Saving Lives In Slow Motion

Perfectionism has risen in the workplace in recent years. It can be a huge positive in terms of work standards but also predisposes people to stress, anxiety and burnout.In this episode I look at ways to capitalise on its strengths and mitigate any negatives. Not sure if you are one? Take the quiz below.Links: Take the quiz - are you a perfectionist?: https://www.livewellwithsharonmartin.com/qsm_quiz/perfectionist-quiz/Perfectionism in younger generations: https://www.bath.ac.uk/announcements/unreasonable-demands-lead-to-substantial-rise-in-perfectionism-among-young-people/Downsides of perfectionism: https://www.bbc.com/future/article/20180219-toxic-perfectionism-is-on-the-riseDSM-V - classification of perfectionism: https://www.sciencedirect.com/science/article/abs/pii/S0191886914001354Mindfulness: https://www.mindful.org/meditation/mindfulness-getting-started/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. Hosted on Acast. See acast.com/privacy for more information.

This is an argument that rages on in the world of nutrition and medicine. In this episode I look at what food is, what it does to us in terms of our health and the mechanisms behind it and give you my verdict on whether I consider it to be medicine or not.Ultra processed foods - review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10899807/Protein benefits: https://www.healthline.com/nutrition/10-reasons-to-eat-more-proteinBlue Zones diets: https://www.bbcgoodfood.com/howto/guide/what-is-the-blue-zones-dietHerbs and spices with health benefits: https://www.healthline.com/nutrition/10-healthy-herbs-and-spicesAkkermansia mucinophilia in IBD: https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2022.1089600/fullT Reg cells - what are they?:https://www.frontiersin.org/articles/10.3389/fnut.2022.878382/fullApples and their in vitro benefits: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5490512/The all important Aryl hydrocarbon receptor (now a therapeutic target for big pharmaceutical companies): https://www.sciencedirect.com/science/article/pii/S221323172300023XShort chain fatty acids and heart disease: https://pubmed.ncbi.nlm.nih.gov/24388214/#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. Hosted on Acast. See acast.com/privacy for more information.

High blood pressure is the biggest modifiable risk factor for cardiovascular disease, which is still the leading cause of death worldwide.It’s often called a silent killer because it has usually has no symptoms.This episode give you the lowdown on high blood pressure (also known as essential hypertension).Links:WHO page: https://www.who.int/news-room/fact-sheets/detail/hypertensionNICE guideline for hypertension: https://www.england.nhs.uk/london/wp-content/uploads/sites/8/2019/11/NICE-NG136-Visual-Summary.pdfA summary of high blood pressure: https://www.healthline.com/health/high-blood-pressure-hypertensionVitamin D and blood pressure in African-Americans: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3775458/Salt and potassium: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7697211/Low carb diets and blood pressure: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6695889/Potassium enriched salt and blood pressure: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10863666/Salt substitutes: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9532913/Measuring blood pressure: https://www.youtube.com/watch?v=mfwBpBXUYHsWhy blood pressure matters: https://www.gov.uk/government/publications/health-matters-combating-high-blood-pressure/health-matters-combating-high-blood-pressure#Resperate - the evidence is mixed, the effects small and it is not a substitute for any medication:https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/expert-answers/resperate/faq-20057998#https://northyorkshireccg.nhs.uk/wp-content/uploads/2021/04/NYCCG-Resp-Devices-Hypertension_v1.0_01.07.2021.pdfSave 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. Hosted on Acast. See acast.com/privacy for more information.

Mind Body Medicine is fascinating but has been poorly understood over the years. I believe it is more important to try to understand better now more than ever as we are surrounded by medically unexplained symptoms and non-communicable symptoms and diseases. In this episode I look at the origins and theories behind it as well as link to the evidence in the show notes.Links:The Holmes-Rahe Stress scale: https://www.mindtools.com/avn893g/the-holmes-and-rahe-stress-scaleThe effectiveness of mind-body medicine (narrative): https://journals.lww.com/mjhs/fulltext/2023/11020/effectiveness_of_mind_body_medicine.2.aspxSomatising: https://www.psychiatry.org/patients-families/somatic-symptom-disorder/what-is-somatic-symptom-disorderOpinion piece - a new ear of mind body medicine: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7486127/#Views on Dr Sarno’s work: https://www.vox.com/science-and-health/2017/10/2/16338094/dr-john-sarno-healing-back-painMind Body Medicine in Crohn’s Disease: https://www.frontiersin.org/articles/10.3389/fnint.2022.960301/fullMindfulness and meditation - effects on stress:https://www.apa.org/topics/mindfulness/meditationRepressed emotions and physical health: https://www.healthline.com/health/repressed-emotionsHeart rate variability and stress: https://www.webmd.com/heart/what-is-heart-rate-variabilityMechanisms on how writing can help: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7957853/Journaling and heart failure: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4927423/Psychoneuroimmunology during COVID-19: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9075982/THE HEALTH FIX: https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja/dp/1914239326/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=&sr=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. Hosted on Acast. See acast.com/privacy for more information.

This is a super hot topic in health care in some parts of the world at the moment. In this episode I look at how these drugs work and the pros and cons of taking them for weight loss purposes. Obesity, in some instances, is in essence a form of ‘malnutrition’ because of the nature of food consumed and how rates have increased rapidly over the last 40 years. Body Mass Index definition: https://www.bbc.co.uk/news/av/health-21264134Heart disease risk reduced by weight loss jab: https://www.bbc.co.uk/news/articles/cd188m73vn1oUltra processed food and your brain: https://www.bbc.co.uk/food/articles/junk_food_brainSupersize Me: https://en.wikipedia.org/wiki/Super_Size_MeObesity health risks: https://www.healthline.com/health/obesity/how-obesity-affects-bodyThe genetics of obesity: https://www.nature.com/articles/s41576-021-00414-zThe story behind semaglutide: https://www.vox.com/22553793/gila-monster-lizard-venom-inspired-obesity-drug-semaglutideWeight loss stats on semaglutide: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9486455/Semaglutide can stop working and even if it works it may need to be taken forever: https://www.medicalnewstoday.com/articles/why-weight-loss-drugs-stop-working-how-to-break-past-ozempic-plateau#Hitting-a-weight-loss-plateau-after-a-yearSave 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. Hosted on Acast. See acast.com/privacy for more information.

CGM has changed lives for the better people with Type 1 Diabetes but nowadays people without diabetes use it as a tool. In this episode I look at the pros and cons of CGM and how it can be used as a lens into our general health and how it is linked to our gut microbiome amongst many other systems.Links:CGM early days review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4717493/Prof Partha Kar: https://gettingitrightfirsttime.co.uk/girft-diabetes-lead-awarded-obe-in-new-year-honours/Red meat and gut bacteria: https://www.nih.gov/news-events/nih-research-matters/gut-microbes-affect-harmful-compound-red-meat#Akkermansia Muciniphilia: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8726741/Gut bugs and metabolic disease: https://joe.bioscientifica.com/view/journals/joe/248/2/JOE-20-0473.xml#Alcohol and blood glucose: https://blog.supersapiens.com/3-ways-alcohol-affects-your-glucose-levels/Exercise and blood sugar: https://www.sugarfit.com/blog/workout-spikes-exercise-induced-gluconeogenesis/Glucose spikes - the dangers?: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7530333/#:The view of Harvard on CGM without diabetes:https://www.health.harvard.edu/blog/is-blood-sugar-monitoring-without-diabetes-worthwhile-202106112473Walking after meals: https://www.healthline.com/nutrition/walking-after-eatingAdvanced Glycation End Products (AGEs): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10401445/#THE HEALTH FIX - the ultimate health manual tailored to you: https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja/dp/1914239326/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=&sr=25wktvbzSave 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. Hosted on Acast. See acast.com/privacy for more information.

In this episode I look at smart phones. They have changed the way we live beyond imagination but are they doing us any harm in terms of the way we think and behave?Links:Life before smartphones:https://medium.com/be-unique/before-smartphones-were-a-thing-87208717b8d7Teenage brain: https://www.healthychildren.org/English/ages-stages/teen/Pages/Whats-Going-On-in-the-Teenage-Brain.aspxTeenagers and smart phones: https://www.scientificamerican.com/article/are-smartphones-really-destroying-the-lives-of-teenagers/Alpha brain waves: https://www.healthline.com/health/alpha-brain-waves#bottom-lineMultitasking and switching focus: https://neuroscience.stanford.edu/news/why-multitasking-does-more-harm-goodPhones and attention: https://www.nature.com/articles/s41598-023-36256-4#Alpha waves: https://www.healthline.com/health/alpha-brain-wavesDopamine fasting: https://www.sciencefocus.com/science/dopamine-fasting-smartphone-addictionSave 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. Hosted on Acast. See acast.com/privacy for more information.

Addictions can ruin lives but why do they occur in the first place and what can we do to acknowledge them better?In this episode Iook at why they can be so hard to conquer and touch on different aspects of addiction.Links: How the addicted brain works:https://www.yalemedicine.org/news/how-an-addicted-brain-worksSugar - why most of us could easily have a sweet tooth: https://theconversation.com/a-taste-for-sweet-an-anthropologist-explains-the-evolutionary-origins-of-why-youre-programmed-to-love-sugar-173197Addiction and childhood: https://www.jkacap.org/journal/view.html?doi=10.5765/jkacap.2017.28.1.4#Heroin detox in Thailand: https://www.bbc.co.uk/news/uk-england-berkshire-13674101Dr Gabor Maté on trauma: https://www.theguardian.com/lifeandstyle/2023/apr/12/the-trauma-doctor-gabor-mate-on-happiness-hope-and-how-to-heal-our-deepest-woundsGambling addiction: https://www.nhs.uk/live-well/addiction-support/gambling-addiction/A personal story: https://www.theguardian.com/commentisfree/2019/dec/30/studied-neuroscience-understand-addictions-not-cureSave 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. Hosted on Acast. See acast.com/privacy for more information.

Becoming a parent is a gift but it has its challenges. In this episode I look at some factors to be mindful of including the difference between the child and adult brain plus micro tips to help navigate your way through the maze of parenthood. Links: Parenting styles: https://www.parents.com/parenting/better-parenting/style/parenting-styles-explained/Brain development in children: https://www.luriechildrens.org/en/blog/early-childhood-brain-development-and-health/Parenting styles and psychological complaints: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4873100/Hoffman Process for understanding how early life connects to your adult behaviours: https://www.hoffmaninstitute.co.uk/about-the-process/Unconditional love: https://www.psychologytoday.com/gb/blog/peaceful-parents-happy-kids/201504/how-give-unconditional-love-your-child-and-yourself?ampSteve Biddulph’s advice: https://www.toorakcollege.vic.edu.au/blog/steve-biddulph-key-takeawaysThe Health Fix: https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja/dp/1914239326/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=&sr=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. Hosted on Acast. See acast.com/privacy for more information.

Skin - it’s known as our largest ‘organ’ and most of us have had some kind of skin issue. This is my 101. Enjoy!Guttate psoriasis: https://www.healthline.com/health/psoriasis-guttatePitiryiasis rosea: https://www.aad.org/public/diseases/a-z/pityriasis-rosea-symptomsScarlet fever: https://www.medicalnewstoday.com/articles/176242Slapped cheek syndrome: https://www.nhs.uk/conditions/slapped-cheek-syndrome/Omega 3 and skin: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7892455/Probiotics and skin: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9386980/Acne: https://www.webmd.com/skin-problems-and-treatments/acne/ss/slideshow-acne-dictionaryPCOS: https://www.healthline.com/health/polycystic-ovary-diseaseRosacea: https://www.rosacea.org/patients/all-about-rosaceaNon IgE cows milk protein allergy: https://www.allergyuk.org/about-allergy/allergy-in-childhood/cows-milk-allergy/Dermatitis herpetiformis: https://www.coeliac.org.uk/information-and-support/coeliac-disease/dermatitis-herpetiformis/Elimination diets: https://www.healthline.com/nutrition/elimination-dietAtopy: https://www.healthline.com/health/atopyDemodex: https://www.healthline.com/health/demodex-folliculorumMI allergy: https://www.webmd.com/beauty/what-to-know-about-methylchloroisothiazolinone-allergiesContact dermatitis: https://www.healthline.com/health/contact-dermatitisMelanoma and ABCDE: https://www.melanomauk.org.uk/the-abcde-ruleSunlight and cancer: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4571149/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. Hosted on Acast. See acast.com/privacy for more information.

Health screening has exploded over the last 20 years. Is it a money making exercise or actually worth it? In this episode I look at the pros and cons and how you can decide what may be worth doing and the reason people decide they need it.Links:UK ethics of health screening: https://www.gov.uk/government/publications/uk-nsc-ethical-framework-for-screening/uk-nsc-ethical-framework-for-screeningHealth Screening - a recent paper: https://www.ncbi.nlm.nih.gov/books/NBK436014/RCGP screening statement around extra work for NHS GPs from screening companies: https://www.rcgp.org.uk/representing-you/policy-areas/screeningKaren Brady’s story: https://www.theguardian.com/lifeandstyle/2006/apr/20/healthandwellbeing.health1The pros and cons of PSA testing: https://prostatecanceruk.org/prostate-information-and-support/prostate-tests/psa-blood-testGenomic (DNA) testing for propensity to disease (eg breast cancer): https://www.nhs.uk/conditions/genetic-and-genomic-testing/MTHFR: https://www.medicalnewstoday.com/articles/326181Our Future Health: https://ourfuturehealth.org.uk/Bill Turnbull's prostate cancer story: https://www.bbc.co.uk/news/health-62755001My book THE HEALTH FIX - paperback: https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja/dp/1914239326/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=&sr="The only health manual you'll ever need..." Dr Rangan Chatterjee. "...lifechanging..." Dr Rupy AujlaSave 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. Hosted on Acast. See acast.com/privacy for more information.

There isn’t a week in practice when I don’t get asked about food intolerances and how to test for them. It’s a contentious topic that needs some deconstructing.In this episode I look at what is and isn't intolerance and how to proceed if you think you have a food intolerance.Links:Food intolerance vs allergy - official guidance: https://www.allergyuk.org/resources/food-intolerance/IgG testing: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5004213/Elimination diets: https://www.healthline.com/nutrition/elimination-dietSIBO and IBS: https://pubmed.ncbi.nlm.nih.gov/29761234/Gluten sensitivity: https://www.coeliac.org.uk/information-and-support/coeliac-disease/about-coeliac-disease/gluten-sensitivity/Deeper dive on mucosal tolerance: https://courses.lumenlearning.com/wm-biology2/chapter/mucosal-surfaces-and-immune-tolerance/Milk digestion over the years: https://pubmed.ncbi.nlm.nih.gov/35896667/My book The Health Fix: https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja/dp/1914239326/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=&sr=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. Hosted on Acast. See acast.com/privacy for more information.

Lyme Disease rates have doubled in the last 30 years in the USA and rates are rising across the world in affected areas. In this episode I look at Lyme, other tick-borne illnesses and the mystery symptoms they can give rise to, as well as strategies to treat and prevent them.Lyme disease factsheet:https://www.ecdc.europa.eu/en/borreliosis/facts/factsheetThe Bullseye rash: https://www.cdc.gov/lyme/signs_symptoms/rashes.htmlThe life cycle of a spirochaete: https://www.nature.com/articles/nrmicro2714B.Burgdorferi - the major cause of Lyme disease: https://www.ncbi.nlm.nih.gov/books/NBK532894/B.mayonii - another strain causing Lyme disease: https://www.cdc.gov/lyme/mayonii/index.htmlDr Horowitz Lyme questionnaire: https://caudwelllyme.com/do-you-have-lyme-disease-the-horowitz-questionnaireDifferentiating arthritis from Lyme Diseases: https://www.webmd.com/rheumatoid-arthritis/ra-or-lymeDr Horowitz interview: https://lymeconnection.org/support_and_resources/meet_the_lyme_disease_experts.html/title/dr-richard-horowitz-latest-treatments-in-lyme-diseaseSave 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. Hosted on Acast. See acast.com/privacy for more information.

Cholesterol has become an obsession for so many people over the last 50 years. In this episode I look at the story of cholesterol and why it is important and when to worry about it.Links:The history of cholesterol: https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-19/history-in-medicine-the-story-of-cholesterol-lipids-and-cardiologyFood and cholesterol: https://www.health.harvard.edu/heart-health/11-foods-that-lower-cholesterolMonacolin K (in both red yeast rice and statins): https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/monacolinsNumbers need to treat (NNT):https://www.cebm.ox.ac.uk/resources/ebm-tools/number-needed-to-treat-nntDiet and statins: https://www.theguardian.com/society/2016/aug/29/mediterranean-diet-better-than-statins-for-tackling-heart-disease-studyApoB and Lp(a): https://www.pennmedicine.org/for-health-care-professionals/for-physicians/physician-education-and-resources/physician-interviews/2023/october/lipid-management-part-3-apo-b-and-lipoprotein-aHomocysteine and heart disease: https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-021-01977-8Flawed study or is it because not all LDL is bad? https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/behind-the-headlines/cholesterol-and-statinsReduction of ApoB and risk reduction of heart disease: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489462/TG:HDL ratio (Triglycerides to HDL): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2664115/#:~:text=3%20The%20ratio%20of%20triglycerides,lower%20than%20this%20value4.NICE recommendation for statins:https://www.bhf.org.uk/what-we-do/news-from-the-bhf/news-archive/2023/january/nice-recommends-statins-should-be-a-choice-for-more-people-to-prevent-heart-attacks-and-strokesSave 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. Hosted on Acast. See acast.com/privacy for more information.

TW: Sensitive topic: one in six people worldwide are now affected by infertility and rates have soared over the last 30 years. In this episode I look at the reasons behind it and what we can do about it on an individual and societal level.Childlessness: https://www.theguardian.com/lifeandstyle/2017/oct/02/the-desire-to-have-a-child-never-goes-away-how-the-involuntarily-childless-are-forming-a-new-movementRising infertility in men and women: https://www.scientificamerican.com/article/reproductive-problems-in-both-men-and-women-are-rising-at-an-alarming-rate/1:6 with infertility: https://www.theguardian.com/world/2023/apr/03/one-in-six-people-worldwide-affected-by-infertility-who-reportsBirth rates in South Korea and reasons behind them: https://www.youtube.com/watch?v=tvpkEEmnZNUExercise and fertility: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10310950/Female fertility and nutrition: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8634384/Sperm counts and time of day: https://pubmed.ncbi.nlm.nih.gov/32195611/Semen and antioxidants: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5203687Fertility support: https://www.nhs.uk/conditions/ivf/support/Infertility counselling: https://www.bica.net/Buy THE HEALTH FIX now: https://www.amazon.co.uk/dp/1914239326?ref_=cm_sw_r_cp_ud_dp_S32SMEDYMC4SBPSJ4CGVSave 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. Hosted on Acast. See acast.com/privacy for more information.

Minor illness seems trivial, but is it always simple to deal with and when do we need to think more carefully about what can seem like minor illness on the surface? Lay referral: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1316199/pdf/brjgenprac004944500617.pdfThe debate about doctors and Physician Associates: https://www.bmj.com/content/383/bmj.p2449Sore throat causes: https://twitter.com/DrSteveTaylor/status/1761753922920694133/photo/1Rincke’s oedema: https://voicefoundation.org/health-science/voice-disorders/voice-disorders/reinkes-edema/PEWS (scoring system for acute illness in children): http://generalpracticemedicine.org/PEWSSheetApril2017Final2.pdfRecurrent UTI: https://www.mayoclinic.org/diseases-conditions/cystitis/expert-answers/bladder-infection/faq-20057833The role of pharmacies: https://www.england.nhs.uk/primary-care/pharmacy/community-pharmacy-contractual-framework/referring-minor-illness-patients-to-a-community-pharmacist/Managing uncertainty in medicine: https://onlinelibrary.wiley.com/doi/full/10.5694/mja2.51925Save 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. Hosted on Acast. See acast.com/privacy for more information.

In this episode I look at ADHD which is increasing in prevalence due to increased diagnoses. There are many features to this condition which need unpacking. I look at the causes, what we can do to help manage ADHD and why it occurs in the first place. The increase in diagnosis: https://www.ucl.ac.uk/news/2023/jul/significant-rise-adhd-diagnoses-ukADHD and dopamine - seeking rewards:https://www.medicalnewstoday.com/articles/325499Time blindness: https://add.org/adhd-time-blindness/The risk and benefits of ADHD medication: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6697582/Risk factors for ADHD: https://www.healthline.com/health/adhd/causesTime blindness: https://www.thecut.com/2020/04/coronavirus-self-isolation-time-blindness.htmlHyperfocus: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7851038/Rating scales for children: https://www.healthline.com/health/adhd/rating-scale#symptoms-checklistFor adults (website with advice and help): https://adhduk.co.uk/adult-adhd-screening-survey/Once of many ADHD podcasts: https://podcasts.apple.com/gb/podcast/adhd-chatter/id1677158558Save 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. Hosted on Acast. See acast.com/privacy for more information.

It’s something that befalls most of us as we age, but what is it? It is a marker of vulnerability as we age and in many ways a soft tool topredict our risk of future illness and rate of decline.In this episode I look at how it is assessed and what we can do to prevent it.Links: Rockwood score: https://www.england.nhs.uk/south/wp-content/uploads/sites/6/2022/02/rockwood-frailty-scale_.pdfStanding desks: https://www.healthline.com/nutrition/7-benefits-of-a-standing-deskPrognosis in frailty: https://www.bgs.org.uk/resources/end-of-life-care-in-frailty-identification-and-prognosticationAgeing well: https://www.hopkinsmedicine.org/health/wellness-and-prevention/stay-strong-four-ways-to-beat-the-frailty-riskAn AI device tech example: https://www.miicare.co.uk/Gait analysis: https://www.frontiersin.org/articles/10.3389/frobt.2021.749274/fullCreatine: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7996960/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. Hosted on Acast. See acast.com/privacy for more information.

In this episode I look at what makes for good health in children.It’s clearly multifactorial and the latest reports show that the health of children has declined in recent years in the UK. I look at why this may be the case and what the root causes might be.Links: Children ‘betrayed’ in UK: https://www.bbc.co.uk/news/health-68203749WHO website on child health: https://www.who.int/health-topics/child-health#tab=tab_1UNICEF: https://www.unicef.org/UNICEF child satisfaction tables: https://www.weforum.org/agenda/2020/09/child-well-being-health-happiness-unicef-report/Child development: https://medlineplus.gov/ency/article/002002.htmAttachment theory: https://www.verywellmind.com/what-is-attachment-theory-2795337What every child needs: https://www.childrenscolorado.org/conditions-and-advice/parenting/parenting-articles/what-children-need/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. Hosted on Acast. See acast.com/privacy for more information.

In this episode I look at the history of sexual health, our attitudes towards it and how we things have changed over the last 100 years. TW: use of sexual language and references to adult themes.HPV: https://www.nhs.uk/conditions/human-papilloma-virus-hpvShame and STIs: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8297218/Philadelphia trailer: https://www.youtube.com/watch?v=CKDz2LVHz0YVenereal Disease bill 1916: https://pubmed.ncbi.nlm.nih.gov/11589807/Dr Kellogg: https://www.history.com/news/dr-john-kellogg-cereal-wellness-wacky-sanitarium-treatmentsErectile dysfunction and heart disease: https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/in-depth/erectile-dysfunction/art-20045141Pfizer propagated the term erectile dysfunction to replace ‘impotence’: https://www.bloomberg.com/news/features/2017-12-11/the-little-blue-pill-an-oral-history-of-viagra?leadSource=uverify wallLARCs and teenage pregnancy: https://www.england.nhs.uk/atlas_case_study/increasing-the-uptake-of-long-acting-reversible-contraception-larc-in-general-practice/Young men, erectile issues and pornography: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8569536/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. Hosted on Acast. See acast.com/privacy for more information.

This week is my 100th episode. I reflect on some of the topics I have covered over the last 20 months or so and beyondthe basics I talk about what I think is the most important aspect of our health in the modern world (and it's not food or relationships)!Links below for a deeper dive... let's go.School resources - how the NHS works: https://www.england.nhs.uk/publication/schools-resources-toolkit/#:~:text=This%20is%20a%20toolkit%20of,NHS%20Services%2C%20health%20and%20wellbeing.My Symptom Web via NHS England: https://twitter.com/NHS/status/1167147825815314433MTHFR gene mutation: https://www.healthline.com/health/mthfr-gene#symptomsMTHFR - more info: https://www.medicalnewstoday.com/articles/318526Free coaching framework: https://www.basic-coaching.com/Mental health app Leafyard who I am proud to partner with: https://www.leafyard.com/healthfixHow food can regain nutrients: https://www.bbc.com/future/bespoke/follow-the-food/why-modern-food-lost-its-nutrients/Journalling for beginners: https://www.bbc.co.uk/bitesize/articles/z3hshcwEffect of trauma on the brain: https://www.urmc.rochester.edu/news/publications/neuroscience/researchers-reveal-how-trauma-changes-the-brainSystems Medicine - Leroy Hood: https://laskerfoundation.org/leroy-hood-there-is-going-to-be-a-fantastic-revolution-in-medicine/Earth’s environmental problems in 2024: https://earth.org/the-biggest-environmental-problems-of-our-lifetime/My book THE HEALTH FIX - on offer now!: https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja-ebook/dp/B0B2VTFFVS/ref=zg_bs_g_362843031_d_sccl_1/259-3769703-6680765?psc=1New Book: Why can’t I see my GP?: https://www.amazon.co.uk/s?k=why+can%27t+i+see+my+gp&i=digital-text&crid=3EHTLXLDL76C7&sprefix=why+can%27t+i+see+my+gp%2Cdigital-text%2C71&ref=nb_sb_noss_1Save 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. Hosted on Acast. See acast.com/privacy for more information.

In this episode I look at the work of doctors being done by other professionals and try to balance the issues that surround it. Links:My rapid response from the BMJ in 2006: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1325146/Labels and role confusion: https://www.theguardian.com/society/2023/dec/13/public-confused-over-physician-associates-working-in-nhs-research-findsPay issues and regulation: https://www.dailymail.co.uk/health/article-12710201/Some-physician-associates-paid-90-000-year-twice-junior-doctors-salary-not-regulated.htmlA sad case of a death: https://www.bbc.co.uk/news/uk-england-manchester-66211103Endoscopy explained: https://www.nhs.uk/conditions/endoscopySave 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. Hosted on Acast. See acast.com/privacy for more information.

Meditation and mindfulness are both useful interrelated tools to improve one’s mental health.Meditation should ideally be a regular practice and in this episode I discuss some of the benefits as well as take you through a short guided mediation on self-compassion.Links:Mindfulness and CBT: https://www.nature.com/articles/s41598-022-24256-9Mindfulness and changes in the brain - neuroplasticity: https://www.youtube.com/watch?v=7CBfCW67xT8Meditation and mindfulness nuances: https://positivepsychology.com/differences-between-mindfulness-meditation/Mindfulness and meditation during COVID-19: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7287297/Measurement of brain responses to meditation: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8638869/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. Hosted on Acast. See acast.com/privacy for more information.

In this episode I look at the concept of ‘ideas’ rather than resolutions that might shape your 2024 on an individual and societal level, including a couple of things I managed myself in 2023. There are also some easy hacks to incorporate into your day which can work for everyone.My IDEAL framework for behaviour change: https://shows.acast.com/savinglivesinslowmotion/episodes/behaviour-change-2-the-ideal-frameworkCircular economy: https://unctad.org/topic/trade-and-environment/circular-economyBan on single use plastics: https://www.bbc.co.uk/news/business-66946643AI and personalised medicine: https://www.theguardian.com/commentisfree/2023/jun/26/ai-personalise-medicine-patient-lab-health-diagnosis-cambridgeLeafyard - AI driven mental health app with 20% off here: https://www.leafyard.com/healthfixMy talk in London on Wednesday January 10th 2024: https://www.eventbrite.co.uk/e/dr-ayan-panja-the-health-fix-tickets-753931006937Red January: https://join.redjanuary.com/THE HEALTH FIX - all formats, paperback out NOW. Transform your health now: https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296Save 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. Hosted on Acast. See acast.com/privacy for more information.

In this episode I look at the true essence of health.We live a world that is increasingly confusing in terms of health messaging and priorities given the amount of inequality in the world.I take a look at some basics of what is important to us in our lives which people may not consider important for health but not only nourish us as humans but are important to both our short and long term health.Links:Self-esteem and the brain: https://www.ucl.ac.uk/news/2017/oct/self-esteem-mapped-human-brainHugs (they really are good for us): https://www.healthline.com/health/hugging-benefitsQuality of Life scoring: https://positivepsychology.com/quality-of-life-questionnaires-assessmentsWeightless by Marconi Union (the most relaxing tune in the world?): https://www.google.com/search?client=safari&rls=en&q=weightless+by+marconi+union&ie=UTF-8&oe=UTF-8Social connectedness (what we know): https://www.cdc.gov/emotional-wellbeing/social-connectedness/affect-health.htmEating together (like my taxi driver): https://blog.swedish.org/swedish-blog/7-benefits-of-eating-together-as-a-familySalutogenesis: https://www.local.gov.uk/case-studies/salutogenesis-introductionCome and say Hi to me in London: https://www.eventbrite.co.uk/e/dr-ayan-panja-the-health-fix-tickets-753931006937Pre-order THE HEALTH FIX paperback version now (thank you for your support): https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja/dp/1914239326/ref=monarch_sidesheetSave 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. Hosted on Acast. See acast.com/privacy for more information.

In this episode I look at the role of our genes in health and illness.Patterns of inherited diseases: https://www.verywellhealth.com/how-genetic-disorders-are-inherited-2860737Epigenetics explained: https://www.theguardian.com/science/occams-corner/2014/apr/25/epigenetics-beginners-guide-to-everythingEpigenetics and inheritance: https://learn.genetics.utah.edu/content/epigenetics/inheritanceEthics of medical genetic testing: https://pubmed.ncbi.nlm.nih.gov/24300652/CRISPR technology: https://frontlinegenomics.com/unlocking-the-future-where-is-gene-editing-going-next/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. Hosted on Acast. See acast.com/privacy for more information.

TW: This episode mentions PTSD.We all know what trauma means but how and why does it affect our physical health as well as our mental health?In this episode I look at the reasons behind trauma being a trigger for illness and what we can do to prevent its effects over the years in terms of maintenance.Links: Trauma informed care: https://www.gov.uk/government/publications/working-definition-of-trauma-informed-practice/working-definition-of-trauma-informed-practiceDr Gabor Maté: https://drgabormate.com/“Negative thinking”: Gabor Maté’s thoughts on this: https://www.reflecttherapies.com/post/the-power-of-negative-thinkingSuppressed anger and illness: https://www.frontiersin.org/articles/10.3389/fpsyt.2021.637029/fullEmpaths: If empathy is about stepping into someone’s shoes, compassion is instead “a feeling of concern for another person’s suffering which is accompanied by the motivation to help”: https://www.bbc.com/future/article/20200930-can-empathy-be-bad-for-youDr Nicole Le Pera: https://theholisticpsychologist.com/how-to-do-the-work/The Hoffman Process: https://www.hoffmaninstitute.co.uk/about-the-process/The seven A’s of healing: https://taliand.com/2012/05/04/the-seven-as-of-healing/EMDR for PTSD: https://www.ptsduk.org/treatment-help/eye-movement-desensitisation-reprocessing-emdr/For healthcare professionals: Gabor Maté live in London: https://www.tickettailor.com/events/practiceunbound/940200Save 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. Hosted on Acast. See acast.com/privacy for more information.

These are both words that are bandied around quite a lot in common parlance but what do they actually mean? And what is the difference between them?In this episode I look at the similarities, differences and why they come about.Links:Trump - a textbook narcissist: https://www.uu.nl/en/node/541/donald-trump-textbook-narcissistDSM-5 classification of Narcissistic Personality Disorder: https://emedicine.medscape.com/article/1519417-overview?form=fpfDr James Fallon: https://www.ted.com/talks/jim_fallon_exploring_the_mind_of_a_killer?language=enDr Supriya McKenna - expert support resources on living and dealing with narcissists: https://www.doctorsupriya.com/The Bad Surgeon: https://www.rollingstone.com/tv-movies/tv-movie-reviews/bad-surgeon-netflix-paolo-macchiarini-true-crime-benita-alexander-nbc-news-1234904394/The psychopath test: https://psychcentral.com/quizzes/psychopathy-quizMy London talk in Soho: Wednesday January 10th: https://www.eventbrite.co.uk/e/dr-ayan-panja-the-health-fix-tickets-753931006937Save 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. Hosted on Acast. See acast.com/privacy for more information.

Medicalisation is the how human experience becomes something that needs medical attention.There are pros and cons of this including the ‘need’ for medicine vs something that is being sold to us something that is unnecessary.I look at some examples in this episode and why it is something that needs consideration.Links:Ivan Illich: https://www.theguardian.com/news/2002/dec/09/guardianobituaries.highereducationSadness vs depression?: https://www.sciencedirect.com/science/article/abs/pii/S0277953617302551#:~:text=Medicalization%20describes%20a%20process%20by,normal%20behavior%20into%20medical%20conditions.A discussion on medicalisation: https://news.harvard.edu/gazette/story/2009/04/scholars-discuss-medicalization-of-formerly-normal-characteristicsThe story behind PHQ-9 and assessing depression: https://www.medicalrepublic.com.au/strange-history-of-a-depression-screening-tool/86457Lay referral: https://bjgp.org/content/49/445/617THE HEALTH FIX (paperback version out Jan 24)!: https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296Save 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. Hosted on Acast. See acast.com/privacy for more information.

Integrity - most of us know what it is and value it but does it always help us or can it hinder us? In this episode I look at why is it so important to so many people, what defines it and some extreme examples.Links: Generic examples of integrity: https://helpfulprofessor.com/integrity-examples/The VW scandal: https://www.bbc.co.uk/news/business-34324772Roddick vs Verdasco (tennis): https://www.youtube.com/watch?v=bma1NZuo_o4Integrity in the workplace: https://www.betterup.com/blog/integrity-in-the-workplaceSave 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. Hosted on Acast. See acast.com/privacy for more information.

In this episode I conduct a whistle-stop tour of musculoskeletal health and strategies to prevent joint, muscle and ligament problems and improve our ability to keep them healthy. Some of these conditions are genetic but many are not.Links: Biomechanics: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3266544/Exercise and osteoarthritis: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6165969/#:~:text=Muscle%20strengthening%20and%20programs%20that,activity%20(e.g.%2C%20walking).Nightshades: https://www.arthritis.org/health-wellness/healthy-living/nutrition/anti-inflammatory/how-nightshades-affect-arthritisOxalates and pain: https://www.dailymail.co.uk/health/article-2174474/The-GP-gave-fruit-veg-cure-aches-pains.htmlConnective tissue disorders (can be genetic): https://www.healthline.com/health/connective-tissue-disease#genetic-conditionsGout and glycation: sugar is a big culprit for joint stiffness and uric acid deposition beyond seafood, red meat, spinach and tomatoes: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234537/#Weights and resistance training to prevent muscle mass loss as we age:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4849483/#Turmeric and health: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5664031/Turmeric and lead: https://stanmed.stanford.edu/turmeric-lead-risk-detect/Fish oils and pain: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7494084/Pain and trauma: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8578317/THE HEALTH FIX: https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296/ref=sr_1_1?crid=2RRCBAMHYXPWK&keywords=health+fix&qid=1699533165&s=books&sprefix=health+fix%2Cstripbooks%2C76&sr=1-1Save 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. Hosted on Acast. See acast.com/privacy for more information.

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.htmlTanya Luhrmann’s work: https://press.princeton.edu/books/hardcover/9780691164465/how-god-becomes-realPositive outlooks: https://psppjournals.org/index.php/jchp/article/view/212Think yourself young?: https://www.bbc.com/future/article/20180410-how-your-mindset-determines-your-healthThe story of Buddha: https://tricycle.org/magazine/who-was-the-buddha/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. Hosted on Acast. See acast.com/privacy for more information.

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-timeDiabetes 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-medicationAir 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-yDr David Unwin: https://amp.theguardian.com/society/2023/apr/09/british-doctor-pioneers-low-carb-diet-as-cure-for-obesity-and-type-2-diabetesLow carb diets: https://www.diabetes.co.uk/diet/low-carb-diabetes-diet.htmlGut microbes and Type 2 Diabetes: https://www.sciencedirect.com/science/article/pii/S0955286318303073Evidence 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-antibodiesTHE HEALTH FIX: https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296/ref=tmm_hrd_swatch_0?_encoding=UTF8&qid=1698178460&sr=1-1Save 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. Hosted on Acast. See acast.com/privacy for more information.

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-202208042796Diarrhoeal illness: https://www.who.int/health-topics/diarrhoea#tab=tab_1Oral rehydration therapy: https://www.unicef.org/supply/stories/oral-rehydration-salts-and-zinc-co-packaging-offers-simple-solution-save-children-diarrhoeaProbiotics for traveller’s diarrhoea: https://www.medicalnewstoday.com/articles/saccharomyces-boulardii-probioticMosquito-borne illness: https://www.worldmosquitoprogram.org/en/learn/mosquito-borne-diseasesDengue and severe Dengue: https://www.who.int/news-room/fact-sheets/detail/dengue-and-severe-dengueNeglected tropical disaeases: https://www.who.int/health-topics/neglected-tropical-diseases#tab=tab_1DVT: 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-cancerSave 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. Hosted on Acast. See acast.com/privacy for more information.

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-coughRed 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/tuberculosisHoney for cough: https://ebm.bmj.com/content/26/2/57A functional medicine case study: https://consultqd.clevelandclinic.org/patients-25-year-cough-relieved-by-diet-and-thermal-depuration/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. Hosted on Acast. See acast.com/privacy for more information.

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/s43856-021-00003-5YouTube 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/761453Reliable health info sources (in my opinion): https://www.healthline.com/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. Hosted on Acast. See acast.com/privacy for more information.

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-changesSoleus 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_sidesheetPRESCRIBING LIFESTYLE MEDICINE (certification course - open to medics and other healthcare practitioners): https://www.practiceunbound.org.uk/product/prescribinglifestylemedicine/enrol-plmSave 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. Hosted on Acast. See acast.com/privacy for more information.

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_C4Specialists 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:Expanding our workforceengland.nhs.ukContinuity of care: https://www.bmj.com/content/375/bmj.n2468Johari’s window - you don’t know what you don’t know: https://www.communicationtheory.org/wp-content/uploads/2013/01/johari-model.jpgGeneral practice under threat: https://www.nuffieldtrust.org.uk/news-item/general-practice-on-the-brink-how-did-it-get-thereGP workload: https://www.rcgp.org.uk/news/fit-for-the-future-gp-pressures-reportSave 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. Hosted on Acast. See acast.com/privacy for more information.

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-inequalitiesSelf-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/fulltextEnd of life and palliative care inequality: https://www.who.int/news-room/fact-sheets/detail/palliative-careCalcutta Rescue: https://calcuttarescuefund.org.uk/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. Hosted on Acast. See acast.com/privacy for more information.

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/s41999-021-00479-3Deprescribing: https://www.bgs.org.uk/AAAdesprescribingDrug side effects: https://www.pharmacytimes.com/view/10-scariest-prescription-drug-side-effectsSave 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. Hosted on Acast. See acast.com/privacy for more information.

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-sleepSupplements: https://www.healthline.com/nutrition/sleep-aidsGenes 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/chronotypesTHE HEALTH FIX: amazon.co.ukPlease VOTE for SAVING LIVES IN SLOW MOTION: https://www.britishpodcastawards.com/votingSave 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. Hosted on Acast. See acast.com/privacy for more information.

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-catcorrA 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-videoMitochondria and fibromyalgia: https://pubmed.ncbi.nlm.nih.gov/33142767/Autoimmune conditions can present with tiredness or fatigue: https://www.healthline.com/health/autoimmune-disordersLeafy greens and the liver: https://www.medicalnewstoday.com/articles/324041Antioxidants: https://www.medicalnewstoday.com/articles/what-do-we-really-know-about-antioxidantsPlease vote for me in The British Podcast Awards - just type in Saving Lives in Slow Motion :https://www.britishpodcastawards.com/voting?fbclid=PAAabFFDdT3XXe_1DmJ1gCBKNKlpNBLlSnW5shHmeJaISb5YGACEZ78knUieI_aem_AUl-XjZJmMCoKTv5W9NwVxled4IdiHz6Rly1Jt4OP4YZn9ieWj2Wf9r5LIZZ06yMoLgSave 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. Hosted on Acast. See acast.com/privacy for more information.

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-d0408ab989d6The default mode network of the brain:https://neuroscientificallychallenged.com/posts/know-your-brain-default-mode-networkThe science behind down time:https://www.psychologytoday.com/intl/blog/play-your-way-sane/202201/the-scientific-case-downtimeSave 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. Hosted on Acast. See acast.com/privacy for more information.

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-fbcVitamin D deficiency: https://www.nice.org.uk/guidance/ph56B12 deficiency: https://www.healthline.com/nutrition/vitamin-b12-deficiency-symptomsMedics 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 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. Hosted on Acast. See acast.com/privacy for more information.

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.svgIBS (made worse by stress): https://patient.info/digestive-health/irritable-bowel-syndrome-leafletSIBO: https://www.healthline.com/health/siboH pylori infection: https://gutscharity.org.uk/advice-and-information/conditions/helicobacter-pylori/FODMAPs (can cause gas): https://www.healthline.com/nutrition/fodmaps-101Testing 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/symptomsMy book THE HEALTH FIX for case studies and tips: https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296/ref=monarch_sidesheetThe 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/diverticulitisCoeliac 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-probioticsSave 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. Hosted on Acast. See acast.com/privacy for more information.

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-modelDavid Rock (ARIA model): https://davidrock.net/The Coaching Habit: https://boxofcrayons.com/boc/the-coaching-habit-book/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. Hosted on Acast. See acast.com/privacy for more information.

Medical imaging AI:https://www.thelancet.com/journals/landig/article/PIIS2589-7500(20)30160-6/fulltextGenerative AI: https://generativeai.net/AI driven CBT: Leafyard.com/healthfixAI 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=569b58aa4ceaCan AI be dishonest? https://www.instagram.com/p/CqjNUobpedJ/?hl=en-gbSave 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. Hosted on Acast. See acast.com/privacy for more information.

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-therapistCBT: https://www.mind.org.uk/information-support/drugs-and-treatments/talking-therapy-and-counselling/cognitive-behavioural-therapy-cbt/Psychodynamic psychotherapy: https://www.psychologytoday.com/gb/therapy-types/psychodynamic-therapyPlay Therapy (Samantha Boyle) https://www.plays2talk.co.uk/what-is-play-therapy-1Avatar therapy (Professor Julian Leff’s work): https://www.bbc.co.uk/news/health-22720248Dungeons and Dragons (role play therapy): https://www.youtube.com/watch?v=EuDJ-x9HWycReference to mental health in Cambodia (now much improved): https://www.voanews.com/a/cambodias-mental-health-services-critically-neglected/2775810.htmlThe Health Fix: https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296Leafyard - an online CBT based mental health app (partnership): Leafyard.com/healthfixSave 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. Hosted on Acast. See acast.com/privacy for more information.

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-nhsContinuity 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-americaNHS staff sickness: https://www.theguardian.com/society/2023/jun/29/nhs-staff-sickness-rate-england-record-highNHS in charts and infograms: https://www.health.org.uk/news-and-comment/charts-and-infographicsProfessor Stephen Hawking on the NHS:https://www.facebook.com/RoyalSocietyofMedicine/videos/10154984279978693New 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-nhsSave 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. Hosted on Acast. See acast.com/privacy for more information.

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 itLinks: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.htmlChange during midlife: https://hbr.org/2008/02/the-existential-necessity-of-midlife-changeEmotional healing: https://www.psychologytoday.com/gb/blog/rethinking-mental-health/201309/10-tips-emotional-healingU3A: https://www.u3a.org.uk/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. Hosted on Acast. See acast.com/privacy for more information.