Saving Lives In Slow Motion – Details, episodes & analysis

I got thinking about this recently whilst on holiday recently where I was having a lot of lie-ins and

doing a lot of daydreaming. 

Coffee: https://www.healthline.com/nutrition/top-evidence-based-health-benefits-of-coffee

Chewing and alertness: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4449949/

Chewing and effects on the immune system: https://www.manchester.ac.uk/about/news/research-reveals-surprising-health-benefits-of-chewing-your-food/

Fidgeting and NEAT: https://www.womenshealthmag.com/uk/fitness/fat-loss/a36287384/neat-exercise/

Eating bogies - benefits?: https://pubmed.ncbi.nlm.nih.gov/25344244/

Lie-ins: https://www.theguardian.com/lifeandstyle/2021/sep/13/dream-on-the-surprising-health-benefit-of-a-weekend-lie-in

Missing breakfast: https://www.healthline.com/nutrition/is-skipping-breakfast-bad

Alcohol and cognitive health: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4866612/

Daydreaming: https://time.com/6256541/why-daydreaming-is-good-for-you/

Bottling up anger: http://news.bbc.co.uk/1/hi/health/8374519.stm

Bouts of anger: https://blog.swedish.org/swedish-blog/new-study-bouts-of-anger-can-take-a-toll-on-your-heart

How to process anger (Dr Gabor Maté): https://www.youtube.com/watch?v=Yh1-y3TzSO4

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Many of us have role models but do they impact our health?

As the Olympics were taking place recently I started to think about

this and in this episode I look at some studies and reveal their 

interesting findings.

Role models (an alternative view): https://www.spectator.co.uk/article/the-problem-with-role-models/

Smoking in popular culture: https://truthinitiative.org/research-resources/tobacco-pop-culture/why-smoking-still-being-glamorized-media-and-pop-culture

Study 1: https://www.researchgate.net/publication/380209172_Health_Motivation_in_the_Influencer_Era_Analyzing_Entertainment_Personal_and_Social_Media_Role_Models

Study 2: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9421350/

Study 2 questionnaire: https://redcap.ctsi.psu.edu/surveys/index.php?s=4L973C8FFL

The importance of mentoring: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2352144/

Chasing your hero: https://www.youtube.com/watch?v=wD2cVhC-63I

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Yoga has been practised for thousands of years but as many people are cynical about trying it as there are huge fans of it.

In this episode I share my own experiences and the benefits yoga can confer to our health. 

Links:

Barriers to yoga (Nepalese sudy): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8039334/

Yoga effects on brain health: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6971819/

The warrior positions: https://www.yogawitholivia.co.uk/blog/transitions1

Yoga and inflammation: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8842003/

Yogic breathing benefits: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336946/

Summary of benefits and starter guide:

https://www.womenshealthmag.com/uk/fitness/yoga/a706996/benefits-of-yoga/

Yoga courses and learning: https://ukyoga.co.uk/courses/

Sacropenia and how to prevent it: https://www.healthline.com/nutrition/sarcopenia

Dean Ornish and heart disease reversal: https://jamanetwork.com/journals/jama/fullarticle/188274

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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 transform others. 

Links:

The power of mentorship: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8406889/

Mentorship behaviours: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8406889/

Mentoring for UK doctors: https://www.bma.org.uk/advice-and-support/career-progression/mentoring/mentoring-for-doctors

The 5 stages of mentoring: https://www.nihr.ac.uk/documents/phases-of-the-mentoring-relationship/27693

Ed Peile: https://warwick.ac.uk/fac/sci/med/staff/peile/

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Singing is something close to my heart and I feel it does not get enough attention for it’s

multiple 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/318128

Alexander technique: https://alexandertechnique.com/

Breathing and singing: https://www.backstage.com/magazine/article/common-misconceptions-breath-support-singing-1872/

Singing and COPD: https://www.bbc.co.uk/news/av/health-25237125

Singing and cortisol: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4854222/

Immunity and singing (in a choir): https://pubmed.ncbi.nlm.nih.gov/15669447/

The effect of singing on pain: https://journals.sagepub.com/doi/10.1177/147470491201000403

Effect on memory and cognition: https://www.sciencedaily.com/releases/2021/02/210210133432.htm

Bereavement and singing: https://spcare.bmj.com/content/early/2019/06/26/bmjspcare-2018-001642

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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.n2468

And article on the ethics of triage:

https://www.vox.com/platform/amp/coronavirus-covid19/2020/3/31/21199721/coronavirus-covid-19-hospitals-triage-rationing-italy-new-york

Sample triage protocol: https://www.medicalprotection.org/ireland/practice-matters/may-2014/example-triage-protocol-for-non-clinical-staff

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In this episode I look at symptoms affecting the gut. They are one of the most common presentations in

general 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 data: https://www.mintel.com/press-centre/beauty-and-personal-care/86-of-brits-have-suffered-from-a-gastrointestinal-problem-in-the-past-year/amp

Mintel article on gut health determinants: https://www.mintel.com/blog/food-market-news/gut-health-goes-beyond-digestion/amp

Ultra-processed foods: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7399967/

Aryl-hydrocarbon receptor: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5777317/

Short chain fatty acids: https://www.frontiersin.org/articles/10.3389/fendo.2020.00025/full

Diet and reflux disease: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6702398/

H. pylori infection and reflux disease: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6502218/

Low FODMAP diets: https://pubmed.ncbi.nlm.nih.gov/33585949/

Probiotics and their potential role in reflux disease: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7019778/

SIBO and IBS - is there a link?: https://pubmed.ncbi.nlm.nih.gov/29761234/

Gallstones and SIBO: 

https://pubmed.ncbi.nlm.nih.gov/29392773/

A review of inflammatory bowel disease (Crohns and Ulcerative colitis): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6685307/

‘Red flag’ gut symptoms needing medical assessment: https://bowelinterestgroup.co.uk/resources/red-flag-symptoms-in-gi-conditions/

Diverticulitis: Diverticulitis: Symptoms, Causes, Diagnosis, Treatment, Surgery (healthline.com)

The popular ‘4 R’s of gut health’: https://thenutritionalinstitute.com/resources/blog/292-the-4-r-s-of-gut-health

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*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-characteristics

A paper on similarities and differences in people and their perceptions: https://www.frontiersin.org/articles/10.3389/fpsyg.2018.00849/full

Health inequalities and gender: https://eurohealthnet.eu/publication/gender-health-and-inequalities-before-and-after-the-pandemic-where-we-go-from-here/

Microsoft video training on bias and inclusion: https://www.microsoft.com/en-us/inclusion-journey/learn

Medical regulators and racism: https://blogs.bmj.com/bmj/2021/06/29/racism-and-the-general-medical-council/

The 2004 film Crash that cleverly gets under the belly of prejudice and bias: https://youtu.be/DEJH0hEoHc4 

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This framework that I have created helps turn what is in your mind into action. 

IDEAL:

Identify, Define, Engage, Activate and Look Back

One 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/10.1186/1748-5908-6-42

Pre-order your copy of The Health Fix now: https://www.amazon.co.uk/Health-Fix-Ayan-Panja-ebook/dp/B0B2VTFFVS/ref=mp_s_a_1_1?qid=1655897648&refinements=p_27%3AAyan+Panja&s=books&sr=1-1 

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*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 dementia: https://www.who.int/news-room/fact-sheets/detail/dementia

Food and brain health: https://www.healthline.com/nutrition/11-brain-foods (did not focus on this in the episode but in case you want to know more).

Brain health and food chat with @Doctors_Kitchen: https://www.listennotes.com/podcasts/the-doctors/8-eat-to-boost-your-brain-W4eh8cIyNHf/

The hippocampus and memory: https://alz-journals.onlinelibrary.wiley.com/doi/full/10.1002/alz.12009

Association between diabetes and Alzheimer's Disease: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4265876/

The ApoE gene: https://www.frontiersin.org/articles/10.3389/fnins.2021.630502/full

Cognitive stimulation therapy: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5639131/

Alzheimer’s support: https://www.alzheimers.org.uk/

101 on Alzheimer’s Disease - what it is and it’s pathology: https://www.nia.nih.gov/health/what-happens-brain-alzheimers-disease

Treatment of Alzheimer’s Disease: https://www.alzheimersresearchuk.org/dementia-information/types-of-dementia/alzheimers-disease/treatments/

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