who sustain a hip fracture will die within one year of the fracture.

  - The healthcare system impact is massive—$4.6 billion per year in Canada alone.

Diagnosing Osteoporosis:

  - Dr. Sheila discusses the gold standard test: Bone Mineral Density (BMD) test or DEXA scan.

  - Introduction of the FRAX score for assessing a person’s 10-year risk of fracture.

- You can calculate your FRAX score at https://osteoporosis.ca/frax/

Prevention Strategies:

  - Importance of calcium and vitamin D for bone health.

  - Sources of calcium and vitamin D.

  - Regular weight-bearing exercise and strength training.

  - Healthy diet and lifestyle recommendations.

  - Fall prevention measures.

Supplement Recommendations:

  - Vitamin D: 1,000-2,000 IU daily.

  - Calcium: Ideally from food, with supplements only if needed.

  - Avoid smoking and limit alcohol and caffeine.

Monitoring Bone Health:

  - Importance of regular check-ups and bone mineral density tests.

  - Possibility of slowing, stopping, or reversing bone loss with the right treatment.

Medication Options:

  - Bisphosphonates, Denosumab (Prolia), and Hormone Therapy (HT).

Bone Loss During Menopause:

  - Accelerated bone loss during perimenopause and menopause due to dropping estrogen levels.

  - Hormone Therapy as an effective treatment for osteoporosis prevention in early menopause.

Fractures and Osteoporosis:

  - Common fractures seen in the ER due to osteoporosis.

  - Explanation of compression fractures and their impact on height loss.

ER Management of Fractures:

  - Steps taken in the ER for suspected fractures, including imaging and treatment options.

Conclusion:

- Osteoporosis is silent until a fracture happens. Don’t wait—take action now to protect your bone health!

Resources:

- Osteoporosis Canada: https://osteoporosis.ca/

- Calcium Calculator: https://osteoporosis.ca/calcium-calculator/

- FRAX Score Calculator: https://osteoporosis.ca/frax/

Thank you to Always Discreet for sponsoring this episode of the DocTalk Podcast!  Get your promo code for your product at: https://checkout51.app.link/e/K3yAUdFCUKb

Medical Disclaimer:

The Doc Talk Podcast is for general informational purposes only and is not a substitute for professional medical advice. While we are doctors, we are not your doctors. Always consult your healthcare provider regarding any personal health concerns.

In this episode, we’re talking about all things sleep with sleep expert and social media star, Dr. Sujay Kansagra. If you’ve ever struggled to fall asleep, stay asleep, or wake up feeling rested, this episode is for you. And make sure you stay until the end to hear Dr. Kansagra’s prescription for better sleep!

We touch upon all your sleep-related questions, including: What about naps? How do cannabis and alcohol affect sleep? How does caffeine affect our sleep? What about sleep technology? And we end with Dr. Kansagra's sleep prescription. You don't want to miss this one.

Episode Highlights:

1. Sleep Basics: How much sleep do you actually need?
2. The Science of Sleep: Understanding REM, deep, and light sleep cycles.
3. Sleep Hygiene 101: Tips and tricks for creating a sleep-friendly environment.
4. Napping: Good or Bad?: How to nap like a pro without sabotaging your nighttime sleep.
5. Sleep Aids: What the evidence says about CBD, cannabis, and melatonin.
6. Perimenopause & Sleep: How hormonal changes impact sleep patterns.
7. Alcohol & Sleep: Why that nightcap might be ruining your rest.
8. Medical Conditions & Sleep: Common conditions that disrupt sleep and what you can do about it.
9. Sleep Tracking Tech: Are sleep trackers like rings, watches, and apps helpful or harmful?
10. CBT for Insomnia: Why cognitive behavioral therapy might be the game-changer you need.
11. Phones in Bed: The impact of screen time on sleep quality.
12. Caffeine & Sleep: How your morning cup of coffee might be affecting your night.

Meet Our Guest:

Dr. Sujay Kansagra is a professor at Duke University and the director of the Pediatric Neurology Sleep Medicine Program. He’s authored numerous research publications and five books, including My Child Won’t Sleep, a practical guide for parents navigating sleep struggles. Dr. Kansagra is currently researching innovative technologies to address childhood insomnia. You can find him on social media as @ThatSleepDoc, where he shares evidence-based sleep advice with his 500K+ followers.

Resources & Links:

• Follow Dr. Sujay Kansagra: @ThatSleepDoc on Instagram & TikTok
• Book recommendation: My Child Won’t Sleep by Dr. Sujay Kansagra
• More about sleep hygiene: Canadian Sleep Society

Thank You for Listening!

We hope you found today’s episode helpful and that you’re already planning to implement some of Dr. Kansagra’s tips. Don’t forget to subscribe, leave a review, and share this episode with anyone who could use a better night’s sleep!

Follow us on Instagram: @DocTalkPodcast

Have a healthcare question? Call in to be featured on a future episode!

Thank you to Always Discreet for sponsoring this episode of the DocTalk Podcast!  Get your promo code for your product at: https://checkout51.app.link/e/K3yAUdFCUKb

Medical Disclaimer:

The Doc Talk Podcast is for general informational purposes only and is not a substitute for professional medical advice. While we are doctors, we are not your doctors. Always consult your healthcare provider regarding any personal health concerns.

Episode Overview:
Welcome back to The DocTalk Podcast! In this episode, we’re tackling a condition that affects millions of Canadians: Diabetes. We discuss what diabetes is, risk factors, prevention strategies, complications, and how to manage it effectively. This episode is inspired by a listener question about reducing the risk of diabetes and its complications.

Listener Question:
“Hey docs, Diabetes runs in my family, and I’ve already seen one of my parents need hospital visits for complications of diabetes. What can I do to lower the risk of diabetes and its complications?”

What is Diabetes?

• Diabetes is a condition where blood sugar remains persistently high due to either a lack of insulin (Type 1) or insulin resistance (Type 2).
• Type 1 Diabetes: Autoimmune destruction of insulin-producing cells in the pancreas, typically diagnosed at a younger age.
• Type 2 Diabetes: More common in adolescents and adults, due to insulin resistance and associated with lifestyle and genetic factors.

How Common is Diabetes?

• 1 in 3 Canadians are affected by diabetes or prediabetes.
• 3.5 million Canadians have a diabetes diagnosis, and the number is expected to rise.
• Type 1 diabetes accounts for 10% of cases, while Type 2 diabetes makes up 90% of cases. 

Early Symptoms of Type 1 Diabetes:

• Increased thirst & urination
• Unexplained weight loss
• Fatigue
• Fruity-smelling breath (sign of Diabetic Ketoacidosis - DKA)

Type 2 Diabetes is often diagnosed through routine screening but can have symptoms of fatigue, frequent urination, thirst, vision change and numbness and tingling in hands and erectile dysfunction.

Complications of Diabetes

• Heart disease & stroke: 2-4 times more likely in people with diabetes.
• Kidney disease: Chronic high blood sugar can lead to kidney damage.
• Nerve damage & foot ulcers: Loss of sensation increases risk of infections and amputations.
• Eye damage (retinopathy): Regular eye exams are crucial.
• Immune system impairment: Increased risk of infections, poor wound healing.

Managing Diabetes

• Diabetes education teams: Work with healthcare professionals for lifestyle and medication management.
• Blood sugar monitoring: Regular A1c testing and routine bloodwork.
• Medications: Options include Metformin, Insulin, SGLT2 inhibitors, and GLP-1 agonists (like Ozempic, originally a diabetes medication but now known for weight management).

Our Prescription for You:

• Know your risk, especially if you have a family history.
• Prioritize healthy diet and exercise to lower your risk.
• Consider early testing if you have additional risk factors.
• Work with your healthcare provider to monitor and manage your health.

For more information, visit diabetes.ca for additional resources and support.

Thank you to Always Discreet for sponsoring this episode of the DocTalk Podcast!  Get your promo code for your product at: https://checkout51.app.link/e/K3yAUdFCUKb

Disclaimer:

The DocTalk Podcast is for general information purposes only. This podcast is not intended to replace medical advice from your doctor. While we are doctors, we are not your doctor. Always speak to your healthcare provider for personalized medical advice.

Thank you for tuning in to The DocTalk Podcast! Be sure to subscribe, leave a review, and follow us for more insightful health discussions. See you next time!

 Follow us on Instagram @DocTalkPodcast

Key Discussion Points:

1. The Journey from Hockey to Medicine:
   • What inspired Hayley to pursue a new career as a physician after her legendary hockey career?
   • How her experience as a professional athlete shaped her training and approach to medicine.
2. Lessons from Sports to Medicine:
   • The parallels between high-performance sports and practicing medicine.
   • How discipline, teamwork, and resilience from sports have influenced her medical career.
3. Challenges as a Woman in Sport and Medicine:
   • Navigating gender pay gaps and systemic barriers in both industries.
   • Reflections on being a role model for women breaking barriers in hockey and healthcare.
4. Burnout and Resilience:
   • Addressing the high burnout rates in emergency medicine and across healthcare.
   • Hayley’s personal experiences with burnout and the strategies she’s used to mitigate it.
5. Improving Canada’s Healthcare System:
   • Insights from working in rural and emergency settings.
   • Hayley’s thoughts on the biggest challenges facing healthcare in the next decade.
6. Sport and Medicine: A Two-Way Learning Opportunity:
   • What can healthcare professionals learn from the world of professional sports?
   • Lessons medicine could impart to the sports world.

Closing Segment:

• “Prescription for Patients”: Hayley shares her top tip for Canadians navigating the healthcare system.

Disclaimer:
The Doc Talk is for general information purposes only and is not a substitute for personalized medical advice. Always consult your healthcare provider for your specific health needs.

Heart disease is the leading cause of death for women in Canada.

In this episode of The Doc Talk Podcast, we dive into what heart disease can look like in women, how it’s too often overlooked, and what you can do to protect yourself and those you love.

We kick off with a listener question from Kellie, who asks:
“What does the research say about how heart disease shows up differently in women—and how can we advocate for ourselves when screenings don’t tell the whole story?”

It’s a crucial question—because heart disease often does look different in women, and the healthcare system isn’t always set up to recognize that. In this episode, we break down how to recognize symptoms, what tests can (and can’t) show, and the steps you can take to protect your heart.

In this episode, we cover:

• What heart disease really is and why women are underdiagnosed
• How the symptoms of heart attacks and strokes differ in women
• Why perimenopause and menopause increase risk—and what to do about it
• The gender gap in medical research and its impact on heart health
• Advocacy tips for navigating the ER and pushing for follow-up care
• What “knowing your numbers” actually means (and when to start checking them)

 Dr. Shaz and Dr. Sheila share personal insights, ER stories, and a practical “Prescription for Heart Health” that’s rooted in prevention and empowerment.

Key Takeaways:

• Symptoms of heart attack in women can be subtle: nausea, fatigue, dizziness
• Many risk factors—like high blood pressure, smoking, or inactivity—are preventable
• Menopause plays a key role in heart risk due to hormonal changes
• Speak up in healthcare settings—your story matters
• Screening starts at 40, earlier if you have risk factors or family history

 If this episode helped you see heart health in a new light, please share it—it might just save a life. Missed our perimenopause episode? Go back and check out Episode 2 for more on how hormonal changes affect heart and brain health.

Episode Sponsored by Always Discreet: Thank you to Always Discreet for sponsoring this episode of the DocTalk Podcast!  Get your promo code for your product at: https://www.checkout51.com/offer/Always-Discreet-Underwear-and-Pads-coupon69862

Follow us on Instagram @thedoctalkpod!

Have a question for our docs? Send us a message—we might feature it in an upcoming episode!

Disclaimer: This podcast is for general information purposes only and is not a substitute for personal medical advice. Always consult your own healthcare provider for recommendations specific to your health.

In this episode of The Doc Talk Podcast, Dr. Shazma Mithani, an ER doctor, and Dr. Sheila Wijayasinghe, a family doctor, tackle an important listener question: How can I stay up to date with cancer screening to reduce my risk?

Cancer screening is not about finding something wrong—it’s about catching potential issues early, sometimes before symptoms even appear. This episode covers what you need to know about cancer screening, including when to start, how often to screen, and why early detection can save lives.

What we cover in this episode

Breast Cancer Screening: Why there’s a push to lower the starting age from 50 to 40, plus screening guidelines based on personal and family history.

Cervical Cancer Screening: The shift toward HPV testing from Pap tests, and why regular screenings are crucial even if you feel fine. 

https://cancer.ca/en/treatments/tests-and-procedures/human-papillomavirus-hpv-test

Colorectal Cancer Screening: Why younger adults are seeing higher rates of colorectal cancer and what you can do to detect it early. 

Prostate Cancer Screening: The PSA debate—why routine testing isn’t always recommended in Canada and what men should know. 

Lung Cancer Screening: Who qualifies for low-dose CT scans, and why chest X-rays often miss lung cancer. 

True or False Rapid Round! Debunking common myths about cancer screening. 

When to See Your Doctor vs. the ER: If you have symptoms like unexplained bleeding, pain, or weight loss—don’t delay seeking medical attention.

Taking Action

Know your age and eligibility for screening.  Ask about family history—it matters.  Don’t skip tests just because you feel fine.  Get back on track if life got in the way.

If this episode helped you, share it with someone who needs to hear it—it could literally save a life. 

Episode Sponsored by Always Discreet: Thank you to Always Discreet for sponsoring this episode of the DocTalk Podcast!  Get your promo code for your product at: https://www.checkout51.com/offer/Always-Discreet-Underwear-and-Pads-coupon69862

Follow us on Instagram @thedoctalkpod!

Have a question for our docs? Send us a message—we might feature it in an upcoming episode!

Disclaimer: This podcast is for general information purposes only and is not a substitute for personal medical advice. Always consult your own healthcare provider for recommendations specific to your health.

Menstrual pain, heavy periods, absent periods—what’s normal and what’s not? In today’s episode, we tackle the many types of menstrual disorders that impact millions but often get dismissed.

From painful periods (dysmenorrhea) and heavy bleeding (menorrhagia) to absent periods (amenorrhea) and emergency situations like ovarian torsion, we break down symptoms, causes, and when to seek help. Plus, we bust common myths and offer practical advice for navigating menstrual health with confidence.

If you or someone you love struggles with their period, this episode is for you.

In this episode, we cover:

• What’s considered a normal period—and what isn’t
• Dysmenorrhea (painful periods): causes, treatments, and when to worry
• Endometriosis: why it’s so misunderstood and how it’s managed
• Menorrhagia (heavy bleeding): how much is too much
• Fibroids and adenomyosis: hidden causes of pelvic pain and heavy periods
• Amenorrhea (absent periods): common reasons and why it shouldn’t be ignored
• Ovarian cysts and torsion: recognizing true emergencies
• Debunking common period myths
• Tips for advocating for yourself in the healthcare system

Bottom line: whether it’s pain, bleeding, or irregular cycles—don't ignore it. Seek medical care early to get the support and treatment you deserve.

Sponsor: This episode is brought to you by Always Discreet — your dependable solution for bladder leaks. Learn more and grab a coupon at: https://www.checkout51.com/offer/Always-Discreet-Underwear-and-Pads-coupon69862

Disclaimer:
The Doc Talk Podcast is for general information purposes only and is not a substitute for professional medical advice. Always consult your healthcare provider for questions related to your health needs.

Connect with us:
Follow us on Instagram @thedoctalkpod!

Send us your questions—we love hearing from you!

Episode Summary: In this powerful conversation, Drs. Shazma and Sheila sit down with psychologist and author Dr. Jody Carrington to unpack the loneliness epidemic. Why are women more prone to loneliness? How can we be more intentional in raising our children to foster emotional intelligence? And what role does social media play in perpetuating disconnection?

Dr. Carrington shares profound insights on the importance of human connection, offering practical strategies for calming the nervous system and creating meaningful relationships in a digital world. If you’ve ever felt alone in the chaos of life, this episode will remind you that you’re not—and that change starts with deliberate action.

Topics Covered:

• Why loneliness is more prevalent than ever
• The unique challenges women face in combating loneliness
• The importance of deliberate parenting in raising emotionally intelligent kids
• How social media influences connection (and isolation)
• Dr. Carrington’s recommendations for regulating the nervous system

Guest Bio: Dr. Jody Carrington is a psychologist, speaker, and best-selling author specializing in connection, resilience, and mental health. With a no-nonsense, compassionate approach, she’s changing the conversation around human relationships, helping people reclaim their power in a disconnected world.

Sponsor: This episode is brought to you by Always Discreet — your dependable solution for bladder leaks. Learn more and grab a coupon at: https://www.checkout51.com/offer/Always-Discreet-Underwear-and-Pads-coupon69862

Disclaimer:
The Doc Talk Podcast is for general information purposes only and is not a substitute for professional medical advice. Always consult your healthcare provider for questions related to your health needs.

Connect with us:
Follow us on Instagram @thedoctalkpod!

Send us your questions—we love hearing from you!

Episode Summary: Polycystic Ovary Syndrome (PCOS) is one of the most common—but misunderstood—hormonal conditions. In this episode, Dr. Sheila Wijayasinghe (family doctor) and Dr. Shazma Mithani (ER physician) break down what PCOS really is, why it often goes undiagnosed, and what to watch for beyond irregular periods.

We cover:

• What PCOS is—and isn’t
• Symptoms that show up in clinic and the ER
• The risks of untreated PCOS, like diabetes and endometrial cancer
• Why it’s not just about fertility or weight
• A myth-busting lightning round you won’t want to miss

Whether you’re living with PCOS, suspect you may have it, or just want to learn more—this episode is for you.

Sponsor: This episode is brought to you by Always Discreet — your dependable solution for bladder leaks. Learn more and grab a coupon at: https://www.checkout51.com/offer/Always-Discreet-Underwear-and-Pads-coupon69862

Disclaimer: The Doc Talk Podcast is for general information purposes only and is not a substitute for professional medical advice. Always consult your healthcare provider for questions related to your health needs.

Connect with us: Follow us on Instagram @thedoctalkpod!

Send us your questions—we love hearing from you!

We’re wrapping up an incredible first season of The Doc Talk Podcast! From the best sleep tips to practical advice on tackling loneliness, advocating for yourself as a patient, and why teamwork really does make the dream work—we’re highlighting the moments that stuck with us.

Plus, get a sneak peek into what’s coming in Season 2, including exciting new guests and topics we can’t wait to share.

Listen in for your dose of real talk, practical advice, and what to expect next. 

Disclaimer: The Doc Talk Podcast is for general information purposes only and is not a substitute for professional medical advice. Always consult your healthcare provider for questions related to your health needs.

Connect with us: Follow us on Instagram @thedoctalkpod!

Send us your questions—we love hearing from you!

This week, we’re joined by our very first guest of Season 2, Canadian comedian, writer, and viral sensation Brittlestar (Stewart Reynolds).

If you’ve scrolled TikTok or Instagram lately, chances are you’ve laughed at one of his sharp, family-friendly takes on modern life. With more than 650 million views worldwide, collabs with Ryan Reynolds and Gordon Ramsay, an invite from the Obamas, and even a new international bestselling book, Stewart has turned suburban Ontario into a global comedy stage.

We dive into:

• Whether comedy really is “medicine” when the world feels heavy
• Parenting, family chaos, and surviving online culture
• How creators are shaping public health conversations (and whether governments should partner with them)
•  A rapid-fire round of true-or-false and health-inspired quick takes

It’s a fun, thoughtful conversation about laughter, connection, and why humour matters, especially in tough times.

This episode is brought to you by FIGS. Medicine is more than scrubs—but the scrubs you wear matter. Get 20% OFF your first order of FIGS by heading to wearfigs.com and using code FIGSCA at checkout.

Listen in, subscribe, send us your questions, and share with fellow parents @thedoctalkpod - we're in this together. 

Disclaimer:  A reminder that The Doc Talk is for general information purposes only. This podcast is not intended to replace medical advice from your doctor. While we are doctors, we are not your doctor.  Always speak to your own healthcare provider for questions related to your personal health needs. 

In this mini episode, we team up with Heart & Stroke’s Dr. Christine Faubert to introduce Risk Screen: a quick, evidence-based tool that helps Canadians understand their risks for heart disease and stroke — including helping women understand their unique risks for these conditions. We share what surprised us when we tried it ourselves, and why this tool could be a game-changer for prevention. Try it yourself at heartandstroke.ca/riskscreen, share it with the women in your life, and start protecting your heart and brain health today. 

We’re kicking off our recap series with the pilot episode of The Pitt. our favourite medical drama that’s already sweeping awards season. In this first look inside the ER, the tone is set with a jam-packed morning shift, quick-fire decisions, and the introduction of the learners who give us an entry point into the chaos.

We dive into the cases, unpack the character introductions, and share what felt real versus what was made for TV. With Dr. Shazma’s emergency room perspective guiding us through the accuracy of the details, we close with the moments that resonated most, the MVPs of the episode, and the key take-home messages for listeners.

Follow along with us as we recap and catch up, just in time for The Pitt Season 2, dropping January 2026. 

Listen in, subscribe, send us your questions, and share with fellow fans @thedoctalkpod - we're in this together. 

Disclaimer:  A reminder that The Doc Talk is for general information purposes only. This podcast is not intended to replace medical advice from your doctor. While we are doctors, we are not your doctor.  Always speak to your own healthcare provider for questions related to your personal health needs. 

Welcome to Season 2 of The Doc Talk Podcast! We’re Dr. Shazma Mithani (ER doctor, Edmonton) and Dr. Sheila Wijayasinghe (family doctor, Toronto) two physicians, moms, and friends here to bring you no-nonsense, evidence-based health information for Canadian families.

Every September, classrooms turn into germ factories. From coughs and fevers to itchy scalps and stomach bugs, it can feel like kids are constantly sick. In this episode, we break it all down:

• Flu & respiratory viruses: how to manage, when to worry, and what’s new in NACI’s 2025–26 flu vaccine guidance
• Lice: real-life management tips, what actually works, and why kids can go back to school right after treatment
• Hand-Foot-Mouth Disease (HFMD): classic symptoms, comfort care, and when to call the doctor
• Gastro bugs: hydration strategies, red flags, and what to avoid giving kids
• Medicine cabinet essentials: our checklist for surviving back-to-school season

Plus, a quick-fire True or False segment where we bust common myths about flu shots, lice, HFMD, and must-have meds.

Whether you’re a parent, caregiver, or just bracing for viral boot camp, this episode is packed with practical, up-to-date strategies to get your family through September (and beyond). 

This episode is brought to you by FIGS. Medicine is more than scrubs—but the scrubs you wear matter. Get 20% OFF your first order of FIGS by heading to wearfigs.com and using code FIGSCA at checkout.

Resources: Lice facts sheet - https://tinyurl.com/246zd7e5 

Listen in, subscribe, send us your questions, and share with fellow parents @thedoctalkpod - we're in this together. 

Disclaimer:  A reminder that The Doc Talk is for general information purposes only. This podcast is not intended to replace medical advice from your doctor. While we are doctors, we are not your doctor.  Always speak to your own healthcare provider for questions related to your personal health needs.