Bedste Pomegranate-podcasts (2024)

1
[Case Report] 35yo male with proximal weakness and skin changes 31:28

9d ago31:28

31:28

This case report describes a 35-year-old Caucasian male presenting with 5 weeks of progressive weakness in the proximal limbs and trunk and associated changes to the skin. The man was previously well and not taking any regular medications. There are many pathways this undifferentiated patient could go down. Consultant physician, Professor Josephine…

1
[Case Report] 47yo with rapidly progressive respiratory failure requiring ECMO 35:13

1M ago35:13

35:13

In 2019 a man was referred to Royal Adelaide Hospital with worsening breathlessness and a productive cough. He was a 47 year old electrician with a history of tobacco smoking who’d been well before the onset of symptoms. Over a couple of admissions the patient’s condition progressed to type 2 respiratory failure. While the ultimate explanation for …

1
Episode 43: Divine Ones I Adore - Green God 1:04:55

2M ago1:04:55

1:04:55

With this episode, we continue exploring my personal and mythological relationships with various deities, this time focusing on the Green God in the Myria myth. It’s important to develop individual connections with deities because these relationships can and should evolve beyond rigid interpretations of what others have written. The Green God repre…

1
[Journal Club] Thrombolysis up to 24hr after ischaemic stroke 44:14

2M ago44:14

44:14

Thrombectomy for acute ischaemic stroke has undergone great advances in the last decade, but the expertise and technology is restricted to tertiary hospitals. Outside of large metropolitan centres, thrombolytic treatment can buy a patient time, but for almost 30 years the first line agent has remained unchanged. Alteplase is an analog of the human …

1
[Case Report] 48yo with diarrhoea and lymphadenopathy 26:00

3M ago26:00

26:00

This podcast follows the case of a 48-year-old male with a 3-month history of diarrhoea and associated lymphadenopathy. A complex constellation of symptoms accompanies this presenting complaint, along with a key radiological finding that enabled the treating team to arrive at the correct diagnosis. Can you arrive at the correct diagnosis before the…

1
[Guest Lecture] Fighting hepatitis C in prisons and the community 34:50

3M ago34:50

34:50

This recording comes from the launch of the 2nd Monitoring and Evaluation Report on Hepatitis C Elimination in NSW. The work was conducted through the Kirby Institute under the guidance of infectious diseases specialist, Professor Greg Dore. As presented in this seminar, data show that the state is on track to meet the 2025 target set by NSW Health…

1
Ep115: One day as a nuclear medicine registrar 45:04

4M ago45:04

45:04

Dr Karan Singh loves his job as a registrar in nuclear medicine but he thinks there isn’t enough exposure to the specialty during medical school and basic training. In this podcast we spend a day in his department at Prince of Wales Hospital Sydney and get a taste of the many different referrals that come his way; a bone scan for a young man experi…

1
[IMJ On-Air] Understanding readmissions better 32:03

4M ago32:03

32:03

The LACE index is a prognostic algorithm for predicting the likelihood that a newly discharged patient will come back into hospital within 30 days because of complications. Today’s IMJ paper describes a validation of the LACE index in a regional Victorian setting. Identifying patients who are at risk could allow for better targeted care at the firs…

1
[Case Report] 58yo with acute myeloid leukaemia and diplopia 26:01

5M ago26:01

26:01

This podcast follows the case of a 58 year old man who presented to the haematology department at Flinders Medical Centre with intravascular coagulation and leukocytosis. He was diagnosed with acute myeloid leukaemia and treated on standard cytarabine and daunorubicin combination therapy. Nine days after initiation, the patient developed painless d…

1
Episode 42: Divine Ones I Adore - Dianyglas 49:21

5M ago49:21

49:21

Dianyglas: The first being who emerges out of the Goddess Miria. A stunning Blue God full of enchanted magic. He is the first He and He is soooooo Queer! We see him in the Peacock and he is considered powerful, delightful and frightening. He is close to your psychic self. Do you feel your third eye tingle?…

1
Ep112: The resilient workplace 44:17

5M ago44:17

44:17

The RACP Congress in May this year was opened by a fascinating lecture on mental health in the medical workforce, which has been trimmed down for audio. Professor Neil Greenberg is an occupational psychiatrist with more than 23 years in the UK Armed Forces. His extensive research within defence and health settings has informed a very pragmatic unde…

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[CPD On Demand] Advance Your CPD Through Effective Supervision 16:58

6M ago16:58

16:58

From 2024, supervising has been recognised as a Category 2 CPD activity. This short and insightful episode focuses on recent updates to the 2024 MyCPD Framework, highlighting the recognition of supervisory activities as a critical element of Category 2 Reviewing Performance CPD. Please join Professor Martin Veysey, a renowned expert in supervision …

1
Episode 41: Divine Ones I Adore - Miria 25:32

6M ago25:32

25:32

She is the first goddess created by The Nameless Goddess of Total Mystery, The Mystery of Life. (The Star Goddess?) This is the creation story of how the Mystery of life created a Mirror to see herself. When She saw herself . . . well just listen to the podcast. But she has ALL the genders in her.Af Pomegranate Doyle

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Episode 40: Joe Shoemaker Interview 1:46:25

6M ago1:46:25

1:46:25

Joe Shoemaker is shaman and a classic Charon Healer - he learned by healing himself first, a fascinating story of Lyme disease, courage and persistence. Joe is a full time healer and conductor of circles. You may need to call him. You can find more about him here: ShoemakerJoe Joe Shoemaker Meditations…

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[Case Report] 32yo with abdominal pain two years after pancreas-kidney transplant 22:05

6M ago22:05

22:05

This case report has been developed by Trainees, to assist their peers with preparation of long-case presentations. It is not a fully-vetted Education resource but a “passion project” from editors of the Pomegranate Health podcasts. The case is that of a 32-year-old woman presenting with constant and dull abdominal pain that had been sudden in onse…

1
Ep109: Cultivating a rural workforce 46:53

7M ago46:53

46:53

Australia is a big continent and sparsely populated continent. 28 percent of Australians live in areas classified regional, rural or remote and their access to health services is much more limited. It’s estimated that between 2009 and 2011 there were 19,000 excess deaths in regional and remote areas as compared to the major cities. No doubt, socioe…

1
Episode 39: Divine Ones I Adore - Danu 28:55

7M ago28:55

28:55

She is the great Mother Goddess of Irish Myth, Tuatha de' Danann which means the children of Danu. They are the Sidhe, also known as Faery's, the Fey, Cousins or Fairies. You try to spell after that! She is the charmed magic of the underworld people of Ireland. Much of the earthworks are related to her as are the Standing Stones. Its likely she cro…

1
[Case Report] 68yo with cardiometabolic risk factors and transient monocular vision loss 33:22

8M ago33:22

33:22

Pomegranate [Case Report] is a Q&A style podcast developed by trainees, for trainees. In our debut episode, we hear about w a who man presented to the emergency department reporting sudden onset vision loss in his right eye lasting several hours. He was 68 year old with a history of type 2 diabetes mellitus. Three differential diagnoses being consi…

1
Episode 38: Divine Ones I Adore - Demeter 50:26

8M ago50:26

50:26

The Greek Mother Goddess Demeter. She is a powerful lover of the humans providing the abundance of the earth, always tending and nurturing. But can it get a bit Smothering sometimes? We will find out later when we meet her daughter Persephone. Meanwhile let’s float in the beauty and blessings of Demeter's Garden.…

1
[Journal Club] Baricitinib immune therapy for new onset type 1 diabetes 41:57

9M ago41:57

41:57

Type 1 diabetes has a very high treatment burden in terms of direct costs, inconvenience and lost productivity for patients and their carers. Further, all the glucose checking, hormone replacement and consults don’t abolish the vascular complications associated with poor glycaemic control. Only in the last few years has it been possible to pharmaco…

1
Episode 37: New Series! Divine Ones I Adore - Asterion 34:27

9M ago34:27

34:27

He has been lost in the cartoon of Greek myths and the Monsters of stop animation. But his name means Child of Earth and Starry Heaven. Better know as the Minotaur, beast of the labyrinth. How is it possible that a scary beast who lurks in a maze and eats tweens for lunch is actually a God? Listen and I will tell you how you are like him and how th…

1
Ep106: The whiskey fix and the apple of Granada 32:02

9M ago32:02

32:02

Today’s guests are the hosts of This Medical Life, a wonderful podcast that delves into the archives of medical history. Dr Travis Brown describes the period after World War I when the Spanish Flu was killing tens of millions around the world. In the USA, whiskey was thought to be a powerful prophylactic but distribution was not an easy thing. Late…

1
Ep105: When parents and paediatrics clash 50:19

10M ago50:19

50:19

Last November an NHS Hospital Trust in Nottingham sought permission from the UK High Court to withdraw life support from a seven-month old girl called Indi Gregory. The devastated parents did not want to give up on her although they were advised there was no hope of treatment for her profound developmental disability. The family and the medical tea…

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[IMJ On-Air] Is the jury still out on omega-3 supplementation? 26:56

11M ago26:56

26:56

The theory that certain fatty acids are essential to the diet and associated with reduced cardiovascular risk has been controversial since it was floated in the 1950s. In 1971 Danish researchers published the results from a cross-sectional study of Inuit people living on the west coast of Greenland. They ate a fish-based diet rich in polyunsaturate…

1
[IMJ On-Air] HepatoCare: a model for palliative and supportive care in advanced cirrhosis 40:44

1y ago40:44

40:44

Median survival for patients diagnosed with advanced cirrhosis is around 2 years and quality of life is poor. Fewer than a quarter of such patients receive referrals to palliative care and advanced care plans are also rare. Existing research from abroad suggests that hepatology staff aren’t familiar with referral criteria and assume that palliative…

1
Ep102: Staying on script with semaglutide 55:58

1y ago55:58

55:58

Semaglutide, branded as Ozempic or Wegovy, is an analogue of glucagon-like peptide 1 which has glucose-dependent effects on insulin secretion. In this episode we discuss how semaglutide performs as an antihyperglycaemic agent compared to previous GLP-1 analogues and the soon-to-be launched tirzepatide. This dual agonist also binds receptors to gluc…

1
Ep101: Setting the standard for workforce wellbeing 57:38

1+ y ago57:38

57:38

We’ve known for a decade that about 50 percent of doctors meet the criteria for burnout, and the figure is up to 70 percent among trainees. But organisations have been left to come up with their own solutions to this, the result being that many simply offer band aid solutions rather than systemic ones. Unforgiving work conditions pose a problem for…

1
Ep100: Conversations with ChatGPT 37:56

1+ y ago37:56

37:56

This is the final episode in a five-part series about artificial intelligence in medicine. We start by weighing up the costs and benefits of automation in a health system that’s increasingly pushed beyond capacity. One of the biggest time sinks for health practitioners is filling out and searching through medical records. Some of this could be perf…

1
Ep99: When AI goes wrong 39:55

1+ y ago39:55

39:55

This is the fourth part in a series on artificial intelligence in medicine and we try and unpick the causes and consequences of adverse events resulting from this technology. Our guest David Lyell is a research fellow at the Australian Institute of Health Innovation (Macquarie University) who has published a first-of-its kind audit of adverse event…

1
[IMJ On-Air] A tiger in the mallee: Victoria’s JEV cluster 44:58

1+ y ago44:58

44:58

On the 28th of January 2022 a 75-year-old man was admitted to the regional Albury Wodonga Health Service with a high fever and Parkinsonian symptoms. The patient spent over a week in intensive care, but brain scans did not reveal an obvious aetiology and assays for a range of pathogens came up negative. When serology eventually revealed the presenc…

1
Ep97: The governance of AI 35:37

1+ y ago35:37

35:37

This is the third part of a series on artificial intelligence in medicine. Previously we explained how to train and test machine learning models that assist in decision-making, and then how to iron out ergonomic friction points in the clinical workflow. We’ve mentioned how deep learning neural networks are more capable than classical models at deal…

1
Ep96: The ergonomics of AI 43:00

1+ y ago43:00

43:00

The allure of having devices and tasks assisted by artificial intelligence is that they will help overcome some of the natural limits of human cognition with regards to working memory and attention. And in helping with the mundane tasks, AI can buy clinicians back time to spend with the complex patients who really need it. But the way all this pans…

1
Ep95: Machine Learning 101 38:45

1+ y ago38:45

38:45

AI-assisted healthcare is reaching maturity in many applications and could alleviate some of the capacity gap increasingly faced by health systems . Over the next three podcasts we focus on artificial intelligence tools designed to assist directly with clinical practice. Most commonly reported on are the algorithms capable of pattern recognition on…

1
Ep94: Facing up to racial bias 1:00:12

1+ y ago1:00:12

1:00:12

In today’s podcast we try and understand the impact that racial bias makes on variation in clinical care. For example, racialized patterns in the use of analgesia were brought to light over 20 years ago but are still occurring today. In research from the UK published in March it was found that women of African or South Asian extraction were signifi…

1
Ep93: The rise and fall of mpox 43:50

1+ y ago43:50

43:50

The first time most of us heard of monkeypox was in May 2022. The smallpox-like infection appeared to spring from nowhere and make its way through Europe then the Americas, largely within the gay and bisexual community. But the first documented human case of mpox actually occurred in 1970 in Central Africa and it’s been endemic ever since. Last yea…

1
Ep92: Data-driven practice improvement 45:54

2y ago45:54

45:54

Medical and administrative records are normally collected to help the management of patients or institutions, but it can be time consuming to extract metrics useful for practice improvement. The field known as Practice Analytics seeks to transform these data and provide clinicians with a bird’s eye view of their case load and performance. Practice …

1
Is History Alive? 53:19

2y ago53:19

53:19

Is history something dead and lost to the past. Doomed to repeat itself. Or is history alive with impacts on us today? If history is alive, is it the ghosts of our ancestors living within us, or is it also like dark matter, all around us and forming our existence? If history is alive, is it being controlled and channeled by powerful states and indi…

1
Episode 36: Larry Savides (Second) Interview 1:40:21

2y ago1:40:21

1:40:21

A Second Interview with the brilliant Larry Savides Shaman, mystic, psychic, healer talks about it ALL! How does he heal? What are his tools? What about the power of plants or words? Let the conversation wash over and drift us out of the mundane reality to a magical realm. Fun, Wow!Af Pomegranate Doyle, Larry Savides

1
[IMJ On-Air] Hyperglycaemia and COVID-19 36:34

2y ago36:34

36:34

In the first year of the COVID-19 pandemic, a handful of international studies showed that there was increased risk of adverse outcomes in hospitalised patients comorbid for diabetes. Odds ratios for mortality conferred by pre-existing diabetes ranged from 1.5 to 3.6. What this relationship might be in Australia was not known until researchers in M…

1
[IMJ On-Air] High readmission rates in cirrhotic patients 40:14

2y ago40:14

40:14

Hospitalisation rates for cirrhosis are increasing in Australia in part associated with the high prevalence of obesity and subsequent non-alcoholic fatty liver disease. More concerning still is the frequency with which discharged patients are readmitted within 30 days. One systematic review put the average readmission rate at 26%, but the studies c…

1
[Guest Lecture] What we know about long COVID 42:34

2y ago42:34

42:34

ADAPT is a prospective cohort study that has been following up COVID-19 patients since the earliest days of the pandemic. It has allowed researchers to track the emergence of long COVID, a syndrome that includes symptoms such as ongoing breathlessness, fatigue, chest tightness and "brain fog". Over the course of the study, participants have contrib…

1
[IMJ On-Air] Making sense of HACs 39:45

2y ago39:45

39:45

Clinical complications suffered by patients during hospital stays are assumed to be preventable and to provide some metric of quality of care. To assist in their understanding and mitigation the Australian Commission on Safety and Quality in Healthcare established a national programme to track hospital-acquired complications (HACs) in a formalised …

1
[IMJ On-Air] Managing cannabinoid use in palliative care 45:12

2y ago45:12

45:12

About two thirds of Australians use complementary and alternative medicines but only around half of these people will mention it to their doctor. Patients in palliative care settings may be more inclined than most to try therapies from outside the box. But they are also more vulnerable to side effects and interactions given that their drug metaboli…

1
Jin Jiyan Azadî 52:22

2y ago52:22

52:22

On the 16th of September, 2022, Jina Amini, a young Kurdish woman, was tortured to death in Iran by the so-called ‘morality police’ for not wearing her hijab in accordance with their theocratic laws. Her murder has sparked protests in East Kurdistan (North West Iran) and throughout Iran, with large numbers of people marching on the streets and risi…

1
Episode 35: Angela M. Sanders Interview 1:13:15

2y ago1:13:15

1:13:15

Author Angela M. Sanders talks about her books – the Witch Way Librarian mystery series (‘cozy mysteries’). Pom and Angela discuss how magic actually works, how it shows up in movies and literature. Angela gets into what’s it like to be writer and her creative process. Also, who doesn’t love a book about magical books!…

1
[IMJ On-Air] Recent advances in asthma management 48:06

2+ y ago48:06

48:06

This is the first episode of a new format called “IMJ On-Air” inspired by the RACP’s Internal Medicine Journal. Each episode will be have as guest-host a section editor or reviewer of the IMJ interviewing authors of a recent article. Often these will be Clinical Perspectives reviews which summarise the latest in management of major medical disorder…

1
Ep85: The ASD Odyssey- a reply 41:46

2+ y ago41:46

41:46

The National Guideline for the Assessment and Diagnosis of Autism Spectrum Disorders in Australia aspires to streamline referral pathways so that children can get the right help as early as possible. But despite the best intentions of many clinicians, there are drivers in the health system that make implementation difficult. There are constraints i…

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Ep84: The ASD Odyssey 41:10

2+ y ago41:10

41:10

The average age at which autism spectrum disorder is diagnosed four, though signs are often present well before that. Even where families and GPs may have concerns early in a child’s development, it can take a year or more for a consult with a paediatrician to become available. There are similar waiting lists to see other allied health and sub-spec…

1
Ep83: Loving Medicine Again 42:47

2+ y ago42:47

42:47

In the last episode we heard some powerful examples of the challenges faced by some practitioners in medicine. Every situation has its idiosyncrasies, but most people start out with a passion for what they’re doing. In today’s podcast we hear from doctor-career coaches Ashe Coxon and Sarah Dalton who help medics solve the workplace challenges, and …

1
Ep82: Coming back from Burnout— Congress 2022 50:16

2+ y ago50:16

50:16

Not a day goes by that there isn’t a headline about the overstretched health service and the struggling professionals within it. It isn’t COVID that has created this situation. The pandemic was just the straw that broke the camel’s back. At the RACP Congress in May, ENT surgeon Eric Levi explained why burnout should be considered not as a mental he…

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