How to live to 100 and stay out of Emergency Department

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;
• 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
Job
Passion
Mission …..
To Teach as many people we
can Healthy Thinking
and
To keep as many people out of
the Emergency Department as
possible
And stay out of the Emergency Department
Who wants to live to 100?
Continent
Cognitive
Ambulant
Living the dream
50 year old circa 1900
Life Expectancy 65 years
•
•
•
•
•
Rugby world cups?
Children’s birthdays?
Your own?
Kingfish to catch?
Oceans to visit?
Emotional Fitness
+
Physiological Fitness
=
Years to your Life and Life to your Years
Why be Emotionally Fit?
Hit by a tsunami
Helped out in one
Divorced
Stabbed
Venture capital…
More Emotionally Fit
How Emotionally Fit Are You?
What is Healthy Thinking?
Cognitive
switching
Emotional
algebra
Attitude
profiling
Disengage
the
Grumpy
Unit
Expectation Centre - thought activity
Worry circuit activated
Grumpy unit engaged
Benefits of being a Healthy Thinker
Waste less time
Manage your emotions
Reduce stress and physiological consequences
More opportunities
Longer life
More clients
Better relationships work and
home
On average, lost productivity
and waste* due to…
Anxiety 25%
Stress 33%
Frustration
42%
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
Brain Executive Functions and HRV
Memory
Planning
Concentration
Attention
General Mental Flexibility
Situational Awareness
Hardware
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
bBalance
• WORK
• REST
• PLAY
• Eat Sleep Move
Healthy Thinking Schools and Communities
120 Blood Pressures at the Petone Club
70% High
15% Dangerously High
15% Normal
How do we Disengage the
Grumpy Unit?
Software
Your Emotional Index
Sadness
Anger
Resentment
Disappointment
Stress
Anxiety
Rejection
Jealousy
Guilt
Frustration
Yo
Have
u to
Thin
of
k
something
Trigger
Consequence
Thought
Emotion
Action
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?
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
Thoughts Are Not Facts
WK Airport example
•Triggers
•Children
•Relationships
•Finances
•Technology
•Workload
•Traffic
What could possibly go wrong?
Mt Koryak
Emotion
–
Trigger
= Thought
T
Wi
G
= 30,000 vertical feet a day
282 million opportunities
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
Emotion – Trigger = Thought
Alternate thoughts:
1.
2.
3.
4.
5.
6.
Isn’t she great and is an asset to me
Maybe I should do a communication and confidence
course
I am not ‘that’ good in company but are better than
some
Why don’t I focus on someone else rather than myself
If I stand in one place people will come to me
I should see if I can get her anything
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
Emotion – Trigger = Thought
Alternate thoughts:
1.
2.
3.
4.
5.
6.
At least he has mates
At least I don’t have to talk to them
A chance for me to meet other people
A chance for me to relax and enjoy the scenery
I could find another husband
At least its quiet
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
Rules of Happiness
• Don’t compare
• If you must, compare down…
Emotion – Trigger = Thought
Alternate thoughts:
1.
2.
3.
4.
5.
6.
They aren’t insured, can’t afford another one, and they
haven’t got it fixed since I pranged it last week
They don’t trust me because I got drunk and got breath
tested last time
They are worried it may get stolen
They love me so much they are scared that I may get
carried away and hurt myself
They don’t realise that I can be trusted, want the car
again and wont do anything silly
They don’t think I am ready yet as I don’t have my
provisional licence yet and I am only 14
5 things that make people Happy
www.healthythinking.biz
Attitude Profiles
You have to die
of something!!
Its not your diabetes
that may kill you, but
your attitude to it that
will..
The Attitude Health Game
Your
mind is
your
biggest
competitor
Friends
Family
Health
Financial Security
Sense of Purpose
Look after Yourself
Use The tools TWiG
Don’t Moan
Work Rest and Play
Move
Sense of Purpose
Books
Level 1 and 2 workshops
Mudbrick Vineyard January 21 and 22
Waiheke Island
Thanks for your attention
Dr Tom on The Road and at Sea
tom@healthythinking.co.nz
Questions?
NZICA LONDON 21 April 2012 WORKBOOK
And stay out of my Emergency Department