Nomenclature After Graduation

Just like there’s a difference between a cook and a chef, there’s a difference between a final year medical student and a first year junior doctor.

Or is there?

References

  1. Jones, G. (2011). The Difference Between a Cook and a Chef. Retrieved from https://www.reluctantgourmet.com/difference-cook-chef/
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Podcast 028: Adolescent Medicine With Dr Linette Gomes

Chronic diseases can strike people of all ages, from foetus to corpse (probably not inclusive). Adolescent medicine is what it sounds like: the branch of medicine that deals with adolescents, particularly when it comes to chronic diseases.

In this episode, Dr Linette talks about what adolescent medicine involves and the type of health practitioner it suits.

Podcast

About the guest speaker

Dr Linette Gomes is a paediatrician and adolescent medicine physician. She is currently appointed as a senior staff specialist in the Adolescent and Young Adult Medicine (AYAM) Unit of Westmead Hospital.

Dr Linette’s specialty is in the area of behavioural and developmental paediatrics. She has a PhD. in “Medical Expertise in the Management of Attention Deficit Disorder (ADHD) with Hyperactivity” from the Children’s Hospital Education Research Institute at Westmead Children’s Hospital.

Dr Linette was previously the Head of Paediatrics at Hawkesbury District Hospital. She continues to have a private clinical practice at Rouse Hill, where she sees younger patients with ADHD, Autistic Spectrum Disorders, learning difficulties and developmental delay. Her main interests and work are now in her staff specialist position at the AYAM unit, Westmead Hospital, where she hopes to make a valuable contribution in the years to come.

Outside her work, Dr Linette’s life revolves around her family and friends. She enjoys reading and travelling.

Music credits

Opening and closing themes by Lily Chen.

Important Facts For People Who Wear Lingerie And Have Kidneys

Issues With Breast Tissues

Bras haven’t been proven to be useful. One argument is that it’s more of a personal preference or even a fashion statement.

There isn’t much research on this front. But based on the limited evidence out there, bras  are more likely to be harmful if they’re the wrong fit. The nudists win again.

Renal Complications

DKA can lead to AKI.

DKA can lead to lactic acidosis, which can be associated with thiamine deficiency.

Thiamine deficiency less commonly involves vomiting, which can stain clothing. The nudists win again.

References

  1. Mills, D. (2016). Health Effects of Not Wearing a Bra. Retrieved from https://www.healthline.com/health-news/going-braless-wont-hurt-breast-health
  2. Why is BRA important?. (2016). Retrieved from https://smah.uow.edu.au/brl/bra/whyisbraimportant/index.html
  3. Prywes, M. Science Proves That Wearing Bras Is Bad For Your Health. Retrieved from https://www.lifehack.org/336735/science-proves-that-wearing-bras-bad-for-your-health
  4. Hunimed Web Team. (2017). The advantages and disadvantages of wearing a bra. Retrieved from https://www.hunimed.eu/news/advantages-disadvantages-wearing-bra/
  5. Orban, J. C., Maizière, E. M., Ghaddab, A., Van Obberghen, E., & Ichai, C. (2014). Incidence and characteristics of acute kidney injury in severe diabetic ketoacidosis. PloS one, 9(10), e110925. doi:10.1371/journal.pone.0110925
  6. Feenstra, R. A., Kiewiet, M. K., Boerma, E. C., & ter Avest, E. (2014). Lactic acidosis in diabetic ketoacidosis. BMJ case reports, 2014, bcr2014203594. doi:10.1136/bcr-2014-203594
  7. Moskowitz, A., Graver, A., Giberson, T., Berg, K., Liu, X., Uber, A., Gautam, S., … Donnino, M. W. (2013). The relationship between lactate and thiamine levels in patients with diabetic ketoacidosis. Journal of critical care, 29(1), 182.e5-8.
  8. Berkheiser, K. (2018). 11 Signs and Symptoms of Thiamine (Vitamin B1) Deficiency. Retrieved from https://www.healthline.com/nutrition/thiamine-deficiency-symptoms

Fantastic Fish Bones And Where To Find Them

It can be uncomfortable if something pointy lodges in your throat. You know, like a fish bone.

Fortunately, there are supposedly things you can do to solve this. In fact, it’s more likely that the fish bone is longer there.

Although the world has seen the creation of seedless watermelons, boneless fish are yet to exist. We await that glorious day, as do our plates.

References

  1. Knight, L. C., & Lesser, T. H. (1989). Fish bones in the throat. Archives of emergency medicine, 6(1), 13-6.
  2. What to Do When a Fish Bone Gets Stuck in Your Throat. (2019). Retrieved from https://www.healthline.com/health/fish-bone-stuck-in-throat
  3. Seedless watermelon – how do they do that?. (2012). Retrieved from https://www.canr.msu.edu/news/seedless_watermelon_how_do_they_do_that

The Persimmon Principle

As delicious as they might be, persimmons can cause a phytobezoar. This refers to an indigestible clump of fibres that can lead to intestinal obstruction. (Everyone’s least favourite thing, unless you’re super weird!)

That’s an uncommon complication from eating too many of this fruit, not that eating fruit is inherently a bad thing.

Luckily, persimmon phytobezoars can be conquered with Coca-Cola.

It’s drinks such as that which, under normal circumstances, contain an excess of sugar. That’s in contrast to fruit. Ironically, in this case, the roles of causative agent and cure have been reversed.

References

  1. Picco, M. (2017). Bezoars: What foods can cause this digestive problem?. Retrieved from https://www.mayoclinic.org/diseases-conditions/gastroparesis/expert-answers/bezoars/faq-20058050
  2. Naotake Funamizu, Tomotaka Kumamoto, Atsushi Watanabe, Tomoyoshi Okamoto, and Katsuhiko Yanaga (2015) Intestinal Obstruction Caused by Persimmon Bezoar: A Case Report. Int Surg: July-August 2015, Vol. 100, No. 7-8, pp. 1194-1198.
  3. DAVIS C, TARUN D. The Persimmon Bezoar. AMA Arch Surg. 1957;75(2):188–192. doi:10.1001/archsurg.1957.01280140026005
  4. Fengbo Tan, Hongbin Mo, Xiao He, Haiping Pei; An unusual case of gastric outlet obstruction caused by multiple giant persimmon phytobezoars, Gastroenterology Report, , gow042, https://doi.org/10.1093/gastro/gow042
  5. Hayashi, K., Ohara, H., Naitoh, I., Okumura, F., Andoh, T., Itoh, T., Nakazawa, T., … Joh, T. (2008). Persimmon bezoar successfully treated by oral intake of Coca-Cola: a case report. Cases journal, 1(1), 385. doi:10.1186/1757-1626-1-385
  6. Ertuğrul, G., Coşkun, M., Sevinç, M., Ertuğrul, F., & Toydemir, T. (2012). Treatment of gastric phytobezoars with Coca-Cola given via oral route: a case report. International journal of general medicine, 5, 157-61.
  7. Dickinson, K., & Bernstein, J. (2018). If sugar is so bad for us, why is the sugar in fruit OK?. Retrieved from https://theconversation.com/if-sugar-is-so-bad-for-us-why-is-the-sugar-in-fruit-ok-89958

Podcast 027: Otolaryngology With Dr Faruque Riffat

Otolaryngology isn’t likely to be any child’s first word, but it sure makes for a great Hangman game!

In this episode, Dr Faruque talks about the specialty colloquially known as ENT and gems of wisdom for making it onto a specialty program.

Podcast

About the guest speaker

Dr Faruque Riffat is a consultant ENT/Head and Neck Surgeon with fellowship training in head and neck oncology, paediatric ENT, thyroid/parathyroid surgery and adult airway open/endoscopic laser surgery. He is one of a handful of ENT surgeons to be fully registered for specialist practice in Australia.

Dr Faruque graduated with an MBBS (Hons 1) degree from UNSW, obtaining prizes in anatomy and microbiology. He finished basic surgical training after obtaining the prize for the highest score for the FRACS part 1. He has also been awarded a Master of Surgery.

Dr Faruque was the first Australian surgeon to undertake a post-FRACS head and neck cancer surgery fellowship in Cambridge University Hospital. He now treats public adult and children through Westmead Hospital and the area health service and private through Norwest, Westmead Private and Macquarie University Hospital.

Dr Faruque has an active interest in teaching and research in ENT/Head and Neck, having completed a masters in surgical education and has been involved in over 40 peer reviewed publications and abstracts.

Dr Faruque has even been educated in 7 countries (4 continents) and enjoys dune bashing in deserts and falconeering!

Music credits

Opening and closing themes by Jordan D. Peterson, otherwise known as Ehsan Farshid and Lily Chen.