Saving Lives In Slow Motion

Dr Ayan Panja
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Saving Lives In Slow Motion

Dr Ayan Panja puts health into context. A lifestyle medicine expert, author and family physician with 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.

  1. 5 DAYS AGO

    The Mental Heath Crisis: why it is so severe and will it ever get better?

    In this episode I look at why across much of the world mental health is in crisis. What are the reasons for this? What can we do about it?  TW: mentions suicide. Systems biology in medicine: https://www.imperial.ac.uk/metabolism-digestion-reproduction/research/systems-medicine/ COVID and mental health: https://pmc.ncbi.nlm.nih.gov/articles/PMC8758130/# Trauma and mental health: https://www.theguardian.com/society/2021/sep/20/trauma-trust-and-triumph-psychiatrist-bessel-van-der-kolk-on-how-to-recover-from-our-deepest-pain Antipsychotic medication: https://www.bap.org.uk/articles/chlorpromazine-the-first-antipsychotic/ The coal gas story, UK: https://pmc.ncbi.nlm.nih.gov/articles/PMC478945/ Suicide and means restriction: https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(24)00157-9/fulltext Golden Gate Bridge stories and learnings: https://ennyman.medium.com/a-lesson-from-29-golden-gate-suicide-attempts-a42f4ef3f970 https://edition.cnn.com/2023/11/19/us/golden-gate-bridge-suicide-safety-net/index.html Jonny Benjamin: https://jonnybenjamin.co.uk/ The Hoffman Process: https://www.hoffmaninstitute.co.uk/about-the-process/ Early Years resources: https://www.annafreud.org/services/services-for-children-and-young-people/for-under-fives/early-years-in-mind/ Leafyard - one of many mental health AI apps: https://www.leafyard.com/healthfix Hosted on Acast. See acast.com/privacy for more information.

    20 min

  2. 15 NOV

    Hydration - how to get it right: the life saving power and perils of fluid balance

    Hydration is something many of us take for granted but in this episode I bust some myths around hydration, cover why it is important to give it some thought and why urine colour is not the best measure of how hydrated we are.  Too much vs too little: https://www.instagram.com/drayanpanja/p/C16g1vfI3ZP/ BUY THE HEALTH FIX NOW: https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296/ref=nodl_?dplnkId=1ba53367-030f-4f3f-ad09-4a1fc81eadf5 Plethysmography: https://www.healthline.com/health/plethysmography Water intoxication: https://my.clevelandclinic.org/health/diseases/water-intoxication Diarrhoeal disease and oral rehydration therapy (ORT): https://www.who.int/news-room/fact-sheets/detail/diarrhoeal-disease ORT: https://ourworldindata.org/oral-rehydration-therapy 8 glasses of water a day?: https://www.bbc.co.uk/news/uk-scotland-north-east-orkney-shetland-63755475# Overhydration dangers: https://www.healthline.com/health/overhydration Delirium: https://www.mayoclinic.org/diseases-conditions/delirium/symptoms-causes/syc-20371386 What hydrates us: https://www.webmd.com/parenting/features/healthy-beverages Excessive thirst: https://www.nhs.uk/conditions/thirst/ Tap water: https://www.independent.co.uk/life-style/tap-water-uk-safe-to-drink-b2600254.html Hosted on Acast. See acast.com/privacy for more information.

    15 min

  3. 7 NOV

    Thyroid Health - a deep dive on how it works, what it does, how it goes wrong and what to do to keep it healthy

    The thyroid is an important gland and with many functions. Up to 10% of people have a thyroid disorder and in this episode I look at common presentations and how to keep your thyroid healthy. How thyroid hormone is made: https://www.ezmedlearning.com/blog/thyroid-hormone-synthesis-steps-pathway Hashimoto’s Disease - a common cause of hypothyroidism (underactive): https://www.mayoclinic.org/diseases-conditions/hashimotos-disease/symptoms-causes/syc-20351855 Derbyshire goitre: https://pubmed.ncbi.nlm.nih.gov/15719162/ Nutritional factors and the thyroid: https://www.cambridge.org/core/journals/proceedings-of-the-nutrition-society/article/multiple-nutritional-factors-and-thyroid-disease-with-particular-reference-to-autoimmune-thyroid-disease/DBA9BAD5847376FA5E099B7ACC7556A2 Iodine - a double edged sword: https://www.healthline.com/health/iodine-uses Selenium and the thyroid: https://pubmed.ncbi.nlm.nih.gov/37033262/ Ashwagandha: https://www.liebertpub.com/doi/10.1089/acm.2017.0183 Heavy metals and the thyroid: https://pmc.ncbi.nlm.nih.gov/articles/PMC3569681/ Lioyhyronine (T3): Many people cannot convert T4 to T3 (a defect in the de-iodinase enzyme that loses the iodine molecule): https://thyroiduk.org/if-you-are-hypothyroid/treatment-options-for-hypothyroidism/treatment-options-for-hypothyroidism/liothyronine-t3/ Hosted on Acast. See acast.com/privacy for more information.

    18 min

  4. 31 OCT

    Prostate Cancer - 101

    It’s the second commonest cancer in men across the world and increasing in incidence. In this episode I look at why it occurs and what we can do prevent it, manage risk and raise awareness. Hormones and their roles in prostate cancer: https://www.ceu.ox.ac.uk/news/largest-study-to-date-confirms-role-of-two-hormones-in-aggressive-prostate-cancer-risk# Benign prostatic hypertrophy (not cancer): https://www.mayoclinic.org/diseases-conditions/benign-prostatic-hyperplasia/symptoms-causes/syc-20370087 Genetics and prostate cancer: https://medlineplus.gov/genetics/condition/prostate-cancer/#causes Gleason grading of prostate cancer: https://www.pcf.org/about-prostate-cancer/diagnosis-staging-prostate-cancer/gleason-score-isup-grade Stress and prostate cancer: https://pmc.ncbi.nlm.nih.gov/articles/PMC5693840/ Inflammation and prostate cancer: https://pmc.ncbi.nlm.nih.gov/articles/PMC4029103/#:~:text=These%20preliminary%20studies%20revealed%20that,score%207%E2%80%9310)%20disease. Exercise and prostate cancer: https://www.pcf.org/patient-resources/living-prostate-cancer/exercise-prostate-cancer/ Toxins / cadmium: https://www.nature.com/articles/s41389-020-0202-7 Dietary cadmium: https://bmccancer.biomedcentral.com/articles/10.1186/s12885-015-1153-9# Selenium supplementation: https://pubmed.ncbi.nlm.nih.gov/8971064/ Prospective Japanese study on green tea: https://pubmed.ncbi.nlm.nih.gov/17906295/ Calcium and red meat: https://www.nature.com/articles/6604331 Green tea and diet:  https://www.sciencedirect.com/science/article/abs/pii/S0306987722000792 Movember.com Buy my book THE HEALTH FIX on sale price now: https://rb.gy/rzknqt Hosted on Acast. See acast.com/privacy for more information.

    21 min

  5. 24 OCT

    Who should you trust with your health?

    The amount of health information and practitioners are constantly growing and we have a choice about where we search for this information and advice. But how do you know who is reliable? How do you decide who to trust? I explore this and more in the episode.  Gen Z and their health: https://www.healthline.com/health-news/tiktok-main-source-health-information-gen-z#56%25-of-Gen-Z-users-turn-to-TikTok-for-health-and-wellness-advice Good cheap and fast - 2 out of 3: https://audioinsurgent.substack.com/p/fast-cheap-goodpick-two Debates around vaccines: https://pmc.ncbi.nlm.nih.gov/articles/PMC10070776/ What health means in a digital society: https://pmc.ncbi.nlm.nih.gov/articles/PMC5778676/#:~:text=Definitions Youtube Health: https://health.youtube/ Trust in health - sources: https://www.bbc.co.uk/news/health-48663843 Conflicts of interest: https://jamanetwork.com/journals/jama/fullarticle/2623608 The role of influencers: https://www.tandfonline.com/doi/full/10.1080/1553118X.2022.2042694 Covid vaccine injuries: https://www.nytimes.com/2024/05/03/health/covid-vaccines-side-effects.html Hosted on Acast. See acast.com/privacy for more information.

    16 min

  6. 17 OCT

    Narrative Medicine - how storytelling helps us heal

    Narrative Medicine is an important art in a consultation involving both talking and listening. In this episode I look at why it is important and how it can help our health outcomes.  AI in consultations: https://www.dailymail.co.uk/health/article-13169325/GP-AI-listening-auto-generate-patient-notes-confidential-medical-information-wrong-hands.html Neurodivergence: https://autietraumageek.medium.com/lost-in-translation-the-social-language-theory-of-neurodivergence-part-1-of-2-1963ba0073c5 Data usage in medicine: https://bjgp.org/content/68/668/e146 Pre-surgery anxiety: https://www.medicalnewstoday.com/articles/surgery-anxiety#pre-surgery-vs-post-surgery-anxiety The therapeutic benefit of being heard: https://thelionmind.org.sg/the-importance-of-being-heard-enhancing-mental-health-through-active-listening/ The seven C’s: https://www.conversationsinvitingchange.com/about/ Narrative medicine - journal article: https://jamanetwork.com/journals/jama/fullarticle/194300 A review of narrative medicine and outcomes: https://bmjopen.bmj.com/content/10/1/e031568 Narrative medicine - good for both patients and clinicians: https://www.thepermanentejournal.org/doi/10.7812/TPP/23.116# AI and empathy: https://www.wavestone.com/en/insight/the-empathy-paradox-can-ai-connect-with-customers-in-contact-centres/ Hosted on Acast. See acast.com/privacy for more information.

    17 min

  7. 10 OCT

    Community as a cure - the stunning power of groups in health and wellbeing

    Community as a cure? We often think of healthcare being a relationship between a clinician and a patient but amazing things can occur through the power of community and using it as sociological therapy. I look at why groups can be so powerful and how you might run one. Parkrun: home | parkrun UK Weight Watchers: How The WeightWatchers Weight-Loss Program Works Stanley Schachter’s work - an article: https://www.strongtowns.org/journal/2009/2/16/the-tribe-mentality.html An example of healthy living delivered in groups, initially churches: https://www.danielplan.com/# Group consultations - Dr Rupa Joshi: https://painconcern.org.uk/empowering-patients/ Shape Up: https://www.watfordfccsetrust.com/project/shape-up/ Nushu: https://nushu.com/group Communities in health - people as a valuable commodity: https://www.health.org.uk/publications/at-the-heart-of-health-realising-the-value-of-people-and-communities#:~:text=Mental and physical health and,community capacity and resilience%2C among Rural groups in India: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9207712/ Thalassemia awareness (charity): https://ukts.org/ Children’s Heart Disease Awareness: https://chfed.org.uk/ Hosted on Acast. See acast.com/privacy for more information.

    18 min

  8. 3 OCT

    Autoimmunity - its alarming rise and what we can do about it

    Autoimmunity and autoimmune diseases are on the rise. In this episode I look at why this is the case, the mechanisms behind autoimmunity and what we can do to prevent and manage it. Innate vs adaptive immunity (including B and T cells): https://www.ncbi.nlm.nih.gov/books/NBK279396/# Molecular mimicry in autoimmunity: https://www.sciencedirect.com/science/article/pii/S0896841118305365# Hashimoto’s - molecular mimicry in action. Gluten mimics the surface proteins of the thyroid gland: https://pubmed.ncbi.nlm.nih.gov/37554764/ Autoantibodies: https://pathology.jhu.edu/autoimmune/definitions The rise of autoimmunity and autoimmune diseases: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9918670/# Intestinal permeability and autoimmunity: https://academic.oup.com/biohorizons/article/doi/10.1093/biohorizons/hzx015/4670557# 'Leaky gut’ syndrome: https://www.medicalnewstoday.com/articles/326117 Autoimmune protocol diet: https://www.healthline.com/nutrition/aip-diet-autoimmune-protocol-diet#how-it-works Proteus and rheumatoid arthritis; https://www.iomcworld.org/open-access/worldwide-links-between-emproteus-mirabilisem-and-rheumatoid-arthritis-46162.html Sleep and autoimmunity: https://www.thelancet.com/journals/lanrhe/article/PIIS2665-9913(22)00311-3/fulltext Stress and autoimmunity: https://www.autoimmuneinstitute.org/articles/stress-autoimmune-disease-navigating-the-complex-relationship/ An expert opinion on the rise in autoimmunity: https://medicine.yale.edu/news-article/why-are-autoimmune-and-allergic-diseases-rising-andrew-wang/ Vitamin D and autoimmunity: https://www.newscientist.com/article/2306132-vitamin-d-supplements-really-do-reduce-risk-of-autoimmune-disease/#ixzz7KF2W0SEL Hosted on Acast. See acast.com/privacy for more information.

    20 min
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Dr Ayan Panja puts health into context. A lifestyle medicine expert, author and family physician with 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.

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