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PODCAST

Everyday Medicine with Dr Luke

Dr Luke Crantock

Conversations with colleagues exploring their special interests in medicine and bringing to you Insights, ideas and advice for your medical practice.

health & fitness medicine

All Episodes

00:20:15

Special Episode 9. New Vaccines with Professor Dale...

Everyday Medicine with Dr Luke ·

2022/04/12

The Peter Doherty Institute was the first Australian laboratory to establish a Covid 19 PCR test and diagnose the first SARS-Cov 2 infection on Australian shores, its research scientist is heavily involved in developing novel diagnostic tools applied across many areas of medical science and the institute plays a key leadership role in advising state and federal government on best medical practice. It’s no great surprise therefore that we have learned of their ground-breaking development of a new

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00:29:57

Episode 72. Breaking Bad News and Admitting Error...

Everyday Medicine with Dr Luke ·

2022/04/05

Delivering hard news to a patient or their relatives and admitting error can be one of the most difficult duties encountered by a doctor. Significant effort is now spent in teaching young training doctors techniques and strategies to avoid miscommunication and uncertainty in undertaking this complicated task whilst also remaining emotionally engaged and empathetic to their situation. Rabow and McPhee have written eloquently on the subject of breaking difficult or bad news and have devised a mnemonic

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00:19:12

Episode 71. Chronic Pain with Dr Stephen Nutter

Everyday Medicine with Dr Luke ·

2022/03/28

Chronic pain affects about 1 in 5 people in Australia and is a common reason for patients to see their doctor and to seek treatment. As patients seek ever increasingly strong pharmacological therapies they may become increasingly depressed, fatigued and dislocated from society. In this episode we have a very interesting conversation with Dr Stephen Nutter, we follow Stephen’s journey from anaesthetist to pain management consultant at Metro Pain Clinic and discuss his approach to: ·

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00:21:56

Episode 70. Familial Cancer Screen with Dr Lucy...

Everyday Medicine with Dr Luke ·

2022/03/23

Genetic testing for cancer is important for a small number of families at increased risk due to the inheritance of genetic mutations. Most commonly this involves the inheritance of breast cancer genes such as the BRCA 1 and 2 or colorectal cancer genes such as the Lynch syndrome genes. Although these only represent a small percentage of total cancers reported there is significant public interest in these syndromes. We have a further discussion with Dr Lucy Gately from the Cabrini Family Cancer

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00:22:59

Episode 69. Familial Cancer Screening with Dr Lucy...

Everyday Medicine with Dr Luke ·

2022/03/15

In the context of family cancer screening, genetic testing looks for specific inherited changes or variants in a person’s genes which may predispose them to an increased risk of developing a neoplasm. Harmful variants in some genes are known to be associated with an increased risk of developing specific cancers such as mutations to the BRCA 1 and 2 genes associated with breast and ovarian cancer and the Lynch genes associated with colorectal and endometrial cancer. Alterations in tumour suppressor

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00:33:48

Episode 68. The Ketogenic Diet with Dr Rod Tayler

Everyday Medicine with Dr Luke ·

2022/03/07

The ketogenic diet has recently become popular as an effective dietary approach to weight loss. The diet restricts carbohydrates to just 5-10% of total calories and relies on caloric intake from fats (55-60%) and proteins (30-35%) forcing metabolism to shift from gluconeogenesis to ketogenesis with the production of acetoacetate, beta-hydroxybutyrate and acetone – ketone bodies – as the usable energy source. People adopting this diet report a significant reduction in hunger, increase in energy,

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00:43:02

Episode 67. Back Pain with Dr Max Kupershmidt

Everyday Medicine with Dr Luke ·

2022/02/28

Before proceeding, we apologise for the audio quality in this week's episode. Unfortunately, we experienced some technical difficulties and we will endeavour to resolve these problems in future episodes of Everyday Medicine. It is estimated that up to 80% of the population will experience back pain sometime in their lives with presentations from adolescent age to the elderly. Back pain is the third most common reason for visits to a medical practitioner and in many instances treatment strategies

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00:26:25

Episode 66. Diabetic Foot with Dr Ming Yii

Everyday Medicine with Dr Luke ·

2022/02/23

Diabetic foot is the name given to the condition commonly experienced by people with diabetic peripheral neuropathy and results in an insensitive and often deformed foot. Found in both type I and type II diabetic patients (of which there are 1.8 million living in Australia-one new diagnosis is made every 5 minutes), even minor trauma in the diabetic foot may lead to the development of an ulcer. The combination of impaired vascular supply from micro and macro vascular disease and neuropathy presents

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00:28:27

Episode 65. Renal Impairment with Dr Tony Amin

Everyday Medicine with Dr Luke ·

2022/02/15

It is common in clinical practice to identify patients with impaired renal function as determined by diminished glomerular filtration rate and elevated creatinine. The decision to undertake thorough work-up and investigation of such patients or to observe and monitor, removing any potential offending nephrotoxic agent, is a clinical problem we address in this podcast with expert nephrologist Dr Tony Amin, who considers: · Acute kidney injury · Chronic kidney injury · Appropriate management and work

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00:35:56

Episode 64. Hypo and Hypernatraemia with Dr Tony Amin

Everyday Medicine with Dr Luke ·

2022/02/08

Sodium is a major extracellular cation. Normal sodium concentrations range between 135 and 145 mmol/L. Alterations in sodium concentration, particularly hyponatraemia is the most common electrolyte disorder doctor’s encounter in clinical practice. Up to 20% of people admitted to hospital have hyponatraemia and it is estimated that 1.7% of population also have hyponatraemia. It was enlightening to review this subject with Dr Tony Amin, nephrologist and public educator who discusses: · The importance

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00:34:01

Episode 63. Dementia with Dr Helene Roberts

Everyday Medicine with Dr Luke ·

2022/02/01

The consequences of dementia with short term memory loss, visuospatial dysfunction, executive dysfunction, apathy, word-finding difficulty and apraxia is devastating both to the patient and family. It is estimated that 1% of Australians aged 65 years have dementia and that almost half of our population over 85 years have dementia to varying degrees. Alzheimer’s (60% of cases), vascular dementia (15% of cases), Lewy body and frontotemporal (each 5% of cases) and other forms of dementia secondary to

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00:22:49

Episode 62. Falls in the Elderly with Dr Kim Tew

Everyday Medicine with Dr Luke ·

2022/01/24

Each year in Australia, over 125,000 of our more elderly population are admitted to hospital consequent to a fall. About a third of people over the age of 65 years fall each year and this figure rises exponentially with age. In up to 10% of falls, serious injuries such as fractures (a third of which are hip), soft tissue injuries and direct brain injuries arise. Falls and injuries from falls have serious implications and consequences. In this podcast episode we are joined by geriatrician Dr Kim Tew

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00:24:09

Episode 61. Infertility with Dr Peter Yong

Everyday Medicine with Dr Luke ·

2022/01/17

Couples are said to be infertile if pregnancy does not result after a year of carefully timed sexual activity without the use of contraceptives and is estimated to affect up to one in six Australian couples. It is also estimated that male partners contribute approximately 40% to cases of infertility, the same percentage as women. In a third of couples, a combination of male and female factors both need consideration. Today, women in Australia are 31 years of age before their first child is born

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00:15:41

Episode 60. Altered Uterine Bleeding with Dr Peter Yong

Everyday Medicine with Dr Luke ·

2022/01/10

Altered uterine bleeding is estimated to affect 10-30% of women in midlife and constitutes about a third of outpatient gynaecological reviews. There are many aetiologies to consider including leiomyomas (fibroids), endometrial pathologies, polyps, malignancy, platelet dysfunction and coagulopathies. In this conversation, we are joined by expert obstetrician and gynaecologist Dr Peter Yong who completed his undergraduate medical training in Singapore before undertaking postgraduate training in

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00:18:25

Episode 59. The malignant polyp with Mr Hanumant Chouhan

Everyday Medicine with Dr Luke ·

2022/01/03

The detection of colorectal polyps is of critical importance in the prevention of colorectal cancer. Studies have demonstrated that colorectal cancer arises from colorectal polyps in more than 95% of cases. Fortunately most polyps do not become malignant (less than 1%) and it is known that less than 5% of all colonic adenomas harbour malignancy. The National Bowel Cancer Screening Program has been a government initiative to assist in the detection of early cancers and malignant polyps through the

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00:19:06

Episode 58. Rectal Bleeding with Mr Hanumant Chouhan

Everyday Medicine with Dr Luke ·

2021/12/27

Rectal bleeding is a very important clue to the possibility of serious internal colonic pathology. Whilst our approach to work up of patients with rectal bleeding is determined by the description of blood, the age of the patient and background history, it is extremely important not to overlook rectal bleeding as a possible early sign of a malignant polyp, premalignant polyp, colorectal malignancy or inflammatory bowel disease. To discuss this subject in more depth we are joined by the very

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00:40:33

Episode 57. Metabolic Bone Disease with Dr Ie-Wen Sim

Everyday Medicine with Dr Luke ·

2021/12/21

Metabolic bone disease is common, it is estimated that about 4.75 million Australians have either osteopenia or osteoporosis. Osteoporosis affects up to 23% of women and 6% of men over the age of 50 with a markedly increased risk of minimal trauma fractures including hip fracture with increased morbidity and mortality. Osteoporosis is characterised by microscopic architectural deterioration of bone structure, loss of bone mass and a change in bone metabolism and can be confirmed by dual-energy x-ray

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00:31:40

Episode 56. Central mediated abdominal pain syndrome...

Everyday Medicine with Dr Luke ·

2021/12/13

Centrally mediated abdominal pain syndrome is a chronic recurrent condition that is not related to bowel function, diet or definite organic pathology such as inflammatory bowel disease, diverticulosis, vascular syndromes nor neoplasia. It appears to be secondary to nerve sensitisation and may develop after significant emotional trauma or gastrointestinal infections. The syndrome may be highly intrusive and distressing but can be managed by a multipronged approach drawing upon hypnosis, cognitive

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00:20:39

Special Episode 8. Myocarditis and Pericarditis in...

Everyday Medicine with Dr Luke ·

2021/12/06

Covid vaccine induced Pericarditis-Myocarditis Since the release of mRNA vaccines medical practitioners around the world have been receiving calls from patients complaining of chest discomfort typical of pericarditis some of these patients have also had associated ECG changes and cardiac enzyme elevation consistent with myocarditis. This phenomenon does not appear to be related to the non mRNA vaccines available. As of the 14th of November Australian data shows there have been 329 reports of likely

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00:23:59

Episode 55. Polyps with Dr Geetha Gopalsamy

Everyday Medicine with Dr Luke ·

2021/11/29

Polyps are discreet mass lesions that protrude into the intestinal lumen and represent a very important precancerous pathology to be identified and removed at colonoscopy. Up to 95% of adenocarcinomas arise from polyps, such cancers develop either after inactivation of the APC gene (for adenomas) or by KRAS mutation or BRAF oncogene activation with methylation of promoter regions for the serrated polyp pathway. As colorectal cancer is one of the most commonly diagnosed cancers in Australia, with up

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