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

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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

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4 Job Passion

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

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11 And stay out of the Emergency Department

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

13 50 year old circa 1900

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15 Life Expectancy 65 years

16 Rugby world cups? Children s birthdays? Your own? Kingfish to catch? Oceans to visit?

17 Emotional Fitness + Physiological Fitness = Years to your Life and Life to your Years

18 Why be Emotionally Fit?

19 Hit by a tsunami Helped out in one Divorced Stabbed Venture capital

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22 More Emotionally Fit

23 How Emotionally Fit Are You?

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

25 Expectation Centre - thought activity Worry circuit activated Grumpy unit engaged

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

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

28 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

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

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31 Hardware

32 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

33 bbalance WORK REST PLAY Eat Sleep Move

34 Healthy Thinking Schools and Communities

35 120 Blood Pressures at the Petone Club 70% High 15% Dangerously High 15% Normal

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42 How do we Disengage the Grumpy Unit? Software

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

44 Yo Have u to Thin kof something

45 Trigger Thought Emotion Consequence Action

46 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?

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51 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

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54 Thoughts Are Not Facts WK Airport example

55 Triggers Children Relationships Finances Technology Workload Traffic

56 What could possibly go wrong?

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58 Mt Koryak

59 Emotion Trigger = Thought T Wi G

60 = 30,000 vertical feet a day 282 million opportunities

61 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

62 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

63 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

64 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

65 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

66 Rules of Happiness Don t compare If you must, compare down

67 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

68 5 things that make people Happy

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70 Attitude Profiles

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

73 The Attitude Health Game

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82 Your mind is your biggest competitor

83 Friends Family Health Financial Security Sense of Purpose

84 Look after Yourself Use The tools TWiG Don t Moan Work Rest and Play Move Sense of Purpose Books

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

87 Thanks for your attention Dr Tom on The Road and at Sea Questions?

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

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