Dr. Hamilton Demonstrates "The Hold" - How To Calm A Crying Baby

please try and let me know if it works

Hiccups in General Practice

Very occasionally patients come in with this strange one. All the patients I have seen in General Practice share one common item in their history - they never learnt a good way to stop hiccups.

From the reading it involves some sort of resetting of the diaphragm that's going beserk.

This is my simple technique that is almost guaranteed to work that I have used effectively.

Drink continuously from a cup of water - sips will do, do not stop to breathe. Take 10 SLOW gulps - these can be small otherwise you might be full up of water. You will get an overwhelming urge to want to breathe, but the act of drinking causes an intake of air that will be sufficient to keep you oxygenated. When you have completed this exercise, you will be hiccup-free.

Not only is this episode over, this is a skill they will have for life.

I once got a bottle of Champagne for helping someone with his intractable hiccups.

Let  me know if it doesn't work in the comments section.

The expressive writing method - A simple method to improve grades?

Write for 15 minutes for 4 consecutive days.

Just try it and see what happens at the end of the exercise. It will surprise you.

It's great for people who don't like to talk to others.

Richard Bandler NLP Overcoming bad memories

This is a brilliant technique - you need to repeat it 3x for it to be more effective. Repeating this too many times results in amnesia, which is not a great idea as we don't want to repeat the same mistake again. Bad memories should be left there so that we can learn from them when we need to but not so they can cause emotional turmoil over and over again.

The Disease Does not know it.....

The response rate to these operations is quite high. When a patient was asked if they knew it was all a sham they said, " Yes, but the disease doesn't know that...".

Could this be why duct tape or any other treatment works for warts better than placebo?

Anthony Robbins - Swish Pattern - eg phobia cure, bad memories, etc

It's Not About The Nail

 A lesson not to rush in straight away and just listen to the patient.

Resolving Anxiety and Other Strong Feelings - another approach

Getting ready to locum

So you've finished your CSA. You're coming to the end of your Registrar year. Suddenly, you panic because once you finish, you'll no longer have back up from your trainer and you won't have a regular salary. You'll be SELF EMPLOYED, and you don't even know what that means!

These are some things I think you'll need to do to get ready for locuming:

1. Get used to 10 minute appointments
2. Find out where to advertise your services in advance so that you have work lined up for when you finish otherwise you won't be able to pay your mortgage! You can usually advertise for free on the local 'purple pages' of your LMC (local medical committee). You can also drop by to practices you're interested in and drop in your CV and speak to the practice manager.
3. Find out where the locum / sessional GP group meetings are - there is usually something going on locally with organised meetings monthly or speak to an experienced GP locum
4. Speak to the Out of Hours providers to see what you documents you will need to provide before starting
5. Understand that there are a few different clinical systems out there and that you may take time to get used to them or only accept work in practices with systems you are familiar with
6. Discuss billing (I will do a section on this or see www.gplocumweb.co.uk) - my feeling is that you should bill for your time. After all, if its 2 hours or 4 hours, its still your whole morning or afternoon working so you have lost half your day - bill for half the day. This is transparent and clear. Don't add transport - it is annoying - work it into your bill - if its a practice far away, bill them more. 
7. Register with inland revenue as self-employed (you have 3 months), speak to  your trainer about what you can claim as self-employed, and keep records. Get an accountant. Your home will be your base, so transport can be claimed back from inland revenue as a business expense. 
8. Once you start, have the numbers and addresses of the practice you are working at, the local hospital, and understand how that practice works - as a bare minimum, familiarise yourself with the computer system, how to refer to radiology and physiotherapy, dictate / write letters, and the location of the toilet. Do some online research before you start, but often you'll just have to try different practices to see if you like working there. 

24 Hour Fitness - 23 and 1/2 Hours

The words we use - medical NLP

https://m.soundcloud.com/nlp-tv/magic-in-practice/s-xN278

This is an excellent recently released Webinar.

This is the book. It's worth it. Quite thick and easy to digest.

Presenting medical examination findings and questioning at ISCE / OSCE

How to present a medical case at OSCE

This is the video I meant, and there are a few videos from these people which are good.

OSCE video: Abdominal Examination

One of my Academic Tutees requested a video of a good OSCE - the Pastest site including some of the MRCP videos are good for presenting etc.