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
In this episode I look at the role of faith, prayer and mindset in health.
Links:
Medical study on whether prayer works: https://www.nytimes.com/2006/03/31/health/longawaited-medical-study-questions-the-power-of-prayer.html
Tanya Luhrmann’s work: https://press.princeton.edu/books/hardcover/9780691164465/how-god-becomes-real
Positive outlooks: https://psppjournals.org/index.php/jchp/article/view/212
Think yourself young?: https://www.bbc.com/future/article/20180410-how-your-mindset-determines-your-health
The story of Buddha: https://tricycle.org/magazine/who-was-the-buddha/
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Type 2 Diabetes has doubled in the last 15 years in the UK. It is associated with potentially serious complications from kidney failure to blindness but there is a process called insulin resistance that occurs prior to its onset.
In this episode I look at the development, prevention and management of this condition.
Diabetes stats for the UK: https://www.diabetes.org.uk/about_us/news/number-people-living-diabetes-uk-tops-5-million-first-time
Diabetes prevention strategies: https://evidence.nihr.ac.uk/alert/diabetes-prevention-programme-providers-need-more-consistency-flexibility-equality-of-access/
Group consultations for Type 2 Diabetes: https://www.knowdiabetes.org.uk/professional/group-consultations/
Medication for Type 2 Diabetes: https://www.diabetes.org.uk/guide-to-diabetes/managing-your-diabetes/treating-your-diabetes/tablets-and-medication
Air pollution and Type 2 Diabetes: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6931138/
Shift work and diabetes: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-023-16091-y
Dr David Unwin: https://amp.theguardian.com/society/2023/apr/09/british-doctor-pioneers-low-carb-diet-as-cure-for-obesity-and-type-2-diabetes
Low carb diets: https://www.diabetes.co.uk/diet/low-carb-diabetes-diet.html
Gut microbes and Type 2 Diabetes: https://www.sciencedirect.com/science/article/pii/S0955286318303073
Evidence for CGM (continuous glucose monitoring): https://www.ajmc.com/view/continuous-glucose-monitoring-overview-features-and-evidence (eg Dexcom/ Libre)
Zoe app: https://zoe.com/ (one example of an app which combines analysis of gut microbes and CGM)
GAD antibodies and Diabetes development: https://www.healthline.com/health/diabetes/gad-antibodies
THE HEALTH FIX: https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296/ref=tmm_hrd_swatch_0?_encoding=UTF8&qid=1698178460&sr=1-1
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In this episode I look at travel related illness and some tropical diseases worth knowing about.
Traveller’s tummy: https://www.health.harvard.edu/blog/travel-tummy-troubles-heres-how-to-prevent-or-soothe-them-202208042796
Diarrhoeal illness: https://www.who.int/health-topics/diarrhoea#tab=tab_1
Oral rehydration therapy: https://www.unicef.org/supply/stories/oral-rehydration-salts-and-zinc-co-packaging-offers-simple-solution-save-children-diarrhoea
Probiotics for traveller’s diarrhoea: https://www.medicalnewstoday.com/articles/saccharomyces-boulardii-probiotic
Mosquito-borne illness: https://www.worldmosquitoprogram.org/en/learn/mosquito-borne-diseases
Dengue and severe Dengue: https://www.who.int/news-room/fact-sheets/detail/dengue-and-severe-dengue
Neglected tropical disaeases: https://www.who.int/health-topics/neglected-tropical-diseases#tab=tab_1
DVT: https://www.nhs.uk/conditions/deep-vein-thrombosis-dvt/
Sunburn and skin cancer: https://www.cancerresearchuk.org/about-cancer/causes-of-cancer/sun-uv-and-cancer/how-does-the-sun-and-uv-cause-cancer
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I don’t think there is anyone on the planet that hasn’t had a cough. It’s a biological reflex in basic
terms and as it seems to occupy up to 40% of presentations to a health care provider,
I thought it would be good to cover the why what and how of this ubiquitous symptom.
Links:
The mechanism of a cough: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6502102/#
The anatomy of a cough: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3415124/
Long term coughs: https://www.health.harvard.edu/staying-healthy/that-nagging-cough
Red flags for coughs: https://www.pulsetoday.co.uk/clinical-feature/clinical-areas/respiratory/red-flag-refreshers-cough/
A reminder about TB (tuberculosis): https://www.who.int/health-topics/tuberculosis
Honey for cough: https://ebm.bmj.com/content/26/2/57
A functional medicine case study: https://consultqd.clevelandclinic.org/patients-25-year-cough-relieved-by-diet-and-thermal-depuration/
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How we access medical information and where it comes from is all important. It has changed hugely in the last 50 years and in this episode I look at how and why that has happened and also the future.
Change in news sources: https://pressgazette.co.uk/media-audience-and-business-data/most-popular-news-sources-uk-tiktok-ofcom-news-consumption-survey/
Cochrane: https://www.cochrane.org/
Medline (electronic library): https://medlineplus.gov/
Dipex: https://dipexcharity.org/about-us/
Electronic records: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5171496/
Medical knowledge doubles every 73 days: https://www.nature.com/articles/s43856-021-00003-5
YouTube Health: https://health.youtube/
Prof Kausik Ray’s meta-analysis (a study of studies): https://bjcardio.co.uk/2012/03/aspirin-in-primary-prevention-new-meta-analysis/
Statins - one view: https://www.bmj.com/content/348/bmj.g3458/rr/761453
Reliable health info sources (in my opinion):
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Lifestyle Medicine is now a well established discipline. I look at what it means today and how it has evolved over the years since its inception and how it is indispensable in this day and age.
Bromelain: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8067380/#
James Rippe: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6933565/
Behaviour change in lifestyle medicine: https://www.apa.org/topics/behavioral-health/healthy-lifestyle-changes
Soleus push ups: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9404652/#
Young people and cancer: https://news.cancerresearchuk.org/2023/01/24/early-onset-cancer-why-are-more-young-adults-being-diagnosed/
THE HEALTH FIX (understanding your own story and applying it to your health): https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296/ref=monarch_sidesheet
PRESCRIBING LIFESTYLE MEDICINE (certification course - open to medics and other healthcare practitioners): https://www.practiceunbound.org.uk/product/prescribinglifestylemedicine/enrol-plm
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It’s often known as the cornerstone of the NHS but general practice is under threat and in this episode I make the case for generalism.
The power of generalism: https://www.youtube.com/watch?v=ST6XEDcD_C4
Specialists and generalists: https://www.forbes.com/sites/forbeshumanresourcescouncil/2021/03/12/generalists-versus-specialists-the-winner-doesnt-take-it-all/
Additional roles in general practice:
Continuity of care: https://www.bmj.com/content/375/bmj.n2468
Johari’s window - you don’t know what you don’t know: https://www.communicationtheory.org/wp-content/uploads/2013/01/johari-model.jpg
General practice under threat: https://www.nuffieldtrust.org.uk/news-item/general-practice-on-the-brink-how-did-it-get-there
GP workload: https://www.rcgp.org.uk/news/fit-for-the-future-gp-pressures-report
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In this episode I look at the reason for health inequalities, the move towards health equity and what we can do to improve access to health for all.
Kings Fund health inequalities: https://www.kingsfund.org.uk/publications/what-are-health-inequalities
Self-reported illness: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1122815/
The inverse care law paper by Tudor-Hart: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(71)92410-X/fulltext
End of life and palliative care inequality: https://www.who.int/news-room/fact-sheets/detail/palliative-care
Calcutta Rescue: https://calcuttarescuefund.org.uk/
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Polypharmacy is a situation where a person is on several medications.
It is sometimes necessary but needs to be managed and monitored to avoid harm which can be anything from minor to major.
Links:
Polypharmacy in older adults: https://link.springer.com/article/10.1007/s41999-021-00479-3
Deprescribing: https://www.bgs.org.uk/AAAdesprescribing
Drug side effects: https://www.pharmacytimes.com/view/10-scariest-prescription-drug-side-effects
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Not being able to sleep well at night can be frustrating and drive people to distraction. In this episode I look at the causes and what we can do improve our sleep.
The work of Stephanie Romiszewski: https://www.sleepyheadclinic.co.uk/stephanie-romiszewski-sleep-expert/
The stages of sleep: https://www.sleepfoundation.org/stages-of-sleep
Supplements: https://www.healthline.com/nutrition/sleep-aids
Genes and sleep: https://www.nih.gov/news-events/nih-research-matters/gene-identified-people-who-need-little-sleep
Chronotypes: https://www.sleepfoundation.org/how-sleep-works/chronotypes
THE HEALTH FIX:
Please VOTE for SAVING LIVES IN SLOW MOTION: https://www.britishpodcastawards.com/voting
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