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How to live to 100 and stay out of Emergency Department Dr Tom - PowerPoint PPT Presentation

How to live to 100 and stay out of Emergency Department Dr Tom Mulholland Emergency Medicine Doctor & GP Best selling Author Honorary Lecturer in Psych Med Clients, Google, Microsoft, Hilton. ENTREPRENEUR Founder;


  1. How to live to 100 and stay out of Emergency Department

  2. Dr Tom Mulholland • Emergency Medicine Doctor & GP Best selling Author Honorary Lecturer in Psych Med • Clients, Google, Microsoft, Hilton. • ENTREPRENEUR Founder; • White Cross Taranaki, Doctor Global, Healthy Thinking Institute & Explore Medical • NZ Defence Force Medal for help in Boxing Day Tsunami • TV and radio talk show host

  3. Job Passion

  4. Mission ….. To Teach as many people we can Healthy Thinking and To keep as many people out of the Emergency Department as possible

  5. And stay out of the Emergency Department

  6. Who wants to live to 100? Continent Cognitive Ambulant Living the dream

  7. 50 year old circa 1900

  8. Life Expectancy 65 years

  9. • Rugby world cups? • Children’s birthdays? • Your own? • Kingfish to catch? • Oceans to visit?

  10. Emotional Fitness + Physiological Fitness = Years to your Life and Life to your Years

  11. Why be Emotionally Fit?

  12. Hit by a tsunami Helped out in one Divorced Stabbed Venture capital…

  13. More Emotionally Fit

  14. How Emotionally Fit Are You?

  15. What is Healthy Thinking? Disengage Cognitive switching the Emotional Grumpy algebra Attitude Unit profiling

  16. Expectation Centre - thought activity Worry circuit activated Grumpy unit engaged

  17. Benefits of being a Healthy Thinker Waste less time Manage your emotions Reduce stress and physiological consequences More opportunities More clients Better relationships work and Longer life home

  18. On average, lost productivity and waste* due to… Frustration Anxiety 25% 42% Stress 33%

  19. Why Healthy Thinking? Multiply that by the number of staff you have… Their families The community How many hours a week wasted on unhealthy emotions When you look back?? Be a Healthy Thinking Leader Put out the fire between your ears but keep it burning in your belly Consequences

  20. Brain Executive Functions and HRV Memory Planning Concentration Attention General Mental Flexibility Situational Awareness

  21. Hardware

  22. Neuro transmission between the Synaptic nerve terminal Nerve cells (axons) connect through dendrites Electrical charge passes through synapse Neuro transmitters are needed to jump the gap Neurons that fire together wire together Can change the networks that stimulate the Pleasure Centre and Disengage the Grumpy Unit

  23. bBalance • WORK • REST • PLAY • Eat Sleep Move

  24. Healthy Thinking Schools and Communities

  25. 120 Blood Pressures at the Petone Club 70% High 15% Dangerously High 15% Normal

  26. How do we Disengage the Grumpy Unit? Software

  27. Your Emotional Index Sadness Anger Resentment Disappointment Stress Anxiety Rejection Jealousy Guilt Frustration

  28. Y o u Have to Thin of k something

  29. Trigger Thought Emotion Consequence Action

  30. What are you thinking? How are you feeling? We don’t know what other people are thinking The difference between men and women thinking What was I thinking?

  31. Emotion - trigger = Thought Then is the thought true? is the thought worth it? does it help me achieve my goal? If the answer is no to any of these questions then it is an unhealthy thought

  32. Thoughts Are Not Facts WK Airport example

  33. • Triggers • Children • Relationships • Finances • Technology • Workload • Traffic

  34. What could possibly go wrong?

  35. Mt Koryak

  36. Emotion – Trigger = Thought T Wi G

  37. = 30,000 vertical feet a day 282 million opportunities

  38. Emotion – Trigger = Thought Identify Goal : To enjoy my night out Emotion : Frustration Trigger: Not being able to mix as well as my wife at a function Primary thought: I am inadequate and not good in company

  39. Emotion – Trigger = Thought Alternate thoughts: 1. Isn’t she great and is an asset to me 2. Maybe I should do a communication and confidence course 3. I am not ‘that’ good in company but are better than some 4. Why don’t I focus on someone else rather than myself 5. If I stand in one place people will come to me 6. I should see if I can get her anything

  40. Emotion – Trigger = Thought Identify Goal : To have a happy marriage Emotion : Anger Trigger: My Husband leaving me alone on the bus on the way to the dinner Primary thought: He would rather be with his mates

  41. Emotion – Trigger = Thought Alternate thoughts: 1. At least he has mates 2. At least I don’t have to talk to them 3. A chance for me to meet other people 4. A chance for me to relax and enjoy the scenery 5. I could find another husband 6. At least its quiet

  42. Emotion – Trigger = Thought Identify Goal : To get what I want Emotion : Anger Trigger: My parents wont give me the car on Saturday night to take my mates to a party Primary thought: They are so boring, they don’t love me and they probably aren’t even my parents

  43. Rules of Happiness • Don’t compare • If you must, compare down…

  44. Emotion – Trigger = Thought Alternate thoughts: 1. They aren’t insured, can’t afford another one, and they haven’t got it fixed since I pranged it last week 2. They don’t trust me because I got drunk and got breath tested last time 3. They are worried it may get stolen 4. They love me so much they are scared that I may get carried away and hurt myself 5. They don’t realise that I can be trusted, want the car again and wont do anything silly 6. They don’t think I am ready yet as I don’t have my provisional licence yet and I am only 14

  45. 5 things that make people Happy

  46. www.healthythinking.biz

  47. Attitude Profiles

  48. You have to die of something!! Its not your diabetes that may kill you, but your attitude to it that will..

  49. The Attitude Health Game

  50. Your mind is your biggest competitor

  51. Friends Family Health Financial Security Sense of Purpose

  52. Look after Yourself Use The tools TWiG Don’t Moan Work Rest and Play Move Sense of Purpose Books

  53. Level 1 and 2 workshops Mudbrick Vineyard January 21 and 22 Waiheke Island

  54. Thanks for your attention Dr Tom on The Road and at Sea tom@healthythinking.co.nz Questions?

  55. NZICA LONDON 21 April 2012 WORKBOOK And stay out of my Emergency Department

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