Saving Lives In Slow Motion

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_ethicsThe story of baby Charlie Gard: https://www.bbc.co.uk/news/health-40554462Ethical guidance for doctors: https://www.bmj.com/careers/article/ethical-guidance-for-doctorsPrivate 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-candourAnother 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-limitRationing in healthcare: https://www.nature.com/articles/s41581-021-00404-8Save 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 intelligence, what it means and whether it even matters on a practical level. What are the different types, how is it measured and are there ways that we improve our IQ? IQ testing - a discussion: https://theconversation.com/the-iq-test-wars-why-screening-for-intelligence-is-still-so-controversial-81428Howard Gardner’s work: https://pz.harvard.edu/resources/frames-of-mind-the-theory-of-multiple-intelligencesVirginia sterilisation act 1924 based on a flawed eugenics theory: http://www2.vcdh.virginia.edu/lewisandclark/students/projects/monacans/Contemporary_Monacans/racial.htmlJason Arday: https://www.theguardian.com/education/2023/feb/23/jason-arday-to-become-youngest-ever-black-professor-at-cambridgeYoung chess grandmasters: https://khelnow.com/olympics/2023-02-top-five-youngest-grandmasters-in-chess-history#Multitasking and it’s harms: https://www.lifespan.org/lifespan-living/multitasking-and-how-it-affects-your-brain-healthThe cleverest man to have ever lived? William Sidis: https://interestingengineering.com/culture/william-james-sidisImproving intelligence: https://blogs.scientificamerican.com/guest-blog/you-can-increase-your-intelligence-5-ways-to-maximize-your-cognitive-potential/Mensa (high IQ society): https://mensa.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.

In this episode I look at the effects of the pandemic which still linger. How has it affected us and our health and outlook? It’s been over 3 years since COVID-19 enveloped the planet and there have been myriad effects on people which have affected us in overt and subtle ways.Big picture effects of the pandemic:https://www.thebritishacademy.ac.uk/publications/covid-decade-understanding-the-long-term-societal-impacts-of-covid-19/The COSMO study: https://www.suttontrust.com/cosmo-the-covid-social-mobility-and-opportunities-study/The effect of the pandemic on young people: https://www.kcl.ac.uk/an-isolated-generation-the-impact-of-covid-19-on-children-and-young-peopleGlobal perspective from Chatham House: https://www.chathamhouse.org/2022/05/how-build-better-world-post-covid-19Rebuilding relationships:https://facultyadvancement.duke.edu/how-can-we-rebuild-relationships-after-covidPTSD and COVID: https://www.ptsduk.org/the-link-between-covid-19-and-ptsd/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.

Neurodiversity is becoming more of an important aspect of our lives as people are increasingly becoming more neurodivergent. In this episode I look at examples, the origins of the term neurodiversity and what it means for our lives now and moving forward. And I hope you like the quote at the very end of the show. Judy Singer: https://www.forbes.com/sites/drnancydoyle/2022/08/26/hidden-figures-in-neurodiversity-judy-singer/?sh=4ab1f6765446The spectrum and what it means: https://www.nm.org/healthbeat/healthy-tips/autism-awarenessSpiky profiles: https://stimpunks.org/glossary/spiky-profile/Dr Asperger: https://www.bps.org.uk/psychologist/aftermath-hans-asperger-exposeMorrisby tests: https://www.morrisby.com/Psychometric testing: https://www.prospects.ac.uk/careers-advice/interview-tips/psychometric-testsOne example of hiring initiatives in the work place: https://www.goldmansachs.com/careers/professionals/neurodiversity-hiring-initiative.htmlThe Gaps Diet: https://www.gapsdiet.com/Scattered Minds: https://www.amazon.co.uk/Scattered-Minds-Origins-Attention-Disorder/dp/1785042211/ref=sr_1_1?crid=2AWYVNX2OO5IO&keywords=scattered+minds&qid=1685032359&s=books&sprefix=scattered+minds%2Cstripbooks%2C97&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.

Pain affects almost all of us at some point. But some types of pain is experienced more severely than other types. In this episode I look at the factors which affect pain and our perception of it and what we can do handle it better.Nociceptors: https://www.verywellhealth.com/what-are-nociceptors-2564616The nail in the boot: https://www.painscience.com/biblio/source-of-boot-nail-guy-a-popular-medical-anecdote-about-pain-without-injury-nociception.htmlCOMT gene variation: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4151110/Pain and attitudes in Chinese culture: https://journals.sagepub.com/doi/10.1177/1084822314547962Chronic pain review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6676152/CBD oil and pain: https://www.healthline.com/health/cbd-oil-for-painLifestyle based approach to chronic pain: https://www.amazon.co.uk/Pain-Free-Mindset-Control-Overcoming-Chronic/dp/1785043390/ref=sr_1_1?crid=1T1RG5XNM3Q6X&keywords=the+pain-free+mindset&qid=1685171099&sprefix=the+pain-free+mindset%2Caps%2C73&sr=8-1Latest pain research in chronic pain by Prof Shirvalkar: https://www.ucsf.edu/news/2023/05/425386/has-science-cracked-code-chronic-painFibromyalgia overview: https://www.ncbi.nlm.nih.gov/books/NBK540974/#:~:text=Fibromyalgia%20is%20a%20chronic%20pain,as%20emotional%20and%20physical%20trauma.The Health Fix: https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja-ebook/dp/B0B2VTFFVS/ref=sr_1_1?crid=11YZREGJ7IJRN&keywords=health+fix+kindle&qid=1684931474&s=books&sprefix=health+fix+kindle%2Cstripbooks%2C83&sr=1-1. (Kindle price 99p throughout June 2023)!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.

Rejection is something that affects us all but how can we minimise its effects?The effects can be minor or major and in this episode I look at strategies for recognising that it might be an issue, how we can learn from them and how we can better handle it so that it does not continue to affect our lives negatively.Links:Functional MRI of the brain and rejection and links to pain: https://www.science.org/content/article/rejection-pain-brainLong term effects of bullying: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4552909/Protected characteristics: https://www.equalityhumanrights.com/en/equality-act/protected-characteristicsFeeling rejected? https://psychcentral.com/lib/good-news-if-you-often-feel-rejectedRejection sensitivity: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7424132/100 rejections by Jia Jiang: https://www.youtube.com/watch?v=-vZXgApsPCQSave 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.

Is listening an undervalued skill in today’s society?It is an essential part of communication and can have a therapeutic effect.Listening can be a gateway to empathy and compassion and I make the case that we should all do it better before it becomes a lost art.Active listening outperforms simple acknowledgement: https://www.tandfonline.com/doi/full/10.1080/10904018.2013.813234Active listening:https://psychcentral.com/lib/become-a-better-listener-active-listeningBecome a better listener: https://www.nytimes.com/guides/smarterliving/be-a-better-listenerNushu: https://nushu.com/AI listening: https://fortune.com/2022/09/08/ai-chatbots-empathy-manager-work-careers-tech-michelle-zhou/#The Samaritans: https://www.samaritans.orgSave 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 a word and characterisation we all know and use at times. Worried about your health? Perhaps too worried? What constitutes excessive worrying about one’s health?This episode explores the reasons behind it and what can be done to help allay health or illness anxiety.Links: Three Men in a Boat: https://www.goodreads.com/book/show/4921.Three_Men_in_a_BoatRedefining hypochondriasis: https://www.mayoclinic.org/medical-professionals/psychiatry-psychology/news/dsm-5-redefines-hypochondriasis/mac-20429763Case study: https://www.psychologytoday.com/gb/blog/neuroprogress/202005/how-i-overcame-severe-hypochondriaCBT based approach: https://www.nytimes.com/2018/06/18/well/a-new-approach-to-treating-hypochondria.htmlSave 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 essential to leading a healthy life but is all movement the same? Are there any common themes? What is that makes some of us enjoy exercise and others dread it. In this episode I look at the types of exercise and how we do not all have to do the same thing.Activation therapy: https://douglasheel.comSoleus push ups and their benefits: https://stories.uh.edu/2022-soleus-pushup/index.htmlNEAT: https://www.foodspring.co.uk/magazine/how-to-increase-neatEndorphins and exercise - feeling high on exercise: https://edition.cnn.com/2016/01/13/health/endorphins-exercise-cause-happiness/index.htmlPhysical activity guidelines: https://www.nhs.uk/live-well/exercise/exercise-guidelines/physical-activity-guidelines-for-adults-aged-19-to-64/Sarcopenia: https://www.healthline.com/nutrition/sarcopeniaDr Mike Evans '23 and a half hours' (walking for health): https://www.youtube.com/watch?v=aUaInS6HIGoTHE HEALTH FIX: 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.

Some say it’s a modern illness but accounts go back hundreds of years.It’s the ultimate invisible illness but is actually a reaction to a stressor.How can we handle stress, what are the different types and are there any principles we can use to deal with our stress given how individual it is.Links:Insomnia and stress in the BMJ in 1894: https://www.bmj.com/rapid-response/2011/10/30/bmj-110-years-laterStress and its effects on health: https://psychcentral.com/stress/long-term-effects-of-chronic-stress-on-body-and-mind#how-to-recoverStress in students: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8062254/Stress and heart disease: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6568256/Osler’s day-tight compartments: https://spectrummagazine.org/article/2016/06/25/living-day-tight-compartmentsSave 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.

We all know that friendships can be complicated. In this episode I look at why they can be important to health, how they change over the years and the different types of friendship. Links:Childhood friendships and adult health: https://academic.oup.com/eurpub/article/22/3/378/507548Meaningful interactions in younger people (conclusion is interesting): https://www.frontiersin.org/articles/10.3389/fpsyg.2021.617267/fullFriendship jealousy and social media:https://www.emerald.com/insight/content/doi/10.1108/INTR-02-2020-0103/full/html. (Listen to my episode on jealousy too)The nun study and Alzheimers: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2734290/Reciprocity in friendship: https://psychcentral.com/lib/fairness-and-reciprocity-in-friendships#2Save 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 science and psychology behind kindness. Why is kindness important? Are there any downsides? And is it good for both the giver and receiver?Kindness and stress:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8848115/The doctor as a drug:https://www.psychologytoday.com/gb/blog/the-power-rest/201103/the-doctor-is-drugOxytocin increases with age: https://www.frontiersin.org/articles/10.3389/fnbeh.2022.846234/fullSpreading kindness: https://www.kent.ac.uk/staffwellbeing/documents/Covid-19%20Articles/The%20Power%20Of%20Random%20Acts%20Of%20Kindness.htmlThe anatomy of kindness (Radio 4) - interviews:https://www.bbc.co.uk/programmes/m00154cpStudy kindness (postgraduate course): https://study-online.sussex.ac.uk/news-and-events/what-is-the-psychology-of-kindness/Action for Happiness: https://actionforhappiness.orgKindness in religions:https://www.abc.net.au/everyday/five-religious-australians-reflect-on-kindness-and-faith/11852608Save 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.

Our body clock is something most of us have heard of but is more important than we might think, as it can literally make or break our health. It can be easy to take for granted and in this episode I look at some of the science and tips to change ‘timings’ of activities in our lives to our advantage. Links: Satchin Panda TEDx talk: https://youtu.be/erBJuxVR7IERussell Foster’s work: https://www.ndcn.ox.ac.uk/team/russell-fosterStephanie Romiszewski’s work: https://www.sleepyheadclinic.co.uk/stephanie-romiszewski-sleep-expert/Nobel Prize on molecular mechanisms in circadian rhythm:The Nobel Prize in Physiology or Medicine 2017nobelprize.orgResponding to light: https://www.npr.org/sections/health-shots/2022/12/17/1139780998/light-brain-circadian-rhythms-blindShift work and the WHO: https://www.iarc.who.int/news-events/iarc-monographs-volume-124-night-shift-work/Chronotypes: https://www.healthline.com/health/chronotypeSave 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 great topic which feeds into all sort including self-care, information gathering, overdiagnosis and the accuracy of resources online plus the dangers of counterfeit medication.Here are some interesting links:Doctor vs Internet: https://www.bbc.co.uk/programmes/p019px0xThe pros and cons of AI based diagnosis: https://www.statnews.com/2023/02/13/chatgpt-assisted-diagnosis/The story of AccuRx, one of a few companies which offers triage for primary care: https://www.accurx.com/our-storyAda Health, an example of an AI driven symptom analysis: https://ada.comCounterfeit medicines: https://www.nhs.uk/nhs-services/prescriptions-and-pharmacies/pharmacies/dangers-of-buying-medicines-online/Overdiagnosis (there is a separate podcast episode on this topic): https://www.ncbi.nlm.nih.gov/books/NBK430655/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 phenomenon that occurs when someone stops trying to escape pain or bad situations.It is linked to depression and there are certain risk factors for it.In this episode I look at how it can just manifest and how to help yourself out of it.Learned helplessness - Seligman et al: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4920136/Link to depression and anxiety: https://pubmed.ncbi.nlm.nih.gov/1185158/The ABCDE model: https://www.verywellmind.com/learned-optimism-4174101Cognitive distortions: https://psychcentral.com/lib/cognitive-distortions-negative-thinking#list-and-examplesAttribution testing: https://testyourself.psychtests.com/bin/transferSave 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 struggle with this myself and am grateful to one of my listeners for suggesting it as a topic.In this episode I look at the reasons why some people seem to do this with ease and others seem to findit much harder and tools that can help us make it easier.Links:Delayed gratification - the benefits: https://jamesclear.com/delayed-gratificationSelf-awareness: https://www.betterup.com/blog/what-is-self-awarenessSelf regulation theory: http://changingminds.org/explanations/theories/self_regulation.htmADHD and impulse control: https://www.additudemag.com/adhd-impulse-control-social-spending/Niksen: https://www.theguardian.com/lifeandstyle/shortcuts/2019/jul/22/people-just-do-nothing-is-the-dutch-concept-of-niksen-the-best-way-to-relaxSave 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.

Ever wonder what in our environment might affect our health? Often these things are ‘invisible’ or we are not consciously aware of them, but they can have a continued and profound effect on our health.In this episode I look at some everyday environmental hazards and what we can do minimise their effects on us. Links:Air pollution: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7044178/Paper on micro plastics and health: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7068600/Diet and air pollution: https://pubmed.ncbi.nlm.nih.gov/35179602/Background to MI allergy: https://www.occderm.asn.au/health-professionals/epidemic-of-allergy-to-preservative-methylisothiazolinone-mi/MI allergy and the effect of reducing it’s prevalence: https://onlinelibrary.wiley.com/doi/10.1111/jdv.15875Social media and mental health: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7785056/Carbon monoxide poisoning: https://www.nhs.uk/conditions/carbon-monoxide-poisoning/Sick building syndrome and mould: https://academic.oup.com/mmy/article/47/Supplement_1/S217/1073035Minimising air pollution in a city: https://www.bbc.co.uk/news/av/health-35885569Mercury in large fish: https://www.bbc.co.uk/news/av/health-35884051Prescribing Lifestyle Medicine: https://www.practiceunbound.org.uk/product/prescribinglifestylemedicine/homeThe Health Fix (contains my health loop): https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296/ref=nodl_?dplnkId=1ba53367-030f-4f3f-ad09-4a1fc81eadf5Save 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.

Longevity seems to be in fashion at the moment. Almost everyone wants long and healthy lives but how can we achieve that? How long is too long? In this episode I look at commonalities between the populations on earth that live the longest ‘best’ lives.Links:Blue Zones - Dan Buettner’s work with National Geographic:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6125071/Smoking bans and how they change community behaviours:https://pubmed.ncbi.nlm.nih.gov/33928714/'Community Cure': https://www.newlocal.org.uk/articles/the-community-cure/How disease increases with age: https://blogs.bmj.com/bmj/2018/02/01/richard-smith-doctors-and-patients-heading-in-opposite-directions/The Health Fix: https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296/ref=nodl_?dplnkId=1ba53367-030f-4f3f-ad09-4a1fc81eadf5Save 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.

Most people have heard of the placebo effect but is it real and why does it occur?In this episode I look at how placebos may exert their effects and some examples of where they have worked. Is the placebo something that can be used to our advantage? And why do some people experience a nocebo?Links:Ted Kaptchuk and his work on placebo: https://www.harvardmagazine.com/2013/01/the-placebo-phenomenonMechanisms of the placebo effect: https://www.ncbi.nlm.nih.gov/books/NBK513296/Knee surgery (placebo as good as surgery): https://www.nejm.org/doi/full/10.1056/NEJMoa013259Placebo and treatment resistant depression: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2784479Nocebo: https://www.ox.ac.uk/news/science-blog/harmful-placebosBalint and the doctor as a drug: https://www.psychologytoday.com/intl/blog/the-power-rest/201103/the-doctor-is-drug?ampSave 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.

One of the hardest things people often find is to get going with things. How do you motivate yourself and how do you keep momentum going?I have struggled with procrastination myself in the past.In this episode I look at ways to make motivating yourself easier, the different drivers involved and what makes us tick when it comes to turning contemplation into action.The science of motivation: https://www.apa.org/science/about/psa/2018/06/motivationDaniel Pink on motivation: https://www.ted.com/talks/dan_pink_the_puzzle_of_motivation?language=enHow to motivate others with MI techniques https://motivationalinterviewing.org/understanding-motivational-interviewingSave 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.

Our monkey brain is the part of our brain that is impulsive and powerful, hijacking us when we are tired or stressed.Ever regretted shouting at someone? Ever gorged yourself on food and then regretted it? In this episode I explore why this happens, the links to our past experiences and our neuroanatomy.Links:Anatomy of the brain: https://www.hopkinsmedicine.org/health/conditions-and-diseases/anatomy-of-the-brainDopamine and impulsivity: https://www.jneurosci.org/content/30/26/8888Schizophrenia and the amygdala: https://www.nature.com/articles/s41598-020-74771-wCalming the monkey mind: https://www.psychologytoday.com/gb/blog/the-empowerment-diary/201709/calming-the-monkey-mindProf Steve Peters work on this subject of the chimp or monkey brain: https://chimpmanagement.com/books-by-professor-steve-peters/the-chimp-paradox/THE HEALTH FIX: 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.

TW: (this episode mentions death)  Leadership takes many guises. Some people are born leaders and other have to learn it. What makes a good leader? No business or organisation could survive without it and we know how bad leadership can damage organisations. In this episode I look at types of leadership, the qualities of a good leader, what to do about toxic leaders and what sets a leader apart from other roles.Links: Understanding leadership: https://hbr.org/2004/01/understanding-leadership12 types of leadership: https://www.usa.edu/blog/leadership-models/Bad leadership: https://www.forbes.com/sites/mikemyatt/2012/10/18/15-ways-to-identify-bad-leaders/?sh=7f03512115daGood leadership: https://www.ccl.org/articles/leading-effectively-articles/characteristics-good-leader/Traits of successful leaders: https://www.forbes.com/sites/deeppatel/2017/03/22/11-powerful-traits-of-successful-leaders/?sh=5a85589e469fThe future of leadership: https://quantic.edu/blog/2022/08/05/the-future-of-leadership-in-2030-6-new-disruptive-trends/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.

Change can be fun or stressful depending on what it is.Until I did my GP training 20 years ago I didn’t realise that change needs to be managed. Change often happens ‘to’ us but we need to be mindful of how to manage it and particularly if we want to make changes for ourselves.Links:Bridges Transition model: https://wmbridges.com/about/what-is-transition/Kotter’s Framework for change: https://www.kotterinc.com/methodology/8-steps/The PDSA cycle: https://www.england.nhs.uk/wp-content/uploads/2022/01/qsir-pdsa-cycles-model-for-improvement.pdfMy IDEAL framework (at 29 minutes): https://www.youtube.com/watch?v=jhN12lmePQEOrder THE HEALTH FIX: https://rb.gy/uhvnxlSave 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.

Thank you for your support with the release of THE HEALTH FIX which has become an instant bestseller on Amazon.In this episode I dive into the method of the book by going over my own health story which was the catalyst for me writing it. I then look at The Health Loop which turns 'what' into ‘why’.I hope it makes sense and remember to cross refer to previous episodes.Links:Re-activation of viruses in long COVID: https://www.news-medical.net/news/20221116/SARS-CoV-2-infection-triggers-reactivation-of-latent-viruses-in-people-with-chronic-fatigue-syndrome.aspxThe effects of sleep deprivation: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5449130/The ‘when’ of eating: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6520689/Stress and its effect on body function: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5579396/NICE guidance on Vitamin D supplementation: https://www.nice.org.uk/guidance/ph56Buy THE HEALTH FIX now (UK): 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.

Happy New Year!In this episode I look at the different ways people approach a 'new year' and discuss the principles I use myself to get through what is undoubtedly a tough time in history.A lot has happened over the past 2 years and we need a way of coming out of that.What are your plans for 2023? I’d love to hear from you on my socials.Links: Have people changed since COVID? https://www.theguardian.com/world/2022/sep/28/covid-might-have-changed-peoples-personalities-study-suggestsSleep: https://www.sleepfoundation.org/sleep-hygiene/why-do-i-wake-up-at-the-same-time-every-nightGeneralism and why I think it is crucial to society: https://www.youtube.com/watch?v=ST6XEDcD_C4My book THE HEALTH FIX: https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296/ref=cm_cr_arp_d_product_top?ie=UTF8Save 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.

Today’s episode is on antibiotics. The balance between increasing resistance and lack of effectiveness and saving lives is increasingly difficult to navigate.Antibiotic resistance: https://www.who.int/news-room/fact-sheets/detail/antimicrobial-resistanceLonger term effects of antibiotics: https://pubmed.ncbi.nlm.nih.gov/32319703/Vitamin D and sepsis: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377223/Sepsis information: https://www.sepsis.org/sepsis-basics/what-is-sepsis/Invasive group A strep info iGAS - a particular type of group A strep: https://www.england.nhs.uk/publication/group-a-strep/Health Freaks trailer 2013: https://www.youtube.com/watch?v=hEGH4hfxMfUTurmeric and infection: https://www.medicalnewstoday.com/articles/326809THE HEALTH FIX: 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.

TW: Today’s episode is on cancer which will affect one in two people.I look at the different types, the variables that cause it, whether there are ways of preventing cancer and also why some cancers are common and others not. Links:How cancer starts: https://www.nature.com/scitable/topicpage/cell-division-and-cancer-14046590/Why are cancers on the rise?: https://news.harvard.edu/gazette/story/2022/09/researchers-report-dramatic-rise-in-early-onset-cancers/The commonest cancers: https://www.healthline.com/health/most-common-cancersViruses and cancer: https://www.cancer.org/healthy/cancer-causes/infectious-agents/infections-that-can-lead-to-cancer/viruses.html David Servan-Schreiber, the author of *anti-cancer* (survived over 20 years after being given 3 months to live): https://www.youtube.com/watch?v=0VNjuBgHIAwRAS genes and signalling: https://www.frontiersin.org/articles/10.3389/fonc.2019.00965/fullDr Carl June and CAR T cell therapy: https://www.pennmedicine.org/news/news-releases/2022/november/car-t-cell-therapy-reaches-beyond-cancerMacmillan Cancer Support: https://www.macmillan.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.

This episode is about prevention. What do we mean by it and how can we make prevention accessible?There is prevention on a public health level but also we take precautions as individuals.I look at examples of both and try to separate out the different types plus a living example of prevention at work (Dr David Unwin).Links: Global patterns of disease: https://ourworldindata.org/burden-of-diseaseNon-communicable disease: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseasesLeading causes of global mortality: https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-deathThe DASH diet: https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/dash-diet/art-20048456Turmeric and Alzheimer’s Disease: https://actaneurocomms.biomedcentral.com/articles/10.1186/s40478-018-0577-2Press ups and heart disease: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2724778Dr David Unwin and his work on diabetes: https://www.youtube.com/watch?v=OlKDM3SDHPASave 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.

Personalised medicine is the future. We live in a world of AI and machine learning and the expectation of medicine is to be more precise. Can we get half way there ourselves by thinking about things a certain way? How do we get to the root cause?Leroy Hood: https://isbscience.org/bio/leroy-hood/P4 medicine: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4204402/The counterpoint to P4 medicine: https://academic.oup.com/jalm/article/4/1/108/5603054David Unwin’s work on type 2 diabetes: https://collegeofmedicine.org.uk/our-beyond-pills-campaign-dr-david-unwin-on-beating-diabetes-with-diet-and-how-his-own-merseyside-practice-has-saved-68000-a-year-on-drugs/Group consultations:https://www.england.nhs.uk/gp/case-studies/group-consultations-together-patients-are-stronger/Leafyard: AI driven mental health app (COI: I am in a partnership with Leafyard): https://www.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.

Why is teamwork important? Are teams all they’re cracked up to be? What makes a good team? Is it personalities, culture or beyond?In the episode I look at what makes teams work and what factors to consider when creating an effective team.Do listen right to the end until I get to the bit where you I leave you with some thoughts as I'd love to hear your analysisLinks:Hackman’s five factor model: http://www.free-management-ebooks.com/faqld/development-03.htmWhy teams don’t work: https://hbr.org/2009/05/why-teams-dont-workBelbin - Dr Meredith Belbin’s tool used commonly to work out what your role in a team might be: https://www.belbin.comA story of teams trying something different: https://willitmaketheboatgofaster.com/about/"Forming, norming, storming and performing": https://www.mindtools.com/pages/article/newLDR_86.htmSave 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: I talk about manipulation and harm in relationships.Toxic people drain us. Is it 'them' or their behaviours? Many people develop these toxic behaviours because of their early life. In this episode I discuss the features to look out for and what we can do about them. Toxic traits: https://www.betterup.com/blog/toxic-traitsToxic people - another view: https://www.purewow.com/wellness/traits-of-toxic-peopleEveryday narcissism: https://www.psychologytoday.com/gb/blog/the-author-speaks/201708/everyday-narcissismSave 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.

Allergies are on the rise and can range from mild to life threatening. In this episode I look at how they originate, why they are increasing in prevalence and what we can do about it. The show notes and links below contain texting methods and some of the many themes covered in this episode.(TW: I talk about a case of life threatening anaphylaxis).Links:The allergic cascade: https://www.medicinenet.com/allergic_cascade/article.htmCows Milk Allergy - IgE and non-IgE: https://www.allergyuk.org/about-allergy/allergy-in-childhood/cows-milk-allergy/Peanut allergy - the LEAP study: https://www.leapstudy.co.uk Anaphylaxis: https://www.nhs.uk/conditions/anaphylaxis/The Hygiene Hypothesis - outdated?: https://www.pnas.org/doi/10.1073/pnas.1700688114Rook and the Old Friends Hypothesis: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3868387/Gut flora and allergies: https://www.scientificamerican.com/article/gut-microbes-may-be-key-to-solving-food-allergies/Intolerances: https://www.allergyuk.org/about-allergy/allergy-vs-intolerance/Vitamin D and allergy: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4369152/Immunotherapy: https://www.anaphylaxis.org.uk/fact-sheet/allergen-immunotherapy/MI allergy: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4689087/Testing methods for allergies: https://www.medicalnewstoday.com/articles/allergy-testingSave 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.

Both of these potentially debilitating conditions are often experienced together and affect up to 1 in 4 people at any time.In this episode I look at the underlying reasons, what we can do about them and how to approach depression and anxiety practically.Links:NHS waiting list: https://www.independent.co.uk/news/health/nhs-mental-health-waiting-list-b2145432.htmlDefinitions and statistics: https://www.mind.org.uk/information-support/types-of-mental-health-problems/statistics-and-facts-about-mental-health/how-common-are-mental-health-problems/The genetic basis of depression: https://journals.lww.com/hrpjournal/fulltext/2015/01000/genetic_determinants_of_depression__recent.1.aspxDNA methylation and depression: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362194/NICE guidance and treatment of depression: https://www.nice.org.uk/guidance/ng222CBT (cognitive behavioural therapy): https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/talking-therapies-and-counselling/cognitive-behavioural-therapy-cbt/overview/Adolescent depression: https://www.hindawi.com/journals/drt/2020/5951792/Cultural influences on mental health: https://pha.berkeley.edu/2017/04/16/cultural-influences-on-mental-health/Box breathing: https://www.healthline.com/health/box-breathingMindfulness (being in the moment): https://www.mind.org.uk/information-support/drugs-and-treatments/mindfulness/about-mindfulness/The Power of Now: https://www.amazon.co.uk/Power-Now-Guide-Spiritual-Enlightenment/dp/0340733500Pre-order my book now: THE HEALTH FIX >  https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296Leafyard (CBT based app): Leayard.com/actnowSave 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.

Jealousy is something most of us have experienced from both sides.In this episode I look at the different types of jealousy, the reasons behind it, and discuss whether it can be ‘normal’ or not. The evolutionary psychology of jealousy: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5609545/Jealousy in the first year of life: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5302134/Othello syndrome: https://www.medicinenet.com/othello_syndrome/definition.htmFamous examples of jealousy from books and films: https://blog.ted.com/9-memorable-manic-moments-of-jealousy-in-literature/Keeping up with the Joneses: https://pubmed.ncbi.nlm.nih.gov/26190653/Managing jealousy and abusive behaviours: https://respectphoneline.org.uk/resources/resources-for-perpetrators/factsheets-hp/managing-jealousy/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.

Self-care sounds pretty obvious but is it? There are so many definitions of self-care and here I make the argument that it is actually totally individual.We know the public health messaging around the basics such as alcohol, smoking, diet, exercise and sleep, but self-care goes way beyond these.What do you think of as self-care? We explore more in this episode.Links:The Health Fix (pre-order): https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296The self-care continuum: https://www.selfcareforum.org/about-us/what-do-we-mean-by-self-care-and-why-is-good-for-people/The benefits of exercise: https://inews.co.uk/inews-lifestyle/exercise-benefits-weekend-two-days-1874641Garlic ; )https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7570905/Extra Virgin Olive Oil: https://pubmed.ncbi.nlm.nih.gov/30487558/Maslow’s hierarchy: https://www.masterclass.com/articles/a-guide-to-the-5-levels-of-maslows-hierarchy-of-needsSave 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: Today’s episode covers death. What is a good death and is it important?In my work I see examples of good and bad deaths depending on how it is perceived by those who bear witness to it and those left behind.I discuss whether death planning is something we should talk about more as a society as death is an inevitable part of life.Links:BMJ article - A good death: https://www.bmj.com/content/320/7228/129Elisabeth Kubler-Ross: https://www.ekrfoundation.org/elisabeth-kubler-ross/quotes/Euthanasia: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8857436/Merope Mills article: https://www.theguardian.com/lifeandstyle/2022/sep/03/13-year-old-daughter-dead-in-five-weeks-hospital-mistakesMarie Curie (end of life care charity): https://www.mariecurie.org.uk/blog/we-cant-prevent-death/153956Death planning: https://www.mariecurie.org.uk/talkabout/articles/get-your-planning-checklist/260241Why smell is so evocative: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3782615/Puja flowers (my favourite smell): https://www.thedailystar.net/lifestyle/spotlight/flowers-my-goddess-159139Save 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.

Feedback is a part of everyday life. It is used in most industries as a learning tool but is it help or hindrance? Here I look at types of feedback and how we can give and receive it better.Links:Building a feedback culture: https://hbr.org/2013/12/building-a-feedback-rich-culturePendleton feedback rules: https://www.thecoach.zone/a-method-of-delivering-a-great-feedback-session-pendletons-rules/Giving feedback effectively: https://online.hbs.edu/blog/post/how-to-give-feedback-effectivelyTypes of feedback: https://www.betterup.com/blog/types-of-feedbackSave 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.

Failure and feelings of failure are common. Where do they come form? Why do some people feel like failures when others don’t?I explore this and ways to combat feelings of failure in our lives.Schema: https://www.youtube.com/watch?v=F624Baz-VzkHuman failure and its types: https://www.hse.gov.uk/humanfactors/topics/types.pdfFailure is essential for success: https://www.scientificamerican.com/article/failure-found-to-be-an-essential-prerequisite-for-success/My musings on failure - BMJ 2003: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC261763/Leafyard app - one of many CBT based apps which can help with false beliefs: https://www.leafyard.com/actnow 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 is a topic close to my heart having had colleagues and friends succumb to it. In the UK it has never been a harder time to be a doctor, but it’s not about us - burnout can affect anyone. I hope you find the episode and these links useful. Burnout - a paper by Prof Maslach: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4911781/Burnout and the brain: https://www.psychologicalscience.org/observer/burnout-and-the-brainBurnout recovery tips: https://www.healthline.com/health/mental-health/burnout-recovery#assessmentDr Claire Ashley, burnout survivor and coach: https://www.drclaireashley.comDr Kim Hires, TikTok burnout coach: https://www.tiktok.com/@drkimhires?is_copy_url=1&is_from_webapp=v1For anyone working in the NHS who feels they need help for burnout: https://www.practitionerhealth.nhs.ukMicro breaks: https://www.medicalnewstoday.com/articles/10-minute-micro-breaks-may-help-prevent-worker-burnout-study-findsSave 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 episode is about mentoring which I think is much needed in the world today. Many of us will have had incredible mentors who selflessly give up their time and knowledge in order to help others.I feel it is a way of paying it forward and that both mentors and mentees to help each other grow and learn.Beyond Ed Peile who I mention in the episode I would like to acknowledge and thank Jon Fowler, Mark Allen, Julian Godlee and my late father for their inimitable ability to mentor, inspire and transform others. Links:The power of mentorship: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8406889/Mentorship behaviours: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8406889/Mentoring for UK doctors: https://www.bma.org.uk/advice-and-support/career-progression/mentoring/mentoring-for-doctorsThe 5 stages of mentoring: https://www.nihr.ac.uk/documents/phases-of-the-mentoring-relationship/27693Ed Peile: https://warwick.ac.uk/fac/sci/med/staff/peile/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.

Singing is something close to my heart and I feel it does not get enough attention for it’smultiple health benefits.It is accessible to so many and is an easy thing to take up and enjoy.In this episode I explore the benefits to almost every body system which singing can confer.Links:Social prescribing: https://www.telegraph.co.uk/news/2017/12/26/nhs-should-prescribe-tango-dancing-book-clubs-not-pill-every/The vagus nerve: https://www.medicalnewstoday.com/articles/318128Alexander technique: https://alexandertechnique.com/Breathing and singing: https://www.backstage.com/magazine/article/common-misconceptions-breath-support-singing-1872/Singing and COPD: https://www.bbc.co.uk/news/av/health-25237125Singing and cortisol: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4854222/Immunity and singing (in a choir): https://pubmed.ncbi.nlm.nih.gov/15669447/The effect of singing on pain: https://journals.sagepub.com/doi/10.1177/147470491201000403Effect on memory and cognition: https://www.sciencedaily.com/releases/2021/02/210210133432.htmBereavement and singing: https://spcare.bmj.com/content/early/2019/06/26/bmjspcare-2018-001642Save 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.

Triage is increasingly being used in healthcare outside the emergency setting to help filter urgent from non-urgent. With the growing use of artificial intelligence, triage algorithms are becoming more reliable. I look at the pros and cons of triage from the view point of both patient and practitioner. Links: Triage and it’s background: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5649292/Continuity of care: https://www.bmj.com/content/375/bmj.n2468And article on the ethics of triage:https://www.vox.com/platform/amp/coronavirus-covid19/2020/3/31/21199721/coronavirus-covid-19-hospitals-triage-rationing-italy-new-yorkSample triage protocol: https://www.medicalprotection.org/ireland/practice-matters/may-2014/example-triage-protocol-for-non-clinical-staffSave 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 symptoms affecting the gut. They are one of the most common presentations ingeneral practice.Most of us experience some kind of gastrointestinal symptom at some point in our lives. I delve into my understanding on how the gut works and how and why things can go wrong and what we can do to help ourselves.Links:Mintel gastrointestinal problems data: https://www.mintel.com/press-centre/beauty-and-personal-care/86-of-brits-have-suffered-from-a-gastrointestinal-problem-in-the-past-year/ampMintel article on gut health determinants: https://www.mintel.com/blog/food-market-news/gut-health-goes-beyond-digestion/ampUltra-processed foods: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7399967/Aryl-hydrocarbon receptor: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5777317/Short chain fatty acids: https://www.frontiersin.org/articles/10.3389/fendo.2020.00025/fullDiet and reflux disease: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6702398/H. pylori infection and reflux disease: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6502218/Low FODMAP diets: https://pubmed.ncbi.nlm.nih.gov/33585949/Probiotics and their potential role in reflux disease: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7019778/SIBO and IBS - is there a link?: https://pubmed.ncbi.nlm.nih.gov/29761234/Gallstones and SIBO: https://pubmed.ncbi.nlm.nih.gov/29392773/A review of inflammatory bowel disease (Crohns and Ulcerative colitis): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6685307/‘Red flag’ gut symptoms needing medical assessment: https://bowelinterestgroup.co.uk/resources/red-flag-symptoms-in-gi-conditions/Diverticulitis: Diverticulitis: Symptoms, Causes, Diagnosis, Treatment, Surgery (healthline.com)The popular ‘4 R’s of gut health’: https://thenutritionalinstitute.com/resources/blog/292-the-4-r-s-of-gut-healthSave 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* Today’s episode is on a topic which affects us all. Prejudice, bias and inclusion are all ongoing hot topics which can affect our wellbeing, how we feel about ourselves and our experience of the world. Here I look at the reasons why it is such a complex area to navigate and not as simple as it should be. There are some anecdotes on this episode that might be difficult to listen to. Links:Protected characteristics: https://www.equalityhumanrights.com/en/equality-act/protected-characteristicsA paper on similarities and differences in people and their perceptions: https://www.frontiersin.org/articles/10.3389/fpsyg.2018.00849/fullHealth inequalities and gender: https://eurohealthnet.eu/publication/gender-health-and-inequalities-before-and-after-the-pandemic-where-we-go-from-here/Microsoft video training on bias and inclusion: https://www.microsoft.com/en-us/inclusion-journey/learnMedical regulators and racism: https://blogs.bmj.com/bmj/2021/06/29/racism-and-the-general-medical-council/The 2004 film Crash that cleverly gets under the belly of prejudice and bias: https://youtu.be/DEJH0hEoHc4 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 framework that I have created helps turn what is in your mind into action. IDEAL:Identify, Define, Engage, Activate and Look BackOne of the hardest things can be to turn intentions into reality. This simple framework along with the work of known behavioural theory experts can help implement your behaviour change intentions. Links:BJ Fogg behaviour model: https://behaviormodel.org/Susan Michie and COM-B: https://implementationscience.biomedcentral.com/articles/10.1186/1748-5908-6-42Pre-order your copy of The Health Fix now: https://www.amazon.co.uk/Health-Fix-Ayan-Panja-ebook/dp/B0B2VTFFVS/ref=mp_s_a_1_1?qid=1655897648&refinements=p_27%3AAyan+Panja&s=books&sr=1-1 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 is such a trenchant topic and I wanted to cover it for so many reasons. Most of us get some kind of brain symptom at times but it is short lived, but that is not the case for many people. Alzheimer’s Disease is the commonest form of dementia affecting over 60% of all dementia sufferers worldwide.This episode looks at the determinants of brain health and the aetiology of Alzheimer’s Disease.Links:Facts, figures and information on dementia: https://www.who.int/news-room/fact-sheets/detail/dementiaFood and brain health: https://www.healthline.com/nutrition/11-brain-foods (did not focus on this in the episode but in case you want to know more).Brain health and food chat with @Doctors_Kitchen: https://www.listennotes.com/podcasts/the-doctors/8-eat-to-boost-your-brain-W4eh8cIyNHf/The hippocampus and memory: https://alz-journals.onlinelibrary.wiley.com/doi/full/10.1002/alz.12009Association between diabetes and Alzheimer's Disease: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4265876/The ApoE gene: https://www.frontiersin.org/articles/10.3389/fnins.2021.630502/fullCognitive stimulation therapy: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5639131/Alzheimer’s support: https://www.alzheimers.org.uk/101 on Alzheimer’s Disease - what it is and it’s pathology: https://www.nia.nih.gov/health/what-happens-brain-alzheimers-diseaseTreatment of Alzheimer’s Disease: https://www.alzheimersresearchuk.org/dementia-information/types-of-dementia/alzheimers-disease/treatments/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.

Sometimes in order to get to the underlying reason behind symptoms that may arise from your lifestyle and environment. It is a way of dissecting an area that may need more focus, for instance: diet, environment, movement, sunlight exposure, sleep, historic infections and your family history.They are good tools to use if you are not making huge progress with conventional habit changes.Links:Some benefits of a health diary: https://blog.vantagefit.io/health-diary/Caffeine overload? https://www.healthline.com/nutrition/caffeine-side-effects Fish in your diet - risks and benefits: https://www.bbc.co.uk/news/av/health-35884051Methylisothiazolinone and skin: https://mi-free.com/Back pain and posture: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3828513/Foot shapes: https://www.healthline.com/health/types-of-feet#pronation-and-supinationSave 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.

Self talk is something we all do. It’s how communicate with ourselves and it can have a significant impact on our health.In this episode I give examples of cognitive distortions which can lead to poor self esteem, false beliefs and negative thinking.Links:Cognitive distortions and CBT: https://positivepsychology.com/cognitive-distortions/Monkey brain: https://www.forbes.com/sites/alicegwalton/2017/02/28/8-science-based-tricks-for-quieting-the-monkey-mind/?sh=699868ec1af6 Self help therapies and mental health apps: https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/talking-therapies-and-counselling/self-help-therapies/There are many mental health apps which may be of benefit and there is also scope for doing CBT online. Disclosure: I am medical adviser to a web-based app called Leafyard which is AI driven and based on CBT: Leafyard.com/actnowSave 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 I cover the topic of overwhelm, suggested by a listener.It’s a feeling we all know and dislike. I try to get under its belly and look at the causes behind it as wellas solutions to minimise the chance of it arising.Links:Overhelm and burnout: https://careerpivot.com/2020/overwhelm-and-burnout-whats-the-difference-guest-post/Saying no: https://tinybuddha.com/blog/stop-saying-yes-want-say-no/Perfectionism and its pitfalls: https://www.bbc.com/future/article/20180219-toxic-perfectionism-is-on-the-riseAnxiety and overwhelm: https://www.calmclinic.com/anxiety/symptoms/feeling-overwhelmedSave 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 I discuss supplements. It’s a veritable minefield. How do you know the quality of what you are taking?Are there some supplements that are essential and others that should be avoided?I give you my take on all this and more in this episode.Links: Vitamin D NICE guidance: https://www.guidelines.co.uk/nutrition/nice-vitamin-d-guideline/252552.articleTypes of vitamin D: https://www.healthline.com/nutrition/vitamin-d2-vs-d3B12 deficiency symptoms: https://www.healthline.com/nutrition/vitamin-b12-deficiency-symptomsDo probiotics work? https://www.scientificamerican.com/article/do-probiotics-really-work/Digestive enzymes: https://www.hopkinsmedicine.org/health/wellness-and-prevention/digestive-enzymes-and-digestive-enzyme-supplementsAntioxidants: https://www.frontiersin.org/articles/10.3389/fphys.2020.00694/fullA great go to resource for truly independent analyses and views on supplementation: https://examine.com/supplements/Signs of nutrient deficiency: https://www.rush.edu/news/6-signs-nutrient-deficiency 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.