Monday, February 10, 2020

Short video.... How to explain to patients about the infectivity of the coronavirus during the incubation period and the importance of self quarantine during this period

If we have had a significant exposure to the novel coronavirus eg coming back from a high risk area like Wuhan or other areas as updates are available, we are advised to self quarantine for 14 days. So why is that? We believe that the coronavirus has an incubation period of around 14 days and during this period, despite having no symptoms, we may still spread the infection. The incubation period is defined as the period between the exposure to the infection and the appearance of symptoms from that infection. Hence, it is very important that we self isolation or self quarantine for 14 days after exposure to the virus. If after 14 days and you do not have symptoms, you are then regarded as not having contracted the disease.

Sunday, February 9, 2020

Short video.... How fearful should our patients be about the coronavirus?

I think with anything new, unpredictable, and potentially life threatening like the coronavirus infection, it is normal to feel fearful and scared. Having said that, too much fear can lead to panic, which can lead to unhelpful responses and actions. Too little fear also be a problem too. It can lead to complacency resulting in the problem potentially getting much worse. So in summary, one has to find the balance between having to much fear versus too little fear. Having a healthy level of fear around the coronavirus outbreak is probably a good thing in order to motivate us to take appropriate actions to prevent further spread of the disease.

Wednesday, January 22, 2020

Why self care is so important in the Doctoring business

When the plane goes down, we need to put the oxygen mask on ourselves first before we can assist others. In this way, we can look after many other people.

When we try to rescue others, we remember DANGER as our first step.  It’s part of the DRSABCD action plan of first aid.

Self care is not about being selfish. It’s common sense.  We need to self care in order to look after many!

Monday, January 20, 2020

Short Video.... Tips for New Graduates on the 3 Human Needs

It's the beginning of 2020 and I remember how difficult it was to adjust to my first year of clinical practice. There were a lot of things to learn, many late hours, and we were often faced with many uncertainties. New graduates will find that the first year of their working career quite challenging, and there will be many, many readjustments in order to keep our physical, mental, and social health in good shape. I with my brother Tom(Dentist), a collaboration with HealthProXchange, explore here the 3 human needs and how these are important for new graduates to be aware and try to fulfil them. The 3 human needs are: 1 Need for stability, security, safety and control 2 Need for connection as we are all social beings 3 Need for growth, newness and variety Like water for trees, if one or more needs are not met, stress will be the likely outcome. If a tree gets sunlight, nutrients and water, it will be more likely to thrive.
Reference: 1 Maslow hierarchy of needs 2 Rogerian Psychology 3 Humanistic Psychology Consider joining our closed Facebook Forum via links on our website

Saturday, January 11, 2020

Tips of the day on consultation skills

We often listen to judge, respond and take action, but sometimes, it is very important to listen to simply perceive and understand, especially in the primary care setting where we are dealing with highly undifferentiated problems. If we listen to respond rather than to understand, it may lead us down the wrong path, and possibly lose our rapport with our patients too. Not easy but certainly a skill we can better master. 

Friday, January 10, 2020

My tips for Doctors who are about to sit their OSCE exams

MINDSET... get it right.

1 Wear your normal clinic clothes to be in the “same clinical mindset”. Bring your own tools including stethoscope.  (Was told that only stethoscope is allowed now so check).  Note.... Watches are not allowed.

2 You are NOT an exam candidate.

You ARE the Doctor and in front of you are sometimes difficult patients and not difficult examiners. Stay in the role.

3 The day will be easier than your normal clinic day because everything will run on time. There will be no fit ins. No emergency cases. No phone calls. So it’s easier than your normal day.

4 Use your 3mins well. Have a structure. Remember what is asked of you ie management, examination, short case or long case.

5 When stuck, stay in the role and do a bit of summary to get you back to the rhythm.

“So I am a bit confused can you clarify that for me  again”.

Have some “lifelines” phrases to use rather than simply freeze.

If you don’t know... maybe consider “I don’t know about that but I will find out. Also, it’s important in medicine that when we don’t know something, it’s important to know what is not. And I don’t think it is this, this and this.” And roll from there.

6 and as my teacher always use to say, remember to take your brain with you.

Monday, January 6, 2020

Short video on how to educate our patients about Primary Emotion vs Secondary Emotion

As a family Doctor, it is not uncommon for me to see folks with anger issues, and this can have a significant impact on their relationship with their families, partner, spouse, children, friends, and the people they work with. It is important to understand that underlying anger, we may find fear and anxiety, and underlying anxiety, we may find loneliness and disconnection. Loneliness or disconnection is the primary emotion. Anger is on the surface. Once we can address the disconnection at the primary level, then it may lead to less fear and anxiety, and then less anger. So the main message here is to acknowledge and fix the problem of anger at the core rather on the surface level. Understanding primary, secondary and tertiary emotion is a very important part of emotional literacy, which will help one to process emotion, and to better manage one's relationship with others.

Saturday, January 4, 2020

Short video on getting the mindset right for the OSCE GP Exam

In order to succeed in something, one must not only have the skills and knowledge, one must also have right mindset to apply those skills and knowledge to a particular situation. In this short video, we discussed the right mindset to adopt when you are doing your OSCE FRACGP exam.