Saving Lives In Slow Motion

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

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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/

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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

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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

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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/

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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/

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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

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Our biomechanics affect us all the time, each and every day and is often ignored when it comes to its impact on health. From hip pain to heartburn, our anatomy and the way we move can have impacts on our health on a daily basis.

Leg length discrepancy: https://www.thebiomechanicsmethod.com/2021/06/01/how-a-leg-length-discrepancy-affects-the-body/

Podiatry and foot biomechanics: https://www.ukpodiatry.com/our-assessments/biomechanical-analysis

Kyphosis exercises: https://www.healthline.com/health/exercise-fitness/kyphosis-exercises#exercises-to-try

World Athletics: https://worldathletics.org/news/press-release/2017-world-championships-athletics-biomechani

The kinetic chain: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7174497/

Exercise for constipation: https://www.healthline.com/health/chronic-constipation/exercises-to-relieve-constipation#1

Looking at your phone: https://www.cprtherapy.org/blog/Postural-Awareness-with-Mobile-Devices~6435.html

Douglas Heel (activation therapy): https://douglasheel.com/

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In my book The Health Fix I talk about how I ask patients about their typical day and why that is a great question to ask in order to generate a 'Lifestyle Prescription’.

Looking at your typical day may not be something you’ve done recently or in any detail but it can give you clues to why you may be contributing to some of your symptoms or how you feel. 

Carpal tunnel syndrome and sleep position: https://www.athletico.com/2017/04/14/sleep-positioning-carpal-tunnel-syndrome/

Sleep and circadian rhythm tips: https://www.stylist.co.uk/health/sleep/cant-sleep-mistakes/496595

Health trackers and anxiety: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8357265/

Caffeine and our genes: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4242593/

Systems medicine and biology: https://laskerfoundation.org/leroy-hood-there-is-going-to-be-a-fantastic-revolution-in-medicine/

Eating late and sleep disruption: https://health.clevelandclinic.org/is-eating-before-bed-bad-for-you

Microwave ovens and health: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4242593/

Repressed emotions and dealing with them: https://www.healthline.com/health/repressed-emotions

My IDEAL framework in print: https://www.glamourmagazine.co.uk/article/the-health-fix-dr-ayan-panja-new-years-resolutions

My IDEAL framework on this podcast: https://podcasts.apple.com/gb/podcast/saving-lives-in-slow-motion/id1573742958?i=1000567557435

Our monkey brain: https://podcasts.apple.com/gb/podcast/saving-lives-in-slow-motion/id1573742958?i=1000597803315

THE HEALTH FIX:  The Health Fix: Transform your Health in 8 Weeks amazon.co.uk

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Big Pharma gets a lot of bad press, yet most of us have needed to take medication for something at some point in our lives. 

How do we minimise the risk of our coming to harm from drugs and what can industry do to work more openly with us?

Diuretic drugs: https://link.springer.com/chapter/10.1007/978-3-642-79565-7_4

Ben Goldacre - a review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3635613/

Evidence Based Medicine: https://guides.mclibrary.duke.edu/ebm

Lorcainide story: https://www.bmj.com/content/350/bmj.g7717/rr-1

Anti-arrhythmic drugs: https://www.bhf.org.uk/informationsupport/heart-matters-magazine/medical/drug-cabinet/anti-arrhythmics

Drug reps and doctors: https://www.npr.org/2024/04/19/1245972805/pharma-reps-have-visited-doctors-for-decades-what-impact-does-it-have-on-patient

The opioid crisis and Oxycontin latest: https://www.bbc.co.uk/news/world-us-canada-60610707

PHQ-9 for depression: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3416649/#

Monoclonal antibodies: http://news.bbc.co.uk/1/hi/health/114311.stm

ALLTRIALS: alltrials.net

The NHS and big pharma: https://www.theguardian.com/business/2023/jul/08/its-naive-to-think-this-is-in-the-best-interests-of-the-nhs-how-big-pharmas-millions-are-influencing-healthcare

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