Author: Carolyn Thomas
Is it finally time to change the name ‘heart FAILURE’?

by Carolyn Thomas ♥ @HeartSisters
When McMaster University cardiologist Dr. Harriette Van Spall asked her Twitter followers recently to offer topic suggestions for the upcoming Heart Failure Summit, I responded with a suggestion of my own:
“Please please please can we STOP calling this condition heart FAILURE?” .
Continue reading “Is it finally time to change the name ‘heart FAILURE’?”
Signals, noise, context – and your doctor’s brain

by Carolyn Thomas ♥ @HeartSisters
Emergency physician Dr. Pat Croskerry tells the story of the day he misdiagnosed a patient who was experiencing unstable angina – chest pain caused by coronary artery disease, and often a warning sign of oncoming heart attack. But this is what he’d said before sending that patient home:
“I’m not at all worried about your chest pain. You probably overexerted yourself and strained a muscle. My suspicion that this is coming from your heart is about zero.”
In a later interview with Dr. Jerome Groopman (author of a book I love called How Doctors Think), Dr. Croskerry explained how easily that misdiagnosis happened: Continue reading “Signals, noise, context – and your doctor’s brain”
Stents vs. bypass surgery vs. TRUST
by Carolyn Thomas ♥ @HeartSisters
In 2018, Dr. Dhruv Khullar warned his colleagues at an American Board of Internal Medicine conference that patients need answers on three dimensions of trust:
- Competence: “Do you know what you’re doing?”
- Transparency: “Will you tell me what you’re doing?”
- Motive: “Are you doing this to help me or yourself?” . .

