Well, at first, there may be a fluster in the trees or a violent shake in the canopy above your head.
Do you shake your head at the depths to which professional journalism has sunk when trash statistics uncritically lead the evening news?
But before you shake your head at the hopelessly bigoted attitudes of the remote past, it's worth considering that we have here today, in Surrey and Shropshire and Somerset, colonists of our own who are every bit as blinkered.
Rookie Washington coach Adam Oates, who had spent the last two seasons in New Jersey as an assistant, could only shake his head when asked about the game-winner.
Now, as a local reporter, what's the issue that you just shake your head when you hear Romney talk about and you say, that does not sound like Governor Mitt Romney?
"The defence minister has ordered a shake down inspection for all the private airlines, " Pervez George, head of Pakistan's Civil Aviation Authority, told the AFP news agency.
He would actually place my fingers on the strings where they were supposed to go, you know, and just he'd sit there and, without words, you know, play the note and look at me, shake his head, play it again, over and over--was very patient.
The latest shake-up follows the appointment of John Dixon in October, who moved from food to become the head of general merchandise, replacing Kate Bostock.
On one interception in practice, big defensive lineman Damon Harrison pulled the ball out of the air near the line of scrimmage, causing Sanchez to shake his head in disgust.
In July he pleased donors by appointing Richard Leakey, a former palaeontologist and head of Kenya's wildlife service, as head of the civil service, with promises of an anti-corruption shake-up in the ministries.
The kids would ask her, Are you a bodybuilder, Miss Lora? and she would shake her head behind her paperback.
If one invests in the stock market long enough, every now and then you will come across something that just makes you shake your head.
During last week's hearing, Jane Herve, UHW head of midwifery, said the hospital has since made four changes, including more training and a shake-up in monitoring procedures as well as introducing foetal heart rate scans to every new woman taken to the midwifery unit.
BBC: Neglect partly led to baby Noah Tyler's death - coroner
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