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Pomegranate Health

Pomegranate Health

Welcome to Pomegranate Health, a podcast about the culture of medicine. You’ll hear clinicians, academics and advocates grapple with some big questions. How to make difficult clinical and ethical decisions free from cognitive bias. How to improve communication with patients and peers. How to deliver healthcare with efficiency and equity.

Fellows of the RACP can log time spent listening towards their CPD. Basic Physician Trainees will find the Case Report series a useful model for presentation of long-cases at their clinical examinations.

This is also the home of IMJ On-Air, where authors from the College's Internal Medicine Journal present their work. Meanwhile, the Journal Club episodes invite RACP researchers published in other academic journals to showcase their work.

Please add to the discussion in the comments section for each episode and send any feedback or ideas to podcast@racp.edu.au

Latest episodes

[Case Report] 74yo with dyspnoea after AF ablation

A 74-year-old male presents with shortness of breath less than two weeks after AF ablation. This discussion gives an update of technological interventions for atrial fibrillation and their risks.

Ep126: Trying times for Māori medics

Medical schools in Aotearoa-New Zealand have turbocharged their intake of Māori and Pasifika students but these graduates have not trickled through to the RACP’s training programs in great numbers. We take a look at the culture of training environments and also the recent politicking over Māori self-governance.

[Case Report] 52yo with hand clumsiness after Chiari operation

52-year-old female presenting with clumsiness and paresthesia of the right hand had three weeks prior undergone a suboccipital craniotomy for a Chiari malformation. She had accompanying headaches, but there was a past medical history of migraines and a family history of a Factor V Leiden mutation.

Ep124: Pleural medicine comes of age

Professor Gary Lee established the first dedicated pleural service in the southern hemisphere in 2009. In this podcast he summarises key developments in the management of pleural disease over the last thirty years.

[Case Report] 42yo male with fever following liver transplant

A 42-year-old male transplant patient experiences a devastating fever. His treating clinicians discuss the tangled diagnostic considerations for an immunosuppressed patient.

Ep122: Funding pan-cancer therapies

Tissue-agnostic therapies may be a godsend for people with rare cancers and cancers of unknown origin, but regulatory and funding frameworks haven’t kept up with the scientific revolution.

Ep121: Precision oncology explained

Genomics has allowed increasingly rapid development highly-targeted cancer drugs and unprecedented improvements in outcomes for patients with more common cancers. Now, patients with rare cancers also have some hope in the form of tissue-agnostic therapies.

[Case Report] 35yo male with proximal weakness and skin changes

A previously-well patient presents with progressive weakness in the proximal lower limbs and trunk and a generalized change to the skin. There are many differential diagnoses to be considered.

[Case Report] 47yo with rapidly progressive respiratory failure requiring ECMO

A patient admitted for worsening breathlessness and a productive cough experiences rapidly progressive respiratory failure. His workup involves a battery of investigations and interventions from the respiratory medicine textbook.

[Journal Club] Thrombolysis up to 24hr after ischaemic stroke

Thrombolysis can buy valuable time for patients who experience acute ischaemic stroke but two thirds of them present outside the recommended window. A recently published study shows that tenecteplase improves outcomes in selected patients even if administered up to 24 hours from onset of a large vessel occlusion.

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