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Why Disease Isn’t Inevitable with Dr Ayan Panja #232

Jan 26, 2022 1h 20m 16 insights
CAUTION: Please be aware that this podcast contains reference to suicide. Today I’m pleased to welcome back Dr Ayan Panja, who’s a close friend and now a regular podcast guest – as well as an accomplished podcaster himself. He’s a busy NHS GP, brilliant health communicator, and my partner in delivering our RCGP-accredited Prescribing Lifestyle Medicine course to fellow clinicians. We start off the conversation talking about the current challenges that exist for NHS GPs. We talk about the desperate need for more mental health care, and how and why the pandemic has lowered resilience levels in all of us.   Ayan takes us through the Symptom Web which we developed as part of our Prescribing Lifestyle Medicine course, but it’s also a tool we could all start using. It’s about looking at the eight key lifestyle factors that influence health, to help us identify and then address potential issues.   We discuss the bias that exists in modern medicine towards treating acute illnesses, while chronic conditions that build with time go overlooked. But there is so much we can all do to take control of our health and reduce the likelihood of getting sick. We also chat about the recent death of Ayan’s father and share our experiences of grief. We discuss how other people’s reactions can often be surprising, and what they can teach us about how best to help when someone is bereaved. Compassionate listening, we agree, is key – something that’s as important among friends as it is in the doctor-patient relationship.   Ayan also tells me about his own health podcast (called Saving Lives In Slow Motion, which I highly recommend) and the book he’s writing, to empower more people to understand their own health. It’s not published until 2023 but I know it’s going to be a must-read. I really enjoyed chatting with one of my closest friends face-to-face while the mics were running – I hope you enjoyed listening. Thanks to our
Actionable Insights

1. Live Fully in the Moment

To combat uncertainty and external negativity, practice living fully in the present moment by savoring experiences, engaging deeply in conversations, and focusing on sensory details, which helps reduce the impact of external stressors.

2. Use the Symptom Web

Utilize the ‘Symptom Web’ framework to identify and address health issues by reviewing eight key lifestyle factors—stress, sleep, diet, movement, historical infections, environment, genes, and sunlight—to pinpoint areas of systemic malfunction.

3. Practice Compassionate Listening

Offer compassionate, non-judgmental listening with both words and body language, as this provides a powerful form of ‘medicine’ that allows others to process their thoughts and feelings, especially when they lack such support elsewhere.

4. Process Emotions, Avoid Distraction

Prioritize dedicated time to process emotions and understand pain, rather than resorting to distractions like alcohol or endless scrolling, to truly confront and learn from difficult experiences.

5. Quick Vagal Tone Exercises

To quickly increase vagal tone and calm anxiety, try drinking water, pinching your earlobe, slowing your breathing, and humming; these simple, accessible practices can help manage acute stress responses.

6. Lifestyle as Treatment

Understand that lifestyle changes are not just for disease prevention but can also serve as effective treatment and even reversal strategies for existing symptoms and conditions.

7. Identify Key Lifestyle Levers

Identify the ‘key lever’ in your lifestyle that, when adjusted, can correct multiple health issues simultaneously; for example, improving sleep can significantly impact blood sugar levels.

8. Journal Your Typical Day

Journal your ’typical day’ by writing down every step, from waking up to how you eat and move, to gain an objective snapshot of your lifestyle and identify potential areas for improvement.

9. Separate Behavior from Person

When someone’s actions irritate you, focus on their specific behaviors rather than labeling the person themselves; separating the behavior from the individual allows for better understanding and management of the situation.

10. Question ‘Normal’ vs. ‘Optimal’

Don’t just accept ’normal’ test results; question if they are ‘optimal’ for your individual health, as conditions often develop over many years before diagnosis, encouraging proactive health management.

11. Start Small with Changes

When making lifestyle changes, start with small, manageable steps tailored to your current situation, rather than attempting to do everything overnight, to ensure sustainable progress.

12. Stress Changes Your Biology

Actively manage stress through practices like breathwork or humming, as this directly alters your biology, improving blood sugar levels, genetic expression, and reducing inflammation.

13. Counterbalance Unhealthy Habits

If you engage in less healthy habits (e.g., drinking alcohol), ensure there’s a counterbalance in your life, such as other positive lifestyle choices, to mitigate potential negative impacts on your health.

14. Confront Grief Directly

When discussing death, use direct language like ‘died’ instead of softened terms like ’lost someone’ to confront the reality of the event, which can help in processing grief and preventing emotional distance.

15. Daily Mini-Meditation

Practice a one-minute meditation twice daily—before starting work and after work—to manage stress and smoothly transition between professional and personal roles.

16. Lifestyle for Systemic Malfunction

When experiencing systemic malfunction (e.g., gut, brain, memory, joints, bloating issues), recognize that the solution may not be medical intervention but rather lifestyle adjustments, such as addressing chronic sleep deprivation and high stress levels.