Episode 62: Lactose intolerance | Udderly unbearable
This Medical Life
by Auscast Network
1w ago
Over two-thirds of the world’s population lose the ability to metabolise during their lifetime (the majority during childhood). We know today that lactose intolerance, or lactase persistence, has a strong genetic predisposition. Almost 100% of Asians, 70% of African-Americans, East Indians, US Hispanics and approximately 50% of Spanish and French have very low levels of lactase in adulthood (what we would call lactose intolerant). Alternatively, the majority of Caucasians can tolerate lactose into adulthood. Testing for lactose intolerance/lactase persistence can be done either via chemical or ..read more
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Episode 61: Pelvic Pain And Endometriosis | More Than The Black Spots
This Medical Life
by Auscast Network
3w ago
Pelvic pain is a difficult and challenging medical condition for both patients and doctors. It can be debilitating for women that can begin as a teenager or a young adult and progress for years impacting every facet of their lives. Similiarly, pelvic pain can be challenging for symptom to assess and manage for doctors as there are a multitude of causes that range from simple and straight forward to complex and chronic diseases such as endometriosis. In this episode we discuss pelvic pain and endometriosis with two guests who are leaders in diagnosis, treatment and management. Tr ..read more
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Episode 60: Vitamin B6 | ViB6ranium
This Medical Life
by Auscast Network
1M ago
Vitamin B6 is a common additive in supplements, energy drinks and breakfast cereals. In rare circumstances though, it can reach levels toxic levels and cause neurological symptoms the mimic neurodegenerative disease. This year newsGP reported a case where a GP took magnesium supplements for muscle cramps and over the course of a few years resulted in vitamin B6 toxicity that caused peripheral neuropathy and difficulty walking. Fortunately, vitamin B6 toxicity is rare but it is an important condition for doctors to be aware of particularly in the setting of patients presenting with peripheral n ..read more
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Episode 59: Scleroderma | Arboreal Integument
This Medical Life
by Auscast Network
1M ago
Scleroderma is a disease characterised by the hardening and tightening of the skin and connective tissues. The first medical description can be traced back to the 1750s. Our understanding has evolved over the centuries but the pathogenesis remains largely unknown. The disease as several forms including diffuse and localised. Symptoms include skin discoloration and tightness to more severe complications like organ dysfunction. Fortunately we have several different treatment options available for patients that can assist them in managing this disease. This is the story of Scleroderma. Our specia ..read more
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Episode 58: Ticking the spotted fever box | Rickettsia
This Medical Life
by Auscast Network
2M ago
In 1901, the state of Montana organised for scientists and doctors to investigate a mysterious illness from the Bitterroot Valley called ‘Black measles’ and ‘Black typhus’. People of all ages were affected but predominantly those who worked in the brush and were exposed to tick bites. The investigators called it ‘tick fever’ and this particular strain had a mortality rate over eighty percent. Today this disease is known as Rocky Mountain spotted fever. In Australia, it is sometimes called ‘spotted fever’ or ‘Queensland tick typhus’. It is caused by an obligate intracellular bacterial micro-org ..read more
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Episode 57: Fantastic Faeces and Where to find pathogens | Metapanel
This Medical Life
by Auscast Network
2M ago
Our understanding of infectious disease and pathology stems from the 19th century with Robert Koch pioneering research. Dr Koch help to shaped modern microbiology and medicine when he identified the causative agents for anthrax and tuberculosis. Since that time, the number of infectious microorganisms that we know of that cause illness and diseases has increased exponentially. Thanks to modern day techniques, laboratories can test for these agents directly or indirectly and get an answer often within hours. As such, microbiology is on the verge of a new era. Instead of the principle of on ..read more
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Episode 56: The Iron-Clad Chronicles | Iron Studies
This Medical Life
by Auscast Network
3M ago
In episode 56 of This Medical Life, Dr Travis Brown and Steve Davis delve into the critical topic of iron studies, with a special focus on iron deficiency, under the expert guidance of returning guest, Professor Ken Sikaris. Iron deficiency’s prevalence is influenced by factors such as age, sex, and ethnicity, noting that women, especially those of childbearing age and pregnant women, are at higher risk. Prof Sikaris addresses the challenges and misconceptions surrounding iron studies, particularly the reliability of various tests like serum iron, transferrin saturation, and ferritin. While fe ..read more
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Episode 55: Pomegranate Health | Fighting The Good Fight
This Medical Life
by Auscast Network
3M ago
In this episode we delve into the nuanced world of the Pomegranate Health podcast with our guest, Mic Cavazzini. Pomegranate Health, a creation of the Royal Australasian College of Physicians, serves as a platform to explore the multifaceted culture of medicine. It weaves through the clinical intricacies of medicine with episodes that span from the deeply technical aspects of healthcare to broader discussions on skills essential for effective practice and systemic issues within global health. This episode embarks on a journey through the confused history of opium use, offering a rare focus on ..read more
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Episode 54: Chronic Traumatic Encephalopathy (CTE) | Advocacy And Prevention, Part 2
This Medical Life
by Auscast Network
4M ago
In Chronic Traumatic Encephalopathy (CTE) Part 1, we learned that CTE is a neurodegenerative disease caused by repetitive cumulative brain injury. Patients suffer from debilitating mental health symptoms and may even have suicidal thoughts or actions. Unfortunately, there is no treatment for this disease and it can only be official diagnosed at autopsy (after death). The only successful strategy to combat this illness is prevention. Unfortunately, this is an ongoing challenge as there is a lot we don’t know about CTE but some features are clear. The largest risk factor for CTE is the dura ..read more
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Episode 53: Chronic Traumatic Encephalopathy (CTE) | The Disease, Part 1
This Medical Life
by Auscast Network
4M ago
In 2005, Dr Bennet Omalu would publish a report in the United States on the autopsy brain findings of a former professional footballer from the NFL. His conclusion was the former athlete suffered from Chronic Traumatic Encephalopathy (CTE); a disease caused by repeated brain injuries most likely due to sport. The response was swift and severe claiming that the findings were incorrect, the conclusions erroneous, and a retraction of this report was demanded. Surprisingly, this was not the first time medical literature has noted the link between sport, repeated head injuries and brain damage. The ..read more
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