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PODCAST

Saving Lives In Slow Motion

Dr Ayan Panja puts health into context. A lifestyle medicine expert, author and family physician with over 25 years of experience, his unique blend of candour, perspective and knowledge make for a mind-expanding essential weekly bite-sized listen. Hosted on Acast. See acast.com/privacy for more information.

health & fitness medicine

All Episodes

14:28

General Practice

Saving Lives In Slow Motion ·

2023/09/22

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

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14:21

Health Inequalities

Saving Lives In Slow Motion ·

2023/09/15

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

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12:54

Polypharmacy - too much medicine?

Saving Lives In Slow Motion ·

2023/09/08

Polypharmacy is a situationwhere 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-effects Hosted on Acast. See acast.com/privacy for more information.

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15:46

Insomnia

Saving Lives In Slow Motion ·

2023/09/01

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

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15:58

Tiredness and Fatigue

Saving Lives In Slow Motion ·

2023/08/25

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

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8:40

Down time

Saving Lives In Slow Motion ·

2023/08/18

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 itand 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

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12:28

Blood tests

Saving Lives In Slow Motion ·

2023/08/10

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:

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13:17

Bloating - 101

Saving Lives In Slow Motion ·

2023/08/04

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

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15:18

Coaching

Saving Lives In Slow Motion ·

2023/07/28

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

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15:26

Artificial Intelligence in medicine

Saving Lives In Slow Motion ·

2023/07/21

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

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14:25

Therapy

Saving Lives In Slow Motion ·

2023/07/14

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

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16:23

NHS @ 75

Saving Lives In Slow Motion ·

2023/07/07

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

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15:20

Midlife

Saving Lives In Slow Motion ·

2023/06/30

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

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15:12

Medical Ethics

Saving Lives In Slow Motion ·

2023/06/23

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

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15:02

Types of Intelligence

Saving Lives In Slow Motion ·

2023/06/16

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

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13:03

The Pandemic Effect

Saving Lives In Slow Motion ·

2023/06/09

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

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14:27

Neurodiversity

Saving Lives In Slow Motion ·

2023/06/02

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

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14:48

Pain

Saving Lives In Slow Motion ·

2023/05/26

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

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14:07

Rejection

Saving Lives In Slow Motion ·

2023/05/19

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:

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16:08

The Power of Listening

Saving Lives In Slow Motion ·

2023/05/12

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 itbecomes a lost art.Active listeningoutperforms 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

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