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In this episode I cover a range of symptoms that I have seen recently, what they may mean, how to handle them as well as what I am noticing in primary care.
Links:
Silent reflux: https://my.clevelandclinic.org/health/diseases/15024-laryngopharyngeal-reflux-lpr
Tietze’s syndrome (chest pain): https://my.clevelandclinic.org/health/diseases/23565-tietze-syndrome
Costochondritis: https://my.clevelandclinic.org/health/diseases/22167-costochondritis
Panic attack symptoms: https://my.clevelandclinic.org/podcasts/health-essentials/heart-attack-vs-panic-attack-how-to-tell-the-difference
Silent pneumonia: https://my.clevelandclinic.org/health/diseases/15744-pneumonia-atypical-walking-pneumonia
Hair loss: https://www.pcds.org.uk/clinical-guidance/alopecia-male-and-female-pattern-alopecia
Phases of hair growth: https://www.healthline.com/health/stages-of-hair-growth#maintaining-hair-health
Hair loss and DHT: https://www.healthline.com/health/dht#testosterone
AI and medicine - chatGPT vs GP: https://substack.com/@drayanpanja/note/p-177463006?r=2efcdx&utm_source=notes-share-action&utm_medium=web
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Sepsis can kill. It is an important public health issue that we all need to be aware of as swift action can save lives.
In this episode I look at what it is, how we can prevent it and some common examples from the consulting room.
Links:
Survey: Your opinion matters. SURVEY here - please help me by taking this 10 minute survey -thank you!: http://bit.ly/savinglivesinslowmotion-survey
Lily's story: https://www.bbc.co.uk/news/articles/cr70zr51rmeo
The Sepsis Trust and the SEPSIS 6: https://sepsistrust.org/about-sepsis/
Meningitis B: https://www.healthline.com/health/meningitis/meningitis-b
Groups of people and vulnerability to sepsis: https://www.nhs.uk/conditions/sepsis/who-can-get-it/
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Stress is an invisible killer. The longer it goes on and remains unaddressed, the more harm it causes.
In this episode I look at sources of stress and some techniques I find useful beyond standard stress management advice.
Links:
Audience survey - thank you so much! http://bit.ly/savinglivesinslowmotion-survey
Stress management techniques: https://www.mind.org.uk/information-support/types-of-mental-health-problems/stress/managing-stress-and-building-resilience/
Circle of control: https://positivepsychology.com/circles-of-influence/
Exercise and stress: https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/exercise-and-stress/art-20044469
Benefits of journalling: https://www.healthline.com/health/benefits-of-journaling
Stressors: https://www.medicalnewstoday.com/articles/types-of-stressors
Alternate nostril breathing: https://www.healthline.com/health/alternate-nostril-breathing
Expressed emotion: https://link.springer.com/rwe/10.1007/978-3-319-49425-8_415
Ego: https://my.clevelandclinic.org/health/articles/what-is-the-ego
Stress and addiction: https://www.psychologytoday.com/gb/blog/science-choice/201705/stress-and-addiction
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1 in 5 people on earth experience heartburn or reflux symptoms. It’s strikingly common, more so in the western hemisphere. In this episode I look at the causes and some treatments.
Reflux in babies: https://www.bbc.co.uk/news/uk-wales-54792702
Silent reflux or LPR: https://my.clevelandclinic.org/health/diseases/15024-laryngopharyngeal-reflux-lpr
PPI drugs: https://my.clevelandclinic.org/health/articles/proton-pump-inhibitors
H Pylori and stomach ulcers: https://gutscharity.org.uk/2019/10/the-doctor-who-infected-himself-to-solve-a-medical-mystery/
Histamine blockers - the ranitidine story: https://www.cbc.ca/news/health/zantac-heartburn-timeline-1.5330575
Risks of PPI drugs: https://www.yalemedicine.org/news/proton-pump-inhibitors-ppi
Hiatus hernia: https://www.nhs.uk/conditions/hiatus-hernia/
My book The Health Fix: https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja/dp/1914239326
Turmeric and PPI for dyspepsia: https://ebm.bmj.com/content/28/6/400
Probiotics: https://www.healthline.com/health/gerd/probiotics-for-acid-reflux
Ginger: https://www.healthline.com/health/digestive-health/ginger-for-acid-reflux
LINX procedure: https://www.healthline.com/health/gerd/gerd-linx-procedure
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It’s a boon that so many people ask for on the back of feeling tired or fatigued - more energy.
Here are my 5 tips which will help you feel more energetic during the day.
Links:
Your opinion matters. SURVEY here - please help me by taking this 10 minute survey -thank you!: http://bit.ly/savinglivesinslowmotion-survey
Mind body link: https://positivepsychology.com/body-mind-integration-attention-training/
Movement and mood: https://www.health.harvard.edu/blog/how-simply-moving-benefits-your-mental-health-201603289350
Hydration: https://www.healthline.com/nutrition/7-health-benefits-of-water
Energy foods: https://www.bbc.co.uk/food/articles/energy_boosting_foods
Low GL diet: https://www.healthline.com/nutrition/low-glycemic-diet
Sleep and energy: https://www.health.harvard.edu/healthbeat/how-sleep-boosts-your-energy
Getting outdoors: https://pmc.ncbi.nlm.nih.gov/articles/PMC6562165/
Buy THE HEALTH FIX now: https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296
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I am down with a cough and cold at the moment, and it got me thinking about immunity, seasons and people’s beliefs about illness as well as what we can do to stave off these bugs.
Links:
Your opinion matters. SURVEY here - please help me by taking this 10 minute survey -thank you!: http://bit.ly/savinglivesinslowmotion-survey
Hippocrates and Galen: https://www.thecolourworks.com/blog/hippocrates-galen-the-four-humours
Germ theory: https://www.ncbi.nlm.nih.gov/books/NBK24649/
The UK Biobank study: https://pubmed.ncbi.nlm.nih.gov/33817568/
VItamin C and colds: https://pubmed.ncbi.nlm.nih.gov/38082300/
Vitamin D: https://pmc.ncbi.nlm.nih.gov/articles/PMC7551809/
Zinc: https://pubmed.ncbi.nlm.nih.gov/36290585/
Salt water gargle: https://www.healthline.com/health/salt-water-gargle
Turmeric: https://www.medicalnewstoday.com/articles/tumeric-for-bronchitis
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Parkinson’s Disease (PD) affects more people every year with a global increase in ageing populations. There is no cure for the condition but medication can alleviate symptoms. In this episode I look at the causes of the disease and what we can do to prevent it.
Your opinion matters. SURVEY here - please help me by taking this 10 minute survey -thank you!: http://bit.ly/savinglivesinslowmotion-survey
The Parkinson's pandemic: https://www.thelancet.com/journals/laneur/article/PIIS1474-4422(20)30302-1/fulltext
Gut-brain link: https://pmc.ncbi.nlm.nih.gov/articles/PMC10358673/
REM sleep behaviour disorder: https://my.clevelandclinic.org/health/diseases/24465-rem-sleep-behavior-disorder-rbd
Per Borghammer - body-first and brain first model: https://www.youtube.com/watch?v=mVew2OVZTXs
Leaky gut in Parkinsons Disease: https://www.thelancet.com/journals/ebiom/article/PIIS2352-3964(25)00240-3/fulltext
Coeliac Disease, gluten sensitivity and Parkinson’s Disease link (a literature review): https://pmc.ncbi.nlm.nih.gov/articles/PMC12011982/
H pylori and Parkinson’s Disease: https://immunityageing.biomedcentral.com/articles/10.1186/s12979-023-00404-1
Diet: https://www.healthline.com/health/parkinsons-and-diet
Exercise - tai chi: https://www.bbc.co.uk/news/health-67208745
Iron overload: https://www.aan.com/PressRoom/home/PressRelease/30
Vitamin D: https://www.sciencedirect.com/science/article/pii/S2667268523000499
Pesticides: https://www.uclahealth.org/news/release/researchers-identify-10-pesticides-toxic-neurons-involved
Rotenone (insecticide) and PD: https://www.nature.com/articles/s41531-023-00561-6
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Vaccines are often the subject of heated discussion. In this episode I share some thoughts on the topics as it affects us all and
needs handling sensitively.
Your opinion matters. SURVEY here - thank you!: http://bit.ly/savinglivesinslowmotion-survey
Edward Jenner and vaccine discovery: https://www.jenner.ac.uk/about/edward-jenner
A broad overview: https://www.who.int/news-room/spotlight/history-of-vaccination/a-brief-history-of-vaccination
Common short term side effects of vaccines: https://assets.publishing.service.gov.uk/media/5dfa14bfed915d54aca2b837/PHE_what_to_expect_after_vaccination_English.pdf
Old Friends Hypothesis: https://www.news-medical.net/health/Old-Friends-Hypothesis.aspx
Herd Immunity explained: https://vaccineknowledge.ox.ac.uk/herd-immunity
Vaccine hesitancy: https://www.bbc.co.uk/news/articles/c1jgrlxx37do
Measles in the USA: https://www.health.harvard.edu/blog/measles-is-making-a-comeback-can-we-stop-it-202503063091
Vaccine injury cases: https://www.bbc.co.uk/news/articles/c4gzleyydp8o#
Neanderthal genes and COVID: https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3673483
Decision making and vaccines: https://www.sciencedirect.com/science/article/pii/S0264410X25004311
Travel vaccines: https://travelhealthpro.org.uk/
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In this episode I look at this big question which I often hear in the consulting room, the reasons that lie behind it and what the point to life might be.
Your opinion matters. SURVEY here - thank you!: http://bit.ly/savinglivesinslowmotion-survey
Nihilism in philosophy: https://www.learnreligions.com/what-is-nihilism-history-250581
Cosmic Insignificance: https://pmc.ncbi.nlm.nih.gov/articles/PMC4340547/
Maslow’s Hierarchy of Needs: https://www.bitesizelearning.co.uk/resources/maslows-hierarchy-of-needs-theory
Acceptance and Commitment Therapy: https://therisingsuncounseling.com/acceptance-and-commitment-therapy-a-framework-for-a-meaningful-life-copy/
Four Thousand Weeks by Oliver Burkeman: https://www.oliverburkeman.com/fourthousandweeks
The science behind gratitude: https://positivepsychology.com/neuroscience-of-gratitude/
The benefits of volunteering: https://www.royalvoluntaryservice.org.uk/volunteering/why-volunteer/benefits-of-volunteering/
Ways to ask for help if you struggle to: https://www.wondermind.com/article/asking-for-help/
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Continuity of care saves lives. There is evidence that outcomes are improved and it
used to be a core part of medicine. In recent years for many reasons continuity has been
slightly eroded. In this episode I make the case for it and give examples of why it can be
of critical importance.
Links:
Please help me improve my content for you by taking this audience survey which takes 10 minutes:
http://bit.ly/savinglivesinslowmotion-survey
Study on continuity and outcomes: https://bjgp.org/content/72/715/e84
How seeing the same doctor has changed in the UK: https://www.bmj.com/content/389/bmj.r833
Patient examples of the benefits: https://www.nuffieldtrust.org.uk/news-item/the-importance-of-continuity-four-personal-viewpoints
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PCOS is a growing global issue. Its prevalence has increased in recent years and the reasons behind it are complex.
In this episode I look at its roots, causes and impact plus what we can do about it in terms of lifestyle and treatments.
Links:
Depression and PCOS: https://pmc.ncbi.nlm.nih.gov/articles/PMC10607337/
LH (luteinziing hormone): https://my.clevelandclinic.org/health/body/22255-luteinizing-hormone
LH:FSH ratio in PCOS: https://gpnotebook.com/en-GB/pages/gynaecology/polycystic-ovarian-syndrome-hormonal-measurements-in
Pancreatic function in PCOS: https://pmc.ncbi.nlm.nih.gov/articles/PMC9962893/
The gut microbiome and PCOS: https://pmc.ncbi.nlm.nih.gov/articles/PMC9998696/
The steroid synthesis pathway starting with cholesterol: https://www.researchgate.net/figure/Biosynthesis-of-steroid-hormones-from-the-cholesterol-pathway_fig1_258055538
Angelique Panagos book on hormonal balance: https://www.amazon.co.uk/Balance-Plan-Optimize-Hormonal-Health/dp/1844039447
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In this episode I look at metabolic health which is one of the most important aspects of our long term health. I look at the mechanisms and measures of metabolic health and what we can do to improve ours.
Continuous Glucose Monitoring: https://my.clevelandclinic.org/health/articles/continuous-glucose-monitoring-cgm
Hba1c: https://www.diabetes.org.uk/about-diabetes/looking-after-diabetes/hba1c#
American metabolic health stats: https://www.liebertpub.com/doi/10.1089/met.2018.0105
High fructose corn syrup; https://www.healthline.com/nutrition/why-high-fructose-corn-syrup-is-bad
Fibre in your diet: https://www.healthline.com/nutrition/why-is-fiber-good-for-you
Exercise and metabolic health: https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2024.1365761/full
Metabolic health and Alzheimer's risk: https://pmc.ncbi.nlm.nih.gov/articles/PMC10001958/
Non-communicable diseases: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
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In this episode I cover my own personal tips from the view point of a GP and lifestyle medicine doctor. Gut symptoms Around 86% of us in the UK have experienced gut symptoms at some point. My tips are simple, for everyone and hopefully make sense.
Parasympathetic drive for digestion: https://www.livescience.com/parasympathetic-nervous-system-rest-and-digest
Digestive enzymes: https://www.webmd.com/diet/what-are-digestive-enzymes
Blue Zones eating habits: https://www.bluezones.com/2020/07/blue-zones-diet-food-secrets-of-the-worlds-longest-lived-people/
Mediterranean Diet: https://my.clevelandclinic.org/health/articles/16037-mediterranean-diet
Late night eating: https://hms.harvard.edu/news/late-night-eating-impact
Time restricted eating: https://www.healthline.com/nutrition/time-restricted-eating
Ileo-caecal valve issues: https://www.carygastro.com/blog/what-are-the-symptoms-of-a-faulty-ileocecal-valve
Hydration and the gut (an academic paper): https://www.sciencedirect.com/science/article/pii/S2589004224011258
Buy my book The Health Fix now: https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja/dp/1914239326/ref=tmm_pap_swatch_0
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Chronic inflammation is a key process which is linked to almost all non-communicable disease. In this episode I look at how it arises and why it is so harmful.
Links:
Age-related end glycation products: https://www.healthline.com/nutrition/advanced-glycation-end-products#what-they-are
'Leaky gut’ syndrome: https://pmc.ncbi.nlm.nih.gov/articles/PMC8305009/
Depression as an inflammatory condition: https://www.sciencedirect.com/science/article/pii/S1043661824002676
Probitoics after antibiotics?: https://www.bbc.com/future/article/20190124-is-it-worth-taking-probiotics-after-antibiotics
Diabetes and inflammation: https://www.webmd.com/diabetes/inflammation-and-diabetes
Inflammation from toxins (metals and brain inflammation): https://www.sciencedirect.com/science/article/abs/pii/S2468202021000127
Anti-inflammatory diet: https://www.hopkinsmedicine.org/health/wellness-and-prevention/anti-inflammatory-diet
Fibre: https://dremilyleeming.substack.com/p/is-fibre-the-missing-link-to-true
Omega-3 and inflammation: https://pubmed.ncbi.nlm.nih.gov/37606147/
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What do surgery and psychiatry have in common? They are both demanding specialties, occasionally of last resort, that save lives acutely and help people back to better health.
Links
Antipsychotic drug discovery: https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2022.903156/full
Pyrrole Disorder: https://www.healthline.com/health/pyrrole-disorder#diagnosis
Rationing in the NHS: https://www.kingsfund.org.uk/insight-and-analysis/blogs/nhs-rationing-under-the-radar
An example of risks vs benefit in surgery: https://www.neurosurgeonsofnewjersey.com/blog/spinal-fusion-surgery-risks/
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There are so many posts, papers and publications about the vagus nerve.
In this episode I look at why it’s so popular and whether it really can be a key to future treatments with advances vagus nerve stimulation.
Links:
Quick overview: https://www.mayoclinic.org/tests-procedures/vagus-nerve-stimulation/about/pac-20384565
Polyvagal Theory: https://www.polyvagalinstitute.org/whatispolyvagaltheory
The Great Nerve: https://www.amazon.co.uk/Great-Nerve-Science-Harness-Reflexes/dp/059371699X
Research on the vagus and rheumatoid arthritis: https://pubmed.ncbi.nlm.nih.gov/27382171/
Ear stimulation: https://medicine.ouhsc.edu/news/article/ear-clip-stimulation-of-vagus-nerve-shows-promise-as-pots-treatment-according-to-ou-college-of-medicine-study
Vasovagal attacks: https://my.clevelandclinic.org/health/diseases/23325-vasovagal-syncope
Crohn’s Disease and vagus nerve stimulation: https://pubmed.ncbi.nlm.nih.gov/32515156/
Vagus nerver and inflammation: https://bioelecmed.biomedcentral.com/articles/10.1186/s42234-022-00100-3
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Medicine is an inexact science. My patients who are engineers find it frustrating that there is so much conjecture and educated guess work in medicine. But this episode highlights why diagnoses can take time. It’s a mix of detective work, bias and listening to the patient story.
Links:
Chilblains: https://www.mayoclinic.org/diseases-conditions/chilblains/diagnosis-treatment/drc-20351103
STI and painful knee: https://www.medicalnewstoday.com/articles/gonococcal-arthritis
Carpal tunnel syndrome: https://orthoinfo.aaos.org/en/diseases--conditions/carpal-tunnel-syndrome/
Psychodermatology (the mind-skin link): https://www.psychodermatology.co.uk/
Liver inflammation and glandular fever: https://www.healthline.com/health/mono-hepatitis
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Not a week goes by in practice where I don’t see a patient who hasn’t collapsed or had a dizzy spell.
There are so many reasons for this, some preventable, some not. I look at some of the syndromes that lead to these issues.
Links:
Fainting: https://www.healthline.com/health/fainting#causes
Pseudoseizures (non-eplieptic seizures): https://my.clevelandclinic.org/health/diseases/24517-psychogenic-nonepileptic-seizure-pnes
Absence seizures: https://www.mayoclinic.org/diseases-conditions/petit-mal-seizure/symptoms-causes/syc-20359683
Epilepsy and driving: https://www.gov.uk/epilepsy-and-driving
BPPV (a type of vertigo): https://my.clevelandclinic.org/health/diseases/11858-benign-paroxysmal-positional-vertigo-bppv
Patient perspective of Mal de Debarquement syndrome: https://www.rarediseaseday.org/heroes/a-uk-patient-perspective-on-mal-de-debarquement-syndrome/
Heartblock: https://www.nhs.uk/conditions/heart-block/
Gluten ataxia: https://www.medicalnewstoday.com/articles/320730
Proprioception: https://my.clevelandclinic.org/health/articles/proprioception
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5-15% of GP consultations are linked to tiredness. And the number is growing. In this episode I look at common and rarer reasons for tiredness.
Hydration - if you’re feeling thirsty you’re partly dehydrated:
https://www.nhsinform.scot/illnesses-and-conditions/nutritional/dehydration/
Sleep apnoea: https://www.mayoclinic.org/diseases-conditions/sleep-apnea/symptoms-causes/syc-20377631
Breathing to help some root causes of fatigue: https://buteykoclinic.com/blogs/buteyko-breathing-technique/buteyko-breathing-technique
Mycotoxin illness: https://www.parsleyhealth.com/blog/mold-toxicity-symptoms/
Co-enzyme Q10: https://bjcardio.co.uk/2015/10/coenzyme-q10-and-cardiovascular-disease-an-overview/
Antibiotic tiredness: https://www.medicalnewstoday.com/articles/do-antibiotics-make-you-tired
Burnout: https://mentalhealth-uk.org/burnout/
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Teenage and adolescent health offers us a glimpse into the future health of the world. The Lancet Commission wrote a report in 2016 and have recently written a follow up which paints a slightly concerning picture.
In this episode I look at health in this group of people, the challenges they face and what, if anything, can be done about it.
Links:
The Lancet Commission report summary: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(25)00863-3/fulltext
Barriers to healthcare for adolescents: https://pmc.ncbi.nlm.nih.gov/articles/PMC8070789/
Global numbers: https://www.who.int/news-room/fact-sheets/detail/adolescents-health-risks-and-solutions
Omega-3 and brain health: https://pubmed.ncbi.nlm.nih.gov/35960396/
Climate Stress: https://pmc.ncbi.nlm.nih.gov/articles/PMC10154789/
Free tips from Annette Du Bois (teenage coach): https://www.champs-academy.co.uk/free-help-and-support/
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