Why Some Diagnoses Take Years - a challenge for both patient and doctor

Mystery symptoms can be frustrating but what if they are a sign of an actual condtion? In this episode I look at Endometriosis, Primary Biliary Cholangitis, Lupus and Parkinsons Disease as examples of conditions that can be hard to diagnose and why.Endometriosis info: https://www.endometriosis-uk.org/Endometriosis: https://www.bbc.co.uk/news/articles/cdj9d1pzl8noLupus (SLE): https://lupusuk.org.uk/Lupus in Africa: https://www.sciencedirect.com/science/article/pii/S2772829324000845PBC: https://britishlivertrust.org.uk/information-and-support/liver-conditions/primary-biliary-cholangitis/Parkinsons body vs brain first: https://parkinsonsnewstoday.com/news/researchers-parkinsons-origin-explained-brain-first-body-first-model/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.

Each year on my birthday I reflect on the year I have had with gratitude and think about the future. In this episode I look at ageing and what it means to people and how different people navigate it.Muscle strength as we age: https://pmc.ncbi.nlm.nih.gov/articles/PMC3940510/Eyesight and ageing: https://www.aao.org/eye-health/tips-prevention/20-ways-aging-changes-your-eyesHearing loss: https://my.clevelandclinic.org/health/diseases/5840-age-related-hearing-lossPersonality and health: https://www.independent.co.uk/news/health/longer-life-personality-traits-experts-study-b2834833.htmlBlue zones: https://www.bluezones.com/Pesticides: https://pmc.ncbi.nlm.nih.gov/articles/PMC11664077/Microplastics: https://www.independent.co.uk/news/health/microplastics-salad-pollution-particles-study-b2829790.htmlSave 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 food, how we see it societally and how we can enjoy it to enrich our lives. Circadian rhythm and food: https://pmc.ncbi.nlm.nih.gov/articles/PMC11849495/Food noise: https://www.health.harvard.edu/diet-and-nutrition/understanding-food-noise-and-how-to-turn-down-the-volumeFoods that heal: https://www.healthline.com/nutrition/foods-that-help-you-healLectins: https://pmc.ncbi.nlm.nih.gov/articles/PMC11535980/Social eating: https://www.ox.ac.uk/news/2017-03-16-social-eating-connects-communitiesBig food industry: https://lsa.umich.edu/psych/news-events/all-news/faculty-news/many-of-today-s-unhealthy-foods-were-brought-to-you-by-big-tobac.html Emotional eating: https://www.bbc.co.uk/food/articles/emotional_eatingSavouring: https://www.psychologytoday.com/gb/blog/click-here-happiness/201807/what-is-savoring-and-why-is-it-the-key-happinessSave 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 two basic traits people often have and whetherthey impact our health.People pleasing: https://www.psychologytoday.com/gb/blog/my-side-of-the-couch/202408/people-pleasing-as-a-symptom-of-childhood-traumaExhaustion from being too nice? https://www.psychologytoday.com/us/blog/the-genius-of-empathy/202412/are-you-exhausted-from-being-too-niceEmotional suppression: https://pubmed.ncbi.nlm.nih.gov/24119947/Selfishness of different kinds? https://pmc.ncbi.nlm.nih.gov/articles/PMC7265883/Jungian masculine/ feminine archetypes: https://scottjeffrey.com/king-warrior-magician-lover-masculine-archetypes/ Healthy selfishness? https://andrewwilkowilkinson.medium.com/10-reasons-why-being-selfish-is-important-for-you-e5a28bf22b13Amandaland: https://www.bbc.co.uk/iplayer/episodes/m0024pyy/amandalandSave 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 is one of the big eternal questions and in this episode I look at the science and culture behind what makes us happy.Dr Laurie Santos: https://www.drlauriesantos.com/Lessons in happiness: https://drayanpanja.substack.com/p/lessons-in-happinessHedonistic happiness: https://positivepsychology.com/hedonic-vs-eudaimonic-wellbeing/Eudaimonic happiness: https://www.psychologytoday.com/gb/blog/what-doesnt-kill-us/201901/what-is-eudaimonic-happinessTime wealth: https://www.youtube.com/watch?v=ilRNAQ76VsgToxic positivity: https://www.bbc.co.uk/bitesize/articles/z64yn9qScreens and happiness (mixed evidence): https://www.bbc.co.uk/news/articles/cn9p412ern7oCore values exercise: https://brenebrown.com/resources/dare-to-lead-list-of-values/Gratitude: https://positivepsychology.com/neuroscience-of-gratitude/Action for Happiness: https://actionforhappiness.org/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.

In this episode I look at blood tests that tell us about what’s going on with our biological processes in terms of our long term metabolic health and the blood markers are relevant.Hba1c control: https://pmc.ncbi.nlm.nih.gov/articles/PMC4933534/Fasting insulin: https://pubmed.ncbi.nlm.nih.gov/11118012/Vitamin D: https://pmc.ncbi.nlm.nih.gov/articles/PMC10002864/AST/ALT: https://pmc.ncbi.nlm.nih.gov/articles/PMC10346959/Triglycerides and HDL ratio: https://pmc.ncbi.nlm.nih.gov/articles/PMC11493158/ApoB: https://pmc.ncbi.nlm.nih.gov/articles/PMC11219008/HDL cholesterol: https://pmc.ncbi.nlm.nih.gov/articles/PMC6077683/Hs-CRP: https://pmc.ncbi.nlm.nih.gov/articles/PMC9650935/Homocysteine: https://pmc.ncbi.nlm.nih.gov/articles/PMC12564181/Uric Acid: https://pmc.ncbi.nlm.nih.gov/articles/PMC8624633/Do Health: https://dohealth.co/what-we-measure#wwm-step-1Save 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 how we can make health fun. Many people find it hard to get going with healthy habits andI look at ways we can make them easier to access without thinking of them as ‘health’.Monkey brain and bad habits: https://podcasts.apple.com/gb/podcast/saving-lives-in-slow-motion/id1573742958?i=1000597803315Nushu circles: https://digitize.library.ubc.ca/2025/04/10/nushu-chinas-secret-language-of-women-in-our-open-collection/Padel benefits: https://www.ltapadel.org.uk/play/benefits-of-playing-padel/Queens College Step Test: https://www.youtube.com/watch?v=ySQ5bawZpMoDancing benefits: https://www.bbc.co.uk/programmes/articles/1Hpr6R1f4M7f8Qc6fPGH2hg/why-dancing-is-the-best-way-to-enhance-your-brain-and-fitnessKeep dancing: https://www.uclahealth.org/news/article/keep-dancing-preserve-memoryThe IDEAL framework from my book:  https://www.glamourmagazine.co.uk/article/the-health-fix-dr-ayan-panja-new-years-resolutionsSave 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 peptides - what they are, how they work and why everyone seems to talk about them these days.Links:BPC-157 research: https://pmc.ncbi.nlm.nih.gov/articles/PMC8504390/Musculoskeletal healing with BPC-157: https://pmc.ncbi.nlm.nih.gov/articles/PMC12446177/A website promoting benefits despite poor evidence in humans: https://www.hubmeded.com/blog/bpc-157-peptide-benefitsWADA: https://www.wada-ama.org/en/news/wadas-2022-prohibited-list-now-forceGLP-1 drugs - evidence: https://pmc.ncbi.nlm.nih.gov/articles/PMC12303005/Healthy High Protein book: https://www.amazon.co.uk/Doctors-Kitchen-Healthy-Supercharge-stronger/dp/1529148847Save 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 the myriad benefits of walking, why it is often overlooked and the benefits in terms of how it makes us feel and what It does for us.Links:Bill Bowerman’s Jogging: https://www.sneakerfreaker.com/performance/features/how-the-co-founder-of-nike-invented-jogging-bill-bowermanStephen Fry’s story: https://www.diabetes.co.uk/news/2019/aug/stephen-fry-proud-and-relieved-over-five-stone-weight-loss-92021820.html#google_vignetteWalking and mental health: https://pmc.ncbi.nlm.nih.gov/articles/PMC6064756/The leg power and brain health link: https://www.frontiersin.org/news/2018/06/07/neuroscience-leg-exercise-brain-nervous-system-healthZone 2 training: https://www.healthline.com/health/heart-health/heart-rate-zones-workoutRecovery: https://www.healthline.com/health/active-recoveryRamblers: https://www.ramblers.org.uk/10000 steps: https://www.bbc.co.uk/news/health-42864061Walking speed: https://www.scientificamerican.com/article/walking-speed-survival/23 and a half hours: https://www.youtube.com/watch?v=aUaInS6HIGoWalk Yourself Happy: https://amzn.eu/d/0ifCGKpVSave 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 is an episode based on what I get asked online and in the consulting room by patients. Hopefully you will find it useful and helpful.THE HEALTH FIX: https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja/dp/1914239326/ref=tmm_pap_swatch_0Tiredness: https://podcasts.apple.com/gb/podcast/saving-lives-in-slow-motion/id1573742958?i=1000714723319Vitamin D: https://podcasts.apple.com/gb/podcast/saving-lives-in-slow-motion/id1573742958?i=1000702121829Kidney cysts: https://www.mayoclinic.org/diseases-conditions/kidney-cysts/symptoms-causes/syc-20374134Cholesterol: https://podcasts.apple.com/gb/podcast/saving-lives-in-slow-motion/id1573742958?i=1000649268967Supplements: https://podcasts.apple.com/gb/podcast/saving-lives-in-slow-motion/id1573742958?i=1000562693449Magnesium: https://podcasts.apple.com/gb/podcast/saving-lives-in-slow-motion/id1573742958?i=1000689788093Food intolerances: https://podcasts.apple.com/gb/podcast/saving-lives-in-slow-motion/id1573742958?i=1000650788957Elimination diets: https://www.healthline.com/nutrition/elimination-dietSave 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.