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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

00:40:43

Episode 22. Stroke with Dr Doug Crompton

Everyday Medicine with Dr Luke ·

2021/02/22

It is estimated that more than 56,000 strokes will be experienced by Australians this year (new and recurrent) and that half of Australians are living with the effects of a stroke which remains the third leading cause of death in Australia and kills more women than breast cancer and more men than prostate cancer. As more than 80% of strokes may be prevented and four in 10 stroke survivors have a recurrent stroke within a decade it is very important we understand the aetiology of strokes and how we

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00:21:36

Episode 21. IDDM with Dr Chin Tan

Everyday Medicine with Dr Luke ·

2021/02/15

It is estimated that 130,000 Australians have been diagnosed with insulin dependent diabetes mellitus with about seven new cases per day. Approximately 60% of the diagnoses are in children and young adults under the age of 25 years. As IDDM is an autoimmune disease resulting in the destruction of insulin producing cells, glycaemic control is obtained through the administration of insulin. There have been several recent advances in continuous glucose monitoring and insulin delivery to review. In this

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00:17:51

Episode 20. Endoanal ultrasound and anorectal...

Everyday Medicine with Dr Luke ·

2021/02/08

Endorectal ultrasonography combined with anorectal physiology allows the evaluation of the constituents of the wall of the anal canal and the scientific understanding of anorectal pathophysiology. It is very important to appreciate a patient’s anorectal dynamics before initiating an effective management strategy for what may be a wide variety of pelvic-anorectal disorders. In this episode we are joined by expert colorectal surgeon Mr T C Nguyen as he discusses the application of endorectal

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00:21:30

Episode 19. Robotic Surgery with Dr TC Nguyen

Everyday Medicine with Dr Luke ·

2021/02/01

Robotic assisted surgery allows doctors to perform complex procedures with more precision, flexibility and control than is possible with conventional techniques. Now used in many forms of surgery including cardiac, prostatic and orthopaedic, in this episode we are joined by the dynamic and highly skilled Mr T C Nguyen who discusses – · The application of robotic surgery to colorectal pathology · Appropriate patient selection · Outcomes and advantages TC shares his personal journey from a young boy

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00:22:02

Episode 18. Voluntary Assisted Dying (VAD) with Dr...

Everyday Medicine with Dr Luke ·

2021/01/25

Wednesday 19th June 2019 was a historic day for Victoria after parliament introduced voluntary assisted dying legislation to the community for patients facing imminent death as a result of incurable disease, with that ruling a patient’s decision to end his or her life voluntarily became a possibility. The legislation is complicated and coupled with many safeguards. VAD has understandably been debated with great emotion and considerable controversy before and since the legislation was introduced. In

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00:22:18

Episode 17. CBD with Dr Sud Agarwal

Everyday Medicine with Dr Luke ·

2021/01/18

Medical cannabinoids are derived from the cannabis sativa plant. There are 144 known cannabinoids, THC is perhaps the best known for its psycho-active effects, however cannabidiol (CBD) is now being recognised for its many medical applications. To discuss the role of cannabidiol in medicine we are joined by Dr Sud Agarwal, anaesthetist and CEO of one of Australia’s most interesting and emerging biotechs called Cannvalate. In this episode Sud discusses the uses of CBD - · as an anticonvulsant and

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00:18:37

Episode 16. Trauma Courses with Dr Tom Edgley

Everyday Medicine with Dr Luke ·

2021/01/13

In 2019 experienced anaesthetist Dr Tom Edgley was left to defend his two properties in the rural and bushy enclave of Tonimbuk from the disastrous fires claiming over 26 properties in the region. Not only did Tom survive protecting his properties from the fire, but he also lent a major hand to his neighbours and was involved in the emotional rehabilitation of his community. He cited his attendance at emergency courses including – · EMST (Early Management of Severe Trauma) · Wilderness Medicine

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00:28:51

Episode 15. Type 2 Diabetes with Dr Chin Tan

Everyday Medicine with Dr Luke ·

2021/01/03

In this episode we have a conversation about Type 2 diabetes, a condition that affects at least 1.2 million Australians (5% of Australians) and for which there are a complex number of pharmacologic treatment strategies available. We are joined by experienced and very popular Endocrinologist Dr Chin Tan who discusses – · Oral hypoglycaemic agents that are available to us in Australia · How to combine these agents for effective glycaemic control · The place of insulin in type 2 diabetes Chin also

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00:14:31

Episode 14. Faecal Microbiota Transplant with Dr...

Everyday Medicine with Dr Luke ·

2020/12/28

The transfer of stool from a healthy donor into the gastrointestinal tract of a recipient (FMT) at first consideration does not seem like a reasonable or scientific approach to the treatment of gastrointestinal diseases. Historically however, it has been used by communities for over 3,000 years, gaining credibility in 1958 after a paper by Eisemen in Denver who described treating pseudomembranous colitis this way. More recently double-blind randomised control trials have demonstrated the efficacy of

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00:23:31

Episode 13. Biologics and Small Molecules in IBD with...

Everyday Medicine with Dr Luke ·

2020/12/21

DARCY HOLT - BIOLOGICS AND SMALL MOLECULES FOR INFLAMMATORY BOWEL DISEASE Biologic agents (produced in living organisms or containing components of living organisms) coupled with a variety of new small molecules (acting in novel ways to influence the human immune system) have dramatically improved medical management of inflammatory bowel disease. In this podcast episode, we are joined by Dr Darcy Holt, a senior gastroenterologist at Monash Health, with a special interest in inflammatory bowel

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00:28:54

Episode 12. IBD with Dr Catherine Sorrell

Everyday Medicine with Dr Luke ·

2020/12/14

Inflammatory Bowel Disease (IBD) affects approximately 85,000 Australians and 5 million people worldwide and includes Crohn’s disease and ulcerative colitis. These conditions may have a major impact on patient’s quality of life. To discuss both ulcerative colitis and Crohn’s disease in more detail we are joined by Dr Catherine Sorrell, a very experienced and popular gastroenterologist who takes us on a fascinating journey including – · Top down and bottom up approaches to pharmacological

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00:25:09

Episode 11. Spinal Chord Stimulation with Dr Paul...

Everyday Medicine with Dr Luke ·

2020/12/07

Australia has led the world in pain management, interventional techniques and pain research including in the management of severe and debilitating axial and musculoskeletal pain via spinal cord and DRG stimulation as well as in several evolving techniques for the management of visceral pain. Recently potential breakthroughs have been emerging in the application of spinal cord stimulation to control symptoms related to IBS and gastroparesis. Dr Paul Verrills entered pain management as a consultant

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00:17:41

Episode 10. Barrett's Oesophagus with Dr Puneet Mahindra

Everyday Medicine with Dr Luke ·

2020/11/30

In this episode I have a conversation with Dr Puneet Mahindra on the subject of Barrett’s oesophagus. Puneet not only discusses the origins of this condition, named after Australian born thoracic surgeon Mr Norman Barrett, but also discusses – · Its relationship to chronic reflux disease · Adenocarcinoma risk · Surveillance guidelines · Appropriate medical management Puneet makes the point that Barrett’s oesophagus is an important reason why we should all take gastro-oesophageal reflux disease

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00:21:02

Episode 9. Gastro-Oesophageal Reflux Disease with Dr...

Everyday Medicine with Dr Luke ·

2020/11/23

In this episode I interview experienced gastroenterologist Dr Puneet Mahindra on the common clinical problem of gastro-oesophageal reflux disease. Puneet details – · Risk factors · Complications · Approaches to management He provides personal tips drawn from experience and the literature outlining an approach that should be helpful to everyone practicing clinical medicine. Puneet also walks us through his journey to becoming a gastroenterologist, growing up in India, working and studying in the

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00:14:03

Episode 8. Heart Failure with Dr James Sapontis

Everyday Medicine with Dr Luke ·

2020/11/16

It is estimated that at least 300,000 Australians have chronic heart failure imposing a significant impact on the quality of life and mortality. In this podcast episode, we are joined by an experienced interventional cardiologist, Dr James Sapontis, as we explore heart failure with preserved ejection fraction (HFpEF) and heart failure with reduced ejection fraction (HFrEF). James carefully dissects and describes these two forms of heart failure by discussing – · Diagnosis · Risk factors · Treatment

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00:22:56

Episode 7. Coronary CT Angiography (CCTA) with Dr...

Everyday Medicine with Dr Luke ·

2020/11/09

It is estimated that 1 in 4 Australian deaths relate to cardiovascular disease and that there are over 60,000 acute coronary events, including either angina or myocardial infarctions, recorded each year in Australia. In an attempt to reduce morbidity and mortality medical efforts have been directed to primary prevention and improving the selection of patients likely to require coronary intervention, such as cardiac stenting or revascularisation. To discuss the place of coronary CT angiography in the

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00:23:03

Episode 6. Bariatric Surgery with Mr Ray McHenry

Everyday Medicine with Dr Luke ·

2020/11/04

In this episode we have a very interesting conversation with one of Australia’s leading bariatric surgeons, Mr Raymond McHenry, on surgical approaches to weight loss, focussing particularly on the gastric sleeve and roux-en-y gastric bypass operations. Ray discusses – · patient selection · psychological profiling · choice of operation and outcomes and · covers some of the early experiences with other bariatric approaches This conversation provided a very insightful discussion from one of our

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00:30:29

Episode 5. COVID-19 with Dr Babak Rad

Everyday Medicine with Dr Luke ·

2020/10/26

Covid 19 has brought forth upon the world a pandemic unrivalled since the Spanish flu (1918 – 1920) caused by H1N1 influenza A. Described by Australian Treasurer Josh Frydenberg as the “new and invisible enemy”, every doctor has had to avail themselves of knowledge regarding this highly contagious virus. Today we are joined by expert infectious disease specialist Dr Babak Rad who will discuss: · Our knowledge regarding the incubation period of Covid 19 · Virulence · Quality of testing · Asymptomatic

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00:13:32

Episode 4. Hepatitis C with Dr Ferry Rusli

Everyday Medicine with Dr Luke ·

2020/10/19

In this episode I have a conversation with hepatologist and gastroenterologist Dr Ferry Rusli in a four-part series on liver disease where we explore chronic hepatitis C, its population reservoirs in Australia and approaches to treatment. In particular, Ferry points out – · The need to increase our effectiveness at treating hepatitis C in at risk populations (e.g. prison population) · Discusses the impressive breakthrough with new antiviral therapies and their effectiveness in curing hepatitis C ·

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00:16:48

Episode 3. Hepatitis B with Dr Ferry Rusli

Everyday Medicine with Dr Luke ·

2020/10/12

In this episode I talk with experienced gastroenterologist and hepatologist Dr Ferry Rusli on the subject of hepatitis B in a four-part series on liver disease. Ferry discusses - · the prevalence of hepatitis B in the Asia Pacific region · the long-term complications and consequences of hepatitis B · treatment options including pharmacological therapies which are currently falling short of the national target for patients receiving treatment. This conversation provides a great introduction to

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