Search results for 'Dear'

Dear Carolyn: “Adapting to adaptations?”

10 Mar

by Carolyn Thomas  @HeartSisters  March 10, 2019

People living with chronic illness often discover that they must adapt to changes in what occupational therapists like to call our activities of daily living (ADLs).  The basic ADLs typically include eating, bathing, dressing, grooming, toileting, and moving around independently (e.g. getting up off that couch). Even smaller changes occur: for example, I now wear a medical I.D. on my wrist all day. I never leave home without my nitro spray for chronic angina. I count out all my cardiac meds for the week in labeled pill organizers. These represent a few of the many adaptations I’ve learned to make since my cardiac diagnosis.
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Today, in this Dear Carolyn episode (our eighth in the occasional series featuring Heart Sisters readers sharing the experiences of becoming a heart patient), we’ll attempt to address a related reader question about adapting.

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Dear Carolyn: “People can change for the better”

28 Oct

by Carolyn Thomas    @HeartSisters    October 28, 2018

We know now that childhood trauma is strongly associated with chronic illness later on, including heart disease. As I wrote in a recent blog post about ACE (Adverse Childhood Experiences), researchers warn us that scoring 4 or higher on the ACE test can predict a significantly higher risk of physical or mental illness as an adult. I was stunned when I took the test and saw that my own score was 4; I was well aware of my childhood experiences, of course, but I thought that only marginalized kids from desperately poor families were at high risk – and that wasn’t me! A history of psychological childhood abuse or neglect is not what we expect our doctors to ask us about – but this research suggests that maybe they should start.

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One response to that post really hit home for me. Marie (who prefers not to use her real name here) lives with a type of ischemic heart disease called coronary microvascular disease (as I do, too). With her kind permission, I’m sharing her childhood story with you as the latest guest post in my regular but very occasional series called Dear Carolyn“:

Dear Carolyn: “Breaking up is hard to do”

3 Aug

by Carolyn Thomas    @HeartSisters     August 3, 2018

Breaking up is hard to do. That’s how my blog reader Tommie O’Sullivan described to me the sad news that she lost first one, and then a second trusted cardiologist. It’s nothing personal. Important family reasons. Retirement. She understands these things. But still. . .

As part of my occasional and ongoing “Dear Carolyn” series of guest posts written by women who have learned firsthand what becoming a heart patient is all about, I’m happy to share this, with her permission. Tommie’s words reminded me that, so far, I’ve been lucky in never experiencing the loss of a favourite physician. I suspect that – in this age of increasingly empowered patients, critical doctor reviews online, and second opinions from Dr. Google – her sentiments are what every physician longs to hear one day from their patients: “I will really miss you!”  Continue reading

Dear Carolyn: “Did I have a ‘real’ heart attack?”

8 Jul

by Carolyn Thomas    @HeartSisters     July 8, 2018

As part of my occasional Dear Carolyn series featuring my readers’ unique narratives about how they became heart patients, I offer today a medical mystery from an Oregon reader. After dueling physicians differed in their opinions of her diagnosis, Lynn Bay now wonders if she actually did have a “real” heart attack, as one of them had diagnosed. Her story may seem familiar to you if you’ve ever had your medical experience dismissed or minimized. Here’s Lynn’s story, with her permission: Continue reading

“Dear Carolyn: I was never one to complain. . . “

10 Jun

by Carolyn Thomas    @HeartSisters    June 10, 2018

Sometimes, the story of how another woman first discovered she had heart disease can seem eerily familiar to our own. It’s that familiarity that first attracted me to this Dear Carolyn episode (our fourth in the occasional series that features my Heart Sisters readers sharing the unique experience of what it can feel like to become a heart patient).

This particular blog reader, who prefers to remain anonymous, explains her reluctance to seek medical help while repeatedly blaming her distressing symptoms on non-cardiac causes. I completely identified with that reluctance because I went through that same surreal refusal to seek help for my own worsening cardiac symptoms after being misdiagnosed in the E.R. with acid reflux. If you, too, have ever engaged in what researchers call “treatment-seeking delay behaviour” during a heart attack, her story might feel familiar to you, too. Continue reading