This is part 2 of our series on depression. Davor and Dean chat about how to evaluate someone you think might have depression. As fascinating as part 1 was, this is much more clinically relevant. Filled with Dean’s wisdom and clinical pearls, listen on if you want to smash your psych OSCEs or perhaps even to be a better doctor.
This episode is a bit of new thing we’re trying – interviews with our friends! As we’ve progressed in our careers, we’ve all started specializing and become increasingly unqualified to talk about large swathes of medicine. On the flipside, our mates have done the same thing in all manner of interesting fields, so we’ve decided to start utilizing this amazing resource.
In this episode, Davor talks to senior psychiatry registrar Dean Whitty about depression. This episode is an overview of the Black Dog – definitions, burden of disease and pathophysiology. To be completely honest, only the first 20 minutes or so are directly clinically applicable. If you decide to stay onboard for the whole journey though, you’ll get Dean’s fascinating thoughts on whether you can make epidemiological conclusions across cultures, the different models of depression and how you might be able to unify them, as well the inherent tension between the biological and psychosocial approaches. We’re planning on following this one up with episodes on evaluation and management.
Welcome seeker. All the bacteria. All the antibiotics. Join us on our ambitious multi-episode trek to summarise all bacteria and their treatment starting this episode with gram positives. Your journey will teach the ancient wisdom that tazocin does not fix all problems and that “beta lactamase inhibitor” is not just a mantra ID registrars use to confuse you. At the pinnacle you will meet a new MedConversations member who will share her wisdom that a life well-lived involves hourly breaks for milk and urination.
Curious about what all those party drugs you’ve been taking with your grandma down at the local aged care facility are? Wondering why you always need to cough after you’ve taken your morning ramipril?
Jump on board the high pressure conga line with Rahul and Davor as we cover the ins, outs and sideways of hypertension therapy.
Episode on radiculopathy!
Davor, Bec and Scott sit down and chat about nerve roots. Well, to be honest, it’s more like Davor relentlessly interrogates Bec and Rahul about radiculopathy for an hour. Although ethically questionable, it appears to have worked because by the end they seemed to understand which nerve roots are damaged by which disc, how to differentiate between L5 and other causes of foot drop and lots of other cool stuff. Hopefully you will too!
This is also the first episode we recorded with our new equipment. We saw some of the feedback about audio issues, and we reckon things sound much, much better with our new gear. If you’ve stopped listening because you were sick of it sounding like one of us was in a different room, give this ep a whirl.
We’re back with a mammoth topic. Often consigned to a 1-liner in the past history – it’s time to find out just how little you know about the silent killer. Much like the mounds of hair that accumulate in your drain pipes, hypertension is known for a sudden and unexpected day-wrecking by blocking up your plumbing.
Sit back, grab the saltiest nuts you can find and prepare for part 1 of our bigger than Ben-Hur epic on the mechanisms and pathophysiology of hypertension.
Low back pain! Rahul and Davor discuss one of the most common presentations in medicine. What are the most common causes? What are the most serious causes? Who do you image? What on earth does Rahul mean when he says “test the anal reflex”? Listen in to find out the answers to these eternally-vexing questions and more.
There’s been a lot of demand for off in the weeds neurology podcasts. Luckily we have our arcane neurology specialist Davor ‘The Slovenian Sledgehammer’ Pavlin-Premrl ready and waiting.
Rahul and Davor discuss cartesian dualism and hysteria, and then after about half an hour of philoso-broing we get to some stuff that might (emphasis on the might) be clinically useful
Apologies for the sound quality – we are still working out some remote-casting CoVID solutions
We’re back in the COVID era all the way from dirty Melbourne to breathe around your masks and cough on your food.
Have you been fighting with your bed-partner about excessive nocturnal noise emissions? Struggling to stay alert whilst reviewing the latest hydroxychloroquine ‘Orange’ Paper from the White House?
Well we’ve got the podcast to get you inspired before you expire. Strap on your CPAP mask and get ready to fly the skies of knowledge with Bec, Scott and Rahul.
Drugs. Death. Hidden infections. Bad mix tapes.No, you’re not tripping out on LSD at your uncle’s mail-order bride wedding, you’re just listening to MedConversations’ latest educational podcast packed full of infective endocarditis wisdom and copyright infringing references to one of our most beloved fictional drug dabblers.
If you naively thought that part 2 of glomerulonephritis would never come and you could spend the rest of your summer wallowing in glorious ignorance of those confusing glomerulonephritidis then you were wrong. Here are the rest of the nephritic syndromes in all their rosé tinted beauty.
Davor’s back doing his Davor thing and sprucing neurology to the world (whether they want to hear about it or not).
So, if the holiday blues have you feeling numb to the world or passion for the new year has you unexpectedly weak at the knees then tune in because, as usual, we’ve got the balm for your blues.
Join Rahul and Davor as they lead you with a high-stepping gait through the world of peripheral neuropathies. Perhaps after this you won’t feel so lost in the nerve network…Emphasis on the perhaps.
Has your troubled history of pot plant homicide led to legal action over your plant carer registration AND/OR your grandmother giving up on you and gifting all her cuttings to her previously second favourite grandchild? We can’t help you with your congenitally absent green thumb AND/OR unlovable personality but this practical episode on clinical fluid assessment will keep your patients from either wilting away or drowning in bottomless bags of normal saline.
Dust off your ear horn, ruffle up your ruffles and prepare your first-born son for a painful but career-favouring transition. Bec and Scott are back and hitting every high note as they croon, roar and trill their way through hypercalcaemia
Get your amphora ready to catch some of the golden stuff and see if you have the blood and the protein to raise some nephrologist eyebrows. We’ve heard the requests of the people and taken on GN in an epic two-part podcast. This podcast will deal with general approach to glomerulonephritis as well as nephrotic syndromes.
On another note, despite the fact that we are known for our outstanding sound quality we are looking to improve the quality of MedConversations. This means more frequent episodes with better sound.
We’ve started a Patreon page where you can donate as little or as much as you like to help the cause. Any amount at all is super appreciated and all funds will go towards improving the podcast.
Find us on Patreon at https://patreon.com/medconversations
Think you might have what it takes to join the extraordinary league of gentle-people against epilepsy? Well you’ll need some training first. Come join Davor and Rahul for a shake-down of the epilepsy world.
P.S. I tried my best to stop Davor from inflicting another neurology episode on us all, but the man is just so damn charismatic.
Charge your batteries and prepare for a shock to the brain. Today we witness the return of a MedConversations legend, Davor who joins Rahul to get your jumbled signals back in alignment about first seizures.
Hot take, listen in for some big news.
Join Medconversations for an melodramatic tale of a plucky Siamese fighting fish and one man’s journey to virological purity inspired by his faith in the Good Lord above. Along the way you’ll finally learn how to interpret hepatitis B serology.
Free your mind from the tyranny of the Lamestream media and discover the TRUTH about diffuse parenchymal lung disease (ILD) with your snowflake bustin’ hosts Rahul and Scott!
Its a long one, so buckle down with your extra doomsday preppin’ supplies.
Merry Christmas from Medconversations with our long awaited ep on inflammatory bowel disease. Fake a smile and pretend its just the gift you wanted as Scott and Rahul explore the length of the disease from the mouth to the azathioprine. Get into the consumerist holiday spirit and share/comment this status for a chance to win an authentic Santa toilet seat cover to keep your own cheeks rosy this Christmas!
You know when people invite you to dinner and tell you not to bring anything, but actually if you got your act together and brought a salad they’d be really glad? MET calls and interns are kind of like that. This ep is for the interns-in-gestation: we teach you how to make salad.
(Anyone disappointed in the low salad content of this ep should head here afterwards for an unrivalled culinary delight brought to you by MedConversations. And Ottolenghi. You’re welcome.)
Pour yourself a hydralyte on the rocks to sip while you absorb this latest ep, and don’t get salty while Bec and Scott drone on about their Drone-At-Home™ program and quasi-current affairs.
Missing a bit of Scott and Rahul in your life? Satisfy your morning stiffness by taking a bite out of this dissection of Giant Cell Arteritis.
Which exposure would NOT be an indication for Post Exposure Prophylaxis (PEP) in an Australian (low HIV prevalence) context?
- A man presents after sharing needles with another man who he believes may be HIV positive.
- A woman presents following receptive anal intercourse with a HIV + source known to be well controlled on antiretroviral therapy
- A lady presents after unprotected vaginal intercourse with a man from a high HIV prevalence country
- A healthcare worker presents following a needlestick injury in a patient with poorly controlled HIV’
New evidence from the partner study suggests that the chance of HIV transmission from a viral load suppressed source is negligible. This groundbreaking study of 1166 serodiscordant partners in whom the HIV+ partner had viral suppression reported 0 cases of HIV transmission between the partners, despite 22,000 condomless sex acts among MSM and 36000 among heterosexual partners. The study was powered to give a 95% upper confidence of 0.3/100 couple years of condomless sex, suggesting that the risk is lower than it was previously thought to be a few years ago.
Add in the the weight of new evidence about the morbidity benefits of ART in the SMART and TEMPRANO trials has led to recent changes in WHO and Australian ASHM, which now recommend starting antiretroviral therapy in almost all HIV patients.
A, C, and D would all be indications for PEP by Australian guidelines. B would not be a indication, nor would even unprotected receptive anal sex with a source with unknown HIV status from the standard Australian low prevalence community – although it could be considered if the source was from a higher prevalence group – eg a country with higher prevalence or a subgroup like IVDU. Remember, this more conservative administration of PEP reflects both new evidence and low Australian prevalence, and many countries might have higher prevalence or not have updated older more conservative guidelines yet.
For tons of extra information including probabilities of transmission risks by different exposures and current indications for PEP check out ASHMs great guidelines here.
And the 2016 WHO guidelines here
THe PARTNER study is here
Dont forget your PrEP and barrier protection for this intimate all-male episode as Scott and Rahul take you through the racey fundamentals of HIV – from virology and antivirals to the unadulterated thrill of municipal libraries.
And keep the knowledge pot simmering with Lucy’s great summary here
Ever pondered whether you might suit the professorial lifestyle? This episode, featuring special guests Dr. Adam Brown and Dr. Nitesh Nerlekar, will run through what the appeals of including research in your career are and some basics on how to get started. Drs. Brown and Nitesh are academic cardiologists from Monash Health in Melbourne and have mentored many medical students, junior doctors and PhD candidates in their nascent careers. So sit back, grab a Pina Colada and get caught in the research rain.
Nitesh, Adam and Rahul (alongside a few other academic doctors) are running a research skills course in Melbourne at the Alfred Hospital over the weekend of May 19-20. This course will provide a more in-depth guide on the skills needed get some publications to your name and avoid some of the traps that many young doctors fall into. You can sign up at www.medcube.com.au
If you’re jonesing for some teaching on rheumatic fever, we’ve got the podcast for you.
Another breathtaking pedagogical podcast from the MedConvos team as we wheeze our way through an approach to asthma.
Asthma handbook – all you need to know (especially good for management)
(The quizlet will be with you shortly)
Movement disorders – one of the last bastions of medicine where clinician is king. Listen to this podcast and learn how to make this important diagnosis equipped with little more than a keen eye
Here’s the quizlet
This one’s a shout out to the new interns, the soon-to-be interns and anyone who needs a refresher. But mostly it’s for the pharmacists, who are worried about using up the national stocks of purple ink.
Quiz yourself here
Ah, the rich tapestry of the great imitator. Here we talk about 15th century nationalism, disgustingly unethical experiments and Nietzsche. And syphilis.
Revision quizlet is here.
Also, speaking of transmission…help spread the word on MedConversations and shoot us a review on iTunes if you like us and can tolerate dubious segways like this one.
Today we discuss swiss traditional dress. High-waisted skirt, embroidered blouse, shawl, and a nice kropfband to show off that shapely toxic thyroid adenoma.
You’ll hear there’s a new voice joining us for this one – meet Scott, our delightful physician-in-training friend with a keen eye for historical factoids and dulcet tones that will ease the transfer of medical knowledge into your auditory canals.
Benjamin Franklin once wrote a play. The two main characters were himself, and gout, and most of the dialogue is along the lines of “eh! oh! eh!”. If you want to learn about gout, probably just read that. But here’s a podcast episode to supplement your learnings.
Excerpt from Dialogue Between Franklin and the Gout
Benjamin Franklin, midnight, 22nd October, 1780
FRANKLIN. Eh! Oh! Eh! What have I done to merit these cruel sufferings?
GOUT. Many things; you have ate and drank too freely, and too much indulged those legs of yours in their indolence.
FRANKLIN. Who is it that accuses me?
GOUT. It is I, even I, the Gout.
FRANKLIN. What! my enemy in person?
GOUT. No, not your enemy.
FRANKLIN. I repeat it; my enemy; for you would not only torment my body to death, but ruin my good name; you reproach me as a glutton and a tippler; now all the world, that knows me, will allow that I am neither the one nor the other.
GOUT. The world may think as it pleases; it is always very complaisant to itself, and sometimes to its friends; but I very well know that the quantity of meat and drink proper for a man who takes a reasonable degree of exercise, would be too much for another, who never takes any.
Read the rest of Franklin’s gout play script here
Come and listen to our podcast on syncope…unless listening to amazing podcasts makes you vagal out
Quiz yourself here
Sure is an ace way to decrease blood pressure
Make like John Howard and get to the patient quickly to reach this diagnosis ASAP…one of the most treatable leukaemias but has disastrous consequences if your tracksuit doesn’t get you there in time.
Why are the Simpsons yellow?
Listen to this episode and you’ll find the answer to other similar questions, but not that one. Sorry.
(But if you’re interested…here you go)
Management of diabetes with venomous lizard saliva and a glitterzone. Please join us.
Oh, and you can quiz yourself right here
We spend half an hour talking about the shifty, drifty flu.
Here’s the quizlet!
Unclear if glucose result from jam or blood? Davor steps us through an approach to DKA and gives an overview of the types of diabetes.
Here’s the quizlet!
Cast away those home remedies and learn some evidence based medicine
Check out the quizlet here.
We talk through what the plumbers of the medical world deal with every day.
Here’s the quizlet
Bec tells us how to fight the winged scourge and why tonic water tastes so darn bitter
Here’s the quizlet
Oh no there’s a lump! What I do?!
Relax, sit back and have a listen as Davor and Bec walk you through lymphadenopathy
Quizlet over here
Learn about exploding cars and intracellular cations. Rahul brings us a great case and teaches us the intricacies of this often neglected electrolyte.
Learn about why Mr T is the gold standard human being.
Here is the quizlet
Listen as proclaimed “cardiology lord” Rahul takes us through this surprisingly common and dangerous disease.
Go through the quizlet at Medconversations.com when you’re done.
An awful disease particularly relevant in cold Melbourne. Promising therapies on the horizon though, and I like to think my scamming of the readathon as a 9 year old to get some sweet loot played a part.
Here’s the quizlet
Not always cute…
Why would anyone consume something called toxic rapeseed oil?
We don’t know either, but apparently it can cause pulmonary hypertension. More useful facts lie ahead if you consume this episode instead.
Here’s the quizlet
What to do when you’re on call overnight and someone’s naughty urinary tract isn’t producing the socially acceptable minimal amount of urine?
Here’s the quizlet
So your heart failure sense is tingling, but how do you know for sure? Rahul and Davor take you through how to work up someone with suspected heart failure.
Here’s the quizlet
And some links:
Why are people mean to each other? Why can’t we all be friends?
We in no way address those questions, but we do have some lists that any self-respecting young doctor should have readily accessible.
Here’s the quizlet
“Delirium: common and deadly, like hamburgers” – Rebecca Foskey
Here is the relevant quizlet
Hyperkalemia is a nasty surprise often found on routine biochemistry. Who is putting all this extra potassium in our patients’ blood? We attempt to solve the mystery and tell you what to do about it.
Here are some digitalis flashcards
On this podcast, we tell you about Dianne’s debilitating hand tremor and the basics of diagnosing tremor, as well as a bit about how Dianne’s problem might be managed.
Here are some flashcards to practice with
Link dumping ground: