Saving Lives In Slow Motion

TW: Today’s episode covers death. What is a good death and is it important?In my work I see examples of good and bad deaths depending on how it is perceived by those who bear witness to it and those left behind.I discuss whether death planning is something we should talk about more as a society as death is an inevitable part of life.Links:BMJ article - A good death: https://www.bmj.com/content/320/7228/129Elisabeth Kubler-Ross: https://www.ekrfoundation.org/elisabeth-kubler-ross/quotes/Euthanasia: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8857436/Merope Mills article: https://www.theguardian.com/lifeandstyle/2022/sep/03/13-year-old-daughter-dead-in-five-weeks-hospital-mistakesMarie Curie (end of life care charity): https://www.mariecurie.org.uk/blog/we-cant-prevent-death/153956Death planning: https://www.mariecurie.org.uk/talkabout/articles/get-your-planning-checklist/260241Why smell is so evocative: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3782615/Puja flowers (my favourite smell): https://www.thedailystar.net/lifestyle/spotlight/flowers-my-goddess-159139Save your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me. Hosted on Acast. See acast.com/privacy for more information.

Feedback is a part of everyday life. It is used in most industries as a learning tool but is it help or hindrance? Here I look at types of feedback and how we can give and receive it better.Links:Building a feedback culture: https://hbr.org/2013/12/building-a-feedback-rich-culturePendleton feedback rules: https://www.thecoach.zone/a-method-of-delivering-a-great-feedback-session-pendletons-rules/Giving feedback effectively: https://online.hbs.edu/blog/post/how-to-give-feedback-effectivelyTypes of feedback: https://www.betterup.com/blog/types-of-feedbackSave your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me. Hosted on Acast. See acast.com/privacy for more information.

Failure and feelings of failure are common. Where do they come form? Why do some people feel like failures when others don’t?I explore this and ways to combat feelings of failure in our lives.Schema: https://www.youtube.com/watch?v=F624Baz-VzkHuman failure and its types: https://www.hse.gov.uk/humanfactors/topics/types.pdfFailure is essential for success: https://www.scientificamerican.com/article/failure-found-to-be-an-essential-prerequisite-for-success/My musings on failure - BMJ 2003: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC261763/Leafyard app - one of many CBT based apps which can help with false beliefs: https://www.leafyard.com/actnow Save your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me. Hosted on Acast. See acast.com/privacy for more information.

TW:This is a topic close to my heart having had colleagues and friends succumb to it. In the UK it has never been a harder time to be a doctor, but it’s not about us - burnout can affect anyone. I hope you find the episode and these links useful. Burnout - a paper by Prof Maslach: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4911781/Burnout and the brain: https://www.psychologicalscience.org/observer/burnout-and-the-brainBurnout recovery tips: https://www.healthline.com/health/mental-health/burnout-recovery#assessmentDr Claire Ashley, burnout survivor and coach: https://www.drclaireashley.comDr Kim Hires, TikTok burnout coach: https://www.tiktok.com/@drkimhires?is_copy_url=1&is_from_webapp=v1For anyone working in the NHS who feels they need help for burnout: https://www.practitionerhealth.nhs.ukMicro breaks: https://www.medicalnewstoday.com/articles/10-minute-micro-breaks-may-help-prevent-worker-burnout-study-findsSave your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me. Hosted on Acast. See acast.com/privacy for more information.

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-doctorsThe 5 stages of mentoring: https://www.nihr.ac.uk/documents/phases-of-the-mentoring-relationship/27693Ed Peile: https://warwick.ac.uk/fac/sci/med/staff/peile/Save your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me. Hosted on Acast. See acast.com/privacy for more information.

Singing is something close to my heart and I feel it does not get enough attention for it’smultiple 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/318128Alexander 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-25237125Singing 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/10.1177/147470491201000403Effect on memory and cognition: https://www.sciencedaily.com/releases/2021/02/210210133432.htmBereavement and singing: https://spcare.bmj.com/content/early/2019/06/26/bmjspcare-2018-001642Save your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me. Hosted on Acast. See acast.com/privacy for more information.

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.n2468And 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-yorkSample triage protocol: https://www.medicalprotection.org/ireland/practice-matters/may-2014/example-triage-protocol-for-non-clinical-staffSave your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me. Hosted on Acast. See acast.com/privacy for more information.

In this episode I look at symptoms affecting the gut. They are one of the most common presentations ingeneral 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/ampMintel article on gut health determinants: https://www.mintel.com/blog/food-market-news/gut-health-goes-beyond-digestion/ampUltra-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/fullDiet 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-healthSave your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me. Hosted on Acast. See acast.com/privacy for more information.

*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-characteristicsA paper on similarities and differences in people and their perceptions: https://www.frontiersin.org/articles/10.3389/fpsyg.2018.00849/fullHealth 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/learnMedical 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 Save your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me. Hosted on Acast. See acast.com/privacy for more information.

This framework that I have created helps turn what is in your mind into action. IDEAL:Identify, Define, Engage, Activate and Look BackOne 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/10.1186/1748-5908-6-42Pre-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 Save your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me. Hosted on Acast. See acast.com/privacy for more information.