Saving Lives In Slow Motion

Skin - it’s known as our largest ‘organ’ and most of us have had some kind of skin issue. This is my 101. Enjoy!Guttate psoriasis: https://www.healthline.com/health/psoriasis-guttatePitiryiasis rosea: https://www.aad.org/public/diseases/a-z/pityriasis-rosea-symptomsScarlet fever: https://www.medicalnewstoday.com/articles/176242Slapped cheek syndrome: https://www.nhs.uk/conditions/slapped-cheek-syndrome/Omega 3 and skin: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7892455/Probiotics and skin: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9386980/Acne: https://www.webmd.com/skin-problems-and-treatments/acne/ss/slideshow-acne-dictionaryPCOS: https://www.healthline.com/health/polycystic-ovary-diseaseRosacea: https://www.rosacea.org/patients/all-about-rosaceaNon IgE cows milk protein allergy: https://www.allergyuk.org/about-allergy/allergy-in-childhood/cows-milk-allergy/Dermatitis herpetiformis: https://www.coeliac.org.uk/information-and-support/coeliac-disease/dermatitis-herpetiformis/Elimination diets: https://www.healthline.com/nutrition/elimination-dietAtopy: https://www.healthline.com/health/atopyDemodex: https://www.healthline.com/health/demodex-folliculorumMI allergy: https://www.webmd.com/beauty/what-to-know-about-methylchloroisothiazolinone-allergiesContact dermatitis: https://www.healthline.com/health/contact-dermatitisMelanoma and ABCDE: https://www.melanomauk.org.uk/the-abcde-ruleSunlight and cancer: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4571149/

Health screening has exploded over the last 20 years. Is it a money making exercise or actually worth it? In this episode I look at the pros and cons and how you can decide what may be worth doing and the reason people decide they need it.Links:UK ethics of health screening: https://www.gov.uk/government/publications/uk-nsc-ethical-framework-for-screening/uk-nsc-ethical-framework-for-screeningHealth Screening - a recent paper: https://www.ncbi.nlm.nih.gov/books/NBK436014/RCGP screening statement around extra work for NHS GPs from screening companies: https://www.rcgp.org.uk/representing-you/policy-areas/screeningKaren Brady’s story: https://www.theguardian.com/lifeandstyle/2006/apr/20/healthandwellbeing.health1The pros and cons of PSA testing: https://prostatecanceruk.org/prostate-information-and-support/prostate-tests/psa-blood-testGenomic (DNA) testing for propensity to disease (eg breast cancer): https://www.nhs.uk/conditions/genetic-and-genomic-testing/MTHFR: https://www.medicalnewstoday.com/articles/326181Our Future Health: https://ourfuturehealth.org.uk/Bill Turnbull's prostate cancer story: https://www.bbc.co.uk/news/health-62755001My book THE HEALTH FIX - paperback: https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja/dp/1914239326/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=&sr="The only health manual you'll ever need..." Dr Rangan Chatterjee. "...lifechanging..." Dr Rupy Aujla

There isn’t a week in practice when I don’t get asked about food intolerances and how to test for them. It’s a contentious topic that needs some deconstructing.In this episode I look at what is and isn't intolerance and how to proceed if you think you have a food intolerance.Links:Food intolerance vs allergy - official guidance: https://www.allergyuk.org/resources/food-intolerance/IgG testing: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5004213/Elimination diets: https://www.healthline.com/nutrition/elimination-dietSIBO and IBS: https://pubmed.ncbi.nlm.nih.gov/29761234/Gluten sensitivity: https://www.coeliac.org.uk/information-and-support/coeliac-disease/about-coeliac-disease/gluten-sensitivity/Deeper dive on mucosal tolerance: https://courses.lumenlearning.com/wm-biology2/chapter/mucosal-surfaces-and-immune-tolerance/Milk digestion over the years: https://pubmed.ncbi.nlm.nih.gov/35896667/My book The Health Fix: https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja/dp/1914239326/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=&sr=

Lyme Disease rates have doubled in the last 30 years in the USA and rates are rising across the world in affected areas. In this episode I look at Lyme, other tick-borne illnesses and the mystery symptoms they can give rise to, as well as strategies to treat and prevent them.Lyme disease factsheet:https://www.ecdc.europa.eu/en/borreliosis/facts/factsheetThe Bullseye rash: https://www.cdc.gov/lyme/signs_symptoms/rashes.htmlThe life cycle of a spirochaete: https://www.nature.com/articles/nrmicro2714B.Burgdorferi - the major cause of Lyme disease: https://www.ncbi.nlm.nih.gov/books/NBK532894/B.mayonii - another strain causing Lyme disease: https://www.cdc.gov/lyme/mayonii/index.htmlDr Horowitz Lyme questionnaire: https://caudwelllyme.com/do-you-have-lyme-disease-the-horowitz-questionnaireDifferentiating arthritis from Lyme Diseases: https://www.webmd.com/rheumatoid-arthritis/ra-or-lymeDr Horowitz interview: https://lymeconnection.org/support_and_resources/meet_the_lyme_disease_experts.html/title/dr-richard-horowitz-latest-treatments-in-lyme-disease

Cholesterol has become an obsession for so many people over the last 50 years. In this episode I look at the story of cholesterol and why it is important and when to worry about it.Links:The history of cholesterol: https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-19/history-in-medicine-the-story-of-cholesterol-lipids-and-cardiologyFood and cholesterol: https://www.health.harvard.edu/heart-health/11-foods-that-lower-cholesterolMonacolin K (in both red yeast rice and statins): https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/monacolinsNumbers need to treat (NNT):https://www.cebm.ox.ac.uk/resources/ebm-tools/number-needed-to-treat-nntDiet and statins: https://www.theguardian.com/society/2016/aug/29/mediterranean-diet-better-than-statins-for-tackling-heart-disease-studyApoB and Lp(a): https://www.pennmedicine.org/for-health-care-professionals/for-physicians/physician-education-and-resources/physician-interviews/2023/october/lipid-management-part-3-apo-b-and-lipoprotein-aHomocysteine and heart disease: https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-021-01977-8Flawed study or is it because not all LDL is bad? https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/behind-the-headlines/cholesterol-and-statinsTG:HDL ratio (Triglycerides to HDL): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2664115/#:~:text=3%20The%20ratio%20of%20triglycerides,lower%20than%20this%20value4.NICE recommendation for statins:https://www.bhf.org.uk/what-we-do/news-from-the-bhf/news-archive/2023/january/nice-recommends-statins-should-be-a-choice-for-more-people-to-prevent-heart-attacks-and-strokes

TW: Sensitive topic: one in six people worldwide are now affected by infertility and rates have soared over the last 30 years. In this episode I look at the reasons behind it and what we can do about it on an individual and societal level.Childlessness: https://www.theguardian.com/lifeandstyle/2017/oct/02/the-desire-to-have-a-child-never-goes-away-how-the-involuntarily-childless-are-forming-a-new-movementRising infertility in men and women: https://www.scientificamerican.com/article/reproductive-problems-in-both-men-and-women-are-rising-at-an-alarming-rate/1:6 with infertility: https://www.theguardian.com/world/2023/apr/03/one-in-six-people-worldwide-affected-by-infertility-who-reportsBirth rates in South Korea and reasons behind them: https://www.youtube.com/watch?v=tvpkEEmnZNUExercise and fertility: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10310950/Female fertility and nutrition: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8634384/Sperm counts and time of day: https://pubmed.ncbi.nlm.nih.gov/32195611/Semen and antioxidants: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5203687Fertility support: https://www.nhs.uk/conditions/ivf/support/Infertility counselling: https://www.bica.net/Buy THE HEALTH FIX now: https://www.amazon.co.uk/dp/1914239326?ref_=cm_sw_r_cp_ud_dp_S32SMEDYMC4SBPSJ4CGV

Minor illness seems trivial, but is it always simple to deal with and when do we need to think more carefully about what can seem like minor illness on the surface? Lay referral: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1316199/pdf/brjgenprac004944500617.pdfThe debate about doctors and Physician Associates: https://www.bmj.com/content/383/bmj.p2449Sore throat causes: https://twitter.com/DrSteveTaylor/status/1761753922920694133/photo/1Rincke’s oedema: https://voicefoundation.org/health-science/voice-disorders/voice-disorders/reinkes-edema/PEWS (scoring system for acute illness in children): http://generalpracticemedicine.org/PEWSSheetApril2017Final2.pdfRecurrent UTI: https://www.mayoclinic.org/diseases-conditions/cystitis/expert-answers/bladder-infection/faq-20057833The role of pharmacies: https://www.england.nhs.uk/primary-care/pharmacy/community-pharmacy-contractual-framework/referring-minor-illness-patients-to-a-community-pharmacist/Managing uncertainty in medicine: https://onlinelibrary.wiley.com/doi/full/10.5694/mja2.51925

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-ukADHD and dopamine - seeking rewards:https://www.medicalnewstoday.com/articles/325499Time 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/causesTime blindness: https://www.thecut.com/2020/04/coronavirus-self-isolation-time-blindness.htmlHyperfocus: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7851038/Rating scales for children: https://www.healthline.com/health/adhd/rating-scale#symptoms-checklistFor 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

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 topredict 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_.pdfStanding desks: https://www.healthline.com/nutrition/7-benefits-of-a-standing-deskPrognosis in frailty: https://www.bgs.org.uk/resources/end-of-life-care-in-frailty-identification-and-prognosticationAgeing well: https://www.hopkinsmedicine.org/health/wellness-and-prevention/stay-strong-four-ways-to-beat-the-frailty-riskAn AI device tech example: https://www.miicare.co.uk/Gait analysis: https://www.frontiersin.org/articles/10.3389/frobt.2021.749274/fullCreatine: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7996960/