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Misdiagnosis: the perils of “unwarranted certainty”

8 Jan

by Carolyn Thomas

Until being misdiagnosed with indigestion in mid-heart attack, I generally trusted that all people with the letters M.D. after their names knew what they were talking about when diagnosing serious medical problems. That was long before I learned from a study reported in the New England Journal of Medicine that women under the age of 55 who are experiencing a heart attack are seven times more likely to be misdiagnosed and sent home from the E.R. compared to their male counterparts presenting with identical symptoms.

And that’s why I now find Dr. Jerome Groopman’s landmark book, How Doctors Think, so illuminating.  It should be required reading for all med school students.  (more…)

“Gigi”: An E.R. doc’s warning to his residents

3 Dec

by Carolyn Thomas

An experienced E.R. physician is supervising a regular training lesson for residents in his hospital’s Emergency Medicine program one morning. The class is reviewing EKGs, going over interesting cardiac cases from their E.R., and reviewing subtle abnormalities in lab work or x-rays.

His residents are willing to put in this extra time to become better E.R doctors.

On the EKGs shown overhead on the big screen, the name of each heart patient being discussed is whited-out to protect patient confidentiality. What isn’t hidden, though, is the name of the EKG tech who performed the EKG procedure on the patient. And there, in the left lower border of EKG #6′s information box, the E.R. doc spots the technician’s name.

“Gigi”.     (more…)

‘Holiday Heart’ in women

29 Nov

by Carolyn Thomas

Here’s something to keep in mind as you ponder your Christmas party planner this season.  Some people are apparently so extremely sensitive to alcohol that even moderate amounts – sometimes just a single drink – can trigger episodes of the heart arrhythmia known as paroxysmal atrial fibrillation. This unusual syndrome is also what doctors often call “Holiday Heart.

Atrial fibrillation (AF) is a common heart rhythm disturbance that can produce significant symptoms. It is a rapid and irregular heart arrhythmia, caused by chaotic electrical impulses in the atria of the heart (the two upper chambers). In many cases, AF is caused by underlying heart disease or by aging. But often, it seems to have no identifiable cause. In cases of Holiday Heart, however, the possible cause may be an unusual sensitivity to alcohol consumption.  And in women, some Holiday Heart symptoms can look significantly different than those observed in their male counterparts.     (more…)

‘Gaslighting’ – or, why women are just too darned emotional during their heart attacks

25 Nov

by Carolyn Thomas

I came across the term ‘gaslighting’ the other day, and I immediately grasped its practical application to everyday life. (Very similar reaction, in fact, to hearing the word mansplainingfor the first time recently!) But I digress. The concept of gaslighting may ring bells for any woman who has been misdiagnosed in mid-heart attack, patted on the head and sent home from the E.R. in abject embarrassment. (more…)

“But what about the men?!”

21 Nov

As you know, I rarely publish guest posts here on Heart Sisters (given that I have a small avalanche of 232 half-done draft articles piling up alarmingly) but I wanted to share this post with you. It’s from the irreverent Laura Haywood-Cory of North Carolina, one of my sister heart attack survivors and yet another graduate of Mayo Clinic’s WomenHeart Science & Leadership Symposium for Women With Heart Disease in Rochester, Minnesota (and more recently, of the Mayo Clinic Social Media Summit there, too!)

Her own dramatic heart story is that of a deadly and rare condition usually seen in young, healthy women with few if any known cardiac risk factors: Spontaneous Coronary Artery Dissection or SCAD. I’m happy to say she has been making a heroic effort to beat this sucker into the ground – just one year after surviving her heart attack, Laura completed the Chapel Hill Ramblin’ Rose Triathlon. She now writes about SCAD, women’s heart health, and life in general on her blog  – from which I have lifted this little gem, with her permission. Laura writes:     . (more…)

The sad reality of women’s heart disease hits home

28 Oct

I’m nicely settled back home now after a few days across the pond in beautiful Vancouver, where I was covering the 64th Annual Canadian Cardiovascular Congress there for Heart Sisters readers.

My favourite things about this trip: the weather, walking the Vancouver sea wall, the mountains, the divine heart-smart food, the fabulously helpful Heart and Stroke Foundation staff at the Media Centre, and the fact that I somehow managed to p-a-c-e myself most days while trying to take care of my heart.

My least favourite thing: out of over 700 scientific papers presented at this conference, I could count on one hand those that focused even remotely on women’s heart disease. My question is:   why? (more…)

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