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
There are so many reasons for tiredness and fatigue. In this episode I try to explain the reasons behind the symptom and how to approach it.
Links:
For cases demonstrating the Health Loop to unpack symptoms here is a link to my book The Health Fix: https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296/ref=sr_1_1?keywords=Dr+Ayan+Panja&qid=1692817923&s=audible&sr=1-1-catcorr
A mechanical reason for tiredness - sleep apnoea: https://www.nhs.uk/conditions/sleep-apnoea/
How mitochondria work: https://www.khanacademy.org/science/ap-biology/cell-structure-and-function/cell-structures-and-their-functions/v/mitochondria-video
Mitochondria and fibromyalgia: https://pubmed.ncbi.nlm.nih.gov/33142767/
Autoimmune conditions can present with tiredness or fatigue: https://www.healthline.com/health/autoimmune-disorders
Leafy greens and the liver: https://www.medicalnewstoday.com/articles/324041
Antioxidants: https://www.medicalnewstoday.com/articles/what-do-we-really-know-about-antioxidants
Please vote for me in The British Podcast Awards - just type in Saving Lives in Slow Motion :
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Do you get enough down time? Do you even have time for down time?!
In this episode I briefly look at what it is and why it is important. It’s a short episode but hope you enjoy the exercise in it
and the links in the show notes.
Links:
Why down time is important: https://www.scientificamerican.com/article/mental-downtime/
How to achieve ‘flow’: https://medium.com/swlh/the-brains-default-mode-what-is-it-and-why-meditation-is-the-antidote-d0408ab989d6
The default mode network of the brain:
https://neuroscientificallychallenged.com/posts/know-your-brain-default-mode-network
The science behind down time:
https://www.psychologytoday.com/intl/blog/play-your-way-sane/202201/the-scientific-case-downtime
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Blood tests and blood results dominate a GP’s day but why do we do them and what do they mean?
In this episode I rapidly cover the rationale behind some of the more common blood tests, what they mean and why we do them in the first place.
Links:
Further details on blood tests can be found here starting with the full blood count: https://labtestsonline.org.uk/tests/full-blood-count-fbc
Vitamin D deficiency: https://www.nice.org.uk/guidance/ph56
B12 deficiency: https://www.healthline.com/nutrition/vitamin-b12-deficiency-symptoms
Medics guide to abnormal liver function tests:: https://www.bsg.org.uk/wp-content/uploads/2019/12/Guidelines-on-the-management-of-abnormal-liver-blood-tests.pdf
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Bloating is a common symptom which most of us experience from time to time acutely, (for instance if we have a tummy bug or food poisoning), but in this episode I try to unpack the potential reasons behind why bloating can occur in the first place and how to approach it. This episode is a rapid 10-minute 101. Do check out the links in the show notes.
Links:
Digestion and enzymes: https://en.wikipedia.org/wiki/Digestive_enzyme#/media/File:Digestive_Enzymes.svg
IBS (made worse by stress): https://patient.info/digestive-health/irritable-bowel-syndrome-leaflet
SIBO: https://www.healthline.com/health/sibo
H pylori infection: https://gutscharity.org.uk/advice-and-information/conditions/helicobacter-pylori/
FODMAPs (can cause gas): https://www.healthline.com/nutrition/fodmaps-101
Testing gut bugs: https://gutscharity.org.uk/advice-and-information/health-and-lifestyle/testing/gut-microbiome-poo-testing/
Ovarian cancer awareness: https://targetovariancancer.org.uk/about-ovarian-cancer/symptoms
My book THE HEALTH FIX for case studies and tips: https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296/ref=monarch_sidesheet
The importance of eating dietary fibre: https://www.nhs.uk/live-well/eat-well/digestive-health/how-to-get-more-fibre-into-your-diet/
Diverticulitis: https://www.healthline.com/health/diverticulitis
Coeliac Disease, can often start with mystery symptoms: https://www.coeliac.org.uk/information-and-support/coeliac-disease/about-coeliac-disease/
Probiotics (can sometimes help replenish good gut bacteria after antibiotic use): https://my.clevelandclinic.org/health/articles/14598-probiotics
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The world seems to be full of ‘coaches’ but what is coaching and how can it help us?
I look at some examples in this episode and how it can help develop us by helping us create change to develop ourselves.
Links:
My GP trainer Ed Peile: https://warwick.ac.uk/fac/sci/med/staff/peile/
GROW model: https://www.performanceconsultants.com/grow-model
'SMART’ goals: https://coachfoundation.com/blog/smart-coaching-model
David Rock (ARIA model): https://davidrock.net/
The Coaching Habit: https://boxofcrayons.com/boc/the-coaching-habit-book/
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Medical imaging AI:
https://www.thelancet.com/journals/landig/article/PIIS2589-7500(20)30160-6/fulltext
Generative AI: https://generativeai.net/
AI driven CBT: Leafyard.com/healthfix
AI and skin cancer diagnosis: https://www.england.nhs.uk/long-read/artificial-intelligence-helping-to-speed-up-skin-cancer-diagnosis-in-leicester-leicestershire-and-rutland-integrated-care-system/
AI and symptom assessments by Ada: https://ada.com/
AI support for doctors: https://www.forbes.com/sites/katiejennings/2023/07/17/this-ai-chatbot-has-helped-doctors-treat-3-million-people/?sh=569b58aa4cea
Can AI be dishonest? https://www.instagram.com/p/CqjNUobpedJ/?hl=en-gb
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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What is therapy and why do we need it, if at all?
In this episode I look at the common types of therapy as well as touch on some alternative types and how they work and what they hope to achieve. The key is that the therapy has to fit with the person.
The origins of therapy: https://www.talkspace.com/blog/psychotherapy-history-of-therapy/
Therapeutic relationships: https://www.family-institute.org/behavioral-health-resources/importance-relationship-therapist
Psychodynamic psychotherapy: https://www.psychologytoday.com/gb/therapy-types/psychodynamic-therapy
Play Therapy (Samantha Boyle) https://www.plays2talk.co.uk/what-is-play-therapy-1
Avatar therapy (Professor Julian Leff’s work): https://www.bbc.co.uk/news/health-22720248
Dungeons and Dragons (role play therapy): https://www.youtube.com/watch?v=EuDJ-x9HWyc
Reference to mental health in Cambodia (now much improved): https://www.voanews.com/a/cambodias-mental-health-services-critically-neglected/2775810.html
The Health Fix: https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296
Leafyard - an online CBT based mental health app (partnership): Leafyard.com/healthfix
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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The NHS is a jewel in the crown of British culture offering free healthcare for all at times of need. But it has come under stress in recent years. In this episode I take a look back at what the NHS has achieved and why it is so important.
The birth and history of the NHS: https://www.nuffieldtrust.org.uk/health-and-social-care-explained/the-history-of-the-nhs
Continuity of care: https://www.bmj.com/content/375/bmj.n2468#:~:text=A%20new%20research%20paper%20tells,a%20reduced%20risk%20of%20death.
The cost of hospital care (bills): https://www.buzzfeed.com/daniellaemanuel/expensive-medical-bills-america
NHS staff sickness: https://www.theguardian.com/society/2023/jun/29/nhs-staff-sickness-rate-england-record-high
NHS in charts and infograms: https://www.health.org.uk/news-and-comment/charts-and-infographics
Professor Stephen Hawking on the NHS:
https://www.facebook.com/RoyalSocietyofMedicine/videos/10154984279978693
New NHS roles in the community: https://www.england.nhs.uk/gp/expanding-our-workforce/
The future of the NHS?:
https://www.nhsconfed.org/publications/renewed-vision-nhs
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Midlife can be a hard time of life to navigate, but why is that the case?
When we are younger and trying to establish ourselves we look forward to midlife but when we get there it can feel uncomfortable.
I explore why this is the case and what we can do about it
Links:
The midlife crisis: https://www.forbes.com/health/mind/midlife-crisis/
Another take: https://www.telegraph.co.uk/news/2022/09/14/truth-midlife-crises-painful-many-confront/
The happiness curve and the midlife dip: https://www.inc.com/magazine/202303/ali-donaldson/need-some-help-heres-how-to-hire-a-remote-assistant.html
Change during midlife: https://hbr.org/2008/02/the-existential-necessity-of-midlife-change
Emotional healing: https://www.psychologytoday.com/gb/blog/rethinking-mental-health/201309/10-tips-emotional-healing
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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Medical ethics is involved in every aspect of healthcare yet it is invisible.
In this episode I look at why it is important and some of the nuances that make it a hard topic to grapple with.
Links:
Ethical principles via the Clinical Ethics Network: http://www.ukcen.net/ethical_issues/ethical_frameworks/the_four_principles_of_biomedical_ethics
The story of baby Charlie Gard: https://www.bbc.co.uk/news/health-40554462
Ethical guidance for doctors: https://www.bmj.com/careers/article/ethical-guidance-for-doctors
Private medicine: https://indianexpress.com/article/lifestyle/health-specials/private-healthcare-must-fuse-ethics-with-efficiency-8052382/
Duty of candour: https://www.gmc-uk.org/ethical-guidance/ethical-guidance-for-doctors/candour---openness-and-honesty-when-things-go-wrong/the-professional-duty-of-candour
Another recent example of medical ethics in the press: https://www.theguardian.com/world/2023/jun/12/woman-in-uk-jailed-for-28-months-over-taking-abortion-pills-after-legal-time-limit
Rationing in healthcare: https://www.nature.com/articles/s41581-021-00404-8
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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