Hi guys due to some personal issues I will not be able to continue posting or keep this page running. So as a gesture of goodwill I will keep this active until the 18th of February to allow everyone to access the course. After that this will close down. Apologies ofcourse if you have questions your more than free to ask up until then.

Cold hands ≠ poor circulation (most of the time) A lot of people assume cold hands automatically mean bad circulation. In reality, it’s usually your nervous system, not your blood vessels failing. 👉 Stress, anxiety, caffeine, and cold exposure all trigger vasoconstriction (your body pulling blood inward to protect vital organs). When it can matter: • Persistent color changes (white → blue → red) • Pain, numbness, or ulcers • Symptoms only on one side That’s when conditions like Raynaud’s phenomenon or vascular disease get considered. 🧠 Takeaway: Cold hands are common. Pattern + symptoms matter more than temperature alone.

If an adult has persistent unilateral ear discharge that smells foul, especially with hearing loss, think cholesteatoma this is not “recurrent otitis externa”. 🔴 Avoid ototoxic drops if there’s any chance of a perforated tympanic membrane 🔴 Don’t keep cycling antibiotics ✅ Refer to ENT urgently as this is a destructive condition, not a benign one Early suspicion = fewer complications (and fewer sleepless nights later) P.s. Cilodex (is non ototoxic)

Please let me know what you thought about the course. If anything could be improved or if you would like to have some coaching around it

I did want to do a live presentation of the course but for some reason I am unable to do so please don't hesitate to drop me a message I have added bonus cheat sheet style diagrams to aid in your journey seperately. I will try again to do a live session.