105 episodes

Dr Ayan Panja has been putting health into context as a doctor for the best part of 25 years. He shares his expert generalist perspective on important themes around health & wellbeing, pondering what impacts our health journeys, societal attitudes and meaning in our lives. A bite-sized, enriching and quietly mind-expanding podcast. Powerful messages and storytelling with a professional but informal tone.
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Saving Lives In Slow Motion Dr Ayan Panja

    • Medicine

Dr Ayan Panja has been putting health into context as a doctor for the best part of 25 years. He shares his expert generalist perspective on important themes around health & wellbeing, pondering what impacts our health journeys, societal attitudes and meaning in our lives. A bite-sized, enriching and quietly mind-expanding podcast. Powerful messages and storytelling with a professional but informal tone.
Hosted on Acast. See acast.com/privacy for more information.

    ADHD - the myth and the reality (attention-deficit hyperactivity disorder)

    ADHD - the myth and the reality (attention-deficit hyperactivity disorder)

    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-uk

    ADHD and dopamine - seeking rewards:
    https://www.medicalnewstoday.com/articles/325499

    Time 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/causes
    Time blindness: https://www.thecut.com/2020/04/coronavirus-self-isolation-time-blindness.html
    Hyperfocus: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7851038/
    Rating scales for children: https://www.healthline.com/health/adhd/rating-scale#symptoms-checklist
    For 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/id1677158558

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    • 17 min
    Frailty - how to manage it and how to delay it

    Frailty - how to manage it and how to delay it

    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 to
    predict 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_.pdf
    Standing desks: https://www.healthline.com/nutrition/7-benefits-of-a-standing-desk
    Prognosis in frailty: https://www.bgs.org.uk/resources/end-of-life-care-in-frailty-identification-and-prognostication
    Ageing well: https://www.hopkinsmedicine.org/health/wellness-and-prevention/stay-strong-four-ways-to-beat-the-frailty-risk
    An AI device tech example: 
    https://www.miicare.co.uk/
    Gait analysis: https://www.frontiersin.org/articles/10.3389/frobt.2021.749274/full
    Creatine: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7996960/

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    • 12 min
    Child health - it’s rise and fall

    Child health - it’s rise and fall

    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-68203749
    WHO website on child health: https://www.who.int/health-topics/child-health#tab=tab_1
    UNICEF: 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.htm
    Attachment theory: https://www.verywellmind.com/what-is-attachment-theory-2795337
    What every child needs: https://www.childrenscolorado.org/conditions-and-advice/parenting/parenting-articles/what-children-need/

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    • 19 min
    Sexual Health - evolution or revolution?

    Sexual Health - evolution or revolution?

    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-hpv
    Shame and STIs: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8297218/
    Philadelphia trailer: https://www.youtube.com/watch?v=CKDz2LVHz0Y
    Venereal Disease bill 1916: https://pubmed.ncbi.nlm.nih.gov/11589807/
    Dr Kellogg: https://www.history.com/news/dr-john-kellogg-cereal-wellness-wacky-sanitarium-treatments
    Erectile dysfunction and heart disease: https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/in-depth/erectile-dysfunction/art-20045141
    Pfizer 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 wall
    LARCs 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/

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    • 16 min
    EPISODE 100 - revealed: my take on the NUMBER 1 most important aspect of our health

    EPISODE 100 - revealed: my take on the NUMBER 1 most important aspect of our health

    This week is my 100th episode. I reflect on some of the topics I have covered over the last 20 months or so and beyond
    the 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/1167147825815314433
    MTHFR gene mutation: https://www.healthline.com/health/mthfr-gene#symptoms
    MTHFR - more info: https://www.medicalnewstoday.com/articles/318526
    Free coaching framework: https://www.basic-coaching.com/
    Mental health app Leafyard who I am proud to partner with: https://www.leafyard.com/healthfix
    How 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/z3hshcw
    Effect of trauma on the brain: https://www.urmc.rochester.edu/news/publications/neuroscience/researchers-reveal-how-trauma-changes-the-brain
    Systems 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=1
    New 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_1

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    • 18 min
    Is medicine being dumbed down?

    Is medicine being dumbed down?

    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-finds
    Pay issues and regulation: https://www.dailymail.co.uk/health/article-12710201/Some-physician-associates-paid-90-000-year-twice-junior-doctors-salary-not-regulated.html
    A sad case of a death: https://www.bbc.co.uk/news/uk-england-manchester-66211103
    Endoscopy explained: https://www.nhs.uk/conditions/endoscopy



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    • 18 min

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