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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

00:24:49

Episode 40. Mole mapping and skin cancer surveillance...

Everyday Medicine with Dr Luke ·

2021/07/05

Non-melanotic skin cancers and melanoma are the most common cancers affecting humans. At least two in three Australians will be diagnosed with skin cancer before the age of 70 years and the risk is higher for men than women. Whilst basal cell carcinomas and squamous cell carcinomas are more common they are not as lethal as melanomas which are referred to as Australia’s “national cancer”. Indeed in 2020 it is estimated that 16,200 will be diagnosed with melanoma, that is one new case every half hour

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00:15:12

Episode 39. Muscle Joints Aches and Pains with Dr...

Everyday Medicine with Dr Luke ·

2021/06/28

Chronic joint and muscle pain affects many millions of patients with more than one in four adults affected by some form of arthritis. Arthritis is the most common chronic condition among long-term users of opioids with fibromyalgia, polymyalgia, osteoarthritis, reactive arthritis, psoriatic arthritis and other forms of connective tissue disease such as rheumatoid arthritis contributing in a very significant way to morbidity. We are joined in this episode with experienced general physician Dr Minz

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00:30:37

Episode 38. Hypertension with Dr Minz Chea

Everyday Medicine with Dr Luke ·

2021/06/21

Based on the Australian Bureau of Statistics National Health Survey data about one in three people over the age of 18 living in Australia have hypertension or were taking blood pressure lowering medications. A staggering number requiring therapy for a condition which impacts on cerebrovascular disease, coronary artery disease, chronic kidney disease, heart failure and mortality. The National Heart Foundation guidelines are available for careful perusal, but to walk us through an intelligent approach

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00:21:05

Episode 34. Atherosclerosis with Dr James Sapontis

Everyday Medicine with Dr Luke ·

2021/06/16

Coronary artery disease caused by atherosclerosis is responsible for one heart attack every ten minutes in Australia. Not all plaques however are equally dangerous or vulnerable, and stable plaques may be asymptomatic and associated with low risk of coronary events contrasted with the unstable or ruptured plaque. To discuss this very interesting subject in more detail we are joined by Dr James Sapontis, experienced cardiologist and head of complex coronary intervention at Monash Heart who will

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00:37:48

Episode 37. Why We Get Fat And What We Can Do About...

Everyday Medicine with Dr Luke ·

2021/06/14

The western world faces a very significant obesity epidemic. In Australia, two-thirds of our population or 12.5 million are either overweight or obese and as a consequence may experience many medical sequelae including development of the metabolic syndrome, type 2 diabetes, cardiovascular disease, cerebrovascular disease, osteoarthritis and depression, contributing significantly to our health burden. In the first part of this series, we were joined by Joseph Proietto, Professor Emeritus at the

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00:30:24

Episode 36. Why We Get Fat with Professor Joseph...

Everyday Medicine with Dr Luke ·

2021/06/07

Up to two thirds of Australians are either overweight or obese as defined by body mass index (overweight: BMI 25-29.9, obese: BMI >30) with subsequent significant medical consequences including cardiovascular disease, type 2 diabetes, cerebrovascular disease (metabolic syndrome), osteoarthritis and depression. Becoming overweight and obese involves complex interactions between neurohormonal systems of the gut, neurobiology of the brain (particularly the hypothalamus) and leptin production from

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00:28:50

Episode 35. The spleen and postsplenectomy syndrome...

Everyday Medicine with Dr Luke ·

2021/05/31

The spleen performs a large number of important functions including processing and removal of opsonized pathogens, cellular maintenance, immunoglobulin production and the removal of effete worn out red blood cell. When removed either through trauma or for therapeutic indications the risk of overwhelming post splenectomy infection (OPSI) increases significantly; up to 58 times the general population in the setting of trauma and up to 1,100 times increased risk when for thalassaemia. The risk of OPSI

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00:30:05

Episode 33. New Advances in Cardiology with Dr James...

Everyday Medicine with Dr Luke ·

2021/05/17

There have been many new advances in the field of cardiology. Since I was a trainee the incredible developments we now take for granted in this field have been exponential. Given the high incidence of heart disease in our community one in six Australians have heart disease) revascularisation and techniques to prevent thromboembolic events as well as methods to repair heart valves with a minimally invasive approach have all proven extremely valuable advances. We are joined today by Dr James Sapontis,

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00:30:02

Episode 32. Lung Cancer with Mr Cliff Choong

Everyday Medicine with Dr Luke ·

2021/05/10

Lung cancer is a major problem facing Australian doctors representing 9% of all cancer diagnoses and with 12,200 new cases of lung cancer diagnosed each year it is the fifth most commonly diagnosed cancer, but the most common cause of cancer death in this country for both men and for women. The early presentation of lung cancer may be as subtle as a small coin lesion or nodule seen on chest imaging and there are a multitude of ways in which such nodules may be interrogated further. Whilst a wait and

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00:11:27

Episode 31. Benign Prostatic Hyperplasia with Dr...

Everyday Medicine with Dr Luke ·

2021/05/03

Benign prostatic hyperplasia (BPH) is a common condition as men age and the most common benign tumour in men. Approximately half of all men between the age of 51 and 60 years have BPH and upto 90% of men over the age of 80 years have it. Prostate enlargement can be responsible for a variety of urinary symptoms including hesitancy with poor urinary flow, frequency, nocturia and incontinence. Where surgery was once a likely outcome for this condition many medical therapies have evolved to provide

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00:29:22

Special Episode 2. The Way to Walk with Ryan Johnson

Everyday Medicine with Dr Luke ·

2021/04/26

In this podcast episode, we have a conversation with physiotherapist Ryan Johnson of R3 Physiotherapy in London who is passionate about gait correction and has written a book called The Way to Walk. I looked forward to this conversation as Ryan’s strategies address some very major public health problems in our community with 20-37% of 45-year-olds and older estimated to be experiencing foot pain alone, additionally, many hip, knee, back and neck complaints may be traced back to gait disorder at

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00:28:40

Episode 30. Controversies in Prostate Cancer with Dr...

Everyday Medicine with Dr Luke ·

2021/04/20

Prostate cancer is the second most commonly diagnosed cancer among men and the second most common cause of death from cancer in men, yet many prostate cancers are not fatal and some autopsy series have demonstrated up to 50% or more silent prostate cancers in men over the age of 70 years. At 50 years of age some studies suggest a 40% chance of harbouring a latent cancer, 16% chance of developing an apparent and invasive cancer and 2.9% risk of death from prostate cancer. These facts raise several

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00:08:41

Episode 29. Personalised Medicine with Dr Sem Liew

Everyday Medicine with Dr Luke ·

2021/04/14

Personalised medicine also known as precision medicine uses the knowledge of genetics to help predict disease development and to influence decisions about lifestyle choices and to tailor treatment to a particular individual’s tumour. The hope is that personalised medicine will allow more appropriate choices of targeted therapy and minimise side effects rather than choosing a “one size fits all” approach to prescription medication. Pharmacogenetics may now be used in some circumstances to minimise

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00:19:40

Episode 28. Immunotherapy with Dr Sem Liew

Everyday Medicine with Dr Luke ·

2021/04/05

Cancer is responsible for over 40,000 deaths annually in Australia and has traditionally been managed by modalities including surgery, radiotherapy and chemotherapy. In 1992, Tasuku Honjo’s discovery of checkpoint proteins on tumour cells led to the birth of immunotherapy which has revolutionised the treatment of many cancers including bladder and kidney cancer, head and neck cancer, melanoma, non-small cell lung cancer and Hodgkin’s lymphoma. To broaden our appreciation of checkpoint inhibition

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00:25:48

Episode 27. Robotic Knee Surgery with Mr Andrew Tang

Everyday Medicine with Dr Luke ·

2021/03/31

In this podcast episode we have a conversation with Mr Andrew Tang, Director of the Epworth Musculoskeletal Clinical Institute and an experienced orthopaedic surgeon operating at Epworth Richmond and St John of God Berwick since the early 1990’s. He has a particular interest in robotic knee surgery which allows improved accuracy with implant positioning and as the convenor of the Internal Orthopaedic Audit at Epworth Health he is in an excellent situation to review approaches to hip surgery,

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00:18:42

Episode 26. Pancreatic Cysts with Dr Mithra Sritharan

Everyday Medicine with Dr Luke ·

2021/03/22

As clinicians we are often faced with the dilemma of working up cystic structures in the pancreas. These may have been discovered incidentally but may also be clinically relevant and contributing to symptoms. In this podcast episode we are joined by Mithra Sritharan a hepatopancreaticobiliary and general surgeon with a particular interest in liver and pancreatic disease, but whose management skills and high level of competence is evident from this interview. Today Mithra shares his knowledge in

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00:17:37

Episode 25. SOL's Liver with Dr Mithra Sritharan

Everyday Medicine with Dr Luke ·

2021/03/15

Our approach to space-occupying lesions (SOL’s) in the liver is dependent on a firm knowledge of the potential pathology, the choice of imaging modality and the understanding of any background clinical liver disease in the index patient. We are joined today by expert hepatopancreaticobiliary and general surgeon Mr Mithra Sritharan, who carefully guides us through a logical approach to liver SOL’s including: · Cysts · Haemangiomas · Focal nodular hyperplasia · Adenomas · Malignancies This is an

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00:19:24

Episode 24. Palliative Care with Dr Sally McDonald

Everyday Medicine with Dr Luke ·

2021/03/08

In this episode, we talk with experienced general practitioner Dr Sally McDonald who has committed a large part of her time, energy and emotion providing palliative care for her local community. Palliative care is care focused on improving the quality of life for people and families with serious illnesses, directed at treating the symptoms of the patient, support for patient’s families and loved ones and aligning care with patient’s preferences, values and goals. Professor Ian Maddocks, a palliative

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00:47:39

Episode 23. Epilepsy with Dr Doug Crompton

Everyday Medicine with Dr Luke ·

2021/03/01

Seizures may be defined as a transient disturbance of cerebral function due to abnormal paroxysmal neuronal discharge in the brain with epilepsy defined by any disorder characterised by recurrent (more than two) unprovoked seizures. It is estimated that 1-2% of the Australian population experience epileptic seizures in adult life and up to 4% of children experience epileptic seizures. With over 40 different types of epilepsy and epileptic syndromes the risks of death from this very important

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00:28:26

SPECIAL EPISODE: COVID-19 Vaccinations with Professor...

Everyday Medicine with Dr Luke ·

2021/02/25

Australia is in the dawn of its vaccination program against SARS-COV2, inoculations commenced this week among frontline health workers and aged care residents as well as our Prime Minister. By comparison, Israel’s vaccination rollout has been the fastest in the world, half the population has received one dose already and one third has received both inoculations. In a sense, Israel has become a real-time global experiment watched by health authorities and governments across the locked down world as

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