Archive | March, 2012

How a heart attack turned me into an “information flâneuse”

28 Mar

by Carolyn Thomas     @HeartSisters

Before surviving a heart attack in 2008, I never gave my heart more than a passing thought (except maybe when slogging up that brutal Quadra Street hill with my running group on our way back to the Y).  But after my heart attack and accompanying shock, disbelief, grief and anger, I became just a wee bit obsessed. I threw myself into boning up on women’s symptoms, risk factors, diagnostics, treatments and emerging cardiac research as if I were cramming for some kind of imminent cardiology midterm.

I applied to attend the annual WomenHeart Science & Leadership Symposium for Women With Heart Disease at Mayo Clinic – and then became the first Canadian ever accepted. I subscribed to daily cardiology bulletins and physicians’ news feeds. I launched this blog, Heart Sisters, and have written 380+ articles here so far. I’ve given presentations about women’s heart health to thousands of people. And I even applied for media accreditation so I could interview cardiac researchers attending the 64th annual Canadian Cardiovascular Congress in Vancouver last fall. I find this subject irresistibly compelling, and am almost insufferably preoccupied with All Things Cardiac.

Just recently, I came across a term that seems to capture the kind of person I’ve become, post-heart attack: an “information flâneur”.   Or, more appropriately, a flâneuse, the female version of this affliction. Continue reading 

The unforgettable diagnosis: “You’re having a heart attack!”

24 Mar

Jennifer Donelan was a 36-year old television news reporter for ABC News 7 in Washington, DC, covering a dramatic story one day about a local 4-month old baby girl who had been found in her crib, unresponsive. After her live shot on the 5 o’clock newscast, Jennifer was waiting near her car when she started to feel a very strange pain in her chest. We pick up her dramatic story there, as told in Jennifer’s own words:

“I remember looking at my car and thinking: ‘I need to go home and lay down.’ Then the pain started to worsen. I took a few steps and my left arm went numb.  Continue reading 

Coronary Microvascular Disease: a “trash basket diagnosis”?

20 Mar

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by Carolyn Thomas  @HeartSisters

Dr. Juan Carlos Kaski, Head of the Cardiovascular Sciences Research Centre, St. George’s University of London in the U.K. explains an unusual cardiac diagnosis here that I happen to share: Inoperable Coronary Microvascular Disease (MVD).

When I was at Mayo Clinic five months after my heart attack, cardiologists there referred to MVD as a “trash basket diagnosis” – not because the condition doesn’t exist, but because this disorder of the tiniest blood vessels in the heart is so often missed entirely. A correct diagnosis usually happens only after all other possible diagnoses are thrown out. It’s far more common in women and in people who have diabetes. It’s treatable, but can be very difficult to detect. Continue reading 

Would it kill you to treat your patients with respect?

16 Mar

by Carolyn Thomas

Not since I was a teenager having my wisdom teeth surgically removed with the aid of that luscious nitrous oxide laughing gas have I floated home from a dental appointment feeling so exhilarated. Because yesterday, I took a personal stand against rudeness and disrespect in the delivery of my own health care.

Regular readers here will already know how surviving a heart attack (plus, I suspect, my advancing progress towards Cranky Old Lady Land) have made me increasingly ticked off by health care providers who:

  • treat us as if we are simply a piece of meat on a slab – and worse, an invisible piece of meat on a slab
  • forget that we are far more than just the 10 o’clock procedure in their daytimers
  • disregard the fact that there is an actual real live human being attached to the body part they happen to be working on

My recent mission in life seems to be to put the brakes on this kind of pervasively rude behaviour, one health care provider at a time.   Continue reading 

Too embarrassed to call 911 during a heart attack?

12 Mar

by Carolyn Thomas

When I was sent home from the Emergency Department with a misdiagnosis of acid reflux, I felt horribly embarrassed that I’d made such a fuss over nothing (well, nothing but textbook heart attack symptoms like chest pain, nausea, sweating and pain radiating down my left arm).  It then took me two full weeks of increasingly debilitating cardiac symptoms before I forced myself to return to that same hospital, desperately ill yet still not completely certain this could be heart-related. After all, hadn’t an Emergency physician with the letters M.D. after his name told me quite emphatically:

“This is NOT your heart!”

It was only when my symptoms became truly unbearable that I knew I had to go back to the E.R. This extreme reluctance to get help is what doctors call treatment-seeking delay behaviour, and in the middle of a heart attack, it can be a deadly delay. We already know that the average person in mid-heart attack will wait four hours before getting medical help.  Why? One reason may well be that we’re too simply too embarrassed to attract attention to ourselves during a heart attack.   Continue reading 

Squishing, burning and implanting your heart troubles away

8 Mar

by Carolyn Thomas  @HeartSisters

Like the eminently quotable cardiologist Dr. John Mandrola once wrote on one of my favourite heart blogs:

“We urge patients to eat less, exercise more, and not to smoke. But when they don’t do these things, we still squish their blockages, burn their rogue electrical circuits, and implant lifesaving devices in their hearts.”

As a heart attack survivor, one of the Big Lessons for me has been that although my doctors can “squish, burn and implant” all they like, their heroic efforts do not address what originally caused this damage to my coronary arteries in the first place.   Continue reading 

Bereavement eating: does grief cause carb cravings?

4 Mar

by Carolyn Thomas

I’ve heard it said that some people experience a loss of appetite during stressful times like a death in the family.  These people are not my relatives. Indeed, in our Ukrainian family tradition, we eat when we’re happy, we eat when we’re upset, and we eat during all possible emotions in between.

Every family gathering surrounding my mother’s recent death was no exception.

For example, the delicious lunch following her funeral service was a true labour of love, prepared by the women of my mother’s church, just as the women of churches, mosques, temples, synagogues and neighbourhoods around the world have been doing for mourners since time began.  Continue reading 

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