In short
Podcast Summary: Begin Again with Davina McCall - The Top Things Doctors Are Missing. Why We Are Sicker Than Ever. Dr. Rangan Chatterjee.
Overview In this episode, Davina McCall speaks with Dr. Rangan Chatterjee, a physician and advocate for holistic health. Dr. Chatterjee shares his insights on the modern health crisis, offering practical advice on improving well-being and addressing root causes of health problems.
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Key Themes & Discussions
- The State of Modern Medicine
- Preventative Medicine: There's a need for a shift towards preventative care rather than merely symptom suppression.
- Disillusionment with Conventional Practices: Dr. Chatterjee reflects on his early career in general practice, expressing frustration over the inability to address root causes of health issues.
- Understanding Burnout
- Rise in Burnout: An alarming 88% of the population reporting burnout raises questions about societal success.
- Connection Between Stress and Health: Chronic stress contributes significantly to various health issues, including burnout and reduced libido.
- The Importance of Solitude and Self-Care
- Alone Time: Emphasizing the necessity of personal downtime to recharge and reflect.
- Micro Stressors: Identifying daily micro stressors (e.g., alarm clocks, emails) that accumulate and impact mental health.
- Personal Health Journeys
- Unique Health Paths: Everyone's health journey is distinct; understanding personal triggers is essential for healing.
- Connection of Emotions to Physical Health: Personal experiences (like Dr. Chatterjee’s back pain linked to emotional burdens) highlight the need for holistic approaches to health.
- The Role of Community and Support
- Healing Through Connection: The impact of community support on personal health and well-being.
- Mindset and Self Awareness
- Transforming Perspectives: Personal growth often comes from adversity; the importance of reframing experiences for positive outcomes.
- Inner Freedom: Connecting spiritual and emotional growth with physical well-being.
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Practical Takeaways
- Daily Self-Reflection: Encouraged to examine personal emotional triggers and stress responses to cultivate self-awareness.
- Three F's Framework:
- Feel: Identify feelings before reaching for comfort (food, alcohol, etc.).
- Feed: Understand how those feelings affect behaviors.
- Find: Seek alternative coping mechanisms that nourish rather than harm well-being.
- Mindfulness Practices: Incorporate moments of solitude and intentional thinking into daily routines for improved mental clarity.
- Shift From Knowledge to Self-Knowledge: Move beyond simply acquiring knowledge on health to understanding personal needs and triggers.
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Closing Thoughts In the closing segment of the podcast, Davina and Rangan emphasize that transformative change is always possible, inviting listeners to embrace their personal journeys and start anew whenever they choose. The episode underscores the importance of a holistic approach to health—addressing emotional, mental, and physical aspects of well-being.
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Resources & Links
- Davina McCall's Instagram: [@beginagain](https://www.instagram.com/beginagain)
- Dr. Rangan Chatterjee's Book: "Make Change at Last" - emphasizes process over outcome and the importance of self-awareness.
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This episode serves as a reminder that midlife is an opportunity for renewal and transformation, inspiring listeners to embrace their health journeys with intention and awareness.
Written by AI. May contain mistakes. Listen to the episode to check what was said.
Transcript
Automatic transcript. May contain errors.0:0080-90 % of what goes into doctors these days is in some way related to our - Yes. I felt that we're constantly not getting to the root cause. We're suppressing symptoms. Burnout is going up. Physical health problems are going up. And I thought, it's a doctor. What are we missing here? I have come to realise my constant state of high alert was making me ill. Our stress responses are being activated by the state of our daily lives. When a society is 88 % burnout, is that a sign of success? No. We're living in an era where there's never been more information. knowledge is not enough to facilitate change you need there does seem to be a much better way of treating people when you help people understand what the root cause drivers are for their health problems you can help them heal if anyone's listened to this and is trying to examine their own health you can get to a point of making effortless change you can begin again right now i don't know if i should say this or not davina
1:04you started your professional life as a gp um but became disillusioned with that can you tell me why that happened yeah i qualified for meddivore medical school in 2001 and initially i was in hospital medicine i did my specialist exams i was going to be a kidney specialist and I was really getting a little bit frustrated in medicine and I thought I don't want to spend the rest of my career just looking at the kidneys I felt that everything is connected and I want to see much more than just kidneys and so I made the move in around 2008 to move general practice but what happened Davina is and I'd realized this before then but in in In NHS general practice, back then, you were often seeing 40 to 50 patients a day, which is an incredible number of people.
2:05And I felt that we're constantly not getting to the root cause. We're suppressing symptoms with pharmaceutical drugs, which may have merit sometimes. But I felt we were overdoing it. People were coming in and we were giving them pills. And one day, I still remember this. It was the end of the day. I think it was in autumn and a practice where I used to work at. And I looked at the list of patients who I'd seen. It was almost 50 patients. And I said, Rangan, how many people have you really helped today? Hand on heart, I thought it was 20 % of people. The other 80%, to be clear, I was compassionate.
2:43I took their issues seriously. I may have referred them somewhere, sent them for a scan or put them on a medication. But I honestly thought, I haven't really helped here. They're going to be back because this is not getting to the root cause of their problem. And I've always found that incredibly frustrating. And so my whole approach these days is, and it has been for many years, frankly, is to help people get to the root cause of their problems. And the uncomfortable reality for us is that 80 to 90 % of what goes into doctors these days is in some way related to our collective modern lifestyle.
3:24Now, I'm not putting blame on people. Just to be really clear, I get that life is tough. But we have to accept that if you go to hunter-gatherer communities around the world, for example, who are living in more traditional ways, they don't have a lot of the things that we have. Autoimmune disease, type to diabetes, depression, anxiety, they don't have them in anywhere near the same numbers. and so I believe and I've seen it time and time again that when you help people understand what the root cause drivers are for their health problems you can help them heal. I am talking and I'm sure you talk to a lot of people in the medical field or who like you started training as a conventional GP or doctor or even specialist but who become disillusioned And exactly the same if you see there must be a way of preventative medicine becoming more of a thing.
4:23Does it drive you nuts that there does seem to be a much better way of treating people? And what an enormous difference it would make if we could do this on a much larger scale. I mean, I know you've reached 250 million people. That is amazing. but I do feel like the general public are still out there not making the changes that they could make that would really change their lives. Yeah it used to drive me nuts okay because when I first started particularly when I started talking about this in public you know when I look at old videos or someone sent me my TED talk the other day which I haven't seen in years and I watched it I'm like wow, you were young and passionate back then.
5:06And I'm a lot calmer these days. So yes, it drove me nuts back then because I thought there is a better way. And I want people to see this. I want to help people. And I still do, but it doesn't drive me nuts anymore. I feel I'm a lot more emotionally grounded these days. And I just feel that there is a lack of understanding. Like we believe that when we have a set of symptoms, that we have a thing, that we have, let's say, a disease, right? Without understanding that that disease or that set of symptoms is an expression of a variety of different things. So yes, your genetics, right? So we're all born with certain genes.
5:47But then along with genetics, you have your nutrition, your movement, your sleep, your stress, what I call the four pillars of health, food, movement, sleep, and relaxation. You've got your environment, your relationships, how you think about yourself, all those things interact with each other. And the expression of that is your symptoms. And so whilst diagnoses can be helpful for some people, I'm never a big fan because if you label someone, they feel that, okay, I've got that hat now. Okay, I've got depression. So everything they see then is through the lens of the fact that I have depression.
6:28Whereas if a patient came in with symptoms consistent with depression, I may not use that word. I might say, for example, look, in your lifestyle, there are all these things going on. I think they're contributing to the way that you're feeling. Would you like help? Would you like me to help you understand what those things are and how we can start changing them? And then often, if they're able to, and if I can connect well enough with them, they change those things and they don't have as many symptoms. But the whole medical model, the modern medical model relies on us labeling people. and I've always had a slight problem with that.
7:11I understand why it's helpful for some people, why it can be necessary, but I think it also means it's harder for some people to heal because they think, well, I've got the depression hat now and I'm stuck with it for the rest of my life. In Narcotics Anonymous, they always say about, you know, trying to kind of help other addicts that it's about attraction rather than promotion because sometimes if you're really passionate, it frightens people off. And actually this much calmer thing is like, I want to be like that. I want to be like you. People often say to me, you know, like, you know, they say to me at talks or, you know, they might send me a DM, go, Dr.
7:50Ashley, I get all this. I've used your four pillar framework. I now feel like a different person, but I can't get through to my wife. I can't get through to my husband. I can't help my brother. And they say, you know, have you got any tips? and said, well, listen, honestly, what I've learned throughout my life is that people are ready for change when they're ready to change and not a moment sooner. And it's very hard to change someone else. And I really, I very much believe in, I think it's first attributed to Gandhi, this idea that be the change you want to see in the world, right? I love that.
8:28That's how I live my life like I want to be healthy I want to be mentally resilient I want to be emotionally calm and I genuinely feel I am these days certainly compared to how I used to be and then the people around you are going to be like hey I want a bit of that yeah I want to be that non-reactive person that person who seems to have energy who's clear-minded who's not maybe snapping at his kids as much as he may have done in the past. For example, I honestly believe that's the way we change the people around us. It's not by actually trying to change them. It's by, you know, putting out that energy of saying, hey, I'm calm.
9:09And going back to your earlier question, Davina, I do believe there's a better way for all of us with our health. I really do. I believe knowledge is getting out there these days. I think people are understanding that small changes in our lifestyle can have a huge impact on our health and well-being. But I've also realized with my voice now in public that I'm not trying to convince anyone anymore. If you disagree with me and you see the world differently, great, no problem. I'm no longer trying to change people's minds. I know what I know. I've been a doctor for over 23 years. I've seen tens of thousands of patients.
9:53I still think that series on BBC, Doctor in the House, I don't think it's ever been repeated globally, like having all these chronic conditions reversed or 70 to 80 % better within six weeks. It hasn't really been done. And so I'm very confident in what I know, not arrogant, but confident in what I know and what I believe. But I don't need other people to believe me. I don't need you to agree with me if you don't I'm completely okay with it and I believe I'm able to make more change by coming with that kind of calm and mindset does that make sense totally there was um a story that I read um about when you were caring for your father and the physical impact that that had had on on you with back pain um could you just talk talk me through what happened there because was it that the back pain disappeared yeah so um let's rewind in my early 20s when I was at university at Edinburgh Medical School one afternoon I think it was in fifth year because we were moving into a new flat with um my flatmates Mary and Steve and Mary just pulled up a car outside with all her boxes and so I was helping her move up and we're on the fifth floor so I'd coming up and down the set, helping her with the boxes.
11:20And at one point, I was lifting something at a heavy box, sharp pain in my back for the very first time in my life, dropped the box, had to lie down. That was the start of about 10 or 12 years of horrific back pain. You know, I was once off as a doctor, as you knew, for six weeks. When my first child was born and my back went. I could barely pick him up for the first six weeks, which makes you feel like a bit of a failure as a parent, certainly as a man. You feel, you know, I'm not able to support my family and pick up my child. And I was a carer for my dad for many years. The reason I moved back to the Northwest of England, where I still live in 2003, was because my dad had lupus.
12:04He had kidney failure and he was on a dialysis machine for 15 years. And I moved back to help my mom and my brother look after him dad died in march 2013 at my dad's funeral in manchester crematorium you know the service had happened and at the end dad's uh body in the coffin was going into the the oven right i don't know what the official term is but you know you could see it open you could see the orange flames. And I remember just watching the coffin go in. And I remember at the same time feeling my back just loosen up and the remaining time just went. And I was like, did that just happen? You know, you sort of second guess yourself.
12:56I know that happens. and what I've realized since then is that part of the issue with my back was this weight that I was carrying about being responsible for my family being the one who they all look to you know to look after dad don't get me wrong my mum and my brother were amazing they did loads but if anyone's listened to this and is trying to examine their own health I bet for most people It's not just physical stuff you need to look at. There's emotional stuff as well. Sometimes the emotional pain, you're right in the thick of it. My amazing stepmum looked after my dad. He had Alzheimer's during lockdown and on her own in Portsmouth.
13:47Her sister was nearby. They were in a bubble. but still locked in with somebody not able to kind of take them out or distract them more. It was really hard and she got polymyalgia. And, you know, obviously we know that that's from stress and fatigue and all of these things, but she was right in it and there was nothing. She knew that that was probably what was causing it, but she didn't know how to get out of it. It's hard, isn't it, when lifestyle choices aren't even available to you because your life is so mad. Yeah. I remember when I, first of all, that sounds like a really difficult time. One of the things I remember when I was full on in the midst of caring for dads, whilst also being a GP full-time and being married and having a young baby.
14:40Of course, yeah. is that I learned that, oh, if you get up really early on a Saturday, let's say at 5am, and you go and play nine holes with one of your mates who also had a young child, right? And I'm back by 7, 7.15am. Just to have those two hours to myself on a Saturday morning, I could deal with everything else that week that anyone would ask me I wouldn't be resentful because I'd given myself something and having seen many carers as patients over the years that me time you know sure we've all got different pressures we've all got things that we can do and we can't do that was yes I did it once a week but I really believe that if you can have 15 minutes of me time a day.
15:35And many people can do that. If we actually look at our lives and look at how much time we spend on Instagram and how much time we spend doing other stuff, most of us, not all of us have got 15 minutes to actually do something for ourselves each day. Arguably, that's one of the best things you can do for your health and wellbeing. I really hope you're enjoying this episode. And if you can, give us a follow. So there were a couple of things that came up for me then. Firstly, I think it's quite interesting that so many women, myself included, when I was asked, like, what's your hobby? Oh, I don't have one.
16:15My hobby is work, family, like that's it. And the second thing was how attractive your partner will find you when you go and find something to do on your own that's a bit independent. They're like, oh, hang on a minute. They've gone off and done something on their own and like, oh, did you have a good time? If you're always available, always there, always there, it's kind of people just get kind of used to you. You like the furniture. But if you go off and do something for yourself, you become like you've got something to talk about. Yeah, you're nourishing a part of you that has probably been undernourished for a long period of time.
16:54And I think if we just zoom out again, we've got to remember that the way we live these days is so different from how humans have always lived. We used to live in tribes of communities around us. Let's say we had a partner and kids. There were other people around. You know, it wasn't all on you. with the advent of nuclear families, with people moving away from their communities and their family for work and better opportunity, it's come at a huge cost, which means we often put everything on our partner. We want our partner to be everything, you know, our lover, our friends, someone we enjoy hobbies with, etc, etc.
17:38And it's too much for any one person. And so what re-engaging with a passion does is it nourishes that part of you that's really important to nourish. And if anyone who's listening or any woman who's listening goes, well, I actually don't know what I want to do. What would I do if I did something unashamedly for me? I would say, just think back to when you were a kid or a teenager, what were the things that you would do? right what were the things that you would spend time doing for a lot of people that gives them a bit of insight into yeah god i used to love dancing or i used to love netball or gymnastics or drawing or arts whatever it might be and i've i've just let it go like i i got married let's say i had kids i'm so busy and we know that when you re-engage with a passion also you're very likely to hit something called flow state.
18:36Flow state is that sort of incredible state where time stands still, where you are literally in the moment and present. And flow state is really good for our happiness. It's really good for our health. It makes us more productive, more creative. People who access flow state regularly are happier and they're less likely to burn out. Burnout's huge, Davina. You know, there's a study done two years ago, which indicated that around 88 % of the UK population have experienced some degree of burnout in the past two years. Now that is... That's not okay. It's an alarming statistic. And it kind of, you know, we like to think we're quite a civilised and evolved society.
19:23But I would question that, you know, are we really, when a society has got 88 % burnout, certainly from that research study, is that a sign of success i'm not so sure no you know i mean absolutely not i mean all of these things we're talking about in terms of um stress how many people do you think because i think this was definitely me um due to i think my upbringing was that i was in a constant state of high alert like all the time but to the point where i thought it was my superpower hour I felt like I'm so on it I'm so oh go go go my legs always going like I'm like what's about to happen and I used to think I can like work harder I can I was ambitious and I love all of those things and I like I like being ambitious I like loving working all of um all of that but I I have come to realize that my constant state of high alert was making me ill um it was actually having a physical effect on my body.
20:31How many people do you see or do you meet who are in this? I mean, I've worked hard to try and help myself change that with some of the things that you've talked about, thanks to you. How many people do you meet like that? It's very common. It's more common that I think many of us think. We think we can keep pushing and keep working and keep checking emails on Saturdays and Sundays and keep doing it week after week, month after month, year after year. But that genuinely for most people, there will be a cost, right? Because I see it. I've seen it time and time again. People thought they could keep pushing and then they come in with depression, with their marriage having broken down, with an autoimmune disease.
21:24for many years Davina I have um spent a lot of time seeing people with autoimmune illness and I can tell you more than 95 % of the time because I take a very extensive history I don't just look at the symptoms I look at what's been going on in the last 20 30 years that's led to you having this condition today because it doesn't it doesn't just start the week before or the year before it's a slow build-up and almost always within the six months preceding diagnosis there is some significant stressor almost always so i think for people to really understand this you've got to understand what the stress response is right so and i'd always explain this to my patients because stress is not good or bad right a little bit of stress is actually really good for It helps us perform at our best.
22:20It's that chronic, unrelenting stress that we don't recover from that causes all the problems, right? So let's think about what the stress response is, because it's one of the most important responses in our body. So let's imagine it's 200 ,000 years ago, and we're just hanging out in our hunter-gatherer tribe, doing our thing, right? If I had just seen a predator, a lion, approaching the camp, in an instant, I would activate my stress response. Okay, so certain things would happen. So what would happen? Okay, my blood pressure would go up, so more oxygen can get to my brain. My blood sugar would go up to deliver more glucose to my brain.
23:05My blood would become more prone to clotting. Why? Well, if that line was to attack me and cut my skin, instead of bleeding to death, my blood would clot. That would save my life. My amygdala, the emotional part of my brain, would go onto high alerts, which means I'm going to be hypervigilant. I'm going to hear every single pin drop because this is an emergency situation. These things are bloody fantastic in the short term. The problem is, for many of us these days, is our stress responses are not being activated by wild predators. They're being activated by the state of our daily lives, our email inbox, our to-do lists, the multiple social media channels we're trying to stay up to date with, the lack of boundary between work and home, where we're constantly working now for many of us on Saturdays and Sundays.
23:59But if that's your state because of your daily life, well, that's what we call anxiety. right right so the stress response is about the right amount of stress and for many people that chronic stress is what is really really affecting us i'd go as far as saying it's killing us and we know that 80 to 90 percent of what comes in to see a doctor in any given day is in some way related to stress and just to finish your stress for a moment i mentioned the things that um that that get activated when our stress response is triggered what about the things that get switched off there's two big things that get switched off right which i think will really resonate with people number one your gut function right how many people around the uk and around the world have problems with their guts one study suggested that 80 percent of uk adults experience some form of gastrointestinal complaints every year.
24:58And yes, diet plays a huge role. But in my view, and in my experience, the number one role is stress. Because if you're stressed out, your body has switches off digestion, because the focus is on getting out of the emergency situation. We should be digesting foods in a really relaxed and calm state, right? Which many us or not. I mean, terrible. The other thing that gets switched off is our libido. Now, this is really, really common, right? More and more people are complaining of low libido. I'm seeing it in younger and younger age groups. Over the last five years, I would say I've seen so many young men and women, late teens, early 20s, complaining of low libido, right?
25:45Which is remarkable. there's many potential causes but the number one cause is stress because if you think about it if your body thinks that actually you're in danger your resources go to running away from the lion they don't go to thinking about you know chilling out and procreating with your partner so managing chronic stress is arguably one of the most important things that people can do And here's the thing, people are struggling with their diets and wondering how they can make changes. And I think, although I'm a huge proponent about making changes to your diet, actually, if you manage your stress levels first, you'll find the dietary changes much easier.
26:28Because a lot of the time, we manage our stress levels with sugar. Yes. Right? So we keep reading, we keep doing the sugar detox or hearing on podcasts or reading, oh, I need to cut out my sugar. And you can apply this to any behavior, frankly, Davina. And this is kind of really what I've tried to tackle in Make Change at Last is basically this idea that you'll never change your behavior unless you understand the role that behavior plays in your life. Right? Take alcohol. In January, how many people are trying to quit alcohol? they can do it for two weeks for three weeks but if alcohol is your way of managing the stress in your life you can wine knuckle it for three weeks and quit but you'll end up going back to the levels you were drinking before because the underlying root cause of your alcohol um was your stress levels so a sort of big thing that i talk about in chapter one is that knowledge is not enough, which I think is going to be quite controversial for some people.
27:33We think that if we give people enough knowledge about sugar, about alcohol, about stress, then they'll change their behaviors. But I've seen it time and time again, knowledge by itself is not enough to facilitate change. You need self-awareness. You need insight. You need to understand, oh right that's why I go to sugar that's why I go to alcohol oh that's why I spend three hours uh scrolling Instagram in the evening when I keep trying to stop I didn't realize what role that was playing in my life does that make sense totally I think um the other thing that's quite interesting is that and I know you like this is your your you advocate spending time on your own doing nothing like kind of just in in calm and peace because um I almost the only time I'm becoming more and more aware of the amount of time that I spend on my phone and how negative that is for me and I I had a shower the other day and I had a really kind of quite a long shower for me and the thoughts and the ideas and the understanding because you're talking about self-awareness.
28:49You need to sit and be on your own or be quiet or just have a walk, a 15-minute walk around the park, but not be on the phone where you can kind of go, you know, I think I feel like this because of this, you know, an awareness where you can question your behaviors. Yeah. I mean, we do not realize across society how much our downtime has been eroded, right? So I'm in London at the moment having this conversation with you. 20 years ago, probably 15 years ago, if you came to London and you went into any coffee shop, you would basically be standing around. You'd be waiting to be served. You'd be daydreaming.
29:34You might bump into someone. Your thoughts would wonder, but now what happens? and frankly in any city and many villages around the world is everyone's glued to their phones. So those micro moments of downtime have been stolen from us, but those moments of downtime are critically important because what happens in that downtime, your brain starts to wonder. When you go for, let's say, a 15-minute walk around the block without looking at your phone, that's a part of your brain called the default mode network, the DMN, that kicks into gear. Now the DMN does many things, but you know, one of the things it does is helps you be more creative.
30:18The other thing it does is help you solve problems, right? So when you're not distracted by a task, when you're not actively trying to do something, your brain then tries to solve problems for you. So let's just connect that to what we've been talking about already. I mentioned stress and chronic stress. One of the most powerful concepts I've outlined to my patients over 20 years is that the one of micro stress doses, right? So what's a micro stress dose? A micro stress dose is a little dose of stress that in isolation, we can handle just fine. But when it accumulates one after the other, that's when things start to go wrong, right?
31:00and we've all got our own personal stress threshold. If we stay under that threshold, we can cope just fine. Once we hit the threshold, that's when we become reactive. That's when colleagues email frustrates us. That's when our back goes or our neck goes, right? It's because we've crossed over our threshold. Now, you can think about stress in two ways, the big stresses in life, but you can also think about these micro stresses. So let's imagine a typical morning, Davina, for many people these days, right? so they're at home they've stayed up late binge watching netflix the night before right because work was stressful they wanted to unwind and they just couldn't resist watching it okay great no judgment here i'm just trying to call it as it is yeah right so they're still up at midnight they go to bed thinking oh man i need to get up early i need to get up at six for work so they put an alarm on okay they go to sleep they're in a deep sleep 6 a.m their alarm goes off on their phone and they look at it, that jolts them out of sleep.
32:02That's micro stress dose number one. Okay. Then they go, oh God, I'll get a bit more, put a snooze on, put it back. They doze off again, six minutes later, it comes on. Micro stress dose number two. Then they pick it up and go, oh man, I'm tired. All right, I'll quickly have a look. So they go on the news and see some worrying news headlines from around the world. Micro stress is number three. Then they go to the email inbox. Oh man, there was four work emails I didn't do yesterday. I'm going to have to do them today. Micro stress dose number four. Then you go on social media. Someone's left a negative comment on your last post.
32:33Micro stress dose number five. I could go on. The point I'm making is often in the first hour of your day, before you've left the house, sometimes before you've even left your bed, people have accumulated 15 to 20 micro stress doses. What does that mean? that means you're already nearly, you're much closer to your threshold than you would have been had you not accumulated them, which means it's not going to take much stress today to tip you over. The other concept which I really think is useful for people is our thoughts, our actions, our behaviours often are downstream from the content we consume.
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33:16So for example, if you start off your day looking at negative news headlines, right? Is there any wonder, like, would it really surprise you that that negativity that comes in then means that you're a little bit short with your partner or your children? You feel a bit down. You're less inclined to make positive changes because you think the state of the world is like in decline. Whereas if you start the day with some time by yourself and you focus on, I'm not saying deny negative emotions at all, but if you focus on things like gratitude. What are the qualities I want to showcase to the world today?
33:53What is the most important thing I have to do today? A much more intentional start to the day. You're reflecting on your life. You're building up that self-awareness. And then you're likely, you're much more likely to be calm with your partner, with your children, with your work colleagues. So I kind of feel a daily practice of solitude without question, I think is the number one practice for your health and your happiness and I think if you can first thing in the morning is the best time for that I mean I think even just hearing that will radically change a lot of people's behaviors in the morning I think the other thing that is good is when you've done it a few times you will notice a difference which will make you want to keep doing it not only will you notice the difference the people around you will notice the difference again linking back to what we said before, be the change you want to see in the world.
34:48One of the reasons I feel so calm, contented, and happy, if I'm honest, these days is because practices like that, you develop such a powerful insight to who you are and who you want to be, that it actually starts to make change quite easy. The reason I wrote Make Change at Last, is because what I realize is that we're living in an era where there's never been more information about what we can do to be well and live well, yet more people are struggling than ever before. I thought there's a problem here. There's more knowledge, there's more books, there's more podcasts, there's more information, yet rates of mental health problems are going up.
35:36Burnout is going up, physical health problems are going up. And I thought, it's a doctor. What are we missing here? And as I mentioned before, and this is, you know, the big idea in chapter one, which I think is one of the most powerful chapters in this book, is this idea that knowledge in and of itself is not enough. You need self-knowledge, you need self-awareness. Many people struggle with sugar cravings right so you often find and i've got so many patients say yeah don't touch i was really good in the day but then it was 9 p.m i was watching telly and i pulled out a tub of bed of jerry's okay so they have the knowledge and there's there's they have the knowledge but they're still unable to make that change despite that knowledge right so the practice i would use and there's what I call the three F's, right?
36:31And I say, this practice will give you freedom, but you've got to just practice it a few times, okay? So the first F is feel. Let's say it's 9 p.m. and you're in front of the TV and you have an urge to get some sugar or some ice cream. Before you get it, take a pause and ask that, what am I actually feeling here? Okay, if you pause, you go, ah, ah, I'm actually feeling a bit stressed actually. Oh, I've had a long day on Zoom calls. I haven't taken a break and this is just a bit of a treat for me. Oh, I had a fight with my partner. Oh, the children's bedtime went on too long and I just need some time for me.
37:12Okay, no problem. Go and have your sugar, have your ice cream. But you've just started to create a gap and in that gap, you start to learn about yourself. Ah, fine, you then go and have it. But the next time you're tempted, that will come back. Like, ah, am I actually hungry? Am I physically hungry? Or am I emotionally hungry? Right? So the second F is, the first F is what am I feeling? The second F is how does food feed that feeling? Ah, right. So I'm feeling stressed. Sugar, or alcohol for that matter, helps me feed the stress. I feel less stressed afterwards. So now you're starting to draw this connection in your mind.
37:55this is self-knowledge this is not knowledge from experts from me from you from anyone else it's like no no you're learning about yourself which is the most powerful form of learning empowering right totally then you're ah right okay then you have it anyway but you're gonna have a bit less because you're starting to realize what's going on and then the third f and you can either do this all in one go or the next time you go through these f's again okay what am i feeling how does food or alcohol feed that feeling and then the final f is find right okay sugar feeds the stress can i now find an alternative behavior to feed the stress so that could be okay you know what yeah i'm not at any me time today maybe i'll go and run a bath for myself right because it will do the same thing maybe i need to spend some time with my partner and instead of him being on his phone and me being on my phone here we actually put the phones away and sit and have a chat maybe i'm lonely i need to phone a friend maybe i need to do one minute of star jumps to burn off the stress doesn't matter what it is we've got to find what it is for us but those three f's you can apply to food alcohol too much time on your smartphone because they help you understand the root cause of your behavior and if you don't understand the root cause you'll never change the behavior you can buy as many health books in january as you want you can buy the latest sugar detox the latest guts health book the latest whatever you want the knowledge will only take you so far why do people every january buy these books and by june or frankly by march they're back to doing what they were doing before it's because they didn't go to the root cause and my whole approach with my patients over two decades has been how do i help you get to the root cause and my whole approach with Make Change at Last is really a framework to say these are the root causes.
39:48Once you know them, it gets so much easier to make permanent change. We're taking a quick break to talk about today's sponsor, Fiverr. Have you experienced the immediate panic when you're asked to create something on the computer, but you have absolutely no idea how to do it? For me, it's social media. But I have realised that I can rely on Fiverr. It's an online marketplace. It's got talented freelancers who specialise in different areas from social media and graphic design to marketing, website building and coding. I don't know what that means. But with Fiverr I can leave it to the experts and focus on the stuff I do best.
40:26So if you want to give Fiverr a try and I think you should, search fiverr.com or click the link in the description and use the code Davina at the checkout for 10 % off your first order that's f-i-v-e-r-r dot com and don't forget the second r and i suppose you know we can't all just take kind of general knowledge and expect it's going to work for us because like you're saying ronan is that everybody is different you know we are we are we all have different childhoods different things that stress us more than other people maybe we this is one of the I think one of the main problems now with the health advice that's been dispensed online.
41:07So I think it's a good thing that there's more information out there. I really do. I think for many years it was the preserve of professors and universities and medical schools. And I don't think that's a good thing. I think it's everyone's default right to have good quality health. I really do but what i noticed um a few years ago you know as you know to be in a i host this weekly podcast and i talk to incredible people each week and i would notice sometimes if one um expert let's say had a different view to let's say a different expert i would sort of get a lot of dms or comments on instagram say dr shashy i love the podcast but i love that expert you had on six weeks ago but i love this current one as well but they're saying different things yes i don't know who to trust people are asking the wrong question the question isn't which expert should i be trusting the right question in my view is why do i no longer trust myself this is the most important thing that i want to share with the world over the next few years genuinely it's a central tenet in in this new book which i'm so happy with and without question is the best thing i've ever written like i really do believe that you know what the right diet for you is get knowledge from experts right listen to what people have to say but then put it through your own filter.
42:43Try it for yourself. The truth is, Damina, some people thrive on a vegan diet. Some people don't. Some people thrive on a low carb diet. Some people don't. Some people thrive on a paleo diet. Some people don't. I have seen tens of thousands of patients over the years and I'm diet agnostic. I think there are some principles, right? For sure, which work? Whole food, unprocessed diet as much as you can, no question. It's easier to manage your appetite. It's easier to manage your hunger signals. You're less likely to crave all these modern, sugary, energy dense, highly processed foods. So yes, if you can, the more whole foods and minimally processed foods you can eat, the better.
43:30But once you've got that, you need to experiment. And if you really tune in, you will know when you're eating a diet that you're thriving on, because you'll feel great. Your energy will be good. You won't have bloating. You won't have constipation. And this is the self-knowledge that is at the heart of anyone making change that ultimately lasts in the long term. It's becoming less dependent on experts outside ourselves and tapping back in to the inner expertise that we all actually have. I don't know if I should say this or not, Davina. You can say whatever you like. It's a safe space. I've been talking in public about health for probably starting in 2013, 2014, when I went beyond my consultation room to talk to the public.
44:22And I'm trying to think about what are the most controversial topics, no matter how much I caveat them, no matter how nuanced I am, which are the topics where people shoot from the hip? Yes. and go mad. Yeah. Right? Menopause. Menopause. Right? Okay. And I want to acknowledge I'm a man saying this, right? And so I understand, you know, I understand that women have been not heard about these symptoms for many years. I totally get that, right? So no part of this is about blame, but menopause, nutrition, fasting. Oh, fasting's mad, isn't it? And I would say cancer. Yeah. But let's stick with the first three.
45:04Those are those. And I understand why. Right. People are have got very firm beliefs and opinions. And I guess these things really change people. They really change people. But let's let's we mentioned nutrition. Let's just mention fasting for a minute. OK. Yeah. Right. Fasting. For some people, it's the most powerful healing tool they've ever come across. for others it's toxic yeah fasting is neither good nor bad it depends on the person if you have got an eating disorder right and if you're a parent of a child who's got an eating disorder you have probably seen how fasting can be a problematic behavior so therefore your belief is that fasting is problematic if on the other hand you're significantly overweight or you've got type 2 diabetes and you have a history of consuming excess calories for whatever reason you might find that a form of fasting and there are many different forms could be a very helpful tool for you and again we become black or white fasting is good fasting is bad no it depends on who you are and i outline all these things in the book basically to help people make more nuanced choices and I think that's where really working on your emotional reactivity really helps you don't get caught up in what's going on you you can sit back a bit and go oh I see I see what they're saying there oh that might be relevant for that person that's not relevant for me like that's another lesson for everyone is not everything you can see online is relevant for you yeah like we have this but we have this view I think many of us that when I go on my Instagram feed, everything is going to be curated for me just the way I like it.
46:58Well, no, it's not. The world doesn't work like that. But I think it's good that it's not curated for everything because I think it's also important that we don't only see our view. You know, we've got to see other ways of doing things or are there interesting other ways of looking, other ways that you can treat a menopausal woman. Like this is important for all of us. I see you as an amplifier of other people's knowledge, right? This is, well, for your podcast, and then you collate all the knowledge that you learn through being a doctor in your life and all the people that you've met and all of your thoughts and things and help us with that.
47:34But it's like, I like to try and amplify all different types of people. And I hope that you will watch all of them because it's good, even if you don't necessarily agree with that, listen to it and see what you think. Let's know why you don't agree. Yes. And if you're being emotionally triggered by something, you've been given the most powerful opportunity for personal growth. This is something I've done in my own life, right? If I'm getting emotionally triggered, if a post has really annoyed me or I'm feeling I can't let go of it, it's tempting to think that that's because of the post. No, it actually isn't.
48:09It's because it's shone a light on something inside of me, right? Because, you know, again, this, you know, Chapter five in this book is called Take Less Offense. And it's a very kind and compassionate chapter. But the idea is that nothing is inherently offensive. If it was, we'd all get offended to the same thing. But we don't. So something is happening in the world. Someone's making a statement. It's only offensive if it triggers something inside of us. So the fuse that's being lit exists within us. and once you understand that you will literally change your life because you understand i'm generating all of these internal reactions i don't want to live in a state where i'm overly dependent on the world around me being perfect so many people are right they want the news to be good the weather to be good their partners to treat them well their boss to treat you well hey if you need all those things to feel well you're going to struggle because those things are not within your control and some days they're not going to happen so that's the state of what i call minimal reliance which i talk about in make change it lasts is how do you cultivate that state where you can maintain this kind of neutrality you know genuinely divina and i've said this but I honestly feel I'm in such a fantastic place in life these days right and it's mostly because of this emotional calm but it hasn't been easy I didn't have it 10 years ago I've worked on it and can I share with you one of the most powerful conversations I've had in my life which has really helped supercharge this for me I don't know if you ever heard this on my podcast or not but a few years ago I spoke to a lady called Edith Eger and and when I spoke to her she was 93 years old amazing I can still remember going into my studio for that conversation and I remember two hours later when I came out of my studio I just I thought I'm a different person I'm not the same person anymore that went in and I think about it pretty much every day because what did she tell me Let me try and summarize the key elements of that conversation.
50:31When she was 16 years old, she was growing up in Hungary. They got a knock on the door and she got put in a train to Auschwitz concentration camp. So her mum, her dad, her, and one of her sisters go to Auschwitz. When she gets to Auschwitz concentration camp, within two hours, both of her parents are murdered. she's a 16 year old girl that morning she was thinking about the date she had with her boyfriend that night she was thinking about what dress am I going to wear instead she's at a concentration camp and her parents have just been murdered later that day a few hours after her parents had been murdered the senior prison guard in Auschwitz I think it was um Dr Mengele I think was his name, he asked Edith to dance for him, right?
51:27And the first thing she said to me, which I've never forgotten, was she said, when I was dancing for Dr. Mengele, I wasn't dancing in Auschwitz. In my mind, I was in Budapest Opera House. I had a peaceful dress on, the orchestra was playing, there was a full house. She said to me, the last words my mother said to me were, Edith, never forget nobody can take from you the contents that you put inside your minds. So that was the first incredible thing she said to me. The second thing I remember was she said, after a while, I realized that the prison guards in Auschwitz, they're not free. They're not living their lives.
52:08They're controlled. But in my mind, I'm free. I thought you are living in one of the darkest places on earth. People around you are being murdered every day, yet you have realized the power of your mind. In your head, you're free. And the final words she said, Davina, to me, which I kind of feel are tattooed on my soul, are Dr. Chastity, I have lived in Auschwitz and I can tell you the greatest prison you will ever live inside is the prison you create inside your own minds. Those words have changed my life, Davina, because it's this idea that we all create these mental prisons by the way we view the world.
52:51We spoke about offense before or things annoying us online. We're creating those narratives that, oh, that person shouldn't have said that. That post is offensive. You can learn to not take these things as offensive. You can learn to go, wow that person's got a different opinion to me wow they see the world differently this is what I mean by all the amazing things that you've picked up from people people that you've spoken to and some of them have completely changed your life forever and I this idea of the prison being of our own making in our own minds that's worse than any other prison you could create is so true but what's wonderful about that statement is that we can change that we can't change it and the thing i say to people if they're looking at okay this all sounds great how do i do that okay this is my challenge to people if this is something you want to change if you recognize yourself and some of the things we've just mentioned it can be hard to do it in the moment when you're not used to it so i would say either either every evening if you can or once a week ask yourself honestly when did you get emotionally triggered when did you get really bothered by something whether it was your partner or your boss or social media and then spend five or ten minutes asking yourself why did that bother me oh it bothered me because of this oh it bothered me because of that whatever it might be i promise if you do this every day for 30 days at the end of those 30 days, you will have changed.
54:30You will understand yourself better than you've ever understood yourself before. But instead of hiding that emotional tension and then just numbing it with sugar and booze and three hours on Instagram, you're actually going to learn about yourself. And you're going to go, oh, what happens if I reframe that situation now? And then you get to a point and it's going to take longer than 30 days where you start to do it automatically in the moment. I genuinely now, Davina, can do that sort of stuff automatically in the moment, 95 % of the time. The other 5 % when I don't, and I'll be honest, because, you know, last month has been a very hectic month for me.
55:11So I'm filming a Channel 4 documentary on smartphones and children, which I'm very, very passionate about. So I've been on the road a lot more than I usually am and a few things bothered me last week and I was like oh yeah you're knackered you're sleep deprived so you're a bit overly emotional so some of your older kind of patterns are now coming to the fore and it's interesting because I was like oh I thought I'd healed this I've had that oh I thought I'd done that yeah but it's a good thing instead of having that shame or beating yourself up which again I used to do it's like oh that's interesting had this pressure not been put on my system, I wouldn't know that I still have a bit of words to do here.
55:52So now it's a gift. Now it's like, this is awesome. I didn't know that because it's often those things that we don't know that blow up somewhere. Or when we have a fight with our spouse or our boyfriend or our whoever, it's always or usually these unresolved things that we haven't dealt with. And so you can actually do this and if you you know you know when you're doing that exercise try and apply that principle if i was that other person i'd be doing the same thing as them right it's so helpful and if you're struggling to reframe something and that this is what i use if i'm thinking no no no i can't reframe this yeah then i go hey wrong and you know what edith eager could reframe stuff in auschwitz I'm pretty sure you can reframe this in your life so I take it as inspiration yes I go okay come on what mental prison you've been locked in here this could be one of the most important things people do yes because the freedom you feel in your mind once you do this stuff and this time I finished the introduction of the book is I say you can get to a point of making effortless change.
57:04You really can. Like you can get to the point where change doesn't feel hard. Oh, because most people are like, yeah, change is a struggle. Oh, I don't want to do this yet. God, I know I should do this. Hey, great. You know what? You'll manage that for a while, but you'll usually revert back. But once your change becomes more aligned with the person who you actually are and the person you've cultivated, you can cultivate within yourself the person who you wish to be. If you don't want to be this reactive person who's snapping at people, who's always getting annoyed with the world, you know what?
57:40Decide today, you know, the podcast, begin again, right? You can begin again anytime you want. Anytime you want to go, you know what? I'm not happy with the state of my life. I'm not happy with where I'm at today, with how much I'm working, with the state of my relationships, with the state of my health. Okay. Be honest with yourself if that's the case you can begin again right now right you really can and if that's you and you want a simple bit of advice right i would say and i'm really passionate about this idea at the moment i would say make one small promise to yourself right and keep it yeah it's the most powerful thing you can do yeah when we meet new people for the first time right we're asking ourselves two questions.
58:30Can I trust you? Can I rely on you? Right? That's a basic, you know, we're social beings, humans, and we're always trying to size up the people around us. But we're also asking ourselves those two questions every single day. Can I trust myself? Can I rely on myself? Now, here's the problem, Davina. When we say we're going to do something and we don't do it, It is one of the most toxic things in the world because we show ourselves, I can't trust me and I can't rely on me. And so break it right down. What's one five-minute action you can commit to each day? Five minutes of meditation, five minutes of yoga, five minutes of star jumps, five minutes of journaling.
59:14I don't care what it is, whatever appeals to you. Remember, no one thing works for everyone. What are you drawn to do? And commit. say, okay, for five minutes a day, I'm going to do this for the next seven days. I promise you, you do that one thing for seven days, you will feel differently about yourself. Your self-esteem, your self-image will be different because you will have shown yourself that no matter how busy my life is, no matter what else I've got to do at work or with my kids or whatever, I still found five minutes a day for me. And that's how you build momentum. That's how change really happens in the long term.
59:58It very rarely happens with a complete lifestyle overhaul overnight. It can do. But in my experience, the only people who can do that are when they've had a really significant life experience or a stressor like a bereavement or a divorce or they've lost their job. Yeah, people can change overnight. But if you don't have that driving you, I genuinely have seen time and time again that if you start small and build up, that's when things really start to change. I've got to say that's really made me feel quite emotional because I think that sometimes people will look at other people and they'll think, I could never be like that.
1:00:40And it's almost because they've lost their faith in themselves. I don't trust myself. You know what I mean? And it is something that simple as five minutes, but I think people think it's out of their reach. I'll never be like that. And what I love about you when you said 95%, because I always say I'm a work in progress. I'm always trying to learn something, small tweaks here and there, never perfect, accepting of my, they call it defects of character in NA, but like accepting of those bits, but always trying to be better. But it's never, like you said never too late for change I quickly want to talk to you about something that's been I've been thinking about why we've been talking I feel like I feel like you're quite a spiritual person can you talk to me about that side of your life it's probably something that I didn't realize a decade ago I'm not even sure I would have thought about that and the truth is is that for me when dad died in 2013 my life changed significantly you know losing a parent you know when a parent dies that is of course a huge moment in anyone's life what happened for me Davina is that it was the first time where I started to ask myself these big existential questions you're like, who am I?
1:02:04Whose life am I really leading? Is this my life? Is this someone else's life? Where do my dreams come from? Are they my dreams? Are they someone else's dreams? And once you open the door to that self-inquiry, I kind of feel it really does make you spiritual because you realize that there's so much more out there. I feel that I am very spiritual. And the truth is 10 years ago, I would have thought, I can't say that. What will people think of me, I'm a doctor. No, I am spiritual. Many people are spiritual. I think it's really important that we connect with something greater than who we are. We are becoming, the US is regarded as one of the most individualistic societies on the planet.
1:02:50In the UK, we're not that far behind. And it's no coincidence that these individualistic societies are showing high levels of sickness, right? We can be individually successful. Can you just explain to anybody that's not aware what an individualistic society is? It's more about me. It's about what can I do? How can I achieve my dreams? How can I make more money? What's good for me? And there's nothing necessarily inherently wrong with that up to a point. but you can't get to where you're doing well and everyone around you is struggling because there isn't harmony in the world when that happens it's no coincidence that you know you know the Scandinavian countries where society is a lot more equal where there's not this big difference between the highest earner and the lowest earner they are happy there's many other factors as well but I kind of feel that you know we know for example that um doing things for others makes us healthier and happier.
1:03:54There's studies done where they show that if you get given a sum of money and you compare it, you compare when you spend it on yourself and you spend it on other people, when you spend it on other people, you're healthier, you're happier, you feel better about yourself and your place in the world. So I'm not saying that people should forget their dreams and just do what's right for the collective. But I think the balance has gone to the point where many of us are just thinking about ourselves and our bank balance and our dreams and our careers and not thinking about the world around us. So when I hear the word spiritual, I take that as meaning a connection to something much bigger than just me, right?
1:04:37That could be nature. You know, we know that spending time in nature makes you less stressed. We know that experiencing awe, you know, this feeling when there's something, you know it's just awe-inspiring yeah we know that can produce depression it can make us happier and i feel that um these things are really important too much about healing even within my profession it's been about physical health go back to what we were saying about my back pain before okay the medical model the model i looked at my back pain through when i was 20 was okay hey, let's get a scan. What's the physical problem here that's causing that?
1:05:17But when the pain went finally at my dad's funeral, I was like, you know, I knew that emotions were stored in the body, but I knew it with my cognitive brain. I never really, you know, embodied that, never really experienced that. And once you have, and then I start applying those learnings with patients, the only way to heal is when you combine physical mental and emotional and i really believe that whether it's type 2 diabetes menopausal symptoms chronic pain autoimmune illness the medical model is far too much just about physicality but we are multi-dimensional people the physical dimension is important but so is the mental and emotional one as well and I don't think we need to think of these things as scary I think if you ask most people in the privacy of their own homes is there more to you than just you know your existence and how you feel physically I think people would say I mean what what do you think that are you spiritual oh I I mean I love listening to your journey because I have had a very similar one um possibly not as early as you, but when my sister died, I was lucky enough to be with her.
1:06:42And it sort of changed everything about dying for me.
1:06:49I don't know. It made me feel a lot less frightened of dying. I was with my father when he died. And when I went to the, when you have to go and register the death, They say that very, very few people are with the people that they love when they die. Sometimes people wait to die, I think, until their loved ones have gone so they can not upset them, I think, you know, subconsciously. I mean, you don't know what goes on, but I was with them and it made me not fear death, but it made me really think about my life, what I want it to be, the meaning to go larger. I was brought up a Christian, quite strict Christian, and so I love this idea of collective.
1:07:33I'm not necessarily a practicing Christian anymore, but I loved church. I loved being with other people. I loved quiet time in prayer. I still pray. I don't really know what I'm praying to, but I believe my prayers are heard and that's enough for me sometimes. But I also try to see nature as part of me that we're all one you're you're part of me you're part of me like everybody I don't know I'm like I'm on a massive spiritual journey at the moment it's yeah um first of all I'm sorry to hear about your sister and your dad um and I was also with my dad when he died with my mum as well we were you know mum's holding his left hand I was holding dad's right hands um and and I'm you know again I I don't know what's made me less scared of death, but I'm not anymore.
1:08:27But I was. I'm sure death has contributed. But I think when you really sit and understand that our lives are short and that we will die, that's not something to be afraid of. When you acknowledge that, I think it gives you the license to really start living and embracing life. And I think a lot of our stress comes from this fact that we don't think it's going to apply to us. And interestingly enough, you know, you mentioned you've been brought up as a Christian. It's interesting that there's really good research showing that people who follow religious practices are healthier and happier. Not necessarily people who are religious.
1:09:09Because what do all religions pretty much have at their heart? They've got some really good practices. Like you get together once a week. You know, you're kind to other people. You treat people with respect. These are good lessons for life. So I think being spiritual is within all of us. And I think it's become more important as religion now has become less and less fashionable and less and less common. I think that also is contributing to this individualist society that we have in the West now. I'm not saying you should all go for religion. It's not for everyone. But do you think there'll be more interest perhaps in the kind of more philosophy-based group like Buddhism?
1:09:58You know, so, I mean, Quakerism is a really interesting idea where you sit in silence and when you feel the need to talk, you can stand up and express yourself. I think what we're realising is a lot of these religions or philosophies, they all had some really amazing wisdom baked in. And as we become more secular and individualistic, I think we're realising that, oh, well, maybe I don't want to be religious, but there are some practices there that I can take and use. I don't think we've got these frameworks in society at the moment to actually practice those. And I think that will be the next evolution of us.
1:10:42It's like, okay, for some people, you know, I wouldn't identify someone who's religious, but I would identify someone who's spiritual. Yes. And it's also interesting how we're brought up in different cultures. So in Indian culture, Davina, at a funeral, so we have cremations, but the day before, or sorry, but just beforehand, you go and see the body. Okay, so you actually, you know, the coffins open and you, you know, you see the body, the dead body. Actually, in India, the cremations are, they're done in public, you know, you put on a funeral pyre and you actually see the body burning. Whereas, of course, here, we wouldn't do that.
1:11:23I sort of feel that it's kind of more hidden away. And again, each to their own. But I think one of the problems, one of the costs of having it hidden away is that we don't think death is real. It doesn't really apply. Whereas if you, you know, it's interesting now as we say this. My back pain went when I saw my dad's, yeah, he was in the coffin. but it was like I had this realization that oh my god dad's body is going to be burnt yes I know it's obvious but it wasn't obvious to me I was like oh literally my dad's the person who taught me how to play table tennis snooker who I used to follow around mowing the lawn when I was three and you know so daddy I want to do stripes like you know when I had that realization that oh that's going to be ash in just a few minutes that's when I really got that oh dad's gone that's when my back eased off so we're all spiritual beings whether we choose to accept that or not we are and once we connect to something much bigger and greater than ourselves I actually think we start to experience all kinds of positive changes.
1:12:31I think there's quite an interesting concept with lots of religions and that is the concept of sacrifice and I know you talk about happiness we're all kind of sold this thing of you know we've got to be happy all the time and it's just not it's not possible but really the happiness feels so great when you've had a tough time and then something lovely happens you go oh god this feels amazing that's the hardest thing for me is part of that right I would say as a parent one of the hardest things for me to get my head around is this idea that the most powerful realizations and learnings I've had in my life have come from adversity yeah they really have and I wouldn't trade any of those adverse events because without them I wouldn't have learned what I have learned but as a parent you want to protect your kids from adversity and so in my head I'm like wow and look the reality is like the world is going to give my kids adversity whether I want it to happen or not but as a parent you want to protect your kids from adversity but adversity really is the most powerful tool for change and I I've now come to reflect you know what you know dad died over 11 years ago now and I still can't get my head around it's been that long it still just feels like a couple of years ago and I've really now come to the view that dad's death was a gift like I really feel my dad's death was a gift to me because if dad was still alive I wouldn't have learned all the things I've learned from his death and that viewpoint won't be for everyone Davina but you know what a viewpoint is it's a viewpoint it's a choice i'm choosing to believe that that helps me that helps me come to terms with dad's death that helps me um that helps me be comfortable with it and our viewpoints again if we think about the prison in our minds that we've been talking about you can lock yourself up in your mind with a particular fixed viewpoint but you can also shift your viewpoints if you want you can change them anytime you can begin again yeah right I've now chosen, instead of seeing dad's death as a bad thing, would I love my dad to be around today?
1:14:54Of course I would. You know, dad was an Indian immigrant to the UK in 1962. All the things in my career that he would have been most proud of, he never got to see. You know, me having my own BBC show. For an Indian immigrant to the UK, for his son to have, his own primetime TV show is about as good as it gets, right? He never got to see that. you know dad died two years before that you know five and hopefully six best-selling books dad never got to see right but the truth is if my dad was still alive I wouldn't have written any of these books I honestly believe that I wouldn't have had the insight I would have been too busy looking after him to have the time to do it and so I choose to look at every adverse event in my life now as a gift.
1:15:40It's an opportunity to learn. But that's a mindset that I've cultivated. And I needed solitude to cultivate the mindset. You cannot cultivate that mindset if you're in reaction mode. If you get up each day and you're answering emails or you're looking at your phone and then you're consuming content and you never have any space to think, you will never cultivate those insights right yes well i want to go back to this book which is definitely going to be your sixth i just want to say sunday times bestseller um make change that lasts that's that's the thing in here most of the things in here you know that it's free they're all free everything in everything in it's free davina and just on that if i could just say one more point which is i'm really passionate about is another part of my journey over the last years has been really focused on process over outcome journey over destination right oh yeah and it's it's been a lot I grew up thinking that my worth as a human being was based on how I performed and how well I did there's a long backstory there but that's what I I took on that belief and that belief made me very competitive as i've gone and uh made peace with my upbringing and those belief patterns i've changed them so i'm no longer competitive because being competitive was never who i was it was who i became and once i understand how i became it i've taken steps to unbecome it right and it's all outlined in the book but now i've got to the point and i had this with my last book on happiness but I really feel it with this book.
1:17:26I've already won by writing this book because the book is the book that was itching to get out of me. These ideas had to come out of me. Whether anyone buys the book or not, it actually doesn't matter. I've already won. I've already won. Like maybe winning someone I've already, the process of writing it for the last two and a half years, yes, it's been hard. Yes, it's been difficult. But that is the best thing I'm capable of at this moment in my life. Now, I know from people who've read it already, like Dr. Gable Matsey and Dr. Chris Van Soliken, who are, you know, yes, it's nice to hear from them that Runger, this is incredible.
1:18:08It's the best book you've written. It's going to help so many people. Of course, it's nice to hear that. but the reality is if no one buys that book can I get to the point in my life where I still feel that it was a worthwhile endeavor yeah I think I can this has been just the most amazing talk like I have absolutely loved every single waking second of it and I and I think those two three thousand people are the luckiest people in the world it's going to be amazing oh I'm so excited thank you for inviting me onto your book And thank you for hosting such a wonderful space with a, you know, the beautiful backdrop and having me on the show.
1:18:50I really enjoy it. Keep up the great work yourself. Thank you. Thank you very much. Oh, my God. I mean, where do I even begin? But what I loved is, I mean, there were so many takeaways, but for me, the big ones were knowledge isn't the thing. It's self-knowledge. Ask yourself, why am I reacting to this post like this? Why am I reaching for the sugar now? What is it? The three F's that he was talking about in terms of addictive kind of patterns that we get into, ask yourself those things. and why am I doing it, especially around something like sugar, which I've had a massive problem with for years.
1:19:39Although I am in a sugar-free moment at the moment, but I haven't looked at why I reach for it. And I think I would probably go back to it if I didn't deal with that. So that really helped. Another massive one was peace and solitude and those kind of micro-stresses. That was fascinating, wasn't it? in the morning, waking up, alarm, micro stress, snooze, alarm going again, micro stress. I was like, oh my God, by the time I'm eating breakfast, I've had 15 micro stresses. I am already like, oh, it's so true. I mean, I could go on and on for hours. I could just go through the entire podcast and list off 40 things that have changed my life.
1:20:23So I'm not going to do that. But he was great, wasn't he?
1:20:35Thank you.
From the publisher
In this episode of Begin Again, Davina is joined by Dr. Rangan Chatterjee, a globally renowned physician, best-selling author, and leading voice in holistic health. Dr. Chatterjee shares practical insights on improving physical and mental well-being, preventing burnout, and creating a fulfilling, healthy life.
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www.instagram.com/beginagain
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(00:00) Intro
(01:05) Rangan's Early Career
(04:00) The Role of Preventative Medicine
(07:23) Connecting With People Who Need Help
(10:29) Overcoming Back Pain: Rangan's Journey
(13:28) The Power of Doing Things for Yourself
(19:00) Understanding Burnout
(19:39) Managing Stress Responses
(25:22) The Link Between Stress and Sex Drive
(28:13) Importance of Alone Time
(30:31) Identifying and Managing Micro Stressors
(39:53) Fiverr Ad
(40:43) Why Everyone's Health Journey Is Unique
(49:29) Achieving Inner Peace
(58:11) Life-Changing Advice From Rangan
(01:00:55) Exploring Spirituality
(01:03:03) The Shift Toward an Individualistic Society
(01:06:26) Reflections on Death and Dying
(01:09:48) Healing Through Community Support
(01:12:31) Finding Freedom in Sacrifice
(01:16:05) Insights From Rangan's Book
(01:18:53) Davina's Final Thoughts
Sponsored by:
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