Heart disease is a sitting disease

by Carolyn Thomas    @HeartSisters

When Oregon cardiologist Dr. James Beckerman sent me a copy of his new book called Heart To Start and asked me to review it, I agreed – but I have to tell you that it took me a month to actually open it and read it. These days, I’m often invited to review heart-related books of varying quality, so I tend to be a wee bit wary when taking on another review. But I’d already been following Dr. B for some time on Twitter, and I’d quoted him in this 2013 article – so part of me really, really hoped I would like his new book.

But I was wrong. By the end of the first chapter, I realized that I didn’t like this book.  I loved it!  Continue reading “Heart disease is a sitting disease”

When we judge the poor the way we judge the chronically ill

by Carolyn Thomas    @HeartSisters

There’s an old joke about a woman who is successfully losing weight by following a very strict diet. But one day, her hubby returns home to find her sitting at the kitchen table finishing off a Hershey chocolate bar. He says to her: “Honey! You’ve been doing so great on your diet until now! How could you eat that chocolate bar?”

And her reply:

“You don’t know how many I wanted . . .”

That response sums up a profound message that goes beyond mere diet-cheating to how swiftly we rush to judgement based simply on what we see.  Mostly, we rush to judge other adults based on actions or behaviours that are none of our business (sometimes criticism is thinly veiled as “caring”I care about you so I have to mention the chocolate bar I see you eating. . . )  We judge others because they are not like us, because they make choices we wouldn’t, or because they make choices we might secretly want to make, too – but stop ourselves from doing.

Dr. Lisa Wade’s provocative essay on how we judge those living in poverty recently reminded me of how those living with a chronic illness diagnosis like heart disease can feel similarly judged.  Continue reading “When we judge the poor the way we judge the chronically ill”

Should you bring that list of questions to your doctor?

by Carolyn Thomas  ♥  @HeartSisters

In a recent essay published in the New England Journal of Medicine, Dr. Suzanne Koven* recalls many conversations she had with her father (like her, a physician) in which he loved to reminisce about his own long career in medicine. But there’s one reminiscence she still bristles at, as she explains(1):

“The story was about ladies – always they were ‘ladies’ – and something he called la maladie du petit papier: ‘the disease of the little paper.’

“They would come to his office and withdraw from their purses tiny pieces of paper that unfolded into large sheets on which they’d written long lists of medical complaints. ‘You know what I did then?’ Dad asked. I did, but I let him tell me again anyway. ‘I’d listen to each symptom carefully, and say ‘yes’ or ‘I see’. 

“That’s all. And when a lady finally reached the end of her list, she would say: ‘Oh doctor, I feel so much better!’

“The point is, all those ladies needed was someone to listen.”

The notion that whatever was bothering these silly ladies was all in their heads was once a long held truism within the medical profession.  Continue reading “Should you bring that list of questions to your doctor?”

The Sitting-Rising Test: what’s your score?

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by Carolyn Thomas    @HeartSisters

Back when I was a run leader at the Y Marathon Running Clinic, we’d have an overflow crop of eager new participants at our first Sunday morning run of each New Year. Some even told me that this was finally going to be the year in which they quit smoking, lost 30 pounds, and ran a marathon! “Pick one!” was my pragmatic response to such announcements . . .     Continue reading “The Sitting-Rising Test: what’s your score?”