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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

18:28

Prevention

Saving Lives In Slow Motion ·

2022/11/25

This episode is about prevention.What do we mean by it and how can wemake 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

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18:20

Personalised Medicine

Saving Lives In Slow Motion ·

2022/11/18

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

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15:52

Teamwork

Saving Lives In Slow Motion ·

2022/11/11

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

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13:22

Toxic people

Saving Lives In Slow Motion ·

2022/11/04

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

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19:03

Allergies

Saving Lives In Slow Motion ·

2022/10/28

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

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20:37

Depression and anxiety

Saving Lives In Slow Motion ·

2022/10/21

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

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17:23

Jealousy

Saving Lives In Slow Motion ·

2022/10/14

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

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18:13

Self-care

Saving Lives In Slow Motion ·

2022/10/07

Self-care soundspretty obvious but is it?There are so manydefinitions of self-care and here I make theargument that it isactuallytotally individual.We know the public health messaging around the basics such as alcohol, smoking, diet, exercise and sleep, butself-care goes way beyond these.What do you think of asself-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

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18:03

A good death

Saving Lives In Slow Motion ·

2022/09/30

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

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16:26

Feedback

Saving Lives In Slow Motion ·

2022/09/23

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

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15:35

Failure

Saving Lives In Slow Motion ·

2022/09/16

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:

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15:30

Burnout

Saving Lives In Slow Motion ·

2022/09/09

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

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17:03

Mentoring

Saving Lives In Slow Motion ·

2022/07/29

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

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15:52

Singing - the healthy hobby?

Saving Lives In Slow Motion ·

2022/07/22

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:

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16:29

Triage

Saving Lives In Slow Motion ·

2022/07/15

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

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24:54

Gut symptoms

Saving Lives In Slow Motion ·

2022/07/08

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

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21:35

Prejudice and inclusion

Saving Lives In Slow Motion ·

2022/07/01

*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

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14:51

Behaviour Change 2 - the IDEAL framework

Saving Lives In Slow Motion ·

2022/06/24

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

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14:35

Brain health and Alzheimer’s Disease

Saving Lives In Slow Motion ·

2022/06/17

*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

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13:28

Drill down, Diary up

Saving Lives In Slow Motion ·

2022/06/10

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

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