Pediatric Otolaryngology: Building a Successful Career and Looking to the Future of ENT (feat. Dr. R. Christopher Miyamoto)

Undefeated: Building Resilience & Better Relationships Through Strengths-Based Therapy

In this episode of Doc Secret, our guest is Chase Butala, Licensed Professional Counselor and Founder of Undefeated Healthcare. With more than two decades of experience across residential treatment centers, hospitals, and prison systems,Chase shares how early exposure to trauma-informed care shaped his mission to help individuals, couples, and families build real emotional strength. He reflects on pivotal moments from his career—including working with incarcerated populations—that deepened his understanding of resilience, responsibility, and human connection. Now leading his own multi-state telehealth practice, Chase applies those hard-won lessons to high-performing clients who may be successful professionally but feel stuck at home. Throughout the conversation, he reframes therapy as “strength training for the mind and soul,” challenging the myth that you must be broken to benefit from therapy. This episode explores growth,leadership, vulnerability, trauma, and what it truly means to live undefeated. Learn more about Chase and Undefeated Healthcare at https://www.undefeatedhealthcare.com [https://www.youtube.com/redirect?event=video_description&redir_token=QUFFLUhqbklmVkxUdVRfeXVab0FpUnppel92VFFlZERtUXxBQ3Jtc0ttM3FaOEUzVElsRkdLTzliRE1RclNqUGI0WWtGTDlqblRQTUhSNUJUaG1SSWs5RF9LTFp0UUdHUE1PNmwxZXpPcXBXNlFwMmVrck51cU5lNmJCeGN0YUIySzU3SFhCYTRaVzIybERPVDBTdC1tUDVvMA&q=https%3A%2F%2Fwww.undefeatedhealthcare.com%2F&v=X361YlAaciw] DocSecret is sponsored by Quantics Marketing, LLC. https://www.quanticsmarketing.com/ [https://www.youtube.com/redirect?event=video_description&redir_token=QUFFLUhqbEx3M3BPeUwyMVdldjdIdzVUaGctUnBkLUlRQXxBQ3Jtc0tsWmdBNEZDUnlsUjBITnlJMFNTd1JGQmFzVHZad0dpek9fVWxBWWNWVDBKdWJlZHpfLUtQakNHRllnWkc2OEpLZUtfd0hOcWxlcFY1bFdZdHpqdWVUR1hSUC1NUEZoSlM5NGZ6TUowd2lpSDZFeUtlYw&q=https%3A%2F%2Fwww.quanticsmarketing.com%2F&v=X361YlAaciw] 00:00 [https://www.youtube.com/watch?v=X361YlAaciw] – Welcome to Doc Secret and Today’s Theme 00:40 [https://www.youtube.com/watch?v=X361YlAaciw&t=40s] – Introducing Chase Butala and Undefeated Healthcare 02:30 [https://www.youtube.com/watch?v=X361YlAaciw&t=150s] – Why “Undefeated” Became a Mission, Not a Slogan 03:57 [https://www.youtube.com/watch?v=X361YlAaciw&t=237s] – Who Undefeated Healthcare Is Built For 05:03 [https://www.youtube.com/watch?v=X361YlAaciw&t=303s] – The Sweat Lodge Experience That Changed Everything 06:50 [https://www.youtube.com/watch?v=X361YlAaciw&t=410s] – Trauma-Informed Care andEarly Clinical Training 08:22 [https://www.youtube.com/watch?v=X361YlAaciw&t=502s] – What’s Working—and Broken—inMental Health Systems 09:38 [https://www.youtube.com/watch?v=X361YlAaciw&t=578s] – Why Chase Still Does ThisWork After 20 Years 10:28 [https://www.youtube.com/watch?v=X361YlAaciw&t=628s] – First Day Providing TherapyInside a Prison 11:31 [https://www.youtube.com/watch?v=X361YlAaciw&t=691s] – Lessons on Trauma, Shame, and Resilience Behind the Walls 12:59 [https://www.youtube.com/watch?v=X361YlAaciw&t=779s] – A Challenging Case That Nearly Broke the System 15:07 [https://www.youtube.com/watch?v=X361YlAaciw&t=907s] – Moments That Remind You Why the Work Matters 16:28 [https://www.youtube.com/watch?v=X361YlAaciw&t=988s] – Translating High-Acuity Experience to High Performers 18:08 [https://www.youtube.com/watch?v=X361YlAaciw&t=1088s] – Who the “Undefeated Client” Really Is 18:58 [https://www.youtube.com/watch?v=X361YlAaciw&t=1138s] – Breaking the Cycle in Couples Therapy 20:05 [https://www.youtube.com/watch?v=X361YlAaciw&t=1205s] – Understanding “Programs” and Habit Loops 21:38 [https://www.youtube.com/watch?v=X361YlAaciw&t=1298s] – Parenting, Burnout, and Structured Use of Space 23:03 [https://www.youtube.com/watch?v=X361YlAaciw&t=1383s] – Naming Trauma While Still Offering Hope 24:31 [https://www.youtube.com/watch?v=X361YlAaciw&t=1471s] – What the First 30–60 Days of Therapy Look Like 25:56 [https://www.youtube.com/watch?v=X361YlAaciw&t=1556s] – Aha Moments vs. Sustainable Change 27:40 [https://www.youtube.com/watch?v=X361YlAaciw&t=1660s] – How to Choose the Right Therapist 28:56 [https://www.youtube.com/watch?v=X361YlAaciw&t=1736s] – Red Flags That Signal Poor Fit 29:40 [https://www.youtube.com/watch?v=X361YlAaciw&t=1780s] – Measuring Progress in Therapy 31:58 [https://www.youtube.com/watch?v=X361YlAaciw&t=1918s] – One Question to Know If You’re Stuck 33:11 [https://www.youtube.com/watch?v=X361YlAaciw&t=1991s] – Why Chase Founded His Own Practice 35:11 [https://www.youtube.com/watch?v=X361YlAaciw&t=2111s] – From Clinician to Founder: Surprises in Building a Practice 37:54 [https://www.youtube.com/watch?v=X361YlAaciw&t=2274s] – Delivering Deep Work Through Telehealth 39:07 [https://www.youtube.com/watch?v=X361YlAaciw&t=2347s] – Strength-Based Training and Building Resilience 41:01 [https://www.youtube.com/watch?v=X361YlAaciw&t=2461s] – Why Work Skills Don’t Always Work at Home 43:12 [https://www.youtube.com/watch?v=X361YlAaciw&t=2592s] – Where AI Helps—and Where It Doesn’t—in Therapy 46:48 [https://www.youtube.com/watch?v=X361YlAaciw&t=2808s] – Guardrails for AI Use in Behavioral Health 48:00 [https://www.youtube.com/watch?v=X361YlAaciw&t=2880s] – Advice for Early-Career Therapists 48:59 [https://www.youtube.com/watch?v=X361YlAaciw&t=2939s] – Lightning Round and Close

(feat. Dr. Dan Singley)

In this episode of Doc Secret, our guest is Dr. Dan Singley, Founder and Director of the Center for Men’s Excellence in San Diego. A licensed psychologist, researcher, and past president of the APA Division on Men and Masculinities, Dan shares his unexpected journey from studying whiteness in graduate school to becoming a national leader in men’s mental health and perinatal psychology. Inspired by the birth of his son and a pivotal early career moment, he shifted his focus to understanding fathers’ experiences and building programs like Basic Training for New Dads and International Fathers’ Mental Health Day. Along the way, he combined research, clinical practice, leadership roles, and entrepreneurship to reframe how mental health professionals can engage men meaningfully. This episode explores themes of identity, leadership, behavioral health innovation, and the evolving landscape of modern masculinity. Doc Secret is sponsored by Quantics Marketing, LLC. https://www.quanticsmarketing.com/ [https://www.quanticsmarketing.com/] 00:00 – Meet Dr. Dan Singley: Reframing Fatherhood and Masculinity 02:18 – From Grad School to Men’s Mental Health: A New Dad’s Wake-Up Call 06:28 – The 18-Month Bet: Career Pivot & Building a Practice 14:25 – Father-Focused Programs: Basic Training & International Fathers’ Mental Health Day 21:31 – Parental Mental Health, Not Just Maternal: Factoring in Fathers 24:16 – Masculinity Under Construction: Science & Global Perspectives 30:55 – The Care Gap: Screening, Access & What Men Need 38:42 – Evidence-Based Therapy with a Gender-Informed Lens 46:32 – What’s Next: AI, Groups & Cross-Specialty Collaboration 01:06:02 – Lightning Round and Close Follow and listen wherever you enjoy your favorite podcasts.

Lights, Trauma, Action: A Performer’s Path to Mental Health and Meaning (feat. Adam Hill)

In this episode of Doc Secret, our guest is Adam Hill, Licensed Social Worker and Clinical Psychotherapist at CFC Therapy Group in Chicago. Adam traces his path from national musical-theater tours—including The Sound of Music—to the therapy room, where the craft of storytelling, vulnerability, and presence now shape his clinical work. He opens up about burnout after life on the road, the intentional pause that reset his direction, and the mentors and conversations that helped him pivot into behavioral health. In practice, Adam uses an integrative, trauma-informed approach—drawing on CBT, ACT, DBT, EMDR, IFS, and more—while innovating with formats like Dungeons & Dragons group therapy to build skills and community. He shares early warning signs of burnout, how creative practice fosters resilience, and a measured view on where AI helps (and where it can’t replace human connection). Listeners will hear themes of growth, transitions, trauma-informed care, creativity, and the thoughtful use of technology. Doc Secret is sponsored by Quantics Marketing, LLC. https://www.quanticsmarketing.com/ [https://www.quanticsmarketing.com/] 00:00 – Meet Adam Hill: From Stage to Psychotherapy 03:03 – Childhood in the Arts: A Therapeutic Refuge 05:05 – National Tour Life: Highs, Hustle, and Being a Swing 09:19 – The Turning Point: Choosing Psychotherapy 12:09 – Post-Tour Burnout and the Power of Pause 14:12 – Theater Skills in the Therapy Room 18:35 – Trauma Lens: Lived Experience to Integrated Care 22:16 – Early Signs of Burnout to Watch 31:17 – Dungeons & Dragons Therapy and Feedback Loops 52:09 – Lightning Round and Close Follow and listen wherever you enjoy your favorite podcasts.

Pediatric Otolaryngology: Building a Successful Career and Looking to the Future of ENT (feat. Dr. R. Christopher Miyamoto)

In this episode of Doc Secret, our guest is Dr. R. Christopher Miyamoto, Pediatric Otolaryngologist at Peyton Manning Children’s Hospital at Ascension St. Vincent in Indianapolis. Chris traces a path from liberal-arts foundations and rigorous surgical training to a patient-first practice where humanism and meticulous technique go hand in hand. He shares on-call moments that affirmed his calling, the procedures that change children’s lives—ear tubes, complex airway reconstructions, cochlear implants—and a memorable case spanning two decades of care. We dig into the realities behind EMRs and early AI scribes, the power of team-based pediatric care, and where the field is headed next: hearing preservation, implant advances, tissue engineering, and targeted gene therapy. Along the way, Chris offers practical guidance for families navigating ENT decisions and frank advice for students eyeing competitive specialties. Listeners will hear themes of growth, clinical leadership, technology, strategy, and patient-centered culture. ** Note: The views and opinions expressed by Dr. Miyamoto in this podcast are his own and do not represent those of his employer. ** Doc Secret is sponsored by Quantics Marketing, LLC. https://www.quanticsmarketing.com/ [https://www.quanticsmarketing.com/] 00:00 – Meet Dr. Christopher Miyamoto: Pediatric ENT & Introduction 02:32 – Why Pediatric ENT: From Biology to Surgery 09:12 – Procedures that Change Lives: Ear Tubes to Airway Reconstructions 11:59 – Hearing Restoration: Cochlear Implants, Preservation & Gene Therapy 15:45 – Pediatric Sleep Apnea: Beyond CPAP to Nerve Stimulation 18:32 – Team-Based Care Across the Children’s Hospital 21:13 – EMRs & AI Scribes: Promise vs. Burden 28:29 – What’s Next in Pediatric ENT: Tissue Engineering, Funding & Vaccines 33:04 – A Two-Decade Case and Life-Changing Outcomes 60:07 – Lightning Round and Close Follow and listen wherever you enjoy your favorite podcasts.

The Pioneer's Journey: Launching VetTriage and the Advent of Veterinary Telemedicine (feat. Dr. Shadi Ireifej)

In this episode of Doc Secret, our guest is Dr. Shadi Ireifej, Founder of VetTriage and board-certified small animal surgeon. Born to immigrant parents in Yonkers, New York, Shadi’s path took him from SUNY Binghamton to Cornell’s elite veterinary program, where he discovered a passion for surgery. After years as a staff surgeon, hospital owner, and chief medical officer, he made a bold career shift—leaving the operating room to pioneer veterinary telehealth. He built VetTriage from the ground up, launching a global platform that provides pet owners with on-demand access to veterinarians while improving work-life balance for practitioners. In this episode, Shadi shares his personal story, the entrepreneurial journey of VetTriage, and his vision for the future of veterinary medicine—including legislation, tele-mentorship, AI, and access to care. Doc Secret is sponsored by Quantics Marketing, LLC. https://www.quanticsmarketing.com/ [https://www.quanticsmarketing.com/] 00:00 – Meet Dr. Shadi Ireifej: Surgeon turned Telehealth Pioneer 02:26 – Immigrant roots, early inspiration, and veterinary beginnings 07:46 – Discovering surgery at Cornell and shaping a career path 08:15 – The origin story of VetTriage: from phone triage to global platform 11:05 – From surgeon to entrepreneur: making the leap 13:12 – Breaking even in six months: early growth and team building 18:21 – Technology, regulation, and building a gold-standard platform 22:20 – Early success stories and validation moments 33:32 – Tackling veterinary burnout and staff shortages with telehealth 49:04 – Legislative change, AI applications, and the future of VetTriage 01:07:36 – Lightning Round and Close