Pomegranate Health
Pomegranate Health is an award-winning podcast about the culture of medicine, from the Royal Australasian College of Physicians. We ask how doctors make difficult clinical and ethical decisions, how doctor-patient communication can be improved, and how healthcare delivery can be made more equitable.
This is also the home of [IMJ On-Air], a podcast to accompany the RACP's Internal Medicine Journal. Interviews with authors are conducted by specialist section editors. Find out more at the website www.racp.edu.au/podcast and get in touch via the address podcast@racp.edu.au
Episodes
127 episodes
[Case Report] 74yo with dyspnoea after AF ablation
In this episode we hear about an emergency presentation to a South Australian hospital, of a 74-year-old male with shortness of breath. The curve ball is that he had undergone ablation for drug-refractory atrial fibrillation less than two weeks...
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Episode 127
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27:35
Ep126: Trying times for Māori medics
In Aotearoa-New Zealand, the proportion of doctors identifying as Māori has doubled from where it was a decade ago to over 5 percent. But there is still a long way to go before the workforce is representative of the broader population which is ...
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Episode 126
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45:21
[Case Report] 52yo with hand clumsiness after Chiari operation
This case report comes to you from Brigham and Women’s Hospital in Boston, a huge teaching hospital that serves the Harvard Medical School. The 52-year-old female presented with clumsiness and paresthesia of the right hand that had persisted fo...
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Episode 125
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27:33
Ep124: Pleural medicine comes of age
Professor Gary Lee established the first dedicated pleural service in the southern hemisphere in 2009, at the Sir Charles Gairdner Hospital in Perth. He says that pleural disease has finally come to be regarded as an area of subspeciality inter...
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Episode 124
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57:51
[Case Report] 42yo male with fever following liver transplant
This case report describes a 42-year-old male from Arizona with a complex course characterised by fever following an orthotopic liver transplant. A general approach to fever in the post-transplant patient is discussed, along with specific consi...
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Episode 123
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26:59
Ep122: Funding pan-cancer therapies
In the previous episode we heard how some rationally-designed therapies work on almost any cancer with the right molecular signature. Tumour-agnostic medications could be godsend for patients with rare cancers which have classically been overlo...
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Episode 122
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50:05
Ep121: Precision oncology explained
The genomic understanding of cancer has transformed a tissue-based classification model that had been dominant for 150 years or more. The last three decades have seen highly targeted therapies developed at blistering pace, and unprecedented imp...
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Episode 121
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46:39
[Case Report] 35yo male with proximal weakness and skin changes
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. Ther...
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Episode 120
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30:16
[Case Report] 47yo with rapidly progressive respiratory failure requiring ECMO
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 admiss...
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Episode 119
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34:01
[Journal Club] Thrombolysis up to 24hr after ischaemic stroke
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 t...
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Episode 118
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43:02
[Case Report] 48yo with diarrhoea and lymphadenopathy
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 enable...
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Episode 117
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24:48
[Guest Lecture] Fighting hepatitis C in prisons and the community
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...
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Episode 116
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33:37
Ep115: One day as a nuclear medicine registrar
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 Sy...
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Episode 115
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43:51
[IMJ On-Air] Understanding readmissions better
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 regiona...
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Episode 114
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30:51
[Case Report] 58yo with acute myeloid leukaemia and diplopia
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 cyt...
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Episode 113
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24:49
Ep112: The resilient workplace
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 ...
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Episode 112
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43:04
[CPD On Demand] Advance Your CPD Through Effective Supervision
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 Ca...
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Episode 111
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15:46
[Case Report] 32yo with abdominal pain two years after pancreas-kidney transplant
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. <...
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Episode 110
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20:53
Ep109: Cultivating a rural workforce
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 ther...
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Episode 109
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45:41
[Case Report] 68yo with cardiometabolic risk factors and transient monocular vision loss
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 ...
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Episode 108
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32:10
[Journal Club] Baricitinib immune therapy for new onset type 1 diabetes
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 complic...
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Episode 107
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40:44
Ep106: The whiskey fix and the apple of Granada
Today’s guests are the hosts of This Medical Life, a wonderful podcast that delves into the archives of medical history. Dr Travi...
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Episode 106
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30:49
Ep105: When parents and paediatrics clash
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 advise...
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Episode 105
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49:07
[IMJ On-Air] Is the jury still out on omega-3 supplementation?
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 Dan...
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Episode 104
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25:44
[IMJ On-Air] HepatoCare: a model for palliative and supportive care in advanced cirrhosis
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 fr...
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Episode 103
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39:32
