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No, hi, everybody. Thanks so much for coming along. Um So just give it a few minutes as let a few people trickle in. I'm sorry for coming on a couple of minutes later today. So, um we're gonna be looking at a couple of different things today. So we'll talk about uh communication skills primarily to begin with and look in more depth uh into bad examples of communication, good examples of communication. Then I've got a couple of cases to go through together. Um, and then a few M CQ questions. So what I'd really love is for this session to be as interactive as possible. Um Put some things in the chat because if it's just me asking a question to the air and uh getting silence back then it would be a lot of fun for anybody. Um A bit of a disclaimer is that I'm a bit poorly. So if II might have to stop at points for a cough or to blow my nose, so I'm sorry about that. Uh But we'll, we'll power through regardless. So while we're just waiting a minute for people to trickle in, um our flag up the next session is tomorrow. Um, same time. Uh We'll look at Children and elderly, uh LGBT healthcare. This is a session that was supposed to be on last Wednesday, but we had to delay it. Um So you can find a link for that on metal. Uh You can find it on mind the Bleeps, uh uh Facebook page as well. Uh And on like the F one whatsapp chats. If you've gotten links off there before then they're on there as well. Uh So yeah, do, do go and sign up for that one as well. So, like I said, just give it a minute or two and then we'll go through. Can, um, can you just send a yes or a thumbs up in the chat if you can see and hear me? All right. Actually, I just realized you might not have heard anything yet. Am I coming through to you? Yeah. Brilliant. Ok. Thank you very much. Uh All right. I'll just give it a couple of minutes then and we'll get started. Ok, so, yeah, let's get going then. So as I mentioned, next session is tomorrow and then this is the list of sessions. Um, we've had a bit of a rejig people's commitments have changed a little bit. So it's a bit different to the uh list that we put up in the previous sessions. Um So after tomorrow, next Wednesday, we'll have social factors, mental health, then we're revisiting the dermatology session which was canceled from a couple of weeks ago. Um And then our last couple of sessions. Uh so yeah, just, just keep an eye out there wouldn't be any more last minute changes, but you never know. So I just thought I'd keep you aware of that. And then this screenshot is obviously where you can find the link to register or meal. That's what it looks like. There's a little like register here but underneath. Um So yeah, do do go do that if you're interested in tomorrow's session? All right. So what are we gonna cover today then? So we'll look at basic communication principles first. So this is specifically for dealing with LGBT patients. Uh But frankly, a lot of it is relevant to any patient. Uh I think you'll see by the end that the the main header is just is being polite and being kind and considerate. So it's something you can bring forward when dealing with all patients. Um Look at a couple of cases. Um Then I think I've got like 10 MC Qs or so. Um And then if you've got any questions for me at the end, then I'm very happy to answer them. So let's start off with communication. So introduce yourself. That's the first thing we do when we talk, when we see a patient, when we see everybody a a colleague as well or family. Um The first thing I'd say for LGBT patients is you'll be aware of getting their name and their pro correct. Um No, obviously this isn't as relevant for every single patient. I think I mentioned in my session before, say, for example, you on to um just statistically you're less likely to patient. Um find out that you wouldn't expect just from uh what they look like. Uh But that doesn't mean you, so um considering their name and pronoun and then asking uh if, if you're not sure uh also have an awareness that is not always going to be the same as what you've seen online on their system. Um It might not be the same as what you uh people call them. They might have a way they want to be referred to them. Yeah. So it's really worth just asking um asking yourself. Um We did cover a lot of terminology in previous sessions with regards to like what um transgender means, what this gender means. Um Non binary people, et cetera. Um I wasn't gonna go back over that today, but just to check it, let me know if it would be helpful to quickly run over those things because obviously it, it is relevant um as things like pronouns is more relevant for the trans. So just let me know if you want me to. Um so other things about introductions then use open questions when doing so, say, for example, we see a patient uh with an F marker on their records. I'd say one of the worst ways you can begin. That conversation is going, is the title Miss or because that's a really close question. We give them two options to choose from and their title may fall outside. I mean, their title might not be g it could be doctor. It could be, you know what I mean? Uh So it might not necessarily fall you, you kind of too. So usually you ask them what it is. Uh You can ask them what their gender is or their gender identity. Uh That would be a far more open way of, of um in terms of asking that title it, yes, it might feel like a more comfortable way of bringing up someone's gender. Um Compared to asking their pronouns feeling a bit kind of all of a sudden, a bit blunt, however, asking what type of someone is, is kind of an odd question if you're not doing uh administrative forms or something, it's not something that tends to come up every day or what does tend to come up every day. How would you like me to? And I'm sure this is something you'll have um looked at when you're treating older patients again, often older patients, younger patients will be happier uh or more than happy with that person. I mean, I'm not a doctor, I would feel very good. Um So question really is that, so I've got a bit of an example here. So this is our doctor who's gonna appear, um, throughout the next few slides. So he says, hi. My name is Doctor Jones. Is it Emily? This is our patient and the patient says, um, actually that's not the name I go by. So, at this stage, if you have a Doctor Jones, what are you thinking? What, what's gone wrong? What are you gonna say next? Any ideas? How can Doctor Jones salvage the situation trying to hear? Not sure if it's my system or yours? Ok. Um, let me just check that it was. Um, is this any better? Can you hear me any better now? Uh, I suppose I should keep talking to Mick for you to see if you can hear me better now. Well, um, so what does Doctor Jones say in response? Apologies? What name would you prefer? I think that's AAA.