Stay ConnectedDr Ayan Panja puts health into context. A lifestyle medicine expert, author and family physician with over 25 years of experience, his unique blend of candour, perspective and knowledge make for a mind-expanding essential weekly bite-sized listen.
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Copyright: © Dr Ayan Panja
The amount of health information and practitioners are constantly growing and we have a choice about where we search for this information and advice.
But how do you know who is reliable? How do you decide who to trust?
I explore this and more in the episode.
Gen Z and their health: https://www.healthline.com/health-news/tiktok-main-source-health-information-gen-z#56%25-of-Gen-Z-users-turn-to-TikTok-for-health-and-wellness-advice
Good cheap and fast - 2 out of 3: https://audioinsurgent.substack.com/p/fast-cheap-goodpick-two
Debates around vaccines: https://pmc.ncbi.nlm.nih.gov/articles/PMC10070776/
What health means in a digital society: https://pmc.ncbi.nlm.nih.gov/articles/PMC5778676/#:~:text=Definitions
Youtube Health: https://health.youtube/
Trust in health - sources: https://www.bbc.co.uk/news/health-48663843
Conflicts of interest: https://jamanetwork.com/journals/jama/fullarticle/2623608
The role of influencers: https://www.tandfonline.com/doi/full/10.1080/1553118X.2022.2042694
Covid vaccine injuries: https://www.nytimes.com/2024/05/03/health/covid-vaccines-side-effects.html
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Narrative Medicine is an important art in a consultation involving both talking and listening. In this episode I look at why it is important and how it can help our health outcomes.
AI in consultations: https://www.dailymail.co.uk/health/article-13169325/GP-AI-listening-auto-generate-patient-notes-confidential-medical-information-wrong-hands.html
Neurodivergence: https://autietraumageek.medium.com/lost-in-translation-the-social-language-theory-of-neurodivergence-part-1-of-2-1963ba0073c5
Data usage in medicine: https://bjgp.org/content/68/668/e146
Pre-surgery anxiety: https://www.medicalnewstoday.com/articles/surgery-anxiety#pre-surgery-vs-post-surgery-anxiety
The therapeutic benefit of being heard: https://thelionmind.org.sg/the-importance-of-being-heard-enhancing-mental-health-through-active-listening/
The seven C’s: https://www.conversationsinvitingchange.com/about/
Narrative medicine - journal article: https://jamanetwork.com/journals/jama/fullarticle/194300
A review of narrative medicine and outcomes: https://bmjopen.bmj.com/content/10/1/e031568
Narrative medicine - good for both patients and clinicians: https://www.thepermanentejournal.org/doi/10.7812/TPP/23.116#
AI and empathy: https://www.wavestone.com/en/insight/the-empathy-paradox-can-ai-connect-with-customers-in-contact-centres/
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Community as a cure? We often think of healthcare being a relationship between a clinician and a patient but amazing things can occur through the power of community and using it as sociological therapy. I look at why groups can be so powerful and how you might run one.
Parkrun: home | parkrun UK
Weight Watchers: How The WeightWatchers Weight-Loss Program Works
Stanley Schachter’s work - an article: https://www.strongtowns.org/journal/2009/2/16/the-tribe-mentality.html
An example of healthy living delivered in groups, initially churches: https://www.danielplan.com/#
Group consultations - Dr Rupa Joshi: https://painconcern.org.uk/empowering-patients/
Shape Up: https://www.watfordfccsetrust.com/project/shape-up/
Nushu: https://nushu.com/group
Communities in health - people as a valuable commodity: https://www.health.org.uk/publications/at-the-heart-of-health-realising-the-value-of-people-and-communities#:~:text=Mental and physical health and,community capacity and resilience%2C among
Rural groups in India: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9207712/
Thalassemia awareness (charity): https://ukts.org/
Children’s Heart Disease Awareness: https://chfed.org.uk/
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Autoimmunity and autoimmune diseases are on the rise. In this episode I look at why this is the case, the mechanisms behind autoimmunity and what we can do to prevent and manage it.
Innate vs adaptive immunity (including B and T cells): https://www.ncbi.nlm.nih.gov/books/NBK279396/#
Molecular mimicry in autoimmunity: https://www.sciencedirect.com/science/article/pii/S0896841118305365#
Hashimoto’s - molecular mimicry in action. Gluten mimics the surface proteins of the thyroid gland: https://pubmed.ncbi.nlm.nih.gov/37554764/
Autoantibodies: https://pathology.jhu.edu/autoimmune/definitions
The rise of autoimmunity and autoimmune diseases: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9918670/#
Intestinal permeability and autoimmunity: https://academic.oup.com/biohorizons/article/doi/10.1093/biohorizons/hzx015/4670557#
'Leaky gut’ syndrome: https://www.medicalnewstoday.com/articles/326117
Autoimmune protocol diet: https://www.healthline.com/nutrition/aip-diet-autoimmune-protocol-diet#how-it-works
Proteus and rheumatoid arthritis; https://www.iomcworld.org/open-access/worldwide-links-between-emproteus-mirabilisem-and-rheumatoid-arthritis-46162.html
Sleep and autoimmunity: https://www.thelancet.com/journals/lanrhe/article/PIIS2665-9913(22)00311-3/fulltext
Stress and autoimmunity: https://www.autoimmuneinstitute.org/articles/stress-autoimmune-disease-navigating-the-complex-relationship/
An expert opinion on the rise in autoimmunity: https://medicine.yale.edu/news-article/why-are-autoimmune-and-allergic-diseases-rising-andrew-wang/
Vitamin D and autoimmunity: https://www.newscientist.com/article/2306132-vitamin-d-supplements-really-do-reduce-risk-of-autoimmune-disease/#ixzz7KF2W0SEL
Save your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me.
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Our biomechanics affect us all the time, each and every day and is often ignored when it comes to its impact on health. From hip pain to heartburn, our anatomy and the way we move can have impacts on our health on a daily basis.
Leg length discrepancy: https://www.thebiomechanicsmethod.com/2021/06/01/how-a-leg-length-discrepancy-affects-the-body/
Podiatry and foot biomechanics: https://www.ukpodiatry.com/our-assessments/biomechanical-analysis
Kyphosis exercises: https://www.healthline.com/health/exercise-fitness/kyphosis-exercises#exercises-to-try
World Athletics: https://worldathletics.org/news/press-release/2017-world-championships-athletics-biomechani
The kinetic chain: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7174497/
Exercise for constipation: https://www.healthline.com/health/chronic-constipation/exercises-to-relieve-constipation#1
Looking at your phone: https://www.cprtherapy.org/blog/Postural-Awareness-with-Mobile-Devices~6435.html
Douglas Heel (activation therapy): https://douglasheel.com/
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In my book The Health Fix I talk about how I ask patients about their typical day and why that is a great question to ask in order to generate a 'Lifestyle Prescription’.
Looking at your typical day may not be something you’ve done recently or in any detail but it can give you clues to why you may be contributing to some of your symptoms or how you feel.
Carpal tunnel syndrome and sleep position: https://www.athletico.com/2017/04/14/sleep-positioning-carpal-tunnel-syndrome/
Sleep and circadian rhythm tips: https://www.stylist.co.uk/health/sleep/cant-sleep-mistakes/496595
Health trackers and anxiety: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8357265/
Caffeine and our genes: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4242593/
Systems medicine and biology: https://laskerfoundation.org/leroy-hood-there-is-going-to-be-a-fantastic-revolution-in-medicine/
Eating late and sleep disruption: https://health.clevelandclinic.org/is-eating-before-bed-bad-for-you
Microwave ovens and health: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4242593/
Repressed emotions and dealing with them: https://www.healthline.com/health/repressed-emotions
My IDEAL framework in print: https://www.glamourmagazine.co.uk/article/the-health-fix-dr-ayan-panja-new-years-resolutions
My IDEAL framework on this podcast: https://podcasts.apple.com/gb/podcast/saving-lives-in-slow-motion/id1573742958?i=1000567557435
Our monkey brain: https://podcasts.apple.com/gb/podcast/saving-lives-in-slow-motion/id1573742958?i=1000597803315
THE HEALTH FIX: The Health Fix: Transform your Health in 8 Weeks amazon.co.uk
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Big Pharma gets a lot of bad press, yet most of us have needed to take medication for something at some point in our lives.
How do we minimise the risk of our coming to harm from drugs and what can industry do to work more openly with us?
Diuretic drugs: https://link.springer.com/chapter/10.1007/978-3-642-79565-7_4
Ben Goldacre - a review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3635613/
Evidence Based Medicine: https://guides.mclibrary.duke.edu/ebm
Lorcainide story: https://www.bmj.com/content/350/bmj.g7717/rr-1
Anti-arrhythmic drugs: https://www.bhf.org.uk/informationsupport/heart-matters-magazine/medical/drug-cabinet/anti-arrhythmics
Drug reps and doctors: https://www.npr.org/2024/04/19/1245972805/pharma-reps-have-visited-doctors-for-decades-what-impact-does-it-have-on-patient
The opioid crisis and Oxycontin latest: https://www.bbc.co.uk/news/world-us-canada-60610707
PHQ-9 for depression: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3416649/#
Monoclonal antibodies: http://news.bbc.co.uk/1/hi/health/114311.stm
ALLTRIALS: alltrials.net
The NHS and big pharma: https://www.theguardian.com/business/2023/jul/08/its-naive-to-think-this-is-in-the-best-interests-of-the-nhs-how-big-pharmas-millions-are-influencing-healthcare
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The evidence is compelling. Clutter can be harmful to our health in many ways from poor sleep, stress, anxiety and even physical pain. Why is this the case and what can we do about it?
Graham Hill - less stuff, more happiness: https://www.ted.com/talks/graham_hill_less_stuff_more_happiness?subtitle=en
Marie Kondo and her work: https://konmari.com/
Attention and the visual cortex: https://pubmed.ncbi.nlm.nih.gov/21228167/
Fals risk:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10735369/\\
Eating behaviours and hoarding: https://pubmed.ncbi.nlm.nih.gov/25440599/
Procrastination and clutter: https://pubmed.ncbi.nlm.nih.gov/36767429/
Decluttering challenge: https://www.apartmenttherapy.com/10-10-100-decluttering-challenge-37394185
Clutter, sleep and fatigue: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9616259/
ADHD and clutter: https://www.additudemag.com/making-peace-with-your-clutter/
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I got thinking about this recently whilst on holiday recently where I was having a lot of lie-ins and
doing a lot of daydreaming.
Coffee: https://www.healthline.com/nutrition/top-evidence-based-health-benefits-of-coffee
Chewing and alertness: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4449949/
Chewing and effects on the immune system: https://www.manchester.ac.uk/about/news/research-reveals-surprising-health-benefits-of-chewing-your-food/
Fidgeting and NEAT: https://www.womenshealthmag.com/uk/fitness/fat-loss/a36287384/neat-exercise/
Eating bogies - benefits?: https://pubmed.ncbi.nlm.nih.gov/25344244/
Missing breakfast: https://www.healthline.com/nutrition/is-skipping-breakfast-bad
Alcohol and cognitive health: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4866612/
Daydreaming: https://time.com/6256541/why-daydreaming-is-good-for-you/
Bottling up anger: http://news.bbc.co.uk/1/hi/health/8374519.stm
Bouts of anger: https://blog.swedish.org/swedish-blog/new-study-bouts-of-anger-can-take-a-toll-on-your-heart
How to process anger (Dr Gabor Maté): https://www.youtube.com/watch?v=Yh1-y3TzSO4
Save your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me.
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Many of us have role models but do they impact our health?
As the Olympics were taking place recently I started to think about
this and in this episode I look at some studies and reveal their
interesting findings.
Role models (an alternative view): https://www.spectator.co.uk/article/the-problem-with-role-models/
Smoking in popular culture: https://truthinitiative.org/research-resources/tobacco-pop-culture/why-smoking-still-being-glamorized-media-and-pop-culture
Study 2: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9421350/
Study 2 questionnaire: https://redcap.ctsi.psu.edu/surveys/index.php?s=4L973C8FFL
The importance of mentoring: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2352144/
Chasing your hero: https://www.youtube.com/watch?v=wD2cVhC-63I
Save your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me.
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